"NHS Halton and St Helens"
NHS Halton and St Helens Meeting of the TCS Sub Committee (Internal Document) 10.00 am Wednesday 30 March 2011 in the Main Boardroom, Cowley Hill PART A Members: Heather Greaves Chair Mark Arnold PCT Non-Executive Andrew Burgess Chief Executive John Jones Chief of Operations Dot Keates Head of Clinical and Professional Leadership John Morris Head of Finance Mike Ore Head of Service Delivery Carl Powner Deputy Chief of Operations Tom Hughes PCT Non-Executive Jim Wilson PCT Chair Paula Woods Deputy Director of Workforce Strategy In attendance: Angela Green Assistant Director Communications & Involvement Minute Taker Barbara Hitchen Personal Assistant Action It was agreed the minutes of the 30th March would be agreed by the Chair and the Chief of Operations and forwarded to the PCT Chair. 11/03/01A Apologies Alan Rice, Joan Pickett 11/03/02A Declaration/Register of Interests The Chair asked all members to complete the Register of Interests form, even if it was a nil return. The forms will be forwarded to the Assistant Chief BH Executive. 11/03/03A Minutes The minutes of the 27 January 2011 were approved as an accurate record. 11/03/04A Matters Arising 10/XI/06A Performance Report The Chair stated she had spoken to David Merrill. The Head of Clinical & Professional Leadership assured the group that risk registers at local level would be part of the GAC process. 10/XI/08A Workforce Information Report The Deputy Director of Workforce Strategy confirmed she had looked into the feasibility of using ‘Ignite’ for staff wellbeing. The DDofWS stated the course PW has 5 modules and costs £20k per 200 employees. The DDofWS to link in with the Director of HR at the SHA to look at the feasibility of CHS becoming a pilot for the course. The Deputy Director of Workforce Strategy confirmed she had looked into NHS Halton & St Helens TCS Sub Committee 30/03/2011 -1- stress counselling and staff are accessing the service through Mediscreen. The DDofWS to remind staff about the service. 11/01/05A (ii) Business Planning, Innovation & Comms Group Key Issues The Deputy Chief of Operations confirmed that the pilot for e-rostering was complete. A full business case is being discussed. ALW are also pursuing e- rostering but looking at using a different company. 11/01/08A Workforce Information Report Absence Management The DDofWS had agreed to bring the reports from 3 services back to Part II of the Committee. She confirmed these services have improved and will not now be brought to Part II. The service managers have been commended for their work around absence management. Halton Health Visiting HR have been supporting them in addition to the current policies and processes. 1 : 1 training has been carried out re return to work and OH referrals. 11/03/05A Key Issues i) Business Innovation and Communication Group – 19 January & 16 February 2011 The Deputy Chief of Operations stated the annual report and the operating plans are due in. Working with PBC’S on commissioning intentions and borne out in relationship management. Lean has released capacity back into teams. Now transfer into Quality Improvement Programme which will end in April and culminate into PCS. Alison Johnson has transferred to the PCT but CHS will buy back some of the service. ii) Finance and Workforce Planning Group – 20 January & 24 February 2011 The Head of Finance stated the group looked at in year finance position for CHS. Emphasis is on budget planning for 2012 and embracing Divisional Manager’s structure and putting together efficiency plan. Corporate performance dashboard will be built into our processes. Disadvantage short term – is working on different platforms. The DDofWS presented month 9/10 workforce reports. The group will continue and report into Bridgewater. iii) Clinical Quality and Standards Group – 31 January & 28 February 2011 The Head of Clinical & Professional Leadership confirmed she was meeting with clinical governance counterparts. The clinical governance review is ongoing and will ultimately be incorporated by the CQS Group. Main themes are to ensure we have the basic systems across the organisation and to ensure clinical polices and procedures are embedded across the organisation. ALW confirmed CHS are transferring ‘safe’ and positive services. All clinical policies will remain until policies/procedures are merged. The first Quality Inspection visits have taken place planned/unplanned and areas of good practice and areas requiring further action were identified. Safeguarding Children – a positive inspection has taken place with Halton Borough Council. NHS Halton & St Helens TCS Sub Committee 30/03/2011 -2- Safeguarding Adults – posts are moving to PCT and working through SLA’s to ensure we have nominated people in place. R & D – ALW are eager that R & D moves across with us. iv) Corporate Performance Group – 11 January & 8 February 2011 The Head of Service Delivery confirmed they were looking at how we can assure organisation of data. Working with service improvement lead and performance group from our counterparts looking at KPI’s. Our BIU has been offered as a resource. Quality Accounts – working through workstream to understand framework and ALW’s expectations. v) Audit Committee- 25 January 2011 The Head of Finance stated meeting was predominantly PCT business. Main workstream in CHS was the MIAA follow up. Found people were not updating PA and there was a corporate push to get the actions logged. 29th March Audit Committee, MIAA list has reduced but there are still a number of recommendations needing actioning/evidence providing. Agreed as committee best practice should encourage managers to finalise the work. Report will go to the next PCT’s Audit Committee in July. Audit Committee will comprise a Part A and a Part B. The Head of Finance agreed to circulate papers and to work with MIAA to complete. Newton – it was agreed collectively as commissioners/providers to get better utilisation. 