Minute of the above meeting held at 09:30am on Thursday 22 February 2018 in the Board Room, Kings Cross, Dundee

Transcription

1 Item 6 Minute NHS Tayside TAYSIDE NHS BOARD Minute of the above meeting held at 09:30am on Thursday 22 February 2018 in the Board Room, Kings Cross, Dundee Present Non Executive Members Dr A Cowie Mr D Cross, OBE Mrs L Dunion Mr S Hay Mr M Hussain Dr R Peat Mr H Robertson Mrs A Rogers Professor M Smith, OBE Mrs S Tunstall-James Executive Members Mr L Bedford Mrs G Costello Ms L McLay Professor A Russell Dr D Walker Apologies Professor J Connell Mr T Gaskin Mrs J Golden Councillor K Lynn Councillor C Reid Councillor D Wann In Attendance Mrs J Alexander Mr G Doherty Ms M Dunning Mrs A Hodge Miss D Howey By Invitation Mrs V Irons Vice Chair, Tayside NHS Board Director of Finance Nurse Director Chief Executive Medical Director Director of Public Health Chairman, Tayside NHS Board Chief Internal Auditor, FTF Audit Services Employee Director, Tayside NHS Board Partnership Representative Director of Human Resources and OD Board Secretary Committee Support Officer Head of Committee Administration Chief Officer, Angus Health and Social Care Partnership (for item 11 ) Mrs L Marley General Manager, Directorate of Public Health ( for item 14 ) Dr D Richards Consultant in Dental Public Health (for item 12) Ms L Wiggin Chief Operating Officer, NHS Tayside (for item 5) Mr M Wright Chief Executive, NHS Grampian and North of Scotland (for item 14) Mr S Hay in the Chair 122

2 ACTION 1. APOLOGIES The apologies were as noted above. 2. CHAIRMAN S WELCOME AND INTRODUCTION Mr Hay welcomed everyone to the meeting. He advised that this was the last full Board meeting that Mrs Rogers, Professor Smith and Mrs Tunstall- James would attend. Mr Hay advised that Dr Walker had requested that Item 14 Health Promoting Health Service (HPHS) Action in Secondary Care (BOARD14/2018) was moved to Part A for discussion. The Board agreed to this course of action. 3. CHIEF EXECUTIVE S UPDATE The Chief Executive gave an overview of winter performance. It was noted there had been planned reduction in elective care which had been integral to the preparedness for winter and the anticipated increase in admissions. It was noted there had been increased emergency department attendance at both the Ninewells and Perth Royal Infirmary sites. There had a been negative effect on the 4 hour waiting times target due to the high level of acute admissions for trauma and influenza. The 4 hour waiting times target was recovering and 96% has been achieved since late January/ early February The Chief Executive extended thanks to all staff who worked tirelessly to deliver care and maintain continuity of service to patients during this period of increased demand for the service. The Chief Executive reported that the Shaping Surgical Services business case had been approved and was with Scottish Government for approval. The Chief Executive extended thanks to the teams who supported the Mental Health and Learning Disability Service Redesign Transformation Programme that was approved by the Perth and Kinross Integration Joint Board on 26 January The Board noted there has been a very positive response to the request for nominations for STAR awards this year. There were 700 nominations this year compared to 400 nominations last year. The awards ceremony will be held in April It was noted that the Assurance and Advisory Group (AAG) report was to be published on Friday 23 February. This was an item for discussion later in the agenda. The Chief Executive asked the Medical Director to provide an update on the recent Sheriff determination on 5 February 2018 in relation to the Fatal Accident Inquiry (FAI) into the death of Baby N. 123

3 The Medical Director advised that an assurance report would go to the Care Governance Committee about this determination. It was noted that this event had taken place in 2012 and many changes had been made to the clinical practice since then. The Board noted the Chief Executive s update and the update from the Medical Director 4. Minutes Minute of the meeting held on 7 December 2017 The minute of the meeting held on 7 December 2017 was approved on the motion of Mr D Cross and seconded by Mrs L Dunion. Minute of the meeting held on 16 January 2018 The Nurse Director requested the following additions to the minute: Page 113 Item 4, paragraph 10: The Nurse Director noted that the review had been people focused; on individual needs, whether in a person's home, in hospital or support required within their local community. The new models of care would require transformation for some professional roles and provide career pathways for future workforce needs. The Nurse Director noted her confidence in the consultation and gave her support to the report. Page 114, Item 4 Mr Robertson requested the following amendment: Recommendations In terms of feed back to the Perth and Kinross Integration Joint Board, the following points were highlighted: Second bullet point In improving community services consideration should be given to parity in Angus. Page 119, Item 5, Discussion Points, first bullet point: In respect of delivering and sustaining the nursing model, it was noted that staff engagement sessions had been held on elective and unscheduled staffing. The workforce model had been modelled with Associate Nurse Director support to ensure professional leadership and advice. Further staff engagement sessions were to be held and once the new service was embedded the workforce tools would be rerun. An assurance was given there would not be a diminution of clinical practice skill mix for nursing services. The minute of the meeting held on 16 January 2018 was approved subject to the amendments highlighted on the motion of Mrs Rogers and seconded by Dr Peat. 124

