Members Council Minutes of the meeting held in Public on 19 January 2012, at 11.00am at Colchester General Hospital

Transcription

1 Members Council Minutes of the meeting held in Public on 19 January 2012, at 11.00am at Colchester General Hospital PRESENT: Dr. S. Irvine, Chair Mr. R. Cole, Public Governor, Colchester Mr. D. McCarron, Public Governor, Colchester Mrs. E. Smith, Public Governor, Colchester Mrs. P. Aldridge, Public Governor, Halstead & Colne Valley Mr. J. Dann, Public Governor, Halstead & Colne Valley Mr. D. Johnson, Public Governor, Halstead & Colne Valley Mrs. M. Jones, Public Governor, Tendring Mrs. H. Law, Public Governor, Tendring Mr. B. Wheatcroft, Public Governor, Tendring Mr. J. Chung, Public Governor, Tendring Mr. A. Patrick, Public Governor, Tendring Dr. M. Aitken, Public Governor, Suffolk Mr. I. Ferneyhough, Staff Governor, AHP/Healthcare Scientist Ms. V. Asker, Staff Governor, Support Services Mrs. K. Flint, Staff Governor, Nursing & Midwifery Mr. C. Sekharan, Staff Governor, Medical & Dental (from item 4 onwards) Professor L Dobree, Stakeholder Governor Anglia Ruskin University Cllr L. McWilliams, Stakeholder Governor Tendring District Council Cllr. A. Brown, Stakeholder Governor Essex County Council (from item 5 onwards) Cllr N. Offen, Stakeholder Governor Colchester Borough Council Major Simon Rothwell, Stakeholder Governor Colchester Garrison IN ATTENDANCE: Mr Rob Bowman, Director of Workforce/Company Secretary Miss Becci Hurst, Executive Team Business Manager (Acting) Dr. G. Coutts, Chief Executive Ms. S. Barnett, Director of Operations/Deputy Chief Executive Mr. N. Chatten, Special Projects Director Mrs. T. Diles, Assistant to Trust Chair/FT Engagement Manager Mr. P. Searle, Head of Communications In advance of the meeting Dr. Aitken confirmed his apology to Ms. Barnett and Mr. Chatten for his written and verbal remarks. Members of the public and press were then invited to joint the meeting. 1. WELCOME & APOLOGIES FOR ABSENCE Apologies for absence had been received from Donna Booton, Gillian Wallis and Violet Haddow. Page 1 of 5

2 Dr. Irvine welcomed Cllr Offen to his first meeting as Stakeholder Governor for Colchester Borough Council, taking over from Cllr Dobson with effect from 19 December DECLARATIONS OF INTEREST There were none. 3i. MINUTES OF THE JOINT MEETING WITH THE BOARD OF DIRECTORS HELD IN PUBLIC ON 10 NOVEMBER 2011 Dr. Aitken requested an amendment to the minutes at Page 8 to read would present patients with a 420m 2 featureless, windowless blank wall. The minutes of the joint meeting with the Board of Directors held on 10 November 2011 were then approved as a correct record for signature. 3ii. MATTERS ARISING (a) Radiotherapy Services Dr. Aitken remarked that the statement on page 7 of the minutes relating to the fact that radioactive materials were not used in Radiotherapy was incorrect. It was however a record of what was said at the meeting. 4. CHAIRS REPORT Dr. Irvine reported that she had visited patients and relatives at the Radiotherapy Department on Christmas Day and met Father Christmas on the Children s Ward on the run up to Christmas. She had heard positive news about how the Trust had managed over the Christmas and New Year period. An interim transition document had been circulated by the PCT explaining the new commissioning arrangements. The Trust Board would be meeting with the NEE Cluster Board later in the month at which both organisations would provide presentations on their latest position. Mr. Johnson mentioned that some members of the public found the PCT & GP Commissioning transitional arrangements confusing to some members of the public. Dr. Irvine suggested that this be raised at the meeting with the PCT. Dr Coutts added that commissioning boards across the country were moving at different paces. North East Essex was moving faster than most and was significantly ahead in its development. Mrs. Law had attended a workshop recently in Colchester, held to keep members of the public informed of the changes in the PCT, but it had not related to Halstead residents as they were part of the Mid Essex PCT. It was reported that the Rehabilitation Pilot Project had won a national award and a senior nurse had been shortlisted for a National IBD award, the results of which would be announced in March. Major Rothwell congratulated Archie Kaul-Meads team on its award. Dr. Irvine was now the convenor for the East of England Chairs Meetings who met quarterly. RESOLVED That the Members Council noted the verbal report of the Chair. 5. HSMR/SHMI Dr. Coutts introduced Kevin O Hart, Acting Assistant Director of Nursing, who had been invited to attend to present the differences between HSMR and SHMI. Dr. Coutts further confirmed that the HSMR for October was 85, not 83 as stated in the report. Page 2 of 5

