Board Meeting
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Board Meeting A virtual meeting will be held Wednesday, 29 July 2020 commencing at 1:00pm If you are unable to attend please notify Keith Eales on 01202 277008. Yours sincerely, Andy Willis Chairman PART 1 Lead Paper Time 1 Apologies AW Verbal 1:00 2 Declarations of interests in relation to agenda AW Verbal items 3 Patient Story TP Paper 4 Minutes: 24 June 2020 - to approve AW Paper 5 Matters Arising – to review progress AW Paper 6 Chairman’s Report - to receive an update. AW Verbal Strategy Items 7 Fit for the Future Programme KD Paper To note the report. Current Affairs and Operational Performance 8 Chief Executive’s Report EY Verbal 1:45 To note the update. 9 Trust Board Integrated Corporate Dashboard KD Paper 2:00 To note performance for June. 10 Trust Finance Report for June 2019 MM Paper 2:15 To the report. 1 11 Dorset Care Record Update MM Paper 2:30 To note the report. Regulatory and Governance Matters 12 Reports from Committee Chairs 2:40 a) Appointments and Remuneration AW Verbal Committee: 8 July 2020 b) Mental Health Legislation Assurance SM Paper Committee: 8 July 2020 c) Audit Committee: 15 July 2020 TP Paper d) Quality Governance Committee:15 DB Paper July 2020 13 Annual Report of the Mental Health SM Paper 2:50 Legislation Assurance Committee 2019/20 To note the report. 14 Appointment of a Senior Independent AW Paper 3.00 Director To make an appointment. Other Matters 15 Questions from Governors on matters on the AW Verbal agenda What went well, what could be better? 15 Next Meeting: 1.00pm, Wednesday 30 AW Verbal 3:20 September 2020 2 Agenda Item 3 Patient Story Part 1 Board Meeting 29 July 2020 Author Janine Coletta, Patient Experience Facilitator Purpose of Report To consider the patient experience of our service Executive Summary The report is being submitted to the Board for consideration, reflection and to highlight the positive experience of care received from Langdon Ward (now Colmers Ward) at Bridport Hospital, and how this has impacted both the patient and the patient’s family. The Board is asked to consider and discuss the report and agree any Recommendation follow up actions as required. The service user was assisted in providing the story by Janine Coletta, Patient Experience Coordinator. Jen’s Story – A Family Perspective After our many experiences of the NHS throughout my Mother’s 91 years, I wanted to highlight the wonderful level of care that she received at Bridport Community hospital, and the reasons why I felt that care was vastly better than any other NHS facility that we have visited over the years. In November 2019, my mother was now very frail, had dementia and could hardly see. After a big fall, she was taken to the local District General Hospital and, due to lack of beds, was on the acute ward for a couple of weeks, then moved onto Bridport Community Hospital in December 2019. Whilst at the local District General Hospital there were issues around illegible handwriting and a lost “This is Me” document which caused us some concern and lost time with my mother. I will reflect on this at the end of my summary of the care she received. When I arrived at Bridport Hospital, I was greeted by a senior member of staff who was friendly, kind and approachable. She invited me into a side room, made me a drink and sat me down asking me to tell her all about Mum and her needs. It was clear from the start that they were treating the family and not just the patient at Bridport. She also asked me to complete another ‘This is Me’ document, as the previous one had been lost whilst in transit from the local District General Hospital. However, this time I was permitted to complete my documents electronically and email it back to her. She then ensured this emailed version was shared with all staff who would be involved in Mum’s care. Whilst it was frustrating to have to spend more time filling in forms when I could have been spending that valuable time with Mum - and especially after having to fill in the document at the local District General Hospital, which was subsequently lost - I was encouraged by this one being electronic. They then did a handover of staff really thoroughly, giving all information about Mum accurately. This meant I didn’t have to keep repeating myself and also gave me confidence in Mum’s care. I also noticed the mood of the team was very positive and motivated, with it being very clear from the start that there was strong leadership on the ward. The staff always had a smile on their face and nothing was too much trouble for them. As they knew I came from Reading, they allowed me to come in earlier than the visiting hours and they made me feel really at home; telling me I could make myself a cup of tea whenever I wanted and just generally making me feel very much part of the team caring for Mum. Mum remained in Bridport Community Hospital for a further 3 weeks, before she moved to a Care Home. During those 3 weeks, we could not have asked for better care. The communication across the whole team was excellent and I felt all staff members were encouraging and helpful to Mum at all times. The food was wonderful and the physiotherapy staff tried their hardest to get Mum up and walking for as long as they could (in a kind, gentle manner) until it became apparent that Mum’s care had sadly become palliative and rehabilitation wasn’t going to be possible. The doctor at Bridport was also very knowledgeable and professional, but had such a manner that you felt she was approachable and easy to discuss matters with. This made a big difference to our experience of Mum’s care. One memorable event at Bridport was when the staff organised Christmas songs to entertain patients on the ward. The nurses took the patients in to hear the singing, but sadly Mum was unable to get herself in there as she was very unwell by this stage. So the nurses went out of their way to move Mum into the room (still in her bed) so she could hear this singing and be part of the experience. Everyone was smiling and laughing and the mood was so warm and happy – I keep thinking what a lovely thing it was of them to do for us. They went to huge amounts of effort to make sure this could happen, with four of them moving Mum’s bed and making sure she could be there. It is a really lovely memory. Sadly, Mum passed away in the Care Home she was moved into after leaving Bridport Hospital, but the care and compassion we both received at Bridport was very positive and I wanted to say thank you to all of the team there for that. It is very clear that the strong team understood the importance of looking after the family as well as the patient. Can I just say, in this time of crisis, that I felt that every individual in both hospitals were giving ‘their all’, and we could not ask for anymore from them. It’s just the structure that surrounds these wonderful individuals that struck me, so I wanted to point out areas that could be improved for everyone’s benefit. Summary of care and suggested areas of improvement The areas that came across that were different at Bridport were: • Leadership, staff morale, teamwork and communication • Attentiveness to the family, not just to the patient • Attention to not only medical needs, but also social & mental needs I also wanted to highlight our experience, as a family, of an area that could be improved, which would benefit all the NHS facilities and give massive benefits to staff, patients, family experience, and, more importantly, patient outcomes. If paper-based processes were automated using simple electronic forms, so many problems that I have highlighted could be solved, and huge benefits realised. And, with the added crisis that we find ourselves in, with fear of infection and the need for accurate information, there is a massive need to cut out paper & hand-written inaccuracies. The need for the NHS to put simple e- forms in place that streamline process & remove inaccuracies could not be more paramount. Feedback from Bridport Hospital Matron, Ellen Holmes This really lovely story is fantastic to hear and is testament to each of the amazing team members at Bridport, who work together so well to support not just the patients in our care but their families too. We had received a Thankyou card from this family member soon after the patient’s discharge – but it is really special to hear their full account of the patients stay from the family member’s perspective. We will also of course take on board the area of improvement highlighted and work together with our wider NHS colleagues to improve this. Bridport Hospital – Feedback Department/Ward/Unit: Langdon Ward (now Colmers ward) Triangulation data: 01/04/2019 – 31/03/2020 Friends & 94.4% would recommend the service. Family Test Complaints 6 Compliments & categories The most frequent category of compliment was general praise. *compliments can cover more than one category. Survey Examples of comments Comments Sentiment Analysis The majority of comments are positive. Survey Comment Themes 79 free text comments were themed. All were positive.