DOCSLIB.ORG

Audit Committee Ambulance Services in Wales Inquiry July 2009

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Audit Committee Ambulance Services in Wales Inquiry July 2009 Audit Committee Ambulance Services in Wales Inquiry July 2009 The National Assembly for Wales is the democratically elected body that represents the interests of Wales and its people, makes laws for Wales and holds the Welsh Government to account. An electronic copy of this report can be found on the National Assembly’s website www.assemblywales.org Further hard copies of this document can be obtained from: Audit Committee National Assembly for Wales Cardiff Bay CF99 1NA Tel: 029 2089 8617 Fax: 029 2089 8021 Email: [email protected] National Assembly for Wales Audit Committee Ambulance Services in Wales Inquiry July 2009 Ambulance Services in Wales Inquiry Contents Chair’s Foreword 4 Introduction 5 The eight minute standard 8 Rapid Response Vehicles 9 Transport of patients by other emergency services 11 Intelligent targets 12 Advanced Paramedic Practitioners 13 Handovers 15 Data terminals 16 Handover targets 17 Making best use of resources 18 Ambulance officers 19 Restocking 21 Sharing best practice 21 Addressing geographical variations 22 Staffing levels at emergency departments 23 The staff experience 24 WAST financial position 25 Re-organisation of the NHS 26 1 Annexes Audit Committee Record of Proceedings 21 January Annex 1 2009 Audit Committee Record of Proceedings 11 March Annex 2 2009 Audit Committee Record of Proceedings 30 April 2009 Annex 3 Audit Committee Record of Proceedings 4 June 2009 Annex 4 Audit Committee Record of Proceedings 18 June Annex 5 2009 AC(3) 08-09 (p1) Unison – Ambulance Services in Annex 6 Wales AC(3) 08-09 (p2) British Paramedics Association – Annex 7 Ambulance Services in Wales 2 Committee Membership Jonathan Morgan Chair Cardiff North Welsh Conservative Lorraine Barrett Mike German Janice Gregory Cardiff South and Penarth South Wales East Ogmore Labour Welsh Liberal Democrats Labour Lesley Griffiths Irene James Bethan Jenkins Wrexham Islwyn South Wales West Labour Labour Plaid Cymru Huw Lewis Nick Ramsay Janet Ryder Merthyr Tydfil and Rhymney Monmouth North Wales Labour Welsh Conservative Plaid Cymru 3 Chair’s Foreword Since the National Assembly for Wales voted in favour of an inquiry into the Welsh Ambulance Services NHS Trust in July 2006, the Audit Committee has taken a keen interest in the performance of the Ambulance service. But despite two Committee reports on the underperformance of the Trust, the Committee is not convinced that progress is being made and remains unhappy with unscheduled care provision. The Trust has undergone a transformational change in recent years that has gone some way to modernising the delivery of pre-hospital care in Wales but further improvement is still needed. The Committee is concerned that targets designed to ensure a prompt response to emergency 999 calls are not being met consistently and at times, performance falls well below the required level. The Committee is also concerned that performance has been adversely affected by the Trust’s efforts to make efficiency savings. Further concerns relate to the bullying culture evident in the Trust which is undermining the achievements of staff and must be addressed as a priority. But the Ambulance service does not work in isolation. Lengthy delays to handovers at accident and emergency units can mean that paramedics are queuing with patients in corridors and unavailable to answer 999 calls. For the patient in an A&E Department a lengthy wait is unacceptable. For the patient in the community awaiting a response to a 999 call, the situation could be fatal. It is of the utmost importance that the NHS in Wales works to improve the process from the ‘front door’ to the ‘back’, with joined up working and intelligent systems that have both the capacity and the tenacity to enable staff to provide first class care. This report examines the pre-hospital care provided by the Welsh Ambulance Services NHS Trust and the handover process when paramedics transfer the care of a patient to hospital staff. The Committee has previously made recommendations about delayed transfers of care which occur when patients are discharged from hospital, and will be examining other aspects of the patient journey in future reports. It is hoped that the Welsh Assembly Government will take the opportunity of the forthcoming re-organisation of the NHS to modernise the delivery of care across the whole system. However, the re-organisation should not be seen as the solution in itself and work on improving the performance of the Wales Ambulance Service NHS Trust