PHW 9:1
Eighth Meeting of the Public
Health Wales Board
Date of meeting: 4 October 2010
Time of meeting: 10.00 – 16.00
Venue for meeting: Abertawe Bro Morgannwg University LHB
Headquarters, 1 Talbot Gateway, Baglan, Port Talbot, SA12 7BR
Version: v1
Present:
Professor Sir Mansel
Aylward CB
Mr Keith Cox
Mr Mark Dickinson
Dr Jo Farrar
Dr Hilary Fielder
Mr Huw George
Ms Eleanor Higgins
Mr Bob Hudson
Mr Nathan Jones
Mr Chris Lines
Mr John Spence
Professor Simon Smail CBE
Ms Karen Wright
Apologies
Dr Carl Clowes
Chair, Public Health Wales
Board Secretary, Public Health Wales
Executive Director of Planning and
Performance, Public Health Wales
Board Member, Public Health Wales
Executive Director of Public Health Services
Executive Director of Finance, Public Health
Wales
Executive Administrative Manager, Public
Health Wales (Secretariat)
Chief Executive, Public Health Wales
Planning and Performance Manager, Public
Health Wales (Secretariat)
Director of Communications, Public Health
Wales
Board Member, Public Health Wales
Board Member, Public Health Wales
Associate Director Workforce and
Organisational Development, Public Health
Wales
Board Member, Public Health Wales
Public Health Wales
Eighth Public Health Wales Board
Meeting
Attended in part:
Professor Gareth Williams
Dr Stephen Monaghan
Dr Annie Delahunty
Nina Williams
Board Member, Public Health Wales
Executive Director of Public Health,
Abertawe Bro Morgannwg NHS Trust
Consultant in Public Health Medicine, Public
Health Wales NHS Trust
Consultant in Public Health Medicine, Public
Health Wales NHS Trust
1. Welcome & Apologies for Absence
1.1.
The Chair welcomed all in attendance to the
eighth Public Health Wales Board meeting, which
was held in ABM Trust Headquarters, Port Talbot.
1.2.
Apologies
Clowes.
were
received
from
Dr
Carl
1.3.
The Chair reminded the Board that 1
October was the first anniversary of Public Health
Wales becoming fully operational.
1.4.
The Chair, on behalf of the Board,
congratulated staff for their continued hard work
and also thanked the Board for their support.
1.5.
The Board welcomed Chris Lines to his first
formal Board meeting, following his appointment
as Director of Communications.
2. Declarations of Interest
2.1.
No declarations of interest were received.
3. Minutes from Public Health Wales Board meeting
held on 9 August 2010 (PHW 7:1)
3.1.
The minutes from the previous meeting
were approved as an accurate account of the
meeting.
Matters arising from previous minutes:
3.2.
The matters were discussed:
PHW 7:6 Chief Executive to report back to next Board
meeting on status of Directors of Public Health
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contracts.
The Chief Executive informed the Board that the issue
was still unresolved. He will provide an update to the
Board once progress has been made.
ACTION 1: Chief Executive to report back to the
Board on status of Directors of Public Health
contracts and establish current level of Public
Health Wales engagement.
PHW 7:11 Arrange discussions with Welsh Council for
Voluntary Action to ensure full engagement with Third
Sector.
The Chief Executive informed the Board that he would
be discussing third sector engagement internally with
the Interim Senior Management Team and will report
back to the Board.
ACTION 2: Chief Executive to discuss third sector
engagement with the Interim Senior Management
Team.
PHW 7:14 Chair to write to Niall Dickinson at GMC
about revalidation.
The Board agreed to correct the previous minutes to
read ‘Niall Dickson’.
PHW 7:18 Chief Executive to discuss development of IM
& T strategy with Executive Director of Planning and
Performance.
The Board were informed that the strategy was in the
process of being developed and was being treated as a
priority.
PHW 7:24 Once Director of Public Health Development
has been appointed discuss status of R&D Committee.
