Cwm Taf Morgannwg University Health Board held its latest Board meeting on November 28th 2019 at Ynysmeurig House in Abercynon. This bulletin sets out some of the key items from the meeting but you can read the full Board papers here.

New appointments to the Board

Both our new Medical Director, Dr Nick Lyons, and our Director of Therapies and Health Sciences, Liz Wilkinson, were welcomed to the Board.

Nick joined Cwm Taf Morgannwg UHB in September and Liz joined us in November.

Cllr Phil White was also appointed as Independent Member (Local Authority) for two years. 

A warm welcome to all!

Success of Let’s Talk staff engagement work

It has been fantastic to see how many staff and patients have already supported the Let’s Talk Culture programme, by taking part in our survey and signing up to the workshops held and planned across the CTM sites. The survey has received more than 4,000 responses so far and more than 800 have registered to attend a workshop and share views. The ideas shared by staff, and patients from these workshops will be used to create the values and behaviours that the Board and wider organisation can own and use in our day to day work and shape the new organisation of Cwm Taf Morgannwg University Health Board.

 Additional Let’s Talk workshops will be held on:

 • 10 December – Princess of Wales Hospital, 

• 11 December – Prince Charles Hospital, 

• 12 December – Royal Glamorgan Hospital.

Development of a new Operating Model for CTM UHB

Work continues on the development of a future operating model for CTM UHB. The operating model reflects the developing ethos and driving principles for CTM, the structures that it proposes are devised to deliver against this. 

The final draft proposals will be considered in December 2019. The timelines for implementation of the new model are being finalised and is informed by our organisational change policy. 

While we work to progress the new Operating Model, the current operating structures have been strengthened with interim roles which support leadership teams covering Prince Charles Hospital and Royal Glamorgan Hospital, with the leadership team in the Princess of Wales remaining as is with access to support.

Chair’s lecture series

Following the success of previous guest speaker lectures hosted by chair of CTM UHB Professor Marcus Longley, Dr Dawn Goodwin gave a very interesting presentation on “Changing Culture in the NHS: Lessons from NHS inquiries, Bristol to Morecambe Bay”.

The Chair’s Lecture scheduled for November with Dame Julie Moore has been postponed to the New Year.

Equality Annual Report 

Our annual quality report was approved by the Board. The report details the key achievements we have made in supporting LGBT staff and patients and improving sensory loss and disability support and provision. The report also highlights key areas of focus for the Health Board in the coming years.

Staff Recognition Awards

This year’s Staff Recognition celebration event took place in November. The event was a great way of showing the Health Board’s appreciation for a job well done and publicly recognising the dedication of our staff. Congratulations to all those shortlisted!

Nurse of the Year Awards

The RCN Nurse of the Year awards took place in November. CTM had a number of nominations recognising and acknowledging the vital role nurses play in delivering high quality care. Congratulations to all those nominated! 

Maternity Improvement Programme

The programme approach to Maternity Improvement is now well established, led by our Director of Nursing, Midwifery and Patient Experience, and driven by the Programme Director. 

The first quarterly report from the Independent Maternity Services Oversight Panel reviewing progress between June and September and outlining the process for the clinical reviews was published in October. We welcomed the report which demonstrated while progress is being made there is still much to be done. Learning from the issues and work on maternity is informing our overall organisational work programme.

Progress within maternity services includes a new governance framework, a programme of updating all guidelines, improved staff engagement, the sharing of learning, including from the stories of women and families and work to improve culture.

Independent Report on Handling of the Consultant Midwife Report 

The independent review commissioned by the Board is going through due process and will be shared and considered in due course.

Targeted Intervention

A programme approach has also been established to progress improvement in the areas of Targeted Intervention, to include ‘Leadership and Culture’, ‘Trust and Confidence’ and ‘Quality Governance’. 

A formal programme has been developed and plans have been developed, with implementation well underway. The Board recognises the changes we are making are profound and our improvement trajectories and milestones are being mapped over months and years.

David Jenkins will continue as an Independent Advisor to the Board until the end of March 2020.

The escalation status of the Health Board will be reviewed at the next routine tripartite meeting between Welsh Government, Healthcare Inspectorate Wales and Wales Audit Office in December.

HIW / WAO Joint Review report

The joint review of quality governance arrangements by Healthcare Inspectorate Wales (HIW) and the Wales Audit Office (WAO) was published in November. 

We have welcomed the report and its recommendations recognising that it raises profound issues for us, for which most we have set programmes of work underway developed over the last two months. Staff drop in sessions took place to discuss the outcome of the joint review with staff on each of the three main sites – POW, RGH, PCH. 

The response to the recommendations set out in the report are being worked through in detail and will go to Board in January 2020. The actions required to address the recommendations will link in with the work on Targeted Intervention and Special Measures as well as the wider organisational programme. 

The HIW Annual Report for 2018-19 has also been received, and learning from across Wales, and specifically relating to Cwm Taf UHB and the former Abertawe Bro Morgannwg (ABM) UHB has been considered by CTMUHB.

Board News – November 2019