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

Doncaster and South Humber Doncaster and South Humber Healthcare NHS Trust – – Achieving Achieving Healthcare NHS Trust 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 organisations • 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 ?