Bundle Public Board 21 November 2017

7.1 Board Level Committees Update Report / Adroddiad Diweddaru Pwyllgorau Lefel Bwrdd Presenter: Committee Chairs Board Level Committees Update Report SBAR Mental Health Legislation Assurance Committee Update Report Primary Care Applications Committee Update Report Charitable Funds Committee Update Report

7.1 Board Level Committees Update Report / Adroddiad Diweddaru Pwyllgorau Lefel Bwrdd 1 Board Level Committees Update Report SBAR

CYFARFOD BWRDD PRIFYSGOL IECHYD UNIVERSITY HEALTH BOARD MEETING

DYDDIAD Y CYFARFOD: 21 November 2017 DATE OF MEETING: TEITL YR ADRODDIAD: Board Level Committees Update Report TITLE OF REPORT: CYFARWYDDWR ARWEINIOL: Joanne Wilson, Board Secretary LEAD DIRECTOR: SWYDDOG ADRODD: Alison Gittins, Head of Corporate & Partnership REPORTING OFFICER: Governance

Pwrpas yr Adroddiad (dewiswch fel yn addas) Purpose of the Report (select as appropriate) Er Gwybodaeth/For Information

ADRODDIAD SCAA SBAR REPORT Sefyllfa / Situation

The purpose of this report is to provide the Board with a level of assurance in respect of recent Board level Committee meetings that have been held since the previous Board report and are not reported separately on the Board agenda, as follows: • Mental Health Legislation Assurance Committee (MHLAC) held on 12th September 2017 • Primary Care Applications Committee (PCAC) meeting held on 19th September and 2nd November 2017 • Charitable Funds Committee (CFC) held on 25th September 2017

Cefndir / Background

The Hywel Dda University Health Board (UHB) Standing Orders, approved in line with Welsh Government guidance, require that a number of Board Committees are established.

In line with this guidance, the following Committees have been established: • Audit & Risk Assurance Committee • Charitable Funds Committee • Quality, Safety and Experience Committee • Mental Health Legislation Assurance Committee • Remuneration and Terms of Service Committee

The Board has established the following additional Committees: • Business Planning & Performance Assurance Committee • Primary Care Applications Committee • University Partnership Board

Attached to this report are individual summaries of the key decisions and matters considered by each of the Committees held since the previous Board report, where these are not separately reported to the Board.

Approved minutes from each of the Committees meetings are available on the UHB’s website Page 1 of 4 via the link below: http://www.wales.nhs.uk/sitesplus/862/page/72048

Asesiad / Assessment

Matters Requiring Board Level Consideration or Approval:

There were no other matters raised from the Mental Health Legislation Assurance Committee, the Primary Care Applications Committee, nor the Charitable Funds Committee that required Board level consideration or approval.

Key Risks and Issues/Matters of Concern:

The Mental Health Legislation Assurance Committee raised the following key risks and issues/matters of concern: • The MHLAC has requested a timescale be provided for the Learning Disability Register and another update will be provided to the Committee in December 2017. • The MHLAC will continue to monitor the number of admissions and detentions, and is also looking at repeat admissions. • The MHLAC will continue to monitor any issues relating to HIW visits where those matters relate to legislation. • To add submission of late reports for Hospital Managers Hearings to the Risk Register.

The Charitable Funds Committee raised the following key risk and issue/matter of concern: • The CFC was concerned with the quality of some of the reports presented which the CFC Chair has subsequently discussed with senior members of the Operations Directorate.

There were no key risks and issues/matters of concern raised from the Primary Care Applications Committee.

Argymhelliad / Recommendation

The Board is asked to endorse the updates recognising any matters requiring Board level consideration or approval, and the key risks and issues/matters of concern identified, in respect of work undertaken on behalf of the Board at recent Committee meetings.

Amcanion: (rhaid cwblhau) Objectives: (must be completed) Cyfeirnod Cofrestr Risg Not Applicable Risk Register Reference: Safon(au) Gofal ac Iechyd: Governance, Leadership and Accountability Health and Care Standard(s): 1. Staying Healthy 3. Effective Care 3.1 Safe and Clinically Effective Care

Amcanion Strategol y BIP: 2. To reduce overweight and obesity within our UHB Strategic Objectives: population. 2. To reduce overweight and obesity within our population. 2. To reduce overweight and obesity within our

Page 2 of 4 population. 2. To reduce overweight and obesity within our population. Not Applicable Amcanion Llesiant BIP: Choose an item. UHB Well-being Objectives: Choose an item. Hyperlink to HDdUHB Well-being Choose an item. Statement Support people to live active, happy and healthy lives

