"The Board to Board meeting with Monitor will be held"
CNWL 13A/2007 CENTRAL AND NORTH WEST LONDON MENTAL HEALTH NHS TRUST TRUST BOARD MEETING – 31 January 2007 NHS Foundation Trust Status Application Update For discussion Report by Trust FT Lead This report provides an update on the work being undertaken by the Trust in support of its application to become a Foundation Trust. 1.0 Overview 1.1 The Trust has now received confirmation that our FT application will be considered for a potential 1 May 2007 authorisation date. Monitor’s first assessment visit to the Trust will be held on 6 February 2007, when the assessment team will receive a presentation on CNWL’s business plan and meet the Chairman and Executive team. The Board to Board meeting with Monitor will be held on either the 2 or 4 April 2007. 1.2 A revised draft of the Integrated Business Plan and financial model will be submitted to Monitor on 12 February 2007. 1.3 Membership numbers have now reached over 4,200 and exceed the legal minimum requirement set within the draft constitution in each constituency. 1.4 The governor elections process for the Council of Members commences on 25 January 2007 with election results available by 22 March 2007. 1.5 Agreeing 3 year contracts with our local PCTs is critical to the success of the FT application. NHS London requires all contracts to be signed by 28 February 2007 and the Trust is working with commissioners to ensure this can be achieved. 2.0 Monitor’s Assessment Timetable 2.1 On 18 December 2006 the Trust received Secretary of State support to progress to the Monitor assessment phase of the FT application process. A total of 25 trusts are being assessed in Wave 3a and Monitor have confirmed that CNWL has been grouped to be considered for a potential 1 May 2007 authorisation date. This means that the Board to Board meeting with Monitor will be held on either the 2 or 4 April, with 2 April having been requested as CNWL’s preferred date. The FT Project Plan had previously assumed an April authorisation, and will now be revised. 2.2 Monitor have now allocated Mr David Hoppe as their Senior Assessment Manager who will lead on the Trust’s assessment. Monitor’s first assessment visit to the Trust will be held on 6 February 2007 when Mr Hoppe and the Monitor team will spend the day meeting the Chairman and Executive Team, both as a group and individually, and will receive an initial presentation about CNWL’s FT application from the Chief Executive. 2.3 On 23 January 2007 the Director of Finance and Foundation Trust Lead met with KPMG who have been appointed by Monitor to undertake independent assessment of the Trusts 1 financial viability as a FT. The meeting was scheduled to enable KPMG to provide a more detailed briefing regarding the assessment process and of their requirements during this phase. 2.4 The Trust’s Integrated Business Plan and associated appendices were submitted to Monitor on 5 January 2007. An updated version of the IBP and financial model is required for submission to Monitor by 12 February 2007 along with further evidence on performance/ risk management processes, and an update on implementation of the Membership Development strategy. The Trust Board will be briefed further on amendments to the IBP to enable approval at the next meeting to be held on 7 February 2007. The required self certification of board capability, capacity and experience, will be submitted to Monitor by 2 April 2007. 3.0 Governance 3.1 The total membership now stands at over 4,200 members with 1,142 members from the public/user/carer constituencies in addition to approximately 3,080 staff members. 3.2 The legal minimum, as confirmed in the draft constitution has now been reached for all constituencies. On 25 January 2007 the Electoral Reform Service (ERS) posted the formal Notice of Election and wrote to all members requesting nominations of members wishing to stand for election as a governor on the Council of Members. All nominations must be received by the ERS by 9 February 2007 and postal voting packs will then be sent to members by 2 March 2007. The election closes on 21 March 2007 with the results reported to the Trust on 22 March 2007. 3.2 Two workshops for prospective governors were held on 11 and 15 January 2007 and were attended by 43 members in total, with several other people expressing interest who were unable to attend. The workshops were aimed at ensuring prospective governors have a good understanding of the role before deciding to stand for election. 3.3 Requests have been made to all those partner organisations who have been allocated appointed governor seats on the Council of Members to identify suitably experienced individuals to take up the role as their appointed governor. These organisations are: PCTs – 3 governors Voluntary Sector – 2 governors Local Authorities – 5 governors (i.e. one each) Metropolitan Police – 1 governor Prison Service – 1 governor Imperial College – 1 governor 4.0 FT Contracting 4.1 In October 2006 the Chief Executives of the 5 local PCTs agreed that Westminster PCT should chair a commissioning committee to lead the process by which the Trust agrees a three year legally binding FT contract in accordance with Monitor’s model contract. The first formal meeting of the committee was held on 15 January 2007. Westminster PCT has dedicated a mental health commissioner to work exclusively on the FT contract for 4 days per week. 4.2 NHS London have confirmed that all contracts must be signed by 28 February 2007 and the commissioning committee is therefore progressing to this timescale. Work in progress includes completion of all necessary contract schedules e.g. activity, finance, quality standards, contract variation procedures, data requirements, mediation procedures and service specifications. The Trust’s FT legal advisers, Bevan Brittan are advising on any 2 modifications required to the model contract. This work is being monitored by the FT Steering Group. 4.3 The first meeting of the commissioning committee was encouraging, with all parties demonstrating commitment to work towards the 28 February timetable. However it remains apparent that PCTs will require further assurances to provide them with confidence to commit to a three year contract. Given the ongoing challenges within the local health economy, this remains the greatest risk to the success of the FT application. However, the Trust’s contracting team are actively addressing all areas of concern raised by commissioners in order to ensure this can be achieved within the timetable and prior to the Board to Board meeting with Monitor in the first week of April. 5.0 Conclusion 5.1 The FT application continues to progress to plan, but now to a May 2007 authorisation date. Good progress is being made towards agreeing three year contracts with our local PCTs although this does remain a risk to the success of the FT application. 3