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Birmingham Solihull Mental Health Nhs Foundation Trust

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Birmingham Solihull Mental Health Nhs Foundation Trust BIRMINGHAM SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST MINUTES OF THE ASSEMBLY OF GOVERNORS MEETING 5TH DECEMBER 2008 10:15 – 13:00 HIGBURY HALL PUBLIC SESSION Meeting commenced at 10:15 hours at Highbury Hall. Governors In Attendance: Sally Selvey Nursing Staff Governor Darren Cooper Nursing Staff Governor Vinod Mehta Other and AHP Staff Governor Naomi Hawkins Non-Clinical Staff Governor Joe Aldred Birmingham East and North Public Governor Renganathan Ramamoorthy Birmingham East and North Public Governor Bridie Nugent South Birmingham Public Governor Bernadette Murray South Birmingham Public Governor Khalid Ali Rest of England and Wales Public Governor Brian Sheppard Solihull Public Governor Sue Rose Solihull Public Governor Lynda Smith South Birmingham Service User Governor John Robinson Birmingham East and North Service User Governor Peter Brown Solihull Service User Governor Loris Tapper Carer Governor Lawrence Innis Carer Governor June Green Carer Governor Anne McKenzie Carer Governor Ann Davis Stakeholder: University of Birmingham Lilieth Williams Stakeholder: Birmingham City University Charles Zuckerman Stakeholder: Local Medical Committee Jane Morel Stakeholder: Terrance Higgins Trust Robin Felton Stakeholder: Alzheimer’s Society Lynne Jones Stakeholder: MP Sue Anderson Stakeholder: Birmingham City Council Sue Nixon Stakeholder: PCT Commissioners Trust Staff: Sue Turner Chief Executive Peter Marquis Chairman Gary Crellin Trust Secretary Karen Martin Deputy CEO/Director of Organisational and Workforce Development Alan Kenny Director of Commercial Services and Asset Management Jonathan Lloyd Director of Strategic Delivery (Adults of Working Age) Ros Alstead Director of Nursing 1 Neil Deuchar Medical Director Lakhvir Rellon Director of Diversity Rachael Vowles Director of Communication and Marketing David Boden Deputy Chair/Non-Executive Director Stella Layton Non-Executive Director Laura Hollingsworth Foundation Trust Assistant Apologies for Absence: Faheem Uddin Heart of Birmingham Service User Governor Dr Asaf Khan Medical Staff Governor Sat Pal Heart of Birmingham Public Governor Kenneth Jeffers Heart of Birmingham Public Governor Rhonda Allen Rest of England and Wales Service User Governor Kate Wild Stakeholder: Solihull Metropolitan Borough Council Carl Foulkes Stakeholder: West Midlands Police 1. Minutes of the Last Meeting: Held Friday 5th September 2008 These minutes were approved as an accurate record, bar the incorrect spelling of one of the Governors names, Anne McKenzie. 2. Matters Arising The supplied Annual Plan was incomplete. The Governors requested a re-issue of the Annual Plan. Action: Trust Secretary The Governors have a statutory duty under the Health & Social Care (Community Health and Standards) Act 2003 – as superseded by the 2006 Act to have the annual accounts, any auditor report on them and the annual report of the Foundation Trust presented to them at a General Meeting. In preparing the annual plan, the Act states that Directors must have regard to the views of the Governors (Schedule 1 para 27(3)). This is similarly reflected in our Constitution (para 36). A process for engaging Governors proactively would be considered by the Trust and reported at the next meeting. Action: The Chair Patient Support Group, Zinnia Centre: Action discharged Patient Property: Action not discharged, to be considered outside the meeting. An issues log would be established from the next meeting. Action: Trust Secretary 3. Chair’s Report to the Governors The Chair’s report was received by the Assembly. The Assembly noted:- i. The progress being made to discharge the Healthcare Commissions Inpatient review plan. 2 ii. The successful Annual Health Check results. iii. The Chair’s attendance at the Solihull Positive Mental Health Group. iv. The appointment of Chief Superintendent Carl Foulkes as the West Midlands Police Partnership Governor, replacing Chief Superintendent Steve Rowell. v. The appointment of Naomi Hawkins as the Staff Governor (Non-Clinical) replacing Karen Biles. The Governors sought clarity on how they can be assured that the Trust is operating effectively within its terms of authorisation and noted that:- i. The External Auditor can provide additional assurance to the Assembly of Governors on the financial standing of the Trust and its internal control procedures. The External Auditor produces an Annual Audit Letter, to which the Trust responds. A copy of the Annual Audit Letter is lodged onto the Trust’s website, in the public interest. Copies would be sent to Governors. Action: Trust Secretary ii. In relation to a suggested calendar of Assembly Business, a mid year review of the Annual Health Check