The Board were informed that the action was pending
the appointment of the Director of Public Health
Development.
ACTION 3: Once Director of Public Health
Development has been appointed discuss status
of R&D Committee.
ACTION to be carried forward
PHW 7.26 Provide update on TU NED to Board at next
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meeting
The Welsh Assembly Government have developed a
number of proposed options for consideration by the
Minister for Health and Social Services. The Board
would be briefed on development at future Board
meetings.
Action 4: Provide update on TU NED to Board at
next meeting.
4. Chair Update
The Chair provided an update on the following items:
a)
Supporting People Review
4.1.
The Chair provided an update on the
Supporting People Review. The review team were
drafting the final report and recommendations
for the Deputy Minister for Housing and
Regeneration.
4.2.
The Chair thanked Dr Kerry Bailey, Keith
Cox and the review team for their contributions
to a challenging review.
b)
Safeguarding Children Review
4.3.
The Board were informed that the review
team were drafting the final report for the
Minister for Health and Social Services and
Deputy Minister for Social Services. The team
are aiming to complete the report by the end of
October 2010, so that it could inform the
Safeguarding Children Forum, which is being
held on 17 November 2010.
c)
Bevan Commission Article
4.4.
The Chair brought the Board’s attention to
an article, which appeared in the Western Mail on
4 October. The article asked whether Bevan’s
founding principles of the NHS are still relevant
today.
4.5.
The Chair also informed the Board that an
interview with him had been published in Public
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Health Today, in which the Chair discussed the
establishment of Public Health Wales and a
unified public health service in Wales.
d)
Co-Chair, Health, Work and Wellbeing
International Committee.
4.6.
The Chair informed the Board that he had
been asked to co-chair the Health, Work and
Wellbeing International Committee, which would
look at health, work and wellbeing in Europe and
how to weather the recession. The intention to
bring together all European countries to examine
these issues.
e)
Professor
Seminar
Gregor
Coster
Dinner
and
4.7.
The Chair briefed the Board on the recent
visit by Professor Gregor Coster. Professor Coster
was Chair of Counties Manakau District Health
Board in New Zealand and also Professor at
University of Auckland.
The Chair hosted a
Cardiff University funded dinner and seminar, in
his role as Director of the Centre for Psychosocial
and Disability Research at Cardiff University.
f)
Community Pharmacies
4.8.
The Chair informed the Board that the
Minister for Health and Social Services and Public
Health Wales had been approached over
concerns, in relation to proposals being made
about community pharmacies.
g)
Public
Health
Advisory Board
Paper
to
Ministerial
4.9.
The Chair informed the Board that the
CMO’s office had prepared a paper on public
health for the Ministerial Advisory Board. The
Chair will be meeting with the CMO to discuss
the paper and how it related to Public Health
Wales’ five year strategy.
h)
1000 Lives Plus
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4.10.
The Board were informed that the Chair had
been asked to co-chair the 1000 Lives Plus
Programme Board with Dr Chris Jones, Medical
Director, Welsh Assembly Government. Further
updates will be provided by the Chair at future
Board meetings.
ACTION 5: Chair to provide updates on 1000 Lives
Plus at future Board meetings.
i)
Board Appraisals
4.11.
The Chair informed the Board that he had
recently been appraised by the Minister for
Health and Social Services. The Board were
informed that they would soon be receiving their
appraisal information.
ACTION 6: Send out NED appraisal information.
5. Chief Executive Update
The Chief Executive
following items:
provided
an
update
on
the
a) NHS Wales Five Year Plan
5.1.
The Chief Executive presented paper PHW
8:2 to the Board, which detailed the outcomes of
the work undertaken by the Prevention and
Promotion National Programme. The programme
aims to identify high impact prevention
interventions. The Board agreed this was an
important piece of work and could potentially be
strengthened
by;
considering
the
social
determinants of health, drawing on academic
expertise, involve Board members, ensure
consideration is also given to longer term
planning and including existing work in the areas
identified.
b) Structures and External Relationships
i)
Executive Structure
5.2.
