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COUNCIL OF GOVERNORS’ MEETING (open to trust members, members of the public and the press)
DATE: Tuesday 7th July 2020
TIME: 6pm to 8pm
VENUE: Online meeting
Distribution
CHAIR: Dominic Dodd Chairman of the council of governors and the trust board
COUNCIL MEMBER (S): See list of all governors overleaf
IN ATTENDANCE: Caroline Clarke Group chief executive Peter Ridley Group chief finance and compliance officer Emma Kearney Chief communications officer David Grantham Chief people officer Mary Basterfield Non-executive director Doris Olulode Non-executive director Wanda Goldwag Non-executive director Akta Raja Non-executive director Tony Schapira Non-executive director James Tugendhat Non-executive director Chris Ham Non-executive director
APOLOGIES RECEIVED:
COPY FOR INFO: Executive directors
Contact for apologies or any enquires concerning this meeting should be made via:
Matt Keirle, membership and governance manager Email: [email protected]
Governor name Constituency
Staff-elected governors
Banwari Agarwal Nicholas Macartney Marva Sammy George Verghese Tony Wolff Bimbi Fernando
Patient-elected governors
Peter Atkin Linda Davies Judy Dewinter Sneha Bedi David Myers Samuel Alexander Collins Neil Wolstenholme
Public-elected governors
Anthony Isaacs Richard Stock Jude Bayly Paul Ciclitira Esther Samuels Victor Hoffbrand Emma Cox
Appointed governors
Hans Stauss William Wyatt-Lowe Peter Zinkin Charlotte Benjamin
University College London Hertfordshire County Council
London Borough of Barnet North Central London (NCL) partners
Council of governors’ meeting
7 July 2020
6pm to 8pm
Online meeting
Item Lead Paper Page no.
Administrative items
2020/34
Chairman’s introduction, apologies
for absence and welcome to new
governors D Dodd Verbal -
2020/35 Governors’ register of interests D Dodd 1 1
2020/36 Approve minutes of meeting held
on 20 April 2020
D Dodd 2 5
2020/37 Review of matters arising and
action log D Dodd 3 11
Feedback from governors
2020/38
Committee feedback
- Group services & investment
- Population health
- Quality, finance & compliance
Peter Atkin
Tony Wolff
Sneha Bedi
verbal
Updates/feedback on the performance of the trust
2020/39 Chair’s report to council D Dodd 4 15
2020/40 Group chief executive’s report to
council
C Clarke 5 19
Updates for the council
Item Lead Paper Page no.
2020/41 Lead governor’s report J Dewinter 6 24
Matters for discussion
2020/42 What matters to staff during and
after the pandemic
D Grantham verbal -
Any other business
2020/43 To note any other urgent business D Dodd verbal -
2020/44 Questions from members of the
public
D Dodd verbal -
For information
2020/45 Non-executive directors’ report to
the council
7 27
2020/46 Meeting schedule 8 38
2020/47 Governors’ briefing pack (circulated
by email)
Circulated
separately -
2020/48
Confirm date and venue of next
council of governors meeting:
Date: 6th October 2020
Time: 6pm-8pm
Venue : online meeting
verbal -
2020/49 Close
Declaration of interests –governors are requested to highlight any changes to the register of interests at each council of governors’ meeting held in public
Paper 1
COUNCIL OF GOVERNORS DECLARATION OF RELEVANT AND MATERIAL INTERESTS
Last reviewed by council of governors: 20 April 2020 For review on: 7 July 2020
Directorships, including non-executive directorships held in private companies or PLCs (with the exception of those of dormant companies)
Ownership or part-ownership of private companies, business or consultancies likely or possibly seeking to do business with the NHS
Majority or controlling share holdings in organisations likely or possibly seeking to do business with the NHS
A position of authority in a charity or voluntary organisation in the field of health and social care
Any connection with a voluntary or other organisation contracting for NHS services
Research funding/grants that may be received by an individual or their department
Interests in pooled funds that are under separate management (any relevant company included in this fund that has a potential relationship with the Trust must be declared)
Date of entry
09/10/14 Mr P ATKIN Atkin Associates Limited Media Ambitions (Enterprises) Limited Giant Media International Limited Consultant in Jaffe Porter Crossick Solicitors
26/11/15 Ms J BAYLY Nil Nil Nil Panel member at the Nursing and Midwifery Council
Nil Nil Nil
04/10/19 Mr N WOLSTENHOLME Non-executive director at Mulberry Marketing Communications Limited
Shareholder in Smith & Nephew PLC
Nil Nil Nil Nil Nil
04/10/19 Prof V HOFFBRAND Nil Nil Nil Nil Nil Nil Nil
04/10/19 Mr S A COLLINS Nil Nil Nil Nil Nil Nil Nil
04/10/19 Ms E SAMUELS Nil Nil Nil Nil Nil Nil Nil
04/10/19 Mr B FERNANDO Nil Nil Nil Nil Nil Nil Nil
04/10/19 Ms E COX Chief product officer at Vopulus Ltd
Nil Nil Member of the HCSA executive committee (a doctors union)
Faculty member of the The Healthcare Leadership Academy
Nil Nil
Declaration of interests –governors are requested to highlight any changes to the register of interests at each council of governors’ meeting held in public
Paper 1
Directorships, including non-executive directorships held in private companies or PLCs (with the exception of those of dormant companies)
Ownership or part-ownership of private companies, business or consultancies likely or possibly seeking to do business with the NHS
Majority or controlling share holdings in organisations likely or possibly seeking to do business with the NHS
A position of authority in a charity or voluntary organisation in the field of health and social care
Any connection with a voluntary or other organisation contracting for NHS services
