Annual Members Meeting Thursday 17 th September 2009 At 5.30pm - 6.30pm In the Lecture Theatre, Manchester Postgraduate and Health Sciences Centre (Education South), Manchester Royal Infirmary NOTES OF MEETING Present: Executive and Non-Executive Directors Peter Mount Chairman (CMFT) Mike Deegan Chief Executive (CMFT) Gill Heaton Chief Nurse/Director of Patient Services (CMFT) Robert Pearson Medical Director (CMFT) Derek Welsh Director of Human & Corporate Resources (CMFT) Martin Hodgson Director of Children s Services (CMFT) Anthony Leon Non-Executive Director (CMFT) Jo Somerset Non-Executive Director (CMFT) Rod Coombs Non-Executive Director (CMFT) Stephen Mole Non-Executive Director (CMFT) Board Secretary Sue Allison Director of Corporate Services (CMFT) Governors Malcolm Chiswick Lead Governor (CMFT) Lawrence Cotter Staff Governor (CMFT) Mary Marsden Staff Governor (CMFT) Bernice Reid Public Governor (CMFT) Alexena Morrison Public Governor (CMFT) Brian Donaldson Public Governor (CMFT) Martin Rathfelder Public Governor (CMFT) Jenny Scott Nominated Governor (CMFT) Keith Paver Public Governor (CMFT) Gillian Hobson Staff Governor (CMFT) Lynne Richmond Public Governor (CMFT) 1
Partner Organisations Gayna Gorman Vice Principal (Manchester Health Academy) Fiona O Sullivan Vice Principal (Manchester Health Academy) Barry Burke Principal (Manchester Health Academy) David Settle Education Advisor (Quality Service Matters Ltd.) Iain Bell Director of Performance (NHS Manchester) Members Anna Addison Staff Member (CMFT) Anna Kelsey Staff Member (CMFT) Ben Glaizner Public Member (CMFT) Patricia Bickerton Public Member (CMFT) James Bruce Staff Member (CMFT) Natalie Rodgers Staff Member (CMFT) Hannah Bloor Staff Member (CMFT) William Brown Public Member (CMFT) David Cain Staff Member (CMFT) Luke Readman Staff Member (CMFT) Darren Banks Staff Member (CMFT) Caroline Davidson Staff Member (CMFT) Bernice Postlewaite Staff Member (CMFT) Andrew North Staff Member (CMFT) Michelle Green Staff Member (CMFT) Emma Carter Staff Member (CMFT) Alison Wake Staff Member (CMFT) Simon Brown Staff Member (CMFT) Gill Porter Staff Member (CMFT) Alwyn Hughes Staff Member (CMFT) Notes Prepared by: Donna Beddows Foundation Trust Membership Manager (CMFT) Apologies: David Crawsby MP, Paul Goggins MP, Ian Steward MP, Andrew Gwynne MP, James Purcell MP, Graham Stringer MP, Michael Meacher MP, Tony Lloyd MP, Neil Turner MP, Sir Nicholas Winterton MP, Brian Iddon MP, Phil Woolas MP, Jim Dobbin MP, Darren Hurrell Chief Executive (North West Ambulance Service), Evelyn Asante-Mensah Chairman (NHS Manchester), Laura Roberts Chief Executive (NHS Manchester), Jackie Daniel CEO (Manchester Mental Health & Social Care Trust), Mike Farrar CEO (NHS North West), Lady Rhona Bradley Non-Executive Director (CMFT), Brenda Smith Non-Executive Director (CMFT), Jayne Bessant Public Governor (CMFT), Helen Hosker Nominated Governor (CMFT), Susan Webster Public Governor (CMFT), Alison Maw Staff Governor (CMFT), Mags Bradbury Public Governor (CMFT), Adrian Roberts Director of Finance (CMFT) and Phil Hirst Consultant (CMFT). 2
1) Welcome & Introductions The Chairman opened the Meeting stating that this was the inaugural Annual Members Meeting following the Trust s authorisation as a Foundation Trust (January 2009). Thanks and appreciation was forwarded to all Members for attending. Introductions were given to the Trust s Executive and Non-Executive Directors. Following the Trust s recent Governor Elections (September 2009), congratulations were forwarded to the three newly elected Governors namely: - Dr Keith Paver Public Governor (Manchester) Lynne Richmond Public Governor (Manchester) Brian Donaldson Public Governor (Rest of England and Wales) And the re-elected Governors namely: - Dr Lawrence Cotter Staff Governor (Medical & Dental) Gillian Hobson Staff Governor (Non-Clinical & Support) Ivy Ashworth-Crees Public Governor (Greater Manchester) Mags Bradbury Public Governor (Rest of England & Wales). The purpose of the meeting was outlined stating that an overview would be provided in relation to the following areas: - Review of Year with Financial Data (2008/2009) Plans for Future. 2) Review of the Annual Report 2008/2009 The Chief Executive provided an overview of the Annual Report for 2008/2009. The following areas were discussed in detail: - Scale and Complexity of Activity Key Challenges Our Performance Patient Safety and Clinical Quality Our Performance Patient Experience Our Performance Productivity and Efficiency Our Performance Research and Innovation Becoming a Foundation Trust. Attention was drawn to the continued, increasing demand for the Trust s Services which is evident across all specialities however, despite these challenges, the Trust has met demand and special thanks and appreciation was forwarded to all Staff, Volunteers, Patient Groups, Members, Governors and Partner Organisations for this great achievement. 3
