Trust Board Monday, 24 September 2018 at 1.00 pm Lecture Theatre, St Ann's Hospital, St Ann's

242 Pages·2017·4.3 MB·English

by  Barry Ray

Trust Board
Monday, 24 September 2018 at 1.00 pm
Lecture Theatre, St Ann’s Hospital,
St Ann’s Road, London, N15 3TH
A G E N D A
(Meeting of the Trust Board held in public)
Time Item Agenda Item Page Lead
Number Number
1. General Business
1.00 1.1 Chairman’s welcome Verbal Michael
Fox
1.02 1.2 Apologies for Absence Verbal Michael
Fox
1.04 1.3 Declarations of Interest and of any Conflicts of Interest Verbal Michael
Fox
To review the attached Summary of Board Members’
declarations of interest and to declare at the meeting any
conflicts.
1.05 1.4 Minutes of the Meeting held on 16 July 2018 Page Michael
1 Fox
To confirm the minutes of the last meeting as a true record.
1.08 1.5 Actions and Matters Arising from the Minutes Page Michael
13 Fox
To review progress set out in the attached written report and
to discuss any other matters raised by Board Members.
1.10 1.6 Patient Focus – Somerset Villa Rehabilitation Service Verbal Andy
Graham
1.40 1.7 Chairman’s Report Verbal Michael
Fox
To receive the Chairman’s verbal report.
1.45 1.8 Chief Executive’s Report Page Jinjer
15 Kandola
To receive an update on Trust matters.
Time Item Agenda Item Page Lead
Number Number

1.55 1.9 Executive Chief Operating Officer’ Report Page Andy
21 Graham
To receive an update on operational matters.

2. Risk and Performance

2.00 2.1 Board Assurance Framework Page Barry
29 Ray
To consider the Board Assurance Framework.

2.10 2.2 Trust Quality and Performance Report Page Andy
81 Graham
To review the Trust Quality and Performance Report.

2.20 2.3 Financial Performance: Month 5 (August 2018) Page David
87 Griffiths
To receive an update on recent financial performance.

3. Quality and Safety

2.30 3.1 Clinical, Quality and Safety Report Page Clare
97 Scott
To receive an update on Clinical, Quality and Safety
matters.

2.40 3.2 Safe Staffing Levels Page Clare
103 Scott
To note the Safe Staffing Levels report and the actions
being taken.

4. Annual Reports

2.50 4.1 Research and Development Annual Report Page Jonathan
125 Bindman
To ratify the Research and Development Annual Report.

2.55 4.2 Medical Revalidation Annual Report Page Jonathan
137 Bindman
To ratify the Medical Revalidation Annual Report.

3.00 4.3 Patient Experience Annual Report Page Clare
165 Scott
To ratify the Patient Experience Annual Report.

3.05 4.4 Safeguarding Annual Report Page Clare
191 Scott
To ratify the Safeguarding Annual Report.
3.10 5. Other Items

5.1 Any Other Urgent Business

The Chairman will be asked to consider any other urgent
business which he has been previously notified of in
advance of the meeting, but which has not been provided
for on the agenda.

5.2 Date and Time of Next Meeting

Monday, 26 November 2018 at 1.00 pm
Lecture Theatre, St Ann’s Hospital

Reports scheduled for consideration at the next meeting, include:
• Chairman’s Report
• Chief Executive’s Report
• Chief Operating Officer’s Report
• Board Assurance Framework
• Trust Quality and Performance Report
• Financial Performance
• Clinical, Quality and Safety Report
• Safe Staffing Report
• Risk Management Strategy
• Medical Director’s Report
• Annual Workforce Report
• Annual Report of the Freedom to Speak Up Guardians
• Fit and proper Person Policy

3.15 6. Exclusion of the Press and the Public

To resolve that representatives of the press and other
members of the public be excluded from the remainder of
the meeting having regard to the confidential nature of the
business to be transacted, publicity on which would be
prejudicial to the public interest (Section 1(2) Public Bodies
(Admission to Meetings) Act 1960).