Not Applicable Deddf Llesiant Cenedlaethau'r Dyfodol (Cymru) 2015 Long term – the importance of balancing short- - Pum dull o weithio: term needs with the need to safeguard the ability to also meet long-term needs The Well-being of Future Generations (Wales) Act 2015 Not Applicable - 5 Ways of Working: Prevention – the importance of preventing problems occurring or getting worse

Not Applicable Integration - the need to identify how the Health Board’s well-being objectives may impact upon each of the well-being goals, on its other objectives, or on the objectives of other public bodies

Not Applicable Collaboration – acting in collaboration with anyone else (or different parts of the organisation itself) which could help the Health Board to meet its well- being objectives

Not Applicable Involvement - the importance of involving people with an interest in achieving the well-being goals, and ensuring that those people reflect the diversity of the area which the Health Board serves

Not Applicable

Gwybodaeth Ychwanegol: Further Information: Ar sail tystiolaeth: Standing Orders Evidence Base: External Governance Review

Rhestr Termau: Included within the body of the report Glossary of Terms: Partïon / Pwyllgorau â ymgynhorwyd Mental Health Legislation Assurance Committee ymlaen llaw y Cyfarfod Bwrdd Iechyd Chair Prifysgol: Primary Care Applications Committee Chair Page 3 of 4 Parties / Committees consulted prior Charitable Funds Committee Chair to University Health Board:

Effaith: (rhaid cwblhau) Impact: (must be completed) Ariannol / Gwerth am Arian: Explicit within the individual Committee Update Reports Financial / Service: where appropriate.

Ansawdd / Gofal Claf: Explicit within the individual Committee Update Reports Quality / Patient Care: where appropriate.

Gweithlu: Not Applicable Workforce:

Risg: Not Applicable Risk:

Cyfreithiol: The Board has approved Standing Orders in relation to Legal: the establishment of Board level Committees.

In line with its model Standing Orders, the Health Board has established Board level Committees, the activities of which require reporting to the Board. Enw Da: Not Applicable Reputational:

Gyfrinachedd: Not Applicable Privacy:

Cydraddoldeb: Not Applicable Equality:

Page 4 of 4 1 Mental Health Legislation Assurance Committee Update Report

Enw’r Pwyllgor/Name Mental Health Legislation Assurance Committee of Committee: (MHLAC) Cadeirydd y Pwyllgor/ Judith Hardisty, HDdUHB Vice-Chair Chair of Committee: Cyfnod Adrodd/ Meeting Held on 12th September 2017 Reporting Period: Y Penderfyniadau a’r Materion a Ystyriodd y Pwyllgor/Key Decisions and Matters Considered by the Committee: • Carer Story, Presentation on the West Wales Action for Mental Health (WWAMH) Recovery Wall – The Committee recieved a presentation from Mrs Liz Carroll, Director of Mental Health & Learning Disabilities, on an online video accessible via the WWAMH website and YouTube. Ms Carroll provided an introduction to the presentation of Miriam’s Story.

Miriam is the wife of Terry who’s story the Committee heard about at the previous meeting after he became involved in the Recovery Wall programme. Miriam provides an insight into life as a carer for her husband, Terry. Terry has had bipolar for many years, since before they were married. Miriam and Terry have 3 sons who are now grown up.

Miriam explains that life was quite difficult at times when the children were young and Terry would suffer episodes of bipolar. Miriam would concentrate on emotionally protecting the boys from their father’s illness and this would be frustrating for her.

• Mental Health Programme Group Update - Mr Richard Jones informed Members that the Directorate were hoping to create efficiencies and plan to co-locate people where they need to be to create more efficiency. There have been some pertinent questions from the public, some not thought of, which will contribute to how the service will be finally operationalised.

Some service users in Ceredigion have informed that the proposals within the transformation document were not what they had supported. Mr Jones stated the team are encouraging responses from everyone, everywhere. A further update will be provided to the Committee in December.

• Quarterly Performance Report (Q1 2017-18) - The Committee noted the continued high number of Mental Health Act assessments and detentions being undertaken and will continue to monitor this. The Health Board is currently compliant with Part 2 of the Mental Health Measure, however further work needs to be undertaken to ensure the quality of Care and Treatment Plans are of a consistently high standard. The Health Board is also compliant with Parts 1 and 4 of the Measure. The Committee was assured on compliance with mental health legislation.

