SALISBURY NHS FOUNDATION TRUST

Size: px

Start display at page:

Download "SALISBURY NHS FOUNDATION TRUST"

Lionel Sullivan
5 years ago
Views:

1 SALISBURY NHS FOUNDATION TRUST Minutes of the Council of Governors Public Meeting Held in the Boardroom At Salisbury District Hospital on 10 November 2008 Governors Present: Luke March Chairman John Carvell Robert Coate Celeste Collins Nick Cross Carolyn Davies Keith Douglas Paul Goldman Chris Horwood Pat Hurst Mary Hutcherson Martin Lee Fiona Libby William Moss Carole Noonan Anita Pheby Philippa Potter Elizabeth Stevens Stella Sykes Christopher Wain Jerry Wilde Sara Willan Lis Woods Apologies: Chris Archibold Kate Beaumont Gail McKechnie James Robertson In Attendance: Barry Bull Non-Executive Director Patrick Butler, Public Relations Manager Isabel Cardoso, Membership Manager Maggie Cherry, Head of PALS Debbie Dupont, Hospital at Night Project Manager (for item 6) Alistair Flowerdew, Medical Director Matthew Kershaw, Chief Executive Tracey Nutter, Director of Nursing John Williams, Head of Corporate Governance 1. WELCOME ACTION LM opened the meeting by welcoming Pat Hurst as the new Governor nominated by Wessex Community Action in succession to Laurence Patterson. 1

2 2. MINUTES The minutes of the meeting held on 14 July 2008 were accepted as a true record after a change to the wording under the heading GP Led Health Centres (Darzi Report) :- Original Wording Lis Woods advised that the PCT had no agenda or preferred solution in relation to the proposal to establish GP Led Health Centres in Salisbury and Tidworth which had been the subject of significant press coverage in recent weeks. Revised Wording LW advised that contrary to recent coverage in the local Press, the PCT had no hit list of GP surgeries it was however discussing with GPs and other interested parties how services could be improved. 3. MATTERS ARISING AGM The Governors agreed that the 2008 AGM had been a successful event with a wide range of information presented in an informative style. The pressure on space was noted and LM was asked to explore the possibility of holding the 2009 AGM at a City Centre location. LM DEVELOPMENT HALF DAYS The second of the two Development half days scheduled for 2008 was held on 10 October and featured presentations from Human Resources and Finance. The general feedback was very positive but the Governors asked if, at any such events in the future, the presenters could be briefed to allow sufficient time for discussion and questions. There was also a suggestion that the length of these sessions should be limited to around two hours. CAR SHARING SCHEME/INSURANCE ARRANGEMENTS LM confirmed that the Trust had adopted the Wiltshire County Council Car Sharing scheme. Under this scheme any individual with concerns over their insurance arrangements are advised to check with their insurers accordingly. The Governors noted the information provided under the Matters Arising headings. 4. OUTCOME OF THE 2007/08 HEALTHCARE COMMISSION HEALTH CHECK RESULTS For 2007/08 the Trust had been assessed as good for Quality of Services (up from fair in 2005/06 and 2006/07) and excellent for Use of Resources (same as for 2005/06 and 2006/07). 2

3 All Governors were given a copy of the summary report which set out the various components which made up the Health Check and how the Trust had performed. The two national targets the Trust had missed were cancelled operations and those not admitted within twenty eight days and information in place to support choice where there had been a delay in the Trust being able to access the Data Centre which supported this initiative. This had resulted in the number of the appointments booked via this route falling below the target for the year. MK explained what the Trust was doing to improve both these measures, in particular the work with GPs to improve the Choose and Book figures. CN suggested that a Choose and Book article could be included in a future members Newsletter, JC commented that the roll-out of Choose and Book was known to be a challenge nationally while JW asked if there was any scope for the Trust to work with the army GPs. NC asked if there was any information available which set out how Foundation Trusts had performed generally in the 2007/08 Health Check and JW promised to circulate the press release issued by Monitor on 16 October 2008 which covered this information. JW MK concluded his presentation by reminding the Governors that the Healthcare Commission would be replaced by the Care Quality Commission (CQC) on 1 April This new organisation would be responsible for regulating Health Care and Social Care in England and would take over the work currently managed by: The Healthcare Commission The Commission for Social Care Inspection The Mental Act Commission It was therefore possible that the 2008/09 Annual Declaration process would be the last in its current form. The Governors noted the performance of the Trust in the 2007/08 Health Check and the regulatory change which would come into effect on 1 April TRUST PERFORMANCE FOR 6 MONTHS TO 30 SEPTEMBER 2008 MK presented a range of performance graphs (taken from those routinely provided to the Trust Board each month and available to view on the website) and summarised how the Trust had performed in the half year to 30 September Overall the data was very positive although the provision of Thrombolysis within 60 minutes of a call to the Great Western Ambulance Service NHS Trust (GWAS) remained a challenge (for the same reasons as previously advised to the Governors.) MK advised that GWAS had recently appointed a new Chief Executive who would be meeting with him shortly. MK responded to various questions from Governors seeking individual points of clarity. 3

