foundation trust public consultation document

8/9/2019 Foundation Trust Public Consultation document

1/20

2009large trust of the yearwww.stgeorges.nhs.uk

Public consultation document

Be part of our future


2/20

Translation

I you would like this report translated, please call thecommunications team on 020 8266 6132, or email [email protected]

Haddii aaad dooni in warbixinta lagu turjumo, fadlan ka ax Communications

Team 020 8266 6132 ama email u dir [email protected]

020 8266 [email protected]


Arabic

Gujarati


Bengali

Si vous souhaitez obtenir une traduction de ce rapport, appelez lEquipe

charge de la communication (ou Communications Team) au 020 8266

6132 ou envoyez un ml ladresse suivante :

[email protected]

French

020 8266 6132 [email protected]

Chinese

Somali

Si desea leer una traduccin de este informe por favor llame al 020 8266

6132 o solictelo enviando un mensaje a: [email protected]

Spanish


Polish


3/20

Contents

01. Introduction by the Chair and the Chie Executive 3

02. About us 5

03. What is a Foundation Trust? 6

04. Why is St Georges applying to become a Foundation Trust? 7

05. Our vision, mission and strategic aims 8

06. Our membership plans 9

07. Our proposed governance arrangements 11

08. Our transitional arrangements 13

09. Your views 14

10. Meet us and nd out more 16

11. Our planned timetable to becoming a Foundation Trust 17

12. Frequently asked questions 18

2


4/20

01. Introductionby the Chair and the Chie Executive

At St Georges we are dedicated to

improving the standards o care that we

provide to all o our patients. As part

o our ongoing work to modernise St

Georges we have started a process thatwill lead to us becoming a Foundation

Trust in 2011.

Foundation Trusts are a new type

o NHS trust set up in a way that

makes them answerable to their local

community. This means that as we plan

to develop hospital and community

services we will need to involve our

public, patients and sta in the decision

making process. As Chair o St Georges

I am committed to ensuring that wedevelop meaningul and productive

relationships in order that the voice

o all o our audiences can be clearly

heard.

In becoming a Foundation Trust St

Georges will recruit 4,000 public and

patient members who, along with

6,000 sta members, will elect a

council o governors. The council o

governors will advise St Georges board

o directors on how the trust should

provide and improve services and help

ensure that it stays true to the core NHS

values and principles.

Apart rom increased local involvement

Foundation Trusts also have greater

control over their nances. For St

Georges this will mean more reedom

to decide on how to invest in services

that will best meet the needs o its

patients and public.

Beore we can become a Foundation

Trust St Georges must successully

complete a detailed application process,

one which will careully examine key

elements o our work including quality

o care and nances. Thereore in

achieving Foundation Trust status St

Georges will also become stronger as

an organisation.

I hope you will share my enthusiasmor the exciting opportunities that

Foundation Trust status will bring to St

Georges and I look orward to hearing

your thoughts on our plans.

Naaz Coker,

Chair

Naaz Coker

3


5/20


6/20

St Georges provides care to the localpopulations o Wandsworth, Merton

and southwest London with a wide

range o acute hospital services,

including accident and emergency,

maternity services and care or

women and children.

As a major acute hospital, St Georges

also oers very specialist care or

the most complex o injuries and

illnesses, including trauma, neurology,

cardiac care, renal transplantation,cancer care and stroke to the

populations o southwest London,

Surrey and Sussex. Our services cover

a population o 1.3 million in Londonand up to 3.5 million including Surrey,

Sussex and southeast England.

During 2010 we will become home to

a level one Trauma Centre and one o

eight hyper-acute stroke units serving

the capital. We are also expanding

our community services, bringing care

closer to home, including antibiotic

home service and dialysis satellite

units.

As a leading teaching hospital, thetrust works closely with our academic

and NHS partners in south London

and nationally to conduct research.

We develop innovations in medicinethat improve patient care and the

health o the communities that we

serve. We work closely with our

partners to train doctors, nurses and

other sta that the NHS will need in

the uture.

We are working hard on bringing

our healthcare services closer to the

community and it is now time or St

Georges to take the next step and

ensure our uture as a FoundationTrust.

With around 6,000 sta caring or patients around the clock,St Georges Healthcare NHS Trust is one o the countrys largest

teaching hospitals, treating more than 500,000 patients every

year at sites in Tooting, Wimbledon and Wandsworth.

02. About us

5


7/20

03. What is a Foundation Trust?

They are very much part o the NHS; they provide their

services or ree and are not run or prot. Foundation

Trusts are subject to the same standards and regulations

as all other NHS trusts. In addition, the government has

established a regulatory body called Monitor, whose

unction it is to regulate Foundation Trusts and provide

assistance i needed.