Research funding/grants that may be received by an individual or their department
Interests in pooled funds that are under separate management (any relevant company included in this fund that has a potential relationship with the Trust must be declared)
Date of entry
17/06/16 Mrs L DAVIES Partner in Davies Communications
Nil Nil Chair of Governors of New End Primary School
Nil Nil Nil
26/11/15 Mrs J DEWINTER Director of J Rock Investments, a private investment company
Director of RFC Developments
Nil Nil President of Myeloma UK, a national cancer charity based in Edinburgh Charity number SC 026116
Chair of the Royal Free Charity
Patient representative on the UCL ECMC Board (Experimental Cancer Medicine Centre)
Nil Nil
14/10/14 Dr A ISAACS Nil Nil Nil Nil Nil Nil Nil
01/11/17 Dr N MACARTNEY Nil Nil Nil Churchwarden at Holy Trinity, Dalson
Nil Nil Nil
02/11/17 Dr B AGARWAL Nil Nil Nil Nil Nil Research grant funding as co-applicant through Horizon 2020 – EU research framework programme for research and innovation
Nil
31/10/17 Dr G VERGHESE Director of Verghese Orthopaedics; Director of North London Orthopaedic Clinic LLP
Nil Nil Nil Nil Nil Nil
08/01/18 Dr P CICLITIRA Nil Nil Nil Trustee of Clinical Research Trust
Nil Nil Nil
Declaration of interests –governors are requested to highlight any changes to the register of interests at each council of governors’ meeting held in public
Paper 1
Directorships, including non-executive directorships held in private companies or PLCs (with the exception of those of dormant companies)
Ownership or part-ownership of private companies, business or consultancies likely or possibly seeking to do business with the NHS
Majority or controlling share holdings in organisations likely or possibly seeking to do business with the NHS
A position of authority in a charity or voluntary organisation in the field of health and social care
Any connection with a voluntary or other organisation contracting for NHS services
Research funding/grants that may be received by an individual or their department
Interests in pooled funds that are under separate management (any relevant company included in this fund that has a potential relationship with the Trust must be declared)
Date of entry
08/11/17 Mrs M SAMMY Nil Nil Nil Nil Nil Nil Nil
15/08/16
Updated: 03/10/18
Dr D MYERS Director, Radnor Lodge Investments Ltd
Director, Consort Lodge Management Ltd
Partner, Wizzard Creative Services;
Nil President & Treasurer, Royal Free Hospital Kidney Patients Association; Chair of the Royal Free Organ Donation Charity
Nil Nil Nil
15/11/14
Updated: 07/09/16
Prof.H STAUSS Nil Consultant to Cell Medica and has shares with this company
Founder of Quell Therapeutics. Also a consultant and shareholder
Nil Programme Director for UCL Partner Academic Health Science Centre; Director Institute of Immunity and Transplantation; Co-Director UCL Division of Infection and Immunity
Nil A recipient of research grants from government and charitable funding bodies
Funded research collaboration with Cell Medica, which includes options for Cell Medica to UCL’s IP
Nil
19/01/16 Dr R STOCK Director and shareholder of EmanexLtd. Exhaust’in Ltd. Marathon Warehouse Distribution Ltd
Nil Nil Spouse is chair of the Barnet health and wellbeing board
GP Haringey
Nil Nil
03/12/14 Mr T WOLFF Nil Nil Nil Nil Nil Nil Nil
22/01/15 Cllr W WYATT-LOWE Nil Trading partnership “Wyatt-Lowe
Nil Trustee of Adeyfield Neighbourhood
Hertfordshire Public Health Cabinet Panel
Nil Nil
Declaration of interests –governors are requested to highlight any changes to the register of interests at each council of governors’ meeting held in public
Paper 1
Directorships, including non-executive directorships held in private companies or PLCs (with the exception of those of dormant companies)
Ownership or part-ownership of private companies, business or consultancies likely or possibly seeking to do business with the NHS
Majority or controlling share holdings in organisations likely or possibly seeking to do business with the NHS
A position of authority in a charity or voluntary organisation in the field of health and social care
Any connection with a voluntary or other organisation contracting for NHS services
Research funding/grants that may be received by an individual or their department
Interests in pooled funds that are under separate management (any relevant company included in this fund that has a potential relationship with the Trust must be declared)
Date of entryAssociates” Association
Adult Carer Health Cabinet Panel
06/11/17 Miss S BEDI Nil Nil Nil Nil Nil Nil Nil
09/10/15 Cllr P ZINKIN Governor at Birkbeck, University of London
Shareholder in Balfour Beatty plc
Nil Nil Councillor at London Borough of Barnet
Nil Investor in a number of unit trusts
16/06/20 Dr C BENJAMIN TBC TBC TBC TBC TBC TBC TBC
Paper 4
CHAIR’S REPORT
Executive summary
The chair’s report containing items of interest/relevance to the council.
Action required
The council is asked to note the report.
Report from Dominic Dodd, chair Author(s) Carolyn Cullen, trust secretary Date 25 June 2020
Report to Date of meeting Attachment number
Council of Governors 7 July 2020 Paper 4
Paper 4
CHAIR’S REPORT
A COUNCIL MATTERS
Changes to the Council
Ian Bretman, the appointed governor for North Central London (NCL) partners, has stepped
down from the council. Ian has a new role at NCL which conflicts him from continuing to be
one of our governors. I would like to thank Ian for his contribution to the council and wish him
every success in his new role of NCL patient and public engagement lay lead.
