governance of foundation trusts
TRANSCRIPT
Governance of Foundation Trusts A New Era
Clive WilkinsonChairman
• 98% brand recognition
• £15 billion non pay expenditure
• Massive health spend 10% GDP by 2008
• Spend on equipment alone approximately 28%
The
Structure of the NHS
Secretary of State
Department of Health
Strategic Health Authority
Primary Care Trusts
Acute Trusts
Monitor
Foundation Trusts
Private Sector
175
152
10
92
• Reinventing itself through system reform and major policy initiatives:– Funds flow– Choice– Foundation Trusts– World-class commissioning
• With the aim of:– Setting and improving standards– Diversity of provision– Patient-centred care– Employer of choice
Complexity of NHS Agenda
Challenges
Strong FTs
Financial legacy
Diversity of Providers
PbR
End of 10% growth
Choice
Public expectation
18 weeks
Standards
ResponsesProfessional
Commissioning
Prioritising Change
Evidence on models of care
Changing Pathways
Investment Planning
Contracts
Quality standards
Measuring impacts
URGENT CARE
LONG-TERM CARE
Alternatives to admission
Out of Hours Services
Crisis Resolution
Urgent Care
Centres
Case Management
Disease Management
Integrated Social Care
Self Care
PLANNED CARE
Minor Surgery
Diagnostics
“Tier 2” Services
Ambulatory Care
PwSI Services
Obesity/Smoking
Regeneration
Diet & Exercise
Sexual Health
Mental Wellbeing
IMPROVING HEALTH
Foundation Trusts – organisations liberated to …
• Deliver patient care connected to the needs of local communities and individual patients
• Recognise and deliver its obligations to the continued wellbeing of the community
• Welcome working in partnership operating under legally binding agreements
• Give a greater voice to our local community
• Address the diversity and inequalities in health• Deliver and set new standards of excellence• Attract and retain the best staff
• Employer of choice• Provider of choice• The partner of choice• Influential voice• Legally binding contracts• Financial flexibility and opportunities• Income generation for the whole health economy• New vehicles for partnership• Commitment to local people
Foundation Trust Status for us …
Section 1 = membership- constituency- open to all within catchment
Section 2 = the Governors’ Consultative Council- representative of the Member- partner organisations are represented- appointment process for the Chair - arrangement and responsibilities of the Governors
Section 3 = Information on the Trust Board- Chair and CE appointment process- Roles and responsibilities EDs and NEDs
Constitution
• Membership is free
• Public Members must live within one of the electoral
constituencies
• Eligible to become a member if you live outside of this
area and have received treatment within the last 3 years
• Opt in versus opt out
• Patients automatically become members (opt out)
• Staff automatically become members
Membership
• Members must be over 16 years of age
• Members can vote in elections for the Governors’ Consultative Council
• Members can stand for election as a Governor
• Members invited to attend special functions such as open days,
tours and seminars
• Everyone is still entitled to take part in Trust activities
• NHS treatment is still free and based on clinical need
• Members will not have access to preferential clinical treatment or car
parking
Membership
Help to shape the Trust’s future
Governors’ Consultative Council
Elected (first past the post system) by the patients and
public membership (majority)
Patient Governors
Staff Governors
Stakeholder Governors appointed by our partner
organisations
Governors
• Not responsible for the day-to-day running of the Trust
• Governors are unpaid and serve for a term of up to 3 years
• Governors meet at least four times per year
• Responsible for appointing the Chair and NEDs
• Set the remuneration of the Chair and NEDs
• Approve the appointment of the Chief Executive
• Appoint the Trust Auditor
• Consulted on the development plans and any significant changes to
healthcare services
Governors
• 26 Public Governors
• 2 Patient Governors
• 5 Staff Governors
• 11 Stakeholder Governors
Elected Governors
- Birmingham Chamber of Commerce - Birmingham City Council- Solihull Care Trust - Solihull Chamber of
Commerce- Birmingham East and North (BEN) PCT - Stepping Stones- Solihull Metropolitan Borough Council - South Staffs PCT- Joint Lichfield & Tamworth Borough Council
- Birmingham City Council
- University of Birmingham
TOTAL = 44
The Heart of the Country
Birmingham at Large
Population: 687,01315,140 patientsAverage deprivation ranking: 1,884
Solihull South
Blythe, Dorridge and Hockley Heath, St Alphege, Knowle, Meriden
Population: 51,12310,821 patientsAverage deprivation ranking: 8,027
Solihull Central
Shirley West, Shirley South, Shirley East, Olton, Lyndon, Elmdon, Silhill, Bickenhill
Population: 97,79331,806 patientsAverage deprivation ranking: 5,955
North Solihull
Castle Bromwich, Smith’s Wood, Kingshurst and Fordbridge, Chelmsley Wood
Population: 50,60116,209 patientsAverage deprivation ranking: 1,577
Central Birmingham
Nechells, Washwood Heath, Sparkbrook, Bordesley Green, Yardley, Acock’s Green, Springfield
Population: 221,96648,442 patientsAverage deprivation ranking: 405
East Birmingham
Hodge Hill, Shard End, Stechford, Sheldon
Population: 68,10832,257 patientsAverage deprivation ranking: 1,189
BirminghamPopulation: 977,08729.6% of population from an ethnic minority backgroundA diverse, multi-ethnic inner-city community
Borough of Solihull
Population: 199,5175.41% of population from an ethnic minority background70% green belt land
Catchment Overview
GOVERNORS’ CONSULTATIVE COUNCIL
1. To receive Apologies
2. Presentation of 10 Year investment Plan – Mark Goldman and Adrian Stokes Paper to follow
3. Any Other Business
AGENDA
Governor Sub Committees
•Governance & Risk•Audit Committee•Donated Funds Committee•Finance Committee•Trust Board•Governors’ Consultative Council (GCC)•Governors’ Working Party