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T R U S T B O A R D PUBLIC 14.00 – 17:00 Wednesday 25th April 2018 Whittington Education Centre Room 7 Meeting Trust Board – Public Date & time 25th April 2018 at 1400hrs – 1700hrs Venue Whittington Education Centre, Room 7 AGENDA Members – Non-Executive Directors Members – Executive Directors Steve Hitchins, Chair Siobhan Harrington, Chief Executive Deborah Harris-Ugbomah, Non-Executive Director Stephen Bloomer, Chief Finance Officer Tony Rice, Non-Executive Director Dr Richard Jennings, Medical Director Anu Singh, Non-Executive Director Carol Gillen, Chief Operating Officer Prof Graham Hart, Non-Executive Director Michelle Johnson, Chief Nurse & David Holt, Non-Executive Director Director of Patient Experience Yua Haw Yoe, Non-Executive Director Attendees Helen Taylor, Deputy Director of Strategy Juliette Marshall, Communications Lead Norma French, Director of Workforce Secretariat Susan Sorensen, Interim Corporate Secretary Kate Green, Minute Taker Contact for this meeting: [email protected] Agenda Paper Action & I tem Timing Patient Story Patient Story Note 18/049 Michelle Johnson, Chief Nurse & Director of Patient Experience Verbal 1400hrs Declaration of Conflicts of Interest Declare 18/050 Verbal Steve Hitchins, Chair 1420hrs Apologies & Welcome Note 18/051 Verbal Steve Hitchins, Chair 1425hrs Draft Minutes, Action Log & Matters Arising 28 March 2018 Approve 18/052 1 Steve Hitchins, Chair 1430hrs Chairman’s Report Note 18/053 Verbal Steve Hitchins, Chair 1440hrs Chief Executive’s Report Discuss 18/054 2 Siobhan Harrington, Chief Executive 1450hrs Patient Safety & Quality Serious Incident Report Month 12 Approve 18/055 3 Richard Jennings, Medical Director 1500hrs Quarterly Safety and Quality Board report Note 18/056 4 Richard Jennings, Medical Director 1510hrs Annual Safeguarding Children Declaration Approve 18/057 5 Michelle Johnson, Chief Nurse & Director of Patient Experience 1530hrs Improving mental health care in the emergency Discuss 18/058 department; an external review by Verita, and the Trust 6 response 15500hrs Richard Jennings, Medical Director Operational Performance and Planning Financial Performance Month 12 Approve 18/059 7 Stephen Bloomer, Chief Finance Officer 1600hrs Performance Dashboard Month 12 Approve 18/060 8 Carol Gillen, Chief Operating Officer 1615hrs Risk Register Summary Report Discuss 18/061 9 Michelle Johnson, Chief Nurse & Director of Patient Experience 1630hrs Annual Operational Plan Approve 18/062 Helen Taylor, Deputy Director of Strategy 10 1625hrs Stephen Bloomer, Chief Finance Officer Strategy and Governance Trust Operational Objectives Note 18/063 11 Helen Taylor, Deputy Director of Strategy 1635hrs Risk Management Strategy Note 18/064 12 Michelle Johnson, Chief Nurse & Director of Patient Experience 1640hrs Register of Deed of Execution and Seal Approve 18/065 13 Siobhan Harrington, Chief Executive 1645hrs Sub-Committee Minutes: (as available) Note 18/066 14.1 Quality (14 March) 14 1650hrs 14.2 Charitable Funds (21 March) AOB None notified to the Trust in advance Questions from the public on matters covered on the agenda None notified to the Trust in advance Date of next Trust Board Public Meeting 30 May 2018 -1400hrs-1700hrs -Whittington Education Centre, Magdala Avenue, N19 5NF Register of Conflicts of Interests: The Register of Members’ Conflicts of Declarations of Interests is available for viewing during working hours from Susan Sorensen, Interim Corporate Secretary at Trust Headquarters, Jenner Building, Whittington Health, Magdala Avenue, London N19 5NF or [email protected] or [email protected] ITEM: 18/052 Doc: 1 The minutes of the meeting of the Trust Board of Whittington Health held in public at 14.00hrs on Wednesday 28th March 2018 in the Whittington Education Centre Present: Greg Battle Medical Director, Integrated Care Stephen Bloomer Chief Finance Officer Carol Gillen Chief Operating Officer Deborah Harris-Ugbomah Non-Executive Director Siobhan Harrington Chief Executive Graham Hart Non-Executive Director Steve Hitchins Chairman David Holt Non-Executive Director Richard Jennings Medical Director Michelle Johnson Chief Nurse Tony Rice Non-Executive Director Anu Singh Non-Executive Director Yua Haw Yoe Non-Executive Director In attendance: Janet Burgess London Borough of Islington Norma French Director of Workforce Kate Green Minute Taker Susan Sorensen Interim Corporate Affairs Lead Julie Andrews Consultant/Associate Medical Director Defend the Whittington Coalition A delegation from the Defend the Whittington Coalition was present to protest against the Board’s decision to enter into a strategic estates partnership with the company Ryhurst. 18/29 Welcome and apologies 29.01 Steve Hitchins welcomed everyone to the meeting. No apologies for absence had been received. 