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Foundation Trust Board Membership - Plymouth Hospitals

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Item 10<br />

<strong>Plymouth</strong> <strong>Hospitals</strong> NHS <strong>Trust</strong><br />

Report to: <strong>Trust</strong> <strong>Board</strong> – 25 January 2008<br />

Report of:<br />

Subject:<br />

Status:<br />

Chief Executive<br />

<strong>Foundation</strong> <strong>Trust</strong> <strong>Board</strong> <strong>Membership</strong><br />

For Information and Discussion<br />

_____________<br />

1. Introduction<br />

Whilst the <strong>Trust</strong> is some months away from being authorised as a <strong>Foundation</strong><br />

<strong>Trust</strong>, there is a commitment to work in a way that anticipates this change.<br />

Business planning, strategic planning and budgetary management, for<br />

example, are being conducted in the way that mirrors that of a <strong>Foundation</strong><br />

<strong>Trust</strong>.<br />

The <strong>Foundation</strong> <strong>Trust</strong> <strong>Board</strong> will also function differently from an NHS <strong>Trust</strong><br />

<strong>Board</strong>. It will be more focused on the strategic issues and assurance of the<br />

performance of the organisation and less on operational issues.<br />

The executive membership of the <strong>Board</strong> needs to reflect these changes and<br />

the approach agreed by the Chairman, Non-Executive Directors and Chief<br />

Executive is described below.<br />

2. Executive Management<br />

Over the last year the <strong>Trust</strong> has built up a cadre of senior managers and<br />

‘directors’ below <strong>Trust</strong> <strong>Board</strong> level who are members of the ‘<strong>Trust</strong> Directors’<br />

group. <strong>Trust</strong> Directors meet in rotation through five different <strong>Board</strong>s:<br />

• Finance and Performance <strong>Board</strong><br />

• Operations and Operational Strategy <strong>Board</strong><br />

• Planning and Strategy <strong>Board</strong><br />

• Safety and Quality <strong>Board</strong><br />

• Workforce <strong>Board</strong><br />

<strong>Trust</strong> Directors has a core membership and there are also senior staff who<br />

join for particular <strong>Board</strong>s. As a <strong>Foundation</strong> <strong>Trust</strong> these <strong>Board</strong>s and the senior<br />

managers, clinicians and directors who sit on them, will be an increasingly<br />

important part of the executive management of the organisation, assisting the<br />

Executive Directors in exercising their devolved responsibilities.<br />

These <strong>Board</strong>s will deal with many of the operational and planning issues on a<br />

week-to-week basis. The ‘Directors’ who sit on these <strong>Board</strong>s will be key<br />

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Item 10<br />

executive leaders. There will be around seven of them in addition to a<br />

number of senior clinicians and managers; they will be expected to join the FT<br />

<strong>Board</strong> for particular relevant items.<br />

3. Executive Directors<br />

There will be six Executive Directors joining six Non-Executive Directors and<br />

the Chairman on the <strong>Foundation</strong> <strong>Trust</strong> <strong>Board</strong>. They will all be full voting<br />

members, as follows:<br />

Chief Executive – Paul Roberts<br />

Deputy Chief Executive – Paula Vasco-Knight<br />

Finance Director – John Yarnold<br />

Human Resources Director – Christine Lloyd-Jennings<br />

Medical Director – Alex Mayor<br />

Medical Director – James Palmer<br />

In the interim, between now and the establishment of the <strong>Foundation</strong> <strong>Trust</strong>,<br />

Nick Thomas will continue as a non-voting Executive Director because of his<br />

role as <strong>Foundation</strong> <strong>Trust</strong> Project Director. Also, as there are currently only<br />

five Non-executive Directors only one of the Medical Directors will be a voting<br />

member until the sixth Non-Executive Director is appointed.<br />

4. Implementation<br />

These arrangements involve changes to a number of current responsibilities<br />

for Executive Directors and some of their immediate reports. The<br />

implementation of these changes is being led by Christine Lloyd-Jennings. A<br />

more detailed paper is being produced on these arrangements.<br />

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