Directors’ report
Our Trust Board, consisting of our Chair, five non-executive directors, the CEO and four executivedirector members, is the corporate decision-making body of the Trust. Being accountable for all strategic, operational, and financial decision-making, and has powers to delegate and make arrangements to exercise any of its appropriate functions through a sub-committee.
Our Trust Board and Sub-Committee structure 2022-23:
Assurance Committees
Audit
- Auditing compliance
- Internal/external audit
- Financial systems
- Internal control (standing orders, scheme of delegation, reservation of powers)
- BGAF
- Risk assurance
- Process for monitoring compliance-regulation, legislation
- Security management
- Systems and processes
- Annual Report/Account including charity
- Declarations
- Information governance
- Counter fraud
- Assurance of Board Sub-committees
- Data quality and security
Remuneration
- Determining arrangements for remuneration, terms and conditions and performance criteria for the CEO and Executive team
- Non-Contractual payment arrangements
- CEO and Executive Directors' succession planning
- Trust Board structure, size and composition
- Appointments panel for Executive Directors
Quality Governance
- Clinical quality, safety and effectiveness
- Patient experience
- Clinical Audit
- Research and innovation
- Ethics
- Quality account
- CQC registration and compliance
- Learning from experience
- Serious Incidents
- Medicine management
- Infection prevention and control
- Safeguarding
- Mandatory clinical training
- Private ambulance oversight
- Patient involvement
Performance and Finance
- Delivery of objectives for finance and performance
- Capital development
- Quality Cost Improvement Programmes (QCIP)
- Financial statements and investments
- Activity and performance analysis
- Information management and technology
- Patient transport services provision
People
- Culture
- Workforce performance and development
- Recruitment and retention
- Vetting and barring
- Health, safety and wellbeing
- Employee relations casework and employment tribunals
- Training and education
- OFSTED compliance
- Gender Pay Gap
- Equality Act compliance
- Staff engagement and inclusion
- Staff survey
- Vision and values assurance
Transformation
- Programme and project management
- Strategy development oversight
- Programme delivery
- Sustainable transformation plan progression in line with the NHS Long Term Plan
- Strategy progression assurance
- Digital strategy progression
- Estates, fleet, make ready strategy suite progression
Our Board and Sub-Committee Evaluation
The Board and its sub-committees review their effectiveness formally on a yearly basis through an approved evaluation process. Within the 2022/23 year, the effectiveness reviews were undertaken in March and reported to the audit committee in May 2023. The effectiveness review identified many significant improvements across the Board and sub-committees, and future improvement themes were identified, supported by action plans.
In accordance with the Public Bodies (Admission to Meetings) Act 1960, the Board holds its meeting in public every other month. The agenda and reports for the Board are published on the website and available to the public ahead of the meeting.
Voting Directors |
---|
<br>Nicola ScrivingsTrust Chair |
<br>Neville HounsomeChair of Quality Governance Comittee |
<br>Marika StephensonDirector of People Services |
Non-Voting Directors |
---|
<br>Dr Simon WalshMedical Director |
<br>Kate VaughtonDirector of Integration and Deputy CEO |
Board Skill Matrix
EEASTs Trust Board undertook a review of the skills and expertise throughout the membership during 2022. The approach was one of self-assessment, whereby a comprehensive list of both technical knowledge and leadership qualities were listed, with Board members individually self-assessing against these criteria to give a rating as well as some qualitative rationale:
- Limited or no experience demonstrated
- Practitioner - developing or inconsistent demonstration
- Expert in the area and demonstrating
The following specific areas are recognised gaps across the Board as a collective. These are the core areas where recruitment or development was required.
- Strategic IMT experience, as well as strategic application of digital improvements.
- Estates/Fleet/logistics/security management
- Commercial or business development
The table below highlights the skills across the full Board.