must be carried out in earnest. I would like to thank the witnesses who gave evidence to this inquiry. The passion and dedication of those individuals was apparent throughout and the Committee is grateful for their time and efforts. Jonathan Morgan, Chair, Audit Committee 4 Introduction 1. The Welsh Ambulance Service NHS Trust is the frontline provider of pre- hospital unscheduled care in Wales. The all Wales service responds to emergency 999 calls in order to save lives and provide emergency care to patients. The Audit Committee commends the dedication and hard work of all staff of the ambulance service who strive each day to ensure that the patients they see receive the care they need. 2. However, concerns regarding the Welsh Ambulance Service NHS Trust have been ongoing for sometime. Accusations of bullying and poor morale were coupled with poor performance against the Trusts performance targets. In times of particular pressure, the already overstretched service was brought close to breaking point with reports of ambulances queuing outside emergency departments and patients waiting for unacceptably long periods for an emergency response. 3. In July 2006, the National Assembly for Wales voted for an inquiry into ambulance services in Wales, to be led by the Auditor General for Wales. The Auditor General for Wales published his report on the inquiry in December 2006. The inquiry concluded that there were longstanding and severe problems throughout the Welsh Ambulance Service NHS Trust. In March 2007, the predecessor Audit Committee reported on its own investigation into the issues. 4. In June 2008, the Auditor General for Wales reported on his follow up review into the Ambulance Services in Wales. That review found that although there was evidence of positive improvements in the Trust since December 2006, some difficult problems remained. These problems were judged by the Wales Audit Office as symptomatic of the process of transformational change. The Audit Committee report of October 2008 reflected this view and recognised that although there was a need to make rapid and sustained progress, it would take time to deal with some of the organisational and systemic challenges that faced the Trust. 5. In December 2008, the Welsh Assembly Government responded to the Audit Committee report. The Audit Committee considered the response in January 2009 and sought advice from the Auditor General for Wales.1 The Committee was concerned that progress was not being made quickly enough with regard to the issues highlighted in its earlier reports. It decided to seek further evidence from Paul Williams, Director-General of Health and Social Services and Accounting Officer in the Welsh government, and Alan Murray, Chief Executive of the Welsh Ambulance Services NHS Trust. 6. The Auditor General for Wales issued his report ‘Ambulance Services in Wales – further update to the National Assembly for Wales’ Audit 1 AC(3)-01-09 (p2), (p3) 5 Committee’ ahead of the Audit Committee meeting on 11 March 2009, in which Paul Williams and Alan Murray gave evidence to the Committee. 7. On 23 April, the Auditor General for Wales published his report ‘Unscheduled Care – patient handovers at hospital emergency departments’. 8. Following consideration of the report on handovers,2 the Audit Committee launched an inquiry into ambulance services in Wales in order to examine the wider issues effecting performance of the trust. 9. The Committee took oral evidence from: 16 March 2009 • Alan Murray, Chief Executive, Welsh Ambulance Service NHS Trust • Tim Woodhead, Director of Finance, Welsh Ambulance Service NHS Trust • Paul Williams, Director-General of Health and Social Services, Welsh Assembly Government • Simon Dean, Director of Service Delivery and Performance Management, Welsh Assembly Government 4 June 2009 • Dave Galligan, Head of Health, Unison Wales • Tina Donnelly, Director, Royal College of Nursing • Andrew Evans, Professional Officer, Royal College of Nursing • Professor Malcolm Woollard, Chair of the College of Paramedics 18 June 2008 • Jon Falcus, Directorate General Manager, Wrexham Maelor Hospital • Judith Rees, Deputy Directorate General Manager, Wrexham Maelor Hospital • Meredith Gardner, Directorate Manager, University Hospital of Wales • Jennie Palmer, Senior Team Leader Nurse, Emergency Unit, University Hospital of Wales • Alan Murray, Chief Executive, Welsh Ambulance Service NHS Trust • Tim Woodhead, Director of Finance, Welsh Ambulance Service NHS Trust 2 AC(3)-06-09 (p2) 6 • Paul Williams, Head of Health and Social Services, Welsh Assembly Government • Simon Dean, Director of Service Delivery and Performance Management, Welsh Assembly Government 10. Written evidence was also received from Professor Malcolm Woollard and Dave Galligan. 7 The eight minute standard 11. The Welsh Ambulance Service NHS Trust has a target to respond to category A immediately life threatening calls within eight minutes at least 65 percent of the time. From March 2005 – April 2007 the target eight minute response