4 5. ACTION POINTS UPDATE The action points update was noted and discussed. 6. OTHER MATTERS ARISING There were no other matters arising. 7. COMMITTEE CHAIRS ASSURANCE REPORTS Audit Committee (BOARD3/2018, BOARD8/2018) Mr Hay advised at the meeting held on 14 December 2017 the Committee: Discussed T22/17: Financial Planning and Management Progress Update and T28a/16 Property Assets Update Approved the Risk Management Mid Year Report and Key Performance Indicators (KPIs) Agreed two models of governance should operate in NHS Tayside in respect of the Integration Joints Boards. Work was required to update the governance arrangements to be put in place The meeting held on 11 January 2018 was a single item agenda focused on Internal Audit report 2017/18-T08/18 - Interim Evaluation of Internal Control. Mr Hay acknowledged the positive and constructive discussion with colleagues at this meeting. Noted the update provided by Mr S Hay, Chair, Audit Committee Clinical and Care Governance Committee (BOARD4/2018) Mrs Rogers highlighted the following: The main focus of the meeting held on 14 December 2018 was consideration of the feedback from the Mental Health and Learning Disability Service Redesign Transformation Programme consultation feedback. The Committee discussed the first draft of the Mental Health Services Improvement Plan and agreed to receive this report at every meeting. At the meeting held on 8 February 2018 all strategic clinical risks were discussed and with little change noted. There was a likelihood that risk 22; Children, Young People and Families would be archived and the Committee made the decision to wait until the Perth and Kinross Children s Inspection report was received. Mrs Rogers advised that in respect of the Managed 2c Practices risk, she had received assurance from Dr Watts regarding the recruitment to administration posts at Lochee Health Centre in Dundee. A report was 125

5 also requested from Ms Irons regarding primary care services for a future meeting. The Committee also had acknowledged the contribution by NHS Tayside staff to deliver patient care over the winter months. Noted the update provided by Mrs A Rogers, Chair, Clinical and Care Governance Committee Finance and Resources Committee (BOARD5/2018) Mr Cross advised of the following key points in relation to the meetings held on 19 December 2017(informal meeting) and 18 January 2018: Meeting held on 19 December 2017 (informal meeting): This meeting was held to provide further scrutiny of the Board s financial position and the projected outturn to March The Committee received an update from the Finance Director on business planning and the budget planning process There was a presentation from the Shaping Surgical Services team prior to the case being presented to Tayside NHS Board Meeting held on 18 January 2018 The Committee noted the draft outturn based on month 9 which was 5.5 million. This represented an improved position, however, was still short of the target of 4.0 million There was no change to the strategic risk ratings for Strategic Financial Plan or Reduction in Capital TrakCare was discussed and specifically the temporary workarounds that were currently in place It was noted that the Finance and Resources Committee meeting on 8 March 2018 would be an opportunity to have a look at the budgeting and planning submissions. Mr Cross extended an invitation to all Board members to attend this meeting. Mr Cross provided an verbal update of the key points from the meeting held on 15 February 2018: The Committee considered the Children s Theatre Suite and Neonatal Intensive Care Unit (NICU) Investment Project Outline Business cases which included a detailed presentation on the project outcomes Noted a revised projected outturn of circa 5m which is 1m above the declared Local Delivery Plan (LDP) position Noted the main areas of overspend contributing to the projected 5m overspend Agreed that it would be prudent to advise the Board to authorise the Chief Executive and Director of Finance to approach the Scottish Government seeking brokerage of up to 5 million Noted the update provided by Mr D Cross, Chair, Finance and 126

