Public Governor Halstead & Colne Valley. Staff Governor Medical & Dental Staff Governor Support Services Staff Governor Nursing & Midwifery

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1 COLCHESTER HOSPITAL UNIVERSITY NHS FOUNDATION TRUST MINUTES OF THE MEMBERS COUNCIL MEETING HELD ON THURSDAY 18 NOVEMBER 2010 AT 2PM IN TRAINING ROOMS SOUTH, COLCHESTER HOSPITAL PRESENT: Mrs. S Irvine Dr. S. Laycock Mrs. V. Haddow Mr. D. McCarron Mrs. P Aldridge Mr. J. Dann Mrs. T. Sivyer Mr. F. Baker Mr. A. Patrick Mrs. M. Jones Mrs. J. Smith Mrs. H. Law Mr. I. Ferneyhough Mr. J Eddy Ms. V. Asker Mrs D. Booton Mrs. C. Tyler Maj. S Rothwell Cllr Anne Brown Cllr Lynda McWilliams Chair Public Governor Colchester Public Governor Colchester Public Governor Colchester Public Governor: Halstead & Colne Valley Public Governor Halstead & Colne Valley Public Governor Halstead & Colne Valley Public Governor: Tendring Staff Governor - AHP/Healthcare Scientist Staff Governor Medical & Dental Staff Governor Support Services Staff Governor Nursing & Midwifery Staff Governor Nursing & Midwifery Stakeholder Governor Colchester Garrison Stakeholder Governor Essex County Council Stakeholder Governor Tendring District Council IN ATTENDANCE: Dr. G Coutts Mr N. Chatten Mrs. T. Diles Chief Executive Director of Corporate Development & Company Secretary Foundation Trust Officer 1. WELCOME The Chair welcomed those present to the members council meeting. She welcomed Cllr Lynda McWilliams to her first Members Council Meeting. Apologies for absence had been received from: Public Constituency: Colchester Mr. R. Cole Stakeholder Representation Cllr. M. Hunt, Stakeholder Governor, Colchester Borough Council Mrs. D. Leacock, Stakeholder Governor, NHS North East Essex Primary Care Trust Page 1 of 6

2 2. DECLARATIONS OF INTEREST There were no new declarations of interest. 3. PUBLIC QUESTIONS & ANSWERS No questions from the public had been received. 4. MINUTES OF THE MEETING HELD ON 9 SEPTEMBER 2010 AND MATTERS ARISING FROM THE MINUTES NOT ADDRESSED ELSEWHERE ON THE AGENDA 1. The minutes of the meeting held on 9 September 2010 were approved as a correct record for signature. 2. There were no matters arising. 5. CHAIR S REPORT The Chair reported that in the private part of the Members Council Meeting the appointment of two new Non-Executive Directors would be discussed. She updated the Council on the draft bill to implement the changes outlined in the White Paper which would not be available until January. She asked Governors to note that the children s block was now open and a tour of the new building would be arranged for governors in the next few weeks. Mr Chatten suggested that a tour could be arranged for governors finishing with Christmas dinner in the Senses Restaurant. Dates would be circulated in due course. The Chair also updated governors on changes to the Intranet as from the following week. That the Members Council noted the report of the Chair. Action: Tammy Diles 6. CHIEF EXECUTIVE S REPORT Dr. Gordon Coutts updated the Members Council regarding the recruitment process for the three director posts - Chief Information Officer, Director of Operations and Director of Finance. He confirmed that there had been a good level of interest and he had spoken to several potential candidates. Dr. Coutts briefed the council on the first of the birthday lunches that he had launched as an engagement initiative for him to speak directly with staff. He felt the first event had been very successful with over 70 members of staff attending. Page 2 of 6

3 Dr. Coutts discussed delivery across the board and the improvement in performance measures for the hospital. He had been at the SHA on Wednesday 17 November with members of his team and the PCT presenting the health economy QIPP Programme and in discussion with the SHA a number of areas of excellent trust performance had been identified, including: The Trust had out performed the National and East of England figure for Emergency Admissions Readmission rate was at 4.6% which puts the Trust at 35 th in the Country Costs of Accident and Emergency provision puts the Trust in the top 20 in the country For length of overall stay the Trust was 32 nd in the country Day case rates had moved up 10 points over the last year to 79% and the latest figures improved further to 82% These measures of performance were important in assessing our performance against others and in assessing the overall efficiency and effectiveness of the hospital. Dr. Coutts updated the members on the monthly meetings with the external partners. The Chief Executive and Chair of the PCT are now meeting monthly with himself and the Trust Chair. On Monday 15 November a joint workshop of senior managers and clinicians from the Trust and PCT had taken place to look at the emergency pathway to work on a more efficient pathway across primary and secondary care. Dr. Coutts spoke about the Trust response to the Gt Bentley Incident which had resulted in the Trust implementing the Major Incident Procedure. He reported that the staff had responded incredibly well in ensuring that all patients were dealt with in a timely manner. Cllr. McWilliams stated that this was her constituency ward, and she had received very positive feedback from the patients admitted concerning the hospital s response to the incident. Mrs. Smith also stated that she had received feedback from some of her friends who had been admitted and they had told her that they had been treated very well. Mrs. Smith asked for her thanks to the Trust to be noted. Concerns were raised regarding the Trust s relatively small surplus. Dr. Coutts stated that the estimate for the year would be 1.8m surplus and there would need to be constant attention to maintain and improve on this. However the Trust was still in a very strong position. Discussions took place regarding the overall content of the CE report and the need for more detail in relation to Clinical Governance HSMR and risks. It was agreed that the Members Council should receive the Board risk report. Action: Dr. Coutts The governors expressed concern regarding HSMR rate and Dr. Coutts explained how this figure was compiled. This is a data model used by Dr. Foster, which allows comparison of hospital death rates across the country. The comparison methodology takes into consideration age, deprivation and disease. Historically Page 3 of 6

