Meeting of the Board of Directors AGENDA – MEETING in PUBLIC
Total Page:16
File Type:pdf, Size:1020Kb
Meeting of the Board of Directors 10.00am to 12.20 on Thursday 26th July 2018 Boardroom, Washington Suite, Worthing Hospital, Lyndhurst Road, Worthing BN11 2DH AGENDA – MEETING IN PUBLIC 1 10.00 Welcome and Apologies for Absence Chair 2 10.00 Declarations of Interests All 3 10.00 Minutes of Board Meeting held on 26 April 2018 Enclosure Chair To approve 4 10.05 Matters Arising from the Minutes Enclosure Chair To note 5 10.10 Chief Executive’s Report Enclosure MG To receive and agree any necessary actions PATIENT SAFETY/EXPERIENCE ITEMS 6 10.20 6.1 Quality Report Enclosure GF/NR 6.2 Performance Report Enclosure JB 6.3 Organisational Development and Workforce Enclosure DF 6.4 Financial Performance Enclosure KG To receive and agree any necessary actions 7 11.00 Learning from Deaths Enclosure GF/TT To receive and agree any necessary action 8 11.15 Annual Patient Experience Report Enclosure NR To receive and agree any necessary actions 9 11.30 Adult Safeguarding Annual Report Enclosure NR/AB To receive and agree any necessary actions STRATEGIC ITEMS 10 11.45 Annual Report for Appraisal and Revalidation Enclosure GF/CS To receive and agree any necessary action OTHER ITEMS 11 12.00 Other Business 12 12.10 Resolution into Board Committee Verbal Chair To pass the following resolution: “That the Board now meets in private due to the confidential nature of the business to be transacted.” 13 12.10 Date of Next Meeting Chair The next meeting in public of the Board of Directors is scheduled to take place at 10.00am on 25th October 2018 in the Bateman Room, Chichester Medical Education Centre, St Richard’s Hospital, Spitalfield Lane, Chichester, PO19 6SE. 14 12.10 Close of Meeting Chair 15 12.10 Questions from the Public Chair – 12.20 Following the close of the meeting there will be an opportunity for members of the public to ask questions about the business considered by the Board. Company Secretary Tel: 01903 285288 Minutes of the Board of Directors meeting held in Public at 10.00am on Thursday 26 April 2018, Boardroom, Washington Suite, Worthing Hospital, Lyndhurst Road, Worthing, BN11 2DH. Present: Mike Viggers Non-Executive Director (Chairman) Joanna Crane Non-Executive Director Mike Rymer Non-Executive Director Patrick Boyle Non-Executive Director Lizzie Peers Non-Executive Director Marianne Griffiths Chief Executive Karen Geoghegan Chief Financial Officer Denise Farmer Chief Workforce and OD Officer Nicola Ranger Chief Nurse & Patient Safety Officer Jane Farrell Interim Chief Operating Officer Jayne Black Chief Operating Officer In Kirstin Baker Non-Executive Director Adviser Attendance: Martin Sinclair Non-Executive Director Adviser Ryck Albertyn Trust Clinical Lead Organ Donation (For Item 11) Angela Fisher Non-Clinical Lead Organ Donation (For Item 11) Brian Courtney Interim Director of Corporate Governance Tanya Humphrys Board Administrator TB/04/18/01 Welcome and Apologies 1.1 The Chair welcomed all those present to the meeting. In particular Jayne Black the Trusts new Chief Operating Officer and thanked Jane Farrell who has been the Trusts interim Chief Operating Officer. 1.2 Apologies were received from Pete Landstrom, George Findlay and Jon Furmston. TB/04/18/02 Declarations of Interests 2.1 There were no declarations of interest. TB/04/18/03 Minutes of Board Meeting held on 01 February 2018 3.1 The Board received the minutes of the meeting held on 01 February 2018. 3.2 The Board resolved that the minutes of the Board meeting held on 01 February 2018, would be approved as an accurate record of the meeting and signed by the Chairman. TB/04/18/04 Matters arising from Minutes 4.1 The Matters Arising from previous meetings were received. 4.2 All Matters Arising related to items on the agenda or were on a forward agenda plan. TB/04/18/05 Chief Executive’s Report 5.1 Marianne Griffiths presented her Chief Executives Report and begun by thanking the Staff for their hard work and dedication through the last quarter of 2017/18 which had been particularly challenging, characterised by unprecedented demand for urgent care and exceptionally cold weather, compounded by high incidence of flu and seasonal infections. Marianne commended Staff for doing an outstanding job of trying to keep our patients safe. 5.2 Marianne acknowledged the results of the NHS Staff Survey, noting that almost 60% of staff at Western Sussex Hospitals had completed the survey. WSHT was ranked in the top five Trusts in England where employees are most likely to recommend their hospital as a place to work or be treated. 