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Annual Report and Accounts 2012/13 - Royal Devon & Exeter Hospital

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70 4. Our Governance<br />

<strong>Royal</strong> <strong>Devon</strong> <strong>and</strong> <strong>Exeter</strong> NHS Foundation Trust<br />

<strong>Annual</strong> <strong>Report</strong> <strong>and</strong> <strong>Accounts</strong> <strong>2012</strong>/<strong>13</strong><br />

Board Meetings<br />

The papers for the monthly Part 1<br />

Board meeting <strong>and</strong> the approved<br />

minutes of the previous meeting are<br />

published on the Trust’s website in<br />

advance of the Board meeting. In<br />

advance of the legislation compelling<br />

NHS Foundation Trusts to hold their<br />

Board meetings in public, the RD&E<br />

decided in June <strong>2012</strong> to move to open<br />

Board meetings that were accessible<br />

to the public. These are meetings<br />

that take place in the public arena<br />

rather than public meetings, although<br />

members of the public have the<br />

opportunity to ask questions at the end<br />

of the public section of the meetings.<br />

Items of a confidential nature are<br />

discussed by the Board in private<br />

in a monthly ‘Part 2’ meeting. The<br />

issues discussed in the closed sessions<br />

tend to be commercial in confidence<br />

issues that may impede the conduct<br />

of the Trust’s business if they were to<br />

be aired publicly. The 1960 Act on<br />

admissions to public meetings is used<br />

by the Board to help determine which<br />

topics are discussed privately <strong>and</strong>, over<br />

the course of the year, the Board has<br />

sought to discuss the majority of its<br />

business in open session.<br />

In addition to its ten formal Board<br />

meetings, the Board also holds a<br />

number of development <strong>and</strong> strategy<br />

sessions as well as briefing meetings<br />

<strong>and</strong> seminars. It also has increasingly<br />

used task <strong>and</strong> finish groups to tackle<br />

key issues.<br />

The framework within which decisions<br />

affecting the work of the Trust<br />

are made are set out in the Trust’s<br />

published St<strong>and</strong>ing Orders, St<strong>and</strong>ing<br />

Financial Instructions <strong>and</strong> Scheme of<br />

Delegation, copies of which may be<br />

viewed on the Trust’s website (www.<br />

rdehospital.nhs.uk) or on request from<br />

the Foundation Trust Secretary.<br />

The composition of the Board<br />

is in accordance with the Trust’s<br />

Constitution <strong>and</strong> the Policy for the<br />

Composition of NEDs on the Board.<br />

The Board considers it is appropriately<br />

composed in order to fulfil its<br />

statutory <strong>and</strong> constitutional function<br />

<strong>and</strong> remain within Monitor’s Terms<br />

of Authorisation. In consultation<br />

with Governors, it has, through its<br />

recruitment of NEDs, been able to<br />

maintain a good quality <strong>and</strong> effective<br />

Board that is appropriately balanced<br />

<strong>and</strong> complete.<br />

There is a clear division of responsibility<br />

between the Chairman <strong>and</strong> the Chief<br />

Executive. The Chairman heads the<br />

Board, providing leadership <strong>and</strong><br />

ensuring its effectiveness in all aspects<br />

of its role, <strong>and</strong> sets the Board agenda.<br />

The Chairman ensures the Board<br />

receives appropriate information<br />

to ensure that Board Members can<br />

exercise their responsibilities <strong>and</strong> make<br />

well-grounded decisions. The Chief<br />

Executive is responsible for running<br />

all operational aspects of the Trust’s<br />

business, assisted by the team of<br />

Executive Directors.<br />

The Chairman <strong>and</strong> all Non-Executive<br />

Directors meet the independence<br />

criteria laid down in Monitor’s Code<br />

of Governance (Provision A.3.1).<br />

The Board is satisfied that no direct<br />

conflicts of interest exist for any<br />

member of the Board. There is a full<br />

disclosure of all Directors' interests<br />

in the Register of Directors’ Interests,<br />

which is available upon request from<br />

the Foundation Trust (FT) Secretary.<br />

Directors <strong>and</strong> Governors may appoint<br />

advisors to provide additional expertise<br />

on particular subjects if required.<br />

The Board of Directors is accountable<br />

to the membership via the Council of<br />

Governors. The Chairman informs the<br />

Council of Governors about the work<br />

<strong>and</strong> effectiveness of the Board at each<br />

Council Meeting.<br />

The business of the Trust is conducted<br />

in an open manner <strong>and</strong> annual<br />

schedules of meetings for the Board of<br />

Directors <strong>and</strong> Council of Governors are<br />

published twelve months in advance.

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