To request a copy of the full Board Papers for this meeting, please email [email protected]
Membership
- Prof. I Cumming Non-Executive Director (Chairman) and voting member
- Mr AC Marsh Chief Executive Officer and voting member
- Prof. A. Hopkins Non-Executive Director (Deputy Chair) and voting member
- Ms S Banks Non-Executive Director and voting member
- Ms C Beechey Director of People and voting member
- Mrs C Eyre Director of Nursing and voting member
- Mr M Fessal Non-Executive Director and voting member
- Mr N Henry Paramedic Practice and Patient Safety Director
- Mr N Hudson Chief Operating Officer and voting member
- Mrs J Jasper Non-Executive Director and voting member
- Mr M Khan Non-Executive Director and voting member
- Mr V Khashu Strategy and Engagement Director
- Mr M MacGregor Communications Director
- Mr S Nat Non-Executive Director and voting member
- Ms K Rutter Director of Finance and voting member
- Dr R Steyn Medical Director and voting member
In attendance
- Mr A Brown CEO Chief of Staff and Head of Service Transformation
- Ms D Scott Organisational Assurance Director
- Ms K Freeman Private Secretary, Office of the Chief Executive
- Ms R Farrington Staff Side Representative
- Mr P. Higgins Governance Director and Trust Secretary
All attendees to this meeting must be aware that access may be given to all minutes and associated documents under the Freedom of Information Act 2000.
Item 1a
Welcome from the Dean of Faculty and senior university staff (verbal)
Item 1b
Apologies and Chairman’s matters – lead by the Chair (Verbal)
Item 2
Declarations of Interest – lead by the Chair (Verbal)
To enable declarations to be made, of any conflict of interest members may have in relation to any matters contained within the agenda for this meeting
Item 3
Any questions from the public relating to matters to be discussed at this Board of Directors meeting – lead by the Chair (Verbal)
Item 4
Board Minutes
- To agree as a correct report the Minutes of the meeting of the Board of Directors held on 30 July 2025 – lead by the Chair (Paper 01)
- Board Log and also any matters arising from the Minutes not on the Agenda for this meeting – lead by the Organisational Assurance Director (Paper 02)
- Confirmation of Action Taken – Equality, Diversity and Inclusion Strategy 2025 – 2029 – lead by the Governance Director and Trust Secretary (Paper02a).
The Board of Directors was by Email from the Board Secretary on 7 August 2025 was requested to review the content of the revised Equality, Diversity and Inclusion Strategy 2025 – 2029 and if minded to approve the content authorise the Director of People to publish the Strategy. The Board of Directors was, as allowed for under its Standing Order 4.10.2 Written motions, requested to determine the matter and indicate approval by no later than 12 noon on Friday 15 August 2025. The email also clarified that as allowed in the Standing Order, if a majority of the Board responded by the closing time and date it will be deemed to have been approved on that date. The reason for this action was that approval was required urgently as the previous strategy is out of date and there is a requirement to publish this strategy prior to the end of August 2025. In addition, and also for additional assurance, the Strategy had been reviewed and approved at the following governance meetings of the Trust:
- Diversity, Inclusion and Steering Advisory Group (DISAG) – 30th June 2025
- Executive Management Board – 8th July 2025
- People Committee – 4th August 2025
In compliance with Standing Orders the matter is now being reported as soon possible to next Board meeting.
Recommendation – That the action taken and reported to this meeting be noted and that the action taken by the Director of People in publishing the approved revised Equality, Diversity and Inclusion Strategy 2025 – 2029 be approved.
Item 5
Board Assurance Framework (BAF)
To review the Board Assurance Framework and Corporate Risks rated 12 and above against the Trust Risk Appetite, following a review by EMB, the Health, Safety, Risk & Environment Group and QGC. (To note that a review of the BAF will take place at the Board Briefing in October) – lead by the Director of Nursing / Head of Risk (Paper 03)
Action – To receive and approve the Board Assurance Framework and discuss any changes needed to the BAF and Risk Appetite
Item 6
Chief Executive Officer Reports
Item 6A – To receive the report of the Chief Executive Officer – lead by the CEO (Paper 04a)
Action – To receive and note the contents of the paper seeking clarification where necessary.
