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Highland Nhs Board Assynt House Beechwood Park Inverness, IV2 3BW Telephone: 01463 717123 Fax: 01463 235189 Textphone users can contact us via Date of Issue: Typetalk: Tel 0800 959598 25 May 2012 www.nhshighland.scot.nhs.uk HIGHLAND NHS BOARD MEETING OF BOARD Tuesday 5 June 2012 at 8.30 am Board Room, Assynt House, Beechwood Park, Inverness AGENDA 1 Apologies 1.1 Declarations of Interest – Members are asked to consider whether they have an interest to declare in relation to any item on the agenda for this meeting. Any Member making a declaration of interest should indicate whether it is a financial or non-financial interest and include some information on the nature of the interest. Advice may be sought from the Board Secretary’s Office prior to the meeting taking place. 2 Minutes of Board Meetings: (a) 21 March 2012 (attached) (b) 3 April 2012 (attached) (c) 3 April 2012 – Board in Committee (attached) (d) Board Rolling Action Plan (attached) (PP 1 – 30) The Board is asked to approve the Minutes. 2.1 Matters Arising 3 PART 1 – REPORTS BY GOVERNANCE COMMITTEES 3.1 Argyll & Bute CHP Committee – Draft Minute of Meeting held on 25 April 2012 (attached) (PP 31 – 42) 3.2 Mid Highland CHP Committee – Draft Minute of Meeting held on 20 April 2012 (attached) (PP 43 – 52) 3.3 North Highland CHP Committee – Draft Minute of Meeting held on 17 April 2012 (attached) (PP 53 – 60) 3.4 Raigmore Hospital Committee – Draft Minute of Meeting held on 16 April 2012 (attached) (PP 61 – 74) 3.5 South East Highland CHP Committee – Draft Minute of Meeting held on 29 March 2012 (attached) (PP 75 – 84) 3.6 Audit Committee – Draft Minute of Meeting held on 15 May 2012 (attached) (PP 85 – 96) 3.7 Clinical Governance Committee Assurance Report of 8 May 2012 (attached) (PP 97 – 114) 3.8 Improvement Committee Assurance Report of 30 April 2012 and Balanced Scorecard (attached) (PP 115 – 128) 3.9 Area Clinical Forum – Draft Minute of Meeting of 29 March 2012 (attached (PP 129 – 136) 3.10 Pharmacy Practices Committee – Minute of Meeting of 10 April 2012 (attached) (PP 137 – 164) 3.11 Governance Committee Annual Reports Report by Kenny Oliver, Board Secretary on behalf of Elaine Mead, Chief Executive (attached) As part of the Annual Accounts process a number of Annual Reports relating to NHS Highland Committees are produced and considered by the Audit Committee. The reports attached are: Appendix 1 – Audit Committee Appendix 2 – Staff Governance Committee Appendix 3 – Remuneration Sub-Committee Appendix 4 – Clinical Governance Committee Appendix 5 – Improvement Committee Appendix 6 – Risk Management Steering Group Appendix 7 – Endowment Funds Committee Appendix 8 – Argyll & Bute CHP Committee Appendix 9 – Mid Highland CHP Committee Appendix 10 – North Highland CHP Committee Appendix 11 – South East Highland CHP Committee Appendix 12 – Raigmore Committee Appendix 13 – Spiritual Care Committee Appendix 14 – Control of Infection Committee Appendix 15 – Health & Safety Committee Appendix 16 – Pharmacy Practices Committee (PP 165 – 236) The Board is asked to: (a) Note the Minutes. (b) Note the Clinical Governance Committee met on 8 May 2012. Note the Assurance Report and agreed actions resulting from the consideration of the specific items detailed. Note that the next meeting of the Clinical Governance Committee will be held on 7 August 2012. (c) Note that the Improvement Committee met on 30 April 2012. Note the Assurance Report and agreed actions resulting from the review of the specific topics detailed and the Balanced Scorecard. Note that the next meeting of the Improvement Committee will be held on 2 July 2012. (d) Note the views of the Audit Committee on the attached Annual Reports of the Governance Committees. 2 Council/Highland NHS Board Joint Committees 3.12 Highland Council Partnership – Joint Committee on Children and Young People – Minute of Meeting of 16 March 2012 (attached) (PP 237 – 246) The Board is asked to: Note the Minute. 4 PART 2 – CORPORATE GOVERNANCE / ASSURANCE 4.1 Membership of Committees Report by Garry Coutts, Chair, NHS Highland (attached) (PP 247 – 250) The Board is asked to: Review the current membership and in so doing to consider forthcoming vacancies and appointments. Agree that Sarah Wedgwood be appointed as Vice-Chair until 30/06/14. Agree to the proposed membership for Highland Health and Social Care Community Health Partnerships and that the Chair should be appointed until 30/06/14. Agree to the proposed membership for Argyll and Bute Community Health Partnership and that the Chair should be appointed until 30/06/14 Agree to the proposed appointment of Chairs for the main Governance Committees to 30/06/14. 