Trust Board Papers
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2024 Papers
00 2024.11.14 PUBLIC BoD Agenda – Final BB
149.24 2024.09.12 PUBLIC Minutes Final Draft
150.24 BoD PUBLIC Action Log
153.24 CEO report
154.24 Neonatal Review Report
155.24 ARAC Chair’s Report Sept 2024
156.24a QSAC Chair’s Report Sept 2024
156.24b QSAC Chair’s Report Oct 2024
157.24a PAC Chair’s Report Sept 2024
157.24b PAC Chair’s Report Oct 2024
158.24a FAC Chair’s Report Sept 2024
158.24b FAC Chair’s Report Oct 2024
159.24 PODAC Chair’s Report Oct 2024
160.24 Integrated Performance Report
161.24 G2G Progress Report
162.24 Public Participation Report
163.24 FTSU Report Q2 2024-25
164.24 GoSW Report
165.24 Integrated Maternity Report
166.24 Incident Overview Report
167.24 Board Assurance Framework Q2 2024-25
Supplementary Information
00 2024.11.14 Public Info Pack Cover Sheet
162.24 – Bi-annual Public Participation Full Report
164.24 – GoSW Report Appendix 1
164.24 – GoSW Report Appendix 2
164.24 – GoSW Report Appendix 3
164.24 – GoSW Report Appendix 4
164.24 – GoSW Report Appendix 5
164.24 – GoSW Report Appendix 6
165.24 Appx 1 IMR – Ockenden Report Action Plan
165.24 Appx 2 IMR – Maternity and Neonatal Transformation Plan
165.24 Appx 3 IMR – CNST MIS Year 6 Progress Report
165.24 Appx 4 IMR – PMRT Quarterly Report Q2
165.24 Appx 5 IMR – PMRT Board Report Q2
165.24 Appx 6 IMR – DoM 6 Monthly Safe Staffing Report
165.24 Appx 7 IMR -Saving Babies Lives Exec Medical Director Sign off
165.24 Appx 8 IMR – Locally Agreed Dashboard Q2
165.24 Appx 10 IMR – Triangulation of NHSR Scorecard Q2
00 Agenda PUBLIC BoD 2024.09.12
119.24 Patient Story – Discharge Medicine Service
122.24 2024.07.11 PUBLIC Minutes – Final Draft
123.24 BoD PUBLIC Action Log
127a.24 QSAC Chairs Report July 2024
127b.24 QSAC Chair’s Report August 2024
128a.24 FPAC Chairs Report July 2024
128b.24 FPAC Chairs Report August 2024
129.24 PODAC Chairs Report August 2024
130.24 Dispatches Programme action plan
131.24 Integrated Performance Report
132.24 Getting to Good Progress Report
133.24 IPC Report Q1 2024-25
134.24 How we learn from Deaths Report Q1 24-25
135.24 FTSU Report Q1 2024-25
136.24 Integrated Maternity Report
137.24 Incident Overview Report
138.24 BAF Draft Q1 24-25
139.24 Quarterly Risk Management Report
140a.24 RemCom updated ToR report
140b.24 ARAC ToR revised ToR report
140c.24 FAC new TOR report
140d.24 PAC new ToR report
141.24 Risk Appetite Statement 24-25
142.24 WRES and WDES Action Plans
Supplementary Information
00 2024.09.12 Public Info Pack Cover Sheet
01 133.24 IPC Q1 Appendices
02 135.24 FTSU Appx 1 and 2
03 136.24 Appx 1 Ockenden Report Action Plan
04 136.24 Appx 2 MNTP Summary
05 136.24 Appx 3 CNST Progress Report July 2024
06 136.24 Appx 4 CNST Progress Report Aug 2024
07 136.24 Appx 5 PMRT Report Q4 23-24
08 136.24 Appx 6 PMRT Board Report Q4 23-24
09 136.24 Appx 7 PMRT Report Q1 24-25
10 136.24 Appx 8 PMRT Board Report Q1 24-25
11 136.24 Appx 9 ATAIN Report Q1 24-25
12 136.24 Appx 10 ATAIN Quality Imp Project
13 136.24 Appx 11 Trans Care Report Q1 24-25
14 136.24 Appx 12 Neonatal Med Workforce Report
15 136.24 Appx 13 Neonatal Nursing Staffing Report
16 136.24 Appx 14 Anaesthetic Workforce Paper
17 136.24 Appx 15 Anaesthetic SOP
18 136.24 Appx 16 Saving Babies Lives Report Q4 23-24
19 136.24 Appx 17 Saving Babies Lives Report Q1 24-25
20 136.24 Appx 18 Iteration to MIS SA8
21 136.24 Appx 19 Ed and Trng Report Q4 23-24
22 136.24 Appx 20 Ed and Trng Report Q1 24-25
23 136.24 Appx 21 Training Needs Analysis
24 136.24 Appx 22 Locally agreed dashboard Q1 24-25
25 136.24 Appx 23 You Said We Listened Q1 24-25
26 136.24 Appx 24 Quad SC Meeting Mins Q4 23-24
27 136.24 Appx 25 Quad SC Meeting Mins Q1 24-25
28 136.24 Appx 26 Triangulation NHSR Scorecard Q4 23-24
29 136.24 Appx 27 Triangulation NHSR Scorecard Q1 24-25
30 Safeguarding Annual Report 2023-24
31 Security Annual Report 2023-24
32 PALS Complaints and Patient Exp Annual Report 23-24
00 2024.07.11 PUBLIC BoD Agenda
091.24 Patient Story
094.24 2024.05.09 PUBLIC Minutes – Final Draft
095.24 BoD PUBLIC Action Log
099.24 ARAC Report May 2024
100.24a QSAC Chair’s Report May 2024
100.24b QSAC Chair’s Report June 2024
101.24a FPAC Chair’s Report May 2024
101.24b FPAC Chair’s Report June 2024
102.24 PODAC Chair’s Report June 2024
103.24 Integrated Performance Report
104.24 Getting to Good Progress Report
105.24 GoSW Report Q4 2023-24
106.24 Report from Director of IPC Q4 2023-24
107.24 Bi-Annual Nurse Staffing Review
108.24 How we learn from deaths Q4 and Annual Report 2023-24
109.24 FTSU Q4 and Annual Report 2023-24
111.24 Integrated Maternity Report
112.24 Incident Overview Report
113.24 Formal Review of Winter Plan 2023-24
114.24 June Board Walks Summary Report
Supplementary Information
00 2024.07.11 Public Info Pack Cover Sheet
01 IPC Annual Report 2023-24
02 107.24 Appendices 1-3 Bi Annual Nurse Staffing Review
03 108.24 Appendices A&B How we learn from deaths report
04 111.24 Appendix 1 Ockenden Report Action Plan
04 111.24 Appendix 2 CNST MIS Year 6 Progress Report May 2024
04 111.24 Appendix 3a PMRT Quarterly report Q4 2023 24
04 111.24 Appendix 3b Q4 PMRT Board Report
04 111.24 Appendix 4 TC Report Q4 2023 24
04 111.24 Appendix 5 ATAIN Report Q4 2023-24
04 111.24 Appendix 6 Birthrate Plus Workforce Assessment
04 111.24 Appendix 7 Budgets Versus BR+ Report
04 111.24 Appendix 8 Maternity 6-monthly Safe Staffing Report Q3 and 4 2023 24
04 111.24 Appendix 9 Safety Intelligence Locally Agreed Dashboard Q4 2023 24
00 PUBLIC BoD Agenda
059.24 Patient Story
062.24 2024.03.14 PUBLIC Minutes – Final Draft
063.24 BoD PUBLIC Action Log
067.24 ARAC Report
068.24 QSAC Report
069.24 FPAC Report
070.24 PODAC Report
071.24 ORAC Report
072.24 Integrated Performance Report
073.24 Getting to Good Progress Report
074.24 People Strategy 2024-2030
075.24 Public Participation Report
076.24 Medical Rostering Implementation Update
077.24 Veteran and Armed Forces Programme of Work
078.24 How We Learn From Deaths Report
079.24 Integrated Maternity Report
080.24 Incident Overview Report
081.24 Annual NHS Staff Survey Results
082.24 Board Assurance Framework Q4 23-24
083.24 ED&I Policy
084.24 April Board Walks Summary Report
085.24 FPPT Framework for Board members
086.24 Board Member Interests
Supplementary Information Pack
00 2024.05.09 Public Info Pack Cover Sheet
075.24 Public Participation Full Report Q4 2023-24
078.24 Appx A-C How We Learn from Deaths Report
078.24 Appx D Audit Report Mortality Governance
079.24 Appx 1 Ockenden Report Action Plan
079.24 Appx 2a CNST MIS Year 6 Progress Report April 2024
079.24 Appx 2b MIS Year 6 v1.0 20240402
079.24 Appx 3 Saving Babies Lives Care Bundle Tool
079.24 Appx 4 National Maternity Survey Results Overview
079.24 Appx 5 Safety Champions Locally agreed Dashboard
079.24 Appx 6 Perinatal Culture and Leadership Prog Report
081.24 Appx 1 Schemes and Actions 2023 staff survey
081.24 Appx 2 SaTH_Imp Approach vs Staff Survey
00 2024.03.14 PUBLIC BoD Agenda
029.24 Staff Story
032.24 2024.02.08 PUBLIC Minutes – Final Draft
033.24 Public Action Log
037.24 ARAC Report
038.24 QSAC Report
039.24 FPAC Report
040.24 PODAC Report
041.24 ORAC Report
042.24 Integrated Performance Report
043.24 Getting to Good Progress Report
044.24 Health Inequalities Update
045.24 Report from the Director of IPC
046.24 Guardian of Safe Working Report
047.24 ED&I Annual Report 2023
048.24 Integrated Maternity Report
049.24 Incident Overview Report
050.24 Board Assurance Framework
051.24 Risk Management Report
052.24 QSAC Terms of Reference Annual Review
053.24 FPAC Terms of Reference Annual Review
054.24 Anti-Fraud, Bribery and Corruption Policy
Supplementary Information
00 2024.03.14 Public Info Pack Cover Sheet
043.24 Getting to Good Report Appendices 1-4
048.24 Integrated Maternity Report Appendices 1-9
00 2024.02.08 PUBLIC BoD Agenda – Final
002.24 Patient Story
005.24 2023.12.14 PUBLIC Minutes – Final Draft
006.24 BoD PUBLIC Action Log
010.24 ARAC Chair’s Report Dec 2023
