31 July 2009 / Assynt House
BeechwoodPark
Inverness, IV2 3BW
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HIGHLAND NHS BOARD

MEETING OF BOARD

Tuesday 11 August 2009 at 8.30 am

Board Room, Assynt House, BeechwoodPark, Inverness

AGENDA

08.30 / 1 /

Apologies

2 / Minute and Action Plan of Meeting of 2 June 2009 (attached)
The Board is asked to approve the Minute.
2.1 / Matters Arising
3 / PART 1 – REPORTS BY GOVERNANCE COMMITTEES
3.1 / Argyll & Bute CHP Committee – Draft Minute of Meeting held on 3 July2009 (attached)
3.2 / Mid Highland CHP Committee – Draft Minute of Meeting held on 26 June2009 (attached)
3.3 / North Highland CHP Committee – Draft Minute of Meeting held on 9 June 2009 (attached)
3.4 / RaigmoreHospital Committee – Draft Minute of Meeting held on 8 June 2009 (attached)
3.5 / South East Highland CHP Committee – Draft Minute of Meeting held on 28 May 2009 (attached)
The Board is asked toNote the Minutes.
3.6 / Audit Committee – Draft Minutes of Meetings of 27 May and 25 June 2009 (attached)
3.7 / Staff Governance Committee Assurance Report and Draft Minute of Meeting of26 May 2009 (attached)
3.8 / Improvement Committee Assurance Report of 6 July 2009 and Balanced Scorecard (attached)
3.9 / Area Clinical Forum – Draft Minute of Meeting of 28 May 2009 (attached)
3.10 / Endowment Funds Committee – Draft Minutes of Meetings of 6 April, 25 June and 6 July 2009 (attached)
3.11 / Health and Safety Committee – Draft Minute of Meeting of 21 May 2009 (attached)
The Board is asked to:
(a)
  • Note the Minutes.
(b)
  • Note that the Staff Governance Committee met on 26 May 2009.
  • Note the Assurance Report and agreed actions resulting from the consideration of the specific items detailed.
  • Note the items for discussion at the next meeting to be held on 25 August 2009.
(c)
  • Note that the Improvement Committee met on 6 July 2009.
  • Note the Assurance Report and agreed actions resulting from the review of the specific topics detailed and the Balanced Scorecard.
  • Note the next meeting of the Improvement Committee will be held on 7 September 2009.

Council/Highland NHS Board
Joint Committees
3.12 / Argyll & Bute Health and Care Strategic Partnership – Minute of Meeting of 12 June 2009 (attached)
3.13 / Highland Council Partnership – Joint Committee for Children and Young People – Minute of Meeting of 5 June 2009 (attached)
3.14 / Highland Council Partnership – Joint Leadership and Performance Group – Minute of Meeting of 23 June 2009 (attached)
The Board is asked to note or adopt the Minutes as appropriate.
4 / PART 2 – CORPORATE GOVERNANCE / ASSURANCE
4.1 / NHS Board and Board Development Meeting Dates 2010
Report by Roger Gibbins, Chief Executive (attached)
A list of dates for Board Meetings and Board Development Meetings has been drafted for approval.
The Board is asked to Approve the dates for meetings of the NHS Board and Board Development Sessions for 2010.
4.2 / Register of Interests of Members of Highland NHS Board
The Highland NHS Board of Conduct was formally adopted by the Scottish Ministers from 1 May 2003. Under its terms, Board Members are required to Register their interests in the Highland NHS Board Register. An exercise to update the register has now been undertaken and the formal Highland NHS Board Register will be tabled for information. The Register is kept available at the Board’s offices for public inspection.
The Board is asked to note the position.
4.3 / Better Health, Better Care, Better Value
Report by Roger Gibbins, Chief Executive (attached)
The Board is asked to:
  • Endorse the Board’s new vision and aims.
  • Endorse “Changing for the Better” the Board’s service improvement programme for 2009-10.
  • Endorse the annual Corporate Objectives.
  • Note the ongoing challenges and opportunities associated with delivering our commitments to patients.

4.4 / NHS Highland Financial Position as at 30 June 2009
Report by Malcolm Iredale, Director of Finance (attached)
The Board is asked to:
  • Notethe projection of a year end break even position for 2009/10
  • Note the progress in delivering the redesign plan
  • Note the emerging pressures which require to be managed to allow break even
  • Note the risk around Agenda for Change reviews

4.5 / NHS Highland Capital Plan
Report by Malcolm Iredale, Director of Finance (attached)
The Board is asked to:
  • Agree the revised presentation of the Capital Plan.
  • Note the work underway on the Prioritisation process
  • Note the underlying risks involved, particularly with regard to future funding
  • Note the significant level of schemes at pre Initial Agreement Stage
  • Approve the Capital Plan as attached noting the recommendation to review the Raigmore Day Services Centre.

