5.30-7.30pm, wednesday 14th august 2013 in …...3. to receive any declaration of interests enc 3...

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GENERAL MEETING OF THE COUNCIL OF GOVERNORS OF BARNSLEY HOSPITAL NHS FOUNDATION TRUST 5.30-7.30pm, WEDNESDAY 14 TH AUGUST 2013 IN THE EDUCATION CENTRE, BARNSLEY HOSPITAL AGENDA 1. Apologies & Welcome 2. To invite comments from members of the public 3. To receive any declaration of interests ENC 3 and review the Governors’ Register of Interests 4. To approve the Minutes of the Meetings held on 12 th June and 9 th July 2013 ENC 4 5. To consider any matters arising from the Minutes of the last meetings 6. To receive and consider the External Auditor’s report on the ENC 6 Quality Account for 2012/13 and consider planning for 2013/14 – Mr James Findlay, PricewaterhouseCoopers 7. To review the Family & Friends Test: outcomes and implications Presentation Ms A Bielby, Deputy Chief Nurse 8. To receive and consider latest report of the Nominations Committee (verbal/tabled) 9. To receive a report from the Trust’s Chairman, Mr S Wragg ENC 9 10. To receive a report from the Lead Governor, Mr J Unsworth ENC 10 11. To receive a report from the Trust’s interim Chief Executive, Mr D Peverelle ENC 11 12. To review and endorse the report of the Council of Governors’ sub-groups ENC 12 - Mr D Brannan (Strategy & Performance), Mr N Woodcock (Patients’ Experience) and Mrs V Mills (Staff & Environment) 13. To receive and note the following reports from the Board of Directors ENC 13 - latest Board Agenda and approved Minutes (meetings held in public) - latest integrated monthly performance report 14. Any other business, including: - matters raised by the public - date of next meetings: AGM/Annual Public Members Meeting, 5.30pm – 11 th September 2013 (at Digital Media Centre, County Way, Barnsley) General Meeting, 5.30pm – 9 th October 2013 (preceded by Governors’ annual development session, 1-5pm) Signed: ……………….….. Chairman

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Page 1: 5.30-7.30pm, WEDNESDAY 14TH AUGUST 2013 IN …...3. To receive any declaration of interests ENC 3 and review the Governors’ Register of Interests 4. To approve the Minutes of the

GENERAL MEETING OF THE COUNCIL OF GOVERNORS OF BARNSLEY HOSPITAL NHS FOUNDATION TRUST

5.30-7.30pm, WEDNESDAY 14TH AUGUST 2013

IN THE EDUCATION CENTRE, BARNSLEY HOSPITAL

AGENDA

1. Apologies & Welcome

2. To invite comments from members of the public

3. To receive any declaration of interests ENC 3 and review the Governors’ Register of Interests

4. To approve the Minutes of the Meetings held on 12th June and 9th July 2013 ENC 4

5. To consider any matters arising from the Minutes of the last meetings

6. To receive and consider the External Auditor’s report on the ENC 6 Quality Account for 2012/13 and consider planning for 2013/14 – Mr James Findlay, PricewaterhouseCoopers

7. To review the Family & Friends Test: outcomes and implications Presentation – Ms A Bielby, Deputy Chief Nurse

8. To receive and consider latest report of the Nominations Committee (verbal/tabled)

9. To receive a report from the Trust’s Chairman, Mr S Wragg ENC 9

10. To receive a report from the Lead Governor, Mr J Unsworth ENC 10

11. To receive a report from the Trust’s interim Chief Executive, Mr D Peverelle ENC 11

12. To review and endorse the report of the Council of Governors’ sub-groups ENC 12 - Mr D Brannan (Strategy & Performance), Mr N Woodcock (Patients’ Experience) and Mrs V Mills (Staff & Environment)

13. To receive and note the following reports from the Board of Directors ENC 13 - latest Board Agenda and approved Minutes (meetings held in public) - latest integrated monthly performance report

14. Any other business, including: - matters raised by the public - date of next meetings: • AGM/Annual Public Members Meeting, 5.30pm – 11th September 2013 (at Digital Media Centre, County Way, Barnsley) • General Meeting, 5.30pm – 9th October 2013 (preceded by Governors’ annual development session, 1-5pm)

Signed: ……………….….. Chairman

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COUNCIL OF GOVERNORS – AUGUST 2013 REF: CG/13/08/4A

