Public BoD papers 28.04.22

VK introduced SR one of the senior physiotherapists who talked about MDT training around intubation of covid patients. SR outlined the role on OCCU including helping patients maintain their chests and clear secretions and teaching breathlessness management and mobility and muscle strength. Proning (lying on their front) of patients was used to support breathlessness. It takes about 5 or 6 staff to prone a patient. The physio team were also part of the fit testing team. KM noted how important the physio team were in supporting the nursing team and thanks were extended. VK stressed the collaborative nature of the support. CO thanked the team for their hard work over this period and for the presentation. JM asked what the biggest challenge was. SR responded that keeping up with the constantly changing guidelines and doing the right thing. KM thought it would be difficult to get staff doing what they had to do but this was not a problem, and everyone pulled together brilliantly. Covid is a constant pressure, in terms of staffing as well as the patient challenge. It’s a challenge to look after staff going forward and keep everyone going. JM noted how brilliantly the team communicated and how clear this was and how well led the service is. VK noted that the emotional burden as a result of families not being able to be come in was huge. Staff are now doing P&A training which is about restorative supervision and caring for staff’s mental health. VK noted that the support from Management Board and CAG was fantastic. JY noted the exceptional leadership from the Critical Care nursing team and thanked them for their amazing work. CH observed that the impact of the critical care unit in the hospital has been massive since its development. CH asked about the Critical Care network and the ICNARC evidence (national audit). VK noted we are part of a network of 13 Trusts, this guided the use of the resource across the patch and many options were looked at in terms of us caring for long term covid patients or no covid at all. We have taken on cancer work from across the patch and the resultant critical care needs. The national audits give us exceptional results, we are one of the best functioning units nationally. CO thanked the staff for their fantastic presentation. CO noted the sad and untimely death of the Chair of the Northern Care Alliance Professor Michael Luger. Item Action 10/22 Standard business a Apologies Apologies were received from Tarun Kapur (TK), Non-executive Director b Declarations of Interest No declarations of interest noted. c Minutes of the previous meeting – 28 th January 2022 The minutes were accepted as a correct record.

d Action plan rolling programme, action log & matters arising All items from the rolling programme are noted on the agenda. 11/22 Key Reports a Chief executive’s report

RS noted his report and outlined the current situation in the Trust. Acute Care across GM is impacted by high rates of covid. There is an increase in demand for covid inpatients (16%) and staff absence is up as high as 17%. We remain in

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