Public Board of Directors papers 29.09.22

GP asked what we are doing to address the delays in the system. BD noted that we work at pathway level and GM exec led meetings discuss this. We look at harm analysis for delayed patients both here and at other Trusts. GP asked if the delays come from particular Trusts. RS noted that there are pinch points, mainly in the 2 biggest providers in the system. There is increasing scrutiny of this at a national level and they have their own trajectories. The cancer alliance are looking to help these organisations. The main issue is delays in the diagnostic pathways. The majority of these delayed in the diagnostic stage are not cancer. There are also delays with surgical pathways. TK asked about the numbers of complaints and if these are low levels dependent on the activity levels. RS noted that it’s very low. AM asked about the categorisation of concerns and was informed that these are detailed at a local level & managed. AM asked what is worrying BD. BD answered that the 62-day target is a focus and delays for patients adds stress and needs to be avoided. RS reminded Board that only about 10% of our patients are on a 62-day pathway. Report noted. d Digital Services update CO welcomed ARP. ARP noted some highlights from the report. In the next 6 months (June- December) a draft strategy has been released that will go out for consultation and ratification. The Digital Board meet every 3 months and review the objectives. There is also a digital delivery board that looks at what has actually been done. There are some key appointments out for advert currently in the senior management team. There is a new nursing CCIO who starts next week. ARP has been working closely with the cancer alliance on their next steps. CO noted that it would be helpful for the NEDs to have an engagement session around the digital strategy. It would be helpful to discuss this at the time out on 14 th July. CH noted that there was an interim period for Digital leadership and 2 issues were discussed with Board. The first was leadership which is being sorted and the other is the development of the strategy. This further discussion will take place with Board. RS noted that the way the Board oversees Digital has been discussed and there needs to be space in the assurance committees for consideration of the risks in this. GP asked what the vision is for Digital and how this aligns to the overall strategy and what it means for patients & staff and what they will experience in the future. BD responded that this is all part of the consultation, there will be a 1, 2 and 5 year vision. KW asked if this is a clean sheet approach and asked about some elements that are in the delivery phase whereas others are not yet decided. ARP noted that some of this is driven by the HIMMS level 5 national requirement and recent funding received. CH noted that there is a programme for development of the electronic patient record or EPR (CWP). ARP noted that we have a modular EPR and there is a strategy for each module. There are different components that we build over time.

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