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AGENDA Time Item No Leeds Community Healthcare NHS Trust Board Meeting (held in public) Friday 4 October 2019, 9.00am – 12.00noon Trust Headquarters, Stockdale House, Victoria Road, Leeds LS6 1PF AGENDA Time Item no. Item Lead Paper Preliminary business 9.00 2019-20 Welcome, introductions and apologies Neil Franklin N (53) 9.05 2019-20 Declarations of interest Neil Franklin N (54) 9.10 2019-20 Questions from members of the public Neil Franklin N (55) 9.15 2019-20 Minutes of previous meeting and matters arising: Neil Franklin (56) a. Minutes of the meetings held on 2 August 2019 Y b. Actions’ log Y 9.30 2019-20 Patient’s story: Tuberculosis Steph Lawrence N (57) Quality and delivery 9.45 2019-20 Chief Executive’s report Thea Stein Y (58) 9.55 2019-20 Committees’ assurance reports: (59) a. Charitable Funds Committee : 20 September 2019 Brodie Clark Y b. Nominations and Remuneration Committee: 20 September 2019 Neil Franklin Y c. Quality Committee: 23 September 2019 Ian Lewis Y d. Business Committee: 25 September 2019 Brodie Clark Y 10.05 2019-20 Performance brief and domain reports: August 2019 Bryan Machin Y (60) 10.25 2019-20 Risk management (61) a. Significant risks and Board assurance framework (BAF) Summary Report Thea Stein Y b. BAF 2019/20 proposed changes Thea Stein Y Strategy and planning 10.35 2019-20 Organisational priorities position report Bryan Machin Y (62) 10.45 2019-20 Engagement strategy Steph Lawrence Y (63) 11.05 2019-20 Workforce strategy: Health and wellbeing Laura Smith/Jenny Y (64) Allen 11.15 2019-20 Implications of the Amin Abdullah review Laura Smith/Jenny Y (65) Allen 11.25 2019-20 Draft estate strategy Bryan Machin Y (66) Annual reports 11.35 2019-20 Safeguarding annual report 2018/19 Steph Lawrence Y (67) 11.45 2019-20 Infection prevention and control annual report 2018/19 Steph Lawrence Y (68) 11.50 2019-20 Board workplan Thea Stein Y (69) Minutes 11.55 2019-20 Approved minutes for noting: Neil Franklin (70) a. Quality Committee: 22 July 2019 Y b. Business Committee: 24 July 2019 Y c. Audit Committee: 22 May 2019 Y 12.00 2019-20 Close of the public section of the Board Neil Franklin N (71) Date of next meeting (held in public) Friday 6 December 2019 9.00am-12noon Leeds Community Healthcare NHS Trust AGENDA Trust Board Meeting (held in public) AGENDA ITEM ITEM 2019-20 2014-15 Boardroom, Stockdale House, Victoria Road, Leeds LS6 1PF (56a) (16) Friday 2 August 2019, 9.00am – 12.10pm Present: Neil Franklin Trust Chair, Thea Stein Chief Executive Brodie Clark Non-Executive Jane Madeley Non-Executive Director Richard Gladman Non - Executive Director Helen Thomson Non-Executive Director Bryan Machin Executive Director of Finance and Resources Sam Prince Executive Director of Operations Steph Lawrence Executive Director of Nursing and Allied Health Professionals Dr Ruth Burnett Executive Medical Director Jenny Allen Director of Workforce, Organisational Development and System Development (JA) Apologies: Professor Ian Lewis Non-Executive Director Laura Smith Director of Workforce, Organisational Development and System Development (LS) In attendance: Diane Allison Company Secretary Margaret Duke Aspirant Non-Executive Director Programme Participant Louise Popple Infection Prevention and Control Nurse (for Item 31) John Walsh Freedom to Speak Up Guardian (for Item 39) Dr Turlough Mills Guardian for Safe Working Hours (for Item 40) Minutes: Liz Thornton Board Administrator Observers: Nikki Stubbs Deputy Director of Nursing, Interim Professional Lead for Nursing Members of the One member of the public public: was in attendance. Item Discussion points Action 2019-20 Welcome and introductions (27) The Trust Chair welcomed Board members, a member of the public and a member of staff attending the meeting. Apologies Apologies were noted from Professor Ian Lewis, Non-Executive Director (IL) and Laura Smith Director of Workforce, Organisational Development and System Development (LS). 1 2019-20 Declarations of interest (28) There were no declarations of interest made in relation to any items on the agenda. 2019-20 Questions from members of the public (29) There were no questions from the member of public in attendance. 2019-20 Minutes of the previous meeting held on 24 May 2019 and matters arisinga r (30a) Minutes of the previous meeting held on 24 May 2019 The minutes were reviewed for accuracy and agreed to be a correct record. (30b) Items from the actions’ log The Trust Chair noted the actions from previous meetings were completed and closed. 