Northern Devon Healthcare NHS Trust Incorporating community services in Exeter, East and Mid Devon

Transcription

1 Report to Trust Board Date Tuesday 22 May 2012 Agenda Number 4.2b Agenda Item Foundation Trust Application Steering Group Compliance Report Sponsor Andy Ibbs, FT Programme Director Prepared by Helen Warren, Corporate Project Manager Presented by Helen Warren, Corporate Project Manager 1 Purpose and Key Issues EXECUTIVE SUMMARY The purpose of this paper is to present the Foundation Trust Application Steering Group Compliance Report for Key issues include: The Group met nine times in One meeting was cancelled due to number of apologies All but one meeting were quorate. A number of areas of development were implemented during the course of the year to improve the effectiveness of the Committee s work. The Committee discharged its responsibilities in accordance with its Terms of Reference. 2 Supporting Information The report is attached. 3 Controls and Assurances The minutes of the Foundation Trust Application Steering Group are presented to the Trust Board to note. 4 Legal Implications The legal implications have been considered and none have been identified. 5 Equality and Diversity Implications The Trust aims to design and implement services, policies and measures that meet the diverse needs of our service, population and workforce, ensuring that none are placed at a disadvantage over others. No adverse or positive impacts have been identified from the report. 6 Patient, Public and Staff Involvement The Trust s business planning process incorporated patient and public involvement. Robust and effective financial control and risk management systems ensure that the Trust s services can be developed and delivered to meet the needs of patients in the medium term. Corporate Governance Page 1 of 8

2 7 Cost Implications There are no cost implications. 8 Potential Risk to the Organisation If an annual report is not provided, the Trust Board will be at medium risk of not receiving sufficient assurance that the Trust is making sufficient progress towards attainment of Foundation Trust Status. A risk has been recorded on the Corporate risk register related to the risk that the Trust may not meet Monitor s requirements to achieve Foundation Trust Status (Risk ID 1109) 9 Committee Prompts Is the Committee satisfied that the Foundation Trust Steering Group is meeting its Terms of Reference? 10 Recommendations The Board is asked to RATIFY the report. 11 References Not applicable. 12 Strategic Objectives The Trust s Strategic Objectives were reviewed by the Board in February Highest quality Flexible and multi-skilled workforce Sustainable services X Efficient and effective Integrated health and social care Local provider of choice 13 Principal Risks The Principal Risks have been identified through the Trust s risk management processes. They are updated as and when required. Financial planning & management Clinical records management Strategic & business planning Leadership & management Workforce numbers Unsafe behaviour Workforce skills External demands X Procedural management Partnership arrangements Equipment & facilities arrangements Communication Corporate Governance Page 2 of 8

3 FOUNDATION TRUST STEERING GROUP COMPLIANCE REPORT 1 APRIL MARCH Terms of Reference The Foundation Trust Steering Group is established as a sub-committee of the Board with a specific duty to: Set the strategic direction for the project to ensure it is in line with the Trust s overall strategic objectives Ensure the Project Team and supporting workstreams deliver within agreed time limits Provide a source of challenge to the Project Team and to monitor progress Recommend decisions regarding the Foundation Trust constitution to the Trust Board This report outlines how the Foundation Trust Steering Group has complied with the duties delegated by the Board through its Terms of Reference. The Terms of Reference of the Group are reviewed on an annual basis and presented to the Trust Board for approval. This was undertaken in April Membership The Steering Group is appointed by the Board and, in accordance with its Terms of Reference, comprises of the Chair of the Board, acting as Chair of the Steering Group, two non-executives, the Chief Executive, all Executive Director, Head of Corporate Governance and the Corporate Project Manager. The Director of Nursing and the Medical Director act as joint members The membership was reviewed by the Steering group in Mar 12 and extended to include the Foundation Trust Programme Director as a member. Details of the Foundation Trust Application Steering Group membership at 31 March 2012 are shown in Appendix Meetings The Foundation Trust Steering Group was reconvened from May 2011 with meetings scheduled on a monthly basis. The Group met nine times between 1 May 2011 and 31 March 2012 on the following dates: 16 May June August September October November January February March 2012 Meetings scheduled for July 2011 and December 2011 were cancelled due to the number of apologies. Corporate Governance Page 3 of 8

4 4. Quoracy The quorum of the Committee comprises four members, to include an Executive Director and a Non-Executive Director. Eight of the nine meetings held by the Steering Group between 1 April March 2012 were quorate. The meeting of the Steering Group held on the 22 August 2011 was recorded as inquorate. 5. Attendance Members are expected to attend at least 75% of meetings. Where a joint member attends, this will count towards the joint member s attendance. Where a deputy attends in a member s place, this will count towards the member s attendance. 10 out of 12 members had attendance at or above the expected level of 75%. Details of attendance at the Steering Group meetings held between 1 May March 2012 are shown in Appendix 2. Attendance is monitored by the Steering Group s Chair. 6. Summary of Reports Received During the year the Steering Group has received a routine report from the Corporate Project Manager, on a monthly basis, to provide assurance on the Trust s progress against the projects key milestones and the Tripartite Formal Agreement. The Steering Group also receives, and reviews, a regular report containing the project risk log to provide assurance that risks were being identified, monitored and appropriately managed.. The following reports and documents have also been presented to the Steering Group as appropriate: Draft Constitution Notes of Iterative meetings with the Strategic Health Authority Tripartite Formal Agreement Rebranding Report Foundation Trust Project Structure Commissioner Convergence, reports given verbally Strategic Health Authority Quality Review Quality Governance Indicators Foundation Trust Communication Strategy Marketing Strategy Integrated Business Plan Membership Strategy and Membership Packs Consultation Document Membership updates Monitor s Quality Governance Framework Department of Health Single Operating Model Corporate Governance Page 4 of 8