The Chief Executive confirmed that the
application process for the Director of Public
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Health Development closed on 4 October.
5.3.
The Board were informed the Director of
Workforce and Organisational Development post
was being advertised externally. The Chief
Executive thanked Karen Wright, on behalf of the
Board, for continuing to support the Trust.
ii)
Tier Three Structure
5.4.
The Chief Executive informed the Board
that the tier three structure was developing
across the organisation.
5.5.
The Director of Public Health Services was
moving forward with realigning her reporting
structures.
5.6.
The tier three substructure, which will
report to the Director of Public Health
Development, will continue to be developed
around the existing domain structure.
5.7.
In addition, the Director of Finance,
Director of Planning and Performance, Director of
Communications and Board Secretary are also
developing their structures.
5.8.
The Board were informed that finance staff
have been TUPE transferred from Velindre NHS
Trust to Public Health Wales.
iii)
External Relationships
5.9.
The Chief Executive confirmed that Public
Health Wales was continuing to play an active
role in developing external relationships with key
organisations and stakeholders.
c) Shared Services
5.10.
The Chief Executive informed the Board of
the work underway in NHS Wales, in relation to
shared services. The Board Secretary is acting as
the organisations lead and will update the Board
on future developments.
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ACTION 7: Board Secretary to provide update on
shared services at future Board meetings.
5.11.
The Chief Executive confirmed that Public
Health Wales had signed the SLA with Velindre.
5.12.
Jo Farrar informed the Board that she is
chairing the Efficiencies and Innovation Board.
6. Public Health Wales’ Strategic Direction
6.1.
The Board approved Public Health Wales’
five year strategy, which had been developed
following detailed Board discussions and staff
and stakeholder engagement.
6.2.
The Board were informed that the strategy
would be officially launched at the Staff
Conference, on Wednesday 6 October.
6.3.
The strategy will be used as the foundations
for the development of Public Health Wales’
performance management processes.
7. Public Health Institute
7.1.
The Chief Executive gave a presentation on
the Public Health Institute to the Board. It was
proposed that a formal project was established
to take forward the development of the Institute.
This would involve the setting up of a project
board, which would include NED input.
7.2.
The Board discussed the development of
the Institute and the potential to explore funding
opportunities was identified.
ACTION
8:
Circulate
Chief
Executive’s
Presentation on the Institute to Board members.
ACTION 9: Consideration given to role of NEDs on
Institute Project Board.
8. Executive
Report:
Director
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of
Public
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Services
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a) Legionella Outbreak
8.1.
The Director for Public Health Services
provided an update on the Legionella Outbreak
and the Board were presented with Paper 8:4.
8.2.
The Board formally thanked all staff for
their hard work.
b) Hanson Cement Works Investigation
8.3.
The Board received Paper 8:5, which
provided a briefing on the investigations being
led by Public Health Wales into the health
concerns associated with Hanson Cement’s works
at Padeswood, Flintshire.
8.4.
The Board discussed the investigation and
the importance of developing relationships with
local communities. It was suggested that the role
that WHIASU could play in this should be
explored.
8.5.
Concern was raised over the disbanding of
the Health Protection Agency and the impact this
will have in Wales.
ACTION 10: Arrange presentation on the role and
work of WHIASU at future Board meeting.
c) Digital Mammography FBC
8.6.
The Board received Paper 8:6 which
provided an update on progress in the
development of the Final Business Case for
digital mammography
8.7.
The Board agreed that, on completion, the
Final Business Case should be submitted to the
Chief Executive and Chair for decision out of
committee.
ACTION 11: Chair and Chief Executive to approve
Business Case outside of Committee.
d) Vascular Risk Reduction Project
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8.8.
The Board received an verbal update on the
vascular risk reduction project, which involved a
review into the preventative services to reduce
vascular risk.
9. Executive Director of Finance Report
a) Month 5 Finance Performance Report
9.1.
