BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST

MINUTES OF THE ASSEMBLY OF GOVERNORS MEETING HELD ON WEDNESDAY 27th MAY AT UFFCULME CENTRE, MOSELEY

In Attendance

Governors:

Sally Selvey Nursing Staff Governor Asaf Khan Medial Staff Governor Vinodrai Mehta Other and AHP Staff Governor Naomi Hawkins Non-Clinical Staff Governor Joe Aldred East and North Public Governor Renganathan Ramamoorthy Birmingham East and North Public Governor Bernadette Murray South Birmingham Public Governor Sat Pal Heart of Birmingham Public Governor Kenneth Jeffers Heart of Birmingham Public Governor Brian Sheppard Solihull Public Governor John Robinson Service Users - BEN Peter Brown Solihull Service User Governor Loris Tapper Carer Governor Lawrence Innis Carer Governor June Green Carer Governor Anne McKenzie Carer Governor Charles Zuckerman Local Medical Committee Stakeholder Governor Robin Felton Alzheimer’s Society Stakeholder Governor Lynne Jones MP Stakeholder Governor Peter Lea Stakeholder – Solihull Metropolitan Borough Council Carl Foulkes West Midlands Police Stakeholder Governor

Trust Staff:

Peter Marquis Chairman Karen Martin Deputy Chief Executive / Director of Organisational Workforce Development Ros Alstead Executive Director of Nursing David Boden Non-Executive Director Stella Layton Non-Executive Director Alison Lord Non-Executive Director Gill Harrad Trust Solicitor Georgina Dean Director of Finance Rachael Vowles Director of Communications & Marketing Charlotte Maybury Executive Assistant (Notes) Laura Hollingsworth Foundation Trust Assistant

1 1. Apologies for absence

Darren Cooper Nursing Staff Governor Bridie Nugent South Birmingham Public Governor Khalid Ali Rest of and Wales Public Governor Faheem Uddin Heart of Birmingham Service User Governor Lynda Smith Service Users - South Anne Davis Stakeholder Governor Lilieth Williams Birmingham City University Stakeholder Governor Jane Morel Terrance Higgins Trust Stakeholder Governor Sue Anderson Stakeholder Governor Sue Nixon PCT Commissioners Stakeholder Governor

2. Receipt and Discussion of the Trust’s Annual Plan

An introduction to the Plan was provided by Karen Martin, Deputy CEO.

The following comments and views were noted: i. It was queried why Monitor’s deadline was not moveable. It was felt that not enough time was being given to fully read and understand the plan. The Chair responded that the majority of the plan content had been discussed previously at Board and Governor meetings. He stated that there was no option to not submit by the deadline and that it was unfortunate that timescales were tight, but this was unusual. ii. Page 11: It was commented that the mention of land sales conflicts with the expansion plan on page 12 (Yardley Green). iii. Page 17, Place of Safety: It was commented that there were no costings included. The Chair responded that land sales was a contingency plan should the Trust need to utilise this option and that Yardley Green is a response to Commissioners for additional forensic services. iv. Concern was raised that Solihull was not mentioned and it was asked if they would have access to the services mentioned. The Chair responded that Solihull Care Trust are aware of all BSMHFTs new initiatives and that there population would have access to these services and facilities. v. Concern was raised that Solihull Hospital and the Lyndon Clinic were not mentioned in future development of services. The Chair stated that perhaps this should be made more explicit. vi. The question was asked if a cost and benefit analysis had been undertaken in relation to Moseley Hall Hospital (£24m). In response, it was stated that currently the premises are leased so this is not economical. This build is also linked into the new hospital build (QEPH). This new build will improve quality of services and the Board considered this over a long period of time, when preparing a full business case. The Chair stated that he was happy to arrange for interested Governors to see the full business case. vii. It was asked if Solihull patients will be able to access Moseley Hall and will it be replacing other older people’s services in Solihull. The Chair responded that Moseley Hall will not be replacing existing services.

2 viii. It was noted that AWA does not seem to feature much in the future business, nor does acute services. ix. It was commented that projection figures appear to be for Birmingham patients and do not mention Solihull patients. In response it was stated that services for AWA have featured quite largely in the past and that current service development will take into account a broader population. x. One Governor commented that there appears to be a lack of exercise facilities at community centres. However, it was felt that many sites have gyms etc. xi. Re-assurance was sought that ‘crisis beds’ would not be lost in the implementation of new plans. It was stated that there were no plans to do this. xii. Section 2.1.2 Formation: There is no mention of ethnic/cultural/diversity groups. xiii. It was noted that a glossary would be helpful. xiv. Ward 10 at Solihull is not mentioned in the plan. Does this mean it is not included? In response it was stated that identifying specific issues is not appropriate for the plan. xv. Section 2.3.3 Key Financial Assumptions: it was noted that there were a lot of abbreviations in this table. xvi. Could Governors be provided with a brief on Monitor’s definition of terms and requirements to give a better understanding? xvii. It was requested that a statement about the role of Governors be inserted in relation to Governance. xviii. Page 37, Mitigating actions: It was felt that the statement “Increased focus on data recording to increase activity” was mis-leading. In response, it was stated that this statement relates to staff not recording what they do in the correct way ie. On ePEX. If it isn’t recorded the Trust does not receive payment. xix. Section 5, Membership: Additional text to be added about membership strategies.

General Comments Received i. It was asked if the Medical Director had had input into the plan. It was reported that he had, although this is not stated in the plan. ii. It was asked if general illness be included when considering patient communication means. iii. BME should feature more as a key driver within the plan, rather than small references within sections. iv. Key Actions on page 14-16 were very clinically based.

3 v. It was asked if Monitor ask how many members are over 65. It was reported that Monitor didn’t require this information but the Trust monitor’s this as part of their recording. vi. It was asked if the Trust could look at new ways of delivering services to BME clients. vii. The plan works on the assumption that patient numbers will remain the same. It was stated that population growth in Solihull should be raised as a concern within the plan. The Chair stated that this was not sufficiently definitive currently to focus in current plan, but that the Trust should be aware of this and revisit on a yearly basis. viii. It was asked if a strategic plan is being developed within the plan for carers, to give carers more of a say in care plans. The Chair stated that he would see if this could be reflected in the plan.

Lynne Jones joined the meeting at this point – 3.50pm

Ix It was asked if the final plan would be given to Governors. The Chair stated it would, along with a further discussion session.

The Chair asked the Governors if they felt sufficiently informed to make a decision to approve the Annual Plan.

The Chair responded to many points raised and the Governors approved the Annual Plan.

Date, Time and Venue of the Next Meeting

Thursday 4th June 2009

Venue to be confirmed

Charlotte Maybury Executive Assistant

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