Annual Report and Financial Accounts 2010/11
Statement on Internal Control
to ensure all employer obligations contained within the Scheme regulations are complied with. This includes ensuring that deductions from salary, employer’s contributions and payments in to the Scheme are in accordance with the Scheme rules, and that member Pension Scheme records are accurately updated in accordance with the timescales detailed in the Regulations.
The Foundation Trust has undertaken risk assessments and Carbon Reduction Delivery Plans are in place in accordance with emergency preparedness and civil contingency requirements, as based on UKCIP 2009 weather projects, to ensure that this organisation’s obligations under the Climate Change Act and the Adaptation Reporting requirements are complied with. The Carbon Reduction Group for the Trust is in place and has agreed delivery plans for carbon reduction measures.
Control measures are in place to ensure that all the organisation’s obligations under equality, diversity and human rights legislation are complied with. Equality Impact Assessments (EIA’s) are carried out on all Trust policies and service developments . A toolkit has been developed and is available on the Trust intranet and results of EIA’s are also shown on the Trust website. The Foundation Trust has an Equality and Diversity Committee which is chaired by a Board Director and has wide representation from across the Trust. Sub-groups report into the Equality and Diversity committee and have an agreed work plan which ensures that we meet our obligations.
During 2010/11 the Fertility Service was temporarily suspended during the year due to concerns about the eligibility of patients to receive treatment. A full external review by the Royal College of Obstetricians and Gynaecologists and an internal review was undertaken and since then Trust has implemented a full action plan. An interim arrangement with another NHS provider is currently in place.
Annual Quality Report
The directors are required under the Health Act 2009 and the National Health Service (Quality Accounts) Regulations 2010 to prepare Quality Accounts for each financial year. Monitor has issued guidance to NHS foundation trust boards on the form and content of annual Quality Reports which incorporate the above legal requirements in the NHS Foundation Trust Annual Reporting Manual.
The production of the Quality Report is overseen by the Director of Nursing and co-ordinated by the Associate Director of Clinical Governance. This team leads on all regulatory quality assessments for the Trust and is experienced in this type of work. To ensure a balanced approach input to the report is obtained from a wide range of sources within the organisation through the governance infrastructure, and external opinion has been sought from the Trust’s lead commissioners, three local health scrutiny panels, the Local Involvement Network and the Foundation Trust’s Council of Governors. The production processes have mirrored those used for all quality assessments and aspects of these have been regularly audited and subject to validation by the Internal Auditors. The audits have provided
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