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

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DRAFT d) Day and Work Services Project 18 Clive Stone referred to po<strong>in</strong>t 3.2.6 with a request for an update on <strong>the</strong> plans to discont<strong>in</strong>ue <strong>the</strong> Project 18 Service. Jo Young reported that <strong>the</strong> plan to discont<strong>in</strong>ue <strong>the</strong> service is part <strong>of</strong> <strong>the</strong> PCT sav<strong>in</strong>g schemes, jo<strong>in</strong>tly agreed with <strong>the</strong> Trust; this is similar to <strong>the</strong> day services <strong>in</strong> <strong>the</strong> east <strong>of</strong> <strong>the</strong> county. The Executive Board is consider<strong>in</strong>g <strong>the</strong> response to <strong>the</strong> consultation and will review <strong>the</strong> situation with <strong>the</strong> Commissioners. Don IIlman noted <strong>the</strong> experience <strong>in</strong> <strong>the</strong> east <strong>of</strong> <strong>the</strong> county should be considered to avoid a repeat <strong>of</strong> <strong>the</strong> problems. Jo Young noted that we need to lobby <strong>the</strong> PCT to ensure <strong>the</strong> quality <strong>of</strong> <strong>the</strong> commission<strong>in</strong>g specification with <strong>the</strong> third sector providers. Action: Jo Young will report <strong>the</strong> comments on learn<strong>in</strong>g from <strong>the</strong> experience <strong>in</strong> <strong>the</strong> east <strong>of</strong> <strong>the</strong> county to <strong>the</strong> Commission<strong>in</strong>g Team. Jo Young Langley Green Fiona Edwards reported that <strong>the</strong>re had been an extraord<strong>in</strong>ary meet<strong>in</strong>g <strong>of</strong> <strong>the</strong> Board on 26 November to discuss <strong>the</strong> safety arrangements with that transfer <strong>of</strong> <strong>in</strong>patient beds from Epsom to Langley Green. Concerns were formalised with <strong>the</strong> PCT <strong>in</strong> August 2008. Four deadl<strong>in</strong>es have been pr<strong>of</strong>fered and missed s<strong>in</strong>ce August 2008, <strong>the</strong> latest deadl<strong>in</strong>e be<strong>in</strong>g Friday 21 November. The Board considers that <strong>the</strong> safety <strong>of</strong> patients is our primary concern and noted two ma<strong>in</strong> risks: 1. The current management arrangements <strong>in</strong> a time <strong>of</strong> change and through change. 2. The long term provision <strong>of</strong> care; assurance to both commissioners and ourselves that <strong>the</strong> care pathway could be <strong>held</strong> safely with all agencies across <strong>the</strong> boundary with Sussex. The Board agreed that: • We are no longer <strong>in</strong> a position to guarantee <strong>the</strong> safety <strong>of</strong> this service and need to take immediate action to ensure its safety. • The service will now be run with transfer suspended, with ‘a bus<strong>in</strong>ess as usual message’ to all <strong>in</strong>volved with<strong>in</strong> <strong>the</strong> unit, partners and families and carers, pend<strong>in</strong>g <strong>the</strong> provision <strong>of</strong> comprehensive safety assurance to <strong>the</strong> PCT and ourselves. • Staff on temporary contracts will be confirmed as substantive and vacancies, currently <strong>held</strong> pend<strong>in</strong>g <strong>the</strong> transfer, will be actively recruited to. • We will only authorise reactivat<strong>in</strong>g <strong>the</strong> transfer <strong>in</strong>ternally when assurance has been received, <strong>the</strong> PCT has issued six months notice <strong>of</strong> <strong>the</strong> transfer, based on <strong>the</strong> assurance, and <strong>the</strong>re is a clear project transition plan, <strong>in</strong>clud<strong>in</strong>g double runn<strong>in</strong>g and transition fund<strong>in</strong>g arrangements, to support <strong>the</strong> safe transfer. • We rema<strong>in</strong> committed to work<strong>in</strong>g with <strong>the</strong> PCT as our ma<strong>in</strong> commissioners, but cannot do this at <strong>the</strong> expense <strong>of</strong> our duty <strong>of</strong> care to people who use our services, carers and out staff. 6
DRAFT The <strong>Governors</strong> engaged a discussion regard<strong>in</strong>g <strong>the</strong> suspended transfer <strong>of</strong> service and <strong>the</strong>ir concerns are noted by <strong>the</strong> Directors. ITEMS for INFORMATION 51/08 Gov 52/08 Gov Fund<strong>in</strong>g Arrangements for Day Services Jo Young <strong>in</strong>troduced <strong>the</strong> report on <strong>the</strong> East Surrey Alzheimer’s Day Services and reported: Surrey and Borders NHS Foundation Trust- • Are clear that <strong>the</strong> fund<strong>in</strong>g received from Surrey Primary Care Trust is for <strong>the</strong> delivery <strong>of</strong> healthcare and that <strong>the</strong> strategic direction is for us to be do<strong>in</strong>g less work and days service activity. • Have apologised both verbally and <strong>in</strong> writ<strong>in</strong>g to <strong>the</strong> Alzheimer’s Society and s<strong>in</strong>cerely regret that we placed <strong>the</strong> Alzheimer’s Society <strong>in</strong> a difficult position because we failed to meet <strong>the</strong> six month contract agreement. • Has found additional sav<strong>in</strong>g schemes to manage <strong>the</strong> slippage <strong>of</strong> <strong>the</strong> extended notice period • Sent a full progress report to East Surrey LINks and attended <strong>the</strong>ir meet<strong>in</strong>g <strong>in</strong> November 2008. Surrey PCT- • Has reviewed <strong>the</strong>ir decision to discont<strong>in</strong>ue <strong>the</strong> fund<strong>in</strong>g support for <strong>the</strong> day services and concluded that <strong>the</strong>y stand by <strong>the</strong> decision. They state that <strong>the</strong>re is an equitable commissioned outreach service from <strong>the</strong> Alzheimer’ Society across <strong>the</strong> county. Surrey County <strong>Council</strong>- • The meet<strong>in</strong>g has been rescheduled due to sickness. People who use services and Carer Representation on Governance Committees Julie Gaze <strong>in</strong>troduced <strong>the</strong> report on Involvement <strong>in</strong> Governance Committees and Steer<strong>in</strong>g Board prepared by Andy Edeleanu. The <strong>Governors</strong> engaged <strong>in</strong> a discussion. The ma<strong>in</strong> po<strong>in</strong>ts <strong>in</strong>cluded: • Julie Gaze <strong>in</strong> response to a question from Ted Pottage highlighted that <strong>the</strong> number <strong>of</strong> service user and carers for each committee <strong>in</strong>dicated <strong>in</strong> <strong>the</strong> report meets <strong>the</strong> m<strong>in</strong>imum standard. • Carol Ann Roycr<strong>of</strong>t expressed her concerns on <strong>the</strong> level <strong>of</strong> support available for service users and carers engaged <strong>in</strong> work with <strong>the</strong> Trust and sighted <strong>the</strong> meet<strong>in</strong>g today as an example. • Sally Ann Brady referred to <strong>the</strong> Standards for Involv<strong>in</strong>g People and advised that <strong>the</strong>y do <strong>in</strong>clude strict guidel<strong>in</strong>es for <strong>in</strong>volv<strong>in</strong>g services users and carers <strong>in</strong> Trust activities. 7
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