and Standards for Better Health would be welcomed to support the agenda’d coverage of the Monitor Compliance Returns that the Trust has to make to the Regulator. Action: Trust Secretary iii. A presentation from the External Auditor on the role and function of Audit would be arranged for the next meeting. Action: Trust Secretary 4. Trust Performance Review A. Resources Report The Chair presented this report on behalf of the Director of Resources. The Assembly requested clarification on the following issues:- i. Cash Releasing Efficiency Savings (CRES) Cllr Anderson (Partnership Governor - BCC) asked whether a 3% CRES is affecting front line services and whether or not there was any impact on third sector partners. The Chair clarified that all CRES programmes are risk rated. The efficiency saving model is currently changing from a flat rate across the Trust to one where capacity to deliver savings is taken into account. The Chief Executive advised the Assembly of the position with public sector investment by Government, and the need to demonstrate cost efficiencies and benefits from the above inflation rate of investment. In relation to the third sector, there are no plans to levy a CRES approach, at this stage, on third sector organisations working with, or under contract from, the Foundation Trust. 3 A CRES update will be shared with the Assembly at the next meeting. Action: Trust Secretary via Director of Resources ii. The Extent of Vacancies Being Held Open The Chair reported that the holding of vacancies in itself was not a cash releasing saving. Some posts are hard to recruit into and vacancies tend to be recruited at pre-set times of the year – i.e. after graduation of staff in the professions allied to medicine or nursing categories. Other posts may be held open pending organisational change or pathway redesign to aid service improvement. iii. Interest Earned on our Budgetary Income The Governors were advised that our cash holding is managed in accordance with our approved Treasury Management Policy. No offshore investment has been entered into. iv. Monitor Risk Rating In response to a question from Lynne Jones, MP Partnership Governor, the Chair advised that the Trust’s finance risk rating at Level 4 was the maximum achievable the first year of FT status. v. Capital Programme In response to a question regarding the Trust’s Capital programme from Robin Felton (Partnership Governor - Voluntary Sector), the phasing of the capital spend was described. The issue of the Underwood Centre (referred to by John Robinson, User Governor - BEN) would be addressed outside the meeting. Action: Chair vi. Charitable Funds In response to a question regarding the success of the launch of the Wellbeing Fund from Peter Brown (Service User Governor - Solihull) The Chair described how the Trust receives and manages charitable donations which are held in trust for departments, wards and for research. The Trusts' charities are registered with the Charity Commission and are authorised to raise funds for the Trust. These funds are dispensed by the Trustees, including all the Non Executive Directors, in accordance with donor wishes, where these are known. The Trust Board did not have access to or responsibility for allocations of charitable donations. A report on the role and remit of the Wellbeing Fund will be presented at the next meeting. Action: Trust Secretary 4 B. Monitor Compliance Return The Report on the Trust’s compliance with its Terms of Authorisation, including key performance indicators, was noted by the Assembly. Further to a point raised by Sally Selvey Staff (Governor-Nursing),the Assembly thought that it was important, that in order to discharge its legal duties, that it should be advised if any area of the Compliance Framework or the Terms of Authorisation were giving the Directors significant cause for concern. In addition, noting that this was a Trust wide picture, it was suggested that Patch/Geographical Governors should be advised of any significant issues affecting the key geographical areas of the Trust (HoB, BEN, South, Solihull in particular). Action: Trust Secretary C. Clinical Services Report The Governors sought clarification on the following:- i. The development of the integrated care record – how was it being introduced and what actions were in place to audit its effective use. ii. What general themes were arising from the complaints received by the Trust? iii. How are infection control measures uniformly rolled out across the Trust? The issues raised by the Governors would be subject to a further report at the next Assembly meeting. Action: Trust Secretary via Director of Nursing 5. For Assembly Discussion A. Development of the Trust’s Strategic Business Plan The Assembly received a presentation from Stella Layton, Non Executive Director, and Jonathan Lloyd, Director of Strategic Delivery
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