BOARD OF DIRECTORS Wednesday 1 September 2021 at 09:30-10:15 MS Teams/Boardroom, Yeovil District Hospital NHS Foundation Trust AGENDA - PART 1 Action Presenter Time Enclosure 1 Welcome and Apologies for Absence Chairman 09:30 Verbal 2 Register of Declarations of Interest and to Confirm Receive and All Appendix 1 Declarations Relating to Items on the Agenda Note 3 Minutes of the Meetings held on 4 August 2021 Approve Chairman 09:35 Appendix 2 and to Discuss Matters/Actions Arising 4 YDH Group Board Overview Quadrant Receive and Shelagh Meldrum 09:40 Appendix 3 (Inc. updates on Finance, Quality, Performance, Workforce Note Matthew Bryant for YDH and Subsidiary Companies) Stacy Barron- Fitzsimons Sarah James 5 Strategic Case for Merger with Somerset NHS Note Chairman / 09:50 Appendix 4 Foundation Trust Jonathan Higman / Jeremy Martin 6 Any Other Business and Meeting Close Chairman 10:15 Verbal 7 Date of Next Public Meeting 6 October 2021 via MS Teams in the Boardroom, Level 1, Yeovil Hospital Board of Directors – Declarations of Interest August 2021 the following table sets out the declaration of interests of the Board of Directors (voting and non-voting). Name Position Interests Declared Chairman and Non-Executive Directors (Voting) Paul von der Heyde Chairman -Trustee and Adviser Howlands Furniture Group, Office Furniture Manufacturer -Sister-in-law is the sister of Dr Ali Parsa who is the Founder and Chief Executive Officer of Babylon Healthcare Services -Chairman and Director of The Worshipful Company of Furniture Makers’ Charitable Funds incorporating the Furnishing Trades Benevolent Association -Director and Shareholder of Herswell Coaching and Consulting Limited -Chairman of Psoriasis and Psoriatic Arthritis Alliance & PAPAA Enterprises Ltd -Director and Shareholder of Sweetfish Limited -Chairman of Axminster Tool Centre Limited Jane Henderson Non-Executive Director -Private Practice Therapeutic Counsellor -Part-time, self-employed counsellor for Frome Birth Talk Martyn Scrivens Non-Executive Director -Chairman of Simply Serve Limited -Non Executive Director and Chairman for Retail Money Market Limited (trading as RateSetter and a 100% subsidiary of Metro Bank Plc) -Director of Tanyard Consulting Limited -Non Executive Director and Chair of Audit Committee of Hampshire Trust Bank Limited Graham Hughes Non-Executive Director -Volunteer Advisor at Citizens Advice -Parish Councillor of Babcary Parish Council -Chairman and Trustee Director of Avon Mutual Paul Mapson Non-Executive Director -No declarations Executive Directors (Voting) Jonathan Higman Chief Executive -Director, Symphony Healthcare Services Limited -Director, Yeovil Property Operating Company Limited -Director, YEP Project Co. Limited -Management Board Member, Yeovil Strategic Estates Partner Board Shelagh Meldrum Deputy Chief Executive/Chief -Non-Executive Director, Simply Serve Limited Nurse & Director of People -Husband is employed as the Head of Contracting & Business Performance Lead at Yeovil District Hospital Sarah James Chief Finance Officer -Branch Treasurer for South West Branch of Healthcare Financial Management Association -Trustee of RICE (Research Institute for the Care of Older People) -Director, Symphony Healthcare Services Limited -Non-Executive Director, Simply Serve Limited -Management Board Member, Yeovil Strategic Estates Partner Board -Director, YEP Project Co. Limited -Member of Southwest Pathology Services Board (Joint Venture) Merry Kane Chief Medical Officer -Shareholder/Director of Jobson Medical Services Limited -Husband works for Jobson Medical Services Limited which holds contracts with CARE UK -Husband is a consultant at Musgrove Park Hospital Executive Directors (Non-Voting) Matthew Bryant Chief Operating Officer -Chief Operating Officer (Hospital Services) at Somerset NHS Foundation Trust -Trustee for Hospiscare, Exeter -Visiting Specialist, Plymouth University Peninsula Medical School Stacy Barron- Director of Operations -Husband is employed as Cyber Security Manager at Yeovil Fitzsimons District Hospital NHS Foundation Trust Jeremy Martin Director of Transformation -Trustee, Spark Somerset Paul Foster Deputy Chief Medical Officer -Wife is a GP Partner for The Grove Medical Centre Non-Executive Directors Observers (Non-Voting) Barbara Clift Non-Executive Director -Non-Executive Director, Somerset NHS Foundation Trust Observer -Trustee of SWEDA -Daughter’s partner is CIO of KPMG Stephen Harrison Non-Executive Director -Non-Executive Director, Somerset NHS Foundation Trust Observer -Chair, YMCA Mendip -Trustee, Lawrence Centre, Wells -Governor, Wookey Primary School APPENDIX 2 BOARD OF DIRECTORS DRAFT Minutes of the Part 1 Board of Directors Meeting held on Wednesday 4 August 2021 via MS Teams at Yeovil District