I am delighted to welcome Dr Charlotte Benjamin to the council, who is the new NCL
governor representative. Dr Benjamin is a general practitioner. She became Chair of Barnet
Clinical Commissioning Group’s (CCG) Governing Body in January 2019. Of her many
achievements, Dr Benjamin redesigned Barnet local adult and community mental health
service leading to creation of the Wellbeing Hub whilst a clinical leader in Mental Health in
the CCG.
Councillor Christine Hamilton, who represented Enfield Council has also resigned as a
governor. Christine has also taken on a role which conflicts her from continuing as a
governor. I would like to take this opportunity to thank Christine for her contribution to the
council and particularly to thank her for her work on the Chase Farm Hospital Local
Members’ Council.
Nominations Committee
Ian Bretman’s resignation created a vacancy on the nominations committee. The terms of
reference for this committee state that of the four members, two are from the patient and
public constituencies and two are appointed governors representing our partners. After
advertising the post to all eligible governors, I am pleased to say that Peter Zinkin will be
joining the committee.
Just to remind governors, the nominations committee has the following remit: it is
responsible for developing recommendations for council approval on appointments of the
chair and non-executive directors. The committee is also responsible for administering
appraisals and helping frame objectives for chair and non-executives. This committee met
eight times in 2019/20.
Paper 4
B BOARD UPDATE
BOARD GOVERNANCE
In light of the Covid-19 (Coronavirus) pandemic the trust board agreed a number of changes
to its governance arrangements:
• All board meetings held in public were cancelled during the pandemic but confidential
board meetings continued to run monthly for urgent matters on the dates currently
scheduled. These were held as ‘virtual’ meetings.
• A board urgent decisions committee was established to deal with decisions required
between the scheduled board meetings, as required. The members are the group
chair, chief executive, chief medical officer and one other non-executive director.
This fulfils the requirement to be a quorate board meeting (that is, one that is entitled
to make decisions) but all decisions made by the committee will be formally recorded
and reported to the full trust board for confirmation. All the decisions taken by this
committee have been formally reported to the board so are in public domain. In
practice, this committee was only used one occasion, but remains a useful option for
ensuring quick decision-making in a time of emergency,
• It suggested, that after the pandemic, that the board move to meeting in public every
other month, which is consistent with the practice of many other foundation trusts.
These arrangements will be reviewed to see what worked well and can be adopted going
forward, and a review of committee structures and decision-making is also underway.
C OTHER
Update on the work of the Royal Free Charity
The Royal Free Charity had a fantastic response to its appeal for funds to support our
hospitals' staff during the Covid-19 crisis and this support will continue as the trust moves
into the next phase of coping with the pandemic.
The charity is working in close consultation with the trust to create the next phase in its
fundraising strategy. With a new captive audience that has developed a deeper bond with
the NHS because of the crisis, there is fertile ground to take the donors on a journey with the
aim of raising £100m between now and 2028, the 200th anniversary of the Royal Free
Hospital.
On behalf of the trust, I would like to thank everyone in the charity for their outstanding
support and solidarity at this time.
Paper 4
Pears Building
The coming year will see the opening of the Pears Building, a unique research facility funded
jointly by the charity, UCL and the trust to bring scientists and clinicians closer together to
find cures and new treatments for diseases involving the immune system.
Paper 5
GROUP CHIEF EXECUTIVE’S REPORT
Executive summary
This is a chief executive’s report containing items of interest / relevance to the council.
Action required
The council is asked to note the report.
Report from Caroline Clarke, group chief executive Author(s) Carolyn Cullen, trust secretary Date 26 June 2020
Report to Date of meeting Attachment number
Council of Governors 7 July 2020 Paper 5
Paper 5
CHIEF EXECUTIVE’S REPORT
A TRUST DEVELOPMENTS
LEARNING FROM COVID: PLANNING FOR THE FUTURE
There will be a verbal update by Caroline Clarke, Group Chief Executive and Kate Slemeck, Chief Executive of Royal Free Hospital
RE-OPENING SERVICES - CHANGES TO OUR BUILDINGS
As services are re-opened, the trust is reviewing its hospital buildings to ensure that they are
a safe environment for our patients to use. This has involved reconfiguring various areas
within all three hospitals to accommodate differing clinical needs, particularly separating out
those patients with Covid-19 and other patients and services users. The trust is working with
external partners, including the National Physical Laboratory, to assist us in modelling
efficient flows of patients, staff and visitors through our hospitals.
The modular build at Barnet Hospital has been modified to take accounts of new guidance
on managing Covid-19. This facility will have four, five bedded wards and fifteen side rooms
with en-suite facilities and will open in mid-July. Changes to the facility include centralized
air conditioning (Infection control compliant), piped medical gases, vacuum systems and
various other amendments to make this facility fully flexible and ready for any second surge.
The pictures below show the modular structure, which was airlifted into place and is now in
the process of being fitted out.
The construction works for the provision of a new Acute Medical Unit (AMU) at Barnet
Hospital commenced on Monday 8th June 2020. Undertaking construction whilst adhering
to social distancing is a challenge. The trust has been able to significantly de-risk the
programme, to continue at pace for completion during September 2020.
Paper 5
B DELIVERING WORLD CLASS SERVICES
ANNUAL REPORT AND ACCOUNTS 2019/20
The annual report and accounts 2019/20 has been audited by our external auditors
PriceWaterhouseCoopers (PWC), and approved by the board on 26 June 2020. At the
annual members’ meeting on 16 September 2020 there will be a full presentation and
governors will formally receive the annual report and accounts; however here is a synopsis
of our financial position for the year 2019/20.
