Minutes of the meeting on 24 April 2009 - Plymouth Hospitals NHS ...
Minutes of the meeting on 24 April 2009 - Plymouth Hospitals NHS ...
Minutes of the meeting on 24 April 2009 - Plymouth Hospitals NHS ...
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Item 2<br />
<strong>Plymouth</strong> <strong>Hospitals</strong> <strong>NHS</strong> Trust<br />
<str<strong>on</strong>g>Minutes</str<strong>on</strong>g> <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust Board <str<strong>on</strong>g>meeting</str<strong>on</strong>g> Part I<br />
held <strong>on</strong> <strong>24</strong> <strong>April</strong> <strong>2009</strong><br />
in <str<strong>on</strong>g>the</str<strong>on</strong>g> old Medical Library, Level 7, Derriford Hospital<br />
1.30 pm Opportunity for Questi<strong>on</strong>s<br />
Present:<br />
John Bull, Chairman (JB)<br />
Peter Burroughs, N<strong>on</strong>-Executive Director Designate (PB)<br />
Ian Douglas, N<strong>on</strong>-Executive Director (ID)<br />
D<br />
Karen Grimshaw, Director <str<strong>on</strong>g>of</str<strong>on</strong>g> Nursing & Midwifery (KG)<br />
Angela Lamb, Chief Operating Officer (AL)<br />
Barry Lucas, Patient Representative (BL)<br />
Alex Mayor, Medical Director, Pr<str<strong>on</strong>g>of</str<strong>on</strong>g>essi<strong>on</strong>al Practice (AM)<br />
Lee Paschalides, N<strong>on</strong>-Executive Director (LP)<br />
David P<strong>on</strong>d, N<strong>on</strong>-Executive Director (DP)<br />
R<br />
Margaret Schwarz, N<strong>on</strong>-Executive Director (MS)<br />
John Yarnold, Director <str<strong>on</strong>g>of</str<strong>on</strong>g> Finance (JDY)<br />
In Attendance: Julie Hendry, Director <str<strong>on</strong>g>of</str<strong>on</strong>g> Nursing & Midwifery (JH)<br />
Gill Hunt, Foundati<strong>on</strong> Trust Board Secretary (GH)<br />
Christine Lloyd-Jennings, Director <str<strong>on</strong>g>of</str<strong>on</strong>g> Human Resources (CLJ)<br />
A<br />
Amanda Nash, Head <str<strong>on</strong>g>of</str<strong>on</strong>g> Communicati<strong>on</strong>s (AN)<br />
Nick Thomas, Director <str<strong>on</strong>g>of</str<strong>on</strong>g> Strategic Planning & Informati<strong>on</strong> (DNT)<br />
There were no questi<strong>on</strong>s.<br />
F<br />
T<br />
1
Item 2<br />
Present:<br />
<strong>Plymouth</strong> <strong>Hospitals</strong> <strong>NHS</strong> Trust<br />
<str<strong>on</strong>g>Minutes</str<strong>on</strong>g> <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust Board <str<strong>on</strong>g>meeting</str<strong>on</strong>g> Part 1<br />
held at 2.00 pm <strong>on</strong> <strong>24</strong> <strong>April</strong> <strong>2009</strong><br />
in <str<strong>on</strong>g>the</str<strong>on</strong>g> old Medical Library, Derriford Hospital<br />
John Bull, Chairman (JB)<br />
Peter Burroughs, N<strong>on</strong>-Executive Director Designate (PB)<br />
Ian Douglas, N<strong>on</strong>-Executive Director (ID)<br />
Karen Grimshaw, Director <str<strong>on</strong>g>of</str<strong>on</strong>g> Nursing & Midwifery (KG)<br />
Angela Lamb, Chief Operating Officer (AL)<br />
D<br />
Barry Lucas, Patient Representative (BL)<br />
Alex Mayor, Medical Director, Pr<str<strong>on</strong>g>of</str<strong>on</strong>g>essi<strong>on</strong>al Practice (AM)<br />
Lee Paschalides, N<strong>on</strong>-Executive Director (LP)<br />
David P<strong>on</strong>d, N<strong>on</strong>-Executive Director (DP)<br />
Margaret<br />
R<br />
Schwarz, N<strong>on</strong>-Executive Director (MS)<br />
John Yarnold, Director <str<strong>on</strong>g>of</str<strong>on</strong>g> Finance (JDY)<br />
In Attendance: Julie Hendry, Director <str<strong>on</strong>g>of</str<strong>on</strong>g> Nursing & Midwifery (JH)<br />
Gill Hunt, Foundati<strong>on</strong> Trust Board Secretary (GH)<br />
Christine Lloyd-Jennings, Director <str<strong>on</strong>g>of</str<strong>on</strong>g> Human Resources (CLJ)<br />
Amanda Nash,<br />
A<br />
Head <str<strong>on</strong>g>of</str<strong>on</strong>g> Communicati<strong>on</strong>s (AN)<br />
Nick Thomas, Director <str<strong>on</strong>g>of</str<strong>on</strong>g> Strategic Planning & Informati<strong>on</strong> (DNT)<br />
