bs1 3le 1. chairman’s introduction and apologies chairman · 2016. 4. 4. · bond street,...
TRANSCRIPT
Agenda for a Council of Governors Meeting, to be held on 28 January 2013 at 14:00 in the Liberty Suite, HI City Academy (Holiday Inn), Bond Street, Bristol,
BS1 3LE
Item Sponsor Page
1. Chairman’s Introduction and Apologies
To note apologies for absence received.
Chairman
2. Declarations of Interest
In accordance with Trust Standing Orders, all members present are required
to declare any conflicts of interest with items on the Meeting Agenda.
Chairman
3. Minutes from the Previous Meeting
To consider the Minutes of the meeting of the Council of Governors on 08
November 2012 for approval.
a) Matters arising
To consider the status of matters arising from previous meetings of the
Council of Governors.
Chairman 3
Strategic Outlook
4. Significant Transactions
To consider any significant transactions planned by the Trust
Chairman
5. Integration/Reconfiguration
To receive a verbal update on the activities of the Integration Programme
Board to note.
Chief
Executive
6. Major Capital Projects
To consider the status of major capital projects planned.
Chairman
Statutory and Foundation Trust Constitutional Duties
7. Legislative and Regulatory Items
a) National Nursing Strategy : Compassion in Practice
To receive this briefing by the Chief Nurse to note.
b) Staff Governor update on two Quality issues
To receive this update by Staff Governor Florene Jordan to note.
Chief Nurse
F. Jordan
12
8. Membership report
To receive an update report on the status of Foundation Trust membership
and engagement for review.
Trust
Secretary 13
9. Nominations & Appointments Committee report
To receive a verbal update on the activities of the Committee to note.
Chairman
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Page 2 of 2 of an agenda for a Council of Governors Meeting, to be held on 28 January 2013 at 14:00 in the Liberty Suite, HI City Academy (Holiday Inn),
Bond Street, Bristol, BS1 3LE
Item Sponsor Page
10. Project Focus Groups and Governor Working Group Reports
a) Project Focus Groups
To receive a summary report on formal engagement with governors in
Project Focus Groups to note.
b) Governors’ Quality Working Group
To receive feedback from the Governors’ Quality Working Group to note.
Trust
Secretary
C. Hamilton
15
11. Governor Development Seminar Report
To receive a summary report on the Governor Development programme to
note.
Trust
Secretary 17
Governors’ Questions
12. Governors’ Questions arising from the meeting of the Trust Board of Directors
To seek any additional information required in relation to matters discussed
during the preceding meeting of the Trust Board of Directors.
Chairman
13. Governors’ Prepared Questions
To receive the directors’ responses to governors’ prepared questions
Chairman 19
Members’ Questions
14. Foundation Trust Members’ Questions
To receive questions from Foundation Trust members present.
Chairman
Close
15. Date of Next Meeting
The next meeting of the Council of Governors will be held on Monday 29 April 2013 from 14:00 to
15:30 at the Holiday Inn, Bond Street, Bristol, BS1 3LE.
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Minutes of a Council of Governors Meeting, held on 08 November 2012 at 13:00 in Lecture Theatre 1, Education Centre, Upper Maudlin Street, Bristol, BS2 8AE
Governors Present
John Steeds – Governor Representative and
Patient Governor, Local
Anne Ford – Public Governor, North
Somerset
Clive Hamilton – Public Governor, North
Somerset
Mo Schiller – Public Governor, Bristol
Sue Silvey – Public Governor, Bristol
Mary Hodges - Public Governor, Bristol
Mani Chauhan – Patient Governor, Tertiary
Anne Skinner – Patient Governor, Local
Jacob Butterly – Patient Governor, Local
Pam Yabsley – Patient Governor, Local
Peter Holt – Patient Governor, Local
Philip Mackie – Patient Governor, Carers of
patients of under 16 years
Wendy Gregory – Patient Governor, Carers of
patients of 16 years and over
Garry Williams – Patient Governor, Carers
of patients of 16 years and over
Alex Bunn – Staff Governor, Non-clinical
Healthcare Professionals
Jan Dykes – Staff Governor, Non-clinical
Healthcare Professionals
Florene Jordan – Staff Governor, Nursing
and Midwifery
Philip Quirk – Staff Governor, Other
Clinical Healthcare professionals
Sylvia Townsend – Appointed Governor,
Bristol City Council
Jeanette Jones– Partnership Governor,
Joint Union Committee
Joan Bayliss – Partnership Governor,
Community Group
Maggie Mickshik – Partnership Governor,
Voluntary Group
Board Members Present
Robert Woolley – Chief Executive
Deborah Lee – Director of Strategic
Development
Claire Buchanan – Acting Director of
Workforce & Organisational Development
Alison Moon – Chief Nurse
John Savage – Chairman
Emma Woollett – Vice Chair
Guy Orpen – Non-executive Director
Paul May – Non-executive Director
Others Present or In Attendance
Jane Luker – Deputy Medical Director
Paul Tanner – Head of Finance
Charlie Helps – Trust Secretary
Sarah Murch – Membership
Administrator/PA (minute taker)
Debbie Marks – Membership Administrator
Five members of UH Bristol NHS
Foundation Trust
Item Action
1. Chairman’s Welcome and Apologies
The Chairman welcomed everyone to the meeting.
