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2018 Trust Board Papers

2018 Trust Board Papers

Linked below are the Trust Board Papers for 2018. 

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 307999 Ext. 84294. 

1. Agenda (PDF, 104Kb)

2. Directors Interests (PDF, 112Kb)

3. Minutes of the meeting of the Board of Directors held on Monday 5 Nov 2018 (PDF, 168Kb)

5. Board Action Points (PDF, 85Kb)

6. Chief Executive's Report to the Board (PDF, 89Kb) 

7.2. Patient Experience Quarterly Report - Q2 (PDF, 1.2Mb)

7.3. Patient Experience Annual Report 2017/18 (PDF, 1.9Mb)

7.4. Safeguarding Service Annual Assurance Report - 2017/2018 (PDF, 415Kb)

7.5. Nursing Quality Dashboard (PDF, 1Mb)

7.6. Continuous Quality Improvement Programme - How Do We Become Even Better? (PDF, 520Kb)

7.7. Maternity Cap & Activity Update (PDF, 149Kb)

7.8. 104 Day Cancer Pathway Harm Reviews (PDF, 777Kb)

8.1. Nursing Strategy 2018-2020 (PDF, 1.8Mb)

9.1. Report of the Chief Financial Officer - Month 7 (PDF, 811Kb)

9.2. Integrated Quality & Performance Report (PDF, 2.1Mb)

9.3. Executive Summary Workforce Report (PDF, 650Kb)

9.4. NIHR CRN West Midlands (PDF, 235Kb)

10.2. Annual Report of the Guardian of Safe Working Hours (PDF, 423Kb)

11.1. Freedom to Speak Annual Update to Board (PDF, 426Kb)

11.2. Chief Nursing Officer Governance Report (PDF, 321Kb)

11.3. Board Assurance Framework (PDF, 1.8Mb)

11.4. Care Quality Commission Action Plan (PDF, 248Kb)

11.5. Non-executive Director Commitments (PDF, 123Kb)

12.1. Chair’s Report of the Trust Management Committee Meeting held on 23 Nov 2018 (PDF, 92Kb)

12.2. Chairman's Report of the Finance and Performance Committee (PDF, 292Kb)

12.3. Chair's Report of the Quality Governance Assurance Committee (PDF, 161Kb)

12.4. Chair's Report of the Charity Committee (PDF, 90Kb)

12.6. Minutes of the Finance and Performance Committee - 24 October 2018 (PDF, 370Kb)

12.7. Minutes of the Quality Governance Assurance Committee (PDF, 207Kb)

12.8. Minutes of the Charitable Funds Committee (PDF, 95Kb)

1. Agenda (PDF, 105Kb)

2. Directors Interests (PDF, 113Kb)

3. Minutes of the meeting of the Board of Directors held on Monday 30 July 2018 (PDF, 204Kb)

5. Board Action Points (PDF, 71Kb)

6. Chief Executive's Report to the Board (PDF, 86Kb) 

7.2. Patient Experience Quarterly Report - Q1 (PDF, 517Kb)

7.3. National Inpatient Survey 2017 (PDF, 214Kb)

7.4. Quality Improvement Programme 1 - Mortality (PDF, 792Kb)

8.1. Emergency Preparedness, Resilience and Response (EPRR) Core Standards 2018/2019 (PDF, 222Kb)

9.1. Report of the Chief Financial Officer - Month 5 (PDF, 644Kb)

9.2.1. Integrated Quality & Performance Report July 2018 (PDF, 2.1Mb)

9.2.2. Integrated Quality & Performance Report August 2018 (PDF, 1.7Mb)

9.3. Executive Summary Workforce Report (PDF, 961Kb)

10.1. Education Academy Report (PDF, 19Mb)

10.2. Equalities Annual Report 2017/2018 and Workforce Race Equality Standards 2018 (PDF, 2.1Mb)

10.3. Health Care Worker Flu Vaccination (PDF, 112Kb)

11.1. Trust Risk Register (PDF, 274Kb)

11.2. Board Assurance Framework (PDF, 1.8Mb)

11.3. Annual Audit Letter 2017-18 (PDF, 147Kb)

11.4. Charity Annual Report and Accounts 2017-18 (PDF, 18.5Mb)

11.6. Freedom to Speak Report Update –Self Assessment Review (PDF, 217Kb)

12.1. Chairs report of the Business of the Trust Management Committee of 27 July 2018 (PDF, 171Kb)

12.2. Chairman's Report of the Finance and Performance Committee (PDF, 171Kb)

12.3. Chair's Report of Audit Committee on 24 September 2018 (PDF, 78Kb)

12.4. Quality Governance Assurance Committee (PDF, 169Kb)

12.5. Workforce & Organisational Development (WOD) Committee - 24 Aug 2018 (PDF, 131Kb)

