COUNCIL OF MEMBERS MEETING
14 DECEMBER 2011
COM37/2011
CHIEF EXECUTIVE’S REPORT
1.CQC UPDATE
The Trust has received the following final CQC review of compliance reports in September:
HMP Feltham Young Offenders Institute: The Trust received the final report for Feltham
on the 6th September and their judgment was:
 Minor concerns with outcome 2 (consent to care and treatment): improvement action
required
 Minor concerns with outcome 8 (infection control): improvement action required
 Minor concerns with outcome 10 (safety & suitability of premises): improvement
action required
 In addition, while they have judged us to be compliant with outcome 1 (respecting &
involving service users) that have made suggestions for improvement and we have
an improvement action for this outcome.
Actions have already commenced to address the issues raised in the review and we reported
back to the CQC on progress with our action plan in October 2011.
7a Woodfield Road: The Trust received the final report following the CQC Review of
Compliance at Woodfield Road on the 8th September 2011. The CQC judgement was:
 Minor concerns with outcome 4 (care and welfare): improvement action required.
The Trust reported back to the CQC on progress with actions taken to address the concerns
identified in October 2011.
The Trust has received the following CQC compliance visits since September 2011.
Butterworth Centre
Following a review of CNWL’s Action Plan in relation to the CQC Review of Compliance and
a further unannounced visit to the Butterworth Centre on 6th September 2011, the CQC have
now lifted their concerns with regard to Outcome 2. The CQC have judged the Butterworth
Centre to be fully compliant with the Essential Standards of Quality and Safety.
Kingswood and Seacole Centre Learning Disabilities Service
On the 13th and 14th October 2011, the CQC visited Kingswood Learning Disability Service.
On the 17th and 18th November they visited the Seacole Centre Learning Disabilities Service.
These visits are part of a focussed inspection programme of services that provide health care
for people with learning disabilities in response to the BBC Panorama broadcast which
uncovered details of systematic abuse of patients by staff in Winterbourne View. The Trust
is awaiting written feedback from these visits.
Trust HQ
On the 14th November 2011, the CQC carried out an unannounced visit to Trust
Headquarters. This visit focused on the following standards: requirements relating to
1
workers, supporting workers and assessing and monitoring the quality of service provision.
The Trust has received the draft report for this visit and the CQC’s draft judgment is that we
are fully compliant with these standards.
2.Relocation of Trust Headquarters
The Trust Headquarters successfully relocated on 17th October. We operated a skeleton
service on Friday 14th as the old offices were packed up but were up and running on the
Monday even as staff unpacked their crates. It is estimated that the move will save the Trust
in the region of £300K per annum.
3.Safeguarding
The Board receives regular updates on safeguarding all of which are published on the Trust
Website.
In September we published our annual report on safeguarding children, which is defined as,
the process of protecting children from abuse or neglect, preventing impairment of their
health and development and ensuring they are growing up in circumstances consistent with
the provision of safe and effective care which is undertaken so as to ensure children have
optimum life chances and enter adulthood successfully.
We have made sure that all staff know how to recognise signs of concern and that they know
who to contact if they do have any such concerns about a child. We encourage all staff to
‘think family’ when they are working with clients to identify any family members who may
need support either from our services or from other agencies. We have made e-learning
training available and produced other information leaflets for staff to help them. We work
very closely with the local Safeguarding Children Boards which are generally led by the local
authorities and indeed have made sure that the Trust was represented at 100% of the
meetings held in the boroughs we are active in.
In December the Trust receive two highly commendeds in the London Safeguarding
Children Board Awards These were received for the 24hour advice line run by Paul Byrne
and our parental support service run jointly with the NSPCC.
Equally we are concerned with safeguarding adults and as such we produced an annual
report in October. There are six principles which underpin our approach;
Principle 1. Empowerment – Presumption of person led decision and consent
Principle 2. Protection – Support and presentation for those in greatest need
Principle 3. Prevention – Prevention of harm and abuse is a primary objective
Principle 4. Proportionality – least intrusive response appropriate to the risk presented
Principle 5. Partnership – Local solutions through services working with communities
Principle 6. Accountability – Accountability and transparency in delivery safeguarding
We have a Trust wide Safeguarding Adults group that is attended by both representatives
from within the Trust and also Social Services Safeguarding Leads for all the major boroughs
in partnership with the Trust. This group was set up in order to improve practice and develop
joint working. The aims of the group are to:
 Ensure consistency in approach
 Provide peer support
 Provide a unified health perspective to feed into multi-agency working practices
 Discuss operational issues
 Discuss updates from case law
2
The Board received training in October covering both adult and children’s safeguarding. All
staff recruited after 2002 have, where it is role appropriate had advanced CRB checks and
contractors supplying staff are required to comply with the same level of scrutiny. We are
now ensuring that staff recruited prior to 2002 are also checked and this will be completed
during 2012.
