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  • Kind & Caring
  • Exceeding Expectation
2017 Trust Board Papers

2017 Trust Board Papers

Linked below are the Trust Board Papers for 2017. 

Trust board papers from 2011 onwards are available on this website, please see the links in the left menu.

If you would like copies of previous board papers, please contact the Trust Secretary on 01902 694294. 

Printable agenda (PDF, 106Kb)    

2 To receive declarations of interest from Directors and Officers (PDF, 62Kb)

3 Minutes of the meeting of the Board of Directors held on Monday 31 July, 2017 (PDF, 186Kb)

5 Board Action Points (PDF, 54Kb)

6 Chief Executive’s Report (PDF, 61Kb)

7.2 Phoenix CQC report (PDF, 88Kb)

7.3 Fire Cladding Update (PDF, 667Kb) 

8.1 EPRR Core Standards (PDF, 69Kb)

8.2 Black Country & West Birmingham Summary STP - Memorandum of Understanding (PDF, 151Kb)

8.2 Black Country & West Birmingham STP - Memorandum of Understanding (PDF, 358Kb)

9.1 Integrated Quality and Performance Report (PDF, 2Mb)

9.3 Executive Summary Workforce Report (PDF, 590Kb)

9.4 Finance Report August 2017 (Month 5) (PDF, 683Kb)

9.5 Chair’s report of the Finance and Performance Committee held on 20 September 2017 (PDF, 144Kb) 

10.1 Workforce Race Equality Standard (WRES) Annual update (PDF, 111Kb)

10.2.1 Trust Risk Register/ Board Assurance Framework (PDF, 296Kb)

10.2.2 Board Assurance Framework 2017/18 (PDF, 187Kb)

10.2.3 Trust Risk Register September-2017 (PDF, 173Kb)

10.3 Annual Audit Letter (PDF, 103Kb)

10.5.1 Safeguarding Annual Summary Report (PDF, 237Kb)

10.5.2 Safeguarding Annual Report – Appendix 1 (PDF, 105Kb)

10.5.3 Safeguarding Annual Report – Appendix 2 (PDF, 120Kb)

10.5.4 Safeguarding Annual Report – Appendix 3a (PDF, 517Kb)

10.5.5 Safeguarding Annual Report – Appendix 3b (PDF, 128Kb)

10.5.6 Safeguarding Annual Report – Appendix 4 (PDF, 274Kb)

10.5.7 Safeguarding Annual Report – Appendix 5 (PDF, 181Kb)

10.6.1 Mortality Report (PDF, 621Kb)

10.6.2 Mortality Report Attachment 1 (PDF, 99Kb) 

10.6.3 Mortality Report Attachment 2  (PDF, 94Kb) 

10.7 Charity Annual Report (PDF, 3Mb)

10.8.1 Equalities Annual Report board report cover (PDF, 88Kb)

10.8.2 Equalities Annual Report (PDF, 1Mb)

10.9 Guardian of Safe Working Quarterly Update (PDF, 79Kb)

11.1.1 Workforce & Organisational Development (WOD) Committee Terms of Reference board report cover (PDF, 52Kb)

11.1.2 Workforce & Organisational Development (WOD) Committee Terms of Reference (PDF, 171Kb) 

11.2 Revised Non-executive Director Lead and Committee responsibilities (PDF, 49Kb) 

12.1 Chair’s report and draft minutes of the meeting of the Trust Management Committee held on 28 July 2017 (PDF, 220Kb)

12.2 Chairs Report Quality Governance Assurance Committee 20 September 2017 (PDF, 213Kb)

12.3 Chairs Report of the Audit Committee of 7 September 2017 (PDF, 57Kb)

12.4 Quality Governance Assurance Committee 26 July 2017 (PDF, 453Kb)

12.5 Finance and Performance Committee, 26 July 2017 (PDF, 337Kb)

12.6 Charity Meeting Minutes June and August 2017 (PDF, 80Kb)

13.2 Board Meeting Dates for year ahead (PDF, 62Kb)    

Printable Agenda (PDF, 163Kb)

3 Minutes of the meeting of the Board of Directors held on Monday 22 May, 2017 (PDF, 146Kb)

5 Board Action Points (PDF, 26Kb)

6 Chief Executive’s Report (PDF, 28Kb)

7.2.1 Infection Prevention Annual Report 2016/17 - Trust Board report  (PDF, 42Kb)

7.2.2 Infection Prevention Annual Report 2016/17 (PDF, 3Mb)

7.3 Independent Auditor’s Limited Assurance report to the Directors of the Royal Wolverhampton NHS Trust on the Annual Quality Account 2016/17 (including Representation Letter) (PDF, 71Kb)