Apologies for absence were received from:
Governors: Pauline Beddoes, Ken Booth, Jane Britton, Jessica Burston, Belinda Cox,
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Page 2 of 9 of Minutes of a Council of Governors Meeting, held on 08 November 2012 at 13:00 in Lecture Theatre 1, Education Centre, Upper Maudlin Street,
Bristol, BS2 8AE
Heather England, Helen Langton, Tim Peters, Lorna Watson, Jade Scott-Blagrove and
David Tappin.
Trust Board and others: Sean O’Kelly, Lisa Gardner, James Rimmer, Maria Fox
The apologies were noted.
2. Declarations of Interest
All members present were required to declare any conflicts of interest with items on the
Meeting Agenda. There were no declarations of interest.
3. Minutes and Matters Arising
The Council of Governors considered the Minutes and Matters Arising of the meeting
of the Membership Council meeting dated 30 July 2012 and the Annual Members
Meeting on 20 September 2012.
Minutes of the Membership Council Meeting on 30 July 2012 – Item 22
Clive Hamilton enquired whether Alison Moon had made any progress on the Quality
Working Group’s requests for assurances on ways to demonstrate improvements in key
areas. Alison Moon will discuss this with Clive after the meeting.
The minutes of the meetings on 30 July and 20 September were approved as accurate
records of matters transacted.
4. Chairman’s Report
The Chairman did not wish to give a report at that point in the meeting.
5. Chief Executive’s Report
The Council of Governors received this verbal report by the Chief Executive to note.
Robert Woolley concentrated on two issues: firstly, last week’s publication of the Care
Quality Commission’s inspection report of Ward 32 at the Bristol Royal Hospital for
Children, and secondly, the Acute Services Project for potential integration with North
Bristol Trust.
The report from the Care Quality Commission (CQC) had been published on 31
October and had attracted considerable media attention. Robert confirmed that the Trust
had already taken action to address the issues that had brought the CQC to issue a
warning notice. Those actions included firstly, bringing forward plans to create a
dedicated high dependency unit, and secondly, reducing the beds on Ward 32 in the
short term until recruitment had been boosted. The Trust was on track to open a
dedicated high dependency unit in the Children’s Hospital by next Spring. The
Executive had also submitted its action plan for compliance with CQC’s other concerns.
He reported that the CQC would return to Ward 32 for a further inspection to ascertain
whether the issues had been addressed.
He reported that a ‘triggered risk summit’ was held at the CQC’s Bristol offices on 29
October 2012. This was attended by the Trust, the Department of Health, the Strategic
Health Authority and the Primary Care Trust to consider potential issues of concern.
The risk summit had not identified any significant residual concerns or risks and was
satisfied with the actions taken by the Trust to address the Warning Notice. The CQC
will re-inspect to formally confirm that its requirements have been met in due course.
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Page 3 of 9 of Minutes of a Council of Governors Meeting, held on 08 November 2012 at 13:00 in Lecture Theatre 1, Education Centre, Upper Maudlin Street,
Bristol, BS2 8AE
Robert noted that the Warning Notice was issued in respect of risk of harm and not due
to actual harm to patients. He invited questions from governors about the CQC report.
a) Jeanette Jones passed on a message of thanks from the staff on Ward 32 for the
support that they had received from Robert Woolley and Alison Moon.
b) Garry Williams voiced his confidence in Robert and Alison in dealing with the
issues. He requested reassurance that capacity would soon be increased again.
Robert replied that processes were in place to ensure that there would be no adverse
effects of the reduction in capacity. He re-emphasised that it was a temporary
measure, and that full capacity would be restored within six months.
Potential Integration of Acute Healthcare Services in Bristol
Following the decision in July 2012 to undertake further work on the case for potential
integration of acute healthcare services in Bristol, Robert noted that work had been on-
going with North Bristol Trust (NBT) to agree a Memorandum of Understanding as to
how to proceed. He confirmed that it had been accepted that the transaction would be
effected as an acquisition of some or all of the assets and liabilities of North Bristol
NHS Trust by University Hospitals Bristol NHS Foundation Trust, but would otherwise
be conducted in the spirit of an integration of parties of equal standing.
