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Minutes of the Council of Governors’ Meeting on 14 February 2017 Version: Draft v2 of 9

Minutes of the Foundation Trust Governors’ Meeting

Held in the Conference Hall, St Pancras Hospital, 4 St Pancras Way,

London, NW1 OPE

Tuesday 14 February 2017 at 5:00pm

Present: Ms Leisha Fullick (Chair) Trust and Council of Governors Chair Public Governors – Camden: Dr Zaheer Afridi Ms Michelle Murray Public Governors – Islington: Mr David Barry Lead Governor Ms Doris Daly Ms Valerie Graham Prof Wendy Savage Public Governors – Rest of London Ms Saira Nawaz Service User Governors: Ms Hagir Ahmed Mr Roger Searle Staff Governor: Mr Simon Ramage Appointed Governors: - Required Attendee: Ms Angela McNab Chief Executive & Chief Operating Officer In Attendance: Ms Pippa Aitken Non-Executive Director Mr Richard Brooman Deputy Trust Chair / Non-Executive Director Prof Tom Burns Non-Executive Director Ms Caroline Harris-Birtle Acting Director of Nursing Ms Angela Harvey Non-Executive Director Dr Vincent Kirchner Medical Director Mr Kieran Parmar Non-Executive Director (with effect from 1 March 2017) Ms Sally Quinn Action Director of Human Resources & Organisational Development Mr Neil Turvey Project Director St Pancras Redevelopment Mr Patrick Vernon Non-Executive Director Mr Martin Zielinski Board Secretary (Minutes) Apologies Received on Behalf of: Ms Julia Austin Service User Governor Ms Maureen Brewster Appointed Governor, Voluntary Action Camden Ms Debra Hall Staff Governor Prof Angela Hassiotis Appointed Governor, UCL Medical School Ms Suncica Mandich Public Governor, Camden Mr Andy Murphy Appointed Governor, Voluntary Action Islington Ms Sarah Papworth-Heidel Staff Governor Cllr Larraine Revah Appointed Governor, London Borough of Camden Cllr Asima Shaikh Appointed Governor, London Borough of Islington Ms Monika Schwartz Public Governor, Islington Absent Without Apologies: Ms Bamidele Esuola Service User Governor Ms Jane Jacks Service User Governor Ms Rachel Kent Staff Governor Ms Farah Khan Public Governor, Camden Ms Melanie Dunn Service User Governor

This meeting was held in public.


GENERAL BUSINESS, INCLUDING STATUTORY ITEMS ACTIONS:

C17.001 Welcome and Apologies

Ms Fullick welcomed those in attendance to the meeting. She noted the low number of Governors in attendance. She acknowledged those that had submitted apologies but the overall number of absences had resulted in this meeting not being quorate and that therefore the Governors would be unable to undertaken any of formal mattes of business. She also acknowledged the number of Board members and staff who were present and apologised for the lack of Governor attendance. The Lead Governor, and those Governors in attendance, concurred with Ms Fullick’s comments.

Prior to the meeting apologies had been advised by: Ms Maureen Brewster (Appointed Governor, Voluntary Action Camden); Ms Debra Hall (Staff Governor); Prof Angela Hassiotis (Appointed Governor, UCL Medical School);Ms Suncica Mandich (Public Governor, Camden); Mr Andy Murphy (Appointed Governor, Voluntary Action Islington);Ms Saira Nawaz (Public Governor, rest of London); Ms Sarah Papworth-Heidel (Staff Governor); Cllr Larraine Revah (Appointed Governor, London Borough of Camden); Ms Monika Schwartz (Public Governor, Islington); and Cllr Asima Shaikh (Appointed Governor, London Borough of Islington).

The meeting agenda was rescheduled to allow time for additional Governors to attend before any items were taken that required a decision. There were no late attendees and the meeting remained non-quorate.

C17.002 Presentation by Mr Richard Brooman, Deputy Trust Chair, Non-Executive Director and Chair of the Audit & Risk Committee

Ms Fullick advised that she had invited Mr Brooman and Mr Paul Calaminus, Chief Operating Officer and Deputy Chief Executive, to present at this meeting as they were both leaving the Trust at the end of February 2017. She highlighted the excellent contribution both had made to the Trust and wished them well in their future roles. Mr Calaminus had sent his apologies as he was unable to attend.

The Chair invited Mr Brooman to address the Council.

