Minutes of the Meeting of the Council of Governors held in public on ...

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DRAFT <strong>the</strong> meet<strong>in</strong>g <strong>of</strong> <strong>the</strong> Board <strong>of</strong> Directors 29 October 2009 and <strong>the</strong> Extraord<strong>in</strong>ary <strong>Meet<strong>in</strong>g</strong> on 26 November. Fiona Edwards reported 1. The excellent improvement <strong>in</strong> <strong>the</strong> Healthcare Commission rat<strong>in</strong>g for <strong>the</strong> Trust’s performance last year by mov<strong>in</strong>g from a ‘Fair’ and ‘Fair’ to ‘Excellent’ and ‘Good’. This is a significant achievement because not many Trusts <strong>in</strong> <strong>the</strong> country achieved such a significant shift <strong>in</strong> performance and we are only one <strong>of</strong> two <strong>in</strong> <strong>the</strong> south east region. We should celebrate this <strong>in</strong> <strong>the</strong> Trust as a step <strong>in</strong> <strong>the</strong> journey to provide excellent and outstand<strong>in</strong>g services. 2. The f<strong>in</strong>ancial situation is tight - <strong>the</strong> forecast position is breakeven at best. We did start <strong>the</strong> year with a f<strong>in</strong>ancial plan to achieve a £1 million surplus; at mid year <strong>the</strong> Board agreed a reforecast. The situation changed because <strong>of</strong> <strong>the</strong> <strong>in</strong>creased cost pressures <strong>of</strong> <strong>the</strong> credit crunch and some slippage with <strong>the</strong> expected sav<strong>in</strong>gs from <strong>the</strong> service change programme. Monitor, our regulators, have confirmed that because our cash position is still above <strong>the</strong> l<strong>in</strong>e, our risk rat<strong>in</strong>g rema<strong>in</strong>s at 3 for quarter 2. We have an amber governance rat<strong>in</strong>g because <strong>the</strong> forecast is that we expect to achieve <strong>the</strong> Healthcare core standards this year, but we are still at risk with <strong>the</strong> delayed transfer <strong>of</strong> care target to achieve no more than 7.5% <strong>of</strong> our beds be<strong>in</strong>g blocked with<strong>in</strong> a given period. 3. Fiona Edwards commented that as result <strong>of</strong> <strong>the</strong> excellent partnership work with Service Users and Carers, now is <strong>the</strong> time to take it a stage fur<strong>the</strong>r to <strong>in</strong>clude Staff and Foundation Trust Members. The Board at its meet<strong>in</strong>g on 17 December will be requested to consider a proposal for <strong>the</strong> Trust’s Involvement activities to be <strong>in</strong>cluded <strong>in</strong> <strong>the</strong> strategic direction. Fiona Edwards Graham Cawsey <strong>in</strong>vited questions. a) Stephenne Rhodes reported that she had attended an Equality and Human Rights Commission (EHRC) sem<strong>in</strong>ar and emphasised <strong>the</strong> importance <strong>of</strong> <strong>the</strong>ir work and questioned if <strong>the</strong> Trust had attended <strong>the</strong> sem<strong>in</strong>ars. Fiona Edwards welcomed <strong>the</strong> update and commented on <strong>the</strong> value <strong>of</strong> Stephenne Rhodes attendance as a Trust Governor. Julie Gaze referred to: • The work <strong>of</strong> <strong>the</strong> Trust’s Equality and Human Rights Steer<strong>in</strong>g Board. • The Trust’s Equality and Impact Assessment screen<strong>in</strong>g tool, which is available on <strong>the</strong> Trust’s web page and noted that Partnership People will carry an <strong>in</strong>vitation for people to support <strong>the</strong> Trust <strong>in</strong> implement<strong>in</strong>g <strong>the</strong> Impact assessment Screen<strong>in</strong>g Tool. Ted Pottage registered an <strong>in</strong>terest support<strong>in</strong>g <strong>the</strong> Trust. • The Compliance Assessment Audit Action Plan. <strong>Governors</strong>/ Julie Gaze 4
