Welcome to the Isle of Wight NHS Trust Board Meeting in Public 7 th September2016 9:30 – 13.00
. Apologies for Absence 1 1 1 1 . . . o Confirmation of Quoracy o o Declarations of Interest Declarations of Interest
2. Minutes of Previous Meeting : : : : Approval of 1 st June 2016 Minutes o Approval of 6 th July 2016 Minutes o o Review Schedule of Actions
3. Chairman’s Update
4 Chief Executive’s Update
Chief Executive’s Update National: • Local • Sustainability and • My Life a Full Life Transformation Plans (STP) • In-patient Survey • Chaplaincy Report • Regional. • System Failure • The Solent Deal • The Solent Deal • 10,000 Step Challenge 10,000 Step Challenge (Devolution) • Appointments • Solent Acute Alliance • Visits • iWantGreatCare
5. QUALITY (Patient Safety, Experience & Clinical Effectiveness)
5.1 Patient Story 5.1 Patient Story Click here
Summary of Story: Pathway of care post accident – Ambulance – community care Negative Positive Prompt response by Ambulance No neck brace • • • Ward was amazing – worked like • Long wait in ED clockwork, very professional • Access to physio post discharge • • Nurses and doctors were Nurses and doctors were • • Late notice cancellation Late notice cancellation supportive • No dialogue on discharge – did not Bed found • feel ready • 111 Service efficient • District Nurses could not take BP or • Phlebotomist was able to explain temperature what was happening – provided • Shoulder not looked at – pathway coping skills not clear • Community care – not proactive – not clear of how to access support 9
Actions taken: – Film has been shared with the relevant staff. http://intranet.iow.nhs.uk/home/corporate- support/patient-safety-experience-clinical- effectiveness/patient-story-videos – Alverstone Ward would like to invite the patient in to – Alverstone Ward would like to invite the patient in to hear about her experience – Ambulance Staff have reviewed the clinical pathway – the notes clearly state that a full assessment was undertaken, patients did not require immobilisation, and no injury was sustained to C Spine or back. – The use of patient information packs is being reviewed 10
5.2 Quality Governance Committee Chair Report
5.3 Quality Improvement Plan Monthly Update Update
5.4 Reports from Serious Incidents Requiring Investigation (SIRIs)
5.5 Safer Staffing Monthly Report
5.6 Pressure Ulcer Prevention 6 Monthly Report
6. Strategy & Planning
6.1 Strategy Update
Strategy Update • Trust Strategy – Objectives for the remainder of 2016/17 are being finalised to support delivery of strategic priorities and goals. – Objectives aligned with STP, MLaFL and turnaround programme however interim capacity to support delivery is currently being reviewed. – Business planning for 2017/18 is due to commence in September 2016 with Directorates. • MLaFL and Whole Island System Redesign (WISR) – NHS England feedback on WISR requested further work on how the vision will be NHS England feedback on WISR requested further work on how the vision will be realised, the case for change and the expected impact. realised, the case for change and the expected impact. – Revised governance structure with MLaFL Operational Delivery Group picking up the oversight of MLaFL programme delivery. – MLaFL programme team to collocate with the Trust’s Programme Governance Office. • STP – Refreshed financial plan to be submitted 16 September 2016 with full STP resubmission on 20 October 2016. – The Acute Alliance is taking forward the unsustainable service reconfiguration and the review of back office functions and pathology services.
6.2 Principal Risk Register (Board Assurance Framework) (Board Assurance Framework)
7. Performance
7.1 Finance, Investment, Information & Workforce Committee Chair Report
7.2 Performance Report
7.3 Chief Operating Officer’s Report
8. Governance
8.1 Terms of Reference
8.2 Top key Issues & Risks from Sub-Committees
8.3 Audit & Corporate Risk Committee Annual Report 2015/16
8.4 Annual Audit Letter 2015/16 & Quality Account Report 2015/16
8.5 Statutory & Formal Roles
9. Partnership Working 9. Partnership Working
9.1 Partnership Update
Health and Social Care Integration Update Shaun Stacey Claire Foreman Claire Foreman
1. Developing Our Vision for Integration – Three workshops held.
2. Transforming Community Services Proposal: Acknowledging Interdependencies 1. Implementation of locality governance and organisational structures 2. Implementation of integrated locality services 3. Implementation of case management of 3. Implementation of case management of those at risk 4. Review of existing co-ordination provision in each locality 5. Development of community resilience and community assets in each locality
3. Locality Vision To bring a valued and skilled workforce together with the community, and empower local people to be active participants, maintain independence and lead full and healthier lives. Features • Safe Quality Care • • Prevention and Early intervention Prevention and Early intervention Co-ordinator • Locality Accountability. • Touchdown Centres. A local Identity with valued Staff • Independen • Right person delivering care t Sector • Person Centred Care • Multi disciplinary working, case load management Co-ordinator • Using Information to focus limited resources Strong link to local people and general practice • • Devolved budgets • Technology as default • Team around the person paramount
4. Role out plan 1. Co – location 2. Shared systems and processes 3. Integrated Management 3. Integrated Management Integrated Co – location Share Systems Management Now – Dec 16 Nov 16 –Mar 17 Jan – Dec 17
5. Challenges / Opportunities • There is strong staff support for these changes • The work fits well with MLAFL programmes of change • The Trust will need to consult on changes to the Ambulance Urgent and Community business unit to create three localities and a remaining Ambulance create three localities and a remaining Ambulance and Urgent Care Business unit. Potentially in October. • Co-location will require appropriate accommodation • Clear Governance arrangements will be required • Both organisations will need to achieving change whilst delivering day to day operational work
Health and Social Care Integration Update QUESTIONS
10. Any other business 10. Any other business
11. Questions from the Public 11. Questions from the Public
12. Issues to be covered in private 12. Issues to be covered in private
Date and time of next meeting in PUBLIC • Full Full Full Full Board Meeting Board Meeting Board Meeting Board Meeting Wednesday 5 th October 2016
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