Most importantly, Foundation Trusts are accountable to

the people they serve. Through membership, patients,

sta and the public are involved in deciding the priorities

and strategic direction o the organisation.

Foundation Trusts also have greater independence rom

government and more nancial reedoms than traditional

NHS trusts.

Foundation Trusts have been in place since 2004 and there arecurrently (April 2010) 129 in England.

6


8/20

04. Why is St Georges applying tobecome a Foundation Trust?

Our core principle is and will always remain to provide the

highest quality o healthcare to the communities we serve.

The current economic challenges or the country willlast or many years and will apply to all populations and

sectors, including the NHS. We want to work with our

members and our communities to identiy shared priorities

and together make the correct and sometimes dicult

decisions in the interests o our patients and our public.

The benets o Foundation Trusts have been well

evidenced where they are well governed, are accountable

and have a higher degree o engagement with their

communities. Working with our members, we will deliver

improved outcomes or our patients and sta.

We believe that amongst the key benets or our

patients, sta and community in becoming a Foundation

Trust will be:

Higher standards o care

Improved governance and systems that allow or the

public and sta to have a say in the trust through

a structured and regular process

Re-investment o any surpluses to improving care and

acilities

We will deliver these benefts by:

Giving our local communities a greater say in how St

Georges is run. This will help us to develop healthcare

that is more responsive to local needs and priorities and

deliver these where possible in local settings.

Developing a council o governors that will strengthen

local links, helping St Georges to develop existing and

new relationships and partnerships with organisations

that can help us deliver better services.

Our public and moral service to improve the healthcare and

well-being o our community is at the heart o who we are as a

healthcare organisation and what we will urther develop as a

Foundation Trust.

7


9/20

05. Our vision, missionand strategic aims

Mission

In line with our vision our mission as a trust is to improvethe health o our patients and our local community by

achieving excellence in clinical care, research, education

and employment.

Strategic aims

As part o our preparation or becoming a Foundation

Trust we have revisited our strategic aims. Our proposed

strategic aims or the next ve years are:

We will work in partnership with our patients and

others to: Provide outstanding quality o care

Become an exemplary employer

Strengthen education, research and innovation that

will benet our patients

Build a leading integrated healthcare system

Deliver robust operational and nancial perormance

Continuously improve our acilities and environment

We have developed an ambitious set o plans to maintain

our position as one o Londons and the countrys leading

Teaching Hospital. We have worked hard in recent yearsto improve both our quality and perormance. This work

will continue and good progress has been made which

has been recognised by statutory bodies and independent

organisations.

St Georges vision is that by 2015 we will be a thriving Foundation

Trust at the heart o an integrated healthcare system. One

that delivers improved patient care in community, hospital and

specialist settings, supported by a unique and nationally recognised

programme o research, education and employee engagement.

Do you support our vision andstrategic priorities?

8


10/20

06. Our membership plans

The hallmark o a good Foundation Trust is local ownership and

involvement in decision making. As a Foundation Trust we will be amembership organisation. This means that local people, sta and

patients will have the chance to be a member o the trust and elect a

council o governors who will work with us and oversee what we do.

Do you agree with our plans orinvolving our members?

Do you agree with our limits onage or members and governors?

Developing an active and engaged membership

Membership is a very important route through which the

trust will engage with you. The way which we develop

a close relationship with our members is by making iteasy and fexible or members to become involved and

inormed about the work o the trust.

Membership is ree and oers several opportunities

to be involved including:

Helping the trust make the correct decisions on our

plans and developments to meet the needs o the

community

Improving services within the hospital and the local

health community

Supporting research to improve outcomes

Help to raise unds to improve services in the hospitaland the community

Volunteering in a variety o roles and settings

Being able to stand or elections to become a governor

o the trust

Voting in elections or the council o governors

Being able to attend a regular cycle o health

inormation events by leading doctors and clinicians

Developing a representative membership

It is important to us that our membership refects

the diversity o our local community and the largerpopulations covered by our specialist services.

Through this process, we will ensure that all views o the

membership are heard and no group orms a majority that

excludes others.

Age

We propose a minimum age o 16 years or patients and

the public to become members and 21 years or members

to become a governor.

9


11/20

We are proposing three categories

o members:

A: Public

As a Foundation Trust, we are required to have at least one

public constituency. A constituency is a clear geographicarea rom which members can be recruited. We are

planning to include the public membership rom three

main areas, based on our local electoral ward boundaries:

London Borough o Wandsworth: all wards

London Borough o Merton: all wards

London Borough o Lambeth, wards are: St Leonards,

Thornton, Streatham South and Streatham Wells

Public members from these wards will be able to

stand as governors.

B: PatientsSt Georges values the contribution o all our patients. As a

trust that treats patients rom across the country, we have

decided to include a patient constituency.