The Director of Finance presented the
month 5 finance report (Paper 8.7), which
forecast Public Health Wales would break even.
b) Developing a Budget Strategy 2011/12 and
Beyond
9.2.
The Board received Paper 8:8 which
outlined the process for developing a Financial
Strategy for 2011/12 and beyond. More detailed
information will be presented at future Board
meetings.
ACTION 12: Further discussion on Public Health
Wales’ budget strategy to be held at next Board
meeting.
9.3.
The Board agreed the importance of linking
the financial strategy to Public Health Wales’ five
year strategy.
10. Executive Director of Planning and Performance
Report
a) Briefing on NHS England Reforms
10.1.
The Executive Director of Planning and
Performance was asked to monitor the NHS
England reforms, on behalf of Public Health
Wales, and provide regular updates to the Board.
10.2.
The Board received Paper 8:9 which
summarised the white paper and associated
material and considered the implications for
Public Health Wales.
b) Performance Management Update
10.3.
The Board received a verbal performance
management update, which included a briefing
on the forthcoming quarterly review with the
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Welsh Assembly Government.
c) Service Delivery Model Update
10.4.
The Board received Paper 8:10 which
provided an update on the Service Delivery
Model Project.
d) Transition Programme Framework Closure
Report
10.5.
The Board received Paper 8:11 which
provided a final report on the various projects
within the Transition Programme Framework and
confirmed the formal closure of the programme.
e) Informatics Service Capacity and Capability
Review
10.6.
The Board received an update on the
Informatics Service Capacity and Capability
Review.
11. Abertawe
Bro
Morgannwg
University
LHB
Director of Public Health
11.1.
The Chair welcomed Dr Stephen Monaghan,
Director of Public Health, Abertawe Bro
Morgannwg University Health Board, Dr Nina
Williams, Consultant in Public Health, Public
Health Wales and Dr Annie Delahunty,
Consultant in Public Health, Public Health Wales.
11.2.
Dr Monaghan gave the Board an overview
of the public health issues experienced in ABMU.
These included; poor housing stock, poverty,
pollution, unemployment and a large public
sector dependency.
11.3.
The Board were informed ABMU were
developing community networks in 11 localities,
to ensure improvement from the bottom up.
There was an obvious need to develop the public
health workforce and engage with voluntary
sector to drive change and support this. Public
health, it was agreed, could have a considerable
influence through strategic engagement.
11.4.
Discussions
were
held
over
the
development of the Service Delivery Model and
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capacity issues within the Local Public Health
Team.
12. Board Secretary Report
a)
Risk Register
12.1.
The Board Secretary presented Paper 8:12,
which provided the Board with detail on the
organisations high level risks.
12.2.
The Board were informed that the risk
register was monitored by the Quality and Safety
Committee and would be presented to the Board
biannually.
13. HR Report
a) Update on WAG Target - Recording Reasons
for Sickness Absence
13.1.
The Board received Paper 8:13, which had
previously been considered by the Information
Governance Committee.
13.2.
The paper stated that the Trust would not
be able to comply with the Welsh Assembly
Government target on sickness reporting through
the Electronic Staff Record system.
13.3.
The Chief Executive had informed the Welsh
Assembly Government that Public Health Wales
would not meet the target. Karen Wright agreed
to take forward the issues with Sheelagh Lloyd
Jones.
ACTION 13: KW raise sickness absence recording
issues with Sheelagh Lloyd Jones.
ACTION 14: Chair discuss the sickness absence
recording issues in more detail with Director of
Planning and Performance and Chief Executive.
b) Dignity at Work Policy
13.4.
The
approval.
13.5.
Board
received
Paper
8:14
for
The Board queried whether the Protection
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and Harassment Act 1997 should be included in
the policy.
ACTION 15: Associate Director of Workforce & OD
to clarify with Welsh Assembly Government
whether the Protection and Harassment Act 1997
should be included in the Dignity at Work policy.
c) Transfer of Staff
13.6.
