Public BoD papers 28.04.22

shows good and safe nurse ratios. There have been some difficult shifts, but mitigations are in place to move staff around. We have very resilient leaders who support each other. CO thanked the team for the report and the immense professionalism that comes across. KR noted the terrific report and noted that it is very honest, and the estate issues are also clear. Need a plan to upgrade the environment where possible. JY noted there has been a lot of investment in inpatient areas. The care is safe and of good quality, but we must also plan the improvements to the estate. KW noted the quality of the report. He asked about the increased acuity that’s noted and how this is planned for and what has caused it. JY noted that ward movements has meant higher acuity on certain wards and the skill mix has been adjusted as a result. There is also a feeling that patients are coming in later and are therefore more poorly. This is being looked at. The role of the night practitioner has been looked at to support wards at night which is when we are most vulnerable. We’re looking at how we can recruit nurses in different ways to address the need. It seems to be working well so far. d Responsible Officer Report: Appraisal and Revalidation 2021-22 NB presented the report for the last year. Medical appraisal is an annual requirement for licencing with the GMC. Revalidation is required on a 5 yearly cycle that shows evidence of fitness to practice. Medical appraisal has been uninterrupted this last year in a supportive model minimising paperwork and considering the health & wellbeing of colleagues. We have very good engagement. There is currently a shortfall in trained appraisers, and this is being addressed. There have also been some delays with appraisals, there is a plan to address this. Revalidation deferrals have been slightly higher this year but there are no concerns around any of these. This is as a result of covid. Dr Dan Saunders is the RO for the organisation. KW asked about the connection across providers to address concerns and links with TCPC and other providers. NB noted that TCPC have their own RO who is in close contact with Dan Saunders. There is a requirement to gather information around private practice and this is reviewed alongside the NHS data as part of appraisal. The recommendations from the Paterson Enquiry are considered by the appraisal group. e Workforce update EL presented the quarterly report. EL outlined the risk around workforce and noted that we have got some ERF funding that will support recruitment and the work we are doing around making us as an employer of choice. We’ve also been awarded some money for international nursing recruitment. EL also noted some developments with our EDI work. The EDI Summit took place in December and had excellent feedback. There is also an EDI accelerator that is a programme that staff can dip in and out of across the year. JM noted the culture and values work and asked if there were any surprises from the feedback. EL noted that there was confusion around our values / behaviours, and we are working now to clarify this and embed it across the Trust with Board engagement. AM asked about the branding / recruitment and the culture work. EL responded

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