Overall, our financial position remained challenging in 2019/20 but our business units
continue to work hard to identify ways to become even more efficient. We agreed a control
total for 2019/20 and have delivered in line with this financial plan. The trust achieved
£46.3million of efficiency savings in year, which was 3.8% of our controllable income. We
continue to have a reference cost index lower than average, despite the challenges. For a
number of years, these challenges have had a significant impact on our cash position and
have been reliant on the Department of Health and Social Care for working capital. However,
in 2019/20 as a result of achieving our control total, and through careful working capital
management, we have not needed to access any additional lending.
The trust receives most of its income from clinical commissioning groups and NHS England
specialist commissioning. In 2019/20, the trust received £1,134.8m in income, which was
£93.9m more than in 2018/19. A total of £33.7m of this amount was to cover the costs of the
response to the COVID-19 pandemic, including the construction of the Nightingale Hospital
at London’s Excel Centre. A further £25.5m was notional funding to cover increased pension
costs. The trust has seen a rise in activity, which has meant more resources have had to be
deployed on pay. The pay figures include a notional spend of £25.5m on increased employer
pension contributions, which were funded. We have made concerted efforts to reduce the
number of staff employed through agencies, with spend on temporary staff falling from
£21.5m in 2018/19 to £18.2m in 2019/20. The number of substantive staff employed on a
full-time basis has risen slightly from 7,538 in 2018/19 to 7,867 in 2019/20.
The full annual report and accounts for 2019/20 will be circulated to governors electronically
and placed on the public website.
FAMILY AND FRIENDS TEST (FFT)
Family and Friends Test has been suspended nationally but will shortly resume.
SERVICE PERFORMANCE
The NHS Oversight Framework for 2019/20 is prescribed by NHS England/ NHS Improvement to oversee organisational performance and identify where both commissioners and providers may need support.
This table represents the performance for all three of our hospitals. The prescribed data is
sourced from NHS Digital where data is aggregated. Verified data, although individual trusts
did collect their data, was not available for January and February 2020 and data was not
collected for March 2020. This table is included in the annual report and accounts 2019/20.
Paper 5
NHS Oversight Framework key indicators scorecard 2019/20
Measures Target Apr
2019
May
2019
Jun
2019
Jul
2019
Aug
2019
Sept
2019
Oct
2019
Nov
2019
Dec
2019
Jan
2020
Feb
2020
Mar
2020
A&E: % of
patients seen
within four
hours
95% 83.91% 85.51% 85.63% 87.06% 87.01% 83.50% 79.49% 78.83% 79.82% N/A
Cancer: % <
14-day wait for
first seen -
breast
93% 88.18% 90.91% 88% 75.26% 90.28% 88.72% 89.43% 86.82% 90.76% N/A
Cancer: % <
31-day wait
from diagnosis
to first treatment
96% 95.63% 97.33% 97.74% 98.85% 97.32% 97.45% 96.64% 95.75% 93.65% N/A
Cancer: % <
31-day wait
from diagnosis
to second
treatment
(radiotherapy)
94% 100% 100% 100% 100% 100% 100% 100% 100% 100% N/A
Cancer: % <
31-day wait
from diagnosis
to second
treatment
(surgery)
94% 88.16% 93.94% 97.30% 91.30% 94.29% 98.04% 92.96% 91.49% 96.15% N/A
Cancer: % <
31-day wait
from diagnosis
to second
treatment
(chemotherapy)
98% 100% 100% 100% 100% 100% 97.44% 100% 100% 100% N/A
Cancer: % <
62-day wait for
first treatment -
GP referral
85% 86.15% 76.78% 76.99% 82.37% 81.82% 75.90% 80.42% 80.82% 82.98% N/A
Cancer: % <
62-day wait for
first treatment –
screening
85% 95.16% 96.72% 92.31% 82.09% 86.42% 92.75% 98.08% 94.37% 81.18% N/A
Diagnostics: %
< 6-week wait
for diagnostics 99% 96.3% 93% 92.4% 93.3% 90% 89.2% 93.1% 94% 92.7% N/A
Paper 5
C OTHER UPDATES
BBC Two Documentary Hospital returns to the Royal Free London
The Royal Free London will be the focus of a new series of the award-winning BBC Two
documentary Hospital.
It follows the success of the special two-part documentary Hospital Special: Fighting Covid-
19, which showcased the response of our amazing staff from day one of lockdown.
The two-parter was hailed by the Radio Times as the ‘most important documentary you will
see this year’ and received widespread critical acclaim. It was viewed by 3 million people.
BBC Two has commissioned a sixth series of the documentary, produced by Label1, which
will be filmed across the Royal Free London – a six-part series to chart the next stage of the
story, as services across the NHS are reinstated following the impact of Covid-19.
The new series will air on BBC Two this autumn and we will keep staff updated about filming
dates. Filming has been approved by the RFL group executive committee.
Paper 6
LEAD GOVERNOR REPORT
Executive summary
The lead governor’s report containing items of interest/relevance to the council.
Action required
The council is asked to note the report.
Report from Judy Dewinter, lead governor
Date 29 June 2020
Report to Date of meeting Attachment number
Council of Governors 7 July 2020 Paper 6
Paper 6
LEAD GOVERNOR REPORT
GOVERNORS’ INFORMAL MEETING
I would like to thank Doris Olulode for joining the informal meeting that was held on 29 April. Doris’s contribution was extremely insightful, with a very broad range of topics covered.
