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Agenda and draft minutes

Venue: Board Rooms, Trust HQ, Great Western Hospital, Swindon. View directions

Contact: Carole Nicholl  01793 605171

Items
No. Item

109.

Apologies for Absence and Chairman's Welcome

Minutes:

Apologies for absence were received from Oonagh Fitzgerald - Director of HR; Hilary Walker -Chief Nurse and Steve Nowell - Non-Executive Director.

110.

Declarations of Interest

Members are reminded of their obligation to declare any interest they may have in any issue arising at the meeting, which might conflict with the business of the Trust.

Minutes:

There were no declarations of interest.

111.

Questions from the public to the Board relating to the work of the Trust

Minutes:

There were no questions from members of the public.

112.

Minutes pdf icon PDF 422 KB

Roger Hill, Chairman

·        1 June 2017 (public and summary of private minutes)

Minutes:

The minutes of the meeting of the Board held on 1 June 2017 were adopted and signed as a correct record.

 

113.

Outstanding actions of the Board (public) pdf icon PDF 419 KB

Minutes:

The Board received and considered the outstanding action list.  The Board noted updates as set out below: -

 

485/16

Finance Report

KM reported that whilst an update had been provide to the Performance, People and Place Committee  this had not covered equipment and therefore this element of the action should remain open which was agreed.

 

454/16

TIAA Project Report feedback

It was noted that the business case had been approved and that there would be a further report back in 12 months’ time following roll out.  It was agreed that this action could be removed from the tracker.

09/17

Carbon Emissions

It was noted that the information had been provided to and discussed with the Chair of the Performance, People and Place Committee and therefore this action was closed.

 

50/17

Home to Assess

It was noted that an update was included in the Operational Performance Report to be considered later in the meeting and therefore this action was completed.

 

45/17

Staff Communication

It was noted that staff forums were scheduled for July.

 

The Board agreed that completed actions be removed from the tracker and the updates be noted.

114.

Chairman's Report, Feedback from the Council of Governors

Roger Hill, Chairman

Minutes:

The Chairman gave a verbal report as follows: -

 

A Joint Meeting of the Council of Governors and Board had been held in June when accountable care systems were discussed.

 

Governors undertook a mini visit last week to Meldon Ward.  This provided an opportunity for governors to speak to patients and staff and to observe the workings of the hospital.

 

Peter Pettit had resigned as Governor representing the West Berkshire and Oxfordshire Public Constituency.  The Reserve Governor Bill Kingdon had taken up the office of Governor from 1 July.  The Chairman was joined by members of the Board in expressing thanks to Peter for his dedication to the Governor role.

 

The Chairman reminded the Board Sheila Parker would no longer be a nominated governor representing Wiltshire Council as she had not been re-elected as a councillor.  The new representative from 1 July 2017 would be Jerry Wickham.

 

RESOLVED

 

that the report of the Chairman be received.

115.

Chief Executive's Report pdf icon PDF 203 KB

Nerissa Vaughan, Chief Executive

Minutes:

The Board received and considered a report from the Chief Executive covering the following issues: -

 

1.     Integrating hospital and community healthcare in Swindon

2.     New health centre opens in Swindon

3.     Recruitment update

4.     Emergency and urgent care

5.     Endoscopy service earns national recognition

6.     Response to international cyber attack

7.     Preparedness for major incidents

8.     International Nurses Day

9.     Staff reminded of support during Mental Health Awareness Week

10.  Helping allied healthcare professionals return to practice

 

In presenting the report, NV expressed her thanks to the IT Team for their proactive actions and hard work in relation to the international cyber attack in June which had targeted many organisations.

 

Furthermore, NV was joined by other members of the Board in commending the Endoscopy Services for the achievement of the National Joint Advisory Groups accreditation which showed that the service meets national standards in clinical quality, patient safety and care, governance, workforce management and training.

 

Finally, NV highlighted that work was continuing to ensure emergency preparedness and planning remained fit for purpose to ensure that the Trust would be able to response to major incidents efficiently and effectively.

 

RESOLVED

 

that the report of the Chief Executive be received.

