WELSH SERVICES NHS TRUST

MINUTES OF THE CLOSED MEETING OF THE TRUST BOARD OF THE WELSH AMBULANCE SERVICES NHS TRUST HELD ON 29 SEPTEMBER 2011 AT GORSEINON DEVELOPMENT TRUST, SWANSEA.

PRESENT :

Mr S Fletcher Non Executive Director and Chairman of the Board Mr M Cassidy Deputy Chief Executive and Director of Patient Care Services Mr S Castledine Non Executive Director Mr D Evans Non Executive Director Dr K Fitzpatrick Non Executive Director Dr P Hughes Mr P James Non Executive Director Mr J Morgan Non - Ex ecutive Director Mr P Price Non - Executive Director Mr E Price-Morris Chief Executive Mr T Woodhead Director of Finance

IN ATTENDANCE :

Miss S Bruce Communications Manager Mrs J Hardisty Director of Workforce and Organisational Development Mr N Heal Staff Side Representative (RCN) Mr J Hubbard EMS (Minute 30/11 only) Mr J Huxley Assistant Corporate Secretary Mr C James Director of Service Development Mr R John Staff Side Representative (UNITE) Mr D Jones-Morris Interim Director of Emergency Medical Services (EMS) Mr M Jose Staff Side Representative (UNISON) Mrs D Sharp Corporate Secretary Ms S Thorpe Staff Side Representative (GMB)

APOLOGIES:

Mr D Jackland Director of ICT Ms S Jones Clinical Director Miss N Park Non Executive Director Mr B Roberts Staffside Representative (UNITE)

29/11 PROCEDURAL MATTERS

RESOLVED: That

(1) it be noted that there were no declarations made under the Code of Conduct ; and

(2) the minutes of the meeting of the ‘In Committee’ session of the Joint Committee of the Welsh Health Specialised Services Committee held on 26 July 2011 be received.

30/11 PATIENT EXPERIENCE

The Board received a presentation from a paramedic about the circumstances surrounding a post operative surgical case, including a reference to the lessons learned arising from the case. These lessons showed the importance of seeking further professional advice when required, the need to include post operative complications in future professional training programmes and an understanding of the Coroners’ Rule 43 processes.

The Board acknowledged that the circumstances of this case were a reminder of the importance of the services the Trust provided on a daily basis and also showed the professionalism and dedication of staff in sometimes very difficult situations. The Board expressed their appreciation to the Paramedic for sharing his experiences with the Board.

RESOLVED:

That the patient experience, as reported to the Board, be noted.

31/11 TRUST EXECUTIVE PERFORMANCE SCORECARD JULY 2011

RESOLVED: That

(1) the contents of the report be noted and the approach suggested in the report for the development of the Scorecard be agreed; and

(2) the performance dashboard be circulated to the Board on a monthly basis, in addition to being presented to each meeting of the Strategic Planning Committee for monitoring purposes.

32/11 VEHICLE REPLACEMENT BUSINESS JUSTIFICATION CASE

The Board considered for approval the Business Justification Case (BJC) for the replacement of vehicles during 2011/12. The report had already been considered by the Strategic Planning Committee.

In considering the BJC, members referred to the balance between the number of vehicles that were being requested for next year in relation to those that were reaching the end of their useful life, and also wished to be assured that the arrangements for a smooth procurement process were in place.

RESOLVED: That the Business Justification Case for Vehicle Replacement in 2011/12 be approved.

33/11 WREXHAM AMBULANCE RESOURCE CENTRE

RESOLVED: That

(1) the purchase of the land for the Wrexham ARC be approved, subject to further legal advice and a number of conditions being met, as follows:-

(a) Wrexham County Borough Council (WCBC) granting the Trust the required planning consent for the ARC scheme; (b) WCBC providing a ‘letter of commitment’ regarding the provision of the required infrastructure and the emergency services development; (c) the contract for building the road being let; and (d) that WCBC will ‘buy back’ the land at the revised land indices cost or £825k, if the valuation of the land falls below this level at the time. The period of the buy-back clause will be determined in accordance with the project timescales and discussion with the Trust’s legal advisors.

(2) the Chairman of the Board be asked to discuss with fellow Chairs why there is a lengthy timescale for processing business cases using the 5 case model; and

(3) officers continue to develop and progress proposals for engagement both internally and externally.

34/11 DOBSHILL MAKE READY DEPOT (MRD)

The Director of Service Development provided the Board with an update report on the Dobshill MRD Project and sought approval of the Full Business Case (FBC) for submission to Welsh Government (WG).

RESOLVED:

That the FBC for Dobshill MRD with a total gross cost (including VAT) of £3,730,000 be approved for submission to the WG.

35/11 TEMPORARY RELOCATION FROM MONMOUTH AMBULANCE STATION TO MONMOUTH POLICE STATION

The Director of Service Development submitted a report seeking approval for the temporary relocation of ambulance crews from Monmouth Ambulance Station to Monmouth Police Station. The proposal had no adverse effect on ambulance service provision in the Monmouthshire area. The request for approval had been referred by the Strategic Planning Committee following consideration of the detail surrounding the proposal.

RESOLVED: That

(1) operational crews be temporarily relocated to Monmouth Police Station;

(2) Monmouth Ambulance Station be temporarily closed and appropriate security arrangements put in place; and

(3) a project be established with the purpose of identifying a suitable long term solution for Monmouth which will include comprehensive consultation and engagement with staff, the Monmouth Community and a range of stakeholders.