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8/9/2019 Foundation Trust Public Consultation document
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2009large trust of the yearwww.stgeorges.nhs.uk
Public consultation document
Be part of our future
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Translation
I you would like this report translated, please call thecommunications team on 020 8266 6132, or email [email protected]
Haddii aaad dooni in warbixinta lagu turjumo, fadlan ka ax Communications
Team 020 8266 6132 ama email u dir [email protected]
020 8266 [email protected]
020 8266 [email protected]
Arabic
Gujarati
020 8266 [email protected]
Bengali
Si vous souhaitez obtenir une traduction de ce rapport, appelez lEquipe
charge de la communication (ou Communications Team) au 020 8266
6132 ou envoyez un ml ladresse suivante :
French
020 8266 6132 [email protected]
Chinese
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Si desea leer una traduccin de este informe por favor llame al 020 8266
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Contents
01. Introduction by the Chair and the Chie Executive 3
02. About us 5
03. What is a Foundation Trust? 6
04. Why is St Georges applying to become a Foundation Trust? 7
05. Our vision, mission and strategic aims 8
06. Our membership plans 9
07. Our proposed governance arrangements 11
08. Our transitional arrangements 13
09. Your views 14
10. Meet us and nd out more 16
11. Our planned timetable to becoming a Foundation Trust 17
12. Frequently asked questions 18
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01. Introductionby the Chair and the Chie Executive
At St Georges we are dedicated to
improving the standards o care that we
provide to all o our patients. As part
o our ongoing work to modernise St
Georges we have started a process thatwill lead to us becoming a Foundation
Trust in 2011.
Foundation Trusts are a new type
o NHS trust set up in a way that
makes them answerable to their local
community. This means that as we plan
to develop hospital and community
services we will need to involve our
public, patients and sta in the decision
making process. As Chair o St Georges
I am committed to ensuring that wedevelop meaningul and productive
relationships in order that the voice
o all o our audiences can be clearly
heard.
In becoming a Foundation Trust St
Georges will recruit 4,000 public and
patient members who, along with
6,000 sta members, will elect a
council o governors. The council o
governors will advise St Georges board
o directors on how the trust should
provide and improve services and help
ensure that it stays true to the core NHS
values and principles.
Apart rom increased local involvement
Foundation Trusts also have greater
control over their nances. For St
Georges this will mean more reedom
to decide on how to invest in services
that will best meet the needs o its
patients and public.
Beore we can become a Foundation
Trust St Georges must successully
complete a detailed application process,
one which will careully examine key
elements o our work including quality
o care and nances. Thereore in
achieving Foundation Trust status St
Georges will also become stronger as
an organisation.
I hope you will share my enthusiasmor the exciting opportunities that
Foundation Trust status will bring to St
Georges and I look orward to hearing
your thoughts on our plans.
Naaz Coker,
Chair
Naaz Coker
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St Georges provides care to the localpopulations o Wandsworth, Merton
and southwest London with a wide
range o acute hospital services,
including accident and emergency,
maternity services and care or
women and children.
As a major acute hospital, St Georges
also oers very specialist care or
the most complex o injuries and
illnesses, including trauma, neurology,
cardiac care, renal transplantation,cancer care and stroke to the
populations o southwest London,
Surrey and Sussex. Our services cover
a population o 1.3 million in Londonand up to 3.5 million including Surrey,
Sussex and southeast England.
During 2010 we will become home to
a level one Trauma Centre and one o
eight hyper-acute stroke units serving
the capital. We are also expanding
our community services, bringing care
closer to home, including antibiotic
home service and dialysis satellite
units.
As a leading teaching hospital, thetrust works closely with our academic
and NHS partners in south London
and nationally to conduct research.
We develop innovations in medicinethat improve patient care and the
health o the communities that we
serve. We work closely with our
partners to train doctors, nurses and
other sta that the NHS will need in
the uture.
We are working hard on bringing
our healthcare services closer to the
community and it is now time or St
Georges to take the next step and
ensure our uture as a FoundationTrust.
With around 6,000 sta caring or patients around the clock,St Georges Healthcare NHS Trust is one o the countrys largest
teaching hospitals, treating more than 500,000 patients every
year at sites in Tooting, Wimbledon and Wandsworth.
02. About us
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03. What is a Foundation Trust?
They are very much part o the NHS; they provide their
services or ree and are not run or prot. Foundation
Trusts are subject to the same standards and regulations
as all other NHS trusts. In addition, the government has
established a regulatory body called Monitor, whose
unction it is to regulate Foundation Trusts and provide
assistance i needed.
Most importantly, Foundation Trusts are accountable to
the people they serve. Through membership, patients,
sta and the public are involved in deciding the priorities
and strategic direction o the organisation.