116.

Finance Report pdf icon PDF 119 KB

Karen Johnson, Director of Finance

Additional documents:

Minutes:

The Board received and considered a report on finance for month 3, together with a presentation as follows: -

 

Actual Operating costs

In month surplus of £205k including Sustainability & Transformation Funding (S&TF) (deficit of £133k excluding S&TF). Total deficit year to date of £58k compared to a target surplus of £322k including S&TF (£734k deficit compared to a target deficit of £354k excluding S&TF).

Contractual Income

£22.9m in month and £44.2m year to date (£0.629m above plan year to date)

Total Income

£28m in month and £54m year to date (on plan year to date)

Income Activity highlights

·         Elective inpatients above plan (year to date Elective inpatients above plan)

·         Day case activity above plan (year to date Day case activity above plan)

·         Non-elective above plan (year to date Non-elective above plan)

·         Outpatient appointments on plan (year to date Outpatient appointments on plan)

·         A&E below plan (year to date A&E below plan)

Total Expenditure

 

£27.9m in month and £55.2m year to date (£0.372m above plan year to date)

Expenditure highlights in month:

·         Drugs £0.01m below plan (£0.06m above plan year to date)

·         Pay £0.759m above plan (£1.23m above plan year to date)

·         Supplies £0.05m above plan (£0.05m below plan year to date)

·         Other Costs £0.785m below plan (£0.869m below plan year to date)

EBITDA

7.1% year to date

Savings

Cost Improvement Plans (CIPS)

Savings plan of £14.052m of which £11.543m had been identified.

£0.654m CIPS delivered in month against a plan of £1.177m.

£0.938m delivered against a plan of £2.333m year to date (£1.395m below plan)

Debtors

£40.5m debtors and stock

£9.7m above plan

Creditors

£58.9m creditors

£2.4m above plan

Cash

£2.4m (£3.1m below plan)

Loan

No further loans agreed

Forecast

£1.796m surplus for the year (on plan)

Finance Risk Ratings

Use of Resources (UoR) 3 (Rating 1 was now top and 4 is bottom).

 

Report Format - KJ introduced the report advising that its format had changed to reflect the recommendations of the Finance and Investment Committee and other ideas now supporting betters comparisons and additional information. KJ highlighted that the activity chart showed case mixes and more detail was presented on pay costs.

 

Activity – KJ advised that activity had picked up and was above rates for the same time last year, however, the run rate was still a £58k in month deficit.

 

Expenditure and income - KJ highlighted that gross expenditure and income could be distorted through the inclusion of Wiltshire Health and Care funding but this did not affect the bottom line. KJ highlighted that there was a requirement to achieve a £7.41m deficit to ensure the criteria was met for S&TF funding. The Trust was at risk of circa £900k and KJ explained the percentage calculations in more detail.     

 

Pay - KJ highlighted that pay was significantly above plan which was largely due to the non-delivery of Cost Improvement Plans coupled with additional agency spend. KJ highlighted concerns regarding the lack of assurance that all additional costs needed  ...  view the full minutes text for item 116.

117.

Chair of Finance & Investment Committee Overview pdf icon PDF 167 KB

Steve Nowell, Non-Executive Director

Minutes:

The Board considered a report which summarised the key issues from meetings of the Finance & Investment Committee held on 22 May and 26 June 2017 which it was considered should be drawn to the attention of the Board covering the following: -

 

·         Overall financial performance

·         Women’s, Children’s and Sexual Health Division

·         Planned Care Division

·         Cost Improvement Programme (CIP) overview

·         Combined Costs Collection 2016/17

·         Agency spend

·         Capital projects

·         Upfront payments for overseas visitors

·         Overseas nurses

 

In presenting the report it was flagged that the Committee had considered a paper which looked back on the establishment of the private patient operation noting the achievements to date and areas for future focus which it was noted would be discussed via a paper to the Executive Committee.

 

RESOLVED

 

that the report be received.

118.