6 Resources Committee Staff Governance Committee Mr Hussain gave a verbal report. He advised that NHS Tayside had been awarded the Investing in Volunteers Award and a Carers Positive Established Employer Award. 700 staff had been nominated for the STAR awards this year and an event will be held in the Apex Hotel on 19 April It was noted that Board members will be invited to attend the ceremony. Mr Hussain highlighted the contribution by the working group, short listing panels and the communications team. The Staff Governance Committee discussed the annual report 2016/17 on Employability Services noting that NHS Tayside had supported 130 people gaining work experience who traditionally that not been given these opportunities. Mr Hussain highlighted a partnership with the Princes Trust Get into Healthcare and that the graduation of the first intake would take place on 4 May 2018 in the Gannochy Theatre, Ninewells Hospital. The Committee had approved the use of the new toolkit Scorecard in respect of LearnPro. It was noted that the new TURAS system developed by NHS Education for Scotland (NES) would replace the existing eksf system on 1 April Mr Hussain highlighted that the system was more user friendly but would require effective monitoring by managers. The Attraction and Recruitment Strategy was discussed and the Committee acknowledged that this was a critical area for the organisation. The Committee adopted the Critical Incident Employee Support Policy and the Special Leave Policy. The Committee paid tribute to Mrs Pat Millar, Head of Knowledge and Skills, who was retiring at the end of February Mrs Rogers advised that the NHS Tayside Whistle Blowing Champion would update the Board on progress with any cases and at each meeting. It was noted that Mr Hussain would take over from Mrs Rogers as the Whistle Blowing Champion for NHS Tayside. Noted the verbal report provided by Mr M Hussain, Co Chair, Staff Governance Committee Transformation Programme Board (BOARD7/2018, BOARD9/2018) Mr Hay advised that the last meeting of the Transformation Programme Board was held on 1 February There had been changes made to the Transformation Programme and its supporting governance processes. Mr Wilde would give an update presentation later in the agenda. 127

7 Noted Reports BOARD 7/2018 and 9/2018 and the verbal report provided by Mr S Hay PART A Matters on which discussion is expected The Chairman highlighted that risk, the strategic risks reported to the Board and the strategic risks exceeding the risk appetite were included in Part B of the agenda. Performance 8. Forecast Outturn and Further Actions Mr Bedford acknowledged the update from the Chair of the Finance and Resources Committee on the forecast outturn as discussed at the Finance and Resources Committee the previous week. Mr Bedford advised that the Month 9 and 10 results had been considered in detail with colleagues and individual positions scrutinised. It had been agreed collectively, that whatever further risks materialised in the final two months of 2018/19, these will be mitigated through the officer action. At this stage, it had been collectively agreed that the forecast outturn would not exceed 5.0 million and there would be further activity to progress towards 4.0 million and get to the position detailed in the unbalanced Local Delivery Plan (LDP) submitted to the Scottish Government in March It was noted that discussions were ongoing with Scottish Government with regard to the Boards forecast outturn. This was an item for discussion at a performance at a performance meeting with the Scottish Government to be held in the day. Authority was requested from the Board for the Chief Executive and the Director of Finance to request brokerage from the Scottish Government of 1 million. Mr Bedford noted that through discussion and the further actions being taken to deliver a position closer to the unbalanced LDP position; a final confirmed brokerage position would be reported to the Finance and Resources Committee at its meeting on 8 March The Chair of the Finance and Resources Committee reported that the Committee had acknowledged the efforts of staff and the savings achieved to date had been exceptional. Dr Cowie wished it recorded that he did not support the request of further brokerage of 1 million from the Scottish Government. He noted that in his opinion the current level of funding from Scottish Government was inappropriate. Noted the verbal update from the Director of Finance Authorised the Chief Executive and the Director of Finance to request further brokerage of 1 million from Scottish Government 128

