MEETING OF THE POWYS TEACHING HEALTH BOARD BOARD MEETING WEDNESDAY 24 APRIL 2013, 1.00PM - 4.00PM, THE PAVILION, ROYAL WELSH SHOWGROUND, BUILTH WELLS NO ITEM ENC PRESENTER PRESENTATION: INTEGRATED COMMUNITY CARE 1 PRELIMINARY MATTERS 1.1 Welcome and Apologies for Absence 1.2 Declarations of Interest All 1.3 Minutes of meeting held on 20 February 2013 1.3 Chairman 1.4 Action Review from Previous Meetings 1.4 Chairman 1.5 Chairman’s Report Verbal Chairman 2 ITEMS FOR APPROVAL / ENDORSEMENT 2.1 Three Year Plan 2013-2016 2.1 Chief Executive 2.2 Annual Plan 2013/14 2.2 Chief Executive 2.3 Financial & Budgetary Strategy 2013/14 2.3 Director of Finance 2.4 Funded Nursing Care 2.4 Director of Nursing 2.5 SHSW: Governance and Accountability Module 2.5 Director of Therapies & HS 2.6 Stroke Delivery Plan 2.6 Director of Therapies & HS 2.7 Information & Consultation Strategy for Carers 2012-15 2.7 Director of Planning 2.8 Builth Wells Hospital Site 2.8 Director of Planning ITEMS FOR DISCUSSION 3 STRIVING FOR EXCELLENCE 3.1 Integrated Performance Report 3.1 Chief Executive 3.2 Corporate Risk Register 3.2 Director of Therapies & HS 3.3 The Francis Report 3.3 Director of Therapies & HS 4 IMPROVING HEALTH AND WELLBEING 4.1 Measles Outbreak Update 4.1 Director of Public Health 4.2 Powys Tobacco Control Strategic Planning 4.2 Director of Public Health 4.3 Improving Quality Together 4.3 Director of Public Health 5 MAKING EVERY POUND COUNT 5.1 Financial Performance 2012/13 : Month 11 5.1 Director of Finance 6 GOVERNANCE & ASSURANCE 6.1 Board Committee Reports:- Committee Chairs Quality and Safety Committee 6.1a Audit Committee 6.1b Integrated Governance Committee 6.1c 7 OTHER MATTERS 7.1 Any Other Urgent Business Verbal Chair 7.2 Date of Next Meeting: 19 June 2013, 1:00-5:00pm, Training Room 1&2, Bronllys Hospital KEY: Annual Plan Themes Improving Health and Wellbeing Involving the People of Powys Ensuring the Right Access Making every Pound Count Striving for Excellence Governance & Assurance Motion to Exclude Members of the Public and the Press To approve a motion under Section 1(2) Public Bodies (Admission To Meetings) Act 1960: “Representatives of the press and other members of the public shall be excluded from the remainder of this meeting having regard to the confidential nature of the business to be transacted, publicity on which would be prejudicial to the public interest”. FOR APPROVAL BOARD MEETING 24 APRIL 2013 AGENDA ITEM 1.3 DRAFT MINUTES OF BOARD MEETING HELD 20 FEBRUARY 2013 Report of Chairman Paper prepared by Corporate Governance Manager Purpose of Paper To provide the Board with the draft minutes of the Board Meeting held on 20 February 2013 for approval. Action/Decision required The Board is asked to APPROVE the draft minutes of the Board Meeting held on 20 February 2013. Link to ‘Doing Well, 1. Governance and Accountability Doing Better: Standards for Health Services in Wales’: Link to Health Board’s Improving Health & Well-Being Corporate Plan Ensuring the Right Access Striving for Excellence Involving the People of Powys Making Every Pound Count Acronyms and N/A abbreviations Board Minutes Meeting held Page 1 of 14 Board Meeting 20 February 2013 24 April 2013 Status: Awaiting Approval Agenda Item 1.3 FOR APPROVAL MINUTES OF THE MEETING OF THE POWYS TEACHING HEALTH BOARD HELD AT 1.00 PM ON WEDNESDAY 20 FEBRUARY 2013, TALGARTH TOWN HALL, TALGARTH Present: Mel Evans (ME) tHB Chair (Chair of Meeting) Jo Mussen (JM) tHB Vice Chair Andrew Cottom (AC) Chief Executive Alan Austin (AA) Associate Member (SRG Chair) Mark Baird (MB) Independent Member Joanna Davies (JD) Director of Workforce & OD Paul Dummer (PD) Independent Member Roger Eagle (RE) Independent Member Rosemarie Harris (RH) Independent Member Gareth Jones (GJ) Independent Member Gloria Jones Powell (GJP) Independent Member Andrew Leonard (AL) Independent Member Brendan Lloyd (BL) Medical Director Gyles Palmer (GP) Independent Member Dr Douglas Paton (DP) Associate Member Rebecca Richards (RR) Director of Finance Carol Shillabeer (CS) Director of Nursing Amanda Smith (AS) Director of Therapies & HS In Attendance: Sumina Azam (SA) Interim Director of Public Health Emily Games (EG) Corporate Governance Support Officer Cynthia Jones (CJ) District Nurse Team Leader (tHB/13/06 only) Paul Labourne (PL) Assistant Nurse Director (tHB/13/06 only) Rani Mallison (RM) Corporate Governance Manager Ceri Rees (CR) District Nurse Deputy Team Leader (tHB/13/06 only) Nathalie Thomas (NT) Service Improvement Officer (tHB/13/06 only) Bruce Whitear (BW) Interim Director of Planning Public Attendance: There were 14 members of the public present Apologies: Jeremy Patterson (JP) Associate Member (CEO, Powys CC) tHB/13/01 Declarations for Interest There were no declarations of interest received for noting. Board