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COUNCIL OF GOVERNORS’ MEETING (open to trust members, members of the public and the press) DATE: Tuesday 7 th July 2020 TIME: 6pm to 8pm VENUE: Online meeting Distribution CHAIR: Dominic Dodd Chairman of the council of governors and the trust board COUNCIL MEMBER (S): See list of all governors overleaf IN ATTENDANCE: Caroline Clarke Group chief executive Peter Ridley Group chief finance and compliance officer Emma Kearney Chief communications officer David Grantham Chief people officer Mary Basterfield Non-executive director Doris Olulode Non-executive director Wanda Goldwag Non-executive director Akta Raja Non-executive director Tony Schapira Non-executive director James Tugendhat Non-executive director Chris Ham Non-executive director APOLOGIES RECEIVED: COPY FOR INFO: Executive directors Contact for apologies or any enquires concerning this meeting should be made via: Matt Keirle, membership and governance manager Email: [email protected]

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Page 1: COUNCIL OF GOVERNORS’ MEETINGs3-eu-west-1.amazonaws.com/files.royalfree.nhs.uk/CoG... · 2020-07-03 · Anthony Isaacs Richard Stock Jude Bayly Paul Ciclitira Esther Samuels Victor

COUNCIL OF GOVERNORS’ MEETING (open to trust members, members of the public and the press)

DATE: Tuesday 7th July 2020

TIME: 6pm to 8pm

VENUE: Online meeting

Distribution

CHAIR: Dominic Dodd Chairman of the council of governors and the trust board

COUNCIL MEMBER (S): See list of all governors overleaf

IN ATTENDANCE: Caroline Clarke Group chief executive Peter Ridley Group chief finance and compliance officer Emma Kearney Chief communications officer David Grantham Chief people officer Mary Basterfield Non-executive director Doris Olulode Non-executive director Wanda Goldwag Non-executive director Akta Raja Non-executive director Tony Schapira Non-executive director James Tugendhat Non-executive director Chris Ham Non-executive director

APOLOGIES RECEIVED:

COPY FOR INFO: Executive directors

Contact for apologies or any enquires concerning this meeting should be made via:

Matt Keirle, membership and governance manager Email: [email protected]

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Governor name Constituency

Staff-elected governors

Banwari Agarwal Nicholas Macartney Marva Sammy George Verghese Tony Wolff Bimbi Fernando

Patient-elected governors

Peter Atkin Linda Davies Judy Dewinter Sneha Bedi David Myers Samuel Alexander Collins Neil Wolstenholme

Public-elected governors

Anthony Isaacs Richard Stock Jude Bayly Paul Ciclitira Esther Samuels Victor Hoffbrand Emma Cox

Appointed governors

Hans Stauss William Wyatt-Lowe Peter Zinkin Charlotte Benjamin

University College London Hertfordshire County Council

London Borough of Barnet North Central London (NCL) partners

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Council of governors’ meeting

7 July 2020

6pm to 8pm

Online meeting

Item Lead Paper Page no.

Administrative items

2020/34

Chairman’s introduction, apologies

for absence and welcome to new

governors D Dodd Verbal -

2020/35 Governors’ register of interests D Dodd 1 1

2020/36 Approve minutes of meeting held

on 20 April 2020

D Dodd 2 5

2020/37 Review of matters arising and

action log D Dodd 3 11

Feedback from governors

2020/38

Committee feedback

- Group services & investment

- Population health

- Quality, finance & compliance

Peter Atkin

Tony Wolff

Sneha Bedi

verbal

Updates/feedback on the performance of the trust

2020/39 Chair’s report to council D Dodd 4 15

2020/40 Group chief executive’s report to

council

C Clarke 5 19

Updates for the council

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Item Lead Paper Page no.

2020/41 Lead governor’s report J Dewinter 6 24

Matters for discussion

2020/42 What matters to staff during and

after the pandemic

D Grantham verbal -

Any other business

2020/43 To note any other urgent business D Dodd verbal -

2020/44 Questions from members of the

public

D Dodd verbal -

For information

2020/45 Non-executive directors’ report to

the council

7 27

2020/46 Meeting schedule 8 38

2020/47 Governors’ briefing pack (circulated

by email)

Circulated

separately -

2020/48

Confirm date and venue of next

council of governors meeting:

Date: 6th October 2020

Time: 6pm-8pm

Venue : online meeting

verbal -

2020/49 Close

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Declaration of interests –governors are requested to highlight any changes to the register of interests at each council of governors’ meeting held in public

Paper 1

COUNCIL OF GOVERNORS DECLARATION OF RELEVANT AND MATERIAL INTERESTS

Last reviewed by council of governors: 20 April 2020 For review on: 7 July 2020

Directorships, including non-executive directorships held in private companies or PLCs (with the exception of those of dormant companies)

Ownership or part-ownership of private companies, business or consultancies likely or possibly seeking to do business with the NHS

Majority or controlling share holdings in organisations likely or possibly seeking to do business with the NHS

A position of authority in a charity or voluntary organisation in the field of health and social care

Any connection with a voluntary or other organisation contracting for NHS services

Research funding/grants that may be received by an individual or their department

Interests in pooled funds that are under separate management (any relevant company included in this fund that has a potential relationship with the Trust must be declared)

Date of entry

09/10/14 Mr P ATKIN Atkin Associates Limited Media Ambitions (Enterprises) Limited Giant Media International Limited Consultant in Jaffe Porter Crossick Solicitors

26/11/15 Ms J BAYLY Nil Nil Nil Panel member at the Nursing and Midwifery Council

Nil Nil Nil

04/10/19 Mr N WOLSTENHOLME Non-executive director at Mulberry Marketing Communications Limited