Chair of Audit, Risk & Assurance Committee Overview pdf icon PDF 166 KB

Julie Soutter, Non-Executive Director

Minutes:

The Board considered a report which summarised the key issues from a meeting of the Audit, Risk and Assurance Committee held on 25 May 2017 which it was considered should be drawn to the attention of the Board covering the following: -

 

·         Annual Report & Accounts 2016/17

·         Quality Accounts 2016/17

·         TIAA Internal Audit Annual Report 2016/17, including Head of Internal Audit Opinion

·         TIAA Internal Audit Progress Report 2016-17

·         BDO Internal Audit Strategic and Operational Plan 2017-18

·         Counter Fraud

·         Losses and compensations payments Q4 Report

 

JS reminded the Board that she had provided a verbal update to the last meeting of and therefore wished to highlight only a couple of points in the report. 

 

The Committee had received and considered the Annual Report and Accounts for 2016/17 together with the ISA260 Audit Memorandum, an independent auditors report on the financial statements from KPMG, external auditors and management representation letters. JS reiterated thanks recorded to the Finance Team for the production of the accounts.

 

Finally, JS highlighted that TIAA former internal auditors had attended the meeting to present the close down report of their service reviews. The new internal auditors were BDO who had presented their draft Audit Plan. JS highlighted that there would be fewer audits but that these would be undertaken in more depth. BDO had had initial discussions with the Executive Team regarding the content and approach of the Audit Plan.

 

RESOLVED

 

that the report be received.

119.

Quality Report pdf icon PDF 113 KB

Hilary Walker, Chief Nurse

·        Emergency Department Dashboard

Additional documents:

Minutes:

The Board received and considered a monthly report which provided commentary and progress on activity associated with key safety and quality indicators. The key points to note for May 2017 were as follows: -

 

  • The twelve month period March 2016 to February 2017 provided the Trust with a Hospital Standardised Mortality Rate (HSMR) of 97.75.
  • Blood contamination rate for May 2017 was 3%
  • 1 Serious Incident was reported during May 2017.
  • 12 Mixed Sex Accommodation breaches occurred during May 2017.
  • Three 12 hour DTA breaches during May 2017.

 

Hospital Standardised Mortality Rate (HSMR) - It was highlighted that the 12 month period from March 2016 to February 2017 showed a hospital mortality standardised rate of 97.5. GR explained that the Trust had received a mortality report in May from Dr Foster relating to complications of surgical/medical care. Patient level data had been reviewed and an audit had been produced. PH questioned when further information would be known about the alert. GR responded that the alert would be closed off through the Patient Quality Committee within the next few weeks. It was not expected that the alert was significant and probably related to a coding issue. GR undertook to include an update in a future quality report.

 

Infection Prevention and Control – it was noted that there had now been three hospital acquired cases of Clostridium difficile to date with the Trust remaining within expected numbers.

 

Patient Safety –It was explained that there had been one serious incident reported in May relating to Ophthalmology and an investigation was underway. It was explained that clinical incident reporting and management of investigations was continuing to show a successful reduction in the number that were over the 14 days’ time frame and of the eleven incidents that were over 90+ days they were all no or low harm incidents. It was commented that staff were working very hard to close down old investigations.

 

Mixed Sex Accommodation - JMa highlighted that there had been 12 mixed sex accommodation breaches in May due to the use of the Day Surgery Unit during peak periods of escalation. In response to a question from AC, JMa responded that there had been no complaints relating to mixed sex accommodation.

 

DTA Breaches - JMa highlighted that there had been three 12 hour DTA breaches which had been investigated and found to be due to operational pressures during high escalation. There had been no patient harm identified. JMa explained that the Integrated Operational Performance and Quality Report had been developed for the Emergency Department enabling more sophisticated analysis and triangulation of information in one report which enabled a more granular understanding of the issues presented. This report had been reviewed at the Unscheduled Care Divisional Performance meeting, the Quality and Governance Committee and externally at the Emergency Department Delivery Board and NHS Improvement Performance Review meeting. Further information on 12 hour DTA breaches would be presented in future reports.

 

JS referred to the 12 hour breaches set out in the report  ...  view the full minutes text for item 119.

120.

