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The Role of Governors in NHS Foundation Trusts
Neil Ashford, Karen O’Sullivan,
Gillian Oaker and Duncan Double;
Staff Governors, Norfolk & Waveney
Mental Health NHS Trust
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NHS Foundation Trusts
Public institututions
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NHS Foundation Trusts
Public institututions
But not subject to direction by Secretary of State
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NHS Foundation Trusts
Public institututions
But not subject to direction by Secretary of State or Department of Health performance management requirements
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NHS Foundation Trusts
Set own strategy within context of contracts with purchasers, especially primary care trusts
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NHS Foundation Trusts
Set own strategy within context of contracts with purchasers, especially primary care trusts
Can borrow commercially, retain surpluses (but can also become insolvent) and invest to serve local needs
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NHS Foundation Trusts
Authorised and monitored by Monitor - Independent Regulator of NHS Foundation Trusts
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NHS Foundation Trusts
Authorised and monitored by Monitor - Independent Regulator of NHS Foundation Trusts
Accountable to local people, who can become members and governors
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Board of Governors
Elected governors constituencies:
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Board of Governors
Elected governors constituencies:
Public
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Board of Governors
Elected governors constituencies:
Public
Users and carers
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Board of Governors
Elected governors constituencies:
Public
Users and carers
Staff
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Board of Governors
Elected governors constituencies:
Public
Users and carers
Staff
Appointed governors – partner organisations
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Board of Governors
Elected governors constituencies:
Public
Users and carers
Staff
Appointed governors – partner organisations
Chair is also chair of Board of Directors
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Governors’ statutory roles
These include
appointing, removing and deciding the terms of office of the chair and other non-executive directors, and approving the appointment of the chief executive;
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Governors’ statutory roles
These include
appointing, removing and deciding the terms of office of the chair and other non-executive directors, and approving the appointment of the chief executive;
appointing and removing the auditor
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Governors’ statutory roles
These include
reviewing the annual accounts, auditor’s report and annual report at a general meeting;
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Governors’ statutory roles
These include
reviewing the annual accounts, auditor’s report and annual report at a general meeting;
expressing a view on the board’s forward plans for the NHS foundation trust.
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Representing the constituency
Boards of governors are expected to focus on ensuring NHS foundation trusts respond to the needs and preferences of stakeholders, especially local communities