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NHS Forth Valley Board Meeting Papers 28Th May 2019

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NHS Forth Valley Board Meeting Papers 28Th May 2019 FORTH VALLEY NHS BOARD There will be a meeting of Forth Valley NHS Board in the Boardroom, NHS Headquarters, Carseview House, Castle Business Park, FK9 4SW on Tuesday 28 May 2019 at 9am Alex Linkston Chair Agenda 1. Apologies for Absence 2. Declaration (s) of Interest (s) 3. Minute of Forth Valley NHS Board meeting held on 26 March 2019 For Approval 4. Matters Arising from the Minute Seek Assurance 5. Patient/Staff Story 6. BETTER HEALTH 6.1 Child Poverty Report Seek Assurance (Paper and presentation provided by Dr Graham Foster, Director of 10 minutes Public Health and Strategic Planning) 7. BETTER CARE 7.1 Executive Performance Report Seek Assurance (Paper presented by Mrs Cathie Cowan, Chief Executive) 10 minutes 7.2 Healthcare Associated Infection Annual Report Seek Assurance (Paper presented by Professor Angela Wallace, Nurse Director) 10 minutes 7.3 Proposal for a New GP Practice in Plean For Approval (Paper presented by Dr James King, General Practitioner) 15 minutes 8. BETTER VALUE 8.1 Finance Report Seek Assurance (Paper presented by Mr Scott Urquhart, Director of Finance) 15 minutes 8.2 Elective Development Business Case For Approval (Paper presented by Mr Scott Urquhart, Director of Finance) 15 minutes 8.3 Development of a Programme Management Office Approach For Approval (Paper presented by Mrs Cathie Cowan, Chief Executive) 10 minutes 1 9. BETTER WORKFORCE 9.1 Integration Progress and Shadow Health Arrangements Seek Assurance (Presentation provided by Miss Linda Donaldson, HR Director) 10 minutes 9.2 Communications Update Report Seek Assurance (Paper presented by Ms Elsbeth Campbell, Head of Communication) 10 minutes 10. BETTER GOVERNANCE 10.1 Corporate Risk Register Seek Assurance (Paper presented by Mr Scott Urquhart, Director of Finance) 15 minutes 10.2 Blueprint Self Assessment Report For Approval (Paper presented by Mrs Cathie Cowan, Chief Executive) 10 minutes 10.3 Corporate Plan For Approval (Paper presented by Mrs Cathie Cowan, Chief Executive) 10 minutes 10.4 HMP YOI Polmont - Prison Inspection Report and the Expert Seek Assurance Review of the Provision of Mental Health Services for Young People 5 minutes (Paper presented by Mrs Cathie Cowan, Chief Executive) 10.5 Governance Committee Minutes 10 minutes 10.5.1 Performance and Resources Committee: 26 February 2019 Seek Assurance (Minute presented by Mr John Ford, Chair) 10.5.2 Endowment Committee: 15 March 2019 Seek Assurance (Draft minute presented by Councillor Les Sharp) 10.5.3 Clinical Governance Committee: 12 April 2019 Seek Assurance (Draft minute presented by Mrs Julia Swan) 10.5.4 Staff Governance Committee: 22 March 2019 Seek Assurance (Draft minute presented by Dr Michele McClung) 10.6 Advisory Committee Minute 10.6.1 Area Clinical Forum: 17 January 2019 Seek Assurance (Minute presented by Dr James King) 10.7 Integration Joint Boards 5 minutes 10.7.1 Integration Joint Board Directions For Noting 10.7.2 Response to Falkirk IJB Strategic Plan 2019-2022 For Noting 10.7.3 Falkirk IJB Minute: 1 February 2019 Seek Assurance 10.7.4 Clackmannanshire and Stirling IJB Minute: Seek Assurance 28 November 2018 11. ANY OTHER COMPETENT BUSINESS 11.1 Emerging Topics - Closed Session 2 FORTH VALLEY NHS BOARD TUESDAY 28 MAY 2019 For Approval Item 3 - Draft Minute of the Meeting Held on Tuesday 26 March 2019, held in the NHS Forth Valley Headquarters, Carseview House, Castle Business Park, Stirling. Present Mr Alex Linkston (Chair) Dr Graham Foster Mrs Julia Swan Mr John Ford Mr Stephen McAllister Mr Allan Rennie Councillor Allyson Black Councillor Susan McGill Councillor Les Sharp Mr Robert Clark Dr James King Mr Scott Urquhart Professor Angela Wallace In Attendance Miss Linda Donaldson, Director of HR Mrs Elsbeth Campbell, Head of Communications Ms Kerry Mackenzie, Head of Performance Ms Gillian Morton, Programme Director (Item 7.4) Ms Janette Fraser, Head of Planning (Item 7.4) Ms Lynn Waddell, Equality and Diversity Manager (Item 6.3) Mrs Sonia Kavanagh, Corporate Governance Manager (minute) 1. APOLOGIES FOR ABSENCE Apologies for absence were intimated on behalf of Mrs Cathie Cowan, Dr Michele McClung and Mr Andrew Murray. 2. DECLARATION(S) OF INTEREST(S) There were no declarations of interest. 3. MINUTE OF FORTH VALLEY NHS BOARD MEETING HELD ON 29 JANUARY 2019 The minute of the Forth Valley NHS Board meeting held on 29 January 2019 was approved as a correct record. 4. MATTERS ARISING FROM THE MINUTE There were no additional matters arising. 5. PATIENTS/STAFF STORY Professor Angela Wallace introduced a short film regarding the closer to home treatment for patients with certain chronic blood disorders. Previously these patients would attend Forth Valley Royal Hospital for blood tests and medication four times a year. Now through the West of Scotland Network Shared Care Treatment Delivery, their blood tests were carried out at their local GP practice, where they were also able to collect their prescription for medication and they only needed to see their consultant once a year at the hospital. 