Load more

Recommended publications
  • The NHS in Wales: Structure and Services (Update)
    The NHS in Wales: Structure and services (update) Abstract This paper updates Research Paper 03/094 and provides briefing on the structure of the NHS in Wales following the restructuring in 2003, and further reforms announced by the First Minister in 2004. May 2005 Members’ Research Service / Gwasanaeth Ymchwil yr Aelodau Members’ Research Service: Enquiry Gwasanaeth Ymchwil yr Aelodau: Ymholiad The NHS in Wales: Structures and Services (update) Dan Stevenson / Steve Boyce May 2005 Paper number: 05/ 023 © Crown copyright 2005 Enquiry no: 04/2661/dps Date: 12 May 2004 This document has been prepared by the Members’ Research Service to provide Assembly Members and their staff with information and for no other purpose. Every effort has been made to ensure that the information is accurate, however, we cannot be held responsible for any inaccuracies found later in the original source material, provided that the original source is not the Members’ Research Service itself. This document does not constitute an expression of opinion by the National Assembly, the Welsh Assembly Government or any other of the Assembly’s constituent parts or connected bodies. Members’ Research Service: Enquiry Gwasanaeth Ymchwil yr Aelodau: Ymholiad Members’ Research Service: Enquiry Gwasanaeth Ymchwil yr Aelodau: Ymholiad Contents 1 Introduction .......................................................................................................... 1 2 Recent reforms of the NHS in Wales................................................................... 2 2.1 NHS reforms in Wales up to April 2003 ................................................................. 2 2.2 Main features of the 2003 NHS organisational reforms ......................................... 2 2.3 Background to the 2003 NHS reforms ................................................................... 3 2.4 Reforms announced by the First Minister on 30 November 2004........................... 4 3 The NHS in Wales: Commissioners and Providers of healthcare services ....
    [Show full text]
  • Legal & Policy Briefing
    LEGAL & POLICY BRIEFING Access to Healthcare for Migrants in Wales AUTHOR: JONATHAN PRICE PUBLISHED: February 2016 http://www.wrc.wales/migration-information LEGAL & POLICY BRIEFING: Access to Healthcare for Migrants in Wales TABLE OF CONTENTS Introduction .............................................................................................3 How this briefing is structured ..................................................................3 The NHS in Wales .....................................................................................3 Primary care .............................................................................................3 Secondary care .........................................................................................4 Immigration Health Surcharge ..................................................................8 Further resources ................................................................................... 10 Acknowledgments .................................................................................. 10 HTTP://WWW.WRC.WALES/MIGRATION-INFORMATION PAGE 2 LEGAL & POLICY BRIEFING: Access to Healthcare for Migrants in Wales Introduction This briefing provides a general overview of migrants’ entitlement to NHS healthcare services in Wales. A broad range of migrant groups are considered here, including mobile EU citizens, asylum seekers, refugees and third country nationals, including those with irregular immigration status. Information on access to both primary and secondary healthcare services
    [Show full text]
  • Assurance and Accreditation News
