Trust Board Chief executive briefing 27 March 2009

Trust Board Chief executive briefing 27 March 2009 Staff changes Malcolm Batty, non executive director has confirmed his intention to resign from the Trust Board. Arrangements are being made to recruit his successor; I am sure you will join me in thanking Malcolm for his commitment to the Trust over the last few years. Interviews for the Associate director of operations in group four have been held; the successful candidate will be announced shortly. Margaret Edwards, Chief Executive of Yorkshire & the Humber SHA, has agreed to take up a role as national director of productivity and efficiency in a unit set up by David Nicholson and based in NHS London. Barbara Hakin, Chief Executive of East Midlands SHA, will take on the role as Chief Executive of Yorkshire & the Humber SHA on an interim basis alongside her existing role whilst a permanent replacement for Margaret is appointed. Performance issues Full details of the performance are to be discussed later in the agenda. Members will be aware that performance in A&E and MRSA are our key principles for delivery, confidence and reputation. Mixed gender access The Trust has submitted a bid for funding eliminating mixed gender accommodation. The new hospital facilities at Pinderfields and Pontefract will provide single gender bays and 50% single rooms. Both the single gender bays and single rooms will have en-suite washing and toileting facilities. Over the next 4 months the Trust focus will be on eradicating mixed gender semi acute bays, and addressing the mixed gender acute assessment units caring for patients over 24-36 hours. With our partners we have reviewed the opportunity for gender segregation in the traditional partitioned Nightingale wards at Pinderfields many times and concluded that there are no quick fix solutions to enable the separate genders to access washing and toilet facilities without passing by or through partitioned areas used by the opposite gender. This position is being revisited but did not feature in the bid for additional funding. The only way of addressing this position during the life of the existing estate at Pinderfields and Pontefract would be to revert to having male wards and female wards and unpicking sub-specialisation. This is being discussed with the clinical teams but was not resolved prior to submission of the bid to the lead commissioning PCT (NHS Wakefield) earlier this month. The proposal seeks long term solutions for Dewsbury and District Hospital in the creation of a single gender adolescent facility, addressing the mixed gender 1

acute assessment unit, and provision of single gender washing and toilet facilities on the post acute rehabilitation ward (ward 21). Healthcare Commission investigation into Mid Staffordshire NHS Foundation Trust Members will be aware that the Healthcare Commission published an investigation report criticising Mid Staffordshire NHS Foundation Trust for significant failings in emergency healthcare, leadership and management; the report makes a series of recommendations to that trust. We are reviewing the report and will provide a more detailed response to the next Board meeting. I would like to assure members that mortality rates at this Trust are reviewed through the Dr Foster data. Any concerns are reported and investigated through the Integrated Governance Committee (IGC). In addition Board members should be aware that staffing levels in Accident and Emergency have been both reviewed and invested in as part of the Aiming For Excellence plan but I have also asked for an updated benchmark given this report. The results of this relook and the routine mortality reviews are reported at IGC. A copy of the Healthcare Commission report is available at http://www.healthcarecommission.org.uk/_db/_documents/investigation_into_m id_staffordshire_nhs_foundation_trust.pdf The role of the NHS in Economic Downturn Members will find attached a discussion paper developed by NHS Yorkshire and the Humber, on the potential impact of the economic recession on the NHS and what actions the NHS can take to support local economies and reduce the impact on health and health care. It is intended to be a source of information to support local action by PCT and Trusts and where appropriate a reference document for actions the SHA can take to support regional action. The current economic downturn will have an impact on the health of the population and NHS services. The NHS is virtually the only sector expecting any growth over the next 2 years whilst all other sectors contract or stand still. Any growth that does occur will also vary from District to District. This paper outlines what the impact of the downturn is likely to be for health and healthcare over the next few months and what NHS actions could be quickly implemented, as an economic generator in meeting increased demand for services and in ameliorating the impact on population health Delivering Healthy Ambitions Delivering Healthy Ambitions was launched on 5 March 2009; the document outlines the ways in which the recommendations of clinicians made in the original Healthy Ambitions document will be delivered. Healthy Ambitions set out the strategic framework for improving health and healthcare in the region, 2

