Minutes of the Charter Board Meeting of Friday 4th November, 2016

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1 Minutes of Chrter Bord Meeting of Fridy 4th November, 2016 Present: In Attendnce: Professor Ptrici Wlsh (Chirmn) Dr. Dvid Abrhmson Mr. Aln Ashe (Honorry Tresurer) Dr. Mri Wilson Browne Dr. Clion Buckley Mr. Cedric Christie Dr. Sm Coulter Smith Dr. Michel Drling Mr. John Diviney Dr. Fred Flkiner Mr. Jim Frwley Dr. Jmes Grdiner Dr. Mry Henry CIlr. Teres Keegn Dr. Mry Keenn Venerble Gordon Linney Professor Tom Mtws Dr. Peter McKenn Very Reverend Dr Willim Mrs. Kristin Odium Ms. Hilry Prentice Mr. In Roberts Dr. Meliss Webb Morton Professor Fergl Mlone, Mster Ms. Mrgret Philbin, Director of Midwifery & Nursing 1. Opening Items Welcome Chirmn welcomed everyone to tody's Chrter Bord nd Governors who ttended erlier t "Elevenses with Stff'. Apologies received nd listed below were dvised. thnked those 1.1 Apologies: Apologies were received from: Lord Myor of Dublin, Cllr. Brendn Crr Mrs. Nul Johnson Mr. Richrd Nesbitt Most Rev. Dr. Michel Jckson Ms. Noreen Kerney Venerble Dvid Pierpoint Ms. Rebecc Ann Ryn Mr. Jim Hussey, Finncil Controller 1 of 11

2 1.2 Minutes of Generl Bord Meeting of Thursdy 6th October, 2016 Chirmn dvised of some mendments to Drft Bord Minutes s follows 1 Pge "Very Reverend Dr. Willim Morton newly ordined Den of St. Ptrick's Cdrl" Pge 3, Item 2.1 NICU, 1st prgrph "lst sentence deleted" Pge 4, CHD, 2nd prgrph "dignosed ptients" should red "dignosed bbies" Pge 7, Item 4.2, rd prgrph, "4th sentence deleted" mended Minutes of meeting of 6th October, 2016 officil Minute Book nd were signed by Chirmn re reflected in Mtters Arising from Generl Bord of 6th October, 2016 Chirmn reviewed ctions from October Bord meeting. Reloction to Connolly Site Ms. Trenor's progress report on Reloction Project ws emiled to Governors for review nd is n Agend item under 4.3 for tody's meeting. Dlrymple tre Mster outlined letter received by emil erlier tody from Ronn Bxter, Senior Project Mnger RCSI with cc to Director of Finnce RCSI nd Hed of Esttes RCSI confirming RCSI's finncil commitment to Dlrymple Lecture tre Project. A hrd copy is expected next week. Minister's Visit Is n Agend item under 5.1 for tody's meeting ESRI C-Section Rtes Will be reported under 5.2 by Dr. Mry Henry Regionl Seminr on Code of Prctice for Governnce of Stte Bodies be Will reported under 5.3 by Dr. Mri Wilson Browne Qulity, Sfety nd Risk (CEO's Report) Chirmn sked Mster if he hd nything furr to dd to his report. Activity: Mster reported ctivity ws stedy with hospitl on course to deliver 8,000 to 8,500 bbies t yer end. Infection Prevention & Control NICU ESBL Outbrek: lst bby ws dischrged on 10th October. If re re no furr colonistions outbrek will be closed out in thirty dys. outbrek led to full evlution of cuses with mitigtion of risk issues being ddressed. Chirmn sked if re were ny questions on Mster's Report. re were none. Dshbord re were no questions on Dshbord. HIQA Report of Unnnounced Inspection t Rotund Hospitl on 9th August, 2016 Mster referred to officil HIQA Report contined in Bord's informtion pck. report ws generlly positive for stndrds of hygiene with findings during inspection consistent with good complince. 2 of 11

