Northern Ireland Board 23 September 2013 Agenda item 13/75 ROYAL COLLEGE OF NURSING NORTHERN IRELAND Minutes of the Northern Ireland Board meeting held on Monday, 24 June 2013 at 10.00 am in the Boardroom, 17 Windsor Avenue, Belfast, BT9 6EE. Present Margaret Meehan Kevin Bell Joe McCambridge Margaret McCambridge Francis Lavery William McCormick Alison Milliken Karen Oakes Roisin Devlin Paul McElwee Mary Walker Kathryn Gault Vice Chair/Chair of meeting/Southern Branch Council Member Belfast Branch Northern Branch Southern Branch Belfast Branch Northern Branch South Eastern Branch Northern Branch North Western Branch South Eastern Branch South Western Branch Apologies Ann Marie O’Neill Ann Scott Chair/Council Member Mental Health and Learning Disability Field of Practice Staff in attendance Janice Smyth Garrett Martin Maura Hannon John Knape Joy Ireland Marie McAteer Director Deputy Director/Senior Officer Employment Relations Personal Assistant to Director/Board Administrator Head of Communications, Policy and Marketing Business Manager Employment Relations Officer (joined for item 13/57) Observer Edna Colhoun PA to Deputy Director MINUTES 13/53 Chair’s opening remarks and declaration of interest In the absence of the Board Chair, Margaret Meehan, Vice-Chair, chaired the meeting, welcoming everyone, particularly observer Edna Colhoun, newly appointed PA to the Deputy Director and Office Manager, Employment Relations Department. Margaret informed the Board that Marie McAteer, Employment Relations Officer, and Sindy King, Learning Representative, would be joining the meeting to deliver a presentation at agenda item 13/57; letters of condolences had been sent on their behalf to Maureen Dolan and Brenda McIlmurry following the death of their father; and circulated a copy of a letter received from Robert Moore following receipt of his RCN Order of Merit 1 G: Board/Maura//NIBoard/Minutes/23Sept2013 Northern Ireland Board 23 September 2013 Agenda item 13/75 Award at Congress. Board members were advised that Council voting papers will be enclosed with the August issue of RCN Bulletin which should be received by members around 31 July, with voting closing on 18 September 2013. No conflicts of interest declared. 13/54 Minutes of Board meeting held on Monday 25 March 2013 Minutes of the Board meeting held on 25 March 2013 (paper nib/13/54) agreed and signed. 13/55 Matters arising A Feedback from Daniel Allen regarding Bulletin – item 13/30(a) John Knape, Head of Communications, Policy and Marketing, recapped on the background to this item and informed the Board that currently a fundamental review is taking place, led by Fiona Johnson, RCN Director of Communications, examining the RCN’s engagement with members and pending the outcome of the review had nothing further to add. B Diaries for members – item 13/30(e) Kevin Bell, Council member, reported that he will raise the issue of “opt out” as opposed to “opt in” for receipt of a diary at MRC on 9 September. C RCN NI frontline first summit paper – item 13/30(h) The Director, Janice Smyth, recapped on the frontline first summit meeting on 14 September 2012 which culminated in the paper “Do We Care Enough About Nursing Care?”, and the decision at the last Board meeting that the paper could be shared with the Minister for two weeks prior to considering publication. The paper was sent to the Minister’s special advisor, Philip Weir, who requested a meeting with Janice to discuss the paper, and subsequently a meeting with the Minister was scheduled for 29 May. However, due to the CNO’s family bereavement the meeting was rescheduled to 20 June 2013. Janice, Margaret Meehan, Roisin Devlin, Garrett Martin and John Knape represented the RCN at the roundtable discussion and the other attendees included the Minister, Andrew McCormick, Permanent Secretary, Charlotte McArdle, CNO, Angela McLernon, who had been Interim CNO, and Catherine Daly, a senior civil servant. Janice circulated a copy of the RCN’s briefing note prepared for the meeting and provided feedback on the discussions including: workforce (no workforce planning since 2008, reduction in pre-registration commissioning numbers, 2008 workforce report recommendations, age profile of current workforce, emerging evidence of hard to fill posts, 2 G: Board/Maura//NIBoard/Minutes/23Sept2013 Northern Ireland Board 23 September 2013 Agenda item 13/75 misleading DHSSP vacancy survey information, over reliance on bank and agency, post registration commissioning, lack of preparation for higher level/specialist practice, preparation for Transforming Your Care and the education commissioning process and budgets); use of bank and agency (recruitment practice for band 5 posts, workforce controls and vacancy freezes, increased use of bank nurses and associated risks, unfilled shifts, and Agenda for Change terms and conditions); skill mix within nursing teams (Agenda for Change bands across occupational groups, Agenda for Change pay audit, role of band 5 nurses, rostering of nursing staff and normative staffing ranges); and technology (lack