Shareholder in Smith & Nephew PLC

Nil Nil Nil Nil Nil

04/10/19 Prof V HOFFBRAND Nil Nil Nil Nil Nil Nil Nil

04/10/19 Mr S A COLLINS Nil Nil Nil Nil Nil Nil Nil

04/10/19 Ms E SAMUELS Nil Nil Nil Nil Nil Nil Nil

04/10/19 Mr B FERNANDO Nil Nil Nil Nil Nil Nil Nil

04/10/19 Ms E COX Chief product officer at Vopulus Ltd

Nil Nil Member of the HCSA executive committee (a doctors union)

Faculty member of the The Healthcare Leadership Academy

Nil Nil

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Declaration of interests –governors are requested to highlight any changes to the register of interests at each council of governors’ meeting held in public

Paper 1

Directorships, including non-executive directorships held in private companies or PLCs (with the exception of those of dormant companies)

Ownership or part-ownership of private companies, business or consultancies likely or possibly seeking to do business with the NHS

Majority or controlling share holdings in organisations likely or possibly seeking to do business with the NHS

A position of authority in a charity or voluntary organisation in the field of health and social care

Any connection with a voluntary or other organisation contracting for NHS services

Research funding/grants that may be received by an individual or their department

Interests in pooled funds that are under separate management (any relevant company included in this fund that has a potential relationship with the Trust must be declared)

Date of entry

17/06/16 Mrs L DAVIES Partner in Davies Communications

Nil Nil Chair of Governors of New End Primary School

Nil Nil Nil

26/11/15 Mrs J DEWINTER Director of J Rock Investments, a private investment company

Director of RFC Developments

Nil Nil President of Myeloma UK, a national cancer charity based in Edinburgh Charity number SC 026116

Chair of the Royal Free Charity

Patient representative on the UCL ECMC Board (Experimental Cancer Medicine Centre)

Nil Nil

14/10/14 Dr A ISAACS Nil Nil Nil Nil Nil Nil Nil

01/11/17 Dr N MACARTNEY Nil Nil Nil Churchwarden at Holy Trinity, Dalson

Nil Nil Nil

02/11/17 Dr B AGARWAL Nil Nil Nil Nil Nil Research grant funding as co-applicant through Horizon 2020 – EU research framework programme for research and innovation

Nil

31/10/17 Dr G VERGHESE Director of Verghese Orthopaedics; Director of North London Orthopaedic Clinic LLP

Nil Nil Nil Nil Nil Nil

08/01/18 Dr P CICLITIRA Nil Nil Nil Trustee of Clinical Research Trust

Nil Nil Nil

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Declaration of interests –governors are requested to highlight any changes to the register of interests at each council of governors’ meeting held in public

Paper 1

Directorships, including non-executive directorships held in private companies or PLCs (with the exception of those of dormant companies)

Ownership or part-ownership of private companies, business or consultancies likely or possibly seeking to do business with the NHS

Majority or controlling share holdings in organisations likely or possibly seeking to do business with the NHS

A position of authority in a charity or voluntary organisation in the field of health and social care

Any connection with a voluntary or other organisation contracting for NHS services

Research funding/grants that may be received by an individual or their department

Interests in pooled funds that are under separate management (any relevant company included in this fund that has a potential relationship with the Trust must be declared)

Date of entry

08/11/17 Mrs M SAMMY Nil Nil Nil Nil Nil Nil Nil

15/08/16

Updated: 03/10/18

Dr D MYERS Director, Radnor Lodge Investments Ltd

Director, Consort Lodge Management Ltd

Partner, Wizzard Creative Services;

Nil President & Treasurer, Royal Free Hospital Kidney Patients Association; Chair of the Royal Free Organ Donation Charity

Nil Nil Nil

15/11/14

Updated: 07/09/16

Prof.H STAUSS Nil Consultant to Cell Medica and has shares with this company

Founder of Quell Therapeutics. Also a consultant and shareholder

Nil Programme Director for UCL Partner Academic Health Science Centre; Director Institute of Immunity and Transplantation; Co-Director UCL Division of Infection and Immunity

Nil A recipient of research grants from government and charitable funding bodies

Funded research collaboration with Cell Medica, which includes options for Cell Medica to UCL’s IP

Nil

19/01/16 Dr R STOCK Director and shareholder of EmanexLtd. Exhaust’in Ltd. Marathon Warehouse Distribution Ltd

Nil Nil Spouse is chair of the Barnet health and wellbeing board

GP Haringey

Nil Nil

03/12/14 Mr T WOLFF Nil Nil Nil Nil Nil Nil Nil

22/01/15 Cllr W WYATT-LOWE Nil Trading partnership “Wyatt-Lowe

Nil Trustee of Adeyfield Neighbourhood

Hertfordshire Public Health Cabinet Panel

Nil Nil

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Declaration of interests –governors are requested to highlight any changes to the register of interests at each council of governors’ meeting held in public

Paper 1

Directorships, including non-executive directorships held in private companies or PLCs (with the exception of those of dormant companies)

Ownership or part-ownership of private companies, business or consultancies likely or possibly seeking to do business with the NHS

Majority or controlling share holdings in organisations likely or possibly seeking to do business with the NHS

A position of authority in a charity or voluntary organisation in the field of health and social care

Any connection with a voluntary or other organisation contracting for NHS services

Research funding/grants that may be received by an individual or their department

Interests in pooled funds that are under separate management (any relevant company included in this fund that has a potential relationship with the Trust must be declared)

Date of entryAssociates” Association

Adult Carer Health Cabinet Panel

06/11/17 Miss S BEDI Nil Nil Nil Nil Nil Nil Nil

09/10/15 Cllr P ZINKIN Governor at Birkbeck, University of London

Shareholder in Balfour Beatty plc

Nil Nil Councillor at London Borough of Barnet

Nil Investor in a number of unit trusts

16/06/20 Dr C BENJAMIN TBC TBC TBC TBC TBC TBC TBC

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Paper 4

CHAIR’S REPORT

Executive summary

The chair’s report containing items of interest/relevance to the council.

