Meeting of the Board of Directors 10:30 to 13:00 on Thursday 26 September 2019 John Bull Conference Room, Worthing Health Education Centre, Worthing Hospital, Lyndhurst Road, Worthing, BN11 2DH AGENDA – MEETING IN PUBLIC 1. 10.30 Welcome and Apologies for Absence Verbal Chair To note 2. 10.30 Declarations of Interests Verbal All To note 3. 10.30 Minutes of Board Meeting held on 25 July 2019 Enclosure Chair To approve 4. 10.30 Matters Arising from the Minutes None Chair NONE 5. 10.35 Report from Chief Executive Enclosure Marianne To receive and note overview of the Trust’s activities Griffiths INTEGRATED PERFORMANCE REPORT 6. 10.45 Introduction from Chief Executive Enclosure Marianne To receive and note overview of the Trust’s activities Griffiths 7. 10.55 Quality Improvement Enclosure George Findlay To receive and agree any necessary actions Maggie Davies After this section the Chair of Quality Assurance Committee will be invited to provide their report included at item 12 To receive assurance from Committee and recommendations from the Committee 8. 11.10 Systems and Partnerships Enclosure Amanda Fadero To receive and agree any necessary actions 9. 11.20 Sustainability Enclosure Karen To receive and agree any necessary actions Geoghegan After these two sections the Chair of Finance and Performance Committee will be invited to provide their report included at item 11 To receive assurance from Committee and recommendations from the Committee 10. 11.30 Our People Enclosure Denise Farmer To receive and agree any necessary actions At this point the Chairs of the Committee will be invited to provide any additional assurance from the work of their committees. ASSURANCE REPORTS FROM COMMITTEES 11. - Report from Quality Assurance Chair including Quality To follow Mike Rymer Strategy 2019-21 To receive assurance from Committee and recommendations from the Committee 12. - Report from Finance and Performance Chair Enclosure Lizzie Peers To receive assurance from Committee and recommendations from the Committee 13. 11.45 Board Assurance Framework Enclosure Glen Palethorpe To approve for publication on the web site SERVICE PRESENTATION 14. 11.50 Critical Care Service Presentation Presentation Surgery Division To receive assurance over application of patient first processes OUR PEOPLE 15. 12.05 Nurse Staffing Capacity Report Enclosure Maggie Davies To receive and agree any necessary actions QUALITY 16. 12.15 Annual Infection Control Report Presentation Maggie Davies/ To receive activity information for 2018/19 Sharon Reed WELL LED & COMPLIANCE 17. 12.30 Winter Plan Presentation Amanda Fadero To receive and agree any necessary actions 18. 12.40 Company Secretary Report Enclosure Glen Palethorpe To note OTHER 19. 12.45 Any Other Business Verbal Chair To receive and action 20. 12.50 Questions from the public Verbal Chair To receive and respond to questions submitted by the public 21. 13.00 Date and time of next meeting: Verbal Chair The next meeting in public of the Board of Directors is scheduled to take place at 09:30 on 28th November 2019 in the Bateman Room, CMEC, St Richard’s Hospital. To resolve to move to into private session The Board now needs to move to a private session due to the confidential nature of the business to be transacted Trust Board of Directors Quoracy A meeting of the Board shall be quorate and shall not commence until it is quorate. Quoracy is defined as meaning that at least half of the Board must be present, including one Non-executive Director and one Executive Director. This means that at least 6 voting members must be present. A Director shall be deemed as present if he joins the meeting by telephone or other means, provided that he can hear and be heard by all other Directors present at the meeting Minutes of the Board of Directors meeting held in Public at 09.30am on Thursday 25 July 2019, Mickerson Hall, Chichester Medical Education Centre, St Richard’s Hospital, Spitalfield Lane, Chichester, PO19 6SE. Present: Alan McCarthy Chairman Patrick Boyle Non-Executive Director Mike Rymer Non-Executive Director Joanna Crane Non-Executive Director Lizzie Peers Non-Executive Director Kirstin Baker Non-Executive Director Adviser Dame Marianne Griffiths Chief Executive George Findlay Chief Medical Officer & Deputy Chief Executive Denise Farmer Chief Workforce and OD Officer Maggie Davies Chief Nurse Amanda Fadero Managing Director In Alison Ingoe Finance Director Attendance: Amanda Wellesley Chief of Service – Medicine (For Item 15) Julie Thomas Head of Nursing – Medicine (For Item 15) Andrew Hetreed Clinical Lead for Organ Donation (For Item 16) Cathy Coppard Named Nurse Safeguarding – Children (For Item 19) Annie Blackwell Named Nurse Safeguarding – Adults (For Item 19) Glen Palethorpe Group Company Secretary Tanya Humphrys Board Administrator TB/07/19/01 Welcome and Apologies 1.1 The Chair welcomed all those present to the meeting. 