The Northern Care Alliance NHS Group Salford Royal NHS Foundation Trust (SRFT) & Pennine Acute Hospitals NHS Trust (PAT) Shared Agenda Group Committees in Common (CiC) Monday, 29th April 2019 at 10:00am Humphrey Booth Lecture Theatre, Mayo Building, Salford Royal, Stott Lane, SALFORD M6 8HD AGENDA: Part 1 1. Patient Story 2. Apologies for Absence Chairman 3. Declarations of Interest All 4. Chairman’s Opening Remarks Chairman 5. Minutes of Previous Meeting (Part 1) Chairman from meeting on 25 March 2019 6. 2018/19 Year-End Scorecard: Care Organisation Chief Officers Reports from Chief Officers 7. Review of the Group CiC Scorecard for 2019/20 Chief Delivery Officer 8. Sustainable Development Management Plan Chief Delivery Officer 9. Quality Improvement Strategy Implementation: Chief Nursing Officer NCA Quality Improvement Dashboard 10. CQC Improvement Plans Chief Nursing Officer 10.1. Pennine Acute Hospitals NHS Trust 10.2. Salford Royal NHS Foundation Trust 11. Learning from Deaths Chief Medical Officer 12. Learning from Experience Chief Nursing Officer/ Chief Medical Officer 13. Patients and Service User Experience Chief Nursing Officer 14. Annual Self Certifications Group Secretary SRFT & PAT # 274090 04/27/2019 16:44:00 15. Standards of business conduct: Board level Directors Group Secretary 16. Reports from Standing Committees: 16.1. Executive Group Risk and Assurance Committee Chief Executive 1/2 1/232 - Summary from meeting held 24 April 2019 17. Any other business (Part 1) 18. Date and Time of the Next Meeting: Monday 3rd June 2019 from 10am Venue: Humphrey Booth Lecture Theatre, Level 1, Mayo Building, Salford Royal NHS Foundation Trust. Resolution: To exclude the press and public from the meeting at this point on the grounds that publicity of the matters being reviewed would be prejudicial to public interest, by reason of the confidential nature of business. The press and public are requested to leave at this point. SRFT & PAT # 274090 04/27/2019 16:44:00 2/2 2/232 Northern Care Alliance NHS Group Salford Royal NHS Foundation Trust and The Pennine Acute Hospitals NHS Trust Meeting of Group Committees in Common Monday, 25th March 2019 Part 1- Held in Public - from 10am Humphrey Booth Lecture Theatre, Mayo Building, Salford Royal DRAFT Shared Minutes Present: Mr Jim Potter, Chairman Sir David Dalton, Chief Executive Officer Mrs Judith Adams, Chief Delivery Officer Mr Chris Brookes, Chief Medical Officer Mrs Diane Brown, Senior Independent Director Mr Kieran Charleson, Non-Executive Director Mr Damien Finn, Chief Officer North Manchester Care Organisation Mrs Nicola Firth, Interim Chief Officer, Oldham Care Organisation Mrs Elaine Inglesby-Burke CBE, Chief Nursing Officer Mr Raj Jain, Chief Strategy and Organisational Development Officer Mrs Christine Mayer CBE, Non-Executive Director Mr Ian Moston, Chief Finance Officer Professor Chris Reilly, Non-Executive Director Mr James Sumner, Chief Officer, Salford Care Organisation Dr Hamish Stedman, Non-Executive Director Mr Steve Taylor, Chief Officer, Bury & Rochdale Care Organisation Mr John Willis CBE, Vice-Chairman Mrs Jane Burns, Director of Corporate Services and Group Secretary In Attendance: Rebecca McCarthy, Deputy Trust Secretary Observing: Gill Collins, Public Governor Terri Evans, Public Governor Sally Griffiths, SRFT Staff Side Chair Juston Grundy, Thornbury Nursing Gemma Liveseley, Staff Governor Andrew Lynn, NCA Director of Communications Chris Mullen, Public Governor Jackie Schofield, PAHT Staff Side Tom Wright, SRFT Staff Member Apologies for Absence: None No. Item Action 1. Welcome SRFT & PAT # 274090 The Chairman welcomed everyone present to the meeting of the 04/27/2019Group 16:44:00 Committees in Common and confirmed this was a shared meeting of committees established by the Boards of Salford Royal NHS Foundation Trust (SRFT) and Pennine Acute Hospitals NHS Trust (PAHT). The Chairman confirmed that the meeting would be held in two parts: a first part open to members of the public; and a second part in private session for confidential 1/12 3/232 No. Item Action matters. 