A meeting of the Trust Board of Directors, in Public
To be held on Tuesday, 27 September 2016, at 2.00 pm
in the Lecture Room, GDH
For the purpose of transacting the business set out below
1. / Apologies for Absence
Anne Shaw, Chair / (5 mins) / Verbal
2. / Chairman’s Remarks / Verbal
3. / Declaration of Interests
Anne Shaw, Chair / (5 mins) / Verbal
4. / To Approve the Minutesof the Previous Public Meeting held on
26 July 2016
Anne Shaw, Chair / (5 mins) / Attached
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5. / Matters Arising from the Minutes:
None
6. / Chief Executive’s Briefings: / (25 mins)
6.1Monthly Update, September 2016
Karen Jackson, Chief Executive / Attached
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6.2 STP Update
Karen Jackson, Chief Executive / Verbal
7. / Quality and Safety:
7.1Patient Story
Joanna Loughborough, Patient Experience Practitioner / (5 mins) / Verbal
7.2Serious Incidents (SIs) including ‘Never Events’
Wendy Booth, Director of Performance Assurance & Trust Secretary / (5 mins) / Attached
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7.3CQC Update / (25 mins)
7.3.1CQC Action Plan Update
(including Improvement Director Update)
Wendy Booth, Director of Performance Assurance &
Trust Secretary / Attached
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7.3.2Patient Admin Systems & Processes Update
Wendy Booth, Director of Performance Assurance &
Trust Secretary / Attached
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7.3.3Waiting List Report
Wendy Booth,Director of Performance Assurance &
Trust Secretary / Attached
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7.3.1.1OPD Follow-up Improvement Plan Progress
Karen Dunderdale, Director of Operations & Deputy Chief Executive & Wendy Booth, Director of Performance Assurance & Trust Secretary / Attached
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7.4Monthly Capacity and Capability on our Wards
Tara Filby, Chief Nurse / (10 mins) / Attached
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Sub Committees Supporting Papers:
7.5Quality and Patient Experience Committee
7.5.1QPEC Highlight Report, September 2016
Alan Bell, Non-Executive Director / (5 mins) / Attached
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7.5.2Board Challenge / Verbal
7.6Mortality Performance & Assurance Committee
7.6.1MPACHighlight Report, September 2016
Anne Shaw, Chair / (5 mins) / Attached
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7.6.2Board Challenge / Verbal
7.7Infection Prevention & Control Committee (IPCC)
7.7.1IPCC Highlight Report, September 2016
Stanley Shreeve, Non-Executive Director / (5 mins) / Attached
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7.7.2Board Challenge / Verbal
7.8Reflections on Patient Story / (5 mins) / Verbal
8. / Strategy & Planning:
8.1Orchard Ready
Pam Clipson, Director of Strategy & Planning / (5 mins) / Verbal
9. / Compliance Monitoring:
9.1Fit & Proper Persons Test: Chairman’s Annual Declaration
Anne Shaw, Chair & Wendy Booth, Director of Performance Assurance & Trust Secretary / (5 mins) / Attached
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Sub Committees Supporting Papers:
9.2Trust Governance & Assurance Committee
9.2.1TGAC Highlight Report, September 2016
Anne Shaw, Chair / (5 mins) / Attached
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9.2.2Board Challenge / Verbal
9.3Resources Committee
9.3.1Resources Committee Highlight Report,
September2016
Neil Gammon, Non-Executive Director / (5 mins) / To Follow
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9.3.2Board Challenge / Verbal
10. / Items for Approval
10.1Procurement Transformational Plan
Marcus Hassall, Director of Finance / (5 mins) / Attached
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10.2NHS England Core Standards for Emergency Preparedness, Resilience & Response (EPRR) 2016/17 Assurance to NHS England Area Team
Wendy Booth, Director of Performance Assurance & Trust Secretary / (5 mins) / Attached
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10.3Quality & Patient Experience Committee Terms of Reference
Tara Filby, Chief Nurse / (5 mins) / Attached
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10.4Mortality Performance & Assurance Committee Terms of Reference
Lawrence Roberts, Medical Director / (5 mins) / Attached
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10.5Infection Prevention & Control Committee Annual Report
Lawrence Roberts, Medical Director / (5 mins) / To Follow
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11. / Matters to be Referred from the Private Meeting held on
Anne Shaw, Chairman / (10 mins) / Verbal
11.130 August 2016
11.227 September 2016
12. / Matters to be Included in the Board Briefing for Governors
Anne Shaw, Chairman / (5 mins) / Verbal
13. / Trust Board Action Log – Public / (5 mins) / To Follow
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14. / Items for Information
Anne Shaw, Chairman / Please see Appendix B
15. / Any Other Urgent Business
To be notified to the Chair / Chief Executive in accordance with Standing Order 14.3 / (10 mins) / Verbal
16. / Date and Time of the Next Meeting
The next meeting will be held on Tuesday, 29 November 2016,
in the Main Boardroom, DPOWH – start time to be confirmed / Verbal
The meeting is expected to close at 5.00 pm

