Tom Taylor Chief Executive

Trust Board

27th September 2007

• Unitary Authority for Shropshire - Stakeholder Liaison Group invitation

• Turkish Health Service Delegation visit 4/12/07 re: Clinical Governance

• Planning consent for Residential Accommodation – subject to Section 106 – ongoing discussion with all parties

• Construction work has started on Teaching facilities

• Oswestry Maternity Unit to re-open on 5/11/07

• West Midlands SHA AGM (25/09/07) SaTH and Royal Wolverhampton highlighted for progress on fighting health care acquired infection

• Infection Control follow-up visit 26/09/07

Tackling Healthcare Acquired Infections

• Tackling MRSA and other healthcare acquired infections is a top priority for the Trust

• DH has made several announcements in the past week, including recommending cohort wards in hospitals:

– SaTH was already planning cohort wards: PRH in October and RSH later in January

– Cohort wards provide a dedicated care environment for patients with mupirocin-resistant MRSA.  This helps to ensure that patients receive the best possible care for this infection, whilst also ensuring that their primary clinical needs continue to be met by hospital specialists.  Alongside this, it will help to reduce the spread of MRSA to other patients in our hospitals.

– We have developed new patient and visitor leaflets to explain these new arrangements.

• Other steps include:

– Reinforcing our existing policy to only allow two visitors per bed

– Updating our screening arrangements

– Hand hygiene roadshows at both of our hospitals this week (including today at the Princess Royal Hospital).

• There are good signs in our performance report that the steps we have already taken in our hospitals are having the right impact, and we are optimistic that these additional measures will continue this.

“Our NHS, Our Future”

(NHS Next Stage Review)

(The National Review)

(Investing for Health)

“Nationally led but locally driven”

Based on 10 Health Economies in the West Midlands

All West Midland Health Economies must review:-• A&E Services

• Emergency Surgery

• Obstetrics/ Gynaecology

• Childrens Services

• + Urology for us

4 Trusts have agreed to develop a Clinical Leaders Forum

• Medical Directors

• PEC Chairs

• Director of Public Health

• Directors of Nursing

• Independent Chair – John MacDonald

• Reports to STEG (4 CEOs)

Wave 8 FT application

• Supported by SHA to DoH

• Good progress noted on:-– Strategy Reviews – Stakeholder/ Clinical Engagement– Governance/ Risk Management Issues– Integrated Business Plan– Stronger Management/ Leadership – FT Programme Management Structure– Achievement of Performance Targets– Improvement in Financial Management– Workstreams on target

Issues to work on:

• Financial challenges (as with all applicants)

• More accountancy/ financial background in NEDs

• Two site issues

“We will see further mergers, along the line of the Good Hope takeover

by Heart of England FT”

David NicholsonHSJ 13 September 2007

“My guess is that over time we will see specialist chains being set up

by Foundation Trusts”

David NicholsonHSJ 13 September 2007

Towards a Framework of Values

• As part of our consultation on NHS Foundation Trust status we will also seek views on our proposed framework of values.

• This will underpin all decision making and strategy in The Shrewsbury and Telford Hospital NHS Trust as we move forward to NHS Foundation Trust status.

• It represents a commitment to our patients and communities that the decisions we make will be in the best interests of the people we serve.

• Our values will also act as a guide to members and governors to support them to contribute to the NHS Foundation Trust.