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Meeting of the Council of Governors Held at 1600 Hours on Tuesday, 26 April 2011 Board Room, Airedale General Hospital, Skipton Road, Steeton, Keighley

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Meeting of the Council of Governors Held at 1600 Hours on Tuesday, 26 April 2011 Board Room, Airedale General Hospital, Skipton Road, Steeton, Keighley MEETING OF THE COUNCIL OF GOVERNORS HELD AT 1600 HOURS ON TUESDAY, 26 APRIL 2011 BOARD ROOM, AIREDALE GENERAL HOSPITAL, SKIPTON ROAD, STEETON, KEIGHLEY PUBLIC PRESENT: Mr Colin Millar, Chairman (in the Chair) Mr Peter Allen, Public Governor, Skipton Mr Peter Beaumont, Public Governor, Wharfedale Dr Neil Boyle, Public Governor, South Craven Mrs Anne Medley, Public Governor, Keighley West Mr Adrian Mornin, Public Governor and Lead Governor, Keighley Central Mr Mohammed Nazam, Public Governor, Keighley Central Mr Chris Nolan, Public Governor, West Craven Mrs Sheila Paget, Public Governor, Ilkley Mrs Barbara Pavilionis, Public Governor, Skipton Dr Alan Pick, Public Governor, South Craven Mr John Roberts, Public Governor, Worth Valley Mr Alan Sturgess, Public Governor, Settle and Mid-Craven Mrs Pat Thorpe, Public Governor, Bingley Rural Mr Ray Tremlett, Public Governor, Pendle East and Colne Mr John Wickham, Public Governor, West Craven Mrs Valerie Winterburn, Public Governor, Craven Ms Rachel Binks, Staff Governor, Nurses and Midwives Mr David Petyt, Staff Governor, Registered Volunteers Mrs Pam Essler, Stakeholder Governor and Deputy Lead Governor, NHS Bradford and Airedale Prof Anne Forster, Stakeholder Governor, University of Leeds Cllr Robert Heseltine, Stakeholder Governor, North Yorkshire County Council (part) Mr Bill Redlin, Stakeholder Governor, NHS North Yorkshire & York Mrs Pauline Sharp, Stakeholder Governor, Bradford Metropolitan District Council Mrs Marcia Turner, Stakeholder Governor, Craven District Council IN ATTENDANCE: Mr David Adam, Non Executive Director Mrs Jane Downes, Company Secretary Mr Ron Drake, Non Executive Director Miss Bridget A Fletcher, Chief Executive Mrs Chris Lisle, Director of HR Mrs Fiona Page, Foundation Trust Membership Manager Ms Nichola Powell, Executive Assistant Mrs Sheenagh Powell, Director of Finance Mrs Denise Raven, Communications Manager Ms Cath Seal, Communications Manager Mr Alan Sutton, Non Executive Director Mrs Ann Wagner, Director of Strategy and Business Development APOLOGIES FOR ABSENCE: Mrs Naz Kazmi, Stakeholder Governor, Voluntary Services, Ms Ann Kerrigan, Stakeholder Governor, Pendle Borough Council, Mr John Osborn, Public Governor, Rest of England and Mr Alan Walshaw, Staff Governor, Allied Health Professionals & Scientists. ACTION 22/11 WELCOME 1 The Chairman welcomed everybody to the meeting including the nine members of the public. He informed the meeting that prior to Item 16 on the agenda there would be a short private meeting of the Council of Governors. Following this meeting the public meeting would reconvene. 23/11 DECLARATIONS OF INTEREST There were no declarations of interest. 24/11 MINUTES OF THE MEETING HELD ON 26 JANUARY 2011 The minutes of the meeting held on 26 January 2011 were approved subject to the addition of Mr Peter Beaumont, Public Governor, Wharfedale to the list of Governors in attendance and Mr Alan Sutton, Non Executive Director to the list of in attendance. Neil Boyle requested that, as there was a three month time gap between the Council Company of Governor meetings, the draft minutes be circulated prior to them being distributed Secretary with the papers for the next meeting. The Chairman agreed to this suggestion. 25/11 MATTERS ARISING NOT COVERED ELSEWHERE ON THE AGENDA (i) The Chairman asked Marcia Turner whether the Chief Executive’s report had been circulated to members on the Craven District Council. To date this had M Turner not taken place but Marcia Turner confirmed it would be in the future. (ii) Bridget Fletcher informed the meeting that the ideas put forward to the B Fletcher/ ‘InOurHands’ e-mail address would be circulated to all staff and Governors at D Raven the end of the week. (iii) The Chairman stated that there had been some discussion regarding the increase in NEDs remuneration which would be dealt with under agenda item 13. 26/11 REPORT FROM THE CHIEF EXECUTIVE Bridget Fletcher explained that she would take the paper as read and then invited questions from the Governors. Marcia Turner raised a query regarding Simon Morrit as the report stated he had been appointed as CEO of Sheffield Children’s Hospital but he was also listed as being a CEO of the PCT Cluster for Bradford & Airedale. Bridget Fletcher said it was anticipated that he would move into his new role at Sheffield Children’s Hospital in June but in the interim he would be the CEO for the new PCT Clusters. Pam Essler informed the meeting that all the PCTs were coordinating management arrangements to ensure that all the current workload continued with no interruptions. Anne Medley asked how the information which was being received from the current GP engagement visits was collected and how this information was being circulated. Bridget Fletcher informed the meeting that Ann Wagner, Director of Strategy and Business