T R U S T B O A R D PUBLIC 14.00 – 17:00 Wednesday 6 September 2017 Whittington Education Centre Room 7 Meeting Trust Board – Public Date & time 06 September 2017 at 1400hrs – 1700hrs Venue Whittington Education Centre, Room 7 AGENDA Members – Non-Executive Directors Members – Executive Directors Steve Hitchins, Chair Simon Pleydell, Chief Executive Deborah Harris-Ugbomah, Non-Executive Siobhan Harrington, Director of Strategy & Deputy Director Chief Executive Tony Rice, Non-Executive Director Stephen Bloomer, Chief Finance Officer Anu Singh, Non-Executive Director Dr Richard Jennings, Medical Director Prof Graham Hart, Non-Executive Director Philippa Davies, Chief Nurse & Director of David Holt, Non-Executive Director Patient Experience Yua Haw Yoe, Non-Executive Director Carol Gillen, Chief Operating Officer Attendees – Associate Directors Dr Greg Battle, Medical Director (Integrated Care) Norma French, Director of Workforce Lynne Spencer, Director of Communications & Corporate Affairs Secretariat Kate Green, Minute Taker Contact for this meeting:[email protected] or 07733 393178 A genda Paper Action and Item Timing Patient Story Patient Story Note Philippa Davies, Chief Nurse & Director of Patient Experience Verbal 1400hrs Declaration of Conflicts of Interests Declare 17/106 Steve Hitchins, Chair Verbal 1420hrs Apologies & Welcome Note 17/107 Steve Hitchins, Chair Verbal 1425hrs Draft Minutes, Action Log & Matters Arising 5 July 2017 Approve 17/108 Steve Hitchins, Chair 1 1430hrs Chairman’s Report – Chair’s Action Name Change Note 17/109 Steve Hitchins, Chair 2 1440hrs Chief Executive’s Report Approve 17/110 Simon Pleydell, Chief Executive 3 1450hrs Patient Saf ety & Quality Serious Incident Report Month 04 Appro ve 17/111 4 Richard Jennings, Medical Director 1500 hrs Safer Staffing Report Month 04 Approve 17/112 5 Philippa Davies, Chief Nurse & Director of Patient Experience 1510hrs Quality & Patient Safety Report (Quarter 1 - April to June) Approve 17/113 6 Richard Jennings, Medical Director 1520hrs Care Quality Commission Update Approve 17/114 Philippa Davies, Chief Nurse & Director of Patient Experience 7 1530hrs Performance Financial Performance Month 04 Approve 17/115 Stephen Bloomer, Chief Finance Officer 8 1540hrs Performance Dashboard Month 04 Approve 17/116 Carol Gillen, Chief Operating Officer 9 1550hrs Corporate Objectives Q1 RAG report Approve 17/117 Siobhan Harrington, Deputy Chief Executive/Director Strategy 10 1600hrs Strategy North Central London Sustainability & Transformation Plan Approve 17/118 11 Simon Pleydell, Chief Executive 1610hrs 1610hrs Governance Equality & Inclusion Annual Report 2016/17 Approve 17/119 12 Norma French, Director of Workforce 1620hrs Medical Appraisal &Revalidation Annual Report 2016/17 Approve 17/120 13 Richard Jennings, Medical Director 1630hrs Modern Slavery Statement 2016/17 Approve 17/121 14 Lynne Spencer, Director Corporate Affairs / Communications 1640hrs Trust Board Committee Draft Minutes 1) Charitable Funds Tony Rice, Non-Executive Director 2) Quality Anu Singh, Non- Executive Director Note 17/122 15 3) Remuneration Steve Hitchins, Chairman 1650hrs 4) Workforce Assurance Graham Hart, Non-Executive Director AOB Urgent Business and Questions from the public None notified to the Trust ANNUAL GENERAL MEETING 06 September 2017 at 1800hrs to 1900hrs at the Whittington Education Centre Room 7, Magdala Avenue, N195NF Date of next Trust Board Meeting 06 October 2017 -1400hrs-1630hrs -Whittington Education Centre, Magdala Avenue, N19 5NF Register of Conflicts of Interests: The Register of Members’ Conflicts of Interests is available for viewing during working hours from Lynne Spencer, Director of Communications & Corporate Affairs, at Trust Headquarters, Ground Floor, Jenner Building, Whittington Health, Magdala Avenue, London N19 5NF - [email protected]. ITEM: Doc 01 Doc: 17/108 The draft minutes of the meeting of the Trust Board of Whittington Health held in public at 1400hrs on Wednesday 5th July 2017 in the Whittington Education Centre Present: Greg Battle Medical Director, Integrated Care Stephen Bloomer Chief Finance Officer Philippa Davies Director of Nursing and Patient Experience Deborah Harris-Ugbomah Non-Executive Director Siobhan Harrington Director of Strategy/Deputy Chief Executive Graham Hart Non-Executive Director Steve Hitchins Chairman David Holt Non-Executive Director Richard Jennings Medical Director Simon Pleydell Chief Executive Tony Rice Non-Executive Director Anu Singh Non-Executive Director Yua Haw Yoe Non-Executive Director In attendance: Norma French Director of Workforce Kate Green Minute Taker Fiona Isacsson Director of Operations, S&C/Deputy COO Lynne Spencer Director of Communications & Corporate Affairs Patient Story Philippa Davies introduced Madeline Shaer, a patient in receipt of services from the tissue viability, district nursing and podiatry teams. Madeline was accompanied by Jane Preece, tissue viability specialist, and Dorian Cole, Head of Nursing for the Patient