Agenda and supporting papers - Plymouth Hospitals NHS Trust
Agenda and supporting papers - Plymouth Hospitals NHS Trust
Agenda and supporting papers - Plymouth Hospitals NHS Trust
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Item 3<br />
been involved <strong>and</strong> there was service line support. Mr Brown<br />
stated that the proposals had been routed through the relevant<br />
clinical groups to ensure support.<br />
• Dr Williams stated that the Board could not be sure that these<br />
proposals would save money <strong>and</strong> be better for patients.<br />
Success would be dependent on a tight grip on the associated<br />
operational issues. The discharge element, which was<br />
dependent on<br />
D<br />
other parties, was crucial <strong>and</strong> there was limited<br />
assurance that this would be delivered in the short term.<br />
• Mr Teape identified the requirement for a clear audit trail for<br />
admissions/discharges to be shared with commissioners. Mr<br />
Teape <strong>and</strong> Mr Baber would shape this.<br />
R<br />
• Mrs Raikes asked whether this investment would add to the<br />
existing CIP programme. Mr Teape stated that it would not <strong>and</strong><br />
that the costs were included in the £5m ‘investment for quality’<br />
projects discussed at the May Board.<br />
• Successful nurse<br />
A<br />
recruitment was crucial to the plan’s success,<br />
both operationally <strong>and</strong> financially. Mr Dix stated that nurse<br />
recruitment was just keeping pace with internal turnover <strong>and</strong> it<br />
was likely that it would be necessary recruit internationally.<br />
Whilst Ms James agreed in principle, she felt there was more<br />
that could be done in local advertising <strong>and</strong> this should be<br />
pursued.<br />
F<br />
Concluding the Board’s discussions, Ms James stated that the Senior<br />
Management Team must develop range of KPIs for Board level<br />
oversight. Agreement of these proposals would send confirmation to<br />
staff that the Board had listened <strong>and</strong> acted on two of their concerns:<br />
T<br />
• The importance of minimising patient <strong>and</strong> staff moves to meet<br />
operational imperatives.<br />
•<br />
The Board:<br />
The importance of <strong>supporting</strong> staff to deliver the consistently<br />
high levels of care that they would wish.<br />
• Noted the internal actions being taken to support<br />
improvements within the ED pathway <strong>and</strong> improve<br />
hospital-wide support for patients within the ED.<br />
• Noted the community-wide actions required to support<br />
hospital based Emergency Care in the longer term.<br />
• Approved the actions described within the Bed<br />
Programme <strong>and</strong> the associated investment necessary to<br />
8