AI 5.1 APPENDIX 15 CWM TAF UNIVERSITY HEALTH BOARD MINUTES OF THE AUDIT COMMITTEE HELD ON 18 MAY 2015, AT YNYSMEURIG HOUSE, NAVIGATION PARK, ABERCYNON PART 1 CWM TAF PRESENT: Mr G Bell - Independent Member (Chair) Dr C Turner - Independent Member Cllr M Forey - Independent Member Mrs M Thomas - Independent Member IN ATTENDANCE: Mr S Webster Mr R Williams Mr S Davies Mr D Jones Mr J Johns Ms J Joyce Mr M Jones Mr S Cookson Mr I Virgil Mr D Thomas Mr T Davis Mrs A Evans - Director of Finance & Procurement, Cwm Taf - Board Secretary/Director of Corporate Services & Governance, Cwm Taf - Director of Finance, WHSSC - Local Counter Fraud Officer - Head of Internal Audit Audit & Assurance - Performance Audit Manager, Wales Audit Office - Audit Manager, Wales Audit Office - Director of Audit & Assurance, NHSSSP - Internal Audit Audit & Assurance - Engagement Director WAO - Associate Board Member (Observing) - Corporate Services (Secretariat) AC/15/079 APOLOGIES FOR ABSENCE Apologies for absence were received from Mr H Evans, Head of Corporate Finance, as this meeting was primarily to receive and review outstanding end of year reports, in order to conclude matters in advance of the Audit Committee meeting on 3 June 2015, where the Annual Accounts and related statements will be considered. AC/15/080 WELCOME AND INTRODUCTIONS Mr G Bell, Chair welcomed everyone to the meeting and those present introduced themselves.
Mr G Bell welcomed Mr T Davis, Associate Board Member who was in attendance as an Observer. The Chair also sought agreement from the Committee that candidates for the Head of Corporate Services post attend part of the meeting in relation to their selection process, which was taking place later in the day. AC/15/081 DECARATIONS OF INTEREST There were no Declarations of Interest to Note. AC/15/082 UNCONFIRMED MINUTES OF THE MEETING HELD ON 13 APRIL 2015 The minutes of the meeting held on 13 April 2015, were received and approved as an accurate record subject to the attendance list being amended to reflect Mr D Jones, Local Counter Fraud Officer was in attendance at the meeting. AC/15/083 AUDIT COMMITTEE ACTION LOG ITEM 15/005 & 15/041 (Management of Chronic Conditions Update) Mr S Webster provided an update to members on actions being taken to better capture this shift of resource from hospital to community services. Mr S Webster confirmed to members that related progress, reflected in end of year plans, would be presented to the Finance and Performance Committee and also features within his end of year financial review overview. ITEM 15/044 (Counter Fraud Work Plan 2015/16) Mr S Webster confirmed that the final version of the Plan had been signed off and circulated to Members. ITEM 15/063 (Referrals to Other Committees) Mr R Williams, confirmed to member s that items for referral to other Committees had been actioned. AC/15/084 MATTERS ARISING In relation to AC/15/048 ( Draft Annual Governance Statement) - Mr R Williams informed members that the Annual Governance Statement was still in draft and that constructive feedback had been received from Wales Audit Office and Welsh Government and these comments had been reflected in the revised draft. Mr S Webster updated the Committee on the legal issues surrounding construction disputes at YCR and YCC hospitals. 2
The former was due to proceed to mediation during June and there were financial implications relating to an agreed settlement, should one be achieved and later court proceedings avoided. Members noted that the Board had considered this matter in some detail and also noted that delegated authority had been granted to the Director of Finance, which also outlined the parameters of the UHBs negotiating position. Mr S Webster explained the possible scenarios for consideration at mediation, which had the potential to impact on technical accounting processes. The Committee noted that the UHB position had been discussed with Welsh Government and notified to Auditors and as part of the delegated authority of the Board, Welsh Government would also have to provide authority to proceed on the agreed parameters. Cllr Forey queried the range of possible settlement, Mr S Webster informed members this was in the region of 3m - 5m and confirmed that the Board would be kept updated on related process. The Committee RESOLVED to; NOTE the update from the Director of Finance and ENDORSE the recommended changes to the draft Annual Governance Statement. AC/15/085 LOCAL COUNTER FRAUD SERVICES UHB COUNTER FRAUD BRIBERY AND CORRUPTION POLICY 2015/17 The report of the Local Counter Fraud Specialist (LCFS) seeking reapproval of the Counter Fraud, Bribery and Corruption Policy 2015/17 was received and noted. Dr C Turner queried the hierarchy of the reporting mechanism and Mr M Jones questioned the reference with regards escalation outlined within Appendix C. Following discussion it was agreed that the Policy be amended to reflect the comments raised. APPROVE the Policy subject to the minor changes identified and agreed. AC/15/086 OPHTHALMOLOGY SERVICES OUTSOURCING Mr C Wilson, Assistant Director of Operations was in attendance for this item. 3
