Foundation Trust governance

What are NHS foundation trusts?

NHS Foundation Trusts are public benefit corporations that are authorised, under the 2006 Act, to provide goods and services for the purposes of the health service in England. They are part of the NHS and provide over half of all NHS hospital, mental health and ambulance services. They provide health care in line with the core NHS principles: that care should be universal, comprehensive and free at the point of need.

NHS Foundation Trusts were originally created under the Health and Social Care (Community Health and Standards) Act 2003. They are free from central government control. This means they have the freedom to make their own decisions, including whether to make and invest surpluses, and to manage their own affairs. However, they are subject to statutory requirements and all have a duty to exercise their functions effectively, efficiently and economically.

What is the governance structure of an NHS foundation trust?

Each NHS foundation trust has its own governance structure, set out in its constitution. Changes to the Trust’s constitution can take effect only if the amendments are approved by more than half of the members of the board of directors of the Trust voting and more than half of the members of the council of governors of the Trust voting.

The basic governance structure of all NHS foundation trusts includes:

  • Foundation trust members
  • A council of governors
  • A board of directors.

Key documents

Our board of directors

An NHS Foundation Trust’s board of directors is responsible for all aspects of the operation and performance of the Trust, and for its effective governance. This includes setting the corporate strategy and organisational culture, taking those decisions reserved for the board, and being accountable to stakeholders for those decisions.

All members of the board of directors have collective responsibility as a unitary board for every decision of the board, regardless of their individual skills or status. Non-executive directors and executive directors alike share the same degree of accountability. The board of directors is also responsible for establishing the values and standards of conduct for the Trust and its staff in accordance with NHS values and accepted standards of behaviour in public life, including the Nolan Principles.

The board of directors must include executive and non-executive directors, and the Foundation Trust Code of Governance requires that a majority of the board of directors are independent non-executive directors.

How the public interests of patients and the local community are represented

Public board of director meetings in 2018:

  • 13 September 2018 – 9.30-11.45
  • 8 November 2018 – 9.30-11.45
  • 10 January 2019 – 9.30-12.30*
  • 7 March 2019 – 9.30-12.30*
  • 9 May 2019 – 9.30-12.30*
  • 11 July 2019 – 9.30-12.30*
  • 12 September 2019-9.30-12.30*
  • 7 November 2019-9.30-12.30*

*The time is provisional and will be confirmed closer to the date.

All meetings are held in the Conference Room, Field House, Bradford Royal Infirmary.

Meeting papers for board of directors’ meetings are accessible in the table below.

Board papers

Board papers for board of directors meetings are accessible in the table below.

Upcoming meetings

Date of meeting Agenda Board papers Place of meeting
13 September Agenda  Papers 9.30-11.45, Conference Room, Field House
8 November Agenda  Papers 9.30-11.45, Conference Room, Field House

Past meetings

Date of meeting Agenda Board papers Place of meeting
11 January Agenda Papers 1 Papers 2 9.45-12.15, Conference Room, Field House
8 March Agenda Papers 1 Papers 2 9.30-11.45, Conference Room, Field House
10 May Agenda  Papers 1 Papers 2 10.30-12.30, Conference Room, Field House
12 July Agenda Papers 1 Papers 2
Papers 3 Papers 4
10.30-12.30, Conference Room, Field House
Date of Meeting Minutes Agenda Papers Place of Meeting
12 January Minutes Agenda Papers Conference Room, Field House
9 February Minutes Agenda Papers Conference Room, Field House
9 March Minutes Agenda Papers Conference Room, Field House
13 April Minutes Agenda Papers Conference Room, Field House
11 May Minutes Agenda Papers Conference Room, Field House
8 June Minutes Agenda Papers Conference Room, Field House
13 July Minutes Agenda Papers Conference Room, Field House
14 September Minutes Agenda Papers Conference Room, Field House
9 November Minutes Agenda Papers Conference Room, Field House

Meetings in 2019

Date of meeting Agenda Board papers Place of meeting
10 January Agenda 9.30-12.30* Conference Room, Field House
7 March Agenda 9.30-12.30* Conference Room, Field House
9 May Agenda 9.30-12.30* Conference Room, Field House
23 May Agenda   9.30-12.30* Conference Room, Field House
11 July Agenda 9.30-12.30* Conference Room, Field House
12 September Agenda 9.30-12.30* Conference Room, Field House
7 November Agenda 9.30-12.30* Conference Room, Field House
  • The meeting time of 9.30-12.30 is provisional and will be confirmed at a later date.

Meet our board of directors

Our council of governors

The council of governors consists of elected members and appointed individuals who represent members and other stakeholder organisations. The 2006 and 2012 HSC acts set out governors’ statutory responsibilities.