4A

MINUTES OF A GENERAL MEETING OF THE COUNCIL OF GOVERNORS

HELD ON 12TH JUNE 2013, 5.30PM IN THE EDUCATION CENTRE, BARNSLEY HOSPITAL

Present: Mrs P Buttling Public Governor, Constituency B Mr D Brannan Partner Governor, Voluntary Action Barnsley Mr A Conway Staff Governor, Volunteers Constituency Ms A Johnson Partner Governor, Barnsley Together Mrs V Mills Staff Governor, Clinical Support Constituency Ms G Morritt Staff Governor, Nursing & Midwifery Constituency Ms L Neasmith Partner Governor, Barnsley College Mrs K Phillips Partner Governor, Sheffield Hallam University Councillor J Platts Partner Governor, Barnsley MBC Mr R Ramsay Public Governor, Constituency C Mr R Raychaudhuri Staff Governor, Medical & Dental Constituency Mrs C Robb Public Governor, Constituency A Mr T Smith Public Governor, Constituency E Mr D Thomas Public Governor, Constituency D Mr J Unsworth Lead Governor & Public Governor, Constituency A Mr S Wragg Trust Chairman

In attendance: Ms H Brearley Director of HR & OD and interim Deputy Chief Executive Ms K Cartwright Fundraising Manager

Ms C Dudley Secretary to the Board Mr M Lees Head of Resilience & Security Dr J Mahajan Medical Director Ms E Parkes Associate Director of Communications & Engagement Mr D W Peverelle Interim Chief Executive

Apologies: Mr A Grierson Public Governor, Constituency C

Mrs D Horbury Staff Governor, Nursing & Midwifery Constituency Mr M Jackson Partner Governor, Joint Trade Unions Council Mr W Kerr Public Governor, Constituency E Mr B Leabeater Public Governor, Constituency A Mr E Livesey Co-opted Governor Mr J Ramsey Staff Governor, Non Clinical Support Constituency Mrs M Richardson Public Governor, Constituency B Mr D Sykes Public Governor, Constituency D Mr N Woodcock Public Governor, Constituency D

CG/13 33 APOLOGIES & WELCOME The Chairman welcomed Governors, Speakers, Directors and senior managers to the meeting, including two new members of the Council of Governors. The Chairman and Governors also welcomed Mr Peverelle, attending for the first time as Interim Chief Executive Officer.

Action

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Members of the public were also welcomed. Apologies were noted as above.

CG/13 34 COMMENTS FROM THE PUBLIC

In response to the invitation for comments from the Public, Mrs P Bevis explained that she was currently working as a volunteer on one of the wards for Care of the Elderly and had noticed that patients often could not manage the portion size presented to them at meal times (too large); she enquired if smaller portions could be provided for some patients. The Chairman and Ms Morritt advised that meals were designed to ensure they provided the nutritional balance needed by patients. Ms Morritt also advised that alternative, lighter, meals (including finger buffets) were available on request. The feedback on the ward’s meals was appreciated and Ms Morritt undertook to share the comments with the ward’s Matron of for further consideration.

CG/13 35 DECLARATIONS OF INTEREST The Chairman declared his interest in agenda item 7 (report on performance appraisals). No other declarations were received.

CG/13 36 MINUTES OF LAST MEETING (Enc 4)

The Minutes of the General Meeting held on 10th April 2013 were received and accepted as a true record.

CG/13 37 MATTERS ARISING • Minute 13/20 – Matters Arising

a) Sustainability Committee: Ms Morritt was confirmed as the Governors’ representative on the Trust’s Sustainability Committee and would be attending her first Committee meeting shortly.

b) Governors’ evaluation: the feedback had been received and evaluated, the initial outcomes from which would be presented to the meeting as part of the Lead Governor’s report (Agenda item 12).

• Minute 13/25 – Quality Account As agreed, response to the Trust’s Quality Account had been drafted and copied to all Governors for review and comment. Subsequently the draft response had been finalised by the Strategy & Performance sub-group before being submitted to the Trust in May, on behalf the Council of Governors.

• Minute 13/26 – Lead Governor’s report Mr Unsworth was pleased to confirm that the Board had approved the Governors’ request to renew the subscription to the Foundation Trust Governors Association for another year.

• Minute 13/27 – Chairman’s Report The Strategy & Performance sub-group had completed its review of the Terms of Reference for the Council of Governors’ sub-groups, the Funding & Finance Committee and the documentation supporting the Lead Governor’s role, as mandated at the last General Meeting. Agenda item 14 provided more detail.

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As Chair of the Funding & Finance Committee, Mr Unsworth reported that one expression of interest for the vacancy on the Committee had been received, from Mr Jordan Ramsey. The Council of Governors accepted Mr Unsworth’s recommendation that Mr Ramsey be appointed to the Committee.

