Quality 2020 Steering Group
Minutes of the meeting held in Castle Buildings on Friday 30 January 2015 @ 10am
Attendees
Dr Michael McBride – Chief Medical Officer - Chair
Hugh McCaughey – CEO SEHSCT
Eddie Rooney – CEO Public Health Agency
Deborah McNeilly – DHSSPS
Charlotte McArdle – Chief Nursing Officer
Fergal Bradley – DHSSPS
Conrad Kirkwood – DHSSPS
Gillian Hynes – DHSSPS
Jo Bibby – Health Foundation
Anne-Louise Thompson – Secretariat
The following attendees were present for Agenda items 7 – 10:
Pat Cullen –Director of Nursing, Midwifery and Allied Health Professionals - PHA
Carolyn Harper –Co Chair of Q2020 Management Group – PHA/HSCB
Lisa Moore - Q2020 Project Manager - PHA
Apologies
Elaine Way – WHSCT
Valerie Watts – CEO HSCB
Sean Holland - OSS
1. Welcome and introduction
1.1 CMO welcomed all attendees and apologies were noted.
2. Minutes of the previous meeting
2.1 The minutes of the previous meeting on 6 June 2014 were agreed and
accepted.
3. Action Points
Action Point 1 – Owner SQSD - To prepare and circulate a new draft
Implementation Plan that includes all activities within the HSC and Department that
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contribute to the wider Quality agenda and are in line with initial Tasks in the original
Implementation Plan. To be issued to Departmental Grade 3s. - Ongoing
A new draft Implementation plan has not yet been circulated to Grade 3s although
there has been progress. Responses have been gathered from the Department and
all Trusts, regarding initiatives that fall under the Q2020 remit and SQSD are
collating this information with a view to circulating a draft in the next month.
Action Point 2 – Owner Charlotte McArdle - To advise Steering Group of the next
steps for Task 4 (Attributes Framework) and to revise the associated document to be
more inclusive of social care.
Action Point 3 – Owner Lisa Moore - To revise the language in the
Communications Plan to be more inclusive of Social Care and the Community. Cleared
A new draft Communications plan has been presented to Steering Group
Action point 4 – Owner Lisa Moore/Conrad Kirkwood - To meet to discuss PPI
initiatives and the Stakeholder Forum. Cleared
Action Point 5 – Owner Lisa Moore/Conrad Kirkwood - To meet to discuss
changes to the Terms of Reference Cleared
Action Point 6 – Owner Carolyn Harper/ Fergal Bradley - To meet to agree which
Task is to be presented at the next Steering Group meeting Cleared
Dr Keith Gardiner (NIMDTA) presented to Steering Group on Task 13 ’WHO Patient
Safety Curriculum’
Action point 7 – Owner Lisa Moore - To produce an Engagement Plan that is
aligned with the Communications Plan - Ongoing
4. Matters Arising
4.1 There were no matters arising from the previous minutes.
5. Q2020 Project Management Internal Audit Report – Suggested actions for
approval
5.1 Internal Audit reported the findings of their audit on Q2020 Project
Management. The management response to the recommendations
includes suggested actions for improvement, and approval was sought
from Steering Group to these actions.
5.2 CMO summarised the main recommendations and suggested action
as:-
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A review to flatten the governance structure and remove the
Management Group.
The Project Manager to incorporate an appraisal of new tasks from
end of January 2015 onwards.
5.3 The Steering Group agreed that the recommendations of the Audit
Report should be implemented.
5.4 CMO advised that future steering group meetings would follow a new
format. This would involve presentations on two different tasks, one
presentation by a Departmental representative and another on behalf of
the Implementation Team.
5.5 Eddie Rooney and Fergal Bradley agreed that this was a positive step
to enable tracking the progress of a task, and also to continue the
momentum to drive tasks forward. This also reflects the findings of the
recent Donaldson Report.
6. Stakeholder Forum
6.1 Conrad Kirkwood gave a summary of the Stakeholder Event held on 13
November 2015. He advised this event had been useful and productive
and was well attended by a cross section of stakeholders, including
health service personnel, third sector bodies and members of the
public.