7.4.1 Quality Account 2016/17 - Trust Board report (PDF, 31Kb)

7.4.2 Quality Account 2016/17 (PDF, 4Mb)

7.5.1 Health & Safety Annual Report 2016/2017 - Trust board report  (PDF, 76Kb)

7.5.2 Health & Safety Annual Report 2016/2017 (PDF, 612Kb)

7.6.1 Independent External Review of Governance – action plan and timetable - Trust Board report (PDF, 34Kb)

7.6.2 Independent External Review of Governance – action plan and timetable (PDF, 131Kb)

7.7.1 NHSI Self-certification - Trust board report cover (PDF, 26Kb)

7.7.2 NHSI Self-certification - Self-certification information (PDF, 130Kb)

9.1 Integrated Quality and Performance Report (PDF, 2Mb)

9.2 Chair’s report of the meeting of the Quality Governance Assurance Committee held on
22 June 2017
(PDF, 116Kb)

9.3 Executive Summary Workforce Report (PDF, 561Kb)

9.4.1 Finance Report May 2017 - (Month 2) - Trust Board report (PDF, 574Kb)

9.4.2 Finance Report May 2017 - (Month 2) (PDF, 622Kb)

9.4.3 Finance Report May 2017 - (Month 2) - Appendices (PDF, 280Kb)

9.5 Chair’s report of the Finance and Performance Committee held on 22 June 2017 (PDF, 236Kb)

9.6.1 Schwartz Rounds – RWT Progress Report (PDF, 291Kb)    

9.6.2 Schwartz Rounds – RWT Progress Report Appendix 1 (PDF, 777Kb)

9.6.3 Schwartz Rounds – RWT Progress Report Appendix 2 (PDF, 445Kb)

9.6.4 Schwartz Rounds – RWT Progress Report Appendix 3 (PDF, 213Kb)

10.1.1 NIHR Annual Delivery Report - 2016/17 Trust Board report (PDF, 42Kb)

10.1.2 NIHR Annual Delivery Report - 2016/17 (PDF, 1Mb)

11.1 Finance Summary of Year Ending 31 March 2017 (PDF, 32Kb)

11.1.1 Financial Summary (PDF, 295Kb)

11.1.2 Audited Annual Accounts 2016/17 (PDF, 18Mb)

11.1.3 External Audit – Final ISA260 (PDF, 1Mb)

11.1.4 External Audit Management Representation letter (PDF, 1Mb)

11.2 Annual Fire Safety Report 2016/17  (PDF, 1Mb)

12.1 Chair’s report and draft minutes of the meeting of the Trust Management Committee held on 19 May 2017 (PDF, 133Kb)

12.4 Quality Governance Assurance Committee 17 May 2017 (PDF, 163Kb)

12.5 Finance and Performance Committee, 17 May 2017 (PDF, 182Kb)

12.6 Audit Committee, 23 February 2017 (PDF, 202Kb)

12.7 Charitable Funds Committee, 13 March 2017 (PDF, 86Kb)

13.3 Refurbishment of Linac Bunker Number 4 Business Case (PDF, 527Kb)


Printable Agenda (PDF, 313Kb)

3 Minutes of the meeting of the Board of Directors held on Monday 24 April, 2017 (PDF, 287Kb)

5 Board Action Points (PDF, 21Kb) 

6 Chief Executive’s Report (PDF, 144Kb)

7.2 Patient Experience – Q4 2016/17 (PDF, 1016Kb)

8.2 Operational Plan (PDF, 99Kb)

9.1 Integrated Quality and Performance Report (PDF, 2Mb)

9.3 Nurse Staffing Report (PDF, 397Kb)

9.4 Financial Report April 2017 (Month 1) (PDF, 750Kb)

9.5 Chairman's Summary Report of the Finance and Performance Committee (PDF, 1.6Mb)

9.6 Executive Workforce Report (PDF, 427Kb)

10.1 Freedom to Speak Up Guardian Update (PDF, 354Kb)

10.1 Freedom to Speak Up Guardian Update Appendix 1 (PDF, 587Kb)

10.1 Freedom to Speak Up Guardian Update Appendix 2 (PDF, 431Kb)

11.1 Trust Risk Register/BAF (PDF, 989Kb)

11.2 NHSI Self Certification (PDF, 1.2Mb)

11.4 Annual Report of Quality Governance Assurance Committee 2016/17 (PDF, 350Kb)

11.5 Annual Report of the Audit Committee 2016/17 (PDF, 321Kb) 

11.6 Independent External Review of governance – Action Plan and timetable (PDF, 99Kb)

11.6 Independent External Review of governance – Action Plan and timetable (appendix 1) (PDF, 360Kb)

11.7 100k Genomes Project Report 1 (PDF, 340Kb)

11.7 100k Genomes Project Report 2 (PDF, 1Mb)

12.1 Chair’s report and draft minutes of the meeting of the Trust Management Committee held on 21 April 2017 (PDF, 329Kb)

