Clive wilkinson

1. Governance of Foundation Trusts
A New Era
Clive Wilkinson
Chairman

2. The
• 98% brand recognition
• £15 billion non pay expenditure
• Massive health spend 10% GDP by 2008
• Spend on equipment alone approximately 28%

4. Structure of the NHS
Secretary of State Monitor
Department of Health
Private
Strategic Health Authority 10 Sector
Primary Care Trusts 152
Acute Trusts 175 Foundation Trusts 92

5. • Reinventing itself through system reform and major
policy initiatives:
– Funds flow
– Choice
– Foundation Trusts
– World-class commissioning
• With the aim of:
– Setting and improving standards
– Diversity of provision
– Patient-centred care
– Employer of choice

6. Complexity of NHS Agenda
Challenges URGENT LONG-TERM Responses
CARE CARE
Alternatives to admission Case Management Professional
Strong FTs Commissioning
Out of Hours Services Disease Management
Financial legacy Crisis Resolution Integrated Social Care Prioritising Change
Urgent Care Self Care
Diversity of Providers Evidence on models
Centres
PbR of care
End of 10% growth PLANNED IMPROVING Changing Pathways
CARE HEALTH
Choice Investment Planning
Public expectation Minor Surgery Obesity/Smoking Contracts
Diagnostics Regeneration
18 weeks Quality standards
“Tier 2” Services Diet & Exercise
Standards Ambulatory Care Sexual Health Measuring impacts
PwSI Services Mental Wellbeing

8. Foundation Trusts –
organisations liberated to …
• Deliver patient care connected to the needs of local
communities and individual patients
• Recognise and deliver its obligations to the continued
wellbeing of the community
• Welcome working in partnership operating under legally
binding agreements
• Give a greater voice to our local community
• Address the diversity and inequalities in health
• Deliver and set new standards of excellence
• Attract and retain the best staff

9. Foundation Trust Status for us …
• Employer of choice
• Provider of choice
• The partner of choice
• Influential voice
• Legally binding contracts
• Financial flexibility and opportunities
• Income generation for the whole health economy
• New vehicles for partnership
• Commitment to local people

11. Constitution
Section 1 = membership
- constituency
- open to all within catchment
Section 2 = the Governors’ Consultative Council
- representative of the Member
- partner organisations are represented
- appointment process for the Chair
- arrangement and responsibilities of the Governors
Section 3 = Information on the Trust Board
- Chair and CE appointment process
- Roles and responsibilities EDs and NEDs

12. Membership
• Membership is free
• Public Members must live within one of the electoral
constituencies
• Eligible to become a member if you live outside of this
area and have received treatment within the last 3 years
• Opt in versus opt out
• Patients automatically become members (opt out)
• Staff automatically become members

13. Membership
• Members must be over 16 years of age
• Members can vote in elections for the Governors’ Consultative Council
• Members can stand for election as a Governor
• Members invited to attend special functions such as open days,
tours and seminars
• Everyone is still entitled to take part in Trust activities
• NHS treatment is still free and based on clinical need
• Members will not have access to preferential clinical treatment or car
parking

14. Governors
Help to shape the Trust’s future
Governors’ Consultative Council
Elected (first past the post system) by the patients and
public membership (majority)
Patient Governors
Staff Governors
Stakeholder Governors appointed by our partner
organisations

15. Governors
• Not responsible for the day-to-day running of the Trust
• Governors are unpaid and serve for a term of up to 3 years
• Governors meet at least four times per year
• Responsible for appointing the Chair and NEDs
• Set the remuneration of the Chair and NEDs
• Approve the appointment of the Chief Executive
• Appoint the Trust Auditor
• Consulted on the development plans and any significant changes to
healthcare services

16. Elected Governors
• 26 Public Governors
•2 Patient Governors
TOTAL = 44
•5 Staff Governors
• 11 Stakeholder Governors
- Birmingham Chamber of Commerce - Birmingham City Council
- Solihull Care Trust - Solihull Chamber of Commerce
- Birmingham East and North (BEN) PCT - Stepping Stones
- Solihull Metropolitan Borough Council - South Staffs PCT
- Joint Lichfield & Tamworth Borough Council - Birmingham City Council
- University of Birmingham

17. The Heart of the Country

19. Catchment Overview
Borough of Solihull
Birmingham
Population: 977,087 Population: 199,517
29.6% of population from an ethnic minority 5.41% of population from an ethnic
background minority background
A diverse, multi-ethnic inner-city community 70% green belt land
North Solihull
East Birmingham
Castle Bromwich, Smith’s Wood,
Hodge Hill, Shard End, Stechford,
Kingshurst and Fordbridge,
Sheldon
Chelmsley Wood
Population: 68,108
Population: 50,601
32,257 patients
16,209 patients
Average deprivation ranking: 1,189
Average deprivation ranking: 1,577
Central Birmingham Solihull Central
Shirley West, Shirley South,
Nechells, Washwood Heath, Shirley East, Olton, Lyndon,
Sparkbrook, Bordesley Green, Elmdon, Silhill, Bickenhill
Yardley, Acock’s Green,
Population: 97,793
Springfield
31,806 patients
Population: 221,966 Average deprivation ranking: 5,955
48,442 patients
Average deprivation ranking: 405
Solihull South
Birmingham at Large Blythe, Dorridge and Hockley
Heath, St Alphege, Knowle,
Meriden
Population: 687,013
15,140 patients Population: 51,123
Average deprivation ranking: 1,884 10,821 patients
Average deprivation ranking: 8,027

21. GOVERNORS’ CONSULTATIVE COUNCIL
AGENDA
1. To receive Apologies
2. Presentation of 10 Year investment Plan – Mark Goldman and Adrian Stokes Paper to follow
3. Any Other Business

22. Governor Sub Committees
•Governance & Risk
•Audit Committee
•Donated Funds Committee
•Finance Committee
•Trust Board
•Governors’ Consultative Council (GCC)
•Governors’ Working Party