of information technology infrastructure to support nursing, over reliance on paper based record systems, nurses required to collect and input data and tele-health, and setting targets). Janice shared her understanding of what was agreed at the meeting and is awaiting a communiqué from the Minister’s office outlining their perception of the action points agreed; which will be circulated to Board members to determine the way forward. Janice invited questions from the Board. Following a lengthy and robust discussion, including the importance of ensuring that any reduction in the use of bank and agency staff is supported by backfilling of posts, keeping a watchful brief on normative staffing levels, the Board agreed to await confirmation of the Minister’s offer before coming to a decision on whether to publish the paper. Joe McCambridge suggested that the message shared today should be shared with all the individuals who attended the frontline first summit on 14 September 2012 and this was agreed. D Board development – item 13/36 The Director spoke to paper nib/13/56d previously circulated, recapped on the discussions at the Board seminar on 13 May, and invited Board members to share their views on the proposed Board member development process. William McCormick expressed his dissatisfaction with the format believing it to be too detailed for the requirements of Board members. Following a robust discussion which included content and timing of induction, and a request for an electronic version of the documentation, there was consensus that: (a) Yes, there should be a process (15 – 20 minute informal meeting with the Board Chair); (b) The review form should be no more than two sides of an A4 sheet outlining skills and attributes, self assessment (against the role descriptor for a Board member which will be added as an aide memoir on a separate sheet), discussion, and agreed way forward to 3 G: Board/Maura//NIBoard/Minutes/23Sept2013 Northern Ireland Board 23 September 2013 Agenda item 13/75 include support and development; (c) No need to involve outside facilitators, keep in-house to minimise costs. In summary, the Board agreed the following responses to the paper: 4.1 4.2 4.3 10.1 Yes No, redraft with suggested changes. Yes, no need to engage facilitators. An individual review process should be implemented on a pilot basis for RCN NI Board members for a period of one year commencing January 2014. The redrafted paper will be tabled at the next Board meeting on 23 September and a copy of the Board induction pack shared. E Concerns raised by diversity sub-group – item 13/43 Kevin Bell reported that he had not raised the matter at Council as he had not discussed it with Janice yet. Janice has expressed her concern with ET colleagues and John Knape reported that he had had a telephone conversation with the RCN diversity lead who gave an assurance that the work would be undertaken by staff. F History of Nursing book launch – item 13/45 John Knape notified the Board that the launch will take place at the Guildhall, Derry/Londonderry on Wednesday 18 September 2013 (precise time to be advised) with an early evening reception, followed by dinner, concluding around 9.00 pm to facilitate travel arrangements. Board members will receive a formal invitation. The Director, John, Lisa Holden and Fionnuala Newton visited the Guildhall recently to meet with a member of their events team. Janice advised that there is exceptional interest in the launch but that the venue can only accommodate 200 guests and gave an indication of the potential guest list. The book that is currently with lawyers for legal proofing will be produced in hardback, soft back, and hopefully an electronic version, with contributors receiving a complimentary copy. G Proposed conference highlighting best practice in nursing – item 13/45 In the absence of Carolyn Mason, Head of Professional Development, Janice informed the Board that this proposal was discussed by the management team (opportunity for finalists of Nurse of the Year who were not the winners to showcase their practice). As current demand on staff and members’ time is at an all time high, Janice suggested awaiting confirmation of the 2014 Council calendar in July to identify a gap when there might be potential for this to happen. The Deputy Director 4 G: Board/Maura//NIBoard/Minutes/23Sept2013 Northern Ireland Board 23 September 2013 Agenda item 13/75 suggested it could be included in a professional development or network event, echoed by Margaret Meehan who advised that the children and young people’s network had successfully availed of such opportunities. John Knape suggested that there may be more creative and cost effective ways to showcase such practice and Roisin Devlin asked whether the short films shown at Nurse of the Year could be shared via social media and John undertook to explore this. 13/56 Director’s report The Board noted paper nib/13/56 previously circulated and the Director provided additional detail in relation to the following: 18 April visit to BSO for demonstration of electronic HR system when Janice expressed concerns about the availability of technology for nurses 20-25 April Congress 6 June Nurse of the Year Awards 10 June NMC stakeholder meeting regarding revalidation, expressing concern about what may be planned for nursing (Janice sent notes to RCN HQ and will discuss at the ET next meeting), and 17 June RCN NI representatives’ conference had to be cancelled due to potential traffic disruption triggered by the G8 summit. Janice welcomed the attendance of several Board members at the recent Florence Nightingale Thanksgiving Inter-Denominational Service. 