Mr Brooman made reference to his eight years as a Non-Executive Director and highlighted key events during that period. He detailed the important role of the Audit & Risk Committee and made reference to the Governors complementary role in appointing the C&I’s auditors and maintaining an oversight of the Trust’s activities. He highlighted how it was practically impossible to run public health care services without some element of risk and reminded everyone of their role and required contribution in identifying and managing risks. He added that it was key that everyone engaged with the Trust understood their role within the organisation and felt confident to ask relevant questions and appropriately challenge management in line with that role. He invited comment and questions from the Governors.

Mr Ramage asked how the Audit & Risk Committee had contributed to maintaining the balance between scarce NHS resources and ensuring patient safety. Mr Brooman made reference to the need to oversee cost improvement plans and ensure that these were manageable and did not negatively


impact on care provision. He highlighted how the Committee held the Chief Executive and Director of Finance to account for the management of the Trust’s services and funds.

Acknowledging a comment from Prof Savage, Mr Brooman agreed that an organisation as complex as the Trust, and the wider NHS, produced a huge amount of performance data. He highlighted the importance of challenging the Executive to ensure that this data was distilled into meaningful and useful information.

In response to further questions, Mr Brooman advised on the importance of ensuring that all undertaken activities reflected and promoted the Trust’s values and that all those engaged with the Trust were confident that they had the tools and support to enable them to undertake their role effectively.

Ms Fullick thanked Mr Brooman for attending and presenting to the Committee. The Governors acknowledged Mr Brooman’s contribution to the Trust with a round of applause.

C17.002 Declarations of Interest

A copy of the register detailing Governors’ declared interests was included with the meeting’s papers. Ms Ahmed advised that she had notified some additional declarations to the Board Office. Ms Graham declared that she was now an Executive and Chair of a women’s group at the ACLC. It was advised that the register of declared interests would be updated accordingly.

C17.003 Minutes of the Previous Meetings

As the meeting was not quorate, approval of the minutes from the Council’s last meeting on 13 December 2016 was deferred until the next meeting.

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C17.004 Matters Arising

As the matters arising related to the previous meeting’s minutes their consideration was similarly deferred until the next meeting.

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C17.005 Appointment of the Trust’s External Auditors

As the meeting was not quorate, the decision on approval of the Trust’s next external auditors was deferred until the Council’s next meeting.

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C17.006 Appointment of a new Deputy Trust Chair

As the meeting was note quorate, any approval decision related to this appointment was deferred until the Council’s next meeting.

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C17.007 CHIEF EXECUTIVE’S REPORT

Ms McNab presented her regular update report and highlighted key items to the Council. She particularly thanked the Trust’s staff for their hard work in maintaining services over the Christmas period. She was also pleased with the attendance at the Trust’s annual carol service that was held at St Pancras Old Church. Mr Barry commented that, in his role as Lead Governor, he had been pleased to be invited to read a lesson at this service.


In addition to her report, Ms McNab advised that C&I was one of only two trusts invited to join the Department of Health and voluntary organisations as part of a taskforce to examine the provision of mental health care for women. The first taskforce meeting had examined existing service data and it was expected that future meetings would be influential in establishing future service provision and policy in relation to women’s mental health services.

Ms McNab also advised that the Trust had appointed a new Chief Operating Office to replace Mr Calaminus, who would be leaving at the end of the month. His replacement, Mr Andy Rogers, was expected to join the Trust during April from his current role as Executive Director of Operations at North Staffordshire Combined Healthcare NHS Trust. The current Deputy Chief Operating Officer, Mr Andy Stopher, would be acting-up during the intervening period.

The Council of Governors RECEIVED and ACCEPTED the Chief Executive’s report.

C17.008 LEAD GOVERNOR’S REPORT

Mr Barry referred Governors to the agreed minutes from the latest meeting of the Steering Committee which had been included in the meeting’s pack for their information. He thanked the Board Secretary for their prompt production.

Mr Barry advised that he was currently reviewing progress on some the projects supported by the Governors’ Service User Improvement Fund and that he would be reporting back to the next meeting of the Steering Committee. He had also been asked to prepare a paper on governor e-mail communication for a Trust Committee and he would continue to explore how this could be improved. He concluded by reiterating the Council’s thanks to Mr Brooman for his important and effective contribution to the Trust.

