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

A
Item 2
tags. AM stated that pre-September 2006 guidance had been
reviewed and evidence agreed with clinical teams; <strong>the</strong> Trust was
compliant at year end. Agreed by <strong>the</strong> Board.
C7a – assessed as ‘met at year end’. The issue concerned <strong>the</strong>
breach <strong>of</strong> <strong>the</strong> Hygiene Code in July 2008, this was flagged in
February. Agreed by <strong>the</strong> Board.
C9 – assessed as ‘not met’. DNT stated that progress was slow but
o<strong>the</strong>r Trusts were
D
in <strong>the</strong> same position.
C20b – assessed as ‘met at year end’. KG stated that she was
satisfied with <strong>the</strong> evidence at year end and <strong>the</strong>re was now improved
reporting and monitoring <strong>of</strong> mixed sex bays. Agreed by <strong>the</strong> Board.
C21 – all elements
R
not met and assessed as ‘not met’ and agreed by
<strong>the</strong> Board.
On completion <strong>of</strong> <strong>the</strong> review, five standards were identified as ‘not
met’ and four standards were identified as ‘met at year end’. The
Board noted that on this basis <strong>the</strong> Trust would be scored as ‘partly
met on both counts’ and <strong>the</strong> overall score for service could be no
better than ‘fair’.
The Board agreed that standards C2, C4a, C4c, C9 and C21
were ‘not met’ and standards C4b, C5a, C7a and C20b were ‘met
at year end’.
F
The declaration would include third party opinion on <strong>the</strong> Trust’s
services and comments received to date had been broadly
supportive. PC circulated <strong>the</strong> Standards for Better Health declaration
sign-<strong>of</strong>f sheet and asked voting Board members to append <strong>the</strong>ir
signature.
T
On behalf <strong>of</strong> <strong>the</strong> Board, JB thanked PC and his team for <strong>the</strong>ir hard
work in collating and verifying <strong>the</strong> evidence and guiding <strong>the</strong> Board
through each <strong>of</strong> <strong>the</strong> standards.
45/09
Complaints and PALs Report
AM presented <strong>the</strong> Complaints and PALs report. Information from
complaints and feedback from patients was extremely valuable to
<strong>the</strong> Trust in terms <strong>of</strong> helping to understand where <strong>the</strong> Trust failed to
meet users’ expectations and where services could be improved.
Complaints were taken extremely seriously and provided a rich
source <strong>of</strong> learning for <strong>the</strong> Trust. The Board noted <strong>the</strong> breakdown <strong>of</strong>
complaints by category and noted that <strong>the</strong> trend towards a decrease
in formal complaints and PALs contacts had not been maintained in
<strong>the</strong> final quarter <strong>of</strong> <strong>the</strong> year.
BL queried <strong>the</strong> reporting <strong>of</strong> swabs retained in patients following
surgery. AM stated that all three cases were highly complex, indeed
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