Lead Governors. Lois Howell NHS Providers Associate
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1 Lead Governors Lois Howell NHS Providers Associate
2 Lead governor the background Prior to 2009 no requirement from Monitor for any distinction between Governor roles Code of Governance set out obligations in respect of Members and governors: Membership to be representative of the community served by the Trust At least two membership constituencies required: - Public - Staff
3 Lead governor the background Governing body to be elected by the membership - Majority of public governors - Staff governors Plus appointed Governors (prescribed minimum) Some Trusts created a Vice Chair role on Council of Governors, but purely a constitutional decision
4 Lead governor the background Monitor consultation published April 2009 Guide for NHS Foundation Trust Governors: meeting your statutory responsibilities Concept of the Lead Governor proposed Lead for the Board of Governors where Chair and NEDs have a conflict of interests Key contact for Monitor in the event of performance concerns
5 Lead governor the background Your statutory duties: a reference for NHS Foundation Trust governors (October 2009) Lead Governor role explained To lead the Board of Governors where it is not appropriate for the Chair / another NED to do so Direct communication with Monitor To be chosen by the Board of Governors Lead Governor not to deputise for Deputy Chair Existence of Lead Governor not to prevent any Governor making direct contact with Monitor
6 Lead governor the background Requirement confirmed by Monitor letter in December 2009 for implementation 31 March 2010 As per guide, plus contact in the event of unlawful Governor / board processes Details included in 2010 update of NHS Foundation Trust Code of Governance No significant change, although where individual governors wish to contact Monitor, this would be expected to be through the lead governor.
7 Lead governor Current guidance Your statutory duties: a reference guide for NHS Foundation Trust Governors (August 2013) Confirms Lead Governor as liaison between Monitor and Council of Governors where there are concerns about leadership, or where it is inappropriate for Monitor to contact the Chair Acknowledges confusion caused by the term Confirms no intention to create a leader or give greater responsibilities Endorses FTs right to choose to enhance the role
8 Lead governor Current guidance Your duties: a brief guide for NHS Foundation Trust Governors (March 2014) Summarises liaison role of Lead Governor Acknowledges that some Trusts broaden role Confirms that role description should be agreed by Governors and Directors Directs that Directors should not be involved in the choice of lead Governor.that is for the governors to decide.
9 Lead governor Current guidance The NHS Foundation Trust Code of Governance (July 2014) Importance of Monitor s ability to communicate quickly with Lead Governor noted Concerns about Trust leadership identified as key reason for Monitor contact Contact only likely in the event that Trust is at risk of being in significant breach of licence Contact also possible if there are concerns about NED appointments or non-compliance with constitution No reference to enhancements to the role
10 Lead governor in practice 2014/15 research project commissioned by NHS Providers 63 Trusts contacted by phone (41% of FTs) 38 Acute Trusts 20 Community / Mental Health Trusts 5 Ambulance Trusts 50 authorised authorised
11 Lead governor in practice Standard questions put to Trust Secretaries Enhanced role? If yes, what additional responsibilities? Role description? Election? Restriction on who can hold the role? Six case studies Conversations with Lead Governors Pros / cons / benefits / advice
12 Lead governor in practice Findings 46% (29) give no additional responsibilities beyond Monitor guidance 54% (34) give some additional responsibilities Range of additional duties from 1 16 Additional responsibilities Number of Trusts Top additional responsibility: contributing to agenda setting for CoG 26 out of 34 Trusts
13 Lead governor in practice Findings - top additional responsibilities Regular 1:1 with Chair 12 Involvement in NED appraisals Liaison between Board and CoG Ex officio role on Appts Committee Regular 1:1 with Trust Secretary Reviewing / promoting CoG effectiveness Chairing Governor only meetings
14 Lead governor in practice Findings - other additional responsibilities Working with the Board 6 Liaison with third parties 4 Role in removing Governors from CoG Coordinating consultation responses from Governors Participating in new Governor inductions Mentoring other Governors Reviewing/promoting CoG Committee effectiveness
15 Lead governor in practice Findings other additional responsibilities Regular 1:1 meetings with Chief Executive Regular 1:1 meetings with Senior Independent Dir Reporting to Board on CoG activities Updating Governors on key events Representing the interests of Governors Meeting with CoG Committee Chairs Representing the Governors at AMM
16 Lead governor in practice Findings other additional responsibilities Involvement in policy development Member of Strategic Development Group Board attendance role Leader on member engagement 1
17 Lead governor in practice Other research findings 30 of the Trusts where Lead Governor has additional responsibilities have a formal role description 29 have quasi-formal elections 13 Trusts restrict the role to public governors 4 Trusts restrict the role to elected governors
18 Lead governor in practice Summary of findings 54% of FTs give their Lead Governor additional responsibilities Range of additional duties 1 16 Modal average number of additional duties = 3 Most Lead Governors (26 / 34) involved in CoG agenda setting Significant number of additional roles contribute to CoG effectiveness and/or relationships between CoG and Board of Directors
19 Lead governor in practice Voices of experience
20 Mavis Henley Governor for eight years Represents public constituency of Wokingham Lead Governor for three years Has worked with Chairman to develop the role
21 Additional roles Receiving and communicating comments from governors to the chairman Together with the chairman setting Council and joint Board/Council agenda business determining governor training / development needs delivering governor induction Acting as a mentor and confidante for governors Supporting resolution of conduct issues
22 Additional roles Also a member of the following governor groups: Appointments and Remuneration Committee Strategy Quality Assurance (former chair) Membership and Public Engagement (former chair) Living Life to the Full Governors Reference Group
23 Maggie Fenton Governor since September 2010 Represents public constituency of Kent Elected Lead Governor March 2014
24 Additional roles Assists Chairman and Trust Secretary with planning Council meetings Works closely with the Trust Chairman, by phone and in meetings, and supporting him in problem solving With Membership & Governor Engagement Manager, setting up and promoting an on-line forum for Governors
25 Additional roles Also a member of the following Governor Groups: Nominations Committee Governor Development Committee chaired by the Lead Governor ensures that Governors have the information, training and support they need to carry out their role Membership Development Committee
26 Lead governor Questions and discussions
27 Lead governor - conclusions Monitor requirement to identify a Lead Governor a comply or explain provision Designation of Lead Governor a matter for the Governors Enhancement of the role an option, but not Monitor s intention Just over half of FT s do give additional responsibilities Range and variety of additional roles significant
28 Lead governor NHS Providers resources Online resource pack Library of authoritative requirements and guidance Library of role descriptions Suite of case studies
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