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• Power of Discharge Sub-Committee – The minutes of the Hospital Managers Power of Discharge meeting held on 8th August 2017 were provided for information.

Professor Gammon informed Members that he had actioned himself to raise at MHLAC the issue of late submission of reports for Hospital Managers’ hearings. Hospital Managers were concerned about the impact upon patients due to the current resources available to support the application of the Act. Ms Carroll agreed it is not satisfactory for reports to be submitted late, adding that it is good practice to sit down with patients to go through the reports. At the present time the directorate is experiencing particular challenges with medical workforce which will have had an impact on this.

• Healthcare Inspectorate Wales (HIW) Inspections – The Committee received an update on HIW inspections. There have been no further inspections by Health Inspectorate Wales since the last Mental Health Legislation Assurance meeting however the service has seen much activity and work undertaken in relation to improvement plans.

A joint review from CSIW and HIW had been planned for August 2017 however, due to illness this subsequently took place on 12th October.

• Section 117 Recording - Ms Carroll gave an overview to provide assurance on active and maintained registers of people who require section 117 aftercare. A scoping exercise has been undertaken across the service to ensure registers are in place.

One area outstanding is Learning Disabilities (LD), who are currently in the process of developing a register for this. They have mapped their information against the known 117s held by the Mental Health Commissioning Team. The next step will be to map it across to the data each Local Authority has to see if there is anyone they have missed. An update from Learning Disabilities will be provided at the next Committee meeting.

Materion y mae angen Ystyriaeth neu Gymeradwyaeth Lefel y Bwrdd ar eu cyfer/Matters Requiring Board Level Consideration or Approval: • None Risgiau Allweddol a Materion Pryder/Key Risks and Issues/Matters of Concern: • The Committee has requested a timescale be provided for the Learning Disability Register and another update will be provided in December 2017. • The Committee will continue to monitor the number of admissions and detentions, and is also looking at repeat admissions.

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• The Committee will continue to monitor any issues relating to HIW visits where those matters relate to legislation. • To add submission of late reports for Hospital Managers Hearings to the Risk Register. Busnes Cynlluniedig y Pwyllgor ar gyfer y Cyfnod Adrodd Nesaf/Planned Committee Business for the Next Reporting Period:

Adrodd yn y Dyfodol/Future Reporting: Compliance with Mental Health Legislation

Dyddiad y Cyfarfod Nesaf/Date of Next Meeting: Thursday 7th December 2017.

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Enw’r Pwyllgor: Primary Care Applications Committee (PCAC) Name of Committee: Cadeirydd y Pwyllgor: Judith Hardisty, HDdUHB Vice Chair Chair of Committee: Cyfnod Adrodd: Meetings Held on 19th September & 2nd November 2017 Reporting Period: Y Penderfyniadau a’r Materion a Ystyriodd y Pwyllgor / Key Decisions and Matters Considered by the Committee: • GP Federations and the Development of an Alternative Provider Medical Service Contract – The Committee received a report in respect of the GP Federations and the development of an Alternative Provider Medical Services (APMS) contract noting that North Ceredigion has chosen to develop a federated model. The University Health Board (UHB) currently has no contractual arrangements with the North Ceredigion Federation, however the Primary Care team are initiating discussions with Welsh Government (WG) and colleagues in terms of how to develop an APMS contract for the UHB) which can also be used across Wales. A report has recently been presented to a Board Organisational Development (OD) Session on Primary Care developments, recognising that these developments need to work in line with the UHB’s Transforming Clinical Services Programme, and that the Board needs to consider its risk appetite towards these.

• Update on General Medical Services (GMS) Sustainability and Future Vision for a Sustainable Future Service – a detailed presentation on the sustainability of GMS services, setting out a proposed future ’hub and spoke’ model, to create a network of GMS providers was provided to Members. It was suggested that the presentation is presented to the Executive Team (ET) for their views.

• GMS Dashboard – An Equitable Approach & Process in Managing Matters of Sustainability – Members received a detailed report in respect of the development of a GMS dashboard as a standard reporting approach to provide assurances to the Board, Board level Committees and GP Practices, in order that informed decisions can be made, areas of good practice can be identified and also any areas of concern. The Committee discussed and agreed the content of the GMS Dashboard subject to any final amendments. The Committee agreed additional information is to be provided when considering sustainability and contract changes and supported the approach to considering and assessing additional funding for GMS contractors, however recognised that the Committee cannot make decisions around additional funding for GMS contractors.

