Transcript Document

NHS Foundation Trust Application
Board Development
Trust Board and Board
Committees
July 2012
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Developing our decision-making
• Current board committee structure: has evolved in response to pressures facing the trust over
time and includes Performance Cttee, Finance & Investment Cttee, Risk, Assurance & Quality
Cttee, Audit Cttee, Remuneration Cttee and Charitable Funds. Right to review in preparation for
NHS Foundation Trust Status.
• Review of committee structure: brought together feedback from recent observations of board and
board committees in last 12 months (Chantrey Vellacott readiness assessment, PWC HDD audit
and Deloitte board development programme) at workshop on 25th May.
• Issues to be addressed: review recognised strengths of current arrangements but identified
issues of overlap and duplication, potential lack of clarity about terms of reference and high
demand on directors time attending board committees.
• New structure: develops existing arrangements to reduce number of board committees, ensure
key decisions taken at trust board, strengthen the link between the board and the management
structure and ensure fit for purpose for an NHS Foundation Trust.
• Implementation: tight timescale for implementation due to NHS FT timetable but aiming for new
committee cycle to start from July 2012.
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High-Level Trust Committee Structure (from July 2012)
Trust Board
of Directors
For One & All Programme Group
Foundation Trust Programme Group
Audit Cttee
Performance,
Finance &
Investment Cttee
Integration & Improvement
Group
Quality & Safety
Cttee
Board Nomination
& Remuneration
Cttee
Trust
Management
Board
Board & board Committees
Programme groups reporting
direct to Trust Board
Exec
Performance &
Finance Team
Divisional
Management
Teams
Charitable Funds
Investment Panel
Management groups
Divisional
Quality
Teams
Trust-wide
Quality
Cttees
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Trust Board of Directors
Summary Terms of Reference
Membership
The Board leads the Trust by undertaking three
key roles:
• Ben Reid OBE, Chair
• Nigel Summers CBE, Vice-Chair
• Dr Phil Begg, NED
• Stuart Gray, NED
• Phil Ashmore, NED
• Akshay Parikh, NED
• Guy McEvoy, Assoc NED*
• Danielle Oum, Assoc NED*
• Richard Kirby, Chief Executive
• Jayne Tunstall, Chief Operating Officer
• Mr Amir Khan, Medical Director
• Sue Hartley, Director of Nursing
• Shahana Khan, Director of Finance & Performance
• Anne Baines, Director of Strategy*
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Formulating strategy
•
Ensuring accountability by holding the
organisation to account for the delivery of
the strategy and through seeking assurance
that systems of control are robust and
reliable
•
Shaping a positive culture for the Board and
the organisation.
The general duty of the Board, and of each
director individually, is to act with a view to
promoting the success of the Trust so as to
maximise the benefits for the members of
the corporation as a whole and for the
public.
*To be full members of the FT Board of Directors
Director of Governance and Trust Secretary to be in
attendance
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Performance, Finance & Investment Committee
Summary Terms of Reference
Membership
• Monthly performance
• Nigel Summers CBE, Chair
• Phil Ashmore, NED
• Akshay Parikh, NED
• Danielle Oum, Assoc NED
•Richard Kirby, Chief Executive
• Jayne Tunstall, Chief Operating Officer
• Mr Amir Khan, Medical Director
• Sue Hartley, Director of Nursing
• Shahana Khan, Director of Finance & Performance
• Anne Baines, Director of Strategy
• Financial planning and performance
• Cost Improvement Programme planning and
delivery
• Capital planning
• Investment decisions
• Workforce performance
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Quality & Safety Committee
Summary Terms of Reference
Membership
• Quality and Safety
• Dr Phil Begg, Chair
• Stuart Gray, NED
• Another NED (to be confirmed)
• Guy McEvoy, Assoc NED
• Richard Kirby, Chief Executive
• Jayne Tunstall, Chief Operating Officer
• Amir Khan, Medical Director
• Sue Hartley, Director of Nursing
• Shahana Khan, Director of Finance & Performance
• Patient experience
• Hospital mortality
• Assurance and risk management
• CQC and external inspection / regulation
• Information governance
• NHSLA standards
•Clinical Audit and NICE compliance
In attendance
• Dawn Clift, Director of Governance & Trust Secretary
•3 Associate Medical Directors
•Associate Director of Nursing
• 3 Heads of Nursing
•2 Divisional Directors of Community Services (until
operational structure complete in Autumn 2012)
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Audit Committee
Summary Terms of Reference
Membership
• Governance, risk management and internal
controls
• Stuart Gray, Chair
• Nigel Summers CBE, NED
• Phil Ashmore, NED
•Internal audit function and findings
•External audit findings
•Counter Fraud
•Financial reporting and controls
In attendance
• Shahana Khan, Director of Finance & Performance
•Bish Sominka, Head of Internal Audit
•John Kelly, Local Counter Fraud Specialist
•External Auditors
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Board Nomination and Remuneration Committee
Summary Terms of Reference
Membership
• Nomination function – reviewing size,
structure and composition of the Board;
succession planning, identification and
nomination of candidates for Board positions;
removal and suspension of Board members
• Ben Reid OBE, Chair
• Nigel Summers CBE, Vice-Chair
• Dr Phil Begg, NED
• Stuart Gray, NED
• Phil Ashmore, NED
• Akshay Parikh, NED
•Remuneration – review terms and conditions
of office (inc remuneration) of Exec Directors
• Performance – monitor and evaluate
performance of Directors
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Charitable Funds Investment Panel (to be reviewed further)
Summary Terms of Reference
Membership
• Charitable fund investment decisions
• Stuart Gray, Chair
• Phil Ashmore, NED
• Shahana Khan, Director of Finance and
Performance
•Charitable funds expenditure
•Compliance with Charities Commission
guidelines
•Approval of charitable funds investment policy
•Charitable funds annual accounts
In attendance
• Dawn Clift, Director of Governance and Trust
Secretary
•
Russell Caldicott, Associate Director of Finance
– Financial Control
•
Investment Advisor
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Monthly Meeting Cycle
Week 1
Week 2
Week 3
Exec Performance &
Finance Team
Quality & Safety
Committee
Trust Management
Board
Performance, Finance
& Investment
Committee
Week 4
Trust Board (public and
private sessions)
Audit Committee
Charitable Funds
Investment Panel
(quarterly)
Remuneration & Nomination Committee called as required
Note – In ‘five week months’, the cycle will move forward 1 week
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