Apologies: James Palmer, Medical Director, Clinical Services (JP)<br />
Paul Roberts, Chief Executive (PDR)<br />
F<br />
39/09 Welcome and Apologies<br />
JB welcomed members <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> press and public and noted apologies<br />
from Paul Roberts and James Palmer.<br />
40/09 <str<strong>on</strong>g>Minutes</str<strong>on</strong>g> <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> last<br />
T<br />
<str<strong>on</strong>g>meeting</str<strong>on</strong>g> held <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> 27 March <strong>2009</strong><br />
The minutes <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> previous <str<strong>on</strong>g>meeting</str<strong>on</strong>g> were agreed as a true and<br />
accurate record.<br />
41/09 Matters Arising<br />
The Board noted that <str<strong>on</strong>g>the</str<strong>on</strong>g>re had been no adverse feedback <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g><br />
changes to car parking charges.<br />
42/09 Review <str<strong>on</strong>g>of</str<strong>on</strong>g> Acti<strong>on</strong>s<br />
The Board noted <str<strong>on</strong>g>the</str<strong>on</strong>g> acti<strong>on</strong> table.<br />
43/09 <strong>2009</strong>/10 Outline Annual Business Plan<br />
JDY introduced <str<strong>on</strong>g>the</str<strong>on</strong>g> outline Annual Business Plan (ABP) and drew<br />
<str<strong>on</strong>g>the</str<strong>on</strong>g> Board’s attenti<strong>on</strong> to <str<strong>on</strong>g>the</str<strong>on</strong>g> key objectives for <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust in <strong>2009</strong>/10,<br />
toge<str<strong>on</strong>g>the</str<strong>on</strong>g>r with <str<strong>on</strong>g>the</str<strong>on</strong>g> measurable outcomes that underpinned <str<strong>on</strong>g>the</str<strong>on</strong>g>m.<br />
2
Item 2<br />
The ABP had been formulated in <str<strong>on</strong>g>the</str<strong>on</strong>g> c<strong>on</strong>text <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> nati<strong>on</strong>al<br />
requirement implicit in <str<strong>on</strong>g>the</str<strong>on</strong>g> PbR tariff that trusts deliver a minimum<br />
3% CIP in <strong>2009</strong>/10. The Trust had achieved a surplus <str<strong>on</strong>g>of</str<strong>on</strong>g> £5,015k in<br />
2008/09 and plans were in place to achieve a surplus <str<strong>on</strong>g>of</str<strong>on</strong>g> £9m in<br />
<strong>2009</strong>/10. JDY detailed <str<strong>on</strong>g>the</str<strong>on</strong>g> frameworks in place to ensure <str<strong>on</strong>g>the</str<strong>on</strong>g><br />
successful implementati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> business plan and realisati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g><br />
planned benefits. The Trust would be working to ensure that savings<br />
were achieved <strong>on</strong> a timely and proporti<strong>on</strong>ate basis as <str<strong>on</strong>g>the</str<strong>on</strong>g> year<br />
progressed.<br />
D<br />
JDY stated that <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust had recently finalised its positi<strong>on</strong> with its<br />
commissi<strong>on</strong>ers and colleagues in Primary Care were exploring<br />
alternative means <str<strong>on</strong>g>of</str<strong>on</strong>g> providing some services to ensure appropriate<br />
referrals. These plans were expected to be in place by June. There<br />
had been a 7.5% increase in GP referrals in 2008/09 and by March<br />
<strong>2009</strong> this had increased<br />
R<br />
to 12% overall - c7% from GPs with <str<strong>on</strong>g>the</str<strong>on</strong>g><br />
balance from c<strong>on</strong>sultants. Agreement had been reached with<br />
commissi<strong>on</strong>ers that tariff for patients in excess <str<strong>on</strong>g>of</str<strong>on</strong>g> agreed referrals<br />
would be split 25/75% between <str<strong>on</strong>g>the</str<strong>on</strong>g> referring PCT and <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust,<br />
respectively.<br />
JDY drew <str<strong>on</strong>g>the</str<strong>on</strong>g> Board’s<br />
A<br />
