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Minute of Meeting Held on 25 March 2019

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Minute of Meeting Held on 25 March 2019 Paper 1 Ayrshire and Arran NHS Board Minute of a public meeting on 25 March 2019 9.15am, Rooms 2A-C, Education Centre, University Hospital Crosshouse Present: Dr Martin Cheyne (Chair) Non-Executive Members: Mrs Lesley Bowie (Vice Chair) Mrs Margaret Anderson Cllr Joe Cullinane Mr Stewart Donnelly Mr Bob Martin Dr Janet McKay Mr Alistair McKie Cllr Douglas Reid Ms Linda Semple Miss Lisa Tennant Mr Ian Welsh Executive Members: Mr John Burns (Chief Executive) Dr Alison Graham (Medical Director) Mr Derek Lindsay (Director of Finance) Board Advisors/Ex-Officios: Mr Stephen Brown (Director of Health and Social Care, North Ayrshire) Mrs Kirstin Dickson (Director of Transformation and Sustainability) Mrs Joanne Edwards (Director for Acute Services) Mr Eddie Fraser (Director of Health and Social Care, East Ayrshire) Ms Laura Harvey (Quality Improvement Lead, Customer Care) Ms Patricia Leiser (Human Resources Director) Mrs Lynne McNiven (interim Director of Public Health) Mr Mark Taylor (Improvement Director) Mr David Thomson (Associate Nurse Director, Lead Nurse for North Ayrshire Health and Social Care Partnership) Mr John Wright (Director for Corporate Support Services) In attendance: Mrs Shona McCulloch (Head of Corporate Governance) Mrs Miriam Porte (Communications Manager) Mrs Angela O’Mahony (Committee Secretary) minutes The Chairman welcomed Mrs Joanne Edwards who was attending her first Board meeting having recently taken on the role of Director for Acute Services. 1. Apologies Apologies were noted from Cllr Laura Brennan-Whitefield, Mr John Rainey, Prof Hazel Borland, Mr Tim Eltringham, Dr Crawford McGuffie and Dr Joy Tomlinson. 1 of 14 2. Declaration of interests (028/2019) Ms Linda Semple declared a standing interest as a Non-Executive Director of the Board of the NHS Golden Jubilee Foundation. 3. Minute of the meeting of the NHS Board held on 4 February 2019 (029/2019) The minute was approved as an accurate record of the discussions. 4. Matters arising (030/2019) Paper 2 - Action Log The Board action log was circulated to Board Members in advance of the meeting and all actions were noted. The Chairman advised in relation to item 8.1, Public Health priorities, that the Head of Corporate Governance would meet in the near future with the joint interim Directors of Public Health to agree a date for the Board workshop. 5. Chairman and Chief Executive’s report 5.1 Chief Executive’s report (031/2019) The Chief Executive advised that the Ministerial Strategy Group had issued a set of proposals in response to the Audit Scotland report on Health and Social Care integration. There were a total of 25 proposals put forward by the Integration Leadership group and a self-evaluation document had been developed for discussion with the Health and Social Care Partnerships (HSCPs), to enable a swift response to be sent to the Ministerial Strategy Group, with feedback expected in late May. The Chief Executive advised that this was an important piece of work in taking forward integrated arrangements and to identify any learning and improvements for individual HSCPs across Scotland. The Chief Executive reported that the West of Scotland (WoS) Programme Board had met on 15 February and the Board’s Director for Transformation and Sustainability and Head of Property Services, Strategy and Partnerships had presented NHS Ayrshire & Arran’s strategic needs assessment. This had provided an important early opportunity to position Board’s strategic intent within the WoS model of care and to demonstrate the work being done, linked to and informed by activities taking place in terms of wider population planning. It had been agreed that there would be ongoing dialogue as Board’s strategic plans were developed. The Chief Executive reported that the Chief Scientist’s Office had provided funding for each of the three Regional Boards to support innovation. WoS would develop and progress this work in 2019-20 through the Glasgow Innovation Centre based at the Queen Elizabeth University Hospital, linked to existing innovation activities within individual Boards. The Chief Executive would keep Board Members updated. The Chief Executive advised that the WoS Board will develop a Delivery Plan for 2019-20 clearly setting out workstreams to be taken forward during the year and building on work that had taken place during the last 12 months. The Chief Executive had attended the East Ayrshire Community Planning Partnership (CPP) meeting when the joint interim Director of Public Health, 2 of 14 Mrs Lynne McNiven, had presented on adverse childhood experience, a significant issue that was being widely discussed by community planning partners. There had also been the opportunity to endorse a corporate parenting promise when the group had heard from care experienced young people. 