Agenda for Discussion in February Are: Clinical Services Corporate Risk Committee Minutes

The programme for the next meeting of the Trust’s Board of Directors day, which will take place: on: Wednesday 25th February 2015 in: The Boardroom, York Hospital Time Meeting Location Attendees 8.30am - 9.10am Non-Executive Director Ward 37 Seminar Non-executive Meeting with Chairman Room Directors 9.15am – 12.00 Noon Board of Directors Boardroom Board of Directors meeting held in public and observers 12.15pm – 2.00pm Board of Directors to Boardroom Board of Directors consider confidential information held in private (including buffet lunch) 2.15 pm – 2.45 pm Remuneration Committee Chief Executive’s Non-executive Office Directors & Chief Executive 3.00pm - 4.30pm Vale of York CCG Boardroom Board of Directors and Directors from the Vale of York CCG The values, drivers and motivations of the Trust are: Caring about what we do Respecting and valuing each other Listening in order to improve Always doing what we can to be helpful These will be reflected during all discussions in the meeting Restricted – Management in confidence The next meeting of the Trust’s Board of Directors held in public will take place On: Wednesday 25th February 2015 At: 9.15am – 12 Noon In: The Boardroom, York Hospital A G E N D A No Item Lead Comment Paper Page Part One: General 9.15am – 9.45am 1. Welcome from the Chairman Chairman The Chairman will welcome observers to the Board meeting. 2. Apologies for Absence Chairman Sue Holden, Director of Workforce and OD Anne Pridmore, Foundation Trust Secretary Michael Sweet, Non Executive Director 3. Declaration of Interests Chairman A 7 To receive any changes to the register of directors’ declarations of interest, pursuant to section 6 of Standing Orders. 4. Minutes of the Board of Directors Chairman B 13 meeting held on 28th January 2015 To review and approve the minutes of the meeting held on 28th January 2015 5. Matters arising from the minutes Chairman To discuss any matters arising from the minutes. Board of Directors (Public) – Wednesday 25 February 2015 No Item Lead Comment Paper Page 6. Patient Experience Head of Patient Experience Verbal To receive an update on the Patient Experience Team including discussion about the Enter and View report about C 29 Scarborough Hospital published by Healthwatch Part Two: Quality and Safety 9.45am-10.30am 7. Quality and Safety Performance issues Chairman of the Committee D 43 To be advised by the Chairman of the Committee of any specific issues to be discussed. Patient and Quality Safety Report D1 51 Medical Director Report D2 85 Chief Nurse Report D3 117 Safer Staffing D4 141 Early Warning Trigger Tool D5 151 Acuity and Dependency D6 163 8. End of Life Care Quarterly Report Medical Dianne E 171 Director Willcocks To receive the End of Life Care Quarterly Report Part Three: Finance and Performance 10.30am-11.30am 9. Finance and Performance issues Chairman of the Committee F 219 To be advised by the Chairman of the Committee of any specific issues to be discussed. Operational Performance Report F1 229 Finance Report F2 239 Trust Efficiency Report F3 251 10. Draft Financial and Annual Plan Director of Mike Keaney To be tabled 2015/16 Finance To consider and approve the draft plan prior to submission to Monitor on 27 February 2015 Board of Directors (Public) – Wednesday 25 February 2015 No Item Lead Comment Paper Page Part Four: Estates information 11.30am -11.35am 11. Fire Safety Policy and Annual Report Director of Estates and G 257 Facilities To receive the Annual Report and approve the policy. Part Five: Governance 11.35am-12.00 Noon 12. Report of the Chairman Chairman H 279 To receive an update from the Chairman including Chairman’s Action for the approval of a Business Case to support the Network Infrastructure upgrade at a value of £0.958m in 2015 and a further £1.627m in 2016/17. 13. Report of the Chief Executive Chief Executive I 283 To receive an update on matters relating to general management in the Trust. 14. Improving Corporate Accountability by Head of Internal Audit J 287 Aligning Strategy, Structure and Assurance To receive an update on and agree the progress made on the project plan for the review of the Trust’s corporate governance structures and arrangements. Any other business 15. Gap Analysis – Implementation of the For information only – K 293 new Equality Information standards Director of Workforce and OD 16. Next meeting of the Board of Directors The next Board of Directors meeting held in public will be on 25 March 2015 in the Boardroom, York Teaching Hospital. 