5.3 The Board was advised that the old Ophthalmology Unit at Worthing has been reopened as a new Ward. The newly refurbished 20-bed ward is bright and spacious and importantly provides better facilities for our patients, such as more side rooms all with en-suite shower room facilities. 5.4 On Thursday 1 February, the Secretary of State for Health Jeremy Hunt MP paid his third visit to the trust and reiterated his support for our Patient First approach, while speaking to staff about the Department of Health’s ambition to make the NHS the safest health service in the world. 5.5 Marianne congratulated the Trusts Employees of the Month for the Quarter: . Nicole Jones – Staff nurse Nicole Jones on Fishbourne ward at St Richard’s was nominated by ward manager Sophie Wright for being a fantastic new addition to their team and always being enthusiastic, caring and flexible to help others. Julie Emery – Head and neck clinical nurse specialist Julie Emery was nominated by Macmillan dietitian Carolyn Stapely who commended Julie’s compassion and empathy for patients and their loved ones. This was particularly demonstrated in the support she gave to a family whose relative had passed away unexpectedly following their operation. Lisa Simmons – Housekeeper Lisa Simmons was nominated by housekeeping manager Gill Sorrell for her excellent commitment to patient care, and going above and beyond for mums-to-be and their families in the maternity department in Worthing Hospital. 5.6 Marianne concluded her Chief Executives Report by explaining that this would be the last Public Board for Trust Chairman, Mike Viggers. Marianne acknowledged what a difficult decision it had been for the Chairman to step down and took the opportunity to thank him for his support and fantastic leadership over the last eight years. Concluding that he would be greatly missed by everyone. 5.7 Mike thanked Marianne for her kind words, commenting that he had felt privileged to see firsthand the kindness and care provided by WSHT staff. TB/04/18/06 Quality Report – Month 12 Nicola Ranger introduced the Quality Report and highlighted the key points. 6.1 The Board was advised that crude non-elective mortality decreased from 3.86% in February to 3.52% in March, this is marginally higher than the equivalent month in 2017 (3.46%). 6.2 The Trusts HSMR for the twelve months to December 2017 was 88.1. The twelve month HSMR to December 2017, split by site continued to be lower Minutes page 2 for St Richard’s 84.2 in comparison to Worthing and Southlands 91.5. 6.3 The difference was marginally lower than the previous month and remains well within acceptable variation limits, with both sites remaining below 100. 6.4 It was noted that the Trusts Caesarean Section rate from January to February remained static at 31.3% (28.5% YTD) against a target of 26.5%. 6.5 Nicola advised the Board that in March, 59 patients with a diagnosis of dementia were moved at night (between 23:00-07:00hrs), this was a rise from January when a total of 44 patients were moved at night. The Boards attention was drawn to the detailed report in Appendix 3. 6.6 Nicola explained that there is ongoing work with the Kiazen team to try and discharge patients earlier, before midday, so that ward to ward moves can be made earlier to help reduce nighttime moves. 6.7 It was noted that an overview of the Trusts work in relation to NICE guidance was included in the Quality Report. 6.8 The Board was advised that the incidence of pressure ulcers, category 2 and above including those developing within 72 hours after admission per 1000 bed days, in March was 1.25, against a national rate of 0.9. 6.9 It was noted that there is ongoing work with the Kaizen team that is being implemented; ensuring that patients who no longer require pressure redistribution mattress are identified within the safety huddles and the de- escalation process is discussed. Embedding this in the safety huddles, will ensure that pressure redistribution systems no longer required will be returned to the equipment library and utilised for other patients requiring pressure redistribution surfaces in a timely manner. 6.10 Nicola advised that there would be a new Tissue Viability annual report NR introduced at the appropriate juncture and brought back to the Board for review at a future meeting. 6.11 Marianne Griffiths raised concerns about the level of Community pressure damage that the Trust was seeing. Nicola concurred and advised that she would raise it at the CCG Quality meeting. 6.12 Patrick Boyle welcomed the data around night moves and asked the reasons behind them. Marianne explained that it was primarily to do with flow and bed pressure, but noted the continued improvement work with the Kiazen team. 6.13 Mike Viggers thanked Nicola for the report and requested that further information in relation to the reason behind night moves be included in the NR next report.