The report of the Assistant Director of Operations and Head of Procurement was received and noted. Mr C Wilson, updated the Committee on the associated difficulties within the Ophthalmology service and its related impact. Members noted that as a consequence of redirecting limited staff resource in areas that were more likely to impact on sight deterioration and loss, that the waiting times for cataract surgery had grown significantly. As a consequence the Board had agreed to outsource additional elective capacity, which resulted in discussions being held with Spire and the Vale. Members noted that both providers had been used previously to support meeting referral to treatment times. Mr C Wilson explained that due to the situation within the service and the need to move promptly to secure external capacity, the usual procurement processes had not been followed, although Service Level Agreements had been put in place. Going forward, Mr C Wilson outlined the work being progressed in relation to outsourcing and consideration of a number of other providers, recognising that previously patients have not been forthcoming in travelling outside of their localities for such treatment and also referred to the experience of others. In response to concerns raised by the Committee Members in relation to the failure to follow usual procurement processes, Mr S Webster reiterated the reasons for moving promptly, but provided assurance to Members that this would not re-occur, without prior discussion with the Chair of the Committee. RECEIVE and NOTE the report; and ENDORSE the proposed approach going forward in line with agreed procurement processes. AC/15/087 AUDIT ENQUIRIES TO THOSE CHARGED WITH GOVERNANCE & MANAGEMENT The report of the Director of Finance seeking views and approval on the proposed formal response to Wales Audit Office in relation to their Audit enquires to those charged with Governance and Management was received and noted. 4
Mr M Jones explained to the Committee that WAO were taking a more formal approach this year compared to previous years and Mr S Webster confirmed that the response had been drafted by a combination of input from the Finance team, Board Secretary and Local Counter Fraud Service. Mr M Jones confirmed that from WAO perspective there were no comments on the completed return. ENDORSE the completed return for submission as part of the Annual Accounts process to the Auditor General for Wales. AC/15/088 STANDARDS OF BEHAVIOUR POLICY The report of the Board Secretary/Director of Corporate Services and governance providing Audit Committee with information following receipt of the annual Declarations of Interest from Health Board staff and the Register of Gifts and Hospitality for 2014 was received and noted. Mr R Williams informed members this was a standard report and updated members on the number of Declaration of Interest returns completed, and those still outstanding, which related mainly to clinical staff. Mr Williams confirmed that all outstanding returns continued to be pursued and that an update on progress would be provided at the July meeting. Mr G Bell, reminded members that clinical staff failure to return declarations had previously been brought to the attention of Audit Committee members 2/3 years ago, where escalation to the Medical Director was necessary to make progress. Mrs M Thomas expressed disappointment in the number of returns still outstanding and asked that all staff concerned be reminded of their responsibilities under Standing Orders to comply. Mr R Williams agreed to progress the matter and if necessary escalate to the Medical Director and appropriate operational Director where appropriate. RECEIVE the report and related appendices; and ENDORSE the further actions to improve compliance with the Policy, including if considered appropriate, escalation to the appropriate Executive Director. 5
AC/15/089 NHS WALES SHARED SERVICES PARTNERSHIP AUDIT & ASSURANCE SERVICES PROGRESS REPORT The NHS Wales Shared Services Report on Internal Audit Progress was received and noted. Mr J Johns presented the report to the Committee updating members on the current position regarding work being undertaken by Audit & Assurance Services. Mr Johns confirmed this was a short progress report, reflecting on the number of reports which had been finalised since the April Committee meeting, with 1 report, Business Continuity and Contingency Planning, providing a Limited Assurance rating. Mr G Bell confirmed to members that the report is routinely shared with the Integrated Governance Committee for information. Mrs M Thomas sought clarification as to when the Directorate Governance work would be concluded and Mr Virgil was hopeful this would report in July 2015. Members expressed concern about the scheduling of the agreed work and the number of reports outstanding, although recognised many had been progressed for this meeting. Members RESOLVED to; RECEIVE and NOTE the progress report. AC/15/090 INTERNAL AUDIT CHARTER The NHS Wales Shared Services Report on the Internal Audit Charter was received and noted. Mr S Cookson provided Members with a comprehensive summary on the development and changes to the Audit Charter, which outlined expectations on Internal Audit and the University Health Board. Mr Cookson outlined the discussions that had taken place with Board Secretaries and explained how the Charter had been developed as a consequence. Committee Members discussed the importance of ensuring any related delays in reporting internal audit work was minimised and that arrangements were in place to escalate any non compliance with the Charter. 6
