Annual Accounts for the year ending 31 March 2022 1 of

David Brown

Mr Brown is a member of our Audit and Risk Assurance Committee, Finance and Performance Assurance Committee, Quality and Safety Assurance Committee, and Remuneration Committee.

Since retiring from military service in 2000 as a Colonel, Mr Brown has gained senior executive experience as an MD and CEO in the engineering, and oil and gas sectors. Since 2014, he has run his own consultancy, specialising in business turn-around, management of change, strategic assessment and improving staff motivation.

Mr Brown graduated from the University of London with a BSc Hons in Geology, and has an MSc in Guided Weapons Technology, and an MSc in Business Management, as well as a PGDip in The Management of Change. He is a Fellow of the CMI and a Chartered Manager, as well as being a member of the Institute of Directors.

Mr Brown is also Chair of the Trust’s Organ Donation Group, and from January 2022, the recently established Public Assurance Forum .

Professor Clive Deadman

Professor Deadman is Chair of the Finance and Performance Assurance Committee, and a member of Quality and Safety Assurance Committee, and Remuneration Committee.

He brings more than 30 years’ regional and national level experience from senior commercial, finance and business development roles.

He studied Chemistry at Cambridge University and worked in Africa before spending eight years in the Venture Capital industry.

Since joining the utility sector in 1992, Professor Deadman has held a range of executive director roles in electricity distribution, water and wastewater utilities. He also holds a number of directorships in the housing and utilities sector.

Professor Deadman is the current Group Chair of Halton Housing, a social housing and commercial property enterprise in the North West of the UK and visiting professor at Cranfield University.

Dr David Lee

Dr Lee is the Senior Independent Director, Chair of the Quality and Safety Assurance Committee, and member of the Audit and Risk Assurance Committee, the former Quality Improvement Committee in Common (to April 2022), and the Remuneration Committee.

Having worked in medical leadership roles within both the NHS and independent sector, Dr Lee brings with him over thirty years’ of experience as a GP. He is the Medical Director of CSC, a multi-national corporation providing information techology and professional services.

Dr Lee is a committed proponent of clinical leadership, and the benefit of effective clinical leadership for patients using health services, and for the organisations which provide or commission them.

In addition to his medical qualifications, Dr Lee also holds a MBA from Leeds University and is training as an executive coach assessor.

Professor Trevor Purt

Professor Purt is the Chair of the Audit and Risk Assurance Committee, member of the Charitable Funds Committee, the Trust’s Ockenden Report Assurance Committee, and the Remuneration Committee.

He is both a Chartered Engineer and Chartered Surveyor after having initially trained in architecture. Professor Purt has been a CEO or equivalent both in the public and private sectors for over 25 years, and as a senior NHS leader he has led some of the largest NHS organisations in the UK with experience from both the provider and commissioning sectors, as well as working at both regional and national levels, including ICS development.

Professor Purt’s last role was in the private sector where was was Vice President for IBM Watson’s Healthcare Comsultancy business for Europe, the Middle East and Asia, with a

specific remit around population health and wider social care system integration and service reconfiguration.

In addition, Professor Purt was a Secretary of State appointee to the NMC, has served as a trustee and board member of the NHS Confederation, and The Prince’s Trust.

Executive directors Mrs Louise Barnett

Mrs Barnett joined the Board of Directors as Chief Executive Officer (CEO) in February 2020, bringing with her extensive experience from both public and private sector organisations. She is also the Accounting Officer of the Trust and is accountable to Parliament.

With the national restructure of the NHS taking place, Mrs Barnett is ideally placed to support the impending changes in the local health and care system. She has recent and relevant experience of working as a Chief Executive of an NHS Foundation Trust which was one of seven NHS providers in a large Integrated Care System, which included ‘place’ based models of care. She is committed to a multidisciplinary, multi-agency approach to system change in order to meet the challenges of delivering safe and sustainable services for the communities of Shropshire, Telford and Wrekin and mid-Wales.

