Assynt House Beechwood Park Inverness, IV2 3BW Telephone: 01463 717123 Fax: 01463 235189 Textphone users can contact us via Date of Issue: Typetalk: Tel 0800 959598 23 November 2012 www.nhshighland.scot.nhs.uk HIGHLAND NHS BOARD MEETING OF BOARD Tuesday 4 December 2012 at 8.30 am Board Room, Assynt House, Beechwood Park, Inverness AGENDA 1 Apologies 1.1 Declarations of Interest – Members are asked to consider whether they have an interest to declare in relation to any item on the agenda for this meeting. Any Member making a declaration of interest should indicate whether it is a financial or non-financial interest and include some information on the nature of the interest. Advice may be sought from the Board Secretary’s Office prior to the meeting taking place. 2 Minutes of Meetings of 2 October and 6 November 2012 and Action Plan (attached) (PP 1 – 24) The Board is asked to approve the Minute. 2.1 Matters Arising 3 PART 1 – REPORTS BY GOVERNANCE COMMITTEES 3.1 Argyll & Bute CHP Committee – Draft Minute of Meeting held on 31 October 2012 (attached) (PP 25 – 40) 3.2 Highland Health & Social Care Governance Committee Assurance Report of 1 November 2012 (attached) (PP 41 – 54) 3.3 Highland Health & Social Care Governance Committee – Terms of Reference for approval by the Board (attached) (PP 55 – 58) 3.4 Clinical Governance Committee – Draft Minute of Meeting of 13 November 2012 (attached) (PP 59 – 68) 3.5 Improvement Committee Assurance Report of 5 November 2012 and Balanced Scorecard (attached) (PP 69 – 80) 3.6 Area Clinical Forum – Draft Minute of Meeting held on 27 September 2012 (attached) (PP 81 – 88) 3.7 Asset Management Group – Draft Minutes of Meetings of 18 September and 23 October 2012 (attached) (PP 89 – 96) 3.8 Pharmacy Practices Committee (a) Minute of Meeting of 12 September 2012 – Gaelpharm Limited (attached) (PP 97 – 118) (b) Minute of Meeting of 30 October 2012 – Mitchells Chemist Limited (attached) (PP 119 – 134) The Board is asked to: (a) Note the Minutes. (b) Note the Assurance Reports and agreed actions from the Highland Health & Social Care Governance Committee and the Improvement Committee. (c) Approve the Terms of Reference for the Highland Health & Social Care Governance Committee. Council/Highland NHS Board Joint Committees 3.9 Argyll & Bute Health & Care Strategic Partnership – Minute of Meeting of 3 October 2012 (attached) (PP 135 – 142) 3.10 Highland Council Partnership – Adult & Children’s Services Committee – Minute of Meeting of 26 September 2012 (attached) (PP 143 – 164) The Board is asked to: Note the Minutes. 4 PART 2 – THE HIGHLAND QUALITY APPROACH 4.1 The Highland Quality Approach (a) The Highland Quality Improvement System Presentation by Anne Gent, Director of Human Resources, Gill McVicar, Director of Operations, North & West and Linda Kirkland, Head of Business Transformation Presentation on the Highland Quality Improvement System and how NHS Highland plans to build both capacity and capability to deliver the Highland Quality Approach. (b) Feedback from visit to Torbay Care Trust Presentation by Jan Baird, Director of Adult Care Feedback from recent visit by Senior Managers to Torbay and Southern Devon Health and Care NHS Trust. The Board is asked to: Note the Presentations 2 4.2 Developing a Framework for use of Social Media in NHS Highland Report by Maimie Thompson, Head of Public Relations and Engagement on behalf of Elaine Mead, Chief Executive (attached) The rise of social media has the potential to significantly change the way NHS conducts elements of its communications. Millions of people use social media every day and it is becoming an increasingly important communication tool. (PP 165 – 172) The Board is asked to: Note the context and background for the use of social media by NHS Highland as part of wider communications and engagement strategy. Be aware of the benefits, risks and considerations. Endorse the recommendation to explore the principle of opening up social media in the work place, initially through controlled access. 5 PART 3 – CORPORATE GOVERNANCE / ASSURANCE 5.1 Register of Interests of Members of Highland NHS Board The Highland NHS Board Code of Conduct was formally adopted by the Scottish Ministers from 1 May 2003. Under its terms, Board Members are required to Register their interests in the Highland NHS Board Register. An exercise to update the register has now been undertaken and the formal Highland NHS Board Register will be tabled for information. The Register is kept available at the Board’s offices for public inspection. The Board is asked to Note the position. 