RECEIVE the report; and recommend that the Board APPROVE the Internal Audit Charter. AC/15/091 INTERNAL AUDIT OPERATIONAL PLAN 2015/16 AND AUDIT STRATEGY 2015/18 The NHS Wales Shared Services Report on Internal Audit Operational Plan 2015/16 and Audit Strategy 2015/18 was received and noted. Mr J Johns briefed Members on the Plan and the approach, detailing how the approach was linked with the Organisations Objectives and Integrated Medium Term Plan. Mr Johns confirmed that he had met with Executive Directors to discuss specific risks in each of their areas, which had been incorporated within the Plan. Cllr Forey queried if there were sufficient days given the size of the operation. Mr S Webster confirmed that the number of days had been increased over recent years, from a relatively low baseline but assured the Committee that the current days were considered sufficient to deliver the programme. Mr Bell queried whether patient experience related work could be brought forward within the 3 year plan and Mr Johns confirmed that the time tabling of related audit work could be revised through discussion, if considered appropriate. Mr S Webster informed Members that he was happy to sign off the plan but felt further discussions needed to be held on the delivery of the plan and the amount of days for each domain. The Committee agreed that these discussions could proceed. Members RESOLVED to; RECEIVE the report and related Strategy and Plan; and APPROVE the plan, noting that further related discussions would proceed on the delivery and the amount of days assigned to each domain area. AC/15/092 BUSINESS CONTINUITY Mrs K Winder (representing Mr S Harrhy) in attendance for this item The report of the NHS Wales Shared Services on Business Continuity was received and noted. 7
Mr I Virgil presented the report giving an overall Limited Assurance rating. Mr I Virgil confirmed overall good processes were in place at Corporate and Directorate level; weaknesses in relation to Business Continuity Planning were identified at front line level, where a number of staff questioned didn t understand or were not aware of the plans in place or how to enact them. In relation to IM&T, Mr I Virgil summarised the related findings from the review which included the lack of assurance that the IT department had sufficient oversight of all local, and departmental IT systems in terms of ensuring security, integrity and back up of data, which had been highlighted by the arrangements currently within the Out of Hours Service. Mr I Virgil highlighted to members the four priority issues identified during the review. Mr R Williams explained that there had been a delay in completing the management response as a number of meetings were held with the Auditors to understand the report s findings and to develop the response. Mr R Williams explained that a number of issues raised by management had been considered and discussed with Internal Audit staff, but that these had not influenced the overall assurance rating. Mr R Williams expressed management s disappointment with the assurance rating and highlighted the work being carried out with Directorates. Members discussed the main issue which appeared to be the corporate development and support of the development of continuity plans and the apparent lack of ownership or awareness of them at an operational front line level. Mr R Williams provided assurance to the Committee on more recent activation of continuity plans, including A&E and e-bola which included national recognition of the work progressed within Cwm Taf and a request to share this with other HBs in NHS Wales. Mrs K Winder updated members on measures that had been put in place within IM&T and summarised related progress against the action plan. Members were also updated on the work currently being carried out on the central servers and the backup servers, which was held at Blaenavon. Members noted the progress made and sought clarity from the Auditors on the assurance rating which Mr Virgil responded to. Mr G Bell asked that an update on progress against the action plan be brought back to the July meeting of the Committee. 8