1 The NHS Board discussed the person centred approach to care and the positive impact for patients. The NHS Board: • Noted the update provided The NHS Board agreed to take Item 7.4 at this point in the agenda 7.4 Elective Care Development Programme Update The NHS Board received a presentation and paper “Elective Care Development Programme Update” provided by Ms Gillian Morton, Programme Director, Ms Janette Fraser, Head of Planning and Mr Ricky Bell, Project Manager. Ms Morton outlined progress with each of the workstreams involved; MRI Scanner, Theatres, Day Surgery, Inpatient Ward, Bed Modelling and Capacity Planning, and Infrastructure. While the original timeframe for the additional theatre capacity had been November 2019, following a request by the Scottish Government, work was progressing to open one of the two theatres earlier, in June 2019. The workforce plan would continue to be reviewed and updated as the capacity plan developed and the phased recruitment progressed. The NHS Board discussed the wide range of work involved including the challenges with recruitment. Staff engagement was vital to ensure staff were aware of and involved in the changes and a Communication and Engagement Plan would be prepared. It was noted that the detailed programme structure provided re-assurance that changes would be delivered to timescale and budget, while minimising the impact of any disruptions on patients and services and ultimately aimed to improve waiting times. The NHS Board: • Noted progress with delivering the Elective Care Development Programme as part of the NHS Board’s Corporate PMO portfolio • Devolved approval of the Business Case to the April 2019 meeting of the Performance and Resources Committee 6. BETTER CARE 6.1 Executive Performance Report The NHS Board considered a paper “Executive Performance Report” provided by Ms Kerry Mackenzie, Head of Performance. The 62-day cancer target was 95% of patients urgently referred with a suspicion of cancer should be treated within 62 days or less and Ms Mackenzie highlighted that the January 2019 position was 86.1%. Following discussion at the Senior Leadership Team, Service Managers were to provide an action plan for those cancer types not achieving target. As previously highlighted NHS Forth Valley had agreed to reduce the number of outpatients waiting over 12 weeks to 1800. Forecasts showed a current outturn at 31 March 2019 of 1862 and all efforts were being made to reduce this further. It has also been agreed that a similar reduction for patients waiting over 12 weeks for inpatient treatment would be achieved and forecasts highlighted a position of 1046 patients against the agreed 1088. It was noted that 2 further details regarding waiting times allocations from the Scottish Government were still to be received to understand the long term position required. The A&E 4 Hour wait target was 95% of patients should wait less than 4 hours from arrival to admission, discharge or transfer. Compliance for February 2019 was 93.6% and further information was provided regarding the ongoing work to achieve and maintain the standard. Ms Mackenzie highlighted the Stroke Care Bundle and in particular the impact due to the change with the brain scanning standard from January 2019. This involved brain scanning to be carried out within 12 hours of arrival (90% target) as opposed to the previous standard which was within 24 hours of admission (95% target). The NHS Board discussed staff absence noting that vacancies and the challenges with recruitment also impacted bank staff costs. The importance of a holistic approach to mental health was also discussed and along with Community Planning Partnerships involvement, the investment in the community and schools to provide early treatment required. The challenges with the Delayed Discharges position were noted and while a number of different work strands were being considered, Mr Linkston highlighted the Home First approach which was discussed at a recent Falkirk IJB development session. This supported patients who were clinically ready to return home for assessment, reducing unnecessary stays in hospital and improving patient flow. The NHS Board: • Noted the current key performance issues and actions • Noted the detail within the balanced scorecard 6.2 National Healthcare Associated Infection Reporting Template (HAIRT) The NHS Board considered a paper “National Healthcare Associated Infection Reporting Template (HAIRT)” provided by Dr Graham Foster, Director of Public Health and Strategic Planning. Dr Foster provided a brief update on the current status of Healthcare Associated Infections (HAI) noting that Staphylococcus Aureus Bacteraemia (SABs), Device associated Bacteraemia (DABs) and Clostridium difficile infections (CDI) remained within normal control limits. Dr Foster noted that in response to recent adverse media coverage regarding outbreaks, all Health Boards across Scotland were to ensure they used the Healthcare Acquired Infection Incident Reporting Template (HAIIT).
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