Action required

The council is asked to note the report.

Report from Dominic Dodd, chair Author(s) Carolyn Cullen, trust secretary Date 25 June 2020

Report to Date of meeting Attachment number

Council of Governors 7 July 2020 Paper 4

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Paper 4

CHAIR’S REPORT

A COUNCIL MATTERS

Changes to the Council

Ian Bretman, the appointed governor for North Central London (NCL) partners, has stepped

down from the council. Ian has a new role at NCL which conflicts him from continuing to be

one of our governors. I would like to thank Ian for his contribution to the council and wish him

every success in his new role of NCL patient and public engagement lay lead.

I am delighted to welcome Dr Charlotte Benjamin to the council, who is the new NCL

governor representative. Dr Benjamin is a general practitioner. She became Chair of Barnet

Clinical Commissioning Group’s (CCG) Governing Body in January 2019. Of her many

achievements, Dr Benjamin redesigned Barnet local adult and community mental health

service leading to creation of the Wellbeing Hub whilst a clinical leader in Mental Health in

the CCG.

Councillor Christine Hamilton, who represented Enfield Council has also resigned as a

governor. Christine has also taken on a role which conflicts her from continuing as a

governor. I would like to take this opportunity to thank Christine for her contribution to the

council and particularly to thank her for her work on the Chase Farm Hospital Local

Members’ Council.

Nominations Committee

Ian Bretman’s resignation created a vacancy on the nominations committee. The terms of

reference for this committee state that of the four members, two are from the patient and

public constituencies and two are appointed governors representing our partners. After

advertising the post to all eligible governors, I am pleased to say that Peter Zinkin will be

joining the committee.

Just to remind governors, the nominations committee has the following remit: it is

responsible for developing recommendations for council approval on appointments of the

chair and non-executive directors. The committee is also responsible for administering

appraisals and helping frame objectives for chair and non-executives. This committee met

eight times in 2019/20.

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Paper 4

B BOARD UPDATE

BOARD GOVERNANCE

In light of the Covid-19 (Coronavirus) pandemic the trust board agreed a number of changes

to its governance arrangements:

• All board meetings held in public were cancelled during the pandemic but confidential

board meetings continued to run monthly for urgent matters on the dates currently

scheduled. These were held as ‘virtual’ meetings.

• A board urgent decisions committee was established to deal with decisions required

between the scheduled board meetings, as required. The members are the group

chair, chief executive, chief medical officer and one other non-executive director.

This fulfils the requirement to be a quorate board meeting (that is, one that is entitled

to make decisions) but all decisions made by the committee will be formally recorded

and reported to the full trust board for confirmation. All the decisions taken by this

committee have been formally reported to the board so are in public domain. In

practice, this committee was only used one occasion, but remains a useful option for

ensuring quick decision-making in a time of emergency,

• It suggested, that after the pandemic, that the board move to meeting in public every

other month, which is consistent with the practice of many other foundation trusts.

These arrangements will be reviewed to see what worked well and can be adopted going

forward, and a review of committee structures and decision-making is also underway.

C OTHER

Update on the work of the Royal Free Charity

The Royal Free Charity had a fantastic response to its appeal for funds to support our

hospitals' staff during the Covid-19 crisis and this support will continue as the trust moves

into the next phase of coping with the pandemic.

The charity is working in close consultation with the trust to create the next phase in its

fundraising strategy. With a new captive audience that has developed a deeper bond with

the NHS because of the crisis, there is fertile ground to take the donors on a journey with the

aim of raising £100m between now and 2028, the 200th anniversary of the Royal Free

Hospital.

On behalf of the trust, I would like to thank everyone in the charity for their outstanding

support and solidarity at this time.

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Paper 4

Pears Building

The coming year will see the opening of the Pears Building, a unique research facility funded

jointly by the charity, UCL and the trust to bring scientists and clinicians closer together to

find cures and new treatments for diseases involving the immune system.

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Paper 5

GROUP CHIEF EXECUTIVE’S REPORT

Executive summary

This is a chief executive’s report containing items of interest / relevance to the council.

Action required

The council is asked to note the report.

Report from Caroline Clarke, group chief executive Author(s) Carolyn Cullen, trust secretary Date 26 June 2020

Report to Date of meeting Attachment number

Council of Governors 7 July 2020 Paper 5

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Paper 5

CHIEF EXECUTIVE’S REPORT

A TRUST DEVELOPMENTS

LEARNING FROM COVID: PLANNING FOR THE FUTURE

There will be a verbal update by Caroline Clarke, Group Chief Executive and Kate Slemeck, Chief Executive of Royal Free Hospital

RE-OPENING SERVICES - CHANGES TO OUR BUILDINGS

As services are re-opened, the trust is reviewing its hospital buildings to ensure that they are

a safe environment for our patients to use. This has involved reconfiguring various areas

within all three hospitals to accommodate differing clinical needs, particularly separating out

those patients with Covid-19 and other patients and services users. The trust is working with

external partners, including the National Physical Laboratory, to assist us in modelling

efficient flows of patients, staff and visitors through our hospitals.

The modular build at Barnet Hospital has been modified to take accounts of new guidance

on managing Covid-19. This facility will have four, five bedded wards and fifteen side rooms

with en-suite facilities and will open in mid-July. Changes to the facility include centralized

air conditioning (Infection control compliant), piped medical gases, vacuum systems and

various other amendments to make this facility fully flexible and ready for any second surge.

