NLG(14)296

DATE /

29 July 2014

REPORT FOR / Trust Board of Directors – Part A
REPORT FROM / Dr J Whittingham, Chairman
CONTACT OFFICER / Dr J Whittingham, Chairman
SUBJECT / Highlight Report from the Mortality Performance Committee
BACKGROUND DOCUMENT (IF ANY) / Mortality Performance Committee Minutes
REPORT PREVIOUSLY CONSIDERED BY & DATE(S) / N/A
EXECUTIVE COMMENT(INCLUDINGKEY ISSUES OF NOTE OR, WHERE RELEVANT, CONCERN AND / OR NED CHALLENGE THAT THE BOARD NEED TO BE MADE AWARE OF) / -
HAVE THE STAFF SIDE BEEN CONSULTED ON THE PROPOSALS? / N/A
HAVE THE RELEVANT SERVICE USERS/CARERS BEEN CONSULTED ON THE PROPOSALS? /

N/A

ARE THERE ANY FINANCIAL CONSEQUENCES ARISING FROM THE RECOMMENDATIONS? / N/A
IF YES, HAVE THESE BEEN AGREED WITH THE RELEVANT BUDGET HOLDER AND DIRECTOR OF FINANCE, AND HAVE ANY FUNDING ISSUES BEEN RESOLVED? / N/A
ARE THERE ANY LEGAL IMPLICATIONS ARISING FROM THIS PAPER THAT THE BOARD NEED TO BE MADE AWARE OF? / N/A
WHERE RELEVANT, HAS PROPER CONSIDERATION BEEN GIVEN TO THE NHS CONSTITUTION IN ANY DECISIONS OR ACTIONS PROPOSED?
WHERE RELEVANT, HAS PROPER CONSIDERATION BEEN GIVEN TO SUSTAINABILITY IMPLICATIONS (QUALITY & FINANCIAL) & CLIMATE CHANGE?
THE PROPOSAL OR ARRANGEMENTS OUTLINED IN THIS PAPER SUPPORT THE ACHIEVEMENT OF THE TRUST OBJECTIVE(S) AND COMPLIANCE WITH THE REGULATORY STANDARDS LISTED / N/A
N/A
N/A
ACTION REQUIRED BY THE BOARD / The Board are asked to note this report for information

SUB-COMMITTEE HIGHLIGHT REPORT PRO-FORMA

Report for Trust Board Meeting on: / 29 July 2014
Report From: / Mortality Performance Committee
Meeting on 1 July 2014
Highlight Report:
MPC asks the Board to note the following issues:
  • The need for continued progress on improvements to a consistent approach to diagnosis on admission (linked to accurate coding) and to patient discharge planning, in medicine in particular, and with the full engagement from the Trust’s clinicians
  • The committee’s decision to support the trust-wide introduction of the sepsis pathway now for existing in-patients in addition to new patients, as soon as nurse educator appointments are made
  • Risks
  • the GI bleed rota remains a risk but positive progress is being made to address the issue
  • continued work by the Trust with partners to address the Carotid Doppler risk
  • The committee received a report about early steps on a multi-disciplinary multi agency approach to the management of diabetes across the health community. MPC had agreed that Bryony Simpson should be asked to lead for the Trust.
Assurance on delivery of the Keogh Action Plan
MPC reviewed the Keogh Action Plan actions as assigned to the committee and agreed that all of the assigned actions are on track and that positive assurance could be provided to the Board.
Action Required by the Trust Board:
The Trust Board is asked to note the report.

Dr J Whittingham

July 2014