• Minute 13/24 – Chief Executive’s Report The Chairman advised that the ‘Barnsley Save our NHS’ group’s interest in the Working Together initiative had been noted. He had met with them recently to discuss the early stages of the programme and try to answer some of their questions. During discussions, the group had also raised a number of points of interest for the Trust’s further consideration and the Chairman had encouraged their involvement as members of the Trust.

CG/13 38 GOVERNORS’ STRATEGY (Enc 6) The draft, updated, Governors’ Strategy was received and reviewed. Mr Unsworth explained that the previous version of Strategy had been expanded in response to comments from Governors from the annual planning session and other meetings. One correction to the draft was noted: reference to Healthwatch should refer to its role as champion for local health and social care, not just healthcare. Following discussion, the Strategy was approved as a useful tool to help the Governors fulfil their roles and responsibilities. Governors also confirmed their commitment to its delivery. The meeting agreed it was important that progress against the Strategy was monitored closely and it was further agreed that this should be led through the Strategy & Performance sub-group. Mr Conway suggested that Governors would also welcome mechanisms to increase awareness of the role of governors - with staff, volunteers and public/patients; this was strongly supported. Ms Parkes confirmed that information on the Council of Governors was included as part of the Trust’s induction for new staff and advised that, as the newly appointed Associate Director for Communications & Engagement, she would be pleased to work with the Governors to help raise the governors’ profile through the members’ newsletters (in collaboration with the governors’ editorial board), on the Trust’s internet and intranet, and to consider other options as the opportunity arose.

CG/13 39 NOMINATIONS COMMITTEE (Encs 7a-b) a) Chairman’s Appraisal

Mr Wragg stepped out of the meeting. Mr Unsworth assumed the Chair and introduced the first report from the Nominations Committee, which outlined the robust process undertaken for the Chairman’s year end appraisal for 2012/13 and the main outcomes. As usual, the appraisal had been jointly led by the Senior Independent Director (SID) and Lead Governor, with the support of the Nominations Committee, based on the process agreed by the Council of Governors. The outcomes, which recorded continuing good performance by the Chairman throughout the year and good progress against his objectives for 2012/13, were based on feedback reports received from Governors,

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the Executive team (via the Chief Executive) and the Non Executive Directors (via the SID). The SID and Chief Executive had also attended a meeting of the Nominations Committee to expand upon their reports; this had been appreciated. Additionally it was confirmed that the findings of the appraisal had been shared with the Chairman in a full and frank manner in a review meeting between the Chairman, SID and Lead Governor. The review meeting had given the Chairman ample opportunity to comment on the outcome. He had also received copies of the feedback reports from the Governors, NEDs and Executive Team. As a member of the Nominations Committee, Mr Brannan reiterated his support for the process, which he believed provided both challenge to the appraisee and assurance to the Governors. In conclusion, the Governors accepted the report and approved (i) the overall outcomes for the year and the rating of “1-2”, reflecting the Chairman’s excellent performance throughout the year, and (ii) that a note of thanks should be sent to Mr Patton and Ms Brearley for their parts in the process. The Governor also noted the Chairman’s objectives for 2013/14 as set out in the report. The Chairman rejoined the meeting and Mr Unsworth was pleased to confirm to him that the report and its recommendations had been accepted. The Chairman thanked the Governors for their contribution to the process and for their continuing support.

b) Non Executive Directors’ Year End Appraisal – 2012/13 The Chairman presented and expanded on the report, which showed overall performance ratings ranging between 1 and 2 for each of the Non Executive Directors (NEDs). Governors were also reminded of the requirement for an enhanced appraisal for Mr Patton, in view of the Council of Governors’ earlier decision to re-appoint him for a further term of office. The NEDs were currently finalising their objectives for 2013/14, which would be aligned with both the objectives agreed for the Chairman and the Trust’s business plan. The report also reflected on a recommendation arising from the Francis Inquiry (February 2013) that NEDs should include clinical experience or knowledge, to bring further strength to the Board. Whilst the current team of NEDs undoubtedly brought effective challenge to all aspects of the Trust’s work, including clinical issues, it had been acknowledged that some expertise in this field would be useful. It had also been acknowledged that the present Non Executive team collectively brought a good balance of skills and strengths to the Board; rather than wait for a gap in the team to arise or have to lose one of the existing members, the report recommended that an additional NED be appointed. The Council of Governors noted and supported the outcome of the NEDs’ year end appraisals for 2013 and endorsed a vote of thanks to the NEDs for their continuing strong performance and commitment to the hospital. The Council also approved the proposal to appoint an additional NED to the Board of Directors, with clinical/medical experience and/or knowledge subject to the required changes in the Trust’s Constitution being approved (Agenda item 8 refers).

