BOARD OF DIRECTORS Wednesday 5 May 2021 at 09:30-11:35 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 3 March 2021 and Approve Chairman Appendix 2 to Discuss Matters/Actions Arising 4 Executive Director Report Receive Execs 09:35 Appendix 3 ASSURANCE REPORTS 5 Board Assurance Reports: . IPC Board Assurance Framework Review Shelagh Meldrum 09:50 Appendix 4 . Q4 Board Assurance Framework Review Executives Appendix 5 . Q4 Board Corporate Risk Register Review Executives Appendix 6 . Q4 Learning from Deaths Report Review Merry Kane Appendix 7 . Q4 Freedom to Speak up Guardian Report Review Shelagh Meldrum Appendix 8 . Q4 Guardian of Safeworking Report Review Merry Kane Appendix 9 FINANCE & PERFORMANCE 6 YDH Group Board Overview Quadrant Receive & Shelagh Meldrum 10:25 Appendix 10 (Inc. updates on Finance, Quality, Performance, Workforce Note Matthew Bryant for YDH and Subsidiary Companies) Stacy Barron- Fitzsimons Sarah James 7 Financial System Plan and YDH Position Approve Sarah James 10:40 Appendix 11 8 Going Concern Statement Approve Sarah James 11:00 Appendix 12 ITEMS TO NOTE/FOR INFORMATION/APPROVAL 9 Risk Management Strategy Approve Ben Edgar-Attwell 11:15 Annex A 10 Constitutional Documents Approve Ben Edgar-Attwell 11:20 Annex B 11 Committee Updates and Minutes: . Financial Resilience and Commercial Committee Receive Martyn Scrivens 11:25 Verbal . Governance and Quality Assurance Committee Note Jane Henderson Appendix 13 . Audit Committee Note Paul Mapson Appendix 14 12 Any Other Business and Meeting Close Chairman 11:35 Verbal 13 Date of Next Public Meeting 2 June 2021 via MS Teams in the Boardroom, Level 1, Yeovil Hospital Board of Directors – Declarations of Interest April 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 Contract Manager 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 3 March 2021 via MS Teams at Yeovil District Hospital Present: Paul von der Heyde Chairman Jonathan Higman Chief Executive 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 Merry Kane Chief Medical Officer In Attendance: Matthew Bryant Chief Operating Officer Jeremy Martin Director of Transformation Stacy Barron-Fitzsimons Director of Operations Ben Edgar-Attwell Company Secretary Paul Foster Deputy Chief Medical Officer Barbara Clift Somerset NHS FT Non-Executive Director Stephen Harrison Somerset NHS FT Non-Executive Director David Recardo Appointed Governor Observer Janette Cronie Public Governor Observer Presenters: Michelle Goddard General Manager for Patient Flow Ref: No: Action 1-96/ 1 WELCOME AND APOLOGIES FOR ABSENCE 2021 1.1 Paul von der Heyde welcomed everyone to the meeting, which included David Recardo and Janette Cronie as Governor Observers. There were no apologies for absence. 1-97/ 2 DECLARATIONS OF INTEREST 2021 2.1 The register containing the declarations of interests from members (voting and non-voting) of the Board was noted. 1-98/ 3 MINUTES/ACTIONS OF THE PREVIOUS MEETING 2021 3.1 The minutes of the meeting held on 3 February 2021 were approved as a true and accurate record. With regard to actions and matters arising, it was noted that meetings and work on the development of a system risk framework continued. The review of statutory roles had been delayed although this would take place in the future. Graham Hughes said he had taken on the Guardian of Wellbeing role; reporting would filter through the Workforce Committee. 1-99/ 4 EXECUTIVE DIRECTOR REPORT 2021 4.1 The Board noted the items included within the Executive Director report where the following updates were provided: 4.2 Jonathan Higman provided an updated position of the hospital and system with COVID-19; the position was improved compared to previous weeks with no COVID-19 patients currently within ICU. This represents a significant improvement in the position only a few weeks ago when the Trust was at its maximum state of critical care escalation. There continues to be pressure on the system, with increasing numbers of minor attendances to the Emergency Department. The latest announcements regarding the roadmap for reducing and removing lockdown measures may result in increased attendances, therefore it is important that people remain vigilant and continue to social distance etc. 4.3 The vaccination programme continues with the second doses having commenced. This has been a fantastic piece of work across the system with over 200,000 people in Somerset having received their first vaccination. A review of the programme from April onwards is required to ensure a more sustainable footing as we go into the latter part of the year. 4.4 A significant amount of capital works has and is taking place across the hospital, such as the creation of additional majors bays in the Emergency Department and improving the layout and capacity of the waiting area to support social distancing. Work in ICU has allowed this to be split into hot/cold areas and an additional bed space has been created. Window replacement has commenced alongside roof replacement projects for the Women’s Hospital and Convamore. The residential accommodation project is due to be completed and handed over at the end of the month. There has been strong uptake for these units, so a priority list has been created to ensure there is capacity for overseas staff who will be due to arrive. An opening ceremony will be planned; David Recardo offered to attend as Mayor of Yeovil. 4.5 The staff survey results will be presented via the Workforce Committee in due course along with the national WRES indicator results. The initial high-level results