attenti<strong>on</strong> to <str<strong>on</strong>g>the</str<strong>on</strong>g> revisi<strong>on</strong>s to <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust’s capital<br />
plan and noted that investment in <str<strong>on</strong>g>the</str<strong>on</strong>g> Vanguard Gateway scheme<br />
and Digital Mammography was dependent up<strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> Board’s<br />
c<strong>on</strong>fidence at Quarter 2 that financial performance was <strong>on</strong> target.<br />
44/09<br />
The Board approved <str<strong>on</strong>g>the</str<strong>on</strong>g> outline business plan for <strong>2009</strong>/10 and<br />
<str<strong>on</strong>g>the</str<strong>on</strong>g> revised capital investment plan.<br />
F<br />
Standards for Better Health Declarati<strong>on</strong><br />
Annette Penney-Cousins, Assurance & Governance Manager,<br />
attended for this item.<br />
T<br />
The Board had previously c<strong>on</strong>sidered <str<strong>on</strong>g>the</str<strong>on</strong>g> evidence to support its<br />
declarati<strong>on</strong> in <str<strong>on</strong>g>the</str<strong>on</strong>g> private part <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> <str<strong>on</strong>g>meeting</str<strong>on</strong>g>; discussi<strong>on</strong> in this part<br />
<str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> Board focused <strong>on</strong> those standards <strong>on</strong> which compliance had<br />
been agreed as ‘not met’ and ‘not met at year end’. PC stated that<br />
Internal Audit had verified <str<strong>on</strong>g>the</str<strong>on</strong>g> evidence files and supported <str<strong>on</strong>g>the</str<strong>on</strong>g><br />
assessments made.<br />
C2 – assessed as ‘not met’ due to insufficient availability <str<strong>on</strong>g>of</str<strong>on</strong>g> L3<br />
training places. The Board noted this was a multi-agency problem.<br />
Agreed by <str<strong>on</strong>g>the</str<strong>on</strong>g> Board.<br />
C4a – assessed as ‘not met’ due to Care Quality Commissi<strong>on</strong> (CQC)<br />
interventi<strong>on</strong>. Agreed by <str<strong>on</strong>g>the</str<strong>on</strong>g> Board.<br />
C4c – assessed as ‘not met’ due to CQC interventi<strong>on</strong>. Agreed by<br />
<str<strong>on</strong>g>the</str<strong>on</strong>g> Board.<br />
C5a – assessed as ‘met at year end’ due to carry over <str<strong>on</strong>g>of</str<strong>on</strong>g> pre-2006<br />
3
A<br />
Item 2<br />
tags. AM stated that pre-September 2006 guidance had been<br />
reviewed and evidence agreed with clinical teams; <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust was<br />
compliant at year end. Agreed by <str<strong>on</strong>g>the</str<strong>on</strong>g> Board.<br />
C7a – assessed as ‘met at year end’. The issue c<strong>on</strong>cerned <str<strong>on</strong>g>the</str<strong>on</strong>g><br />
breach <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> Hygiene Code in July 2008, this was flagged in<br />
February. Agreed by <str<strong>on</strong>g>the</str<strong>on</strong>g> Board.<br />
C9 – assessed as ‘not met’. DNT stated that progress was slow but<br />
o<str<strong>on</strong>g>the</str<strong>on</strong>g>r Trusts were<br />
D<br />
in <str<strong>on</strong>g>the</str<strong>on</strong>g> same positi<strong>on</strong>.<br />
C20b – assessed as ‘met at year end’. KG stated that she was<br />
satisfied with <str<strong>on</strong>g>the</str<strong>on</strong>g> evidence at year end and <str<strong>on</strong>g>the</str<strong>on</strong>g>re was now improved<br />
reporting and m<strong>on</strong>itoring <str<strong>on</strong>g>of</str<strong>on</strong>g> mixed sex bays. Agreed by <str<strong>on</strong>g>the</str<strong>on</strong>g> Board.<br />
C21 – all elements<br />
R<br />
not met and assessed as ‘not met’ and agreed by<br />
<str<strong>on</strong>g>the</str<strong>on</strong>g> Board.<br />
On completi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> review, five standards were identified as ‘not<br />
met’ and four standards were identified as ‘met at year end’. The<br />
Board noted that <strong>on</strong> this basis <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust would be scored as ‘partly<br />
