Board of Directors 25 November 2015
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Board of Directors 25 November 2015 www.sussexpartnership.nhs.uk BOARD OF DIRECTORS MEETING IN PUBLIC To be held on 25 November 2015 at 10.00 Training Centre, Trust HQ, Swandean, Arundel Road, Worthing, West Sussex, BN13 3EP AGENDA TBP49 /15 INTRODUCTION 1000 TBP49 .1/15 Chair’s Welcome and Introduction Verbal 1000 TBP49 .2/15 Apologies for Absence & Declaration of Interests Verbal Minutes of the Board of Directors meeting held 28 October 2015 1001 TBP49 .3/15 A & Action Points (not covered on the agenda) 1002 TBP49 .4/15 Questions from Members of the Public Verbal TBP50 /15 QUALITY & PERFORMANCE Chief Executive Report 1005 TBP50 .1/15 (Colm Donaghy, Chief Executive) B 1015 TPB50 .2/15 Patient Story video To receive a report on the last meeting of the Quality Committee C (Gordon Ferns, Non-Executive Director) 1025 TBP50 .3/15 Update on the Quality Improvement Plan and CQC Compliance D Notices Action Plans (Helen Greatorex, Executive Director of Nursing & Quality To receive the Quality & Performance Report (Sally Flint, Executive Director of Finance & Performance; Helen 1035 TBP50 .4/15 E Greatorex, Executive Director of Nursing & Quality; Managing Directors) To receive a report on the last meeting of the Finance and F Investment Committee (Richard Bayley, Non-Executive Director) 1105 TBP50 .5/15 Financial Performance (Sally Flint, Executive Director of Finance & Performance) G To receive a report on the last meeting of the People Committee H (Diana Marsland, Non-Executive Director) 1115 TBP50 .6/15 To receive the People Report I (Sue Morris, Executive Director of Corporate Services To receive an update on Safe Staffing 1125 TBP50 .7/15 J (Helen Greatorex, Executive Director of Nursing and Quality) To receive a report on the last meeting of the Mental Health Act 1130 TBP50 .8/15 Committee K (Caroline Armitage, Chair) TBP51 /15 GOVERNANCE Board Assurance Framework 1135 TBP51 .1/15 L (Helen Greatorex, Executive Director of Nursing and Quality) To receive a report on the last meeting of the Audit Committee 1145 TBP51 .2/15 M (Tim Masters, Non-Executive Director) 1150 TBP52/15 ANY OTHER BUSINESS Date and Venue for Next Meeting: 27 January 2016 Training Centre, Swandean 85 Arundel Road, Worthing West Sussex, BN13 3EP To adopt the motion: “That representatives of the press and other members of the public be excluded from the remainder of this meeting, having 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 1960) NB Those present at the meeting should be aware that their name will be issued in the notes of this meeting which may be released to members of the public on request Sussex Partnership NHS Foundation Trust Board of Directors: 25 November 2015 - Public Agenda Item TBP49 .3/15 Attachment: A For: Decision By: Rebecca Huth, Corporate Governance Administrator SUSSEX PARTNERSHIP NHS FOUNDATION TRUST Minutes of the Board of Directors meeting held in public on Wednesday 28 October 2015 at 13.30 in Meeting Room A, Hellingly Centre, Woodside Annex, The Drive, Hellingly, Hailsham, East Sussex, BN27 4EP Present: Caroline Armitage, Chair Colm Donaghy, Chief Executive Diana Marsland, Non-Executive Director Tim Masters, Non-Executive Director Sally Flint, Executive Director of Finance and Performance Richard Bayley, Non-Executive Director Dr Tim Ojo, Executive Medical Director Professor Gordon Ferns, Non-Executive Director (arrived at item TBP31.5/15) Simone Button, Interim Managing Director of Specialist Services Sue Morris, Executive Director of Corporate Services Lorraine Reid, Managing Director of Adult Services In Attendance: Peter Lee, Head of Corporate Governance Sue Esser, People Director Rebecca Huth, Corporate Governance Administrator (minutes) Observers Neil Waterhouse, SPFT staff member Claire Newman, SPFT staff member Katharine Pearson, SPFT staff member Scott Hunt, SPFT Public Governor Paul Gresham, Member of public ITEM NO ITEM TBP44 .1/15 Chair’s Welcome and Introduction 1 Caroline Armitage welcomed all members and attendees to the meeting, adding her delight to being in Hellingly, East Sussex. Caroline wished to especially welcome Scott Hunt, Public Governor of Sussex Partnership. TBP44 .2/15 Apologies for Absence 2 Caroline Armitage noted apologies from; 3 Helen Greatorex, Executive Director of Nursing and Quality Kay Macdonald, Clinical Academic Director Vincent Badu, Strategic Director of Social Care and Partnerships Sam Allen, Director of Strategy and Improvement. Page 1 of 8 4 Caroline wished to note that Elizabeth Hall, Service User Governor, has attended every Board of Directors meeting as the Council of Governors representative for the last three years since joining the Council. Caroline added that Elizabeth is not present today due to ill health of her husband, adding that of behalf of the Board we wish them both the best. 5 There were no additional declarations of interest. TBP44 .3/15 Minutes and Action Points from 30 September 2015 6 Minutes of the Board of Directors held on 30 September 2015 were approved as an accurate record. 