Dumfries and Galloway Nhs Board
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DUMFRIES AND GALLOWAY NHS BOARD PUBLIC MEETING A meeting of the Dumfries and Galloway NHS Board will be held at 10am on Monday 5th August 2019 in the Lecture Theatre, Education Centre, Dumfries and Galloway Royal Infirmary, Cargenbridge, Dumfries, DG2 8RX. AGENDA Time No Agenda Item Who Attached / Verbal 10.00am 62 Apologies L Geddes Verbal 10.00am 63 Declarations of Interest N Morris Verbal 10.05am 64 Previous Minutes N Morris Attached 10.10am 65 Matters Arising and Review of Actions List N Morris Attached QUALITY & SAFETY ASSURANCE 10.15am 66 Healthcare Associated Infection Report E Docherty Attached 10.25am 67 Patient Services Feedback Report E Docherty Attached 10.35am 68 Improving Safety & Reducing Harm – E Docherty Attached Community Health & Social Care Report 10.45am 69 Working Well Annual Report C Cooksey Attached 10.55am 70 The Sturrock Report C Cooksey Attached 11.35am 71 Risk Management Annual Report E Docherty Attached 11.45am 72 Volunteering Annual Report E Docherty Attached PERFORMANCE ASSURANCE 11.50am 73 Summary Performance Report J Ace Attached 12.05am 74 Integration Joint Board Update Report K Lewis Verbal 12.10pm 75 Integration Annual Performance Report V Freeman Verbal 12.20pm 76 Workforce Sustainability Programme C Cooksey Attached Board LUNCH BREAK NOT PROTECTIVELY MARKED Page 1 of 2 Time No Agenda Item Who Attached / Verbal FINANCE & INFRASTRUCTURE 1.00pm 77 Financial Performance Update K Lewis Attached PUBLIC HEALTH & STRATEGIC PLANNING 1.20pm 78 Regional Delivery Plan J Ace Verbal 1.30pm 79 Maggies Centre Update J Ace Verbal 1.40pm 80 Vascular Update J Ace Verbal GOVERNANCE 1.50pm 81 Board Briefing J Ace Attached 2.00pm 82 Freedom of Information (Scotland) Act L Geddes Attached 2002 – Mid Year Update 2.10pm 83 Corporate Risk Register L Geddes Attached 2.20pm 84 Annual Review 2018-19 L Geddes Attached 2.30pm 85 Staff Governance Terms of Reference C Cooksey Attached 3.40pm 86 Committee Minute Matrix • Area Clinical Forum – 24th April 2019 • Audit and Risk Committee – L Geddes / Attached 29th April 2019 Committee • Healthcare Governance Committee – Chairs 18th March 2019 • Performance Committee – 4th March 2019 • Person Centred Health & Care Committee – 29th April 2019 • Staff Governance Committee – 23rd July 2018 • Staff Governance Committee – 25th March 2019 ANY OTHER COMPETENT BUSINESS 2.45pm 87 Reflective Session and Review of Agenda N Morris Verbal Matrix 2.55pm 88 N Morris Verbal DATE AND TIME OF NEXT MEETING 3.00pm 89 • 7 October 2019 @ 10am – 1pm. The venue for the meeting will be confirmed prior to the meeting. NOT PROTECTIVELY MARKED Page 2 of 2 Agenda Item 64 DUMFRIES AND GALLOWAY NHS BOARD NHS Board Meeting Minutes of the NHS Board Meeting held on 10th June 2019 at 10am – 1pm in the Mitchell Room, Holiday Inn Dumfries, Bankend Road, Dumfries, DG1 4ZZ. Minute Nos: 27-53 Present Mr N Morris (NM) - Chair Mr J Ace (JA) - Chief Executive Mr E Docherty (ED) - Nurse Director Dr K Donaldson (KD) - Medical Director Mrs K Lewis (KL) - Director of Finance Ms L Bryce (LB) - Non Executive Member Dr L Douglas (LD) - Non Executive Member Mrs P Halliday (PH) - Non Executive Member Mrs L Carr (LC) - Non Executive Member In Attendance Mrs J White (JW) - Chief Operating Officer/IJB Chief Officer Mr A Carnon (AC) - Consultant in Public Health Mrs L Geddes (LG) - Corporate Business Manager Mrs L McKie (LM) - Executive Assistant (Minute Secretary) Mrs J Pollard (JP) - Associate Director of Allied Health Professions Mrs E Murphy (EM) - Patient Feedback Manager Mrs V Freeman (VF) - Head of Strategic Planning and Performance Mrs V Gration (VG) - Strategic Planning and Commissioning Manager Apologies Mr A Ferguson (AF) - Non Executive Member Mrs G Cardozo (GC) - Non Executive Member Ms M Gunn (MG) - Non Executive Member Mr S Hare (SH) - Non Executive Member Mrs C Cooksey (CK) - Workforce Director Ms M McCoy (MMc) - Interim Director of Public Health NM welcomed Board Members, guests and members of the public to the meeting of the NHS Board. NOT PROTECTIVELY MARKED Page 1 of 17 NM advised that due to a number of apologies from the Board Members the NHS Board meeting was not quorate, therefore, papers requiring approval would be discussed today and the formal decisions deferred to the Special Board meeting on Monday 17th June 2019. 27. Apologies for Absence Apologies put forward for the meeting have been noted above. 28. Declarations of Interest NM asked members if they had any declarations of interest in relation to the items listed on the agenda for this meeting. It was noted that no declarations of interest were put forward. 