12.6. Chair's Report of the Charity Committee - 13 Aug 2018 (PDF, 46Kb)

12.7. Minutes of the Finance and Performance Committee (PDF, 306Kb)

12.8. Minutes of the Audit Committee 25 May 2018 (PDF, 373Kb)

12.9. Minutes of the Quality Governance Assurance Committee - 25 July 2018 (PDF, 219Kb)

12.10. Minutes of the Workforce and Organisational Development Committee 22 June 2018 (PDF, 146Kb)

12.11. Minutes of the Charitable Funds Committee (PDF, 81Kb)

1. Agenda (PDF, 102Kb)

2. Directors Interests (PDF, 279Kb)

3. Minutes of the meeting of the Board of Directors held on Monday 25 June 2018 (PDF, 197Kb)  

5. Board Action Points (PDF, 76Kb)

6. Chief Executive's Report to the Board (PDF, 122Kb) 

7.2 Mortality Update Report (PDF, 851Kb)

7.3 Breast Screening Service Annual Report 2017-18 (PDF, 445Kb)    

7.4 The Royal Wolverhampton NHS Trust Review and Gap Analysis to the Kirkup Report (PDF, 225Kb)

7.5 The Report of the Gosport Independent Panel June 2018 (PDF, 310Kb)

7.6 Nurse Recruitment/Nurse Clinical Fellowship Programme (PDF, 826Kb)

9.1. Financial Report June 2018 (Month 3) (PDF, 630Kb) 

9.2. Integrated Quality & Performance Report (PDF, 2.2Mb) 

9.3. Executive Summary Workforce Report (PDF, 1.1Mb)

9.4 Midwifery Report including Birthrate Plus (PDF, 274Kb)

9.5 Revalidation of Medical Staff – Annual Report (PDF, 1Mb)

10.1 Clinical Audit Annual Report 2017/18 (PDF, 1.7Mb)

10.2 Infection Prevention Annual Report and Update on Gram Negative Bacteraemia (PDF, 10.1Mb)

11.1 Trust Risk Register Report (PDF, 265Kb)

11.2 Board Assurance Framework (PDF, 332Kb)

11.3 Attendance at RWT Board meetings 2017/18 (PDF, 243Kb)

11.4 CQC action plan relating to report dated June 2018 (PDF, 368Kb)

12.1. Chair's Report of the Business of the Trust Management Committee (PDF, 472Kb)

12.2. Chair's Report of the Finance and Performance Committee (PDF, 346Kb) 

12.3. Chairs Report of the Quality Governance and Assurance Committee (QGAC) of 25 July 2018 (PDF,     378Kb)

12.4. Chair's Report of the Finance and Performance Committee (PDF, 382Kb) 

12.5 Approved Minutes of the QGAC Committee of 20 June 2018  (PDF, 504Kb)

Please note: This board meeting will be held in Room 2 (Cannock Education Centre, Level 3), Cannock Chase Hospital, Brunswick Road, Cannock, WS11 5XY.

1. Agenda (PDF, 101Kb)

2. Directors Interests (PDF, 111Kb)

3. Minutes of the meeting of the Board of Directors held on Monday 4 June 2018 (PDF, 167Kb)  

5. Board Action Points (PDF, 73Kb)

6. Chief Executive's Report to the Board (PDF, 44Kb)

7.2. NHS Resolution: Clinical Negligence Scheme for Trusts Maternity Incentive Scheme  (PDF, 239Kb)

7.3. Delirium Quality Improvement Project (QIP) June 2018  (PDF, 149Kb) 

9.1. Financial Report June 2018 (Month 2) (PDF, 593Kb) 

9.2. Integrated Quality & Performance Report (PDF, 2.2Mb) 

9.3. Executive Summary Workforce Report (PDF, 1.4Mb)  

10.1. Health and Safety Annual Report (PDF, 687Kb)

10.2. Emergency Preparedness, Resilience and Response (EPRR) Annual Report 2017/18 (PDF, 644Kb)

10.3. Annual Report of Fire Safety (PDF, 544Kb)

11.2. NHSI Self Certification (PDF, 183Kb)

11.1. Annual Quality Accounts 2017/18 (PDF, 18.9Mb) 

12.1. Chair's Report of the Business of the Trust Management Committee (PDF, 339Kb)

12.2. Chair's Report of the Charity Committee June 2018 (PDF, 89Kb)

12.3. Chair's Report of the Finance and Performance Committee (PDF, 127Kb)  

12.4. Chair's Report of the Quality Governance Assurance Committee (PDF, 370Kb) 

12.5. Chair's Report of the Workforce & Organisational Development (WOD) Committee (PDF, 86Kb)  

12.6, Minutes of the Finance and Performance Committee 23 May 2018 (PDF, 355Kb) 

