Welcome to the Isle of Wight NHS Trust Board Meeting in Public 7 th - - PowerPoint PPT Presentation

Welcome to the Isle of Wight NHS Trust Board Meeting in Public 7th September2016

9:30 – 13.00

1 1 1 1.

. . . Apologies for Absence

• Confirmation of Quoracy
• Declarations of Interest
• Declarations of Interest

• 2. Minutes of Previous Meeting:

: : :

• Approval of 1st June 2016 Minutes
• Approval of 6th July 2016 Minutes
• Review Schedule of Actions

• 3. Chairman’s Update

4 Chief Executive’s Update

National:

• Sustainability and

Transformation Plans (STP)

• Regional.
• The Solent Deal
• Local
• My Life a Full Life
• In-patient Survey
• Chaplaincy Report
• System Failure

10,000 Step Challenge

Chief Executive’s Update

• The Solent Deal

(Devolution)

• Solent Acute Alliance
• 10,000 Step Challenge
• Appointments
• Visits
• iWantGreatCare

• 5. QUALITY

(Patient Safety, Experience & Clinical Effectiveness)

5.1 Patient Story 5.1 Patient Story Click here

Summary of Story:

Pathway of care post accident – Ambulance – community care

Positive

• Prompt response by Ambulance
• Ward was amazing – worked like

clockwork, very professional

• Nurses and doctors were

Negative

• No neck brace
• Long wait in ED
• Access to physio post discharge
• Late notice cancellation

9

• Nurses and doctors were

supportive

• Bed found
• 111 Service efficient
• Phlebotomist was able to explain

what was happening – provided coping skills

• Late notice cancellation
• No dialogue on discharge – did not

feel ready

• District Nurses could not take BP or

temperature

• Shoulder not looked at – pathway

not clear

• Community care – not proactive –

not clear of how to access support

Actions taken:

– Film has been shared with the relevant staff. http://intranet.iow.nhs.uk/home/corporate- support/patient-safety-experience-clinical- effectiveness/patient-story-videos – Alverstone Ward would like to invite the patient in to – Alverstone Ward would like to invite the patient in to hear about her experience – Ambulance Staff have reviewed the clinical pathway – the notes clearly state that a full assessment was undertaken, patients did not require immobilisation, and no injury was sustained to C Spine or back. – The use of patient information packs is being reviewed

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5.2 Quality Governance Committee Chair Report

5.3 Quality Improvement Plan Monthly Update Update

5.4 Reports from Serious Incidents Requiring Investigation (SIRIs)

5.5 Safer Staffing Monthly Report

5.6 Pressure Ulcer Prevention 6 Monthly Report

6. Strategy & Planning

6.1 Strategy Update

Strategy Update

• Trust Strategy

– Objectives for the remainder of 2016/17 are being finalised to support delivery of strategic priorities and goals. – Objectives aligned with STP, MLaFL and turnaround programme however interim capacity to support delivery is currently being reviewed. – Business planning for 2017/18 is due to commence in September 2016 with Directorates.

• MLaFL and Whole Island System Redesign (WISR)

– NHS England feedback on WISR requested further work on how the vision will be realised, the case for change and the expected impact. NHS England feedback on WISR requested further work on how the vision will be realised, the case for change and the expected impact. – Revised governance structure with MLaFL Operational Delivery Group picking up the oversight of MLaFL programme delivery. – MLaFL programme team to collocate with the Trust’s Programme Governance Office.

• STP

– Refreshed financial plan to be submitted 16 September 2016 with full STP resubmission on 20 October 2016. – The Acute Alliance is taking forward the unsustainable service reconfiguration and the review of back office functions and pathology services.

6.2 Principal Risk Register (Board Assurance Framework) (Board Assurance Framework)

7. Performance

7.1 Finance, Investment, Information & Workforce Committee Chair Report

7.2 Performance Report

7.3 Chief Operating Officer’s Report

8. Governance

8.1 Terms of Reference

8.2 Top key Issues & Risks from Sub-Committees

8.3 Audit & Corporate Risk Committee Annual Report 2015/16

8.4 Annual Audit Letter 2015/16 & Quality Account Report 2015/16

8.5 Statutory & Formal Roles

• 9. Partnership Working
• 9. Partnership Working

9.1 Partnership Update

Health and Social Care Integration Update

Shaun Stacey Claire Foreman Claire Foreman

• 1. Developing Our Vision for

Integration – Three workshops held.

• 2. Transforming Community Services Proposal:

Acknowledging Interdependencies

• 1. Implementation of locality governance and
• rganisational structures
• 2. Implementation of integrated locality services
• 3. Implementation of case management of
• 3. Implementation of case management of

those at risk

• 4. Review of existing co-ordination provision in

each locality

• 5. Development of community resilience and

community assets in each locality

• 3. Locality Vision

To bring a valued and skilled workforce together with the community, and empower local people to be active participants, maintain independence and lead full and healthier lives.

Features

• Safe Quality Care
• Prevention and Early intervention
• Prevention and Early intervention
• Locality Accountability.
• Touchdown Centres.
• A local Identity with valued Staff
• Right person delivering care
• Person Centred
• Multi disciplinary working, case load management
• Using Information to focus limited resources
• Strong link to local people and general practice
• Devolved budgets
• Technology as default
• Team around the person paramount

Co-ordinator Co-ordinator

Independen t Sector Care

• 4. Role out plan
• 1. Co – location
• 2. Shared systems and processes
• 3. Integrated Management
• 3. Integrated Management

Co – location Now – Dec 16 Share Systems Nov 16 –Mar 17 Integrated Management Jan – Dec 17

• 5. Challenges / Opportunities
• There is strong staff support for these changes
• The work fits well with MLAFL programmes of change
• The Trust will need to consult on changes to the

Ambulance Urgent and Community business unit to create three localities and a remaining Ambulance create three localities and a remaining Ambulance and Urgent Care Business unit. Potentially in October.

• Co-location will require appropriate accommodation
• Clear Governance arrangements will be required
• Both organisations will need to achieving change

whilst delivering day to day operational work

Health and Social Care Integration Update QUESTIONS

• 10. Any other business
• 10. Any other business

• 11. Questions from the Public
• 11. Questions from the Public

• 12. Issues to be covered in private
• 12. Issues to be covered in private

• Full

Full Full Full Board Meeting Board Meeting Board Meeting Board Meeting

Date and time of next meeting in PUBLIC

Wednesday 5th October 2016