foundation trust status for uhl
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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
NHS Foundation Trusts
Application OverviewApplication Overview
Three stages:
• Preliminary (submitted November 26)
• Preparatory (November 04 – Dec 05)
• Authorisation (tbc)
NHS Foundation Trusts
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
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 plansPublic consultation (at the latest)
9.12.05Final date for submission
NHS Foundation Trusts
• Submission to Monitor
• Brings an intense period of scrutiny
• Assesses “fitness for purpose”
Stage 3: Authorisation
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 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
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 UHLFuture 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 ?Implications for staff ?
Opportunities to:
• Become members
• Join Board of Governors
• Influence Trust progress
NHS Foundation Trusts
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
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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