Membership
- Prof. I Cumming – Non-Executive Director (Chairman) and voting member
- Mr AC Marsh – Chief Executive Officer and voting member
- Prof. A. Hopkins – Non-Executive Director (Deputy Chair) and voting member
- Ms S Banks – Non-Executive Director and voting member
- Ms C Beechey – Director of People and voting member
- Mrs C Eyre – Director of Nursing and voting member
- Mr M Fessal – Non-Executive Director and voting member
- Mr N Henry – Paramedic Practice and Patient Safety Director
- Mr N Hudson – Performance and Improvement Director and voting member
- Mrs J Jasper – Non-Executive Director and voting member
- Mr M Khan – Non-Executive Director and voting member
- Mr V Khashu – Strategy and Engagement Director
- Mrs N Kooner – Non-Executive Director and voting member
- Mr M MacGregor – Communications Director
- Ms K Rutter – Director of Finance and voting member
- Dr A. Walker – Medical Director and voting member
In attendance
- Ms D Scott – Interim Organisational Assurance Director
- Mr Sukhjeeven Nat – Appointed NED (To take up role on 5/11/2024)
- Mr A Brown – CEO Chief of Staff and Head of Enhanced Care
- Ms K Freeman – Private Secretary, Office of the Chief Executive
- Mr P. Higgins – Governance Director and Trust Secretary
- Ms R Farrington – Staff Side Representative
All attendees to this meeting must be aware that access may be given to all minutes and associated documents under the Freedom of Information Act 2000.
Item 1 – Welcome, apologies and Chairman’s matters – lead by the Chair
Item 2 – Declarations of Interest (to enable declarations to be made, of any conflict of interest members may have in relation to any matters contained within the agenda for this meeting) – lead by the Chair
Item 3 – Patient Story – introduction by the Director of Nursing
Item 4 – Any questions from the public relating to matters to be discussed at this Board of Directors meeting – lead by the Chair
Item 5 – Board Minutes
Item 5a – To agree the Minutes of the meetings of the Board of Directors held 31 July 2024 – lead by the Chair (Paper 01)
Item 5B – Board Log and also any matters arising from both sets of Minutes not on the Agenda for this meeting – lead by the Interim Organisational Assurance Director (Paper 02)
Board Assurance Framework and Review of Risks
Item 6a – Overarching Summary Report
Item 6b – Review and approval of the Board Assurance Framework
Item 6c – Review and approval of the Board Risk Appetite statement
Item 6a – To receive an overarching summary report updating the Board of the current position of the Trust in relation to hospital delays, risks associated and actions by the Trust – lead by the Paramedic Practice and Patient Safety Director (Paper 03)
Action – To receive the report relating to the impact of Handover delays and provides a comprehensive update to the Board of Directors on the current risks that have remained, and are actually increasing for our patients and staff, it is therefore recommended that the BAF risk rating remains at the highest risk score of 25 for hospital delays and also call stacking.
Item 6b – To review the Board Assurance Framework and the risk ratings contained therein and to note that a review of the risks contained therein has been undertaken – lead by the Director of Nursing / Head of Risk (Paper 04)
Action – To receive and approve the Board Assurance Framework
Item 6c – Risk Appetite Statement – lead by Director of Nursing / Head of Risk (Paper 05)
Action – To receive and approve the Risk Statement reviewed by members at the recent Board Briefing.
Item 7 – Report of the Freedom to Speak Up (FTSU) Guardian
Action – Board members are requested to review the information contained within the report – lead by the FTSU Guardian (Paper 06)
Item 8 – Chief Executive Officer Reports
- To receive the report of the Chief Executive Officer – lead by the Chief Executive Officer (Paper 07)
Action – To receive and note the contents of the paper seeking clarification where necessary.
- a) Executive Scorecard – September 2024
b) Executive Scorecard ICS Sub Report – September 2024 (Paper 08a and 08b)
Action – To receive the Executive Scorecards
- Care Quality Commission (CQC) Regulation 12 notice – Performance Improvement Action Plan (Update) – lead by Director of Performance and Improvement (Paper 09)
Action – To receive and note the contents of the report. Discuss the risks outlined in this report associated with achieving the CQC Regulation 12 notice.
