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Dave Stocks FOUNDATION TRUST UNIT

Dave Stocks FOUNDATION TRUST UNIT. SHA DD Review of FT trajectory against assurance process. XXXX NHS trust Date (adapted from the South East Coast SHA ‘diagnostic’). Overview. The Trusts FT trajectory has been reviewed and evidenced against 6 of the DH assurance domains.

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Dave Stocks FOUNDATION TRUST UNIT

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  1. Dave Stocks FOUNDATION TRUST UNIT

  2. SHA DD Review of FT trajectory against assurance process XXXX NHS trust Date (adapted from the South East Coast SHA ‘diagnostic’)

  3. Overview • The Trusts FT trajectory has been reviewed and evidenced against 6 of the DH assurance domains. • A summary of outstanding issues for the Trust, SHA and DH that impact on the timeline have been set out • The trusts resulting timeline reflects the earliest date to Monitor application in the absence of issues being resolved. XXX Trust

  4. Summary of issues – overall trust has a number of areas to work XXXX Issues Timeline Area • XX • XX • XX Isthe applicant financially viable? Good business strategy Mmm-yy • XX • XX • XX • XX • XX Is the applicant financially viable? Financially viable Mmm-yy Is the applicant well governed? Well governed Mmm-yy • XX • XX Is the applicant well governed? Capable board to deliver Mmm-yy • XX Is the applicant well governed? Good serviceperformance Mmm-yy • XX • XX Is the applicant well governed? • XX • XX • XX LHE issues/External relations Mmm-yy MMM-yy Overall timeline to Monitor XXX Trust Note:* XXXX

  5. DH Assurance – Financial Viability - Good business strategy Issue and evidence Timeline Area • Strategic fit with SHA direction of travel • Commissioner support to strategy • Takes account of local/national issues • Good market, PEST/SWOT analyses • XX • XX • XX • XX • XX • XX • XX • XX • xx • XX • XX • XX • XX • XX • XX • XX • XX • XX • XX • XX • XX Mmm-yy Note where each issue results in clearly different timelines they should be shown separately XXX Trust Sources: XXX

  6. DH Assurance – financial viability - Financially viable Issue and evidence Timeline Area • Issue 1 • XX • XX • XX • Issue 2 • XX • XX • XX • Issue 3 • XX • XX • XX • Assumptions revision • XX • XX • XX • Commissioner issue 1 • XX • XX • XX • XX • Financial Risk Rating of at least 3 under a downside scenario • Surplus by year 3 under a downside scenario • Above underpinned by a set of reasonable assumptions eg CIPs, PFI capex plans etc • Commissioner support for activity/ service development assumptions Mmm-yy Note where each issue results in clearly different timelines they should be shown separately XXX Trust Sources: XX

  7. DH Assurance – Governance - Well governed Issue and evidence Timeline Area • ALE score • XX • XX • Breakeven duty • XX • SIC issues • XX • XX • XX • HCC core standards declaration • XX unmet, YY insufficient assurance • Additional work on risk management systems • BAF issues • XX • XX • XX • XX • Evidence of meeting statutory targets • Declaring full compliance or robust action plan in place • Robust, comprehensive and effective Risk Mgmt & Performance Mgmt systems in place which are proven to effect decision making Mmm-yy Note where each issue results in clearly different timelines they should be shown separately XXX Trust Sources: xx

  8. DH Assurance – Governance - Capable Board to deliver Issue and evidence Timeline Area • Issue 1 • XX • XX • XX • XX • Issue 2 • XX • XX • XX • XX • XX • XX • SLR in place? • SLR in place? • Board reporting changed? • Anything from board papers? • ZZZZ • Evidence of reconciliation of skills/exp to requirements of the strategy • Evidence of independent analysis of board capability/capacity • Evidence of learning appetite via FT processes • Evidence of effective, evidence based decision making processes Mmm-yy Note where each issue results in clearly different timelines they should be shown separately XXX Trust Sources: XX

  9. DH Assurance – Governance - Good service performance Issue and evidence Timeline Area • SHA performance reports • 18 weeks • HCAIs – MRSA and Cdiff – • A&E – • HCC rating 06/07 • Use of resources - XX • Quality/service - XX • Data quality ?? • Internal audit ?? • HSE?? • Complaints? • Continued poor performance on patient survey. • Maternity review? • Staff survey? • Benchmarking? • XXX • Evidence of meeting all statutory and national/local targets • Evidence of no issues/concerns/reports from 3rd parties e.g. HCC • Evidence that delivery is meeting/exceeding plans Mmm-yy Note where each issue results in clearly different timelines they should be shown separately XXX Trust Sources: XX

  10. DH Assurance – Governance - LHE issues/external relations Issue and evidence Timeline Area • XX • XX • XX • XX • XX • XX • XX • XX • XX • XX • XX • XX • XX • XX • XX • XX • XX • XX • XX • XX • If LHE FRPs in place does the application adequately reflect this • Any commissioner disinvestment/contestability not reflected • Effective and appropriate contractual relations in place • Other key stakeholders such as LAs,SHAs, other trusts etc Mmm-yy Note where each issue results in clearly different timelines they should be shown separately XXX Trust Sources: XX

  11. Trust name: XXXXXXX NHS Trust Turnover: £xxxm beds XXX xx hospitals xxsites SHA: XXXX Apps Cttee Dec S NS Legally Constituted Compliant constitution Due consultation G Members Representative Numbers (ex staff) Business Strategy Strategic fit with SHA direction of travel Market assessment G G G G G xxxx G G Financially Viable 08/09 09/10 10/11 11/12 12/13 13/14 08/09 09/10 10/11 11/12 12/13 13/14 G Base Case Normalised I&E Downside Case Normalised I&E Robustness of assumptions: Linkage with IBP (£0.9m) £4.9m £4.6m £3.3m £5.4m £5.7m G FRR Base FRR D/Side 2 3 3 3 4 4 £ £ £ £ £ £ - - - G 3 3 2 3 3 A Statutory BE duty G PPI duty G G PBC duty Base D/Side G Well Governed HDD Robust risk & perf mngmnt systems HCC Rating 06/07 UoR G Capable Board Board capacity/capability Effective evidence based decision making G G LHE issues Commissioner Support Effective contractual relations G G G G G G G G Other information - Audit Commission / Public interest / S19 / independent reports - G Service Performance Current Performance HCC Rating 06/07 QoS - Core Standards QoS - Existing national targets New national targets G G G G G

  12. ACCELERATING THE FLOW OF NHS FOUNDATION TRUSTS • December 2008 - Final SHA trajectories submitted to DH including those who will not apply by deadline • December 2009 - Agreed clear plans for any trust considered unable to achieve FT status within the timescale • December 2010 - SofS sign-off for final FT applicants

  13. ACCELERATING THE FLOW OF NHS FOUNDATION TRUSTS

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