6.2 Mr Kirkwood further advised that a Co-ordinating Group to manage the
Stakeholder Event met in December 2014 to discuss feedback from
participants and the next steps. The main focus of discussion was the
content of future Stakeholder Forum meetings and terminology within
the Terms of Reference. Feedback did not reflect significant changes
to the content of the ToR.
6.3 CMO agreed the content of the revised Terms of Reference but
requested that it be reviewed in 6 months time.
Action point 1 – SQSD – To diary the review of the Terms of Reference of the
Stakeholder Forum for August 2015.
6.4 Fergal Bradley highlighted a summary paper on the Stakeholder Event,
which had been shared with RQIA and PCC. The Steering Group
approved its publication.
Action Point 2 – SQSD - To publish Paper 9 (Stakeholder Event Feedback)
6.5 There was discussion and agreement that the potential Chair of the
Stakeholder Forum should not be a representative from the HSC.
6.6 Eddie Rooney stated that before appointing a Chair, the Group should
consider whether the role was to oversee a specific event or if the
Stakeholder Forum was to serve as a reference group. The specifics of
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the role would have an impact on the required skill set of the selected
chairperson.
6.7 CMO agreed that it was important to appoint a Chair with oversight
capabilities, with a profile that isn’t aligned to any particular group; and
with an understanding of the 3rd sector and the HSC.
6.8 It was agreed that further discussion was needed before appointing a
Chair for the Stakeholder Forum.
Action point 3 - CMO and Fergal Bradley – To meet to discuss the
requirements of the role of Chair of the Stakeholder Forum
6.9 Eddie Rooney stated that the Forum highlighted the lack of awareness
amongst service users of some of the current initiatives being
undertaken by the HSC. An example of this was the 10,000 voices
campaign, which the PHA had envisaged may have resulted in a higher
public profile. Hugh McCaughey commented that the recent Donaldson
Report recommended meaningful engagement with the public, better
education and understanding of the service user perspective. He asked
whether the Stakeholder Forum may be an opportunity to promote the
broader aims of the Q2020 Strategy regarding some of the ongoing
initiatives. This would be in line with Sir Liam Donaldson’s vision; and
could present opportunities to catch meaningful feedback from service
users as well as sharing information.
6.10 There was some discussion around the references in the Donaldson
report to local politics and its impact on the HSC. Jo Bibby (Health
Foundation) stated that there were similar issues in NHS England in the
lead up to General Elections.
6.11 Ms Bibby informed the Group of two recent publications by the Health
Foundation; reports on observations on continual improvement and
radical progression that could be adapted for Northern Ireland use.
Action point 4 –SQSD – To obtain the two reports from Jo Bibby “Three tests
for a credible Health Service” and “More than money – closing the NHS quality
gap”, and circulate to the Group.
6.12 There was some discussion around the implication of the Donaldson
Report and how there needed to be a focus on maintaining momentum.
6.13 Hugh McCaughey stated there needed to be more consistency across
the Trusts but there also needed to be room for local flexibility. He
agreed it was important to include social care in initiatives such as
10,000 voices.
6.14 The Group consensus was that the Donaldson Report could be a driver
for change if addressed quickly. CMO agreed with this approach and
stated that the Quality 2020 workshop planned for 6 March 2015 would
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be refocused to allow Trusts to make presentations on how they are
addressing the themes highlighted in the Donaldson report.
Action Point 5 – SQSD – To draft letters to CEs of Trusts to redefine their
presentations for Q2020 Workshop and invite Sir Liam to the Workshop.
Papers to note
 Paper 6 – Annual Quality Report Paper – Conrad Kirkwood gave a
summary of the paper and the progress of the Annual Quality Reports to
date. The Trusts have published two reports up to now and the Arms
Length Bodies have published their first. Both Trusts and ALBs were given
guidelines for completion of their reports.
CMO advised the Group of the Department-led workshop for
representatives of ALBs held on 14 January 2015. The main purpose of
the workshop was to share elements of good practice from the reports, to
agree the content of future reports and to provide input to a standardised
annual quality report template.
Fergal Bradley advised the standard template is structured around the 5
strategic goals of Q2020 and the intention is for the 2014/15 reports to be
based on this format. . He also offered it may be useful to review the PHA
and PCCs surveys on Patient Experience to determine if these can also be
built into the template to shape more service user focussed metrics for the
next set of reports.
