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Notes and Actions from the Governor Service User/Staff Experience & Quality Working Group 8 October 2018 version: Draft v2 Page 1 of 6 NOTES AND ACTIONS FROM THE GOVERNOR SERVICE USER/STAFF EXPERIENCE & QUALITY WORKING GROUP Meeting held on 8 October 2018 4.30pm in Executive Meeting Room 1, 3 rd Floor, East Wing, St Pancras Hospital Notes: Lead: Status Update: Governor Members in Attendance: Mr Chaim Peri (CP), Service User Governor (Chair) Ms Hagir Ahmed (HA), Service User Governor Professor Wendy Savage (WS), Public Governor, Islington Ms Saira Nawaz (SN) Public Governor, Rest of London Requested Attendees: Ms Emma Francis (EF) - Incidents and Complaints Manager Mr David Curren (DC) Deputy Director of Nursing Ms Tinu Olowe (TO) Deputy Director of HR & OD (covering from Sally Quinn) Mr Peter Cartlidge (PC), Associate Divisional Director (covering for Andy Rogers). NED Member: Prof Tom Burns (TB) Non-Executive Director & Quality Committee Chair Other Attendees: Ms June Mittleman (JM), Committee Clerk (Notes). 1. Welcome and apologies CP welcomed everyone to the meeting. Apologies had been advised by Debra Hall (Staff Governor), Karen Reynolds, Simon Rowe (Patient Experience Lead), Sally Quinn (Director of HR & OD), Lynn Taylor (Local Security Management Specialist), Andy Rogers (Chief Operating Office) and Caroline Harris-Birtles (Director of Nursing).

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Page 1: NOTES AND ACTIONS FROM THE GOVERNOR SERVICE … papers… · Notes and Actions from the Governor Service User/Staff Experience & Quality Working Group – 8 October 2018 version:

Notes and Actions from the Governor Service User/Staff Experience & Quality Working Group – 8 October 2018 version: Draft v2

Page 1 of 6

NOTES AND ACTIONS FROM THE GOVERNOR SERVICE USER/STAFF EXPERIENCE & QUALITY WORKING GROUP

Meeting held on 8 October 2018 4.30pm in Executive Meeting Room 1, 3rd Floor, East Wing, St Pancras Hospital

Notes: Lead: Status Update:

Governor Members in Attendance:

Mr Chaim Peri (CP), Service User Governor (Chair)

Ms Hagir Ahmed (HA), Service User Governor

Professor Wendy Savage (WS), Public Governor, Islington

Ms Saira Nawaz (SN) Public Governor, Rest of London

Requested Attendees:

Ms Emma Francis (EF) - Incidents and Complaints Manager

Mr David Curren (DC) – Deputy Director of Nursing

Ms Tinu Olowe (TO) – Deputy Director of HR & OD (covering from Sally Quinn)

Mr Peter Cartlidge (PC), Associate Divisional Director (covering for Andy Rogers).

NED Member:

Prof Tom Burns (TB) Non-Executive Director & Quality Committee Chair

Other Attendees:

Ms June Mittleman (JM), Committee Clerk (Notes).

1. Welcome and apologies

CP welcomed everyone to the meeting.

Apologies had been advised by Debra Hall (Staff Governor), Karen Reynolds, Simon Rowe (Patient Experience Lead), Sally Quinn (Director of HR & OD), Lynn Taylor (Local Security Management Specialist), Andy Rogers (Chief Operating Office) and Caroline Harris-Birtles (Director of Nursing).

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Notes and Actions from the Governor Service User/Staff Experience & Quality Working Group – 8 October 2018 version: Draft v2

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Notes: Lead: Status Update:

2 Notes and action points from previous meeting on 26 June 2018

The group considered the notes of its previous meeting. WS stated that in „Point 2‟ “AR verbal advised” should have read „verbally’ advised. Otherwise, these notes were agreed as an accurate record of the group‟s previous meeting.

In relation to the matters arising:

CP highlighted his concern that patients on waiting lists may lose their place should their condition change and they be moved to a different service. TB agreed, especially where a patient had more than one disorder.

This led to a general discussion on the different types of patient disorders; how these were assessed and supported by appropriate care plans. Staffing numbers and the use of temporary staff was also discussed. CP remained concerned that some patients bounced back and forth between C&I services and their GP. He requested:

evidence that the Trust was HSE (Health and Safety Executive) compliant; and

assurances that sufficient staff were in post.

