What Are We Facing
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Agenda for an Annual Members Meeting, to be held on 22 September 2011 from 17:00 to 19:35 in Lecture Theatre 1, Education Centre, Upper Maudlin Street, Bristol, BS2 8AE Refreshments will be available in the foyer at 16:45 Time Item Sponsor 17:00 1. Chairman’s Introduction Chairman To receive the Chairman’s welcome and introduction. 17:05 2. Membership and Elections Trust Secretary To receive this briefing by the Trust Secretary. 17:15 3. Governors’ Report To receive briefings on the activities of the Governors’ Working Groups by the respective Chairs of the Groups: a) Membership Working Group Suzanne Green b) Quality Working Group Mary Hodges c) Strategy Working Group Anne Ford 17:30 4. Presentation of the Annual Report and Accounts Chief To receive the Annual Report and Accounts for 2010-2011 presented Executive and by the Chief Executive and Director of Finance (including the Director of Quality Report and Auditor’s Opinion). Finance 17:45 5. Questions and Answers1 Chairman To receive questions regarding the Annual Report and Accounts. 18:00 6. Bristol General Hospital Presentation Neina English To receive this presentation by Neina English, Matron - Bristol General Hospital. 18:30 7. Presentation of Long Service Awards 20102011 Chairman To receive Long Service Awards presented by the Chairman of the Trust. 19:30 8. Concluding Remarks Chairman to To receive concluding remarks by the Chairman of the Trust. 19:35 1 Where possible, questions will be answered by a member of the Trust Board of Directors at the meeting. If necessary, answers may be provided in writing within ten working days of the meeting. Welcome to the Annual Members Meeting 2011 Membership and Election Report April 2010 to March 2011 Charlie Helps Trust Secretary FT Constitution • The Trust shall have Members, each of whom shall be a member of one of the following constituencies: • Public Constituency; • Staff Constituency; and • Patients and Carers Constituency. • The Membership as a whole must be representative of the communities the Trust provides services to. • There is no prescribed requirement for the number of Members an FT must have, but: FT Membership • Monitor’s ‘Current practice in NHS foundation trust member recruitment and engagement’ publication indicates that the average membership of all 136 authorised Foundation Trusts (average membership per trust) has declined slightly since 2005 and is now around 13,962 members per trust. Membership Status 2010-2011 • The Trust maintained a membership as follows: Constituency 01 April 2010 31 March 2011 Target for 31 March 2012 Public 5,780 6,070 6,170 Patient 5,820 6,020 6,130 Staff > 99% > 99% ~ 95% Total ~ 19,730 ~ 20,390 ~ 20,300 Figures are indicative, rounded to nearest 10 Representation • The gender profile for the patient and public membership indicates a minor (insignificant) weighting towards a majority of female Members. • The ethnicity profile for the patient and public membership is largely representative of the population. • In 2011, the Trust resolved to increase the qualification age from 4 to 7 years. Young people remain the least well- represented. FT Elections 2011 • FT Elections were held between March and May 2011 • 13 seats were available: • Public North Somerset • Public Bristol • Carers of patients 15 years and under • Staff Non-Clinical Healthcare Professionals • Staff Medical and Nursing FT Election Turnout • Public Bristol - 24.9% • South Gloucestershire - 24.3% • Local Patients - 33.9% • Non-local Patients - 33.4% • Carers of patients 16 years and over - uncontested • Staff Other Clinical Healthcare Professionals – uncontested • Staff Nursing and Midwifery - uncontested FT Membership • Monitor’s ‘Current practice in NHS foundation trust member recruitment and engagement’ publication indicates that: • The average governor election turnout rates have decreased from 48% in 2004 to 25% (in line with turnout rates in other member organisations) FT Membership • Monitor’s ‘Current practice in NHS foundation trust member recruitment and engagement’ publication indicates that: • Trusts report finding staff seats the most difficult to secure candidates for. • The occurrence of uncontested elections has risen to 47% in 2010, from 24% in 2004. • Uncontested elections are more frequent in staff seats than in patient or public governor seats. Membership Plan 2011-2012 • Replace public and patient members who leave • Increase patient and public membership total to 12,300 members • Maintain staff membership at ≥ 95% • Increase membership in under-represented groups • Engage members in the Trust’s service improvements • Formal review of membership by the Membership Working Group Engaging Members • BRI Redevelopment and Centralisation of Specialist