AGENDA Part I

The meeting of the Board of Directors To be held on Tuesday 27 September 2016 at 9 a.m. in the Boardroom, Montagu Hospital AGENDA Part I Enclosures 1. Apologies for absence (Verbal) 2. Register of Directors’ Interests and ‘Fit and Proper Person’ Declarations Enclosure A 3. To approve: Minutes of the meeting held on 23 August 2016 Enclosure B 4. Actions from the previous minutes Enclosure C 5. Matters Arising (Verbal) 6. Chair’s correspondence (Verbal) Chris Scholey – Chair 7. Chief Executive’s Report Enclosure D Mike Pinkerton – Chief Executive Strategy 8. To approve: Enclosure E Working Together Transformation Programme: Children’s Surgery & Anaesthesia and Hyper Acute Stroke Service Mike Pinkerton – Chief Executive 9. To note: Enclosure F Strategy & Improvement Report Dawn Jarvis – Director of Strategy & Improvement 10. To approve Enclosure G Procurement Strategy Jeremy Cook - Interim Director of Finance Performance 11. To note: Enclosure H Finance Report as at 31 August 2016 Jeremy Cook – Interim Director of Finance Page 1 12. To note: Enclosure I Business Intelligence Report as at 31 August 2016 David Purdue – Chief Operating Officer Sewa Singh – Medical Director Richard Parker – Director of Nursing, Midwifery & Quality 13. To note: Enclosure J Nursing Workforce Richard Parker – Director of Nursing, Midwifery & Quality Governance 14. To note: Enclosure K NHS Improvement Undertakings Tracker Matthew Kane – Trust Board Secretary 15. To note: Enclosure L Single Oversight Framework Matthew Kane – Trust Board Secretary 16. To approve: Enclosure M Whistleblowing/Raising Concerns Policy Richard Parker – Director of Nursing, Midwifery & Quality 17. To approve: Enclosure N Annual Statement of Compliance against the National Core Standards for Emergency Preparedness, Resilience and Response (EPRR) David Purdue – Chief Operating Officer Sub-committees of the Board 18. To note: Enclosure O Minutes of the Management Board meeting held on 30 August 2016 (to follow) Mike Pinkerton – Chief Executive 19. To note: Enclosure P Minutes of the Audit & Non-clinical Risk Committee held on 24 June 2016 (to follow) Philippe Serna – Chair of the Audit & Non-clinical Risk Committee 20. To note: Enclosure Q Minutes of the Financial Oversight Committee held on 22 August 2016 John Parker – Chair of the Financial Oversight Committee 21. Items escalated from sub-committees 22. Any other business 23. Governor questions regarding the business of the meeting Page 2 24. Date and time of next meeting Date: 25 October 2016 Time: 09:00 Venue: Boardroom, Doncaster Royal Infirmary Page 3 Doncaster & Bassetlaw Hospitals NHS Foundation Trust Register of Directors’ Interests and ‘Fit and ‘Proper Person’ Declarations Register of Interests Alan Armstrong Director, Armstrong Logic Limited (consultancy) Jeremy Cook, Interim Director of Finance Managing Director and 50% shareholder, J&CA Limited David Crowe, Non-Executive Director Lay Member, Employment Tribunal Panel, Leeds Member, Central Arbitration Committee Trustee, Bransby Horses Ltd Dawn Jarvis, Director of Strategy & Improvement Assessor, Civil Service Fast Stream Honorary Lecturer, Academic Unit of Medical Education, University of Sheffield Martin McAreavey, Non-executive Director Associate Professor, University of Leeds Honorary Consultant, Public Health England John Parker, Non-Executive Director Senior Lecturer, Sheffield Hallam University Mike Pinkerton, Chief Executive Trustee, Well Community Projects, Retford Board representative for CEO South, Yorkshire & Humber Academic Health Science Network Philippe Serna, Non-Executive Director Spouse of director, Premier Care Direct Ltd (renal patient transport provider in Doncaster & Bassetlaw) Chris Scholey, Chairman Director, Sheffield City Region Local Enterprise Partnership Member, Rotherham Economy Board Sewa Singh, Medical Director Director, Veincure Ltd (the company currently has no conflict of interest with the Trust) The following have no relevant interests to declare: Karen Barnard Director of People & Organisational Development Richard Parker Director of Nursing, Midwifery & Quality David Purdue Chief Operating Officer (as at 19 September 2016) Fit and Proper Person Declarations The Trust can confirm that every director currently in post has declared that they: (i) are not an undischarged bankrupt or a person whose estate has had sequestration awarded in respect of it and who has not been discharged; (ii) are not the subject of a bankruptcy restrictions order or an interim bankruptcy restrictions order or an order to like effect made in Scotland or Northern Ireland; (iii) are not a person to whom a moratorium period under a debt relief order applies under Part VIIA (debt relief orders) of the Insolvency Act 1986; (iv) have not made a composition or arrangement with, or granted a trust deed for, their creditors and not been discharged in respect of it; (v) have not within the preceding five years been convicted in the British Islands of any offence and a sentence of imprisonment (whether suspended or not) for a period of not less than three months (without