Highland NHS Board 11 August 2009 Item 2 FOLLOW UP FROM BOARD ACTION PLANS – SEPTEMBER 2008 ONWARDS Those items shaded grey are due to be removed from the Action Plan as they have been completed, or will be considered at the next Board. Meeting Item Action / Progress Outcome Board 02/09/08 Mental Health of Children and Young People A visit to the CAMHS services should be included in the programme of visits for Non Executive Directors. Children’s Champions to attend CAMHS Operational Management Group. Board 07/10/08 Health & Safety – Occupational Road Risk This could potentially be discussed at a future meeting Board 07/10/08 Commissioning Older Services - Argyll & Bute CHP to keep Board informed of progress. Board 07/04/09 – deferred Health & Safety suggested as future Dev Session topic. CEs Report 11/08/09 Board 04/11/08 Clinical Governance Committee A briefing on the implications of increasing the threshold for neonatal admissions to be circulated to Board members. Completed as Services work. Area Clinical Forum A future report to be submitted to the Board on the Charge Nurse Review (Leading Better Care) Board Dev. 10/08/09 Grants to Voluntary Organisations Director of Community Care to liaise with Argyll & Bute Council with a view to working towards a joint compact to cover both local authority areas, with a report being submitted to the Board in due course. Note also additional report on strategic commissioning of voluntary orgs and timetable for Board. CEs Report 11/08/09 Non-Executive Director Involvement in Meetings The criteria for Non Executive Director involvement in meetings to be reviewed. Board Dev. 10/08/09 Governance Committee Assurance Reports A review of the effectiveness of the Assurance Reports from committees would be undertaken later in the year. Board 06/10/09 Volunteering Strategy The Strategy will be presented to the Board in June 2009 for approval. Board 06/10/09 Board 03/02/09 Peoples Working with you to make Highland the healthy place to be part of Maternity Meeting Item Action Outcome Board 03/02/09 Clinical Planning Group Bariatric Surgery to be referred to the North of Scotland Planning Group to consider options from a regional perspective. NoSPG Joint Committee for Children and Young People To review the way in which this Committee can give assurances to the Board. Future Board eHealth Draft Strategy Update Final eHealth Strategy to be completed by end of March 2009 and submitted to Board thereafter. Board 02/06/09 – update Board 11/08/09 – Final Strategy Mid Highland CHP Committee Mid Highland CHP, through NHS Highland, to write to the Scottish Government Health Department on the issues raised in relation to the Community Pharmacy Contract. Board 07/04/09 Mid Highland CHP Committee to ask for a clear indication of the plan for smoking cessation and the anticipated outcomes. Mid CHP Cttee Raigmore Committee - Smoking Policy To report to the next meeting of the Committee on the Smoking Policy, and report back to the Board in due course. Raigmore Cttee Audit Committee A follow-up review to be undertaken on the Review of Radiology Job Planning and Waiting List Initiative Payments and a report submitted to the next meeting of the Audit Committee. Audit Committee – 27/05/09 Staff Governance Committee It was noted that in relation to the PDP target that 100% must be achieved by the end of May and it was agreed that the relevant information would be submitted to CHP/Raigmore Chairs. CHP / Raigmore Cttees Argyll & Bute Health & Care Strategic Partnership A paper to be submitted to the next meeting of the Endowment Funds Committee to discuss some minor changes to the Valuing Service Policy. Chair and Chief Executive to consider concerns expressed re quoracy of the Partnership. End. Funds Cttee 06/07/09 Being discussed with CE of Argyll and Bute Council. Bill Brackenridge to share relevant analysis. It was recommended that Jan Baird, Director of Community Care and her counterpart in Argyll & Bute Council should also be members of the Partnership. 