We are also grateful to Dominic Dodd, our Chair, who joined our informal meeting on 26 May to talk about the emerging future models of care. This also gave governors the opportunity to ask a wide range of questions.
Akta Raja will be joining the next informal meeting, immediately prior to the council meeting on 7 July.
. MEDICINE FOR MEMBERS EVENTS
As discussed at our last informal meeting, we would like to re-introduce Medicine for Members events by bringing them online. Matt Keirle is in the process of reviewing how MS Teams could accommodate a large group event. Topics for medicine for members events and the format of these events will be discussed at our informal meeting on 7 July.
ANNUAL MEMBERS’ MEETING
The annual members’ meeting is the trust’s annual general meeting where the council of governors officially receives the trust’s annual report and accounts. The meeting brings together members, governors and directors. A number of presentations are made about the year being reported on as well as giving information about future plans. The lead governor, on behalf of the council, highlights and explains the role of governors and provides a brief account of the previous 12 months. There is also the opportunity for members to ask questions, either of the trust or the council of governors. Both the annual members’ meeting and the medicine for members’ events are important engagement opportunities for governors, albeit remotely at this stage, and it’s important that we have good attendance from our governors.
MEMBERSHIP
Membership requests continue to rise steadily. The trust has received over 1,250 new applications since the start of the year. This is double when compared to the same period last year. Our potential audience for both medicine for members and the annual members’ meeting is larger than ever before and, as a result, I expect good turnout at these events, particularly if they take place online.
At our last informal meeting we agreed that an email should be sent to our members, which resulted in an email from Caroline Clarke being sent. This was very well received with a number of positive responses and feedback.
Paper 6
GOVERNOR ELECTIONS
The council of governors has 12 governors whose term ends in September; five of these governors are at the end of their maximum nine-year tenure and therefore cannot re-stand. The process to elect new governors will begin at the end of July, with appointments effective from the end of September.
GOVERNOR INBOX
The following emails were received:
An email was received from a member of the public who was concerned about an upcoming X-ray appointment at Royal Free Hospital during the COVID-19 pandemic and wanted reassurance that it was safe to attend. This was passed on to the appropriate team for response.
A member of staff emailed the governors to express concerns over sustainability, recycling and waste management at Royal Free Hospital and also more broadly at the trust. Peter Ridley relayed details of the trusts credentials and sustainability programme and these were forwarded to the employee.
A member of the public contacted the governors to highlight an alleged defamatory remark made by a RFL employee on Facebook in connection to the George Floyd incident. This was passed on to our human resources team.
CHANGE TO THE COUNCIL
I am pleased to welcome Dr Charlotte Benjamin, who is representing NCL on our council of governors. Councillor Christine Hamilton, who has represented the London Borough of Enfield on the council of governors, is stepping down and I would like to thank her for contribution to the council.
MEETINGS ATTENDED BY THE LEAD GOVERNOR
• Dominic Dodd, trust Chairman, for regular 1:1 meetings/calls• Caroline Clarke and Emma Kearney 1:1 meetings• Monthly RFL Trust board meetings• Weekly meeting with trust secretary Carolyn Cullen and Matt Keirle, membership
officer
Judy Dewinter, Lead Governor 29 June 2020
Paper 7
Non-executive directors’ report
Summary
This is a non-executive directors’ report containing items of interest / relevance to the council.
Action required
The council is asked to note the report. There will be an opportunity for questions at the meeting
on 7 July 2020
Report from
Date
Matt Keirle, membership and governance manager
29 June 2020
Report to Date of meeting Attachment number
Council of Governors 7 July 2020 Paper 7
Paper 7
OVERVIEW
The purpose of this report is to provide a regular update from the NEDs on their activities and on any matters to bring the council’s attention.
This will give the council a regular opportunity to ask questions of the non-executive directors on the focus and progress of their work in holding the executive team to account for the performance of the trust.
BOARD COMMITTEE MEETINGS SINCE LAST COUNCIL MEETING
A central means by which non-executive directors seek assurance is via the committees of the board, most of which are chaired by non-executive directors.
Reports from these meetings will be appended in the monthly briefing pack for governors’ reference on the dates shown below.
TRUST BOARD SUB COMMITTEE REPORTS INCLUDED IN GOVERNOR BRIEFING PACK:
• Clinical standards and innovation committee 27 May 2020 • Population health 27 May 2020 • Audit 27 May 2020 • People 27 May 2020
PROGRAMME BOARD REPORTS INCLUDED IN GOVERNOR BRIEFING PACK:
• Pears programme board* June 2020
*update in Chair’s report
PERFORMANCE REPORTS INCLUDED IN GOVERNOR BRIEFING PACK:
• Trust performance report (public) May 2020• Finance performance report (public) May 2020
Board committees
Non-executive directors
Governor observers
Board committee dates
Report circulated in briefing pack for CoG as dated
Clinical standards and innovation
Anthony Schapira (chair)
Mary Basterfield Akta Raja
Banwari Agarwal Neil Wolstenholme
4 March 2020
14 May 2020
7 July 2020
6 October 2020
Audit Mary Basterfield (chair)
Wanda Goldwag Doris Olulode
N/A 18 March 2020
15 May 2020
7 July 2020
6 October 2020
Paper 7
Programme Boards & work streams
Executive lead & Non-executive
Governor observers
Meeting dates
Meeting report circulated in briefing pack for CoG as dated
Pears Building
(Monthly)
Kate Slemeck Anthony Schapira
Peter Zinkin 11 June 2020 7 July 2020
PROGRAMME OF GO SEE VISITS*
Governors are invited to accompany non-executive director(s) on each visit.
