TB2012.30
Trust Board Meeting: Thursday 3 May 2012
TB2012.30
Title
Foundation Trust update
Status
A paper for information
History
Regular monthly report
Board Lead(s)
Mr Andrew Stevens, Director of Planning and Information
Key purpose
Strategy
TB2012.30_FT update report
Assurance
Policy
Performance
Oxford University Hospitals
TBC2012.30
1. The Foundation Trust Programme Board met on 23 April and received a series of
updates.
2. As part of a process of quality governance assessment by the Strategic Health
Authority, a day’s peer review visit took place on 16 April to the Gastroenterology
service. Initial feedback was positive and many positive features of good practice
were identified. Detailed feedback is due to be received in mid-May. In the
meantime, the Gastroenterology team should be thanked and it should be noted that
a theme from the visit was the need – and opportunity in the forthcoming production
of a Quality Strategy – for the production and dissemination of clear and simple set
of Trust-wide quality priorities and messages.
3. Membership recruitment activity is under way. The Trust now has nearly 6,000
public and patient members and is working to prepare for public consultation on its
proposed governance arrangements as an NHS Foundation Trust. A draft consultation
document will come to the Board for approval at its June meeting and preconsultation work is under way. Public meetings are being arranged and the
participation of Board members is invited.
4. An integrated governance action plan was also agreed, bringing together actions
needed to meet requirements set out in the national Board Governance Assurance
Framework and Historical Due Diligence, plus anticipated Quality Governance
assessment. A series of papers to the Board at its May, June and July meetings will
enable this plan to be completed.
5. Board members have been sent by the Director of Finance a copy of Monitor’s Chair’s
letter of 17 April setting out the regulator’s planning assumptions for NHS Foundation
Trusts and applicants. In considering these, the Programme Board noted that whilst
the recurrent savings challenge remained similar in nature to that which already
existed, the revised assumptions incorporating additional non-recurrent savings
represent a call to action, and that the trust and its commissioners need to agree
how this is to be addressed. When considering the revised Integrated Business Plan
in May, the Board will be asked to agree that the analysis within it of risk and related
mitigations is appropriate.
6. KPMG have produced the first stage of their ‘Mock Historical Due Diligence’ report,
commissioned by the Trust to provide informed and independent assessment of its
state of readiness. Informed by this, by discussion at the Board’s April meeting, and
by discussions with the Strategic Health Authority, the Programme Board has
recommended that the Chief Executive confirms with NHS South of England that
OUH:
a. Is committed to continuing to deliver against the deadlines contained in the
Tripartite Foundation Trust Agreement (TFA) signed in September 2011;
b. Remains committed to the existing timescale for public consultation (from late
June);
TB2012.30_FT update report
Oxford University Hospitals
TBC2012.30
c. Is prepared to bring forward the initiation of Historical Due Diligence phase 1 to
late July (from September);
d. Proposes holding a readiness review with the SHA in September. The SHA have
clarified that this will be a meeting for the whole Board;
e. Anticipates agreeing dates for the next part of the FT application process in
September, recognising the challenges posed by the requirements of the national
Single Operating Model when set against the TFA agreed last year.
7. Anticipating the initiation of external assessment (of Board Governance, financial
governance and quality governance) in or around July, a programme of activity for
Board members and Divisional Directors is being developed, to provide the necessary
briefing and information on relevant aspects of operation as a Foundation Trust.
8. Board members can anticipate receiving a revised draft of the Integrated Business
Plan and supporting strategies for review in advance of a workshop meeting on 16/17
May. This iteration of the plan is due to be sent to NHS South of England by 31 May.
9. A timetable showing key dates in the forward programme is attached (Appendix A).
Recommendation
The Board is asked to note progress with the preparation for the Trust’s
application for Foundation Trust status.
The Board is asked to approve the response to the SHA, as detailed in Paragraph
6, following discussions on the implications of the new Single Operating Model for
FT applications.