3 Professor Mlone highlighted key findings from Hnd Hygiene complince complince trget. )=. 95% Some of ptients reported exceeded wrds chieved results hospitl of 100% s report i.e. required HSE ntionl being hnd hygiene clen complince Ares for improvement were minor. min non complince relted to infrstructurl chllenges identified in Delivery Suite Operting Room which does not meet recommended infrstructurl nd ventiltion specifictions of surgicl tre. Mster updted on proposl for 3-storey modulr build situted t rmp re of bck cr prk (djcent to Delivery Wrd/tre) which would provide solution to this problem. proposl ws presented to DCC Plnners in erly September who to it, prticulrly s historic buildings will not be ffected. A detiled development proposl on extension is now with plnners. If DCC plnners re fvourbly disposed to se drwings forml plnning ppliction will be mde. An ppliction for funding support is being mde to HSE Esttes through RCSI Hospitl Group nd proposl ws outlined to Minister Ms. Prentice t fvourbly seemed disposed his visit. she hd red on complince. She sid problems highlighted prepred for medi full HIQA Report which Mster, Executive were on run by Herld on genertions of working in Rotund. structurl. positive results. nd gret credit to Rotund stff were to be congrtulted s is Mster dvised of Trenor updted on of north inner city fmilies who hve Ms. Relese Press rticle to be long trdition Rotund will prepre Qulity Improvement Pln in response to recommendtions of report which must be published on hospitl's website within six weeks of publiction of HIQA Report. QIP will be presented to GPC for pprovl nd will be n Agend item for November GPC meeting. Chirmn offered congrtultions to hospitl on behlf of Bord. Action QfP to be presented to GPC for pprovl before uploding to Hospitl Website 3. For Decision Chirmn dvised of following notifictions Good Fith Reporting Policy / Bord's designted Governor Ms. Noreen Kerney is stepping down s Bord's designted person s outlined in Good Fith Reporting Policy with immedite effect. emil ddress for this purpose hs not been ccessed by stff to dte. 3 of 11

4 Chirmn requested tht identify Governor to tke copy of Good Fith Policy will Resigntions from GPC Mr. Jim Frwley in December, this role. Dr. Wilson Browne emiled to her. up be 2016 Mr. Aln Ashe to resign circ Mrch, Dr. Drling with immedite effect 2017 Dr. Meliss with immedite effect Action: Chirmn to Browne discuss Resigntions from Bord Mr. Jim Frwley December, lst re-popultion of GPC with Dr. Mri Wilson 2016 Chirmn thnked Mr. Frwley for his mny contributions to ten yers nd wished him continued success. Leve of Absence from Bord Mr. John Diviney ws requested to Chirmn Mr. Diviney sid in working chnge vrious Governors provisos ws circumstnces. on step out from seeking leve Professor Wlsh this mtter who greed to Bord over meeting for this item. of bsence from sid she hd leve Bord due to consulted with of bsence with two - 3-yer ppointment term to Bord must be dhered to. No meetings should be ttended by Mr. Diviney during his leve of bsence nd no documenttion should be sent to him relting to Bord mtters. Chirmn sought pprovl from Bord on this mtter. Dr. Clion Buckley proposed recommendtion nd this ws seconded by Dr. Wilson Browne. Action: Bord ws in greement with this decision. Mr. Diviney returned to meeting nd ws dvised his leve of bsence from Bord hd been grnted. Chirmn wished Mr. Diviney good fortune whilst on leve. 3.1 Election of Officers & Sub Committees of Bord Election of President Election of Vice Presidents Chirmn Honorry Secretry Vcnt Honorry Tresurer Mster Secretry/Generl Mnger Director of Midwifery/Nursing 4 of 11

5 Church Chplins Election of Officers ws proposed by Cllr Teres Keegn nd Seconded by Dr. Fred Flkiner. Action: Bord ws in greement with this decision. Chirmn commended work of hospitl Chplins in providing remrkble support to ptients nd stff. Consultnts Election of Consultnts ws proposed by Dr. Meliss Webb nd seconded by Dr. Mry Henry. Action: Bord ws in greement with this decision. Bord Sub Committees / Working Groups Sub Committees / Working Groups were proposed by Venerble Gordon Linney nd seconded by Dr. Mry Henry. Action: Bord ws in greement with this decision. In concluding this Agend item, Venerble Linney suggested role of Vice Chirmn should be considered to shre some of burden of Chirmn. Professor Wlsh sid she would discuss this mtter with Dr. Wilson Browne of 11

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7 For Considertion GPC meeting of Mr. Frwley presented report on behlf of GPC reporting on min points s follows Succession Plnning/Trining committee greed tht Ms. Trenor should use HSE Project Performnce Achievement model for succession plnning if it is considered pproprite orwise Mr. Frwley hs given her templte from privte sector to consider using. GPC Self Assessment 2016 recent survey highlighted n improvement in ll res since lst survey undertken in min re to ddress is Committee induction which will fll to incoming Chir of GPC. shortfll is predicted for substntil extr funding due. A csh Cpitl Funds Committee Ancillry Funds n updte December; meeting to ws presented however this should be scheduled to for erly be offset by December. committee by Mr. Hussey Income nd Expenditure Account s t Ms. Trenor dvised of written notifiction from RCSI Group dvising of budget djustment of 2.4m. funds hve not been received s yet. A yer end deficit of 500K is now projected which is in effect brekeven position. Chirmn sked if re were ny comments on Finncil Report. re were none. Defined Benefit Scheme 397 Updte 4.2 Chirmn thnked Mr. Frwley for his report. Report from Governnce/Audit Committee (GAC) ( ) Dr. Wilson Browne presented report on behlf of Governnce/Audit Committee Externl Auditor/Deloitte hve been retined for reviewed t Mrch GAC meeting. furr yer. This will be ICT Updte GAC were ressured tht BDO IA recommendtions re completed or progressing. IT Mnger hs been requested to report to Jnury GAC on 5 mjor IT risks from IA. 7 of 11

