Agenda and supporting papers - Plymouth Hospitals NHS Trust

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Item 15, Annex 1 • Concerns raised via ‘ask Ann’ regarding departments not tracing notes. This will now be included as a performance indicator for each directorate to ensure poor performing directorates are addressed • Case note training is ongoing and 140 members of staff have been trained. The training has been followed-up by an audit and it has demonstrated that the training has had the impact required • 50,000 pieces of loose notes have now been filed which is approximately 25% of all filing that needs to be completed • A pilot for sending paper to filing service at Bush Park will be piloted by Neurology in July 2013 LB highlighted that concerns regarding overheard discussions of patient information and notes left on the nurses’ station were raised by the CQC. AB explained that issues regarding discussions on the telephone will be picked up through training being provided by the information governance team by demonstrating scenarios and use of lockable should improve issues relating to notes left at the nurses’ stations. The Committee took assurance that progress that had been made and recognised the hard work it had taken to achieve this and the challenges that remain. 13. Communication The Chair listed the following key points for onward communication to the Trust Board – • Updated Theatre Safety Action Plan has continued to be implemented as planned • Risk assessment for follow-up backlog within Ophthalmology will be completed for all directorates so that high risk patients can be dealt with as a priority • The Trust continues to maintain a good mortality rate however, the difference in the rate between week days and weekend will be reviewed in further detail • A number of key learning points from external review regarding investigation processes will be incorporated within investigation terms of reference • RCOG report shows Maternity unit within the Trust is performing above the mean rate within 17 of the 19 relevant criteria considered • Good progress made with implementation of the health records action plan and Committee noted particularly difficult implementation points within the plan 14. Review and Learning The Chair informed the Committee that meetings will be held on a bi-monthly from July 2013. LB suggested that performance reports regarding key issues should be included on the agenda for review. Date and time of next meeting Monday 15 th July 2013 – 12:30, Maternity Seminar Room (Lv 5) S&Q Draft Minutes June 13 Page 7 of 7
Item 16 COMMITTEE MINUTES Finance, Performance & Investment Committee (FPIC) Date 22 nd May 2013 Location Room 2 DHLC Attendees Ian Douglas, (Chairman) Keith Chapman, Assistant Director of Operations (ADoO) David Cooper, Project Accountant (PA) Annie Cornelius, Senior Matron (SM) Phil Hughes, Assistant Medical Director (AMD) Brian Jones, Associate Director of Finance (AsDoF) David Killoran, Interim Deputy Director of Finance (IDDoF) Elizabeth Raikes, NED (ER) Dan Stevens, Deputy Head of Performance (DHoP) Joe Teape, Director of Finance (DoF) Nick Thomas, Director of Planning & Site Services (DoPSS) Henry Warren, Associate NED (HW) Jenny Waycott, Contract Manager (CM) Michelle Smith, Executive Office Team Leader (MS) – minutes Corporate & Committee Affairs 44/13 Welcome and apologies The apologies were noted as above. Apologies Kevin Baber, Chief Operating Officer (COO) Richard Best, Director of Operations (DoO) David Brown, Assistant Director of Operations (ADoO) Lee Budge, Director of Governance (DoG) Greg Dix, Director of Nursing (DoN) Ann James, Chief Executive (CE) Alex Mayor, Medical Director (MD) The Chairman introduced Henry Warren to the Committee, who had recently joined the Trust as an Associate Non-Executive Director. 45/13 Minutes and matters arising from the previous meeting The minutes of the last meeting were agreed as a true and accurate record. There were no matters arising. 46/13 Action update • Business planning 13/14 Further update to be provided to the Trust Board via finance paper but this was likely to attract some media interest. • Contract Penalties No formal response had been received from the Commissioners but as the contract had been agreed and signed and both organisations had submitted accounts it would be assumed that there was no liability. • Budgetary control policy Update due next meeting but the DoF updated the Committee on plans to introduce a comprehensive developmental programme both for the finance team and the wider organisation, encouraging a culture of financial management throughout. • DV Valuation The DoF tabled an update from the Financial Management Accountant which outlined the methods and processes used in the valuation of assets. The DoF would provide a further update on the challenges and the effect of annual dividend at the next meeting of the Committee. The DoF and DoPSS would also look at ways of improving the relationship with the District Valuer. • Assurance Framework This item did not feature on the agenda as the framework was currently being updated by the DoG, but updates noted at the previous Committee meeting would be incorporated into the new version. • Best Practice Tariffs DoF/ DoPSS 1
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Trust Board Friday 5 July 2013, 9.0
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Members of Plymouth Hospitals NHS T
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Item 3 observer. The Chairman requi
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Item 3 Board oversight of contribut
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Item 3 the Board next month. • Th
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Item 3 been involved and there was
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Item 3 continuing to build. Mr Babe
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Item 3 to Norovirus, Professor Lewi
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Item 3 • Careful communication of
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Item 3 • Approved the writing off
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Updated: prior to July Board Item 4
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Updated: prior to July Board Item 4
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Item 8 Quality Impact Assessment Pa
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Item 8 3.2 Quarterly Summary Hospit
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Item 8 4.4 Monthly Proportion of Pa
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Item 8 Inpatient falls are currentl
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Item 8 REI signage PALS were contac
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Item 8 Complaints received listed b
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Item 8 The graphs below illustrate
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Item 8 5.5 Friends and Family Test
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Item 8 1. Pressure Ulcers (EoC) 2.