DRAFT Actions: • Julie Gaze will forward Ted Pottage <strong>the</strong> Equality and Impact Assessment screen<strong>in</strong>g tool. a) Har<strong>in</strong>gey Report Barbra Nurse raised <strong>the</strong> Har<strong>in</strong>gey Report and asked will <strong>the</strong> Trust be review<strong>in</strong>g <strong>the</strong> quality <strong>of</strong> <strong>the</strong> data it collects, <strong>in</strong> light <strong>of</strong> <strong>the</strong> report’s f<strong>in</strong>d<strong>in</strong>g on <strong>the</strong> lack <strong>of</strong> assurances with <strong>the</strong> bureaucracy l<strong>in</strong>ked to <strong>the</strong> safeguard<strong>in</strong>g <strong>of</strong> care. Fiona Edwards reported that all Directors had received a copy <strong>of</strong> <strong>the</strong> report and as a result we are currently review<strong>in</strong>g all our safeguard<strong>in</strong>g processes and <strong>the</strong> lessons we can learn from its f<strong>in</strong>d<strong>in</strong>gs. Fiona Edwards added that feedback from <strong>the</strong> staff conversation groups is <strong>in</strong>form<strong>in</strong>g us <strong>of</strong> <strong>the</strong> need to review our process and systems. The review <strong>of</strong> our process and systems is one <strong>of</strong> our priorities for <strong>the</strong> Trust’s Annual Plan. Graham Cawsey noted that one <strong>of</strong> <strong>the</strong> challenges for <strong>the</strong> Board, particularly <strong>the</strong> Non - Executive Directors, is to ensure that <strong>the</strong>y are not just receiv<strong>in</strong>g numbers. Action: The Trust’s review <strong>of</strong> its safeguard<strong>in</strong>g process will be shared with <strong>the</strong> <strong>Council</strong> <strong>of</strong> <strong>Governors</strong>. Julie Gaze Fiona Edwards b) Quality Indicators Sally Ann Brady thanked Stanley Riseborough and Malcolm Hawthorne for <strong>the</strong>ir earlier presentation not<strong>in</strong>g that it was a good <strong>in</strong>sight <strong>in</strong>to <strong>the</strong> national position. Sally Ann Brady commented that FoCUS is particularly <strong>in</strong>terested <strong>in</strong> <strong>the</strong> Trust’s performance aga<strong>in</strong>st quality and acknowledged <strong>the</strong> difficulties with measur<strong>in</strong>g quality aga<strong>in</strong>st <strong>the</strong> national requirement for numerical data. Sally Ann Brady, on behalf <strong>of</strong> <strong>the</strong> <strong>Governors</strong>, requested a set <strong>of</strong> both <strong>the</strong> national and <strong>the</strong> Trust’s <strong>in</strong>dicators to complete a comparative analysis and identify any gaps. Stanley Riseborough advised that <strong>the</strong> Trust’s <strong>in</strong>dicators are still under development; because we need to identify <strong>the</strong> means <strong>of</strong> collection, <strong>the</strong> value <strong>of</strong> <strong>the</strong> data and <strong>the</strong> method <strong>of</strong> report<strong>in</strong>g. Action: Stanley Riseborough will send <strong>the</strong> <strong>Governors</strong> a set <strong>of</strong> both <strong>the</strong> national and <strong>the</strong> Trust’s <strong>in</strong>dicators (still under development). c) Social Care Change Programme Dr Maurice Brooks referred to po<strong>in</strong>t 3.2.5 with a request for clarification on <strong>the</strong> quality and f<strong>in</strong>ancial impact <strong>of</strong> <strong>the</strong> delayed transfer. Jo Young expla<strong>in</strong>ed that <strong>the</strong> services we are transferr<strong>in</strong>g are <strong>the</strong> most robust and currently not caus<strong>in</strong>g a negative f<strong>in</strong>ancial impact to <strong>the</strong> Trust. However, <strong>the</strong>re are some quality issues with Human Resources Strategy, because we are us<strong>in</strong>g temporary home managers and a temporary workforce. Action: Jo Young will discuss <strong>the</strong> delays with commissioners. Stanley Riseborough Jo Young 5
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