Mrs Barnett is passionate about developing leaders of the future and supports a number of national and regional leadership programmes. Whilst working as an NHS Chief Executive in Yorkshire before joining the Trust, she was Chair of the Yorkshire and Humber Leadership Council. Mrs Barnett has held a variety of roles in the NHS, as Chief Executive, Director of

Human Resources and Organisational Development, and as a non-executive director.

Mrs Hayley Flavell – Director of Nursing

A Registered Nurse with over 30 years’ experience of working in the NHS, Mrs Flavell has a board experience of working as a senior nurse leader in a variety of acute hospital trusts, and joined us from the University Hospitals Birmingham NHS Foundation Trust.

Originating from the West Midlands, Mrs Flavell is passionate about providing our patients and their families with safe, quality of care. She believes that this can be achieved only by developing a blended workforce that is fit for purpose now, and in the future, and by leading

others to be able to deliver to the best of their ability at all times. She can often be found on wards and in clinical areas whenever she has a spare moment, to listen to staff and patients about their experiences of being at the Trust.

Mr Nigel Lee – Chief Operating Officer (until 13 March 2022) Beginning his career as a helicopter pilot in the RAF both in Search and Rescue and as part of Special Forces, Mr Lee served in Northern Ireland, the Falkland Islands and Iraq before starting his healthcare career in 2006 as a hospital director for a BUPA hospital in the Wirral. From there, he became divisional director at Alder Hey Children’s Hospital and Aintree University Hospital.

Mr Lee has had senior operational roles with the Cheshire and Merseyside Major Trauma Network as well as a range of service configuration developments in the Merseyside area. Before joining the Trust in March 2018, Mr Lee was working in his role as Director of Secondary Care for the North Wales Health Board, where he was respondible for three hospital sites, womens’ services and the specialist cancer centre. He led elective and diagnostics imporvement projects, and played a lead role in the whole-system urgent care development programme.

On 13 March 2022, Mr Lee temporarily stepped down from his executive COO role to concentrate on progressing the Trust’s strategic work.

Ms Sara Biffen – Chief Operating Officer (from 14 March 2022) Ms Biffen joined the NHS in 1986, the last 16 years of which have been at senior manager level at the Trust. She has worked operationally with clinical teams across several specialties/areas and was the Assistant Chief Operating Officer for planned Care for 5 years.

Ms Biffen was appointed to the Deputy Chief Operating role in February 2016, where she led on 18-week RTT and cancer improvement and worked with the Divisions to improve emergency planning and business continuity. She took up her current role of Acting Chief Operating Officer in March 2022 before which, she covered the Divisional Director of Operations for Medicine and Emergency Care and was the Senior responsible officer (SRO) for urgent and emergency care.

Ms Helen Troalen – Director of Finance (from 1 April 2021) Joining the Trust on a substantive basis from 1 April 2021, Mrs Troalen has just completed her first year as substantive Director of Finance with the Trust.

Ms Troalen joined the NHS in 2003 as a graduate trainee and qualified as a management accountant in 2007. Her career has spanned nearly twenty years in the NHS with roles in both the provider and commissioner sectors. She has also work in a regional role at NHS London. Prior to joining the Trust Ms Troalen was deputy chief financial officer at The Royal Wolverhampton NHS Trust for four years. Prior to that she was the deputy chief finance officer at a large collaborative of clinical commissioning groups in north-west London also for four years.

Ms Troalen has a particular focus on improving services for patients and the role that robust financial stewardship can play in effective organisations. Being involved in the redesign of stroke and major trauma services in London remains a particular career highlight.

Dr John Jones – Acting Medical Director (from 1 October 2021) Dr Jones has lived in Shropshire and worked the Trust for almost 20 years, primarily as a consultant physician and gastroenterologist.

Dr Jones was an undergraduate at Christ's College Cambridge University and then a clinical student at Oxford University. He has worked in hospitals in Gloucester, Oxford, Stoke-onTrent and the East Midlands before moving to Shropshire after completion of his PhD.