Michael Fox
Trust Chairman
BOARD OF DIRECTORS’ REGISTER OF INTERESTS

Board Member: Interest Declared:

Michael Fox • None
Trust Chairman

Jonathan Bindman • Unpaid adviser to Raphael, a Jewish counselling service based in Barnet.
Medical Director • Wife’s interests are:
Works as a GP currently working at St Stephens Health Centre, Bow
o
Independent Clinical Adviser for Out of Hours Primary Care Service,
o
City and Hackney CCG
GP Clinical Lead for Medicines Optimisation at Tower Hamlets Clinical
o
Commissioning Group
Chair of the North East London Faculty Board of the Royal College of
o
General Practitioners

Frank Devoy • Director and shareholder of Building Change Ltd, a strategic real estate
Non Executive Director consultancy (no previous or expected work with the NHS).
• Director and shareholder of Waverley Investments Ltd, a property
developer.
• Wife is a Community Pharmacist.

Cedi Frederick • Non-Executive Director of ‘Independence and Wellbeing (Enfield), a local
Non Executive Director authority trading company established by LB Enfield to provide a range of
community and possibly residential/nursing homes delivering care and
support services that may be commissioned by the NHS.
• Owner of Article Consulting Ltd, a health and social care consultancy (not
currently working with the NHS).
• Chief Executive Officer of La Nova Group, which delivers events,
programmes and experiences which optimises health, wellbeing and
personal performance.
• Board member of CommonAge, a Not for Profit organisation established
to promote positive aging across the Commonwealth.

Andy Graham • Wife is Head of Recovery and Sustainability’ at Cambridgeshire and
Chief Operating Officer Peterborough CCG

David Griffiths • Wife is Director of Finance at East Suffolk and North Essex NHS
Chief Finance and Foundation Trust.
Investment Officer

Catherine Jervis • Non Executive Director for First Community Health and Care, a not for
Non-Executive Director profit company (social enterprise) which provides community health
services (primarily to the NHS) in East Surrey. Registered in England No:
07711859.
• Non Executive Director for Achieving for Children, Community Interest
Company Registered in England and Wales as a Private Limited
Company, Registration Number 08878185.
• Non-Executive Director for the Independent Office for Police Conduct.
Board Member: Interest Declared:

Jinjer Kandola, • None.
Chief Executive

Paul Ryb • Managing Director, The BIGlittle Co. Ltd.
Non Executive Director • Non-Executive Director of SpareRyb Global Alliance Ltd.
• Co-Owner Anytime Fitness Mill Hill 24/hour Gym, North London
• Trustee for The Macular Society
• Finance Committee member for the Thomas Pocklington Trust

Ruchi Singh • Director, Kaleidoscope Transformations Ltd, a strategy consulting
Non Executive Director company.
• Ministry of Housing, Communities and Local Government - Delivery
Strategy Advisor to the Post Grenfell Building Safety Programme.
• Department of Work and Pensions – Advisory support to mobilise and
embed the strategy and planning function within the new estate
organisation.

Jackie Stephen • None.
Executive Director of
Workforce

Charles Waddicor • Director / Owner of SAMRO health and social care solutions
Non-Executive Director • Chair / Trustee of The Primary Care Respiratory Society UK.
• Mental Health Clinical Advisor to the Care Quality Commission.
• Small shareholding in Ventura Group.
• Chair of a Board, operated by Social Finance, overseeing projects running
in Haringey, Tower Hamlets, and Staffordshire, supporting people with
mental health problems into employment.
• Chair of Herefordshire and Worcestershire Sustainability and
Transformation Partnership.
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BEH-MHT – Trust Board – 24.09.2018 1.4 – Minutes of the Board Meeting –16.07.2018

Minutes of the Board Meeting held on Monday, 16 July 2018 in the Lecture Theatre,
St Ann’s Hospital, St Ann’s Road, London, N15 3TH

The meeting commenced at 1.15 pm and closed at 3.14pm

Present:
Michael Fox Trust Chairman
Jinjer Kandola Chief Executive
Jonathan Bindman Medical Director
Frank Devoy Non-Executive Director
Andy Graham Executive Chief Operating Officer
David Griffiths Chief Finance and Investment Officer
Catherine Jervis Non-Executive Director
Linda McQuaid Interim Executive Director of Nursing, Quality and Governance
Richard Milner Director of Improvement
Paul Ryb Non-Executive Director
Charles Waddicor Non-Executive Director