Chair of Quality & Governance Committee Overview pdf icon PDF 184 KB

Nick Bishop, Non-Executive Director

Minutes:

The Committee received a report from the Chair of the Quality & Governance Committee which summarised key issues considered by that Committee at its meetings held on 18 May and 22 June 2017 covering the following: -

 

·         Safeguarding Adults at Risk Annual Report 2016/17

·         Improvement Committee Closure Report

·         Quality Strategy

·         Quality Report

·         Draft Quality Accounts 2016/17

·         Report on Hospital Based Programme Co-ordinator (HBPC) for the Cervical Screening Programme at GWH

·         Implementation of the Care Quality Commission’s (CQC) next phase of regulation and impact

·         Patient Experience & Engagement Strategy 2017-2022 / Review of action plan from results of Picker Inpatient Survey 2015 plus results from Picker 2016 survey

·         Safer Staffing Monthly Exception Report

·         Swindon Community Health Services – clinical governance and quality oversight

·         Internal Audit Reports relevant to this Committee

·         Director Fit and Proper Person Requirements

·         Corporate Governance Report May 2017

·         Insurance Provisions

·         Emergency Department Dashboard

 

In presenting the report NLB drew Directors’ attention to the implementation of the CQC’s next phase of regulation and impact. The Committee had considered a report which summarised the changes and advised of the introduction of a new assessment framework and approach effective from June 2017. All Trusts would be required to submit a Provider Information Return (PIR) annually to the Care Quality Commission. The face to face relationship management meeting would take place at least every three months and the CQC might ask to meet staff or patient groups to establish a broader view of the Trust culture and quality performance to help them to decide on priorities for inspection. The Trust could expect to have an assessment of well-led and at least one core service each year and representatives of the CQC would attend two of the Trust Board meetings per year.

 

CN explained that work was underway to ensure a robust approach to compliance with CQC regulation through the development of a Compliance Assurance Framework. CN explained that the framework would seek assurance through the key lines of enquiry with the difference being a focus on visibility of compliance at core service level which would align to the way inspectors viewed the Trust.

 

JS highlighted that the Committee had also considered a closure report of the previous CQC inspection which included feedback on the process which should be noted. It was highlighted that the work of the Improvement Committee had been subsumed into the Divisions as business as usual.

 

It was further highlighted that the Committee had considered cervical screening and it was noted that there was a national issue regarding the lack of availability of screening consultants.  A report on this was to be considered later in the meeting.

 

RESOLVED

 

that the report be received and it be noted that the Quality & Governance Committee will continue to scrutinise and challenge the delivery of actions to drive improvements.

121.

Operational Performance Report pdf icon PDF 265 KB

Adrian Griffiths, Interim Chief Operating Officer

Additional documents:

Minutes:

The Board considered the operational performance report which provided an update on performance against key national and local performance standards in addition to progress against key work streams and remedial recovery plans with headlines as follows: -

 

Emergency Department (ED) 4 hour standard (95%)  (combined – Emergency Department, Minor Injuries Unit (MIU) & Urgent Care Centre (UCC)) 

 

May 92.1% (not achieved)

Referral to Treatment

Incomplete standard (92%)

May 91.6% (not achieved)

6 Week Diagnostic Wait

May 98.2% (not achieved)

Cancer Targets

2 Week Waits (93%)

2 Week Wait Breast Symptomatic (93%)

31 Day Surgery (94%)

62 Day Surgery (85%)

April

83.7%  (not achieved)

30.8%  (not achieved)

90.9%  (not achieved)

76.7%  (not achieved)

 

AGR presented in detail his executive summary as set out in the report with the following points discussed:-

 

Medically Fit and Length of Stay

With the launch of the new integrated discharge service there were increased numbers of patients medically fit for discharge. Although the number of medically fit had risen the length of stay for long patients had dropped off from 90 days in May to 34 days in June. AGr commented on the improved reporting but not withstanding this there were much larger numbers of delays than originally thought some of which were linked to other problems around lack of availability for scanning. In response to a suggestion by RH it was agreed that this would be considered at the Performance, People and Place Committee in August.

