POOLE HOSPITAL NHS FOUNDATION TRUST BOARD OF DIRECTORS

Transcription

1 POOLE HOSPITAL NHS FOUNDATION TRUST BOARD OF DIRECTORS Part 1 Minutes of the meeting of the Board of Directors of Poole Hospital NHS Foundation Trust held at 9.00 am on Thursday 25 April 2013 at Salterns Harbourside Hotel, 38 Salterns Way, Lilliput, POOLE, Dorset BH14 8JR Present: Mrs Angela Schofield Chairman Mr Chris Bown Chief Executive Mr Peter Gill Director of Informatics Mr Ian Marshall Non-Executive Director Mr Michael Mitchell Non-Executive Director Dame Yvonne Moores Non-Executive Director (Vice Chair) Mr Guy Spencer Non-Executive Director Mrs Mary Sherry Chief Operating Officer Mr Martin Smits Director of Nursing & Patient Services Mrs Sarah-Jane Taylor Director of HR and Organisational Development Mr Robert Talbot Medical Director Mr Paul Turner Director of Finance Mr Nick Ziebland Non-Executive Director In Attendance: Mr Michael Beswick Miss Jill Retigan Company Secretary Secretary The Chairman welcomed governors and staff present to the meeting. PHFT 124/13 Apologies for Absence The Chairman noted that due the meeting being rearranged at short notice, due to the hearing at the Competition Commission, Mrs Lang had been unable to attend and sent her apologies. PHFT 125/13 Declarations of Interest It was noted that the Board of Directors could potentially have an interest in any item related to merger. PHFT 126/13 Part 1 Minutes of the Board Meeting held on 27 March 2013 (Paper 1) The minutes were AGREED as a correct record of the meeting. PHFT 127/13 Matters Arising Action List (Paper 2) 054/13 Mr Smits reported that the Listening Events had commenced. The full report on the Francis Report would be submitted to the Board of Directors in May. 054/13 The Claims, Complaints and PALs Committee were scheduled to do a presentation at the May meeting of the Quality, Safety & Performance Committee.

2 094/13 Mr Bown reported that various communications had been used to thank staff for their work over the last year. It was suggested that a letter signed by Board members could be issued. ACTION: KH It was noted and was agreed all other matters arising unless the subject of this or future Board of Directors agendas have been executed. PHFT 128/13 Chairman s Report The Chairman reported on the following items: Sir Richard Thompson, President of the Royal College of Physicians visited the hospital on 28 March. Due to the change in commissioning arrangements the two appointed PCT Governors had been replaced by Dr Chris McCall for the Clinical Commissioning Group (CCG). Dr Dan Poulter, Health Minister would be visiting both Poole and Royal Bournemouth & Christchurch Hospitals on 9 May. A meeting with the Chair and Chief Executive of the Wessex Learning, Education & Training Board had taken place. There had been an unannounced visit from the CCG. The initial feedback was positive and the full report was awaited. At the private meeting of the Board of Directors in March, they had: - Approved the Draft budgets for 2013/14 - Deferred the Capital Programme to a future meeting as part of the annual planning process - Approved the extension to the Medical Director s contract for a further 3 years Details of Fundraising events scheduled for the quarter were provided including; Dancing Ledge Abseil on 27 April, the Festival of Running on 2 June and the Dragon Boat Race on14 July. The Chairman noted that further information was available from the Fundraising Office or the website. PHFT 129/13 Chief Executive s Report Mr Bown presented his report and noted the following key points: The hospital had faced significant pressure in April with a high number of emergencies and an outbreak of Norovirus. It was noted a small number of planned admissions had been cancelled. Staff were commended for their hard work and dedication. The rise in attendances at Emergency Departments was nationwide and work with health partners across the South West was to look at the issue was detailed. Good year end results had been achieved although the Emergency Department and Clostridium Difficile targets had been narrowly missed. The combination of this marginal underperformance could result in a downgrading of the quarter four governance risk rating. Monitor had published guidance for Administrators for Foundation Trust failure. 2