4.Health and Safety
I would draw attention to our Health and Safety Annual Report which is available on our
website. We have a very healthy culture in the organisation whereby staff are encouraged
to report all incidents. This means that we have a high number of incidents reported but that
most of them result in low or no harm and this means that we are able to put in place
remedial measures, where they are indicated, to avoid further and potentially more serious
incidents occurring.
5. Constitution
The Board met to consider initial thought relating to our 2012 annual plan. This will be
considered further in the governors Business planning sub groups. The Trust may in some
circumstances consider taking on services outside of the Greater London area. Any such
decision would be taken on a case by case basis and we would be very careful not to take on
any service which we didn’t have the capacity to manage well. However our constitution in
relation to our constituencies limits us to the Greater London Area and we would therefore
seek your consent to ask Monitor to amend the constitution to widen our public constituency
to the rest of England and Wales. This would not affect any sitting governors and is
consistent with the approach taken by many other foundation trusts.
6.Business planning
We are proposing the following dates and topics for the Governors business planning
workshops in 2012
Thursday 12 Jan – 5- 6.30 (review of year and review of PEST)
Thursday 16 Feb – 5 to 6.30pm (draft priorities and finance review)
Thursday 8th March – 5 to 6.30pm (circulation of draft plan in advance for discussion in sub
group)
A copy of the Business planning timetable is attached for information.
These topic areas are suggestions only and we would welcome Governors’ suggestions as
to any particular things they would like us to discuss at the sub groups this year. You can
make your suggestions at the meeting or separately to John Vaughan if you prefer.
7.Develoment of the Quality Account
We are also beginning the annual process of developing CNWL's Quality Prioities for 201213.
We have already begun the process of engaging with stakeholders to consult and agree the
Quality Priorities (QPs): We met with our LINks in November for an initial workshop to get
our LINks thinking about next year's QPs, to describe the process and timeline, and
provide current performance data and organisational learning themes to assist them when
they engage with their local communities. LINks have all been invited to a second QP
workshop meeting on 25 January 2012 to share and discuss the feedback from their
3
communities with us. We are continually engaging with our commissioners, and will be
working closely with them over the coming months in developing ideas for our QPs.
Similarly, we would like to invite Governors to a workshop of our Council of Members to
discuss their views. The workshop will be held on Tuesday 31 January 2012 at 1300-1430 at
Trust Headquarters
All Governors are very welcome. Please could you inform the Trust Secretary if you would
like to attend.
Our Council of Members are also invited to our main QP Consultation Workshop to be
held from 1330 - 1700 on 7 March, at trust headquarters, where all our stakeholders
(including LINks, GPs, commissioners, internal clinical/service directors) will come together
for an afternoon to discuss and share their views on what CNWL's QPs for next year should
be. If you would like to attend, please could you book a place by emailing
[email protected]
8.Hidden Gems
The Trust has a scheme whereby patients, carers and staff can nominate individuals or
teams who have really gone the extra mile. A panel, including governors, chooses the
annual winners which are announced at an awards event in September. This year the
winners were:
Engaging our communities and partnership award
- Ambica Selvaraj
Outstanding contribution award
- Richard Roberts
- Sharon Cupidore
Outstanding improvement in the service user experience award
- Abdulkadir Mohamed
Quality and value in practice award
- Ivan Calder
Supporting others award
- Chamini Hettige
- Dave Murfin
Team of the Year
- Hillingdon drug and alcohol team and service user group
Employee of the Year
- Margaret Childs
- Macdonald Tlhabadira
We also mark those who have give 20, 30 and sometimes even 40 years service to the NHS.
This year we had a special ceremony for our community services, who haven’t previously
done this, and next year there will be a whole organisation event.
Marking such dedicated service, albeit in a very modest way, has a really positive effect on
staff receiving their awards and also on their colleagues who see this as a visible sign of an
4
organisation that really values its staff and especially prizes those who put themselves out to
ensure the best possible patient experience.
9. Membership Report December 2011
To follow
Claire Murdoch
Chief Executive
5