Annual Report and Accounts - The Great Western Hospital

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5.1.5 Attendance at meetings of the Council of Governors during 2011/12 There were 7 meetings of the Council of Governors in 2011/12, one of which was a joint meeting with the Annual Members Meeting and another being a joint meeting with the Board of Directors. The table below shows governor and director attendance at those meetings: - Attendee (̌ = attended X = did not attend) Governors 11/04/11 24/06/11 21/07/11 22/09/11 *1 23/11/11 26/01/11 12/03/12 *2 Vicki Barnett n/a n/a n/a n/a ̌ ̌ ̌ Clive Bassett n/a n/a n/a n/a ̌ ̌ ̌ Andy Cresswell n/a n/a n/a n/a Rachel Cross ̌ ̌ ̌ ̌ ̌ n/a n/a Harry Dale ̌ ̌ ̌ ̌ ̌ Geraint Day ̌ ̌ ̌ ̌ Lesley Donovan ̌ n/a n/a n/a n/a n/a Jon Elliman n/a n/a n/a n/a ̌ ̌ Bill Fishlock ̌ ̌ ̌ ̌ Godfrey Fowler ̌ ̌ ̌ ̌ ̌ ̌ ̌ Marcus Galea ̌ ̌ ̌ ̌ ̌ Peter Hanson ̌ ̌ ̌ ̌ ̌ Janet Jarmin ̌ ̌ ̌ ̌ ̌ Srini Madhavan ̌ ̌ ̌ ̌ ̌ ̌ Brian Mattock n/a n/a n/a n/a ̌ Jemima Milton n/a n/a n/a n/a ̌ ̌ Kevin Parry n/a n/a n/a n/a ̌ Phil Prentice ̌ ̌ ̌ ̌ ̌ ̌ ̌ David Renard ̌ ̌ n/a n/a Carole Soden n/a n/a n/a n/a n/a n/a David Stevens ̌ ̌ ̌ ̌ ̌ ̌ ̌ Ros Thomson ̌ ̌ ̌ ̌ ̌ ̌ Margaret Toogood ̌ n/a n/a n/a n/a n/a n/a Katherine Usmar ̌ n/a n/a Margaret White n/a ̌ ̌ ̌ ̌ ̌ ̌ Directors Jenny Barker n/a n/a Helen Bourner ̌ ̌ ̌ Robert Burns ̌ ̌ ̌ Rowland Cobbold ̌ ̌ ̌ ̌ ̌ ̌ Liam Coleman ̌ ̌ Oonagh Fitzgerald ̌ ̌ Angela Gillibrand ̌ ̌ ̌ Roger Hill ̌ ̌ Lyn Hill-Tout ̌ n/a n/a n/a n/a Guy Rooney ̌ ̌ n/a n/a n/a Bruce Laurie (Chair) ̌ ̌ ̌ ̌ ̌ ̌ ̌ Maria Moore ̌ ̌ ̌ Sue Rowley ̌ Kevin Small ̌ ̌ Alf Troughton ̌ ̌ ̌ ̌ Nerissa Vaughan n/a n/a n/a n/a ̌ ̌ ̌ *1 Joint Council of Governors meeting with Annual Members Meeting *2 Joint Council of Governors meeting with the Board of Directors Page 56 of 211
5.1.6 Lead and Deputy Lead Governors In November 2011, Harry Dale, previously the Deputy Lead Governor, was nominated as the Lead Governor for one year replacing Godfrey Fowler and Ros Thomson was nominated as the Deputy Lead Governor. The Lead Governor is responsible for receiving from governors and communicating to the Chair any comments, observations and concerns expressed by governors other than at meeting of the Council of Governors regarding the performance of the Trust or any other serious or material matter relating to the Trust or its business. The Deputy Lead Governor is responsible for supporting the lead governor in his role and for performing the responsibilities of the lead governor if he is unavailable. The Lead Governor regularly meets with the Chair of the Trust both formally and informally. In addition the Lead Governor communicates with other governors by way of regular email correspondence. 5.1.7 Biography of individual governors A biography of each governor is included on the Trust’s website. 5.1.8 Role and function of the Council of Governors The Council of Governors has a duty under the National Health Services Act 2006 to represent the views of foundation trust members and stakeholders, to the Board of Directors and the management of the Trust. The Trust keeps the Council of Governors fully informed on all aspects of the Trust’s performance. This is done through formal Council meetings, and through working groups set up by the Council of Governors. These are explained in detailed elsewhere in this report (section 5.1.11 refers). 5.1.9 Statement setting out how the Council of Governors and the Board of Directors operate The overall responsibility for running the Trust lies with the Board of Directors and the Council of Governors is the collective body through which the directors explain and justify their actions. The Board has a scheme setting out which decisions it will make itself, known as the Reservation of Powers to the Board (section 5.2.7 elsewhere in this report refers) and there is a Scheme of Delegation which sets out powers delegated to staff. It is the responsibility of the Council of Governors to represent the views and interests of the members, to hold the Board of Directors to account for the performance of the NHS Foundation Trust and to ensure the Trust acts within the terms of its authorisation. The Council of Governors also works with the Board of Directors to shape the future strategy of the organisation. The Council of Governors has specific statutory powers and duties including: • appointing and, if appropriate, removing the chair • appointing and, if appropriate, removing the non-executive directors • deciding the remuneration and allowances and the other terms and conditions of office of the chair and the other non-executive directors • approving the appointment of the chief executive • appointing and, if appropriate, removing the Trust’s auditor • receiving the Trust’s annual accounts, any report of the auditor on them and the annual report Page 57 of 211
Page 1:
Great Western Hospitals NHS Foundat
Page 5 and 6: CONTENTS 1 Chair and Chief Executiv
Page 7 and 8: The Great Western Hospital became a
Page 9 and 10: Underpinning this, our values are t
Page 11 and 12: 3.2 Principal activities of the Tru
Page 13 and 14: Further Companies Act Disclosures 3
Page 15 and 16: Business Review / Management Commen
Page 17 and 18: 3. To ensure that staff are proud t
Page 19 and 20: 6. To work in partnership with othe
Page 21 and 22: With funding received from the Depa
Page 23 and 24: 3.13 Contractual arrangements The T
Page 25 and 26: Patient care 3.16 Development of se
Page 27 and 28: 3.20 New or significantly revised s
Page 29 and 30: 3.24 Complaints Handling For the Tr
Page 31 and 32: The Trust actively responds to feed
Page 33 and 34: 3.25 Using patient experience to dr
Page 35 and 36: The table below shows the CQUIN res
Page 37 and 38: Action plans based on the Quarterly
Page 39 and 40: 3.27 Development of services with o
Page 41 and 42: 3.29 Health and Overview Scrutiny C
Page 43 and 44: 3.32.5 Interests held by Directors
Page 45 and 46: 4.3 Attendance at meetings of the R
Page 47 and 48: 4.7 Board of Directors’ employmen