12.7, Minutes of the Quality Governance Assurance Committee 30 May 2018 (PDF, 233Kb) 

12.8, Minutes of the Workforce and Organisational Development Committee 27 April 2018 (PDF, 129Kb)

12.9, Minutes of the Charitable Funds Committee 5 April 2018 (PDF, 278Kb)  

1. Agenda (PDF, 102Kb)

2. Directors Interests (PDF, 179Kb)

3. Minutes of the meeting of the Board of Directors held on Monday 26 March 2018 (PDF, 458Kb) 

5. Board Action Points (PDF, 137Kb) 

7.2 Learning from Deaths (Mortality) Update Report  (PDF, 274Kb)

8.1. 2018/17 Operational Plan Update April 2018 (PDF, 248Kb)  

9.1. Financial Report March 2018 (Month 12) (PDF, 791Kb) 

9.2. Integrated Quality & Performance Report (PDF, 2.7Mb) 

9.3 Research and Development – RWT Plan  (PDF, 323Kb)  

9.4 Executive Workforce Report (PDF, 2.1Mb)  

10.1. Integrated Quality & Performance Review 2018/19 (PDF, 229Kb) 

11.1 Provider License Statement Self-Assessment (PDF, 165Kb)  

11.2 Draft Annual Governance Statement and Annual Report 2017-2018 (PDF, 2Mb)  

11.3 General Data Protection Regulation and Cyber Security update declaration  (PDF, 442Kb)  

12.1 Chair's Report of Management Committee (PDF, 333Kb)

12.2 Chair's Report of the Finance and Performance Committee (PDF, 160Kb)

12.3 Chair's ReportQuality Governance Assurance Committee Chair's Report April 2018 (PDF, 127Kb)

12.6 Minutes of the Finance and Performance Committee 21 March 2018 (PDF, 359Kb)

12.7 Minutes of the Governance Assurance Committee of 21 March 2018 (PDF, 518Kb)  

12.8 Minutes of the Audit Committee of 20 February 2018  (PDF, 458Kb)   

12.11 Minutes of the Charitable Funds Committee of 12 December 2017 (PDF, 231Kb)  

13.2 Attendance at Trust Board Meetings Annual Return (PDF, 126Kb)  

 1. Agenda (PDF, 103Kb)

2. Directors Interests (PDF, 79Kb)

3. Minutes of the meeting of the Board of Directors held on Monday 26 February 2018 (PDF, 199Kb) 

5. Board Action Points (PDF, 73Kb) 

6. Chief Executive’s Report (PDF, 89Kb) 

8.1. Final Five Year Capital Programme 18/19 - 22/23 (PDF, 498Kb) 

8.2 Information Governance Strategy & Information Governance Toolkit Submission (PDF, 206Kb)

8.3. Trust Board Budget Report 2018/19 (PDF, 653Kb)

9.1. Financial Report February 2018 (Month 11) (PDF, 784Kb) 

9.2. 2017 NHS Staff Survey Results (PDF, 3Mb)

9.3. Integrated Quality & Performance Report (PDF, 2.2Mb) 

9.4. NIHR CRN West Midlands Report (PDF, 871Kb) 

9.5. Executive Summary Workforce Report (PDF, 902Kb)  

10.2 Education (PDF, 206Kb)

11.1. Board Assurance Framework Trust Risk Register (PDF, 661Kb) 

11.2. Audit Committee Terms of Reference (PDF, 187Kb) 

11.3. Quality Governance Assurance Group Terms of Reference (PDF, 235Kb)  

11.4. Finance and Performance Committee Terms of Reference (PDF, 159Kb) 

11.5. Trust Management Committee Revised Terms of Reference (PDF, 133Kb) 

11.6. Risk Strategy Update (PDF, 82Kb) 

11.7 National Children and Young People Survey 2016 (PDF, 397Kb)  

11.8 National Maternity Survey 2017 (PDF, 185Kb) 

12.1 Chair's Report of Management Committee (PDF, 165Kb) 

12.2 Chairs Report of the Finance and Performance Committee of 21 March 2018 (PDF, 158Kb)

12.3 Chairs Report of the Quality Assurance Governance Committee of 21 March 2018 (PDF, 142Kb)

12.4 Charity Committee Chair's Summary (PDF, 88Kb) 

12.5 Chairs Report of the Workforce and Organisational Development Committee of 23 February 2018  (PDF, 131Kb)  

12.6 Approved Minutes of the Finance and Performance Committee of 21 February 2018 (PDF, 503Kb)  

12.7 Approved Minutes of the Quality Assurance Governance Committee of 21 February 2018 (PDF, 190Kb)  

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