Prof Savage added that the Director of Finance had confirmed that an additional £20k would be made available for the Service User Improvement Fund for 2017/18. She was hopeful this would continue to fund the Trust choir and women’s exercise class, both of which have proven to be successful initiatives, as well as potential new projects. Mr Barry commented that a clearer and more formal process needed to be established to consider potential new bids for monies from this fund. Mr Ramage fully supported continuation of the Trust choir citing the evident benefits it had brought to him and other choir members. He advised that the choir had approximately 60 members, with about 20 people attending each weekly meeting. Ms Fullick suggested that the arrangements related to the Service Users Improvement Fund should be managed on a more timely basis to bring project funding decisions more in line with the financial year.

The Council of Governors RECEIVED and ACCEPTED the Lead Governor’s report.


C17.009 CHAIRS’ REPORT

Ms Fullick advised that she had attended the Recovery College’s Annual General Meeting during the previous week and had been pleased to note that it had formalised its governance structure. She encouraged all Governors to explore the excellent work of the Recovery College and that a presentation on its activities would be considered for a future Council meeting.

The Council was advised that the Trust now had a ‘Speak-up Guardian’ in line with NHS-wide whistleblowing guidance. This volunteer role would work to ensure that all instance of whistleblowing were appropriately considered and that potential whistle-blowers were confident that their concerns would be taken seriously and that they would not be treated negatively for raising their concerns.

Ms Fullick advised that she was disappointed by the level of attendance at the lunches she had arranged with the Governor Constituencies. She said she was considering how these events could be improved to encourage attendance, perhaps having one quarterly event open to all Governors. Ms Harvey, who also attended these events in her role as Senior Independent Director, agreed with Ms Fullick and highlighted the importance of feedback received from Governors attending these informal meetings. In response to Ms Graham, Prof Savage advised that details of these meeting were always notified via the regular Governors’ e-mail. Several Governors commented that it may be easier to attend such meeting later in the day, rather than at lunchtime.

Ms Fullick concluded her update by encouraging Governors to take part in 2017’s Patient Led Assessment of the Clinical Environment (PLACE) inspections. She advised that further details would be issued via the Governors’ e-mail.

The Council of Governors RECEIVED and ACCEPTED the Chair’s report.

Mr Zielinski

C17.010 BIG TOPIC – UPDATE ON THE REDEVELOPMENT OF THE ST PANCRAS HOSPITAL SITE

Ms Fullick invites Ms Aitken and Mr Turvey to present to the Council.

Ms Aitken reminded the Council that it had a specific working group that had time to consider progress in the redevelopment of St Pancras in more detail. She encouraged more Governors to attend this group on a regular basis. She reminded the Council that, in line with Department of Health requirements, the Trust had submitted a strategic outline case (SOC) during the previous year that had set out a number of potential options for the site. In line with this activity, the Trust had made two crucial appointments: Cushman & Wakefield as property advisers; and Mr Neil Turvey as Project Director.

Mr Turvey advised that the next stage in the redevelopment process was to submit an outline business case to NHS Improvement in the required format of a 60 page check list. The Trust was required to have a related Estates Strategy in place to support this business case. He stressed the importance of having an Estates Strategy that was based on, and clearly supported, the Trust’s established Clinical Strategy. He had been pleased to note that the Trust already had a strong Clinical


Strategy in place. He advised that the Trust Board were expecting to approve an Estates Strategy at their meeting in March, and the outline business case in April 2017.

Mr Turvey went on to provide a short slide based presentation on the proposed draft Estates Strategy covering 2017 – 2022. This set out the purpose of the strategy; the current condition of the Trust’s estate; and possible means of improving the estate in line with the Trust’s strategic priorities, including different options for the location of services. Governors were then invited to comment on the presentation and ask any questions on the potential re-provision of Trust services.

Dr Afridi commended the activity of the Governors’ St Pancras Site Development Working Group and encouraged others to attend.

At Ms Fullick’s request, Mr Turvey provided more information on the potential to introduce ‘community hubs’. He advised that this option considered have 3-4 main service hubs where a number of complementary services could be provided from one location, potentially in conjunction with other primary care and health services. Dr Afridi fully supported increased interaction between health and social care. Mr Turvey advised that each hub may become a specialty lead for a particular service, allowing staff to share skills and expertise, and ensure that the service was provided in the best possible way. He assured the Council that this suggestion would not mean that specialised services would not also be available at other hubs or that all other non-hub sites would be closed.

Mr Searle asked how the hub proposal would impact on the St Pancras site and its retention as public land. He added that he believe that Governors supported the retention of publicly owned land. Mr Turvey advised that no final decisions had been made and full consideration would be given as to where services would be best located, both on and off the current St Pancras site. He added that there was the potential that other public sector organisations such as Moorfields or UCL may take over parts of the site, retaining the public land ethos. It was noted that the London Borough of Camden also had a wide reaching strategic plan for the borough that included an aim to increase available housing. There were many aspects to be considered in developing the St Pancras site and the over-riding aim remained to obtain the best possible outcome for the Trust, its services, and its service users.