    Get in touch Call us on 01789 761600, visit www.chks.co.uk or email [email protected] Issue 21 Assurance and Winter 2013 Accreditation News of our dementia dashboard and standards and consultancy Highlights from 2013 support, which make up the assurance programme. 2013 has been a year for consolidation The standards development team, as always, has continued and reflection following the significant to develop and maintain our programmes of standards. The changes in 2012. This year we said main achievement was the publication of the International goodbye to Ruth Wright, a long term Accreditation Programme for healthcare organisations 2013. client manager, who has left us for Updated using a patient pathway approach, and the modules as the pleasures of retirement which we a framework, we are excited by the end product which is a step hope she is embracing. In the summer, forward from the 2010 standards. Other programmes completed we were shocked by the sudden death of Julie Hyde, our in 2013 were the domiciliary standards and the oncology Accreditation Awards Panel chairman, which is a great loss to standards. The primary care standards are out for consultation, us. Her legacy will remain in the many structures and processes and work is very much underway on revising the hospice and implemented during her tenure and the memory of her ‘matter care home standards for completion in the first half of 2014. of fact’ approach to life. Alan Corry Finn has now taken on the chairmanship. Regulation and inspection As a result of the Francis, Keogh and Berwick reports there has Celebrating success been notable change in the regulation and inspection of health At our Top Hospitals ceremony in May, Guy’s and St Thomas’ and social care organisations in hospital was the winner of the dementia care award for their the UK this year.
    [Show full text]
  • Our Health, Our Health Service Green Paper
    Number: WG25325 Welsh Government Green Paper Our Health, Our Health Service Date of issue: 6 July 2015 Action required: Responses by 20 November 2015 Digital ISBN 978 1 4734 3673 2 © Crown Copyright 2015 Overview Data protection This consultation is to promote discussion and How the views and information you give gather views to help inform the potential for us will be used future legislation in the Fifth Assembly with Any response you send us will be seen in full regards to improving quality and governance by Welsh Government staff dealing with the in the NHS in Wales. issues which this consultation is about. It may also be seen by other Welsh Government staff How to respond to help them plan future consultations. Please respond by answering the questions at The Welsh Government intends to publish a the back of this document and sending it to: summary of the responses to this document. We may also publish responses in full. [email protected] Normally, the name and address (or part of Or by post to: the address) of the person or organisation who sent the response are published with Matthew Tester the response. This helps to show that the Healthcare Quality Division consultation was carried out properly. If you Department of Health and Social Services do not want your name or address published, Welsh Government please tell us this in writing when you send Cathays Park your response. We will then blank them out. Cardiff CF10 3NQ Names or addresses we blank out might still get published later, though we do not think this would happen very often.
    [Show full text]
  • Improving Mental Health Services in Systems of Integrated and Accountable Care: Emerging Lessons and Priorities
    2019 Improving mental health services in systems of integrated and accountable care: emerging lessons and priorities Table of Contents Foreword.......................................................................................................................................................... 1 1. Introduction ....................................................................................................................................... 2 Purpose of research ........................................................................................................................... 3 2. Policy context ................................................................................................................................... 5 Planning processes, contractual and legislative reform ....................................... 5 The case for change: why do mental health services matter in an ICS? 7 3. Mental health in integrated care systems .................................................................... 12 Approaches to population health management ..................................................... 12 Provider collaboratives ................................................................................................................. 18 4. Emerging themes: opportunities and challenges for mental health leaders ............................................................................................................................................................ 22 Key theme 1: Purpose and role of ICSs ............................................................................