Robert said that since July, there had been a temporary hiatus, to allow NBT time to
draw up plans for the new Southmead Hospital, and to allow UH Bristol an opportunity
to consider the Memorandum of Understanding.
He updated the governors on recent progress. The Integration Programme Board had
now been established, though it had yet to hold its first formal meeting, and it would be
chaired by Professor Stephen West, Vice-Chancellor of the University of the West of
England. The two Trusts have met with Stephen West and with the Strategic Health
Authority. At a Board meeting on 30 October, UH Bristol had agreed to approve the
Terms of Reference for the Integration Programme Board, and had agreed a revised
Memorandum of Understanding that could now be signed. The Board had also agreed
to proceed with due diligence—the analysis that the Trusts need to undertake to
establish that integration is an appropriate way forward and that all information has
been uncovered and made available to support the Board’s decision-making. There
would be a further Board decision point in May 2013.
Robert warned that the progress of the project was subject to the caveat that the initial
funding for the project must come from the Strategic Health Authority and not from
University Hospitals Bristol NHS Foundation Trust.
He asked governors to note that following the dissolution of the Strategic Health
Authority due on 31 March 2013, responsibility for supporting NBT’s foundation trust
application would pass to the NHS Development Authority. He also informed
governors that NBT had made the decision to continue with its Foundation Trust
application, and were going to proceed with elections of “shadow governors”.
Finally, Robert added that the date of the inaugural meeting of the Integration Project
Board (which will include governor representation) would be announced to governors
in due course.
Robert invited questions from governors about the potential integration.
a) Clive Hamilton enquired when final integration would be likely to take place.
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Page 4 of 9 of Minutes of a Council of Governors Meeting, held on 08 November 2012 at 13:00 in Lecture Theatre 1, Education Centre, Upper Maudlin Street,
Bristol, BS2 8AE
Robert confirmed that the programme timeline indicated January 2014 as the date
for the transfer of assets and liabilities from North Bristol NHS Trust to University
Hospitals Bristol NHS Foundation Trust
Clive enquired further whether a date had been set for governor elections to the
integrated Trust. Robert replied that the process was still under consideration, as
there were many constitutional questions to be answered first.
b) Anne Ford enquired whether NBT had any representation from members of the
public on the Integration Programme Board. Robert replied that they did not, as
there was no formal mechanism for doing so.
c) Garry Williams enquired whether substitution would be allowed if the governors’
nominated representative was not available. The answer was yes and it was agreed
this would be John Steeds, the current Governor Representative.
d) Pam Yabsley enquired whether there was any opposition to integration among staff
at NBT. Robert replied that he was not aware of any such opposition, and at
corporate level the position had been pro-integration for some time. However, there
might be some concern that the timescale slippage was leaving NBT’s future
uncertain.
e) Peter Holt enquired whether alternatives to integration were being considered
thoroughly by the Integration Programme Board, as he understood that this was a
requirement of Monitor’s transaction guidelines. He questioned whether, if Monitor
expected other options to have been considered, there was a possibility that the
Trusts could reach the end of the process and would then be required by Monitor to
start again, resulting in wasted time and resources.
Robert replied that the Integration Programme Board had been constituted to look at
the option of complete integration compared with that of remaining separate. It
would not therefore have the remit nor the resources to consider other options.
Emma Woollett said that she felt that it was short-sighted not to consider other
options besides complete integration. She said that it had been resolved by the Trust
Board of Directors in July 2012 that an assessment was required to find out what
those other options could be. The Board should consider how this could be
achieved. UH Bristol would need to have done this work in advance of any
consideration of the case for integration by the Co-operation and Competition Panel,
otherwise it could present serious difficulties.
Robert re-iterated that the Integration Programme Board was not in a position to
investigate alternatives to integration. There would however be a decision point
after the strategic review had finished which would allow the Trust Board of
Directors a further opportunity to consider the situation.
John Savage noted that any solution has to be proven to be beneficial to the people
of Bristol.
f) Wendy Gregory questioned whether NBT would be able to achieve foundation trust
status.
Robert responded that the NHS Trust Development Authority would seek to either
support NBT through the Monitor approval stage or would consider alternative
solutions, including the option of integration with a NHS Foundation Trust.
John Savage concluded that he would sign off the Memorandum of Understanding and
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Page 5 of 9 of Minutes of a Council of Governors Meeting, held on 08 November 2012 at 13:00 in Lecture Theatre 1, Education Centre, Upper Maudlin Street,
Bristol, BS2 8AE
would look forward to the first meeting of the Partnership Programme Board.