The pictures below show the modular structure, which was airlifted into place and is now in

the process of being fitted out.

The construction works for the provision of a new Acute Medical Unit (AMU) at Barnet

Hospital commenced on Monday 8th June 2020. Undertaking construction whilst adhering

to social distancing is a challenge. The trust has been able to significantly de-risk the

programme, to continue at pace for completion during September 2020.

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Paper 5

B DELIVERING WORLD CLASS SERVICES

ANNUAL REPORT AND ACCOUNTS 2019/20

The annual report and accounts 2019/20 has been audited by our external auditors

PriceWaterhouseCoopers (PWC), and approved by the board on 26 June 2020. At the

annual members’ meeting on 16 September 2020 there will be a full presentation and

governors will formally receive the annual report and accounts; however here is a synopsis

of our financial position for the year 2019/20.

Overall, our financial position remained challenging in 2019/20 but our business units

continue to work hard to identify ways to become even more efficient. We agreed a control

total for 2019/20 and have delivered in line with this financial plan. The trust achieved

£46.3million of efficiency savings in year, which was 3.8% of our controllable income. We

continue to have a reference cost index lower than average, despite the challenges. For a

number of years, these challenges have had a significant impact on our cash position and

have been reliant on the Department of Health and Social Care for working capital. However,

in 2019/20 as a result of achieving our control total, and through careful working capital

management, we have not needed to access any additional lending.

The trust receives most of its income from clinical commissioning groups and NHS England

specialist commissioning. In 2019/20, the trust received £1,134.8m in income, which was

£93.9m more than in 2018/19. A total of £33.7m of this amount was to cover the costs of the

response to the COVID-19 pandemic, including the construction of the Nightingale Hospital

at London’s Excel Centre. A further £25.5m was notional funding to cover increased pension

costs. The trust has seen a rise in activity, which has meant more resources have had to be

deployed on pay. The pay figures include a notional spend of £25.5m on increased employer

pension contributions, which were funded. We have made concerted efforts to reduce the

number of staff employed through agencies, with spend on temporary staff falling from

£21.5m in 2018/19 to £18.2m in 2019/20. The number of substantive staff employed on a

full-time basis has risen slightly from 7,538 in 2018/19 to 7,867 in 2019/20.

The full annual report and accounts for 2019/20 will be circulated to governors electronically

and placed on the public website.

FAMILY AND FRIENDS TEST (FFT)

Family and Friends Test has been suspended nationally but will shortly resume.

SERVICE PERFORMANCE

The NHS Oversight Framework for 2019/20 is prescribed by NHS England/ NHS Improvement to oversee organisational performance and identify where both commissioners and providers may need support.

This table represents the performance for all three of our hospitals. The prescribed data is

sourced from NHS Digital where data is aggregated. Verified data, although individual trusts

did collect their data, was not available for January and February 2020 and data was not

collected for March 2020. This table is included in the annual report and accounts 2019/20.

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Paper 5

NHS Oversight Framework key indicators scorecard 2019/20

Measures Target Apr

2019

May

2019

Jun

2019

Jul

2019

Aug

2019

Sept

2019

Oct

2019

Nov

2019

Dec

2019

Jan

2020

Feb

2020

Mar

2020

A&E: % of

patients seen

within four

hours

95% 83.91% 85.51% 85.63% 87.06% 87.01% 83.50% 79.49% 78.83% 79.82% N/A

Cancer: % <

14-day wait for

first seen -

breast

93% 88.18% 90.91% 88% 75.26% 90.28% 88.72% 89.43% 86.82% 90.76% N/A

Cancer: % <

31-day wait

from diagnosis

to first treatment

96% 95.63% 97.33% 97.74% 98.85% 97.32% 97.45% 96.64% 95.75% 93.65% N/A

Cancer: % <

31-day wait

from diagnosis

to second

treatment

(radiotherapy)

94% 100% 100% 100% 100% 100% 100% 100% 100% 100% N/A

Cancer: % <

31-day wait

from diagnosis

to second

treatment

(surgery)

94% 88.16% 93.94% 97.30% 91.30% 94.29% 98.04% 92.96% 91.49% 96.15% N/A

Cancer: % <

31-day wait

from diagnosis

to second

treatment

(chemotherapy)

98% 100% 100% 100% 100% 100% 97.44% 100% 100% 100% N/A

Cancer: % <

62-day wait for

first treatment -

GP referral

85% 86.15% 76.78% 76.99% 82.37% 81.82% 75.90% 80.42% 80.82% 82.98% N/A

Cancer: % <

62-day wait for

first treatment –

screening

85% 95.16% 96.72% 92.31% 82.09% 86.42% 92.75% 98.08% 94.37% 81.18% N/A

Diagnostics: %

< 6-week wait

for diagnostics 99% 96.3% 93% 92.4% 93.3% 90% 89.2% 93.1% 94% 92.7% N/A

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Paper 5

C OTHER UPDATES

BBC Two Documentary Hospital returns to the Royal Free London

The Royal Free London will be the focus of a new series of the award-winning BBC Two

documentary Hospital.

It follows the success of the special two-part documentary Hospital Special: Fighting Covid-

19, which showcased the response of our amazing staff from day one of lockdown.

The two-parter was hailed by the Radio Times as the ‘most important documentary you will

see this year’ and received widespread critical acclaim. It was viewed by 3 million people.

BBC Two has commissioned a sixth series of the documentary, produced by Label1, which

will be filmed across the Royal Free London – a six-part series to chart the next stage of the

story, as services across the NHS are reinstated following the impact of Covid-19.

