ROYAL COLLEGE OF NURSING NORTHERN IRELAND Minutes of the open session of the Northern Ireland Board meeting held on Monday, 22 September 2014 at 12 noon in the Boardroom, 17 Windsor Avenue, Belfast, BT9 6EE. Present Fiona Devlin Kevin Bell Anne Marie Marley Alison Milliken Francis Lavery Roisin Devlin Kathryn Gault Margaret McCambridge Mary Walker Chair/Council Member Council Member Belfast Branch Northern Branch Southern Branch South Eastern Branch (Northern Branch place) South Western Branch Northern Branch (Belfast Branch place) South Eastern Branch Apologies Joe McCambridge William McCormick Karen Oakes Margaret Meehan Paul McElwee Belfast Branch Belfast Branch South Eastern Branch Vice Chair/Southern Branch North Western Branch Staff in attendance Janice Smyth Maura Hannon Garrett Martin Carolyn Mason John Knape Joy Ireland Director Personal Assistant to Director/Board Administrator Deputy Director/Senior Officer Employment Relations Head of Professional Development Head of Communications, Policy and Marketing Business Manager Observers Colette McGoldrick Florence Sharkey UK Case Management Administrator South Western Branch 14/102 Chair’s remarks including declaration of interest and messages from confidential session The Chair, Fiona Devlin, reminded the Board that Florence Sharkey, South Western Branch, will be joining the open session of the meeting as an observer, and summarised the key messages from the confidential session (agreed operational plan for next year, 2015 budget, exception report to RCN Council, pay campaign, received voting report from Congress with very good representation from NI, reviewed risk register, and discussed supporting accredited representatives in governance roles). Fiona called for any declarations of interest for the open session: none declared. 1 Fiona reported that she had enjoyed attending the Belfast, South Eastern and Northern branch AGMs and intends to join the North Western and South Western branches. She felt there was much learning and good practice that could be shared between branches and thanked the branches for her invitation. 14/103 Minutes of the open session of the Board meeting held on Monday 19 May 2014 Minutes of the open session of the Board meeting held on Monday 19 May 2014 (paper nib/14/103 previously circulated) agreed and signed by the Chair. Margaret McCambridge referred to line 4, page 2, “requested administrative assistance” and thought she may have been misunderstood as she was enquiring about why the administrative assistance had been withdrawn. 14/104 Matters arising A Forum engagement by members – item 14/70 Carolyn Mason, Head of Professional Development, referred to the low proportion of members linked to a forum and outlined the process to potentially increase forum membership. The Chair welcomed Florence Sharkey to the meeting. B Administrative support for branches– item 14/72 The Director, Janice Smyth, stated that she does not have a problem with staff agreeing to support branches; conversely across the UK some branches perceive this as interfering. However the issue of branch communication is part of a wider debate that Michael Brown, Chair of Council, gave a commitment at Congress to resolve. As this has now become a UK issue, staff locally thought it would be more prudent to contribute to the national guidelines. Janice suggested that in the meantime if branches need help and support they should request it. Margaret McCambridge stated that she does not want to keep information on her personal computer and Janice advised that Margaret raise any issues with RCN Officer, Stephen McSherry. C Use of discussion zone during RCN elections – item 14/74 Council member, Kevin Bell, referred Board members to paragraph 4.2 of paper nib/14/104c circulated at the meeting. 2 D RCN Frontline first campaign and feedback on monitoring of additional hours worked within HSC trust – item 74 Deputy Director, Garrett Martin, referred to evidence available from surveys regarding the additional hours worked within the trusts. He referred to national information being collated by Rachael McIlroy, RCN Research and Information Officer, who has given a commitment to provide specific information on the RCN Northern Ireland (NI) membership by mid-October. Garrett would hope to have a paper available for the Board meeting in November. E Normative staffing levels – item 14/75 Janice reminded Board members that as agreed at the May Board meeting, she had written to the Commissioner of the Health and Social Care Board (HSBC), and received a response on 6 August 2014 (copies of both letters circulated at the meeting paper nib/14/104e). The letter had sought clarification of the plan for implementation of normative staffing ranges and how compliance would be monitored, and sought confirmation on whether