Trust Board Meeting

Chief Executive’s Update

25th January 2007

Key Themes for 2007:-• Clinical Engagement• Commercial approach to business

processes• Delivering to maintain

independence and achieve our published strategy

• Putting SaTH on the national map – for the right reasons

Management Executive:-• Transition from HEG to fully operational

ME over 3 months started 16 January 2007

• Devolved power from Trust Board/ Executive Directors meetings

• Will be the Executive Board by April• Executive Directors meeting to initiate

strategy, guide the ME, review progress• CEO will always be the “Accountable

Officer”

Management Executive:-• Discuss more clinical/ operational

issues• Develop Strategy (including

Business Development)• Consider Business Cases• Senior Managerial/ Clinical

interface

Organisational Structure:-• Fewer levels• More clinical engagement• Devolved power/ accountability• Earned autonomy to be developed• Fit for Foundation Trust Status

Trust Board:- Chair, NEDs, Exec Directors, Director ofStrategy (Director of Nursing)

Management Executive:- CEO, Exec Directors, Divisional Directors, Divisional General Managers, Directors of Strategy and Infection Control

Divisional Boards (3):- Divisional Director, Divisional General Manager, Nurse Lead, Finance Lead, Human Resources Lead

Business Units:- Clinical Directors, Service DeliveryManager, Nursing Lead, Clinical Leads

Division 1Budget £56m Emergency Care Critical Care General Medicine1100 WTE

A&E ITU Acute & Specialist MedicineMOA HDU CardiologyMEC Anaesthetics Care of the ElderlySAU Pain ManagementT/O

Division 2Budget £46m Cancer/Oncology/Haematology Womens/Childrens General Surgery995 WTE

Maternity GastroGynae Upper GIBreast Services ColorectalPaediatrics UrologyNeonatology Vascular

Division 3Budget £45m EBME Manager/Head of Therapies/ Theatre/ Day Surgery Pathology Imaging1099 WTE Outpatient Manager/Pharmacy CD

Transitional/ Appointment Process:-Structure paper, Job Descriptions and Person Specifications (DD/DGMs) 19 JanClosing date for applications 1 FebAssessment Centres 8/9 FebInterviews - DGMs 12 Feb - DDs 13 FebDivisional Director/ General Manager/ Service Delivery Director then appoint toDivisional Board/ Business Units 31 Mar

Healthcare Acquired Infection

• DoH Inspection Team invited visit 23/24 Jan• Staff Testing Policy December 2006• Infection control areas capital bid Jan 2007• CEO retains Executive Responsibility• Director of Infection Control reports to CEO (and

on Management Executive from January 2007)• Director of Strategy responsible for

implementation of DoH recommendations• Hand Washing Campaign re-issued January 2007• Review of CMO guidance on MRSA and CDiff

guidance• Health economy approach via STEG December

2006

• Shropshire Futures - 31 January 2007– Unitary Status - Council Leaders– Health Futures - P Spilsbury SHA - J Chambers SCPCT - T Taylor SaTH

• LDP progressing• Trish Rowson and Debbie Shaw accepted on

SHA Development Programme• Steve Evans assessment for second cohort• SaTH surgical services supported by Cancer

Network Board (minimal queries by DoH being actioned)