The new series will air on BBC Two this autumn and we will keep staff updated about filming

dates. Filming has been approved by the RFL group executive committee.

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Paper 6

LEAD GOVERNOR REPORT

Executive summary

The lead governor’s report containing items of interest/relevance to the council.

Action required

The council is asked to note the report.

Report from Judy Dewinter, lead governor

Date 29 June 2020

Report to Date of meeting Attachment number

Council of Governors 7 July 2020 Paper 6

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Paper 6

LEAD GOVERNOR REPORT

GOVERNORS’ INFORMAL MEETING

I would like to thank Doris Olulode for joining the informal meeting that was held on 29 April. Doris’s contribution was extremely insightful, with a very broad range of topics covered.

We are also grateful to Dominic Dodd, our Chair, who joined our informal meeting on 26 May to talk about the emerging future models of care. This also gave governors the opportunity to ask a wide range of questions.

Akta Raja will be joining the next informal meeting, immediately prior to the council meeting on 7 July.

. MEDICINE FOR MEMBERS EVENTS

As discussed at our last informal meeting, we would like to re-introduce Medicine for Members events by bringing them online. Matt Keirle is in the process of reviewing how MS Teams could accommodate a large group event. Topics for medicine for members events and the format of these events will be discussed at our informal meeting on 7 July.

ANNUAL MEMBERS’ MEETING

The annual members’ meeting is the trust’s annual general meeting where the council of governors officially receives the trust’s annual report and accounts. The meeting brings together members, governors and directors. A number of presentations are made about the year being reported on as well as giving information about future plans. The lead governor, on behalf of the council, highlights and explains the role of governors and provides a brief account of the previous 12 months. There is also the opportunity for members to ask questions, either of the trust or the council of governors. Both the annual members’ meeting and the medicine for members’ events are important engagement opportunities for governors, albeit remotely at this stage, and it’s important that we have good attendance from our governors.

MEMBERSHIP

Membership requests continue to rise steadily. The trust has received over 1,250 new applications since the start of the year. This is double when compared to the same period last year. Our potential audience for both medicine for members and the annual members’ meeting is larger than ever before and, as a result, I expect good turnout at these events, particularly if they take place online.

At our last informal meeting we agreed that an email should be sent to our members, which resulted in an email from Caroline Clarke being sent. This was very well received with a number of positive responses and feedback.

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Paper 6

GOVERNOR ELECTIONS

The council of governors has 12 governors whose term ends in September; five of these governors are at the end of their maximum nine-year tenure and therefore cannot re-stand. The process to elect new governors will begin at the end of July, with appointments effective from the end of September.

GOVERNOR INBOX

The following emails were received:

An email was received from a member of the public who was concerned about an upcoming X-ray appointment at Royal Free Hospital during the COVID-19 pandemic and wanted reassurance that it was safe to attend. This was passed on to the appropriate team for response.

A member of staff emailed the governors to express concerns over sustainability, recycling and waste management at Royal Free Hospital and also more broadly at the trust. Peter Ridley relayed details of the trusts credentials and sustainability programme and these were forwarded to the employee.

A member of the public contacted the governors to highlight an alleged defamatory remark made by a RFL employee on Facebook in connection to the George Floyd incident. This was passed on to our human resources team.

CHANGE TO THE COUNCIL

I am pleased to welcome Dr Charlotte Benjamin, who is representing NCL on our council of governors. Councillor Christine Hamilton, who has represented the London Borough of Enfield on the council of governors, is stepping down and I would like to thank her for contribution to the council.

MEETINGS ATTENDED BY THE LEAD GOVERNOR

• Dominic Dodd, trust Chairman, for regular 1:1 meetings/calls• Caroline Clarke and Emma Kearney 1:1 meetings• Monthly RFL Trust board meetings• Weekly meeting with trust secretary Carolyn Cullen and Matt Keirle, membership

officer

Judy Dewinter, Lead Governor 29 June 2020

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Paper 7

Non-executive directors’ report

Summary

This is a non-executive directors’ report containing items of interest / relevance to the council.

Action required

The council is asked to note the report. There will be an opportunity for questions at the meeting

on 7 July 2020

Report from

Date

Matt Keirle, membership and governance manager

29 June 2020

Report to Date of meeting Attachment number

Council of Governors 7 July 2020 Paper 7

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Paper 7

OVERVIEW

The purpose of this report is to provide a regular update from the NEDs on their activities and on any matters to bring the council’s attention.

This will give the council a regular opportunity to ask questions of the non-executive directors on the focus and progress of their work in holding the executive team to account for the performance of the trust.

BOARD COMMITTEE MEETINGS SINCE LAST COUNCIL MEETING

A central means by which non-executive directors seek assurance is via the committees of the board, most of which are chaired by non-executive directors.

Reports from these meetings will be appended in the monthly briefing pack for governors’ reference on the dates shown below.

TRUST BOARD SUB COMMITTEE REPORTS INCLUDED IN GOVERNOR BRIEFING PACK:

• Clinical standards and innovation committee 27 May 2020 • Population health 27 May 2020 • Audit 27 May 2020 • People 27 May 2020

PROGRAMME BOARD REPORTS INCLUDED IN GOVERNOR BRIEFING PACK:

• Pears programme board* June 2020

*update in Chair’s report

PERFORMANCE REPORTS INCLUDED IN GOVERNOR BRIEFING PACK:

• Trust performance report (public) May 2020• Finance performance report (public) May 2020

Board committees

Non-executive directors

Governor observers

Board committee dates

Report circulated in briefing pack for CoG as dated

Clinical standards and innovation

Anthony Schapira (chair)

Mary Basterfield Akta Raja

Banwari Agarwal Neil Wolstenholme

4 March 2020

14 May 2020

7 July 2020

6 October 2020

Audit Mary Basterfield (chair)

Wanda Goldwag Doris Olulode

N/A 18 March 2020

15 May 2020

7 July 2020

6 October 2020

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Paper 7

Programme Boards & work streams

Executive lead & Non-executive

Governor observers

Meeting dates

Meeting report circulated in briefing pack for CoG as dated

Pears Building

(Monthly)

Kate Slemeck Anthony Schapira

Peter Zinkin 11 June 2020 7 July 2020

PROGRAMME OF GO SEE VISITS*

Governors are invited to accompany non-executive director(s) on each visit.