DC

DC

3

Waiting list discussion

CP commented that he understood that the Trust was not hitting its “early intervention” targets. A general discussion followed on the continuing challenges faced in finding beds and ensuring that every possible action was being taken to stop those presenting in A&E from leaving that department and taking their own life. DC added that the CQC (Care Quality Commission) were aware of the pressures faced in A&E, the requirement to purchase additional private beds. Work was underway to review bed management.

DC informed the meeting the new mental health lounge attached to the A&E at the Whittington Hospital was fully operational.

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Notes: Lead: Status Update:

4 Incidents of violence and aggression update

DC stated that the prevention and management of violence and aggression was a Trust priority. He advised that the number of reported incidents had not increased significantly but that there were some concerns over the severity of a small number of incidents during the previous quarter. These were subject to serious incident reviews.

DC advised on learning from recent incidents which included:

the development of improved Police Liaison and commitment to working to a shared working protocol;

a review the categories of incident; and

the on-going introduction of Safe Wards; and

The planed undertaking of a review of current inpatient care pathways for people with complex learning disorders.

DC advised that Coral Ward had been selected to take part in a 2 year national violence education program. He added that the Trust would be holding a „Keeping Us Safe‟ symposium on 6 November in partnership with BEH (Barnet, Enfield and Haringey), Middlesex University and The Whittington Hospital. An aim of this event was to develop an agreed Charter.

The group discussed the use of CCTV and its potential to make staff, service users and visitors feel safer.

5 Career Development for lower band staff

DC updated the group on activity to assist the development of such staff. He advised that the Trust was undertaking a small review of its non-registered staff workforce reviewing the existing:

career structure;

role clarity / scope of practice; and

Staff experience.

DC advised on the Introduction of a Nursing Associate role, with 8 trainees expected to commence with the Trust in January 2019.

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Notes: Lead: Status Update:

DC advised that a form of care certification was being scoped for clinical support workers, along with work to identifying training options that covered more mental health specific topics. The Safe Wards programme would be used to support key training in therapeutic engagement and communication.

DC highlighted that the Trust aimed to recruit 30 new trainee mental health workers to commence in January 2019 and was examining potential employment opportunities for the current cohort who will complete their course in 3 months. He advised that an application had been made to Health Education England (HEE) for support to undertake a wider non-registered staff review in partnership with BEH, Tavistock and potentially other London Trusts.

DC

Will update the meeting when appropriate.

6 Service user feedback

There was discussion between PC and EF regarding staffing levels within the Feedback Team and complaints. EF stated that the team‟s staffing was adequate and stable. In relation to complaints, she advised that their nature varied dramatically from something small that could be easily resolved easily to more complex concerns requiring input from numerous staff and resulting in anything up to a 50 page report. EF advised that the Trust‟s timely complaint response target was set at 80%, with 87% currently achieving the target. In response to CP, EF confirmed that all complainants were fully supported and that repeat or unresolved complaints would be appropriately managed. She added that there were few repeat complaints; also complainants were kept updated on the progress of their complaint. She highlighted that the Feedback Team also received positive feedback.

SN stated that when volunteering at HMHC she had noted instances where there had been a limited number of staff on a ward. DC advised that all wards were safely staffed and that staff members may have been escorting a patient, undertaking one-to-one observations or simply engaged on the periphery of the ward.

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Notes: Lead: Status Update:

6.1 Freedom to Speak

DC informed the meeting that there was now an appointed „Freedom to Speak-up Guardian‟, Adwoa Larbi-Siaw (ALS), within the Trust who staff could approach confidentially to share any concerns. A range of flyers and communications promoted this role and ALS had attended many internal meeting to raise her profile. CP asked that JM invite ALS to the next meeting to brief them on her role.

JM

7 Agency Staff

PC informed the meeting that the recent salary increase for NHS staff had no effect on agency staff and thanked SQ for her hard work on this matter.

8 HR & Workforce Performance Report Q1 2018/19

TO spoke through the presented report highlighting the robust recruitment plan in place and sickness targets. She advised that anxiety was a key reason for sickness and that affected staff were given the opportunity to obtain Occupational Health support. She also drew attention to:

The monthly performance meetings held the Divisional Directors to ensure that vacancies were dealt with quickly.

