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How we make decisions

Internal Communications guidance and criteria used for decision making

All of the Trusts decisions and objectives link to our commitment to patient care and the improvement of services.

 

A number of documents set the framework for how the Trust make decisions including;

 

  • The Constitution sets out the Governance Arrangements that the Trust must work to. 

 

  • The Scheme of Delegations sets out how the powers of the Board may be delegated  to Officers and Committees of the Trust.  The Board remains accountable for all of its functions.

 

  • The Statement of Internal Control is a statement made by the Chief Executive,  describing how KGH is going to manage risk to a reasonable level.

 

  • The Performance Management Framework sets out the processes and tools that the Trust will use to ensure that;

 

    • The organisation understand its aims for the coming year;

    • Enables effective and efficient monitoring

    • Predicts and forecasts likely outturn enabling timely and corrective action where necessary

 

Board of Directors

The Trust is governed by it’s Board made up of a Chairman, Executive and Non- Executive Directors. 

 

The role of the Board of Directors is to set strategic direction, monitor and assure the successful implementation of the strategy, ensure the existence of robust governance arrangements and establish effective scrutiny and assurance processes that ensure good and safe patient care, accountability and financial probity.

 

Board Papers – Agenda, Supporting Papers and Minutes

For each meeting an agenda is set – the agenda follows the corporate objectives.

 

Papers are submitted in advance of each meeting where minutes are taken to record the decisions made.  Minutes of these meetings are normally made available, although a summary may be produced where information recorded may be withheld under the Freedom of Information Act exemptions. Trust Board papers (link)

 

Board Sub Groups

To allow the Trust Board to achieve it’s corporate objectives it has a number of sub groups that meet regularly.  The Scheme of Delegations is a document which sets out the delegated responsibility for decision making each group has on behalf of the Trust Board.  Each sub group submits the minutes of its meetings to the Trust Board.

 

Further details of Trust Board Sub groups are available in “What are our priorities and how are we doing”

 

The Executive Director Team

The Trust Executive Director team support the Chief Executive in carrying out the detailed executive work of managing the Trust on behalf of the Trust Board.

 

The Executive Team provide focus and leadership within the Trust and ensure that staff are able to participate in decision making.  In addition the Executive team monitor progress against objectives.

 

Associate and Assistant Directors support their Directors in ensuring that the clinical requirements, targets and financial responsibilities are delivered.  They will also assist in developing detailed and comprehensive business and service plans for the Trust.  Trust Director's (link)

 

Members and Council of Members

The Trust Board is accountable to the Council of Members. 

 

Council Members act as guardians, with the responsibility of ensuring that the Trust conducts its business in a way that reflects its purpose.

 

Part of the role is making sure that the views of the peoples who use the Trust’s services and local communities are taken into account when plans for services are being developed.

 

Council Members also act as ambassadors for the Trust and champions to promote the services the Trust offers.

 

The Council of Members would be expected to inform Monitor (the Foundation Trust watchdog) if it had any concern about the Board of Directors, which could not be resolved at a local level.

 

The Chairman of the Council of Members is also the Chair on the Board of Directors.

 

The Council of members will receive reports for discussion and comment that will then be submitted to the Trust Board.

 

By keeping in touch with local people and communities, they are responsible for feeding back to the Trust, via the Council of Members, the suggestions and ideas of Members.

 

Links

Council of Members

Trust Board