- Winter Plan for approval – lead by the Chief Executive Officer (Paper 10)
Action – To approve the Winter Plan
Item 9 – Reports of the Director of Finance
- Finance Update Month 06 Results and current CIP update – lead by Director of Finance (Paper 11)
Action – To receive the report of the Director of Finance
- Quality Impact Assessment / Equality Impact Assessment in relation to each CIP – lead by Director of Finance / Strategy and Engagement Director (Paper 12)
Action – Board members are requested to review the information contained within the report
- Investigation and Intervention reports and narrative and phase 2 progress – lead by Director of Finance (Paper 13)
Action – Note the Investigation and Intervention work mandated by NHSE and the completion of Phase. Provide views on the design and shape of Phase 2 such that it ensures deliver of the 24-25 plan and supports longer term financial improvement
- 2025-26 Budget Setting Timelines – lead by Director of Finance (Paper 14)
Action – To note the proposed approach to Budget Setting for the 25-26 financial year
Item 10 – Reports of the Director of People
- NHS England Visit 12th August 2014 – lead by Director of People (Paper 15)
Action – That the Board of Directors receive and notes the contents of this report
- Sexual Safety Update – lead by Director of People (Paper 16)
Action – Members are requested to review and note the progress on the work carried out in relation to sexual safety at WMAS
- E&U recruitment update – lead by Director of People (Paper 17)
Action – The Board of Directors are requested to consider the content of this report, approve and ratify the updated E&S workforce and recruitment plans presented for the remainder of 2024/25
- Workforce Race Equality Standards (WRES) and Workforce Disability Equality Standards (WDES) – lead by Director of People (Paper 18)
Action – To receive the WRES and WDES data metrics 2024 and associated action plans for 2024/25. To formally record that the Board at a meeting on 25 September 2024 reviewed the
data submissions and authorised the Director of People to proceed to publish the data and associated actions plans as required on the Trust’s website by the deadline of 31st October 2024. The action plans will return to EMB, People Committee and Trust Board for information and assurance following continued development and external review as agreed with board members on 25th September 2024.
- Professional Registration and Medical Revalidation Assurance – lead by Director of People (Paper 19)
Action – That the Board are requested to receive and review the content of this report provided for information and assurance.
Item 11 – Combined Clinical Directors Quality Report
Action – Receive and note the integrated quality report. Gain assurance on the quality agenda and the robustness of the quality governance processes that highlight. There remain the continued risks of patient harm being caused as the result of delayed responses, long handover delays and stacking calls in EOC. This providing continued challenges to the Patient Safety team – lead by Director of Nursing / The Medical Director / Paramedic Practice and Patient Safety Director (Paper 20)
Item 12 – Service Delivery Report
- Action – To receive the report from the Director of Performance & Improvement on the following:
• Emergency and Urgent operations
• Integrated Emergency and Urgent Care
• Non-Emergency Operational Update – lead by Director of Performance and Improvement (Paper 21)
- Implementation of the National Requirement for the 45 Minute Maximum Ambulance Handover
Action – The paper provides the Board with an update on where we are regionally with the implementation of the 45 minute handover as per the LAS model. It notes the decision from EMB on the 4 questions asked at the meeting on 01 October 2024 and a further update provided on 15 October 2024. The Board are asked to seek clarification from the Non-Emergency Services Operations Delivery and Improvement Director – lead by the Director of Performance and Improvement (Paper 22)
Item 13 – Reports of the Director of Strategy and Engagement
- Lord Darzi review into NHS Performance – lead by Director of Strategy and Engagement (Paper 23)
Action – The briefing is presented for information and discussion
- Staffordshire Heathwatch review of UEC in Staffordshire – lead by Director of Strategy and Engagement (Paper 24)
Action – For the Board to receive the report and consider its findings. For the Integrated Urgent and Emergency Care team alongside the Clinical Directors to consider any changes required with call scripts.
Item 14 – Board Committee Meeting Minutes and Chair’s Reports
Lead by Respective Chairs of Committee
Audit Committee
- Chair of Audit Committee Report on the meeting held on 22 October 2024
- Receive the Minutes of the meeting held on 16 July 2024 (Papers 25a and 25b)
Finance and Performance Committee
Chair of the Committee Report on the meeting held on 29 October 2024
Quality Governance Committee
- Chair of the Committee Report on the meeting held on 23 October 2024
- Receive the Minutes of the meeting held on 24 July 2024 (Papers 26a and 26b)
People Committee
- Chair of the Committee Report on the meeting held on 12 August 2024
- Receive the Minutes of the meeting held on 16 May 2024 (Papers 27a and 27b)
Item 15 – Board of Directors Schedule of Business
To receive the Schedule of Business and Development Sessions – lead by Trust Secretary (Paper 28)
Action – To review and note the Board Schedule of Business
Item 16 – Any Other Business – lead by the Chair
Item 17 – Date and Time of the next meeting
The next meeting will be on Wednesday 18 December 2024
At the conclusion of the formal Board Meeting
Item 18 – Board to Review of the meeting and identify and new or increased risks arising from the meeting – lead by the Chair
Preferred means of contact for Any Other Business items: Phil Higgins – Trust Secretary – [email protected]