The Trust‟s promotion of the Staff Wellbeing Programme.

That all managers were to undertake performance appraisals with their staff which would include e-learning and the need to undertake all core skills training.

The raising of a perceived lack of career development opportunities at exit interviews. TO stated that the Trust‟s HR team offered Career Clinics (mainly focused towards Bands 5 and 6) allowing the opportunity to talk to an HR professional on personal career development.

TO highlighted the positive introduction of a “Freedom to Speak-up Guardian”, noted earlier (section 6.1 above), which had been positively received by staff.

The group discussed the possibility that staff may be leaving due to the lack of social housing and the cost of living in London, which also varied between boroughs.

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Notes and Actions from the Governor Service User/Staff Experience & Quality Working Group – 8 October 2018 version: Draft v2

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Notes: Lead: Status Update:

9 AOB

The group discussed the having a Vice-Chair.

PC asked that the following heading be added to the agenda for the next meeting:

1. Lone working; and

2. Safe / manual handling.

PC advised that he would be stepping down as Chair with immediate effect. He was hopeful that some of the new Governors would join this working group and participate in the appointment of a new Chair at the group‟s next meeting.

JM

10 Date of next meeting

4 December 2018

11 Close

CP thanked those that had attended and closed the meeting at 6:15pm.

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Notes and Actions from the Membership Working Group – 23 October 2018 version: Draft v2

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NOTES AND ACTIONS FROM THE GOVERNORS‘ MEMBERSHIP WORKING GROUP

Meeting held on 23 October 2018 5.30pm in Executive Meeting Room 2, 3rd Floor, East Wing, St Pancras Hospital

Notes: Lead: Status Update:

Governor Members in Attendance:

Ms Julia Austin (JA), Service User Governor -Chair

Mr David Barry(DB), Lead Governor

Ms Hagir Ahmed (HA), Service User Governor

Requested Attendees:

Christian Oribio, Trust Company Secretary

NED Member:

Ms Angela Harvey (AH), Senior Independent Director

Other Attendees:

Ms June Mittleman (JM), Media & Communications Officer (Notes).

1. Welcome and apologies

The meeting started with some breathing exercises led by Ms Harvey, followed by apologies from Ms Fullick and Mr Ramage.

2 Notes and actions from Monday 11 June:

Governor Improvement Initiatives:

Mr Barry explained that software issues had prevented the iPads progressing.

Mr Oribio confirmed that the Women’s Exercise Group was currently on hold but proposals for it would be considered if received.

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Notes and Actions from the Membership Working Group – 23 October 2018 version: Draft v2

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Notes: Lead: Status Update:

Membership promotion:

Due to other priorities, the new, simplified membership form had not been progressed.

The group agreed the membership form should be more visible on the homepage of the Trust’s website.

Ms Critchley provided details on South London and Maudsley’s membership

statistics. The group considered whether local partnership organisations could

promote each other’s membership.

CO / Comms

3 Annual Members’ Meeting:

Ms Harvey spoke highly of the recent Annual Members’ Meeting, particularly referencing the interesting speeches, range of stalls, food and venue. It was noted that it would have been helpful to record the key speakers. Ms Harvey passed the groups’ thanks onto the Comms team.

4 Governors’ Election:

The group discussed the recent election, detailing what worked well and what could be improved. Mr Barry explained that there had been a national decline in governor nominations, so C&I had done well to nearly fill every vacancy. The group agreed that

there had to be more transparency around the governor role and what it entails.

5 Membership Strategy:

Mr Oribio presented the action plan. It was noted that the implementation plan for the

remainder of the current strategy was due to expire in 2019. The group agreed that it would take forward a couple of actions at each meeting, whilst potentially using the

Quality and Community Ambassador Non-Executive Director as a champion for membership.

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Notes and Actions from the Membership Working Group – 23 October 2018 version: Draft v2

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Notes: Lead: Status Update:

Ms Harvey suggested that engagement should be the top priority in improving membership. Ms Critchley explained that over 400 members had been deleted from the database following a data cleanse.

Ms Ahmed queried how the Trust could use social media to develop its membership.

6 Buddy Programme:

The group reviewed the ‘Buddy’ programme plan and agreed to take it forward as a pilot. Ms Harvey suggested it would be helpful for Non-Executive Directors and Governors

to do more service visits together, and that it may be useful for all Governors to be open

to the programme, so they can learn off of each other.