All directors | Most directors |
---|---|
Workforce leadership - recruitment, transactional, training/education. | Financial management and controls. |
Organisational development underpinning culture change. | Strategic financial management - planning, forecasting, and strategy. |
Corporate Governance, including risk management and systems of internal control. | Patient, community, volunteer engagement. |
Strategic experience of staff/user/ stakeholder co-production and engagement. | User led / staff models of continuous improvement. |
Demonstrates strong ambition for self and organisation. Challenges status-quo. | Strategic communication skills. |
Outstanding personal communicator. | Commercial business development/ tenders/ contract management. |
Confident with data, analysing to add value. | Speaking up/ whistleblowing responsivities for good governance. |
Confident transformation capability - experienced in design and delivery of change. | Practitioner experience of major incidence / business continuity. |
Outstanding people leadership skills. Inspiring, coaching, mentoring and guiding. | Working within a regulated industry to achieve a balanced scorecard. |
Excellent attention to performance management and holding others to account. | Strategic application of organisational digital improvements. |
Experience of shaping and role modelling a healthy culture. | Skilled in collaboration to influence complex and diverse stakeholder relationships. |
Strong orientation towards ethical, compassionate and inclusive leadership. Values led. | Works with others to create and promote a clear vision, strategy and narrative. |
Previous NED or ED experience within an organisation undergoing significant change in a regulated industry. | |
Resilience through set-back, commitment to learning and improvement. |
| Membership and attendance | Public Board meeting | Private Board meeting | Audit committee | Performance and finance committee | People committee | Quality governance committee | Remuneration committee | Transformation committee | | Chair | Nicola Scrivings | MrunalSisodia | Julie Thallon | Wendy Thomas (from July 2022) | Neville Hounsome (from July 2022) | Mrunal Sisodia | Alison Wigg | | Executive Lead | Chief Executive Officer | Director of Finance | Chief Operating Officer / Director of Finance | Director of People Services | Director of Nursing / Medical Director | Chief Executive Officer | Director of Strategy, Culture and Education | | Nicola Scrivings | 7/7 | 9/10 | | 4/6 | 3/6 | 1/6 | 6/6 | 2/4 | | Alison Wigg | 7/7 | 10/10 | | 6/6 | | | 5/6 | 4/4 | | Carolan Davidge | 5/5 | 7/7 | 3/3 | 3/4 | 3/4 | | 3/3 | | | Julie Thallon | 7/7 | 9/10 | 3/4 | 6/6 | | | 5/6 | 3/3 | | Mrunal Sisodia | 6/7 | 9/10 | 5/5 | | | 6/6 | 6/6 | 4/4 | | Neville Hounsome | 6/7 | 9/10 | | 1/1 | 6/6 | 6/6 | 5/6 | | | Wendy Thomas | 6/7 | 7/10 | 4/5 | | 5/5 | 5/6 | 5/6 | | | Tom Abell | 7/7 | 10/10 | | 4/6 | 4/6 | 3/6 | 6/6 | 4/4 | | Emma De-Carteret | 6/7 | 8/10 | 5/5 | 3/6 | 5/6 | 4/6 | | 4/4 | | Hein Scheffer | 6/7 | 9/10 | | | 4/6 | | | 3/4 | | Kate Vaughton | 7/7 | 8/9 | | 1/1 | | | | 3/3 | | Kevin Smith | 6/7 | 9/10 | 5/5 | 6/6 | | | | 4/4 | | Marcus Bailey (until 15 Aug 2022) | 2/2 | 5/5 | 2/3 | | 2/2 | | | | | Marika Stephenson | 7/7 | 8/10 | | | 6/6 | | 6/6 | | | Melissa Dowdeswell | 7/7 | 10/10 | | 4/4 | | 5/6 | | | | Simon Walsh | 5/7 | 6/10 | | 1/1 | | 3/4 | | 2/2 |
Name and position | Declaration of interest | Declarations | Term |
---|---|---|---|
Nicola Scrivings, Trust Chair | Nil | August 2022 | 18.11.2019-31.05.2023 |
Alison Wigg, Non-Executive Director | Partner works for BT - Trust Supplier<br>Chair of Strategic Digital Investment and Assurance Board for Suffolk and North East Essex | December 2019<br>October 2021 | 15.01.2018-14.01.2024 |
Carolan Davidge,Non-Executive Director | Sole director - Carolan Davidge Ltd<br>Trustee Arthur Rank Hospice<br>Independent Board member at Samphire Homes<br>Non-executive director - Hertfordshire Partnership University Foundation Trust | July 2019<br>July 2019<br>December 2021<br>November 2022 | 04.07.2019-03.12.2022 |