In response to Ms Graham, Ms McNab assured the Council that no decision had been taken to reduce the current 35 sites hosting Trust services. It was not the aim to centralise all services into a small number of hubs. She added that it was commonly understood that many of the existing Trust buildings were old and not best suited to the provision of modern health care. All services were being reviewed, with clinicians and managers requested to consider how their services could best be provided, be it in a hospital or community environment. All possible service location decisions would be based on the needs of that service and its service users, with consideration given to the ease of service users and staff access to those sites. Ms McNab added that it was also widely acknowledged that an increase in mixed usage of the St Pancras site would assist in reducing the stigma associated to accessing mental health services as it would no longer be solely a location providing mental health care.


Prof Savage queried the role of any engaged property developer and the Trust’s control over development plans. Ms Aitken assured her that property developers were increasing familiar with working in partnership with the public sector, and of its requirements. Mr Turvey added that the no property developer would be engaged until the Trust had a clear understanding of, and agreement on, how it would like the site to be developed. Being a site of significant size, it was also normal practices to release the site to a developer in stages, with the next section of the land not released until the preceding stage of the development had been completed to the Trust’s satisfaction. The Trust would retain adequate control over any development but it did require the skills of a property developer to deal with planning authorities and move plans forward. Ms Aitken added that the Trust was considering using the Mayor of London’s ‘framework’ to find a development partner that was already fully approved and experienced in working in partnership with the public sector.

In response to Mr Searle, Mr Turvey advised that any new inpatient facility would be built ‘from the inside out’ around service requirements. The needs for supporting infrastructure for these services would also be fully considered. He also confirmed to Ms Daly that any new development would fully take account of the need for flexibility and have the ability to adapt to future service needs.

Ms Fullick thanked Ms Aitken and Mr Turvey for a very informative item that had led to an important and engaging discussion with the Governors.

The following Items had been provided to the Governors for information. These were RECEIVED and ACCEPTED, with additional comments recorded where made:

Governor Motion: Feedback from the Discharge from

Hospital Group:

C17.011 Notes from meeting on 1December 2016

C17.012 Notes from Meeting on 20 October 2016

Ms Murray advised that these meeting had been well attended and had achieved positive outcomes. The appointment of a psychologist post to work with hostels and pro-actively intervene with individuals before they required crisis or inpatient care had been agreed. She added that a business case was being prepared to develop a care pathway for those of no fixed abode, with links being developed with CNWL to brief Trust staff on issues related to asylum seekers, refugees and those at risk of rough sleeping. She concluded by advising that she would be taking over as Chair of this group for Mr Calaminus.

Council of Governors’ Working Group Feedback:

C17.013 Service User/Staff Experience & Quality Working Group meeting on 6 December 2016 (Acting Chair: Mr Andy Murphy)

Ms Murphy stated that the attendees from the organisations providing advocacy services had been informative and improved the group’s understanding of those services. Key messages had been the need to improve the understanding


of, and access to, advocacy services.

C17.014 Membership Working Group meeting on 10 January 2017 (Chair: Prof Wendy Savage)

Prof Savage tabled an updated briefing paper which additionally advised that Mr Barry would be picking up the issue of Governor e-mail communication, and provided some additional information on the Service User Improvement Fund. This was taken as read.

C17.015 Finance & Business Planning Working Group meeting on 12 December 2016 (Chair: Mr Simon Ramage)

Mr Ramage advised that this had been an effective meeting which included discussion on the on-going financial pressures caused by the use of temporary staff; and the removal of 24 hour A&E liaison services at the Royal Free Hospital. He added that discussion were underway that may re-provide this service and that the Trust was still expected to achieved a small surplus at the end of the financial year.

C17.016 St Pancras Site Development Working Group meetings on 6 December 2016 and 31 January 2017 (Chair: Ms Monika Schwartz)

It was noted that relevant issues had already been fully discussed at tonight’s meeting. (C17.010 above.)

Steering Committee Minutes

C17.017 Agreed Minutes from 11 January 2017 (Chair: Mr David Barry)

Taken as read.

Trust Board Minutes

Approved minutes from the C&I Board’s public meetings on:

C17.018 30 November 2016

Taken as read.

