Minutes of the meeting on 24 April 2009 - Plymouth Hospitals NHS ...

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Item 2 Present: Plymouth Hospitals NHS Trust <strong>Minutes</strong> <strong>of</strong> <strong>the</strong> Trust Board <strong>meeting</strong> Part 1 held at 2.00 pm on 24 April 2009 in <strong>the</strong> old Medical Library, Derriford Hospital John Bull, Chairman (JB) Peter Burroughs, Non-Executive Director Designate (PB) Ian Douglas, Non-Executive Director (ID) Karen Grimshaw, Director <strong>of</strong> Nursing & Midwifery (KG) Angela Lamb, Chief Operating Officer (AL) D Barry Lucas, Patient Representative (BL) Alex Mayor, Medical Director, Pr<strong>of</strong>essional Practice (AM) Lee Paschalides, Non-Executive Director (LP) David Pond, Non-Executive Director (DP) Margaret R Schwarz, Non-Executive Director (MS) John Yarnold, Director <strong>of</strong> Finance (JDY) In Attendance: Julie Hendry, Director <strong>of</strong> Nursing & Midwifery (JH) Gill Hunt, Foundation Trust Board Secretary (GH) Christine Lloyd-Jennings, Director <strong>of</strong> Human Resources (CLJ) Amanda Nash, A Head <strong>of</strong> Communications (AN) Nick Thomas, Director <strong>of</strong> Strategic Planning & Information (DNT) Apologies: James Palmer, Medical Director, Clinical Services (JP) Paul Roberts, Chief Executive (PDR) F 39/09 Welcome and Apologies JB welcomed members <strong>of</strong> <strong>the</strong> press and public and noted apologies from Paul Roberts and James Palmer. 40/09 <strong>Minutes</strong> <strong>of</strong> <strong>the</strong> last T <strong>meeting</strong> held on <strong>the</strong> 27 March 2009 The minutes <strong>of</strong> <strong>the</strong> previous <strong>meeting</strong> were agreed as a true and accurate record. 41/09 Matters Arising The Board noted that <strong>the</strong>re had been no adverse feedback on <strong>the</strong> changes to car parking charges. 42/09 Review <strong>of</strong> Actions The Board noted <strong>the</strong> action table. 43/09 2009/10 Outline Annual Business Plan JDY introduced <strong>the</strong> outline Annual Business Plan (ABP) and drew <strong>the</strong> Board’s attention to <strong>the</strong> key objectives for <strong>the</strong> Trust in 2009/10, toge<strong>the</strong>r with <strong>the</strong> measurable outcomes that underpinned <strong>the</strong>m. 2
Item 2 The ABP had been formulated in <strong>the</strong> context <strong>of</strong> <strong>the</strong> national requirement implicit in <strong>the</strong> PbR tariff that trusts deliver a minimum 3% CIP in 2009/10. The Trust had achieved a surplus <strong>of</strong> £5,015k in 2008/09 and plans were in place to achieve a surplus <strong>of</strong> £9m in 2009/10. JDY detailed <strong>the</strong> frameworks in place to ensure <strong>the</strong> successful implementation <strong>of</strong> <strong>the</strong> business plan and realisation <strong>of</strong> <strong>the</strong> planned benefits. The Trust would be working to ensure that savings were achieved on a timely and proportionate basis as <strong>the</strong> year progressed. D JDY stated that <strong>the</strong> Trust had recently finalised its position with its commissioners and colleagues in Primary Care were exploring alternative means <strong>of</strong> providing some services to ensure appropriate referrals. These plans were expected to be in place by June. There had been a 7.5% increase in GP referrals in 2008/09 and by March 2009 this had increased R to 12% overall - c7% from GPs with <strong>the</strong> balance from consultants. Agreement had been reached with commissioners that tariff for patients in excess <strong>of</strong> agreed referrals would be split 25/75% between <strong>the</strong> referring PCT and <strong>the</strong> Trust, respectively. JDY drew <strong>the</strong> Board’s A attention to <strong>the</strong> revisions to <strong>the</strong> Trust’s capital plan and noted that investment in <strong>the</strong> Vanguard Gateway scheme and Digital Mammography was dependent upon <strong>the</strong> Board’s confidence at Quarter 2 that financial performance was on target. 44/09 The Board approved <strong>the</strong> outline business plan for 2009/10 and <strong>the</strong> revised capital investment plan. F Standards for Better Health Declaration Annette Penney-Cousins, Assurance & Governance Manager, attended for this item. T The Board had previously considered <strong>the</strong> evidence to support its declaration in <strong>the</strong> private part <strong>of</strong> <strong>the</strong> <strong>meeting</strong>; discussion in this part <strong>of</strong> <strong>the</strong> Board focused on those standards on which compliance had been agreed as ‘not met’ and ‘not met at year end’. PC stated that Internal Audit had verified <strong>the</strong> evidence files and supported <strong>the</strong> assessments made. C2 – assessed as ‘not met’ due to insufficient availability <strong>of</strong> L3 training places. The Board noted this was a multi-agency problem. Agreed by <strong>the</strong> Board. C4a – assessed as ‘not met’ due to Care Quality Commission (CQC) intervention. Agreed by <strong>the</strong> Board. C4c – assessed as ‘not met’ due to CQC intervention. Agreed by <strong>the</strong> Board. C5a – assessed as ‘met at year end’ due to carry over <strong>of</strong> pre-2006 3
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