7 Development:

While suggestions for a training programme had been requested through governor communications, it was noted that there had been no response.

Mr Oribio relayed his discussions with NHS Providers regarding a tailored programme to

the group. He also noted that Mr Zielinski was in the process of planning an induction session for new Governors.

8 Mental Health Matters:

Ms Critchley provided an update on the most recent event that featured race inequalities in mental health care. The group discussed the importance of filming such sessions to show those who were not able to attend.

Ms Austin suggested that one event could feature suicide, following an award-winning

feature film being released. The group agreed that experts and support services would

need to be involved before, during and after such an event. The Comms team would

work with Ms Austin on progressing this concept.

JA / Comms

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Notes and Actions from the Membership Working Group – 23 October 2018 version: Draft v2

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Notes: Lead: Status Update:

9 Any other business:

Ms Critchley confirmed she would be leaving the Trust shortly and wished the group well with its future.

A recent article published in the local papers regarding Whittington Health’s annual general meeting was shared with the group for discussion.

10 Date of Next Meeting –

11 Close

Page 11: NOTES AND ACTIONS FROM THE GOVERNOR SERVICE … papers… · Notes and Actions from the Governor Service User/Staff Experience & Quality Working Group – 8 October 2018 version:

Notes and Actions from the Council of Governors‟ Finance & Business Planning Working Group – 24 September 2018 Version: Draft v2

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NOTES AND ACTIONS FROM THE FINANCE & BUSINESS PLANNING GROUP MEETING

HELD ON 24 SEPTEMBER 2018

Notes: Lead Status Update:

Members in attendance:

Mr Simon Ramage (SR), Staff Governor (Chair)

Prof Wendy Savage (WS), Public Governor, Islington

Mr Roger Searle (RS), Service User Governor

Ms Michelle Murray (MM), Public Governor, Camden

Ms Hagir Ahmed (HM), Service User Governor

Ms Saira Nawaz (SN), Public Governor, Rest of London

Dr Zaheer Afridi (ZA), Public Governor, Camden

Mr Richard Brooman (RB), Interim Non-Executive Director and Audit & Risk Committee Chair

Attendees

Mr David Wragg (DW), Director of Finance

Ms June Mittleman (JM), Committee Clerk (Notes)

1 Apologies and Welcome

SR welcomed all members and attendees to the meeting and led a round of introductions.

Apologies had been received from Debra Hall, Staff Governor.

2 Notes and action points from last meeting

The Group reviewed the notes from its last meeting on 19 March 2018. It was advised that “Mick Percy” should read Mike Piercy and SN‟s attendance at the meeting had not been recorded. Otherwise, the notes were agreed as an accurate account.

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In relation to actions from the last meeting:

An update on activity related to homelessness would be presented to the Council of Governors on 11 September 2018.

The Trust was in the process of appointing a Matron for bed management and continued to work to improve CareNotes.

It was noted that investment has been approved for the Camden Rehabilitation Team Housing Pathway, a workstream in partnership with GPs.

It was noted that the Trust‟s new external auditors and had commendation the support provided by the Trust‟s Finance Team in undertaking their year-end processes.

3 Finance Position: Month 3, 2018/2019

DW informed the meeting on the STF (Sustainably & Transformation Funding) figures that had been presented to the Board. He advised that the Trust expected to make a profit on the sale of The Hoo (North Camden Recovery Team) and were working towards to refurbish, and review staffing, at Daleham Gardens. The group discussed the Trust‟s areas of surplus and deficits, and the requirement that surplus profit on capital sales and STF monies could only be used to fund service developments, not operational activity.

The group discussed a potential bridging loan to provide working capital to commence the St Pancras Transformation Programme which would be repaid when the St Pancras site was sold.

The group discussed the noted increase in expenditure due to outsourcing. It was noted that in that month there had been no available mental health beds the whole of England. The Trust‟s admission rate had increased exceptionally from 30 patients to 37 per week, increasing staffing and operational costs. On a positive note, income from PICU (psychiatric intensive care unit), had marginally improved.

The Group had concerns over the collection of income from overseas visitors, who are averaging 14 bed days. A general need was highlighted to improve discharge rates, not just for our overseas visitors, and assist patient to return home to recuperate.

The group also discussed waiting times; the pressures on A&E based services, and the difficulties in recruiting the required number of staff.