A briefing is provided prior to each go-see; and there is also an opportunity to be involved in the feedback process after visits. Below is a list of visits that have taken place since the last meeting:

* due to the COVID-19 pandemic the Go See programme is on hold and will resume at a later date.

People James Tugendhat (chair)

Dominic Dodd Doris Olulode

Jude Bayly Bimbi Fernando

19 February 2020

7 July 2020

7 July 2020

6 October 2020

PopulationHealth

Chris Ham (chair)

Dominic Dodd Anthony Schapira James Tugendhat

Tony Wolff William Wyatt-Lowe

5 March 2020

12 May 2020

7 July 2020

6 October 2020

Group services and investment

Wanda Goldwag (chair)

Akta Raja

Peter Atkin Judy Dewinter

3 June 2020

8 July 2020

6 October 2020

6 October 2020

Quality, finance and compliance committee

Akta Raja

Dominic Dodd

Plus all other NEDs invited to attend meetings during the COVID-19 pandemic

Sneha Bedi George Verghese

24 March 2020

21 April 2020

6 October 2020

6 October 2020

Remuneration Committee

Dominic Dodd (chair)

All NEDs

N/A 27 May 2020 N/A

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Paper 7

NON EXECUTIVE DIRECTORS’ ACTIVITIES SINCE LAST COUNCIL MEETING – JULY 2020

Dominic

Dodd

Trust Board Board Committees Council of

Governors

Other Internal External

Stakeholders

April 2020 • Trust Board – Confidential meeting

• Quality, Finance & Compliance committee

• Super Group Executive committee

• Council of Governors

• Informal walkabouts Barnet and Royal Free hospitals

• Covid-19 Exec Group

• NED meeting

• Lead governor’ chair/Royal Free Charity chair

• Regular 1-1s with various NHS trust chairs including: Barts Health, UCLH, Moorfields, West Herts, North Mid, BEH, Croydon Health, Chelsea & Westminster

• Independent Chair NCL

• London Clinical Advisory Group

• National Chairs Advisory Group, NHS England, NHS Improvement, CQC

• London Recovery Oversight Group

• Medical director, London NHS England & NHS Improvement

• London regional director

• London Chairs Reference Group

May 2020 • Board Seminar – NCL sector changes

• Trust Board – NED pre meet

• Trust Board- Part I

• Trust Board

• Population Health committee

• Quality, Finance & Compliance committee

• Informal CoG – emerging models of care

• Informal walkabouts Barnet and Royal Free hospitals

• Covid-19 Exec Group meetings

• NED meeting

• Lead governor’ chair/Royal Free Charity chair

• Children’s services team

• Regular 1-1s with various NHS trust chairs including: Barts Health, UCLH, Moorfields, West Herts, North Mid, BEH, Croydon Health, Chelsea & Westminster

• Independent Chair NCL

• London Clinical Advisory Group

• Chair, NHS England & NHS Improvement

• Quarter 4 Oversight meeting, NHS England & NHS Improvement

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Paper 7

– Part II

• London Recovery Oversight Group

• Medical director, London NHS England & NHS Improvement

• London regional director

• London Chairs Reference Group

June 2020 • Trust Board – NED pre meet

• Trust Board- Part I

• Trust Board – Part II

• Quality, Finance & Compliance committee

• Informal walkabouts Barnet and Royal Free hospitals

• NED meeting

• Lead governor’ chair/Royal Free Charity chair

• Calls with shortlisted Chief Nurse Officer applicants

• Regular 1-1s with various NHS trust chairs including: Barts Health, UCLH, Moorfields, West Herts, North Mid, BEH, Croydon Health, Chelsea & Westminster

• Independent Chair NCL

• London Clinical Advisory Group

• London Recovery Oversight Group

• Medical director, London NHS England & NHS Improvement

• London regional director

• London Chairs Reference Group

• NCL Partnership Board meeting

• Chair, Mersey Care NHS Foundation Trust

• Chair and CEO, Healthwatch Enfield

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Paper 7

Doris Olulode

TrustBoard

Board Committees Council of Governors

Other Internal ExternalStakeholders

April 2020 • NED pre-meet

• Trust Board meeting

• NED Weekly calls

• People committee

• Quality, Finance & Compliance Committee

• Staff Welfare Committee (weekly)

• Formal CoG meeting

• 1-1 Judy Dewinter

• 1-1 Ragni Patel

May 2020 • NED pre-meet

• Trust Board part 1 & 2

• Board Seminar – NCL Sector changes

• NED weekly calls

• Staff Welfare Committee (weekly)

• Audit Committee x 2

• Quality, Finance & Compliance Committee

• 1-1 Julie

Hamilton

• 1-1 Ragni Patel

June 2020 • NED pre-meet

• Trust Board meeting

• Trust Board Seminar

• NED bi-weekly calls

• Audit Committee

• Speaking Up Champions meeting

• Quality, Finance & Compliance Committee

• 1-1 H&S Deputy Director

• Group Chief Nurse interviews

Mary Basterfield

Trust Board Board Committees Council of

Governors

Other Internal External

Stakeholders

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Paper 7

Doris Olulode

TrustBoard

Board Committees Council of Governors

Other Internal ExternalStakeholders

April 2020 • Trust Board • Quality, Finance &

Compliance

Committee

• Weekly Call - CPrG

(Clinical Prioritisation

Group)

