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A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...

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provide greater details on the work which was being done arounddischarge planningGB asked about the impact on outcomes for patients who werenot able to be admitted to the Stroke Unit. DJ acknowledged thatlots had been written about this and had shown that Stroke Unitsimprove the clinical outcomes for patients when compared togeneral medical wards. He added that the data around ESD hadcompared outcomes to patients on a Stroke Unit rather thangeneral medical wards and this demonstrated further improvementin outcomes for patients with ESD with mild to moderate strokes.DJ added that there were tariffs associated with stroke servicesand best practice for admitting patients to a fully specified StrokeUnit for example there was an additional £0.33m payable for theweekend TIA service.JS requested that the Board be provided with more information onthe outcomes measures for the Stroke Unit which had beenreferred to in the discussion. She thanked DJ, JK and CG for thepresentation and noted how she had been encouraged by thenational position.JS acknowledged that the questions which had been submitted bythe Governors would be answered by a subsequent briefing. DJ,JK and CG left the meeting.HLHL55/13 STRATEGY(a)Proposed Merger between Poole Hospital and RBCH(Appendix G)TS reported on the visit to the Hospital from Dr Dan Poulter MPwhich had been arranged after Christopher Chope MP had raisedquestions about the merger in Parliament.He confirmed that the Council of Governors had received adetailed brief on the Competition Commission process followingthe hearing and that there would be a further hearing in June. Herelayed the Competition Commission’s latest thinking in relation towhich services may be affected by a substantial lessening ofcompetition following the merger, which indicated that non-electiveservices, private activity and community activity would not beaffected and there may be a risk of a substantial lessening ofcompetition for outpatients and some elective activity. He notedthat any discussion about remedies would be likely to last throughJuly and August, but it was difficult to gauge at this stage, and theTrusts continued to work towards licensing of the merged trust inApril 2014.BOD/Part 1MINS 10.05.13 PAGE 12 OF 16

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