8 Governnce / Strtegic Proposl services of Michel Kelly, Governnce Irelnd hve been retined to proceed with proposl on governnce structures. A report is expected for Jnury GAC meeting. Intention to resign from Bord GAC proposed tht Governors be sked of ir intention or orwise to resign from Bord over next 12 months to enble future skill set requirements to be ssessed. Nomintion of New Governors re re 3 cndidtes who my be interested in governorship role. No proposls re being brought to Bord for pprovl tody. Jnury GAC will look t ppointment structure for new Governors in furr detil. nomintions process not cler cut nd requires furr clrity. Bord Sub Committees Dr. Wilson Browne nd Chirmn will meet to discuss re popultion of Sub Committees in current chnging environment. Chirmn thnked Dr. Wilson Browne for her report. 4.3 Updte from Reloction Project Reloction Project Pper Chirmn thnked Ms. Trenor for her work on drft pper. Professor Wlsh enquired if Bord should fund project infinitum nd sked Mster would it be useful if smll group of Governors were tsked hospitl's options. issue is weighty one which could go on for yers. to focus on is

9 Chirmn thnked Governors for ir input sying Ms. Trenor would incorporte points rised in her document for December Bord. Action: Ms. Trenor to provide substntil proposl for December Bord on Reloction Project. 4.4 Inter Bord Liison Group / Rotund Foundtion Nil to report. 5 For Informtion 5.1 Meeting with Minister Simon Hrris of 3" November / Updte Mster reported on very productive meeting with Minister. A tour of fcilities focused on Delivery Suite, Lower Corridor nd Neontl ICU. Mster mde 3 requests of Minister Support from HSE of 4m for minor cpitl development for 3 storey modulr build, reloction of FAU, extension of NICU. Verbl support from Group CEO ws relyed. Improvement in stff numbers prticulrly for tre nurses, midwives nd NICU nurses for which business cses hve been submitted. Rotund Connolly Co-Loction Project - Minister Vrdkr committed 100m from current Cpitl Development Pln for reloction projects of Coombe, Limerick Mternity nd Rotund t lter stge of cpitl pln. However clrity is required to confirm tht se projects. this funding is still llocted to Chirmn spoke on excellent presenttion delivered by Mster to those in ttendnce on 3rd November which ws commented on by Minister. Attendees were very impressed with evidence presented in cler, concise wy. Venerble Linney sid re ws n opportunity to pursue politicl commitment to progress project. 9 of 11

10 5.2 Ntionl Trends & Hospitl-Level Vrition in Cesren Section 25th November, 2016 by Dr. Mry Henry Dr. Mry Henry reported on min findings from excellent conference orgnised by ERSI into- Ntionl Trends & Hospitl-Level Vrition in Cesren Section she ttended on behlf of Bord. Action: Secretry/Mnger's Office to emil copy of Dr. Henry's pper to Bord. 5.3 Regionl Seminr: Updte on Code of Prctice for Governnce of Stte Bodies Offices of IPA on 26th October Dr. Wilson Browne, Ms. Prentice, Mr. Christie, Mr. Hussey nd Ms. Murphy ttended seminr on Code of Prctice for Governnce of Stte Bodies. Ms. Prentice reported seminr ws not prticulrly relevnt to voluntry hospitls. re ws filure from presenter to nswer ny questions from floor. updted code is effective from September, Chirmn thnked Ms. Prentice for her report. 6. Closing Items Any Or Business 6.1 Brtholomew Mosse Memoril Lecture Mster sid Judge Mureen Hrding Clrke would deliver Brtholomew Mosse Memoril Lecture on 'A review of pen i prtum drms' lter this evening t 6.00p.m Annul Remembrnce Service Sundy 6th November Chirmn lso reminded Bord of Annul Remembrnce Service will be held t 3.00p.m. on Sundy 6th November in Pro Cdrl. Midwifery Students Grdution Ceremony Midwifery Students Grdution Ceremony will be held on Thursdy November t 2.00p.m. in Pillr Room, Rotund Hospitl Signed: Legl Cses Mster reported on two cses. One concerns defended nd Coroner's Inquest which opened conclude in November. Dte of Next Meeting next Generl Bord is scheduled Bordroom, Rotund Hospitl. Pc -e--. i. \i\filz, which 24th delivery outcome which will be some weeks go nd is scheduled to for Thursdy 1st December, 2016 Dte: e) I t 5.00p.m. in b`e c-p--`-` 6 10 of 11

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