There being no further questions or discussion, the Council of Governors noted the
Chief Executive’s report.
6. Governor Representative’s Report
The Council of Governors received this report by the Governor Representative to note.
The Governor Representative reported that Neil Auty (Patient Governor - Tertiary) had
been elected as the governors’ representative on the Integration Programme Board:
There being no questions or discussion, the Council of Governors resolved to note the
Governor Representative’s report and to note the results of the governor election to the
Integration Programme Board.
7. Monitor Declarations
The Council of Governors received the results of the Q2 Board Compliance Framework
Monitoring and Declaration Report to note.
The Board had made a declaration to Monitor of an Amber-Green governance risk
rating for Quarter 2. However, following the publication of the Care Quality
Commission report related to Ward 32 of the Bristol Royal Hospital for Children, this
had been over-ridden to a risk rating of Red. Monitor had since de-escalated the
governance risk rating to Amber-Red in response to the Trust’s actions to address the
elements that lead to the report.
Robert Woolley invited questions from governors.
a) John Steeds enquired about the chances of meeting the target for Clostridium
difficile (page 2). Alison Moon responded that it was very challenging due to the
very small numbers of cases, but that the Trust was intent on achieving the target
through targeted actions.
b) Garry Williams enquired about the provision of services for vulnerable people, and
whether such people could be quickly transferred to other care in the event of an
emergency. Robert responded that the Trust had a major incident plan which set out
all the steps that would be taken to free up capacity. He confirmed that vulnerable
people would be looked after appropriately in the case of an emergency.
c) Sylvia Townsend drew the Board’s attention to the 31-day Cancer Targets on page
3 of the report. She was concerned that the key risks were around cancellation of
surgery on the day due to a lack of an adult Intensive Therapy Unit bed. Deborah
Lee noted that a piece of work was ongoing concerning the Intensive Therapy Unit.
d) Clive Hamilton asked that governors be provided with an update on Access and
Quality standards up to the end of October when it was available.
There being no further questions or discussion, the Council of Governors resolved to
note the Q2 Board Compliance Framework Monitoring and Declaration Report.
8. Nominations and Appointments Committee Report
The Council of Governors received this verbal report to note. John Savage reported that
the Nominations & Appointments Committee had been considering whether they could
stagger the end dates of Non-executive Directors’ terms of office to avoid losing a
majority of Non-executive Directors during May 2014. The committee would be
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Page 6 of 9 of Minutes of a Council of Governors Meeting, held on 08 November 2012 at 13:00 in Lecture Theatre 1, Education Centre, Upper Maudlin Street,
Bristol, BS2 8AE
considering ways of addressing this, including potentially deploying associate Non-
executive Directors and the re-appointment of some or all Non-executive Directors for a
further period. He would report to the Council of Governors on any proposals in due
course.
The committee had also considered the activity reports provided by the Non-executive
Directors.
It was noted that Anne Skinner had been appointed to the committee and she was
welcomed by the Chairman.
There being no further questions or discussion, the Council of Governors resolved to
note the Nominations and Appointments Committee Report.
9. Membership Working Group Report
The Council of Governors received this report to consider and to vote on the proposal
to change the Constitution to extend governors’ terms of office. The proposal, from
Wendy Gregory, Carer Governor and Anne Skinner, Patient Governor, was to change
the number of terms a governor can serve from a possible two terms (six years) to three
terms (nine years) as highlighted in the extract from the Trust’s Constitution below:
‘ANNEX 6, Additional Provisions – Membership Council
1. Membership Council: Terms of Office
Subject to those transitional provisions contained in paragraph 2 below in relation to the
Initial Elected Governors, a Governor shall be:
1.1 elected or appointed for a term of three years;
1.2 shall be eligible for re-election or re-appointment at the end of that term but may not
serve as a Governor for more than a total of nine years;’
In summarising the proposal, Wendy Gregory added that it was particularly pertinent in
constituencies where seats have been uncontested, for example that of Carers, as there
was a danger of these areas becoming unrepresented.
There was some discussion and differing views were expressed. John Steeds noted that
there was nothing in the proposal referring to special categories that would otherwise
remain unfilled. He expressed the view that the proposal may prevent the Council of
Governors from benefiting from ‘new blood’. Anne Ford raised the concern that the
proposal could inhibit new people from coming forward.
Philip Mackie and Clive Hamilton spoke in support of the proposal, outlining the
importance of continuity of service through the potential integration. Maggie Mickshik
agreed that it was important to have experienced governors on the Council.
Jan Dykes enquired whether elections could be held every year instead of two out of
three. The Trust Secretary responded that there would be both constitutional and cost
implications to take into account if this option was to be considered.
