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

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54/13 PER<strong>FOR</strong>MANCEoversight to allow intervention at an earlier stage. PS confirmedthat this would be covered by the review. TS acknowledged thatthere would be questions about the supervision of the individualand the Trust would be able to provide further informationfollowing the review.KT mentioned that he had met two people who had been invitedfor a further assessment and both had been very complimentaryabout the sensitivity with which this has been handled. He addedthat he shared DB’s concerns about the need for a systematicprocess to assess performance. TS confirmed that medical staffwere required to have an appraisal annually but advised that itwould be better to wait for the full report following the review toaddress these concerns. JS underlined the importance of having avery full review.TS thanked PS and John Stevens for the way in which the recallof patients had been conducted operationally by providing theadditional capacity to run the clinics and setting up the helplinesas well as the interaction with the media which had given clearmessages about this being a precautionary measure.In response to a question from SP about the number of patientsseen and the timescale for seeing the remainder of patients, TSreplied that the Trust had seen half the current group of patientsand capacity was the only constraint. He added that the Trust hadmade good progress in a short period and often the weekendswas not the most convenient time for patients.(a) Performance Report (Appendix E)HL presented the report, highlighting:• the increase in emergency activity since March 2012although the Trust was not currently seeing patients in thesame peaks as in 2012/13;• that the Trust was achieving the 4 hour wait in the ED in thepast three weeks even with the high number of patients andthis was a credit to the staff;• that the Trust had achieved an aggregate of 94.8% patientsseen within four hours in April;• that there were 668 more ambulance handovers in ED thanin the previous year, which equates to an additional 50each week;• that there were still a number of patients who should be inMedical beds but who were in beds elsewhere in theorganisation although the numbers had reduced;• a reduction in the number of operations cancelled due tothe shortage of general or critical care beds available evenwith the two additional critical care beds but the Trust wasBOD/Part 1MINS 10.05.13 PAGE 6 OF 16
still challenged at times;• that the Trust had met the 18 week wait target at anaggregate level in April but Orthopaedics, General Surgery,Gynaecology and Urology were not expected to meet thetarget but the primary focus would remain on patient carerather than meeting targets;• that cancer referrals and outpatient activity were alsoputting pressure on Urology;• that there were two C Difficile cases in April and no casesof hospital acquired MRSA;• the 2 week cancer referral target was still challenging withthe upward trend of fast track referrals continuing;• there were a number of breaches for the 62 day cancertargets in Urology illustrating real pressure in the system;• she had visited St Leonards Community Hospital with thedirectors responsible at Dorset Healthcare University NHSFoundation Trust (DHUFT) and they were looking at how toopen up the second ward there in conjunction with theEstates team;• funding for emergency pressures had been allocated by theNHS Dorset Clinical Commissioning Group (CCG) for thefirst six months subject to assessing the widerrecommendations from the recent urgent care review;• the results of the Joint Advisory Group inspection ofEndoscopy, which had commended the team culture andapproach to patients, and although there wasdisappointment that the Trust’s re-accreditation had beendeferred for three months pending the action plan it wasacknowledged that no unit in UK had been givenaccreditation without deferment; and• that sickness levels were on a par with the previous month.TS added that there were some broader issues as DHUFT hadmade a substantial profit under a block contract when there werefacilities which were not available which had been raised withcommissioners.JS thanked HL and her team for their work in achieving apredominantly green position on the Monitor and contractualtargets at the year end, particularly given the levels of activity.In response to a question about the outliers and the number ofpatient moves, HL reported that an audit had been completed atMA’s instigation. She noted that this had revealed an issue withthe data as every move on a patient pathway was counted. Sheconfirmed that there were a small number of patients who hadbeen moved continually and there was very little evidence ofinappropriate moves but the recommendations from the auditwould allow the Trust to focus on any problem areas.BOD/Part 1MINS 10.05.13 PAGE 7 OF 16
Page 1 and 2: A meeting of the Board of Directors
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EnforcementGuidance28 March 2013Mon
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ForewordThe Health and Social Care
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1 IntroductionThe Health and Social
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Table 1.1 Monitor’s enforcement p
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Licence enforcementDiscretionary re
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Competition lawMonitor has concurre
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SeriousnessMonitor will take into a
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provide regular case updates to par
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including in the application eviden
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In certain circumstances, Monitor m
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Non-compliance penaltiesUnder sched
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Notice of Intent (section 90)Where
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• any incidental or consequential
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Monitor will have concurrent powers
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the first two decision-making point
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AnnexMonitor’s powers of enforcem
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Job DescriptionPOST TITLEREPORTS AN
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MEDICAL LEADERSHIPAs Medical Direct
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PERSON SPECIFICATIONQualifications:
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CALDICOTT GUARDIAN ROLE DESCRIPTION
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Transporting sharps containersIn or
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NHS Winter Heroes recognisedFour me
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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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