met <strong>on</strong> both counts’ and <str<strong>on</strong>g>the</str<strong>on</strong>g> overall score for service could be no<br />
better than ‘fair’.<br />
The Board agreed that standards C2, C4a, C4c, C9 and C21<br />
were ‘not met’ and standards C4b, C5a, C7a and C20b were ‘met<br />
at year end’.<br />
F<br />
The declarati<strong>on</strong> would include third party opini<strong>on</strong> <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust’s<br />
services and comments received to date had been broadly<br />
supportive. PC circulated <str<strong>on</strong>g>the</str<strong>on</strong>g> Standards for Better Health declarati<strong>on</strong><br />
sign-<str<strong>on</strong>g>of</str<strong>on</strong>g>f sheet and asked voting Board members to append <str<strong>on</strong>g>the</str<strong>on</strong>g>ir<br />
signature.<br />
T<br />
On behalf <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> Board, JB thanked PC and his team for <str<strong>on</strong>g>the</str<strong>on</strong>g>ir hard<br />
work in collating and verifying <str<strong>on</strong>g>the</str<strong>on</strong>g> evidence and guiding <str<strong>on</strong>g>the</str<strong>on</strong>g> Board<br />
through each <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> standards.<br />
45/09<br />
Complaints and PALs Report<br />
AM presented <str<strong>on</strong>g>the</str<strong>on</strong>g> Complaints and PALs report. Informati<strong>on</strong> from<br />
complaints and feedback from patients was extremely valuable to<br />
<str<strong>on</strong>g>the</str<strong>on</strong>g> Trust in terms <str<strong>on</strong>g>of</str<strong>on</strong>g> helping to understand where <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust failed to<br />
meet users’ expectati<strong>on</strong>s and where services could be improved.<br />
Complaints were taken extremely seriously and provided a rich<br />
source <str<strong>on</strong>g>of</str<strong>on</strong>g> learning for <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust. The Board noted <str<strong>on</strong>g>the</str<strong>on</strong>g> breakdown <str<strong>on</strong>g>of</str<strong>on</strong>g><br />
complaints by category and noted that <str<strong>on</strong>g>the</str<strong>on</strong>g> trend towards a decrease<br />
in formal complaints and PALs c<strong>on</strong>tacts had not been maintained in<br />
<str<strong>on</strong>g>the</str<strong>on</strong>g> final quarter <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> year.<br />
BL queried <str<strong>on</strong>g>the</str<strong>on</strong>g> reporting <str<strong>on</strong>g>of</str<strong>on</strong>g> swabs retained in patients following<br />
surgery. AM stated that all three cases were highly complex, indeed<br />
4
D<br />
The Board noted <str<strong>on</strong>g>the</str<strong>on</strong>g> Complaints and PALs Report.<br />
Item 2<br />
<strong>on</strong>e had involved a twelve hour operati<strong>on</strong>. In <strong>on</strong>e instance <str<strong>on</strong>g>the</str<strong>on</strong>g> swab<br />
had not been removed for clinical reas<strong>on</strong>s. All <str<strong>on</strong>g>the</str<strong>on</strong>g> cases had been<br />
investigated by a senior c<strong>on</strong>sultant surge<strong>on</strong> and as a result a new<br />
policy for swab counting had been instigated in <str<strong>on</strong>g>the</str<strong>on</strong>g>atres. BL queried<br />
<str<strong>on</strong>g>the</str<strong>on</strong>g> procedure for counting swabs and AM explained this in some<br />
detail.<br />
More generally, <str<strong>on</strong>g>the</str<strong>on</strong>g> Board discussed <str<strong>on</strong>g>the</str<strong>on</strong>g> increase in complaints<br />
regarding informati<strong>on</strong> provisi<strong>on</strong> and <str<strong>on</strong>g>the</str<strong>on</strong>g> requirement to satisfy<br />
patients’ thirst for knowledge.<br />
46/09 Performance Report<br />
R<br />
JDY stated that <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust achieved a net surplus <str<strong>on</strong>g>of</str<strong>on</strong>g> £5,015k in line<br />
with its forecast c<strong>on</strong>trol total <str<strong>on</strong>g>of</str<strong>on</strong>g> £5,000k. The annual accounts had<br />