He has strong interest in medical education and regulation and carries out a number of roles for the GMC including as an educational visitor for new medical schools. He led the introduction of the first Keele University curriculum to our hospitals. He has previously worked for the Parliamentary and Health Service Ombudsman in Manchester.

Although the majority of Dr Jones’ time is now spent in the executive role, he continues in clinical practice with a particular focus on specialist endoscopy for patients with suspected cancer.

Directors who left the Board before 31 March 2022 Dr Arne Rose – Medical Director (to 30 September 2021)

Directors appointed after 31 March 2022 One new non-executive director, and two associate non-executive directors, took up post after the year-end. These were:

Mr Rajinder Dhaliwal – non-executive director from 1 May 2022 (two-year tenture).

Prof. Julie Green – associate non-executive director from 1 May 2022 (two-year tenure).

Ms Rosie Edwards – associate non-executive director from 1 June 2022 (two-year tenure).

The Board of Directors and Meetings

The Trust is governed by the Board of Directors and the overarching governance framework is described in detail in the organisation’s Standing Orders, Standing Financial Instructions and the Scheme of Delegation.

The Chair proactively encourages Board members to constructively challenge and explore proposals made to the Board and assist in developing proposals on strategy, priorities, risk mitigations and standards.

Standing items on the meeting agenda relate to strategy, governance, patient feedback, integrated performance reports and summary reports of meetingsof the Board committees, with the Board Assurance Framework reported on a regular basis as a standing agenda item at the Board. Detailed reports have been received on a broad range of strategic and governance issues.

The importance of the triangulation of understanding, challenge and assurance between Committees is recognised and reflected through cross-membership and reporting between the groups and through the receipt of summary reports to the Board of Directors. Like other NHS organisations, meetings of the Board of Directors are usually held in public, but due to pandemic regulations, they have been live streamed to members of the public throughout the financial year. Members of the public can send in questions for the Board, the answers to which are then reported on the Trust website. Board papers are also published monthly on the Trust website before the meetings and can be found by following this link: https://www.sath.nhs.uk/about-us/trust-information/board-papers/

The Trust Board of Directors formally met eleven times during the year.

Meeting Dates 8 Voting Board Members Apr 2021

6 May 2021

10 Jun 2021

8 July 2021

5 Aug 2021

7 Oct 2021

11 Nov 2021

9 Dec 2021

10 Feb 2022

10 Mar 2022

31 Mar 2022

Catriona McMahon √ √ √ √ √ √ √ √ √ √ √

Louise Barnett √ x √ √ √ √ √ √ √ √ √ Sara Biffen √ Teresa Boughey √ √ √ √ √ √ √ √ √ √ √ Tony Bristlin √ √ √ √ √ √ √ √ √ √ √ David Brown √ √ √ √ √ √ √ √ √ √ √ Clive Deadman x √ √ √ √ √ √ √ √ √ √ Hayley Flavell √ √ √ √ √ √ √ √ √ √ x Dr John Jones √ √ √ √ √ √ Dr David Lee √ √ √ √ √ √ √ √ x √ √

Nigel Lee Trevor Purt

Dr Arne Rose x x x x x

The Board received reports from five committees chaired / co-chaired by the Non-Executive Directors: Audit and Risk Assurance Committee Quality and Safety Assurance Committee Finance and Performance Assurance Committee Ockenden Report Assurance Committee Quality Improvement Committee in Common (last meeting held on 6 April 2022).

In addition, the Trust has a Remuneration Committee, its membership being made up of all the non-executive directors and chaired by the Trust Chair, and a Charitable Funds Assurance Committee, its authority being delegated from the Corporate Trustee.

Audit and Risk Assurance Committee

The Committee’s principal function is to advise the Board on the adequacy and effectiveness of the Trust’s systems of internal control and its arrangements for risk management, control and governance processes, and securing economy, efficiency and effectiveness.