A briefing is provided prior to each go-see; and there is also an opportunity to be involved in the feedback process after visits. Below is a list of visits that have taken place since the last meeting:
* due to the COVID-19 pandemic the Go See programme is on hold and will resume at a later date.
People James Tugendhat (chair)
Dominic Dodd Doris Olulode
Jude Bayly Bimbi Fernando
19 February 2020
7 July 2020
7 July 2020
6 October 2020
PopulationHealth
Chris Ham (chair)
Dominic Dodd Anthony Schapira James Tugendhat
Tony Wolff William Wyatt-Lowe
5 March 2020
12 May 2020
7 July 2020
6 October 2020
Group services and investment
Wanda Goldwag (chair)
Akta Raja
Peter Atkin Judy Dewinter
3 June 2020
8 July 2020
6 October 2020
6 October 2020
Quality, finance and compliance committee
Akta Raja
Dominic Dodd
Plus all other NEDs invited to attend meetings during the COVID-19 pandemic
Sneha Bedi George Verghese
24 March 2020
21 April 2020
6 October 2020
6 October 2020
Remuneration Committee
Dominic Dodd (chair)
All NEDs
N/A 27 May 2020 N/A
Paper 7
NON EXECUTIVE DIRECTORS’ ACTIVITIES SINCE LAST COUNCIL MEETING – JULY 2020
Dominic
Dodd
Trust Board Board Committees Council of
Governors
Other Internal External
Stakeholders
April 2020 • Trust Board – Confidential meeting
• Quality, Finance & Compliance committee
• Super Group Executive committee
• Council of Governors
• Informal walkabouts Barnet and Royal Free hospitals
• Covid-19 Exec Group
• NED meeting
• Lead governor’ chair/Royal Free Charity chair
• Regular 1-1s with various NHS trust chairs including: Barts Health, UCLH, Moorfields, West Herts, North Mid, BEH, Croydon Health, Chelsea & Westminster
• Independent Chair NCL
• London Clinical Advisory Group
• National Chairs Advisory Group, NHS England, NHS Improvement, CQC
• London Recovery Oversight Group
• Medical director, London NHS England & NHS Improvement
• London regional director
• London Chairs Reference Group
May 2020 • Board Seminar – NCL sector changes
• Trust Board – NED pre meet
• Trust Board- Part I
• Trust Board
• Population Health committee
• Quality, Finance & Compliance committee
• Informal CoG – emerging models of care
• Informal walkabouts Barnet and Royal Free hospitals
• Covid-19 Exec Group meetings
• NED meeting
• Lead governor’ chair/Royal Free Charity chair
• Children’s services team
• Regular 1-1s with various NHS trust chairs including: Barts Health, UCLH, Moorfields, West Herts, North Mid, BEH, Croydon Health, Chelsea & Westminster
• Independent Chair NCL
• London Clinical Advisory Group
• Chair, NHS England & NHS Improvement
• Quarter 4 Oversight meeting, NHS England & NHS Improvement
Paper 7
– Part II
• London Recovery Oversight Group
• Medical director, London NHS England & NHS Improvement
• London regional director
• London Chairs Reference Group
June 2020 • Trust Board – NED pre meet
• Trust Board- Part I
• Trust Board – Part II
• Quality, Finance & Compliance committee
• Informal walkabouts Barnet and Royal Free hospitals
• NED meeting
• Lead governor’ chair/Royal Free Charity chair
• Calls with shortlisted Chief Nurse Officer applicants
• Regular 1-1s with various NHS trust chairs including: Barts Health, UCLH, Moorfields, West Herts, North Mid, BEH, Croydon Health, Chelsea & Westminster
• Independent Chair NCL
• London Clinical Advisory Group
• London Recovery Oversight Group
• Medical director, London NHS England & NHS Improvement
• London regional director
• London Chairs Reference Group
• NCL Partnership Board meeting
• Chair, Mersey Care NHS Foundation Trust
• Chair and CEO, Healthwatch Enfield
Paper 7
Doris Olulode
TrustBoard
Board Committees Council of Governors
Other Internal ExternalStakeholders
April 2020 • NED pre-meet
• Trust Board meeting
• NED Weekly calls
• People committee
• Quality, Finance & Compliance Committee
• Staff Welfare Committee (weekly)
• Formal CoG meeting
• 1-1 Judy Dewinter
• 1-1 Ragni Patel
May 2020 • NED pre-meet
• Trust Board part 1 & 2
• Board Seminar – NCL Sector changes
• NED weekly calls
• Staff Welfare Committee (weekly)
• Audit Committee x 2
• Quality, Finance & Compliance Committee
• 1-1 Julie
Hamilton
• 1-1 Ragni Patel
June 2020 • NED pre-meet
• Trust Board meeting
• Trust Board Seminar
• NED bi-weekly calls
• Audit Committee
• Speaking Up Champions meeting
• Quality, Finance & Compliance Committee
• 1-1 H&S Deputy Director
• Group Chief Nurse interviews
Mary Basterfield
Trust Board Board Committees Council of
Governors
Other Internal External
Stakeholders
Paper 7
Doris Olulode
