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Foundation Trust Status for UHL _.ppt_

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					Foundation Trust Status for UHL




Foundation Trust Project Director
Foundation Trust Status for UHL




Foundation Trust Project Manager
     NHS Foundation Trusts
• Established by Act of Parliament

• First wave offered chance to apply 2003

• First wave authorised April 2004

• Several Trusts waiting for licence to proceed
  – Jan 2005/April 2005

• All Trusts awarded 3* in July 2004 invited to
  apply in September 2004
     NHS Foundation Trusts
• UHL awarded Three Stars in July 2004

• UHL invited to consider applying September
  2004

• Trust Board discussion October, November,
  December 2004

• Decision to proceed with PRELIMINARY
  APPLICATION December 6th 2004
    NHS Foundation Trusts
Application Overview

Three stages:

•   Preliminary

•   Preparatory

•   Authorisation (tbc)
NHS Foundation Trusts….what are
            they?

helping to get there by ...

   •   Liberating the talents of frontline staff

   •   Strengthening public ownership and
       accountability

   •   Empowering partnership
NHS Foundation Trusts…what are
            they?
    …fully part of the NHS family


•   Core NHS values
      - care free at the point of delivery
      - based on need not ability to pay

•   High national standards and clear
          accountability
NHS Foundation Trusts…what’s
         different?


•   Controlled locally not nationally
     - Less monitoring from Whitehall
     - New monitoring framework:
       Healthcare - Commission; Monitor


•   Greater freedom to run own affairs and
    greater (but limited) financial freedom
NHS Foundation Trusts…what’s
         different?
Controlled locally not nationally: new
constitution

- Broad parameters in legislation
- Modelled on mutuals and co-ops
- Members: patients, public, staff and partners
- Opportunity to engage with local communities and
staff
- Members elect majority of Board of Governors
                    Board of Governors

                                   3 staff     Elected by staff
Elected by                                        members
                       Public
public and                          PCT
  patient
                                   Local
members                           Authority           NHSFT
                                                   decides with
                                  University         partners
                      Patient
   If sub-divided must have         Other
   at least 3 categories
   one must be carers
                              Public and Patient members must
                               outnumber the other categories
  Board of Governors appoints Directors
                                                    Must have
              Approve (second) chief executive      Non-executives
                                                    chief executive
                                                    finance director
                                                    medical/dental
                                                    nurse/midwife

Dialogue to                                                 Business
                  Board of              Board of           advice (i.e.
and from                       Chair
                  Governors             Directors           the how)
community




       must have due regard to views on forward planning
    NHS Foundation Trusts
Application Overview

Three stages:

•   Preliminary (submitted November 26)

•   Preparatory (November 04 – Dec 05)

•   Authorisation (tbc)
       NHS Foundation Trusts

  Stage 2: Preparatory Application

• Three strands:
     Governance Arrangements
     Service Delivery Strategy
     HR Strategy

• Must maintain 3* status to gain SofS
  approval
     Preparatory Application:
            timetable
• 7.2.05   Draft plans for staff
           engagement and HR Strategy

• 14.2.05 Draft Service Development
          Strategy (SDS)

• 21.2.05 Assessment of Non-Executive
          Directors and draft membership
          plans
     Preparatory Application:
            timetable
April 05   Draft SDS + Finance; Draft
           Governance details and
           Constitution; progress staff
           engagement

May 05     Commence financial modelling;
           Draft 2 SDS; Draft 2 HR Strategy

June 05    Sensitivity and risk assessment;
           DH feedback
    Preparatory Application:
           timetable
Mid July 05    STAR RATINGS
               ANNOUNCED

          Continued sensitivity and risk
          assessment; Draft 3 SDS; Final
          Draft Governance and
          Constitution; Final draft HR
          Strategy
   Preparatory Application:
          timetable
August 05
            Independent Review of 5
            year proposals and
            operation as NHSFT

        Ongoing feedback from DH
      Preparatory Application:
             timetable
September – December 05

Increasing refinement of plans
Public consultation (at the latest)


                9.12.05
       Final date for submission
     NHS Foundation Trusts
Stage 3: Authorisation



• Submission to Monitor

• Brings an intense period of scrutiny

• Assesses “fitness for purpose”
     NHS Foundation Trusts
What are the potential benefits of
Foundation Status for patients?

 –   new governance arrangements

 –   less control from Whitehall

 –   better partnerships with health
     community

 = MORE INFLUENCE FOR LOCAL
   COMMUNITY
     NHS Foundation Trusts
What are the potential benefits of
Foundation Status for patients?


– An acute Trust more in touch with its local
  community’s needs
– An acute Trust able to respond better to
  local priorities
     NHS Foundation Trusts

Foundation Status…how would benefits be
realised?

Need to view Foundation Status
opportunities in the same context
as other elements of system
reform:
  - PbR
  - Tariffs
  - Choice and Plurality
     NHS Foundation Trusts
• PbR + Tariff + Patient choice

• Increased ability to respond, plan and
  invest

• Increased focus on:
    – Access
    – Quality of environment
    – Quality of care
    – Innovation
    – Better care pathways
    = BETTER PATIENT EXPERIENCE
     NHS Foundation Trusts

Future challenges for UHL


•   To make maximum impact:

    -   new skills and attitudes required
    -   business focus
    -   a long term vision
    -   community engagement
    -   staff engagement
      NHS Foundation Trusts

Implications for staff ?

Opportunities to:

•   Become members

•   Join Board of Governors

•   Influence Trust progress
      NHS Foundation Trusts
Implications for staff ?

• To work in an organisation with:
    - an acknowledged successful track
       record
    - a mission to improve services
    - greater freedom to invest and develop


•   MUST NOT create unnecessary uncertainty
    - UHL faces many challenges already
    NHS Foundation Trusts
UHL & Foundation Status - What Next?

• Await DoH’s decision on preliminary
  application
• Public and staff consultation
• Develop new Governance framework
• Recruit members
• Prepare for elections
• Write Service Development Strategy (SDS)
     NHS Foundation Trusts

Foundation Status for UHL:


   Should result in a better hospitals
  providing a better patient experience

     Should result in more exciting
environments in which to deliver health
                 care

				
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posted:5/18/2013
language:Latin
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