Hospital Present: Paul von der Heyde Chairman Jane Henderson Non-Executive Director Graham Hughes Non-Executive Director Paul Mapson Non-Executive Director Martyn Scrivens Non-Executive Director Shelagh Meldrum Deputy Chief Executive/Chief Nurse & Director of People Sarah James Chief Finance Officer In Attendance: Stacy Barron-Fitzsimons Director of Operations Jeremy Martin Director of Transformation Paul Foster Deputy Chief Medical Officer Samantha Hann Corporate Governance & Risk Manager Ben Edgar-Attwell Associate Director of Integration [items 5 & 6] Michael Beales Public Governor Peter Lewis Somerset NHS FT Chief Executive Barbara Clift Somerset NHS FT Non-Executive Director Apologies: Jonathan Higman Chief Executive Merry Kane Chief Medical Officer Matthew Bryant Chief Operating Officer Stephen Harrison Somerset NHS FT Non-Executive Director Ref: No: Action 1-38/ 1 WELCOME AND APOLOGIES FOR ABSENCE 2122 1.1 Paul von der Heyde welcomed everyone to the meeting and in particular Peter Lewis, Somerset Foundation Trust (SFT) Chief Executive and Michael Beales, Public Governor. Apologies were received as noted above. 1-39/ 2 DECLARATIONS OF INTEREST 2122 2.1 The register containing the declarations of interests from members (voting and non-voting) of the Board was noted. Shelagh Meldrum asked the Board to note the change in her husband’s role within YDH. She advised the declarations of SM interest register will be updated to reflect this change. 1-40/ 3 MINUTES/ACTIONS OF THE PREVIOUS MEETING 2122 3.1 The minutes of the meetings held on 7 July 2021 were approved as a true and accurate record. 3.2 With regard to actions and matters arising, Paul von der Heyde advised action 1- 5/2122 (5.3) in relation to risk appetite has been started and will be actioned within the Joint Board to Board meetings but this action is not yet completed. 1-41/ 4 EXECUTIVE DIRECTOR REPORT 2122 4.1 Shelagh Meldrum highlighted the challenging operational position the Trust was currently experiencing with increased prevalence of Covid-19 in the South Somerset area; an increase in staff absence; the challenge with demand in the Emergency Department; and the issues with being able to discharge patients. 4.2 Shelagh Meldrum advised despite many restrictions being lifted nationally on the 19 July 2021, restrictions remain in place in the hospital. She said visiting had been further restricted which has been challenging to manage the paradox for the public of restrictions easing nationally but tighter within the hospital. 4.3 Shelagh Meldrum advised the development session for the Board later that day will focus on the operational pressures where the Board will discuss the challenges in more detail. She advised the teams are managing exceptionally well and support has been received by the system. 4.4 Shelagh Meldrum spoke of the iCARE week in July focused on Infection Prevention and Control which was set against the back drop of the national restrictions lifting. 1-42/ 5 BOARD ASSURANCE REPORTS 2122 Infection Prevention Control (IPC) Board Assurance Framework (BAF) 5.1 Shelagh Meldrum confirmed the IPC BAF is presented each quarter to the Board with changes each quarter shown in highlighted text. She advised changes within the quarter include intensive environment risk assessments which are focused on prevalence with decisions being made locally; an increased focus on ventilation; the new cleaning standards; social distancing measures; and a change in the use of FFP3 masks. 5.2 In relation to ventilation, Shelagh Meldrum spoke of the window replacement programme throughout the tower block and advised this was currently on hold due to operational pressures and beds unable to be closed to facilitate this programme of work. She confirmed window ventilation blocks are in place. 5.3 Shelagh Meldrum advised the new cleaning standards are new hospital standards and are not Covid-19 related. She advised that the team are working hard on implementing the new standards and the Trust aims to implement the new standards by October 2021 which is earlier than the national implementation date. Shelagh Meldrum confirmed star ratings will be displayed across the hospital. It was agreed Brendon Woods would be invited to a future SH Board meeting to provide an overview of the new standards. 5.4 An overview of the changes in the FFP3 mask guidance was provided to the Board by Shelagh Meldrum advising previously the use had been for high risk procedures only, but this has now changed to risk assessments being made at a local level dependant on the risks identified. She confirmed that the Trust are rolling this out across all areas of the hospital and testing staff. 5.5 Shelagh Meldrum confirmed that the Gold Command role remains in place 7 days a week undertaken by