Doncaster and South Humber Doncaster and South Humber Healthcare - - PowerPoint PPT Presentation

Doncaster and South Humber Doncaster and South Humber Healthcare NHS Trust Healthcare NHS Trust – – Achieving Achieving Foundation Trust Status Foundation Trust Status

Dr Gillian Fairfield Chief Executive & Sandra Good Director of Strategic Development

Contents Contents

• Introduction

Dr Gillian Fairfield

• Foundation Trust

Sandra Good

• Questions

All

Background Background

• Established in 2004 following Health and

Social Care (Community Health and Standards) Act 2003

• Regulations revised in 2005 to allow 2

٭ ٭

• Rationale
• devolved decision making
• greater financial flexibility
• increased local accountability

Benefits Benefits

• Opportunities to enhance the local

environment by investing in buildings & services according to local priorities

• Respond quickly to market opportunities
• Set our own pace for initiatives
• Opportunities to innovate
• Implement PbR early

Benefits cont . Benefits cont .

• Longer timescales to allow potential to incur

losses whilst awaiting long term benefits

• Opportunities to borrow capital and revenue
• Opportunity to make and retain surpluses
• Facility to form or become corporate bodies
• Opportunity to enter into joint ventures
• Ability to partner a broad range of organisations

Key Differences Key Differences

• Independent public sector organisations
• Not subject to directions from Secretary of State

for Health

• Not performance managed by SHA or DoH
• Have legally binding contracts with

commissioners

• Do not have access to or be asked to contribute

brokerage

Restrictions Restrictions

• Borrow from private sector outside Prudential

Borrowing Limit (PBL) set by Monitor

• Disinvest in services
• Ignore national targets & standards
• Ignore legal requirements
• Generate income above private patients limit
• Provide services outside Health and Social Care

Act 2003 or terms of authorisation

Foundation Trust Application Foundation Trust Application

• Three phases

– DoH Development Phase includes Public Consultation – Historical Due Diligence – Monitor Assessment Phase

Achieving Foundation Trust Status Achieving Foundation Trust Status

• What do Monitor look for?
• Financially robust
• Well managed
• legally constituted
• Ongoing monitoring
• Annual assessment
• In year monitoring (risk related)
• Intervention

Progress to Date Progress to Date

• Formal paper to January Trust Board
• Letter to DoH expressing our interest in wave 3a
• Establishment of Programme Board and sub

groups

• Staff road shows – February 2006
• First draft Integrated Business Plan submitted
• IBP workshops – May 2006
• HR workshops – June 2006
• Recruitment of Project Manager
• External presentations & discussions

Engaging the Community Engaging the Community -

• Membership

Membership

• Representative – patients, carers, public, partners

& staff

• Members can:-
• elect representatives to the Board of Governors
• stand for election
• become Trust Chair or Non Executive Director
• receive information about & be consulted on plans

for the future of the Trust and its services

How the Public Are Involved How the Public Are Involved – – Membership (draft) Membership (draft)

• Become part of the public constituency
• Members
• Public membership is divided across 4

localities – Rotherham, Doncaster, North and North East Lincolnshire

• Target is 2100 (940 by January 2007)

How Patients and Carers Are Involved How Patients and Carers Are Involved – – Membership (draft) Membership (draft)

• Become part of the patient and carer

constituency

• Members
• Patient membership is anyone who is or has

received inpatient or outpatient services & whose name is on the electoral roll

• Target is a minimum of 100
• Carer constituency is being developed

How Are Staff Involved How Are Staff Involved – – Membership (draft) Membership (draft)

• Become part of the staff constituency
• Automatic, with opt out for eligible staff

Role of Governors Role of Governors

• Represent the interests of members & partner
• rganisations
• Regularly feed back to their constituency
• Chair or attend sub committees
• Appoint the Chair and Non Executives
• Appoint the Trust’s Auditor and receive annual

accounts, auditor’s reports & annual report

• Work with the Board to produce plans
• Inform Monitor of unresolved performance

problems

How the Public Are Involved How the Public Are Involved – – Governors (draft) Governors (draft)

• 10 elected public Governors
• 4 Rotherham
• 4 Doncaster
• 1 North Lincolnshire
• 1 North East Lincolnshire

How Patients and Carers Are Involved How Patients and Carers Are Involved – – Governors (draft) Governors (draft)

• Carer Governors

(up to 5) 1 each from:-

• Patient Governors

(up to 5) 1 each from:-

• Adult Mental Health
• Older People’s Mental Health
• Learning Disability
• CAMHS (minimum age 16 years)
• Substance Misuse

How Are Staff Involved How Are Staff Involved – – Governors (draft) Governors (draft)

• 5 elected staff Governors
• Medical
• Nursing
• Allied Health Professions/Psychology
• Social Care
• Non clinical

How Partner Organisations Are How Partner Organisations Are Involved (draft) Involved (draft)

• Partner Governors
• Primary Care Trusts - Rotherham, Doncaster,

North & North East Lincolnshire (4)

• Local Authority - Rotherham, Doncaster, North &

North East Lincolnshire Councils (4)

• Yorkshire & Humber SHA

(1)

• Voluntary sector

(2)

• University

(1)

• GP

(1)

Board of Governors (draft) Board of Governors (draft)

• Public Governors

10

• Patient Governors

up to 5

• Carer Governors

up to 5

• Staff Governors

5

• Partner Governors

13

• Total

38* * Balance in favour of Public Governors

Any Questions ? Any Questions ?