Robert Woolley expressed his support for the principle of the proposed changes and his
appreciation of the work that had been done. However, he raised a question of how such
a change would be perceived by North Bristol Trust and how it would affect the work
around potential integration. He voiced concerns that it could be seen as a pre-emptive
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Page 7 of 9 of Minutes of a Council of Governors Meeting, held on 08 November 2012 at 13:00 in Lecture Theatre 1, Education Centre, Upper Maudlin Street,
Bristol, BS2 8AE
attempt to ‘lock in’ UH Bristol governors in advance of integration. He suggested that
perhaps the proposal could be accepted but the implementation should be delayed.
Wendy responded that governors were not seeking to change the governing body.
Governors would still need to be elected, and elections would still take place in April
2013. Governors would therefore already be in place well in advance of the planned end
date for integration in January 2014. Robert replied that having some vacant positions
could help to deal with the changes that would be needed, and that opportunities to co-
opt shadow governors from NBT should not be closed off.
John Savage suggested that given the special circumstances, perhaps there could be a
one-off agreement that the terms of office expiring in April 2013 could be extended
until after integration. However, the Trust Secretary questioned the legality of this
suggestion.
A vote was taken by a show of hands on the proposal by Wendy and Anne to extend the
maximum number of terms of office for governors. Of the 22 governors present, 12
voted in favour of the proposal, 4 against, and 6 abstained.
The Trust Secretary reminded those present that the proposal now needed to go to the
Trust Board for decision. John Savage added that the Trust Board would consider it
very carefully and take governors’ views into account.
There being no further questions or discussion, the Council of Governors resolved to
note the Membership Working Group Report and the results of governor voting.
10. Quality Working Group Report
The Council of Governors received this report by the Chair of the Quality Working
Group to note.
Clive wished to highlight Item 3 of his report about the work that had been carried out
by the Trust Board of Directors to bring Trust performance back into line. This work
was appreciated by governors, and he sought reassurance that this could be maintained.
Robert Woolley reminded governors of the tensions between savings targets, and the
need to maintain high standards of care. Paul May added that the Quality and Outcomes
Committee was now meeting monthly and reporting back to the Board on these issues.
Clive also commented that he felt there was a need for governors to assess their
effectiveness and responsibility in view of the Care Quality Commission report into
Ward 32.
The revised Terms of Reference of the Quality Working Group had been circulated, and
were approved subject to the following amendments:
Item 5.3a – the insertion of ‘and Medical Director Sean O’Kelly’ after the words: The
Chief Nurse (Lead Executive Director for the Group).
Item 7.1c – the insertion of the words: ‘and Monitor’s Compliance Framework’ after
the reference to the Care Quality Commission’s essential standards of quality and
safety.
There being no further questions or discussion, the Council of Governors resolved to
note the Quality Working Group report and approve the Terms of Reference subject to
the above amendments.
At this point there was a five minute break in proceedings.
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Page 8 of 9 of Minutes of a Council of Governors Meeting, held on 08 November 2012 at 13:00 in Lecture Theatre 1, Education Centre, Upper Maudlin Street,
Bristol, BS2 8AE
11. Strategy Working Group Report
The Council of Governors received this report by the Chair of the Strategy Working
Group to note.
There being no further questions or discussion, the Council of Governors resolved to
note the Strategy Working Group report.
12. Board Assurance Framework Report
The Council of Governors received this report by the Director of Strategic Development
to note. John Steeds enquired as to the progress of recruitment of midwives and Alison
Moon responded that the action plan is being progressed.
There being no further questions or discussion, the Council of Governors resolved to
note the Board Assurance Framework Report.
13. Bristol Royal Hospital for Children: provision of services
The Council of Governors considered this matter at the request of the Governor
Representative.
John Steeds asked for clarification on why there was no High-Dependency Unit for
cardiac patients at the Children’s Hospital, and whether the facilities existed for one.
Robert explained the staffing model under which the Children’s Hospital operated.
Instead of having a high-dependency unit, the model adjusts the staffing on the ward
according to the dependency of the children, and children who are of high dependency
receive support from an outreach team from the Paediatric Intensive Care Unit.
However, the Trust is now bringing forward plans to establish a cardiac High
Dependency Unit. He confirmed that the equipment is already available.
In response to a question from Phil Mackie as to whether Robert agreed with the CQC
findings, Robert responded that he had not agreed with some elements of their report
and had set out challenges to the factual accuracy in a letter of complaint, which they
had rejected.
Garry Williams enquired whether specific services were provided for teenagers at the
Children’s Hospital. Robert replied that Trust was considering the issue, and some
facilities appropriate for older children were being developed in the Oncology
department by Teenage Cancer Trust.
