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Full Set of Board Papers 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 September 2011 www.nhshighland.scot.nhs.uk HIGHLAND NHS BOARD MEETING OF BOARD Tuesday 4 October 2011 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 Minute of Meeting of 9 August 2011 and Action Plan (attached) 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 August 2011 (attached) 3.2 Mid Highland CHP Committee – Draft Minute of Meeting held on 19 August 2011 (attached) 3.3 North Highland CHP Committee – Draft Minute of Meeting held on 16 August 2011 (attached) 3.4 Raigmore Hospital Committee – Draft Minute of Meeting held on 15 August 2011 (attached) 3.5 South East Highland CHP Committee – Draft Minute of Meeting held on 18 August 2011 (attached) 3.6 Audit Committee – Draft Minute of Meeting held on 13 September 2011 (attached) 3.7 Clinical Governance Committee Assurance Report of 16 August 2011 (attached) 3.8 Staff Governance Committee Assurance Report of 23 August 2011 (attached) 3.9 Improvement Committee Assurance Report of 5 September and Balanced Scorecard (attached) 3.10 (a) Area Clinical Forum – Draft Minute of Meeting of 4 August 2011 (attached) (b) Constitution – NHS Highland Area Healthcare Science Forum (attached) 3.11 Health and Safety Committee – Draft Minute of Meeting of 18 August 2011 (attached) 3.12 Pharmacy Practices Committee (a) Minute of Meeting of 23 August 2011 (attached) (b) Revised Role and Remit (attached) The Board is asked to: (a) Note the Minutes. (b) Note the Clinical Governance Committee met on 16 August 2011. Note the Assurance Report and agreed actions resulting from the consideration of the specific items detailed. Note that the next meeting of the Clinical Governance Committee will be held on 8 November 2011. (c) Note the Staff Governance Committee met on 23 August 2011. Note the Minute of Meeting and the associated Assurance Report and agreed actions resulting from consideration of the specific items. Note the next meeting of the Staff Governance Committee will be held on 22 November 2011. (d) Note that the Improvement Committee met on 5 September 2011. Note the Assurance Report and agreed actions resulting from the review of the specific topics detailed and the Balanced Scorecard. Note that the next meeting of the Improvement Committee will be held on 31 October 2011. (e) Approve the Constitution of the NHS Highland Healthcare Science Forum. Approve the further revised Role and Remit of the Pharmacy Practices Committee. Council/Highland NHS Board Joint Committees 3.13 Highland Council Partnership – Joint Committee on Children and Young People – Minute of Meeting of 12 August 2011 (attached) 3.14 Highland Council Partnership – Joint Leadership and Performance Group – Minute of Meeting of 16 August 2011 (attached) The Board is asked to: Note the Minutes. 2 4 PART 2 – CORPORATE GOVERNANCE / ASSURANCE 4.1 NHS Board and Board Development Meeting Dates 2011 and NHS Highland Calendar of Meetings 2012 Report by Elaine Mead, Chief Executive (attached) A list of dates for Board Meetings and Board Development Meetings has been drafted for approval, as well as a list of dates for NHS Highland Governance and Professional Advisory Committee Meetings for 2012. The Board is asked to: Approve the dates for meetings of the NHS Board and Board Development Sessions for 2011. Approve the calendar of meetings for the next year. 4.2 Director of Public Health Annual Report 2011 Report by Margaret Somerville, Director of Public Health & Health Policy (attached) The purpose of the report is to provide information and direction to service planning and to highlight the issues around Health Inequalities to a wide audience. Board members should note that the covering paper for the Annual Report is attached and the full Director of Public Health and Health Policy Annual Report will follow. The Board is asked to: Note the report and its recommendations. 4.3 NHS Highland Financial Position as at 31 August 2011 Report by David Garden, Interim Director of Finance (attached) The Board is asked to: Note the continued forecast of break-even in the current year. Note the work on-going to identify and deliver further savings. Note the specific arrangements put in place for Raigmore Hospital to assist with the delivery of targets. 