WB.16.14.1 WELSH BOARD OPEN SESSION Date of meeting: 26 February 2016 Title of Paper: Minutes of meeting held on 13 November 2015 Presented by: Board Chair for approval Is a decision required? Yes No The Open session of the RCN Welsh Board was held on Friday 13 November 2015 in the Holiday Inn, A55 Chester West, Gateway Services, Westbound A55, Northop Hall, Clwyd CH7 6HB, which commenced at 13:50. PRESENT WB.16.14.1 Gaynor Jones Gordon Lees Ann Griffiths Billy Nichols Christine EdwardsJones Christine Thomas Gareth Phillips Jane Carroll Kate Parry Pamela Parsons Stewart Attridge Tamara Morgan Elizabeth Rees RCN Welsh Board Chair RCN Council member for item WB.15.96.1 Mid & West Wales seat Board member seat Glamorgan seat Council Member for Wales Cangen Gogledd Cymru seat Gwent seat Vice Chair Cwm Taf seat Cardiff seat Cwm Taf seat Cangen Gogledd Cymru seat Page 1 of 13 WB.16.14.1 APOLOGIES Prof Donna Mead, OBE, OSt.J, FRCN Jacquelin Davies Owain Jones Nicola Davis-Job Jayne Taylor IN ATTENDANCE Tina Donnelly, CBE, DL, TD Peter Meredith-Smith Alison Davies JP Nolan Helen Carlyon Katie Branch Lisa Turnbull Rachel Richards Cwm Taf seat Glamorgan seat Glamorgan seat Acute Care & Leadership Adviser/Acting Associate Director (Professional Practice) EA to Director, RCN Wales/Board Administrator Director, RCN Wales/Board Secretary Associate Director (Employment Relations)/Deputy Board Secretary Associate Director (Professional Practice) Head of Nursing Practice via teleconference for item WB.15.96.2 only Finance & Business Continuity Manager Complaints, Quality & Admin Services Manager Policy & Public Affairs Adviser PA/Office Administrator WB.15.93.1 WELCOME & APOLOGIES FOR ABSENCE The Board Chair welcomed everyone to the Open Session and gave a special welcome to Gordon Lees, Council member, who had attended to give a presentation on the Council Review consultation. WB.15.93.2 DECLARATION OF INTERESTS The Chair asked members to declare any possible interests they may have had with any items on the agenda and none were reported. WB.15.94.1 MINUTES Minutes of the Board meeting held on Friday 7 August 2015 had been circulated and were confirmed as accurate with the following exception: It was noted that Liz Rees had attended the meeting but was not listed as an attendee. WB.16.14.1 Page 2 of 13 WB.16.14.1 Review of Action Sheet The actions that had been completed were noted and the progress on the other actions recorded on the action sheet attached. Jane Carroll noted that Owain Jones had been asked to give a presentation regarding his MSc study at the November meeting but that he had given his apologies for that meeting. It was agreed that Owain would be invited to give this presentation at the next Board meeting. Action: Owain Jones to be invited to give a presentation at the next Board meeting regarding his MSc study. WB.15.94.2 MATTERS ARISING There were no matters arising. WB.15.95 BOARD CHAIR’S REPORT A report had been received and was noted. WB.15.96 GOVERNANCE 96.1 Council Review Consultation A report had been received and was noted. The Board Chair extended a warm welcome to Gordon Lees, Council member, who was in attendance to update the Board on the work of the Council Review Group. The Group, chaired by Michael Brown, is considering the ways in which Council relates internally and externally and how it meets the terms of reference of each of its Committees. The key findings of the Group were presented and Board Members were invited to respond to seven key questions designed to facilitate member engagement and obtain views on the pertinent issues. Board members considered each question in turn: Q1. We currently require Council Members to give 44 days of their time each year to Council work. Do you agree that in today’s world we need to be more realistic about the time commitment we ask of our Council Members? And should we involve more members in our standards, practice and policy work? WB.16.14.1 Page 3 of 13 WB.16.14.1 The Board felt the question to be somewhat leading and suggested 44 days would be the minimum requirement to maintain a balanced governance structure and allow Council Members sufficient time to fully engage with the membership and ensure two-way dialogue. The Board felt it important that prospective Council Members have full awareness in advance of the time commitment involved in the role, including travel, reading and preparation time. The Board suggested the role of Council Member could be incorporated into facilities agreements. It was also felt that the Forums can be perceived as rather ‘niche’ and some work would be welcomed on improved engagement between Forums and the wider membership. Q2. Our evidence has demonstrated that members do not understand what being a Council Member involves