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Highland Nhs Board 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 Friday 22 November 2013 www.nhshighland.scot.nhs.uk HIGHLAND NHS BOARD MEETING OF BOARD Tuesday 3 December 2013 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. THE HIGHLAND QUALITY APPROACH 1.2 Highland Quality Improvement System – Tier 1 Report Out to the Board – Care at Home Inverness Presentation by Gavin Hookway, Senior Quality Improvement Lead, Nigel Small, Director of Operations, South & Mid Operational Unit and Frances Gair, Adult Services Lead The Board is asked to Note the Tier 1 Report to the Board on the Highland Quality Improvement System. 2 Minute of Meeting of 1 October 2013 and Action Plan (attached) (PP 1 – 22) The Board is asked to approve the Minute. 2.1 Update on Membership of Committees Report by Garry Coutts, Chair, NHS Highland (attached) (PP 23 – 24) The Board is asked to: Agree the updated membership of committees following the recent process to fill outstanding vacancies. Agree that the revised membership should be until 30/06/14 with a further report to the Board in June 2014. 3 PART 1 – REPORTS BY GOVERNANCE COMMITTEES 3.1 Argyll & Bute CHP Committee – Draft Minute of Meeting held on 23 October 2013 (attached) (PP 25 – 44) 3.2 Highland Health & Social Care Governance Committee Assurance Report of 7 November 2013 (attached) (PP 45 – 66) 3.3 Clinical Governance Committee – Assurance Report of Meeting on 2 October 2013 (attached) (PP 67 – 76) 3.4 Improvement Committee Assurance Report of 4 November 2013 and Balanced Scorecard (attached) (PP 77 – 90) 3.5 Area Clinical Forum – Draft Minute of Meeting held on 26 September 2013 (attached) (PP 91 – 98) 3.6 Asset Management Group – Draft Minutes of Meetings of 11 September and 22 October 2013 (attached) (PP 99 – 106) 3.7 Pharmacy Practices Committee – Summary of Meeting of 8 October 2013 – Apple Pharmacy Group for premises at Unit 1C, District Centre, Milton of Leys, Inverness, IV2 6GP (attached) (PP 107 – 108) The Board is asked to: (a) Confirm adequate assurance has been provided from the Governance Committees. (b) Note the Assurance Reports and agreed actions from the Highland Health & Social Care Governance Committee, Clinical Governance Committee and the Improvement Committee. Council/Highland NHS Board Joint Committees 3.8 Highland Council Partnership – Adult & Children’s Services Committee (a) Minute of Meeting of 25 September 2013 (attached) (b) Update from Chair / Chief Executive on Assurance to the Board (PP 109 – 126) The Board is asked to Note the Minute. 4 PART 2 – THE HIGHLAND QUALITY APPROACH 4.1 Highland Quality Approach – Progress Report Report by Linda Kirkland, Director of Quality Improvement on behalf of Elaine Mead Chief Executive (attached) The report provides both an update on work in progress and a proposal to establish the Highland Quality Improvement Leadership Group to provide direction and governance. (PP 127 – 138) 2 The Board is asked to: Note the update on the progress within the three themes of the Highland Quality Approach, Leadership and Culture, Focus and Delivery and Methodology. Note the update on the delivery of Quality Improvement (Lean) training. Note the update on the timetable of Rapid Process Improvement Workshops (RPIWs) and the proposal to generate an annual work plan effective for 2013/14. Note the emerging development of the Highland Quality Improvement System Note the establishment of the Highland Quality Approach (HQA) Leadership Group and the draft Terms of Reference. 4.2 Update on Possible Major Service Redesign Report by Nigel Small, Director of Operations (South and Mid) and Gill McVicar, Director of Operations (North and West) on behalf of Deborah Jones, Chief Operating Officer (attached) The Board approved an update to NHS Highland Asset Strategy 2013 at its meeting on 1 October 2013. This document makes specific reference to the work underway to review and redesign services in Badenoch and Strathspey (part of South and Mid Operational Unit) and Skye, Lochalsh and South West Ross (part of North and West Operational Unit). (PP 139 – 146) The Board is asked to: Note the strategic case for change across the areas of i) Badenoch and Strathspey and (ii) Skye, Lochalsh and South West Ross. Note the requirement to carry out formal public consultation where any proposed changes are considered to be major. Note and Approve the key milestones and associated timeline. 