Foundation Trusts also have greater independence rom
government and more nancial reedoms than traditional
NHS trusts.
Foundation Trusts have been in place since 2004 and there arecurrently (April 2010) 129 in England.
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04. Why is St Georges applying tobecome a Foundation Trust?
Our core principle is and will always remain to provide the
highest quality o healthcare to the communities we serve.
The current economic challenges or the country willlast or many years and will apply to all populations and
sectors, including the NHS. We want to work with our
members and our communities to identiy shared priorities
and together make the correct and sometimes dicult
decisions in the interests o our patients and our public.
The benets o Foundation Trusts have been well
evidenced where they are well governed, are accountable
and have a higher degree o engagement with their
communities. Working with our members, we will deliver
improved outcomes or our patients and sta.
We believe that amongst the key benets or our
patients, sta and community in becoming a Foundation
Trust will be:
Higher standards o care
Improved governance and systems that allow or the
public and sta to have a say in the trust through
a structured and regular process
Re-investment o any surpluses to improving care and
acilities
We will deliver these benefts by:
Giving our local communities a greater say in how St
Georges is run. This will help us to develop healthcare
that is more responsive to local needs and priorities and
deliver these where possible in local settings.
Developing a council o governors that will strengthen
local links, helping St Georges to develop existing and
new relationships and partnerships with organisations
that can help us deliver better services.
Our public and moral service to improve the healthcare and
well-being o our community is at the heart o who we are as a
healthcare organisation and what we will urther develop as a
Foundation Trust.
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05. Our vision, missionand strategic aims
Mission
In line with our vision our mission as a trust is to improvethe health o our patients and our local community by
achieving excellence in clinical care, research, education
and employment.
Strategic aims
As part o our preparation or becoming a Foundation
Trust we have revisited our strategic aims. Our proposed
strategic aims or the next ve years are:
We will work in partnership with our patients and
others to: Provide outstanding quality o care
Become an exemplary employer
Strengthen education, research and innovation that
will benet our patients
Build a leading integrated healthcare system
Deliver robust operational and nancial perormance
Continuously improve our acilities and environment
We have developed an ambitious set o plans to maintain
our position as one o Londons and the countrys leading
Teaching Hospital. We have worked hard in recent yearsto improve both our quality and perormance. This work
will continue and good progress has been made which
has been recognised by statutory bodies and independent
organisations.
St Georges vision is that by 2015 we will be a thriving Foundation
Trust at the heart o an integrated healthcare system. One
that delivers improved patient care in community, hospital and
specialist settings, supported by a unique and nationally recognised
programme o research, education and employee engagement.
Do you support our vision andstrategic priorities?
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06. Our membership plans
The hallmark o a good Foundation Trust is local ownership and
involvement in decision making. As a Foundation Trust we will be amembership organisation. This means that local people, sta and
patients will have the chance to be a member o the trust and elect a
council o governors who will work with us and oversee what we do.
Do you agree with our plans orinvolving our members?
Do you agree with our limits onage or members and governors?
Developing an active and engaged membership
Membership is a very important route through which the
trust will engage with you. The way which we develop
a close relationship with our members is by making iteasy and fexible or members to become involved and
inormed about the work o the trust.
Membership is ree and oers several opportunities
to be involved including:
Helping the trust make the correct decisions on our
plans and developments to meet the needs o the
community
Improving services within the hospital and the local
health community
Supporting research to improve outcomes
Help to raise unds to improve services in the hospitaland the community
Volunteering in a variety o roles and settings
Being able to stand or elections to become a governor
o the trust
Voting in elections or the council o governors
Being able to attend a regular cycle o health
inormation events by leading doctors and clinicians
Developing a representative membership
It is important to us that our membership refects
the diversity o our local community and the largerpopulations covered by our specialist services.
Through this process, we will ensure that all views o the
membership are heard and no group orms a majority that
excludes others.
Age
We propose a minimum age o 16 years or patients and
the public to become members and 21 years or members
to become a governor.
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We are proposing three categories
o members:
A: Public
As a Foundation Trust, we are required to have at least one
public constituency. A constituency is a clear geographicarea rom which members can be recruited. We are
planning to include the public membership rom three
main areas, based on our local electoral ward boundaries:
London Borough o Wandsworth: all wards
London Borough o Merton: all wards
London Borough o Lambeth, wards are: St Leonards,
Thornton, Streatham South and Streatham Wells
Public members from these wards will be able to
stand as governors.
B: PatientsSt Georges values the contribution o all our patients. As a
trust that treats patients rom across the country, we have
decided to include a patient constituency.