17. Any other business To consider any other matters of business. Board of Directors (Public) – Wednesday 25 February 2015 The meeting may need to move into private session to discuss issues which are considered to be ‘commercial in confidence’ or business relating to issues concerning individual people (staff or patients). On this occasion the Chairman will ask the Board to resolve: That representatives of the press, and other members of the public, be excluded from the remainder of this meeting regard to the confidential nature of the business to be transacted, publicity on which would be prejudicial to the public interest', Section 1(2), Public Bodies (Admission to Meetings) Act l960. The items included in the private agenda for discussion in February are: Clinical Services Corporate Risk Committee Minutes Board of Directors (Public) – Wednesday 25 February 2015 Register of directors’ interests February2015 Additions: Juliet Walters—Chief Operating Officer Changes: No changes A Deletions: No deletions 7 Director Relevant and material interests Directorships including Ownership part-ownership Majority or controlling A position of authority in a Any connection with a vol- Any connection with non-executive director- or directorship of private share holdings in organisa- charity or voluntary organi- untary or other organisa- an organisation, entity ships held in private com- companies business or tions likely or possibly sation in the field of health tion contracting for NHS or company consider- panies or PLCs (with the consultancies likely or pos- seeking to do business and social care. services or commissioning ing entering into or exception of those of dor- sibly seeking to do busi- with the NHS. NHS services having entered into a mant companies). ness with the NHS. financial arrangement with the NHS founda- Mr Alan Rose Nil Nil Nil Act as Trustee –on Member—The Univer- Nil (Chairman) behalf of the York sity of York Court Teaching Hospital Char- Member—The Univer- ity sity of York Ethics Com- mittee Jennifer Adams Non-executive Direc- Nil Nil Act as Trustee –on Nil Nil Non-executive Director tor Finance Yorkshire behalf of the York PLC Teaching Hospital Char- ity Mr Philip Ashton Nil Nil Nil Act as Trustee –on Nil Nil (Non– Executive Di- behalf of the York rector) Teaching Hospital Char- ity Member of the Board of Directors— Diocese of York Education Trust Ms Libby Raper Director—Yellowmead Nil Nil Act as Trustee –on Governor and Vice Nil (Non-Executive Direc- Ltd behalf of the York Chair—Leeds City Col- tor) Teaching Hospital Char- lege ity Chairman and Director - Leeds College of Mu- sic Member—The Univer- sity of Leeds Court Michael Keaney Non- Nil Nil Nil Act as Trustee –on Nil Nil executive Directors behalf of the York Teaching Hospital Char- ity 8 Director Relevant and material interests Directorships including non- Ownership part- Majority or controlling A position of authority in a Any connection with a Any connection with an executive directorships held in ownership or directorship share holdings in charity or voluntary voluntary or other organisation, entity or private companies or PLCs of private companies organisations likely or organisation in the field of organisation contracting company considering (with the exception of those of business or consultancies possibly seeking to do health and social care. for NHS services or entering into or having dormant companies). likely or possibly seeking business with the NHS. commissioning NHS entered into a financial to do business with the services arrangement with the NHS. NHS foundation trust including but not limited to, lenders or banks Mr Michael Sweet Nil Nil Nil Act as Trustee –on Nil Nil (Non-Executive behalf of the York Director) Teaching Hospital Charity Professor Dianne Nil Nil Nil Act as Trustee –on Director—London Nil Willcocks behalf of the York Metropolitan University (Non-Executive Teaching Hospital Director) Charity Vice Chairman—Rose Bruford College of HE Trustee and Vice Chair—of the Joseph Rowntree Foundation and Joseph Rowntree Housing Trust Chair—Advisory Board, Centre for Lifelong Learning University of York Member—Executive Committee YOPA Patron—OCAY Chairman - City of York Fairness and Equalities Board Member –Without Walls Board Mr Patrick Crowley Nil Nil Nil Act as Trustee –on Nil Nil (Chief Executive) behalf of the York Teaching Hospital Charity 9 Director Relevant and material interests Directorships including non- Ownership part- Majority or controlling A position of authority in Any connection with a Any connection with an executive directorships held ownership or directorship share holdings in a charity or voluntary voluntary or other organisation, entity or in private companies or PLCs of private companies organisations likely or organisation in the field organisation contracting company considering (with the exception of those of business or consultan- possibly seeking to do of health and social care. for NHS services or com- entering into or having dormant companies). cies likely

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