8 9. Corporate Financial Report for period ended 31 January 2018 (BOARD10/2018) The Director of Finance spoke to this report and summarised the key points: The level of overspend had reduced by 400,000 taking the cumulative overspend down to 6.3 million for the 10 month period. There was no significant change from the overall forecast outturn. It was noted that available Scottish Government additional resource of 600,000 had been used to offset winter pressures on the system. The Director of Finance highlighted table 10 in the report - Recurring Savings 2017/18 which showed that the current performance was below target at 36%. Mr Cross acknowledged that there had been little change in the financial position. Dr Cowie queried the level of confidence to ensure that the 5 million brokerage would not be exceeded and how it would be guaranteed. The Director of Finance advised that the Chief Executive and Directors had a collective agreement and there were mitigating actions in place. The Chief Executive advised the Board there had been detailed and rigorous review with all budget holders which included risks assurances. It was noted there were mitigating actions against four identified high risk areas and the projected spend would not be above 5 million. All of these reviews were undertaken recognising patient safety and patient care. Mr Cross highlighted that the Finance and Resources Committee had reiterated that savings achieved had to be cognsicant of patient care and safety. Mr Hay queried the drop in senior manager numbers by 10% and if this could represent a potential risk regarding capacity and capability to deliver on agreed outcomes. The Director of Human Resources and OD advised that workforce reductions were done on a planned basis and any changes to the infrastructure were not done in isolation. He advised that the management structure and redesign would be discussed at the next Remuneration Committee meeting. Noted the current position 10. NHS Tayside Key Metrics Report (BOARD11/2018) Ms Wiggin spoke to this report. A detailed summary was provided and she and highlighted the following: The Treatment Time Guarantee (TTG) continued to be ahead of the trajectory submitted to Scottish Government. Outpatients waiting times were behind trajectory submitted to Scottish Government. With regard to eight key diagnostic tests, seven tests are ahead of the trajectory submitted to Scottish Government. There was a recovery plan 129

9 for one test; endoscopy/colonoscopy which was driving the adverse position. The Emergency Department has performed well despite challenges in December 2017 and performance was still above standard. NHS Tayside were ranked second out of the eleven non island Boards for the four hour target attainment in December Cancer waiting times were discussed and it was noted that NHS Tayside was above the 31 day performance but below the 62 day performance targets. It was noted that Child and Adolescent Mental Health (CAMHS) 18 Week Referral to Treatment (RTT) had not met the referral standard. Ms Wiggin advised that this was due to nursing and consultant capacity. The Psychological Therapies referral target was not achieved and the Board were advised that this was due to a combination of vacancies and staff sickness. There was an improvement plan in place. The most recent data to September 2017 showed that the Drug and Alcohol referral standard had not been met. Ms Wiggin indicated that this was due to capacity issues and that an improvement plan was in place. The decrease in the CAHMS performance was discussed and it was noted that interviews for Consultant posts would be held in March Additional support had been sought from other NHS Boards but had been unsuccessful. An improvement in performance was not anticipated in February and March The Chief Executive advised that a review of all systems had been requested to ensure that resources were optimised to meet the clinical need. Ms Wiggin confirmed that all referrals have a multi disciplinary team (MDT) review and all urgent referrals are identified. Systems and processes were in place to manage this risk. Dr Walker voiced concern regarding the level of drug deaths in Tayside as they were higher than anywhere else in Scotland. He advised that agreement had been reached with Dundee City Council to launch a commission to undertake a review of the implications of deaths resulting from drug use. Dr Cowie commented that the data suggested that NHS Tayside were outliers with regard to current clinical performance. Ms Wiggin responded by advising that in comparison to similar size teaching boards, NHS Tayside was performing well. Ms Wiggin referenced the previous Board decision regarding funding availability for meeting treatment time guarantees. There was a short discussion on the introduction of the socio-economic duty and the potential implications and legal responsibilities for the Board. The Director of Public Health advised there had been initial discussions and a significant development would come forward to the Board in due course. 130

10 Noted the summary update, the NHS Tayside Key Metrics Report and the update from Ms Wiggin Strategy 11. Primary Care Update (BOARD12/2018) Mrs Vicky Irons spoke to this report which outlined the progress in respect of the implementation of the recommendations in the Primary Care Strategic Framework. The report also covered the preparation arrangements for the implementation of the new General Medical Services Contract (GMS) in Scotland. In 2015, the Primary Care Strategy outlined recommendations which covered the following five key areas: Service planning Interface Infrastructure Workforce Leadership Progress with the work across these areas is supported by the three Health and Social Care Partnerships. Mrs Irons discussed the aims and implications of the new contract advising it was a significant piece of work and there was a huge challenge ahead to deploy staff, treatment and care. The Board noted the aims of the new contract for GPs included the development of Multi Disciplinary Teams (MDT) and the significant development of pharmacy, nursing and AHP workforces. It was noted that there is a 3 year improvement plan for the development of the new contract. Mrs Irons discussed access to GP services and the potential to work differently with the use of technology. It was noted there was existing work regarding the self management of care within the Health and Social Care Partnerships. The contribution from patients would be an integral part of the service design and there would be a core standard of common access. There was a short discussion on the required primary care workforce to deliver the requirements of the new GMS contract and the development of a workforce strategic risk. There was a short discussion on social prescribing and it was proposed that this be added to the Board Development Session in July Mrs Irons advised there will be a short term project management team and full communications plan to ensure that public, staff and stakeholders are aware of changes and enhancements to GP services as a result of the 131