when they first stand for election. Would you agree that Members standing for Council should demonstrate in their election statement how they meet the role description? There was a concern that the question implies error or lack of understanding on the part of the prospective candidate and the Board wished to emphasise joint responsibility and a need for the RCN to be clear about expectations. It was suggested that a full and clear role descriptor and a video clip or ‘day in the life’ story about the realities of being a Council Member would enhance prospective candidates’ knowledge, make the role more attractive and improve members’ preparedness to take on the role. Board members reiterated the need for prospective candidates to communicate openly with employers regarding the commitment required. The Board maintained that the process should be one of election rather than appointment. Q3. Our evidence has highlighted the need for greater priority to be given to learning and development for Council and Committee Members. Would you agree that Council and Committee Members should commit to undertaking a development programme in the same way that we ask our accredited representatives to? WB.16.14.1 Page 4 of 13 WB.16.14.1 The Board noted that Representatives’ progression to full accreditation is dependent upon satisfactory completion of the relevant Learning & Development Programme and suggested this approach could be replicated for Council Members. Board members who had served as Council Members noted that training programmes related to specific Committees had proved invaluable, and Board members endorsed the Welsh Board Development Day model as exceptionally useful in moulding and guiding them to become fully engaged with their responsibilities. Q4. What changes could we introduce which make it possible for more of our members with full-time jobs and busy personal lives to be able to put themselves forward to stand for Council? A key factor which Board members felt deters members from standing for Council is the requirement to travel the day prior/day after meetings and recovery time. Board members suggested the following measures which may help support and engage members: Improved IT facilities Virtual meetings Childcare support Fewer London-centric meetings Weekend meetings Q5. The two surveys we conducted confirm that the RCN is seen as being too NHS focussed still. Members do not feel our decision making takes account of the needs of the growing number of members working in other employment sectors and in different political contexts across the UK. Do you agree that we need to ensure that our governance structure includes representatives from all fields of nursing, working in all employment sectors across the four countries? The Board broadly agreed that it is important to address some traditionally under-represented areas of nursing. It was suggested that the RCN is poor at recognising the complexity of some members’ circumstances, e.g. those with multiple employers. Q6. Our surveys have also shown that the RCN is not perceived as inclusive. Our governance structures do not reflect the great breadth of our membership and our desk WB.16.14.1 Page 5 of 13 WB.16.14.1 top analysis has shown that our decision making does not take account sufficiently of equality and accessibility issues. Would you support taking positive action to ensure that the demographics of our governance structures look more like our membership at large? The Board was opposed to an appointment (rather than an election) process to RCN Council and would prefer to see positive discrimination and greater emphasis on improved connection and membership engagement to demonstrate the reality of the role, as suggested in relation to Q2 above. It was also suggested that the RCN has a short-sighted approach to some issues which may appear to be unrelated but contribute to the sense that the organisation is insufficiently visible to potential Council Members, such as the way in which diaries are distributed. This affects connection with members and impacts members’ awareness of RCN governance processes. The Board agreed the key challenge is to close the gap between those individuals whom members wish to see as Council Members and those who are willing to put themselves forward for election. Q7. From our evidence we have seen that Council rightly spends a large percentage of its time at meetings on its financial and organisational responsibilities. Do you agree that we need to strengthen our trade union executive function and our Royal College agenda by involving more members in this work? If so how do you think we could best achieve this? The Board acknowledged that this is a governance role and that there is a need for Council to be able to hold the