Paediatrics projects: Youth Council created the visioning statement for the whole arts programme. • Patient environment action team audits in the hospitals • Governor elections • Education events Medicine for Members on healthy eyes and diabetes Engaging Members Membership Working Group Suzanne Green, Chair Who We Are Consists of: • Tertiary Patient Governor • Local Patient Governor • Staff Governor • Public Governor - North Somerset • Public Governor – South Gloucestershire • Public Governor – Bristol Assisted by the: Trust Secretary, Public Involvement Project Lead, Communications Team, and Membership Office. What we do • Support the Trust in achieving a representative membership. • Maintain and encourage involvement for our constituency members. Quality Working Group Mo Schiller What we do The group: • meets on a bi‐monthly basis • provides a forum for governors to raise specific issues or concerns relating to the Quality of Care received by patients. Matters Identified During the past year matters identified have been raised and resolved, others are on-going. For example: • Pharmacy – Identified problems which resulted in delay in discharge for in-patients, and out-patients receiving their medication prior to discharge and discussed improvements with the clinicians. • Transport - On-going monitoring to see how this can be improved for out-patients, in-patients being discharged, and transporting patients between hospitals/hospital departments. Ongoing Work • Fortnightly – Governors hold Patient Constituency meetings in out patient areas where out patients and carers can voice their views • Monthly – Two governors are invited to attend Quality Walkarounds. This is invaluable as we can evaluate the quality of care for patients and pick up on any matters of concern. • Annually - Governors and members are involved with the Patient Environment Action Team (PEAT) inspections Strategy Working Group Anne Ford, Chair Work this year • Excellent support and liaison with operational managers on changes being put forward for plans for the BRI new ward block. • Concerns relating to capping and private sector work have been clarified to our satisfaction. • Suggestions for extra usage of the Medical Simulation Centre are being investigated. • Challenges to plans and developments have been responded to promptly. UH Bristol 2010/11: Annual Report and Accounts Robert Woolley Paul Mapson Chief Executive Director of Finance 22 September 2011 Agenda • Annual Report 2010/11: • highlights of the year • looking to the future • independent Auditor’s opinions • Annual accounts 2010/11 • Your questions Highlights of the year Our BME group celebrated its 10th birthday and we celebrated Nurses Day Professor Jonathan Benger, Consultant in Emergency Medicine was named in The Times top doctors poll HRH Prince Michael of Kent helped us commemorate the 200th birthday of the Bristol Eye Hospital We developed an innovative children’s cartoon about radiotherapy, with Aardman Animation The independent inquiry into histopathology services published its report in December 2010; subsequent review by the CQC has further underlined confidence in our service The world’s first Xenon gas treatment for a premature baby took place at St Michael’s Hospital The maternity unit at St Michael’s achieved level 3 in last year's NHSLA assessment We achieved our target reductions in MRSA and hospital-acquired C Difficile infection We remain enormously grateful to all our charitable partners for their support. Particularly high profile projects in 2010/11: • the “refresh” project at the BHOC supported by Above & Beyond and the Friends of the BHOC • the expansion of NICU supported by the Grand Appeal through the Cots for Tots Appeal Above and Beyond also supported staff from the Bristol Eye Hospital to visit our link hospital, in Mbarara, Uganda. We launched our Trust values in June 2011 and featured them across all our hospitals with a series of charity funded posters. It is only by living by these values that the Trust will be able to deliver the changes needed for our future Looking to the future In the coming weeks we will lay the foundations for the new extension to the Bristol Royal Infirmary for completion in 2014 The redevelopment of the Children’s Hospital is underway, which will enable us to centralise all children’s service on one site It is only through careful management that we are able to rationalise our estate in this way and improve patient care In Spring 2012, we will close the Bristol General Hospital and move services to the new South Bristol Community Hospital Independent Auditor’s opinions Quality Report • The independent Auditor concluded: “Based on the results of my procedures, nothing has come to my attention that causes me to believe that, for the year ended 31 March 2011,