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

More documents

Recommendations

Info

5. Our Governors and Members Royal Devon and Exeter NHS Foundation Trust Annual Report and Accounts 2012/13 109 The tables below set out the ways in which the CoG currently puts its accountability duties into action and what additional reforms were necessary to enable the CoG to fulfil its statutory role: 1. Confidence that the Board is effectively discharging its role in ensuring that the organisation is performing effectively Existing New options/requirements • The Board having effective quality, safety and performance assurance mechanisms in place and has acted on any concerns in relation to issues concerning Trust performance This is gained from reading Board papers and Board minutes, observing the Board in its open session, and having access to regulatory reports on performance. • Receiving an overview at CoG meetings of the Trust’s performance overall, and the focus and actions taken by the Board in relation to any concerns to assure the CoG that the Board is operating effectively This is gained from receiving a quarterly performance report that provides an overview of Trust performance and which describes the role of the Board’s focus and attention during this period. • Holding a regular open question and answer session with the Chief Executive as well as regular updates from Executive Directors • Understanding the role of NEDs. This currently takes place by having regular slots on CoG agendas for NEDs to discuss their role as Chairs of Committees • Receiving the Annual Report • Receiving an overview from the external auditors at the Annual Members Meeting • Receiving the external audit of the Trust’s Quality Account. • Annual CoG-Board meeting to allow the Board to provide an overview of its key activities, concerns, actions and development agenda (and vice-versa) • Rota of NEDs meeting with the CoG on a regular basis to enable them to explain their role, their view on key challenges for the Board and to be questioned by Governors • Receiving regular updates on the Quality Account priorities • The Board specifically drawing to the attention of CoG changes in the Trust’s Annual Plan and relevant performance risks/or any other issues that might concern regulators • Governors having regard to relevant information from other organisations about the Trust including NHS Devon, Healthwatch Devon, Devon Link, regulatory reports etc. Mandatory requirements • Before each Board meeting, the Board of Directors must send a copy of the agenda to the Council of Governors • After the meeting, the Board of Directors must send a copy of the minutes to the Council of Governors.
110 5. Our Governors and Members Royal Devon and Exeter NHS Foundation Trust Annual Report and Accounts 2012/13 2. Being satisfied that the Board has the right people with the right mix of skills to perform their role effectively Existing New options/requirements • Working with the Board to identify priorities for the skills and experience required to maintain an effective Board The Nominations Committee has the delegated authority to develop and run recruitment processes that require approval by the CoG. • The CoG has the power to remove the Chairman or NEDs This power can be used if the CoG comes to a collective view that individuals in question are not performing effectively or not adding value to the effectiveness of the Board. • Receiving an overview of the relative effectiveness of the NEDs (from the Chairman) and Chairman (from the Senior Independent Director) through detailed feedback to the Nominations Committee (as well as broader feedback to the CoG as a whole) • Determine the pay and conditions of NEDs by having a NED Remuneration Committee that proposes changes to NED Remuneration for approval by the CoG • Approving the appointment of the Chief Executive • Receiving an annual overview of Board development from the Chairman • Receiving any external analysis on Board effectiveness from external parties CoG duty to represent the interests of the Members of the Trust The duty to represent the interests of Members of the Trust and the wider public is new. However, as above, the current Code of Governance states that the CoG is “responsible for representing the interests of NHS Foundation Trust Members and partner organisations in the local health economy in the governance of the NHS Foundation Trust.” The main differences are: • The most significant change, which relates to the greater focus on local accountability given the changing role of Monitor, is clear in the new powers granted to the CoG in relation to issues such as mergers and acquisitions, private patient income, and significant transactions • The CoG has a brief to represent the views of the public (and not just members). The statutory duty and the associated powers imply that the CoG has a role both in representing the views of the members and public to the Trust but in addition, that it has powers designed to ensure that the interests of members/public are taken into consideration within the newly emerging healthcare context. This latter change results from the shift in Monitor’s role in which it will no longer have a compliance function. The CoG duty to represent the views of the public is currently addressed via Members' Say and other research mechanisms (on the basis that the current membership is broadly representative of the wider community). These research methods along with other planned activities to reach out to under-represented groups would appear to be reasonably well covered currently.
Page 1:
1. Our Year Royal Devon and Exeter
Page 5 and 6:
2 Royal Devon and Exeter NHS Founda
Page 7 and 8:
4 1. Our Year Royal Devon and Exete
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
10 1. Our Year Royal Devon and Exet
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
26 2. Our Trust Royal Devon and Exe
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
62 3. Quality Report Royal Devon an
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Royal Devon and Exeter NHS Foundati
Page 73 and 74:
1. Chief Executive’s Introduction
Page 75 and 76:
1. Chief Executive’s Introduction
Page 77 and 78:
Page 79 and 80:
2. Progress on our 2012/13 Prioriti
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
2. Our Priorities for 2013/14 Royal
Page 101 and 102:
2. Our Priorities for 2013/14 Royal
Page 103 and 104:
2. Statement of Assurance from the
Page 105 and 106:
Page 107 and 108:
2. 2012/13 Quality Schemes Royal De
Page 109 and 110:
2. 2012/13 Quality Schemes Royal De
Page 111 and 112:
Page 113 and 114:
2. Core Indicators Royal Devon and
Page 115 and 116:
2. Core Indicators Royal Devon and
Page 117 and 118:
Page 119 and 120:
3. Quality Indicators Royal Devon a
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
4. Annex A Royal Devon and Exeter N
Page 127 and 128:
4. Annex A Royal Devon and Exeter N
Page 129 and 130:
4. Annex B Royal Devon and Exeter N
Page 131 and 132:
4. Annex C Royal Devon and Exeter N
Page 133 and 134:
4. Annex C Royal Devon and Exeter N
Page 135 and 136: 4. Annex D Royal Devon and Exeter N
Page 143 and 144: 4. Annex E Royal Devon and Exeter N
Page 145 and 146: 68 4. Our Governance Royal Devon an
Page 177 and 178: 100 4. Our Governance Royal Devon a
Page 179 and 180: 102 5. Our Governors and Members Ro
Page 185: 108 5. Our Governors and Members Ro
Page 211 and 212: 134 5. Our Governors & Members Roya
Page 213 and 214: ROYAL DEVON AND EXETER NHS FOUNDATI
Page 229 and 230: 1. ACCOUNTING POLICIES (CONTINUED)
Page 235 and 236: 5. Operating expenses ROYAL DEVON A
Page 237 and 238:
ROYAL DEVON AND EXETER NHS FOUNDATI
Page 239 and 240:
Page 241 and 242:
19. Current trade and other payable
Page 243 and 244:
25. Related party transactions (con
Page 245 and 246:
show all

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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?