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Board of Directors Meeting in Public, 28 October 2014

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Board of Directors Meeting in Public, 28 October 2014 Board of Directors Time: 1130 – 1330 hours Venue: Board Room, Level 7, 64 Victoria Street Date: Tuesday, 28 October 2014 SW1E 6QP Presenters are reminded to provide a succinct and focused introduction, highlighting the key questions and only things which have changed since the preparation of the report 1 Administrative items and Quality report Time 1.1 Welcome, introduction and apologies: Pamela Chesters Verbal 1130 J Reilly, CEO (first part of meeting1) 1.2 Patient story Stephanie Verbal Matuszak2 1.3 Written questions from the public3 Pamela Chesters To be tabled4 1.4 Interests to declare Pamela Chesters Verbal 1.5 Minutes of meeting held 30.09.14 Pamela Chesters Pages 3-11 1.6 Matters arising and action log Pamela Chesters Pages 12 1.7 Chairman’s report Pamela Chesters Pages 13-15 1.8 Chief Executive’s report James Reilly Pages 16-26 1.9 Quality report – Q2 Louise Ashley Pages 27-52 2 Operational items 5 2.1 Integrated performance and finance report Ian Millar Pages 53-72 1200 2.2 Staffing monthly report Louise Ashley Pages 73-92 3 Governance / assurance items 3.1 Serious incident report Louise Ashley Pages 93-127 1230 3.2 Francis and other national reports – six month James Reilly Pages 128-147 update 3.3 Board Governance Memorandum – update James Reilly Pages 148-173 3.4 FT Timeline - update Ian Millar Pages 174-178 3.5 Safeguarding mid-year review Louise Ashley Pages 179-183 6 3.6 Medical Director’s report Joanne Medhurst Pages 184-191 3.7 Medicines management annual report Joanne Medhurst Pages 192-197 3.8 Health and safety – quarterly report Ian Millar Pages 198-211 3.9 Board self-certifications (September 2014) James Reilly Pages 212-224 3.10 Board committee reports Committee chairs Verbal 3.10.1 Quality Committee Terms of Reference Pages 225-231 3.10.2 Quality Committee report, 22.10.14 Pages 232-242 3.11 Risks identified during meeting Pamela Chesters Verbal 3.12 Issues/items for which further assurance is Pamela Chesters Verbal required 4 Items to agree/note without discussion7 4.1 Committee Minutes 4.1.1 Quality Committee 16.09.14 Pages 215-221 4.2 Date of next meetings in public: Board meeting in public - Thursday, 27 November 2014, 64 Victoria Street, London SW1E 6QP Attached – list of commonly used abbreviations Pages 243-244 and key performance indicator definitions Received 245-246 1 Meeting with David Flory, NTDA tripartite meeting to 1300 hours 2 Occupational therapist 3 Written questions that are relevant to the agenda must be submitted in advance (at least two clear days) before the meeting to the Trust Secretary 4 Routinely if any questions are received 5 including formal review of KPIs and review of reserves and surpluses 6 including role as Caldicott Guardian, clinical framework update and telemedicine 7 Unless notified in advance In the interests of transparency, at the end of the meeting, ten minutes will be allowed for members of staff / public in attendance to have an opportunity to ask questions relevant to the agenda or the work of the Trust. Questions will be accepted at the discretion of the chairman; it will not be possible to answer any questions which refer to named staff or patients. RESOLUTION “That representatives of the press, and other members of the public, be excluded from part of the meeting having regard to the confidential nature of the business to be transacted, publicity on which would be prejudicial to the public interest”, section 1 (2), Public Bodies (Admission to Meetings) Act 1960. Circulation: Board members, Trust Secretary, Committee Administrator Agreed by chairman 06.10.14 1 Board of Directors Minutes of the meeting held on Tuesday, 30 September 2014 Soho Centre for Health, Frith Street, London W1D 3HZ Present Pamela Chesters Trust Chairman Louise Ashley Chief Nurse and Director of Quality Governance Anne Barnard Vice Chairman, Non-Executive Director Julia Bond Non-Executive Director Tony Brown Non-Executive Director Carol Cole Non-Executive Director Joanne Medhurst Medical Director Ian Millar Executive Director of Finance, Performance and Corporate Resources Richard Milner Deputy Chief Executive James Reilly Chief Executive David Sines Non-Executive Director In attendance2 Rachael Bhella Care Navigator, Care Navigation Service (part) Ken Erharhine Case Manager, Care Navigation Service (part) Louisa McGeehan Head of Communications and External Relations (part) Neil Snee Service Transformation Director (part) Jayne Walbridge Trust Secretary BoD/163/14 Welcome, introduction and apologies 163.1 The Chairman welcomed Dr Carol Cole to the meeting who had joined the Trust as a Non- Executive Director on 1 August 2014. 