 

Ambulatory Care Unit

AGr highlighted that activity had risen in May to 15% but was still under the 30% target.  Consideration was being given to changing the opening times to reflect periods of business.

 

Delayed Transfers of Care

AGr highlighted that there was a legal definition around delayed transfers of care but often there was confusion with this and the definition of medically fit. JM referred to the delays in the system, notably those relating to Wiltshire, commenting that the public perception was that this was the hospital’s responsibility. In response to a request by RH AGr undertook to provide a briefing note to members of the Board describing the definitions.

 

It was noted that there were system expectations around reductions in delayed transfers of care on the back of national monies made available by the Secretary of State, however, the funding had not filtered through to the Trust and therefore AGr had highlighted this for a discussion at the A&E Delivery Board. JM commented on the need for a strong representative on the Delayed Transfer of Care Board and NV undertook to pick this up.

 

Home to Assess       

AGr highlighted that Swindon Clinical Commissioning Group was keen to ensure the provision of a Home to Assess Service in Swindon. It was noted that the model developed had only been partially successful and therefore consideration needed to be given to an alternative proposal mainly around community nursing with therapy built in. It was noted that the Home to Assess Service would cease but the Trust was looking to  ...  view the full minutes text for item 121.

122.

Chair of Performance, People & Place Committee Overview pdf icon PDF 173 KB

Steve Nowell, Non-Executive Director

Minutes:

The Committee received a report from the Chair of the Performance, People & Place Committee which summarised key issues considered by that Committee at its meeting held on 24 May and 28 June 2017 covering the following: -

 

·         Activity

·         Bed Moves

·         Operational Performance

·         Service Line Reporting

·         Data Quality strategy

·         NHS Cyber Attack

·         People Strategy 2014-2019 – Six month progress report (October 2016 to March 2017)

·         Workforce

·         Recruitment & Retention Plan – review and update on action plan

·         “Supporting NHS providers to deliver the right staff, with the right skills, in the right place at the right time” National Quality Board progress report

·         Estates & Facilities Management

·         Communications Strategy

·         Health & Safety, Fire and Security Annual Report and Statement of Commitment

KM explained that the Trust had received national instructions on the cladding of buildings for which it was responsible mainly the Great Western Hospital, Savernake, SWICC and Brunel Treatment Centre.

 

It was explained that all four buildings had cladding with aluminium composite cladding being sited on the front of the Great Western Hospital. The fire service had been asked to undertake an assessment and testing of the cladding materials. In response to a question from RH regarding why hospitals were not a priority for testing by the Fire Service, KM responded that this was because a number of hospitals had British standard cladding materials.

 

RESOLVED

 

that the report be received and it be noted that the Performance, People & Place Committee will continue to scrutinise and challenge the delivery of actions to drive improvements.

123.

Report on hospital based programme coordinator for cervical screening pdf icon PDF 92 KB

Guy Rooney, Medical Director

Additional documents:

Minutes:

The Board received and considered a report which explained that the Hospital Based Programme Co-Ordinator for the cervical screening programme was required to provide an annual report on the programme to the Board. Therefore the Board had before it a summary of the main report detailing the current situation, assessment of the screening programme and recommendations.

 

In presenting the report GR highlighted that the NHS cervical screening programme had delivered marked reductions in the incidences and mortality from cervical cancer. It was highlighted that the proportion of patients at Great Western Hospitals receiving treatment within the allocated time was 38% against the 90% target which benchmarked with other service providers, however, patients were only waiting a few weeks over the expected target.  The main issues around the performance were set out in the report together with the key challenges notably a lack of histopathologists nationally.

 

RESOLVED

 

that the key challenges and the oversight to address them as set out in the report be noted.       

124.

Safer Staffing Monthly Exception Report pdf icon PDF 443 KB

Hilary Walker, Chief Nurse

Additional documents:

Minutes:

The Board considered a report which provided the monthly exception reporting on actual nursing and midwifery staffing compared to that planned, together with associated quality impacts.