5 PART 3 – CORPORATE GOVERNANCE / ASSURANCE 5.1 Services for Children and Young People in Argyll & Bute: Report of a Pilot Joint Inspection Report by Pat Tyrrell, Lead Nurse, Argyll & Bute CHP on behalf of Margaret Somerville, Director of Public Health and Health Policy (attached) The pilot joint inspection of services for children and young people in the Argyll and Bute Community Planning Partnership area took place over three weeks in March 2013 and April 2013. The full report was published in September 2013 and was presented to Argyll and Bute Council in September. (PP 147 – 170) The Board is asked to: Note the findings of the report. Discuss the actions arising from the findings. 3 5.2 NHS Highland Financial Position as at 31 October 2013 Report by Nick Kenton, Director of Finance (attached) (PP 171 – 184) The Board is asked to: Note the continued forecast out-turn of break-even overall. Note the requirement of a £8.5m improvement to achieve this. 5.3 Caithness General Connection to District Heating Report by Eric Green, Head of Estates on behalf of Nick Kenton, Director of Finance (attached) NHS Highland has set an ambitious target to reduce its carbon emissions by 30% over 5 years. This project is another significant step in achieving this target; this will reduce the carbon produced at Caithness General Hospital by 1200 tonnes a year. This is a step change improvement towards reaching our climate change targets. (PP 185 – 204) The Board is asked to: Approve the business case to connect CGH to the Ignis Wick District Heating Scheme. Note the savings this scheme will generate. Note the environmental benefits of this project. 5.4 Infection Prevention and Control Report Report by Liz McClurg, Infection Control Manager and Dr Jonty Mills, Consultant Microbiologist/Infection Control Doctor on behalf of Heidi May, Board Nurse Director & Executive Lead for Infection Control (attached) (PP 205 – 232) The Board is asked to: Note the performance position for the Board. Note the progress to keep infection under control. 5.5 NHS Highland Allied Health Professions Musculoskeletal Redesign Report by Katherine Sutton, Associate Director AHPs on behalf of Elaine Mead, Chief Executive (attached) Following the update in the Chief Executive’s Report to the October Board on Implementation of the Allied Health Professions (AHP) National Delivery Plan, this report updates on the AHP Musculoskeletal Redesign Programme. (PP 233 – 238) The Board is asked to: Support the NHS Highland Allied Health Professionals Musculoskeletal Redesign Programme. Support the implementation of an appropriate NHS Highland admin hub to support the transformational change required. Support the transition of AHP services onto the TRACK care patient management system once implemented. Note the benefits to be realised as a result of full Allied Health Professionals Musculoskeletal redesign. 4 5.6 Chief Executive’s and Directors’ Report Emerging Issues and Updates Report by Elaine Mead, Chief Executive (attached) This month’s report incorporates updates on: Children’s Services Inspection Report – Highland Council Update Freedom of Information Requests Update Health Promoting Health Service Update – Addendum to CEL(2012)01 Regional Planning – North of Scotland Planning Group and West of Scotland Planning Group (PP 239 – 248) The Board is asked to Note the Emerging Issues and Updates Report. 6 FOR INFORMATION 6.1 Date of next meeting The next meeting of the Board will be held on 4 February 2014 in the Board Room, Assynt House, Inverness. 6.2 Any Other Competent Business 7 Close of Meeting 5 1 Highland NHS Board 3 December 2013 Item 2(a) Assynt House Beechwood Park Inverness IV2 3BW Tel: 01463 717123 Fax: 01463 235189 HIGHLAND NHS BOARD Textphone users can contact us via Typetalk: Tel 0800 959598 www.nhshighland.scot.nhs.uk/ DRAFT MINUTE of MEETING of the BOARD Board Room, Assynt House, 1 October 2013 – 8 30 am Beechwood Park, Inverness Present Mr Garry Coutts, Chair Dr David Alston Mr Robin Creelman Mrs Myra Duncan Mr Mike Evans Dr Michael Foxley – from 9.00 am Dr Iain Kennedy Mr Alasdair Lawton Dr Rhona MacDonald Mrs Gillian McCreath Mr Okain McLennan Mr Adam Palmer Ms Sarah Wedgwood Ms Elaine Wilkinson Ms Elaine Mead, Chief Executive Dr Ian Bashford, Board Medical Director Mrs Anne Gent, Director of Human Resources Mr Nick Kenton, Director of Finance Ms Heidi May, Board Nurse Director Dr Margaret Somerville, Director of Public Health & Health Policy Also present Mrs Jan Baird, Director of Adult Care (Items 109, 110 & 111) Mr Evan Beswick, Service Manager,
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