11 new contract. The Board welcomed the new GP contract and the proposed benefits for GPs and patients. The Board acknowledged the considerable amount of work to be done ahead of the implementation of the contract and would build upon the significant work that had already been undertaken. Noted the paper and acknowledged the work already progressed as part of the wider Primary Care Strategy agreed in 2015 Recognised the key milestones required for the new GMS contract implementation Supported the continued collaboration and joint working to implement improvement plans as an integral component of wider ongoing organisational change Noted the recommendations as set out in appendix Tayside Oral Health Equity Strategy update (BOARD13/2018) Dr Walker introduced Dr Derek Richard, Consultant in Public Health who was the Lead for oral health inequalities. The Board noted; Progress was being made on the implementation of the Tayside Oral Health Equity Strategy Key programmes were in place to address the improvement aim e.g. the implementation of the Childsmile programme Progress with the Childsmile programme has become static over time and gains were marginal It was now possible to measure health equity in relation to oral health and although there has been progress there were areas of concern There was a discussion regarding the actions required to achieve the Scotland s Oral Health Improvement Plan and no specific timescales for implementation were noted. Dr Walker advised that although there were no timescales, the Public Health Department had implementation plans with local stakeholders. There was a discussion regarding the delivery of oral health promotion in prisons. The Board queried if there was data being captured from this and if there were any case studies for shared learning. Dr Richards advised of the availability of data prior to the NHS takeover of prisoner healthcare and a data comparison could be made. The Board noted there had been a training programme, Mouth Matters, developed for use in prisons. In addition to this dental health coaching sessions had been delivered. The Board noted the regular provision of regular dental services to the homeless via a mobile clinic. Noted the progress in the Implementation of the Tayside Oral Health Equity Strategy 132

12 13. Health Promoting Health Service (HPHS) Action in Secondary Care Settings (BOARD14/2018) Dr Walker and Ms Lesley Marley Public Health Directorate Manager spoke to this report. Dr Walker discussed the recent Board Development event held in January which had focused on a proactive approach to the public health agenda. The Board noted the range of achievements in 2016/17 and the recommended improvements sought in 2017/18. Dr Walker reported there had been significant achievements in relation to the concept of health improvement activity but acknowledged there was still some way to go. Mr Hussain acknowledged the positive work within the Public Health Directorate and he queried what the plans were to ensure that this work was disseminated throughput NHS Tayside. Dr Walker advised of the continued proactive approach to providing health improvement advice and highlighted the Advice Centre located in Ninewells Hospital. Dr Walker acknowledged and thanked Mr Hussain who is a HPHS Champion and Mrs Marley for leading on this initiative. Noted the Progress in the implementation of CMO(2015) 19 letter Health Promoting Health Service (HPHS) 14. Regional Discussion The Chief Executive introduced Mr Malcolm Wright, Chief Executive of NHS Grampian. Mr Wright was one of the three Regional Implementation Leads, and was Chief Executive of the North of Scotland region. Mr Wright gave a presentation to the Board North of Scotland Collaborative, Our approach in the North. The detailed presentation covered the following areas: The challenges associated with ageing population Buildings that are not fit for purpose Ongoing financial pressures The north of Scotland geography and population density The north of Scotland workforce picture Key issues regarding the supply of trained workforce and the sustainability of services Opportunities were noted as the diversification and development of existing workforce, the development of advanced and new roles and the relationships with Universities and colleges. It was noted there was a challenging financial picture with the North of Scotland revenue budget, five year efficiency targets and the requirement of significant investment for estate and IT infrastructure 133

13 Access to high quality, safe and effective care and the importance of this care being locally provided was required by the population of the region. Mr Wright outlined the extent of the North of Scotland collaboration: 6 NHS Boards, local authorities and integration authorities professional groups the opportunities resulting from collaboration the support required and engagement The presentation then focused on delivering sare and social care to the North of Scotland It was noted that a draft plan had been submitted to the Scottish Government. The Board was advised of opportunities to learn from international best practice. An example of this was a model of care in Canterbury, New Zealand. The Board noted the next steps which would involve : The engagement and development of plan the by the end March 2018 Full discussion at health boards, integration authorities and local authorities during April and May 2018 Implementation of action and building the momentum of change, which was ongoing The Board thanked Mr Wright for his presentation and noted that Regional Planning would be discussed at a future Board Development Session PART B Other matters for note, information, reading Risk 15. Board Assurance Framework/Strategic Risk Profile (BOARD15/2018) Noted the Board Assurance Framework which included the Strategic Risk Profile and individual risk reports from DATIX Agreed the revised model for alignment of Strategic Risks to the Standing Committees/Integrated Joint Boards Noted the updates in respect of the Capacity and Flow and Maternity Services Strategic Risks and general risk management 16. Strategic Risks reported to Tayside NHS Board The Board noted the following: Waiting Times and RTT Targets (BOARD16/2018) NHS Tayside Estate Infrastructure Condition (BOARD17/2018) 134

