foundation trust status for uhl foundation trust project director

Foundation Trust Status for UHLFoundation Trust Status for UHL

Foundation Trust Project Director

Foundation Trust Status for UHLFoundation 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 OverviewApplication Overview

Three stages:

• Preliminary

• Preparatory

• Authorisation (tbc)

NHS Foundation Trusts….what are they?

helping to get there by ...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 familyfully 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 Controlled locally not nationally: new constitutionconstitution

- 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

Elected by staffmembers

3 staff

Public PCT

Local Authority

University

Other

Patient

If sub-divided must have at least 3 categoriesone must be carers

NHSFT decides with

partners

Elected by public and

patient members

Board of Governors

Public and Patient members must outnumber the other categories

Board of Governors

Board ofDirectors

ChairBusiness advice (i.e. the how)

Dialogue to and from community

Must have Non-executiveschief executivefinance directormedical/dentalnurse/midwife

Approve (second) chief executive

must have due regard to views on forward planning

Board of Governors appoints Directors


Application OverviewApplication Overview

Three stages:

• Preliminary (submitted November 26)

• Preparatory (November 04 – Dec 05)

• Authorisation (tbc)


Stage 2: Preparatory ApplicationStage 2: Preparatory Application

•Three strands:Governance ArrangementsService Delivery StrategyHR 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


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


Mid July 05 STAR RATINGS ANNOUNCED

Continued sensitivity and risk assessment; Draft 3 SDS;

Final Draft Governance and Constitution; Final draft HR Strategy


August 05

Independent Review of 5 year proposals and operation as NHSFT

Ongoing feedback from DH


September – December 05

Increasing refinement of plansPublic consultation (at the latest)

9.12.05Final date for submission


• Submission to Monitor

• Brings an intense period of scrutiny

• Assesses “fitness for purpose”

Stage 3: Authorisation


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


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


Foundation Status…how would benefits be Foundation Status…how would benefits be realised?realised?

Need to view Foundation Status opportunities in the same context as other elements of system reform:

- PbR - Tariffs - Choice and Plurality


• 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


Future challenges for UHLFuture challenges for UHL

• To make maximum impact:

- new skills and attitudes required

- business focus - a long term vision - community engagement - staff engagement


Implications for staff ?Implications for staff ?

Opportunities to:

• Become members

• Join Board of Governors

• Influence Trust progress


Implications for staff ?

• MUST NOT create unnecessary uncertainty - UHL faces many challenges already

• To work in an organisation with: - an acknowledged successful track

record - a mission to improve services - greater freedom to invest and develop


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)


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

foundation trust status for uhl foundation trust project director

Documents

directors slide

nhs foundation trusts

nhs foundation trusts

foundation trust status

preparatory application

clear accountability

staff members

staff members