RECEIVE the report; ENDORSE that as a consequence of the limited assurance rating that an update on progress be presented at the July meeting. ENDORSE the referral of the report and action plan for monitoring, to the Corporate Risk Committee. AC/15/093 CRITICAL IT SYSTEM REPORT (Mrs K Winder in attendance for this item) The report of the NHS Shared Services Wales on Critical Care IT System ICIP Report was received and noted. Mr I Virgil presented the report giving an on overall rating of Reasonable Assurance. Mr I Virgil confirmed to Members that the data held within the ICIP Critical Care System was accurate, secure from unauthorised access and loss and that the system was fully being used. One area, which had been highlighted, was where personnel had left but still remained on the system. Mrs M Thomas raised her concerns in relation to backup should an incident such as a fire occur. Mr R Williams confirmed there was a backup server system at Blaenavon, which should cover all incidents including fire. Dr C Turner queried the systems being used at ITU Prince Charles Hospital and Royal Glamorgan Hospital if these were the same system or if each site was using different systems and were the systems compatible. Mrs K Winder assured members that the systems were compatible at both locations and only one system implementation was being progressed. Members discussed related concerns raised with regards leavers and staff termination processes and sought further assurance from IT and Workforce that robust terminations processes were in place to mitigate the identified risk of staff who had left the health board remaining active on the system. RECEIVE and NOTE the report and its related action plan; and Seek assurance from IT and Workforce and OD of the staff terminations process. 9
AC/15/094 MANAGEMENT OF SLAs & CONTRACTS REPORT The report of the NHS Shared Services Partnership Audit & Assurance on the Management of SLAs and Contracts was received and noted. Mr I Virgil presented the report giving an overall rating of Reasonable Assurance. Mr I Virgil informed members that the audit identified that there were no formal policies, procedures or operational guidelines in place to support all related processes and the recommendations reflected the need for this to be addressed. Mr S Webster informed members that measures were in place to tackle this issue to ensure sign off by July for the financial year 2015/16. A Performance Dashboard Report had been introduced which included information on financial performance, disinvestment, strategic purchasing and prioritisation, however this had not been applied to all contracts with other Health Boards and Trusts. Mrs M Thomas sought clarity as to whether the related information and monitoring of SLAs and Contracts would be reported into Finance & Performance Committee going forward. Mr S Webster confirmed periodically reports were presented at the Financial and Performance Committee and felt that the Audit Committee report should be referred to the Finance & Performance Committee for review and monitoring of the associated actions. RECEIVE and NOTE the report and the related management action plan; and AGREE referral of the report to the Finance & Performance Committee for monitoring of related actions. AC/15/095 MEDICINES MANAGEMENT REPORT Mr H Rowe in attendance for Medicines Management Report The report of the NHS Shared Services Internal Audit on Medicines Management was received and noted. Mr I Virgil presented the report giving an overall rating of Reasonable Assurance. Mr I Virgil informed members that 11 recommendations had been made within the report; assurance had been based on the overall audit. 10
Mr I Virgil highlighted to members the two priority issues which showed in some instances that appropriate patient ID checks had not been carried out and also instances where a small number of patients had not been witnessed taking their medication. Mr I Virgil recommended the use of trolleys for drug administration be reviewed as some errors had occurred during drug administration. Mr I Virgil confirmed to members these numbers were very small, and overall good processes were in place and generally adhered to. Mr H Rowe responded and clarified for members the points Mr I Virgil had raised within the report. Mrs M Thomas felt good assurances were in place concerning patient ID checks, although noted some of the related challenges with regards some of the areas where the audit was undertaken. RECEIVE and NOTE the report; and ENDORSE the management response with an update on progress to be provided at the October meeting of the Committee. ENDORSE that the report is shared for information and review with the Quality & Safety Committee. AC/15/096 PCH REFURBISMENT SCHEME REPORT The report of the NHS Shared Services Internal Audit on the Prince Charles Hospital Ground and First Floor Refurbishment was received and noted. Mr J John presented the report giving an overall rating of Reasonable Assurance. Mr J John updated members on the number of recommendations made within the report. The review identified substantial compliance with best practice and strong financial control. RECEIVE and NOTE the report; ENDORSE the management response; and ENDORSE that the report is shared for information and review with the Capital Programme Board. 11