4.6 / Sutherland Older Adults Services
Report by Sheena Craig, General Manager, North Highland CHP on behalf of Elaine Mead, Chief Operating Officer
The Board is asked to:
  • Approve the attached Full Business Case (FBC) for Sutherland Older Adults Services, including the replacement of MigdaleHospital
  • Agree the capital investment of £8.322M as detailed in the 5 year Capital Plan
  • Agree to submit the FBC to the Scottish Government Capital Investment Group (CIG) for approval

4.7 / Infection Control Update
Report by Morag A Greenshields, Infection Control Manager on behalf of Heidi May, Executive Lead for Infection Control (attached)
All NHS Boards in Scotland are now required to update the Board on a two-monthly basis on a range of Infection Control issues.
The Board is asked to note the contents of the report.
4.8 / Chief Executive’s and Directors’ Report
Emerging Issues and Updates
Report by Roger Gibbins, Chief Executive (attached)
This month’s report incorporates updates on:
  • Commissioning of Older Peoples Services in Argyll & Bute
  • Grants to Voluntary Organisations
  • Key Patient Focus and Public Involvement Actions, 2009-10
  • Leaving New Craigs – Sense Scotland
  • Regional Planning – North of ScotlandPlanning Group and West of Scotland Planning Group
  • Remote and Rural Implementation Group – Progress Report
  • Update on Swine Flu
  • MRSA Screening
  • Charge Nurse Review
  • Staff Uniforms
  • Patient Experience Programme
  • Better Heart Disease and Stroke Care Action Plan
  • Improving Health and Wellbeing of People With Long Term Conditions in Scotland: A National Action Plan
  • Management Structure, Raigmore
  • CAMHS
The Board is asked to note the Emerging Issues and Updates Report.
4.9 / Single Outcome Agreements
Report by Moira Paton, Head of Community & Health Improvement Planning (attached)
The Board is asked to:
  • Endorse the 2009/10 Single Outcome Agreements for the Highland Council and Argyll & Bute Council areas
  • Note the joint delivery and performance management arrangements in place and being developed

4.10 / The Highland Council
The Leader of The Highland Council, Dr Michael Foxley has been invited to attend to update the Board on relevant issues and projects in the Highland Council area.
The Board is asked to note and discuss.
5 / PART 3 – STRATEGY AND POLICY
5.1 / Draft Gaelic Language Plan
Report by Moira Paton, Head of Community & Health Improvement Planning (attached)
The Board is asked to:
  • Approve the draft NHS Highland Gaelic language Plan 2009 – 2014 for public consultation
  • Note the intention to develop an NHS Highland Gaelic Language Policy

5.2 / Scottish Ambulance Service Future Strategy
Report by Roseanne Urquhart, Head of Healthcare Strategy, on behalf of Dr Ian Bashford, Medical Director (attached)
The Board is asked to:
  • Note the publication of the “Scottish Ambulance Service: Our Future Strategy” document.
  • Discuss the response of NHS Highland to the document.

5.3 / NHS Highland eHealth Strategy 2009 - 2012
Report by Bill Reid, Head of eHealth (attached)
The Board is asked to:
  • Note the Vision for eHealth as communicated in the Strategy.
  • Note the key components of the eHealth Strategy 2009-2012.
  • Note the specific actions required to meet the Vision.
  • Endorse the eHealth Strategy 2009–2012.

5.4 / NHS Highland Workforce Strategy 2009/10
Report by Pam Cremin, Workforce Planning Manager on behalf of Anne Gent, Director of Human Resources(attached)
The Board is asked to:
  • Note the attached NHS Highland Workforce Strategy Action Plan Progress Report August 2009
  • Note the attached Benchmark Report that illustrates NHS Highland’s position against and contribution to the actions identified by A Force for Improvement: The Workforce Response to Better Health, Better Care framework
  • Note the approach to be taken nationally and by NHS Highland to implement the actions identified in A Force for Improvementframework

5.5 / Approach and Plan for Delivering 18 Week Referral to Treatment (RTT)
Report by Maimie Thompson, 18Weeks RTT Programme Manageron behalf of Elaine Mead, Chief Operating Officer (to follow)
The Board is asked to:
  • Note the progress in relation to the Plan for delivery of the 18 Week Referral to Treatment Programme.

5.6 / Carbon Management Implementation Plan (CMIP)
Report by Douglas Seago, Head of Facilities (attached)
The Board is asked to:
  • Approve the Carbon Management Implementation Plan confirming the strategy of NHS Highland to reduce its production of carbon by 20% over the next 5 years, based on the bench mark year of 2008/09.
  • Note the performance against the HEAT target during 2008/09 of a reduction in climatically adjusted GJ/100m3 of 10.48% against a target of 2%.
  • Note action plan to move towards Biomass fuels on the Raigmore and other sites to achieve a significant reduction in its production of carbon.
  • Note the continued partnership work which is taking place with public and private partners to maximize the potential to generate savings through collaborative working.

5.7 / RaigmoreHospital – No Smoking Policy
Report by Pam Courcha, Chair and Susan Eddie, General Manager (attached)
The Board is asked to:
  • Note the progress made to date
  • Note the proposals and resource implications of the recommendations of the Short-life Working Group

6 / FOR INFORMATION
6.1 / Date of next meeting
The next meeting of the Board will be held on 6 October 2009, in the Board Room, Assynt House, Inverness.
6.2 / Any Other Competent Business
7 / Close of Meeting

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