C17.019 Updated Trust Governor Policies

Governor Expenses/Payment Policy

Governor DBS Checking Policy

Taken as read.

C17.020 MOTIONS AND QUESTIONS

No items.

C17.021 URGENT MOTIONS AND QUESTIONS

No items.


BACKGROUND PAPERS

The following background papers had been provided to the Council of Governors for further information:

C17.022 Financial Update – M9, 2016/17

Taken as read.

C17.023 DATE OF NEXT MEETING

9 May 2017.

C17.024 CLOSE

Ms Fullick closed the meeting at 6:45pm.

I certify that these are fair and accurate minutes of the stated meeting.

……………………………..…..…… …………………….

(Council of Governors Chair) (Date)

Minutes of the Council of Governors’ Meeting on 13 December 2016 Version: Draft v1

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Minutes of the Foundation Trust Governors’ Meeting

Held in the Conference Hall, St Pancras Hospital, 4 St Pancras Way,

London, NW1 OPE

Tuesday 13 December 2016 at 5:00pm

Present: Ms Leisha Fullick (Chair) Trust and Council of Governors Chair Public Governors – Camden: Dr Zaheer Afridi Ms Michelle Murray Public Governors – Islington: Mr David Barry Lead Governor Ms Doris Daly Ms Valerie Graham Prof Wendy Savage Ms Monika Schwartz Public Governors – Rest of London - Service User Governors: Ms Hagir Ahmed Ms Julia Austin Staff Governor: Ms Debra Hall Ms Rachel Kent Ms Sarah Papworth-Heidel Mr Simon Ramage Appointed Governors: Mr Andy Murphy Voluntary Action Islington Cllr Asima Shaikh London Borough of Islington Required Attendee: Ms Angela McNab Chief Executive & Chief Operating Officer In Attendance: Ms Pippa Aitken Non-Executive Director Prof Tom Burns Non-Executive Director Ms Claire Johnston Director of Nursing & People Dr Vincent Kirchner Medical Director Mr Patrick Vernon Non-Executive Director Mr Gervase Campbell Interim Trust Company Secretary Mr Martin Zielinski Board Secretary (Minutes) Apologies Received on Behalf of: Ms Maureen Brewster Appointed Governor, Voluntary Action Camden Prof Angela Hassiotis Appointed Governor, UCL Medical School Ms Suncica Mandich Public Governor, Camden Ms Saira Nawaz Public Governor, Rest of London Cllr Larraine Revah Appointed Governor, London Borough of Camden Mr Roger Searle Service User Governor Absent Without Apologies: Ms Bamidele Esuola Service User Governor Ms Jane Jacks Service User Governor Ms Farah Khan Public Governor, Camden Ms Melanie Dunn Service User Governor Mr Andy Murphy Appointed Governor, Voluntary Action Islington

This meeting was held in public.


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GENERAL BUSINESS, INCLUDING STATUTORY ITEMS ACTIONS:

C16.092 Welcome and Apologies

Ms Fullick welcomed everyone to the meeting. She particularly welcomed new Governors Ms Austin, Cllr, Shaikh, Ms Kent and Ms Papworth-Heidel; along with returning Governor Dr Afridi.

Apologies had been received from: Ms Maureen Brewster (Appointed Governor, Voluntary Action Camden); Prof Angela Hassiotis (Appointed Governor, UCL Medical School); Ms Suncica Mandich (Public Governor, Camden); and Ms Saira Nawaz (Public Governor, rest of London); Cllr Larraine Revah (Appointed Governor, London Borough of Camden); and Mr Roger Searle (Service User Governor).

The meeting was quorate.

C16.093 Declarations of Interest

A copy of the register detailing Governors’ declared interests was included with the meeting’s papers. No amendments were requested.

C16.094 Minutes of the Previous Meetings

The Council received and reviewed the draft minutes from its previous meeting and no changes were requested.

The Council of Governors AGREED the minutes of its previous meeting on 13 September 2016 as a complete and accurate record of that meeting.

C16.095 Matters Arising

The Council reviewed the matters arising from its last meeting on 13 September 2016. It was agreed that the required actions had been completed, were covered elsewhere on this agenda, or not yet due, with the following exceptions and additional comments:

C16.096 MA2: Trust Chairs’ Appraisal Process

The action to review this process and consider how it could be improved was carried forward to the next Steering Committee.

Mr Barry /

(Ms Harvey)

C16.097 Ms Schwartz, referring back to the previous meeting’s minutes asked whether the draft NCL STP (North Central London Sustainability and Transformation Plan) had been submitted to NHS England in October 2016 as planned. Ms McNab confirmed this to be the case, adding that the STP was viewable on the Trust’s website.

