Meetings

PAC(4)-04-16 Paper 1

6.1 The Committee considered and agreed the draft report subject to a small number of minor changes.

PAC(4)-03-16 Paper 1

5.1 Members considered the draft report and noted that a revised draft would be available for further discussion at the Committee meeting on 2 February.

PAC(4)-01-16 Paper 3 – Letter from Healthcare Inspectorate Wales

PAC(4)-01-16 Paper 4 – Letter from Betsi Cadwaladr University Health Board

PAC(4)-01-16 Paper 5 – Letter from Welsh Government

4.1 Members noted and discussed the additional information that had been received following the evidence sessions held in November 2015.

5.1 Members discussed the evidence received.

Research Briefing

Dr Andrew Goodall - Director General of Health and Social Services/Chief Executive, NHS Wales, Welsh Government

Joanna Jordan - Director of Mental Health, NHS Governance and Corporate Services, Welsh Government

Martin Sollis – Director of Finance, Welsh Government

Janet Davies - Specialist Advisor - Quality & Safety, Welsh Government

3.1 The Committee scrutinised Dr Andrew Goodall,  Director General of Health and Social Services/Chief Executive, NHS Wales, Welsh Government, Joanna Jordan, Director of Mental Health, NHS Governance and Corporate Services, Welsh Government, Martin Sollis, Director of Finance, Welsh Government and Janet Davies, Specialist Advisor - Quality & Safety, Welsh Government as part of its inquiry into health board governance.

3.2 Dr Goodall agreed to send further information on:

·       The appointment process for independent health board members

·       What pathways and relationships BCUHB have in place in spirit of the Hub and Spoke Model for renal services

·       Projected financial position for all health boards at the end of the 2015-16 financial years

3.3 During Item 5, when considering the evidence received, Members requested that the escalation status of all health boards is supplied to the Committee.

PAC(4)-31-15 Paper 1

Research Briefing

Simon Dean – Interim Chief Executive, Betsi Cadwaladr University Health Board

Dr Peter Higson - Chair, Betsi Cadwaladr University Health Board

3.1 The Committee scrutinised Simon Dean, Interim Chief Executive and Dr Peter Higson, Chair, Betsi Cadwaladr University Health Board, as part of the inquiry into health board governance.

3.2 Simon Dean agreed to send further information on:

·       Co-locality across the Board’s area in relation to GP out of hours services

·       Specific areas identified about the capacity of the non-executive team and how the Board plans to improve this

·       Current figures showing attendance at Board meetings

·       Following the forthcoming Board meeting, a note on the decision taken to co-ordinate the current committee structure

·       Total costs, to date, of the independent advisors appointed to assist the Board and the evaluation of their use

·       The rise in maternity services being provided at the Countess of Chester Hospital

·       An update on the Board’s proposals for Primary Care

·       Confirmation as to whether the Holden Report was shared with the Welsh Government and Healthcare Inspectorate Wales

·       How the Board has improved its complaint handling procedure and  how it tracks complaints once in the system including long standing complaints and whether these will be completed by the end of the March 2016

·       What is the process within the Health Board regarding the handling of CHC reports

5.1 Members discussed the evidence received.

5.1 Members discussed the evidence received.

PAC(4)-30-15 Paper 1

Research Briefing

Dr Kate Chamberlain – Chief Executive, Healthcare Inspectorate Wales

Alun Jones, Director of Inspection, Regulation and Investigation,    Healthcare Inspectorate Wales

3.1 The Committee scrutinised Dr Kate Chamberlain, Chief Executive, Healthcare Inspectorate Wales and Alun Jones, Director of Inspection, Regulation and Investigation, Healthcare Inspection Wales, as part of the inquiry into health board governance.

3.2 Dr Chamberlain agreed to send the following additional information/clarification on:

·       The number of reports HIW received from Community Health Councils in the North Wales region regarding the 39 visits undertaken at BCUHB;

·       Whether Ministerial correspondence in connection with the concerns raised over the Tawel Fan ward at Glan Clwyd Hospital was shared with HIW;

·       The number of voluntary lay reviewers recently recruited by HIW;

·       The expertise and skills of the members of the Advisory Board, and

·       A breakdown, by months, of the number of reports that did not achieve the target publication date of three months maximum following inspection.

5.1 Members considered and discussed the evidence they had received on health board governance at the meeting on 16 June.

5.2 The Chair agreed to write to the Director General for Health and Social Services requesting further information on a number of issues Members identified. On receipt of this, the Clerks will prepare a draft report on health board governance and cite the issues at Betsi Cadwaladr University Health Board as a case study.