The Committee met regularly throughout the year. Chaired by Non-Executive Director Professor Trevor Purt, the Committee comprises three Non-Executive Directors (including the committee chair). The other committee members during the year and their attendance is shown below:

2021/22 Meeting Dates Committee Members

12 Apr 2021

5 May 2021

26 May 2021

9 Jun 2021

21 Jul 2021

6 Sept 2021

16 Dec 2021

16 Feb 2022

Professor Trevor Purt (Chair) Tony Bristlin √ √ √ √ √ √ √ x David Brown √ √ √ √ √ √ √ √ Dr David Lee x √ √ √ √ √ √ √

The primary purpose of the Committee is to provide assurance to the Board of Directors about the continued effectiveness of the Trust’s system of integrated governance, risk management, financial reporting and internal control. The Committee receives reports from the Trust’s internal and external auditors and from the local counter fraud service.

The priorities for the Committee are to monitor the integrity of the Trust’s financial statements and to review the Trust’s financial and non-financial controls and management systems. The Committee’s work has focussed on the register of risks, controls and related assurances underpinning the delivery of the Board’s objectives.

Executive directors, subject matter experts normally attend the meetings as well as the external auditor, KPMG LLP, and internal auditors, Merseyside Internal Audit (MIAA) Following a competitive tendering exercise MIA was appointed as the new internal auditor and counter fraud specialist in 2020. To provide assurance to the Committee, relevant colleagues from the Trust are also invited to attend certain meetings to provide a deeper level of insight into certain key issues and developments.

The Committee receives and monitors the policies and procedures associated with counter fraud and corruption and oversaw the review and production of new policies during the year. An independent local counter fraud service provided by MIAA produces a counter fraud progress report giving updates onboth reactive and proactive work undertaken in the Trust.

The purpose of internal audit is to provide the Trust, via the Audit and Risk Assurance Committee and the Chief Executive, with an independent and objective opinion on risk management, control and governance and their effectiveness in achieving the Trust’s agreed objectives. To provide this opinion, the internal auditor reviews the risk management and governance processes annually within the Trust and on a three-year cyclical basis the operation of internal control systems within the Trust. More details regarding the work of the internal auditors are included in the Annual Governance Statement, starting on page 92.

External Auditors’ Remuneration

Fees payable to the external auditors during the year for statutory audit services only amounted to £131,000 (2020/21: £129,000). No additional work was undertaken by the external auditors for the Trust.

Public Sector Payment Policy – Better Payment Practice Code

In accordance with the Better Payments Practice Code and government accounting rules, the Trust’s payment policy is to pay creditors by the due date, or within 30 days of receipt of a valid invoice, (whichever is the later) unless other terms have been agreed.

In 2021/22, the Trust paid 86.7% (2020/21: 92.1%) of non-NHS trade invoices within target, and 89.7% (2020/21: 88.9%) of NHS trade invoices within target. More details can be found in note 45 to the accounts.

Fraud, Bribery and Corruption

The Trust’s Anti-Fraud, Bribery and Corruption Policy & Response Plan was updated in September 2021 and sets out the arrangements that the Trust maintains to deter, prevent, detect and investigate instances of fraud, corruption and bribery carried out against the Trust, and the wider NHS.

The Trust has a qualified Local Counter Fraud Specialist (contracted from MIAA) which ensures that the annual plan of proactive work minimises the risk of fraud within the Trust and is fully compliant with regulatory counter fraud standards for providers. Counter fraud reports are presented to the Audit and Risk Assurance Committee at each meeting.

Modern Slavery

Under Section 54 of the Modern Slavery Act, we are committed to ensuring that employees of the Trust are not exploited, that they are safe, that they have the right to work and remain in the country, and that their employment standards and human rights are adhered to. The Trust expects the same from its suppliers and is committed to working with them to ensure any issues are identified and proactively managed. Some controls in place include: Employment checks of individuals and of agencies which supply temporary staff Use of NHS General Terms and Conditions of Contract for Goods and Services which cover all suppliers to the Trust including medicines Due diligence within our procurement and tendering processes to test that selected suppliers and third parties are complaint with the legislation.

