Public Meeting

DUMFRIES AND GALLOWAY NHS BOARD PUBLIC MEETING A meeting of the Dumfries and Galloway NHS Board will be held at 10am on th Monday 5 June 2017 in the Conference Room, Crichton Hall, Bankend Road, Dumfries. AGENDA Time No Agenda Item Who Attached / Verbal 10.00am 25 Apologies L Geddes Verbal 10.05am 26 Declarations of Interest P Jones Verbal 10.10am 27 Previous Minutes P Jones Attached 10.15am 28 Matters Arising and Review of Actions List P Jones Attached 10.20am 29 Dental Salaried Service Review A Cameron Attached Newton Stewart Dental Clinic QUALITY & SAFETY ASSURANCE 10.30am 30 Improving Safety, Reducing Harm E Docherty Attached 10.45am 31 Patient Experience Report E Docherty Attached 11.00am 32 Healthcare Associated Infection Report E Docherty Attached PERFORMANCE ASSURANCE 11.15am 33 Performance Report J White Attached 11.30am 34 Integration Joint Board Update J White Verbal FINANCE & INFRASTRUCTURE 11.45am 35 Financial Performance Update K Lewis Attached 12noon 36 AMS (Asset Management Strategy) J Ace Attached PUBLIC HEALTH & STRATEGIC PLANNING 12.15pm 37 Regional Planning Update J Ace Verbal 12.25pm 38 Urological Cancer Services Update V Freeman Attached GOVERNANCE 12.40pm 39 Board Agenda Matrix 2017/18 L Geddes Attached 12.45pm 40 Register of Members Interests L Geddes Attached NOT PROTECTIVELY MARKED Page 1 of 2 Time No Agenda Item Who Attached / Verbal 12.50pm 41 Board Briefing J Ace Attached 12.55pm 42 Committee Minutes P Jones/ Attached • Person Centred Health and Care Committee Committee – 24 October 2016 Chairs • Healthcare Governance Committee - 16 January 2017 • Person Cen tred Health and Care Committee – 27 February 2017 • Healthcare Governance Committee – 13 March 2017 • Staff Governance Committee – 27 March 2017 ANY OTHER BUSINESS 1.00pm 43 DATE AND TIME OF NEXT MEETING 44 • 7th August 2017 @ 10am – 1pm in the Conference Room, Crichton Hall, Bankend Road, Dumfries NOT PROTECTIVELY MARKED Page 2 of 2 Agenda Item 27 DUMFRIES AND GALLOWAY NHS BOARD NHS Board Meeting Minutes of the NHS Board Meeting held on Monday 3 April 2017 at 10am – 1pm in the Conference Room, Crichton Hall, Bankend Road, Dumfries, DG1 4TG. Minute Nos: 01:24 Present Mr P N Jones (PNJ) - Chairman Mrs P Halliday (PH) - Vice Chair Mr R Allan (RA) - Non Executive Member Mr J Beattie (JB) - Non Executive Member Ms G Stanyard (GS) - Non Executive Member Dr L Douglas (LD) - Non Executive Member Mr J Ace (JA) - Chief Executive Mr E Docherty (ED) - Nurse Director Mrs K Lewis (KL) - Director of Finance Dr A Cameron (AC) - Medical Director In Attendance Mrs J White (JW) - Chief Officer Ms C Sharp (CS) - Workforce Director Dr A Carnon (ACa) - Joint Interim Director of Public Health Ms M McCoy (MMc) - Joint Interim Director of Public Health Mrs V Freeman (VF) - Head of Strategic Planning Ms L Fitzpatrick (LF) - Workforce Equality Lead Mrs L Geddes (LG) - Corporate Business Manager Mrs L McKie (LM) - Executive Assistant (Minute Secretary) Apologies Ms L Bryce (LB) - Non Executive Member Mrs L Carr (LC) - Non Executive Member Mr R Nicholson (RN) - Non Executive Member Mrs G Cardozo (GC) - Non Executive Member PNJ welcomed Board Members to the NHS Board Meeting, noting LB’s new role as a Connector for the charity “Community Circles”, which is hosted by the care provider “Rainbow Services”. NOT PROTECTIVELY MARKED Page 1 of 14 1. Apologies for Absence Apologies as noted above. 2. Declarations of Interest It was noted that no declarations of interest were put forward at this time. 3. Minutes of meeting held on 6 February 2017 The minute from the previous meeting on 6 February 2017 were approved as an accurate record of discussions, with no amendments. NHS Board Members approved the minute. 4. Matters Arising and Review of Actions List PNJ presented the Actions List to members, noting the recent meeting with Lorna Meahan in relation to Medical Staffing Issues. JA advised that the Council’s position is that all schools in the region are offering the required science qualification courses relevant to medicine. GS enquired to whether the date had been set for the public meeting in Newton Stewart on Salaried Dental Services, JA advised that the dates for any further meetings had yet to be confirmed. PNJ highlighted that he had received a request from a member of the public to participate in a discussion at a future NHS Board meeting. PNJ confirm that in accordance with the Board’s Standing Orders and Code of Corporate Governance, member of the public can attend all public meetings of the NHS Board; however, they are not permitted to participate in discussions or to present an argument for an item. PNJ referred members to section 16.1 of the Board’s Code of Corporate Governance. It was noted that the report on Lochside Dental Service would not be presented to the NHS Board until after the local Government Elections on 5 May 