Present: Sir R Watson (Chair) Mr J Parry. In Attendance: Mrs S Taylor Miss J Brookes. Apologies: Miss C Aitken Mrs S Finnegan

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1 Southport & Ormskirk Hospital NHS Trust Minutes of the Trust Board held on Wednesday 9 th July 2008 at 9.30am In the Classroom 1, Learning Resource Centre, ODGH Present: Sir R Watson (Chair) Mr J Parry Mrs J Citarella Mr C Throp Mr R Dykes Mr M Iskander Mr D Rainey Mr M Frayne Mrs H Thompson Mrs L Yates Dr G Boocock In Attendance: Mrs S Taylor Miss J Brookes Mrs S Partington Mrs D Currie (Minutes) Mr R McCarthy Mrs L Mercer (observer) Apologies: Miss C Aitken Mrs S Finnegan 08/137 Minutes of the Previous Meeting The Minutes of the Trust Board held on Wednesday 4 th correct record. June 2008 were agreed as a 08/138 Matters Arising (a) NHS Confederation Membership Members of the Board noted and discussed the recommendation from the Chief Executive, circulated with the Agenda. Fully understanding the financial position of the Trust, the Non Executive Directors asked if Mr Parry could negotiate a complimentary or much-reduced fee for part year membership explaining to them the Trust s financial position and giving assurance that the Trust would join the NHS Confederation on the 1 st April Action: Mr J Parry BY: September Trust Board 08/139 Chief Executive s Report Mr Parry spoke at length to the Report, circulated with the Agenda. Children s Walk in Centre, Southport. The Chairman, Mr Parry and Dr Boocock are attending a further meeting facilitated by Sefton Primary Care Trust, with local councillors and interested parties on the 22 nd July. The Trust has received no information on the function of the Walk In Centre nor have we been asked to provide representation on any Working Group. Social Services. The Trust met with both Sefton and Lancashire Social Service Departments regarding operational issues which impacts on the Trust s finances, to the Page 1 of 6

2 sum of 100k, and effective discharge. Mr Throp explained that this was an historical grace and favour arrangement which the Trust can no longer afford and could be resolved by transferring staff over to the relevant Social Services Department. New Logo. To distinguish ourselves from other Trusts and as part of the Trust s Marketing Strategy, the Executive Directors would like to resurrect the Trust s old logo, which can be found on staff I.D. badges. The Trust still has the necessary artwork so it would be relatively inexpensive to reinstate. Members of the Board approved this request but asked that the cost should be at a minimum to the Trust. 08/140 Finance & Performance Report Mr Throp spoke at length to the Finance Directors Report circulated with the Agenda which records the Trust s financial position at Month 2. At present there is no resolution to the outstanding contract discussions with the Primary Care Trusts. For the purpose of the Report, circulated with the Agenda, it is assumed that a further 2M will be secured through these negotiations; that is a total of 4M funded for 2008/09. This would be a combination of non Payment by Results funding and transitional (non-recurrent) support. Despite this accrual an overspend of 420k has been declared for May. The main reason for this overspend is that some schemes within the recovery plan have not yet commenced and have slipped into future months. It is clear that under achievement of the recovery plan to date is having the largest impact on the financial position. It is essential that schemes are delivered as soon as possible to get the maximum benefit in this financial year and to assist bringing the Trust back into balance. Further pressures are being experienced in areas of non-pay but these are being incurred during a period of overperformance. The Trust strongly stated during contract negotiations that the Primary Care Trust s activity plan had been set too low and that the Primary Care Trust initiatives being cited to reduce demand and therefore activity would not be in place by 1 st April May s activity continues to overperform and to a large extent supports this view. A detailed analysis is being conducted and will inform the Trust whether this is a temporary blip or if it is likely to continue into a much larger variance. Minutes of the Finance & Performance Committee held on 30 th June 2008 Members of the Trust Board NOTED the Minutes of the Finance & Performance Committee held on the 30 th June 2008 circulated with the Agenda. 08/141 Risk Management Committee Members of the Trust Board NOTED the Minutes of the Risk Management Committee held on Wednesday 26 th June /142 Performance Dashboard Members noted the contents of the Performance Dashboard circulated with the Agenda. Mr Frayne provided the Board with a commentary of those indicators showing change from the last period, summarised thus:- Page 2 of 6

3 Mr Frayne was delighted to advise the Board that the most up to date information shows the Trust did in fact achieve 98.01% compliance against the A&E 4 hours or less target for May 2008, not 97.45% as published in the report, circulated with the Agenda. Thrombolysis: 60 minute call to needle time. 50% underperformance, but this reflects 1 out of 2 relevant patients breaching. The breach is related to North West Ambulance Service performance and a root cause analysis is being undertaken. GUM continues to underperform against stringent internal targets. 18 week performance and mean waiting times for diagnostic tests are on target. However, underlying pressure on outpatient capacity for some specialties including general surgery needs to be managed to sustain 18 week performance. Choose and Book slot availability has improved in month but remains below target. Electronic Choose and Book performance is deteriorating. This may reflect a lack of GP confidence related to poor slot availability in recent weeks. This will be rectified by September through a specification plan. Mr Dykes asked if numbers of patients could be shown in future Performance Dashboard Reports, alongside percentages. Action: Mr M Frayne By: SEPTEMBER Trust Board Update on Performance against Healthcare Commission 2007/08 Targets Members of the Board acknowledged the contents of the Report, circulated with the Agenda. 08/143 Director of Nursing s Report National In Patient Survey 2007 Healthcare Commission Benchmark Report The national Patient Survey Programme is a series of reviews undertaken by the Healthcare Commission which assesses, from the patients perspective, the success of local health services in meeting the needs of patients. The Inpatient Survey conducted in 2007 asked adult patients in 166 acute and specialist NHS Trusts in England about recent experiences of their inpatient care. The Trust analysed its results by:- comparing this years scores with previous Inpatient Survey results where the Trust scored less than 50% and looking at areas where the Trust was placed in the bottom 20% of Trusts. Members of the Board NOTED the contents of the Report, circulated with the Agenda, which provides detail of how the Trust scored against key questions, showing comparisons with last year s results. Members of the Board NOTED the progress that has been made against the previous year s actions and AGREED the proposed actions in response to those areas the Trust needs to improve upon this year. Page 3 of 6