C16.098 Ms Schwartz also queried progress in streamlining patient information. Ms McNab advised that work was on-going to ensure that all clinicians were able to easily access required patient information and minimise duplication. Dr Kirchner added that it was sometimes important for a clinician to re-ask a patient some details as part of the process of establishing their wellbeing.


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C16.099 No further matters arising were raised in addition to those items already detailed on the presented schedule.

C16.100 Minutes of Annual Members Meeting

The Council reviewed the minutes from 2016’s Annual Members’ Meeting held at St Pancras Hospital on 6 October 2016. It was noted that Prof Savage had advised one correction to the wording ahead of the meeting.

It was generally agreed the hosting of this meeting at St Pancras had been a success, and significantly more cost effective than hiring an external venue.

The Council of Governors AGREED the minutes of the Annual Members’ Meeting on 6 October 2016 as a complete and accurate record of that meeting, incorporating the notified amendment.

C16.101 Non-Executive Director Appointment

Ms Fullick invited Prof Savage, as the Chair of the Governors’ Nominations and Remuneration Committee to present this item. Prof Savage took the Council through the presented paper that summarised the recruitment process. As a result of that process the Nominations and Remuneration Committee recommended the appointment of Mr Kieran Parmar as the Trust’s next Non-Executive Director. Mr Parmar would replace Mr Richard Brooman, who would reach the end of his term of office at the end of February 2016, on the Trust Board and as Chair of the Audit & Risk Committee.

Ms Schwartz asked whether the entire Committee had supported this appointment. Ms Fullick responded that there had been some healthy debate over potential candidates but that all the Committee’s members had supported the final recommendation.

The Council of Governors unanimously APPROVED the appointment of Mr Kieran Parmar as a Non-Executive Director for a term of three years with effect from 1 March 2017.

C16.102 Constitutional Amendment

Ms Fullick invited Mr Barry to present this item as Chair of the Steering Committee, where this matter had recently been discussed.

Mr Barry summarised the presented proposal that the Trust change its Constitution, in line with latest practice, to allow Non-Executive Directors at other trusts to be able to be appointed to C&I’s Board. He assured the Council that there were adequate controls already in place to manage any potential conflict of interests and to ensure that candidates had sufficient capacity to undertake an additional Non-Executive Director role. The main advantage of the change was that it would allow a wider range of candidates to be considered when the Trust next came to appointing a new Non-Executive Director.


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Ms Fullick confirmed to the Governors that there would be no new requirement for candidates to hold a Non-Executive Director role elsewhere; this only allowed for a wider range of candidates to be considered. She assured the Council that any future Non-Executive Director appointments would still require the Council’s approval.

It was notified that the Trust Board had given its agreement to the proposed change as both the Board and the Council were required to approve Constitutional amendments.

The Council of Governors unanimously APPROVED the proposed amendment to the Trust’s Constitution.

C16.103 Proposal to Fill Camden Public Governor Vacancy

Mr Barry presented this paper which advised that a previous Camden Public Governor had resigned from the Council after the 2016 election process had commenced, leaving a vacancy in that constituency. This matter had been discussed by the Steering Committee and it was recommended that the next in line candidate from the recent 2016 elections be invited to fill this vacancy rather than incur the time delay and cost of running a bi-election so shortly after the main elections. He proposed that Ms Gunanganie Wijeweera, who had previously served as a Governor, be invited to re-join the Council. She would take on the remaining term of Governor Mr Andrew Pike, who had resigned.

Dr Afridi supported this proposal, stating the Ms Wijeweera had previously been an excellent Governor.

The Council of Governors AGREED that Ms Gunanganie Wijeweera should be invited to re-join the Council, taking on the remainder of Mr Pike’s term of office.

Ms Fullick /

(Mr Zielinski)

C16.104 Voluntary Services Governor Champion

Mr Barry presented a paper prepared by Ms Joanne Scott, Voluntary Services Manager, requesting that one or more Governors put themselves forward to become ‘Voluntary Services Champions’. He highlighted that the role was unpaid but would help promote volunteering at C&I and improve engagement between Governors and volunteers.

Ms Fullick invited Governors to take on this role. Ms Ahmed and Ms Austin both put themselves forward for this role.

Mr Zielinski

C16.105 CHIEF EXECUTIVE’S REPORT

Ms McNab presented her update report, highlighted key items to the Council and invited comments and questions.