Mr Andrew Stevens, Director of Planning and Information
Mr Jonathan Horbury, Foundation Trust Programme Director
May 2012
TB2012.30_FT update report
TB2012.30
Month
Board meeting public
Board meeting
private
Seminar programme items1
Appendix A
TFA deadlines [new items
marked *; proposed revisions
marked #]
Other related
activities
2012
1
May
3: Revisions to Committee
structure
June
7: Integrated performance
report includes governance
rating and financial risk rating
[PB]
Board agrees final draft of
public consultation paper [AS]
Board agrees Board Governance
Memorandum for Board
Governance Assurance
Framework assessment [EW]
July
5: Board agrees Quality
Strategy
16 -17: Risk, risk tolerance and
assurance [EW]
Part 3 of strategy programme –
focus on patient experience [AS]
Review of v2 IBP and supporting
strategies –focus on strategy, risk
and finance [AS]
31: Submit to SHA:
IBP version 2
LTFM
Supporting estates, workforce
and IM&T strategies
Draft consultation document
Update on actions from
shadow HDD
7: Board adopts
proposed OUHFT
constitution. [AS]
Board agrees Board
Governance
Memorandum [EW]
Governance and BGAF preparation.
[EW]
Monitor Financial Risk Rating,
Liquidity, Long Term Financial
Model [MM]
Efficiency and value for money
[MM]
SHA meets with commissioners
Meeting (not Board) with SHA to
agree consultation
External BGAF assessment begins*
Public consultation begins
5: Quality Governance
Self-Assessment
(updated from
January). [ESH]
Workforce profile, challenges and
strategy [SD]
Care provision for a diverse
population with a diverse
workforce [ESH]
External BGAF assessment
completed*
SHA quality governance sign-off #
[from June]
Historical Due Diligence 1 begins #
[from September]
Quality Committee
considers draft
Quality Strategy
Proposed content for seminar activities, with dates to be agreed as part of the Board’s forward programme.
TB2012.30_FT update report
4
Oxford University Hospitals
Month
TBC2012.30
Board meeting
private
Board meeting public
Seminar programme items1
August
September
TFA deadlines [new items
marked *; proposed revisions
marked #]
Other related
activities
HDD1 completed # [from
September]
6:
October
6: Review of BGAF,
Quality Governance
and HDD1 reports
Self-certification
against Monitor
criteria
Preparation for
readiness review with
SHA
Consolidate learning and actions
from external assessments
[EW/MM/AS]
Submission of first selfcertification*
Submission of HDD1 # and BGAF*
12 (tbc): Readiness review – Board
with SHA Board*
4: Review IBP v3
Review governance
rating and FRR
Strategic thinking. Operating as a
‘unified board.’ Case studies of
success and failure [SD]
Part 4 of strategy programme [AS]
Public consultation completed
Independent HDD phase 2 # [from
December]
18: Board to Board rehearsal [AS]
November
1: Review outcome of
consultation and agree final
proposed constitution [AS]
Agree IBP version 3 [AS]
Self–certification of capacity
and capability
Self–certification of quality
governance
December
TB2012.30_FT update report
1: Review IBP v3
outstanding issues [AS]
Review B2B rehearsal [AS]
Pre-B2B briefing on v3 IBP [AS]
Review headlines on quality,
governance, performance, risk.
[All]
6:
New business models. Commercial
opportunities. Use of FT
flexibilities and freedoms. [MT]
Submission of IBP v3 to SHA for
approval
B2B with SHA to approve
application
5
Oxford University Hospitals
Month
TBC2012.30
Board meeting
private
Board meeting public
Seminar programme items1
TFA deadlines [new items
marked *; proposed revisions
marked #]
Other related
activities
2013
January
10: Updates to IBP [AS]
Membership and Governors
update
February
March
7: Agree IBP v4 as basis for
operating in 2013/14
TB2012.30_FT update report
10: Induction
programme for
Governors [AS]
Learning from risk rating and
management work since 3.2012.
Top-level risks and mitigations.
[EW]
7: SHA forwards IBP for DH
approval
Appointed
Governors
identified
7: Agree revisions to
IBP for submission to
Monitor v4 [AS]
Agree working capital
facility [MM]
Once approved by
DH, application
‘batched’ by
Monitor
Governor elections
begin
7:
Governors elected
Monitor assessment
may begin
6