14. Medicine for Members Event cancellation
The Council of Governors considered this matter at the request of the Governor
Representative.
John Steeds expressed his discontent that the Medicine for Members talk about the
Emergency Department due to take place on 10 October had been cancelled at short
notice. He asked for reassurance that this would never happen again. Robert apologised
on behalf of the Trust, and gave his assurance that all steps would be taken to prevent it
from happening again. He understood that the division had sought to cancel the event
due to operational pressures.
15. Any Other Business
Robert Woolley updated governors on the South West Pay, Terms & Conditions
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Page 9 of 9 of Minutes of a Council of Governors Meeting, held on 08 November 2012 at 13:00 in Lecture Theatre 1, Education Centre, Upper Maudlin Street,
Bristol, BS2 8AE
Consortium. The consortium is expected to provide a business case for consideration by
Trust Board of Directors in due course. They have been waiting for an announcement
from NHS employers regarding the national negotiations. He reiterated that the
proposals made by the consortium would have to be first agreed by the Trust Board (in
January at the earliest) and would then be subject to staff consultation.
There was no further business to consider.
16. Foundation Trust Members’ Questions
The Council of Governors received questions from Foundation Trust members present.
a) Trust Member Vivienne Corbin voiced dismay about the cancellation of the
Medicine for Members Emergency Department Event on 10 October. She had not
known it was cancelled and had tried to attend, and was now reluctant to come to
Trust events in the future. Robert apologised and made a personal commitment that
it would not happen again.
b) Trust Member Frank Palma discussed some of the issues raised by the Care Quality
Commission report into Ward 32 of the Children’s Hospital. In particular, he felt
strongly that governors needed to have more information about the High
Dependency Unit and how it worked. He understood that the lack of an HDU had
been on the Trust’s Risk Register for some time, and he questioned whether the
governor role had been effective in this case in the representation of their
constituents.
Robert responded that the Trust had made a judgement that the high dependency
care provided was adequate and had made a risk assessment. In response to a further
question, he confirmed that the Trust had been in close communication with the
families who had been affected.
c) Governor Peter Holt drew members’ attention to a new project to improve the
signage around the Trust’s hospitals. He asked any members with suggestions to
contact the Membership Office.
There were no further questions. The Chairman thanked everyone for attending and
closed the meeting.
17. Date of Next Meeting
Thursday 21 February 2013 from 13:00 – 15:00 in Lecture Theatre 1 of the Education
Centre, Upper Maudlin Street, Bristol, BS2 8AE.
POST-MEETING MINUTE: The date of the next meeting has been changed to 28
January 2013 at 14:00 in the Holiday Inn, Bond Street, Bristol, BS1 3LE.
11
Staff Governor Update for a Council of Governors Meeting, to be held on 28 January 2013 at 14:00 in the Liberty Suite, HI City Academy (Holiday Inn), Bond Street,
Bristol, BS1 3LE
Item 7b – Update from Staff Governor Florene Jordan
Purpose
To provide the Council with an update on improvements achieved by the Central Sterilisation
System Department.
Abstract
The purpose of this report is to update the Council of Governors on the progress of two matters
previously raised by staff governors.
Recommendations
The Council is asked to note the report.
Report Sponsor or Other Author
Author: Florene Jordan, Staff Governor (Nursing & Midwifery)
The two areas of concern were Central Sterile Services Department (CSSD) and the quality of
linen.
CSSD: On behalf of staff I am pleased to report that there have been vast improvements in all
areas, including communications and service delivery, under the new management structure. We
are still having some minor issues related to instrument tray wrapping but these are being
addressed. There will be a change from the present tray system to instrument containers.
Training for all users is due to commence shortly. This is a new step forward.
Linen: It has been over a year since the Trust has changed contractors and to date we have had
no problems.
We wish to thank the Trust Board of Directors for listening to all members of staff with regard to
these issues.
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Membership Report for a Council of Governors Meeting, to be held on 28 January 2013 at 14:00 in the Liberty Suite, HI City Academy (Holiday Inn), Bond Street,
Bristol, BS1 3LE
Item 8 – Membership Report
Purpose
To provide the Council with an update on the status of Foundation Trust Membership.
Abstract
An update on membership numbers, recruitment, elections, events and the newsletter.
Recommendations
The Council is asked to review the report.