PROTOCOL FOR CONDUCT OF BOARD BUSINESS

  • In accordance with Standing Order 14.2 (2007), any Director wishing to propose an agenda item should send To follow notice 8 clear days before the meeting to the Chairman, who shall then include this item on the agenda for the meeting. Requests made less than 8 days before a meeting may be included on the agenda at the discretion of the Chairman. DivisionalDirectors and Managers may also submit agenda items in this way.
  • In accordance with Standing Order 14.3 (2007), urgent business may be raised provided the Director wishing to raise such business has given notice to the Chief Executive not later than the day preceding the meeting or in exceptional circumstances not later than one hour before the meeting.
  • Board members wishing to ask any questions relating to those reports listed under ‘Items for Information’ should raise them with the appropriate Director outside of the Board meeting. If, after speaking to that Director, it is felt that an issue needs to be raised in the Board setting, the appropriate Director should be given advance notice of this intention, in order to enable him/her to arrange for any necessary attendance at the meeting.

NB:When staff attend Board meetings to make presentations (having been advised of the time to arrive by the Board Secretary), it is intended to take their item next after completion of the item then being considered. This will avoid keeping such people waiting for long periods.

A P P E N D I X B

Listed below is a schedule of documents circulated to all Board members for information.

The Board has previously agreed these items. They do not routinely need to feature for discussion on Board agendas but any questions arising from these papers should be raised with the responsible Director. If after having done so any Director believes there are matters arising from these documents that warrant discussion within the Board setting, they should contact the Chairman, Chief Executive or Board Administrator, who will include the issue on a future agenda.

14. / Items for Information
Sub-Committee Supporting Papers:
TGAC
14.1TGAC Minutes, September 2016
Wendy Booth, Director of Performance Assurance & Trust Secretary / Attached
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14.2Integrated Performance / KPI Framework
Wendy Booth, Director of Performance Assurance & Trust Secretary / Attached
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14.3Performance Compliance Report
Wendy Booth, Director of Performance Assurance & Trust Secretary / Attached
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14.4Board Assurance Framework Quarterly Report
Wendy Booth, Director of Performance Assurance & Trust Secretary / Attached
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14.5Complaints Analysis Report – Quarter 1 (April – June 2016)
Wendy Booth, Director of Performance Assurance & Trust Secretary / Attached
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Resources Committee
14.6Resources Committee Minutes, August 2016
Dr Karen Dunderdale, Deputy Chief Executive / To Follow
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14.7Monthly Staffing Report, September 2016
Dr Karen Dunderdale, Deputy Chief Executive & Jayne Adamson, Director of People & Organisational Development / Attached
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14.8Month 5, Finance Update
Marcus Hassall, Director of Finance / Attached
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14.92016 / 17 Sustainability Plan: Month 5
Wendy Booth, Director of Performance Assurance & Marcus Hassall, Director of Finance / Attached
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IPCC
14.10IPCC Minutes, August 2016
Lawrence Roberts, Medical Director / Attached
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MPAC
14.11MPAC Minutes, August 2016
Lawrence Roberts, Medical Director / Attached
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14.12Monthly Mortality Report, September 2016
Lawrence Roberts, Medical Director / To Follow
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QPEC
14.13QPEC Minutes, September 2016
Tara Filby, Chief Nurse / To Follow
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14.14Monthly Quality Report, August 2016
Tara Filby, Chief Nurse / To Follow
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14.15Director Visit Report – Quarter 1 (April – June 2016)
Wendy Booth, Director of Performance Assurance & Trust Secretary / Attached
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14.16Update the Trust Board on changes to Midwifery Supervision
Tara Filby, Chief Nurse / Attached
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Other
14.18Documents Signed Under Seal
Wendy Booth, Director of Performance Assurance & Trust Secretary / Attached
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