organisation to account on finance. Notwithstanding, members need to perceive RCN as a trade union with ‘teeth’. The Board felt that generally the RCN enjoys prolific networks but fails to make full use of these to facilitate two way dialogue. It was noted that the Chair of the Council Review Group is conducting a review of balloting methods utilised by the RCN. It was felt that there are still many members who prefer paper methods of voting. The practice of inserting ballot papers into publications was felt to bypass many members; the Board suggested it is short-sighted to focus on saving postage costs in this way when weighed against the potential reputational risk of failing to engage fully with the membership. WB.16.14.1 Page 6 of 13 WB.16.14.1 Finally, it was suggested that the RCN app requires updating. Gordon Lees thanked the Board for its contributions. He indicated that all feedback will be considered by Council at its December meeting and then brought back to Boards for further consultation. The Board Chair extended thanks to Gordon Lees for attending and presenting the report. Action: Board’s comments regarding the Consultation to be submitted to the Head of Governance. 96.2 Member Access to Information The Board Chair welcomed JP Nolan, Head of Nursing Practice to the meeting via teleconference. The Director gave a presentation outlining this work. In response to Board Members’ questions, the Head of Nursing Practice provided further information regarding the nature of this work, the timescales for the various workstreams and the arrangements to consult as widely as possible with the membership regarding the proposed model with a current deadline of April 2016. He also confirmed that training would be tailored in order to meet local needs as closely as possible and was likely to be a mix of face-to-face and e-learning. The Board Chair thanked the Head of Nursing Practice for participating and providing an update with regard to this work. WB.15.97 DIRECTOR, RCN WALES’ REPORT A report had been received and was noted. No questions were raised by Board members. WB.15.98 STAFFING INFORMATION A report had been received and was noted. The Director further updated that: WB.16.14.1 Peter Meredith-Smith would revert to his Associate Director (Employment Relations) post at RCN Wales with effect from 1 January 2016. Page 7 of 13 WB.16.14.1 WB.15.99 Donna Aldridge would retire as part-time Receptionist at Ty Maeth in December and details of a function to mark the occasion would be circulated to the Board in due course. ASSOCIATE DIRECTOR (EMPLOYMENT RELATIONS) REPORT A report had been circulated and was noted. WB.15.100 PROFESSIONAL PRACTICE 100.1 Associate Director (Professional Practice) Report A report had been circulated and was noted. 100.2 Emergency Care Update The Director provided the following update: The Director had met with Raj Chana, Interim Director of Workforce and Organisational Development for Cardiff and Vale University Health Board and indicated that this workstream now appeared to be progressing. Investigation results are now available and the Director will discuss further with the Steward who raised the issue outside of the meeting. There are acknowledged workforce issues in relation to the impending winter pressures. WB.15.101 GOVERNMENT, PUBLIC, POLITICAL AND HEALTH 101.1 Policy & Public Affairs Report A report had been circulated and was noted. The Policy & Public Affairs Adviser gave a verbal update as follows: A recent poll had demonstrated strong public support with regard to the Safe Staffing Bill. The Bill is currently at Stage 2 and was due to receive cross-party consideration on 25 November 2015. If successful, it would then proceed to the amendment stage and there is likely to be discussion about the potential to extend the Bill to other sectors, including how safe levels would be calculated. WB.16.14.1 Page 8 of 13 WB.16.14.1 The next stage will be passing of the Bill in Plenary and, finally, Royal assent. RCN Wales intends to continue strongly campaigning ahead of the 25 November hearing via social media, particularly Twitter and the Policy and Public Affairs Adviser thanked all for their efforts in publicising the campaign. It was noted that the Committee meeting can be viewed online in real time via the Senedd website. Ann Griffiths referenced the mid-Wales healthcare collaborative (item 2.4) and the urgent need to ‘grow our own’ staff in rural areas. The Policy and Public Affairs Adviser agreed to raise this in relevant political briefings. 