based on international and national evidence of best practice, informed by local circumstances and needs in Yorkshire and the Humber. Delivering Healthy Ambitions sets out the ways in which the recommendations will be taken forward covering: All of the different pathways; Levels of delivery ie regional or local; The key enablers needed to support delivery How the SHA will ensure delivery is taking place; How success will be measured and Region wide governance arrangements. Board members can obtain copies of the document from the Board secretary or via the website www.healthyambitions.co.uk Staff network groups We have set up three staff network groups to break down barriers between staff, build mutual respect and develop links with the equality and diversity working groups. The three groups are black and minority ethnic staff; Lesbian, gay, transgender and bisexual staff; and disabled staff. The first group meetings were held at The Art House in Wakefield during February. MY star of the month Charmaine Straker-Purvis, medical secretary in elderly medicine, received the MY star of the month award for January. Charmaine was nominated by Dr Cox for going that extra mile to help people and for living and breathing Dewsbury hospital. Celebrating success 2008/09 The following applications have been shortlisted for awards at the Celebrating Success event: Collaborative and partnership working Lyn Wilson and the tissue viability team for the development of a district wide management formulary. The health PACT team for the establishment and operation of a cold weather and air quality alert system across NHS Wakefield District. The combined stroke unit at Pinderfields for their discharge work. Patient and user involvement The critical care team for the monthly bereavement group they run. Lung cancer nurse specialists, Simon Bolton, Joanne Bradley, Maggie Coleman and Jill Kenworthy, for involving lung cancer patients to improve their service. Patient information co-ordinator, Jaine Hart, for the involvement of patients in producing and checking patient information. Patient care Jane Rodger from the outreach respiratory nursing team for her work to support patients who require ventilatory support at home. 3

The critical care outreach team for their intensive care follow-up clinics. The trauma units at Pinderfields for their work to improve the care of patients Excellence in service delivery The clinical coding team for their coding improvement programme. The pre-operative assessment team for their service. The patient access coordinators for their work to reduce waiting times in medical specialties. Staff experience Anita Ruckledge, trauma unit manager, for the way she communicates, interacts and involves her staff. The directorate of nursing, governance and patient experience for their work to use their staff survey results. Dr De Silva for the initiatives he has implemented to involve staff. Innovation and improvement The diagnostics appointment centre for their service that improves access to diagnostics for patients. Angela Ambler and the team who introduced diabetes hypo boxes. Our hospital matrons for the introduction of cannulae packs. Leadership Lizzie Wood, occupational health manager, for the improvements she has made to the occupational health service. Tara Kadis for leading the diabetes nursing teams across our hospitals. Anita Ruckledge for the changes she made on the trauma units. Lifetime achievement Dr Colin White for his commitment to the Trust, staff and patients. Judith O Shaughnessy for her dedication and commitment and serving the NHS in an exemplary manner. Val Archer for her significant and sustained contribution. The winners of the eight main categories, as well as MY star of the year, Vicky Fletcher award and the chair s award for outstanding achievement will be announced at the gala ceremony on 24 April 2009. NHS constitution Following extensive consultation, the NHS constitution has now been published. The constitution brings together in one place for the first time in the history of the NHS, what staff, patients and the public can expect from the NHS. As well as capturing the purpose, principles and values of the NHS, the constitution brings together a number of rights, pledges and responsibilities for staff and patients alike. 4

Media Update My last report detailed the Trust s media coverage up until 3 February. Since then there have been a total of 47 items about the Trust in the media (4 February to 27 February). Of these, 26 (55%) were positive, 15 (32%) were negative and 6 (13%) were neutral. In early February Stephen and Jessica Smith organised a dance and raffle to raise money for the special care baby unit (SCBU) at Pontefract and say thank you to the amazing staff that took care of their son Elliot. Elliot was born at 37 weeks without a heart beat and looked after on the unit; the dance and raffle had raised over 1,050 for SCBU. There has been national coverage in the Nursing Times (online and magazine) around the leading work of some of our nurses in raising awareness about dementia. Nurses on our trauma unit developed a training DVD for staff to learn more about the condition. This followed the news that nurses are due to receive more training on dementia as part of the National Dementia Strategy, launched in early February. In mid-february, we worked with NHS Wakefield District to promote a new support service for the families and carers of people living with a stroke. As part of this, we hosted a roadshow at Pinderfields, for staff to promote the service, and worked with our local media to publicise it. Dr Mike Carpenter, consultant in stroke medicine at our Trust, also commented on the service saying that it has been put in place as people who have suffered a stroke often need a lot of emotional and physical support. At the end of February we generated coverage about our clinic at Pontefract which is benefiting our patients suffering from chronic inflammatory bowel disease (IBD). The service has been developed to treat IBD patients using the specialist drug Infliximab which gives another treatment option to patients without the need for surgery (based on individual circumstances). Finally, our Dewsbury media featured the news that we commissioned local college graduates and creative design specialists, Nolan Ross, to create new sport themed windows for the staff fitness centre at Dewsbury. The windows were funded from annual gym membership fees and designed to create a welcoming environment for staff using the facility. Julia Squire Chief Executive Document Control Author: Assistant director of corporate affairs Electronic File Reference of Author: Z:\Trust Board full set\2009\02 - March\ (Att D) CE report Contributors: Version Number: 2 Date of Production: 18 March 2009 Date of Publication: 20 March 2009 Date Due for Revision: Post Responsible for Revision: Equality Impact Assessment: Neutral Circulation:public document Restrictions: not a restricted document 5