Public Board of Directors papers 260123

d Action plan rolling programme, action log & matters arising All items from the rolling programme are noted on the agenda. 38/22 Board Assurance

CO noted that we have more business getting further scrutiny in the assurance committees to cover all risks and feed back to the Board. This is still being refined. The assurance committee reports will be further developed to give a bit more detail of items that have received assurance. a Audit Committee report – October 2022 GP outlined the report from Audit. The finance environment and management of this risk received high assurance. In relation to the partnerships risk – The Christie Pharmacy report received high assurance in terms of the developments and restructuring. Data security & protection / cyber risk – high assurance was given. It was noted that for 2023/24 there are going to be more challenging targets and clear action plans are in place to meet the challenges. Risk on sustainable development – medium assurance given, a lot of work is being undertaken but there is a recognition of the huge challenges this represents and we are only a small part of a much bigger picture. RA noted that there are difficulties with staff recruitment in pharmacy and this is getting worse and is getting more attention. Consideration is being given to the use of agency. b Workforce Assurance Committee report – November 2022 TK noted that high assurance is given when we are doing all the right things even if we are still concerned about the risk. Escalation to the Board is different from us just telling the Board about what’s been considered. TK noted that the EDI issues should be reported in more detail to Board at a future meeting. SP noted the importance of being consistent in the application of assurance. LW to include definitions of low, medium and high assurance definitions in future assurance committee papers. JM asked for some more information on our definitions of who our administration staff are as we are an outlier compared to other organisations. This is often cited as a political issue in terms of reduction of this group. RS noted that other organisations have about ¾ nursing staff, we have about ½. We have higher levels of scientific/technical staff and administration staff that is a general profile that contains lots of different kinds of staff. The Workforce Committee could look at this in more detail to understand who sits in these definitions. We do have a different profile to other Trusts. EL noted that most of the research staff fit into the admin & clerical group. RS noted that the ESR system is a national system and nurses are defined in a specific way and HCAs who provide nursing are not counted in this group. b Board assurance framework 2022/23 RS noted the latest version of the BAF reflects the assurance levels given. This will be updated as we continue to review risks through the assurance committees. Level of risk and application of assurance received needs constant review and reflection.

LW

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