the HSCB has a policy for the use of beds above the funded establishment and in particular any risk or quality impact assessment requirements for the use of additional beds. Following a robust discussion it was agreed that the Director should write again to the Commissioner stating that his response is unacceptable, the issues have not been addressed and request that action is taken to address the situation in the three trusts where we have confirmation that additional beds are being utilised. Janice will also write to the Chief Executive of the HSCB to raise the Board’s concerns. Janice advised that she is meeting with the Permanent Secretary on 1 October 2014. F Our Promise to You – item 14/88(a) Business Manager, Joy Ireland, confirmed that there are no additional materials available from Matthew Batten at this stage. However, it is anticipated that the promise will be launched to members early next year. It is important that staff feedback any difficulties experienced in meeting the promise. G Pay campaign sub-group – item 14/88(c) Garrett Martin had nothing further to add to discussions in the earlier confidential session. 14/105 RCN NI Board elections 2014 The Director spoke to paper nib/14/105 circulated at the meeting outlining the vacancies on the Board, nominations received, candidates standing for 3 election, and the election status. The Board considered the number of nominations received from the Belfast branch and discussed how communication with branches not represented on the Board could be problematic. The Director reminded Board members that when they are elected to the Board they are elected in a governance role and not as a representative of a constituent part of the RCN. Margaret McCambridge voiced concern that the links between Council, boards and branches as illustrated by Jane Clarke, Head of Governance Support, using cogwheels will not be reflected in the future composition of the RCN NI Board. Janice again referred to the Board’s governance role and their engagement strategy. Mary Walker stated that she had submitted an electronic nomination for the South Eastern Branch but had not received an acknowledgement. Mary was advised to contact the RCN Governance Support Department. Kevin Bell asked whether Mary’s nomination would change the situation regarding elections and the Director stated that this was a matter for governance and that it would not be possible to pre-empt any investigation. Alison Milliken enquired whether voting would be open to all RCN NI members and Maura Hannon confirmed that electronic voting will be open to all members in NI with an email address. 14/106 Process for branch communications John Knape, Head of Communications, Policy and Marketing, reminded the Board that this matter had been addressed by Janice under agenda item 104(b) and that in the meantime there will be an opportunity to contribute to the UK working group lead by Theresa Fyffe. John will endeavour to keep members informed of the progress of this work. 14/107 Update on Networks Sub-Committee and Diversity Sub Group Carolyn Mason, Head of Professional Development, spoke to papers nib/14/107 previously circulated and paper nib/14/107(i) circulated at the meeting. Carolyn outlined the recommendations in paper 107 and advised that since the paper had been submitted NIRAQ had decided to withdraw their request for funding from pooled network funds (as indicated at 6.1 of paper 107(i)). The Board agreed recommendation at 6.1 in paper 107 and recommendations at 6.1, 6.2 and 6.3 in paper 107(i). 14/108 Review of L&D pathway for RCN representatives in Northern Ireland Garrett Martin spoke to paper nib/14/108 previously circulated and asked the Board to consider the content of the paper, provide feedback and agree the actions to be taken to address the issues as outlined in the paper and appendices1, 2 and 3. 4 The Board discussed the difficulties around recruitment and retention of reps, the balance between work and representing members, facilities agreements, assisting reps to negotiate time off with their managers, Chair of the Board asked for a workshop, tensions between clinical work and stewards work, the perception of trade union reps by employers, bullying culture in the workplace, building confidence through shadowing and mentoring, clarity of role, preparation and support for reps, value of a portfolio, branch contact and support, how modules are delivered, flexibility and responsive to trainees’ needs, visibility of RCN staff at reps training, reps and staff working collaboratively, more support from experienced colleagues within the branches, branch officials joining training, more time in the curriculum devoted to case management, continuing professional development for reps, the use of real people and real situations in the training, the value of building networks during training, and support from members with trade union funded time. Janice reported that Maria Wilson’s recent work examining mentorship and supervision of reps across the UK has shown a lack of consistency and that the four country directors are preparing a business case for resources to address this matter. Garrett emphasised the importance of feeding into this piece of work nationally. Janice agreed to speak with the Nurse Leaders’ Network about release to attend training, and an action plan will be brought to the February 2015 Board meeting. 