JU

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CG/13 40 REVIEW OF CONSTITUTION (Enc 8) The Chairman introduced the report and highlighted the proposed changes to the Trust’s Constitution. Governors were reminded that the latest review of the Constitution (developed by a working group led by the Lead Governor, open to all governors and supported by the Chairman, Director of Quality & Performance and Secretary to the Board) had been addressed in two stages. The first stage, ensuring compliance with the initial implementation orders of the Health & Social Care Act 2012 (the Act), had been subject to and had received approval by Monitor in December 2012. The second stage had been much wider: to ensure full compliance with the Act and to respond to the changing needs of the Trust. The proposed changes had also been subject to review and further amendment by the Trust’s legal advisors, to ensure the changes met the legal requirements of the Act and Monitor’s guidance. All of the proposed changes were marked up in the draft appended to the report. Some of the more significant changes were expanded upon in the report and in discussion. The Chairman referred to earlier discussions regarding the appointment of an additional NED (as above); the proposed changes set out in the revised Constitution would enable greater flexibility around the number of NEDs and Executive Directors as and when required by the Trust, subject always to there being a majority of NEDs on the Board. Other major changes included: i) the merger of the public constituencies within Barnsley (currently five,

constituencies - A-E) into one single constituency - to be known as the Barnsley Public Constituency. Together with Constituency O (covering the rest of England and Wales), this would make up the public constituency;

ii) the Governors’ current 10 year maximum for consecutive terms of office would be removed, reflecting Monitor’s Model Constitution, although the Trust would still be mindful of the need to refresh and renew the Council. Individual terms of office – by election or nomination – would remain unchanged (ie up to three years);

iii) a reduction in the number of governors overall - from 35 to 29 - whilst maintaining a clear majority of public/patient governors at all times.

Governors expressed strong support for these changes, which it was believed would enable the Council to become more streamlined, to benefit from stronger elections across the borough (historically some good candidates had been lost under the current structure of the five constituencies, despite vacancies on the Council overall) and to operate more effectively as a slightly smaller unit. With the number of vacancies currently held on the Council, the transition to the new structure could be managed without affecting anyone’s current term of office. It was acknowledged that further work would be needed to underpin the changes, to ensure continued support for members across the newly structured public constituency and the introduction of the shared seat for the two Sheffield-based universities. The meeting was reminded of the formal processes now required to approve changes to the Constitution. Following wide discussion and

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careful consideration, the Governors unanimously voted to approve the proposed changes to the Constitution. The revised Constitution (as approved) would be presented to the Board of Directors at its next meeting for further consideration and approval before it could be formally adopted.

CG/13 41 BARNSLEY HOSPITAL CHARITY (Presentation)

As requested by the Council of Governors, Ms Cartwright, Fundraising Manager, provided an overview of the work of the fundraising team. The team had been fairly recently established (October 2012), with the aim of raising the profile of Barnsley Hospital Charity, its work and, of course, increasing contributions and thus further enhance the services and support to patients and staff at the hospital over and above that provided through core NHS funding. Ms Cartwright gave an informative presentation (copy attached), which illustrated many of the changes already introduced – including, but by no means limited to a new logo and new mascot; some interesting and fun events being organised; the huge support already being drawn from public, staff and commercial sponsors; and the wide ranging work across the region that would help to drive and deliver the Charity’s slogan and aims – support local care. Ms Cartwright stressed that the charity intended to seek support from and for people across the community of all cultures, backgrounds and abilities. Governors were asked to support the Charity by acting as its ambassadors, helping to raise its profile by talking to people about its work, sharing contacts, supporting events and sharing ideas with the fundraising team. The Governors fully supported the work of the team and were impressed by the progress achieved to date. Some initial ideas raised by Governors included a flag day for the hospital, a Hospital Week, payroll giving (in addition to the opportunities already available through the donation envelopes and the Just Giving scheme), a hospital lottery and posters in wards and public areas across the Trust. The Chairman reminded members that the Charity was managed by a Board of Trustees, comprising the Executive and Non Executive Directors. The Trustees were not focussed on saving or investing the funds raised per se but on spending the money raised to maximise benefits for patients and staff. He cited several examples to illustrate the diversity of work supported by the Charity, including the appointment of the hospital chaplain (a valued support for patients and staff from all walks of life), provision of silent closing bins on all wards (reducing disturbance at night time) and the second CT scanner (expanded services for patients). Ms Cartwright was thanked for an informative and interesting presentation and the Governors looked forward to hearing more as the team’s work continued.