7.1 Due to time constraints, this item was not reached.

PAC(4)-17-15 Paper 1- Report on Targeted Intervention

PAC(4)-17-15 Paper 2- NHS Wales Structure Charts

Dr Andrew Goodall – Director General, Health and Social Services, Welsh Government

Joanna Jordan - Director of Corporate Services and Partnerships, Welsh Government

4.1 The Committee took evidence from Dr Andrew Goodall, Director General, Health and Social Services, Welsh Government and Joanna Jordan, Director of Corporate Services and Partnerships, Welsh Government as part of its inquiry into NHS Wales Health Board’s Governance.

4.2 Dr Goodall agreed to:

·       Confirm the timing of the Capita report on financial planning, when the Board considered its provisional response.

·       A note of all the serious incidents emanating from nurse/ward level within the last twelve months across Wales.

·       A note of the current independent BCUHB Board members and their skill sets and the experience of recruiting people from financial /commercial backgrounds.

·       A note on compliance with the All Wales Disciplinary Policy (and a copy of the policy).

·       Send a copy of the report by the Royal Society of Psychiatrists and action taken.

·       A note on the operational aspects of the out of hour’s service.

PAC(4)-16-15 Paper 2

4.1 Members noted the letter from Dr Peter Higson (4 June) regarding the deferment of sending the Report on the escalation status of BCUHB to the Committee and the announcement by the Minister for Health and Social Services (8 June) that the Health Board has been placed in special measures as part of the NHS Wales Escalation Framework.

PAC(4)-12-15 Paper 3

PAC(4)-12-15 Paper 4

PAC(4)-12-15 Paper 5

5.1 Members discussed the Auditor General for Wales’ Memorandum on NHS Governance.

5.2 Members discussed the additional information received from Dr Peter Higson, Chair of Betsi Cadwaladr University Health Board following his appearance at Committee on 24 March.

5.3 Members requested that the Clerks prepare a draft report for their consideration.

7.1     The Committee considered a letter from Professor June Andrews and Mark Butler, and agreed the Chair would write to express the Committee’s keenness for her to attend a future meeting.

PAC(4)-32-14 paper 3

6.1 The Committee considered a paper on the follow up work on NHS Governance.

PAC(4)-32-14 paper 4

Briefing Note

Sarah Rochira – Older People’s Commissioner for Wales

7.1 The Committee scrutinised Sarah Rochira, the Older People’s Commissioner for Wales.

7.2 The Commissioner agreed to provide the following information:

·         The 12 key performance indicators that the Commissioner has developed in relation to older people.

·         Information on the concerns and key issues the Commissioner has raised on the NHS Governance and Quality Green Paper.

6.1 The Committee discussed the evidence received and agreed that the Chair should write to Dr Andrew Goodall, Director General, Health and Social Services and Chief Executive of NHS Wales, seeking clarification on the distribution of the additional in-year financial resources for health boards in 2014-15.

Professor Andrew Davies – Chair, Abertawe Bro Morgannwg University Health Board

Paul Roberts - Chief Executive, Abertawe Bro Morgannwg University Health Board

Rory Farrelly – Director of Nursing, Abertawe Bro Morgannwg University Health Board

Hamish Laing – Medical Director, Abertawe Bro Morgannwg University Health Board

4.1 The Committee scrutinised Professor Andrew Davies, Chair, Paul Roberts, Chief Executive, Rory Farrelly, Director of Nursing and Patient Experience and Hamish Laing, Medical Director, Abertawe Bro Morgannwg University Health Board on NHS Wales Health Board’s Governance.

PAC(4)-27-14 Paper 1

PAC(4)-27-14 Paper 2

PAC(4)-27-14 Paper 3

Research Brief

Dr Andrew Goodall – Director General, Health and Social Services and Chief Executive of NHS Wales, Welsh Government

Simon Dean – Deputy Chief Executive NHS Wales, Welsh Government

Ruth Hussey - Chief Medical Officer, Welsh Government

3.1 The Committee scrutinised Dr Andrew Goodall, Director General, Health and Social Services and Chief Executive of NHS Wales, Simon Dean, Deputy Chief Executive NHS Wales, and Dr Ruth Hussey, Chief Medical Officer, Welsh Government on NHS Wales Health Board’s Governance, in particular issues arising from Betsi Cadwaladr University Health Board.

3.2 Dr Hussey declared an interest as being related to the Chair of Betsi Cadwaladr University Health Board.

3.3 Dr Goodall agreed to send details of the financial costs of additional support for Betsi Cadwaladr University Health Board including the use of locums and agency nurses, and the names of all the co-opted Board Members together with details of their skills and remuneration packages (if appropriate). He also agreed to provide further detail and a timeline on the Health Standards Framework for NHS Wales Green Paper which the Minister for Health and Social Services announced on 3 November 2014.

3.4 Dr Goodall agreed to give consideration to announcing the level of intervention at each health board more publicly, perhaps on my local health website.