Emma De-Carteret,Director of Corporate Affairs and Performance | Student member - ICSA<br>Husband works for BT - EEAST network provider | December 2021 | 01.12.2021-present |
Hein Scheffer,Director of Strategy, Culture and Education | Director of Wavelengths 106 (PTY) Ltd Private Company<br>Renate Scheffer (spouse) working at Hertfordshire and West Essex ICB<br>Leadership fellow - College of St George's Windsor Castle<br>Executive coach<br>Member of NHSCC Board (dissolved) | April 2022 | 01.04.2022-present |
Juliet Beal,Director of Nursing, Clinical Quality and Improvement | Nil | November 2020 | 04.11.2020-03.05.2022 |
Julie Thallon,Non-Executive Director | Owner and director - Meraki Interim Solutions<br>Vice chair - The patients association<br>East Coast Community Health Community Interest Company | October 2021<br>December 2022<br>January 2023 | 04.01.2021-03.12.2025 |
Kate Vaughton,Director of Integration | Charity trustee - Abbeycroft Leisure<br>Trustee - St Nicholas Hospice | February 2022 | 14.02.2022-present |
Kevin Smith,Director of Finance | Partner employee with EEAST | October 2021 | 01.06.2014-present |
Kiran Mahil,Associate Non-Executive Director | Senior executive (Financial Services) - Nationwide | February 2022 | 01.04.2021-31.03.2024 |
Marcus Bailey(on secondment) | Education - MBA University of Lincoln<br>Representative - National Ambulance Strategy & Transformation Directors Group (NASAT) on behalf of National Directors of Operations<br>Representative - British Heart Foundation (BHF) Circuit on behalf of National Directors of Operations | March 2019 | 01.03.2019-present |
Marika Stephenson,Director of People Services | Enterprise advisor - strategic support schools on careers (role approved prior to commencement - ceased 21.10.22) | January 2022 | 01.12.2021-present |
Melissa Dowdeswell,Director of Nursing, Clinical Quality and Improvement | Nil | March 2022 | 08.03.2022-present |
Mrunal Sisodia,Non-Executive Director | Director and co-chair- National network of Parent Cover Forums<br>Steering group member for Bedford Borough Parent Carer Forum<br>Chair of the NHSE parent, carer and families' transformation network<br>Member of NHSE children and young people's transformation board<br>Self-employed - Management consultant | April 2020<br>April 2020<br>April 2020<br>April 2022<br>April 2022 | 01.05.2020-30.04.2023 |
Neville Hounsome,Non-Executive Director | Member - NHS Pay review Body<br>Independent lay member - Health and Care Professions Council Remuneration Committee<br>Board member - Samphire Homes<br>Self employed - NH transitions<br>0 hours associate - Chameleon People Services<br>Associate - Lee Hecht Harrison (LHH)<br>Associate - Gatenby Sanderson | December 2019<br>October 2021<br>December 2019<br>December 2019<br>December 2019<br>December 2019<br>December 2019 | 10.07.2019-09.07.2023 |
Simon Walsh,Medical Director (interim) | Clinical lead - Essex & Herts Air Ambulance Trust<br>Deputy chair - British Medical Associations UK Consultants Committee<br>Consultant in emergency medicine - Royal London Hospital | December 2021<br>December 2021<br>December 2021 | 01.12.2021-present |
Tom Abell,Chief Executive Officer | Deputy chair and trustee - NAM Aidsmap | April 2021 | 02.08.2021-present |
Dr Tom Davis,Medical Director | Board member, Hertfordshire Independent Living Service (HILS, social enterprise)<br>Retainer of GP status at Wendover Health Centre<br>Club secretary - Mursley United FC | December 2019<br>March 2019<br>October 2020 | 02.02.2018-30.09.2022 |
Victoria Corbishley,Associate Non-Executive Director | Director of Health and Local Crisis Response - Red Cross<br>Trustee and vice chair - Brandon Centre | October 2021<br>October 2021 | 01.02.2021-30.01.2024 |
Wendy Thomas,Non-Executive Director | Magistrate for the North Essex Bench<br>Safeguarding adult reviewer - Essex County Council<br>Vaccinator - Essex Partnership University NHS Foundation Trust | October 2021 | 04.07.2019-03.07.2023 |