CG/13 42 RESILIENCE AND SECURITY Mr Lees, Head of Resilience and Security, provided a comprehensive briefing on the Trust’s approach to these two important issues. Resilience and security had recently become a combined service at the Trust, reflecting the overlap across the two areas. Arrangements at Barnsley Hospital were operated under the National Standards Contract and Health

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& Social Care Act. The service was subject to inspections (internal and external), supported by valuable review tools as well as peer review led by the Local Area Team on behalf of NHS England. Mr Lees affirmed that the Trust’s approach had improved enormously over recent years in response to changing needs. He outlined some of the areas encompassed by his teams, including business continuity (in readiness for almost any event); procurement issues (for instance, if another country failed in terms of supply); security plans for transporting contaminated materials; responding to national drivers such as the Hillsborough Report; pandemic planning; supporting local, regional and national events and incidents (on alert recently in response to marches across the country following the shocking death of Drummer Lee Rigby, and already scoping emergency response for the Tour de France which would be crossing through the region in 2014, etc) – and all in addition to the day to day security issues required across the site to ensure that patients and staff were kept as safe as possible. Mr Lees also highlighted the multi-agency approach adopted by the Trust, working closely with Police, the local authority and other agencies across the region to ensure a good level of readiness and a cohesive response to any eventuality. Mr Lees assured the meeting that the Trust promoted a strong policy of prevention: protect, prevent, prepare – he and his teams constantly worked hard to support this and appropriate training was provided for all staff. The briefing prompted questions from Governors on several issues and it was noted that: • the Trust’s CCTV was fitted with audio facilities, giving greater

intelligence when needed. The system gave coverage across most of the site but plans were ongoing to improve this further, particularly in isolated areas;

• all areas had access to emergency support through the 3333 system. Some areas also had panic buttons fitted and the Trust was looking at ‘screech alarms’ for lone workers and/or other staff deemed vulnerable;

• in response to Governors’ comments regarding ward doorbells, which disturbed patients at night, Mr Lees appreciated the feedback based on Governors’ experience and undertook to see if the systems could be revised to enable the volume to be reduced and to explore options for increasing toilet facilities (in addition to facilities for patients) to reduce the need for anyone to leave the ward areas at night;

• responsibility for security and resilience was shared by everyone involved with the Trust. Mr Conway had recently attended the resilience and security training and recommended that all Governors should undertake the training;

• there were two formal levels of high security at the Trust, one was nuclear albeit the amount of nuclear material held on site at any time was minimal, and

• the Trust had robust ‘lockdown’ protocols in place and would work closely with multiple agencies in such events.

The Governors appreciated the informative briefing provided by Mr Lees and had been pleased to learn about the breadth of the work being led by the resilience and security teams.

ML

ALL

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CG/13 43 CHAIRMAN’S REPORT (Enc 11) The Chairman’s report was received and noted. It provided commentary and updates on a range of activities, items of interest and Board discussions since the last General Meeting. The Chairman took the opportunity to repeat his welcome to Ms Johnson and Ms Neasmith and thanked them for taking on the role of Partner Governor at Barnsley Hospital for Barnsley Together and Barnsley College respectively. It was noted that Ms Neasmith’s appointment would be for a short period, until the new Sabbatical Officer for the College took up post in September. The Chairman also expressed thanks to Mr Livesey, Co-opted Governor, who helped to foster the continuing good relations with Barnsley District Football Association (BDFA). When receiving this year’s donation of £500, the Chairman had been delighted to learn that the BDFA had been supporting the hospital and its predecessors with donations since 1876 – a longstanding and much valued relationship. The Chairman also reported the resignation of Mr Tony Alcock, public governor, due to personal circumstances. Mr Alcock had made valuable contribution to the Council and he would be missed. The Chairman undertook to write to him on behalf of the Council to express everyone’s sincere appreciation of his support and their best wishes for the future. With regard to the vacancy arising from Mr Alcock’s resignation, the Chairman advised that a seat in Mr Alcock’s constituency (Constituency B) had been contested at the last elections. In accordance with the Constitution, the Trust was able to offer the seat to the second candidate with the most votes, pending the next annual elections (ie until 31st December 2013). The Governors endorsed this approach and the Chairman would liaise with Mr Livesey (the candidate) as soon as possible. The Chairman also confirmed the re-appointment of the sub-group chairs, as detailed in section 2.4, and drew attention to a number of recent decisions of the Board, per section 3.4. Mr Peverelle was pleased to confirm that the Trust’s performance around the A&E <4 hour target had improved, due to a combination of the impact of the agreed action plan and possibly the (slightly) better weather. The action plan was progressing a range of short, medium and longer term work identified to respond to the increasing demands on the system and improve patient flow across the hospital, review working practices, ensure readiness for the winter ahead, extend appropriate 24/7 and weekend cover and progress a programme of building work to improve and develop facilities further. For clarity, Mr Peverelle expanded on the meaning of “24/7” – which was intended to ensure that patients could get appropriate treatment and care at any time, not just “9-5, Monday to Friday”. It did not, however, literally mean the same level of all services would be appropriate 24/7 as this would not always be appropriate; for instance patients would not appreciate nor benefit from being woken at night for treatments they could as easily or better be provided with during the day. As part of the action plan, the Trust would also be working closely with GPs, the Clinical Commissioning Group, and other partners to raise public awareness of the wide range of services health and social care services available across the borough through the GPs, pharmacies and community bases as well as at the hospital.

