Agenda and supporting papers - Plymouth Hospitals NHS Trust

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Item 3 The Board discussed the learning points and matters arising from Dr Higginson’s experience: • The Surgical Assessment Unit had been very crowded and the patient experience would be improved by reducing the number of beds per bay. • The area was pervaded by the lingering smell of hospital food. • Rear opening gowns eliminated any sense of patient dignity. D • Staff were not aware of two-way claves and how to connect them. • Ward managers must have control of ward stock lists. • A patient had been kept in a bed whilst awaiting diagnostics but could have been discharged and called back as an outpatient, freeing up the bed. The wider issue was medically fit patients R detained in beds awaiting diagnostics. • Delayed discharges waiting for TTAs. Dr Higginson had spent 15% of his entire hospital stay waiting for medications. • He had been prescribed and provided with TTA drugs that he did not require, A resulting in unnecessary costs to the Trust. • The benefits of the Enhanced Recovery programme in engaging patients in goals for their discharge. This programme was currently practiced in the Trust in surgery but not yet in medicine. • The known variations in clinical outcomes according to time and day of admission, F recently the subject of national media reporting. The Chairman requested an update on the issues arising from Dr Higginson’s story at the next Board. The next scheduled Board walkround to the ED and SAU would focus on the issues raised. On behalf of the Board, the TChairman thanked Dr Higginson for attending. Dr Higginson left the meeting. 104/13 Minutes and matters arising from the meeting held on 3 May 2013 DoN/DoG The minutes of the meeting held on 3 May 2013 were agreed as a true and accurate record. There were no matters arising. 105/13 Review of Action List 95/13 Quality Improvement Strategy Dr Mayor updated the Board. The points made at the Board on 3 May had been incorporated into the implementation plan led by the Deputy Director of Nursing and Assistant Medical Director Paul McArdle. The plan was due to be reviewed at the Senior Management Team meeting on 24 June and by the Safety & Quality Committee in July. 71/13 Review of performance data presented to the Board to ensure 3
Item 3 Board oversight of contributing or underlying issues. Noted as outstanding. [Post meeting note: Board Secretary to follow up with Medical Director and NED Mike Williams]. BS The Board noted the action list. D In setting the context for the day, the Chairman referred to recent media attention on the Trust and the overriding requirement to focus on the needs of the patient. For some months now Board members had stressed the requirement to get the basics of care right and, in so doing, produce a compelling R strategy to set the organisation’s future path. Today the Board would focus on both these important requirements. It would be asked to approve proposals to improve emergency target performance, together with an associated bed programme to increase bed availability and aid patient flows, and the Chief Executive would be presenting the Board’s strategy and vision for the Trust. A 106/13 Chairman’s introductory remarks The new clinical leadership structure was vital to service delivery and placed clinicians at the heart of the Trust. In return, the Board must expect this new framework to pay dividends in terms of quality, performance and efficiency. Finance remained a significant challenge and the Board required F assurance that this would be effectively tackled at the pace to effect success. 107/13 Chief Executive’s Report The Senior Management Team had had challenging but productive discussions with the local press and had been clear on their commitment to work with the public and with staff as the Board launched its strategic vision. To support this, details of the new clinical leadership team would be announced to staff next week; these were key individuals whose work would support the delivery of the Trust’s overarching strategy, At the Heart of Health in the Peninsula. Ms James supported the Chairman’s remarks. T Ms James gave a presentation to support the strategy launch. The approach adopted in developing this vision had been open and transparent and had involved clinicians and stakeholders. The document gave a clear sense of the Trust’s future direction and set out the approach to creating new partnerships with patients, staff and the health community. Ms James referred to debate concerning the Trust’s future positioning as either a ‘district general hospital’ or a specialist service provider. It was her view that it should, and could, be both and that doing so need not be complex. The strategy detailed the core services that the Trust would continue 4
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Page 3 and 4: Members of Plymouth Hospitals NHS T
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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
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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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