Agenda and supporting papers - Plymouth Hospitals NHS Trust

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Item 18, Annex 1 assessments. Mr Budge explained the process by which issues of concern arising from external assessments were elevated, via the Assurance Framework, to the Trust Board. There were no questions and the Committee noted the report. 53/13 Safety and Quality Committee Minutes of the April 2013 D meeting were noted by the Committee. 54/13 Finance, Performance & Investment Committee Minutes of the April 2013 meeting and minutes of the ‘commercial-inconfidence’ section of the April 2013 meeting were noted by the Committee. R 55/13 Human Resources & Organisational Development Committee Minutes of the April 2013 meeting were noted by the Committee. 56/13 Audit Chair’s Report A to the Board It was agreed that this would cover: • CQC Outcome 21 review. • Bevan Brittan risk update. F • Approval of the accounts and associated documentation review and recommendations to the Board. 57/13 Review and Learning As agreed at the May meeting, this item featured a discussion to extract learning from T a topical issue and on this occasion it was the Committee’s relationship with Internal Audit. Prior to the meeting there had been a Board session to agree Internal Audit’s work plan for 2013/14. The Committee reflected on the following questions: • Does the Audit Committee understand its relationship with Internal Audit? • How are we assured that reports are thorough? • Is the Audit Committee sufficiently proactive? • Could we use what they tell us more efficiently? • How can we improve triangulation? The Committee agreed that its understanding of its relationship with Internal Audit had improved as a result of the pre-meeting session and particularly through questioning during the meeting. The Committee gained assurance on thoroughness through challenge and audit scope and agreed that there was a requirement for significant management attention at the start of the process. It would be helpful 11
Item 18, Annex 1 if Internal Audit more proactively highlighted their upcoming work to the Committee. Dr Williams asked whether the Committee’s focus was prepared for the change to service line reporting. Whilst it was agreed that this was the long term goal, the new structure was not yet sufficiently developed to support this. However, just as Directorates had the opportunity to request Internal Audit support, so would service lines. In the meantime, audit D activity would focus at care group level, with more in-depth activity at service line level, when necessary. It was agreed that at the next meeting Review and Learning activity would focus on nurse staffing levels. R There was no other business and the meeting closed at 3.30 pm. 58/13 Any Other Business 59/13 Date of next meeting A 12.30 – 3.30 pm Friday 9 August 2013. F T 12
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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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Item 11 Outcome of review with exte
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Item 11 Learning Disabilities Natio
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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
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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 125 and 126: Item 14 SUMMARY REPORT Trust Board
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: Item 18 SUMMARY REPORT Trust Board
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: Item 18, Annex 1 Going Concern Revi
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Agenda and supporting papers - Plymouth Hospitals NHS Trust

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