How the Trust is Organised
Board and Board Committees
The Board is responsible for overseeing the governance of the Trust. This includes setting the strategic objectives and providing the leadership to put those objectives into effect.
They hold the organisation to account for delivery of strategy and ensure value for money. They are responsible for assuring that risks to the organisation and the public are managed and mitigated effectively. Led by an independent Chair and composed of a mixture of both Executive and Non-executive Directors, the Board has a collective responsibility for the performance of the organisation.
For the Board to undertake its duties effectively (and for the Trust to provide the best services to patients) it requires the structure, people, and governance processes to be embedded within the organisation and any ‘Ward to Board’ risks and issues to be well articulated and escalated through the appropriate channels. A key aspect of the role of the Board is to seek assurance that risks to its strategic objectives are known and that there are clear plans in place to mitigate, eliminate and manage those risks. The Board is the main forum where all aspects of governance (clinical, financial, performance, workforce, information etc) come together
Committees
There are committees of the Board, which support in setting the Trust’s strategic direction, in monitoring and ensuring that the strategies are being taken forward and that responsibilities for assurance are being met. The committees are detailed below.
Role of the NHS Board and Chair
NHS boards play a key role in shaping the strategy, vision and purpose of an organisation. They hold the organisation to account for the delivery of strategy and ensure value for money. They are also responsible for assuring that risks to the organisation and the public are managed and mitigated effectively. Led by an independent chair and composed of a mixture of both executive and independent non-executive members, the board has a collective responsibility for the performance of the organisation. The Chair also ensures the Board is focused on improving outcomes in population health and healthcare, and fosters a culture of learning and continuous improvement, with a particular focus on quality, safety, access, patient experience.
The purpose of NHS boards is to govern effectively, and in so doing build patient, public and stakeholder confidence that their health and healthcare is in safe hands. This fundamental accountability to the public and stakeholders is delivered by building confidence:
- in the quality and safety of health services
- that resources are invested in a way that delivers optimal health outcomes
- in the accessibility and responsiveness of health services
- that patients and the public can help to shape health services to meet their needs
- that public money is spent in a way that is fair, efficient, effective and economic.
Clinical Care Groups
The Trust manages the delivery of its operational clinical services through 4 Care Groups. Each Clinical Care Group is led by a leadership team comprising a Clinical Director, Director of Nursing and Professions and Director of Operations.
Nottingham and Nottinghamshire Integrated Care System
The Nottingham and Nottinghamshire ICS covers a diverse population of over 1 million people living in the City of Nottingham (332,000) and Nottinghamshire County (833,400). The ICS is underpinned by:
- Notts Healthier Together – a Provider Collaborative comprising the 5 statutory NHS providers in the ICS; and
- 4 Place-based partnerships encompassing Nottingham City, South Notts, Mid Notts and Bassetlaw.
The last three years has seen increasing partnership working between our general practitioners and primary care teams, our community and mental health service providers, the three local acute hospital trusts, the ambulance service, the two local authorities, patient representatives, and many others. This partnership working has been recognised nationally and in 2018 our health and care system was selected to become one of the first Integrated Care Systems (ICS).
People in Nottingham and Nottinghamshire are living longer but spending more years in poor health. This undermines the capacity for people to fulfil ambitions such as enjoying independence in their later years. It also represents an increasing window of need during which people are in receipt of health or social care services. There is a wide range of difference in deprivation levels across the ICS with some parts of the City and County being in the most deprived districts in the country. We know that our deprived communities have the greatest exposure to a range of factors that impact adversely on their health. This is why the evolution of the ICS represents an opportunity to address health inequalities and improve our population health. Significant progress has been made with beginning to ‘join up care’ through our partnerships, however, there remain many opportunities to integrate care more effectively.
National Rehabilitation Centre
NUH is proud to be delivering the National Rehabilitation Centre (NRC). It will be the hub for a new national clinical model based on regional services, the National Training and Education Centre and National Research and Innovation Hub for Rehabilitation.
This scheme is to build a new NHS 70-bed rehabilitation facility in the grounds of the Stanford Hall Rehabilitation Estate near Loughborough. We are hoping that the NRC will open in mid-2026, and our existing 24 rehabilitation beds will transfer there from the City Hospital.
The NRC will be built close to the existing Defence Medical Rehabilitation Facility which opened in 2018, in order to facilitate the sharing of best practice in clinical rehabilitation. Through an academic partnership with the University of Nottingham and Loughborough University, the NRC will also be able to integrate research into clinical practice, as well as providing education and training in this field.
