Northern Ireland Board 24 September 2012 Agenda item 12/64 ROYAL COLLEGE OF NURSING NORTHERN IRELAND Minutes of the Northern Ireland Board meeting held on Monday, 25 June 2012 at 10.00 am in the Boardroom, 17 Windsor Avenue, Belfast, BT9 6EE. Present Ann Marie O’Neill Kevin Bell Margaret Graham Joe McCambridge Margaret McCambridge Francis Lavery William McCormick Mary Walker Louise Dorman Margaret Meehan Lorna Mercer Michael Battersby Janice Smyth Chair Council Member Primary and Public Health Field of Practice Belfast Branch UK Learning Representatives’ Committee Southern Branch Belfast Branch South Eastern Branch Student Representative Children and Young People’s Field of Practice Acute Intervention Field of Practice North Western Branch Director Apologies Robert Moore Rosemary Strange Martain Fiddis Eamonn Connolly Donna Hanna Vice-Chair/Health and Safety Regional Committee Nurses Working with Older People Field of Practice South Western Branch Southern Branch Northern Branch Staff in attendance Garrett Martin Maura Hannon John Knape Carolyn Mason Joy Ireland Deputy Director Personal Assistant to Director/Board Administrator Head of Communications, Policy and Marketing Head of Professional Development Business Manager MINUTES 12/45 Chair’s opening remarks and declaration of interest The Chair welcomed everyone to the meeting and informed the Board that she had sent a text on their behalf to Janice Smyth, Director, to congratulate her daughter Rachael who is graduating in nursing in Edinburgh. Ann Marie O’Neill, Chair, paid tribute to everyone involved in the recent Nurse of the Year Awards. Margaret McCambridge expressed surprise that none of the successes of the Northern Health and Social Care Trust were posted on the Trust’s website. No conflicts of interest declared. 1 G: Board/Maura//NIBoard/Minutes/24Sept2012 Northern Ireland Board 24 September 2012 Agenda item 12/64 Ann Marie informed that Board that letters of congratulations were sent on their behalf to Robert Sowney on his re-appointment as Chair of the RCN Foundation Board and to Claire Mahon on her election as President of the Irish Nurses and Midwives organisation. The following awards in the recent Queen’s Birthday Honours list were highlighted and Ann Marie suggested that letters of congratulations should be sent on behalf of the Board: Marianne Moutray, QUB, awarded an MBE for services to nursing education Susan Semple, awarded an MBE for services to health care in Northern Ireland (NI) Heather Monteverde, General Manager, Macmillan Cancer Support NI, awarded an MBE for services to cancer sufferers Elaine Herd, Nursing Auxiliary, NI Hospice, awarded a BEM for services to nursing; and Elaine Way, Chief Executive, Western Health and Social Care Trust, awarded a CBE for services to healthcare. Margaret McCambridge suggested that a letter of congratulations should also be sent to the Chair of RCN Council, Kath McCourt, who was awarded a CBE for services to nursing; the Board agreed. 12/46 Minutes of Board meeting held on Monday 23 April 2012 Minutes of the Board meeting held on 23 April 2012 agreed and signed (paper nib/12/46) subject to amendment requested by Margaret McCambridge at paragraph 6, page 5, where “Margaret McCambridge” should read “Joe McCambridge”. The Chair referred to the RCN driving at work policy and informed the Board that expenses would continue to be signed off for anyone who had not presented the original documents requested as there appears to be some confusion around whether this should only apply to staff but not members. Joy reported that she had not received any correspondence stating that copies of these documents are not required. Ann Marie O’Neill re-iterated that the RCN NI Board had implemented the policy as requested by HQ; however, it now appears that this advice has been overturned. Ann Marie will raise this at the July Council meeting. 12/47 Matters arising A Access to technology in the workplace – item 12/27(b) In the absence of the Director, Garrett Martin, Deputy Director, updated the Board on recent meetings with Eddie Ritson, Centre for Connected Health and Social Care, who is keen to develop a relationship with the RCN, and reported that Janice and Kim Campbell, Primary Care Manager, South Eastern HSC Trust are 2 G: Board/Maura//NIBoard/Minutes/24Sept2012 Northern Ireland Board 24 September 2012 Agenda item 12/64 meeting with Kevin Keenan, Health and Social Care Board, on 6 July to discuss issues in relation to the NISAT tool. Garrett advised that there are concerns on a number of levels from a trade union perspective particularly in relation to shared services and the impact on frontline staff. Janice will also meet with David Bingham, Chief Executive, HSC Business Services Organisation, regarding the implementation of this system. Garrett advised