To update the Board on the recent activities undertaken by the Chair and Non Executive Directors.

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1 Borders NHS Board CHAIR AND NON EXECUTIVE DIRECTORS REPORT Aim To update the Board on the recent activities undertaken by the Chair and Non Executive Directors. Committee Meetings and Events: The following committee meetings and events have taken place. 23 September 2010: Audit Committee 5 October 2010: Community Health & Care Partnership 7 October 2010: Strategy & Performance Committee, Borders NHS Board, Endowment Advisory Group 11 October 2010: NHS Borders Annual Review 25 October 2010: Staff Governance Committee 3 November 2010: NHS QIS Governance Day 4 November 2010: Non-Executive Directors Meeting, Board Development and Strategy Session 10 November 2010: Clinical Governance Committee Chair Delivering the Future Programme: I attended this in support of Elaine Peace who is in the leadership development cohort of this programme. In a subsequent meeting, I heard of the Tissue Viability work that Ms Peace is leading about which there is more detail in the Board Executive Team Report. Chaplaincy Volunteers Service: Members, having decided to conclude this work after many years of service, attended a service led by Ron Dick and had afternoon tea at the Tryst where it was my pleasure to thank volunteers for their contribution and hear many of their experiences over the years. The David Hume Institute: A very insightful lecture was delivered by Professor David Blanchflower, Economist, entitled The Economics of Wishful Thinking in which he presented a volume of data and projections relating to public sector budgets. The presentation can be seen online at: Online Borders: This community website was relaunched and can be found at: 1

2 NHS Borders has been supportive of this free local service from its inception and facilitated the support of Scottish Health on the Web for the new web hosting services saving the project considerable recurring costs. Mutuality, Equality & Human Rights Board: the final meeting was held where discussion focussed on the report on outcomes all of which have been achieved and the decision to integrate the ongoing work with the Quality Strategy emphasising the need to ensure equality and human rights are features of the Quality Outcomes for Boards. Non Executive Mid Year Reviews: Discussions have been held with the Non Executive Board Members on individual performance with the focus being personal objectives and development plans. Membership of governance and other committees was also discussed. A proposal to the Board will be presented at the Board meeting on 3 February. Quarterly Briefing with Politicians: Michael Moore and Jeremy Purvis attended and were briefed on work on Public Finance, Plans for Palliative Care and Older People s Advocacy. A visit to BGH on 20 December was agreed. Communications and Publicity for Board Meetings: Discussions with the Chief Executive, Board secretary and Head of Communications and Public Involvement were held and a schedule of actions in preparation for and promotion of each public Board meeting is being developed for approval. The intention to is to further enhance the Mental Health & Learning Disability Services: A meeting with the Chief Operating Officer emphasised the value and benefit of greater collaboration and partnership with Registered Social Landlords as housing is known to be such a key element of health and wellbeing. Performance and delivery of these services was also discussed with a view to improving reporting to the Community Health and Care Partnership Board. Quality Assurance and Award Schemes: early discussions have been held with the Employee Director to consider ways of providing additional evidence of quality service and recognising staff contribution to this. Recent awards received have been as an employer that supports Reservists from SABRE and the Silver Healthy Working Lives Award. The employee director is also leading NHS Borders in working on Corporate Citizenship. Equality & Diversity (E&D): In a meeting with Doreen Steele, Non Executive lead for E&D and Sandy Scott, Council lead for E&D and Non Executive and the Director of Public Health, Executive lead for E&D there was discussion on clarifying the policy context and legal requirements as well as development of strategic direction and training needs. Peebles Community Council (PCC): an update meeting was held with the Chair, Health and Older People s representatives from PCC. The Tweeddale Health Forum meetings and communication were discussed. NHS Borders reaffirmed commitment to continue and regular contact with Community Councils which are also have representation on the Public Governance Committee. Parliamentary Public Audit Committee: in acting as a witness to provide eveidence to the committee, answers were provided relating to Accountability, the Roles and Responsibilities of Chairs and Chief Executives, the Public Appointments Process, Remuneration and Public Involvement. 2