SW

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The Chairman also pleased to provided an update on the HEART Awards to be held on 14th June (all tickets sold out) and the next stages for the appointment process for the Chief Executive, following shortlisting held on 11th June (which would include Governor involvement in both the assessment and interview days).

CG/13 44 LEAD GOVERNOR’S REPORT (Enc 12) The Lead Governors’ report on activities since the last meeting and items of interest for the Council was received and noted. Mr Unsworth took the opportunity to add his formal welcome to Ms Johnson and Ms Neasmith. In discussion a number of points were highlighted from his report, including • the slow uptake of the national training programme – Governwell – was

disappointing. It covered a range of issues, from basic awareness about the role of Governors, to specialist training on financial skills and holding the NEDs to account. It was agreed that information on the programme should be recirculated to all Governors;

• The outcomes from the Council of Governors’ appraisal exercise had been reviewed and assessed; thanks were extended to Ms Brearley for preparing the feedback report, copies of which were tabled. The report affirmed that a lot of good work was already in place; it also identified some areas for development and improvement, some of which could be supported through both the national and internal training programmes, the latter being run alongside sub-group meeting dates for convenience. The Lead Governor encouraged Governors to attend the training as much as possible and to share their feedback, so that colleagues could appreciate what worked well or otherwise;

• more engagement with members remained vital and Governors were pleased to note that plans were progressing for the appointment of a Membership Manager at the Trust;

• the Council of Governors had applied to take a stand at the Penistone Show again this year; if confirmed a working group would be established shortly to support the planning for the event;

• as reported earlier, the Board’s renewal of the of the Foundation Trust Governors Association annual subscription was appreciated;

• Governor input to the Members’ magazine would be welcomed (see also earlier discussions regarding the editorial work and support from the communications team). Ms Parkes advised that the next issue was due out in September, with a focus on the Annual General meeting/Annual Public Members Meeting.

The recommendations of the report were accepted.

CED

ALL

CG/13 45 INTERIM CHIEF EXECUTIVE’S REPORT (Enc 13) The Chief Executive’s report was received and noted, providing a useful overview on a number of key issues. Several points were highlighted, including: • the continuing pressure of A&E services nationally (58% of foundation

trusts breached the A&E <4 hour target in Quarter 4). Mr Peverelle also referred to discussions on the Trust’s action plan for urgent care pathways, as noted above;

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• continuing progress on the regional Working Together programme, further proposals from which were due to be presented to the Boards of the seven organisations involved, in July;

• a brief synopsis of recent discussions with Monitor, to review the Trust’s performance in Quarter 4 of 2012/13 (not quarter 1 as stated in the report). The range of discussions reflected the changing role of Monitor and the Trust’s responsibilities under its Provider Licence;

• welcome and positive feedback from medical students training at Barnsley.

Referring to the positive feedback from students and the increasing pressures on the Trust’s consultants, Mr Smith requested further information about feedback to doctors where mistakes were found. The Chairman agreed that this was important: at a recent national conference on Patient Safety, most of the clinicians present had acknowledged having made mistakes in their career – no-one was perfect but all had agreed that it was vital to learn from mistakes. Dr Mahajan assured Governors that, whilst it was important to develop systems and protocols to reduce the incidence of errors, the Trust actively encouraged learning from experience; all serious incidents were reviewed with the clinicians and teams involved in addition to being reported to and scrutinised through the Trust’s governance structure. This approach was also reflected in the revalidation and appraisal process recently introduced by the General Medical Council. Mr Peverelle emphasised the Trust’s duty of candour to patients, which had been highlighted by the latest Francis Inquiry, and was supported by the Trust’s ethos of transparency and learning. The Chairman and Dr Mahajan also highlighted the role of the Medical Examiner, which the Trust had introduced ahead of the national timetable. One key aspect of the Medical Examiner’s role was the review of every death at the hospital, which would help to identify any potential trends as quickly as possible.