In attendance:
Barry Ray Trust Board Secretary
Ruth Klocke Consultant Psychiatrist, Haringey Early Intervention Service, and Joint
Medical Lead for the Haringey Directorate (For Minute Item 1.6 only)
Gareth Jarvis Deputy Medical Director for Quality Improvement and Consultant
Psychiatrist, Haringey Crisis Resolution and Home Treatment Team
(For Minute Item 1.6 only)
Wendy Giovanelli Social Worker and Cognitive Analytic Therapist, Haringey Early
Intervention Service (For Minute Item 1.6 only)
Philip Hughes Systemic Family Therapist, Haringey Early Intervention Service (For
Minute Item 1.6 only)
Daniel Palmer Team Manager, Haringey Early Intervention Service (For Minute Item
1.6 only)
Deborah Dover Associate Medical Director for Quality Improvement and Consultant in
Liaison Child and Adolescent Psychiatry (Observing)
Angela D’Arcy Senior Human Resources Advisor (Observing)
One member of the public

Item Minute Item Actions
No.

1. General Business

1.1 Chairman’s Welcome

Michael Fox welcomed everyone to the meeting including Jinjer Kandola who
was attending her first meeting of the Trust Board as Chief Executive.

Michael Fox placed on record his thanks to Andy Graham for his time as Interim
Chief Executive, and the wider Executive Management Team for the support
they have provided during the recent transition period.

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BEH-MHT – Trust Board – 24.09.2018 1.4 – Minutes of the Board Meeting –16.07.2018

1.2 Apologies for Absence

• Cedi Frederick, Non-Executive Director
• Ruchi Singh, Non-Executive Director
• Jackie Stephen, Executive Director of Workforce

1.3 Declarations of Interest and Declarations of any Conflicts of Interest

The Trust Board agreed to note:

1. That there were no conflicts of interest declared in relation to items on
the agenda.

2. The following change to David Griffiths’ declared interests:

• Wife is Director of Finance at East Suffolk and North Essex NHS
Foundation Trust.

1.4 Minutes of the Meeting held on 24 May 2018

The Trust Board confirmed the minutes of the last meeting as a true
record.

1.5 Actions and Matters Arising from the Minutes

The Trust Board noted the written update on the actions arising from the
minutes and the following updates:

• Minute Item 3.1 - Clinical, Quality and Safety Report

1. Linda McQuaid advised that an update on the physical assault, referred
to in Table 4 of the report had been provided to the Quality and Safety
Committee meeting held on 3 July.

2. It was noted that information relating to the retention of student nurses Jackie
from the 2017 intake had been delayed due to IT difficulties and would Stephen
be shared once available.

• Minute Item Safe Staffing Levels

It was noted that further analysis of the sickness absence rate within the Jackie
Estates and Facilities Directorate had been delayed due to IT difficulties Stephen
and would be shared once available.

1.6 Patient Focus – Open Dialogue

Jonathan Bindman introduced the presentation on Open Dialogue, an innovative
way of treating patients, which was being trialled in Haringey.

The Trust received a presentation which:

• Informed that Open Dialogue was a collaborative model of delivering
psychiatric care developed in Finland since the 1980’s, which builds on a
systemic family therapy approach and other traditions.

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BEH-MHT – Trust Board – 24.09.2018 1.4 – Minutes of the Board Meeting –16.07.2018

• Outlined the development of Open Dialogue, the key contributors to its
development, and research undertaken.

• Outlined the implementation of Open Dialogue within Haringey, which was
originally funded through a successful ‘Dragon’s Den’ bid.

• Highlighted the improved patient and staff satisfaction identified through
using Open Dialogue. Further work was required to be able to demonstrate
Improved outcomes and more effective use of resources as a result of using
Open Dialogue.

Ruth Klocke, Gareth Jarvis, Wendy Giovanelli, Philip Hughes, and Daniel
Palmer gave a demonstration of Open Dialogue in action.