that a number of human resource and finance staff will be affected and although nursing staff will not be directly affected from an employment perspective, they will be in terms of the time required to input data into IT systems. Lorna Mercer informed the Board that training is taking place within the Belfast HSC Trust, however, it is difficult to evaluate the impact at this stage, and Joe McCambridge advised that there are issues with availability of computer hardware and terminals. B Amended process and criteria for attendance at Congress 2013 – item 12/27(c) The Chair informed the Board that she had raised at a recent MRC meeting the conflicting information shared at Congress indicating that branch funds can be used to support additional branch members to attend Congress over the next few years. This information is contrary to instructions given previously and implemented by the RCN NI Board as directed by HQ. Ann Marie questioned where the decision to change the legal and governance guidance had been taken and will raise this at the July Council meeting. Michael Battersby joined the meeting. The Deputy Director spoke to paper nib/12/47 previously circulated and advised that this is an updated paper following Congress this year, incorporating discussions at a recent Board seminar and a previous paper outlining criteria for first time attendees at Congress. Although there has been positive feedback on the process this year, Garrett welcomed any suggestions that might improve it further Margaret McCambridge asked why England, Scotland and Wales had been funded for five nights at Congress yet Northern Ireland delegates were only funded for four. The Chair asked whether there was evidence to support this and Margaret confirmed that she had received an email from Jane Clarke, Director of Governance Support. Margaret has been approached by a member of the Northern branch about this; Garrett agreed to follow up on this. Carolyn Mason, Head of Professional Development, congratulated colleagues on producing this thorough and comprehensive paper and encouraged branches to give consideration to members of networks 3 G: Board/Maura//NIBoard/Minutes/24Sept2012 Northern Ireland Board 24 September 2012 Agenda item 12/64 who had a long involvement with the RCN when agreeing attendance at Congress. Joe McCambridge responded that any branch member is eligible to apply, and Margaret McCambridge stated that as previous involvement with the RCN was not part of the criteria this could not be given priority. Garrett reminded the Board that they set and agreed the criteria, and the Chair declared that the criteria did not disadvantage anyone. Whilst Margaret McCambridge said that she found the criteria difficult to apply, Garrett drew her attention to section 5.1.5 of the selection criteria “Preference should be given to those in membership the longest”. Margaret Meehan expressed the opinion that it had been an excellent process and that the clear guidance had helped make their branch stronger, whilst Francis Lavery believed the induction process was very beneficial and helped break down barriers. The Board agreed the content of paper nib/12/47. C Removal of RCN NI page from Bulletin – item 12/27(e) In the absence of the Director, the Chair invited John Knape, Head of Communications, Policy and Marketing, to update the Board on the meeting with Janice, John, Lisa Holden and Fiona Johnston, Director of Communications, on 21 June 2012. John informed the Board that they had discussed a range of issues including the removal of the NI page from Bulletin, setting out the concerns of the Board and the negative impact on our ability to communicate with members as Bulletin guaranteed that we could reach all members in NI. Whilst Fiona was sympathetic she was unable to give any indication that the decision is likely to be reversed. They discussed alternative ways of reaching the membership including the suggestion to enclose a letter from Janice Smyth with Bulletin highlighting events happening in NI, and will discuss this further with Janice. John assured the Board that Janice and he will continue to articulate the concerns of the membership and to work with Fiona to explore other options for ensuring information gets out to our members. John advised the Board that the RCN website is to be rebranded and re-launched and this might provide an opportunity to improve our efforts to reach the membership. Margaret McCambridge reminded the Board that the branch constitution states that all branch members must be informed three weeks in advance of forthcoming AGMs and that Bulletin had provided the perfect mechanism for getting this information out to members. With the Northern Branch AGM scheduled for September, Margaret asked how she could ensure that all branch members were notified. Whilst