011.24a QSAC Chair’s Report Dec 2023
011.24b QSAC Chair’s Report Jan 2024
012.24a FPAC Chair’s Report Dec 2023
012.24b FPAC Chair’s Report Jan 2024
013.24 PODAC Chair’s Report Dec 2023
014.24 Integrated Performance Report
015.24 G2G December Progress Report
016.24 Trust Strategy Update Report
017.24 Public Participation Report
018.24 FTSU Report
019.24 How we Learn from Deaths Report
020.24 Equality Delivery System Annual Reports
021.24 Integrated Maternity Report
022.24 Incident Overview Report
023.24 Safeguarding Children & Young People Policy
024.24 Review of Board Committee Membership
Supplementary Information
00 2024.02.08 Public Info Pack Cover Sheet
015.24 Getting To Good Appendices Combined December 2023 V3
017.24 Public Participation Full Report Q3 Oct-Dec 23
018.24a FTSU Report Appendix 1
018.24b FTSU Report Appendix 2
018.24c FTSU Report Appendix 3
019.24 L from DeathsAppx A Bereavement ME Service Q2 Report 2023-24
021.24a BoD PUBLIC February 2024_Appendix One_ Ockenden Report Action Plan at 9 January 2024)_FINAL
021.24b BoD PUBLIC February 2024_Appendix Two_ Safety Champions Locally Agreed Dashboard Q3 2023_4 enlarged font
2023 Papers
00 2023.12.14 PUBLIC BoD Agenda
142.23 Patient Story
145.23 2023.10.12 PUBLIC Minutes – Final Draft
146.23 BoD PUBLIC Action Log
150.23 QSAC Chair’s Report
151.23 FPAC Chair’s Report
152.23 ORAC Co-Chairs Report
153.23 Clinical Services Strategy
154.23 Integrated Performance Report
155.23 Getting to Good Progress Report
156.23 IPC Report Q2 2023-24
157.23 Public Participation Report Q2 2023-24
158.23 SaTH Green Plan Update
159.23 Bi-Annual Safer Staffing Report
160.23 How we learn from deaths – Assurance review into the increase in deaths within ED
161.23a Q3. GoSW Report 01 July – 30 September 2023
161.23b GOSW Annual Report 22-23
162.23 Integrated Maternity Report
163.23 Incident Overview Report
164.23 SaTH Winter Plan
165.23 Board Assurance Framework Q2 2023-24
166.23 New Corporate Risk Register
167.23 November Board Walks Summary Report
168.23 SO’s, SoRD and SFIs Annual Review
169.23 Appointment of Vice Chair of the Trust
Supplementary Information
00 2023.12.14 Public Info Pack Cover Sheet
155.23 Appendices 1-3 Getting To Good Progress Report
157.23 Appendix 1 Full Public Participation Report Q2 2023-24
158.23 Appendix 1 Green Plan Action Update
159.23 Appendix 1 Bi-Annual Safer Staffing – Full Report
160.23 Appendices A-F How we learn from deaths report
162.23 Appendix 1 Ockenden Report Action Plan
162.23 Appendix 2 CNST Maternity Incentive Scheme Year 5
Safeguarding Annual Report 2022-23 HF
00 2023.10.12 PUBLIC BoD Agenda
108.23 Staff Story FTSU
111.23 2023.08.10 PUBLIC Minutes – Final Draft
112.23 BoD PUBLIC Action Log
116.23 ARAC Summary Report
117.23 QSAC Summary Report
118.23 FPAC Summary Report
119.23 PODAC Summary Report
120.23 ORAC Summary Report
121.23 Trust Strategy Update Report
122.23 Integrated Performance Report
123.23 Getting to Good Progress Report
124.23 PSIRF Plan and Policy
125.23 How we learn from deaths Report
126.23 FTSU report
127.23 WRES and WDES Annual Reports 2022-23
128.23 EPRR Annual Report
129.23 Integrated Maternity Report
130.23 Incident Overview Report
131.23 Risk Management Report
132.23 September Board Walks Summary Report
133.23 Corporate Fit and Proper Persons Policy
134.23 Managing Conflicts of Interest Policy
135.23 PODAC updated Terms of Reference
136.23 ARAC Terms of Reference
137.23 Board Member Interests Report
Supplementary information
00 2023.10.12 Public Info Pack Cover Sheet
123.23 Appendix 1 Getting to Good Supplementary Information
125.23 How we learn from deaths SUPPLEMENTARY INFO PACK
129.23 Appendix 2 Ockenden Report Action Plan
129.23a. CNST INFORMATION PACK TO ACCOMPANY INTEGRATED MATERNITY REPORT
Security Annual Report 2022-23
SaTH Public AGM Notice 22-23
SaTH Public AGM Agenda 2023
AGM presentation slides
Update from Hayley Flavell, Director of Nursing: Our Maternity Developments – YouTube
Update from Rhia Boyode, Director of People and OD: Our People – YouTube
SaTH Public AGM Questions and Answers 2023
00 2023.08.10 PUBLIC BoD Agenda
082.23 Digital Story Cover Sheet – Virtual Ward
085.23 2023.06.08 PUBLIC Minutes – Final Draft
089.23 MASTER BoD PUBLIC Action Log Final for Aug 2023 meeting
090.23 ARAC Report
091.23 QSAC Report
092.23 FPAC Report
093.23a ORAC Report 30 May 2023
093.23b ORAC Report 27 June 2023
093.23c ORAC Report 25 July 2023
094.23 Q1 GoSW Report
095.23 IPR
096.23 G2G Progress Report
097.23 IPC Q1 Report
098.23 Ockenden Report Action Plan Progress Report
099.23 Maternity Reports – Assurance Summary Report
100.23 Incident Overview Report
101.23 Board Assurance Framework Q1 2023-24
102.23 July Board Walks Summary Report
103.23 Review of Board Committee Membership Aug 2023
Supplementary Information
00 2023.08.10 Public Info Pack Cover Sheet
1. PALS Complaints and Patient Experience Annual Report – 2022-2023
2. IPC Annual Report 2022-23
3. Public Participation Report Q1 2023-24
4. G2G Report Appendix 1
5. Ockenden Report Action Plan Progress Report Appendix 1
00 2023.06.08 PUBLIC BoD Agenda
050.23 Patient Story Cover Sheet
053.23 2023.04.13 PUBLIC Minutes – Final Draft
054.23 BoD PUBLIC Action Log
058.23 QSAC 4A Chair’s Report 20230426
059.23 FPAC 4A Chair’s Report 20230425
060.23 4A P&OD Committee Chair’s Report May 2023
061.23a ORAC Co-Chairs Summary Higlight Report 28 March 2023
061.23b ORAC Co-Chairs Summary Higlight Report 25 April 2023
062.23 Bi-Annual Staffing Report
063.23 Bi-Annual Maternity Safe Staffing Report
064.23 Learning from Deaths Report
065.23 Annual Medication Safety Report
066.23 FTSU annual report
067.23 Freedom to Speak Up Policy
068.23 Operating Plan 23-24 and final budget
069.23 IPR 070.23 Getting to Good Report
071.23 Report from DIPC
072.23 Ockenden Report Action Plan Progress Report
073.23 Incident Overview Report
074.23 Annual NHS Staff Survey Results 2022 23
075.23 Formal Review of 2022-23 Winter Plan
076.23 RemCom Terms of Reference
077.23 P&OD Terms of Reference
Supplementary Information
00 2023.06.08 Public Supplementary Info Pack Cover Sheet (2)
062.23 Appendix 1A Bi Annual Staffing Report
062.23 Appendix 2 Bi Annual Staffing Report
064.23 Appendix A How We Learn From Deaths Quarter 4 and Annual Report 2022 2023
064.23 Appendix B_ ME Service Q4 and Annual Report 2022 2023
070.23 Appendix 3 Getting to Good Report
072.23 Appendix 1 Ockenden Report Action Plan
074.23 Appendix1 NHS Staff Survey Results
00 2023.04.13 PUBLIC BoD Agenda
027.23 Patient Story Cover Sheet
020.23.PUBLIC Minutes
031.23 BoD PUBLIC Action Log
035.23 IPR
036.23 Getting to Good Progress Report
037.23 2023-24 Quality Priorities
038.23 Digital Report
039.23 Ockenden Report Action Plan Progress Report
040.23a ORAC Co-Chairs Summary Highlight Report 310123
040.23b ORAC Co-Chairs Summary Highlight Report 080323
041.23 Incident Overview Report
042.23 Learning From Deaths Report Q3 2022-2023
043.23 BAF Q4 2022-23
044.23 Remuneration Committee Terms of Reference
045.23 People & OD Committee Terms of Reference
Supplementary Information
00 2023.04.13 Public Supplementary Info Pack Cover Sheet
036.23 Getting To Good Appendices Combined
039.23 Ockenden Report Progress Report Appendix One
042.23a Appendix A How We Learn From Deaths Quarter 3 Full Report 2022 2023
042.23b Appendix B Supporting SaTH to assure their mortality review processes and evidence their learning from deaths
00 2023.02.09 PUBLIC BoD Agenda
002.23 Staff Story
005.23 2022.12.08 PUBLIC Minutes
006.23 BoD PUBLIC Action Log
010.23 IPR
011.23 Getting to Good Report
012.23 Quarterly Report from the Director of Infection Prevention & Control
013.23 Public Participation Quarterly Report
014.23 Ockenden Report Action Plan Progress Report
015.23 Board of Directors – Incident Overview Report December
016.23 BAF
017.23 Risk Management Report
018.23a QSAC Key Summary Report December 2022
018.23b QSAC Key Summary Report January 2023
019.23 FPAC Key Summary Report 2023.01.24 Meeting
020.23 Learning from Deaths Q1 and 2 Report 2022 2023
021.23 GoSW Report