Information Commissioners Office: Disclosure of Personal Data

The Trust reported two (2020/21:10) incidents to the Information Commissioners Office between 1 April 2021 to 31 March 2022 relating to information governance including data losses or confidentiality breaches.

The Information Commissioners Office has not taken action against the Trust for any of the reportable incidents to date.

The Trust manages threats to cyber security on an ongoing basis. Weekly reports of progress in implementing recommendations regarding nationally circulated cyber security threat information is being issued to a number of leaders in the organisation with a role in the oversight of cyber threats and risks to the organisation.

Declaration from Directors as to audit information

The Directors are responsible for preparing the Annual Report and Accounts and consider the report to be a fair, balanced and understandable account of the performance for the year ended 2021/22.

Each director knows of no information which would be relevant to the auditors for the purpose of their audit report and of which, the auditors are not aware and, that they have taken all the

steps that he or she should have taken to make him or herself aware of any such information and to establish that the auditors are aware of it.

Register of Interests

Directors are asked to declare any interests that are relevant or material on appointment and as soon as possible should a conflict arise during their term. The agendas of the Board and meetings its committees contain an item allowing directors to declare any additional, or any change in, their interests. The Interest Register is also updated and presented to the Board of Directors at its meeting held in public on a twice annual basis.

NON-EXECUTIVE DIRECTORS (All directors act as agent of the Trust’s Charity*)

Dr Catriona McMahon (Chair)

Mrs Teresa Boughey

Mr David Brown

Prof. Clive Deadman

Dr David Lee

Prof Trevor Purt Owner and Director, CMMK Ltd. Owner and Director, TAC Ltd. Shareholder, AstraZeneca NED, University Hospital Birmingham NHS Foundation Trust Director, Jungle HR Ltd Oiagen, Client of Jungle HR Ltd Director, Inclusion 247 Ltd Business Board Member, Women and Enterprise All Party Parliamentary Group Strategic Advisory Group member, NHS Employers Diversity & Inclusion Partners Programme Advisory Board member, Royal Holloway, University of London, School of Business & Management Peter Jones Foundation Mentor Daughter, works at Robert Jones & Agnes Hunt Trustee, Telford & Wrekin Carers Partnership Board adviser, MFL Engineering Ltd, Carlisle Director, Prosenge Limitada, Brazil. Governor, Charlton School, Telford Director, Jidkonstar Engineering Solutions Ltd. Nigeria Chair, Energy Innovation Centre Investment Forum Chair and Shareholder, 1905 Investments Ltd Professor, Cranfield University Group Chair, Halton Housing Trust Chief Medical Officer Clinical Safety, Dedalus Group (formerly Chief Medical Officer Clinical Safety Quality and Regulatory Affairs, DXC Technology) Sessional GP, Shropshire, working principally at Alveley Medical Practice Director, Massive Heart Consulting Limited Director, NHS Arden and Gem Commissioning Support Unit,

Effective Leadership Solutions Advisory Board Member, University of Lincoln International Institute for Rural Health Wife, Non-Executive Director Shropshire Community NHS Trust Wife, Interim Director NHSE/I – Midlands

EXECUTIVE DIRECTORS (All directors act as an agent of the Trust’s Charity*)

Mrs Louise Barnett

Ms Sarah Biffen Husband, Chair of North West Anglia NHS Foundation Trust (From 1 April 2022) Husband, Chair and Client Partner of SSG Health Ltd Husband, Visiting Professor of Cranfield University None

Mrs Hayley Flavell

Dr John Jones

Mr Nigel Lee

Ms Helen Troalen None

Director, Dr J I W Jones Limited Wife, Shropshire GP None

Director, Vadebeam Limited Close family friend is the Regional Director of Partnerships, Siemens.

