Public Board of Directors papers 30 June 2022

with implementation expected after 2023. We await the detail. We meet regularly with the CQC and have been told we are not a high-risk organisation. We do anticipate we may get a well-led inspection and we are preparing for this now. CO noted there is a new Chief Inspector of Hospitals coming into post. GP asked about a system-based review. JY noted that this is the direction and may explain the pause in activity. AM asked if there are any possible indicators in the oncology assessment that we may struggle on. JY noted that we need to have a real focus on learning from incidents etc. Learning is a real focus. KW noted that the discussion on system-based inspection is confusing and using data to spot issues is very difficult. Being part of inspection teams in other organisations is important to learn around what they are doing. RS noted that invites are coming and we will do this. CH noted that where we struggle is where CQC don’t understand what a system or a Trust issue is. 62 days is a good example of this. b NHS Provider License conditions: self-certification declarations RS noted the self-certification declarations that we need to approve. This is an annual requirement that was previously submitted to the regulator. We now need to make this assessment and have it available should we be asked by the regulator for a Board approved declaration. Approved. 22/22 Board Assurance a Board assurance framework 2022/23 RS noted that the BAF has been significantly updated to reflect the risks to the corporate objectives in year. GP asked about high target risk scores where we are averse to the risks. New risks reflect the changing environment this year to previous years. For example changes in workforce and the financial regime. This will change as the year goes on and the BAF is regularly reviewed.

23/22 Any other business No items raised.

Date and time of the next meeting Thursday 30 th June 2022 at 12:45pm

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