Trust Board papers November 2012 - Barking Havering and ...

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