Minutes of the St. Helens and Knowsley Hospitals
NHS Trust Board held on Wednesday 3rd September
2008 in the Boardroom, Rowan House, Whiston
Present: Mr. L. Howell Ms A Marr
Chairman Chief Executive
Mr. R. Swainson Mr. A. Mulvey
Non Executive Director Director of Finance
Mrs S Hinchliffe Mr. P. Williams
Director of Nursing, Director of Facilities & Contract Management
Midwifery & Governance Mrs. A-M. Stretch
Mr. R. Hill Director of Human Resources
Non Executive Director Mr. B. Lloyd
Mr. P. Clark Non Executive Director
Non Executive Director Ms D. McLaughlin
Dr. J. A. Tappin Director of Operations & Performance
Deputy Medical Director
Apologies: Dr. M. Lynch Medical Director
Mr. D. Bradbury Non Executive Director
Mr. N. Darvill Director of Informatics
Mr. I Stewardson Director of Service Modernisation
Miss S. Brady Programme Manager
Mrs. P. Caldwell Board Administrator
Declaration of Interests
No Board member declared any interest relating to the business to be conducted at the
The Chairman welcomed everyone to the meeting including one member of the public.
Mr. Tony Narayanan of Links Forum and Mr. Alan Rice of Halton and St. Helens PCT
had indicated they would not be present at the meeting. He noted that Knowsley PCT
had decided not to send representatives to the Board in future.
08/063 Minutes of the Last Meeting held on 2nd July 2008
(a) Correct Record
It was resolved that the minutes of the meting held on 2 nd July
2008 were a correct record.
(b) Matters Arising
Page 2 08/045 (b): Ms Marr confirmed that the transfer of staff from
Informatics to Finance had been to cover the transfer of the
Corporate Information function from Informatics to Finance.
Business and Performance
08/064 Performance Dashboard NHST(08)044
Ms D. McLaughlin noted the key performance indicators for month 4 had
been met with the exception of thrombolysis. She tabled a paper
highlighting the factors which had influenced this. She explained this
target measured the time from the call for help to the administration of
thrombolysis which should be within 60 minutes. The Trust had breached
this in each of the last three months. She explained the role of the
Ambulance Service in the administration of thrombolysis and noted the
main reasons for the breaches were due to the Ambulance Service being
unable to administer thrombolysis prior to transfer, or delays in the
transfer to A&E leaving not enough time remaining of the 60 minutes to
administer thrombolysis. Ms McLaughlin noted the actions the Trust had
taken to improve and try to resolve this situation. She noted this was a
difficult performance target as the attainment of it rests outside the Trust’s
control. Ms A. Marr has arranged to meet with the Chief Executive of the
Ambulance Service to discuss this matter and reinforce the actions
already taken. The Board discussed this issue, noting the current
situation is unacceptable relating to the possible impact on patients and
the link to the HCC ratings.
With regards to sickness and mandatory training, Mr. P. Clark noted these
were not traffic lighted. Mrs. A-M. Stretch said this was an oversight and
these should, in fact, be green. Sickness within the Trust is significantly
lower than the North West average and lower than the national average
but Mrs. Stretch acknowledged improvement is still needed.
It was noted the C-Dificil target was still yellow although there had been
significant improvement. This was because the Trust was still under the
DOH Intensive Support Team following an unusual outbreak earlier in the
year but the Trust now has the lowest figure in the SHA for C-Dicifile, and
the best rate in the Country for MRSA.
08/065 Finance Report NHST(08)045
Mr. A. Mulvey noted that finance had been discussed in depth at the
preceding Finance Committee but he noted the headline information from
A small surplus of £240k which is marginally ahead of plan by £17k.
Good progress is being made on the Cost Improvement Plans but it is
essential to maintain that momentum for the rest of the year.
The implementation of the International Finance Reporting Scheme,
which is a change in the accounting regime prescribed by the
Government, will mean some of the accounting in terms of the PFI
may change in the new financial year. Some support will be needed in
Finance to meet the demands of IFRS.
All other statutory targets are on track.
Mr. Mulvey confirmed that in order to make comparison when the
accounting system is changed to IFRS, the figures would be adjusted so
that performance was maintained and therefore comparison like for like.
Mr. Mulvey confirmed that no changes to the initial assessments had
been made relating to property issues with the opening of St. Helens but
maintenance activity was the key issue and this had all been planned.
08/066 Informatics Report and LIS Board Update NHST(08)046
Ms S. Brady, Programme Manager, Informatics, attended on behalf of Mr.
N. Darvill and noted key issues from the report, including:
Paul Hawgood has joined the team as Assistant Director of Systems
Intelligence and will manage the Executive Information System (EIS).
The Electronic Document Management System is due to go live week
commencing 8th September 2008 in the Lung Shadow Clinic. A
planned roll out to other areas will then take place. The system has
also been rolled out to walk in centres in Knowsley this week. The
implementation of EDMS follows the completion of rigorous testing.
Plans have been approved with Telewest to include Halton sites on
the Community of Interest Network (COIN).
Work is continuing on the commissioning of the wireless network at St.
The Board discussed the report. Miss Brady confirmed that training for
EDMS was being positively received and she noted the benefits of the
new system. The Trust is the first in the Country to implement the
With regards to the LIS Board minutes, Mr. R. Swainson, Chairman of the
LIS Board, highlighted the recent fire at Castlefields GP surgery which
was dealt with in a very responsible and efficient way by the Informatics
Team, enabling the practice to continue working with no loss of data.