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4 Capital Programme Presentation

DW took the group through the Capital Expenditure Management Report which led to a general discussion on monies in the Trust‟s account and how it could be used. Specific projects discussed were:

1. Monies towards the pharmacy at Highgate to build a Clozapine clinic/lounge, and move IBUG services.

2. Funding for the new S136 suite to be built at Highgate, including an extra input of cash to build a corridor from the suite to existing wards.

3. Investment in a new IT infrastructure / e-mail within the Trust, including the introduction of Windows 365, which would provide a higher level of cyber security and improve Wi-Fi connectivity.

4. Equality & Diversity improvements, including ramps to improve access to services.

The Chair was asked how „Brexit‟ may affect property prices and advised that a number of contingency plans were in place, although a definitive action could not be advised as the impact of „Brexit‟ remained unknown.

-

5 AOB

1. DW informed the meeting that the Funeral of Non-Executive Director Kieran Parmar had taken place the previous Saturday. The group paid tribute to Mr Parmar‟s contribution to this group, and the wider Trust, and expressed their condolences.

2. MM asked about the Mental Health Programme to support students in university, especially our overseas visitors. SR advised he would put her in touch with Jeff Halperin, Head of Camden and Islington Psychology / Psychotherapy Service, who would be able to advise her on that matter.

3. RS asked if he would have a copy of the Whittington site plan. DW agreed to follow-up on his request.

SR

DW

6 Date/Time of Next Meeting

Monday 17 December 2018, 5pm

7 Close - The meeting was closed at 6:15pm

Page 14: NOTES AND ACTIONS FROM THE GOVERNOR SERVICE … papers… · Notes and Actions from the Governor Service User/Staff Experience & Quality Working Group – 8 October 2018 version:

CoG Steering Committee minutes 7 November 2018 Version: Draft v1 Page 1 of 6

Council of Governors’ Steering Committee Minutes of the Meeting

7 November 2018 at 5pm

Executive Meeting Room 2, 3rd Floor East Wing, St Pancras Hospital,

4 St Pancras Way, London, NW1 0PE

Members present: Mr David Barry Lead Governor (Chair)

Ms Leisha Fullick Trust Chair

Ms Angela Harvey Senior Independent Director (Items 1-7 only)

Ms Angela McNab Chief Executive

Prof Wendy Savage Public Governor, Islington

Ms Sandra Chakara Staff Governor

(Appointed Governor position vacant)

In attendance: Mr Martin Zielinski Board Secretary (Minutes)

Action By:

1. Welcome, Apologies & Quoracy

1.1 Mr Barry welcomed those in attendance. Apologies had been received from Governor Julia Austin and Trust Company Secretary Christian Oribio.

The meeting was quorate

2. Draft Minutes of Previous Meeting

2.1 The Steering Committee reviewed the minutes of its previous meeting. Prof Savage advised that references to the „choir master‟ should have stated Mr Peter Leigh from “Key Changes”. A small number of grammatical errors were also highlighted.

The Steering Committee APPROVED the draft minutes of its meeting on 25 July 2018 as a fair and accurate record of that meeting, subject to the notified corrections.

3. Matters Arising

3.1 The Committee reviewed the matters arising from its previous meeting held on 25 July 2018. All of the required actions were agreed as completed, with the exception of the following matters and additional comments:

3.2 MA1: Dementia Software – SU Improvement Fund Project

Mr Barry advised that he had spoken with David Wilmott, Interim Director of Nursing, regarding this matter. As Mr Wilmott had now left the Trust he would pick this matter up with Caroline Harris-Birtles, Director of Nursing. He asked Mr Zielinski to forward her e-mail address him. Action on-going.

Mr Zielinski

C/fwd

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CoG Steering Committee minutes 25 July 2018 Version: Draft v2

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3.3 MA2: Inter-Governor Contact with Moorfields

Mr Barry advised that he had corresponded with the Lead Governor and Moorfields Eye Hospital NHS Foundation Trust and was awaiting a response. Action on-going.

On-going

3.4 MA3: Council Meeting Agenda Format Review

It was noted that this matter remained on-going under the leadership of the Trust Company Secretary.

Mr Oribio

3.5 MA5: Deputy Lead Governor Proposal

Mr Barry advised that this matter would be covered later on the agenda and the required action considered completed.

