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Enclosure 1 Page 1 of 9 BIRMINGHAM and SOLIHULL Enclosure 1 BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST MINUTES OF THE ASSEMBLY OF GOVERNORS MEETING HELD ON THURSDAY 3rd JUNE 2010, 1030-1500 AT UFFCULME CENTRE, MOSELEY, BIRMINGHAM In Attendance Governors: Sally Selvey Staff Governor - Nursing Asaf Khan Staff Governor – Medical Darren Cooper Staff Governor – Nursing John Robinson Service User Governor – BEN Peter Brown Service User Governor - Solihull Faheem Uddin Service User Governor – HoB Lynda Smith Service User Governor – South Elsie Gayle Service User Governor – Rest of England & Wales Anne McKenzie Carer Governor Loris Tapper Carer Governor Sue Nixon Stakeholder Governor - PCT Commissioners Lynne Jones Stakeholder Governor - MP Jane Morel Stakeholder Governor – Terrance Higgins Trust Ann Davis Stakeholder Governor – University Birmingham Peter Lea Stakeholder Governor – Solihull Metropolitan Borough Council Tessa Griffiths Stakeholder Governor – Future Health & Social Care Renganathan Ramamoorthy Public Governor – BEN Brian Sheppard Public Governor – Solihull Maureen Johnson Public Governor – Solihull Joe Aldred Public Governor – BEN Bridie Nugent Public Governor - South Trust Staff: Peter Marquis Chairman Sue Turner Chief Executive Peter Lewis Executive Medical Director Georgina Dean Director of Finance Frances Allcock Director of Organisational Development & Performance Improvement Denise Wilson Director of Quality Improvement & Patient Experience Sarah Smith Senior Communications & Marketing Manager Jonathan Lloyd Director of Strategic Delivery – AWA Glynis Markham Director of Strategic Delivery - MHSOP Peter Hughes Associate Director of Governance David Boden Non Executive Director Sukhbinder Singh-Heer Non Executive Director Gill Harrad Trust Solicitor Charlotte Maybury Governor Liaison (Notes) Page 1 of 9 Enclosure 1 1. Apologies for absence Vinod Mehta Staff Governor - Other and AHP Naomi Hawkins Staff Governor - Non-Clinical Charles Zuckerman Stakeholder Governor - Local Medical Committees Carl Foulkes Stakeholder Governor - West Midlands Police Paul Illingworth Stakeholder Governor - Birmingham City University Sue Anderson Stakeholder Governor – Birmingham City Council Bernadette Murray Public Governor - South Gerry Moynihan Public Governor – HoB Lawrence Innis Carer Governor Peter Marquis, Chair, welcomed everyone to the meeting, including Tessa Griffiths, new Stakeholder Governor from Future Health & Social Care and Steve Parsons from the Women’s Hospital Trust. 2. Minutes of Last Meeting (4th March 2010) The minutes of 4 March were agreed as accurate. 3. Matters Arising/Review of Actions The view was expressed that the response by Andrew Donald to the question about the ‘gap’ in services (page 7, third question) was not true and that there is a gap in services. The following actions were discharged: • Mar 10, Item 5 – Chairman’s Report : A number of Governors attended the March Trust Board. • Dec 09, Item 6 – Resources Report/Finance Dashboard: An email response was sent to Dr Khan by Georgina Dean on 3 March 2010 in relation to the over-spend figures. • Sept 09, Item 6 – Performance Report: Staff Satisfaction seminar arranged for 17 August 2010. • Sept 09, Item 5 – Clinical Service Quality Update Report: A presentation on Complaints Process taking place on 15 June 2010. • Dec 09, Item 3 – Matters Arising/Review of Actions: A number of Governor training/ awareness sessions have been scheduled throughout the remainder of the year. • Mar 10, Item 3 – Matters Arising/Review of Actions: It was reported that Berni Matthews, CMHT Manager has agreed that Governors can use a pre-bookable PC at the Lyndon Centre but has advised that it would be advisable to telephone in advance. • Mar 10, Item 7 – Clinical Services Quality Update: A meeting has been arranged to discuss the format of this report on 4 August 2010. • Mar 10, Item 9 – Governor Q & A: The subject of Governor Communications is on the Agenda, item 13. • Mar 10, Item 9 – Governor Q & A: Meetings have been arranged with Service User and Carer Governors on 29 June 2010 and with Staff and Public Governors on 17 August 2010, to discuss any further support Governors may require. Page 2 of 9 Enclosure 1 • Mar 10, Item 10 – Main House Consultation: Details of the level of future investment in Tier 1, 2 & 3 services was obtained from Andrew Donald and circulated to Governors on 19 May. The level of investment reported was £0.5m. • Mar 10, Item 12 – Governors Scrutiny Work Plan: A half day session has been scheduled for 7 July 2010 to agree topics for the work plan. • Mar 10, Item 11 – Annual Plan 2010/11: An awareness session for Governors has been scheduled for 16 November 2010. The Chair reported that the action in relation to a presentation by the Spiritual Care service will be arranged in liaison with the Acting Head of Spiritual Care. This will be arranged for the September Assembly if possible. 