AC/15/097 MAJOR PROJECTS GOVERNANCE REPORT The report of the NHS Wales Shared Services Internal Audit on Major Projects Governance was received and noted. Mr J Johns presented the reporting giving an overall Reasonable Assurance rating. Mr J Johns updated members on the 6 areas covered within the Audit Scope and the audits related findings. Mrs M Thomas queried if under Corporate Governance Training if members would be provided with an analysis and if timescales were likely to be achieved. Mr J Johns confirmed members would be provided with an analysis in August 2015. RECEIVE and NOTE the report; ENDORSE the management response; and ENDORSE that the report is shared for information and review with the Capital Programme Board. AC/15/098 CLAIMS MANAGEMENT REPORT The report of the NHS Wales Shared Services Internal Audit on Claims Management was received and noted. Mr I Virgil presented the report giving an overall rating of Reasonable Assurance. Mr I Virgil briefed Members on the report, which overall, the management of clinical negligence and personal injury claims submitted to the Health Board was undertaken in an efficient and effective manner in accordance with relevant legislation and guidance. Mr I Virgil highlighted one area of concern, which related to weaknesses in the process to consistently feedback to staff to ensure that lessons are learnt and corrective action taken place. Members RESOLVED to; RECEIVE and NOTE the report; ENDORSE the management response; and ENDORSE that the report is shared for information and review with the Concerns / Claims Review Panels. 12
AC/15/099 STANDARDS FOR HEALTH SERVICES IN WALES REPORT The report of the NHS Shared Services Internal Audit on Standards for Health Services in Wales 2014/15 was received and noted. Mr I Virgil presented the report giving an overall rating of Reasonable Assurance. Mr I Virgil informed Members overall good standards and procedures were in place with one high priority area being identified during the review which showed that evidence of progress against previously identified improvement actions had been difficult to obtain in some instances and was not always shown on 2014/15 self assessment. Mr R Williams informed Members that a workshop was taking place on 13 June 2015 with Welsh Government, Audit and Regulatory bodies and Board Secretaries to consider and discuss the way forward in light of the new Service Standards. RECEIVE and NOTE the report; ENDORSE the management response; and ENDORSE that the report is shared for information and review with the Integrated Governance Committee. AC/15/100 WAO PROGRESS REPORT (Mr G Bell, Chair, welcomed the 3 Candidates who were in attendance to observe) The Committee received and noted the Wales Audit Office Progress Report. Mr M Jones briefed Members on the report confirming to Members that there were no significant changes to the report received at the previous Audit Committee. Mr M Jones confirmed to members the Accounts had been received on time and would be presented at the June meeting of the Audit Committee. However, it was important for Members to note that there was still a large amount of related work to conclude in advance of the 3 June 2015 meeting. In relation to Performance Audits the Committee discussed national reports and consideration of the UHB to local related issues. Members agreed to receive updates on management action in response to these reports, at the next meeting. 13
NOTE the report; and ENDORSE the recommended approach in relation to local management responses to national audit reports being considered through Committee. AC/15/101 WAO REPORT HANDLING OF HISTORIC WAITING LIST ANOMALIES The report of the Wales Audit Office on the Handling of Historic Waiting List Anomalies was received, discussed and noted. Mr D Thomas presented the report and updated Members on the positive action taken by the Health Board to strengthen and learn following the investigation into waiting list anomalies. Mr R Williams confirmed for Members that this report had been to considered at the In Committee of the Board at their last meeting, where Mrs A Williams, Chief Executive Officer had responded to the report, and outlined the management response noting that most of the actions had already been completed due to the length of time since the issues were raised and completing the review. Members of the Committee, whilst disappointed with the overall findings of the report, which raised some concerns about the former Executive team management of related issues, felt that the actions taken were assuring and that the Board should not find itself in such a position again. Mr G Bell confirmed that regular updates on waiting list management and related waiting times are provided to Finance and Performance Committee and that periodical audits against best practice are also undertaken by the Delivery Unit. Mr D Thomas confirmed he would be reporting back to the Auditor General for Wales, who in turn would be writing to Welsh Government to ensure that lessons are learnt by other Health Boards. RECEIVE the report; and ENDORSE the management response. AC/15/102 ITEMS FOR REFERRAL TO OTHER COMMITTTEES Members ENDORSED the recommendation that the following items be referred to other Sub Committees of the Board: 14
