NHS Orkney Board 24 June 2021
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NHS Orkney Board 24 June 2021 Purpose of Meeting NHS Orkney Board’s purpose is simple, as a Board we aim to optimise health, care and cost Our vision is to 'Be the best remote and rural care provider in the UK' Our Corporate Aims are: • Improve the delivery of safe, effective patient centred care and our services; • Optimise the health gain for the population through the best use of resources; • Pioneer innovative ways of working to meet local health needs and reduce inequalities; • Create an environment of service excellence and continuous improvement; and • Be trusted at every level of engagement. Quorum: Five members of whom two are Non- Executive Members (one must be chair or vice-chair) and one Executive Member Orkney NHS Board There will be a virtual meeting of Orkney NHS Board on Thursday 24 June 2021 at 10:00am. Meghan McEwen Chair Agenda Item Topic Lead Paper Purpose Person Number 1 Apologies Chair To note apologies 2 Declaration of Chair To update the Board on interests new general or specific declarations of interest 3 Minutes of Chair To check for accuracy, previous meetings approve and signature by held on 22 April Chair 2021 4 Matters arising Chair To seek assurance that actions from the previous meeting have been progressed 5 Board action log Chief Executive To monitor progress against the actions due by the meeting date and to agree corrective action where required 6 Governance 6.1 Governance Chair OHB2122- To provide a summary of Committee Annual 15 the assurance process and Reports for 2020-21 note the Governance Committee Annual Reports Audit and Risk Clinical and Care Governance Finance and Performance Staff Governance 1 Item Topic Lead Paper Purpose Person Number Remuneration 6.2 Governance Chair OHB2122- To approve the Committee Terms 16 Governance Committee of Reference for Terms of Reference 2021-22 Audit and Risk Joint Clinical and Care Governance Finance and Performance Staff Governance Remuneration 7 Strategy 7.1 Corporate Health Head of Estates OHB2122- To approve the Strategy as and Safety Strategy and Facilities 17 recommended by the Staff Governance Committee 8 Clinical Quality and Safety 8.1 Annual Infection Director of OHB2122- To take assurance on Prevention and Nursing, 18 performance Control Report Midwifery and AHP 8.2 Infection Prevention Director of OHB2122- To review and seek and Control Report Nursing, 19 assurance on performance Midwifery and AHP 8.3 Local Child Poverty Chief Officer OHB2122- To approve the plan on the Action Report 20 recommendation of the 2020/21 Joint Clinical and Care Governance Committee 8.4 Joint Clinical and Joint Clinical and OHB2122- To seek assurance from Care Governance Care 21 the report and adopt the Committee Chairs Governance approved minutes report and minutes Committee from meetings held Chair on 26 January and 27 April 2021 2 Item Topic Lead Paper Purpose Person Number 8.5 Area Clinical Forum Area Clinical OHB2122- To seek assurance from Chairs report and Forum Chair 22 the report and adopt the minutes from approved minutes meetings held on 2 February and 30 April 2021 9 Person Centred 9.1 Patient Feedback Head of OHB2122- To approve for submission Annual report Corporate 23 to the Scottish Government 2020/21 Administration 10 Workforce 10.1 Staff Governance Staff OHB2122- To seek assurance from Committee Chairs Governance 24 the report and adopt the report and minute Committee Chair approved minutes from meeting held on the 24 February 2021 10.2 NHS Orkney Interim Director OHB2122- To approve for publication Equality and of Human 25 as recommended by the Diversity Workforce Resources Staff Governance Monitoring Report Committee 2020/21 11 Organisational Performance 11.1 Financial Director of OHB2122- To review the in year Management Finance 26 financial position and note Performance the year to date position Report 11.2 Performance Head of OHB2122- To scrutinise the report Management Assurance and 27 and seek assurance on Report Improvement performance 11.3 Finance and Finance and OHB2122- To seek assurance from Performance Performance 28 the report and adopt the Committee Chair’s Committee Chair approved minutes Report and minute of meeting held on 25 March 2021 3 Item Topic Lead Paper Purpose Person Number 11.4 North Regional Director of OHB2122- To note the plan Asset Management Finance 29 Plan 12 Risk and Assurance 12.1 Corporate Risk Interim Chief OHB2122- To review and approve the Register Executive 30 new set of corporate risks which have been agreed by the Executive Management Team. 12.2 Audit and Risk Finance and OHB2122- To seek assurance from Committee Chair’s Performance 31 the report and adopt the Report and minute Committee Chair approved minutes of meeting held on 4 May 2021 13 Any other competent business 14 Items for Information 14.1 Key Documentation Chair OHB2122- To receive a list of key Issued 32 legislation issued since last Board meeting 14.2 Board Reporting To note