4. Declarations of Interests Darren Cooper declared his interests in matters relating to Sandwell Council. 5. Chairman’s Report and Board Update The Chair formally welcomed Tessa Griffiths, Chair/Director of Future Health and Social Care CIC to the Assembly as a stakeholder governor. The Chair reported that as Lynne Jones did not stand at the recent general election, it was necessary to consult the elected MPs about the stakeholder MP governor post. The Chair formally thanked Lynne on behalf of the Trust for the contribution she has made both to the Trust but also as a leading national advocate for improving the quality of mental health services. Lynne has agreed to remain on the assembly until the position of MP stakeholder governor is resolved. The following comments/questions were raised: Foundation Trusts Governors Association Q. It was asked what the benefits were to joining the FTGA and would it provide any additional training for governors. A. It was stated that more information was needed about membership of FTGA, but it was felt that being a member may hold significant value in relation to shared experiences and ideas. If the assembly concluded that joining the FTGA was desirable, the Chair and CEO would need to discuss the financial costs involved. The Chair pointed out that membership would only allow 2-3 members to attend events at any one time, so there would be a need for those attending events to feed back to the wider assembly. • The view was expressed that BSMHFT were noted in their absence of the FTGA for the West Midlands region. It was also stated that it was good to learn from other Trusts’ experiences, both good and bad, and that the FTGA display a good level of impartiality. • It was felt that how the information from the FTGA is cascaded to governors needs to be carefully thought through if the Trust become members. The Chair stated that as the meeting appeared to be very positive about joining the FTGA, he proposed that he and the CEO would explore taking this forward. Action: Chair/CEO Page 3 of 9 Enclosure 1 Governor Development Programme • It was asked that some understanding be shown to those governors who are not able to attend additional meetings/workshops. The Chair acknowledged this point. The Chair reported that he had received a positive initial response from Heart of England Foundation Trust regarding holding a joint workshop, but that it was requested by them that this be discussed further in a few months time. Action: Chair to follow-up in August Non Executive Director Re-appointment The Chair requested that the assembly agree that the Nomination and Remuneration Committee to initiate the process for re-appointment of NEDs, subject to the Assembly approving the process in September and to review the clustering of expiry dates for terms of office, on behalf of the assembly. The assembly agreed. 6. Use of Resources Report Georgina Dean, Director of Finance, informed the assembly that the Annual Accounts were approved by Trust Board in May. She stated that a full set of financial statements is available to any governors who wish to see them. Comments and questions were invited. Q. It was commented that the reduced risk rating is worrying and in particular the large spend on bank and agency. A. It was explained that the spend on bank and agency at year end was higher than anticipated and also the expenditure in relation to the closure of Main House all contributed to the reduced risk rating. The Chair added that other Trusts are in a similar position. • It was noted that as 08/09 was a part year due to FT status beginning in July 2008, this made some of the comparisons difficult. Georgina Dean offered to meet with any governors who wished to go through the figures in more detail. Q. It was queried how overall pay spend was under, when bank and agency had increased, and if this compromised quality. A. An explanation was given about the implementation of Functionalisation across the Trust and how planned bank, agency and locum use has been incorporated into this to maintain continuity of care. Further more detailed work is being undertaken to analyse each area to see if there are any areas with particular problems in relation to holding vacant posts. Q. How flexible is the system in relation to continuity of care during hospital admission. A. It was stated that Functionalisation should assist in providing continuity of care, including during hospital admission. This aspect of care is being continually reviewed in order to continue to improve this. The Chair suggested that Governors may wish to include continuity of care as one of the topics for the Scrutiny Work Plan. Page 4 of 9 Enclosure 1 • It was stated by a number of service user governors that this area had improved in recent years and that continuity of care has been in place during hospital admission and during the introduction of functionalisation. • The view was also expressed that functionalisation is a much better system and should improve things greatly.
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