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

Action
Members were advised that acute services and maternity should expect
similar visits soon. JA summarised the ongoing challenges to be:
• The need for a clinical governance bulletin
• Hospital at Night
• Bleep free time for junior doctors that would also assist in getting the
11am discharge target met.
• Phlebotomy cover at KGH
• Daily Consultant Ward Rounds
• Study Leave
• Obs. and gynae. Middle grade numbers
Most importantly JA felt the issue of clinical supervision of junior doctors must
be focused on.
AD also highlighted the Deanery’s requirement for obs. and gynae. junior
doctors to be withdrawn from King George Hospital and repatriated to Queen’s
within 72 hours of the MLU opening. MG said he would clarify expectations
around this at his meeting with Andy Mitchell next week.
AW felt that the Clinical Directors needed to tackle the issue of clinical
supervision. JA confirmed that the Trust’s Medical & Education Policy for
Supervision was updated in February this year and key performance indicators
are in place. It was agreed that JA would write to the Clinical Directors
requesting that each area should have a written policy that clearly states the
level of clinical supervision expected; it should also clarify the Trust’s
expectation that a Consultant will always attend to support a trainee if
specifically requested to do so by the trainee.
CW suggested that copies of the presentation would have been useful as
would a broader executive summary that included the salient points. Both CW
and AD were concerned that the action plans were not in the Trust’s format.
JA explained the action plan was originally generated by the Deanery.
However, GW felt there were too many action plans and there should be more
consolidation; the action plans should be developed and owned by the Trust
with segments presented to the various audiences that request it.
There was discussion around potential financial costs resulting from these
visits/surveys that the Trust Board will be considering, but they will need to be
added to the deficit.
MG concluded the discussion by stating that other Trusts do provide better
supervision of their juniors and that this leads to safer care. There will be
some challenges but the emergency pathway will be an area to prioritise.
PATIENT SAFETY
108/2012 Care Quality Commission Update
PS explained that the report was for information but did highlight the action
plan was being updated and there was a big drive to sign off as much as
possible.
AW was pleased to note the last Condition had been lifted.
MG
JA
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