1.2 Apologies were received from Karen Geoghegan, Pete Landstrom and Jon Furmston. TB/07/19/02 Declarations of Interests 2.1 There were no declarations of interest. TB/07/19/03 Minutes of Board Meeting held on 30 May 2019 3.1 The Board received the minutes of the meeting held on 30 May 2019. 3.2 The Board resolved that the minutes of the Board meeting held on 30 May 2019, would be approved as a correct record of the meeting and signed by the Chairman. TB/07/19/04 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 and the Board agreed to close all items. TB/07/19/05 Chief Executive’s Report 5.1 Dame Marianne Griffiths introducted the Chief Executives report and highlighted the following key areas. 5.2 Worthing Pride – The Board was advised that the first week of July saw Worthing hold its second Pride, with colleagues from Sussex Partnership, Sussex Community NHS trusts and Unite joining Western Sussex colleagues at Worthing Pride to celebrate the diversity of our organisations and the people we serve. 5.3 Equality and Diversity Staff Conference – Marriane noted that the Trust held the second of its staff conferences on 13 June. The conference theme this year is Diverse, Inclusive and Together and is part of a wider strategy of celebrating diversity at WSHT as the Trust continue to improve the services it provides. 5.4 Fraility Intervention Teams – The Board was advised that new Fraility Intervention Teams (FIT) had been established to provide more specialist support for older and more frail patients in the trust’s emergency departments. 5.5 Junior Doctors Excellence Awards – Marianne highlighted that the Trust had recently held its inaugural Trainee Doctor Excellence Awards in Arundel on 21 June, which saw 170 nominations and was a truly uplifting event. 5.6 Marianne went on to advise the Board about a number of other achievements that had taken place within the Trust in the previous months, including formally recognising the Trust Volunteers and in particular the Friends of Chichester Hospitals as they celebrated receiving the highest honour a voluntary group can be given. 5.7 Marianne went on to draw the Board’s attention to the following diary highlights and explained breifly the value the Trust had received from attendance at these events: . Meetings with partner organisations . Sustainability and Transformation Partnership . Acute Network . Healthcare Women Leaders Network . NHS Providers Quality Conference . NHS Confederation Annual Conference . Medical Education Conference . Volunteers Summer tea party . Council of Governors meeting . Band 7 leadership programme 5.8 Looking ahead Marianne advised the Board that the CQC inspection regime was progressing , the Trust had the Use of Resources assessment in June and an unannounced service inspection earlier in the week [23 and 24 July] which focused on Critical Care. Marianne paid tribute to all the staff who engaged with the inspectors with pride and enthusiasm, commenting that she couldn’t be more proud. 5.9 Finally Marianne noted that the Trust had received 820 nominations as part of this years STAR Awards event, with judging taking place soon. Marianne highlighted that 120 of the nominations came from patients with some incredible stories particularly in relation to care and compassion. 5.10 The Board NOTED the Chief Executive’s Report. TB/07/19/06 Integrated Performance Report Minutes page 2 6.1 Dame Marianne Griffiths introduced the Integrated Performance Report explaining that Patient First is the Trust’s methodology encapsulating the Trust’s vison, values and goals and how it aligns its processes and governance, highlighting that there are three key streams of work that feed into the Trust’s Patient First True North; Breakthrough Objectives, Corporate Projects and Strategic Initiatives. 6.2 Quality George Findlay updated the Board on the key messages from the Quality section of the report noting that in relation to Mortality the Trust aspiration was to be in the top 20 hospitals and over the previous months HSMR has been trending upwards, putting WSHT in the 38 percentile. 6.3 George explained that following analysis of the data for the observed number of deaths compared to the expected number of deaths, there had been a reduction in the actual number of deaths but there had been a greater decrease in the number of expected deaths. The Board was advised that it was felt this is largely down to coding, it was noted that there had been national changes to the way sepsis is coded. George explained that WSHT had implemented these changes and the result being the change in expected death figures. George assured the Board that the Trust has a process correctly and accurately coding sepsis and has no concerns regarding the data.