Report Sponsor or Other Author
Author: Maria Fox, Membership Manager
Sponsor: Charlie Helps, Trust Secretary
Membership status
The status of public, patient and staff constituencies is:
Constituencies Number of members
Public Constituencies:
Bristol 3,226
North Somerset 1,357
South Gloucester 1,305
Total: 5,888
Patient Constituency:
Carer of patients 16 years and over 219
Carer of patients 15 years and under 559
Patient – Local 4,294
Patient – Tertiary 877
Total: 5,949
Staff Constituency:
Medical and Dental 1,254
Nursing and Midwifery 2,669
Other Clinical Healthcare Professionals 1,665
Non Clinical Healthcare Professionals 3,707
Total: 9,295
Total membership 21,132
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Page 2 of 2 of a Membership Report for a Council of Governors Meeting, to be held on 28 January 2013 at 14:00 in the Liberty Suite, HI City Academy (Holiday Inn), Bond
Street, Bristol, BS1 3LE
Recruitment campaign
The governors advised in 2012 that the numbers of members should be maintained at the same
levels. The governors are invited to comment on the number of new public and patient members
to be recruited in 2013.
A recruitment campaign of public and patient members will coincide with the governor
elections. These will focus on:
Patients (tertiary) members who do not live locally.
Carers of patients.
Local patients (who live in Bristol, North Somerset and South Gloucestershire).
The communication methods for recruitment and election includes: mail campaign to a number
of UH Bristol’s patients and to the local community, posters in GP premises and libraries,
articles in the carers’ magazine and local newspapers, and through the Trusts internal
communications network. The full communications plan for recruitment and election is
available from Maria Fox.
Governor vacancies
There are 38 governors on the Council. 27 are elected and all elected seats are filled. There are
11 appointed governors; however, there are two vacancies one for NHS North Somerset and one
for NHS South Gloucestershire. These seats will be discussed as part of the forthcoming review
of the Trusts Constitution.
Elections for staff, public and patient governors
There are 14 seats up for election as a result of governors completing their terms of office. There
is an additional seat up for election due to a governor stepping down. The election timetable is:
Nomination forms to be made available to Trust members. Wednesday, 13 Mar 2013
Deadline for receipt of nominations. Wednesday, 10 Apr 2013
Voting packs despatched by ERS to members. Thursday, 2 May 2013
Closing date for election. Monday, 27 May 2013
The full communications plan for recruitment and election is available from Maria Fox.
Membership engagement events
Election: Three events will be held in March for potential nominees to find out about the
role of governor. Speakers at these events will include governors, chairman, non-executive
directors, trust secretary and membership manager.
Medicine for Members: Three events will be held in the second half of 2013 and these will
be open to members as well as non-members. Governors have suggested topics for the
events. Governors will take the opportunity to formally consult with and report to their
members during dedicated “governors’ surgery” session as part of the event.
Members Newsletter
There will be three editions in 2013: March, August and December. The March edition will
focus on the election and governors will share their experiences. The distribution of the
newsletter will be by email, mail (to those members who don’t have email) and trust staff areas.
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Project Focus Groups Report for a Council of Governors Meeting, to be held on 28 January 2013 at 14:00 in the Liberty Suite, HI City Academy (Holiday Inn), Bond
Street, Bristol, BS1 3LE
Item 10a – Project Focus Groups Report
Purpose
To provide the Council of Governors with an update on the activities of the Project Focus
Groups.
Abstract
The Project Focus Groups have been established to provide opportunities for the formal
engagement of governors on the key elements of strategy, constitution and compliance required
under the provisions of the Health and Social Care Act 2012.
Recommendations
The Council of Governors is asked to note the report.
Report Sponsor or Other Author
Sponsor: Trust Secretary
The Project Focus Groups have been established to enable increased engagement of governors in
line with the requirements of the Health and Social Care Act 2012, all the provisions of which
are expected to be in effect by April 2013.
The role and remit of the Project Focus Groups was discussed by governors at a meeting to
discuss the new ways of working on 13 December 2012, and at the Governor Development
Seminar on 15 January 2013, and have been modified as a result of governor comments and
feedback.
The Focus Groups provide opportunities for the formal engagement of governors in discreet
projects. Each meeting is timed in the annual cycle to enable the Executive to complete specific
projects. Groups are chaired by the Executive lead or their direct report where appropriate.
Governors will also appoint a Governor Lead to report at each meeting of the Council of
Governors.
The Focus Groups are:
a) Monitor Annual Plan Focus Group. This will enable governors to have input into the
Monitor Annual Plan, as the Trust is required to have due regard for governor comments on
the Annual Plan.
b) Quality Report Focus Group. This will enable engagement with governors to develop the
Annual Quality Report.
c) Annual Report Focus Group. This will allow governors to have input into the account of
their activity and that of the Trust during the previous year.
d) Foundation Trust Constitution Project Focus Group. This will enable engagement with
the governors in drafting constitutional changes and assessing membership profile.
e) Integration Focus Group. This will engage governors on matters relating to integration and
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Page 2 of 2 of a Project Focus Groups Report for a Council of Governors Meeting, to be held on 28 January 2013 at 14:00 in the Liberty Suite, HI City Academy (Holiday Inn),
Bond Street, Bristol, BS1 3LE
service reconfiguration.