*The Shrewsbury and Telford Hospital NHS Trust Charity (number 1107883)

Full details about the charity, including latest annual report and accounts, can be found on the Charity Commission website here: https://register-ofcharities.charitycommission.gov.uk/charity -search/-/charity-details/4013618

Engagement with our Community Engagement with our community, patients and their families, and with healthcare and other community partners, is extremely important to the Trust. Services are provided for the benefit of service users, and the views of those who use, or who are interested in the care and delivery

of the public services we provide, matters to us.

To support increased engagement and transparency, the Trust held its inaugral meeting of the Public Assurance Forum, chaired by NED David Brown, in January 2022, following the approval and publication of the Trust’s Public Participation Strategy in October 2021.

The aim of the Public Assurance Forum is to bring a public and community perspective, and scrutiny of processes, decision making and wider work, that takes place at the Shrewsbury and Telford Hospital NHS Trust. It is an advisory group whose role is to ensure that decisions about services and the delivery of care are developed in partnership with our local communities.

Membership of the Public Assurance Forum is wide ranging: Co-Chair – Non Executive Director / Public representative (Trust) Deputy Chair – Director of Public Participation (Trust) Head of Public Participation (Trust) Community Engagement Facilitator (Trust) Head of Patient Experience (Trust) 1 member from each of the four Trust clinical divisions (Trust) 1 member from Healthwatch Shropshire 1 member from Healthwatch T&W 1 member from Community Heath Council (CHC) 1 member from Shropshire Patient Group 1 member from Patients First Telford 1 member from the Telford Chief Officers Group (COG) 1 member from Maternity Voices 1 member of Shropshire Voluntary and Community Sector Assembly(VCSA) 1 member of Powys Association of Voluntary Organisations (PAVO) 1 member of the Trust’s PACE panel, and Equality Diversity and Inclusivity Public Advocates Group 1 member from each Health and Wellbeing Board Medical Director (Co-optee) Members from other nominated groups (following feedback from stakeholders) representing the different communities and areas covering Shropshire, T&W and Powys’ The opportunity to co-opt members for specific issues that are taken to the Forum

Supporting the work that goes on behind the Forum, is the Public Participation Team, which is involved in community engagement activities, our volunteers, and management of the Trust’s charity.

A series of community meetings have been held during the year where the public across Shropshire, Telford & Wrekin and Powys are invited to join the Trust virtually to find out more about their hospitals. These included: Monthly email update. A regular email update to our members and organisations Community Cascade. This is delivered twice a month following feedback from the public requesting an additional session in the evening Monthly Community drop-ins. We provide the opportunity for members of the community to ‘drop-ins’ so that they are able to meet directly with members of the engagement team and to share experiences and suggestions, and to provide feedback about our hospitals. About Health Events. This is an ongoing series of virtual health events for staff and the public to engage with.

The team have recently undertaken a gap analysis to support engagement with rural and ‘hard to reach’ communities. This social inclusion project is aimed to ensure that those from such communities have the opportunties to engage with us in a manner that is suitable to their needs and requirements. This is a massive project, and work will progress well into 2022/23 and beyond.

Volunteers The Trust could not be without its marvellous volunteers who continue to support us in a variety of ways.

We are exceptionally proud that from our 272 volunteers, 85 are aged 16/17 years of age, and that over 50 applications in this age group alone were pending at year end. NHS Charities Together recent granted £86,000 for us to develop a 15-month long Young Volunteer Project which will enhance our existing scheme, and support these young men and women on their journey of becoming good corporate citizens.

The roles that our volunteers play, are incredibly important to the Trust. We are currently developing a voluntary service to support patient flow in our A&E’s, which will help the

discharge process. The roles will cover our two main sites on a 7 day basis, and volunteers have already provided 357 hours per month to these roles across our sites.

New volunteering opportunities have also recently been filled in Ophthalmology Outpatients, Cataract Suite, Audiology, Dietetics and Breastfeeding support. We will never have too many volunteers and continue to owe them all a great deal of gratitude for everything they do.