022.23 QSAC Updated TORs approval
Supplementary Information
00 2023.02.09 Public Supplementary Info Pack Cover Sheet
011.23 Getting to Good Appendices
012.23 IPC BAF
013.23 Public Participation Report Final Quarter 3 Oct-Dec 2022
014.23 Ockenden Report Action Plan
2022 Papers
2022.12.08 PUBLIC BoD Agenda
226.22 Patient Story
229.22 2022.11.10 PUBLIC Minutes
230.22 MASTER BoD PUBLIC Action Log
234.22 Integrated Performance Report
235.22 Getting to Good Progress Report
236.22 Trust Strategy 2022-2027
237.22 Health & Safety Management Policy
238.22 Estates Bi-Annual Report 2022-23
239.22 SaTH Green Plan Progress Report
240.22 CNST
241.22 Ockenden Report Action Plan Progress Report
242.22 ORAC Co-Chairs Summary Highlight Report
243.22 BAF Report
244.22 Risk Management Report – QTR_Q2, 2022
245.22 Incident Overview Report
246.22 ARAC Quad Report (November Meetings)
247.22 AAA QSAC Key Summary Report November 2022
248.22 FPAC Monthly Report
249.22 Listening & Learning by Genba Methods
250.22 Scheme of Reserv, SFIs and SOs Annual Review
251.22 Appointment of SID 2022.12.08
252.22 Bi-Annual Staffing Report
253.22 GoSW Annual Report
2022.11.10 – Agenda
198.22 Patient Story
201.22 2022.10.13 PUBLIC Minutes
202.22 Action Log
206.22 Integrated Performance Report
207.22 Getting to Good Progress Report
208.22 Public Participation Report Q2 2022-23
209.22 Ockenden Report Action Plan Progress Report
210.22 ORAC Report
211.22 QSAC Key Summary Report
212.22 FPAC Key Summary Report
213.22 NHSR CNST Report
214.22 Maternity Safe Staffing Report Q1 and Q2
215.22 Winter Plan
216.22 Incident Overview Report – November
217.22 IPC Report
218.22 Health Safety Security and Fire Committee Annual Report
219.22 FTSU Report Q2 2022
220.22 Public Board Genba report + appendix Oct22
221.22 How we learn from deaths report Q4 2021-22
Supplementary Information
00 November Supplementary Info Pack Cover Sheet
01 Public Participation Report Q2 2022-23
02 IPC BAF Sept 2022
03 Genba Walks quarterly action log updates
04 Trust Digital Strategy 2022-25
00 2022.10.13 Agenda
170.22 Coversheet Staff Story FTSU
173.22 2022.08.11 Public Minutes
174.22 Action Log
176.22 Fit & Proper Person Investigation Report
178.22 HTP update
180.22 IPR
181.22 G2G progress report
182.22 Ockenden Report Action Plan
182.22 b Ockenden Report Action Plan – appendix 1
183.22 ORAC Co-Chairs Summary Highlight Report
184.22 CNST Report
185.22 FTSU Vision and Strategy
186.22 ARAC Report (Aug and Oct meetings)
187.22 QSAC Key Summary Report
188.22 FPAC Key Summary Report
189.22 a Listening & Learning by Genba Methods
189.22 b Listening & Learning by Genba Methods
190.22 Managing Conflicts of Interest Policy
191.22 ARAC Updated Terms of Reference
192.22 WRES and WDES Reports
193.22 EPRR Annual Report
Supplementary Information
00 2022.10.13 Public Supplementary Info Pack Cover Sheet
193.22 EPRR – (Appendix 1) NHS core standards for EPRR – July 2022
193.22 EPRR – (Appendix 2) Emergency Planning Work Programme 2022-2023
Internal Audit Plan 22-23 (Revised Version)
Safeguarding Annual Report 2021-22
Security Annual Report 2021-22
Agenda
143.22 Patient Story
146.22 Minutes
147.22 Action Log
151.22 IPR July 2022 (June data)
152.22 Getting to Good Progress Report
153.22 Ockenden Report Action Plan
154.22 ORAC Co-Chairs Summary Highlight Report
155.22 Annual NHS Staff Survey results paper & appendices
156.22 FTSU SaTH BoD Report
157.22 Quarterly Report from Director of IPC
158.22 Incident Overview Report
159.22 Public Participation Quarterly report
160.22 QSAC Key Summary Report
161.22 FPAC Key Summary Report
162.22 Board Listening & Learning by Genba methods
163.22 BAF Q1 Report
164.22 Risk Management Report Q1
165.22 COVID-19 Public Enquiry
Supplementary Information Pack
00 Agenda
119.22 09.06.22 Minutes
120.22 Action Log
124.22 IPR June 2022 (May data)
125.22 Getting to Good Progress Report
126.22 Ockenden Report Action Plan
127.22 ORAC Co-Chairs Summary Highlight Report
128.22 Incident Overview Report
129.22 ARAC Key Summary Report for July Board (May and June meetings)
130.22 QSAC Key Summary Report June 2022
131.22 FPAC Key Summary Report June 2022
132.22 Board Listening and Learning by Genba methods
133.22 Quality Account Cover Sheet
134.22 PALS Complaints and Patient Experience Annual Report Cover Sheet
135.22 How we learn from deaths Report
136.22 Bi-Annual Staffing Report
137.22a DoM safe staffing report Q4 2021 22
137.22b Maternity Plan for achievement of Midwifery Continuity of Carer Plan
138.22 Register of Directors’ Interests Bi-Annual Review
SUPPLEMENTARY INFORMATION PACK
00 Agenda
095.22 Patient Story – Chance Encounters
098.22 2022.05.12 Minutes
099.22 Action Log
103.22 IPR May 2022 (April data)
104.22 Getting to Good Progress Report
105.22 ICS Green Plan 2022-25
106.22 Estates and MES Quarterly Report
107.22 Ockenden Report Action Plan
108.22 Incident Overview Report June 2022
109.22 AAA QSAC Key Summary Report May 2022
110.22 FPAC Monthly Report
111.22 Board Listening and Learning by Genba Methods
112.22 Review of Board Commitee Membership
00 PUBLIC Agenda
073.22 Staff Story – Long COVID
076.22 2022.04.14 PUBLIC Minutes Final Draft
077.22 BoD PUBLIC Action Log
079.22 Ockenden Report Action Plan
079.22 Ockenden Report Action Plan – Appendix 1
082.22 IPR April 2022 (March data)
083.22 Quarterly Report from Director of IPC
084.22 Quarterly Public Participation Report
085.22 CNST Year 4 Update to BoD April 2022
086.22 FTSU SaTH BoD May 2022 Q4
087.22 Incident Overview Report May 2022
088.22 AAA QSAC Key Summary Report April 2022
089.22 AAA FPAC
090.22 Board Listening & Learning by Genba Methods
Supplementary Information
Supplementary Information Pack Summary Sheet
IPC BAF Mar 2022
Public Participation Report Q4
Public Board Agenda
March Public Minutes
057.22 Action Log
059.22 Ockenden Report Progress Report
060.22 ORAC Co-Chairs’ Summary Highlight Report
061.22 The Ockenden Report Final Report
064.22 IPR
065.22 Incident Overview Report
066.22 ARAC Summary Reports
067.22 FPAC Summary Report
068.22 Board Report for Genba Walks
00 2022.03.10 PUBLIC Board Agenda
029.22 Patient Story
032.22 2022.02.10 Public Minutes
033.22 Action Log
037.22 Policy Approval Risk Management
038.22 IPR
039.22 Quarterly Digital Report
040.22 Ockenden Report Progress Report
041.22 Ockenden Review of Maternity Services – one year on
042.22 CNST Year 4 Progress Update
043.22 ORAC Co-Chairs’ Summary Highlight Report
044.22 Incident Overview Report in Public
045.22 AAA FPAC
046.22 AAA QSAC
047.22 Board Listening & Learning by Genba methods
048.22 Quarterly Appraisal and Revalidation Report
049.22 Quarterly GoSW Report
00 10 February Agenda 2022
002.22 Patient Story Cover Sheet
005.22 Public Minutes 2021.12.09
006.22 Action Log
010.22 Policy Approval – Anti-Fraud, Bribery and Corruption
011.22 Integrated Performance Report (December data)
012.22 Incident Management Report
013.22 Infection Prevention and Control Report
014.22 Public Participation Report
015.22 Board Assurance Framework (Q2)
016.22 Risk Management Report
017.22 CNST Update Report (with appendices combined)
018.22 Ockenden Progress Report
019.22 Ockenden Report Assurance Committee
020.22 Audit and Risk Assurance Committee Report
021.22 Finance & Performance Assurance Committee Monthly Report
022.22 Quality & Safety Assurance Committee Monthly Report
023.22 Appointment of Caldicott Guardian
024.22 Learning from Deaths Report
Public Supplementary Information
00 Supplementary Information Pack Cover Sheet
013.22 IPC BAF January 2022 Appendix 1
014.22 Public Participation Report
017.22 Appx 1 CNST W&C Info Pause letter MIS
017.22 Appx 2 CNST W&C Info ATAIN Report for Q3 2021
017.22 Appx 3 CNST W&C Info Transitional Care Maternity Governance Paper September 21
017.22 Appx 4 CNST W&C Safety Action 4 Part 1 paper Jan 22
2021 Papers
01 Staff Story Cover Sheet – Working collaboratively across services
05 Integrated Performance Report
06 Incident Management Overview Report
08 Bi-Annual Staffing Review Report
10 6-Monthly Maternity Staffing Report