14/109 UK L&D pathway for RCN representatives: curriculum review Garrett Martin spoke to paper nib/14/109 previously circulated requesting the Board to review the three revised RCN representative role descriptors and to confirm that the versions shown in the paper are acceptable. Following discussion there was agreement that the term “managing” would be more applicable than “addressing”, and that something needs to be added in relation to supervision and working in collaboration with staff. These comments will be feedback to RCN HQ. 14/110 Congress 2014 Garrett Martin spoke to paper nib/14/110 previously circulated and there was general consensus from the feedback received that it was a successful Congress. Board members discussed the purpose of the pre-Congress sessions, selection process, timing and release of funding details, historical funds, flexibility around booking travel and accommodation, and a member request for specific requirements in hotel accommodation (request and staff response to it to be followed up). 14/111 Council report for RCN boards of 24/25 July & 2 September 2014 The Chair spoke to papers nib/14/111(i) and nib/14/111(ii) previously 5 circulated drawing particular attention to the action points Janice asked whether any Board member would wish to sign up as a pay champion (to be discussed at the pay campaign sub-group meeting on Thursday). Garrett referred to the planned march and rally in London on 18 October, advised that NIICTU are planning to hold an event in Belfast (Garrett to update Board when details of event are available). 14/112 Whistle-blowing guidance for RCN Council, Board or Committee members Janice Smyth spoke to paper nib/14/112 previously circulated and asked the Board whether they wished to add anything further to the draft guidance. The Board confirmed that it is content with the guidance. 14/113 Visit Belfast bid to host RCN Congress Janice informed the Board that Visit Belfast is bidding to host RCN Congress 2017 or 2018 and although there will be some challenges Visit Belfast is confident that they will be able to host such an event. As a Belfast Ambassador Janice declared a potential personal conflict of interest. Janice liaised with UU and QUB to ensure the universities will facilitate the attendance of students, and that the Directors of Nursing will support staff to attend. Visit Belfast is seeking the support of the RCN NI Board in their endeavour to bid for hosting Congress in Belfast and if successful that the Board will work with them to deliver a successful event. RCN Council will consider all bids submitted. The Board declared their support for the bid and Janice and John Knape will draft a letter of support on behalf of the Board. 14/114 Matters from Board for Council The Chair asked whether there were any matters that the Board wished to bring to the attention of Council and Janice suggested: concern regarding recruitment and retention of reps, the need to get learning and development right for reps, improved time scales and flexibility around travel and accommodation for Congress, administrative support for branches, RCN pay campaign, and RCN elections. 14/115 Chair’s report The Board noted paper nib/14/115 previously circulated and Fiona updated on her contact with the Belfast and South Eastern branches since the report was submitted. 14/116 Director’s report The Board noted paper nib/14/116 previously circulated and the Director offered to take questions; no questions asked. 6 14/117 Report from Health Practitioner Committee The Board noted paper nib/14/117 previously circulated. John Knape reminded the Board that at the meeting on 19 May it was agreed a separate page should be added to the website to promote the work of the RCN in representing and supporting health practitioner (HP) members (agenda item 14/76), however, this paper indicates that the HP Committee would like to see the new website integrate the work of nurses and HPs rather than have a separate section for HP membership. 14/118 Audit of RCN representative data contained on the membership database The Board noted paper nib/14/118 previously circulated and the Chair highlighted the improvement made by regional and country teams in recording learning and development on the membership database. 