 Paper 7- Q2020 Workshop update – Letter to CEs
This included the letters to CEs of ALBs and Trusts asking them to make a
short presentation at the Q2020 Workshop in March. As in 6.15 above
CMO stated a revised letter is to be issued to change the emphasis of the
presentations to incorporate the recommendations of the Donaldson
Report.
 Paper 8 – Q2020 Project Management Internal Audit Report. – This
paper was discussed under agenda item 5
 Paper 9 – Stakeholder Event Feedback – This paper was discussed
under agenda item 6
Dr Carolyn Harper, Pat Cullen and Lisa Moore joined the meeting at this
point.
7. Presentation by Dr Keith Gardiner from NIMDTA – (Establishing a
Common Patient Safety Communication for HSC NI)
7.1 This presentation was part of the new format for the meetings agreed
by the Group at the last meeting. The Group welcomed Dr Gardiner
and thanked him for his contribution.
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7.2 It was suggested that CNO should align the content of the presentation
with the Attributes Framework to ensure consistency.
Action Point 6 – Charlotte McArdle - To align the Attributes Framework to the
Presentation by Dr Keith Gardiner on ‘WHO Patient safety Curriculum’.
7.3 There was discussion regarding various aspects of the presentation. Dr
Carolyn Harper offered that although there is acceptance that safety
and quality are part of everyone’s role, because it is not specifically
funded, it is important that it is adequately resourced in order to
promote initiatives. She advised that investment in resources would
send the right message to staff and the public that safety and quality
were of the highest priority. There was agreement from the Group.
7.4 Dr Gardiner informed the Group that he was in discussions with QUB
regarding building safety and quality modules into a Master’s
programme.
7.5 Mr McCaughey stated that South Eastern Trust had already included
social care in discussions around accreditation with their SQE
Programme. CMO asked Mr McCaughey to link up with Dr Gardiner
regarding this.
Action Point 7 - Hugh McCaughey and Dr Keith Gardiner – To meet to discuss
inclusion of social care for accreditation.
8. Action points to be addressed by Management Group/Implementation
Team
8.1 Action Point 3 – To revise the language in the Communication Plan
to be more inclusive of Social Care and the Community. – A revised
Communication Plan has been presented to Steering Group. - Cleared
8.2 Action Point 4 – To meet to discuss PPI initiative and the
Stakeholder Forum – Meeting held - Cleared
8.3 Action Point 5 – To meet to discuss changes to the Terms of
Reference – Meeting Held - Cleared
8.4 Action Point 6 – To meet to agree which Task is to be presented at
the next Steering Group meeting –Presentation by Dr Gardiner form
NIMDTA - Cleared
8.5 Action Point 7 – To produce an Engagement Plan that is aligned
with the Communication Plan – To be presented at the next Steering
group meeting - Ongoing
9. Progress report from Management Group
9.1 Dr Carolyn Harper gave an update on the progress of Tasks. This was
supported by the Progress Report included with the meeting papers.
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TASK 2 – Annual Quality Reports – Dr Cathy Jack is now the joint
lead on this Task. All Trust and ALB reports were published during
week commencing 10 November 2014. All reports are also
available on their respective websites. The Task Group are
carrying out work to expand the community care and mental health
areas.
TASK 4 – Professional Leadership Development – Attributes
Framework launched on 9 December 2014. Another workshop is
planned for the Spring of 2015. Next step is to work on integrating
the Attributes Framework in to the staff appraisal/revalidation
system.
TASK 5 – E-Learning Platform (minimum mandatory training
requirements) – Includes paper 11.The Social Care training is being
followed up by NISCC along with HSCB.
Action Point 8 - Lisa Moore - To develop a paper detailing the minimum
mandatory training requirement, including the input by NISCC and HSCB
regarding social care, for approval at the next Steering Group meeting
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TASK 6 – Ward Level Review – Includes paper 10 – Task leads to
produce key messages from presentation given by Dr Bali from the
Northern Trust for sharing and discussion at the next
Implementation Team meeting to inform next steps.