2 A&BH&C Strategic Partnership Meeting Item Action Outcome Board 07/04/09 Standing Orders It was agreed that there should be a statement in each remit explaining reporting mechanisms for each committee/group. All Professional Advisory Committees to review their constitution. A single NHS Highland Capital Plan will be submitted to the next Board meeting. Future Board Devolved Integrated Resource Framework It was agreed that NHS Highland should apply to become a National IRF Pilot with one or both of its Partners. NoSPG – Initial Agreement – Reprovision of a Regional Young People’s Unit It was agreed that there should be an opportunity for the Board members to discuss the development prior to consideration of an Outline Business Case. Application made on behalf of NHS Highland, Argyll & Bute Council and Highland Council. Awaiting decision. Future Board NHS Highland Capital Plan Board 11/08/09 The Board gave formal approval for the initial agreement to enable the development of an outline business case for Tier 4 services across the North of Scotland. Future Board Maternity Services Committee The Board approved the establishment of a Maternity Services Committee to replace the Women’s Health Network (WHN). The Committee would report to the Clinical Governance Committee. The Role and Remit would be presented. Establishment of reported to Clinical 13/05/09 Role to CG 18/08/09 Oral Surgery Service A plan for implementation within budget would be prepared and progress reported to the Improvement Committee. Improvement Cttee 06/07/09 Improvement Cttee 07/09/09 Better Cancer Care Action Plan It was agreed that there should be a cross reference in this to the Living and Dying well Strategy. ‘A Force for Improvement’ – The Workforce Response to Better Health Better Care It was also agreed that a report should be developed, demonstrating performance against the Framework. Future Board It was noted that a revised Workforce Strategy would be submitted to the Board in due course. Board 11/08/09 3 Committee Gov. Cttee Meeting Item Action Outcome Board 07/04/09 Adult Support and Protection: Adult Protection Committees The Adult Support and Protections Committees should submit a report to the Board every 2 years. Future Board – April 2011 NHS Highland Report The use of Biomass was discussed and it was felt that the final strategy should provide reassurance to the Board regarding the supply of biomass fuel in the Highlands and the reliability of the technology Future Board Board 02/06/09 Environmental A Performance Management Plan should be brought back to the Board in due course. Future Board A Carbon Management Implementation Plan (CMIP) would be submitted to the June meeting of the Board. Board 02/06/09 – deferred Board 11/08/09 Emergency Transfer of Patients from Islands Board to be advised in writing when this project is operational. Board Members North Highland CHP An item on the North CHP Financial Position to be included on the next agenda of the Improvement Committee. Improvement Cttee 06/07/09 Infection Control Infection Control poster campaign be discussed at each of the operational committees. CHP/Raigmore Cttees GMs to update. Nairn Hospital Development To clarify position regarding the pharmacy in the new Nairn hospital. PDPs Final figures for PDPs would be submitted to the Scottish Government on 5 June and Board members would be circulated final details following submission. Within phase 2 there is provision for a pharmacy. Options are currently being discussed with various pharmacies but no appointment has yet been made. The appointed pharmacy will be a non NHS tenant within the building and will enter into a lease agreement. Board Members Clinical Governance Committee A detailed action plan for reporting and monitoring mechanisms for PDPs would be submitted to the Staff Governance Committee. SG Cttee - 25/08/09 Proposals in relation to clinical governance and risk management will be considered by the Corporate Team to ensure that appropriate systems are in place. Corporate Team – 25/06/09 4 Meeting Board 02/06/09 Item Action Outcome Area Clinical Forum Area Clinical Forum minute be amended to read “National Study of CHPs”. Minute amended Joint Committees with Highland Council Comments on the Joint Committee minutes and Action Plan should be fed back to Highland Council. Completed Governance Reports Annual In future all Committee Annual Reports should be submitted to the May meeting of the Audit Committee. Audit Committee – May 2010 Redesign of Mental Health Services in Argyll & Bute To circulate a brief summary of the service model to Board members. DL to update To write to Cabinet Secretary detailing the redesign of Mental Health Services in Argyll & Bute. Letter sent 24/06/09 Director of Public Health Annual Report The report should be presented to each of the Raigmore/CHP Committees and local authorities. Breast Cancer Services To take forward the proposals as agreed and report back to the Board in due course Public Health senior staff will present report to each CHP committee. Ken Oates to contact LAs to confirm whether they would welcome a presentation. Future Board Zero Tolerance to Non Hand Hygiene Compliance Control of Infection Committee to consider compliance in the community (GP practices, care homes etc) in more detail. Committee 5 Control 09/09/09 of Infection Committee
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