Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
2<br />
Following Mr White’s concerns raised around the ownership of risk management <strong>and</strong> the sequence of<br />
presenting <strong>papers</strong> to different <strong>Trust</strong> Committees, the Chief Executive confirmed that this was an area that<br />
would be picked up by the new appointment of a Director of Governance <strong>and</strong> Special Projects who would<br />
be starting with the <strong>Trust</strong> on the 10 September. The <strong>Board</strong> noted that the overall <strong>Board</strong> Assurance would<br />
report through the <strong>Trust</strong> Executive Committee <strong>and</strong> on to the <strong>Trust</strong> <strong>Board</strong>. The Clinical Governance Team<br />
was meeting with each Directorate <strong>and</strong> going through a rigorous training programme, in order to ensure<br />
that everyone understood the process. The <strong>Trust</strong>, through this new appointment, would be working<br />
towards Integrated Governance throughout the organisation.<br />
Dr Dalziel was concerned that the ‘Corporate Risks by Year’ chart did not provide a good comparison<br />
between 2011 <strong>and</strong> <strong>2012</strong> <strong>and</strong> she could not get a sense of whether the <strong>Trust</strong> had made improvements in<br />
going from quite a few risks, to less risks. The performance in 2011 looked to have doubled from the<br />
analysis in 2009 <strong>and</strong> 2010. It was agreed by the <strong>Board</strong> that when presenting this type of information, the<br />
report should include some narrative, in order to explain the trends. It was agreed that Mr Moloney,<br />
through the Performance/Information Department, would look at the quality control of information being<br />
presented to the <strong>Board</strong> to ensure it was meaningful for the members <strong>and</strong> complied with Information<br />
Governance. Dr Dalziel also felt that it was important to link these analyses to staffing <strong>and</strong> vacancy levels,<br />
as this information could not sit outside of this <strong>and</strong> needed to be linked to it in some way to ensure<br />
correlation of data.<br />
The <strong>Trust</strong> <strong>Board</strong> noted the changes to the <strong>Board</strong> Assurance Framework.<br />
Action: Neill Moloney 7.11.12<br />
<strong>2012</strong>/046 QUALITY & PATIENT STANDARDS PERFORMANCE REPORT – JULY <strong>2012</strong><br />
Mr Moloney informed the <strong>Board</strong> that there had been three MRSA bacteraemias reported during the month,<br />
bringing the <strong>Trust</strong>’s total up to five. Unfortunately since the report had been finalised, another case had<br />
been reported, bringing the total to six, against a yearly target of seven. It was felt that the target would be<br />
breached by the end of the year.<br />
He also reported that the complaints performance had returned to ‘green’ <strong>and</strong> the <strong>Trust</strong> had achieved 87%<br />
for its response times during the month of July. Another area to note was that length of stay had improved<br />
on non-elective, but worryingly DTOCs had not reduced; increased from 4.39% in June to 4.69% in July.<br />
Mr Mahoney raised the performance for MRSA Screening <strong>and</strong> the <strong>Trust</strong>’s position compared with other<br />
<strong>Trust</strong>s. The <strong>Board</strong> noted that this area had been discussed in detail with the Directorates, both for elective<br />
<strong>and</strong> non-elective <strong>and</strong> there had been a considerable amount of work ongoing since August to ensure an<br />
improvement in performance over the next two to three months. The Emergency Department was also<br />
looking at the Emergency Medicine Decision Unit (EMDU) to capture all the patients going through there as<br />
well, so this would contribute to the improvement in performance. Mr Moloney informed the <strong>Board</strong> that it<br />
had been made very clear at the Directorate Performance Review meetings recently that the performance<br />
against this target had to improve. The Interim Deputy Director of Nursing, Gary Etheridge had taken on<br />
responsibility for patient experience <strong>and</strong> he was currently taking a different approach to the implementation<br />
of the h<strong>and</strong> held devices, in order to encourage both patients <strong>and</strong> their relatives to complete the<br />
questionnaires. The <strong>Board</strong> agreed that this had to be part of the discharge process, so the <strong>Trust</strong> had some<br />
good quality data to refer to.<br />
The Interim Chairman raised his concerns regarding the drop in performance for appraisals (72.69%, a<br />
drop of 3.71% on last month’s position) <strong>and</strong> whether this meant that the <strong>Trust</strong> had a large number of staff in<br />
the organisation who did not have their objectives set for the next year. The <strong>Board</strong> agreed that it was very<br />
important for staff to have their objectives set, in order to performance manage people appropriately. It had<br />
been agreed at a previous <strong>Board</strong> meeting that Clinical Directors would ensure appraisals <strong>and</strong> objectives<br />
were aligned <strong>and</strong> cascaded down through their Directorates. The Chief Executive would take this up with<br />
the two Executive Directors currently covering the Chief Operating Officer’s responsibilities, namely Mrs<br />
Hosein <strong>and</strong> Mr Hulme, to ensure that the Associate Directors <strong>and</strong> other senior management had their<br />
objectives. The Chief Executive would provide the appropriate evidence for the <strong>Board</strong>.<br />
<strong>Trust</strong> <strong>Board</strong> Minutes Part I – 5 September <strong>2012</strong>