4 With activity levels ahead of plan, as a consequence of the reduced Referral to Treatment Time sought by the South West Commissioners, both income and expenditure were ahead of forecast and the Trust remained on track to achieve its target surplus of 1.8m for the year. The Trust Financial Risk Rating as assessed by Monitor remained at 4 (excellent). The Governors noted the information given. 6. HOSPITAL AT NIGHT BRIEFING AND VIDEO Debbie Dupont, Hospital at Night Project Manager, supported by Alistair Flowerdew, Medical Director, outlined the reasons why the Trust had embarked on this project which had been financed by NHS National Workforce Projects. Essentially it was to redefine the handover experience between shifts to improve patient safety and reduce risk. This revised process was supported by the development of a complementary IT system. The Hospital at Night Project Team, working with Governor Chris Wain, had produced a video showing how the handover sessions were now being conducted at the Trust and this was shown to the Governors. DD added that Salisbury s work, and the video, had achieved national recognition while AF hoped that, over time, these arrangements would be routinely followed by other Trusts so that it became embedded as a standard process in an acute setting. The Governors noted the information given, and appreciated the presentation. 7. WORKING GROUP REPORTS Standards for Better Health JC presented the notes from the Group s meeting on 11 September together with the latest version of the commentary which will ultimately accompany the Trusts 2008/09 Annual Declaration to the Healthcare Commission. JC added that the Group had recently had a helpful meeting with Elaine Scott, the Healthcare Commission s assessor for Wiltshire, and that arrangements had been made for the Group to present this draft commentary to the Trust Board on 15 December In the meantime JC asked if Governors had any points they wished to make about the content would they please either him or inform any Governor on the Working Group before the end of November. A number of Governors made complimentary remarks about the work of the Group and the content of commentary. JW asked if literacy issues were impacting on the Choose & Book/Direct Access Systems. 4

5 The Governors acknowledged that this was likely to be a factor for some patients, MK said there were no known statistics but it was important that Primary Care (GPs) were able to identify and support any patients who might have difficulty in using these processes. Patient Experience PG presented a report of the work of this group which covered a wide range of activities including Governors walk-arounds, attendance at the Facilities Working Group, the Food and Nutrition Steering Group, the Patient Food Forum, Little Peat and Big Peat visits and work on heath outcomes and the Visitors Charter. Separately RC gave an oral update on the work of the Transport Strategy Group which would feed into the Transport Strategy and Green Travel Update paper to be discussed by the Joint Board of Directors on 14 November 2008 and the Trust Board on 15 December ML shared with the Governors a photograph showing the problems faced by Ambulance Drivers when cars parked illegally in their pick-up/drop-off zone. Membership JC presented the notes from the last meeting of the Group held on 3 October These confirmed that the Trust was on course to achieve a membership of 15,000 by 31 March 2009 and gave details of various supporting initiatives including an In hospital are you a member campaign to run during the week commencing 1 December The Group also suggested that future constituency meetings should be open to the general public as well as to members and this was endorsed by the Communication Group (see below). The Governors supported this proposal on the basis that membership applications forms should be available for nonmembers attending to complete. JW/IC Communications CW presented the notes from the last meeting held on 10 October 2008 which explained why, on grounds of cost, it was not possible for the Trust to introduce a password protected facility for Governors at the present time. The December Newsletter was in course of preparation and would, for the second year, include raffle tickets in support of the Stars Appeal. The Group had discussed and supported the proposal to open up constituency meetings to the general public and also agreed their objectives for From feedback received the Group had determined that the appetite to send a formal questionnaire to all members had diminished and, instead, proposed an amendment to the wording on the last page of the Newsletter to encourage more members to voluntarily or write to Governors with their views and opinions. The Council supported this proposal. 5

6 To help improve communication between Governors the Group had received a suggestion from CH that the Council could usefully meet informally say twice a year. This would give Governors an opportunity to exchange feedback, thoughts and opinions and could lead to the creation of agenda items for consideration at the more formal meetings. This proposal was supported by the Council of Governors and IC was asked to agree with LM the dates, time and nature of these meetings. IC Staff LM advised that the Good Ideas Month had been held in October and some 50 ideas received. Debbie Postlethwaite, Trust Innovation Leader would shortly be meeting with the Staff Governors to discuss. Self Assessment LM advised that the next meeting of the Group was scheduled for 21 November 2008 the agenda and supporting papers had been circulated. Strategy Review LM was mindful that there had been no relevant meetings of the Group and would arrange a date as soon as there was something tangible to discuss. MK added that he was currently working on the outputs of a recent Board Away Day which was likely to impact on the Strategic Direction of the Trust. The Governors noted the information given by the representative from each of the working Groups. This concluded the public part of the meeting. 6

TAMESIDE AND GLOSSOP SINGLE COMMISSIONING BOARD. 11 April 2017

TAMESIDE AND GLOSSOP SINGLE COMMISSIONING BOARD 11 April 2017 Commenced: 3.00 pm Terminated: 4.20 pm PRESENT: IN ATTENDANCE: Alan Dow (Chair) Tameside and Glossop CCG Steven Pleasant Tameside Council Chief