Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
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102/<strong>2012</strong> Apologies<br />
Apologies were received from:<br />
Ambalika Das, Clinical Director – Children’s Services (ADa)<br />
Remi Odejinmi, Clinical Director – Anaesthetics (RO)<br />
Jonathan Pollock, Clinical Director – Neurosciences (JP)<br />
Cathy Geddes, Chief Operating Officer (CG)<br />
Vanessa Lodge, Deputy Director of Quality & Clinical Governance, NHS<br />
North East London & City<br />
103/<strong>2012</strong> Minutes of the Meeting held on the 12 th June <strong>2012</strong><br />
The minutes from the previous meeting were agreed to be a true record.<br />
104/<strong>2012</strong> Matters Arising<br />
Action Log<br />
18/<strong>2012</strong> - SB advised there had been further discussions with Health UK about<br />
the ISTC that has resulted in the <strong>Trust</strong> agreeing to support cardiac arrests in<br />
the centre. However, the <strong>Trust</strong> declined to provide advice to ISTC clinicians,<br />
although a pathway for referring the patient to A&E was agreed.<br />
36/<strong>2012</strong> – Information Governance Committee reports would in future be<br />
independent items <strong>and</strong> not part of the Feeder Committee update.<br />
42/<strong>2012</strong> – The infection control items were included as agenda items.<br />
45/<strong>2012</strong> – DO advised that the range used for Emergency LSCS performed<br />
within graded times was 30 for grade 1, <strong>and</strong> 60 for grade 2. The national<br />
figure for grade 2 was 75, but the <strong>Trust</strong> had agreed an internal ‘stretch’ target.<br />
45/<strong>2012</strong> – DO <strong>and</strong> IS agreed to jointly review the potential for a positive journal<br />
article on the <strong>Trust</strong>’s experience of meeting NHSL performance indicators for<br />
Emergency LSCS.<br />
54/<strong>2012</strong> – The item on patient stories to be deferred to the October meeting.<br />
70/<strong>2012</strong> – The update from each CD on NICE compliance was deferred to the<br />
October meeting.<br />
70/<strong>2012</strong> – The Deanery/GMC visit was included an agenda item.<br />
72/<strong>2012</strong> – POB reported that the missing methadone had been found, so the<br />
issue was due to a lag in reporting <strong>and</strong> it was not therefore an SI.<br />
74/<strong>2012</strong> – The Dr Foster reports had been re-circulated to members.<br />
74/<strong>2012</strong> – PS advised the <strong>Trust</strong> was in the process of introducing CHKS<br />
mortality data <strong>and</strong> had discontinued the contract with Dr Foster. Further<br />
information would be made available to the next meeting <strong>and</strong> once the<br />
changeover is complete the presentation will be scheduled into the<br />
Committee’s agenda.<br />
MS explained in relation to the update required on weekend mortality data<br />
relating to elective weekend deaths that she had been reviewing the notes of<br />
these patients <strong>and</strong> had identified that some were miscoded; some were<br />
attributable to the way cancer was coded. Of the notes reviewed only 8 relate<br />
to true elective surgical deaths, which she needed to discuss further with<br />
neurosurgery to fully underst<strong>and</strong>. There were 3 actions following the review<br />
i.e. 1) work with the coders to review the miscoding of emergency admissions<br />
as planned deaths, 2) further investigate how cancer day unit cases are coded<br />
<strong>and</strong> 3) review with neuro that the deaths were not inappropriately coded.<br />
IS confirmed that appropriate publicity would be given to ensure mortality data<br />
was transparent.<br />
Action<br />
DO / IS<br />
GE<br />
CDs<br />
PS<br />
2