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Item 8 Observations The essence of
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Item 8a SUMMARY REPORT Trust Board
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Annex 2 Item 8a Summary of Serious
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Item 9 Key Recommendations The Trus
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Item 9 Effective Care (Section B2 o
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Item 9 Description 31 days from 'de
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Item 9 4.6 Non Elective Activity is
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Item 9 Summary of performance excep
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Item 9 Ensure that all patients adm
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Item 9 Forecast Significant progres
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Item 9 Update on previous actions C
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Contents EXECUTIVE SUMMARY D FINANC
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B1 Safe care Description Hospital S
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Response Rate Recommender Score B3
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B5 Other safety & quality metrics D
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C2 Non-Elective Activity Descriptio
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C4 Referral To Treatment (RTT) Desc
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C6 Other access & activity metrics
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D2 Cost improvement programme (CIP)
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D4 Cash Management Description Revi
Page 83 and 84: E1 Staffing numbers Description Est
Page 85 and 86: E3 Sickness absence PERFORMANCE IND
Page 87 and 88: Risk Rating F2 Monitor's Financial
Page 89 and 90: Item 10 DETAILED REPORT Trust Board
Page 91 and 92: Item 10 4. Key Issues for the Board
Page 93 and 94: Item 11 SUMMARY REPORT Trust Board
Page 95 and 96: Item 11 DETAILED REPORT Trust Board
Page 97 and 98: Item 11 • Challenge in respect of
Page 99 and 100: Item 11 Over the past two years, me
Page 101 and 102: Item 11 Getting it Right Charter An
Page 103 and 104: Item 11 Outcome of review with exte
Page 105 and 106: Item 11 Learning Disabilities Natio
Page 107 and 108: Item 11 Peer Review 2.5 Peer Review
Page 109 and 110: Item 12 Next Steps 1. Conversation
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Page 113 and 114: Item 12 EDS Grades and E & D Object
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Page 117 and 118: Item 12 3.6 The workforce is suppor
Page 119 and 120: Item 13 Key Recommendations The Tru
Page 121 and 122: Item 13 Telephone conversations.
Page 123 and 124: Item 13 19. The Medical Director ha
Page 127 and 128: Item 15 incident investigations to
Page 129 and 130: Item 15, Annex 1 3. Review of Actio
Page 131 and 132: Item 15, Annex 1 • Top three issu
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Page 137 and 138: Item 16 pay and staffing, highlight
Page 139 and 140: Item 16 • PACS contract - likely
Page 141 and 142: Item 17 Terms and Conditions of Emp
Page 143 and 144: Item 17, Annex 1 29/2013 Minutes an
Page 145 and 146: Item 17, Annex 1 31/2013 Francis Re
Page 149 and 150: Item 18 Next Steps The Audit Commit
Page 151 and 152: Item 18, Annex 1 Matters arising 4/
Page 153 and 154: Item 18, Annex 1 time to embed and
Page 155 and 156: Item 18, Annex 1 Payroll & Expenses
Page 157 and 158: Item 18, Annex 1 The Committee note
Page 159 and 160: Item 18, Annex 1 Going Concern Revi
Page 161: Item 18, Annex 1 if Internal Audit
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Agenda and supporting papers - Plymouth Hospitals NHS Trust

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