CG/13 46 SUB-GROUPS REPORT (Enc 14) The latest draft minute and reports from the three sub-groups were received and noted. Mr Brannan, Chair of Strategy & Performance, and Mrs Mills, Vice Chair of Staff & Environment, expanded on the reports from their groups’ meetings and encouraged Governors to attend future meetings and training, to ensure that these continued to be as effective as possible. There were a number of recommendations to the report, all of which were approved, including (i) amending references to the “Governing Council” to the “Council of

Governors” throughout the Terms of Reference of the sub-groups, the Funding & Finance Committee and the roles and responsibilities of the Lead Governor. No other changes had been identified in the review carried out by the Strategy & Performance sub-group as requested by the Council of Governors;

(ii) the name change for the Patients & Access sub-group, now to be known as the Patients’ Experience sub-group, better reflecting its focus, and

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(iii) to formally record the Governors’ congratulations to the Trust on its year end position for 2012/13 and recognition of staff’s contribution to the achievements for the year.

Governors were reminded that a new Chair would be required for the Patients’ Experience (formerly the Patients & Access) sub-group. The Chairman would issue an invitation for expressions of interest shortly; this would be open to all Governors.

CG/13 47 BOARD OF DIRECTORS (Enc 15) The agenda, approved Minutes (May) and latest integrated performance report as presented to the Board of Directors’ meeting held in public in May 2013 were received and noted. The Chairman thanked Mr Conway for attending in May to report on his own experience at the hospital as one of the patients’ stories shared with the Board at each meeting. Reports from other governors – or their friends or families – would always be appreciated, as the Board valued learning from patients in this way. Governors were reminded that they were able to attend the Board’s meetings held in public every month. The Chairman also reported that Mrs Libiszewski, Director of Quality & Performance, would be leaving shortly to take up a new role with another Trust. The Board and Executive team would be considering how this role should be taken forward or revised to support the Trust’s governance structure. Several governors were sorry to hear that Mrs Libiszewski was leaving as she had made a great contribution to the Trust. The Chairman undertook to ensure that their kind words were shared with Mrs Libiszewski.

CG/13 48 ANY OTHER BUSINESS a) Comments invited from the public

There were no further comments from members of the public. b) PLACE (patient led assessment of the care environment)

Mr Brannan reported on the PLACE assessment he and Mr Ramsay had recently been involved with. He also recorded a note of thanks to the Matrons for their excellent support, which helped to ensure that the inspection had run smoothly.

Date of next meeting(s) Members were reminded of:

• the additional General Meeting (to be held in private) called for 9th July 2013, 5.30pm. The meeting would be a single item agenda, to receive and consider the recommendation for the appointment of the Chief Executive;

• the date of the next scheduled General Meeting, on 14th August 2013, 5.30-7.30pm, and

• the Annual General Meeting/Annual Public Members Meeting to be held on 11th September 2013 (timings and venue to be confirmed).

There being no further business the meeting closed at 7.35pm.

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Our Aims

• To raise awareness of the hospital and the work that Barnsley Hospital Charity supports

•To develop relationships between the charity and all of the Barnsley Hospital departments

•To increase the income of the charity to enable us to fund more applications

•To make Barnsley Hospital Charity a well known, respected and loved local charity

How?

• Give Barnsley Hospital Charity a face• Organise a programme of fundraising activities• Develop active, regular fundraising campaigns• Forge longstanding relationships with Barnsley institutions

•Maintain, develop and excel in communications with existing, past and future supporters•Develop fundraising hubs, volunteers and ambassadors•Make our supporters feel valued•Say thank you, thank you, thank you

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What have we funded?

•The charity helped me spend precious moments with my premature baby whilst on special care baby unit •Thanks to the fundraising of our supporters, we have given Cancer patients their confidence back •With your help, we have given dementia patients their independence •We bring a bit of magic when it matters most •Barnsley Hospital Charity helped me set up an appeal in memory of my little boy. Jaxon’s Gift is really making a difference.