• Evolving Primary Care Service Model in the Gwendraeth Valley – Members received a verbal update in respect of the evolving Primary Care Service Model in the Gwendraeth Valley, where the UHB is maintaining a watching brief on the position at Minafon and Pontyates Practices. The Committee noted the verbal update.

• Stabilising General Medical Services in Fishguard and Goodwick - Members were provided with a detailed verbal update in respect of Goodwick Surgery and Fishguard Surgery at the meeting held on 19th September 2017. The UHB has been exploring the option of merging Fishguard and Goodwick Surgeries. At the Committee meeting held on 2nd November 2017

Page 1 of 4 Members were informed that the UHB has encountered difficulties in progressing the merger with Fishguard Surgery despite a range of options being discussed with the Practice. The main issue impacting on the merger is the capital works of the Fishguard Surgery building. Welsh Government (WG) has allocated funding for the building works which are due to commence April 2018 to be completed by October 2018. However the GP involved from Fishguard Surgery is unwilling to progress the merger unless the building works are completed by April 2018. This issue has now been escalated to the Assistant Director of Primary Care and the Interim Director of Commissioning, Primary Care & Therapies and Health Science, and it was agreed for the UHB to publish a message to reassure the public that they can still access primary care services in Fishguard and Goodwick Surgeries whilst the UHB considers a future GMS model. It was agreed to also share this statement with the GP involved.

The Committee noted the report and that a further report with an analysis of the options available for the further delivery of GMS services to the Goodwick population will need to be considered in the coming weeks and should there be a need for a decision prior to the January 2018 PCAC meeting, arrangements will be made to address this through the PCAC’s governance processes as appropriate, with a full report , including an assessment of risk and cost implications, reported at the PCAC meeting in January 2018.

• Temporary List Closures Update – at the Committee meeting held on 19th September 2017, the Committee was provided with an update on the temporary list closures. Members were advised that there had not been any significant changes since the previous PCAC meeting. It was agreed for a further update to be provided to the next Committee meeting in respect of list closures at Meddygfa Tywyn Bach and Ty Elli Group Practice.

At the Committee meeting held on 2nd November 2017, it was noted that Practices need to demonstrate clearly the actions they are taking to improve their position in order that they can reopen their lists. Members were advised that the GMS Team will engage with the Practices with closed lists on a monthly basis to support their progress. Members also commended Tywyn Bach Surgery for the improvements they have made.

• Closed Practice List Dispersals Update – Lessons Learnt – Members were provided with a report reflecting on the lessons learnt by the recent list closure processes undertaken by the UHB. The key lessons learnt had been the volume of work that has had to be undertaken to support this process, and communication. Members highlighted that secondary care should be aware of any Primary Care issues and the wider impact on their services. It was suggested the report be presented to the Executive Team (ET) to share the lessons learnt from the list closure process recently undertaken.

• Barlow House Surgery - List Closure Application – Members received an application from Barlow House Surgery who submitted a formal request to close their patient list. However following the submission of the application, the UHB had very recently been made aware that Barlow House closed their list for 7 days, because they were experiencing high levels of sickness, and that regardless of the outcomes of the list closure application, the Surgery intended to reopen their list on Monday 6th November 2017. It was agreed for the GMS Team to set out the conditions of a list closure application to share with Practices to clarify the process and their approach. The Committee agreed to refuse Barlow House Surgery’s application to close a Practice list for the following reasons :

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o Opportunities to resolve the underlying patient registration issues have not yet been explored and should be considered before a list closure is approved. o A Sustainability Assessment Visit should be reconsidered or alternatively a plan for improving sustainability sought from the Practice.

• Llanilar Health Centre - Proposed Sale and Lease Back – Members received an application in respect of Llanilar Health Centre - Proposed Sale and Lease Back. The report presented set out the changes to the lease agreement. Members approved the amendments to the lease agreement for Llanilar Medical Centre welcoming the approach undertaken by the Practice.

• Change to General Dental Practice Opening Hours Audit – at the February 2017 PCAC meeting it was agreed to review the contractual opening hours of the Dental Practices within the UHB following a number of applications made requesting changes to Practice opening hours. The review has been completed and found that 75% of contractors opening hours are different to their stated contractual opening hours. Members were advised that the majority of dental care is planned, and that there are urgent access clinics to access emergency dental treatment in place, therefore there are no significant concerns in terms of access, Members were also further advised that the Dental Practices have been operating outside of their contractual opening hours for a number of years. The Committee approved enacting the contract changes for all 33 contractors outlined in the report, subject to discussions with Llandovery Dental Practice, which was subsequently also approved by the Committee. Members approved the updating of the HOWIS and NHS Direct websites with the current dental practices opening hours, and agreed to formally write to all Contractors confirming their contractual hours and stipulating any future changes to Practice openings must receive UHB approval.

