DRAFT CORPORATE GOVERNANCE STATEMENT

BoD 30/13

EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST

REPORT TO: SUBJECT: REPORT FROM: PURPOSE: BOARD OF DIRECTORS MEETING 26 APRIL 2013 DRAFT CORPORATE GOVERNANCE STATEMENT ACTING TRUST SECRETARY DISCUSSION

CONTEXT / REVIEW HISTORY The purpose of the Corporate Governance Statement (Previously known as the Board Statement of Self-certification) is a requirement of NHS foundation trust licence condition 4 (NHS Foundation Trust Governance Arrangements). Foundation trusts are required to submit a Corporate Governance Statement on an annual basis. The statement will confirm: compliance with this licence condition on the date of the statement; anticipated compliance for the next year; any risks to compliance with this condition during the next year; and any actions it proposes to take to manage such risks. Appendix C3 of Monitors Compliance Framework provides the text of the statements the Board is required to make as part of its Annual Plan submission. These have been extracted into the attached table. The statements are concerned with clinical quality, finance and governance. The Statement has been produced by the relevant Executive Directors and has been reviewed by the Executive Team at CPMT meetings and by the IAGC on 4 April 2013. All comments have been incorporated into this final version for the Boards first review. The Board is asked to note that this statement is not submitted to Monitor. This document is the assurance that sits behind this element of the Annual Plan submission. The template that forms part of the annual plan submission is also attached for information. This template includes two additional statements statements 18 and 19 and these have been added to the Trusts spreadsheet. The spreadsheet includes the previous years required statement for information purposes only. IMPACT ON TRUSTS STRATEGIC OBJECTIVES: A number of statements reflect progress and achievement against strategic objectives. FINANCIAL IMPLICATIONS: The Corporate Governance Statement impacts on the financial risk ratings assigned by Monitor.

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DRAFT CORPORATE GOVERNANCE STATEMENT

BoD 30/13

LEGAL IMPLICATIONS: The Corporate Governance Statement reflects compliance with licence the Trusts arrangements - licence condition 4 (NHS Foundation Trust Governance Arrangements). PROFESSIONAL ADVICE TAKEN ON ANY NOVEL OR CONTENTIOUS ISSUES: Nil. BOARD ACTION REQUIRED: The Board of Directors is asked to discuss and review ongoing compliance against each individual statement for 2013/14. The Board of Directors will be asked to consider the level of assurance it receives and have an early discussion as to whether it can confirm either yes or no against each statement. Where no is declared, the Board will be asked to identify the risks and mitigating actions. The final document will be brought to the May 2013 Board of Directors for sign off in line with the Trusts Annual Plan submission. With regard to Statement 1, the Board is asked to note that the IAGC have received a report on the Trusts annual assessment against Monitors Quality Governance Framework at its meeting held on 4 April 2013. With regard to Statement 17, an exercise is being undertaken by the Executive Team to identify their areas of statutory duties and highlight any risks to compliance. Returns are being sent to the Trust Secretary for collation. As at the April Board, no risks to compliance have been identified. (A file containing completed forms will be brought to the Board for further assurance if required). With regard to Statement 19, the Board is asked to consider the three optional statements. CONSEQUENCES OF NOT TAKING ACTION: Failure of the Trust to take the necessary consideration when completing the self certification process may lead to regulatory action and/or the requirement to undertake a self-certification review.

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