1. Tom Taylor Chief Executive 31 st July 2008 TRUST BOARD

2. Appointments Cynthia Bower, appointed Chief Executive of the Care Quality Commission (Healthcare Commission + Commission for Social Care Inspection and the Mental health Act Commission) Peter Shanahan appointed Acting Chief Executive of WM SHA Wilf McSherry appointed Professor of Dignity and Patient Care-joint appointment with the University of Stafford Paul Tully appointed Director of Commissioning and Strategy Shropshire County Primary Care Trust Valerie Beint Appointed Director of Community Services for the new Unitary Authority

3. Darzi Review Interim Report Received by PCT Boards Presentations made to Councils and Joint Overview and Scrutiny Committee by 4 CEOs Joint Senior Responsible Officers Appointed (JC & SC) Monthly meetings with WMSHA commenced First Stage Proposals to be finalised by October

4. Key FT Milestones IBP re-submission to SHA/DH 29 th August LTFM submission to SHA/DH 30 th September HDD begins 1 st October HDD to report 30 th October Submission to DH Applications Committee November SoS approval by 30 th November Monitor 1 st January 2009 Governor Elections January 2009 Authorisation approved by 31 st March 2009

5. Workflow WM SHA Review of Ambulance Turnaround Times – John MacDonald/ Trish Curran to Lead – Meeting with 10 Acute Trusts (including SaTH) – Meeting with 3 PCTs (2 Birmingham 1 Stafford) Over 30 minute waits – ambulance drivers system April 07 May 08 RSH 24.1% 11.0% PRH 28.6% 11.5% Worst 46.5% 38.6%

6. Workflow 98% A&E target achieved for 11 consecutive weeks but needs to be 98.5% to build “headroom” for winter All three cancer targets achieved but application of two week urgent referrals and complication of diagnostic decisions to be reviewed Outpatient referrals – data issues being resolved – new referrals above plan – definition of consultant to consultant referrals?

7. Workflow Theatre Utilisation - high percentage of patient DNAs/ cancellations = lost time/ operating slots 18 week RTT – some challenged specialties – December national target will be achieved – September SHA milestone could cause serious financial problems due to additional out of hours clinics and operating sessions – Short term measures i.e. waiting list initiatives not sustainable in the longer term

8. External Inspections - HCAI DoH monitoring team very positive praise for all staff – back to SHA/ PCT monitoring MRSA 2 cases April – June - Target 6 – last year 13 – 2007 70% hospital 30% pre 48hr – 2008 70% pre 48 hr 30% hospital –Only 1 elective case June 2007 – June 2008 CDiff 38 cases April to June – Target 57 – last year 80 CDiff infection control policy updated and issued Review of death certificates including CDiff undertaken Infection Control Development Plan 93% compliant

9. Central line insertion audits Hand hygiene audit Clinell wipes introduced Wards responsible for RCA on bacteraemia Introduced Tristel for daily/terminal cleaning Peripheral line audits Cdiff HII audit 24 hour testing for cdiff New beds & commodes Antibiotic pharmacist 2 afternoons a week RSH Productive ward programme Launch of Yr3 CleanYourHands Daily review of cdiff patients at RSH by wd22C doctor Introduced Tristel cleaning toilets & bathrooms. Weekly Consultant Microbiologist treatment review of cdiff patients RSH & PRH. Antibiotic pharmacist PRH RSH MRSA screening e/a’s Cohort ward opened RSH Daily CSM meeting with IC team MRSA Cdiff care pathways introduced Chloraprep introduced Introduction of data packs from REW. CVC ongoing care MRSA and C Diff Related Activity

10. External Inspections National Patient Safety Agency Environment (cleanliness) Excellent Excellent Food Quality Excellent Excellent Privacy & Dignity Excellent Excellent Second year running all 6 Excellents Healthcare Commission Hygiene Code 2 Green 1 Amber See Matron’s Report RSHPRH

11. External Inspections OFSTED Joint Area Review Shropshire Childrens Services Partnership between Social Care, Education and Health Services praised Some training issues which are being addressed PRH Catering awarded Platinum Level for Healthy Eating by T&W Council Food hygiene compliance and management Smoke free dining Breastfeeding provision Promotion and provision of healthy eating options for patients and staff

12. External Inspections Midwifery Local Supervising Authority Report “Most pro-active and collaborative team of supervisors in the sector” “Supervisory team is made up of strong individuals whom are regarded to be innovative and dynamic leaders” “Within the team it is also clear that there is a spectrum of expertise and values that are strongly held” “Everyone was most welcoming and friendly and the catering was excellent at both sites”

13. External Inspections “Supervision is alive and positively thriving, with supervisors and midwives taking a proactive role in planning, provision and delivery of maternity services. They are to be congratulated!” Highly Commended for promoting the Normality of Childbirth by All Party Parliamentary Group on Maternity

14. Other Issues Severn Hospice officially opened by Princess Alexander – MB in attendance Chris Beacock (Divisional Director and Consultant Urologist) completed sponsored bike ride in Sicily – raised over £3,000 NHS 60 th Birthday Bike Ride and other events

16. Other Issues Severn Hospice officially opened by Princess Alexander – MB in attendance Chris Beacock (Divisional Director and Consultant Urologist) completed sponsored bike ride in Sicily – raised over £3,000 NHS 60 th Birthday Bike Ride and other events Productive Ward rollout continues – Brian Bennett letter Medical Staff Productivity Review commenced – Ernst and Young Cost Improvement Programme Review commenced - KPMG