5.2 NHS Highland Financial Position as at 31 October 2012 Report by Nick Kenton, Director of Finance (attached) (PP 173 – 184) The Board is asked to: Note the current forecast remains break-even by the end of the financial year. Note an improvement in the forecast operational position of £5.1m from the August position, reported to the Board in October. Note the need for further improvements within the financial position of £6.9m by the end of the year, split between; - NHS Care £4.9m - Adult Social Care £2.0m 5.3 NHS Highland Annual Accounts 2011/12 Report by Nick Kenton, Director of Finance (attached) The 2011/12 Annual Accounts were considered by the Audit Committee on 18 June 2012 and subsequently approved by a special In Committee meeting of the Board on that day. Following this process, the Accounts were submitted to the Scottish Government, for onward submission to the Scottish Parliament, where the NHS Highland Annual Accounts have now been approved. (PP 185 – 186) 3 The Board is asked to: Note the 2011/12 year end position for NHS Highland. Note the completion of the audit work, the approval of the Accounts by the Board In Committee on 18 June 2012, and the subsequent Parliamentary process. 5.4 Update on Scottish Budget Report by Nick Kenton, Director of Finance (attached) This report is to inform the Board of any potential implications that the draft Scottish Government budget for 2013-15 has for Highland NHS Board’s financial revenue plans as set out in the Local Delivery Plan. (PP 187 – 188) The Board is asked to: Note the draft Scottish Government Budget 2013-15 and its impact on the Board’s Local Delivery Plan. 5.5 Dingwall Health Centre Business Case Report by Michael Waters, Capital Support & Project Manager on behalf of Nick Kenton, Director of Finance (attached) This Standard Business Case covers a revised Phase 3 to complete the redevelopment of Dingwall Health Centre, which had previously been approved from within the Board’s Capital allocation with a start date in 2010. Phases 1 and 2 have been completed but, due to the restricted availability of capital, Phase 3 could no longer be funded from within the Board’s formula Capital allocation. A revised Phase 3 solution has been agreed with the users within the £1.5m allocation agreed by the Scottish Government. Please note that due to the size of the Business Case this has not been circulated. A link to the full document will be e-mailed to Board members once Board papers are on the NHS Highland website, one week before the meeting. (PP 189 – 190) The Board is asked to: Approve the attached Standard Business Case for the final phase of development of Dingwall Health Centre. Agree that the Standard Business Case can now be submitted to the Scottish Government Capital Investment Group for their approval. 5.6 NHS Highland – Proposed Implementation of the National Patient Management System (PMS) Report by Bill Reid, Head of eHealth on behalf of Deborah Jones, Chief Operating Officer (attached) Implementation of the nationally procured Patient Management System across NHS Highland is a key component of the current NHS Highland eHealth Delivery Plan. It is planned that implementation will commence in the 2013/14 financial year. (PP 191 – 228 4 The Board is asked to: Agree the need for replacement of the current legacy Patient Administration Systems with a modern Patient Management System; Consider the more detailed content of the attached draft Business Case; Agree that NHS Highland commence implementation of the National Patient Management System from April 2013; Agree the required local funding to allow the implementation to commence. 5.7 Carbon Management Plan Report by Eric Green, Head of Estates on behalf of Nick Kenton, Director of Finance (attached) The Carbon Management Plan attached sets some challenging priorities to contain and reduce our energy costs and reduce our impact on the environment. Please note that due to the size of the Carbon Management Plan this has not been circulated. A link to the full document will be e-mailed to Board members once Board papers are on the NHS Highland website, one week before the meeting. (PP 229 – 232) The Board is asked to: Approve the NHS Highland Carbon Management Plan. Approve the target of a 33% Carbon reduction by 2016. Note the progress made in improving our Carbon management arrangements. Support the improved arrangements for local responsibility for Carbon Management. 5.8 Restorative Dentistry Report by Roseanne Urquhart on behalf of Ian Bashford, Medical Director (attached) The Board is asked to confirm approval of the business case for restorative dentistry that was developed in collaboration with North of Scotland (NoS) colleagues. The business case has been agreed in principle by the NHS Highland Executive Group. (PP 233 – 262) The Board is asked to: Confirm approval of the business case for restorative dentistry that was developed in collaboration with North of Scotland colleagues. 5.9 Infection Control Report Report by Liz McClurg, Infection Control Manager and Dr Emma Watson, Infection Control Doctor on behalf of Heidi May, Board Nurse Director & Executive Lead for Infection Control (attached) (PP 263 – 284) The Board is asked to: Note the performance position for the Board.