Agenda and supporting papers - Plymouth Hospitals NHS Trust

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Item 18, Annex 1 existing terms and conditions negotiated under C4H. At this stage Mr Thomas was not clear about the Trust’s contractual position and recompense arrangements. The financial benefits of the new system would not now be realised as early as had been anticipated. Dr Williams asked who was responsible for the commercial negotiations. Mr Thomas stated that the SMT had not yet had this discussion. Professor Lewis asked whether Mr Thomas intended to overlap the two PACS systems. D Mr Thomas stated that it had been intended to pursue a soft roll out but the Trust was aware that other organisations had experienced problems with implementation. The Trust would roll out to other users prior to Radiology. Professor Lewis sought, and received, assurance that contingency plans were in place. Updates on this issue would be reported to the Board via the Finance, Performance & Investment RCommittee (FPIC). Dr Williams queried progress in resolving this issue. Mr Baber stated that the JAG review was scheduled for September and he would be meeting with the relevant Care Group Director and service line manager to receive an A update on progress. Dr Williams queried the risks to the Trust of failing to achieve accreditation. Dr Mayor stated that should this be the case, the risk would be the loss of the screening service. Due to the size of the facility, meeting EMSA was challenging and he suggested that there appeared to have been an underestimate that the size of the facility required to match increased demand for the service. F Endoscopy Suite Review The Committee considered the executive summaries of Internal Audit reports issued since the previous meeting: Tenders & Quotes Mrs Schwarz queried T whether FPIC would overview progress with this report’s recommendations. Mr Teape stated that they formed part of the wider approach to controls on non-pay in the programmes being led by the Head of Procurement, Andy McMinn. Mr McMinn would appraise FPIC of progress. Recruitment Processes For the avoidance of doubt, Mr Glover stated that the report covered only non-medical recruitment, which was in accordance with the original briefing. Professor Lewis asked why medical recruitment had not been covered. Mrs Schwarz stated that the purpose of the audit had been to establish whether recruitment processes were sufficiently slick to respond at a time when the Trust was urgently seeking to recruit additional nurses. In responding to Professor Lewis’s question, Mr Bamber stated that the learning from this report had been applied it to medical recruitment. The Committee noted that the CQC, having focused on recruitment, had not expressed concerns during their recent inspection. 5
Item 18, Annex 1 Payroll & Expenses No comments were made. Serco Hygiene Compliance Reporting Noting the report’s conclusion that Internal Audit could not provide full assurance that (a) Serco were fully compliant with the hygiene requirements of the Trust and (b) Serco inspections were reported accurately, Mrs Schwarz queried who was responsible for leading delivery of the recommendations. D Mr Thomas stated that this was the Facility Operations Manager but he could not confirm whether the report’s recommendations had been implemented. Dr Williams noted that the report stated that Serco were compliant with the requirements of the National Specification for Cleanliness in the NHS. However, Internal R Audit’s conclusions were at odds with this assertion. The results of audits undertaken between April 2011 and March 2012 were set out in the report but these were inconsistent and historic. It was therefore difficult to form a view given the conflicting statements presented. Mrs Raikes was concerned that there was insufficient traction on resolving this important issue and whilst Internal Audit’s attention A had identified the anomaly, she had limited assurance of delivery. Noting that a combined audit tool was likely to be rolled out in June 2013, Mrs Schwarz stated that the Committee’s concerns would be addressed as part of Internal Audit’s follow-up process. F Mr Budge briefed the Committee on the reasons why this report had been commissioned and stated his intention to provide a copy to the individual who had raised the matter in the first instance. Neonatal Transport Contract Review Hygiene Inspection Whilst there were no comments T on the report, Mr Glover passed on to the Committee feedback from the Audit team member who had undertaken the inspection. In her experience staff had been responsive, well-engaged and keen to ensure high standards of cleanliness across all wards. Mr Dix would convey these sentiments at the appropriate forum. Head of Internal Audit Opinion (HOIAO) Ms McCall referred the Committee to pages 7 to 16 of the Annual Report and specifically to page 8, which detailed Internal Audit’s overall opinion of ‘significant assurance’ that there was a generally sound system of internal control within the Trust and to the basis for forming that opinion. Ms McCall drew the Committee’s attention to the identified weaknesses in controls, which were detailed as health records management, data protection and financial control. Ms McCall referred the Committee to the two Third Party Assurance Reports confirming the opinion of effective controls for the Electronic Staff Record and Shared Business Services. 6
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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
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E1 Staffing numbers Description Est
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E3 Sickness absence PERFORMANCE IND
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Risk Rating F2 Monitor's Financial
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Item 10 DETAILED REPORT Trust Board
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Item 10 4. Key Issues for the Board
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Item 11 SUMMARY REPORT Trust Board
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Item 11 DETAILED REPORT Trust Board
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Item 11 • Challenge in respect of
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Item 11 Over the past two years, me
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Item 11 Getting it Right Charter An
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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
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Page 147 and 148: Item 18 SUMMARY REPORT Trust Board
Page 149 and 150: Item 18 Next Steps The Audit Commit
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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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