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

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50/13 MINUTES OF THE MEETING HELD ON 12 APRIL 2013 (Appendix A)The minutes of the meeting were taken as read and accepted as a truerecord of the meeting, subject to the correction of a couple of typographicalerrors.51/13 ACTIONS LOG (Appendix B)(a)29/13(a) Performance Report52/13 MATTERS ARISING53/13 QUALITYHL noted that this had been included on the agenda for Part 2 ofthe meeting initially.There were no matters arising.(a)Patient Story (Verbal)JS welcomed Sue Langlois to the meeting. PS explained how theway in which staff communicated with patients and their familiesor carers can change their experience while in the Hospital.SL described how an 80 year old patient with Parkinson's Diseaseand dysphasia had had a poor experience in the Trust on aprevious stay due to an issue with their medication which hadlengthened the patient’s stay. She noted that the patient's familywere still very angry but the lead nurse on the Ward had spokenwith the family and asked them to give the Trust an opportunity todemonstrate how it could do better. She described the care thepatient had received, adding that the patient's condition haddeteriorated rapidly and the Trust had managed the patient's endof life care so they got to die at home which was what the patientsand family had wanted. She concluded by noting that the familyhad written to the Trust to say that they would recommend theHospital to anyone and it had been a wonderful experience.PS highlighted that where patients have a bad experience of theHospital their faith and confidence in the Trust could be rebuilt.She commended the lead nurse on the Ward for her proactiveapproach to this and the confidence she had demonstrated in thestaff on the Ward by her commitment knowing that the patientwould need to receive their medication for Parkinson's Diseaseevery two hours. BF supported this, recognising the couragetaken to do this. AP also noted that this was a fantastic exampleof facing into problems and not being defensive and staff need toknow that they have the support of the Trust to deal with situationsin this way.BOD/Part 1MINS 10.05.13 PAGE 2 OF 16
In response to a question from KT about the initial cause forcomplaint, PS acknowledged that the delivery of medication everytwo hours did create pressures for staff but the knowledge fromthis Ward on how best to prioritise this would be shared with otherMedical wards. SP noted that the willingness to share this type ofstory demonstrated the maturity of the patient story format at theTrust. He asked whether staff were given training to deal withthese situations. PS replied that much was down to clinicalleadership in addressing issues immediately to stop theseescalating. She also noted that the Board discussion and supportfor staff to deal this so staff are aware of this.PG added that issues with patients' medication often arose onemergency admissions when the information about the patient'smedication was not always available. He highlighted that theEmergency Department (ED) had access to a Summary CareRecord and can access information from GPs directly. MA notedthat in this case the issue was due to how challenging it was togive the patient the medication on such a frequent basis.RR reported that the Patient Experience and CommunicationsCommittee (PECC) had discussed filming patient stories so thatthese could be shared more widely as they were very powerful. JSnoted the link to the Staff Survey and providing support for staff sothey feel empowered. She thanked SL for sharing the story andalso her contribution during Health Minister Dr Dan Poulter's visitto the Trust the previous day.(b) CQC Quality and Risk Profile (Appendix C)PS presented the paper, pointing out that the Trust remained lowrisk according to the assessment of the Care Quality Commission(CQC). She reported that she and TS had met with Sally Newell,the CQC's Regional Manager, who had explained the CQC's newmethodology for assessments and the new local assessor. Shenoted that the CQC's new inspection regime was to be announcedand the current outcomes would be grouped under five headings.She added that the CQC would be establishing a national team toundertake in-depth reviews of hospitals with significant or longstandingproblems and those applying to be foundation trusts.PS noted that they had raised the issue with the currency of someof the data used by the CQC and the CQC had clarified that thisdata was only part of the picture in terms of the overallassessment of the Trust and the Trust needed to be assured thatit was meeting these standards. In response to a question fromSP as to whether the Trust validated its performance against theCQC outcomes using more current data, PS explained theprocess of assessment of compliance by the responsiblecommittees using the results of audits and other evidence.BOD/Part 1MINS 10.05.13 PAGE 3 OF 16
Page 1 and 2: A meeting of the Board of Directors
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Board of Directors Business Program
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A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...

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