12.2 Quality Governance Assurance Committee 19 April 2017 (PDF, 511Kb)

12.3 Finance and Performance Committee, 19 April 2017 (PDF, 302Kb)

12.4 Joint Audit and Quality Governance Assurance Committee, 19 April 2017 (PDF, 406Kb)

Printable agenda (PDF, 334Kb)

2 - To receive declarations of interest from Directors and Officers (PDF, 201Kb)

3 - Minutes of the meeting of the Board of Directors held on Monday 27 February, 2017 (PDF, 251Kb)

5 - Board Action Points (PDF, 23Kb)

6 - Chief Executive's Report (PDF, 99Kb)

7.2 - Mortality Update Report (PDF, 923Kb)

8.2 - Budget Setting Update 2017/18 (PDF, 534Kb)

8.3 - Capital Programme 2017/18 and Five Year Capital Programme 2017/18 – 2021/22 (PDF, 142Kb)

8.4 - Hospital Pharmacy Transformation Plan (PDF, 932Kb)

9.1 - Integrated Quality and Performance Report (PDF, 3Mb)

9.2 - Chair’s report of the meeting of the Quality Governance Assurance Committee held on 22 March 2017 (PDF, 281Kb)

9.3 - Nurse Staffing Report (PDF, 380Kb)

9.4 - Executive Workforce Report (PDF, 758Kb)

9.5 - 2016 National NHS Staff Survey Results (PDF, 125Kb)

9.6 - Finance Report February  2017 (Month 11) (PDF, 1Mb)

9.7 - Chair’s report of the Finance and Performance Committee held on 22 March 2017 (PDF, 242Kb)

9.8 - A Revised Recruitment Approach for Apprentices (PDF, 594Kb)

9.9 - RWT Flu Campaign Report 2016/17 (PDF, 134Kb)

9.10 - Education and Training (PDF, 338Kb)

9.11 - Revalidation of Medical Staff – quarterly Update (PDF, 178Kb)

9.12 - Business Case Catheter Lab 2 Refurbishment (PDF, 2Mb)

9.13 - Replacement of Heating Supplies to WMI & Accommodation Blocks - Business Case (PDF, 4Mb)

10.1 - Clinical Research Network West Midlands (CRN WM) - Annual Delivery Plan (PDF, 1Mb)

11.1 - Annual Report of Directors’ Interests 2017-18 (PDF, 59Kb)

11.2 - Information Governance Toolkit Submission 2016/17 (PDF, 412Kb)

11.3 - Charitable Funds Committee – revised terms of reference (PDF, 246Kb)

11.4 - Board Assurance Framework/Trust Risk Register (PDF, 446Kb)

12.1 - Chair’s report and draft minutes of the meeting of the Trust Management Committee held on 24 February 2017 (PDF, 111Kb)

12.2 - Chair’s report of Charitable Funds Committee held on 13 March 2017 (PDF, 89Kb)

12.3 - Chair’s report of Audit Committee held on 23 February 2017 (PDF, 100Kb)

12.4 - Quality Governance Assurance Committee 22 February 2017 (PDF, 698Kb)

12.5 - Finance and Performance Committee, 22 February 2017 (PDF, 323Kb)

12.6 - Charities Committee, 2 August 2016 (PDF, 168Kb)

Printable Agenda (PDF, 336Kb)

Directors Interests (PDF, 197Kb)

Minutes of the meeting of the Board of Directors held on Monday 28 November 2016 (PDF, 302Kb)

Board Action Points (PDF, 89Kb)

Chief Executive’s Report (PDF, 665Kb)

Contracting and Commissioning Update (PDF, 363Kb)

Financial Recovery Board (PDF, 1Mb)

Integrated Quality and Performance Report (PDF, 3Mb)

Chair’s report of the meeting of the Quality Governance Assurance Committee held on 25 January 2017 (PDF, 289Kb)

Nursing Workforce Report (PDF, 481Kb)

Trainee Nursing Associate - Pilot Project (PDF, 214Kb)

Financial Report December 2016 (Month 9) (PDF, 1Mb)

Chair’s report of the Finance and Performance Committee held on 25 January 2017 (PDF, 243Kb)

Executive Workforce Report (PDF, 516Kb)

Seven Day Services: Progress to date (PDF, 101Kb)

Clinical Fellowship Programme (PDF, 188Kb)

100,000 Genomes Project (PDF, 298Kb)

Business Case for Reconfiguration of Level 3 - Cannock Chase Hospital (PDF, 5Mb)

Business Case for PC and Laptop Replacement (PDF, 8Mb)

Business Case for Theatre 6 Refurbishment (PDF, 2Mb)

Business Case for Reconfiguration of Wards A12 and A14 (PDF, 2Mb)

Midwifery Report (PDF, 437Kb)