11 Ockenden Report Progress Report
Appendix 1 – Ockenden Report Action Plan Progress Update
Appendix 2 – Ockenden Report Action Plan Exception Reports
14 GoSW Annual Report Coversheet
GoSW Q1 Report Aug Sep Oct 2021 Coversheet
GoSW Q1 2021 Aug Sept Oct 2021
Agenda 7 October 2021
Staff Story – Freedom To Speak Up (FTSU)
2021.08.05 Public Minutes
Action Log
Green Plan
Public Participation Plan
Integrated Performance Report (IPR) September 2021 (August Data)
Serious Incidents Report
Safeguarding Annual Report 2020-2021
Ockendon Report – Progress Report
Ockenden Report Assurance Committee Co-Chairs’ Summary Highlight Report
Guardian of Safe Working Report
Emergency Preparedness, Resilience and Response (EPRR) Report
Audit and Rish Assurance Committee Report
Finance and Performance Assurance Committee (FPAC) Report
Quality & Safety Assurance Committee (QSAC) Report
Policies for Approval
Equality, Diversity and Inclusion (EDI) Reports
Agenda 5 August 2021
Patient Story
2021.07.08 Public minutes
Action Log
Integrated Performance Report July 2021
SI Report
IPC BAF cover sheet
IPC Board Paper July 2021
Genba walks
Estates Quarterly Report Q1 Cover Sheet
Estates Quarterly Board Report Q1 2021-22
GCC Annual Report Cover Sheet
GCC Annual Report 2021
Ockenden Report Progress Report
ORAC Co-Chairs’ Summary Highlight Report
Freedom to Speak Up
Flu vaccination campaign
Learning from Deaths report
QSAC Key Issues Report
Finance and Performance Assurance Committee Summary
Audit & Risk Assurance Committee Report
Public Participation Report Cover Sheet
Public Participation appendix
10 June 2021 Agenda
Minutes of the Previous Meeting Held 06 May 2021
Action Log
Report from the Chair
Risk Management Strategy and Policy
Integrated Performance Report
Annual Report 2020/2021 from the Director of Infection Prevention
Staff Nurse Bi-Annual Report
Ockenden Progress Report
Appendix 1 – Ockenden Report Action Plan
Guardian of Safe working Report
Review of our Disciplinary Process
Quality and Safety Monthly Report
Finance and Performance Assurance Committee Monthly Report
Audit and Risk Assurance Committee Monthly Report
Ockenden Report Assurance Committee Monthly Report
Ockenden Report Assurance Committee Terms of Reference
01 – 06 May 2021 Coversheet
02 – 06 May 2021 agenda
03 – Patient Story
04 – Draft Minutes – 08 April 21
05 – Action Log
06 – Hospital Transformation Programme
07 – Intergrated Performance Report
08 – Public Participation Quarterly Report
09 – Estates & MES Quarterly Report
10 – The Ockenden Progress Report
11 – Board Assurance Framework Report
12 – Risk Management Report
13 – Report from the Responsible Officer
14 – Learning from Deaths Report
15 – Freedom to Speak Up Guardian’s Report
16 – Standing Financial Instructions Annual Review
17 – Quality & Safety Assurance Committee Key Issues Report
18 – Finance & Performance Assurance Committee Report
19 – Audit & Risk Assurance Committee Report
20 – Ockenden Report Assurance Committee Report
21 – Acronyms list
22 – Attendance Register
23 – Declarations of Conflicts of Interest Register
01 – 08 April 2021 Bundle Coversheet
02 – 08 April 2021 Agenda
03 – 08 April 2021 Patient Story
04 – Draft Minutes – 11 March 21
04.2 – Action Log
05 – 08 April 2021 Report from the Chair
06 – Integrated Performance Report
07 – Mental Health Report
08 – Quality Report (M11)
09 – Report from the Director of Infection Prevention & Control
10 – Covid-19 Report
11 – Making a Difference Report
12 – Annual NHS Staff Survey Report
13 – The Ockenden Report Action Plan
14 – Quality & Safety Assurance Committee Key Issues Report M11
15 – Finance Performance Assurance Committee Report
16 – Ockenden Report Assurance Committee Report
17 – Acronyms list
18 – Attendance Register 2021
19 – Declaration of Conflicts of Interest Register
Board of Directors’ meeting in public 08 April 2021 – INFORMATION PACK
Late Paper – Appendix One – Ockenden Report Action Plan (as at 26 March 2021)
01 – 11 March 2021 Paper Bundle Coversheet
02 – Agenda 11 March 2021
03 – Patient Story 11 March 2021
04 – Minutes 11 February 2021
05 – Quality Improvement Strategy
06 – Integrated Performance Report
07 – Covid-19 Report
08 – Report from the Director of Infection Prevention & Control
09 – The Ockenden Report progress
10 – NHS Resolutions CNST Maternity Incentive Scheme
11 – Workforce Policies
12 – Data Security & Protection Toolkit
13 – Report from the Guardian of Safe Working
14 – Governance Report
15 – Register of Directors interests
16 – Quality & Safety Assurance Committee Key Issues Report M10
17 – Finance & Performance Assurance Committee Key Issues Report M10
18 – Audit & Risk Assurance Committee Key Issues Report M10
19 – Acronyms
20 – Attendance Register
Board of Directors’ meeting 11 March 2021 – information pack
01 – 11 February 2021 Coversheet
02 – 11 February 2021 agenda
03 – Draft Minutes 07 01 21
04 – Action Log
06 – Public Participation Report [Q3]
07 – HSLI Provider Digitisation programme
08 – Intergrated Performance Report M9
09 – Response to the Ockenden Report
10 – Maternity Report
11 – Infection Prevention & Control Report
12 – Workforce Report
13 – Operational Report
14 – Freedom to Speak Up Guardian Report [Q3]
15 – Quality Safety Assurance Committee Key Issues Report
16 – Finance & Performance Assurance Committee Key Issues Report [M9]
17 – Review of Board Committee membership
18 – Acronyms
19 – Attendance Register
20 – Conflicts Register
01 – Coversheet for paper bundle
02 – 07 January 2021 Agenda
03 – Draft Minutes 08 12 20
04 – Action Log
05.1 – Ockenden Report Coversheet
05.2 – Ockenden Report – Appendix 1
05.3 – Ockenden Report – Appendix 2 Current position against LAFL and IEA
05.4 – Ockenden Report – Appendix 3 Maternity Improvement Work
05.5 – Ockenden Report – Appendix 4 Assurance statement
05.6 – Ockenden Report – Appendix 5 Maternity services community and engagement plan
06 – Report from the Chief Executive
07 – Maternity Report
08 – Infection Prevention & Control Report
09.1 – Quality Compliance Report
09.2 – Quality Compliance Report Appendix 1 Summary of off track actions
10.1 – Operational Report
10.2 – Operational Report Appendix 1 Covid
10.3 – Operational Report Appendix 2 Vaccination
10.4 – Operational Report Appendix 3 Elective and diagnostic recovery
10.5 – Operational Report Appendix 4 EU Exit
11 – M8 Quality Safety Assurance Committee Key Issues Report
12 – Finance & Performance Assurance Committee Key Issues Report
21 – Acronyms
22 – Attendance Log
2020 Papers
6 February 2020 Public Agenda
01 Patient Story – Living With Cancer and Beyond
Presentation: Patient Story
02 Board Members Declarations of Interest
03 Minutes of 28 November 2019 Public Trust Board
04 Chief Executive Overview
05 Maternity Oversight Committee Summary
06 Continuity of Carer Report
07 Midwifery Staffing & Acuity Report
08 Perinatal Mortality Review Tool Report
09 Quality and Safety Committee Summary (Dec and Jan)
10 CQC Update
11 Transforming Care Improvement Plan Update
12 Overview of Monthly Staffing Paper for Last 6 Months
13 Quality Governance Report
14 Director for Clinical Effectiveness Report
15 Emergency Department Oversight Group Summary
Presentation: Community Engagement
16 Sustainability Committee Summary (Dec and Jan)
17 Performance Committee
18 Operational Performance Report
19 Winter Planning – Lessons Learned
20 Sustainability and Transformation Partnership Update
21 Award of Public Dividend Capital for Endoscopy
22 Workforce Committee Summary
23 Workforce Assurance Report
24 Overview of International Nurse Recruitment & OSCE Ready Recruitment
25 Freedom to Speak Up Quarter 3 Update
26 Freedom To Speak Up Guardian Action Plan 20-21
27 Guardian of Safe Working Report Q3
28 Flu Vaccination Annual Self-Assessment Report
29 Workforce Policies
30 NHS Pension Scheme Policy
31 Audit and Risk Assurance Committee Summary
32 Board Assurance Framework
33 Common Sealing of Documents
March Agenda
01 Members Declarations SaTH
02 Minutes Public Trust Board 200206 Final Draft