5.2 Chairman’s report (032/2019) The Chairman advised that the deadline for receipt of applications for Ayrshire Achieves was 3 May and he encouraged Members to attend the award event being held on 25 June 2019. The Chairman reported that the Annual Review took place on 18 March 2019 with the Minister for Public Health, Sport and Wellbeing, Mr Joe FitzPatrick and the NHS Scotland Clinical Director, Mr Jason Leitch. The Chief Executive and Chairman had met the Minister to discuss NHS Ayrshire & Arran’s performance. Following the Annual Review, Scottish Government will write to Board to outline any actions to be taken forward. The Chairman advised that a high level WoS Health Sciences network was being established to bring together academia, NHS Boards, healthcare and the private sector. The group had met on 10 March 2019 to develop terms of reference for a Delivery board and Oversight board and to establish membership for these groups. The Chairman had emphasised the need to link innovation activity in WoS with the Ayrshire Growth Deal to maximise the important opportunities being provided. The Chairman reported that he had been appointed to the National Evaluation Committee whose role was to evaluate jobs and job grades at a senior level across Scotland. 6. Quality 6.1 Patient Story (033/2019) In the absence of the Nurse Director, the Director for Acute Services introduced the patient story. She invited the Quality Improvement Lead for Customer Care, Ms Laura Harvey, to describe the events that had taken place following Mr Letton’s collapse outside University Hospital Ayr when he was resuscitated by the nurse who only moments earlier had been treating him in the eye clinic. Ms Harvey also shared the story from the perspective of Mr Letton’s wife and Staff Nurse Sharon Carson, who had resuscitated Mr Letton following his collapse. Board Members were advised that Mr Letton’s story will be shared on the NHS Board website, to encourage staff and the public to participate in Resuscita tion or Emergency Life Support skills training. Members recognised the need for clinical staff to ensure that their training on cardiopulmonary resuscitation was kept up -to- date and the value of Heartstart basic life support training for staff and the public. Outcome: Board Members noted this very positive patient story and thanked Mr Letton for allowing his story to be shared. Members welcomed the positive health outcome for Mr Letton which reflected the Board’s values of caring, safe and respectful. 3 of 14 6.2 Patient Experience (034/2019) The Associate Nurse Director, Mr David Thomson, presented a report on organisational activity in relation to patient, carer and family feedback and complaints during Quarter 3 (October to December 2018) and compliance with the complaint handling process. The Associate Nurse Director advised that the vast majority of Care Opinion (CO) received was positive and there had been continued spread of CO responders across all services. In response to a question from a Board Member, the Associate Nurse Director agreed to provide a comparison of CO responders against other Boards and this would be reported through the Healthcare Governance Committee (HGC). The Associate Nurse Director reported that there had been improvement in complaint handling and response timeliness and consistent progress was being made in relation to evidencing consistent improvement from feedback and complaints. He explained that complainant feedback was now being collected on a regular basis and he provided details of ongoing activity to redesign local complaint handling processes. The Associate Nurse Director provided detailed data in relation to complaints and concerns per directorate. Board Members discussed the main themes from complaints and the increase in complaints related to clinical treatment during the reporting period. The Director of Health and Social Care, EA HSCP, Mr Eddie Fraser, explained that complaints for EA HSCP included Prison Services and a high number of these complaints related to clinical decisions on medication requests from prisoners. The Associate Nurse Director provided assurance that all complaints were taken seriously regardless of the individual making the complaint or the type of complaint being made. Members received assurance that despite the rise in the number of complaints being referred to the Ombudsman, the number of complaints being investigated further had gone down. Outcome: Board Members considered and noted the Patient Experience Quarter 3 report. Members were encouraged by the positive and significant improvements made in the complaint handling process and it was anticipated that Board would continue on this improvement trajectory. 6.3 Healthcare Associated
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