Performance Committee Assurance Report - November 2024
Meeting: Trust Board – Public Meeting
Date: 6 November 2024
Report Title: Performance Committee Assurance Report
Agenda Item: PUB24/11/5.3
Committee Date: 25 September 2024
Meeting Chair: George Lynn, Non-Executive Director and Committee Chair
Meeting Quorate YES
Purpose: Assurance
Recommendation: The Board is asked to receive assurance from the business discussed at the meeting and to review the matters for escalation and referral.
Link to Strategic Objective:
- Be an exceptional place to work, volunteer and learn
- Provide outstanding quality of care and performance
- Be excellent collaborators and innovators as system partners
- Be an environmentally and financially sustainable organisation
Summary of Items Considered at the Meeting:
| Issue | Consideration | Resolution/Outcome | Assurance |
|---|---|---|---|
| Performance Committee Update | Potential assurance gap within new committee structure caused by safety being considered by two committees: (i) Performance and Safety, and (ii) Quality Governance. | Paper noted discussions between NEDs, Trust Chair and ELT around this issue. Resolved by clearly moving all safety elements to Quality Governance and renaming this Committee – Performance Committee. | Reasonable |
| Committee Integrated Performance Report | Recently agreed by Board that Committees will be driven by objective data. The Committee IPR will become the focal point of assurance for each Committee’s work. This paper set out the proposed Performance Committee IPR. | Noted the proposed set of Metrics/Data. Members to consider and provide feedback as part of an ongoing process. | Reasonable |
| Rationalisation and Effectiveness of Fleet Contracts | Seeking to resolve long-standing organisational inefficiencies generated by fleet contracts – the paper set out to reassure PC that new and existing contracts will be robustly managed. | Noted the root cause analysis work identifying five core issues. The Committee noted the activity undertaken to strengthen fleet contract processes, with the aim of achieving substantial assurance. Ancillary paper providing specific fleet contract amendments and learning was presented and noted. | Reasonable |
| Fleet Availability Improvement Plan | Progress Report on actions undertaken to improve fleet availability. | The Committee noted the work undertaken to identify two root causes: (i) ageing fleet with more unplanned defects, and (ii) sustained high level of workshop team vacancies. Noted the work being undertaken to reduce the impact of these root causes, supported by other initiatives. Some evidence to support a view of slow improvements. | Reasonable |
| Transformation Programme Group Update | Report on Transformation Programme Group’s progress across several initiatives. | Noted the progress in the areas of EOC, Integration and Partnerships, Operations Support, Demonstrating Impact. | Reasonable |
| Integration Update | Position statement on integration activity focussing on the unscheduled care co-ordination hubs (UCCH) and collaboration with local fire services. | Noted the position statement derived from ELT and Board Strategy, and core elements of EEAST’s commitments to UCCH. Noted that the Trust has not fully achieved these commitments. | Limited |
| Non-Emergency Patient Transport Service Update | Assurance on performance activity and current contractual positions/timelines. | Noted key metrics on NEPTS activities. Noted an extensive review of contracts/risks has now resulted in four specific “red lines” required in any future NEPTS contracts. | Moderate |
| Board Assurance Framework | Strategic management pertaining to Performance Committee including specific review of risk monitoring processes. | Noted key Committee strategic risks (SR2 and SR3) were unchanged. In the light of previous discussions on EEAST’s commitments to UCCH, Performance Committee had proposed an increase in risk scorings with respect to Strategic Risks 3 due to slow and variable progress on the Trust’s approach to Hub implementation – to be presented to Audit Committee. | Reasonable |
| Group Assurance Report | Report on the levels of assurance provided in areas reported to CRG at its last meeting (24 August 2024) relating to Performance Committee items. | Noted reports from the following sub-groups: Operations Support Transformation Programme Group; Integration and Partnerships Group (Reasonable) | Reasonable |
