GREAT WESTERN HOSPITALS NHS FOUNDATION TRUST

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1 Meeting and date: TRUST BOARD 31 May 2012 Title: Summary of paper: Chief Executive s Report This report provides members of the Trust Board with information on some of the latest developments within the Trust and other topics relevant to the business of the Board. Senior changes within the Trust The paper provides an update on recent senior staffing changes within the Trust including the retirement of the Director of Nursing and Midwifery and the appointment of a Director of Strategy. The Trust placed in the top three places to work in the region At a recent presentation of the regional staff survey results by the SHA, the Trust was placed in the top three Trusts to work for in the region which is positive news for both staff and patients. Update on the NHSLA process - The Trust passed Level One of the NHSLA process which took place earlier this month. We are awaiting the final report from the NHSLA and will use the report to inform decisions about progressing to Level Two in due course. Using our resources more efficiently Following the update on ward reconfigurations last month, the paper outlines the changes that have taken place during May specifically; the move back to Falcon for the Stroke Unit and the move from Teal to Mercury for diabetes and endocrine patients and the reduction of the remaining beds on Teal. These changes support our efforts to use our resources more efficiently and to continue the ward refurbishment programme that is currently underway. Update on the GMB and Carillion dispute The paper provides a brief update for the board on the ongoing dispute between the GMB and Carillion. Carillion have confirmed that the investigation into the collective grievance raised by staff is due at the end of this month whilst the investigation into the individual grievances is expected at the end of June. The GMB called a further day of strike action on Wednesday 16 th May which involved GMB staff driving around the hospital site broadcasting music over a tannoy. We received complaints from patients and staff on the wards due to the disturbance caused. Changes locally and nationally Dr Stephen Rowlands, NHS Wiltshire Medical Director and a GP based in Trowbridge has been appointed as the Chair of Wiltshire CCG whilst Deborah Fielding a former PCT Director has been appointed as the Accountable Officer. Appointments have also been made to the posts of Regional Directors of the National Commissioning Boards. Andrea Young, currently Chief Operating Officer and Deputy Chief Executive of South of England SHA will be the Regional Director of the South of England. National Information Strategy announced Finally, there is a brief overview of the contents of an information strategy that has been published 1

2 by the Government entitled The power of information. The strategy is designed to open up information to support informed decision making by patients and users and also to provide new ways for users to interact with the NHS i.e. through online bookings. Recommendations/ decisions required: Link to strategic objectives: (a) that the report of the Chief Executive be received; and (b) that the Board formally records the resignation of Sue Rowley as Director of Nursing and Midwifery. To deliver consistently high quality, safe services which deliver desired patient outcomes and we will perform in the top 25% (upper quartile) of comparable Trusts in delivering HSMR, Patient Satisfaction and Staff Satisfaction. To improve the patient and carer experience of every aspect of the service and care that we deliver. To ensure that staff are proud to work for the Trust and would recommend the Trust as a place to work, and to receive treatment. To secure the long term financial health of the Trust. To adopt new approaches and innovation to improve services as healthcare changes whilst continuing to become even more efficient. To work in partnership with others so that we provide seamless care for patients. Resource Implications: (financial / human / other resources) Regulations and legal considerations: (CQC considerations / Monitor requirements / link to NHS Constitution rights and pledges as necessary / Trust Constitution / legislative requirements) Quality consideration and impact on patient and carers: Consultation/ Communication: Risk issues: None None None Not applicable The report provides an update on the ongoing employee relations issue between Carillion and the GMB. Robust contingency plans are in place to mitigate any risk this poses to patient care. The report also identifies some changes to the bed base within the Trust and 2

3 plans are in place to minimise disruption for patients and staff. Confidentiality: This report does not contain any confidential information. Equality Impact Assessment: Great Western Hospitals NHS Foundation Trust aims to design and implement services, policies and measures that meet the diverse needs of its service, population and workforce, ensuring that none are placed at a disadvantage over others. This report has been assessed against the Trust s Equality Impact Assessment Tool. Name of Lead Nerissa Vaughan, Chief Executive 3