the use of bulk email and posting information on the website may help, John Knape reminded the Board that only one third 4 G: Board/Maura//NIBoard/Minutes/24Sept2012 Northern Ireland Board 24 September 2012 Agenda item 12/64 of our membership have email addresses and not all members have computer access, and Garrett Martin emphasised the limitations of email highlighting the example of the recent pensions issue when the one third of the membership with email addresses were targeted, following analysis of the emails opened, only 10 per cent of members read the information. Michael Battersby enquired about the uptake of the public affairs weekly update and John Knape outlined the circulation list including Board members, branch secretaries, branch chairs, networks, individuals who requested the update, however, it does not reach all the membership, although colleagues are encouraged to share the update at a local level. Following a lengthy discussion it was agreed that all branch secretaries would write to the RCN Director of Governance Support, Jane Clarke, highlighting the requirement in the branch constitution to give all branch members three weeks notice of the details of the branch AGM and ask Jane what mechanism is in place to ensure all members are informed. Kevin Bell enquired whether it would be an option for RCN NI to set up a face book page and Garrett expressed some reservations but agreed to discuss this with Janice. 12/48 RCN legal and governance review: Boards work strand The Chair spoke to paper nib/12/48 circulated at the meeting including consultation with branches 2012 document from the Chair of Council and the RCN NI Board’s agreed transition plan submitted to the Director of Governance Support on 14 May 2012. Ann Marie suggested the Board take time after the meeting to read the document again and advised that although RCN NI had already submitted their transition plan within the timescale as requested, Congress Chair of Council, Kath McCourt, and Vice Chair of Council, Michael Brown, undertook to hold a meeting in every country and region with board members and branch officers to discuss the branch review and extended the submission date for transition plans. It was noted that Kath McCourt had been present at the RCN NI Board meeting on 23 April 2012 when the Director delivered a presentation, facilitated a discussion, agreed to circulate a draft transition plan to all Board members for comment before submission to Director of Governance Support. Ann Marie and the Director subsequently sent an email to Kath and Michael on 13 June 2012 outlining the process adopted in the RCN in Northern Ireland, where all branches are represented on the Board; no response has been received to date. Ann Marie did not expect the Board’s transition plan to change but will keep the Board appraised of any further developments. The Chair expressed her disappointment that after all the work undertaken by this Board, other Boards had not adhered to the process. 5 G: Board/Maura//NIBoard/Minutes/24Sept2012 Northern Ireland Board 24 September 2012 Agenda item 12/64 Maura Hannon drew the Board’s attention to an error on page 1 of the Board’s transition plan template highlighted by Mary Walker; “South Eastern x 1 seat” should read “South Eastern x 2 seats” although the error does not affect the composition of the Board and subsequent information. Joe and Margaret McCambridge and Louise Dorman were approached by some members at Congress and asked about the process. Garrett Martin stated that the issue was around engagement but in NI we are confident that as all branches are represented on the Board, and our Board meetings are very well attended, our submission is representative of the membership in NI. John Knape added that as the member of staff who represented NI on the original legal and governance group that during the early stages this Board was held up as an example of a Board that worked well with a common shared understanding of what a board involves. Kevin Bell stated that the issue had been discussed at the joint representatives’ conference in Leeds and that it had not been contentious. A similar presentation was delivered but delivered in a different manner, with agreement that it is the way forward. 12/49 Chair’s report The Chair spoke to paper nib/12/49 previously circulated and informed the Board that she, together with the Director, had met with Dame Judith Hill and some staff at the NI Children’s Hospice on 22 June 2012. Ann Marie expressed her concern at the funding difficulties experienced by the hospice and encouraged anyone who sits at the trade union and JNCF table to write to their director of children’s services asking what funding was allocated in Transforming Your Care for children requiring palliative care. 12/50 Director’s report The Board noted paper nib/12/50 previously circulated. 