Dorset Healthcare University NHS Foundation Trust Board Meeting
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Dorset HealthCare University NHS Foundation Trust Board Meeting A meeting will be held on 27 January 2016 at Sentinel House, 4-6 Nuffield Road, Poole, Dorset, BH17 0RB commencing at 1:00pm If you are unable to attend please notify Keith Eales on 01202 277008. Yours Sincerely, Ann Abraham Chair PART 1 Initials Paper Time Welcome, Apologies and Previous Meetings 1:00 1 Apologies AA Verbal 2 Patient Story JMcB App A 3 Declarations of interests in relation to agenda AA Verbal items 4 Minutes - to approve AA App B the minutes of the meeting held on 25 November 2015 Notes of the Workshop held on 2 December 2015 Notes of the Workshop held on 16 December 2015 Notes of the Workshop held on 6 January 2016 5 Matters Arising - to consider progress AA App C 1 6 Chair’s Report - to receive the update of the AA Verbal Chair 7 Chief Executive’s Report - to consider a report RS App D from the Chief Executive Strategy Development: Policy Formulation and Decision Making 8 Estates Strategy SH App E 1.30 To approve the estates strategy for the Trust 9 Draft Annual Plan 2016/17 SH App F 2.00 [To follow] To approve the draft submission to Monitor Break 2.30 Strategy Implementation: Operational Performance 10 Integrated Corporate Dashboard for December NK App G 2:45 2015 To consider the monthly dashboard 11 Finance Report JC App H 3:00 To consider the report for December 12 People Management CLH App I 3:15 To consider the monthly update Regulatory and Compliance Matters 13 CQC Items (a) Quality Improvement Plan-to approve FH App J 3.25 the plan (b) Updates- to receive updates on FH Verbal (i) The End of Life Thematic Review (ii) The Safeguarding Children and Looked After Children Report 2 14 Well-Led Review Action Plan KE App K 3:45 To note progress and approve the plan 15 Quarterly Review of the Board Assurance KE App L 3:55 Framework To note the outcome of the quarterly review 16 Quarter 3 Return to Monitor JC App M 4.10 To approve the return to Monitor 17 Reappointment of Mental Health Act Panel SM App N 4:20 Members To reappoint two Panel Members 18 Board Cycle of Business KE App O 4:25 To receive the annual cycle of business 181 Other Matters 19 Any Other Business AA Verbal - 20 Questions From Governors AA Verbal 4.30 21 Next Meetings AA Verbal - Board Workshop - Wednesday 3 February 2016 commencing at 9:30am Public Board Meeting - Wednesday 24 February 2016 commencing at 1pm [At Sentinel House (Training Rooms 1&2), 4-6 Nuffield Road, Poole, Dorset, BH17 0RB] Exclusion of the Public AA Verbal 4:40 To resolve that representatives of the Press and other members of the public, be excluded from the remainder of this meeting having regard to the confidential nature of the business to be transacted, publicity of which would be prejudicial to the public interest. Break 3 PART 2: BOARD MEMBERS ONLY 22 To approve the Part 2 minutes of the meeting held AA App P 5:00 on 25 November 2015 [Exemption under Section 43 of the FoI Act-release of information is likely to be prejudicial to the commercial interests of the Trust] 23 Matters Arising – no matters arising AA Verbal - 24 St. Ann’s/PICU Business Case SH App Q 5:05 To approve the business case [Exemption under Section 43 of the FoI Act-release of information is likely to be prejudicial to the commercial interests of the Trust] 25 Quarterly Whistleblowing Report CLH App R 5:40 To note the report [Exemption under Section 40 of the FoI Act- personal information] 26 Matters of concern to report 5:50 [Exemption under Section 40 of the FoI Act- personal information] (a) Formal Notice of Serious Incident FH App S Investigation To note the planned investigation (b) Mortality Governance Review NK Verbal To note the review being undertaken (c) Ombudsman Complaint FH App T To note details of an upheld complaint 4 Agenda Item 2 Patient Story Part 1 Board Meeting 27 January 2016 Mrs Lynne Middleton assisted by Donna Steer (Patient Author Experience Facilitator) Sponsoring Board Member Fiona Haughey, Director of Nursing and Quality Purpose of Report To consider the user’s experiences. Recommendation The Board is asked to discuss and consider the narrative Engagement and Involvement N/A Previous Committee/s Dates N/A Monitoring and Assurance Summary This report links to . To provide high quality care; first time, every time; the Strategic Goals . To be a valued partner and expert in partnership working with Patients, Communities and organisations; . To be a learning organisation, maximising our partnership with Bournemouth University and promoting innovation, research and evidence based practice; . To have a skilled, diverse and caring workforce who are proud to work for Dorset HealthCare; . To be a national leader in the delivery of integrated