the timetables Schedule 2021/22 14.3 Record of To note attendance record Attendance 4 3 Orkney NHS Board Minute of meeting of Orkney NHS Board held Virtually on Thursday 22 April 2021 at 10:00 am Present Meghan McEwen, Chair David Drever, Vice Chair Davie Campbell, Non Executive Board Member Michael Dickson, Interim Chief Executive Mark Doyle, Director of Finance Caroline Evans, Non Executive Board Member Issy Grieve, Non Executive Board Member Steven Johnston, Non Executive Board Member Joanna Kenny, Non Executive Board Member Fiona MacKellar, Employee Director David McArthur, Director of Nursing, Midwifery and AHPs James Stockan, Non Executive Board Member Jason Taylor, Non Executive Board Member Louise Wilson, Director of Public Health In Attendance Lorraine Hall, Interim Director of HR Gillian Morrison, Interim Chief Operating Officer Emma West, Corporate Services Manager (minute taker) Kim Wilson, Interim Director of Acute Services 1 Welcome and Apologies No apologies were noted. The Chair advised that April was Care Experienced History Month, this would be recognised across Social Media on the 30 April 2021. The Board’s commitment to safe, effective, and meaningful care experiences to all would be reaffirmed. 2 Declarations of interests No declarations of interest on agenda items or in general were made. 3 Minute of previous meeting held on 25 February 2021 The minute of the meeting held on 25 February 2021 was accepted as an accurate record of the meeting and was approved. 4 Matters Arising No matters arising were raised. 5 Board Action Log The action log was reviewed, and corrective action agreed on outstanding issues (see action log for details). 1 3 Governance 6 Integration Joint Board Chair and Vice Chair appointments – OHB2122-01 The Chair presented the report providing the Board with information on appointments to the Chair and Vice Chair positions of the Integration Joint Board. Members were advised that the Chair of the Integration Joint Board rotated between NHS Orkney and Orkney Islands Council, this had now reverted to NHS Orkney and it was proposed that Issy Grieve be elected as Chair, Rachael King had been elected as Vice Chair through Orkney Islands Council. I Grieve accepted the nomination of Chair; Board Members approved this. Members were also asked to consider whether any changes in membership were required to the non-voting roles. It was agreed that no changes were required. Decision / Conclusion The Board approved the appointment of Chair of the IJB and noted the Vice Chair appointment from the 14 May 2021. Members agreed that no amendments to current non-voting membership were required. 7 Governance Committee Membership – OHB2122-02 The Chair presented the report of proposed Governance Committee membership, along with appointments to Governance Committee Chair and Vice Chair positions, for approval. The following amendments were requested: Caroline Evans to be replaced on the Audit and Risk Committee by Issy Grieve Jason Taylor to be elected as Vice Chair of the Audit and Risk Committee Joanna Kenny to join the Endowment Fund Sub Committee, the Vice Chair of this Committee would be agreed at the May meeting and presented to the Trustees in June for approval along with the Chair appointment. David Drever and Davie Campbell would be members of the Integration Joint Board Audit Committee. The Chair gave thanks to the outgoing members for their input and involvement and to those joining Committees for embracing new challenges. Decision / Conclusion The Board approved the reviewed and updated Governance Committee Membership as detailed including Chairs and Vice Chairs, subject to the amendments noted above. Strategy 8 Implementation of the National Whistleblowing Standards – OHB2122-03 The Director of Nursing, Midwifery and AHPs presented the report advising that NHS Orkney had put in place the necessary structures and processes to facilitate operation of the Standards and work continued to progress implementation via a short life implementation group. 2 3 The standards were applicable across all NHS services for those employed, contracted or students and there was a need to ensure all were able to raise concerns about NHS services and had access to the support they need to do this. All concerns raised about NHS services in accordance with the standards must be recorded. It was important for all services to listen to staff concerns and for this to lead to organisational learning and service improvements. Quarterly reports would be submitted through the Joint Clinical and Care Governance Committee with annual reports being provided to the Integration Joint Board and NHS Orkney Board. J Taylor advised that in his role of Whistleblowing Champion he had a critical oversight and assurance role that the Board had implemented the standards and were operating within them. Communication around the implementation of the standards had been issued to all staff and work to align with the Integration Joint Board and Primary Care continued.