BOARD OF DIRECTORS - cddft.nhs.uk

1 Agreed trust BOARD Minutes (Part 1: Open): 25 April 2018 Page 1 of 21 BOARD OF DIRECTORS Agreed Minutes of the Meeting of the BOARD of DIRECTORS of County Durham and Darlington NHS Foundation trust held on Wednesday 25 April 2018 from 09:00hrs Executive Boardroom, Darlington Memorial Hospital Part One (Open) Present: Prof Paul Keane OBE Chairman Mr Michael Bretherick Non-Executive Director Ms Jenny Flynn MBE Non-Executive Director Mr Simon Gerry Non-Executive Director Mr Paul Forster-Jones Non-Executive Director Mr Andrew Young Non-Executive Director Ms Sue Jacques Chief Executive Mr David Brown Executive Director of Finance Mr Jeremy Cundall Executive Medical Director Ms Carole Langrick Executive Director of Operations Mr Noel Scanlon Executive Director of Nursing In Attendance: Ms Morven Smith Director of Workforce & Organisational Development Ms Alison McCree Managing Director.

2 CDD Services Mr Warren Edge Senior Associate Director of Assurance & Compliance Ms Gillian Curry Head of Communications (from item 5/19) Mr Andrew Izon Associate Director of Health Informatics (for item 10/19) Ms Hayley Robertson Corporate Affairs Manager (Minute Taker) One member of the public was present. Miss Borsha Sarker, Public Governor; Mr Steve Crosland, Non-Executive Director Designate; and Ms Ruth Dixon, of the Care Quality Commission, were also present as observers. Action 01/19 Welcome and Apologies for Absence The Chairman welcomed BOARD members and others present. There were no apologies for absence. 02/19 Declarations of Interest Any BOARD Member who was aware of a conflict of interest relating to any item on the agenda was required to disclose it at this stage or when the conflict arose during consideration of a particular item.

3 Ms McCree and Mr Forster-Jones declared their interests as DIRECTORS of Synchronicity Care Ltd (SCL). Mr Edge advised that there were no matters arising from the previous meeting minutes, or on the agenda for the meeting, which he considered to create a conflict of interest and the BOARD determined that there was no need Agreed trust BOARD Minutes (Part 1: Open): 25 April 2018 Page 2 of 21 to exclude Mr Forster-Jones or Ms McCree from any part of the meeting. Should any interests arise during the meeting, Ms McCree and Mr Forster-Jones agreed to make a declaration during the item as necessary. Ms Flynn joined the meeting at this juncture. 03/19 (a) (b) Minutes and Matters Arising from the Previous Meeting held on Wednesday 28th March 2018 Accuracy The minutes were agreed as an accurate record of the meeting, subject to the following amendments: Item 258/18 Chief Executive s Report (page 4, final paragraph) First sentence to read: Mr Young advised that a version of the CQC final report had not been circulated to him personally.

4 Item 260/18 Medical Director s Report (third paragraph) Fifth line to read Mr Bretherick asked whether each category could be itemised Item 266/18 Other Business (page 15, fourth paragraph) Final sentence to read: The Managed Service Contract for Radiology Equipment included plans for a second scanner to be introduced during 2018/19. Matters Arising from the Minutes Item 257/18(b) Matters Arising from the minutes (third item) The Chairman asked for an update on the ongoing work to agree timescales and prioritise relevant actions to improve facilities and support for those patients with mental health conditions treated within the trust . Mr Scanlon advised that this comprised implementation of the recommendations of the Treat as One national confidential enquiry.

5 The principles in respect of how the trust would work together with Tees, Esk and Wear Valleys NHS FT had been agreed and a further meeting was scheduled for 1st may to agree specific actions and timescales. Item 258/18 (d) NHSI Quarterly Review Meeting Ms Jacques confirmed that the feedback letter had now been circulated to all BOARD members and Governors. Item 259/18 (a) Director of Nursing reports (page 6, third full paragraph) Mr Forster-Jones requested Mr Scanlon s agreement to report the national picture for never events once available, to be included in the action log. Item 259/18 (a) Director of Nursing reports (page 6, fourth full paragraph) In respect of the comment regarding the work carried out by the Emergency Care Network which indicated that the trust s number of beds was lower for the population served than any other trust in the North East, the Chairman asked if there was any evidence behind the statement.