TrustBoard
Board Committees Council of Governors
Other Internal ExternalStakeholders
April 2020 • Trust Board • Quality, Finance &
Compliance
Committee
• Weekly Call - CPrG
(Clinical Prioritisation
Group)
• Weekly call with Ravi
Baghirathan
May 2020 • Board
seminar -
NCL sector
changes
• Trust Board
NED Pre-
meet
• Trust Board
parts 1 & 2
• Clinical Standards
and Innovation
committee
• Audit committee
workshop
• Audit Committee
• Quality, Finance &
Compliance
Committee
• Weekly Call - CPrG
(Clinical Prioritisation
Group)
• Weekly call with Ravi
Baghirathan
• Call with PwC
June 2020 • Trust Board
NED Pre-
meet
• Trust Board
parts 1 & 2
• Audit Committee
• Quality, Finance &
Compliance
Committee
• Weekly Call - CPrG
(Clinical Prioritisation
Group)
• Weekly call with Ravi
Baghirathan
• Call with Judy Dewinter
• NED bi-weekly catch up
call
• Call with Peter Ridley
Paper 7
Wanda
Goldwag
Trust Board Board Committees Council of
Governors
Other Internal External
Stakeholders
April 2020 • Trust board parts 1 & 2
• Quality Finance &
Compliance
committee
• Council of
Governors
• 1:1 with lead
governor
• Regular calls with Natalie
Forrest
• Regular calls with Jane
Howden
• NED Catch up
• Call Douglas Thorburn
• Call with Paramjit Jeetly
May 2020 • Trust board parts 1 & 2
• Group Services and Investment committee (chair)
• Audit committee workshop
• Audit committee
• Quality Finance & Compliance committee
• 1:1 with lead governor
• Regular calls with Natalie Forrest
• Paramjit Jeetly
• Dominic Dodd update
• NCL sector
June 2020 • Trust board parts 1 & 2
• Group Services and Investment committee
• Audit
• Quality Finance & Compliance
• 1:1 with lead governor
Paper 7
Akta Raja Trust Board Board Committees Council of
Governors
Other Internal External stakeholders
April 2020 • Weekly NED update calls
• Group level Quality, Compliance & Finance committee
• Council of Governors meeting
• Various internal calls re COVID 19
• Call with Amy Caldwell-Nicholls re data
• Property services board meeting
• Finance & Investment Committee RFC
• Nominations Committee RFC
• Special trustee meeting RFC
• Various calls RFC
May 2020 • Fortnightly NED update calls
• NED pre-meeting
• Public Board Meeting
• Confidential Board Meeting
• Group level Quality, Compliance & Finance committee
• Board Seminar, NCL Sector Changes
• Various internal calls re COVID 19
• Property services board meeting
• Various calls – RFC
• Special nominations committee meeting RFC
• Q4 Oversight meeting with NHSE
June 2020 • Fortnightly NED update calls
• NED pre-meeting
• Confidential Board Meeting
• Group level Quality, Compliance & Finance committee
• Group Services and Investment committee
• Clinical Standards and Innovation
• Various internal calls
• Property services board meeting
• Call to discuss synergies between PPU and RFC
• RFH/RFC Funding and Governance discussion
• Trustee meeting – RFC
• Call with Newlon Housing
Paper 7
• Board Seminar
committee
Tony
Schapira
Trust Board Board Committees Council of
Governors
Other Internal External
Stakeholders
April 2020 • Trust board part 2
• Quality, Finance & Compliance committee
• Formal Council of Governors meeting
• Friday NED Telephone Catch-Up meetings with Dominic Dodd
May 2020 • NEDS
• Trust board parts 1&2
• Population Health committee
• Clinical Standards & Innovations committee (Chair)
• Quality, Finance & Compliance committee
• Friday NED Telephone Catch-Up meetings with Dominic Dodd
June 2020 • NEDS
• Trust board parts 1&2
• Friday NED Telephone Catch-Up meetings with Dominic Dodd
James
Tugendhat
Trust Board Board Committees Council of
Governors
Other Internal External
Stakeholders
April 2020 • NED pre-meet
• Trust board parts 1 & 2
• Finance and Compliance committee
• COG meeting • 1-1 Peter Ridley
• NED weekly call
May 2020 • NED pre-meet
• Trust board
• Finance and Compliance committee
Paper 7
part 2
• Board Seminar
June 2020 • NED pre-meet
• Trust board part 2
• Population Health committee
Chris Ham Trust Board BoardCommittees
Council of Governors
Other Internal ExternalStakeholders
April 2020 • NED pre-meet
• Trust board parts 1 & 2
• Quality Finance & Compliance committee
• Council of
Governors
May 2020 • NED pre-meet
• Trust board part 2
• Population health
committee
• Quality Finance &
Compliance
committee
June 2020 • NED pre-meet
• Trust board part 2
• Population Health
committee
• Quality Finance &
Compliance
committee
Paper 8
Trust board and related meeting schedule
