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Bundle Public Board 29 March 2018 2.6 Report of the Chief Executive / Adroddiad y Prif Weithredwr Presenter: Steve Moore Report of the Chief Executive March 2018 App A - Register of Sealings March 2018 Board App B - Consultation Report March 2018 App C - Zero Based Review of HDdUHB 2.6 Report of the Chief Executive / Adroddiad y Prif Weithredwr 1 Report of the Chief Executive March 2018 CYFARFOD BWRDD PRIFYSGOL IECHYD UNIVERSITY HEALTH BOARD MEETING DYDDIAD Y CYFARFOD: 29 March 2018 DATE OF MEETING: TEITL YR ADRODDIAD: Chief Executive’s Report TITLE OF REPORT: CYFARWYDDWR ARWEINIOL: Steve Moore, Chief Executive LEAD DIRECTOR: SWYDDOG ADRODD: Sian-Marie James, Head of Corporate Office REPORTING OFFICER: Pwrpas yr Adroddiad (dewiswch fel yn addas) Purpose of the Report (select as appropriate) Ar Gyfer Penderfyniad/For Decision ADRODDIAD SCAA SBAR REPORT Sefyllfa / Situation The purpose of this Report is to: • Update the Board on relevant matters undertaken as Chief Executive of Hywel Dda University Health Board (the UHB) since the previous Board meeting held on 25 January 2018; and • Provide an overview of the current key issues, both at a local and national level, within NHS Wales. Cefndir / Background This Report provides the opportunity to present items to the Board to demonstrate areas of work that are being progressed and achievements that are being made, which may not be subject to prior consideration by a Committee of the Board, or may not be directly reported to the Board through Board reports. Asesiad / Assessment 1. Register of Sealings The UHB’s Common Seal has been applied to legal documents and a record of the sealing of these documents has been entered into the Register kept for this purpose. The entries at Appendix A have been signed by the Chair and Chief Executive or the Deputy Chief Executive (in the absence of the Chief Executive) on behalf of the Board (Section 8 of the UHB’s Standing Orders refers). Page 1 of 6 2. Consultations The UHB receives consultation documents from a number of external organisations. It is important that the UHB considers the impact of the proposals contained within these consultations against its own strategic plans, and ensures that an appropriate corporate response is provided to highlight any issues which could potentially impact upon the organisation. A status report for Consultation Documents received and responded to is detailed at Appendix B, should any Board Member wish to contribute. 3. Strategic Issues The following information is to update and advise Members of recent strategic issues affecting the UHB and NHS Wales: Update on Health Board’s Targeted Intervention Status Members of the Executive Team and I meet with the Chief Executive NHS Wales and members of his senior team in Welsh Government (WG), on a monthly basis. Meetings continue to review progress against the issues which raised our escalation level to Targeted Intervention (TI), with the most recent meetings taking place on 22 January 2018 and 6 March 2018. We are continuing to work with Welsh Government colleagues to address the long standing challenges we have been facing and see the escalation process as a helpful support mechanism to make progress. Members are advised that the UHB is publishing Deloitte’s Zero Based Review of Hywel Dda UHB (the Review) (Appendix C) (August 2017). This Review was commissioned by WG (the Owner) as part of TI, to undertake a zero based review of acute healthcare services provided by the UHB. Its purpose was to allow WG to understand the potential impact of the UHB’s current configuration and resources that limited its ability to produce an approved Integrated Medium Term Plan (IMTP). These included sustaining services on four (4) hospital sites; the challenging environment and its impact on recruitment and retention; an older and frailer population; and our current resource allocation. Deloitte LLP worked with both WG and the UHB on the evidence base underpinning the Review, and the final document has been formally accepted by WG. Any discussion/action resulting from the Review is being addressed through the TI meetings. Deloitte LLP shared the Report with the UHB for information purposes only, and it has been published on that basis. Area Planning Board for Drug and Alcohol Misuse: Memorandum of Understanding and Risk Sharing Agreement On 14 March 2018, the Chair and I signed the Area Planning Board for Drug and Alcohol Misuse Memorandum of Understanding and Risk Sharing Agreement. This is a formal, legally binding Agreement to work collaboratively and in partnership to address drug and alcohol misuse with our statutory responsible partners, who include: Ceredigion County Council, Carmarthenshire County Council, Pembrokeshire County Council, Dyfed Powys Police, the