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The Role of Governors in NHS Foundation Trusts

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. NHS Foundation Trusts. Public institututions. NHS Foundation Trusts. Public institututions

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The Role of Governors in NHS Foundation Trusts

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  1. 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

  2. NHS Foundation Trusts • Public institututions

  3. NHS Foundation Trusts • Public institututions • But not subject to direction by Secretary of State

  4. NHS Foundation Trusts • Public institututions • But not subject to direction by Secretary of State or Department of Health performance management requirements

  5. NHS Foundation Trusts • Set own strategy within context of contracts with purchasers, especially primary care trusts

  6. 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

  7. NHS Foundation Trusts • Authorised and monitored by Monitor - Independent Regulator of NHS Foundation Trusts

  8. NHS Foundation Trusts • Authorised and monitored by Monitor - Independent Regulator of NHS Foundation Trusts • Accountable to local people, who can become members and governors

  9. Board of Governors • Elected governors constituencies:

  10. Board of Governors • Elected governors constituencies: Public

  11. Board of Governors • Elected governors constituencies: Public Users and carers

  12. Board of Governors • Elected governors constituencies: Public Users and carers Staff

  13. Board of Governors • Elected governors constituencies: Public Users and carers Staff • Appointed governors – partner organisations

  14. Board of Governors • Elected governors constituencies: Public Users and carers Staff • Appointed governors – partner organisations • Chair is also chair of Board of Directors

  15. 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;

  16. 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

  17. Governors’ statutory roles These include • reviewing the annual accounts, auditor’s report and annual report at a general meeting;

  18. 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.

  19. 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

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