Because the trust also provides a range o specialist
services to the population o Surrey (1.2 million people),
we propose that this patient constituency is urther divided
into two sub-categories:
Surrey
All other patients
Patients from this group will be able to stand asgovernors.
C: Sta
Our sta are the most valuable resource we have to
deliver care to our patients. It is essential that our sta
play a strong role in shaping our uture. We propose to
automatically recruit all o our permanent employees as
members. Those who do not wish to become a member
will be able to opt out. Membership will be open to:
All individuals employed by the trust on permanent
contracts or on xed term contracts o 12 months ormore
Volunteers who are registered with the trust through the
voluntary services manager
For the purposes o recruitment we plan to divide our sta
into our distinct classes refecting the proessional groups
within the trust:
Medical and dental
Nursing and midwiery
Allied health proessionals and other clinical and
technical sta
Non clinical sta (including volunteers)
Staff groups will be able to stand as governors.
Wandsworth
Merton
Lambeth
Thornton
St Leonards
Streatham South
Streatham
Wells
Do you agree with our proposalsor sta membership?
Do you agree with our proposalsor our public and patient
constituencies?
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The board o directors:
The board o directors is legally accountable or the management o the
Foundation Trust and is responsible or the day-to-day running o the organisation.
The board will be made up o executive and non executive-directors. We see the
council o governors as a major benet o Foundation Trust status and we are
committed to developing ways or the board and council to work together.
St Georges currently only has a board o directors. Foundation Trust
members will elect and appoint a council o governors to represent
the views o our members. The trust Chair will be Chair o the board
o directors as well as the Chair o the council o governors and
serves as an important link between both.
The Foundation Trust board o directors
Will be responsible for the day-to-day
management and strategic development o
the Foundation Trust
Are collectively responsible for the exercise
and perormance o the trust
Are accountable to the Foundation Trust via
the council o governors
Consists of executive and non-executive
directors
The council o governors will:
Advise the board of directors on strategic
plans and service developments
Appoint the chair and non-executive
directors
Appoint the trusts auditors
Chair
Chairs the council ofgovernors and the board
of directors
Board o directors
Manage the day-to-dayrunning of the trust
Membership
Council o governors
Advise the trust boardon its future plans as well asappoint the Trust Chair and
non-executive directors
07. Our proposed governancearrangements
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It is our proposal that the council o governors be comprised o
27 governors in total. The seats allocated to elected governors
(20) will be in the majority to those nominated (7):
20 Elected governors 7 Nominated governors The trust board
Public governors (11)
Wandsworth 6
Merton 4
Lambeth 1
Patient governors (4)
Surrey 2
All other patients 2
Sta governors (5)
Medical and dental 1
Nursing and midwifery 2
AHPs and other technicaland clinical staff 1
Non-clinical staff andvolunteers 1
Education (2)
St GeorgesUniversity of London 1
South West LondonAcademic Network 1
Partnerships (2)
Wandsworth LINk 1
Tooting Town CentrePartnership 1
Strategic partners (2)
NHS Wandsworth 1
NHS Sutton and Merton 1
Local authority (1)
London Boroughof Wandsworth 1
Voting nonexecutive directors 6
Non-voting nonexecutive directors 1
Voting executivedirectors 5
Non-votingexecutive directors 6
Do you agree with our structureor the council o governors and
the board o directors?
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The current non-executive directors, including the Chair,
should be appointed or a minimum o 12 monthsollowing the establishment o the Foundation Trust, or
until the end o their current tenure, whichever is longer
The existing Chief Executive to be appointed by the
Foundation Trusts board o directors. All other executive
director positions will continue in post
The trust secretary, in consultation with the Chair and
Chie Executive will approve membership applications,
consult and agree arrangements with our partner
organisations or the appointment o appointed
governors, and give a nal ruling on any matters thatarise in relation to membership
Election process:
Governors will be elected by their respective
constituencies. It is proposed that they will hold oce or
a period o two or three years ater which they will be
eligible or re-election or re-appointment. Governors can
serve or a maximum o nine years.
So that any disruption to the running o the
trust is kept to a minimum, we are proposing
to put in a set o transitional arrangements.
We propose that:
Do you agree with ourtransitional arrangements?
08. Our transitionalarrangements
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09. Your viewsYour views really matter. We would like to know what you think o our
proposals so that we can consider your opinion beore we submit our
nal application.
Questions
1) Do you support our vision and strategic priorities?
Yes No
2) Do you agree with our plans or involving our members?
Yes No
3) Do you agree with our proposals or our public and patient constituencies?
Yes No
4) Do you agree with our limits on age or members and governors?
Yes No
5) Do you agree with our proposals or sta membership?