The Board were informed that finance staff
from Velindre NHS Trust have been TUPE
transferred to Public Health Wales.
d) Pay Issues
13.7.
A paper was recently presented at the Chief
Executives meeting, in relation to pay issues.
The paper confirmed a two year pay freeze for
staff earning over £20,000. The Board were
informed 30% of the Trust’s workforce were
Band 4 or below.
14. Committee Meeting Update
a) Audit – Jo Farrar
14.1.
Dr Jo Farrar provided an update on the last
Audit Committee meeting, which took place on
24 September.
14.2.
The Committee received an internal audit
progress report and were informed a review of
Screening Division had begun. The Committee
were also informed a review into Health
Protection would commence shortly.
14.3.
The Committee received a governance and
risk
report,
which
included
three
key
recommendations that were being taken forward
by Public Health Wales.
14.4.
The Wales Audit Office presented the
Committee with an Audit Position Statement.
The Committee were informed that some
recommendations were being taken forward by
Velindre, on behalf of Public Health Wales. In
addition, the Audit Committee were briefed on
the structural assessment and review of public
health resources being undertaken by the Wales
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Audit Office.
14.5.
The Committee were presented with a
counter fraud progress report, which stated two
cases are currently under investigation.
14.6.
The Committee were presented with a
Procurement report, which detailed competitive
tenders, single tender actions, competitive
quotations and contract awarded. A report will
be presented at each Committee meeting.
b) Information Governance – Jo Farrar
14.7.
Dr Jo Farrar provided an update on the last
Information Governance Committee meeting,
which took place on 24 September.
14.8.
The Committee received an update on the
Information Governance Working Group. The
group will continue with its existing membership
until the Director of Public Health Development
has been appointed.
14.9.
The Committee also discussed the possible
issues facing Public Health Wales, following the
announcement of the disbanding of the National
Information Governance Board for Health and
Social Care and Ethics & Confidentiality
Committee.
14.10. It was reported to the Committee that
Public Health Wales will not meet the Welsh
Assembly Government target, in relation to
sickness absence reporting. The reporting is
undertaken through the electronic staff records
system (ESR). The Board were informed that the
Committee raised a number of concerns, in
relation to this process, which included; the level
of detail being requested without clear
justification, lack of detail surrounding what the
information was being used for, lack of protocols
and the length of retention.
14.11. The Committee received a report on
Freedom of Information requests recived by
Public Health Wales. An analysis and summary
was requested for future meetings.
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14.12.
An Information Governance Incidents
reports was presented to the Committee.
c) Quality and Safety – Simon Smail
14.13. Professor Simon Smail provided an update
on the last meeting of the Quality and Safety
Committee, which was held on 23 September
2010.
14.14. The Committee discussed the difficulty
Public Health Wales had with the Concordat
agreement. Prof Smail agreed to raise with the
Quality and Safety Committee group he chaired.
14.15. The Committee were updated on the Public
Health Wales governance project. The Terms of
Reference and membership of the group was
approved.
14.16. The Committee were informed that the
assessment framework for the Standards for
Healthcare Services had not been received.
However, the Trust had already begun working
on these.
14.17. The Committee approved the Safeguarding
Children Action Plan and Training Strategy. They
also approved the ‘Putting things Right’ draft
implementation plan.
14.18. The
Committee
discussed
the
NHS
Concerns, complaints and redress regulations.
ACTION 16: Chief Executive discuss NHS
concerns, complaints and redress regulations
with Executive team and report back to Board.
14.19. The Committee also agreed to amend their
meeting frequency to quarterly, rather than bimonthly.
ACTION 17: Amend Standing Orders for Q&S
Committee to meet quarterly rather than bimonthly.
15. Non Executive Director Reports
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a) Jo Farrar
15.1.
Jo Farrar provided an update from the last
meeting
of
SOLACE,
which
included
a
presentation on Public Health Wales’ strategy.