    [Show full text]
  • Bundle Public Board 29 March 2018
    Bundle Public Board 29 March 2018 2.6 Report of the Chief Executive / Adroddiad y Prif Weithredwr Presenter: Steve Moore Report of the Chief Executive March 2018 App A - Register of Sealings March 2018 Board App B - Consultation Report March 2018 App C - Zero Based Review of HDdUHB 2.6 Report of the Chief Executive / Adroddiad y Prif Weithredwr 1 Report of the Chief Executive March 2018 CYFARFOD BWRDD PRIFYSGOL IECHYD UNIVERSITY HEALTH BOARD MEETING DYDDIAD Y CYFARFOD: 29 March 2018 DATE OF MEETING: TEITL YR ADRODDIAD: Chief Executive’s Report TITLE OF REPORT: CYFARWYDDWR ARWEINIOL: Steve Moore, Chief Executive LEAD DIRECTOR: SWYDDOG ADRODD: Sian-Marie James, Head of Corporate Office REPORTING OFFICER: Pwrpas yr Adroddiad (dewiswch fel yn addas) Purpose of the Report (select as appropriate) Ar Gyfer Penderfyniad/For Decision ADRODDIAD SCAA SBAR REPORT Sefyllfa / Situation The purpose of this Report is to: • Update the Board on relevant matters undertaken as Chief Executive of Hywel Dda University Health Board (the UHB) since the previous Board meeting held on 25 January 2018; and • Provide an overview of the current key issues, both at a local and national level, within NHS Wales. Cefndir / Background This Report provides the opportunity to present items to the Board to demonstrate areas of work that are being progressed and achievements that are being made, which may not be subject to prior consideration by a Committee of the Board, or may not be directly reported to the Board through Board reports. Asesiad / Assessment 1. Register of Sealings The UHB’s Common Seal has been applied to legal documents and a record of the sealing of these documents has been entered into the Register kept for this purpose.
    [Show full text]
  • Piloting Data Linkage in a Prospective Cohort Study of a GP Referral Scheme to Avoid Unnecessary Emergency Department Conveyance Joanna M
    Blodgett et al. BMC Emergency Medicine (2020) 20:48 https://doi.org/10.1186/s12873-020-00343-w RESEARCH ARTICLE Open Access Piloting data linkage in a prospective cohort study of a GP referral scheme to avoid unnecessary emergency department conveyance Joanna M. Blodgett1,2* , Duncan J. Robertson2,3, David Ratcliffe2,4,5 and Kenneth Rockwood6 Abstract Background: UK Ambulance services are under pressure to safely stream appropriate patients away from the Emergency Department (ED). Even so, there has been little evaluation of patient outcomes. We investigated differences between patients who are conveyed directly to ED after calling 999 and those referred by an ambulance crew to a novel GP referral scheme. Methods: This was a prospective study comparing patients from two cohorts, one conveyed directly to the ED (n = 4219) and the other referred to a GP by the on-scene paramedic (n = 321). To compare differences in patient outcomes, we include follow-up data of a smaller subset of each cohort (up to n = 150 in each) including hospital admission, history of long-term illness, previous ED attendance, length of stay, hospital investigations, internal transfers, 30-day re-admission and 10-month mortality. Results: Older individuals, females, and those with minor incidents were more likely to be referred to a GP than conveyed directly to ED. Of those patients referred to the GP, only 22.4% presented at ED within 30 days. These patients were more likely to be admitted then than were those initially conveyed directly to ED (59% vs 31%). Those conveyed to ED had a higher risk of death compared to those who were referred to the GP (HR: 2.59; 95% CI 1.14–5.89), however when analyses were restricted to those who presented at ED within 30 days, there was no difference in mortality risk (HR: 1.45; 95% CI 0.58–3.65).