Because the trust also provides a range o specialist

services to the population o Surrey (1.2 million people),

we propose that this patient constituency is urther divided

into two sub-categories:

Surrey

All other patients

Patients from this group will be able to stand asgovernors.

C: Sta

Our sta are the most valuable resource we have to

deliver care to our patients. It is essential that our sta

play a strong role in shaping our uture. We propose to

automatically recruit all o our permanent employees as

members. Those who do not wish to become a member

will be able to opt out. Membership will be open to:

All individuals employed by the trust on permanent

contracts or on xed term contracts o 12 months ormore

Volunteers who are registered with the trust through the

voluntary services manager

For the purposes o recruitment we plan to divide our sta

into our distinct classes refecting the proessional groups

within the trust:

Medical and dental

Nursing and midwiery

Allied health proessionals and other clinical and

technical sta

Non clinical sta (including volunteers)

Staff groups will be able to stand as governors.

Wandsworth

Merton

Lambeth

Thornton

St Leonards

Streatham South

Streatham

Wells

Do you agree with our proposalsor sta membership?

Do you agree with our proposalsor our public and patient

constituencies?

10


12/20

The board o directors:

The board o directors is legally accountable or the management o the

Foundation Trust and is responsible or the day-to-day running o the organisation.

The board will be made up o executive and non executive-directors. We see the

council o governors as a major benet o Foundation Trust status and we are

committed to developing ways or the board and council to work together.

St Georges currently only has a board o directors. Foundation Trust

members will elect and appoint a council o governors to represent

the views o our members. The trust Chair will be Chair o the board

o directors as well as the Chair o the council o governors and

serves as an important link between both.

The Foundation Trust board o directors

Will be responsible for the day-to-day

management and strategic development o

the Foundation Trust

Are collectively responsible for the exercise

and perormance o the trust

Are accountable to the Foundation Trust via

the council o governors

Consists of executive and non-executive

directors

The council o governors will:

Advise the board of directors on strategic

plans and service developments

Appoint the chair and non-executive

directors

Appoint the trusts auditors

Chair

Chairs the council ofgovernors and the board

of directors

Board o directors

Manage the day-to-dayrunning of the trust

Membership

Council o governors

Advise the trust boardon its future plans as well asappoint the Trust Chair and

non-executive directors

07. Our proposed governancearrangements

11


13/20

It is our proposal that the council o governors be comprised o

27 governors in total. The seats allocated to elected governors

(20) will be in the majority to those nominated (7):

20 Elected governors 7 Nominated governors The trust board

Public governors (11)

Wandsworth 6

Merton 4

Lambeth 1

Patient governors (4)

Surrey 2

All other patients 2

Sta governors (5)

Medical and dental 1

Nursing and midwifery 2

AHPs and other technicaland clinical staff 1

Non-clinical staff andvolunteers 1

Education (2)

St GeorgesUniversity of London 1

South West LondonAcademic Network 1

Partnerships (2)

Wandsworth LINk 1

Tooting Town CentrePartnership 1

Strategic partners (2)

NHS Wandsworth 1

NHS Sutton and Merton 1

Local authority (1)

London Boroughof Wandsworth 1

Voting nonexecutive directors 6

Non-voting nonexecutive directors 1

Voting executivedirectors 5

Non-votingexecutive directors 6

Do you agree with our structureor the council o governors and

the board o directors?

12


14/20

The current non-executive directors, including the Chair,

should be appointed or a minimum o 12 monthsollowing the establishment o the Foundation Trust, or

until the end o their current tenure, whichever is longer

The existing Chief Executive to be appointed by the

Foundation Trusts board o directors. All other executive

director positions will continue in post

The trust secretary, in consultation with the Chair and

Chie Executive will approve membership applications,

consult and agree arrangements with our partner

organisations or the appointment o appointed

governors, and give a nal ruling on any matters thatarise in relation to membership

Election process:

Governors will be elected by their respective

constituencies. It is proposed that they will hold oce or

a period o two or three years ater which they will be

eligible or re-election or re-appointment. Governors can

serve or a maximum o nine years.

So that any disruption to the running o the

trust is kept to a minimum, we are proposing

to put in a set o transitional arrangements.

We propose that:

Do you agree with ourtransitional arrangements?

08. Our transitionalarrangements

13


15/20

09. Your viewsYour views really matter. We would like to know what you think o our

proposals so that we can consider your opinion beore we submit our

nal application.

Questions

1) Do you support our vision and strategic priorities?

Yes No

2) Do you agree with our plans or involving our members?

Yes No

3) Do you agree with our proposals or our public and patient constituencies?

Yes No

4) Do you agree with our limits on age or members and governors?

Yes No

5) Do you agree with our proposals or sta membership?