4 (2008 and 2009) this Trust has had a high HSMR, but in 2010 it was below the 100 average, at In July and August this year the one month HSMR was above average, which has had the effect of moving the overall HSMR to slightly above average nationally. The Chair stated that a huge amount of work was being carried out at clinical level to understand the trends and it was very reassuring to see the level of investigations that were taking place to ensure the Trust delivered below average. a) Chief Executive Report to contain snapshot view of risks. A template of his report to be circulated to Governors before next Members Council meeting for comment. b) That the Members Council noted the report of the Chief Executive. 7. MEMBER ENGAGEMENT PANEL REPORT Mr. Baker updated the Members Council on the work of the member engagement panel and the work that was planned for the future. Mr. Baker stated that the panel felt that the Health Talks were an excellent way for the governors to engage with the public members. Mr. Baker requested that all governors send a list to Tammy Diles, Foundation Trust Officer of any local events with which they are involved. He reported that Ray Cole, public governor, Colchester and Tammy had attended Colchester Rotary Forum which had proved to be very successful. Mr. Baker spoke about the proposal that the Members Council Meeting taking place in May 2011 should to be held in Clacton. Discussions took place around the feasibility of holding this within the constituency as when this was tried before this had proved to be a costly event with very little attendance from the public. It was agreed that this would be a trial event. It was agreed that the May meeting should form part of a wider engagement event in Clacton. Mr. Baker stated that the schedule for fifteen Health Talks next year is in the process of being finalised and that it would incorporate holding them out in all the constituencies including GP surgeries. It was agreed that a further engagement event needed to take place possibly in Jaywick. The health talks had again proved to be very successful. That the Members Council noted the update. Action: Tammy Diles 8. GOVERNOR ELECTIONS APRIL 2011 Mr. Chatten reminded the members that the term of office of elected governors would be coming to an end in April 2011, at the conclusion of a three year term. Mr. Page 4 of 6

5 Chatten reported the election timetable and confirmed that the Trust would be using AEA for the election administrators. Mr. Chatten reported that Monitor had approved the changes to the constitution in relation to splitting the Rest of Essex and Suffolk constituency. He explained that the Trust would be running a number of So you want to be a Governor events and that if any elected Governors decided not to stand for another term of office, then the Trust would like their support in this interest raising stage. Governors who were intending to stand for re-election could not be involved in this type of event as it might be construed as giving then an unfair advantage in the election. Discussions took place around the relative merits and demerits of running hustings in each constituency. This might prove to be a very complex process depending on the numbers of candidates standing. After considerable debate it was agreed that the Chair as the Returning Officer would consider all options and decide.. Concerns were raised regarding the constituency of Staff Support, There were 1698 members with one elected governor. It was agreed that this should be addressed with Monitor to see if the Trust could change this to two Governors. Action: Nick Chatten a) That Monitor be contacted to see if the changes to the constitution could be made to include another staff governor for support staff. b) That the Members Council note the report. 9. NED APPRAISAL TIMETABLE The Chair informed members of a date change for the Members Council for nominees to discuss the Chair s progress against objectives. This would be brought forward from 18 May 2011 to week commencing 21 March so the existing Council would deal with it. a) That the Members Council noted change of date and agreed the proposed timescales. 10. APPOINTMENTS & PERFORMANCE COMMITTEE a) Appointments & Performance Committee Meeting held on 20 September That Members Council received and noted Appointments & Performance Committee Minutes held 20 September Page 5 of 6

6 b) Joint meeting of the Appointments & Performance Committee and the Nominations Committee meeting held on 28 October That Members Council received and noted joint meeting of the Appointments & Performance Committee and Nominations Committee Minutes held 28 October ANY OTHER URGENT BUSINESS Mr. Ferneyhough stated that the Council needed an update on the strategic direction of the Trust. It was agreed that a workshop would be held at the next Members Council meeting. The Chair stated that the board would be attending an away day next week to review the strategy and plans of the hospital. The plan was to complete a presentation to Members Council around the national and regional changes and how the Trust would be working in the future. A planning workshop involving governors would be held on 14 February 2011 Action: Nick Chatten 12. DATE OF MEETING The Chair asked the Members Council to note the date of the next meeting and thanked all members for attending.. Page 6 of 6