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NHS Scotland and NHS Forth Valley

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NHS Scotland and NHS Forth Valley FORTH VALLEY NHS BOARD There will be a meeting of Forth Valley NHS Board in the Boardroom, NHS Headquarters, Carseview House, Castle Business Park, FK9 4SW on Tuesday 24 September 2019 at 9am Alex Linkston Chair Agenda 1. Apologies for Absence 2. Declaration (s) of Interest (s) 3. Minute of Forth Valley NHS Board meeting held on 6 August 2019 For Approval 4. Matters Arising from the Minutes Seek Assurance 5. Patient/Staff Story 6. BETTER HEALTH 6.1 Preparation of the Forth Valley Health and Social Care Seek Assurance Winter Plan 2019-2020 15 minutes (Paper presented by Mrs Andrea Fyfe, Director of Acute Services and Mrs Janette Fraser, Head of Planning) 7. BETTER CARE 7.1 Executive Performance Report Seek Assurance (Paper presented by Mrs Cathie Cowan, Chief Executive) 10 minutes 7.2 Healthcare Associated Infection Report Seek Assurance (Paper presented by Professor Angela Wallace, Nurse Director) 10 minutes 7.3 Corporate Programme Management Office Update Seek Assurance (Paper presented by Ms Gillian Morton, Programme Director) 15 minutes 8. BETTER VALUE 8.1 Finance Report Seek Assurance (Paper presented by Mr Scott Urquhart, Director of Finance) 15 minutes 8.2 Elective Care Development Programme Update Seek Assurance (Paper presented by Mr Scott Urquhart, Director of Finance 15 minutes and Ms Gillian Morton, Programme Director) 1 9. BETTER STAFF WELLBEING 9.1 Themes from Staff Conference Seek Assurance (Presentation provided by Miss Linda Donaldson, Director of HR) 15 minutes 9.2 Workforce Projections and Plan 2019/20 Seek Assurance (Paper presented by Miss Linda Donaldson, Director of HR) 15 minutes 10. BETTER GOVERNANCE 10.1 Governance Committee Minutes 10 minutes 10.1.1 Performance and Resources Committee: 25 June 2019 Seek Assurance (Minute presented by Mr John Ford, Chair) 10.1.2 Clinical Governance Committee: 16 August 2019 Seek Assurance (Draft minute presented by Mrs Julia Swan) 10.1.3 Audit Committee: 7 and 18 June 2019 Seek Assurance (Draft minutes presented by Councillor Les Sharp) 10.2 Integration Joint Boards 5 minutes 10.2.1 Falkirk HSCP Annual Performance Report 2018-2019 Seek Assurance (Paper presented by Ms Patricia Cassidy, Chief Officer) 10.2.2 Clackmannanshire and Stirling HSCP Annual Seek Assurance Performance Report 2018-2019 10.2.3 Falkirk IJB Minute: 7 June 2019 Seek Assurance 11. SCHEDULE OF MEETINGS 2020 12. ANY OTHER COMPETENT BUSINESS 12.1 Emerging Topics – Closed Session 2 FORTH VALLEY NHS BOARD TUESDAY 24 SEPTEMBER 2019 For Approval Item 3 - Draft Minute of the Forth Valley NHS Board Meeting Held on Tuesday 6 August 2019 at 9am, in the NHS Forth Valley Headquarters, Carseview House, Castle Business Park, Stirling. Present Mr Alex Linkston (Chair) Mrs Cathie Cowan Mrs Julia Swan Mr Allan Rennie Councillor Allyson Black Mr Robert Clark Mr Andrew Murray Dr Graham Foster Mr Scott Urquhart Professor Angela Wallace In Attendance Miss Linda Donaldson, Director of HR Mrs Elsbeth Campbell, Head of Communications Ms Kerry Mackenzie, Head of Performance Mrs Sonia Kavanagh, Corporate Governance Manager (minute) 1. APOLOGIES FOR ABSENCE Apologies for absence were intimated on behalf of Mr John Ford, Dr James King, Mr Stephen McAllister, Councillor Susan McGill, Dr Michele McClung and Councillor Les Sharp. 2. DECLARATION(S) OF INTEREST(S) There were no declarations of interest. 3. MINUTES OF FORTH VALLEY NHS BOARD MEETINGS 3.1 Minute of the meeting held on 28 May 2019 The minute of the Forth Valley NHS Board meeting held on 28 May 2019 was approved as a correct record. 3.2 Minute of the special meeting held on 11 June 2019 The minute of the Forth Valley NHS Board special meeting held on 11 June 2019 was approved as a correct record. 4. MATTERS ARISING FROM THE MINUTE There were no matters arising from the minute. 5. PATIENTS/STAFF STORY Professor Angela Wallace introduced a short film that shared the story of a gentleman who had suffered a life changing stroke while working abroad and his journey to get better. He experienced paralysis and his ability to speak was affected, a condition known as aphasia which meant he was unable to express his fears or seek clarity to understand what this meant for him. The gentleman returned to Scotland and was referred by his GP to the Speech and Language Therapy team who supported him through his recovery. He was now able to speak and was 1 involved in a friendship group which provided support and a safe environment for others in a similar situation to share their stories, experiences and tips. The NHS Board: • Noted the powerful story and the positive outcome for the gentleman and his family The NHS Board agreed to take items 8.1 and 10.3 at this point in the agenda 8.1 Finance Report The NHS Board considered a paper “Finance Report” provided by Mr Scott Urquhart, Director of Finance. Mr Urquhart provided a summary of the financial