    [Show full text]
  • Developing the Scrutiny of NHS Services
    Page 239 Agenda Item 12 SCRUTINY COMMISSION : 18 JUNE 2003 OVERVIEW AND SCRUTINY OF THE HEALTH SERVICE REPORT OF THE CHIEF EXECUTIVE PURPOSE 1 The purpose of this report is to set out the current position with regard to the implementation of the provisions in the Health and Social Care Act 2001 enabling Social Services Authorities to scrutinise the actions of NHS bodies. The item has been placed on the agenda at the request of Mr S Galton, CC. BACKGROUND Health Bodies 2 It is important at the outset of this report to identify the health bodies with responsibility for strategic issues and the delivery of services to the area of Leicestershire. Clearly, over time the number of such bodies and their responsibilities may change. Thus, new Care Trusts may be created from existing partnership arrangements, as has been the case with the development of Primary Care Trusts from Primary Care Groups over recent years. In Leicestershire the relevant health bodies are as follows: • Leicestershire, Northamptonshire and Rutland Strategic Health Authority • University Hospitals of Leicester NHS Trust • Leicestershire Partnership NHS Trust • East Midlands Ambulance Services NHS Trust • Eastern Leicester PCT • Leicester City West PCT • Melton, Rutland and Harborough PCT • Hinckley and Bosworth PCT • Charnwood and North West Leicestershire PCT • South Leicestershire PCT DM/health scrutiny Page 240 In addition, many residents of Leicestershire receive health services from NHS bodies based in other Social Services authority areas : examples are hospitals in Kettering, Northampton, Nuneaton, Coventry, Burton, Derby, Nottingham and Grantham. The extent to which members of authorities in Leicestershire may be involved in scrutiny of these bodies will depend on arrangements for scrutiny made elsewhere and is not therefore discussed further in this report.
    [Show full text]
  • Glossary of Health and Care Terms
    Glossary of health and care terms May 2021 This glossary provides a summary of organisations and general terms used within the health and care sector in Wales. The glossary provides some of the most common words and phrases used. 0 - 9 Acute Medical Unit (AMU) 111 An AMU is the first point of entry for patients referred to hospital as The NHS Wales 111 service is a free- emergencies by their GP and those to-call, non-emergency medical requiring admission from the helpline, available 24 hours a day, to Emergency Department. be used for health information, advice and access to urgent care. The service is currently operational in the Aneurin Add to Your Life Bevan University Health Board (UHB), Cwm Taf Morgannwg UHB, Hywel Dda ‘Add to Your Life’ is an online health- UHB, Powys Teaching Health Board check, which provides assessment (THB) and Swansea Bay UHB areas. It and community-based support to is anticipated that 111 will be rolled out enable over 50s in Wales to assess across Wales by the end of 2021. and improve their own health. A Additional Learning Needs and Education Tribunal Act 2018 A Regional Collaboration for Health (ALNET) (ARCH) The ALNET Act 2018 establishes a ARCH is a regional partnership made statutory framework for supporting up of Swansea University, Swansea children and young people with Bay UHB and Hywel Dda UHB. The additional learning needs (ALN) from ARCH partners work to improve the birth; whilst they are in school; and, if health, wealth and wellbeing of the they are over compulsory school age, people of South West Wales.
    [Show full text]
  • Primary Care Commissioning Committees Meeting in Common
    Cannock Chase Clinical Commissioning Group South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group Stafford and Surrounds Clinical Commissioning Group Primary Care Commissioning Committees Meeting in Common to be held on 30 May 2018 at 2.00 pm am in the Rudyard Suite, Staffordshire Place 2, Stafford ST16 2LP AGENDA A=Approval R=Ratification S=Assurance I=Information D=Discussion Enc Lead A/R/S/I Timing 1. Welcome by the Chair Verbal AHe - 2.00 2. Apologies Verbal AHe - 3. Quoracy Verbal AHe - Declarations of Interests and actions taken to 4. Enc. 01 AHe I manage conflict 5. Minutes of the Meeting held on 26 April 2018 Enc. 02 AHe A 6. Actions Sheet Enc. 03 AHe A 2.10 Assurance 7. Risk Register Enc. 04 SJ S 2.15 Strategic and Planning 8. Extended Access Specification Enc. 05 LM/VO I 2.25 9. Patient Participation Groups Enc. 06 SH S 2.35 Items for Information 10. 