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FOUNDATION TRUST
STATUS
What is a Foundation Trust?
• It is an NHS organisation, first established in April 2004
• Foundation Trusts operate according to NHS principles –
free care, based on need and not ability to pay
• The difference with a Foundation Trust is that it is run
locally, with staff and local people as members, having a
say in how they wish their services to be developed
• Regulated by Monitor
Benefits• Better and more inclusive governance
– Local ownership & involvement council of governors and members
– A unitary board of directors
• Greater patient, public and staff involvement
– Increased engagement & communication
– FT status & reputation should attract and retain high calibre staff
– Staff have a involvement in shaping of future services
• Organisational freedoms– Able to decide on how the trust is managed, including freedom to
develop services
– Decision making on capital investments
– Planning on a longer timescale
• Financial freedoms– Legally binding contracts with commissioners
– Greater financial flexibility & stability
– Ability to generate surpluses & reinvest them
– Ability to borrow money to fund capital and service developments
What will change when NWAS
becomes a Foundation Trust?
• NWAS will have a better and more inclusive governance
in which staff and the public can be involved
• Local issues raised through members, a Council of
Governors to a unitary Board of Directors
• The Trust will have greater financial freedoms
• The Trust will be regulated by an independent regulator
• The Trust will have undergone a thorough “fitness” test
Members GovernorsNon-executive
Directors
Executive
Directors
Accountable to
Appoints
Membership Appointment and Reporting Lines
Consultation and Engagement
• In line with Cabinet Office Code of Practice 2005
and NHS confederation guidance
• Pre-engagement activities
– Consultation preparation and scoping
– Staff communications and forums
– Contact with key stakeholders and partners regarding
consultation arrangements
– Exploring opportunities for membership recruitment
– Community engagement programme
Consultation and Engagement
• Consultation plans
– A full consultation document and associated materials
– Geographically spread public meetings/events
– Existing forums and meetings
– Specific and targeted stakeholder events and
meetings
– Staff engagement activities
– Public communications and media activity
– Patient information
– Website and other e-communications
What we are consulting on
• Our vision and values
• Our future direction of travel and five year
plans
• How we will be run as a FT
– Governance arrangements
– Membership
• Required to evidence process and
feedback as part of authorisation
Taking up Membership• Membership recruitment will start on the 7th
September
• Proposal - two categories of members, staff and
public
• Staff members automatically become an FT
member with an option to opt out
• Different levels of membership
What will Members be able to do?
• Have a say
• Help raise awareness of ambulance services
across the North West
• Represent the views and needs of the local
community
• Influence proposed changes to services and
future plans for development
• Stand for election for the Council of Governors
• Vote in the election for the Council of Governors
Timeline
SHA Assurance Phase
Now-April 2010
DoH Applications
Committee
April 2010 – June
2010
Monitor Phase
Starts
June 2010
Potential FT Authorisation Date Beginning Sept 2010
All Dates indicative as
Trust will be
continually assessed
Progress with Application• Diagnostic process complete
• Action plan agreed
– Recruitment of CEO and Director of Performance and Patient Experience
– Sustained Category B performance
• Outlined the future service development plans as part of the Integrated Business Plan
• Outlined the financial models to deliver the plans
• SHA Assurance Phase commenced
– Consultation
– Submission of plans
– Board to Board and interviews
– Sign off Constitution
• Trust is in a good position to move ahead
Any Questions?