3.6 MA9: C&I Council of Governors Sub-Committee & Working Group Handbook

It was noted that work to review this document was on-going as planned as advised in Mr Oribio’s provided update. This matter was carried forward.

C/fwd

3.7 MA10: NED Council Presentations

It was noted that NED presentations would be re-established as part of the Council meeting agenda from December 2018, concluding the required action. Ms Fullick added that Mr Oribio was undertaking an additional piece of work to consider how Governors could more evidently and effectively hold the NEDs to account. Prof Savage suggested that Governors would have a better understanding of the NEDs‟ activities if they attended the Trust‟s public Board. It was agreed that Governors should be reminded of this periodically.

Ms Harvey added that Governors should be reminded of the opportunity to engage with NEDs, and the Trust, through taking part in PLACE visits and the 15 Step Programme. She added that NED service visits were being re-established and there was an opportunity for Governors to accompany NEDs on these visits.

Mr Barry agreed to cover these engagement opportunities at the induction session for new Governors on 14 November 2018.

Mr Barry

3.8 MA11: Future Trust Events

Ms Fullick advised that, along with Prof Savage, she had met with Mr Leigh of “Key Changes” to discuss Trust Choir activities.

Prof Savage tabled an e-mail she had received from Mr Leigh proposing a larger C&I arts and music event, possibly a „C&I Arts Fest‟ in a Camden venue next year. The Committee discussed this proposal favourably advising that more thought was required on the nature and content of such an event. The inclusion of choirs from other NHS trust‟s, particularly C&Is acute hospital partners, was particularly supported. The potential to hold such an event on a partners premises would also be explored.

Ms Harvey suggested that such an event could be used to re-launch the Trust‟s Charitable Fund.

The Steering Committee AGREED, in principal, to support the proposal for some form of Trust arts event. It was AGREED that Prof Savage and Ms Fullick would meet with Mr Leigh to discuss his proposal, and event options, in more detail. The organisation of any agreed event would then be passed to a bespoke Governor steering group.

3.9 No additional matters arising were raised that were not listed on the presented schedule.

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CoG Steering Committee minutes 25 July 2018 Version: Draft v2

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4. Review of last Council Meeting

4.1 The Committee considered the Council of Governors most recent meeting on 11 September 2018.

4.2 Review of meeting

The Committee felt that the last Council meeting had been a success and that the extended meeting time, with an additional 30 minutes, had reduced time pressure on the agenda and allowed for engagement and discussion. The Committee AGREED to retain the extended meeting timeframe.

Board Office

4.3 Draft minutes

The Committee recommended a small number of corrections to the draft minutes of the Council of Governors meeting on 11 September 2018. Subject to these corrections, the draft minutes were considered to be a fair record of that meeting. Formal approval of these minutes would be by the Council at their next meeting.

5. Review of Extraordinary Council Meeting, Open Meeting & Annual Members meeting

5.1 The Committee considered the extraordinary meeting of the Council, and following Open Meeting, that was held on 31 October 2018. The Annual Members Meeting held on 18 October 2018 was also reflected upon.

5.2 Extraordinary Meeting

The Committee noted the concerns raised at the Council meeting on the level of information provided on the NED candidates that the Council were asked to appoint to the Trust Board. It was generally agreed that the process had been subject to significant time pressure and potentially more background information on the candidates could have been provided. The Committee discussed the level of candidate detail it may be appropriate to share with the full Council and resolved to have an improved process in place for the next round of appointments.

The Committee highlighted that the Nominations & Remunerations Committee members who made the appointment recommendations were mainly elected from, and by, the Council of Governors. It was also noted that those Governors that had attended the NED stakeholder event were provided with more information on the NED candidates. Ms Chakara suggested that it would be beneficial to provide all Governors with a clear outline of the NED appointment process and the opportunities for Governors to engage within it. This was taken on board.

The Committee agreed that once the profiles on the new NED had been prepared, these would be shared with Governors prior to being published on the Trust‟s website. These profiles would also be included for information in the pack issued for the next Council meeting.

It was noted that the draft minutes from the extraordinary Council meeting were with Chair for review.