Yes No

6) Do you agree with our structure or the council o governors and the board o directors?

Yes No

7) Do you agree with our transitional arrangements?

Yes No

8) Have you got any other comments?

Please return this orm to:Freepost RSGZ-UJJH-THEB

FT Membership Oce,

Grosvenor Wing, St Georges Healthcare NHS Trust, Blackshaw Road, LONDON SW17 0QT

A summary o comments received and our response to them will be published

on our website www.stgeorges.nhs.uk

14


16/20

15


17/20

Have your say

There are many ways that you can share your views and

comments on this consultation.

In person: at the public consultations listed above.

By post:ll in the comments orm enclosed with this

document or write us a personal letter returning it using

the reepost address provided (no postage required):

Freepost RSGZ-UJJH-THEB

FT Membership Oce

Grosvenor WingSt Georges Healthcare NHS Trust

Blackshaw Road

LONDON

SW17 0QT

By email:By using our online consultation eedback orm

on www.stgeorges.nhs.uk/aboutoundation.asp or email

us at [email protected]

Or look us up on Facebook

Date Venue Time

Tuesday 25th May St Georges Healthcare NHS Trust launch event 18.00-20.00Tuesday 8th June Tooting Library, 75 Mitcham Lane, SW17 9PD 14.00-19.00

Thursday 17th June St George's Healthcare NHS Trust, Grosvenor Wing foyer 10.00-16.00

Tuesday 22nd June Queen Marys Hospital, Roehampton, SW15 5PN, main foyer 10.00-15.00

Thursday 1st July St Georges Healthcare NHS Trust, Grosvenor Wing foyer 10.00-16.00

Tuesday 6th July Wimbledon Library, Wimbledon Hill Road, SW19 7NB 11.00-16.00

Tuesday 13th July Merton Civic Centre, London Road, Mordon, SM4 5DX 10.00-15.00

10. Meet us and nd out moreWe will be holding open events across the public constituency areas. At these

events you will be able to learn more about our plans and speak to senior

representatives o St Georges sta. You will also be able to give us your views

on our application to become a Foundation Trust and sign up to become a

member. More inormation about these and other related events can be ound

on our website: www.stgeorges.nhs.uk/aboutoundation.asp.

16


18/20

11. Our planned timetable

Indicative timetable subject to the trust meeting all

o the requirements by NHS London.

25th May 2010 - 17th August 2010

Public consultation on the proposed application.

1st December 2010

Formal request to the Secretary o State or support

to the application.

By January 2011

Secretary o States decision whether we are eligible

to apply to Monitor (the independent regulator) or

assessment.

January 2011 - March 2011

Monitors authorisation process.

From April 2011

Authorisation rom Monitor we become a

Foundation Trust.

The public consultation period will run rom 25th May

2010 until 17th August 2010.

Our ormal application will be submitted to the

Secretary o State or Health in the autumn.

17


19/20

12. Frequently asked questions

A: Are Foundation Trusts the frst steps towards privatisation othe NHS?

The legal basis or Foundation Trusts was created in 2003 and more

than hal o all eligible acute and mental health trusts who were

eligible are now Foundation Trusts.

We will continue to be subject to the same targets, regulation and

policies that govern all NHS organisations and all our assets will

continue to belong to the NHS.

B: Given the UKs economic situation is it the right time to

become a Foundation Trust?

We have been preparing to become a Foundation Trust or many

years. Our ve-year business plan which outlines our income and

expenses or the next ve years has been drawn up to what is

achievable by the trust and will be tested thoroughly during the

application process by NHS London and Monitor.

C: Would becoming a Foundation Trust divert resources rom

patient care?

Delivering sae and eective healthcare to our local community,

patient and the public is our core business. To make sure that we do

this, the independent regulator (Monitor) will ensure that your servicesare maintained and our assets are protected in the best interests o our

patients and the public. Our members and governors will act as the

communities eyes and voice and are ree to contact Monitor.

D: What would happen i St Georges did not become a

Foundation Trust?

We believe that this would put us at a disadvantage to other larger

NHS trusts and reduce the benets that Foundation Trust will bring to

patients, sta and the public.

The governance arrangements within a Foundation Trust provide or

a greater degree o scrutiny and accountability to the public and our

members.

Finally, the nancial reedoms o a Foundation Trust allow or

improved ability to invest in services and in turn to ensure that our

commissioners get the best value or money in the uture.

Become a member o St

Georges Healthcare NHSFoundation Trust

and be part o our uture.

To join as a member, please

go to www.stgeorges.nhs.uk/

aboutoundation.asp

18


20/20

St George's Healthcare NHS TrustSt George's Hospital

Blackshaw RoadLondon

SW17 0QT

www.stgeorges.nhs.uk

foundation trust public consultation document

Documents