03 Corporate Governance and Covid 19
04 CEO Report
05 Performance Management Arrangements and Operational Report
06 Workforce Committee Report
07 Quality and Safety Committee Report
08 Maternity Oversight Committee Report
09 Emergency Department Oversight Group Report
10 Board Assurance Framework
11 ARA Committee Report
12 Charitable Funds Committee summary 14/02/2020
28 May 2020 Agenda
01 Members Declarations 28 May 2020
02 Minutes of Public Trust Board 26 March 2020
03 Action Log Public Board 26 March 2020
04 Chief Executive Report
05 Board Assurance Framework
06 CQC Improvement Plan
07 CNST Update
08 GoSW Report
09a Quality & Safety Assurance Committee Meeting Report pril 2020
09b Quality and Safety Assurance Committee Report May 2020
10 Quality & Safety Committee Extraordinary CQC Meeting
11a Maternity Assurance Committee Report April 2020
11b Maternity Assurance Committee Report May 2020
12 ED Assurance Committee Report 23.4.20
13 Integrated Performance Report
14 Finance and Performance Assurance Committee
15 Covid Assurance Committee Report
16 Sustainability Assurance Committee April Report
17a Workforce Assurance Committee Report April 2020
17b Workforce Assurance Committee Report May 2020
18 Safer Staffing Bi-Annual Update
19 QTR4 19-20 Learning from Deaths
20 FTSU Update Report Covid-19
21 People Strategy
22 Development of the 5 Year Plan
23 Operational Plan 2020-21
24 Oversight and Delivery of the Operational Objectives and Priorities
25 Risk Management Report May 2020
26a Audit and Risk Assurance Committee Board Report – 2nd April 2020
26b Audit and Risk Assurance Committee Report
27 Governance Report May 2020
28 Review of SOs SFIs and SoDA
29 NHS Provider Licence Self Certification
30 Register of Sealings
31 Charitable Funds Committee summary
Cover Sheet
Agenda 30 July 2020
Acronyms
Attendance list
Conflicts of Interest
Draft Minutes 28 May 2020
Action Log
Chairman’s Report
Chief Executive’s Report
Board Assurance Framework
Quality & Safety Assurance Committee Report
CNST Maternity Incentive Scheme Year 3 Report
Maternity Assurance Committee Report
Emergency Department Assurance Committee Summary
Covid-19 Assurance Committee Report
Quality Improvement Plan Including Maternity Improvement Plan
Integrated Performance Report
Workforce Assurance Committee Report
Public Participation
Audit & Risk Assurance Committee Report
Governance Report
Annual Audit Letter
Cycle of Business
Maternity Incentive Scheme (CNST) Year 3 report
Appendix 1 Staffing report
Appendix 2 PMRT Quarter 1 report 20-21
01 Coversheet for Papers
02 Agenda 08 October 2020
03 Acronyms
04 Conflicts Register
05 Minutes from 30 07 20
06 Action Log
07 Chief Executive Officer’s Report
08 Board Assurance Framework
09 CQC Improvement Action Plan Report incl. COVERSHEET
10 Maternity Update
11 Infection Prevent & Control Report incl. COVERSHEET
12 Equality Diversity & Inclusion Strategy
13 Guardian of Safe Working Report Q4 incl. COVERSHEET
14 Integrated Performance Report
15 EPRR Core Standards Submission
16 Public Participation Quarterly update
17 Governance Report incl. COVERSHEET
18 M5 Qualtiy & Safety Assurance Committee Key Issues Report
19 M5 Finance & Performance Assurance Committee Key Issues Report
20 M5 Workforce Assurance Key Issues Report
21 M5 Sustainability Assurance Committee Key Issues Report
22 M5 Maternity Assurance Committee Key Issuess Report
23 Audit & Risk Assurance Committee Key Issues Report – August 2020
24 Security Annual Report 2019-20
25 HSSF Committee Annual Report 2019-20
26 Finance & Performance AC Annual Report 2019 20 incl. COVERSHEET
27 Audit Committee Annual Report 2019-20
28 Good Corporate Citizen Annual Report 2019-20
01 – 05 November Coversheet
02 – Agenda 05 11 20
03 – Register of Interests
04 – Draft minutes for the Board of Directors’ meeting – 08 10 20
05 – Action Log
06 – Report from the Chief Executive
07 – Board Assurance Framework
08 – Quality Improvement Plan
09 – Maternity Report
10 – Infection Prevention & Control Report
11 – Learning from Deaths Report
12 – Safer Staffing Bi-Annual Report
13 – COO Report
14 – Integrated Performance Report
15 – Winter Resilience Plan
16 – People & Organisational Development Strategy Bi-Annual Report
17 – Enhanced Medical Middle Grade Rota
18 – Allocation of Capital Funding for Adopt and Adapt
19 – Allocation of Capital Funding for Critical Care Resilience
20 – Allocation of Capital Funding for Urgent and Emergency Care
21 – Allocation of Capital Funding for International Nurse Recruitment
22 – Governance Report
23 – M6 Quality Safety Assurance Committee Key Issues Report
24 – Extraordinary Finance & Performance Assurance Committee Key Issues Report
25 – M6 Finance & Performance Assurance Committee Key Issues Report
26 – M6 Workforce Assurance Committee Key Issues Report
27 – M6 Sustainability Assurance Committee Key Issues Report
28 – M6 Maternity Assurance Committee Key Issues Report
29 – Acronyms
30 – Attendance Register
01 – Coversheet for paper bundle
02 – 08 December 2020 Agenda
03 – Draft Minutes 05 11 20
04 – Action Log
05 – Report from the Chief Executive
06 – Recruitment & Retention Strategy
07 – Extension of Mobile MRI Capacity
08 – Integrated Performance Report
09 – Maternity Report
10 – Infection Prevention & Control Report
11 – Operational Report
12 – Quality Compliance Report
13 – Transforming Care Getting to Good Programme Report
14 – Guardian of Safe Working Report Q2
15 – Workforce Report
16 – Quality & Safety Assurance Committee Key Issues Report M7
17 – Finance & Performance Assurance Committee Key Issues Report M7
18 – Audit & Risk Assurance Committee Key Issues Report M7
19 – Quality Account 2019-20
20 – Amendment to Standing Financial Instruction
21 – Acronyms
22 – Attendance Log
2019 Papers
Agenda 07/02/19
01 Board Member’s Declarations of Interests
02 Minutes of 29 November 2018 Trust Board
03 Chief Executive Report’s Overview
04 Sustainable Transformation Plan Update Feb 2019
STP accompanying presentation
05 Transforming Care Update
Community Engagement Presentation
06 Workforce Committee Summary
07 Workforce Performance Report Month 9
08 Workforce Travel Plan
09 Quality & Safety Committee Chair Report Dec 18/Jan 19
10 Quality Governance Report Month 9
11 Maternity Services Update Feb 2019
12 Quality Improvement Plan
13 Trust Mortality Dashboard Quarter 3 2018/19
14 7 Day Service Board Assurance Briefing
15 National Cancer Survey 2017
16 Performance Committee Summary
17 Performance Report Month 09
18 Emergency Department/Improving Flow Update
19 Service Deep Dive
20 Audit Committee Chair Report
21 Board Assurance Framework & Trust Operational Risk Register
4 April 2019 Agenda
01 Patient Story
02 Board Members Declarations of Interest
03 Minutes of 7 February 2019 Public Trust Board
04 Chief Executive Report’s Overview
05 Sustainable Transformation Plan Update
06 Future Fit Update
07 Transforming Care Institute Update
08 Workforce Committee Summary
09 Workforce Performance & Flu Campaign
10 Organisational Development 6 Monthly Delivery Plan
11 National Staff Survey Results 2018/19
12 Fixed Term Contracts & Temp Workers Policy
13 Quality Safety Committee Summary
14 Maternity Oversight Summary
15 Quality Governance Report
16 Quality Improvement Plan
17 Equality and Diversity Annual Report 2018 (Service Delivery)
18 Safer Staffing 6 monthly Review
19 Guardian of Safe Working Q3
20 Complaints and PALS report Q3
21 Committee Summary Performance Report
23 EU Exit update
24 Audit Committee Chair Report
25 Charitable Funds Committee Report
26 Board Assurance Framework
Agenda Trust Board – 30th May 2019
01 Members Declarations
02 Minutes Public Trust Board 4 April 2019
03 Patient Story
04 Chief Executive Report’s Overview
05 STP System Operational Plan Narrative
06 Transforming Care Institute Update
07 Workforce Committee Summary
08 Workforce Performance Report
09 Freedom To Speak Up Board Report May 2019
10 Emergency Department Nursing Workforce Business Case
11 Staff Survey Results Action Plan Cover Sheet
12 Quality & Safety Committee Summary
