Questions to the Trust Board

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Attending Board of Directors Meetings Held in Public

 

  1. The Board of Directors meets in public every one or two months, in a venue in either Bristol, South Gloucestershire or North Somerset – please see our website for details of the venue for specific meetings. Members of the public and press are welcome to attend to observe these meetings but must be aware that they cannot take part in the discussion as, although the meeting is held in public, it is not a public meeting.

     

  2. There are times when the Board needs to consider agenda items which are confidential and cannot be discussed in public. The Public Bodies (Admission to Meetings Act) 1960 permits the Board to pass a resolution at the meeting to exclude the public and press from the meeting ‘whenever publicity would be prejudicial to the public interest by reason of the confidential nature of the business, or for other special reasons stated in the resolution’.

     

  3. A copy of the agenda and supporting papers are published in advance of the meeting on the About Us section of the Trust’s public website at www.uhbw.nhs.uk (for UHBW-specific meetings) or www.nbt.nhs.uk (for NBT-specific meetings).  

     

  4. Nameplates for each Board Member are displayed on the table to enable you to identify who is speaking. Board Members consider each agenda item in turn. They may not actively discuss each item in detail; this does not mean that the item has not received careful consideration but may be because the matter has been discussed in detail at Board Committee level or because no one wishes to challenge the recommendations being made. 

     

  5. The Trust welcomes feedback and members of the public may ask the Board a question on any matter which is within the powers and duties of the Trust. Questions may be asked verbally at Board meetings, at the discretion of the Chair. The Chair will determine who is best placed to respond and how the response should be provided. 

 

  1. A maximum of ten minutes is allowed for public questions at Board meetings. This may be extended at the discretion of the Chair. 

 

  1. Questions can also be submitted in writing at least five working days before the Board meeting by emailing Trust.Secretariat@uhbw.nhs.uk or trust.secretary@nbt.nhs.uk (depending which Trust your question is intended for). Each question must give the name and address of the questioner and if the question is being asked on behalf of an organisation then the name of the organisation must be stated. No more than three written questions may be submitted per person. If the Chair considers the question appropriate for the Board meeting, the Trust will normally provide a written response, and the question and response will be read out at the meeting. Copies of the questions and the responses will be recorded in the minutes.

     

  2. Written questions may be rejected and oral questions need not be answered when the Chair considers that they:
  • are not on any matter that is within the powers and duties of the Trust;
  • are defamatory, frivolous or offensive;
  • are substantially the same as a question that has been put to a meeting of the Trust Board and been answered in the past six months; or
  • would require the disclosure of confidential or exempt information.

     

  1. Audio or video recording and photographing of Board meetings by members of the press or public is not permitted. 

     

  2. The Chair ensures that Board meetings take place without disruption and has the right to exclude members of the public if they cause disruption.

     

  3. Anyone requiring any specific arrangements in regard to disability or special needs should alert the Director of Corporate Governance one week in advance. The Trust will endeavour to accommodate these requirements.

     

  4. A summary of the key items discussed and decisions taken at the Board is recorded in the minutes, which the Board will be asked to approve as a correct record at its next meeting. The minutes are published on the Trust website as part of the papers for the next meeting in the About Us section at www.uhbw.nhs.uk or www.nbt.nhs.uk 

 

For further information please contact the Trust Secretariat via email at Trust.Secretariat@uhbw.nhs.uk or by post to: Director of Corporate Governance, Trust HQ, Marlborough Street, Bristol, BS1 3NU or Trust.Secretary@nbt.nhs.uk or by post to: Director of Corporate Governance, North Bristol NHS Trust, Trust Headquarters, Southmead Hospital, Southmead Road, Bristol, BS10 5NB. 

Guidelines for Tertiary ICU Services

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Guidelines for Invasive device insertion

GI

DBI

Burns

Trauma

Tranfers

These checklists, reports, guidelines and pathways (“Guidelines”) have been developed by North Bristol NHS Trust to help its clinicians make informed decisions about their patients. They have been shared on this website as guidance for those referring patients for ICU services in a tertiary setting. Importantly, these Guidelines:

- are not intended to (and should never) substitute a clinician’s own judgement in diagnosis, treatment and/or referrals; - do not indicate an exclusive course of action or standard of care; 
- do not replace or remove the need for clinical judgement or the professional care and duty necessary for each individual presentation;
- do not account for variations based on locality and facility type, resources or patient characteristics; and
- should be used by trained medical professionals only. They are not intended for use by anyone else (including patients) and must not be relied on as professional medical advice.

Where possible, these Guidelines are developed by a multidisciplinary team of practising clinicians by consensus and based on the evidence available. However, the Guidelines do not necessarily represent the views of all clinicians at the North Bristol NHS Trust or other healthcare practitioners / organisations. Guidelines users always are urged to seek out newer information that might impact the diagnostic and treatment recommendations contained within these Guidelines.

The inclusion of links to external websites does not constitute an endorsement by North Bristol NHS Trust of those websites nor the information or services offered.

Whilst considerable effort has (and continues to be) made to ensure the information upon which these Guidelines are based is accurate and up to date. Users of the Guidelines are strongly recommended to confirm that the information contained within them, especially drug doses, is correct by way of independent sources. North Bristol NHS Trust accepts no responsibility for any inaccuracies, information perceived as misleading, or the success or failure of any treatment regimen detailed in the Guidelines.

Pelvic Floor Repair Surgery

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Ensuring the welfare and safety of our patients is our main priority.

We are continuing a detailed investigation into concerns that have been raised regarding certain pelvic floor repair procedures which are performed to treat rectal prolapse and as part of this process we are writing to invite patients who have had similar surgery for an independent clinical review of their treatment.

We would like to reassure our patients that we are taking this matter very seriously.

Any patients who have concerns about pelvic floor procedures at Southmead Hospital can contact our helpline on 0117 4140844.

Learning from Deaths

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Learning from deaths of people in their care can help hospitals improve the quality of the care they provide to patients and their families, and identify where they could do more.

In March 2017, the National Quality Board (NQB) introduced new guidance for NHS providers on how they should learn from the deaths of people in their care.

The purpose of the guidance is to help standardise and improve the way acute, mental health and community trusts identify, report, review, investigate and learn from deaths, and engage with bereaved families and carers in this process.

At North Bristol NHS Trust we have been working with our clinical teams so that we meet the requirements of the new guidance. Our aim is to improve the care of our patients by identifying learning from excellent care at the end of life as well as identifying areas where we need to make improvements.

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ICU Simulation

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Southmead Hospital ICU Simulation Training.
The ICU at North Bristol NHS Trust (NBT) is unique in being the only ICU in the country with dedicated simulation facilities within the unit. We have two patient rooms, each with a Laerdal manikin set up for simulation training. The rooms lend themselves towards Critical Care training, but we also have equipment to run anaesthetic and trauma based scenarios.

We currently host a number of dedicated courses, predominantly Critical Care based, but also anaesthetic, trauma, surgery and general ward based simulation. These courses include:

  • the Transport Course (multi-disciplinary course dealing with Critical Care transfers)
  • New2ICU (regional critical care course for junior doctors)
  • the Acute Critical Care Practitioner Course (a nursing course leading to a postgraduate qualification).