Update on the Review of Midwifery regulation by the NMC - Introduction of the new proposed model of clinical supervision for Midwives: A-EQUIP (PDF, 121Kb)

Clinical Audit Month 9 Position Report (PDF, 594Kb)

Board Assurance Framework/Trust Risk Register (PDF, 486Kb)

Finance and Performance Committee - revised terms of reference (PDF, 192Kb)

Independent External Review of Governance and Action Plan (PDF, 678Kb)

Freedom to Speak Up: The Role of the Guardian - first 90 Days (PDF, 836Kb)

Chair’s report and draft minutes of the meeting of the Trust Management Committee held on 25 November 2016 (PDF, 108Kb)

Chair’s report of the Finance and Performance Committee, 21 December 2016 (PDF, 252Kb)

Chair’s report of the Audit Committee, 8 December 2016 (PDF, 36Kb)

Quality Governance Assurance Committee 23 November 2016 (PDF, 670Kb)

Finance and Performance Committee, 23 November 2016 and 21 December 2016 (PDF, 595Kb)

Audit Committee, 8 September 2016 (PDF, 548Kb)

Attending Board Meetings
The Board of Directors

The Board meets monthly. Its role is to set overall strategy for the Trust, including approving major plans and policies and setting budgets, and monitoring operational performance against local and national standards and targets.

The Board comprises Executive Directors (full time Trust employees) and Non-Executive Directors (currently appointed by the NHS (Improvement).

Board values and conduct

Public service values are at the heart of the NHS and Trust Boards play a critical role in shaping and exemplifying an organisational culture that is open, accountable, compassionate, and puts patients first. Respect, compassion and care are at the centre of good leadership and governance in the NHS, and organisational and personal interests must never be allowed to outweigh the duty to be honest, open and truthful with patients and the public. All directors are therefore expected to:

  • Understand and commit to the personal behaviours, values, technical competence and business practices outlined in “The Standards for Members of NHS Boards and Clinical Commissioning Group Governing Bodies in England” produced by the Professional Standards Authority

  • Reflect the standards of selflessness, integrity, objectivity, accountability, openness, honesty and leadership set out in the Seven Principles of Public Life (the Nolan Principles);

  • Be honest, open and truthful in all dealings with patients and the public; and uphold the policies and procedures adopted by the Trust, in so far as they are applicable to their roles. Trust Policy GP01 “Corporate Governance” is particularly relevant in this regard.
Board meetings
The Trust Board normally meets on the fourth Monday of the month (except in August and December) at 10am in the Boardroom, Building 12, Corporate Services Centre, New Cross Hospital. This building is situated near the east car park.
Agendas and papers
The agenda and supporting papers for each meeting are normally available above, a few days before the scheduled meeting date.   
Public attendance

Meetings of the Board are open to members of the public and press, but please note:

  • Members of the public and press may attend to observe, but not to speak
  • There is an opportunity towards the end of the meeting to ask the Directors questions about topics discussed during the meeting
  • You can take written notes of the meeting, but cannot record the proceedings in other ways.

A small number of confidential items of business, for example about individual members of staff, or contract negotiations, are discussed during a confidential Board session after the public session has ended. The agenda and papers for this part of the meeting are not available to the public, and the press and public are not allowed to observe these proceedings.

Board Committees

The Board maintains an appropriate balance between strategic matters and supervising the management of the Trust.  To assist in this, the Board has established several committees with specific remits, which are summarised below.  The committees meet on a regular basis and after every meeting the committee chair prepares a report for the next meeting of the Board, to whom committee minutes are also presented for information in due course.

Audit Committee

The aims of this Committee are to provide the Board with an independent and objective review of its financial systems, financial information, risk management and compliance with laws, guidance and regulations governing the NHS.  The Committee oversees the work of the local counter fraud specialist, security, and the work of internal and external audit.

Quality Governance Assurance Committee

The Quality Governance Assurance Committee provides assurance to the Board that patient care is of the highest achievable standard and in accordance with all statutory and regulatory requirements.  It also provides assurance of proactive management and early detection of risks across the Trust.

Finance and Performance Committee

This Committee provides assurance to the Board on the effective financial and external performance targets of the organisation and also supports the development implementation and delivery of the medium term financial plan and the efficient use of financial resources.

Remuneration Committee

The purpose of this Committee is to advise the Board about appropriate remuneration and terms of service for the Chief Executive and other Executive Directors.

Charitable Funds Committee

The aim of this Committee is to administer the Trust’s charitable funds in accordance with any statutory or other legal requirements or best practice required by the Charity Commission.

Trust Management Committee

The Trust Management Committee provides a formal platform for the major decision making process for the clinical and non-clinical operations, and as such is attended by all of the Executive Directors, together with Divisional Medical Directors and heads of service.”


Abbreviations and Acronyms


A Teaching Trust of the University of Birmingham