Ms Schwartz was pleased to note that Camden CCG had ceased their plans to tender for IAPT (Improving Access to Psychological Therapy) services and to continue their work with C&I. She queried how long this arrangement would remain in place. Ms McNab responded that she expected this arrangement to continue for at least the next two year planning period.


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Prof Savage asked whether the London Borough of Camden had cancelled its on-line counselling contract. Dr Kirchner advised that he was aware of a digital platform related to counselling being used but that this had no connection to C&I therefore the Trust was unable to answer this query.

At Prof Savage’s request, Ms McNab defined an IPU (Integrated Practice Unit) as where mental and physical health needs for a group of patients were brought together and their entire care needs treated as a whole. Ms Fullick added that there was an informative article on an IPU in the C&I News magazine, copies of which had been made available to Governors at this meeting.

Ms Schwartz asked what progress had been made in protecting lone workers. Ms McNab advised that the Trust had updated its policy covering lone working and undertaken an extensive communications exercise to improve staff awareness. Mr Ramage stated that, as a Staff Governor, the recent screen saver campaign on Trust computers had been effective and that his team were certainly more alert to the risk of lone working and ensuring that no one was left in the office alone. Ms Kent, as a front line Staff Governor, cited a recent incident involving a service user she considered as having been inappropriately referred to crisis care. Ms McNab thanked her for sharing her experience and highlighted the need for on-going service user risk assessments.

The Council of Governors RECEIVED and ACCEPTED the Chief Executive’s report.

C16.106 LEAD GOVERNOR’S REPORT

Mr Barry thanked those Governors who had sent him their good wishes regarding his recent injury and stated that it had made him consider whether there should be a Deputy Lead Governor to provide cover where necessary. He thanked Prof Savage for standing in for him while he recuperated. He proposed that the next meeting of the Steering Committee would consider the appropriateness of having a Deputy Lead Governor.

Mr Barry advised that the main issue he wished to raise was the amount of interest and concern related to the Highgate Day Centre. He advised the Governors that the London Borough of Camden were reducing their funding of the centre and that this was outside of the Trust’s control. He added that Governors should be clear that C&I were continuing to provide staff to the centre and were actively promoting the service currently provided there.


Mr Barry


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C16.107 CHAIRS’ REPORT

Ms Fullick summarised some of the key events and developments that had occurred within the Trust during 2016. Looking forward to 2017, she highlighted the importance of continuing to implement the Trust’s CQC action plan, commending the level of improvement already achieved. She acknowledged that financial pressures would remain a concern, and that services could be impacted upon further by similar pressures on social care funding. She also advised the Council that their engagement in the development of the St Pancras site would be a key issue during 2017.

Ms Murray asked how the reported fire incident on Sapphire Ward, and the associated costs of outplacing patients, had impacted on the Trust’s finances. Mr Ramage advised that all associated cost had been included in an insurance claim that was currently being assessed by loss adjusters.

Ms Fullick thanked those who had attended the recent ‘Governors’ Lunch’ and had made it a successful and productive event. She advised that, whilst similar dates had been set for lunches with other Governors constituencies, all Governors were welcome to attend any event. She reminded the Council that any Governor wishing to meet with her privately was welcome to do so and that an appointment could be made by contacting her personal assistant or the Board Office.


C16.108 BIG TOPIC - A PRESENTATION BY NON-EXECUTIVE DIRECTOR PROF TOM BURNS

Ms Fullick welcomed the Trust’s most recently appointed Non-Executive Director, Prof Tom Burns, to the meeting and introduced him to the Council.

Prof Burns addressed the Council and provided a resume of his life and career in psychiatry to date. He shared his early life’s desire to enter psychiatry and outlined his 45 year career in that field; along with his underlying belief that, whilst medication may have a role to play, the most important aspect of psychiatry was the relationship between two people – the clinician and the patient.

Ms Fullick thanked him for an informative and engaging presentation and asked him if he had any feedback on his short experience as a Non-Executive Director at C&I. Prof Burns responded that he had only recently joined the Board but that he had been particularly keen to join C&I because of the reputation of many of its services.

Governors were invited to ask questions.

Dr Afridi asked whether racism was considered an issue in psychiatry. Prof Burns responded that he did not believe equality was any more of an issue in mental than it was in other healthcare fields. He advised that studies had shown that migrant populations moving into any country experienced a higher level of deprivation and mental health issues. He also believed that a more mobile population lead to the breakdown of extended family support networks and increased the demand for


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professional mental health support. He did not subscribe to the idea of targeting mental health care at specific ethnic groups as that had the potential to enhance any perception of being an ‘outsider’.

