html5-img
1 / 19

Foundation Trusts

Foundation Trusts. Helen Dickinson. Few caveats. RCPath available worldwide-so don’t just focus on UK policy LTHT just begun application process We are one of the largest NHS trusts in the UK with around 14,500 staff and a budget of nearly £800 million.”. Why?.

taite
Download Presentation

Foundation Trusts

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Foundation Trusts Helen Dickinson

  2. Few caveats • RCPath available worldwide-so don’t just focus on UK policy • LTHT just begun application process • We are one of the largest NHS trusts in the UK with around 14,500 staff and a budget of nearly £800 million.”

  3. Why? • A health service employing over a million people in hundreds of locations nationwide cannot be run from Whitehall…. • …need NHS hospitals led by local communities and by NHS professionals delivering services on the ground.

  4. What is a Foundation Trust • Co-operative/mutual organisation for public benefit • Part of NHS –must meet national healthcare standards • Based on need, not ability to pay

  5. Government Policy • First NHS Foundation Trusts established in 2004 • All Trusts must have applied for Foundation status by 2010 • Local control-able to respond to needs of local community • More flexibility how resources are used • Greater opportunities to get investment

  6. key points • Decentralisation of public services & creation of patient led NHS • Part of NHS -provide NHS care to NHS patients. Subject to NHS standards, performance ratings & systems of inspection • Public benefit corporations-greater local ownership rather than DoH control

  7. Key points • Democratic -elect Governers to work with Board of Directors. • Boards role to manage hospitals-set budgets,pay & other operational matters • Governers role to hold them to account • Not privatisation -must use assets to provide NHS services not to make profits or distribute them -legal block to de-mutualisation

  8. Key points • Not for profit • Not elitism-all Trusts expected to apply • Better focus on needs of community

  9. How does they work • Trusts recruit Members (patient/carer/staff/public) to plan future • Council of Governers (elected or appointed) to represent Members and work with Board of Directors • LTH proposes 35 Governers + Chair • Staff Governers • Public Governers (majority)

  10. Who can become members? • All staff (LTHT opt-out) • Local people served by hospital • Patients • Carers • Don’t receive special treatment

  11. What is role of members? • Members • All members should receive regular info and be consulted on plans for future development • Elect Governers • Stand as Governers • Give community views to and from Governers • Give opinions on future direction, proposals for change

  12. Governers • Some flexibility but every board must have • A chair • Majority elected by public • At least 1 gov representing local PCTs • At least 1 gov representing local authorities • At least 3 gov representing staff • At least 1 gov from local Uni (if includes medical/dental school

  13. Council of Governers • Appoint Chair and non-exec directors • Decide remuneration, allowances & terms of office of Chair and non-exec directors • Appoint auditors • Receive annual report and accounts • Guide strategic direction and plans • Hold Board of Directors to account

  14. Board of Directors • Operationally manage the Trust, finance, services stc • Set strategy plans & budget • Accept liability • Assess risk • Measure progress • Account to Council of Governers

  15. Accountability • Clear accountability framework- • Accountable locally through Council of Governers • Accountable to Commissioners including PCTs – legally binding agreements for delivery of NHS services • Monitor-Independent Regulator of NHS Foundation trusts-oversees and monitors against terms of authorisation-powers to intervene

  16. Terms of authorisation • Must operate to national standards and targets • Major changes to services must be agreed by Monitor • Limit on borrowings • Limit on % private work (same level as 2002-2003) • Must provide essential ‘protected’ NHS goods & services

  17. New freedoms • Free from central Government control, no longer performance managed by Health Authorities ?? • Financial freedoms- • can borrow money from private sector • Can retain financial surpluses –from efficiency savings or disposing of assets (estates)to invest in new/improving services • Can purchase from any supplier • Can develop new solutions to long standing problems eg staff shortages, waiting lists

  18. Finance • Historically-negotiating skills • From April 2005—PbR-services delivered according to tariff. Foundation trusts were early adopters (April 2004) • Cuts lengthy price negotiations, PCTs can choose alternative providers

  19. FT finance • Greater freedoms • Build up operational surpluses • Retain proceeds from asset sales • More freedom to borrow –linked to ability to repay (Prudential Code)

More Related