Governors can volunteer for any number of these groups, depending on their specific interests.
The Project Focus Groups are scheduled to start their cycle of work after the meeting of the
Council of Governors on 28 January and this will be reported on at a future meeting.
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A Governor Development Seminar Report for a Council of Governors Meeting, to be held on 28 January 2013 at 14:00 in the Liberty Suite, HI City Academy (Holiday Inn),
Bond Street, Bristol, BS1 3LE
Item 11 – Governor Development Seminar report
Purpose
To provide the Council with an update on the governor development programme.
Recommendations
The Council of Governors is recommended to note the report.
Report Sponsor or Other Author
Sponsor: Trust Secretary
Report
The governor development programme has been established to provide governors with the
necessary core training and skills to perform their statutory duties effectively, and to discharge
their responsibilities with enhanced levels of insight. The programme was co-created with
governors using self-assessment and short-life task and finish groups.
The first of four planned governor development seminars was held on 15 January 2013. This
session was partly given over to fleshing out and co-creating the new ways of working that were
introduced to governors on 13 December in a meeting chaired by John Savage and attended by
the Chief Executive and directors (Dental Hospital). The balance of the session focussed on the
(changed and unchanged) duties of governors, and how these can be most effectively discharged.
The session was attended by Joan Bayliss, Jane Britton, Jacob Butterly, Jan Dykes, Wendy
Gregory, Clive Hamilton, Mary Hodges, Peter Holt, Jeanette Jones, Philip Mackie, Mo Schiller,
Sue Silvey, Anne Skinner, John Steeds, Garry Williams and Mani Chauhan.
The agenda included:
• Introduction
o Integration Programme
o Elections
o Francis Report
• Update on the timetable (Health and Social Care Act 2012)
o Unchanged duties of governors
o Key changed and new duties of governors
• Annual Cycle of Business
o Business meetings – Pro forma agendas for the forthcoming year
o Working together to fill in the gaps, co-creating the model
• Governor Development Plan
o Governor Induction
o Governor Core Training Topics
• Preparation for Council of Governors
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Page 2 of 2 of a Report for a Council of Governors Meeting, to be held on 28 January 2013 at 14:00 in the Liberty Suite, HI City Academy (Holiday Inn), Bond Street,
Bristol, BS1 3LE
o Standing Agenda Items and how to use them
o Choosing Themes & Topics for “governors’ question time”
o Preparation of Governors’ Questions
o Framing questions for best effect
• Conclusions
At the seminar, Governors discussed ways of ensuring that the revised annual cycle of business
would cover key issues, provided suggestions of potential training topics, and gave their input on
how best to conduct meetings of the Council of Governors.
Forthcoming seminars will include sessions on quality, performance, risk management and
finance; integration, mergers and acquisitions; and legal entity, statute, regulation, corporate
governance and the Trust’s operational structure.
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Prepared Questions from Governors for a Council of Governors Meeting, to be held on 28 January 2013 at 14:00 in the Liberty Suite, HI City Academy (Holiday Inn),
Bond Street, Bristol, BS1 3LE
Item 13 – Prepared Questions from Governors
Purpose
To enable governors to seek assurance from Non-Executive Directors about aspects of the
Board’s performance, in line with the provisions of the Health and Social Care Act 2012.
Abstract
Governors have submitted two questions to be answered by Non-Executive Directors.
Recommendations
The Non-Executive Directors are asked to respond to the governors’ questions.
Report Sponsor or Other Author
Sponsor: Chairman
Author: Governors Clive Hamilton and Wendy Gregory
Questions
1. What have the Non-Executive Directors done on behalf of governors to assure themselves
that the concerns about staffing issues at the Bristol Royal Hospital for Children have been
properly addressed? What evidence did you seek to give you this assurance?
a. In this context, the Council is recommended to consider how Governors can be more
effective in future in raising any concerns that they might have? (Clive Hamilton,
Public Governor for North Somerset, and others.)
2. Governors have expressed concern over recent months about the Trust’s cancer performance
against the 31- and 62-day standards, which was much lower than expected. What have the
Non-Executive Directors done on the governors’ behalf to establish whether the situation has
been resolved, and what steps have been taken to mitigate the effect on patients in the
meantime? (Wendy Gregory, Patient Governor, Carers of 16 years or older)
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