Thanks had been expressed from both the practice and the PCT.
08/067 R&D Annual Report NHST(08)047
Dr. J. A. Tappin, Deputy Medical Director, noted the significant step taken
by the Trust in becoming a Teaching Hospital and highlighted topics from
the Report. It was noted that the funding regime for research and
development had changed. It was confirmed that the Trust’s R&D spend
is comparable to that of similar sized organisations. The Trust will lose
about a £1/4 m under the new system and will need to acquire funding
through a bidding process. The importance of research and development
within the organisation was emphasised and the Board discussed this.
08/068 Strategic Redevelopment Project NHST(08)048
Mr. P. Williams reported that the final area inspections are ongoing on the
Diagnostic Treatment Centre and the anticipated handover date of 26th
September remained likely.
An open week is being arranged w/c 22 nd September at St. Helens and
2000 invitations will be issued.
All departments are gearing up operational planning to transfer and an
overall review of preparedness to transfer is being undertaken.
Occupation of the building will be from late October.
An additional 250 car parking spaces have been agreed for St. Helens
from September. Mr. Williams will take a proposal to the Project
Implementation Group for the implementation of a regular bus service
between Whiston and St. Helens Hospitals which will benefit patients and
At Whiston, work is ongoing to improve the finish of the elevations. A
significant change will be the new foot bridge between the new hospital
and the multi storey car park. Taylor Woodrow is still predicting
completion prior to the original date of May 2010.
Mr. P. Clark asked if staff were aware of progress relating to the move to
St. Helens. Mr. Williams confirmed that information had recently gone out
with pay slips and managers had been asked to report if there were any
problems. Each department also has a commissioning group working on
08/069 Complaints and Claims NHST(08)049
Mrs. C. Freeman, Head of Complaints and Claims, noted there was little
change year on year in the number of complaints received by the Trust
and that the Trust had the best rate for the number of complaints received
per bed within Merseyside. Performance on responding to complaints
within timescale remains consistent at circa 90% (which is above target)
and achieved 100% towards the end of the period. The problems with
health records had improved significantly. Mr. P. Clark noted an incident,
however, of non delivery of a batch of records to clinic. Ms Marr said this
was not acceptable but that the Trust had just invested heavily into an
electronic document scanning system which will alleviate such problems.
Mrs. Freeman also highlighted lessons learned and claims.
Mr. P. Clark asked about communication of patient information with GPs
and other hospitals. The position of Knowsley, Halton and St. Helens
GPs as part of the local COIN facilitates better communication. The PACs
system on Merseyside enables images to be viewed between hospitals.
It is possible via EDMS to make patient records available to the GPs on
the local COIN providing systems relating to security and confidentiality
are in place. The Trust is leading the approach on Merseyside to make
pathology results available via PACS.
08/070 Clinical Audit Annual Report NHST(08)050
Mrs. S. Hinchliffe, Director of Nursing, Midwifery and Governance,
presented the Clinical Audit Annual Report for 2007/08 and noted:
All audits in the Trust are prioritised between local and national issues
to ensure that audit is used most effectively.
All audits follow a defined protocol.
Topics undertaken are delivered during protected time.
The report also focuses on changes and recommendations as a result of
Mr. P. Clark asked about funding and Mrs. Hinchliffe said this currently
meets the national requirements without compromise to assurance or
Mrs. Hinchliffe confirmed that case notes for audits are now only delivered
to specific areas to aid tracking but that this system would be superseded
by EDMS eventually.
Mr. R. Swainson asked about the number of surveys commissioned and
whether these were aimed at the same population. Mrs. Hinchliffe said
there may be some overlap between national and internal surveys but the
Trust had no control over the timing of the external surveys. She noted,
however, that the Trust is learning from the outcomes of surveys and
producing and monitoring action plans. The Chairman noted this good
practice and confirmed the Trust was seeking year on year improvement.
Organisational Culture and Leadership
08/071 Equality and Human Rights Update NHST(08)051
Mrs. A-M. Stretch gave assurance that the organisation is meeting its
legal requirements relating to equality issues. The Chairman noted the
Trust’s proactive stance to ensure patients and staff have a good
experience. All relevant information is on the intranet and internet.
08/072 Knowsley PCT Board Minutes June 2008 NHST(08)052
Item 08/112: Emergency Hospital Care: It was noted that the reference to
‘the Trust’ was ambiguous.
The Chairman noted that it had been suggested that representatives from
this Trust did not need to attend Knowsley PCT Board and he would
discuss this with the Non Executives outside the meeting.
Mr. R. Hill noted the comments relating to achievement of targets under
The Board received and noted the minutes
08/073 Halton & St. Helens PCT Board Minutes May and June 2008
The Board received and noted the minutes.
08/074 Any Other Business
Mr. P. Clark noted that Patientline had gone bankrupt and asked how this
impacted the Trust. Ms Marr said the contract would be passed over to
the company who had taken Patientline over and negotiations regarding
provision of telephony and television in the new hospitals would be
08/075 Date of Next Meeting
The next public meeting of the St. Helens and Knowsley Teaching
Hospitals NHS Trust Board will be held on Wednesday 5th November
2008 at 10.30 a.m. in the Boardroom, Rowan House, Whiston Hospital.