BoardMeeting 16th June 2017

RCSI Hospitals Group

Board Meeting

Wednesday16thJune2017 at 2.30pm

DCEC Tutorial room 1& 2

Present
Anne Maher(Chair) / Chair RCSI Hospitals Group Board / AM
Ian Carter / Group Chief Executive Officer / IC
Sheila McGuinness / Group Chief Operations Office / Group Chief Nursing Officer / SMcG
Eric Brady / Group Director of Human Resources / EB
Chris Kenny / Group Chief Finance Officer / CK
Susan Moloney / Group Quality, Safety & Risk Manager / SM
Michael Quirey / Group Director of Estates / MQ
Cathal Kelly / Chief Executive Officer, RCSI / CaK
Linda Kennedy / PA to the Executive Team (Minute Taker) / LK
Apologies
Patrick Broe / Group Clinical Director / PB
Ian Carter / Group Chief Executive Officer / IC
Item / Discussion / Action
Apologies / IC gave his apologies.
  1. Minutes of previous meeting 5th April 2016
/ Previous Minutes
Previous minutes agreed with no amendments.
Update from Chair:
-RCSI Hospital Group Board Vacancies- no further update towards appointment of RCSI Board members since last Board meeting. AM to write to Minister Harris regarding same.
-Beaumont Hospital Board Vacancies- Applications received. No appointments made to date.
-Meetings with Political Representatives–Meeting with TD Heather Humphreys to be convened.
-Chief Strategy and Planning Officer and Chief Operating Officer to the HSE Leadership Team have yet to take up post.
-Rotunda Relocation Meeting –AM provided an update to the Group. FM & IC met with Liam Woods.
-Dialysis Therapy Centre Unit in Beaumont Hospital - Officially opened by Finian McGrath T.D. / AM
AM
  1. Activity
/ SMCG provided an overview of the RCSI Quality Assurance Programme Key Performance Metrics (April). The metrics document is reviewed which each site on a monthly basis.
SMCG noted sustained performance improvement in relationship to ED access waiting times / volumes pertaining to Beaumont Hospital and OLOL.
OPDWait List
-CaK identified project Echo as having potential to the potential future of OPD capacity.
-Validation exercises being undertaken on sites.
-Increased focus on chronological booking.
Waiting Lists-Inpatient / Day Case
-Group endoscopy initiative continues.
Additional metrics being added to report. A discussion regarding an internal mechanism for feedback of positive initiatives to staff took place.
Annual report being developed.
CaK acknowledged the work being done by the Group. AM & CaK complimented the RCSI Quality Assurance Programme Key Performance Metrics (April) document.
  1. Quality & Risk Management
/ SM provided an update to the Group.
-Total number of SIs / SREs 01.01.17 – 31.04.17 = 43
Initiatives currently underway in the Quality and Safety Directorate
₋An audit of complaints management across the Hospital Group has been completed and the data is currently under review to identify key findings and recommendations for improvement.
₋A process mapping exercise of complaints management at Hospital level is complete and is being reviewed to i) identify areas for improvement and ii) to assist in developing a standardised process across the Hospital Group.
RCSI Hospitals Group, Women’s and Children’s Directorate
₋10 meetings to date.
The National Patient Experience Survey Programme
₋The National Patient Experience Survey is a nationwide survey asking people for feedback about their stay in hospital. The survey is a partnership between the Health Information and Quality Authority (HIQA), the Health Service Executive (HSE) and the Department of Health. All adult patients discharged during May 2017 who spent 24 hours or more in a public acute hospital and have a postal address in the Republic of Irelandwere asked to complete the survey.Survey underway in all RCSI Hospitals.
  1. Financial Report
/ CK provided an update
Financial issues:
₋Unfunded National pay awards €7.3m
₋Cash flow in voluntaries; deduction of 7%
₋Behaviour of PHI’s impacting on deficit - LAYA decision to claw back patient income and VHI meeting voluntaries re similar issue
Agency savings expected in remainder of year following buoyant recruitment in first quarter.
Impact of activity including Thromboectomy Beaumont, Gynae and plastics approved developments not funded for non-pay.
  1. HR Report
/ EB provided an update
IR update
₋Potential Industrial Action – UNITE & Impact (Job Evaluation Scheme)
₋Laundry – Cavan General Hospital (SIPTU). Negotiations ongoing.
RCSI HG Leadership Development Programmes
₋Cohort 1, successfully completed their programme at the end of May 2017. Good senior management representation on the day.
Absence.
₋Four hospitals are now within the HSE’s ‘Total Absence’ target level of 3.50% for each hospital.
₋Total Absence rates in the other three hospitals while higher than the 3.50% target have shown considerable improvement over the first five months of the year.
₋Louth County Hospital has shown very significant improvement since January 2017 with a reduction of 4.10% in its total absence rate over the five months.
  1. Estates
/ Estates Update:
MQ provided an update
OLOL – Drogheda Hospital
₋Phase 2 – Proposal to have two wards available within Qtr. 4, project developing into 2018
Beaumont
₋Cochlear Implant Department Expansion
₋Breast Unit – Brief to be completed and planning application to be submitted Qtr. 4.
₋ED – CBA being reviewed.
₋Additional Theatres – Layout being developed for submission
Rotunda
₋Theatre & NICU – Business Case submitted awaiting determination.
Connolly hospital:
₋Integrated Laboratory Service – Business Case submitted
Construction of the RCSI Education and Research Building at Beaumont Hospital commenced in January 2017 and works are scheduled for 18 months, for completion by mid-2018.
  1. Academic Update
/ ₋CaK provided an update re Internal QA Review of Implementation of the RCSI Strategic Plan 'Growth & Excellence" 2013-2017: Strategic Goal meeting took place. IC & AM in attendance. The current RCSI Strategic Plan ‘Growth and Excellence’ 2013-2017 comes to the end of its implementation period this year. RCSI is working on the development of a new Strategic Plan to run from 2017 to 2022.
₋RCSI Group Chief Academic Officer stood down.
₋The RCSI resources and expertise are available to work with the Group to support academic and quality improvement agenda.
  1. AOB
/ ₋Beaumont Hospital celebrates its 30 year anniversary shortly.
Date & Time
Next Meeting / Wednesday 20th July2017 at 2.00pm, Presidents Meeting Room, RCSI

RCSI HG Board Meeting – 16th June 2017