• General Dental Services Contracts – Year End 2016/17 – Members received the General Dental Services Contracts 2016/17 report noting that the purpose is to set out the ‘year end’ position for General Dental Service (GDS) contracts in 2016/17 and define the contractual action that is required. The Committee approved the following recommendations: o Financial recovery is made and contractual remedial notices are served on each of the contractors in table 1. o Financial recovery is made, that each contract be permanently rebased and close monitoring continues for each of the contractors in table 2. o To split the outstanding units of dental activity (UDAs) for Avenue Villa, with half being converted to the GDS contract within the Practice and the other half being carried forward to 2017/18’s activity. o To split the Routine Access Service (RAS) contracted activity for Llannon Road to be permanently moved to the contract holders GDS contract.

• Contract variation – Termination of GDS Partnership, Dr F Abbas and Dr R Urbonaviciene – Members were informed that a request had been made by Dr R Urbonaviciene and Dr F Abbas to vary their General Dental Service (GDS) partnership contract provided in Haverfordwest to a single handed contract, solely in the name of Dr R Urbonaviciene with effect from 1st July 2017. The Committee noted the contractual change.

• General Dental Service Reform Programme – Members were provided with a report on the

Page 3 of 4 GDS Reform Programme, and were informed that dental contracts operate in units of dental activity, therefore there is a disincentive to consider more holistically patients needs. The GDS contract is being reviewed on an all Wales basis and all Health Boards have been asked to consider Dental Practices to participate in a GDS pilot. The Committee noted the following for information: o The Dental Practices that have been selected to take part in phase 1 of Dental Contract Reform; o The start date of 1 November 2017; o The risks to dental income and non delivery of Service Level Agreement (SLA) targets.

• 2018/19 Dental Commissioning – Members were informed that a report had been presented to the September 2017 Public Board meeting setting out the plan to implement the full allocation of the dental investment. Members noted that the focus remains on increasing access numbers and as the UHB move forward into 2019/20, the focus shall be more on developing innovative way to develop GDS, considering how the UHB can deliver GDS differently, and that any slippage from the GDS allocation shall be invested to improve the orthodontic position. The Committee noted the following for information: o The 2018/19 Dental Commissioning Plan and the basis on which it has been prepared; o The Procurement Plan; o The risks in relation to recruitment issues, procurement capacity and that the CDO has not yet agreed the proposed 3 year investment plan.

• Annual Review of PCAC Terms of Reference and Membership – Members undertook their annual review of the Committee’s terms of reference and suggested a number of minor amendments.

• Primary Care Applications Committee Work Programme 2017/18 – the Primary Care Applications Committee Work Programme for 2017/18 was received for information.

Materion y mae angen Ystyriaeth neu Gymeradwyaeth Lefel y Bwrdd ar eu cyfer/Matters Requiring Board Level Consideration or Approval: There are no matters requiring Board level consideration or approval at this time.

Risgiau Allweddol a Materion Pryder/Key Risks and Issues/Matters of Concern: There are no risks or matters of concern requiring Board level consideration at this time.

Dyddiad y Cyfarfod Nesaf/Date of Next Meeting: 23rd January 2018

Page 4 of 4 1 Charitable Funds Committee Update Report

Enw’r Pwyllgor: Charitable Funds Committee Name of Committee: Cadeirydd y Pwllgor: David Powell, Independent Member Chair of Committee: Cyfnod Adrodd: Meeting Held on 25th September 2017 Reporting Period: Y Penderfyniadau a’r Materion a Ystyriodd y Pwyllgor/Key Decisions and Matters Considered by the Committee: • Charitable Funds Story – Cilgerran Ward – Members received a video illustrating the improvements made to the outdoor play area of Cilgerran Children’s Ward, Glangwili General Hospital (GGH) which the Hywel Dda Health Charities team supported during the summer of 2017. Cilgerran ward staff had raised a considerable sum of money to fund the project and the charity team had enlisted the support of Next Steps Carmarthenshire to help make the project a reality. Members acknowledged this as an ideal project for the Health Board’s Charitable Funds to be associated with.