13/57 Union learn fund The Chair invited Marie McAteer, Employment Relations Officer, and Sindy King, Learning Representative, to deliver a presentation on the progress of the RCN’s Union Learning Fund project in NI and the Board noted paper nib/13/57 previously circulated. Following the presentation Marie and Sindy invited questions from Board members, thanked the Board for the opportunity, and the Chair thanked them for their informative and interesting presentation. Janice sought assurance that the final report will indicate that the findings within the independent sector are not dissimilar to those findings of previous work undertaken in the health service; Marie assured Janice that the work has been cross referenced in the report. 13/58 Frontline First campaign Garrett Martin, Deputy Director, spoke to paper nib/13/58 (previously circulated) proposing progressing the work of the group to the next phase, the need for the group to continue to exist, acknowledging the valuable work that has been undertaken, and recommending updating the terms of reference. The Board agreed the proposed revised terms of reference as indicated at 3.2 of the paper. 5 G: Board/Maura//NIBoard/Minutes/23Sept2013 Northern Ireland Board 23 September 2013 Agenda item 13/75 13/59 Student recruitment John Knape, Head of Communications, Policy and Marketing, provided a snapshot of student membership figures against targets and invited Board members to share ideas of ways to increase student membership, and Janice added that as Queen’s University have changed their intake to once a year this could impact on recruitment opportunities. Board members highlighted potential recruitment opportunities including students placements, awarding of bursaries by networks, involvement in student recruitment, increased contact with student information officers, strategy used by competitors, HCAs, methods of payment, early reminder of membership renewal, consider use of smart phone barcodes and social media when appealing to student members. John thanked Board members for their engagement and will take all their suggestions on board. 13/60 RCN accredited representatives – accreditation and dis-accreditation The Director spoke to paper nib/13/60 previously circulated which reflects that the responsibility for accreditation and dis-accreditation rests with the branch. Janice talked the Board members through the paper and flowchart and highlighted that the Board is being asked to consider and agree the process and that it is their responsibility to ensure that branches are consulted on the issue. As every branch is represented on the RCN NI Board, Janice asked whether the Board considered this sufficient to inform their response, or whether they needed to consult wider with the branches. Following discussion it was agreed that the consultation document should be forwarded electronically to branch secretaries for consultation with branch members with comments to be forwarded before 4 July 2013. Janice summarised the views of the Board for clarification. 13/61 Subscriptions Kevin Bell, Council member, addressed the Board on the proposed resolution that will go to the AGM in October 2013 to authorise Council to set the RCN subscription for the next five years. If the proposal is accepted Council will consult with members through the boards and branches each year before setting the subscription rate for the following year. Kevin outlined why Council is seeking this authority, asked the Board how acceptable this change would be, sought their support for Council in its role, and their help to raise awareness among members of the cost of the services they receive. The Director outlined the repercussions in the event that Council is not granted authorisation to set the RCN subscription fee rate, and the Deputy Director reminded the Board that the RCN Council is a democratically elected governing body with delegated authority to make decisions on behalf of members and should be supported to do so. Following a vigorous discussion Janice summarised the views of the Board for clarity and will forward their comments to Jane Clarke, RCN Director of 6 G: Board/Maura//NIBoard/Minutes/23Sept2013 Northern Ireland Board 23 September 2013 Agenda item 13/75 Governance Support, by 4 July 2013, to help inform Council’s proposal. 