been completed by <str<strong>on</strong>g>the</str<strong>on</strong>g> required deadline and <str<strong>on</strong>g>the</str<strong>on</strong>g> external auditors<br />
would be with <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust next week. On behalf <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> Board, JB<br />
thanked JDY and his team for achieving <str<strong>on</strong>g>the</str<strong>on</strong>g> tight turnaround time set<br />
by <str<strong>on</strong>g>the</str<strong>on</strong>g> Department<br />
A<br />
<str<strong>on</strong>g>of</str<strong>on</strong>g> Health.<br />
Finance<br />
Performance<br />
AL highlighted performance against key standards. The Trust<br />
c<strong>on</strong>tinued to strive to achieve <str<strong>on</strong>g>the</str<strong>on</strong>g> A&E performance target and<br />
special measures taken over Easter had worked extremely well;<br />
<str<strong>on</strong>g>the</str<strong>on</strong>g>se would be repeated<br />
F<br />
over <str<strong>on</strong>g>the</str<strong>on</strong>g> two Bank Holiday weekends in<br />
May.<br />
61 escalati<strong>on</strong> beds remained open but pressure was easing<br />
gradually and AL was cautiously optimistic <str<strong>on</strong>g>of</str<strong>on</strong>g> sustained<br />
improvement. The Chief Executives’ escalati<strong>on</strong> <str<strong>on</strong>g>meeting</str<strong>on</strong>g> was due in<br />
<str<strong>on</strong>g>the</str<strong>on</strong>g> coming week.<br />
T<br />
The Board noted that thrombolysis performance was uneven, <str<strong>on</strong>g>of</str<strong>on</strong>g>ten<br />
<str<strong>on</strong>g>the</str<strong>on</strong>g> result <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> logistics resulting from <str<strong>on</strong>g>the</str<strong>on</strong>g> geography <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust’s<br />
catchment area. All cases were reviewed <strong>on</strong> a m<strong>on</strong>thly basis to<br />
learn where improvements might be made.<br />
AL reported that GP diagnostic referrals had increased. Problems<br />
may arise if PCTs were unable to manage demand effectively.<br />
The Board noted <str<strong>on</strong>g>the</str<strong>on</strong>g> Performance Report.<br />
47/09 Human Resources Director’s Report<br />
CLJ presented highlights from her report and <str<strong>on</strong>g>the</str<strong>on</strong>g> Board noted that<br />
workforce performance indicators for March were positive and in line<br />
with Trust objectives. Sickness absence had increased slightly and<br />
much work had been d<strong>on</strong>e at Directorate level to improve sickness<br />
absence, particularly that <str<strong>on</strong>g>of</str<strong>on</strong>g> nurses. KG stated that work was<br />
5
Item 2<br />
<strong>on</strong>going with Occupati<strong>on</strong>al Health to manage l<strong>on</strong>g term sickness<br />
rates. Work to date had been productive and she was c<strong>on</strong>fident that<br />
fur<str<strong>on</strong>g>the</str<strong>on</strong>g>r reducti<strong>on</strong>s would be achieved.<br />
The Board noted <str<strong>on</strong>g>the</str<strong>on</strong>g> informati<strong>on</strong> <strong>on</strong> workforce planning and<br />
recruitment and DP queried <str<strong>on</strong>g>the</str<strong>on</strong>g> mechanism for ensuring <str<strong>on</strong>g>the</str<strong>on</strong>g><br />
workforce pr<str<strong>on</strong>g>of</str<strong>on</strong>g>ile matched <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust’s Integrated Business Plan. CLJ<br />
stated that <str<strong>on</strong>g>the</str<strong>on</strong>g> Workforce Planning Group reviewed service needs,<br />
skills mix and establishment. The Board discussed <str<strong>on</strong>g>the</str<strong>on</strong>g> staffing <str<strong>on</strong>g>of</str<strong>on</strong>g><br />
escalati<strong>on</strong> beds and<br />
D<br />
noted that careful planning was necessary to<br />
ensure appropriate governance around staffing. A paper <strong>on</strong><br />
Intermediate Care beds would be brought in June.<br />