• Charitable Funds Operations Sub-Committee Update Report - the Committee received the update report from the Charitable Funds Operations Sub-Committee for the period 1st June – 31st August 2017, drawing particular attention to the significant expenditures within the Operations Directorate since the previous meeting. Members approved the establishment of three new funds with the proviso that these are reviewed in 6 months’ time, as concern was raised by Members regarding the number of open funds where initial donations have been small. Members were also reminded that the Operations Sub-Committee had now been in existence for 6-months, and so a review of its effectiveness was due, which would be presented to the next meeting.

• Investment Advisor Tender Presentation and Training – an investment manager from Sarasin & Partners attended the CFC meeting to provide an update on the transfer of the Charitable Funds portfolio from Rathbones, which is now complete. In addition Members received training on asset classes and an overview of how the impact of inflation on a portfolio affects Investments, Bonds and Equities. Members acknowledged that further training would be required and it was agreed to include a training session at the March 2018 Committee meeting. It was further agreed to hold twice yearly sessions with Sarasin & Partners in order to receive an update on the fund’s performance during the period.

• Expenditure and Commitments Requiring Approval for Provision of a Dedicated 6 Bedded Escalation Area for the Bronglais General Hospital Site - a request was made to utilise funds from a recent legacy of £197,000 for Provision of a Dedicated 6 Bedded Escalation Area for the Bronglais General Hospital (BGH) site. In supporting this plan, there will be a number of key benefits including protecting day surgery, significantly reducing the risk of cancellation of elective surgery, in addition enabling the hospital to withstand an infection outbreak and improving the patient experience at BGH. Members approved the funding request for the BGH site on the proviso the Committee would receive assurance that any additional costs in completing the work, would be met through the Estates Department.

• Expenditure and Commitments Requiring Approval for Expenditure for Cardiology Services - a request was made for an £18,000 contribution to a project which identifies 1

patients with Hypertrophic Cardiomyopathy (HCM). The funding will support the extension of an existing project which is in partnership with Abertawe Bro Morgannwg University Health Board (ABMUHB) and already part-funded by the British Heart Foundation (BHF). Members approved the request of £18,000 on the proviso that an interim position statement be presented at the March 2018 Committee meeting.

• Integrated Hywel Dda Health Charities Performance Report – Members received an update on the charity’s financial performance and position as at 31st August 2017, where there had been an increase in growth of all charitable funds. In addition, legacies have significantly increased, from £60,777 to £265,373 for the same period compared to the previous year, with an 18% increase in donations compared with the previous year. In regard to the budget for the 2017/18 governance and support costs Members felt it would be beneficial to discuss and review these arrangements at a future meeting.

• Pembrokeshire Cardiology Equipment – an update was provided to Members on the progress made with the alteration of the parameters of the Pembrokeshire Cardiology Equipment Fund since the previous meeting where it had been agreed to hold discussions with the Charity Commission. The Charity Commission has now provided guidance on how the Committee should proceed, and the next stage is to engage with stakeholders and to hold discussions with both Cardiology staff and patients, with the outcome of these discussions to be presented at the December 2017 meeting for ratification by Members.

• CFC Annual Accounts & Annual Report Update – Mr Wade informed Members that the charity’s Annual Accounts for 2016/17 have been submitted to Wales Audit Office (WAO). In addition the Annual Report will be submitted for approval at the December 2017 meeting.

• Draft Hywel Dda Health Charities Impact Report – Members were advised that the impact report presented at the Hywel Dda University Health Board Annual General Meeting (AGM) which took place on 27th July 2017, brought to life the work of the Charity. It was further noted that the majority of questions raised at the AGM were in relation to the Charity further strengthening its public profile.

Materion y mae angen Ystyriaeth neu Gymeradwyaeth Lefel y Bwrdd ar eu cyfer/Matters Requiring Board Level Consideration or Approval: None to report.

Risgiau Allweddol a Materion Pryder: Key Risks and Issues/Matters of Concern: Members were concerned with the quality of some of the reports presented to the Committee. The Charitable Funds Committee chair has subsequently discussed this with senior members of the Operations Directorate.

Busnes Cynlluniedig y Pwyllgor ar gyfer y Cyfnod Adrodd Nesaf: Planned Committee Business for the Next Reporting Period: In addition to the items scheduled to be reviewed as part of the Committee’s work programme, following up progress of the various actions identified at the Committee meeting will be undertaken. In particular, the planned 6-monthly review of the Charitable Funds Operations Sub- committee will be presented. 2

Dyddiad y Cyfarfod Nesaf: Date of Next Meeting: 5th December 2017.

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