3 Choice and competition, which was embedded within the 2010 Health & Social Care Act, had been the subject of various parliamentary debates. The April Monitor FT Bulletin had been received and the Executive Team would take any appropriate actions. PHFT 130/13 Informatics Strategy (Paper 4) Mr Gill presented the report that set out the five year Informatics Strategy that had been developed for The Poole Hospital Foundation Trust (PHFT) and Royal Bournemouth and Christchurch Foundation Trust (RBCHFT) in collaboration with clinicians. The Strategy provided a vision of a paperless patient journey and digital channels for patients and carers with 6 workstreams and 27 projects proposed to progress towards the vision. Mr Gill noted that the capital and revenue funding was set out in the strategy. These would be subject to approval as part of a separate business case process. The report was discussed in detail and consideration paid to the risks and benefits of the strategy. The Informatics Strategy was APPROVED subject to budgets which would be discussed in the private meeting. PHFT 131/13 Risk Register Annual Report (Paper 5) Mr Smits presented the annual report which provided assurance that a robust process was in place. Mr Smits gave an update on the current position with risks and noted there would be an opportunity in the private meeting for the Board to review all current red and amber risks. It was noted that PricewaterhouseCoopers would be presenting their findings on quality governance processes at the May Board Seminar. The report was discussed and NOTED. PHFT 132/13 Chairman s Report of the Finance & Investment Committee held on 22 April 2013 Mr Mitchell referred to his tabled report and noted the following: The year end results had been as projected with the only disruption the District Valuer s Revaluation. Cash was ahead of plan and Andrew Goodwin and his team had met all required timescales. Merger costs may increase with delays to the timeline. The committee had reviewed the plans for Maternity and NICU and the Committee would support the report when discussed by the Board at their private meeting. A detailed paper from Mrs Sherry on Emergency Pathways had been scrutinised and this would also be considered in the private meeting. PHFT 133/13 Chairman s Report from the Workforce Committee held on 22 April 2013 Mr Spencer referred to his tabled report and noted the following: 3

4 Mrs Halliwell, Associate Director of Education, had given a presentation on the new commissioning arrangements and a scoping paper to identify the future education needs of the Trust would be submitted to the next meeting. The Communications team had introduced several new initiatives including an e-workbook for managers. The Workforce Key Performance Indicators Report had detailed excellent results for staff sickness and the HR Department had contributed to this improvement with proactive work to address hotspots. There had been a very low level of redundancies throughout the year with staff being redeployed following transformation work. The staff survey results had been considered and the additional questions had provided some very positive outcomes. The proactive work to address recruitment for nurses had been discussed. The Trust had been given an award for services to disabled people. Mr Spencer noted his thanks to the Human Resources Department for their work. PHFT 134/13 Integrated Trust Performance Report (Paper 6) Mr Turner, Mrs Sherry, Mr Smits and Mrs Taylor presented the report and highlighted key areas. Detailed discussion took place particularly in regard to: Financial results for the year end had been as expected with a surplus of 1.3m against a planned 1.5m. This was due to lower than anticipated donated income. The District Valuer had presented results from the revaluation later than expected. The adjustments had been put through the accounts and would be investigated later. It was noted that this technical change would require the right presentation to ensure it was not misconstrued. The format of the Integrated Performance Report would be reviewed from April ACTION: MShy Two additional cases of Clostridium Difficile had been reported. The many positive results and outcomes despite challenging circumstances. The increase in pressure ulcers. Mr Smits noted that this was a reflection of the nature of current patient pathways and work to educate and prevent these incidences was underway. Mr Smits noted that the Patient Survey had been published on the Care Quality Commission website and Poole Hospital had done well. A full report would be presented to the next meeting. ACTION: MSm The challenges for the Clostridium Difficile target were discussed and the requirements of a constantly improving target noted, with the hospital having very low targets due to previous excellent results. Mr Smits noted that discussions with Commissioners were continuing. 4

5 PHFT 135/13 Merger Update (Paper 7) Mr Bown provided an update on merger. He noted that one of the reasons for the Competition Commission (CC) stopping the clock was to allow the Trust time to produce the information that had been requested. He noted the clock stop was assumed to be one month. The effects on the timeline were discussed. The CC website was continuously updated and the results of their market research were now available to read. A hearing had taken place with the CC and the Trust had presented their case for merger. A separate hearing had taken place for RBCH. It was agreed that Mrs Sherry would submit an update on integration to the next meeting. ACTION: MShy The report was discussed and NOTED. PHFT 136/13 Seal of Documents Register (Paper 8) Mr Beswick presented the report and detailed use of the seal during the 2012/13 financial year. PHFT 137/13 Gifts & Hospitality Register (Paper 9) Mr Beswick presented the annual statement of the gifts and hospitality received by the members of the Board of Directors during 2012/13. PHFT 138/13 Register of Interests (Paper 10) Mr Beswick presented the Register of Interests which had been updated to take account of new declarations. It was noted that any changes or corrections should be submitted to the Company Secretary. PHFT 139/13 Today s Board Seminar The Chairman reported that due to the rescheduling of this meeting there would not be a Board Seminar in April. PHFT 140/13 Questions from the Council of Governors There were no questions from the Council of Governors received. PHFT 141/13 Any Other Business There was no other business. 5

6 PHFT 142/13 Date and Time of Next Meeting Board meeting to take place at am on Wednesday 29 May in the Board Rooms, Poole Hospital. PHFT 143/13 Withdrawal of Press and Public The Chairman moved that any members of the public and representatives of the press should withdraw from the meeting. Agreed as an accurate record of the meeting: Chairman: