1 There Will Be a Virtual Meeting of Forth Valley NHS Board on Tuesday 27 July 2021 at 10:30Am Janie Mccusker Chair AGENDA
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There will be a virtual meeting of Forth Valley NHS Board on Tuesday 27 July 2021 at 10:30am Janie McCusker Chair AGENDA 1. Apologies for Absence 2. Declaration (s) of Interest (s) 3. Minute of Forth Valley NHS Board meeting held on 25 May 2021 For Approval 4. Matters Arising • ED External Review (Verbal update by Mrs Cathie Cowan, Chief Executive) 5. FOR APPROVAL 5.1 Equality and Inclusion Strategy For Approval (Paper presented by Prof Angela Wallace, Executive Nurse Director) 15 Minutes 5.2 Quality Strategy For Approval (Paper presented by Mr Andrew Murray, Medical Director) 20 Minutes 5.3 NHS Forth Valley Major Incident Plan For Approval (Paper presented by Dr Graham Foster, Director of Public Health 15 Minutes 5.4 Strategic Risk Register For Approval (Paper presented by Mr Scott Urquhart, Director of Finance) 10 minutes 6. BETTER CARE 6.1 Pandemic Update Seek Assurance (Paper presented by Dr Graham Foster, Director of Public Health 15 Minutes 6.2 Healthcare Associated Infection Reporting Template Seek Assurance (Paper presented by Prof Angela Wallace, Executive Nurse Director) 10 Minutes 6.3 Recovery Scorecard Seek Assurance (Paper presented by Mrs Cathie Cowan, Chief Executive) 10 Minutes 6.4 Whistle Blowing Standards Seek Assurance (Paper presented by Prof Angela Wallace, Executive Nurse Director) 15 Minutes 6.5 Communication Update Report Seek Assurance 1 (Paper presented by Mrs Elsbeth Campbell, Head of Communication) 10 minutes 6.6 NHS Forth Valley’s Annual Report Summary 2020/2021 Seek Assurance (Paper presented by Mrs Elsbeth Campbell, Head of Communication) 10 minutes 7. BETTER VALUE 7.1 Finance Report Seek Assurance (Paper presented by Mr Scott Urquhart, Director of Finance) 10 minutes 8. BETTER GOVERNANCE 8.1 Governance Committee Minutes Seek Assurance 15 Minutes 8.1.1 Performance & Resources Committee update: 29/06/21 Performance & Resources Committee Ratified Minute: 27/04/21 (Papers presented by Mr John Ford, Committee Chair) 8.2 Integration Joint Board Minutes 8.2.1 Falkirk IJB Ratified Minute: 19/03/2021 8.2.2 Clackmannanshire & Stirling IJB Ratified Minute: 24/03/21 & 11/05/21 9. ANY OTHER COMPETENT BUSINESS 9.1 Emerging Topics 2 FORTH VALLEY NHS BOARD TUESDAY 27 JULY 2021 For Approval Item 3 – DRAFT Minute of the Forth Valley NHS Board Meeting held on Tuesday 25 May 2021 Present: Ms Janie McCusker (Chair) Cllr Susan McGill Mr Robert Clark Mr Andrew Murray Mrs Cathie Cowan Mr Allan Rennie Mr John Ford Cllr Les Sharp Mr Gordon Johnston Mr Scott Urquhart Dr Michelle McClung Prof Angela Wallace In Attendance: Annemargaret Black, Director of Health & Social Care Elsbeth Campbell, Head of Communications Patricia Cassidy, Director of Health & Social Care Linda Donaldson, Human Resources Director Andrea Fyfe, Acute Services Director Sinead Hamill, Board Secretary (Minute) Kerry Mackenzie, Head of Policy & Performance Jackie McEwan, Corporate Business Manager Gillian Morton, Director CPMO Kathy O’Neill, General Manager Jonathan Procter, Director of Facilities & Infrastructure Sarah Smith, Corporate Services Assistant 1. Apologies for Absence The Chair welcomed everyone to the meeting. Apologies were noted on behalf of Dr Graham Foster, Mr Stephen McAllister, and Mrs Julia Swan. 2. Declaration(s) of Interest(s) There were no declarations of interest made. 3. Minute of Forth Valley NHS Board meeting held on 30 March 2021 The minute of the meeting on 30 March 2021 was approved as an accurate record. 4. Matters Arising from the Minute The Board noted that there were no matters arising from the minute. 1 5. FOR APPROVAL 5.1 System-Wide Remobilisation Plan The NHS Board considered a paper ‘System-Wide Remobilisation Plan’ presented by Mrs Cathie Cowan, Chief Executive. The Board noted that the Interim Chief Executive of NHS Scotland had written to all NHS Boards on 14 December 2020 commissioning the third iteration of NHS Boards’ Remobilisation plans. Mrs Cowan in presenting the System-Wide Remobilisation Plan referred to the excellent joint working and the role of partners notably Councils and the Health & Social Care Partnerships in maintaining and protecting Covid-19 capacity whilst ensuring any surge is responded to efficiently as part of the Board’s contribution to a system wide pandemic response. The Board noted the continuing strengths of NHS Forth Valleys Test & Protect response, Infection Prevention & Control measures, PPE availability and compliance and the infrastructure to support the roll out of the vaccination programme. In addition, the use of technology including Near Me has helped to deliver outpatient and GP appointments throughout the pandemic. Call MIA (Minor Injury Assessment) has also helped provide