2. Presentation – North East sector Obstetrics and Gynaecology Services The Group Committees in Common received a presentation from the Divisional Director of Midwifery and Gynaecology regarding improvements across North East sector Obstetrics and Gynaecology Services, specifically highlighting improvements and action taken with respect to female genital mutilation (FGM). The Senior Independent Director referred to the outcome of the Nursing Assessment & Accreditation System (NAAS) on Ward F1, emphasising the importance of accountability and improvement prioritisation. The Divisional Director of Midwifery and Gynaecology fully acknowledged the disappointing outcome of the NAAS assessment and his accountability in this regard. He highlighted that significant attention had been paid to this matter including appointment of an Assistant Director Nursing (ADNS) for Gynaecology to provide additional leadership and support. The Vice-Chairman referred to empirical evidence gathered as part of the visit he undertook to the Oldham Paediatric Unit, regarding children being on the unit primarily for protection, not health related, purposes, and expressed his view regarding the importance of challenge and engagement with Oldham Local Authority on this matter. The Divisional Director of Midwifery and Gynaecology fully acknowledged this comment, and highlighted the ongoing challenge to Oldham Local Authority regarding this important matter and work underway to develop a more robust pathway. A Non-Executive Director emphasised the importance of midwives talking candidly with women to help reduce smoking in pregnancy, alongside the importance of flu vaccinations, and strongly encouraged further intervention in this regard. The Chief Nursing Officer confirmed the exceptional work with respect to FGM, led by the Divisional Director of Midwifery and Gynaecology, alongside further improvements in maternity and gynaecology services. The Chief Nursing Officer recommended to the Group Committees in Common that metrics Chief regarding Maternity Services were included in future Performance Nursing Dashboards, thus ensuring full visibility via the Group Committees in Common. Officer A Non-Executive Director fully acknowledged the work that had been undertaken with respect to FGM, and expressed the importance of continued improvement on this important matter. The Group Committees in Common commended the improvements made within Obstetrics and Gynaecology Services. Opening Matters 3. Apologies for Absence Apologies for absence were noted as above. SRFT & PAT # 274090 04/27/2019 16:44:00 2/12 4/232 No. Item Action 4. Declarations of Interest The Chairman requested that officers declared any actual or potential conflict of interest relevant to their role as a member of the Group Committees in Common and in particular to any matter being discussed at the meeting. There were no interests declared. 5. Opening Remarks Sir David Dalton Retirement The Chairman commented that Sir David would retire from his role as Chief Executive at the end of March 2019 and that this would therefore be his final Group Committees in Common meeting. The Chairman remarked that farewell events were being held across all of Care Organisations, and on behalf of the Group Committees in Common thanked Sir David for his exceptional contribution as Chief Executive and wished him a long and happy retirement. Mrs Diane Brown The Chairman commented that Mrs Diane Brown would also be stepping down from her role as Senior Independent Director at the end of March, and that this would therefore be her final Group Committees in Common meeting also. The Chairman commented that Diane had been an outstanding non-executive director, with her commitment to the role and determination to instil best practice bringing much benefit to the Group Committees in Common and the organisation as a whole. On behalf of the Group Committees in Common, the Chairman extended his sincere gratitude and very best wishes to Diane. Group Committees in Common Away Day The Chairman stated that the Group Committees in Common did not meet formally in February 2019, instead holding an informal ‘away day’, at which the principal risks to delivery of the 2019/20 Annual Plan were reviewed, as articulated by each Care Organisation. The Chairman confirmed that discussions held at the away day had supported the development of the Northern care Alliance NHS Group (NCA) Business Plan for 2019/20, which would be considered further today. 6. Minutes of the Previous Meeting The Chairman confirmed that Part 1 of the previous meeting held on from meeting on 28 January 2019 had been open to members of the public. The draft minutes, recorded of that session, were reviewed by the Group Committees in Common and approved as a true record. 7. Matters Arising No matters arising. 8. Verbal CEO Report, including review of Group CiC Performance Dashboard 8.1 Performance Indicators The Chief Executive Officer provided an overview of the key performance indicators within the Group Performance Dashboard. He specificallySRFT & PAT # 274090 highlighted performance with respect to mortality and harm, confirming04/27/2019 that the 16:44:00 Hospital Standardised Mortality Ratio (HSMR) for Pennine was now statistically better than expected. The Chief Executive Officer confirmed that Salford Royal also remained statistically better than expected for both HSMR and Summary Hospital-level Mortality Indicator (SHMI) with