The Trust Board
The Trust Board has overall responsibility for the operational and strategic direction of the Trust and is accountable, through its Chair, to Monitor, the regulator of Foundation Trusts. The safety and quality of care provided at our hospitals is regulated by the Care Quality Commission.
The general range of services are commissioned by the Clinical Commissioning Groups of NHS Cumbria and NHS Lancashire North.
To find out how the Trust fits in with the wider NHS structure, take a look at NHS Choices for more information.
The key functions of the Board can be described as:
- To set the strategic direction, define objectives and agree plans
- To monitor performance and take corrective action where appropriate
- To ensure financial balance
- To ensure high standards of corporate and clinical governance
- To appoint, appraise and remunerate executives
- To work in partnership with external bodies and the local community
The Chair is responsible for the overall conduct of the Trust. He appoints and reviews the performance of the Chief Executive and both the Chief Executive and the Chair appoint and review the performance of other Executive and Associate Directors. The Chair and Chief Executive have key roles in leading the external and public relationships of the Trust and in establishing the appropriate internal environment.
The Non Executive Directors provide support, advice and other specialist skills to the Trust and the Board. They are responsible for ensuring that the interests of the local community are represented and, with the Chair, for monitoring the executive management of the organisation.
The Chief Executive is the accountable officer to Parliament and is responsible for ensuring that the organisation works effectively in accordance with national health policy, public service values and maintainance of financial control. The Chief Executive is also personally accountable for clinical and corporate governance. The Chief Executive is directly accountable to the Board for ensuring that its decisions are implemented.
The Executive and Associate Directors, led by the Chief Executive, are responsible for the overall management of the Trust. This includes the delivery of services, the management of staff and resources and the development of Trust's strategic direction. The Executive and Associate Directors have individual responsibilities and provides leadership for specific areas of work.
Trust Board sub committees
The Board has the following sub committees:
- Audit Committee
- Corporate Trustee Committee
- Clinical Governance and Quality Committee
- Finance and Performance Committee
- Risk Committee
- Trust Management Team
To view the Terms of Reference for each sub committee, click here.
Due to the wide geographical spread and complexity of the Trust, the management structure has been arranged to support multi-site working. The departmental (divisional) management structure provides specific skills and knowledge to a wide variety of clinical and non-clinical areas. These are as follows:
- Surgery and Critical Care
- Women and Children's Services
- Acute and Emergency Medicine
- Elective Medicine
- Core Clinical Services
- Corporate Management (further sub-divided into:)
- Trust Headquarters
- Clinical Governance
- Nursing and Midwifery
- Human Resources
- Finance, Information and Supplies
- Facilities (Buildings and Estate Management)
The Trust’s business is governed by two key documents: Standing Orders (SOs) and Standing Financial Instructions (SFIs). These two documents are accompanied by the Scheme of Delegation, a Schedule of Delegated Powers and the budgetary rules. Staff within the Trust are expected to comply with both the SOs and the SFIs.
The Trust requires comprehensive risk management systems to be in place, this system needs to be underpinned by clear accountability arrangements throughout the management organisational structure. Corporate Governance requires that the Trust publicly demonstrates how the organisation manages risk.