12/51 RCN NI Frontline First The Deputy Director spoke to paper nib/12/51 previously circulated and drew the Board’s attention to workforce figures with a fairly significant increase in the trained nursing workforce since the previous quarter. Louise Dorman responded that Council agreed that the term trained and untrained should not be used but instead registered and unregistered, or regulated and unregulated. Garrett confirmed that he was repeating the terminology used by the DHSSPS. Garrett updated on the increase in the administrative workforce, trust delivery plans and outlined plans for a frontline first summit on 14 September. He has written to branch officials inviting two nominees from each branch to attend the summit. Margaret Graham cautioned against figures and statistics as the new 6 G: Board/Maura//NIBoard/Minutes/24Sept2012 Northern Ireland Board 24 September 2012 Agenda item 12/64 parenting programme rolled out could camouflage some of the health visiting figures and may not be truly comparative. 12/52 Congress voting Garrett Martin spoke to paper nib/12/52 previously circulated summarising Congress voting pattern, highlighting discrepancies within the report and emphasised that it was for information only. Mary Walker reported that she had attended every session, together with Joanne Stevenson; however, if they arrived after the doors were closed they were not scanned in and therefore not recorded. Kevin Bell stated that if a member did not leave the hall between sessions, they were not included in the second session figures. Louise Dorman reported that she was recorded as not voting for the entire Congress yet her handset was registering that votes had been sent; the fault was not picked up until Thursday morning, and Margaret McCambridge confirmed that all Northern Branch members were present and voted but apparently handsets do not work in the rafters where some of their members were seated. Ann Marie will raise this at July Council when Congress will be discussed and Garrett emphasised that the paper illustrates the inconsistencies. 12/53 Congress 2013 The Chair informed the Board that the RCN NI Board will be hosting Celtic Night at Congress 2013 in Liverpool and asked for volunteers to join a subgroup of the Board to organise the event. The sub group will comprise of Ann Marie O’Neill, Mary Walker, Joe McCambridge, Margaret Meehan and Joanne Stevenson. A short discussion followed on potential venues and the Chair asked John Knape to prepare something for the next Board meeting in September. 12/54 Use of branch funds to fund members attendance at Congress Margaret McCambridge referred to the use of branch funds to enable additional members to attend Congress (also referred to under agenda item 12/47(b)) and asked whether the branch would have to go through the same procedure as that used for discretionary funding. The Chair suggested that this should be deferred until she could obtain clarity on this matter. Margaret confirmed that the information had come from the RCN Director of Finance on Thursday of Congress. Ann Marie reiterated that as this was not discussed at Council she would seek clarify and report back to the Board. Garrett agreed that this stance was contrary to what the Board had previously been told and therefore required clarification. 12/55 Marketing plan John Knape spoke to paper nib/12/55 previously circulated seeking the Board’s endorsement and approval of the marketing plan. John provided 7 G: Board/Maura//NIBoard/Minutes/24Sept2012 Northern Ireland Board 24 September 2012 Agenda item 12/64 some background, talked the Board through the plan, and provided an up to date report on targets. The Board endorsed and approved the plan. Michael Battersby reported on feedback received from two members who left the RCN stating that they were not represented properly; however, they had never actually requested local representation. Michael asked if there was any way to address people leaving as this had cast a slur on the branch, and Kevin Bell expressed his disappointment that they were discrediting representatives at a local level. John Knape advised that his department used to contact leavers for feedback but this is now carried out by Cardiff but emphasised that the College is always interested in feedback. 