National Probation Service and the Police and Crime Commissioner. The Area Planning Board (APB) is embarking on an exciting new stage of development with a new Chair (Ros Jervis, Director of Public Health) and Vice Chair (Claire Parmenter, Dyfed Powys Police). The APB has planned a series of workshops over the next few months to refresh its vision for actions to improve outcomes for individuals within our communities. These workshops will be facilitated by the Institute of Public Care, and will involve service users, carers, commissioners and providers across statutory and third sector organisations, working collectively to co- produce plans across prevention, early intervention, treatment, family support, community safety and availability. Page 2 of 6 4. Key Events In addition to the above, significant events attended since my last report to the Board include: Key Meetings – External • Welsh Government Meetings: 22 January 2018, 6 March 2018 and 20 March 2018; • All Wales and Regional Meetings: - NHS Wales Executive Board (30 January 2018, 27 February 2018 and 20 March 2018); - Chief Executives Management Team (30 January 2018, 27 February 2018 and 20 March 2018); - Collaborative Leadership Forum (30 January 2018, 27 February 2018 and 20 March 2018); - National Imaging Academy Development (NIAD) Programme Board (20 February 2018); - Welsh Health Specialised Services Committee (WHSSC) Meeting (29 January 2018); and - Emergency Ambulance Services Committee (EASC) (29 January 2018). • Hywel Dda Community Health Council (Chief Officer and Chair) (19 March 2018); • Wales Audit Office (26 January 2018); • Met with the Chief Optometric Adviser (with the Director of Primary Care, Community & Long Term Care) (6 February 2018); • Met with Stephen Harrhy (Chief Ambulance Services Commissioner) (5 March 2018); • Met with Director of National Collaborative Commissioning (6 March 2018); • Meeting with Eiriol (Independent Mental Health Advocacy Service) (with the Vice Chair) (14 February 2018); • Met with Charitable Fundraisers (with the Head of Charitable Funds) (23 February 2018); • Met with Simon Thomas AM (26 January 2018); • Met with Adam Price AM (with the Chair) (1 February 2018); • Telephone conversation with Elin Jones AM (8 February 2018) • Met with Lee Waters AM (with the Medical Director and Director of Clinical Strategy) (9 February 2018); • Met with Cllr Paul Miller (5 March 2018); and • Met with Stephen Crabb MP (23 February 2018); Key Meetings – Internal • Two at the Top Programme (with the Chair): supported by Academi Wales (to develop our effectiveness in providing leadership to the UHB (22 Jan 2018 and 14 Mar 2018); • Advisory Appointments Committees (AACs) (Consultant Appointments): - Child & Adolescent Mental Health Services (CAMHs) (23 January 2018); - Gastroenterology & General Medicine (15 February 2018); • Key Hywel Dda UHB Committee/Group meetings including: - Board Seminar (February 2018); - University Partnership Board (part) (6 February 2018); - Remuneration & Terms of Service Committee (13 February 2018 and 15 March 2018); - Finance Sub Committee (part) (1 March 2018); - Audit and Risk Assurance Committee (part) (6 March 2018); - Partnership Forum (part) (26 February 2018); and - Executive Director Business Meetings and Seminars. Page 3 of 6 Events • Team Wales (2 February 2018); • NHS Confederation Wales Annual Conference & Exhibition (7 February 2018); • Attended Carmarthenshire County Council’s Full Council Meeting (to discuss Transforming Clinical Services’ process) (with the Chair, Transformation Director and the Medical Director/Director of Clinical Strategy) (7 March 2018); • Attended Plaid Cymru’s Health Summit (to discuss Transforming Clinical Services’ process) (with the Chair, Transformation Director and the Medical Director/Director of Clinical Strategy) (9 March 2018); and • Attended the Cabinet Secretary for Health & Social Services Parliamentary Review Meeting (with local politicians) (with the Chair) (15 March 2018). Argymhelliad / Recommendation The Board is invited to: Register of Sealings: Appendix A Endorse the Register of Sealings since the previous report on 2018; and Consultation Documents: Appendix B Note the status report for Consultation Documents received/responded to. Welsh Government’s Review: (Deloitte LLP) Zero Based Review of Hywel Dda University Health Board: Appendix C Note the publication of the Welsh Government’s Deloitte LLP’s Zero Based Review of Hywel Dda UHB (Aug 2017). Amcanion: (rhaid cwblhau) Objectives: (must be completed) Cyfeirnod Cofrestr Risg Not Applicable Risk Register Reference: Safon(au) Gofal ac Iechyd: Governance, Leadership and Accountability Health and Care Standard(s): All Health & Care Standards Apply Choose an item. Choose an item. Amcanion
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