Item 6B – lead by the CEO (Papers 4b and 4c)
- Executive Scorecard – August 2025
- Executive Scorecard ICS Sub Report – August 2025
Action – To receive the Executive Scorecards
Item 6C – The Winter Plan and Board Assurance Statement – lead by the CEO (Paper 04d)
Action –
To note the contents of the report and the attachments thereto.
To receive and approve the content of the Winter Plan
To authorise the CEO to make the Board Assurance Statement submission by 30th September 2025
Item 7
Report of the Strategy and Engagement Director – lead by the Strategy and Engagement Director
Item 7A – Progress on Corporate Strategy Review and the NHSE 10-Year Plan (Paper 05a)
Action – To receive and note the report
Item 7B – Provider capability assessments (Paper 05b)
Action –
For the Board to consider the requirements of the assessment in terms of which executive needs to submit narrative and accompanying evidence for which area.
For the board to consider the proposed timelines and sign off process and agree an option for approving the submission.
Item 8
Report of the Director of Finance – lead by the Director of People
Item 8A – To receive and note the report of the Director of Finance (Paper 06a)
Item 9
Reports of the Director of People – lead by the Director of People
Item 9a – 2024 Staff Survey Closing Report (Paper 07a)
Action – To review the content of the strategy and approve its publication
Item 9b – WRES and WDES Annual Reports 2025 and Action Plans 2025-2026 (Paper 07b)
Action –
To receive and note the WRES and WDES data reports 2025
To receive and close down the WRES and WDES action plans for 2024/25.
To note the content of the actions plans and approve ratification and publication on the Trusts internet by 31st October 2025
Item 10
Combined Clinical Directors Quality Report – lead by the Director of Nursing / The Medical Director / Paramedic Practice and Patient Safety Director (Paper 08a)
Action – To receive and note the integrated quality report
Item 11
Service Delivery Report – lead by the Chief Operating Officer (Paper 09a)
Action – To receive the report from the Chief Operating Officer on the following:
Emergency and Urgent Operations
Integrated Emergency and Urgent Care
IEUC Service Delivery Update
Non-Emergency Operational Update
Item 12
Board Committee Meeting Minutes and Chair’s Reports
- Audit Committee – to note that there are no reports of minutes to submit. Next meeting is on 14th October – lead by Julie Jasper / Director of Finance
- People Committee – lead by Mohammed Fessal / Director of People (Paper 10a and 10b)
- To receive the minutes of the committee meeting held on 2nd June 2025
- To receive the report of the Chair of the Committee on salient matters discussed at the meeting held on 4th August 2025
- Finance and Performance Committee – lead by Mushtaq Khan / Director of Finance / Chief Operating Officer (Paper 11a and 11b)
- To receive the minutes of the committee meeting held on 21st July 2025
- To receive a report from the Chair of the Committee on the salient matters and risks considered at the meeting held on 16th September 2025
- Quality Governance Committee – lead by Suzanne Banks / CEO Chief of Staff and Head of Service Transformation / Director of Nursing / Medical Director (Papers 12a and 12b)
- To receive the minutes of the committee meeting held on 23 July 2025
- To receive a report from the Chair of the Committee on the salient matters and risks considered at the meeting held on 17th September 2025
Item 13
Board of Directors Schedule of Business – lead by Trust Secretary (Paper 13)
To receive the Schedule of Business and Development Sessions
Action – To review and note the Board Schedule of Business
Item 14
Any Other Business – lead by the Chair
To be previously notified to the Trust Secretary
Item 15
Date and Time of the Next Meeting
The next meeting will be on Wednesday 26 November 2025
At the conclusion of the formal Board Meeting
Item 16
Board to Review the meeting and identify any new or increased risks that have arisen.
Please note:
Timings are appropriate
Preferred means of contact for Any Other Business Items is via email to Trust Secretary Phil Higgins – [email protected]