14 Sustainable Primary Care Services (BOARD18/2018) 17. Strategic Risks exceeding risk appetite The Board noted the following: Infection Management (BOARD19/2018) Capacity and Flow (BOARD20/2018) Strategic Financial Plan (BOARD21/2018) Medical Workforce (BOARD22/2018) Nursing and Midwifery Workforce (BOARD23/2018) Mental Health Services Sustainability of Safe and Effective Services (BOARD24/2018) Managed/2c Practices (BOARD25/2018) 18. Governance Schedule of Meetings 2018/19 (BOARD26/2018) Approved the Schedule of Meetings for the Board and its Committees for 2018/2019 Updates to NHS Tayside Code of Corporate Governance (BOARD27/2018) Approved the amendments and updates to the Code of Corporate Governance as detailed in appendix 1 Noted and approved the further amendments made to the Committee Structure following the report submitted to the Board on 7 December 2017 (Report BOARD/165/2017 Changes to NHS Tayside Committee Structure) HAI control in Tayside for November and December 2017 (BOARD28/2018) Report BOARD28/2018 was noted for information. 19. Record of Attendance The Record of Attendance was noted for information. 20. Minutes The following minutes were noted: Finance and Resources Committee 16 November

15 Clinical and Care Governance Committee 14 December 2017 Transformation Programme Board 20 December 2017 Awaiting Committee Approval Audit 14 December 2017 Audit 11 January 2018 Finance and Resources Committee 18 January 2018 RESERVED BUSINESS 21. Reserved Minute of meeting of 7 December 2017 The Reserved Board minute of 7 December 2017 was approved. 22. Reserved action points update There was no reserved action points update. 23. Committee Chairs Assurance Reports Remuneration Committee (BOARD29/2018) The Board noted Report BOARD29/2018. Area Clinical Forum The Board noted the verbal report from Dr A Cowie. PART A Matters on which discussion is expected The Board agreed to take the discussion on the Assurance and Advisory Group recommendations update at the end of the meeting. 24. Ninewells Infrastructure Project Outline Business Case (BOARD30/2018) The Board approved the recommendations as outlined in Report BOARD30/ Children s Theatre Suite Outline Business Case (BOARD31/2018) The Board approved the recommendations as outlined in Report BOARD31/ Neonatal Intensive Care Unit (NICU) Outline Business Case (BOARD32/2018) The Board approved the recommendations as outlined in Report BOARD32/

16 27. Disposal Strategy Declaration of Property Surplus to Requirements (BOARD33/2018) The Board approved the recommendations as outlined in Report BOARD33/ Disposal Strategy Declaration of Property Surplus to Requirements (BOARD6/2018) The Board approved the recommendations as outlined in Report BOARD6/ Property Disposal Land and Buildings at Trades Lane, Coupar Angus (BOARD34/2018) The Board agreed that further advice should be sought from the Scottish Government and gave delegated authority to the Finance and Resources Committee to take a decision on this disposal once this advice was received 30. Assurance and Advisory Group Recommendations Update The Board noted the verbal update given by the Chief Executive PART B Other matters for note, information, reading Nil for this meeting 31. Reserved Minutes The following Minutes were noted: Finance and Resources Committee 16 November 2017 Clinical and Care Governance Committee 14 December 2017 Transformation Programme Board 20 December 2017 Awaiting Committee Approval Area Clinical Forum 9 November 2017 East of Scotland Research Ethics Services REC 1 8 December 2017 Remuneration Committee 12 December 2017 East of Scotland Research Ethics Services REC 1 13 December 2017 Audit 14 December 2017 Area Clinical Forum 11 January 2018 Finance and Resources Committee 18 January

17 32. Date of next meeting Thursday 29 March 2018 at 9:30am in the Board Room, Kings Cross, Dundee. ( An additional Board meeting was called on Monday 5 March 2018) 138