5 7. Summary of Reports Provided The minutes of the Steering group have been submitted to the Trust Board to note on a monthly basis. 8. Main Issues Covered Routine Review Areas During the year, the Steering Group received routine reports to gain assurance that the Foundation Trust Application agenda was being delivered and exceptions and risks were being identified, monitored and appropriately managed including: Foundation Trust Application Report and Timeline The Steering Group received regular reports from the Corporate Project Manager. Project Risk Log The Steering Group regulate received and reviewed the project risk log. Strategic Health Authority Iterative Reviews The Steering Group received and noted the minutes of Strategic Health Authority iterative reviews, Commissioner convergence The Steering Group received frequent verbal updates on the progress made by the Trust towards achieving commissioner convergence. Membership update The Steering Group received regular membership updates from the Head of Communications. Principal Review Areas and Key Outputs The principal review areas and key outputs are as follows: Draft Constitution proposals The Steering Group reviewed the draft constitution proposals and recommended referral to Executives for further discussion. Membership Strategy the Steering Group reviewed and noted the Membership Strategy, Consultation and Summary Consultation Documentation The Steering Group reviewed and noted the Foundation Trust Consultation and recommended approval to the Trust Board. Rebranding Report The Steering Group reviewed the Rebranding Report and recommended presentation to the Board for further discussion. Marketing Strategy The Steering Group reviewed and noted the Marketing Strategy recommending that it should be presented to the Board. Foundation Trust Communications Strategy The Steering Group reviewed and noted the Communication Strategy recommending that it be presented to the Board for final approval. Foundation Trust project Structure The Steering Group reviewed noted the Foundation Trust project structure. Integrated Business Plan and Long Term Financial Model The Steering Group noted the updates received, Monitor s Quality Governance Framework The Steering Group noted the requirements of the framework. Organisational Name The Steering Group noted the revised organisational name that would come into being once the Trust obtains Foundation Trust status. Corporate Governance Page 5 of 8

6 9. Main Areas of Development During the year the Steering Group has continued to develop its way of working, membership and supporting functions to improve the Committee s effectiveness and to enhance the assurance process. The main areas of development include: Committee membership Consideration was given to Staffside representation at the Steering Group but the Steering Group thought it more appropriate for the Head of Corporate Governance to provide Staffside with updates at JNCC meetings. Corporate Project Manager The Steering Group welcomed the Corporate Project Manager as a member. Foundation Trust Programme Director The Steering Group welcomed the Foundation Trust Programme Director as a member. Department of Health Single Operating Model The Steering Group noted the new model and the impact for the Trust. Board Briefings Regular Board Briefings have been used to develop the knowledge of the Steering Group, all Executives and Non-Executives in key area of Foundation Trust application awareness including o Integrated Business Plan o Long Term Financial Model o Downside scenario planning o Board Governance Assurance Framework o Constitution o Monitor s Quality Governance Framework Consultation event attendance a number of the Steering Group attended and/or presented at Foundation Trust consultation events. 8. Conclusion The positive assurance gained through the activity of the Steering Group in supports the Trust s, risk management and internal control processes. The Trust has demonstrated progress towards attainment of Foundation Trust Status. The Committee will continue to discharge its responsibilities during the financial year and ensure that the Committee s effectiveness is maximised. Corporate Governance Page 6 of 8

7 APPENDIX 1 Foundation Trust Application Steering Group Membership at 31 March 2012 Role Name Organisation Chair Roger French Chair of Audit Commission Jane Reynolds Chief Executive Jac Kelly FT Project Director Andy Ibbs Corporate Project Manager Helen Warren Director of Finance & Performance Andy Robinson Director of Nursing Carolyn Mills Director of Operations Kate Lyons Director of Personnel & Development Maureen Bignell Medical Director Alison Diamond Non-Executive Director Pauline Geen Head of Corporate Governance Juliet Cross Corporate Governance Page 7 of 8

8 APPENDIX 2 Members Attendance at Meetings Attendance Foundation Trust Steering Group Meetings No of Meetings % Attendance 16/05/11 27/06/11 26/07/11 22/08/11 19/09/11 24/10/11 21/11/11 23/01/12 27/02/12 26/03/12 Attended Roger French 9/9 100 X X Cnx X X X X X X X Maureen Bignell 3/ X Cnx X X Juliet Cross 9/9 100 X X Cnx X X X X X X X Pauline Geen 8/ X Cnx X X X X X X X Andy Ibbs 3/ Cnx X X X Jac Kelly 8/9 89 X X Cnx - X X X X X X Kate Lyons 5/9 56 X - Cnx - X X - - X X Carolyn Mills/Alison 7/9 78 -/- X/- Cnx -/- -/X -/X X/X -/X X/X X/X Diamond Jane Reynolds 8/9 89 X X Cnx - X X X X X X Andy Robinson 8/9 89 X X Cnx X - X X X X X Helen Warren 6/ Cnx - X X X X X X Corporate Governance Page 8 of 8