4.4 NHS Highland Capital Plan Report by Malcolm Iredale, Director of Finance (attached) It was agreed at the last Board meeting that a detailed report on the Capital Plan would be submitted to the next meeting of the Board. The Board is asked to: Note the capital resource available for 2011/12. Confirm the 2011/12 projects underway following prioritisation process and Asset Management Group (AMG) approval. Agree the process outlined to determine future capital plans. Note the continued pressure on future capital plans. 3 4.5 Oban Dental Centre – Argyll & Bute CHP – Standard Business Case Report by Stephen Whiston, Head of Planning, Contracting and Performance Argyll and Bute CHP on behalf of David Garden, Interim Director of Finance (attached) Argyll and Bute CHP has been progressing its dental modernisation strategy for those localities which do not have adequate dental services (Oban, Campbeltown, Bute and Islay/Jura). Capital funding for the Oban dental project has been identified by the SGHD and the SGHD Capital Investment Group has approved the Standard Business Case (SBC) Please note that due to the size of the document only the Executive Summary of the Outline Business Case has 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. A copy of the full report is available from the Board Secretary’s office and will be available at the Board meeting. The Board is asked to: Approve the Standard Business Case (SBC) for a new Dental Centre in Lorn and Islands Hospital, Oban (attached) Note that the NHS Highland Capital Asset Group has approved and endorsed the SBC and approach at its meeting on 24 May 2011 Note the CHP Management Team and Committee has approved and endorsed the SBC to SGHD CIG at its June meetings. Note that due to timing issues re the approval process to the SGHD Capital Investment Group, the SBC had to be submitted to CIG in July on the premise that the scheme should be progressed under the Transition arrangements as specified in CEL 32 (2010). The CIG approved the SBC and confirmed capital funding for the scheme on 5 August 2011. Note the recommendation that the scheme be procured under the “Framework” process due to the designation of capital funding carried forward from the PCMP allocation. 4.6 Infection Control Reports (a) Regular Infection Control Report Report by Liz McClurg, Interim Infection Control Manager on behalf of Heidi May, Board Nurse Director & Executive Lead for Infection Control (attached) (b) Tissue Viability – Pressure Ulcer Prevention Report by Pat Tyrrell Lead Nurse, Argyll & Bute CHP on behalf of Heidi May, Board Nurse Director (c) Infection Prevention and Control in the Community Report by Abhayadevi Tissington, Nurse Consultant Health Protection on behalf of Heidi May, Director of Nursing The Board is asked to: (a) Note the contents of the Infection Control Report. (b) Note the current status of pressure ulcer incidence across NHS Highland and the actions in place to improve care. (c) Note the contents of the report on Infection Prevention and Control in the Community. 4 4.7 Better Together In-Patient Survey 2011 Report by Mirian Morrison, Clinical Governance Development Manager on behalf of Heidi May, Board Nurse Director (attached) As part of the national Better Together Programme, 5388 in-patient questionnaires were sent to patients who have spent at least one night in a Highland Hospital in the period 1 October 2009 to 30 September 2010. This survey excluded Mental Health, Maternity and Paediatrics. The overall response rate was 55%, similar to last year. The Highland wide results are shown in Appendix A. The Board is asked to: Note the findings of the Better Together In-Patient Survey and the action being taken to address the findings. 4.8 Chief Executive’s and Directors’ Report Emerging Issues and Updates Report by Elaine Mead, Chief Executive (attached) This month’s report incorporates updates on: Audit Scotland – Overview of NHS in Scotland Detect Cancer Early Implementation Plan Interim Director of Finance Nursing And Midwifery Council – Review of North of Scotland Local Supervising Authorities Regional Panning – NoSPG Report for NHS Board Annual Reviews Regional Planning – North of Scotland Planning Group and West of Scotland Planning Group Strategic Framework – Updates on Communicating the Vision and Quality and Clinical Pathways The Board is asked to: Note the Emerging Issues and Updates Report. 4.9 NHS Highland Response to Mid Staffordshire NHS Foundation Trust Reports Report by Mirian Morrison, Clinical Governance Development Manager on behalf of Dr Ian Bashford, Medical Director (attached) The Board is asked to: Note the progress with the five priority areas for 2011/12 which were identified following a detailed gap analysis against the Mid Staffordshire Reports.
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