TB = Trust board (includes public (Pub) & confidential (Con) meeting unless stated otherwise) Sem = board seminar
Audit = audit committee
CSIC = clinical standards and innovation committee
GSIC = group services and investment committee
QF&C = quality, finance and compliance committee
People = people committee
PH = population health committee
RemCo = remuneration committee
ABH = Anne Bryans House
RFH boardroom = Royal Free Hospital boardroom
Atrium = Sir Willam Wells Atrium, Royal Free Hospital
* Committee meeting & public board cancelled due to Covid-19
** Awaiting appointment of new CSIC chair
***Due to exec annual leave, only GEC meetings & F&C committee are held in August
TB
(Monthly)
Audit
(x5)
CSIC
(Bi-monthly)
GSIC
(Monthly)
QF&C
(Monthly)
People
(Bi-monthly)
PH
(Bi-monthly)
RemCo
(Quarterly)
March 2020 25th (Con)* 13th 4th Cancelled* 24th n/a 5th
1430 - 1700 1000 - 1230 1100 - 1230 1600 - 1730 1100 - 1300
ABH boardroom ABH boardroom ABH boardroom ABH boardroom ABH boardroom
April 2020 22nd (Con)* n/a n/a Cancelled* 21st Cancelled* n/a Cancelled*
1430 - 1700 1600 - 1730
Virtual Virtual
May 2020 27th 15th (workshop) 14th No meeting 26th n/a 12th 27th
1330 - 1430 (Pub) 1000 - 1130 0900 - 1100 (Early June meeting 1600 - 1730 1100 - 1200 1700 - 1800
1430 - 1700 (Con) 22nd (formal meeting)Virtual instead) Virtual Virtual Virtual
Virtual 1000 - 1230
Virtual
June 2020 24th 11th (annual accts)n/a 3rd 23rd No meeting 10th n/a
1330 - 1430 (Con) 1030 - 1300 1400 - 1600 1600 - 1730 (Early July meeting1500 - 1600
1430 - 1600 (Sem) Virtual Virtual Virtual instead) Virtual
Virtual
July 2020 22nd n/a 27th 8th 21st 7th 7th 22nd
1300 - 1430 (Pub) 1000 - 1200 1400 - 1600 1600 - 1730 1130 - 1330 1400 - 1600 1700 - 1800
1430 - 1700 (Con) Virtual Virtual Virtual Virtual Virtual Virtual
Both RFH boardroom
August 2020 No meeting*** No meeting*** No meeting*** No meeting*** 18th No meeting*** No meeting*** No meeting***
1600 - 1730
ABH boardroom
September 2020 23rd 11th TBC** 10th 22nd 1st n/a n/a
1300 - 1430 (Pub) 1000 - 1230 1400 - 1600 1400 - 1600 1300 - 1500
1430 - 1700 (Con) ABH boardroom ABH boardoom ABH boardroom ABH boardroom
Both RFH boardroom
October 2020 21st n/a n/a 9th 20th n/a 20th 21st
1300 - 1430 (Pub) 1330 - 1530 1600 - 1730 1400 - 1600 1700 - 1800
1430 - 1700 (Con) ABH boardroom ABH boardroom ABH boardroom RFH boardroom
Both RFH boardroom
November 2020 25th 13th TBC** 12th 24th 3rd n/a n/a
1300 - 1430 (Pub) 1000 - 1230 1400 - 1600 1600 - 1730 1200 - 1400
1430 - 1700 (Con) ABH boardroom ABH boardroom ABH boardroom ABH boardroom
Both RFH boardroom
December 2020 16th n/a n/a 9th 15th n/a 3rd n/a
1300 - 1430 (Pub) 1400 - 1600 1600 - 1730 1130 - 1330
1430 - 1700 (Con) ABH boardroom ABH boardroom ABH boardroom
Both RFH boardroom
January 2021 TBC 8th / 22nd TBC TBC** 14th 19th 14th n/a TBC
(Potentially 20th 1000 - 1230 1400 - 1600 1600 - 1730 1130 - 1330 (Potentially 20th
1300 - 1700) ABH boardroom ABH boardroom ABH boardroom ABH boardroom 1700 - 1800)
February 2021 TBC n/a n/a 11th 23rd n/a 10th n/a
(Potentially 23rd 1400 - 1600 1600 - 1730 1400 - 1600
1300 - 1700) ABH boardroom ABH boardroom ABH boardroom
March 2021 TBC 12th TBC** 11th 23rd 17th n/a n/a
(Potentially 23rd 1000 - 1230 1400 - 1600 1600 - 1730 1400 - 1600
ABH boardroom ABH boardroom ABH boardroom ABH boardroom
Paper 8
Event reminders for governors*
Event Date Venue Time Speaker Description
Informal CoG 7 July 2020 Online 16.15-17.45
Chair: Judy Dewinter, lead governor
NED:
Akta Raja
Formal CoG 7 July 2020 Online 18:00-20:00
Chair: Dominic Dodd, chairman
Informal CoG 19 August 2020
Online 17:30-19:30
Chair: Judy Dewinter, lead governor
Caroline Clarke & Chris Streather
Annual members’ meeting 2020
16 September 2020
Online 17:00-20.00
Chair: Judy Dewinter, lead governor
Informal CoG 6 October 2020
Online 16.15-17.45
Chair: Judy Dewinter, lead governor
NED:
James Tugendhat
Formal CoG 6 October 2020
Online 18:00-20:00
Chair: Dominic Dodd, chairman
*these meeting dates will be subject to review on an ongoing basis
Paper 8
Pears building governance meeting dates
April May June July Aug Sep Oct Nov Dec1 12 2 Dev Co3 Steering 3 Steering Group4 4 Operational SG5 5 Construction SG6 6
7 Mini Dev Co 78 89 9
10 Mini Dev Co 1011 Steering 1112 1213 Mini Dev Co 1314 Dev Co 14
Mini Dev Co Ops SG 15
Ops SGDev Co
17 Ops SG 17Ops SGDev Co
19 Con SG Ops SG 1920 Ops SG 2021 Con SG Ops SG Ops SG 2122 2223 Con SG 23
15
Mini Dev Co
18
1616
18 Con SG
24 Mini Dev Co 2425 2526 Steering 26
Mini Dev Co Steering 27
28 2829 Mini Dev Co 2930 3031 31
27 Steering