CALDERDALE AND HUDDERSFIELD NHS FOUNDATION TRUST

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1 CALDERDALE AND HUDDERSFIELD NHS FOUNDATION TRUST Minutes of the Board of Directors Meeting held on Thursday 20 December 2007 in the Boardroom, Calderdale Royal Hospital PRESENT: Mr S Sharma (Chair) Mr M Brearley Mr G Caddock Mrs C Clark Mrs A Fisher Miss J Hull Mrs L Hill Mr B Jones Dr Y Oade Mr M Naeem Mrs H Thomson Mrs D Whittingham IN ATTENDANCE: Miss K Bray, Board Secretary Mrs C Hirst, Communications Manager 116/07 APOLOGIES There were no apologies for absence. 117/07 MINUTES OF THE LAST MEETING The minutes of the last meeting held on 29 November 2007 were accepted as a correct record. 118/07 MATTERS ARISING There were no further matters arising to note. 119/07 CHAIRMAN S REPORT Mr Sharma updated the Board on his progress in meeting with staff within the Trust and wished to give thanks to everyone for giving up their time. 120/07 CHIEF EXECUTIVE S REPORT Diane Whittingham reported that a successful visit had recently been made by the CNST (clinical negligence scheme for trusts) Accreditation Team and level 1 accreditation had been awarded. Following reconfiguration it was expected that the Trust would then be in a position to apply for Level 2. She also reported that the Trust was awaiting final validation following a recent HCC (Healthcare Commission) review of Maternity Services although it had been indicated that the Trust would receive an excellent rating for our services. The Board wished to pass on their congratulations to staff for their achievements. 1

2 121/07 PERFORMANCE REPORT Lesley Hill outlined the content of the latest performance report for the period 1 April to 30 November This included the Trust s assessment of compliance against the 24 Core Healthcare Standards. Performance against all 11 of the Existing National Targets showed strong performance. Of the New National Target Indicators for 2006, 11 of the 13 showed strong performance. Within these indicators the areas showing cause for concern were noted and discussed:- C-diff ( in full) In November there were 22 cases of C-diff reported. The year to date figure is 147 against a target of 204. A number of additional measures were being put in place. MRSA In November there were 3 cases of MRSA reported. The year to date figure is 24 against a target of 15. Progress against the Trust Infection Control Action Plan was discussed and noted. Other areas discussed included:- Cancer waiting times congratulations to staff in continuing to work to deliver the targets A/E less than 4 hour waiting It was noted that the Trust had breached the Monitor rolling 4 week target, achieving only 97.63% of the 98% target for the week ending 2 December Extra actions had been put in place to monitor the situation and this would be included in the next quarterly return to Monitor. The reasons for the breach at HRI were noted which were due to planned partial implementation of reconfiguration of services which reduces bed capacity on the HRI site and increased unplanned activity. It was envisaged that this problem would be alleviated after the winter months and by next autumn when the reconfiguration of services is complete this would create additional beds on the HRI site. GUM Services indicative target. Problems arising from singlehanded consultant with increased demand were noted and it was agreed that the Board would acknowledge their thanks in writing to the Consultant concerned. ACTION: SS/KB a. Monitoring of Waiting Time Internal Milestones 2007/8 The information contained within the report regarding the monitoring of waiting times by March 2008 for people waiting for appointments in Day case and Inpatients, Outpatients and Diagnostics were received and noted. b. 18 Weeks Monitoring Report It was noted that this report had been circulated to Board Members. The content of the report identifying the % of patients 2

3 treated/referred for admissions and non-admissions was discussed. The progress made was recognised and the risks associated with achievement of this target were discussed. The Board received and accepted the contents of the Performance Report 122/07 FINANCE REPORT Mark Brearley presented the Finance report for the period ending 31 November The report provided the following key points which were noted and discussed:- - A favourable variance of 1,147k from the budgeted (and planned) income and expenditure position at the end of November 2007; - CRES schemes had delivered 4.3m of savings in this financial year which is at planned levels; - The planned income and expenditure surplus for the year is forecast to be achieved; - The Trust has a cash balance of 15,0m which is 7,9m above plan; - The risk rating for the financial position to the end of November 2007 is 4, which is above the planned level of 3 due to the strong performance highlighted above. Diane Whittingham reported that following discussions with Divisional staff over the last few weeks it would appear that some staff in the Trust are not familiar with the new financial regime we are working in and consequently the need for the trust to generate surpluses to support future capital investment is not fully understood. The provision of information for staff to enable them to understand the need for the organisation to create surpluses for future investment was noted. It had been agreed by the Executive Board to look at this early in the new year to assess the process and staff perceptions. The Board received and accepted the contents of the Finance Report 123/07 CHARITABLE FUNDS ACCOUNTS 2006/7 & ANNUAL GOVERNANCE REPORT FROM THE AUDIT COMMISSION Mark Brearley presented the 2006/7 Charitable Fund Annual Accounts, which had been discussed in detail and agreed at the Audit Committee held on 11 December The Board noted the financial performance of the Charitable Funds Accounts, which would be submitted to the Charities Commission after audit. The content of the Draft Annual Governance Report Audit 2006/7 prepared by the Audit Commission was noted and delegated authority was agreed for the Chief Executive to sign the letter of Representation. 3

4 The Board agreed to adopt the Annual Accounts of the Charitable Funds and to delegate authority to the Chief Executive to sign the letter of Representation. 124/07 CHARITABLE FUNDS APRIL TO SEPTEMBER 2007 Mark Brearley presented the details of the Charitable Fund transactions for the 6 month period April to September The market value balance for the six month period being 2,804,312. This report had been discussed and agreed in detail at the Audit Committee held on 11 December. The movement in charitable funds were noted together with the creation of two new designated funds that had been set up:- - Crosland Moor District Nurses for the benefit of staff and patients. - Medical Day Case Unit - for the benefit of patients and staff. The Board noted the contents of the report and approved the establishment of new designated funds 125/07 STRATEGIC CLEANING PLAN BRIEFING Helen Thomson briefed the Board on the status of the Trust s Strategic Cleaning Plan. It was noted that that national specification for Cleanliness in the NHS (December 2006) had led to the development of a local Strategic Cleaning Plan by the Executive Board in August New national guidance had now been received which required this plan to be updated. It was noted that work was on going and would be reported to a future Board meeting. The Board noted the developments in the Strategic Cleaning Plan and agreed to receive an update at a future Board Meeting. 126/07 FAST TRACK ITEMS The following Fast Track items were received and noted:- a. Children Safeguarding Committee Minutes b. Medicines Management Committee Minutes /07 ANY OTHER BUSINESS a. Declaration of Interest Mr Sharma reported that he had been appointed as Director and Chairman of the Shaw Trust International Partnerships, trading in Poland and Romania. This had been included on the register of interests. 4

5 128/07 DATE AND TIME OF NEXT MEETING Thursday 31 January 2008 at 2.00 pm in the Boardroom, Huddersfield Royal Infirmary. The Chair thanked everyone for their attendance and contribution and wished everyone a merry Christmas and happy New Year before formally closing the meeting at 3.20 pm. 5

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