 

In May the position was as follows: -

 

Proportion of actual versus planned nursing hours (fill rate):

 

 

Registered Nurses

Auxiliary Nurses

Day Shift

83.8%

105.3%

Night Shift

100.3%        

108.3%

 

Average skill mix ratio (day): -

Registered Nurse Staff

61.9%

Care staff

38.1%

 

On consideration of this item, the Board discussed the need for additional staffing and the controls in place around approval of requests for close support.  Reference was made to the master vendor arrangements which were not yet working as planned with the level of shifts filled disappointing.  NV commented on the need to ensure that tight controls were in place around close support and the supernumery staff.

 

CP questioned whether the average skill mix ratio could be reviewed as there was no detriment to patient care.  JMa advised that there had recently been a nursing workshop to look at different ways of working noting that the positions was unlikely to improve in terms of a national shortage of nurses; the acuity of patients and the requirements for close support.  Different ways of working needed to be established. 

 

NLB referred to time to care highlighting the optimal percentage which was trying to be achieved noting that there was little difference between the best and worst cases. 

 

Concerns around the master vendor arrangements were noted and it was agreed that this, together with patient acuity and staffing ratios needed to be overlaid with an update to a future meeting.

 

RESOLVED

 

that the report be received

125.

NQB Safe Sustainable Productive Staffing pdf icon PDF 294 KB

Colette Priscott, Deputy Director of Human Resources

Minutes:

The Board considered a paper which provided an update on “Supporting NHS providers to deliver the right staff, with the right skills, in the right place at the right time” by the National Quality Board (NQB).

 

The paper outlined the Trust’s current position in response to the three expectations (1.Right Staff; 2.Right Skills; and 3.Right Place & Time) and future plans to improve compliance.

 

CP highlighted that development programmes had been designed with staff, with feedback provided.  28 retention plans were in place.  Workforce planning was a priority with a need for short (1 year), medium (3 years) and long (5 years) planning rather than annual planning.  Some robust work around workforce development and recruitment was underway.

 

CP commented on the need to better understand the reasons why staff were leaving the organisation with further work to do around triangulating e-rostering; how ID Medical filled shifts; how bank and staff models identified gaps and whether there were sufficiently robust internal system to address those gaps.

 

RESOLVED

 

that the report be noted.

126.

Ratification of Decisions made via Board Circular/Board Workshop

Carole Nicholl, Director of Governance & Assurance

Minutes:

None.

127.

Urgent Public Business (if any)

To consider any business which the Chairman has agreed should be considered as an item of urgent business and to note the reasons for the urgency.

Minutes:

None.

128.

Date and Time of next meeting

Date: 6 July 2017

Time: 9:30am

Venue: Trust Management Boardrooms, Trust HQ, 2nd Floor, Great Western Hospital

Minutes:

It was noted that the next meeting of the Board would be held on 3 August 2017 9:30am in Trust Management Boardrooms, Trust HQ, 2nd Floor, Great Western Hospital

129.

Exclusion of the Public and Press

The Board is asked to resolve:-

 

that representatives of the press and other members of the public be excluded from the remainder of this meeting having regard to the confidential nature of the business to be transacted, publicity of which would be prejudicial to the public interest” when the following items are considered: -

·        Minutes

·        Outstanding Actions of the Board (Private)

·        PFI

·        Caretaking proposals

·        CQC Registration

·        Fire security

·        Wiltshire Health & Care – update

·        Wiltshire Health & Care – post transfer update

·        Charitable Funds Committee Minutes

·        Executive Committee Minutes

·        Finance & Investment Committee Minutes

·        Performance, People & Place Committee Minutes

·        Quality & Governance Committee Minutes

·        Urgent Private Business (if any)

Minutes:

RESOLVED

 

that representatives of the press and other members of the public be excluded from the remainder of this meeting having regard to the confidential nature of the business to be transacted, publicity of which would be prejudicial to the public interest when the following items are considered: -

·         Minutes

·         Outstanding Actions

·         PFI

·         Caretaking proposal

·         CQC Registration

·         Fire security

·         Wiltshire Health & Care – Update

·         Wiltshire Health & Care – post transfer

·         Charitable Funds Committee Minutes

·         Executive Committee Minutes

·         Finance and Investment Committee Minutes

·         Performance, People & Place Committee Minutes

·         Quality & Governance Committee Minutes

·         Urgent Private Business – CQC Draft Report

130.