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What can you do

Become an Ambassador for Barnsley Hospital Charity

• Talk about us• Share your contacts with us• Attend our events• Share your ideas with us

Who we want to talk to…

• Local Businesses• Schools, pre-schools• Networkers• Community groups• Church groups

thank you

Katie Cartwright – Fundraising Manager01226 43 230707944641179

[email protected]

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COUNCIL OF GOVERNORS – AUGUST 2013 REF: 13/08/4B

MINUTES OF GENERAL MEETING OF THE COUNCIL OF GOVERNORS

HELD 9TH JULY 2013 IN THE EDUCATION CENTRE, BARNSLEY HOSPITAL

Present: Mr D Brannan Partner Governor, Voluntary Action Barnsley Mrs P Buttling Public Governor, Constituency B Mr A Conway Staff Governor, Volunteers Constituency Mr A Grierson Public Governor, Barnsley Public Constituency Mrs D Horbury Staff Governor, Nursing & Midwifery Constituency Ms A Johnson Partner Governor, Barnsley Together Mr B F Leabeater Public Governor, Barnsley Public Constituency Mr E Livesey Public Governor, Barnsley Public Constituency Mrs V Mills Staff Governor, Clinical Support Constituency Mrs L Neasmith Partner Governor, Barnsley College Councillor J Platts Partner Governor, BMBC Mr R Ramsay Public Governor, Barnsley Public Constituency Mr J Ramsey Staff Governor, Non Clinical Support Constituency Mrs M Richardson Public Governor, Barnsley Public Constituency Mrs C Robb Public Governor, Barnsley Public Constituency Mr T Smith Public & Deputy Lead Governor, Barnsley Public Constituency Mr D Sykes Public Governor, Barnsley Public Constituency Mr D Thomas Public Governor, Barnsley Public Constituency Mr J Unsworth Public & Lead Governor, Barnsley Public Constituency Mr S Wragg Trust Chairman

In attendance: Ms C Dudley Secretary to the Board Apologies: Mr M Jackson Partner Governor, Joint Trades Union Committee (JTUC)

Mr W Kerr Public Governor, Constituency E Ms G Morritt Staff Governor, Nursing & Midwifery Constituency Mr R Raychaudhuri Staff Governor, Medical & Dental Constituency Mr N Woodcock Public Governor, Barnsley Public Constituency

CG 13/49 APOLOGIES & WELCOME Members and attendees were welcomed to the meeting, convened as a private session in accordance with sections 8.13.2 and 8.13.3 of the Trust’s Constitution. Minutes of the meeting, however, would be available publically in accordance with the Committee’s customary practice. As it was a single item agenda convened to approve the appointment of the Chief Executive, the Minutes of the last General Meeting and most Matters Arising were deferred to the next scheduled General Meeting to be held on 14th August. For Governors’ information, the Chairman confirmed that:

ACTION

4B

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i) the revised Constitution approved by the Council of Governors had also been approved by the Board of Directors at its meeting and was thus now “live”;

ii) Mr Livesey had accepted the seat as Public Governor, following Mr Alcock’s resignation in June.

CG 13/50 DECLARATIONS OF INTEREST None.

CG 13/51 APPOINTMENT OF THE TRUST’S CHIEF EXECUTIVE (Tabled) The Chairman presented the report and the Non Executive Directors’ recommendation that Ms Diane Wake be appointed as substantive Chief Executive of Barnsley Hospital NHSFT. The report gave an overview of the process undertaken to ensure that the appointment process had been robust, had been conducted in compliance with all statutory requirements and good governance, had been as transparent as possible and had involved Governors at a several stages. The report also gave a brief overview of the preferred candidate and her background, which the Chairman expanded upon in discussions. At the invitation of the Non Executive Directors, Mr Unsworth, Lead Governor, had been closely involved with the appointment process throughout and had sat on the interview panel. He agreed that all three candidates interviewed were ‘above the line’ and confirmed his support for the process and the recommendations. The interviews He had also been pleased to see candidates’ recognition of the role of the Council of Governors, as evidenced by requests to speak to him, as Lead Governor, ahead of the interviews. Following consideration, the recommendation to appoint Ms Wake as substantive Chief Executive was approved unanimously. Ms Wake’s start date was not yet confirmed but would be circulated once known. In the meantime, notice of her appointment would be shared Trust-wide with external stakeholders on 10th July.

CG 13/52 ANY OTHER BUSINESS The Chairman advised that the Trust’s application for a stand at the 2013 Penistone Show had been accepted, planning for which would commence shortly and would require governors’ support. Financial support would need to be reviewed by the Governors’ Funding & Finance Committee.

CG 13/53 DATE OF NEXT MEETING The next General Meeting of the Council of Governors was reconfirmed as 14th August 2013, 5.30-7.30pm, Education Centre.