13 Maternity Oversight Meeting Summary
14 Quality Governance Report for Trust Board – May 2019
15 Quality Improvement Plan Update
16 Trust Mortality Dashboard Quarter 4
17 Guardian of Safe Working Quarterly Report
18 Complaints & PALS Report Quarter 4
19 HSE Asbestos Prosecution Case
20 Sustainability Committee Summary
21 Performance Committee Summary
22 Performance Report M1
23 Service Deep Dive (May 2019)
24 Trust Operational Plan
25 Trust’s Financial Strategy
26 Audit Committee Summary
27 Charitable Funds Committee Summary 10/5/19
28 Charitable Funds Quarterly Activity May 2019
29 Charity Policy 2018-19
30 Security Annual Report 2018-19
31 Board Assurance Framework
32 Provider Licence Self Certification
01 August 2019 Agenda
01 – Patient Story
02 – Members Declarations of Interest
03 – Minutes Public Board 30 May 2019
04 – CEO Report
05 – STP Update July 2019
06 – Transforming Care Institute Update
07 – Workforce Committee Summary
08 – Workforce Performance Report
09 – Organisational Development 6 Month Delivery Plan
Presentation: Community Engagement Quarter 1 Report
10 – Quality & Safety Committee Chair Report
11 – Quality Governance Report July 2019
12 – Quality Improvement Plan Update
13 – Maternity Oversight Meeting Report
14 – Emergency Department Oversight Meeting Report
15 – Learning from Deaths Report Q1
16 – Complaints & PALS Annual Report 2018-2019
17 – Annual Report Revalidation of Doctors
18 – Maternity Incentivisation Scheme
19 – Winter Planning – Lessons Learnt
20 – Sustainability Committee Summary
21 – Performance Committee Summary
22 – Trust Performance Report
23 – Business Assurance Framework
24 – Review of Standing Financial Instructions, Standing Orders, Reservation of Powers to the Board
AGM
01 – Minutes AGM 25 October 2018
02 – Cover Sheet Annual Report
02a – Annual Report 2018 – 2019
02b – Quality Account 2018 – 2019
02c – NHS provider Accounts Template 2018 – 2019
02d – Annual Governance Statement 2018 – 2019
02e – Head of Internal Audit Opinion Report 2018 – 2019
03 October 2019 Agenda
01 – Patient Story Cover Sheet
02 – Board Members Declarations of Interest
03 – Minutes of Public Trust Board 01/08/19 Final Draft
Statement in regard to minuted item 2019.1/118 (Maternity Incentive Scheme)
04 – Chief Exec Overview
05 – Sustainability and Transformation Partnership Update
06 – Transforming Care Institute Update
07 – Workforce Committee Chair Report
08 – Workforce Performance Report
09 – Staff Survey 6 Month Response Plan
10 – Flu Vaccination Staff Engagement Plan
11 – Freedom to Speak Up Comparison Report
12 – Quality and Safety Committee Chair Report
13 – Quality Governance Report
14 – Quality Improvement Plan
15 – Maternity Oversight Meeting Report
16 – Emergency Department Oversight Meeting Report
17 – Guardian of Safe Working Report
18 – Complaints and PALS Report Q1
19 – Dementia Presentation and Discussion/Draft Action Plan
20 – Cover sheet IPC Annual Report
21 – Sustainability Committee Chair Report
22 – Performance Committee Chair Report
23 – Performance Committee Annual Report
24 – Trust Performance Report
25 – Good Corporate Citizen Annual Report
26 – Board Assurance Framework
28 November 2019 Agenda
Meeting as a Corporate Trustee
01 Charitable Funds Committee summary
02 Charitable Funds Quarterly Activity Report
03 Charitable Funds Annual Activity Report 2018-19
04a Charitable Funds Annual Report and Accounts 2018-19
04b Independent Examination Findings
Meeting as Trust Board
Presentation: Staff Story Dr Shko Resool
01 Patient Story
NHS Radinbow Badges: Our Staff Video
02 Board Members Declarations of Interest
03 Minutes Public Trust Board 03 October 2019
04 CEO Report
05 Workforce Committee Summary
06 Workforce Performance Report
07 Freedom To Speak Up Guardian Q2 Update
Freedom to Speak up Presentation
08 Guardian of Safe Working Quarterly Report Aug-Oct 19
09 Guardian of Safe Working Annual Report
Presentation: Community Engagement Update Q2
10 Quality and Safety Committee Chair Report
11 Quality Governance Report
12 Transforming Care & Improvement Plan Update
13 Director of Clinical Effectiveness Report
14 Maternity Oversight Committee Summary
15 Emergency Department Oversight Meeting Report
16 Complaints and PALS report Q2
17 Learning from Deaths Report Q2
18 Annual Report for Safeguarding
19 Sustainability Committee Chair Report
20 Performance Committee Chair Report
21 Operational Performance Report
22 Audit Committee Annual Report
23 Board Assurance Framework
2018 Papers
Agenda
01 – Patient Story (cover sheet)
02 – Members Declarations
03 – Minutes of Trust Board 30 Nov 2017
04 – 3 Month Forward Plan
05 – Sustainability Committee Summary
06 – General Data Protection Regulations Jan 2018
07 – Winter Resilience 2017/2018 Financial Position Update
08 – ED Continuity Implementation Plan
09 – Trust Performance Report Jan 2018
10 – Quality Safety Committee Summary
11 – Quality Safety Performance Report
12 – CQC Maternity Patient Survey Results
Presentation – CQC’s Strategy 2016 – 2021
13 – STP Director Update Jan 2018
14 – Transforming Care Update
15 – Workforce Committee Summaries
16 – Integrated Education Annual Report 2016 -2017
Presentation – 7-day Services
17 – Audit Committee Summary
18 – Board Assurance Framework Feb 2018
Agenda
01 – Cover sheet for Patient Story
02 – Members Declarations
03 – Minutes of the Public Trust Board 08/02/2018
04 – CEO Update March 2018
05 – Services Under the Spotlight
06 – ED Workforce Recovery Plan
Presentation: Winter Planning Update 29/03/18
07 – Midwifery Led Unit Review Update
08 – Maternity Engagement Plan
09 – CQUIN for Healthy Food March 2018
10 – Sustainability Committee Summary 27/02/2018
10i – Sustainability Committee Summary 27/03/2018
Presentation: Annual Operating Plan 2018/19
11 – Financial Strategy 2018-2019
12 – Trust Performance Report M11
12i – Quality Performance Report March 2018
13 – Quality Safety Committee Summaries
14 – Q3 Mortality Dashboard Paper
15 – Complaints PALS Report Q3
16 – Sustainable Transformation Plan Update
17 – Transforming Care Institute Update
Presentation: Communication Engagement March 2018
18 – Workforce Committee Summaries Feb & March 2018
19 – Non-Consultant Grade Medical Workforce Plan
Presentation: Non Cons Grade Med Workforce Plan (0-3 years)
20 – Staff Survey Results 2017/2018
21 – Committee Summary – Audit Committee 09/02/2018
22 – Board Assurance Framework March 2018
23 – Review of Standing Orders, SFIs and Reservations of Powers to the Board
24 – Annual Self-Certification NHS Provider Licence Conditions
00 – Agenda 03/05/18
01 Members Declarations
02 Minutes Trust Board 29 March 2018
03 Patient Story May 2018
04 Chief Executive Report’s Overview
05 Sustainable Transformation Plan Update
06 Committee Chair Report
07 Quality & Safety Performance Report – Month 12
07i Quality Governance Report – Q4
08 Maternity Clinical Improvement Metrics
09 CCG Local Maternity Strategy
LMS Presentation
10 Committee Summary Report
11 Performance Report Month 12
12 Services in the Spotlight Update
13 Audit Committee Chairs Report
14 Internal Audit Plan
15 Board Assurance Framework & Trust Operational Risk Register
16 Committee Chair Report
17 Workforce Performance Report Month 12
18 Trust Dress Code Policy
19 Transforming Care Institute Update
Agenda Special Board
01 Members Declarations
02 Annual Accounts and Certificates 2017-18
03 Annual Report 2017-18
04 Annual Governance Statement May 2018
05 Head of Internal Audit Opinion May 2018
06 Audit Committee Annual Report May 2018
07 Draft Quality Account 2017-18
Agenda 31 May 2018
01 Patient Story
02 Members Declarations
03 Minutes of the Public Trust Board 03/05/2018
04 Maternity Services Update
04i Maternity Services Update MLU Position May 2018
05 Complaints PALS report – Quarter 4
06 CEO Update May 2018
07 Quality Safety Committee Summary 23/05/2018
08 Quality Performance Report M01
09 Quality Governance Report May 2018
10 Safest and Kindest Quality Strategy May 2018
11 Performance Committee summary
12 Performance Report and Finance Report M01