In response to a question from Charles Waddicor, Ruth Klocke advised that
Open Dialogue was being offered as an option to patients who were free to
decline. Ruth Klocke noted that Open Dialogue trained staff were bringing
elements of Open Dialogue into the normal practice due to the benefits this can
bring for patients.

Frank Devoy enquired about the first contact with a patient. Ruth Klocke
provided a general outline of a first contact discussion which included asking the
patient how they wanted to use their sessions, using open questions to engage
with the patient. Patients are also asked who else they would like to have in the
room at the same time to aid their treatment.

Paul Ryb asked whether the use of Open Dialogue resulted in less formal
dependency. Ruth Klocke advised that there was less of a boundary between
the member of staff and the patient which does to lead to less dependency.

In response to a question from Jinjer Kandola, Ruth Klocke highlighted that
further work was being undertaken to evidence whether the use of Open
Dialogue resulted in better outcomes for patients in the UK. However, previous
studies in other countries have demonstrated that patients had a better quality of
life and reduced dependencies on benefits.

Gareth Jervis advised that the Trust will be hosting an Open Dialogue
conference on 24 October and that Mary Olson from the University of
Massachusetts, one of the key developers of Open Dialogue, will be attending.

Following the presentation, Jonathan Bindman highlighted that there was a core
group of staff within Haringey that were very enthused with the Open Dialogue
approach. Jinjer Kandola stated that it was important to see the outcomes that
arise through Open Dialogue and to plan how to roll this out across the Trust.

The Trust Board agreed to note the Patient Focus on Open Dialogue.

1.7 Chairman’s Report

Michael Fox informed that the Trust welcomed the Rt Hon Jeremy Hunt, MP,
Secretary of State for Health and Social Care, on 29 June to hear about his
commitment to patient safety and his aim is to make the NHS the world’s safest
and best healthcare system.

Michael Fox advised that he had attended tea parties held across the Trust to
celebrate the 70th anniversary of the founding of the NHS. Michael Fox
commented that when speaking to staff he was impressed at the number of long
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BEH-MHT – Trust Board – 24.09.2018 1.4 – Minutes of the Board Meeting –16.07.2018

serving members of staff working at the Trust.

The Trust Board agreed to note the Chairman’s verbal report.

1.8 Chief Executive’s Report

Andy Graham presented a report which provided an update on Trust Matters
and highlighted that on Sunday, 10 June, a fire broke out on the ground floor of
the Camlet 1 building, at Chase Farm Hospital, in Enfield. The fire was
contained to Mint Ward in the Camlet 1 building, with severe fire damage to the
toilet area, and smoke and soot damage to the ward corridor. Patients of Mint
Ward have been found appropriate accommodation across the Trust’s premises
until the ward is operational again.

Jinjer Kandola highlighted the following changes to the Board of Directors:

• Neil Brimblecombe has been appointed as a Non-Executive Director of the
Trust and will take up his post in early September.

• Jackie Stephen has been appointed as the Executive Director of Workforce
from 16 July.

• Amanda Pithouse has been appointed as Executive Director of Nursing,
Quality and Governance.

The Trust Board agreed to note the Chief Executive’s report on recent
Trust matters since the last Trust Board meeting.

1.9 Executive Chief Operating Officer’s Report

Richard Milner presented the Executive Chief Operating Officer’s report and
highlighted the following:

• The Trust continues to focus on reducing the number of out of area
placements through actions such as an increased daily focus on alternatives
to admission and improved discharge planning.

• Services across the Trust have been disrupted following the transition to the
new IT provider. All Divisions have been represented on the twice-daily
calls and service lines have all put business continuity plans into action to
ensure service provision has been robust over the period.

• The Barnet Child and Adolescent Mental Health Services (CAMHS) team
were delighted to receive formal confirmation from Barnet Clinical
Commissioning Group (CCG) that the proposed formal re-tendering of the
service will not be proceeding. The Trust has committed to working with the
CCG, other NHS providers and the third sector on a transformation board to
build the future service provision for children and young people across the
Borough.

• The Trust, in partnership with Enfield Police, launched a six month Street
Triage pilot in May. The service provides an immediate joint screening
assessment and support to individuals who may be experiencing a major
mental health crisis.

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