the option of a fine) was imposed on them; (vi) are not subject to an unexpired disqualification order made under the Company Directors’ Disqualification Act 1986; (vii) have the qualifications, competence, skills and experience which are necessary for the relevant office or position or the work for which they are employed; (viii) are able by reason of their health, after reasonable adjustments are made, of properly performing tasks which are intrinsic to the office or position for which they are appointed or to the work for which they are employed; (ix) have not been responsible for, been privy to, contributed to or facilitated any serious misconduct or mismanagement (whether unlawful or not) in the course of carrying on a regulated activity or providing a service elsewhere which, if provided in England, would be a regulated activity; (x) are not included in the children’s barred list or the adults’ barred list maintained under section 2 of the Safeguarding Vulnerable Groups Act 2006, or in any corresponding list maintained under an equivalent enactment in force in Scotland or Northern Ireland; (xi) are not prohibited from holding the relevant office or position, or in the case of an individual from carrying on the regulated activity, by or under any enactment; (xii) have not been convicted in the United Kingdom of any offence or been convicted elsewhere of any offence which, if committed in any part of the United Kingdom, would constitute an offence; (xiii) have not been erased, removed or struck-off a register of professionals maintained by a regulator of health care or social work professionals; and (xiv) have not been dismissed from paid employment otherwise than by reason of redundancy, by the coming to an end of fixed term contract or through ill health. Directors are requested to note the above and to declare any changes to their position as appropriate in order to keep their declaration up to date. (as at 19 September 2016) Minutes of the meeting of the Board of Directors held on Tuesday 23 August 2016 in the Boardroom, Bassetlaw Hospital Present: Chris Scholey Chairman Alan Armstrong Non-executive Director Karen Barnard Director of People & Organisational Development Jeremy Cook Interim Director of Finance David Crowe Non-executive Director Dawn Jarvis Director of Strategy & Improvement Martin McAreavey Non-executive Director Richard Parker Director of Nursing, Midwifery & Quality Mike Pinkerton Chief Executive David Purdue Chief Operating Officer Philippe Serna Non-executive Director Sewa Singh Medical Director In attendance: Ken Agwuh Director of Infection Prevention & Control Matthew Kane Trust Board Secretary Hailey Pottinger Observing Adam Tingle Communications Manager ACTION Welcome and apologies for absence 16/8/1 Apologies were received from Chris Mellor and John Parker. 16/8/2 The Chair extended a warm welcome to Anthony Jones, recently appointed Deputy Director of People and Organisational Development, Adam Tingle, Communications Manager (standing in for Emma Bodley, Head of Communications and Engagement) and Hailey Pottinger, an NHS Graduate Trainee who was based at Rotherham, Doncaster and South Humber Hospitals NHS Foundation Trust. Register of directors’ interests and ‘Fit and Proper Person’ declarations 16/8/3 No changes were noted. Minutes of the meeting held on 26 July 2016 16/8/4 The minutes of the meeting of the Board of Directors held on 26 July 2016 were APPROVED as a correct record, subject to the following amendments: 16/8/5 16/7/26 – Replace “stakeholders” with “national leaders”. 16/8/6 16/7/27 – Replace “Providers” in the second sentence with “Commissioners”. 16/8/7 16/7/42 – Insert the word “medical” before “productivity”. Page 1 16/8/8 16/7/43 – Replace the last sentence with “Proposal for turnaround projects would be taken through relevant committees”. 16/8/9 16/7/35 – Replace “following the successful trial” with “if the trial proved successful”. 16/8/10 16/ 7/72 – Replace “agency spend” with “agency doctors’ supplier”. 16/8/11 16/ 7/73 – Add “%” at the end of 4.62. 16/8/12 16/ 7/93 – Replace “good” with “adequate”. Actions from the previous minutes 16/8/13 The action notes from the meeting held on 26 July 2016 were reviewed and updated. 16/8/14 16/7/51 – It was reported that a reformatted finance report would be presented in September (not August) 2016 following meetings with the newly appointed Director of Finance and Board Advisor. 16/8/15 16/7/62 (a) – Responsibility for this action was reallocated to David Purdue. Follow-up ratios would be monitored by Board as well as Financial Oversight Committee. 16/8/16 16/7/62 (c) – Responsibility for this action was reallocated to Richard Parker. Further clarity would be sought regarding the process for Board to receive two anonymised complaints each month along with their responses. Matters arising 16/8/17 16/7/86 – Board clarified that they wished to see the list of policies and their approval routes with any new policies coming before Board of Directors who would then decide whether or not to delegate.

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