13 Winter Planning Lessons Learnt May 2018
14 Operational Plan 2018-2019
15 Services under the Spotlight
16 Audit Committee Summary
17 Board Assurance Framework and Risk Register May 2018
18 Security Annual Report 2017 – 2019
19 Committee Summary – Workforce Committee 21/05/2018
20 Workforce Performance Report M01
21 Freedom to Speak Up Guardian’s Report
22 NHS Staff Survey Project Plan
23 Pilot Ward Based Model
24 TCI Update May 2018
Agenda 5 July 2018
01 Patient Story
02 Board Members Declarations of Interests July 2018
03 Minutes of 25/05/2018 and 31/05/2018
Community Engagement Update (Presentation)
04 Chief Executive Reports Overview July 2018
05 Sustainable Transformation Plan Update June 2018
06 Future Fit Update June 2018
07 Workforce Committee Chair Report June 2018
08 Workforce Performance Report May 2018
09 Corporate Fit and Proper Persons Policy
10 Quality and Safety Committee Chair Report June 2018
11 Quality Safety Governance Report June 2018
6 Monthly Nurse Staffing Review (Presentation)
12 RCOG Report
13 MLU Update
14 Women’s and Children’s Legacy Review Update
15 Complaints PALS Annual Report 2017-18
16 Performance Committee Summary June 2018
17 Performance Report Month 2
18 Interim Support Finance – SaTH Board Resolution
19 Services under the Spotlight Update
Ophthalmology Service Update (Presentation)
20 Board Assurance Framework and Risk Register July 2018
21 Tier 2 Self Assessment Template
22 Transforming Care Institute Update
Agenda 30 Aug 2018
01 Patient Story
02 Members Declarations
03 Minutes Public Trust Board 05/07/18
04 Good Corporate Citizen Annual Report 2017/18
05 Maternity Services Public Engagement
06 Chief Exec Update
Future Fit Presentation
07 TCI Update
08 Workforce Committee Summary July 2018
09 Workforce Performance Report July 2018
10 Annual Report Revalidation of Doctors
11 Hospital Full Protocol
12 Policies
13 Quality Safety Committee Summaries
14 Quality Governance Report Month 4
15 Safest and Kindest Update
16 Q1 Complaints PALS Report
ED Presentation
17 Committee Chair Report Performance 24/08/18
18 Performance Report M04 Aug 2018
19 Winter Plan 2018-19
20 Services under the Spotlight Aug 2018
21 Board Assurance Framework and Risk Register
Agenda 27 Sept 2018
01 Members Declarations
02 Minutes Public Trust Board 30/08/18
03 CEO Update Sept 2018
04 Future Fit Update
05 Workforce Committee Summary
06 Workforce Performance Report M5
07 Quality Safety Committee Summary 19/09/18
08 Quality Governance Report Sept 2018
09 A&E Winter Plan 2018-19
10 Legacy Case Review Update Sept 2018
10i Maternity Key Clinical Indicators Sept 2018
11 Performance Committee Summary
12 Performance Report M5
13 Audit Committee Summary
14 Board Assurance Framework Sept 18
15 Enactment of ED Contingency Plan
Agenda 25 Oct 2018
01 Members’ Declarations
02 Minutes of Trust Board 27/09/18
03 Chief Executive Update Oct 2018
04 Sustainable Transformation Plan Update
Presentation – Future Fit
05 TCI Update
06 ED Contingency plan update
Presentation – Community Engagement
07 Phlebotomy Service Update
08 Committee Summary – Workforce Committee 15 Oct 18
09 Workforce Performance Report Month 06 Sept
10 Committee Summary – Quality Safety Committee 17/10/18
11 Quality Governance Report
12 Trust Mortality Dashboard Oct 2018
13 Maternity Services Update
Presentation – Maternity Services Engagement Survey (S Jamieson)
Presentation – Maternity Services Learning (A Gornall) – to view the accompanying meeting minutes please click here.
14 Committee Chair Report
15 Trust Performance Report Month 06
16 National Inpatient Survey 2017
17 Board Assurance Framework and Risk Register
AGM
Agenda 25 Oct 2018 AGM
01 Minutes AGM 28 Sept 2017
02 Annual Report, Annual Accounts and Quality Account 2017-18
Video – A Year in Review 2017/2018
Video – VIP Awards Highlights 2018
Agenda 29 Nov 2018
01 Members Declarations of Interest
02 Minutes Public Trust Board 25/10/18
03 Phlebotomy Update Nov 2018
04 CEO Update Nov 2018
05 Future Fit Programme Directors Report Nov 2018
06 STP Update
07 TCI Update Nov 2018
08 PRH ED Overnight Closure Update Nov 2018
09 MLU Update Nov 2018
10 Maternity Services Legacy Update Nov 2018
11 Workforce Committee Summary Nov 18
12 Workforce Performance Report M07 Oct 18
13 Equality and Diversity Annual Report 2018 and Action Plan
14 Freedom To Speak Up Guardians 6 monthly Report Nov 2018
15 Committee Summary – Quality Safety 21 Nov 2018
16 Quality and Safety Performance Report Nov 2018
17 Complaints PALS Q2 Report
18 Trust Mortality Casenote Review Q2 18-19
19 ES Maternity Clinical Dashboard
20 6 monthly Nurse Staffing Review
21 Guardian of Safe Working
22 Performance Committee Summary
23 Trust Performance Report M7
24 Committee Summary Charitable Funds 20/11/18
25 Charitable Funds Annual Report and Accounts 2017/18
26 Services under the Spotlight Nov 2018
27i Annual Report Safeguarding Nov 2018
27ii Annual Report IPCC Nov 2018
27iii Annual Report Performance Committee 2017/18
28 Board Assurance Framework
29 Board and Committee Meeting Dates 2019
2017 Papers
Agenda
01 Members Declarations
02 Minutes Public Trust Board 1 Dec
03 3 Month Forward Plan Public Session
04 Future Fit Update
05 TCI Update Jan 2017
06 Quality and Safety Committee Summary
07 ES KSD Action Plan
08 Patient Experience Strategy
09 Complaints PALS Report
10 Committee Summary – Sustainability 31/01/17
11 New Planning Guidance
12 ES Interim Support Finance
13 Operational Plan
14 Fertility Business Case
15 Clinical Waste Contract
16 Contract Award for Renal Consumables
17 Ct Scanners Post Project Review
18 Trust Performance Report
19 Workforce Committee Summaries
20 W19 Leave Policy
21 Committee Summary Audit
Agenda 30 March 2017
01 Members Declarations
02 Minutes Public Trust Board 2 Feb 2017
03 3 month Forward Plan Public Session at 21-03-17
04 Quality Committee Summaries
05 Kate Stanton Davies Update – Mar 2017
06 Neurology Service Temporary Suspension
07 ES Fragile Clinical Services Briefing
08 – Verbal Ophthalmology Options Update
09 Emergency Department Update
10 Workforce Committee Summaries
11 Annual Staff Survey Results 2016
12 HR Policy W19 Leave Policy
13 STP Update March 2017
14 Future Fit Update
15 SaTH Operating Plan 2017 18 Part One
16 TCI Update March 2017
17 Committee Summary Sustainability 21/02/2017
17i- Sustainability Committee Summary 28/03/2017
18 Financial Strategy 2017 18
19 Interim Support Finance
20 Erostering Business Case
21 Vitalpac Renewal Business Case
22 Trust Performance Report
23 Committee Summary Audit Feb 2017
24 Board Assurance Framework
25 Info Governance Annual Assessment
26 Committee & Governance Review
Agenda April 2017
01 Members Declarations
02 Trust Board Minutes 30 March 2017
03 3 month Forward Plan Public Session at 21/04/17
04 Committee Summary Workforce Apr 17
05 Committee Summary Quality and Safety 19 04 17
06 Ophthalmology Service Developments
07 STP Update Report
08 Future Fit Board Update
09 TCI Update
10 Committee Summary Sustainability Apr 2017
11 Trust Performance Report
12 Summary of Audit Committee
13 ES Annual Losses Comps and Special Payments 2016-17
Agenda
01 Members Declarations
02 Annual Accounts
03 Annual Report
04 Annual Governance Statement
05 Head of Internal Audit Opinion
06 Audit Committee Annual Report
07 Quality Account
08 Annual Self Certification
00 Agenda June 2017
01 Members Declarations
02 Minutes 27 April 2017
02i Minutes 30 May 2017
03 3 Month Forward Plan
04 Maternity Services Final Action Plan
05 Proposed Transitional Model of Midwifery Led Services across Shropshire
06 Review of maternity services 2007 – 2017
07 Workforce Committee Summaries May and June 2017
08 People Strategy
09 Revalidation of Senior Doctors
10 Recognition Agreement Disciplinary Sanctions Process
11 Quality and Safety Committee Summaries May June 2017
12 Quality Account 201617
13 Complaints PALS Report
14 Services Under the Spotlight
15 Sustainable Transformation Plan Update
16 Future Fit Update June 2017
17 Transforming Care Update
18 Sustainability Committee Summary May 2017
