Public Board of Directors papers 260123

put on to address this and sickness is at 3.64%. The number of staff coming into post has increased compared to our vacancies. Finance;  £58k surplus compared to a breakeven plan/£1k surplus in month  I&E deficit £10.4m  Cash balance £161,426k  Capital expenditure at 13.9% below NHSI plan  CIP - a further £7k savings identified in month and £194k transacted. Focus groups arranged in December to progress with this. RA asked about CIP and whether we anticipate on achieving our target. SP noted that we will rely on non-recurrent savings to hit this. The target was very challenging, we are doing better than many but there is more to do and we will be focusing more on this. CO asked about the cancelled operations on the day. BD noted that this includes procedures done in the IPU. We have had some cancelled because of critical care beds, we have an escalation plan and we monitor this closely. JM asked about the PDR’s and any risk associated with not undertaking them. EL noted that this is about staff not having a wellbeing conversation as well as a conversation about development. FB added that the once a year PDR is not the only time the well being conversation happens. There can also be issues with managers not being around and we need to be more flexible about who undertakes the PDR. GP asked if we are confident that we’re providing the toolkit and skills for managers to have these conversations. Is there a need for training and development. EL noted that the feedback is not about having the conversations but about having the time to actually sit and have a chat. We are looking at how we support and develop our staff. RF commented that there is a different approach being trialled within the school of oncology around talent conversations – early data is very promising. Noted c Industrial action / winter planning preparedness EL outlined the current position with balloting and the potential for industrial action. RCN – over 50% turnout and 95% in favour of strike action. We are one of 4 organisations in GM who will strike. We have asked the RCN for more information, this is anticipated today. UNISON ballot closes tomorrow, we have heard that we will hear the outcome on 30 th November. Both UNITE and CSP are out to ballot. The key controls were outlined. We are engaging with the trade unions, there is a 14 day notice of strike action, we are looking at derogations (exemptions). We are linking with the ICB and NHSE and reporting appropriately. We have developed guidance for managers and FAQ’s for staff. A full risk assessment and business continuity plan is in development as we get more information. EL outlined the derogations. Some of the work of The Christie fits in to the definition of a derogation. We wouldn’t expect we will be fully exempted but are

6