Page 49 and 50: Remuneration Name Title Salary (Ban
Page 51 and 52: 4.8.4 Additional disclosures The Tr
Page 53 and 54: 5.1.2 Elected Governors - Public Co
Page 55: 5.1.4 Nominated Governors Name Nomi
Page 59 and 60: “Eyes and Ears” - An initiative
Page 61 and 62: 5.1.12 Nominations and Remuneration
Page 63 and 64: Rowland Cobbold, Non-Executive Dire
Page 65 and 66: Lyn Hill-Tout, Chief Executive (unt
Page 67 and 68: 5.2.3 Length of appointments of Non
Page 69 and 70: 5.2.6 Attendance at meetings of the
Page 71 and 72: 5.3 Audit Committee 5.3.1 The Audit
Page 73 and 74: 5.4 Directors’ responsibility for
Page 75 and 76: Note: Angela Gillibrand and Rowland
Page 77 and 78: The Mental Health Act / Mental Capa
Page 79 and 80: The Trust has a wide range of staff
Page 81 and 82: 5.8.6 Membership Strategy To encour
Page 83 and 84: 5.9 Code of Governance Disclosure S
Page 85 and 86: 6 QUALITY REPORTS Part 1 - Statemen
Page 87 and 88: Part 2 - Priorities for improvement
Page 89 and 90: 6.3.1 Review of services and partic
Page 91 and 92: The trust chose not to contribute t
Page 93 and 94: No. Audit Title Reconstruction Audi
Page 95 and 96: The reports of 273 local clinical a
Page 97 and 98: No. Audit Title 15. Non Invasive Ve
Page 99 and 100: No. Audit Title Antibiotic Prescrib
Page 101 and 102: No. Audit Title 50. NICE CG111 - No
Page 103 and 104: Great Western Hospitals NHS Foundat
Page 105 and 106: Part 3 - Other Information 6.4 Over
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GRAPH - Clostridium Difficile WCHS2
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GRAPH - Medicine incidents by type
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Harm from falls WCHS: It was not po
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• Rolling educational programme w
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CHART - Relative risk SW Acute Trus
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Following the Trust’s merge in Ju
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Priority 7: Participation on the Re
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All the guidelines have been dissem
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This has been achieved by: • Mont
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• As a result of complaints and c
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CHART - National Sentinel Stroke Au
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Priority 16: To ensure patients are
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6.5 Care Quality Commission (CQC) I
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6.7 Statement of Directors’ respo
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a Quality Account and the opportuni
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Overall, the Trust has good plans t
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Graph 1 - GWH carbon footprint (ton
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The Trust is working with local bus
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Graph 9 - Total tonnes of waste pro
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The Trust will be working towards a
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Detailed below is a summary of the
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Wiltshire Community Health Services
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providers. Feedback obtained across
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The Musculoskeletal Disorder team a
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10.2.2 Governance risk rating The t
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11 OTHER DISCLOSURES IN PUBLIC INTE
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13 AUDITOR’S OPINION AND CERTIFIC
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14 ANNUAL GOVERNANCE STATEMENT 14.1
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• the key controls to mitigate ag
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14.4.6 Organisation Culture The Tru
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14.5 Review of economy, efficiency
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Process Board Role and Conclusions
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15 GLOSSARY OF TERMS BARS - Blood A
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16 FOREWORD TO THE ACCOUNTS 16.1 Fo
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1 CHAIR AND CHIEF EXECUTIVE’S REP
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2 OUR TRUST 2.1 Vision - Your healt
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3 DIRECTOR’S REPORT General Compa
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3.3.2 The Brunel Treatment Centre O
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14 In relation to the use of financ
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Checklist, a World Health Organisat
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organisations to adapt to these cha
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TABLE - Wiltshire Community Activit
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The Trust is currently reviewing it
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Enhanced Quality Governance Reporti
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The Trust is using its foundation t
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of implementing the programme. Incl
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As part of the corporate back offic
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What patients and service users hav
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3.25.3 Patient Surveys The PICKER I
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3.25.5 Annual Inpatient Survey The
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CHART - Percentage of patients who
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3.28 Working with our partners to s