Board Office

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CoG Steering Committee minutes 25 July 2018 Version: Draft v2

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5.3 Open Meeting

Ms Harvey advised that a Governor at this session had raised concerns related to the risk scores contained within the Trust‟s Board Assurance Framework (BAF). Ms Chakara added that there was a risk that those unfamiliar with the BAF may take it out of context. The Committee agreed that a briefing on the BAF should be provided to the Council and that this would be best delivered by the NED Chair of the Audit & Risk Committee. As a new NED was about to take on that role it was agreed that the post holder should be allow time to settle into their role, and invited to give such a presentation in about six months‟ time.

5.4 Annual Members Meeting (AMM)

Mr Barry commented that he had noted that a Trust member had been unhappy that they had been timed out from asking a question at the AMM. Ms Fullick suggested that, when the AMM minutes are reviewed at the next Council meeting, that he request that the Trust consider how the open question session at the AMM could be better managed and other options for submitting questions be considered. Mr Barry agreed to this suggestion.

Mr Barry

6. Agreement of agenda items for the Council of Governors next meeting to be held on Tuesday 11 December 2018

6.1 The Committee reviewed the draft agenda for the next Council meeting, including the „big topic‟ options presented. Amendments agreed were:

Deputy Trust Chair Pippa Aitken should be invited to address the Council and advise on her role and activities as a NED. This would be a „big topic‟.

Ms McNab advised that there should also be an update on the St Pancras Transformation Programme. This would be a second „big topic‟.

Mr Barry advised that he would like to progress with his proposal to appoint a Deputy Lead Governor. He tabled a paper he had previously prepared setting out this proposal. The Committee agreed that there was potential to have two deputies and supported such action. Mr Barry would also update the Council on plans to refresh the Lead Governor role and the Council‟s Steering and Nominations & Remuneration Committee. It was agreed that this would be presented as a motion.

It was agreed that the two motions proposed by Service User Governor Chaim Peri would be added to the Council meeting agenda, as per his request. (See minute 10.1 below.)

6.2 The Council AGREED the agenda for December 2018‟s Council of Governors meeting, incorporating the points detailed above.

7. New Governor Induction

7.1 Mr Barry was pleased to note that processes were in place to hold a new Governor induction session at the Trust on 14 November 2018. He thanked Mr Zielinski for drafting some presentation slides on his behalf which he would review and feedback upon.

Mr Barry

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CoG Steering Committee minutes 25 July 2018 Version: Draft v2

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8. Future Arrangement to Refresh the Steering and Nominations & Remuneration Committees

8.1 The Committee discussed this matter at length, giving consideration to the process and timeline required to refresh these committees. It was agreed that Mr Barry would prepare a paper on this matter that would be presented to the Council in December 2018 in the form of a „motion‟.

Mr Barry

9. Service User Improvement Fund Update

9.1 Prof Savage stated that she still had no clear information on the financial balance available via this fund, or the status of some of the current projects. She would pick this up with Mr Oribio when he returned from leave.

Prof Savage

10. Other matters notified by Governors

10.1 Two motions had been proposed for the next Council meeting by Service User Governor Chaim Peri:

1. All sub-committees responsible for acting on behalf of the council performing their duties should be subject to reappointment / ratification after an election of governors has happened. The council will have the option to remove/add or to reappoint. This should be completed within two council meetings of the duly elected governors taking up their role. (Extraordinary council meetings are included towards this count).

2. An election of the lead governor should also be held after the appointment of newly elected governors within two council meetings. (Extra-ordinary council meetings are included towards this count.)

The Committee AGREED that both motions would be taken forward to the Council of Governors for discussion. (See minute 6.1 above.)

11. Governors' Skills Audit

11.1 The Governors reviewed the report from the last Governors‟ skills audit which was undertaken in 2014. It was agreed that the response rate to that survey, and its historic nature, negated its ability to provide any useful learning. Mr Barry proposed a fresh approach be taken and suggested that try asking all Governors attending the new Governors induction session on the 14 November 2018 to state one skill they might have that would add benefit to their role as a Governors. The Committee AGREED to support the proposed trial.

Mr Barry

12. Any Other Business

(None)

13. Date of Next Meeting:

13.1 9 January 2018, 5:00pm

Executive Office Meeting Room 1, 3rd Floor, East Wing, St. Pancras

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CoG Steering Committee minutes 25 July 2018 Version: Draft v2

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Hospital

14. Close

14.1 The Chair closed the meeting a 6:55pm

I certify these are fair and accurate minutes of the stated meeting.

………………………………………… ……………………….

(Steering Committee Chair) (Date)