3 Mr. O Hart explained that HSMR was owned by Dr. Foster Intelligence and SHMI by NHS Choices & NHS Information Authority. The key difference between the two methodologies was that HSMR included all deaths in hospital and the SHMI also included those occurring 30 days after discharge. SHMI information meant the Trust could look at a broad range of factors affecting mortality including those in the wider health economy. Mr. McCarron asked what improvements had been made throughout the Trust via the Hospital at Night project and whether or not mortality rates were higher at night. Mr. O Hart explained that the Trust now had an improved model of handover at night and would undertake annual reviews of the process. Dr. Coutts added that there was now greater consultant presence in A&E at weekends and until 12 midnight 7 days a week. The Emergency Care Intensive Support Team had visited the Trust again during the previous week and commented that the changes the Trust had made were very positive. Mr. Ferneyhough asked how confident the Trust was that its improved mortality rates reflected the care it provided. Dr. Coutts referenced the recent CQC report that had been very positive and acknowledged the recent positive shift in levels of patient care over the last months. Mr. Johnson asked how the Trust managed calls from care homes at night. Mr. O Hart explained that the Trust had worked with Social Services to provide support in the community to manage out-of-hours admissions and care of the dying. The Trust had looked at coding of palliative care cases and the use of the Do Not Resuscitate Form and improved coding measures. Mr. Ferneyhough mentioned that 18 months ago Governors had been told that the Trust s HSMR issues related to coding inaccuracies. He asked whether the data quality issues had been rectified. Mr O Hart confirmed that the Trust now had a more robust coding system in place and had also appointed a new audit coder. RESOLVED That the Members Council note the presentation. 6. IN-HOUSE FACILITIES MANAGEMENT SERVICES Mr. Chatten presented an update to the council on the transfer of facilities management services in-house. Following the decision on 9 June a 16-week work programme commenced to transfer services back into the Trust. 496 staff had been TUPE d across to the employment of the Trust without any redundancies. There had been no change to working rotas to date but this would be necessary eventually and would be undertaken via the formal consultation route. Approximately 30 supplier services were appointed via Tender Waivers for a 12-month period and the Trust was now working on re-tendering these on a competitive basis. The initial uniform shortage had been rectified and any staff absences would be managed via Trust policy. Mr. Bowman confirmed that the change in staff numbers associated with bringing the service in house would be reflected in workforce data from April 2012 and these staff would also be part of the next staff satisfaction survey. The successful Inhouse Newsletter that was published at the time of the transfer may be repeated in the future. That the Members Council noted the update from Mr. Chatten. Page 3 of 5

4 7. COUNCIL EVALUATION Mr. Patrick provided an update on the work of the Task & Finish Group and confirmed that a further meeting would take place within the next month. 8. ANNUAL PLAN & STRATEGIC DIRECTION Mr. Baker provided an update on the Annual Plan based on the Trust s strategic direction. The Divisions were currently in the process of drawing up first draft business plans, based on projected activity levels and the current draft tariff price structure which included a 1.5% reduction in tariff. Meetings would take place during the week commencing 23 January at which divisions would present plans to the Executive Team. The Executive team were looking for innovative ways in which the Trust s income could be increased and these ideas, once worked up into plans, would form part of the final annual plan. The Trust was predicting a surplus of 2 to 3 million and a Financial Risk Raking of 4 against a target of 3. The surplus was key to enabling the Trust to invest. The final version of the plan would be bought to the next council on 26 April. 9. GOVERNOR ACTIVITY REPORTS (a) Front of House Dr. Irvine explained that the group had a met on a number of occasions and changes had been made to the front entrance of the hospital as a result of the group s work. Modifications to the League of Friends facilities within the main hospital building were outstanding. (b) Governor Panels & Committees Mr. Patrick presented the interim report from the Task & Finish Group. The group continued to work on the focus and make up of Governor Panels and committees and would take into account discussions at the workshop later during the day. (c) Other Governor Activity There were now 4 governors taking part in the PEAT inspections. Mr. Wheatcroft had taken part in a walkabout of the new Children s Unit with Matron Linda Pearce. Mr. Dann had judged the Christmas Tree competition with the Mayor. 18 wards/departments had entered and the standard of entries had been excellent. 10. PUBLIC GOVERNOR ELECTION Mr. Bowman presented the proposed timetable for the Governor election to fill the vacancy in the Rest of Essex Constituency. Mr. Patrick suggested that Council might consider the timing of future meetings in order to attract people that work full time and that defining the role more clearly, i.e. the number of hours required, might also help. Page 4 of 5

5 11. ANY OTHER BUSINESS There was none. 12. DATE OF NEXT MEETING Thursday 26 April 2012 Meeting Closed 1.05pm Page 5 of 5