Yes No
6) Do you agree with our structure or the council o governors and the board o directors?
Yes No
7) Do you agree with our transitional arrangements?
Yes No
8) Have you got any other comments?
Please return this orm to:Freepost RSGZ-UJJH-THEB
FT Membership Oce,
Grosvenor Wing, St Georges Healthcare NHS Trust, Blackshaw Road, LONDON SW17 0QT
A summary o comments received and our response to them will be published
on our website www.stgeorges.nhs.uk
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Have your say
There are many ways that you can share your views and
comments on this consultation.
In person: at the public consultations listed above.
By post:ll in the comments orm enclosed with this
document or write us a personal letter returning it using
the reepost address provided (no postage required):
Freepost RSGZ-UJJH-THEB
FT Membership Oce
Grosvenor WingSt Georges Healthcare NHS Trust
Blackshaw Road
LONDON
SW17 0QT
By email:By using our online consultation eedback orm
on www.stgeorges.nhs.uk/aboutoundation.asp or email
us at [email protected]
Or look us up on Facebook
Date Venue Time
Tuesday 25th May St Georges Healthcare NHS Trust launch event 18.00-20.00Tuesday 8th June Tooting Library, 75 Mitcham Lane, SW17 9PD 14.00-19.00
Thursday 17th June St George's Healthcare NHS Trust, Grosvenor Wing foyer 10.00-16.00
Tuesday 22nd June Queen Marys Hospital, Roehampton, SW15 5PN, main foyer 10.00-15.00
Thursday 1st July St Georges Healthcare NHS Trust, Grosvenor Wing foyer 10.00-16.00
Tuesday 6th July Wimbledon Library, Wimbledon Hill Road, SW19 7NB 11.00-16.00
Tuesday 13th July Merton Civic Centre, London Road, Mordon, SM4 5DX 10.00-15.00
10. Meet us and nd out moreWe will be holding open events across the public constituency areas. At these
events you will be able to learn more about our plans and speak to senior
representatives o St Georges sta. You will also be able to give us your views
on our application to become a Foundation Trust and sign up to become a
member. More inormation about these and other related events can be ound
on our website: www.stgeorges.nhs.uk/aboutoundation.asp.
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11. Our planned timetable
Indicative timetable subject to the trust meeting all
o the requirements by NHS London.
25th May 2010 - 17th August 2010
Public consultation on the proposed application.
1st December 2010
Formal request to the Secretary o State or support
to the application.
By January 2011
Secretary o States decision whether we are eligible
to apply to Monitor (the independent regulator) or
assessment.
January 2011 - March 2011
Monitors authorisation process.
From April 2011
Authorisation rom Monitor we become a
Foundation Trust.
The public consultation period will run rom 25th May
2010 until 17th August 2010.
Our ormal application will be submitted to the
Secretary o State or Health in the autumn.
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12. Frequently asked questions
A: Are Foundation Trusts the frst steps towards privatisation othe NHS?
The legal basis or Foundation Trusts was created in 2003 and more
than hal o all eligible acute and mental health trusts who were
eligible are now Foundation Trusts.
We will continue to be subject to the same targets, regulation and
policies that govern all NHS organisations and all our assets will
continue to belong to the NHS.
B: Given the UKs economic situation is it the right time to
become a Foundation Trust?
We have been preparing to become a Foundation Trust or many
years. Our ve-year business plan which outlines our income and
expenses or the next ve years has been drawn up to what is
achievable by the trust and will be tested thoroughly during the
application process by NHS London and Monitor.
C: Would becoming a Foundation Trust divert resources rom
patient care?
Delivering sae and eective healthcare to our local community,
patient and the public is our core business. To make sure that we do
this, the independent regulator (Monitor) will ensure that your servicesare maintained and our assets are protected in the best interests o our
patients and the public. Our members and governors will act as the
communities eyes and voice and are ree to contact Monitor.
D: What would happen i St Georges did not become a
Foundation Trust?
We believe that this would put us at a disadvantage to other larger
NHS trusts and reduce the benets that Foundation Trust will bring to
patients, sta and the public.
The governance arrangements within a Foundation Trust provide or
a greater degree o scrutiny and accountability to the public and our
members.
Finally, the nancial reedoms o a Foundation Trust allow or
improved ability to invest in services and in turn to ensure that our
commissioners get the best value or money in the uture.
Become a member o St
Georges Healthcare NHSFoundation Trust
and be part o our uture.
To join as a member, please
go to www.stgeorges.nhs.uk/
aboutoundation.asp
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St George's Healthcare NHS TrustSt George's Hospital
Blackshaw RoadLondon
SW17 0QT
www.stgeorges.nhs.uk