Access, Prevention & Planned Care ICSU. Jane Preece introduced the presentation, saying that Madeline had been known to Trust services for around six years; she suffered from Type 2 diabetes, and had recurrent leg and toe ulcers. Madeline had re-presented to the service in March with infected ulcers, and following a detailed assessment, the decision was made to follow a course of treatment which included debridement and medical larvae therapy. Barring scans, much of this care was able to be conducted at home, with day to day support from the district nursing team supported by the tissue viability team. Madeline explained that she had been involved in an accident 8-10 years ago, following which she had been hospitalised for two weeks. This March she had noticed a small ulcer; this had been examined by doctors, all of whom had expressed the view that it was ‘healing well’. Madeline had been sceptical about this, so had contacted Jane and begun treatment; by this time the ulcer had deteriorated. Although confident of the treatment she was receiving, Madeline felt that this resulted in a longer time before her ulcer healed. Dorian Cole commented on the importance of good care co-ordination, not just face to face between staff but also using technology such as Facetime. This was key particularly when changes in staff were taken into account. Madeline expanded on this, saying that she felt district nursing visits were inconsistent for quality of care as some nurses did not always adhere to good practice for hand hygiene. Jane assured the Board this had been raised directly with the team leader, and Philippa undertook to report back the result. There was some discussion about how 1 patients can best raise such issues – and whether they feel confident to do so – and it was suggested relevant telephone numbers be included on care plans. On behalf of the Board, Steve Hitchins extended his thanks to Madeline for attending the Board meeting and for her courage in recounting her story. He assured her that Philippa or one of her team would be in touch to report back on discussions with the district nursing team about the importance of hand hygiene. 17/94 Declaration of Conflicts of Interest 94.01 Tony Rice declared an interest in Xerxes a building supplies group called Omnis. 17.95 Welcome and apologies 75.01 Steve Hitchins welcomed everyone to the meeting. Apologies for absence had been received from Carol Gillen; Fiona Isacsson was in attendance as her deputy. 17/96 Minutes, Matters Arising & Action Log 96.01 The minutes of the Trust Board meeting held on 7th June were approved. There were no matters arising other than those already scheduled for discussion. Action notes 96.02 All items on the action log had either been completed and could therefore be closed, or were scheduled on the Board forward planner for discussion either at a future Board meeting or seminar. 96.03 It was noted that 86.03 (junior doctor workforce and skill mix) had been discussed at Trust Management Group the previous day as this was a major risk in terms of the Trust being unable to guarantee finding the necessary supply of doctors to fill rotas. A short- term plan was needed to enable the Trust to cope now, and a longer-term plan for supporting people to work in different ways. 17.97 Chairman’s Report 97.01 Steve Hitchins began by reporting on the recent staff awards ceremony held at the Royal College of Surgeons. This had been attended by some 250 people; it had been enjoyed by all and had been a celebration of success. There was a Flickr platform on which people could view pictures of the event. Steve thanked Simon for making this happen, and Philippa and the Communications Team for their professional organisation of the event. 97.02 Steve also drew attention several events he had participated in or attended since the last meeting, highlighting the following: a programme of visits to community dental services the first meeting of the STP Advisory Board the very positive Speech & Language Therapy Annual Conference, where he had noted that staff group’s enthusiasm for being part of the ICO a recent meeting of the community forum, which had increased in size. 97.03 He had also recently attended the weekly Muslim Prayer Meeting, and on Thursday would be attending an event which had been organised to support all staff who had been 2 affected by recent events in London. All were welcome to attend this event, which would be taking place in N19 at 2.00pm. 97.04 The closing date for applications for the Chief Executive post had now passed, and Steve was pleased to announce a strong field of candidates. He hoped that Board colleagues would become involved in the appointments process, as well as staff and other stakeholders, and had extended invitations to attend presentations and focus groups accordingly. 17/98 Chief Executive’s Report 98.01 Returning to the staff awards ceremony, Simon said that he had been particularly pleased with the range of staff nominated for awards from both the community and the hospital.