The strategy was positively received by local
government colleagues. However, an issue was
raised over differing levels of engagement with
Directors of Public Health.
b) Simon Smail
15.2.
Professor Smail provided an update of a
recent meeting of the Quality and Safety
Committee Chairs.
Some concerns were raised at the meeting that
public health was not embedded within all
Quality and Safety Committees. In addition,
there was a suggestion that the Quality & Safety
Committee links with 1000 Lives Plus and the
issues of waste, harm and variation.
15.3.
The Board were informed that the group
will meet twice a year.
15.4.
The group also discussed the level and
amount
of
bureaucracy
involved
around
regulation and inspections. It was agreed that
NHS organisations are potentially subject overregulation, which could prove costly and
burdensome.
c) John Spence
15.5.
John Spence informed the Board of a recent
meeting he attended to discuss the Pennington
Report. Concerns were raised that the economic
cut backs in Local Authorities could hinder
process made. The role Public Health Wales had
in supporting this agenda was stressed.
16. Any Other Business
16.1.
No other business was noted.
16.2.
Date of next meeting confirmed as 6
December 2010.
17. Papers to Note:
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Planet Health
17.1.
The Board were asked to note paper 8:15.
Planet Health Cymru (Planning for Environment,
Transport & Health) will be soft launched in late
October and 'officially' launched by the
Environment Minister Jane Davidson at the
annual Walking & Cycling Conference, on 3
November.
17.2.
Planet Health Cymru is a new and unique
web resource developed and managed by the
Public Health Wales Physical Activity & Nutrition
Networks. It recognises the importance of a
collaborative approach to addressing a range of
health issues.
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PHW 9:1
No
1
2
3
4
5
6
7
8
9
10
11
Action
Who
Chief Executive to report back to the Board on status of
Directors of Public Health contracts.
Chief Executive to discuss third sector engagement with the
Interim Senior Management Team
BH
Start
Date
09/08/10
Due
Date
14/02/11
Status
BH
04/10/10
06/12/10
In progress
Once Director of Public Health Development has been
appointed discuss status of R&D Committee
Provide update on TU NED to Board at next meeting
Chair to provide updates on 1000 Lives Plus at future Board
meetings
Send out NED appraisal information
Circulate Chief Executive’s Presentation on the Institute to
Board members.
Consideration given to role of NEDs on Institute Project Board
KC &
DPHD
KC
MA
09/08/10
14/02/11
In progress
04/10/10
04/10/10
06/12/10
14/02/11
In progress
In progress
KC
EH
04/10/10
04/10/10
06/12/10
06/12/10
Completed
Completed
BH
04/10/10
14/02/11
In progress
Board Secretary to provide update on shared services at future
Board meetings
Arrange presentation on the role and work of WHIASU at
future Board meeting.
KC
04/10/10
14/02/11
In progress
KC
04/10/10
14/02/11
In progress
Further discussion on Public Health Wales’ budget strategy to
be held at next Board meeting.
HG
04/10/10
06/12/10
Completed
In progress
Public Health Wales
12
13
14
15
16
17
Eighth Public Health Wales Board
Meeting
Chair and Chief Executive to approve Business Case outside of
Committee
Associate Director of Workforce and OD to raise sickness
absence recording issues with Sheelagh Lloyd Jones.
Chair to discuss the sickness absence recording issues in more
detail with Director of Planning and Performance and Chief
Executive.
Associate Director of Workforce and OD clarify with Welsh
Assembly Government whether the Protection and Harassment
Act 1997 should be included in the Dignity at Work policy
Chief Executive discuss NHS concerns, complaints and redress
regulations with Executive team and report back to Board
Amend Standing Orders for Q&S Committee to meet quarterly
rather than bi-monthly
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MA &
BH
KW
04/10/10
06/12/10
In progress
04/10/10
14/02/11
In progress
BH
04/10/10
14/02/11
In progress
KW
04/10/10
14/02/11
In progress
BH
04/10/10
14/02/11
In progress
KC
04/10/10
14/02/11
In progress