The Trust s performance highlights for the year include: - Patient Safety and Clinical Quality Trust named as the best performing Acute Teaching Trust in the North West in relation to achieving Infection Control Targets for MRSA and C.Difficile. Patient Experience Over 80% of patients rated their overall care as good or excellent (NHS Annual Patient Survey, 2008). Productivity and Efficiency Compliance achieved against all Cancer Waiting Times Targets. Research and Innovation The Trust ranked in the UK top six for Research and Teaching. The Chairman provided an overview of the following areas: - New Children s Hospital Appeal Corporate Citizenship. Special thanks were forwarded to all involved in the New Children s Hospital Appeal which has almost reached its target of 20 million. In addition, the achievement of the Manchester Health Academy opening was highlighted and appreciation was forwarded to partner organisations for this collaboration. 3) Membership Report The Lead Governor, Professor Malcolm Chiswick, provided an overview of the Trust s Membership/Governor arrangements. The following areas were discussed in detail: - Membership Council of Governors Progress and Changes to the Membership Strategy Governor Roles. Of note the Trust currently has around 8, 500 Public Members and 8, 600 Staff Members with an aim of growing Public Membership to 10, 000 by Spring of next year. In addition, a number of initiatives are currently been progressed/developed in order to further strengthen Member engagement (future Health Promotion Events, Key Note Speakers, Members newsletters/surveys). 4) Financial Report The Chief Executive, on behalf of the Executive Director of Finance, provided an overview of the Trust s Finances for 2008/2009. The following areas were discussed in detail: - Financial Out-turn Income Sources Expenditure Prospects for the Future. 4
The total surplus monies for 2008/2009 ( 5.4 million) was reinvested in to Trust s Services to facilitate further improvements in the patient services/experience. Of note, year on year growth in NHS funding is to cease from April 2011. This will result in challenging times ahead for all NHS Service providers. 5) Current Position and the Year Ahead The Chief Executive provided an overview of the Trust s vision for future. The following areas were discussed in detail: - Our Strategic Direction Vision Clinical Quality and Safety Achieving Our Vision Patient Experience Achieving Our Vision New Hospitals Development Patient Experience Achieving Our Vision Getting Back to Basics Productivity and Efficiency Achieving Our Vision. The three main areas that the Trust is to focus upon over the years ahead are: - Clinical Quality and Safety ensure that infection prevention and control remains the Trust s highest priority in all of our Hospitals. Patient Experience improvements to continue via the New Hospitals Development (state of the art facilities/equipment and advances made via research facilities). Productivity and Efficiency Trust to be proactive in meeting the decline in NHS government spending via service reconfigurations, implementing clinical productivity programmes (reducing number of patient did not attend episodes and lengths of stay) and embedding productive ward and productive theatre programmes. A DVD programme of the New Hospitals Development was presented to Members. 6) General Questions/Closing Remarks The Chairman invited Members to raise any comments/questions. The following issues were raised: - Clarification was sought as to the impact that the 15 20 billion NHS funding savings would have upon the Trust. In response, spending cuts are to cover the whole of the National Health Service. The Trust is proactively looking at current inefficiencies i.e. theatre lists/out-patient clinics (patient did not attend episodes) and length of stay to drive forward improvements in overall efficiencies (reduce overall costs). 5
Clarification was sought in relation to the Trust s financial costs as a result of the rise in Accident and Emergency episodes with the resultant impact on Primary Care Trusts (PCT) who are also trying to reduce spending. In response, urgent care binds both the Trust and PCT together with the Trust currently receiving around 400 attendances per day, however this figure increased significantly last winter to in excess of 500+ per day. The Manchester PCT is currently commissioning work to address this issue with Trust involvement to look at more effective ways of working together. Of note, the Manchester population has several deprived areas which again proves challenging to Accident and Emergency Departments. 6