Public Board of Directors papers 27.01.22

APPENDIX 1 The following table shows for each of the Terms of Reference the recommendatuions made in the Rapid Review report in the left hand column and the Trust’s comments in the right hand column. The reference numbers are those used in the review team’ ToR 1 “How the Trust responded to the review conducted by Wendy Fisher which highlighted issues in management and culture within the R&I Division in 2018” 2.1.1 • The new Research Director should be

• The reports referred to in the recommendations were appropriately considered when they were produced and were considered in full by the Board Directors on 25 th March 2021 • The BoD was satisfied that all currently relevant issues were being addressed through the R+I Action Plan in place at that time. • The BoD was involved in the appointment of a new R+I Director who is leading an engagement process as part of the development of a refreshed R+I strategy and quality improvement of the R+I service. Review of the FTSU Process • The BoD undertook a self-assessment using the NHSEI ‘Freedom to Speak Up review tool for NHS Trusts and Foundation Trusts’ at its November 2018 meeting. • Following updated national guidance the self- assessment was reviewed and a revised FTSU policy and action plan presented to the board in April 2020. • The FTSU policy and action plan was again refreshed and approved by the board of directors in April 2021. • An update on progress with the action plan was discussed by the BoD in October 2021. • Following discussion, including with the FTSUG, the Trust intends to maintain the current reporting line of the FTSUG. • The FTSU policy contains a flow chart and procedure for identifying the nature of concerns and appropriate escalation processes this includes how to seek advice and manage complex whistle-blowing cases. • The BoD has supported a recent programme of initiatives aimed at promoting a speaking up culture including, the appointment of FTSU Champions, FTSU Training and the Listen to Learn Event. Progress is reported at Trust board meetings and information is also available on HIVE (The Trust Intranet) and cascaded via Team Brief

asked to review the Wendy Fisher report, ’Initiating Research’ and the 2012 report, ’External Performance Review of the Systems and Processes in the R&D Division’ together with the progress on the action planning for both with a view to engaging a wide range of parties on the issues raised. • The Board of Directors should actively review the content of both these two reports to assure themselves that the appropriate level of attention has been given to the findings and recommendations. arrangements in the light of the latest national guidance and the MIAA report. • That the Trust should consider how to ensure that the FTSUG, while receiving the support of directors and having access to them, is also seen as independent of directors in providing in providing guidance where there may be a conflict. • In line with the MIAA report, the Trust should clarify how the FTSUG should seek advice and support with complex whistle-blowing cases. This may also be a general point for FTSU arrangements elsewhere. There will be occasions when the FTSUG is not able to escalate an issue within her/his organisation and there is a need for clarity on the options available outside the organisation which may include NHSEI regionally or the National Guardian’s Office. • That the Trust considers changing the reporting arrangement of the FTSUG. • The Trust is in the process of identifying FTSU champions to raise awareness to the opportunities for and encouragement to speak up. This is

ToR 2 - How the Trust handled the review into concerns raised about the R&I division in 2020, including whether the people that raised concerns suffered detriment as a result of speakingup 2.2.4 Review of the FTSU Process • That the Trust reviews the FTSU

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