The Board welcomed <str<strong>on</strong>g>the</str<strong>on</strong>g> update <strong>on</strong> mandatory and statutory training<br />
and agreed that a range <str<strong>on</strong>g>of</str<strong>on</strong>g> methodologies had helped improve takeup,<br />
which had now<br />
R<br />
reached 92.2% for <str<strong>on</strong>g>the</str<strong>on</strong>g> last twelve m<strong>on</strong>ths. This<br />
figure compared very favourably with o<str<strong>on</strong>g>the</str<strong>on</strong>g>r trusts.<br />
The Board noted <str<strong>on</strong>g>the</str<strong>on</strong>g> HR Director’s report.<br />
AL<br />
48/09 Medical Directors’ Report<br />
A<br />
AM drew <str<strong>on</strong>g>the</str<strong>on</strong>g> Board’s attenti<strong>on</strong> to <str<strong>on</strong>g>the</str<strong>on</strong>g> European Working Time<br />
Directive update and to <str<strong>on</strong>g>the</str<strong>on</strong>g> regi<strong>on</strong>al support required <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g><br />
recruitment <str<strong>on</strong>g>of</str<strong>on</strong>g> junior doctors. Plans were in place nati<strong>on</strong>ally to fast<br />
track <str<strong>on</strong>g>the</str<strong>on</strong>g> process.<br />
The Board noted<br />
F<br />
<str<strong>on</strong>g>the</str<strong>on</strong>g> infecti<strong>on</strong> c<strong>on</strong>trol update. JH explained that<br />
Bickleigh, Shaugh, Hexworthy, Bracken and Birch wards rarely used<br />
central lines and <str<strong>on</strong>g>the</str<strong>on</strong>g>refore observati<strong>on</strong>al evidence under <str<strong>on</strong>g>the</str<strong>on</strong>g> Saving<br />
Lives initiative was extremely difficult to obtain from <str<strong>on</strong>g>the</str<strong>on</strong>g>se wards.<br />
More generally, KG stated that administrative procedures were being<br />
improved to ensure more accurate and appropriate reporting <str<strong>on</strong>g>of</str<strong>on</strong>g><br />
infecti<strong>on</strong> c<strong>on</strong>trol data<br />
T<br />
from wards.<br />
The Board noted <str<strong>on</strong>g>the</str<strong>on</strong>g> Medical Directors’ report.<br />
50/09 Chief Executive’s Report<br />
In PDR’s absence, JB stated that despite <str<strong>on</strong>g>the</str<strong>on</strong>g> delay to <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust’s<br />
Foundati<strong>on</strong> Trust applicati<strong>on</strong>, <str<strong>on</strong>g>the</str<strong>on</strong>g> Board intended to engage with <str<strong>on</strong>g>the</str<strong>on</strong>g><br />
public and staff <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> future <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust and although <str<strong>on</strong>g>the</str<strong>on</strong>g> elected<br />
governors would not now have any formal role, <str<strong>on</strong>g>the</str<strong>on</strong>g> Trust would meet<br />
with elected and appointed representatives, as originally planned <strong>on</strong><br />
1 May, to update <str<strong>on</strong>g>the</str<strong>on</strong>g>m <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> process.<br />
51/09 Any O<str<strong>on</strong>g>the</str<strong>on</strong>g>r Business<br />
MS requested an update <strong>on</strong> fractured neck <str<strong>on</strong>g>of</str<strong>on</strong>g> femur. AL stated that<br />
<str<strong>on</strong>g>the</str<strong>on</strong>g> business case was complete and was due to be c<strong>on</strong>sidered by<br />
<str<strong>on</strong>g>the</str<strong>on</strong>g> Business Investment Group at its next <str<strong>on</strong>g>meeting</str<strong>on</strong>g>. Two evening<br />
trauma lists were in place, toge<str<strong>on</strong>g>the</str<strong>on</strong>g>r with a dedicated orthopaedic<br />
6
Item 2<br />
discharge co-ordinator, all self-funding through existing resources.<br />
52/09 Date <str<strong>on</strong>g>of</str<strong>on</strong>g> next <str<strong>on</strong>g>meeting</str<strong>on</strong>g><br />
Friday 29 May <strong>2009</strong><br />
Signed<br />
Dated<br />
------------------------------------------------------------------------<br />
D<br />
------------------------------------------------------------------------<br />
R<br />
A<br />
F<br />
T<br />
7