support and advice during the ongoing redesign of urgent care services to ensure patients receive the right care in the right place. Supporting elective care in line with the clinical prioritisation framework continues. Mrs Cowan referred to the work of Directors including the Chief Officers in supporting the recovery, remobilisation and redesign of services and acknowledged and thanked the System Leadership Team members for their contribution and commitment to delivering an integrated whole system response including supporting care homes. Staff wellbeing remains a key priority and the Director of Human Resources has provided Board updates on the approach adopted. To date this joint approach has been supported and informed by staff side representatives. Innovation and integration remain a key priority currently and in going forward to ensure our Covid-19 related innovations are sustained. Inequalities will continue to influence the Board’s decision-making including our ‘anchor’ response and how this will inform community wealth building commitment to deliver better outcomes. Mrs Cowan informed the Board that a financial update plan will be provided by the Director of Finance to ensure the Board delivers sustainable and value for money responses. The Board discussed the plan and in seeking assurance was satisfied by the Board’s capacity to support recovery and remobilisation of services. The Board approved the draft report and requested an update plan to be delivered September 2021. The Forth Valley NHS Board: • Noted the final draft submission of the Forth Valle System-Wide Remobilisation Plan April 2021 to March 2022 was made to Scottish Government on 4 March 2021 2 • Noted the formal response received from Scottish Government on 2 April 2021 • Considered the draft NHS Forth Valley System-Wide Remobilisation Plan April 2021 to March 2022 • Approved the Draft NHS Forth Valley System-Wide Remobilisation Plan April 2021 to March 2022 • Requested an updated Plan in September 2021 5.2 Remobilise, Recover, Redesign – Investing in Health Care The NHS Board considered a paper ‘Remobilise, Recover, Redesign – Investing in Health & Care’ presented by Mrs Cathie Cowan, Chief Executive. Mrs Cowan provided an overview of proposed investments and a commitment to refresh the Healthcare Strategy during 2021/2022. The Board acknowledged that the proposed service redesign and investments aligned with the Board’s strategic risks and towards the recovery and remobilisation of services whilst supporting quality improvement and delivering better value for money and more sustainable solutions. Mrs Cowan confirmed that a timetable to inform a refresh of the Board’s Healthcare Strategy would take account of national and regional policy direction and local Integration Authorities Strategic Commissioning Plans and Directions. In refreshing the strategy there would be an intention to invite people, partners, and staff to get involved in shaping a future ‘Health & Wellbeing Strategy’ that takes account of some key principles, notably: • Good health and wellbeing for our population throughout their lives • Improving the health status for people currently disadvantaged • Greater integration as a community planning partner that builds on our achievements in health and care • Timely access to person centred, safe and effective health care informed by the ethos of realistic medicine • Active participation of people, partners, and staff to inform and influence how we develop, design, and deliver healthcare • Being a high performing healthcare system, that people can trust and have confidence in • Using our anchor institution status to influence and play our part in building a strong local economy Mrs Cowan then moved to a number of proposed new developments/investments that required Board approval. Mrs Cowan referred to a commitment to support Primary Care Improvement and the implementation of the General Medical Service Contract approved by the Government. Mrs Cowan highlighted investment to support people live and be cared for at home through an expanded hospital at home service and investment in stroke services designed to improve patient outcomes. The investment in sustainable solutions to address waiting times was also acknowledged. Mrs Cowan informed the Board that the Government manifesto commitment to invest in NHS Forth Valleys Falkirk Community Hospital was welcomed and would allow the Board with partners to support an extensive master planning response. The Board noted that the remedial work to the inpatient area would now not progress. A Business Case would now be developed informed by a ‘strategic case for change’ and a 3 ‘management case’ that would provide details of the project management and governance arrangements to support the business case process. This development would also be aligned to the Primary Care