• Weekly call with Ravi

Baghirathan

May 2020 • Board

seminar -

NCL sector

changes

• Trust Board

NED Pre-

meet

• Trust Board

parts 1 & 2

• Clinical Standards

and Innovation

committee

• Audit committee

workshop

• Audit Committee

• Quality, Finance &

Compliance

Committee

• Weekly Call - CPrG

(Clinical Prioritisation

Group)

• Weekly call with Ravi

Baghirathan

• Call with PwC

June 2020 • Trust Board

NED Pre-

meet

• Trust Board

parts 1 & 2

• Audit Committee

• Quality, Finance &

Compliance

Committee

• Weekly Call - CPrG

(Clinical Prioritisation

Group)

• Weekly call with Ravi

Baghirathan

• Call with Judy Dewinter

• NED bi-weekly catch up

call

• Call with Peter Ridley

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Paper 7

Wanda

Goldwag

Trust Board Board Committees Council of

Governors

Other Internal External

Stakeholders

April 2020 • Trust board parts 1 & 2

• Quality Finance &

Compliance

committee

• Council of

Governors

• 1:1 with lead

governor

• Regular calls with Natalie

Forrest

• Regular calls with Jane

Howden

• NED Catch up

• Call Douglas Thorburn

• Call with Paramjit Jeetly

May 2020 • Trust board parts 1 & 2

• Group Services and Investment committee (chair)

• Audit committee workshop

• Audit committee

• Quality Finance & Compliance committee

• 1:1 with lead governor

• Regular calls with Natalie Forrest

• Paramjit Jeetly

• Dominic Dodd update

• NCL sector

June 2020 • Trust board parts 1 & 2

• Group Services and Investment committee

• Audit

• Quality Finance & Compliance

• 1:1 with lead governor

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Paper 7

Akta Raja Trust Board Board Committees Council of

Governors

Other Internal External stakeholders

April 2020 • Weekly NED update calls

• Group level Quality, Compliance & Finance committee

• Council of Governors meeting

• Various internal calls re COVID 19

• Call with Amy Caldwell-Nicholls re data

• Property services board meeting

• Finance & Investment Committee RFC

• Nominations Committee RFC

• Special trustee meeting RFC

• Various calls RFC

May 2020 • Fortnightly NED update calls

• NED pre-meeting

• Public Board Meeting

• Confidential Board Meeting

• Group level Quality, Compliance & Finance committee

• Board Seminar, NCL Sector Changes

• Various internal calls re COVID 19

• Property services board meeting

• Various calls – RFC

• Special nominations committee meeting RFC

• Q4 Oversight meeting with NHSE

June 2020 • Fortnightly NED update calls

• NED pre-meeting

• Confidential Board Meeting

• Group level Quality, Compliance & Finance committee

• Group Services and Investment committee

• Clinical Standards and Innovation

• Various internal calls

• Property services board meeting

• Call to discuss synergies between PPU and RFC

• RFH/RFC Funding and Governance discussion

• Trustee meeting – RFC

• Call with Newlon Housing

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Paper 7

• Board Seminar

committee

Tony

Schapira

Trust Board Board Committees Council of

Governors

Other Internal External

Stakeholders

April 2020 • Trust board part 2

• Quality, Finance & Compliance committee

• Formal Council of Governors meeting

• Friday NED Telephone Catch-Up meetings with Dominic Dodd

May 2020 • NEDS

• Trust board parts 1&2

• Population Health committee

• Clinical Standards & Innovations committee (Chair)

• Quality, Finance & Compliance committee

• Friday NED Telephone Catch-Up meetings with Dominic Dodd

June 2020 • NEDS

• Trust board parts 1&2

• Friday NED Telephone Catch-Up meetings with Dominic Dodd

James

Tugendhat

Trust Board Board Committees Council of

Governors

Other Internal External

Stakeholders

April 2020 • NED pre-meet

• Trust board parts 1 & 2

• Finance and Compliance committee

• COG meeting • 1-1 Peter Ridley

• NED weekly call

May 2020 • NED pre-meet

• Trust board

• Finance and Compliance committee

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Paper 7

part 2

• Board Seminar

June 2020 • NED pre-meet

• Trust board part 2

• Population Health committee

Chris Ham Trust Board BoardCommittees

Council of Governors

Other Internal ExternalStakeholders

April 2020 • NED pre-meet

• Trust board parts 1 & 2

• Quality Finance & Compliance committee

• Council of

Governors

May 2020 • NED pre-meet

• Trust board part 2

• Population health

committee

• Quality Finance &

Compliance

committee

June 2020 • NED pre-meet

• Trust board part 2

• Population Health

committee

• Quality Finance &

Compliance

committee

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Paper 8

Trust board and related meeting schedule

TB = Trust board (includes public (Pub) & confidential (Con) meeting unless stated otherwise) Sem = board seminar

Audit = audit committee

CSIC = clinical standards and innovation committee

GSIC = group services and investment committee

QF&C = quality, finance and compliance committee

People = people committee

PH = population health committee

RemCo = remuneration committee

ABH = Anne Bryans House

RFH boardroom = Royal Free Hospital boardroom

Atrium = Sir Willam Wells Atrium, Royal Free Hospital

* Committee meeting & public board cancelled due to Covid-19

** Awaiting appointment of new CSIC chair

***Due to exec annual leave, only GEC meetings & F&C committee are held in August

TB

(Monthly)