163.2 All members were present. BoD/164/14 Written questions from the public 164.1 No written questions had been received; however a new facility for staff to ask executive directors questions on any subject had now been introduced. 164.2 Questions and the Board’s responses to all previous questions are published on the Board Meetings page of the web site. BoD/165/14 Interests to declare 165.1 There were no interests declared. BoD/166/14 Minutes of the Board of Directors meeting held on 31 July 2014 166.1 The minutes of the Board of Directors meeting held on 31 July 2014 were agreed as an accurate record, subject to correction of minute 142.1 to read “slowed due to CQC staff pressures” and minute 145.1 to read I Millar. BoD/167/14 Minutes of the annual general meeting (AGM) held on 19 September 2014 167.1 The minutes of the Board of Directors meeting held on 19 September 2014 were agreed as an accurate record. BoD/168/14 Matters arising and action log 168.1 The action log was reviewed and it was agreed that completed actions could be closed, 1 T Sentences marked include an action for ELT members that does not require report back to the Board. 2 1 member of the staff in attendance, and 4 external assessors (Grant Thornton and Niche Consultancy) who were observing the meeting. 1 3 subject to correction of the comment for action BoD/50/14 - to confirm that the proposed suggestions regarding children had been incorporated into the safeguarding annual report. 168.2 It was noted that issues in relation to Winterbourne would be referenced in the dementia strategy and the learning disabilities protocol. 168.3 BoD142.7 Information Commissioner’s Office – it was confirmed that the report had been circulated to all Board members. BoD/169/14 Chairman’s report 169.1 The Chairman reported that she had hosted an interesting medicine for members event the previous day with an excellent presentation by the falls team which had been very well received. 169.2 Members had found the engagement workshops following the AGM helpful and sought confirmation on how feedback would be used. 169.3 It was confirmed that the Executive Team would review actions in response to table discussions and that themes would be used to inform the listening events planned in all boroughs later in the year. 169.4 Resolved The Chairman’s report was noted. 169.5 It was agreed that a copy of the engagement workshop report would be circulated to all members. Action BoD/56/14 (J Walbridge) BoD/170/14 Chief Executive’s report 170.1 J Reilly introduced his report, highlighting the achievements of staff. R Milner added that since publication of the report, the Trust had received an HSJ award for the ‘redesigning of acute care’ work with Chelsea and Westminster. 170.2 Foundation Trust Status The Trust intended to seek confirmation in October regarding the timing of the CQC inspection in order to clarify the programme timetable for the foundation trust application. 170.3 Better Care Fund It was noted that this had direct implications for the Trust and that services in Barnet had already seen an increase in urgent care centre attendances which would be discussed with commissioners. 170.4 Unison J Reilly reported that the Trust had been notified of industrial action on 13/10/14 (for 4 hours) and plans for a work to rule on 4 other days; for which contingency plans were in place. 170.5 CQC Inspections Members were pleased to note that a recent unannounced inspection of Garside House Nursing Home had found standards in relation to the care and welfare of people who use services and assessing and monitoring the quality of service provision had been met. The inspection had been in response to a former member of staff’s concerns raised directly with the CQC. 170.6 L Ashley confirmed that the issue also being investigated internally to help understand the reason why concerns had been raised; conclusions would be included in the serious incident report to the Board. 170.7 Annual General Meeting It was noted that the annual report and accounts had in fact been received (having 2 4 previously been approved) by the Board. 170.8 Resolved The Chief Executive’s report was noted, including the success of the annual staff awards and recognition of individuals and teams for their projects which the executive team were encouraged to use to promote the Trust. BoD/171/14 Patient story3 171.1 Ken Erharhine read a story from a patient who had been referred to the Trust’s Care Navigation Service. While reluctant to accept help, the patient had found the service ‘first class’ and a great benefit, particularly the liaison undertaken by the team with her GP and pharmacist. 171.2 In response to questions, K Erharhine confirmed that care navigators were part of a multidisciplinary team, including mental health, primary care, acute care, social services and the London Ambulance Service; in order to provide a holistic assessment of patients’ needs.
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