13/62 RCN legal and governance update The Director updated Board members on elections (Council, UK representatives’ committees, Boards, students and HP committee), Board consultation and engagement exercises, branch handbook, proposed 2014 calendar of meetings, timing of branch AGMs, Congress 2013, 2014, 2015 and 2016, the RCN Foundation, and that the proposed consultation on the review of the Congress constitution should be available for the September Board meeting. Janice spoke to paper nib/13/62 circulated at the meeting (agreed by the Board at the RCN NI Board meeting on 14 January 2013, nib/13/17) clarifying the progress to date on the engagement strategy for RCN Northern Ireland Board elections in 2014. It was agreed that following today’s meeting the branch reports will be uploaded onto the website as previously agreed, there was further clarity required around the branch newsletters and the process for gathering and coordinating the information (the Deputy Director undertook to resurrect the agreed protocol and remind staff to communicate with branches to obtain information and forward to John Knape and Lisa Holden to format accordingly), newsletters to be issued quarterly, branch members to be invited to observe at a Board meeting and all Board member profiles, including photographs, should be uploaded onto the RCN NI website before the next Board meeting in September. 13/63 Performance management report & KPIs Business Manager, Joy Ireland, spoke to confidential paper nib/13/63(a), and the new KPI template (paper nib/13/63(b)), both circulated at the meeting, and invited questions from the Board. Copies of the confidential performance management report were returned after the meeting. 13/64 Selection for attendance at Congress Garrett Martin spoke to paper nib/13/64 previously circulated and asked the Board to note the process for funding members to attend RCN Congress in 2013, and to agree the suggested improvements to the process for funding Congress places in 2014. Garrett suggested that the sub-group of the Board meet in early September to tease out any further details and bring a paper back to the Board for approval at the September meeting. Board members discussed: the merits of getting the balance right between first time and more experienced attendees; Joe McCambridge suggested that only one call go out to members to apply for places at Congress to include first time attendees, funded voting members and members attending using historical funds; what it means to be active within a branch; and how to measure selection against the criteria. The Chair, Margaret Meehan, 7 G: Board/Maura//NIBoard/Minutes/23Sept2013 Northern Ireland Board 23 September 2013 Agenda item 13/75 reminded the Board why the Congress selection process was introduced and the need for transparency and fairness around the selection process. It was ultimately agreed that the sub-group will meet to look at the application process and form, timelines and selection criteria, and bring a paper to the September Board meeting. 13/65 Matters from Boards for Council The Chair asked the Board whether they had any additional matters they wished to go to Council, apart from feedback from agenda items 13/60 and 13/61; no additional matters suggested. 13/66 New guidelines for setting up local networks The Director invited Joy Ireland to speak to paper nib/13/66 previously circulated. Joy highlighted that the guidelines did not detail financial regulations and will raise this with Jane Clarke, RCN Director of Governance Support, and suggest the inclusion of financial guidance. In the interim the RCN NI financial guidelines will be retained as an addendum to the paper. 13/67 Update on Network Sub-Committee The Board noted paper nib/13/67 previously circulated. 13/68 Members’ expenses policy update The Board noted paper nib/13/68 previously circulated. Margaret McCambridge asked if when booking members’ travel details the NYS 24 hour helpline could be included with documents in the event that there are any problems after office hours. Janice will raise this with Jane Clarke. 13/69 Media and consultation update The Board noted paper nib/13/69 previously circulated. 13/70 Reports from branches Board members noted the following reports previously circulated: Belfast - paper nib/13/70(i) Southern – paper nib/13/70(ii) South Eastern branch – paper nib/13/70(iii) Northern – paper nib/13/70(iv) The North Western (paper nib/13/70(v)) and South Western (paper nib/13/70(vi)) branch reports were circulated at the meeting and noted. 8 G: Board/Maura//NIBoard/Minutes/23Sept2013 Northern Ireland Board 23 September 2013 Agenda item 13/75 13/71 Update on the stewards, health and safety, and learning representatives’ committees in Northern Ireland The Board noted paper nib/13/71 previously circulated. 13/72 Any other business A Nurse of the Year Awards The Chair congratulated everyone involved in Nurse of the Year and thanked the staff on behalf of the Board. 13/73 Date and time of next meeting The next meeting of the RCN Northern Ireland Board will be held on Monday, 23 September 2013 at 10.00 am in the Boardroom, 17 Windsor Avenue, Belfast, BT9 6EE. Signed: Date: 23 September 2013 9 G: Board/Maura//NIBoard/Minutes/23Sept2013