3 Cabinet Secretary Meetings October and November: Items discussed in October covered NHS Pay and Public Sector Funding and The Maternity Services Strategy. For future Health Targets and Quality Measures and for the Review of Independent Scrutiny Boards are invited to submit views. Items discussed in November covered the Spending Review and projected impact on budgets over the next few years, the Counter Fraud Services and impact this service in partnership with Boards is having on fraud prevention in particular. Attention was drawn to work being done to tackle Health Tourism and use of Risk Assessment Methodology to support Boards. An excellent presentation by members of the Scottish Dementia Working Group highlighted their work on producing materials and becoming involved in awareness raising events and training and emphasised the importance of early diagnosis, intervention and support. in maintaining people in their communities and their homes. Catherine Duthie: Commitments during the last period included: Various meetings related to the development of the specialist palliative care in-patient provision at BGH, including further discussions with the principal Trustee of the Margaret Kerr Charitable Trust and the October meeting of the Palliative Care MCN. Meeting at Paediatric unit about the development of High Dependency beds at BGH. Annual meeting of OSCR (Office of the Scottish Charity Regulator) in Edinburgh on 5th October. Meetings related to the allocation of charitable income to the development of the Renal Dialysis Unit. Meetings with the Fundraising Development Manager re the three year fundraising plan. Reception at the Scottish Parliament on 8th November to recognise the contribution of the WRVS to care in the hospitals and community in the Borders (deputising for the Chair). NHS Scotland conference on the future of volunteering in our mutual NHS on 22nd November. Julia Edey: On 27 September Jane Davidson and I attended the Operational Audit Sub- Committee of NHS Lothian. This is a meeting at which members of NHS Lothian's Audit Committee discuss those Internal Audit reviews which have a fully satisfactory or satisfactory rating. This enables the full Audit Committee meeting to concentrate on those reports which have a requires improvement rating. It was very valuable to see the issues raised, many of which are common to NHS Borders. It is hoped to reciprocate with the Steve Renwick, the Audit Committee Chair, joining us for our December Audit Committee meeting. During November I also met with Carol Gillie as part of her induction, had a mid-year individual performance review meeting with the Chair, attended a meeting with Calum to 3

4 review the agenda for Borders Strategic Board meeting, met with Rachel Bacon and deputised for the Chair at the Borders Strategic Board meeting. Adrian Lucas: On 30 September I met with the Chair & Warwick Shaw to consider ways to recognise the contribution made by NHS Borders Staff who are reservists. On 6 October I attended the Facilitated Clinical Governance Organisation wide Review day at Huntyburn. During November I attended and evening reception hosted by Lowland Reserve with Warwick Shaw in relation to Reservists as well as two of the Patient Management System Executive Group meetings. Doreen Steele: Commitments during the last period included:- 24 September attended a day of workshops for professionals and Service Users in Mental Health at Tweed Horizons. 6 October Corporate Citizenship meeting to review how the Board supports the local area etc 7 October Meeting with Clare Oliver re fund raising for growing project, designed to give mental health service users access to outside activities related to horticulture. The project has a social inclusion element as local residents will have access to the growing space 7/10 1 November attended a workshop at AHP invitation to hear Scottish Government approach to new ways of working for AHP s and strategic planning to effect changes. 2 November I attended my mid year review of performance with the Chair 3 November seminar on succession planning 4 November; 18 November; 24 November Patient Management System Executive Group for governance related to going live with the system 18 November meeting with the Chair and Eric on our Equalities and Diversity planning and approach 18 November publicity session for Patient Management System going live Dining Room BGH 25 November Violence against women seminar run by Scottish Borders Council. David Davidson: During October I attended a Chaplaincy Trust Meeting and met on two occasions with the Spiritual Care Manager. In November I had my mid year review with the Chair and attended three of the Patient Management System Executive Group meetings. I also met with the Staff Director and Operations Director as well as attending a meeting of the Stoma Support Group At Hawick 4

5 Community Hospital. I also attended the Joint Health Improvement Board Meeting at Scottish Borders Council. Pat Alexander: Attended a meeting of the Strategic Corporate Parenting Group on 8 th October. Agenda items included the proposal for an awareness raising Seminar for elected members and NHS Board members provisionally to be held on 7th March It is hoped that Adam Ingram, Minister for Children, will attend. The Group also discussed a Scrutiny Review of work-based vocational training opportunities for looked after children in the Borders. It was noted that many of these children need social support and mentoring before they are able to access mainstream services and it was hoped that NHS Borders, as one of the region s major employers, would give consideration as to how to assist in providing opportunities to assist some of these young people. I also had a mid- year appraisal meeting with the Chair and, with David Davidson, met with Irene Bonnar, Occupational Health Service Manager for a useful discussion on this service. John Hammond: I have been elected and have taken over as Chair of Area Clinical Forum from 1 st November. On 13 th November I received an invitation from Scottish Government to become a non-executive member of the Board to which I have responded positively. To date I have had sessions with the outgoing chair of ACF, the Medical Director, the Chief Executive and the Chair of the Board, and attended a number of meetings. I hope to be able to contribute positively and helpfully to the Board, to the Executive Team and most importantly for the benefit of our patients during my time on board. Edwina Cameron: Has been actively involved in the recent NHS Scotland staff survey. The survey ran from 18 th October to the 17 th November, NHS Borders final update indicated that 50% of staff completed the survey which ranked us 6 th in Scotland. The National response rate was 26%. She has also been nominated as the Employee Director representative on SEAT. Recommendation The Board is asked to note the report. Policy/Strategy Implications Consultation Consultation with Professional Committees Risk Assessment Compliance with Board Policy requirements on Equality and Diversity Resource/Staffing Implications Compliant 5

6 Approved by Name Designation Name Designation Mary Wilson Chair Author(s) Name Designation Name Designation Non Executive Directors 6

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