4 08/144 Medical Director s Report Mr Iskander stated there was nothing further to report to the Board that is not already included on today s Agenda. 08/145 Director of Infection Prevention & Control Report MRSA Bacteraemia Dr Boocock stated that there have been no episodes of MRSA bacteraemia from 1 st April 2009 to date from either the hospital or community settings. The 12-monthly rolling total for July 2007 to June 2008 is seven cases. The Trust is currently two cases under trajectory for 2008/09. C Difficile The trajectories for C.difficile reduction have now been set. The Trust s target for 2008/09 is 101 cases. To date the Trust has achieved the monthly trajectories. The three monthly rolling total is showing some evidence of a reducing trend and this will be closely monitored in order to sustain this. Matrons and Clinicians are now being requested to complete a modified root cause analysis for each hospital-acquired case and the action plans that arise from these cases will be monitored by the Infection Prevention and Control Team. Members of the Board wished to formally record their appreciation to Mr Kiernan on his excellent presentation at this week s Annual General Meeting. Sir Ron will write to Mr Kiernan expressing the Board s appreciation. Action: Sir R Watson BY: SEPTEMBER Trust Board Healthcare Commission Annual Inspection Programme The Healthcare Commission will visit every Acute NHS Trust to assess compliance with the Hygiene Code. Southport & Ormskirk NHS Trust has not yet been notified as to the date and timing of our Assessment Visit. The Trust declared compliance with the Hygiene Code as part of the submission to the Healthcare Commission in 2007/08 and the Trust maintains compliance. 08/146 Marketing Action Plan Members of the Board noted the contents of the Marketing Action Plan, circulated with the Agenda, which details the action to be taken to implement the Strategy. A quarterly progress report will be brought to future Trust Boards. Action: Mrs S Finnegan BY: November Trust Board The Board discussed marketing the Trust s services in general and put forward several suggestions including looking at sponsorship for advertorials in the local press and promoting our services at this year s Flower Show and other such events. 08/147Assurance Framework 07/08 Principal Objective 1 The Assurance Framework for 2008/09 was approved by the Trust Board in June Members of the Board reviewed Principal Objective 1 To Pursue Excellence in Treatment, Safety and Care and everything that supports its Delivery including gaps in control/assurance and noted progress against the Action Plans. Page 4 of 6

5 08/148 Safeguarding Children Annual Report 2007/08 Members of the Board NOTED the contents on the Report circulated with the Agenda. Executive and Non Executive Directors will receive Child Protection training, which is mandatory to all staff within the Trust, following October s meeting of the Trust Board. Action: Mrs J Brookes BY: October Trust Board 08/149 Membership Scheme Members of the Board discussed the contents of the Report circulated with the Agenda which explains the merit in encouraging members of the public to become members of the Trust. Mr Dykes suggestion of using the Trust s Open Days as an opportunity to recruit members of the public will be taken forward outside the meeting. Action: Mrs S Finnegan BY: Open Days 08/150 Pride Awards The Trust used to run a Quality Awards Programme where the best innovations and quality improvements in treatment and care were judged annually by a panel of Executive and Non Executive Directors and a number of awards were made with one overall winner. The Executive Team believe there may be merit in holding an Annual Awards Ceremony enabling staff to be praised for a job well done. This could be combined with the Annual General Meeting. Members of the Board fully supported this recommendation and looked forward to more detailed plans being presented to the September meeting of the Trust Board. 08/151 Charitable Funds Approvals Action: Mrs Yates, Miss Brookes and Mrs Partington BY: SEPTEMBER Trust Board In accordance with the Committee s scheme of delegation, requests for spends of 5,000 and above require the approval of the Trust Board. Members of the Board APPROVED the following requests:- 1 x Acuson X300 Echo Cardiograph - 20,000 1 x Ziehm Vision Mobile C-Arm Image Intensifier and 1 x Mobile Radiographic Table - 98,400 08/152 Modernising Medical Careers August 2008 Changeover Members of the Board NOTED the risks the Trust is facing with regards to the Modernising Medical Careers August 2008 changeover and the current Medical Staffing Levels described in the paper, circulated with the Agenda. This issue has been StEIS reported. The Board will receive an update on the Trust s position through the Medical Directors Report. Action: Mr Iskander/Mrs Partington BY: SEPTEMBER 2008 Page 5 of 6

6 08/153 Any Other Business (a) Business Plan 2008/2009. Members of the Board noted and APPROVED the Trust s Business Plan for 2008/09 circulated to Board Members prior to the meeting. Page 6 of 6

Southport & Ormskirk Hospital NHS Trust

Southport & Ormskirk Hospital NHS Trust Minutes of the Trust Board Meeting held on Wednesday 18 th October 2006 at 2.00pm In the Boardroom, Southport & Formby District General Hospital Present: Mr A Johnson