Ms Graham asked why there was increased use of anti-psychotics among those of afro-Caribbean decent. Prof Burns replied that studies had shown there was no evident increase in the prescription of such drugs to any ethnic group. He acknowledged there were increased levels of deprivation among ethnic minorities in this country and that this may lead to increased need for mental health support. He added that those living in better social conditions had less mental health issues regardless of ethnicity.

Ms Kent referred to a recent ‘Lancet’ article stating that the majority of those with psychosis showed anti-bodies that could be treated with medication. Prof Burns, while supporting research and study, cautioned that care was needed when interpreting such results and that the medication involved could have unpleasant side effects.

Prof Burns agreed with Prof Savage that continuity of care was of great importance, adding that sometimes a specialist may be required to be brought in on a one-off or short-term basis to deal with a particular set of care needs.

The Governors acknowledged Prof Burns’ presentation with a round of applause.

The following Items had been provided to the Governors for information. These were RECEIVED and ACCEPTED, with additional comments recorded where made:

Governor Motion: Discharge from Hospital Feedback:

C16.109 Notes from meeting on 8 September 2016

C16.110 Notes from Meeting on 4 August 2016

Council of Governors’ Working Group Feedback:

C16.111 Service User/Staff Experience & Quality Working Group meeting on 27 September 2016 (Acting Chair: Ms Saira Nawaz)

C16.112 Membership Working Group meeting on 26 September 2016 (Chair: Prof Wendy Savage)

Prof Savage advised the Council that the Trust Choir, established from a ‘Governor service user improvement fund’, would be performing at a carol concert in St Pancras Church on 19 December 2016. She invited all Governors to attend.

C16.113 Finance & Business Planning Working Group meeting on 10 October 2016 (Chair: Mr Simon Ramage)

Prof Savage commended Mr Wragg for his support and guidance to this working group, which was finally up and running successfully.


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C16.114 St Pancras Site Development Working Group meeting on 4 October 2016 (Chair: Ms Monika Schwartz)

Ms Schwartz stated that, disappointingly, only two Governors had attended this working group’s recent meeting in December. She highlighted the importance of this group as it allowed for Governors to have a take a more forensic view of the development of the St Pancras site. She stressed how important Governor engagement and understanding would be to assisting the Council to understand the outline business case and reach any related decisions in the future. Dr Afridi and Mr Ramage agreed to join this group. The Board Secretary was asked to circulate an additional meeting date to aid Governor engagement, potentially 31 January 2017.

Mr Zielinski

Steering Committee Minutes

C16.115 Agreed Minutes from 15 November 2016 (Chair: Mr David Barry)

Mr Barry thanked the Board Secretary for the prompt completion and distribution of the draft minutes from this meeting.

Trust Board Minutes

Approved minutes from the C&I Board’s public meetings on:

C16.116

C16.117

C16.118

27 October 2016

29 September 2016

28 July 2016

C16.119 MOTIONS AND QUESTIONS

Ms Fullick acknowledged that Ms Hall had raised some queries in relation to the approved Board minutes in this pack. She asked that Ms Hall discuss these matters with her outside of the meeting.

Ms Hall /

Ms Fullick

C16.120 URGENT MOTIONS AND QUESTIONS

No motions or questions had been advised for discussion at this meeting.

BACKGROUND PAPERS

The following background papers had been provided to the Council of Governors for further information:

C16.121 Financial Update – M7, 2016/17

C16.122 Performance Report Q2, 2016/17

C16.123 Schedule of 2017 Governor meeting dates.

C16.124 DATE OF NEXT MEETING

14 February 2016.


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C16.125 CLOSE

Prior to the close of the meeting Ms Fullick invited Mr Vernon to address the Council regarding the establishment of a ‘task and finish group’ that would review data on BMI representation in services. Mr Vernon advised that the terms of reference for this group was being finalised and that he expected the group to meet 2-3 times over the coming months. He invited Governors to join the group. Ms Austin, Ms Schwartz and Cllr Shaikh all expressed an interest in joining this group.

Ms Fullick closed the meeting at 6:57pm and invited the Governors to join her in some festive refreshments.

I certify that these are fair and accurate minutes of the stated meeting.

……………………………..…..…… …………………….

(Council of Governors Chair) (Date)

rust governors’ meeting held in the conference hall, st ... · minutes of the council of...

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