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3.31 Statement as to disclosures to
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4 REMUNERATION REPORT Information n
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4.5 Remuneration of senior managers
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4.8 Pension Benefits and Remunerati
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The accounting policies for pension
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5 NHS FOUNDATION TRUST CODE OF GOVE
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There is currently a vacancy for th
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5.1.5 Attendance at meetings of the
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In addition, in preparing the Trust
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5.1.11 Council of Governors Meeting
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5.2 Board of Directors 5.2.1 The Bo
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Roger Hill, Non-Executive Director
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Helen Bourner, Director of Business
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5.2.4 Statement about the balance,
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5.2.9 Significant Commitments of th
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5.3.2 The work of the Audit, Risk a
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5.6 Nominations Committee 5.6.1 The
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5.7 Mental Health Act / Mental Capa
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5.8 Membership 5.8.1 Membership The
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The groupings of the members in the
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5.8.8 Membership development propos
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G.1.2 - The Board should clarify in
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and Governors. We have also commenc
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Regulation 1. To sustain compliance
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Audit / confidential enquiry title
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Audit Title Submitted/Required (%)
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No. Audit Title Learning From The P
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No. Audit Title 8. Diabetes Ketoaci
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No. Audit Title Audit Summary/Learn
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No. Audit Title Audit Summary/Learn
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6.3.4 Registration with Care Qualit
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Steering Group, provides a quarterl
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Clostridium Difficile: The goal for
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Priority 2: To reduce harm associat
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Priority 3: To reduce harm associat
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Pressure ulcers Community: The comm
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Safe care of the patient receiving
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CHART - Serious Incidents grouped b
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The three top serious incident caus
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West conference call in August 2011
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Priority 9: To review the clinical
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Priority 12: To undertake nutrition
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• A regular ongoing training prog
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Community: • Q1 Performance April
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The survey results demonstrate that
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6.6 Performance against key nationa
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6.8 Statements from Primary Care Tr
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6.8.4 Wiltshire Primary Care Trust
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6.9 Independent Assurance Report to
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7 SUSTAINABILITY REPORTING 7.1 Stro
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Graphs 3 and 4 show energy consumpt
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Graph 7 - Water consumption in WCHS
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8 EQUALITY REPORTING 8.1 Equality d
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9 STAFF SURVEY REPORT 9.1 Our staff
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It was agreed that we would focus o
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Appraisal rates. The overall rate f
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A quarterly “Voluntary Service Ma
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10 REGULATORY RATINGS REPORT 10.1 M
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10.3.2 Explanation for differences
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12 STATEMENT OF ACCOUNTING OFFICER
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14.4 The risk and control framework
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Risk Licence to operate (compliance
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The governors and wider stakeholder
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Steps which have been put in place
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14.8 Conclusion I have not identifi
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SHA - Strategic Health Authority SW
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Annual Report and Accounts - The Great Western Hospital

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