18i Sustainability Committee Summary 27.6.17
19 Productivity Improvement Across Outpatients, Theatres and Radiology
20 Changes to Standing Orders and SFIs
21 Trust Performance Report Month 2
22 Audit Comittee Summary May 2017
23 Risk Management Strategy
24 Board Assurance Framework
25 Annual Report Health Safety 201617
26 Annual Report Security 201617
27 Annual Report Complaints PALS 201617
00 Agenda July 2017
01 Patient Story
02 Members Declarations
03 Minutes 29 June 2017
04 3 month Forward Plan Public Session
05 Sustainability Committee summary
06 Endoscopy Business Case
07 Services Under the Spotlight Update
08 Trust Performance Report
08i Monthly Staffing Data
09 Quality Safety Committee Summary Minutes
10 Patient Experience Strategy
11 STP Update
12 Future Fit Update
13 TCI Update July 2017
14 Committee Summary Workforce Committee July 2017
15 NMC Re validation Report
16 Guardian of Safe Working
17 Research Innovation Annual Report 2016-17
Presentations
Sustainable Services Programme Update
Community Engagement Approach
00 Agenda for 28 September 2017
01 Cover Sheet Patient Story K Jones
02 Members Declarations
03 Minutes 27 July 2017
04 3 Month Forward Plan
05 Sustainability Committee Summary
05i Sustainability Committee Annual Report 2016/17
06 EPRR Core Standards
07 Winter Planning Update
08 Neurology Service Update
09 Maternity Services Three Month Review
10 ED Service Continuity Plan
11 Trust Performance Report and Finance Report
12 Quality Performance Report
13 Complaints PALS report
14 Summaries Quality & Safety Committee
15 Adult Inpatient Survey
15i CQC Inspection Report 2017
16 Social Responsibility Update
17 STP Update Report
18 Future Fit Update Consultation Engagement Plan
19 TCI Update Sept
20 Committee Summary Audit Committee 15-09-17
21 Conflicts of Interest Policy
22 Board Assurance Framework
23 Safeguarding Annual Report
24 IPC Annual Report
AGM
00 Agenda Sept 2017 AGM
01 Minutes AGM 3 Sept 2016
02 Annual Report Annual Accounts 2016/17
Agenda Nov 2017
01 Patient Story
02 Members Declarations
03 Minutes Public Trust Board 28 Sept 2017
04 3 month Forward Plan
05 Sustainability Committee Summary 24/10/17
05ii Sustainability Committee Summary – 28/11/17
06 Charitable Funds Annual Report and Accounts 2016-17
07 Service Escalation Framework for SaTH
08 Service Continuity Plan for Emergency Department PRH
09 Winter Resilience 2017-18 Update
10 Neurology Update Nov 2017
11 Trust Performance Report
11i Emergency Department Update
11ii Q2 Mortality Dashboard
11iii Quality Performance Report
11iv Safer Staffing 6 Month Nurse Review
12 Quality Safety Committee Summaries – Oct Nov 2017
13 Trust Quality Strategy Safest and Kindest
14 Trust Quality Improvement Plan
15 Q2 Complaints PALS Report
16 STP Director Update Nov 2017
Community Engagement Presentation
17 TCI Update Nov 2017
18 Workforce Committee Summaries – Oct Nov 2017
19 Extension of Policy Review Dates
Presentation – Values Guardian Update
Presentation – Workforce Review
20 Medical Engagement Report
21 Equality Delivery System and Workforce Race Equality Standard
22 Board Assurance Framework
23 Proposed Trust Board Meeting Dates 2018
2016 Papers
Agenda
Board Members Declarations Of Interest
Minutes of Public Trust Board 3 Dec 2015
3 Month Forward Plan
Winter Plan Progress Report
Medically Fit for Discharge Position
Emergency Care Improvement Plan
Integrated Performance Report
Business Plan Review/Summary of 2016/2017 Planning Guidance
Interim Support Finance
VMI Update
Charitable Funds Annual Report and Acts
Committee Summaries
A meeting of the Trust Board of the Shrewsbury and Telford Hospital NHS Trust (SaTH) is taking place on 25 February 2016. As there is no public business to be transacted, the Board has resolved that representatives of the press and other members of the public be excluded from this meeting having regard to the confidential nature of the business to be transacted, publicity on which would be prejudicial to the public interest (section 1(2) Public Bodies (Admission to Meetings) Act 1960.
Board Members’ Declarations of Interest
Minutes of 28th January Meeting
Integrated Performance Report
Sustainable Services Programme – Strategic Outline Case
Appendix 1
Appendix 2
Appendix 3
Appendix 4
Appendix 5
Appendix 6
NHS Future Fit Updates
Cancer Strategy Draft
Financial Strategy 2016/2017
NHS Staff Survey 2015
Complaints and PALs Report Q3
HR Policies
Emergency Deptartment Continuity Plan
VMI Transforming Care Update
Annual Review of the Standing Financial Instructions, Standing Orders and Reservation of Powers to the Board
Committee Summaries
Agenda
Members Declarations
Minutes from 31st March 2016
Minutes from 4th April 2016
Three Month Forward Plan Public Session
Summary from Sustainability Comittee April 2016
Trust Performance Report
Operational Plan 2016
Summary from Transformation Board
NHS Future Fit Update
VMI Transforming Care Update
Summary from Audit Comittee
Committee Structure Update
Board Assurance Framework
Annual Losses, Compensations and Write-Offs
Common Sealing of Documents
Agenda 2nd June 2016
Board Members’ Declarations of Interest
Minutes of the Public Meeting of the Trust Board 28th April
Annual Accounts for Apr 2015 to Mar 2016
Annual Report 2015- 2016
Annual Governance Statement
Sath Head of Internal Audit Opinion
Audit Comittee Annual Report
Draft Quality Account 2015/16
Agenda
Members’ Declarations of Interest
Minutes of the Special Board Meeting, 2nd June
Three Month Forward Plan
Summary of the Quality Comittee 23 June 2016
Quality Account 2015/16
Progress Report following Independent Maternity Review
Stroke Services Situation Report
Summary of Sustainability Committee 24 May 2016
Pathology Services Tender
Trust Performance Report
System Sustainability and Transformation Plan
Replacement Managed Print Contract
Summary of Workforce Committee 13 May 2016
Senior Doctors Revalidation Statement
Belong To Something Update
Secondment Policy Procedure
Future Fit Update
Sustainable Services Programme Update
VMI Update
Summary of Audit Committee 2nd June 2016
Annual Report: Health, Safety, Security and Fire Committee
Annual Security Report
Annual Report: Complaints and PALs
Agenda 29th Sept 2016
Board Members Declarations of Interest
Draft of Minutes of Trust meeting Held on 30 June 2016
Draft of Minutes of Trust AGM Held on 3 September 2016
3 Month Forward Plan
Workforce Committee Summary
Employment of Staff with Criminal Convictions
Appointment of National Guardian’s Office (Freedom to Speak Up)
Retirement Policy and NHS Pension Scheme
Staff Car Parking
Quality and Safety Committee Summary
Progress Report on Learning and Actions Following the Death of Kate Stanton-Davies
Update on Stroke Services
Sustainability Committee Summaries
Carter Implementation Programme
Trust Performance Report
Emergency Preparedness Resilience and Response
Winter Resilience 2016-17
Annual Review of Standing Financial Instructions and Standing Orders
Shropshire, Telford and Wrekin Sustainability and Transformation Plan
Future Fit Update
Audit Committee Summary
Board Assurance Framework
Annual Reports for Infection Prevention Control, Safeguarding and Research and Innovation
Agenda
01-Members Declarations
02-Minutes Public Trust Board 29 Sept 2016
03-3 Month Forward Plan Public Session
04-Sustainable Transformation Plan
05-Sust Services Update Proposed OBC
Estates Annexe
06-Future Fit Update
07-TCI Update Dec 2016
08-Quality Committee Summary Minutes
09-ES Neonatal Term Admissions Cquin
10-Winter Resilience Plan
11-ES Never Events Report
12-Committee Summary: Sustainability Committee
13-Financial Recovery Plan
14-Charitable Funds Annual Report Accounts 2015-16
15-MRI Business Case
16-Performance Report
17-Workforce Committee Oct-Nov 2016
18-Equality Diversity Update
19-Agency Self Cert Checklist
20-External Auditors
21-Complaints Pals Quarterly Update
22-Sustainable Development Management Plan SDMP
23-BAF Winter Planning Risk
24-Trust Board MTG Dates 2017-18
25-Annual Report Integrated Education 2015-16