101.2 Time to Care Campaign A report had been circulated and was noted. The Policy and Public Affairs Adviser noted that mental health would be a key theme at a cross-party Senedd event on 2 December 2015. She also advised of the intention to hold 3 or 4 hustings events in 2016 (North and South Wales) in the run up to the elections and asked the Board to assist in publicising these, particularly in key seats. The Director noted that funding for these events is yet to be finalised. These can be joint Branch events or shared with other organisations such as the BMA. The Policy and Public Affairs Adviser will keep the Board updated. 101.3 Children’s Commissioner for Wales A report had been circulated and was noted. The Associate Director (Professional Practice) noted the progress in developing a productive working relationship with the Children’s Commissioner for Wales. The Board Chair welcomed this work and particularly that the need to increase the number of children’s nurses had been recognised. 101.4 RCN Congress 18 – 22 June 2016 The Board spent some time considering possible topics for submission including: WB.16.14.1 Nurse registration fees Page 9 of 13 WB.16.14.1 HPV vaccine for boys Occupational Health reports provided to managers; what should these constitute; the need to tackle sickness levels amongst nurses – particularly musculo-skeletal problems and stress – and measures to address this e.g. fast-track treatment/preferential consultant appointments. Christine Edwards-Jones agreed to be the Board representative to liaise with the Policy & Public Affairs Adviser in working up this proposal. Physicians’ Associates – concerns about increasing numbers and whether there has been a skills mapping exercise against regulated professions. Stewart Attridge agreed to be the Board representative to liaise with the Policy & Public Affairs Adviser in working up this proposal. The Director noted that, if the Safe Staffing Bill progresses on 25 November, there is potential to call on Congress to support the progressive agenda with regard to staffing levels and challenge the UK Government to roll this out across the UK. All Board members agreed to email any further ideas to the Policy & Public Affairs Adviser. It was noted that the deadline for submission was 22 January 2016. Actions: Board members Christine Edwards-Jones and Stewart Attridge to develop submissions for Congress. Board members to email any additional proposals for submissions to the Policy Public Affairs Adviser. WB.15.102 ANY OTHER BUSINESS 102.1 Council Member for Wales Standing Down The Board Chair noted that this would be the last Board meeting for Christine Thomas before her term of office ends in December 2016 and extended special thanks to Christine for all her contributions to the work of the Board. A presentation of gifts took place to mark the occasion. WB.16.14.1 Page 10 of 13 WB.16.14.1 The Board Chair thanked RCN Wales staff for the arrangements for today’s meeting. 102.2 50th Anniversary of Ty Maeth Celebrations The Director drew attention to a celebratory short film to be launched at the RCN Wales Nurse of the Year Awards on 19 November, to coincide with the re-dedication of Ty Maeth on 1 March 2016. There is also to be a book launched and Board Members were asked to discuss with their branches whether they wish to purchase a copy of the book. Action: Board Members to consider with their respective branches if they wish to purchase a copy of a commemorative book. The Board noted the dates of the next seminar and Board meeting as follows: Board Closed Session Board Development Session Venue: 19 May 2016 13:30 – 17:00 19 May 2016 17:30 – 19:00 RCN Welsh Board headquarters, Ty Maeth, Cardiff Board Open Session: Venue: 20 May 2016 09:00 – 14:00 RCN Welsh Board headquarters, Ty Maeth, Cardiff ET: Tina Donnelly, CBE, Director, RCN Wales Email: tina.donnelly@rcn.org.uk WB.16.14.1 Page 11 of 13 WB.16.14.1 OPEN SESSION ACTION LIST Agenda No. WB.15.94.1 Action WB.16.14.1 Update on Actions Status JT 25 Feb 16 Completed and on the Open Agenda TD 16 Nov 15 Completed Council Review Consultation Board’s comments regarding the Consultation to be submitted to the Head of Governance. WB.15.101.4 Deadline Minutes Owain Jones to be invited to give a presentation at the next Board meeting regarding his MSc study. WB.15.96.1 Designated People RCN Congress 2016 Board members Christine CEJ/SA Edwards-Jones and Stewart Attridge to develop submissions for Congress. 22 Jan 16 SA submitted a resolution that was accepted. Partially completed Board members to email any Board additional proposals for members submissions to the Policy Public Affairs Adviser. 22 Jan 16 No further submissions were received. Completed Page 12 of 13 WB.16.14.1 Agenda No. WB.15.102.2 Action Deadline Board Members 25 Feb 16 Update on Actions RCN Wales 50th Celebration Board Members to consider with their respective branches if they wish to purchase a copy of a commemorative book. WB.16.14.1 Designated People Page 13 of 13 Status