Development was leading this project and was currently in the process of visiting approximately 20 to 22 GPs who were actively working with Airedale. The information obtained from these visits would be fed back to the Executive Directors meetings which would then form part of the Chief Executive’s Report to the Council of Governors in the future. Neil Boyle expressed an opinion that GP Consortia and GP Clusters could work better if they amalgamated and asked if the Trust had a view on this suggestion. Bridget Fletcher explained the plans at a national level for the consortia arrangements and Airedale’s input locally to influence arrangements at a local level, which consultants and senior staff were involved in. She added there were currently no published plans for after 2013, but it was not envisaged that the commissioning 2 work which the PCTs were undertaking would be lost. In response to a question from John Roberts, Bridget Fletcher confirmed that staff side officials had been involved in a meeting with the Airedale Partnership Group regarding the proposed workforce reduction programme. Peter Beaumont asked whether, following the recent visit from the Care Quality Commission (CQC), the positive feedback which had been received about Ward 6 had been dispersed throughout the hospital. Bridget Fletcher informed the meeting of the informal verbal feedback received immediately following the visit, stating that the CQC had observed a calm atmosphere in which the care shown to patients had been as good as was possible. Bridget Fletcher that she had been invited to attend a meeting along with local MPs in early May with Simon Burns, Minister for Health in which the recently announced efficiency savings would be discussed eg. change in tariff, 30 day readmission etc. However, she would also discuss the solutions which were in hand for the Trust and would ask for support given the time scales required. Pauline Sharp said that she had also been in discussions with local MP, Philip Davis, regarding the efficiency savings but had not received a satisfactory response to date. She also felt that integrated care should be the way forward in order to ensure appropriate discharge. Bridget Fletcher agreed that this was an issue that should be looked at in more detail along with ensuring the continuing care of patients. Discussing the paper from HM Government “Working together for a stronger NHS” Pauline Sharp asked whether the Trust was aware of any events which were due to take place in our area. Ann Wagner reported that to date the Trust had not been informed of any regional or local events. 27/11 QUARTERLY AIREDALE NHSFT REPORT (i) Finance Report Sheenagh Powell highlighted the following key points: . all regulatory requirements for Monitor had been met . the overall year end position before taking account of technical adjustment for the revaluation of assets showed a surplus of £224,000 . the overall year end financial risk rating was 3 . the Trust was rated ‘green’ for governance for the full year Sheenagh then invited questions from the Governors. Adrian Mornin asked whether Sheenagh Powell could expand further on the planned savings. She explained that the efficiency savings had to be made on a year-on-year basis however some of the savings were currently on a non- recurrent basis. John Roberts asked why, if the Trust received more income than originally planned, had there not been a bigger surplus. Sheenagh Powell explained that this was due to some services costing more to deliver along with the pressures from previous years when efficiency savings had not been achieved. Following the above comment regarding previous pressures, John Roberts asked what these pressures were. Sheenagh Powell said they were a number of elements but quoted the impact of the European Working Time Regulations for doctors on staffing costs as one example. Answering a further question from John Roberts, Sheenagh Powell confirmed that had the Trust had not received the additional income of £4.8m the financial performance would not be as good as had been reported. She informed the meeting that discussions were always taking place regarding the level of work that would be expected for the following year but it was not always possible to predict with certainty. 3 The Chairman stated that Bridget Fletcher and Sheenagh Powell looked at work planning extremely carefully to try to estimate the correct cost pressures which had not been done as well in previous years. In response to a question from Adrian Mornin regarding the capex requirements for the electrical infrastructure project, Sheenagh Powell confirmed that it had been budgeted for accordingly. Following the above discussions the Chairman assured the Governors that the Foundation Trust had discharged its responsibilities by achieving the Monitor risk rating of 3. (ii) Performance Report The Chairman drew the Governors attention to the Foundation Trusts achievement of a green risk rating for the full year highlighting that this was not always achieved by other Foundation Trusts and although the Trust should not be complacent, this was a very good result from which the Governors ought to take considerable comfort.
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