3600 Stakeholder Survey Enc. 07 LM I 2.50 11. Head of Primary Care National Update Enc.08 RB I 3.00 Any Other Business 12. Questions from Members of the Public - All D 3.15 Glossary of terms 13. Enc. 09 All I - Glossary of Terms Date, Time and venue of next meeting 28 June 2018 at 2.00 pm in the Aquarius 14. - All A 3.30 Ballroom, Cannock TO BE RESCHEDULED We are honest, accessible Quality is our day job We innovate and deliver Care and respect for all and we listen Cannock Chase Clinical Commissioning Group South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group Stafford and Surrounds Clinical Commissioning Group CANNOCK CHASE CLINICAL
    [Show full text]
  • From Good to Great Supplement Editor VEN E T INSIDE Jennifer Taylor S Sub Editor Hsj.Co.Uk Trevor Johnson, David Devonport CONTENTS Design Jennifer Van Schoor
    AN HSJ SUPPLEMENT/4 maRch 2010 LEADERSHIPIN ASSOCIATION WITH thE nationaL LEADERshiP coUnciL TOP LEADERS FROM GOOD TO GREAT Supplement editor VEN E T INSIDE Jennifer Taylor S Sub editor hsj.co.uk Trevor Johnson, David Devonport CONTENTS Design Jennifer van Schoor FOREWORD OPINION TOP LEADERS PROGRAMME NHS chief executive Sir Karen Lynas spells DAME BARBARA HAKIN David Nicholson explains out how the Top why a more systematic Leaders Programme Great leaders inspire their people to deliver willingly approach to NHS will work. more than they could ever have otherwise done. And recruitment will find the Page 2 the NHS is not short of such talented, committed, best people for key hard-working leaders who go the extra mile every day positions. to help their teams make services better for patients. Page 1 The National Leadership Council recognises the huge contribution that leadership makes to patient care and has created a range of supporting programmes – a board development programme, programmes for emerging and clinical leaders, a programme to support the inclusion of leaders from PROFILING diverse backgrounds and a programme for our most senior leaders, the Top Leaders Programme. The days of fierce, charismatic These national programmes build on the leadership leaders like General Patton are development in every individual organisation and over. Now those who command most across every region. Additionally, we have reached a respect are people-centred and watershed in how the NHS manages its most senior grounded in reality. We take a look talent, now overtly recognising that we need to spot at the new qualities needed to be a and nurture those people who are ready for the next great leader.
    [Show full text]
  • Governing Board Meeting
    CCG Headquarters 4th Floor 1 Guildhall Square (Civic Offices) Portsmouth PO1 2GJ Governing Board Meeting A meeting will be held from 3.00pm – 5.00pm on Wednesday 18 March 2020 in Conference Room A, 2nd Floor, Civic Offices, Portsmouth AGENDA Subject Lead Attachment 1. Apologies for Absence and Welcome Dr E Fellows Verbal Apologies received from Dr Nick Moore. 2. Register and Declarations of Interest Dr E Fellows Pink 3. Minutes of Previous Meeting Dr E Fellows White a. To agree the minutes of the Governing Board meeting held on Wednesday 15 January 2020. b. Matters Arising 4. Chief Clinical Officer’s Report Dr L Collie Blue 5. Health and Care Portsmouth and Wider Systems I Richens a. Portsmouth Verbal b. Portsmouth and South East Hampshire Verbal c. Hampshire and Isle of Wight Verbal 6. Finance and Performance Reports M Spandley a. Finance Report Cream b. Performance Report White c. Programme Highlight Report Cream 7. Quality and Safeguarding Report I Richens White 8. Governing Board Assurance Framework and Corporate I Richens Cream Risk Register 9. 2020-21 Operating Plan – 1st Cut M Spandley White 10. Financial Strategy and Budget Setting 2020/21 M Spandley Cream 11. Full Register of Interest (All Staff) Dr E Fellows Green 12. Verbal Report from Committee Chairs and Minutes Audit Committee A Silvester Verbal update. Subject Lead Attachment Health and Wellbeing Board I Richens Salmon Verbal update and minutes from 25 September 2019 and 8 January 2020 meetings. Primary Care Commissioning Committee M Geary Lilac Verbal update and minutes from 29 October 2019. Quality and Safeguarding Committee K Atkinson Verbal Verbal update.
    [Show full text]