2017. JA referred members to the Freedom of Information year end report that came to the February 2017 Board meeting, where a number of requests received were noted as having been investigated through the Scottish Information Commissioner. JA confirmed that the Board erred in the handling of one of the requests relating to Chronic Pain and confirmed that Scottish Government have been contacted in relation to the Board’s responses to this request. A review is being undertaken by Scottish Government and an update on the outcome of the review will be brought back to Board when available. NHS Board Members noted the Actions List. NOT PROTECTIVELY MARKED Page 2 of 14 5. Improving Safety Reducing Harm in Primary Care Report ED presented the Improving Safety Reducing Harm in Primary Care Report, giving an overview of the keys points and asking Board Members to note the work currently being progressed in Primary Care as part of the Scottish Patient Safety Programme. It was noted that the aim is to locally improve medication management across the interface between primary and secondary care and to reduce harm from high risk prescribing capturing the key points which are: • Review medication combinations, which may result in reduced overall prescribing; • Reduce secondary care admissions; • Embed quality improvement processes into every day Dental practice; • Integration of a high quality medical history into decision making with regard to treatment planning, with the aim to reach 95% compliance within the measurement bundle by the end of the pilot (March 2017); • The aim to reduce pressure ulcers within acute hospital settings and Care Homes by 50% by December 2017. LD enquired to whether there was anything that could be done to engage with Care Homes to further aid their participation in the reduction of pressure ulcers within the Care Home setting. ED advised that the project was in the early stages but progress with relationships had already been made with the Care Homes currently working with the Board to improve the health and care of residents. GS asked whether ED was confident that, as a Board, all incidents are reported. ED advised that he felt the appropriate level of scrutiny was being adhered to, to provide the correct level of patient safety. NHS Board members noted the progress in Primary Care as part of the Scottish Safety Programme. 6. Patient Experience Report ED presented the Patient Experience Report, asking NHS Board Members to note the report, which gave an update on the progress of the activities of the Patient Services Team and the introduction of the revised Complaints Handling Procedure. NOT PROTECTIVELY MARKED Page 3 of 14 It was noted that the newly appointed Spiritual Care Lead is currently mapping out the strategic needs and priorities for patients, families and staff across NHS Dumfries & Galloway, further noting their volunteering role in supporting Acute Services prior to their move to the new hospital. ED highlighted members to the Volunteering Steering Group, which has assisted a 6 month scoping exercise in the preparation of the Feasibility Study for the new hospital and to refresh the Volunteering Strategy. ED noted that the number of complaints received by the Board for this reporting period was 66 in comparison to 77 for the previous two months. It was further noted that the SPSO have advised that four new complaints have been raised in this reporting period, with three of these complaints progressing to an investigation. NHS Board Members were made aware that the Procurator Fiscal is conducting an investigation into one complaint that was received by the Board in this reporting period and currently awaiting the outcome of the Procurator Fiscal’s investigation. PH expressed her concerns with the wording within paragraph 2.1 Bereavement Support, and the need to offer support on a person centred basis so as patients do not lose their identity in their end of life care, further to discussion ED agreed to meet with PH to discuss further. Action: ED / PH AC highlighted Board members to the additional services available from the Special Palliative Care Team and the patient support given by GP’s, which was not captured within the report. JA and PNJ both agreed that this level of discussion would be better addressed at the Person Centred Health and Care Committee. RA highlighted the lack of consistency with both the Special Care Section and the recording of Complaints and Compliments in the report. ED advised that Special Care is based on individual requirements and that the Board were trying to achieve a measured response to both Complaints and Compliments. GS asked for a more open debate on Patient Experience and to the available options for partnership working to aid future Volunteer pilots and gain additional Volunteers.

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