2019-20 A patient’s story (31) The Executive Director of Nursing and Allied Health Professionals introduced the patient’s story item and welcomed Louise Popple, Infection Prevention and Control Nurse who was attending the meeting to speak to the Board about the Trust’s work to raise awareness of the risks of developing E.coli due to dehydration. Louise began by outlining the background and context of the Trust’s work in this area. In May 2017 the NHS Improvement and Public Health England publication: ‘Preventing healthcare associated Gram-negative bloodstream infections: an improvement resource’, outlined a new ambition from the Secretary of State for Health to reduce healthcare associated gram negative blood stream infections by 50% by 2021 (broken down into 10% reductions each year) she added that since then the new 5 year strategy changed ambitions to 50% by 2024 with a starting focus on E. coli. The work undertaken by the Trust’s Infection Control Team included attending 15 lunch clubs/ coffee mornings across the city, collecting data on whether people thought they drank enough, whether (following discussion) they actually did drink enough, reasons for not drinking, strategies to encourage individuals to drink more and re-visits in 3 months’ time to assess changes in habits. The Executive Director of Nursing and Allied Health Professionals advised the Board that the target was difficult to achieve as improvement was based on proactive prevention and self-care. Louise explained that although the Trust did not achieve the target 10% reduction this year, further funding had been made available for another year and the Trust planned to continue to run public health campaigns, focus on health care interventions, would be making a presentation at the IPS conference 2019 “I Spy E. coli –the Leeds approach” and making better links with GP practices and prescribing behaviours. The Trust Chair thanked Louise for taking time to talk about the innovative work the Infection Control Team were undertaking in this area and wished them luck in their aspiration to meet the reduction target this year. 2019-20 Chief Executive’s report (32) The Chief Executive presented her report, the items highlighted included: Leeds Mental Wellbeing Service (IAPT contract) Chronic Pain Management (Spinefit+) service tender award Long Term Plan (LTP) implementation framework 2 Sir David Behan visit Mental Health Support Teams in Trailblazer sites Media report for June 2019 The Board was particularly pleased to see that Sir David Behan, Chair of Health Education England had visited the Trust. He had spent time visiting the wound care clinic at Rutland Lodge and met the outreach nurse for the gypsy traveller community. In response to a question from a Non-Executive Director (JM), the Chief Executive advised that the Trust was still awaiting the draft report from the CQC’s well led inspection in June 2019. Non-Executive Director (BC) noted the development of a talent pool as part of the Trust’s talent management strategy and said he looked forward to hearing more about the opportunities it would offer staff in future. The Chief Executive also advised the Board that the Health and Safety Executive would be visiting the Trust between the 19 and 30 August 2019 and 9 and 13 September 2019 to look at how the Trust managed the risks of violence and aggression. No further questions were raised on any other items in the Chief Executive’s report. Outcome: The Board noted the Chief Executive’s report and the matters highlighted. 2019-20 Assurance reports from sub-committees (33) Item 33(i)- Charitable Funds Committee 21 June 2019 The report was presented by the Committee Chair and Non-Executive Director (BC) who highlighted the key issues discussed, namely: Charity agenda- a meeting had taken place with the Chief Executive of Leeds Cares on 18 June 2019. The Committee felt that there was value in progressing towards the partnership with Leeds Cares subject to some further work being undertaken including due diligence. Draft annual report and accounts 2018/19 – these were accepted by the Committee. Item 33(ii)- Nominations and Remuneration Committee 21 June 2019 The report was presented by the Committee Chair and Trust Chair (NF) who highlighted the key issues discussed, namely: CEO and Director appraisals and pay- in line with national guidance all directors as well as the CEO had been appraised in terms of performance during the 2018/19 financial year and all the appropriate information returned to NHS Improvement. Clinical Excellence Awards (CEA) – the CEA award panel for the 2018/19 round would meet on 27 August 2019. Item 33(iii) – Quality Committee The reports were provided by the Committee Deputy Chair and Trust Chair (NF) who highlighted the key issues discussed, namely: 24 June 2019 (workshop) Focussed workshop session covering two areas – Population Health Management and Patient Engagement Strategy. 3 22 July 2019 Service spotlight review - the Committee discussed the value of service spotlight presentations and whether there was an element of duplication between what was presented to the Committee and what was dealt with by performance panels. It was agreed that in order to provide assurance, the process for choosing the topics should be systematic.
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