As a Foundation Trust, the James Paget University Hospitals is run by a Board of Directors. It is governed by the Trust’s Provider Licence and Corporate Governance Framework. This includes the Trust Constitution, standing orders and standing financial instructions. The Scheme of Delegation sets out the delegated responsibility for the performance of the Board’s functions. Ultimately the Chief Executive is accountable to the Board, as the Accounting Officer, for ensuring that it meets its obligations within the available financial resources.
The Board provides leadership and sets the tone for the organisation. As a unitary board, the Non Executive Directors share responsibility with the Executive Directors for ensuring the resources are in place to meet the objectives set. In an emergency powers are exercised by the Chief Executive and Chairman after having consulted at least two Non Executive Directors.
The Chair leads both the Board and the Council of Governors, ensuring that there are effective processes in place for the Board and Governors to work together. The process for dealing with any disagreements is set out within the Trust’s Constitution.
The Board reviews its structure and the Terms of Reference of Board Committees at least annually. A Well-led external governance review was undertaken during 2016, led by Capsticks. The Board is working through the report recommendations and other elements that we may wish to take forward during 2017. The Terms of Reference have continued to be reviewed by Board Committees but the Board chose to remain with the current structure and Terms of Reference pending this review.
Individual Board members visit areas of the Trust as and when required, particularly the Chair and Executive Directors.
Board to Ward visits take place prior to each monthly Board meeting, with visits across the Trust, and what we found published on a quarterly basis through the Board's Quality and Safety report. The Board also receives staff/patient stories at each of the public Board meetings.