6 Ms Langrick advised that two separate reports confirming that position had been produced by the Emergency Care FTO Agreed trust BOARD Minutes (Part 1: Open): 25 April 2018 Page 3 of 21 (c) Network over the last five years. Ms Jacques added that ongoing work in respect of SAFER and #endpjparalysis would enable the trust to manage length of stay more effectively, impacting upon the number of beds required. Item 261/18 Operational Performance and Efficiency (page 11, third paragraph) Mr Young enquired as to the next steps for Perfect Month . Ms Langrick responded that forward plans to refresh or revise the Perfect Month brand were not yet agreed. 261/18 Operational Performance and Efficiency (page 12, first paragraph) In respect of A&E targets, Ms Jacques advised that the Local Area Delivery BOARD (LADB) had agreed a trajectory for the A&E four-hour wait target, based on the trust s current model.

7 There were however other outstanding issues that the trust was working to address, such as urgent care configuration and building works. Item 263/18 Well Led Action Plan Ms Jacques advised that the trust would be commissioning a piece of work to take place over the summer to look at the Well-Led domain and would feed into the action plan where necessary. Mr Young asked for clarification in respect of the proposal to change the frequency of BOARD meetings to every other month. The Chairman advised that although the recommendation had been considered very seriously, the volume of business required to be discussed did not permit the reduction of BOARD meetings to that level. The other element of the recommendation had been in respect of trust BOARD seminars and their use for development purposes, which was progressing.

8 Item 266/18 Other Business Ms Jacques confirmed that the CQC report and action plan had been presented at the Council of Governors meeting in April. Action Log Those actions greyed out were accepted as complete. Item 226/18(b): Bring a further update to the trust BOARD on the national reporting data for ambulance delays Ms Langrick advised that the update would be presented to the May 2018 BOARD meeting. Item 228/18(a): Provide an analysis of numbers of complaints for the trust compared with a regional peer group Mr Scanlon advised that the peer group information was not yet available and the analysis would be provided to trust BOARD members at the point it was received. Action carried forward. Item 228/18(b)(ii): Bring a review of Paediatric demand and related staffing requirements Mr Scanlon confirmed that the review was included in his report to be discussed at a later point in the agenda.

9 Action complete. Item 230/18: Provide a report to the BOARD on actions being undertaken to address the performance in respect of dementia onward referrals Mr Scanlon advised that a piece of work was underway to implement Agreed trust BOARD Minutes (Part 1: Open): 25 April 2018 Page 4 of 21 a robust process to improve performance in respect of dementia onward referrals. A further update would be provided in due course. Action carried forward. Item 257/18(b): Bring a report to the BOARD on the trust s Staff Survey results Ms Smith confirmed that the report was included as an agenda item to be discussed later in the meeting. Action complete Item 258/18(a): Discuss improvements required in relation to the Well-Led domain in respect of the CQC inspection Mr Edge confirmed that the report was included as an agenda item to be discussed later in the meeting.

10 Action complete. Item 259/18(b) Review Safeguarding strategies of other local Trusts to determine similarity to trust Strategy Mr Scanlon advised that the minute in relation to the action was in reference to the plans of local agencies rather than other Trusts. He advised that the trust worked closely with the Police and Local Authority and, as part of the local Safeguarding Boards, and had in place shared priorities with strategic and partner agencies. The development of the trust s strategy was supported by the Safeguarding BOARD development session and the priorities reflected within the strategy were closely aligned to the Safeguarding BOARD s objectives. Action complete. Item 260/18 Investigate the possibility of separating out unexpected deaths from the overall mortality indicator groupings.