18/30 Patient Story Michelle Johnson introduced James Connell, Patient Experience Manager, and Janet Edwards, Service Manager for endoscopy. The patient at the centre of the story had been unable to attend, so Janet was to recount her story on her behalf. Janet introduced the story by explaining to Board members that she frequently visited the endoscopy unit to check that all was well, and on this occasion had found the patient prepared for her procedure in a hospital gown, cold, and with little knowledge about why she had been kept waiting. Her daughter had been with her as the hospital had been unable to book an interpreter. It had turned out that the reason the patient had been kept waiting was because she had requested a female clinician and the composition of the day’s lists had meant she had been forced to wait longer than usual. Janet had immediately arranged for blankets to be placed in the waiting area for patients to use should they need them. She was also arranging for ‘you said, we did’, notice boards to be put up, and had asked for a volunteer who could monitor patients’ waits and the information given to 1 them. The patient had been contacted a number of times since her appointment, and had expressed satisfaction with the procedure, describing the consultant who had treated her as ‘amazing’. In answer to a question from Deborah Harris, Janet explained that once patients were in the waiting area, they were safe, but not in the immediate view of staff so on occasion not immediately provided with sufficient information about waiting times or what was to happen next should someone’s procedure take longer than expected. She had presented at the Endoscopy Users’ Group the previous week, and feedback had been exceptional. The Board discussed having information available in different languages, but given the multiplicity of languages spoken in the boroughs served by the Trust it was understood that this was difficult; visual images had worked well in ED and Janet favoured this approach. James added that information in different languages could be made available for patients on the internet. Greg Battle said that this was a good example of where clinical care was excellent but the overall patient experience had failed through faults in supporting areas. He cited the use of DrDoctor, where reminders were sent through to patients as text messages and backed up with additional information showing procedures and illustrations. Janet confirmed this had been installed and so far was running well. Richard Jennings commented that he had not recently seen a formal complaint about the endoscopy service, and asked Janet what, in her view, was the biggest area of risk; she replied that appointments scheduling was probably her greatest concern. Janet Burgess had this week received a letter about the service and would forward it to Richard, who confirmed that if this was an issue which had been resolved locally and informally he might not have been made aware of it. 18/31 Declaration of Conflicts of Interest 31.01 No member of the Board declared any interest in any of the business to be transacted that afternoon. 18/32 Draft Minutes, Matters Arising & Action Log 32.01 The minutes of the Trust Board meeting held on 28th February were approved. 32.02 Action log 13.02: Stephen Bloomer confirmed that 270 fire marshals had been trained against a target of 300. In answer to a question from Deborah Harris about the team’s monitoring of whether all these staff remained within the organisation, Stephen confirmed that they did, and all these staff remained in place to date 32.03 All other items on the action log were scheduled for discussion on the agenda. 18.33 Chairman’s Report 33.01 Steve Hitchins began his report by saying he was pleased to inform the Board that the Trust had been awarded the top grade in baby initiatives run by Unicef; the event had been attended by Dominic West. Discussions had also been held with the Cloudesley Trust (connected to the ward of the same name) and the Cripplegate Foundation. It was noted that both Susan Sorensen and Janet Burgess were on the Board of the former. 33.02 Other visits and events attended by Steve in the month since the last meeting had included: 2 • the heart failure patients’ progress group • an event on thalassaemia services in Tottenham, where the Trust had been commended for having the only weekend service available in the area • the London Metropolitan University’s employers day • the Rotary Club quiz • the TB awareness day held the previous Monday • the celebration of the ‘massive’ improvements to the outpatient service. 33.03 Within the last two days spring daffodils donated by the Queen had been distributed to hospital and community services across the Trust. There had also been generous donations of Easter Eggs from staff and other stakeholders and companies included a very generous donation from Transport for London. Norma French added that she had personally taken delivery of 4000 cream eggs for staff which had been arranged through the Occupational Health Department. Members of the Arsenal football team had also visited the hospital. 33.04 Looking forward, Steve informed the Board that the annual London Mayors’ Walk from the Whittington Stone to Mansion House would take place on 8th April – all were welcome to attend – and there were plans to commemorate the 70th anniversary of the NHS on 5th July.

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