Business Continuity Corporate Risk & Information Governance Management of SLAs & Contracts Report Finance & Performance Committee Medicines Management Report Quality & Safety Committee PCH Refurbishment Scheme Report Capital Programme Board Major Projects Governance Reports Capital Programme Board Claims Management Report Claims/Concerns Scrutiny Panels Standards for Health Services in Wales Report Quality & Safety Committee AC/15/103 ANY OTHER BUSINESS There was no other business. AC/15/104 AUDIT COMMITTEE MEMBERS TO MEET WITH THE AUDITORS There was no requirement to meet on this occasion. AC/15/105 DATE OF NEXT MEETING The next meeting of the Committee will take place on 3 June 2015 at 09:15am. Apologies received in advance from Mrs M Thomas, Independent Member.. Mr Geoff Bell, Chair 15
CWM TAF UNIVERSITY HEALTH BOARD MINUTES OF THE AUDIT COMMITTEE HELD ON 18 MAY 2015, AT YNYSMEURIG HOUSE, NAVIGATION PARK, ABERCYNON PART 2 - HOSTED BODIES PRESENT: Mr G Bell - Independent Member (Chair) Dr C Turner - Independent Member Cllr M Forey - Independent Member Mrs M Thomas - Independent Member IN ATTENDANCE: Mr S Davies Mr R Williams Ms P Wenger Ms J Joyce Mr I Virgil Mr T Davies Mrs A Evans - Director of Finance, WHSSC - Board Secretary/Director of Corporate Services & Governance - Committee Secretary, WHSSC - Performance Audit Manager, Wales Audit Officer - Internal Audit Audit & Assurance - Independent Member (Observer) - Corporate Services (Secretariat) AC/15/106 APOLOGIES FOR ABSENCE Apologies for absence were received from Mr H Evans, Head of Corporate Finance. AC/15/107 WELCOME AND INTRODUCTIONS Mr G Bell, Chair welcomed everyone to the meeting. AC/15/108 DECARATIONS OF INTEREST There were no Declarations of Interest to Note. AC/15/109 UNCONFIRMED MIUTES OF THE MEETING HELD ON 13 APRIL 2015 16
The minutes of the meeting held on 13 April 2015, were received and approved as an accurate record subject to the attendance list being amended to reflect Mr D Jones, Local Counter Fraud Officer was present at the meeting. Item AC/15/075 to read Director of Nursing as lead for action. AC/15/110 ACTION LOG Item 15/027 (Governance Review) Ms P Wenger informed Members that WHSSC were still awaiting the final report, which was expected in the next few weeks. Members agreed that this item remain on the Action Log. AC/15/111 MATTERS ARISING Mrs M Thomas asked for confirmation of the appointment of Director of Nursing. Ms P Wenger informed Members this post had gone back to re-advertisement. AC/15/112 INTERNAL AUDIT FOLLOW UP FINANCIAL REPORTING The report of the NHS Wales Shared Services Internal Audit on Welsh Health Specialised Services Committee Financial Reporting 2014/15 was received and noted. Mr I Virgil presented the report giving an overall rating of Substantial Assurance. Mr I Virgil confirmed to members that good strong processes were in place, there had been one issue in relation to Financial Control Procedures, which was awaiting approval from the Health Board. RECEIVE and NOTE the report; and to Congratulate the WHSSC Finance team for such a good review and report. AC/15/113 INTERNAL AUDIT REPORT STANDARDS FOR HEALTHCARE SERVICES IN WALES The report of NHS Wales Shared Services Internal Audit for Standards for Health Services in Wales 2014/15 was received and noted. 17
Mr I Virgil presented the report giving an overall rating of Reasonable Assurance. Mr I Virgil confirmed to members that overall controls were in place to manage risks associated with the management of Standards for Health Services in Wales and arrangements were of a satisfactory standard. Mr I Virgil confirmed to Members there was evidence of improvement during 2014/15 within certain areas of the organisation and with the completion of the Corporate Self Assessments. Ms P Wenger informed Members that future work would include reviewing the standards and their fitness for purpose within WHSSC going forward. Ms P Wenger informed Members she was in the process of reviewing and setting up new standards as appropriate. Receive the report. AC/15/114 ANY OTHER BUSINESS There was no other business AC/15/115 AUDIT COMMITTEE MEMBERS TO MEET WITH AUDITORS There was no requirement to meet on this occasion. AC/15/116 DATE OF NEXT MEETING The next meeting of the Committee will take place on 3 June 2015 at 09:15am. Apologies received in advance from Mrs M Thomas, Independent Member. It was noted that the Chair and Director of Specialised Services and the Chair and Chief Ambulance Services Commissioner for the Emergency Ambulance Services Committee would also be invited to attend the June meeting.. Mr Geoff Bell, Chair 18