4 1. GOVERNANCE ISSUES 1.1. Senior changes within the Trust Director of Nursing and Midwifery Sue Rowley has decided to take early retirement from the post of Director of Nursing and Midwifery following her recent wedding. Sue has worked with the Trust for many years in a number of different roles and I am grateful for her contribution during her time working here. The process to find a suitable replacement has begun so that there is no delay in recruiting to this important post. The role will be changing to Chief Nurse so that we focus on nursing standards and improving the patient experience. Until a substantive appointment is made, we have secured the support of Hilary Walker, an experienced Director of Nursing from the West Midlands to work with us from 28 th May for a period of eight months. Hilary has extensive experience in hospital and community services which will be very useful to us in the months ahead. Director of Strategy Following the departure of Helen Bourner, Director of Business Development in early April, interviews were held last month for a Director of Strategy. This post is designed to help the Trust deliver all of the benefits of the merger with Wiltshire Community Health Services so that we are able to meet the challenges of the years ahead. This post will play a key role in transforming the way in which our services are designed and delivered so that patients experience more joined up care across the service. Following the interview process, I am pleased to report that Simon Cook has been offered and accepted the post and will be joining us on 2 nd July. Simon has worked in a number of roles in the NHS including a similar post at the Acute Trust in Leicester and I am looking forward to working with him in the years ahead The Trust placed in the top three places to work in the region Following a recent presentation at South West SHA of the regional staff survey results, I am pleased to report that the Trust was named as one of the top three places to work in the region. Board members will have received a presentation previously about the results showing we were in the top five and this latest analysis by the SHA now confirms we are in the top three. This is good news for staff and our patients as a more engaged and motivated workforce provides better patient care and our job over the coming year will be to maintain these positive results Update on the NHSLA process The Trust passed Level One of the NHSLA process which took place earlier this month. We are awaiting the final report from the NHSLA and will use that to inform decisions about progressing to Level Two in due course. My thanks go to everyone involved in the process to help achieve this standard. 4

5 2. OPERATIONAL ISSUES 2.1. Using our resources more efficiently ward changes The Board was updated last month on planned changes to a number of wards to support our work to use resource more efficiently and the ongoing ward refurbishment programme. These changes are now well underway and a number of changes have taken place this month. Specifically, the Stroke Unit moved back from Mercury to its permanent home on Falcon and 18 beds for Diabetes and Endocrine patients on Teal were moved to the vacated space where Mercury (Stroke) was housed, whilst the remaining 18 beds will be removed. Mercury (Cardio) will now revert back to Mercury ward Carillion employee relations issue update The investigation by Carillion into the grievance raised by a number of GMB housekeeping staff is due to be completed by the end of May with the investigation into individual grievances due at the end of June. Earlier this month on 16 th May, the GMB held a further day of strike action on the GWH site. There was no impact on the operation of the hospital, however the GMB broadcast loud music over the a tannoy whilst driving around the site. The Trust received a number of complaints from patients, relatives and staff on wards including SCBU and ICU. Carillion have written to the GMB reminding them of the agreement in place for pickets to ensure the nuisance caused to patients is not repeated. This latest strike action followed a letter sent by Carillion to their staff updating them on the interim findings from the investigation into staff concerns prior to the final findings at the end of the month. 3. NATIONAL AND LOCAL ISSUES 3.1. Chairman of Wiltshire Clinical Commissioning Group (CCG) appointed It has been announced that Wiltshire CCG has elected Dr Stephen Rowlands as its Chair and is in post with immediate effect. Dr Rowlands has been the Medical Director of Wiltshire Primary Care Trust since April 2011 and, alongside his work with the emerging CCG, has been a Senior Partner GP with the Bradford Road surgery in Trowbridge since His role as Chair to the CCG will be an interim post until March Accountable Officer for Wiltshire CCG Appointed It has also been announced that Deborah Fielding has been appointed to the role of Interim Accountable Officer to the Wiltshire CCG. Deborah s previous roles include Director of Strategy and Partnership at South East Essex PCT and Deputy CEO of NHS Havering. Deborah s role in the CCG will involve strategic leadership and management, working closing with the CCG Chair, Dr Stephen Rowlands and the Wiltshire CCG Group Directors. 5

6 3.3. NHS Commissioning Board Four Regional Directors have been appointed to the NHS Commissioning Board. They are: Regional Director, North of England Regional Director, Midlands and the East Regional Director, London Regional Director, South of England Richard Barker currently Chief Operating Officer, NHS North of England Dr Paul Watson currently Chief Executive, NHS Suffolk Dr Anne Rainsberry currently Chief Executive, NHS North West London and Deputy Chief Executive, NHS London Andrea Young currently Chief Operating Officer / Deputy Chief Executive, NHS South of England The four Regional Directors will be part of the senior leadership team reporting directly to the Chief Operating Officer. The Regional Directors will provide strategic leadership for the NHS Commissioning Board across the region, including co-ordination and oversight of local area teams Government announces a new information strategy Earlier this month the Government announced a new Information Strategy entitled The power of information. This strategy is designed to open up more information to the public to support informed choices and open up information to the consumer groups and businesses so that new applications and websites can be provided to the public. The strategy also aims to place online many of the current processes patients have to go through such as booking appointments, repeat prescriptions and patient records by This work will clearly have a direct impact on our approach to IT and information going forward. A copy of the strategy can be downloaded from here: Nerissa Vaughan Chief Executive 6