11/03/06A Performance Report The Head of Service Delivery reported Child & Family Services, St Helens are going through a mobilisation exercise of getting new staff into service. PCAMHS demand is exceeding expectations. Predicated 400 seeing £1k. Work around triaging CBT referrals to be pursued. Child & Family, Halton – admin issues. Workstream is looking at issues and CP mapping out pressures. Harm reduction – looking at service re-design – tender has been submitted led by LA. MO Weight management – wait times have increased due to sickness. Mandatory training – e-learning system problems with software. Linking with IT to resolve issues. Will then link into Whiston and figures should improve. Rob Foster is picking up the actions and a report will be run overnight and figures should increase by the end of April. Health Visiting – received funding to work as quasi partner with ALW The TCS Sub Committee: noted the contents of the report NHS Halton & St Helens TCS Sub Committee 30/03/2011 -3- 11/03/07A Finance Report: Period 11 The Head of Finance reported the PCT’s financial position has improved over the last couple of months and forecasting to achieve target. CHS reported £59k surplus at the end of February and line to achieve £100k surplus. There are still some outstanding issues with St Helens & Knowsley hospital with regard to the re-charge of facilities at Newton which could impact on our bottom line. Working with PCT/Whiston and the PCT are supportive of our approach. Final accounts – SHA provides monitoring role and we will have to have resolution in the next 4 – 6 weeks re agreement of our financial position. Remains optimistic we will achieve. Newton –Exploring possibilities with Warrington and others to utilise Newton. Tom Hughes was concerned on the financial influence PFI has on patient groups. The Head of finance reported CHS are looking at the cost of medical services and getting value for money and how we address PFI. The TCS Sub Committee: noted the month 11 financial report incorporating financial position and management cost compliance 11/03/08A Finance Schedule in respect of 2011/12 host PCT contract The Head of Finance confirmed the recurrent contract at the end of December was £41m. Some monies have been given back to the PCT, i.e. intermediate care home loans etc. PCT have agreed to pick up historical funding issues. We will get back 1.5% through the National operating framework if we deliver on CQUIN. Some Dental Services taken out but taken on board wheelchairs and a number of tenders have been awarded. CQUIN – agreed strategic roles using money to implement Paris system and PROMS. Taking £56/57m, into the new organisation. PCT has recognised CHS requirements and has put additional money into contract for items such as entrel feeds etc The Head of Finance confirmed there will be a recovery plan and if we make a surplus it will stay within H & St H. NHS Halton & St Helens TCS Sub Committee 30/03/2011 -4- The Chief of Operations congratulated the Head of Finance and his team for achieving the deadline. The TCS Sub Committee: noted the finance schedule equating to an operational baseline of £40,938k. 11/0I/09A Workforce Information Report The Deputy Director of Workforce Strategy stated that the focus of the report was on absence management. There has been a further reduction for CHS. The rate for February was 5.35% & 5.20% respectively for CHS/PCT. The cumulative rate was 5.13%. ALW pleased with absence league table and will be adopting. Causes/risks Musculo-skeletal – Majority are clinical and will be linked into other indicators ie. Manual handling. Looking at investing in stools for DN’s. In house physio has made a significant improvement. Working with finance and agreed to extend physio for another 6 months. PDR/Mandatory Training and Workforce Initiatives Workforce initiatives introduced to reduce management costs. 50 CHS staff have purchased additional leave and 7 have applied to reduce their working week from 5 to 4 days. The DDofWS to check on NI contributions as cost to the employer for granting additional leave. PW Headcount of organisation Remains below target of 1868 seen reduction in 9 since January. Seen increase in heads in CHS of 70 due to a change of cost centres from the PCT to provider. These are in terms of assignment, PPI, estates etc. The TCS Sub Committee: noted the contents of the report which refers to: o the sustained achievement of the Trust’s headcount target of 1,868 o a slight decrease in absence of .76% for the month of February 2011 o the costs of absence to the organisation o decreases in the episodes of long and short term absences o improved take up of PDRs and mandatory training o the take up of workforce initiatives that have been introduced to assist with the current financial challenges we face, including the requirement to reduce management costs 11/03/10A Staff Survey 2010 NHS Halton & St Helens TCS Sub Committee 30/03/2011 -5- The Deputy Director of Workforce Strategy stated the national response rate was 55% we attained 53%. Appendix 2 is a copy of the analysis and shows comparison with previous years results. The results of the survey have been cascaded to staff through the ‘Listening to You’ linking into the 4 staff pledges. Recently received data for provider/commissioning and splitting data to see where the issues are. Linking in with ALW/Trafford/Warrington and done a piece of work comparing PW divisions which will be brought back to a future committee. As an SMT there are areas for further development which need to be looked at from management/leadership perspective. The TCS Sub Committee: noted the contents of the report. noted the survey’s successes/highlights and that the areas for further development will be captured in an action plan and progress will be monitored and evaluated as will the strive for continuous improvement 11/03/11A Clinical Governance Review The Head of Clinical & Professional Leadership confirmed she was providing due diligence work to ALW and working with the governance team at ALW to ensure systems are integrated. The Action Plan was being progressed by the weekly review group which has been subsumed by the Clinical Quality & Standards Group. Looking at mandatory/essential training. A report will be taken to GAC by Rob Foster. The TCS Sub Committee: noted the development of the action plan into operational and corporate areas as outlined in section 3.1 above noted the development of the working group in order to operationally progress, complete and embed the actions from the Clinical Governance Review into services noted that a robust reporting structure is in place and agreed by CHS SMT to take forward the findings from the review agreed that the review and the actions identified are being progressed via the governance structure within CHS and how it is being integrated into the new organisational governance structure NHS Halton & St Helens TCS Sub Committee 30/03/2011 -6-