14/119 RCN NI Board key messages Board members agreed the key messages to be uploaded onto the RCN NI website as follows: a) Noted that RCN Council has initiated a UK-wide project to consider support for RCN branches. The work will embrace ways to enhance communications between branches and their membership. b) Received and noted a paper outlining campaigning guidance and regulations relating to the 2014 RCN elections. The Board also received an update on the candidates who will stand for election to the Board. c) Received and noted correspondence with the Director of Commissioning at the HSCB in relation to the implementation of normative staffing ranges and funded beds. The Director of Commissioning reiterated the Board’s commitment to the agreed implementation of normative staffing ranges but stated that: “... the pace of change may be impacted by the wider financial context for Health and Social Care”. He also stated that: “... the HSCB’s expectation is that routinely patients should only receive care in funded beds within a ward environment. As a short term response to peaks in demand or other pressures where a Trust needs to open additional beds, it should be done in a context of having the appropriate staffing levels and in an environment that does not compromise patient safety, dignity or privacy”. d) Noted the development and imminent implementation of a major new RCN campaign to highlight the failure to date of the NI Executive to honour its commitment to meet the recommendation of the independent NHS Pay Review Body for a 1% across the board pay uplift for nursing staff during 2014-2015. The campaign will also highlight a range of staffing issues and their impact upon patient safety and standards of care. The campaign is to be considered top priority for all RCN staff and accredited reps in NI. e) Gave further consideration to the review of a UK learning and development pathway for RCN accredited reps. It was agreed that an 7 f) g) h) i) action plan addressing issues arising will be considered at the next Board meeting on 3 November 2014. Received a paper summarising feedback from members who attended RCN Congress 2014. In most respects, the feedback was entirely positive. Received and noted new whistle-blowing guidance for RCN Council, Board and Committee members. Noted that Visit Belfast is preparing a bid to host RCN Congress in Belfast in 2017 or 2018. Board agreed to support and endorse the bid. Two observers attended the Board meeting. 14/120 Any other business A RCN NI diversity group Margaret McCambridge referred to the strategic decision by RCN Council to stand down the RCN UK Diversity Committee as diversity is part of the mainstream business of the College and asked whether the subgroup of the Board established to link with the UK Committee will now stand down. John Knape responded that it had been his intention to table this matter at the July meeting of the Diversity Sub Group, however, due to the number of apologies received the meeting was cancelled. John to reschedule the meeting and bring a recommendation to the Board in November. B Human Rights Commission Anne Marie Marley asked whether there was a mechanism for allowing members to know the detail of the RCN’s contribution. John Knape confirmed that the RCN’s submission is available on the website. It was noted that Janice, Garret and Roisin Devlin attended on 15 September and that the questions were mainly related to staff welfare. The Commission plans to publish a report in April 2015. C Health and care magazine Janice referred to the RCN health and care magazine, an editorial by Brenda McIlmurray, and a photograph of two HCAs who won an award at Nurse of the Year and will send them a letter of congratulations on behalf of the Board. D Invitation to Board members to attend Council meetings Noted that three members of the Board have accepted Chair of Council’s invitation to attend meetings on 26 and 27 November 2014. E RCN representatives’ Christmas seminar Janice requested that Board members contact her with any ideas they may have for this event. 8 F Retirements Janice informed the Board that Maura Hannon is retiring on 1 January 2015 and Carolyn Mason in April 2015. G NI community nursing network conference The Chair asked Board members to encourage members working in the community to contact committee members regarding the conference on 14 November 2014. Fiona thanked the observers for joining the meeting today and Florence Sharkey thanked the Board for facilitating her attendance. 14/121 Date and time of next meeting The next meeting of the RCN Northern Ireland Board will be held on Monday, 3 November 2014 at 10.00 am in the Boardroom, 17 Windsor Avenue, Belfast, BT9 6EE Signed: Date: 3 November 2014 9