Agenda and supporting papers - Plymouth Hospitals NHS Trust

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Updated: prior to July Board Item 4 Outstanding Actions Plymouth Hospitals NHS Trust Action List for Trust Board Part 1 Date Ref Action Lead Comments 03.05.13 86/13, page 3 Learning Disabilities Service Quarterly Declaration of Compliance: Director of Nursing to liaise with Deputy Director of Nursing to ensure evidence of learning from patient story to May Board is included in next scheduled report in July 2013. DoN/ DDoN Scheduled for July 2013 and included on agenda. Associate Director of Nursing to give verbal update when paper presented. 07.06.13 103/13, page 3 Learning from Patient Story: Board to receive update on implementation of key learning issues. [Post meeting note: at Chief Executive’s request, action subsequently extended to reflect learning from all patient stories since September 2012 to be led by Director of Nursing/Director of Governance]. DoN/DoG Included on July Board agenda at item 5. 07.06.13 107/13, page 6 Inclusion of site plan in strategy. Chief Executive, Director of Finance & Strategy and Director of Planning & Site Services to agree process and timescale, including any requirement for external assistance, and Chief Executive to include update in her report to the July Board. CE Scheduled for July 2013. 07.06.13 109/13, page 11 Senior Management Team to review content and narrative of performance report to include oversight of KPIs for Winter Plan, Annual Plan and previously agreed Board-specific KPIs. SMT Timescale not set and no lead nominated. Completed actions will be shown for one month only. 1
Updated: prior to July Board Item 4 Actions referred by the Board to Board Committees to progress Date Ref Committee and Action Lead Comments 12.04.13 71/13, page 7 Safety & Quality Committee Review performance data presented to the Board to ensure Board oversight of contributing or underlying issues. The action from the April Board was: Dr Mayor reminded Board members that the HSMR and the SHMI were only two performance measures: they should not be considered in isolation but as part of a broader suite of performance metrics. Professor Lewis queried whether the underlying data was reviewed by the Safety & Quality Committee. […] Dr Williams stated that the Committee did not review data below the level presented to the Board and relied on the Medical Director to give assurance on underlying data and to identify any areas requiring a more detailed analysis. Professor Lewis suggested that, under these circumstances, the Committee should review below the line. The Board requested Dr Mayor and Dr Williams, who would be chairing the Safety & Quality Committee from June, to review data presentation to ensure that the Board was sighted of the contributing, or underlying, issues. It was agreed that the Safety & Quality Committee would review the last three months’ data in depth. MD/MW Outstanding. Board to have visibility of outcome via Chair’s Report and meeting minutes. On 13.06.13 Board Secretary clarified action with Medical Director and NED Mike Williams. Agreed that they would discuss on day of June Safety & Quality meeting. Verbal update at July meeting. Completed actions will be shown for one month only. 2
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 and 14: Item 3 continuing to build. Mr Babe
Page 15 and 16: Item 3 to Norovirus, Professor Lewi
Page 17 and 18: Item 3 • Careful communication of
Page 19: Item 3 • Approved the writing off
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
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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
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Item 12 Next Steps 1. Conversation
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Item 12 2. Board Inclusion Developm
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Item 12 EDS Grades and E & D Object
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Item 12 Plymouth Hospitals Trust -
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Item 12 3.6 The workforce is suppor
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Item 13 Key Recommendations The Tru
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Item 13 Telephone conversations.
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Item 13 19. The Medical Director ha
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Item 15 incident investigations to
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Item 15, Annex 1 3. Review of Actio
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Item 15, Annex 1 • Top three issu
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Item 15, Annex 1 The Chair asked SS
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Item 16 COMMITTEE MINUTES Finance,
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Item 16 pay and staffing, highlight
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Item 16 • PACS contract - likely
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Item 17 Terms and Conditions of Emp
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Item 17, Annex 1 29/2013 Minutes an
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Item 17, Annex 1 31/2013 Francis Re
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Item 18 Next Steps The Audit Commit
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Item 18, Annex 1 Matters arising 4/
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Item 18, Annex 1 time to embed and
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Item 18, Annex 1 Payroll & Expenses
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Item 18, Annex 1 The Committee note
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Item 18, Annex 1 Going Concern Revi
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Item 18, Annex 1 if Internal Audit
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Agenda and supporting papers - Plymouth Hospitals NHS Trust

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