Agenda Item No.
5BP (14/71)
BOARD REPORT
___________________________________________________________________
DATE OF BOARD MEETING:
27 May 2014
TITLE OF REPORT:
Monitor Governance Statement
PURPOSE OF REPORT:
To provide the recommended response to the
Declaration required by General Condition 6 and
Continuity of Services condition 7 of the Trust’s
Provider Licence.
To provide the Trust Board with evidence to
support the Declaration.
KEY POINTS/TEAM BRIEF:
To confirm that the Trust complies with the
following statements to be submitted within the
Monitor template ‘Declaration required by
General Condition 6 and Continuity of Services
condition 7 of the Trust’s Provider Licence’;
Following a review for the purpose of paragraph
2(b) of licence condition G6, the Directors of the
Licensee are satisfied, as the case may be that,
in the Financial Year most recently ended, the
Licensee took all such precautions as were
necessary in order to comply with the conditions
of the licence, any requirements imposed on it
under the NHS Acts and have had regard to the
NHS Constitution.
The Board declares that the Licensee continues
to meet the criteria for holding a licence.
After making enquiries the Directors of the
Licensee have a reasonable expectation that the
Licensee will have the Required Resources
available to it after taking account distributions
which might reasonably be expected to be
declared or paid for the period of 12 months
referred to in this certificate.
ACCOUNTABLE DIRECTOR:
14/71 Monitor Governance Statement
Nick Rowe
Director of Corporate Services
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Agenda Item No.
5BP (14/71)
RECOMMENDATION TO THE
BOARD:
The Board discusses the recommended
response and approves the response for
submission to Monitor.
The Board delegates responsibility for signing
the template to the Chief Executive and the
Chief Finance Officer.
The Board notes that a further Monitor
Governance Statement paper will be presented
to the Board in June to support submission of
the self-certification in relation to the Corporate
Governance Statement and other declarations
template.
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Agenda Item No.
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IMPLICATIONS AND LINKS FOR TRUST GOVERNANCE
Governance Areas
(√ the areas the report supports, or to which it is linked)
1.
Do we have sufficient, highly motivated, skilled staff?
2.
Are we delivering our services safely?
3.
Are we delivering to our patients and users?
4.
Are we financially viable?
5.
Do our stakeholders support what we do?
6.
Are we delivering on our strategy?
7.
Is the organisation and its services well led?
NHS Regulatory Framework
(√ the standard domain(s) the report supports, or to which it is linked. Add text as
required)
Essential Standards of Quality and Safety
1.
Involvement and information
2.
Personalised care, treatment and support
3.
Safeguarding and safety
4.
Suitability of staffing
5.
Quality and management
6.
Suitability of Management
Other
7.
Quality of financial management
8.
National priorities and existing commitments
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Agenda Item No.
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IMPACT ASSESSMENT
Patient and Public Involvement
Equality, Diversity and Human Rights
Communications
Risk Assessment
No in Risk
Register
Legal Implications
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Agenda Item No.
5BP (14/71)
Report to Trust Board
27 May 2014
Monitor Governance Statement
1. INTRODUCTION
Under the Trust Provider Licence, the Monitor Risk Assessment Framework
and the Health and Social Care Act 2012, the Trust is required to make two
annual self-certifications.
These are both Governance Statements and the Trust is required to make
self-certifications on two templates;


Certifications G6 and CoS7 (referencing the sections of the Provider
Licence to which these relate), and
Corporate Governance Statement and other declarations
The deadlines for uploading the completed self-certifications to the Trust
Monitor portal are 5pm on 30 May 2014 for the Certifications G6 and CoS7
and 5pm on 30 June 2014 for the Corporate Governance Statement and other
declarations.
2. STATEMENTS
The self-certification template in relation to the Governance Statement
Certifications G6 and CoS7 is attached to this paper at Appendix 1.
Licence Conditions, G6 and CoS7 are also attached to this paper at Appendix
2.
It is recommended that the Trust confirms statements 1,2 and 3a;
(1) Following a review for the purpose of paragraph 2(b) of licence
condition G6, the Directors of the Licensee are satisfied, as the case
may be that, in the Financial Year most recently ended, the Licensee
took all such precautions as were necessary in order to comply with the
conditions of the licence, any requirements imposed on it under the
NHS Acts and have had regard to the NHS Constitution.
(2) The Board declares that the Licensee continues to meet the criteria for
holding a licence.
(3a) After making enquiries the Directors of the Licensee have a
reasonable expectation that the Licensee will have the Required
Resources available to it after taking account distributions which might
reasonably be expected to be declared or paid for the period of 12
months referred to in this certificate.
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Agenda Item No.
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3. EVIDENCE
The evidence which has been taken into account when making the
statements include the Trust internal review of compliance against the Monitor
Provider Licence, which was undertaken following a report to the Board on 28
May 2013. The review identified processes and systems in place and where
required and actions to be implemented to ensure compliance.
The evidence as stated below in the main factors taken into account in
making the declarations as follows;
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The Month 12 position submitted to Monitor.
The two year operational plan submitted to Monitor at the beginning
of April for periods 2014/15 and 2015/16.
The substantial assurance received in Internal Audit reviews in
relation to the Monitor Provider Licence, Corporate Governance and
Board Assurance Framework and Risk Assessment Reviews.
The Head of Internal Audit Opinion.
Workforce Plans and the Estate Strategy are under review in
2014/15 to support the Trust continuing to have the Required
Resources available to it.
The statement requires that the Declaration is signed on behalf of the Board
of Directors, and having regard to the views of the governors.
In respect of ‘having regard to the views of the governors’ the evidence which
can support the Governors providing views on the statement is as follows;

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
Presentations made to the Governors on the content of the Monitor
Licence, Risk Assessment Framework and the Health and Social
Care Act 2012.
Regular Performance updates presented to the Governors at
Governors meetings and meetings of the Compliance with
Authorisation Committee meetings.
Governor attendance at Trust Board meetings, which also provides
the opportunity for the Governors to ask questions of the Board.
Presentations made to the Governors in relation to the Trust
Corporate objectives which detail the Workforce Plans and Estates
strategy reviews.
4. RECOMMENDATION
The Board discusses the recommended response and approves the response
for submission to Monitor
The Board delegates responsibility for signing the template to the Chief
Executive and the Chief Finance Officer.
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Agenda Item No.
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The Board notes that a further Monitor Governance Statement paper will be
presented to the Board in June to support submission of the self-certification
in relation to the Corporate Governance Statement and other declarations
template.
Nick Rowe
Director of Corporate Services
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