Minutes

Roger Hill, Chairman

·        1 June 2017 (private)

Minutes:

The minutes of the meeting of the Board held in private on 1 June 2017 were adopted and signed as a correct record subject to an amendment

131.

Outstanding Actions of the Board (Private)

Minutes:

The Board received and considered the outstanding actions list.  The Board noted progress against the actions and agreed that completed actions be removed.

132.

PFI

Kevin McNamara, Director of Strategy

Minutes:

The Board received a paper and a presentation about the PFI.

133.

Caretaking proposal

Kevin McNamara, Director of Strategy

Minutes:

The Board received and considered a report which explained that the Trust has been approached to consider taking provider responsibility for services. 

 

134.

CQC Registration

Carole Nicholl, Director of Governance & Assurance

Minutes:

Having regard to the previous item Directors were advised that amendments might be required to the Trust’s registration (including statement of purpose) with the Care Quality Commission, which required Board approval.

 

The Board delegated authority to submit a registration application and statement of purpose to the CQC to register service, activities and site in relation to the care taker approach.

135.

Fire security

Kevin McNamara, Director of Strategy

Minutes:

The Board had before it a paper which provided detail on what actions were being taken following the Grenfell Fire which had highlighted significant risks with building cladding.  This report was discussed as part of the Chair of Performance, People and Place report noting that actions were being taken in relation to cladding and the planning inspection by the fire services and for further updates to be provided through the Performance, People and Place Committee.

 

RESOLVED

 

that the report be received.

136.

Wiltshire Health & Care - update

Kevin McNamara, Director of Strategy

Minutes:

The Board considered a report which provided an update on the key topics discussed at the Wiltshire Health and Care Board meeting held on the 27th June 2017.

137.

Wiltshire Health & Care - post transfer update

Carole Nicholl, Director of Governance & Assurance

Minutes:

The Board received and considered a paper which provided a post transfer update.          

138.

Charitable Funds Committee

Steve Nowell – Committee Chair

·        3 May 2017 (enclosure)

Minutes:

The minutes of the meeting of the Charitable Funds Committee held on 3 May 2017 were received. 

139.

Executive Committee

Nerissa Vaughan – Committee Chair

·        20 June 2017 (verbal report)

·        16 May 2017 (enclosure)

Minutes:

The minutes of the meeting of the Executive Committee held on 16 May 2017 were received.  Furthermore, it was noted that a meeting of the Executive Committee had been held on 20 June 2017.

140.

Finance and Investment Committee

Steve Nowell – Committee Chair

·        26 June 2017 (written report)

·        22 May 2017 (enclosure)

Minutes:

The minutes of the meeting of the Finance and Investment Committee held on 22 May 2017 were received.  Furthermore, it was noted that a meeting of the Finance and Investment Committee had been held on 26 June 2017.

141.

Performance, People & Place Committee

Steve Nowell – Committee Chair

·        28 June 2017 (written report)

·        24 May 2017 (enclosure)

Minutes:

The minutes of the meeting of the Performance, People & Place Committee held on 24 May 2017 were received.  Furthermore, it was noted that a meeting of the Performance, People & Place Committee had been held on 28 June 2017.

142.

Quality & Governance Committee

Nick Bishop - Committee Chair

·        22 June 2017 (written report)

·        18 May 2017 (enclosure)

Minutes:

The minutes of the meeting of the Quality & Governance Committee held on 18 May 2017 were received.  Furthermore, it was noted that a meeting of the Quality & Governance Committee had been held on 22 June 2017.

143.

Urgent Business (Private) - CQC Draft Report

To consider any business which the Chairman has agreed should be considered as an item of urgent business.

Minutes:

The Chairman had agreed to accept this as an item of urgent business in view of the need for Directors to be advised of the current position in advance of the next meeting of the Board.

 

CN gave a presentation highlighting the initial findings drawn from the draft report received from the Care Quality Commission following their inspection of the Trust in March.