Audit

(x5)

CSIC

(Bi-monthly)

GSIC

(Monthly)

QF&C

(Monthly)

People

(Bi-monthly)

PH

(Bi-monthly)

RemCo

(Quarterly)

March 2020 25th (Con)* 13th 4th Cancelled* 24th n/a 5th

1430 - 1700 1000 - 1230 1100 - 1230 1600 - 1730 1100 - 1300

ABH boardroom ABH boardroom ABH boardroom ABH boardroom ABH boardroom

April 2020 22nd (Con)* n/a n/a Cancelled* 21st Cancelled* n/a Cancelled*

1430 - 1700 1600 - 1730

Virtual Virtual

May 2020 27th 15th (workshop) 14th No meeting 26th n/a 12th 27th

1330 - 1430 (Pub) 1000 - 1130 0900 - 1100 (Early June meeting 1600 - 1730 1100 - 1200 1700 - 1800

1430 - 1700 (Con) 22nd (formal meeting)Virtual instead) Virtual Virtual Virtual

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Virtual 1000 - 1230

Virtual

June 2020 24th 11th (annual accts)n/a 3rd 23rd No meeting 10th n/a

1330 - 1430 (Con) 1030 - 1300 1400 - 1600 1600 - 1730 (Early July meeting1500 - 1600

1430 - 1600 (Sem) Virtual Virtual Virtual instead) Virtual

Virtual

July 2020 22nd n/a 27th 8th 21st 7th 7th 22nd

1300 - 1430 (Pub) 1000 - 1200 1400 - 1600 1600 - 1730 1130 - 1330 1400 - 1600 1700 - 1800

1430 - 1700 (Con) Virtual Virtual Virtual Virtual Virtual Virtual

Both RFH boardroom

August 2020 No meeting*** No meeting*** No meeting*** No meeting*** 18th No meeting*** No meeting*** No meeting***

1600 - 1730

ABH boardroom

September 2020 23rd 11th TBC** 10th 22nd 1st n/a n/a

1300 - 1430 (Pub) 1000 - 1230 1400 - 1600 1400 - 1600 1300 - 1500

1430 - 1700 (Con) ABH boardroom ABH boardoom ABH boardroom ABH boardroom

Both RFH boardroom

October 2020 21st n/a n/a 9th 20th n/a 20th 21st

1300 - 1430 (Pub) 1330 - 1530 1600 - 1730 1400 - 1600 1700 - 1800

1430 - 1700 (Con) ABH boardroom ABH boardroom ABH boardroom RFH boardroom

Both RFH boardroom

November 2020 25th 13th TBC** 12th 24th 3rd n/a n/a

1300 - 1430 (Pub) 1000 - 1230 1400 - 1600 1600 - 1730 1200 - 1400

1430 - 1700 (Con) ABH boardroom ABH boardroom ABH boardroom ABH boardroom

Both RFH boardroom

December 2020 16th n/a n/a 9th 15th n/a 3rd n/a

1300 - 1430 (Pub) 1400 - 1600 1600 - 1730 1130 - 1330

1430 - 1700 (Con) ABH boardroom ABH boardroom ABH boardroom

Both RFH boardroom

January 2021 TBC 8th / 22nd TBC TBC** 14th 19th 14th n/a TBC

(Potentially 20th 1000 - 1230 1400 - 1600 1600 - 1730 1130 - 1330 (Potentially 20th

1300 - 1700) ABH boardroom ABH boardroom ABH boardroom ABH boardroom 1700 - 1800)

February 2021 TBC n/a n/a 11th 23rd n/a 10th n/a

(Potentially 23rd 1400 - 1600 1600 - 1730 1400 - 1600

1300 - 1700) ABH boardroom ABH boardroom ABH boardroom

March 2021 TBC 12th TBC** 11th 23rd 17th n/a n/a

(Potentially 23rd 1000 - 1230 1400 - 1600 1600 - 1730 1400 - 1600

ABH boardroom ABH boardroom ABH boardroom ABH boardroom

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Paper 8

Event reminders for governors*

Event Date Venue Time Speaker Description

Informal CoG 7 July 2020 Online 16.15-17.45

Chair: Judy Dewinter, lead governor

NED:

Akta Raja

Formal CoG 7 July 2020 Online 18:00-20:00

Chair: Dominic Dodd, chairman

Informal CoG 19 August 2020

Online 17:30-19:30

Chair: Judy Dewinter, lead governor

Caroline Clarke & Chris Streather

Annual members’ meeting 2020

16 September 2020

Online 17:00-20.00

Chair: Judy Dewinter, lead governor

Informal CoG 6 October 2020

Online 16.15-17.45

Chair: Judy Dewinter, lead governor

NED:

James Tugendhat

Formal CoG 6 October 2020

Online 18:00-20:00

Chair: Dominic Dodd, chairman

*these meeting dates will be subject to review on an ongoing basis

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Paper 8

Pears building governance meeting dates

April May June July Aug Sep Oct Nov Dec1 12 2 Dev Co3 Steering 3 Steering Group4 4 Operational SG5 5 Construction SG6 6

7 Mini Dev Co 78 89 9

10 Mini Dev Co 1011 Steering 1112 1213 Mini Dev Co 1314 Dev Co 14

Mini Dev Co Ops SG 15

Ops SGDev Co

17 Ops SG 17Ops SGDev Co

19 Con SG Ops SG 1920 Ops SG 2021 Con SG Ops SG Ops SG 2122 2223 Con SG 23

15

Mini Dev Co

18

1616

18 Con SG

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24 Mini Dev Co 2425 2526 Steering 26

Mini Dev Co Steering 27

28 2829 Mini Dev Co 2930 3031 31

27 Steering