Minutes Meeting held Page 2 of 14 Board Meeting 20 February 2013 24 April 2013 Status: Awaiting Approval Agenda Item 1.3 FOR APPROVAL tHB/13/02 Minutes of the meeting held of 19 December 2012 The minutes of the previous meeting held on 19 December 2012 were agreed as a true and accurate record. tHB/13/03 Matters Arising from Previous Meetings There were no matters arising from the previous meeting. tHB/13/04 Action Review from Previous Meetings The Board received an Action Review Grid which provided a summary of actions arising from previous Board meetings held during 2012, as at 19 December 2012. tHB/13/05 Chairman’s Report Following a formal welcome to Board Members:- The Chairman reported on the recommendations outlined in The Francis Report (report into Mid Staffordshire NHS Trust) and summarised the major implications for NHS in Wales and Powys tHB. The Board noted next steps regarding issues concerning standards of care afforded to patients in relation to standards, dignity, care and compassion. It was noted that there would be a need to consider scrutiny and provide assurances that quality measures were in place. In addition, the need to design an assessment to identify clear priorities was required going forward. AS advised the Board of work currently underway with significant focus on the following areas; • improved intelligence regarding incidents • inspections • review effectiveness of walkrounds and lessons learned • robust mechanisms regarding staff concerns with patient care. DP advised the Board of mechanisms required to ensure that patients who were treated outside Powys received good quality care. BL noted to the Board that with regards the patient experience, the role of the GP was an integral part of reporting patient experience. In light of this, DP advised the Board that a structure was required for GPs to discuss and raise concerns formally, which would also provide an opportunity to review quality within the contracting process. In light of the Francis report the Chairman confirmed that the Board Development session scheduled on 14 March 2013 would discuss the following areas; The Chairman advised that the Board Development Session, to be held on 14 March 2013, would focus on the tHB’s approach to the recommendations arising from The Francis Report. The Chairman confirmed that it was essential that issues were acted upon swiftly and Board Minutes Meeting held Page 3 of 14 Board Meeting 20 February 2013 24 April 2013 Status: Awaiting Approval Agenda Item 1.3 FOR APPROVAL confirmed that the Director of Therapies and Health Sciences would take the lead on this area as the work linked heavily to business undertaken by the Quality and Safety Committee and its development regarding the SHS Governance and Accountability self- assessment. The Board was pleased to note that a 3-year NICE fellowship had recently been awarded to the Director of Therapies and Health Sciences which assessed work specifically regarding the implementation of NICE guidelines on the Patients’ Experience. tHB/13/06 Presentation: Patient Story A Powys patient gave a verbal account via a pre-recorded audio facility and described how care was delivered through a new primary care led alternative model of care in the South of Powys. The patient described that prior to her illness she had already undergone a hip operation and had an infection so felt relieved that care and treatment could be delivered at home. The patient outlined the benefits of being treated at home and noted that the opportunity of treatment at home enabled the recovery time to be much faster due to the fact that she was within her own surroundings which ultimately had a positive impact. In addition, it reduced cross infection to other patients which may have occurred if she had been admitted to hospital. The patient felt that the service and care received by the Community Resource Team was excellent and advised the Board that it saved an unnecessary trip to hospital and saved money for her personally in the process. The patient noted that it was a welcomed surprise that an intravenous drip could be assembled at home and the access to such IV treatment provided an efficient and brilliant service which brought a positive benefit to the patient experience. The Board held brief discussion regarding the Virtual Ward which aimed to provide patient centered care within the community, enabling patients to receive multi-disciplinary care at home. PL confirmed to the Board that the virtual ward was the way of working across the South of Powys and a number of sites were due to go live at the beginning of March 2013. PL noted that GPs, District Nurses and Social Workers met on a regular basis and were at the core of the virtual ward and any patients considered vulnerable in the community could be treated.