Governors' statutory responsibilites

  • Appoint and/or remove the chairman and non-executive directors
  • Set the terms and conditions of remuneration of the chairman/non-executive directors
  • Approve the appointment of the chief executive
  • Appoint the external auditor
  • Receive the annual accounts, auditor’s report and annual report
  • Convene the annual members’ meeting
  • Be consulted on the forward plans (annual plan) of the organisation
  • Approve any proposed increases in private patient income of 5% or more
  • Represent the interests of the members of the Foundation Trust and the public
  • Approve significant transactions (as defined in the constitution)
  • Approve an application by the Foundation Trust to enter into a merger, acquisition, separation or dissolution
  • Approve amendments to the Foundation Trust’s constitution

Upcoming meetings

  • Tuesday, October 16, 2018 – Conference Room, Field House, Bradford Royal Infirmary
  • Thursday, 17 January, 2019 – 3.30-5.30pm, Listening for Life Centre, Bradford Royal Infirmary
  • Thursday, 18 April, 2019 – 3.30-5.30pm, Listening for Life Centre, Bradford Royal Infirmary
  • Thursday, 18 July, 2019 – 3.30-5.30pm, Listening for Life Centre, Bradford Royal Infirmary
  • Tuesday, 17 October 2019 – 3.30-5.30pm, Listening for Life Centre, Bradford Royal Infirmary

Past meetings

  • Thursday, July 19, 2018 – Lecture Theatre, Listening for Life Centre, Bradford Royal Infirmary
    Agenda  Papers
  • Thursday, April 19, 2018 – Conference Room, Field House, Bradford Royal Infirmary
    Agenda  Papers
  • Thursday, January 18, 2018 – Conference Room, Field House, Bradford Royal Infirmary
    Agenda  Papers

Governors are unpaid and contribute their time on behalf of the foundation trust they represent. The chairperson of the board of directors is also the chairperson of the council of governors. This is a legal requirement. The voluntary role of governor is entirely different to that of a director. The governor’s role includes specific statutory duties, but the board of directors remains ultimately responsible for the Trust’s operations and performance.

The overriding role of the council of governors is to hold the non-executive directors, individually and collectively, to account for the performance of the board of directors and to represent the interests of Foundation Trust members and the public. The board is responsible for the direction and performance of the Trust, while the council of governors is responsible primarily for assuring the performance of the board.

There are different categories of governors. We have a maximum of 19 governor seats and four different types: public, staff, partner, and patient governors. The members of the council of governors, other than the appointed governors, must be elected. The rules and regulations that set out how elections for membership of the council of governors are conducted form part of the Trust’s constitution.

Key documents

Contacting the governors
If you would like to get in touch with our governors please email: governors@bthft.nhs.uk

Elections to the council of governors
There are currently no elections due to take place. If you are interested in standing as a Governor please register your interest so we can contact you with a nomination form when a vacancy arises.  If you would like an informal chat to find out more, please contact Jacqui Maurice, Head of Corporate Governance, on 01274 382685 or email: jacqui.maurice@bthft.nhs.uk

Meet our council of governors

Our Foundation Trust membership

Are you eligible to be a member?

Public membership is open to anyone aged over 16 living in the Bradford Metropolitan District Council area.  Members are registered in either: Bradford East, Bradford South, Bradford West, Shipley or Keighley.

Patient membership is open to those aged over 16 who have received treatment from our Foundation Trust and live outside the metropolitan district area or are the carer of such a patient and act on their behalf.

Staff membership is open to those who hold a permanent contract of employment or have worked for the Foundation Trust for at least 12 months (this includes contract staff and those holding honorary contracts). Staff members are registered in one of the following four groups:

  • Nursing and midwifery
  • Medical and dental
  • Allied health professionals and scientists
  • All other staff (admin and clerical, estates and ancillary, additional clinical services)

Benefits of membership
Our membership provides a large and diverse group of people to draw from for elections to our council of governors, to represent the interests of Foundation Trust members and the public, to consult with on a broad range of issues, and to draw on to support our public and patient involvement initiatives and activities.

Current opportunities
Patient and public involvement activities to support service development, inspection programmes such as PLACE (patient-led assessments of the care environment). Contact: Isla Skinner on 01274 383863 or email isla.skinner@bthft.nhs.uk

Not a member? Join now

If you would like to be a Foundation Trust member, please fill in our short membership form here:

https://secure.membra.co.uk/bradfordteachingapplicationform/


Need to contact us?

Foundation Trust Membership office
Trust Headquarters
Bradford Royal Infirmary
Duckworth Lane
Bradford BD9 6RJ

Telephone: 01274 364794
Email: membership@bthft.nhs.uk

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