Agenda and supporting papers - Plymouth Hospitals NHS Trust

More documents

Recommendations

Info

Item 3 medical appraisal was complete and he expected to bring a proposal to the Senior Management Team to review in July. The Board discussed the inclusion in appraisal documentation of key clinical competencies by staff grade. Mr Bamber stated that the Trust applied the Agenda for Change Knowledge and Skills Framework but Mr Dix acknowledged that the identification of key clinical competencies across all wards and specialties was inconsistent. There was agreement that the broader issue was for appraisal documentation to facilitate the alignment of personal objectives with Trust objectives. D The twelve month average sickness absence rate had reduced to 4.49%. Focus on progress towards achieving the Trust target of 3.8% was being applied through robust management, with additional training for managers. R Monitor’s Governance Risk Rating The Board noted the RAG rating of red for April. Professor Lewis queried the underlying reason for failing the cancer screening service referral and Mr Baber would provide this information outside the meeting. A In concluding the Board’s discussions, it was agreed that the Senior Management Team would review the presentation and content of the performance narrative to ensure that it provided oversight of KPIs associated with the implementation of the Winter Plan, the Annual Business Plan and the Board-specific KPIs agreed earlier in the year. F The Board noted the Performance Report. 110/13 Infection Prevention and Control Annual Report 2012/13 Dr Peter Jenks, Director of Infection Prevention and Control, and Ms Claire Haill, Lead Nurse T Infection Control, attended for this item. Dr Jenks presented highlights from his report and drew the Board’s attention to key achievements in 2012/13. Overall, he was pleased to report a significantly improved position since he was last invited to report to the Board in September 2012. He acknowledged the contribution of the Chief Executive in this regard, and of Julie Richards, Associate Director of Planning, and Stuart Windsor, Facility Operations Manager in their work with Serco. Looking forward, new and inexperienced staff would be joining the Trust in the next few weeks and the infection control team must prepare for their arrival and continue to lead on minimising infections associated with medical devices. COO SMT The Chairman asked how the Trust could ensure a consistently rigorous focus on infection control. Dr Jenks suggested encouraging a culture keen to demonstrate best practice. Mr Dix agreed; the nurse preceptorship period was vital in embedding best practice and supporting relevant training. Noting the number of bed days lost due 11
Item 3 to Norovirus, Professor Lewis queried new developments that may mitigate this. Dr Jenks stated that early warning to admitting staff of community-based occurrences was vital. The Board noted the Infection Control Annual Report. Dr Jenks and Nurse Haill left the meeting. D Mr Teape stated that following the Board’s agreement of the budget strategy, a £13m deficit budget, after planned CIPs of £24m, had been agreed and submitted to the Trust Development Authority. Discussions continued with the TDA to agree additional support during the year. They would R require the production of a robust three year programme to achieve a sustainable position. He referred the Board to paragraph 3.14 of his report, which set out the actions and timescales to develop this by September 2013. Against a planned deficit of £941k in month 1, an actual deficit of £913k had been recorded, A £28k better than planned. Mr Teape stated that improvements to controls were monitored by the Finance, Performance & Investment Committee (FPIC), alongside mobilisation of service line implementation from June. A review of CIPs, by Directorate, was in progress for review by FPIC in June. In reviewing the report, Dr Williams suggested the inclusion of actual activity and the deployment of reserves F to meet this. Mr Teape expected the quality of reporting to improve from next month following changes to Finance monthly close arrangements. Ms James updated the Board on discussions with the TDA. Whilst the Trust’s planned deficit was among the highest reported, overall the Trust’s ambition was T considered good. There had been no written response from the TDA following the ‘Board to Board’ in February but they had accepted the Trust’s budget. She expected external support to commence in the next few weeks. 111/13 Finance Report: Month 1 Financial Results Mr Warren stated that during his induction he had picked up on a prevailing attitude amongst staff that financial issues were always, somehow, satisfactorily resolved and suggested that the Board reflected on this. Mr Teape acknowledged this; staff had been informed of the financial situation in the current year but there would doubtless be a level of scepticism that the Senior Management Team would need to tackle, particularly given the context of media announcements of spending on additional staff and beds. In concluding the Board’s discussions, the Chairman stated that the Board expected pace in the development of the financial recovery plan. The Board: 12
Page 1 and 2: Trust Board Friday 5 July 2013, 9.0
Page 3 and 4: Members of Plymouth Hospitals NHS T
Page 5 and 6: Item 3 observer. The Chairman requi
Page 7 and 8: Item 3 Board oversight of contribut
Page 9 and 10: Item 3 the Board next month. • Th
Page 11 and 12: Item 3 been involved and there was
Page 13: Item 3 continuing to build. Mr Babe
Page 17 and 18: Item 3 • Careful communication of
Page 19 and 20: Item 3 • Approved the writing off
Page 21 and 22: Updated: prior to July Board Item 4
Page 23 and 24: Updated: prior to July Board Item 4
Page 25 and 26: Item 8 Quality Impact Assessment Pa
Page 27 and 28: Item 8 3.2 Quarterly Summary Hospit
Page 29 and 30: Item 8 4.4 Monthly Proportion of Pa
Page 31 and 32: Item 8 Inpatient falls are currentl
Page 33 and 34: Item 8 REI signage PALS were contac
Page 35 and 36: Item 8 Complaints received listed b
Page 37 and 38: Item 8 The graphs below illustrate
Page 39 and 40: Item 8 5.5 Friends and Family Test
Page 41 and 42: Item 8 1. Pressure Ulcers (EoC) 2.
Page 43 and 44: Item 8 Observations The essence of
Page 45 and 46: Item 8a SUMMARY REPORT Trust Board
Page 47 and 48: Annex 2 Item 8a Summary of Serious
Page 49 and 50: Item 9 Key Recommendations The Trus
Page 51 and 52: Item 9 Effective Care (Section B2 o
Page 53 and 54: Item 9 Description 31 days from 'de
Page 55 and 56: Item 9 4.6 Non Elective Activity is
Page 57 and 58: Item 9 Summary of performance excep
Page 59 and 60: Item 9 Ensure that all patients adm
Page 61 and 62: Item 9 Forecast Significant progres
Page 63 and 64: Item 9 Update on previous actions C
Page 65 and 66:
Contents EXECUTIVE SUMMARY D FINANC
Page 67 and 68:
B1 Safe care Description Hospital S
Page 69 and 70:
Response Rate Recommender Score B3
Page 71 and 72:
B5 Other safety & quality metrics D
Page 73 and 74:
C2 Non-Elective Activity Descriptio
Page 75 and 76:
C4 Referral To Treatment (RTT) Desc
Page 77 and 78:
C6 Other access & activity metrics
Page 79 and 80:
D2 Cost improvement programme (CIP)
Page 81 and 82:
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
Page 111 and 112:
Item 12 2. Board Inclusion Developm
Page 113 and 114:
Item 12 EDS Grades and E & D Object
Page 115 and 116:
Item 12 Plymouth Hospitals Trust -
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 125 and 126:
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
Page 133 and 134:
Item 15, Annex 1 The Chair asked SS
Page 135 and 136:
Item 16 COMMITTEE MINUTES Finance,
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 147 and 148:
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
show all

Agenda and supporting papers - Plymouth Hospitals NHS Trust

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?