TASK 13 – Embed the WHO Safety Curriculum in Undergraduate
Training for HSC Professionals – Some refinement to the
curriculum may be needed and this should assist embedding the
Attributes Framework. Dr Keith Gardiner will link with Gavin Lavery
and Oriel Brown to collate key examples of local quality
improvement.
TASK 14 – Formally called Minimising Variations this Task is now
named Harmonising Logistics – 5 workshops with F2 doctors have
taken place and all information has been collated. Meeting with
Gavin Lavery and Pascal McKeown (QUB) scheduled for 19
February to discuss feedback and the way forward.
Communication Plan – Project Manager is working with
Communications Personnel at PHA and DHSSPS to streamline
what information is available online. Q2020 is now published on
Knowledge Exchange and has a Twitter account.
Several
promotional visits across HSC made by Project Manager.
E-Learning Assessment Tool – Governance of this has now
moved to E-Health Strategic Board.
QLIKVIEW – IT members of Implementation Team have agreed to
submit a recommendation to Steering Group regarding the
endorsement of the introduction of Qlikview in all Trusts.
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9.2 There was discussion around the progress report and Hugh
McCaughey commended the Implementation Team on Paper 10
(Scoping Exercise). He suggested that establishing a contact for each
initiative could encourage staff to connect.
9.3 Dr Harper stated that Scoping Exercise was for the 13/14 year and it
would be updated to include projects for 14/15
Action point 9 – Dr Carolyn Harper - To amend the Scoping Exercise to
include a contact name for each of the initiatives.
10. Revised Communications/Engagement Plan
10.1 Lisa Moore (Q2020 Project Manager) has taken into account issues
raised during a meeting with Gavin Lavery and Charlotte McArdle and a
revised Communication Plan has now been presented to Steering
Group for consideration. The Engagement Plan will be presented at
the next Steering Group meeting.
Action Point 10 - Lisa Moore – To present the revised Engagement Plan at the
next Steering Group meeting
11. AOB
11.1 It was agreed that two presentations would be given at the next
Steering Group meeting, one from DHSSPS and the other regarding a
Task.
11.2 Charlotte McArdle will make a presentation regarding the Attributes
Framework on behalf of Task 4 and there will be a presentation on
behalf of the DHSSPS on Standards.
11.3 Jo Bibby had offered sight of some reports the Health Foundation had
published recently and advised the Group that hard copies of these
could be ordered. She suggested these may be useful to distribute at
the Q2020 Workshop.
11.4 CMO thanked her and stated he would consider this along with other
changes to refocus the Workshop in line with the Donaldson Report.
To Note
Dates of Future meetings are as follows:-
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Friday 29 May 2015 @ 10.00am
Friday 11 September 2015 @ 10.00am
Thursday 21 January 2016 @ 10.00am
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All meetings will be held in the D2 Conference Room, Castle Buildings,
Stormont Estate
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Summary of Action Points
Action
Point
1
2
3
4
Owner
Detail
To diary the review of the Terms of
Reference of the Stakeholder Forum
for August 2015
To publish Paper 9 (Stakeholder
SQSD
Event Feedback)
To meet to discuss the requirements
CMO and Fergal of the role of Chair of the Stakeholder
Forum
Bradley
SQSD
To obtain the 2 reports from Jo Bibby
“Three tests for a credible Health
Service” and “More than money –
closing the NHS quality gap”, and
circulate to the Group.
SQSD
5
SQSD
6
Charlotte McArdle
To draft letters to CEs of Trusts to
redefine their presentations for Q2020
Workshop and invite Sir Liam to the
Workshop.
To align the Attributes Framework to
the Presentation by Dr Keith Gardiner
on ‘Who Patient safety Curriculum’.
Hugh McCaughey
7
and
Dr
To meet to discuss inclusion of social
Keith care for accreditation.
Gardiner
8
Lisa Moore
9
Dr Carolyn Harper
10
Lisa Moore
To develop a paper detailing the
minimum
mandatory
training
requirement, including the input by
NISCC and HSCB regarding social
care, for approval at the next Steering
Group meeting
To amend the Scoping Exercise to
include a contact name for each of the
initiatives.
To present the revised Engagement
Plan at the next Steering Group
meeting
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