29. Minutes of meeting held on 8 April 2019 NM asked NHS Board Members if they had any points of accuracy with the minute. Board members were content to approve the minute as an accurate record of discussion, with the following amendments. • Item 8 - Child and Young People’s Improvement Collaborative Report PH requested that her enquiry regarding childhood experience on page 6, paragraph 5 be amended to read: “PH asked Board Members to be mindful that the paper noted the impact on adverse childhood experiences, asking what work was Drug and Alcohol Services doing to address adverse childhood experiences and what impact will their work have on children, families and other services. ED agreed to discuss further with PH outwith the Board meeting.” • Item 8 - Child and Young People’s Improvement Collaborative Report LD requested that the narrative within her comment on page 6, paragraph 5 be amended to read: “LD commented that the narrative in this paper gave no strategic context, making it difficult to apply any meaningful scrutiny.” LD highlighted that within Page 1 of the minutes JW was referred to as the Chief Officer, following discussion NHS Members agreed that JW should be noted within the Attendance Section of the Board minutes as both Chief Operating Officer and Chief Officer of the Integration Joint Board. Action: PH/LD/LMc NOT PROTECTIVELY MARKED Page 2 of 17 30. Matters Arising and Review of Actions List NM presented the Actions List and the actions from the NHS Board meeting on 8 April 2019, taking members through the updates that had been received, noting the following key points of progress for some of the actions: NM mentioned that the actions from the April 2019 NHS Board meeting had not been added to the actions list. NM took members through the NHS Board minute and asked for an update on each of the actions from each responsible manager. It was agreed that the following updates would be added against the missing actions and brought to the August 2019 meeting for closure. • Item 4 – Matters Arising and Review of Actions List LB advised that due to the cancellation of the Staff Governance Committee meeting that the increase in Nurse Agency working had yet to be discussed. • Item 5 - Patient Services Feedback Report Further to the discussion regarding the SPSO looking at all aspects of patient feedback, specifically in relation to the processes that are in place and has offered to facilitate a workshop for each Board in relation to complaints processing, LG advised that she had received the Ombudsman’s contact details and was in the process of arranging the workshop for board Members. • Item 7 - Improving Safety, Reducing Harm Report With regards to the discussion on the wide ranging referral pathways relating to how young people were accessing the service provided by Child and Adolescent Mental Health Services, ED advised that there would be an update within the paper submitted to the NHS Board in August 2019. • Item 11 - Research and Development Annual Report. Further to the discussion regarding factoring governance into the Phase 2 process for patient trials KD highlighted that he has still to circulate the relevant information to NHS Board Members. • Item 12 - Integration Joint Board Update Report Following the discussion raised by PH at the NHS Board Meeting in April 2019 regarding patient data, ED advised that he had met with PH and shared the relevant information. NOT PROTECTIVELY MARKED Page 3 of 17 • Item 13 – Financial Performance Update Report KL advised that a detailed report would be discussed at today’s meeting. NHS Board Members had a discussion in relation to Neurology Services. LC advised that VG had replied in writing to Dr Ranjit Thomas’s comments within the April 2019 NHS Board minute. It was confirmed that further discussion on this item will be taken to the next Area Clinical Forum meeting in July 2019. • Item 21 - Corporate Priorities 2019/20 NM highlighted that JA, LG and himself are drafting a paper on committee structures to be presented to the NHS Board Meeting in August 2019, which will include discussions around re-instating the Public Health Committee. NM asked NHS Board Members if they were satisfied to close and remove the closed actions from the last section of the list. Members were content to close and remove the actions from the last section. NHS Board noted the progress on the Actions List. 31. Spiritual Care, Volunteering and Patient Services Team ED presented the Spiritual Care, Volunteering and Patient Services Team Report, asking NHS Board Members to note the progress within Spiritual Care, Volunteering and the developments within Patient and Carer Information. It was highlighted that the draft National Delivery Plan for Health and Social Care Chaplaincy and Spiritual Care in Scotland will supersede the previous circular referenced as CEL(2008)49 . Following the publication of the previous guidance on Spiritual Care a profound shift in the approach to health and social care in Scotland has taken place. NHS Board Members were made aware that the Child Bereavement UK Scotland meeting, with both NHS Dumfries and Galloway staff and Third Sector, which aimed to establish the Dumfries & Galloway Bereavement Network, took place on 6th June 2019.