position for NHS Forth Valley to 30 June 2019, with a year to date overspend of £0.860m. Two of the main financial pressure areas were highlighted within Clinical Services areas including Acute Services and Cross Boundary Flow. Forecast year end outturn positions would be provided from July based on a full quarter 1 financial review. However the current assessment was that delivery of financial balance for 2019/20 was at risk, with a need to identify and deliver further cost improvement schemes, to clarify outstanding anticipated funding streams and to confirm the 2019/20 arrangements for IJB outturn risk shares. Mr Urquhart highlighted a number of additional staffing costs including staffing requirements to address the actions from a recent Internal Audit report regarding information governance and the impact of new drug costs for a small number of patients with rare conditions. A proposal to employ two new Consultant Physician posts which would replace the use of premium agency and therefore deliver better value and savings had been approved by the Senior Leadership Team in June 2019. The capital budget for the same period reflected a balanced position. Detailed assessment on the financial impact of land disposal as part of the Bellsdyke development agreement continued and discussion with the Scottish Government in managing the timing of capital and revenue implications was underway. The NHS Board discussed the savings required including the pressures regarding central budgets and the importance of a long term strategic approach to drive savings systematically. The focus on the Project Management Office (PMO) approach would assist with this and highlight further opportunities to drive efficiencies. The NHS Board: • Noted a revenue overspend of £0.860m to 30 June 2019 • Noted a balanced capital position to 30 June 2019 • Noted a savings requirement in 2019/20 of £19.2m, of which £16.4m had been identified to date • Noted key financial risks outlined in section 6 of the report 10.3 Corporate Risk Register Update The NHS Board considered a paper “Corporate Risk Register Update” provided by Mr Scott Urquhart, Director of Finance. Mr Urquhart presented the Corporate Risk Register updated as of 31 July 2019 and highlighted in particular the increased scores for Risks 3 and 10. These were in relation to NHS Forth Valley’s Information Governance obligations and supporting infrastructure including a recent 2 localised electrical outage. Work was ongoing to mitigate the risks and it was expected that these scores would reduce accordingly. The NHS Board discussed the details of these particular risks and the need to explore alternative storage and options to digitalise records in the long term. In response to a question from Mr Rennie regarding why the electrical outage had been included in the risk register if it was not a systemic issue, Mr Urquhart advised that although appropriate contingency plans had been activated, further testing work was ongoing to provide additional assurance. The NHS Board: • Noted the assurance provided regarding the effective management and escalation of risks Mr Urquhart left the meeting at this point 6. BETTER CARE 6.1 Director of Public Health Report 2016-2018 The NHS Board considered a paper “Director of Public Health Report 2016-2018” provided by Dr Graham Foster, Director of Public Health and Strategic Planning. Dr Foster outlined the work to improve the health and well being of the population in line with NHS Forth Valley’s Healthcare Strategy: Shaping the Future and agreed national priorities. The report was called ‘Positive Steps’ and reflected the substantial improvements and developments made. The NHS Board acknowledged the positive achievements made including the alternative approach to prisoners’ health through social influencing, the work to reduce drug related deaths and the success of the Daily Mile, which had started in Forth Valley for primary school children and was now an international success and being promoted to employers for their staff. The social determinants of health which impacted the health and wellbeing of the Forth Valley population were discussed and the challenges faced. The themes and consequences of deprivation and inequality were evident in the report and the need to invest in programmes/services for vulnerable groups. To enable to the NHS Board to consider this and understand the implications to people’s health and wellbeing in further detail, it was agreed this would form part of a future Board Seminar. The NHS Board: • Noted the draft Director of Public Health report 2016-2018 • Noted the breadth of work carried out to improve the health of the population of NHS Forth Valley 7. BETTER VALUE 7.1 Executive Performance Report The NHS Board considered a paper “Executive Performance Report”, presented by Mrs Cathie Cowan, Chief Executive. Mrs Cowan provided updates on the improvements and deteriorations with regards to the eight key standards.
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