7 Peter Lee advised that all Action Points are either complete or are on today’s agenda. TBP44 .4/15 Questions from members of the public 8 There were no questions from members of the public. TBP45 .1/15 Eliminating Mixed Sex Accommodation/Maintaining Safety Privacy and Dignity 9 Caroline Armitage introduced this item, noting its importance. 10 Tim Ojo advised that the NHS Framework asks Foundation Trusts to commit to eliminating mixed sex accommodation and to have a same sex accommodation action plan in place, with an impact analysis document. Included in the documents available today, is an overview setting out the commitment for us to eliminate same sex accommodation. 11 Tim Masters queried why, if these regulations have been around for some time, has it taken so long for us to start this work. Tim Ojo advised that we’re not the only Trust in this situation, as the policy and guidance have evolved. We have always taken into account the dignity of our patients and because we do not have entirely separated wards, it doesn’t mean we don’t take this in to account on our wards. Sue Morris advised that the main issues are around Dementia wards and we need support and to engage with our commissioners. 12 Colm Donaghy advised that this issue was picked up during our CQC Wave Inspection. Colm added that he’s recently spoken with our lead inspector from CQC, who asked to be informed if we will not meet the deadline for any action, especially those that aren’t completely within our gift to resolve, alone. 13 Richard Bayley advised that he is a bit disappointed with the paper as at the previous Board meeting he asked for the capital expenditure to be included as an appendix, so when making this policy decision we can clearly see the financial implication, risks and whether it is deliverable. Tim Ojo apologised for this omission and advised that it’s not about the cost of mitigating single sex accommodation. The policy states ‘where possible’ we should eliminate mixed sex accommodation, and if this is not possible, we need a rational as to why. Richard Bayley reinforced his concern about the risks in relation to resource and sustainability and suggested a need to RAG-rate the mitigation of risk. 14 Caroline Armitage summarised Richard’s comments, stating the point he is trying to make is that the policy needs to be more clearly articulated, however there is a general acceptance that the clinical detail is correct. Caroline added that an additional piece of work is required around the implementation of the policy, although does not stop the Board approving the policy, in principle. Page 2 of 8 Decision – the Board approved the policy in principle. 15 Action: Implementation plan of Eliminating Mixed Sex Accommodation Policy to be added to January 2016 Board Agenda, as part of CDS planning. 16 Lorraine Reid advised that she supports Board approval of this policy, and would like to revisit the narrative of the RAG rating. Caroline Armitage advised that the Quality Committee should review the RAG rating and narrative of the policy and bring an update to the Board in due course. 17 Action: Quality Committee to review the RAG rating and narrative of the policy and update the Board. TBP46 .1/15 Chief Executives Report 18 Colm Donaghy introduced his report, advising that it is a short update this month. Colm noted updates in the report including the development of our Care Delivery Services (CDSs) and a CQC update, adding that the CQC will be back next year to re-inspect our services. 19 Colm advised in relation to Monitor’s KPIs for 7 Day Follow-up that we met the target for this month, and we are implementing a 3 Day Follow-up procedure to ensure no more targets are missed, and patients are not waiting more than a week for a follow up after discharge. Colm added that these follow-ups are vital as they have been linked to the reduction of suicides following discharge. 20 Caroline Armitage wished to note the Adult Services Update, as Neil Waterhouse, East Sussex Service Director, who is here with us today, has been nominated for a Sussex Police East Sussex Divisional Award for his efforts and achievements above and beyond the call of duty. 21 Diana Marsland wished to ask Colm a question which is not in relation to his report today; following the breach of information Talk Talk has recently encountered, what policies or actions do we have in place to avoid this? Sue Morris advised that our Public website has no back system, so no private information is held in any way on the website.