care; . To ensure that all of the Trust’s resources are used in an efficient and sustainable way; . To raise awareness within the Trust and externally of the impact that our work has on people and our environment, and take steps to reduce any negative effects. I confirm that I have considered each of the Any action required? implications of this report, on each of the Yes Yes No matters below, as indicated: Detail in report All three Domains of Quality Board Assurance Framework Risk Register Legal / Regulatory People / Staff Financial / Value for Money / Sustainability Information Management &Technology Equality Impact Assessment Freedom of Information BACKGROUND PHYSIOTHERAPY SERVICE AT ST. LEONARD’S COMMUNITY HOSPITAL Patients are referred to the Physiotherapy Service at St Leonard’s Community Hospital by their GP or Consultant. Treatment is provided by Chartered Physiotherapists registered with the Health Professions Council. The experienced Physiotherapists all have specialist skills in the assessment and treatment of injuries and conditions that affect muscles, joints and soft tissues. Physiotherapists use physical approaches. They promote, maintain and restore physical, social and psychological well-being. They are committed to using scientific evidence to support their treatments. Treatment may involve manual therapy (hands on treatment such as mobilisation /manipulation), electrotherapy (such as ultrasound), therapeutic exercise, rehabilitation advice and education to address back pain, whiplash/neck pain, ankle sprain, bone fracture, neck pain, tendon problems, joint replacements and shoulder problems. There are also Specialist Physiotherapists that can assess and treat some gynaecological conditions. Patients who are unable to attend the department may be referred to the local Community Rehabilitation Team for assessment in their own environment. Physiotherapy for chest or neurological conditions may be referred to Specialist Physiotherapist in the patient’s local Community Rehabilitation Team. The patient’s GP, Consultant or Healthcare professional can refer them to the department that is most accessible to them. The treatment clinics are held in the outpatient department at St Leonard’s Community Hospital Monday to Friday, both morning and afternoon. The department can be contacted on 01202 584213. Narrative discussed with Lynn Middleton Assisted by Donna Steer (Patient Experience Facilitator) Mrs. Lynn Middleton wishes to share the experience she has received during her treatment from the Physiotherapy Service at St Leonard’s Community Hospital. Lynn was born with a congenital hip displacement which was only diagnosed when she was three years old. As a result, Lynn has suffered many difficulties with her right hip joint and wore support to her hip until she was nineteen years old. Up to the age of twelve, Lynn underwent twelve operations related to her hip. This resulted in scarring in the hip area for which she had plastic surgery. Further complications arose because Lynn was allergic to catgut. In addition, she has one leg longer than the other and had to wear a built up shoe until she was thirteen years old. Despite these challenges Lynn still managed to participate in many sports, including tennis and swimming, and lived life to the full. One year ago Lynn began to suffer severe pain in her right hip. Her GP diagnosed a bursar and prescribed a steroid injection. An X-Ray showed a small amount of wear and tear to the joint. Very quickly Lynn became unable to do much physically and although she carried on working, it became increasingly difficult to climb the stairs. She had to stop all sporting activities. The pain extended to her right knee and she began to feel very despondent. The GP referred Lynn to an Orthopaedic specialist, who to Lynn’s disappointment did not appear to have any empathy towards her and in fact was quite dismissive, but did offer her Physiotherapy treatment. It was at this point that Lynn met Physiotherapist Suzanna at St Leonards Hospital. Lynn found it reassuring, at a time when she was in pain and feeling low, to meet someone who was willing to listen and appreciate her complicated medical history. Suzanna worked with Lynn to plan what she was to achieve by the end of the treatment. Suzanna has also arranged for her to attend Aqua-therapy exercise classes at the local leisure centre three times a week and has recommended exercises that are non-weight bearing, such as cycling. Suzanna has explained to her that although she will probably continue to suffer pain, she has taught her to recognise her limitations, how to get back into a positive frame of mind and how to manage her pain. Lynn has completed her physiotherapy treatment and is pleased with the care provided to her. She is planning to return to work in the near future.