12/56 NI networks sub-committee updated Carolyn Mason, Head of Professional Development, circulated paper nib/12/56 at the meeting outlining the revised terms of reference for the RCN NI local network sub-committee and reported that the committee is progressing well in implementing the new governance arrangements for the networks. The action plans are coming in for this quarter and after the first quarter it will be possible to provide a quarterly finance report. Carolyn advised that the lead link staff member for non active networks will make contact with them to discuss disbanding the network, outlined the process for establishing a new network, and emphasised the importance of being a member of a national forum in order to be registered on the membership database to receive information relating to the local networks. The Board approved the revised terms of reference. Margaret McCambridge referred again to item 12/28 of the minutes of 23 April 2012 (paragraph 6, page 5) and said it should read “Joe McCambridge” and not “Margaret McCambridge”; however, Carolyn confirmed that Joe was not part of the sub-committee but may have been a member of the original project group. It was confirmed that the Board members represented on the sub-committee are Ann Marie O’Neill, Rosemary Strange, Lorna Mercer and Margaret Graham. 12/57 Matters from Boards for Council The Chair had accumulated a number of matters for the July Council meeting including: Clarification of driving at work policy for members Use of branch funds for attendance at Congress Discrepancies and problems experienced in recording Congress voting Margaret McCambridge suggested that Council should be made aware of the difficulty experienced during a lunchtime fringe event when the activity of lunches being distributed and opened resulted in so much noise that she 8 G: Board/Maura//NIBoard/Minutes/24Sept2012 Northern Ireland Board 24 September 2012 Agenda item 12/64 could not hear the speaker. Ann Marie confirmed that there will be a general discussion of Congress at the July Council meeting and agreed to raise this. 12/58 Summary Council report - 12 May 2012 The Board noted paper nib/12/58 previously circulated. 12/59 Media and consultation update The Board noted paper nib/12/59 previously circulated. 12/60 Reports from branches, fields of practice, regional learning representative, regional safety representative and UK stewards’ committee Board members noted reports previously circulated as follows: Northern Ireland regional safety representatives’ - paper nib/12/60(i) Nurses working with older people field of practice - paper nib/12/60(ii) Belfast branch - paper nib/12/60(iii) NI learning representative - paper nib/12/60(iv) South Eastern branch - paper nib/12/60(v) North Western branch – paper nib/12/60(vi) with the following reports circulated at the meeting: 12/61 Primary care and public health field of practice - paper nib/12/60(vii) Southern branch - paper nib/12/60(viii) Children and young people’s field of practice - paper nib/12/60(ix). Although Donna Hanna sent her apologies, she intends to forward a copy of the Northern Branch report to Maura Hannon for circulation to the Board. . Any other business A Student bursaries Louise Dorman spoke to paper nib/12/61 (DHSSPSNI consultation on the Review of HSC Student Bursary Schemes) circulated at the meeting, provided background information and encouraged Board member to contribute to the consultation. John Knape is co-ordinating the response with the deadline of 2 August 2012, although John would appreciate comments before then to enable him to prepare the response. Louise is particularly concerned for students who have already accepted university places who if changes are implemented may only be aware of these three weeks before the course starts. The proposal presented in the consultation includes reducing the level of funding by £890 per annum to the nursing and midwifery non means tested award from 2012/13. 9 G: Board/Maura//NIBoard/Minutes/24Sept2012 Northern Ireland Board 24 September 2012 B Agenda item 12/64 Engagement of members at Congress The Deputy Director congratulated members from Northern Ireland on their engagement at Congress this year and referred the Board to an article published in the June edition of RCN Bulletin featuring Roisin Devlin, Northern Branch delegate, and an article published in the June edition of Activate featuring Brenda McIlmurray, HCA and AP Committee member for NI. C Proposed NMC fee increase Garrett Martin encouraged members to feedback their views to the NMC proposed fees increase from £76 to £120 per year. D History of nursing book Margaret Graham reported that stories are still being received for inclusion in the book and would welcome more stores and photographs from nurses who trained in the Ulster and City hospitals, worked in the areas of mental health, children’s and community, and who worked in the Northern Trust. Any additional information should be forwarded to Tom Rush, Lecturer, RCN. 12/62 Date and time of next meeting The next meeting of the RCN Northern Ireland Board will be held on Monday, 24 September 2012 at 10.00 am in the Boardroom, 17 Windsor Avenue, Belfast, BT9 6EE. Signed: Date: 24 September 2012 10 G: Board/Maura//NIBoard/Minutes/24Sept2012