4.2 Establishment of Highland Health & Social Care Partnership Report by Garry Coutts, Chair (attached) The Board will recall that the decision was made at the December 2012 Board meeting to establish a single operational unit covering the whole of Northern Highland, co-terminus with Highland Council. This report updates on progress with the establishment of the Highland Health & Social Care Partnership. (PP 251 - 274) The Board is asked to: Note the ongoing work to establish Highland Health and Social Care Partnership and in particular the setting up of Highland Health and Social Care Partnership Governance Committee 4.3 Integrating Care in the Highlands – Forward Plan Report by Jan Baird, Transitions Director on behalf of Elaine Mead, Chief Executive (attached) As Planning for Integration reaches conclusion and integrating services in the Highlands becomes a priority, a number of actions are carried forward to ensure the development of longer term sustainable processes and procedures. This report updates on the Forward Plan for Integrating Care in the Highlands. (PP 275 – 306) 3 The Board is asked to: Note the forward plan moving on from Planning for Integration. Note the proposed approach to ensure long term and sustainable arrangements are put in place to support the Integrated front-line services. Note the development of Programme scope for Central/Corporate services and the appointment of a Programme Manager. 4.4 Integration of Adult Health and Social Care in Scotland – Consultation on Proposals Report by Jan Baird, Transitions Director on behalf of Elaine Mead, Chief Executive (attached) The Scottish Government has launched it’s consultation on Integration which will run until 31 July. The Highland Partnership have of course implemented integration of adult and children’s’ services under existing legislation namely the Community Care and Health (Scotland) Act 2002. The consultation document outlines the impact on current legislation and configuration of Community Health Partnerships, detailing two options for partnerships to consider across Scotland. A Lead Agency model is one of the options. (PP 307 – 320) The Board is asked to: Note the consultation proposals. Note the consultation response drafted on behalf of NHS Highland. Agree further circulation of this draft to gather views across leadership and management forums in NHS Highland. 4.5 NHS Highland Financial Report (a) Interim Financial Position as at 31 March 2012 Report by Nick Kenton, Director of Finance (attached) (PP 321 – 328) (b) Approach to Benefits Realisation Report by Nick Kenton, Director of Finance (attached) (PP 329 – 332) The Board is asked to: (a) Note the financial out-turn of a £85,000 underspend. Note this is subject to audit review. Note the non-recurrent savings carried into 2012 – 2013. (b) Note the approach to benefits realisation. 4.6 Hospital Scorecard Report by Lesley Anne Smith, Head of Quality on behalf of Elaine Mead, Chief Executive (attached) NHS Board Chief Executives agreed in November 2011 that it was important to establish a core set of measures which could be used to track a number of key areas of healthcare quality across Scotland. As a result, colleagues across Scotland have explored a range of potential measures, and considered the role of this national ‘scorecard’ alongside the local systems which individual NHS Boards have developed or are developing. The result of this work is the attached ‘Hospital Scorecard’. (PP 333 – 336) 4 The Board is asked to: Note the publication of the Hospital Scorecards for June 2011 and September 2011 together with the management and assurance actions being taken in response to the data. 4.7 Infection Control Report Report by Liz McClurg, Infection Control Manager and Dr Emma Watson, Infection Control Doctor on behalf of Heidi May, Board Nurse Director & Executive Lead for Infection Control (attached) (PP 337 – 386) The Board is asked to: Note the contents of the Infection Control Report. 4.8 Raigmore Hospital Quality Approach to Improvement in 2012/2013, 2013/14 and 2014/15 Report by Chris Lyons, Director of Operations, Raigmore Hospital on behalf of Elaine Mead, Chief Executive (attached) This report to the Board sets out to summarise the approach to quality improvement adopted by the Raigmore Management Team. The approach adopted is in line with the Highland Quality Approach and the Highland Quality and Efficiency Plan. (PP 387 – 422) The Board is asked to: Note the approach to quality improvement in 2012/2013 by Raigmore Hospital Management Team. Note the details of the quality improvement initiatives and the expected benefits of the improvements planned and underway. Note the initial work to identify quality improvement in 2013/14 and 2014/15. 4.9 Chief Executive’s and Directors’ Report Emerging Issues and Updates Report by Elaine Mead, Chief Executive (attached) This month’s report incorporates updates on: DALLAS – Delivering Assisted Living Lifestyles At Scale Diabetes Care across the northern NHS Highland area Fire Safety - County Hospital, Invergordon Highland Eating Disorder Out Patient Service and the Eden Unit Specialist In-Patient Facilities Investigation into the Management Culture in NHS Lothian Magnetic Resonance Imaging (MRI) Scanner Replacement – Raigmore Hospital Reform of Police and Fire Services Regional Planning – North of Scotland Planning Group and West of Scotland Planning Group Rise in cases of Whooping Cough (Pertussis) (PP 423 – 436) The Board is asked to: Note the Emerging Issues and Updates Report.
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