The Trust's Board of Directors has a responsibility to make the best use of financial resources and deliver the services people need, to standards of safety and quality which are agreed nationally.
The Council of Governors holds to account the non-executive directors on our Board of Directors. It is responsible for representing the interests of the Trust's members, the public and partner organisations.
A number of committees report to the Board of Directors. These committees are responsible for overseeing specific areas - such as finance and performance, and the quality of care. Learn more by clicking on the drop-down accordions below.
The Audit Committee is responsible for establishing and maintaining an effective system of integrated governance, risk management and internal control across the organisation, in a way that supports the organisation’s objectives. It achieves this by:
- Ensuring there is an effective internal audit function that provides appropriate independent assurance to the Committee, the Chief Executive and the Board of Directors
- Reviewing the work and findings of the Trust's external auditor
- Reviewing the findings of other significant assurance functions, both internally and externally
- Reviewing the work of other committees within the organisation
- Requesting and reviewing reports and positive assurances from directors and managers on the overall arrangements for governance, risk management and internal control
- Reviewing the annual report and financial statements before they are submitted to the Board
- Ensuring that the systems for financial reporting to the Board, including those around budgetary control, are subject to review in order to be sure that they are complete and accurate.
Throughout the year, the Audit Committee considers external audit reports, internal audit reports, and counter-fraud progress reports. All audit outcomes are overseen by monitoring the delivery of internal and external audit report recommendations.
The Committee considers the Board Assurance Framework, Annual Report, Quality Report, Annual Governance Statement and progress with internal and external audit plans. It also regularly receives updates on losses and compensation payments, exit payments, hospitality and sponsorship, tenders and waivers, debtors and clinical audit. The Committee also considers governance and compliance documents.
The Committee assesses the effectiveness of the external audit process by undertaking a self-assessment each year and by meeting with auditors in private. Auditors attend every meeting of the Audit Committee, and the Trust’s compliance with the audit plan approved by the committee is monitored.
The Finance and Performance Committee oversees all aspects of financial management and operational performance on behalf of the Board. This includes:
- Detailed oversight of financial performance, forward projections and the assumptions that underpin forward plans
- Scrutiny of reports on performance
- Workforce budgets
- The cost-improvement programme
- A review of the Trust’s capability and capacity to meet the commercial and marketing requirements of potential business opportunities
Assurance on health and safety and emergency planning.
The Mental Health Act Committee regularly reviews the patient activity under sections of the Mental Health Act.
A key role is to consider matters of good practice in accordance with the requirements of the Code of Practice and the Mental Health Act (1983 and 2007).
The Committee meets quarterly, and is generally attended by some of the Non-Executive Directors.
The role of the People and Culture Committee is to support the organisation to achieve a well-led, values-driven positive culture. The Committee is to provide assurance to the Board that the appropriate structures, processes and systems are in place to ensure an effective capable workforce to meet the Trust's current and future needs by:
- Overseeing the development and implementation of an effective People Plan which supports the Trust Strategy
- Ensuring that the People Plan and associated plans are aligned and focused on meeting the needs of the organisation
- Overseeing compliance with requirements of equality and diversity legislation and development of a culture which supports and embeds equality and diversity for staff, service and patients
- Achieving a well-led values-driven positive culture at all levels of the organisation
- Ensuring a systematic approach to the management of change to deliver an empowered, high-performing workforce
- Ensuring workforce plans are ‘fit for purpose’ and have sufficient flexibility to meet the changing needs of the Trust
- Having an understanding of the current and future capability required and developing a robust process to inform workforce plans
- Ensuring there are robust performance processes in place for the effective management of the workforce to ensure the Trust meets its priorities
- Driving a positive culture and high staff engagement
- Ensuring the learning and education needs of the organisation are understood and met.
The Quality and Safeguarding Committee seeks assurance that high standards of care are provided and that adequate and appropriate governance structures, processes and controls are in place to promote safety and quality in patient care. The Committee monitors risks arising from clinical care and ensures the effective and efficient use of resources through evidence-based clinical practice.
The Committee is responsible for agreeing terms of reference and annual work programmes for its supporting sub-committees. It enables the Board of Directors to obtain assurance that the Trust is providing high standards of care. In relation to safeguarding, this Committee sets the Safeguarding Quality Strategy, providing quality governance to all aspects of the safeguarding agenda.
It provides assurance to the Board that the organisation is effectively discharging and fulfilling its statutory responsibility for safeguarding to ensure better outcomes for children and vulnerable adults. The Committee leads the assurance process on behalf of the Trust for the following areas: Children Act, Care Act (2014), counter-terrorism legislation. It provides a formal link to the Local Authority Safeguarding Children and Safeguarding Adults Boards and promotes a proactive and preventative approach to safeguarding.
The Remuneration Committee decides and reviews the terms and conditions of the Trust’s executive directors and senior managers. It also plays a key role in the appointment of executive directors, sometimes using the services of an expert search and recruitment agency.
The Remuneration Committee takes account of the latest Monitor guidance on executive pay and looks at benchmarking data with other trusts, as well as considering external market comparisons.
Our services are structured within the following clinical divisions:
- Adult Mental Health Services for Adults of a Working Age: manages our adult inpatient services at both the Radbourne Unit and the Hartington Unit and also provides urgent assessment and home treatment services, including our crisis services and liaison teams, and helpline.
- Community Mental Health Services for Adults of a Working Age: provides community mental health services, locally based across Derbyshire, for people experiencing significant mental health difficulties requiring specialist interventions, including Consultant Psychiatric outpatients services and Early Intervention services. Physical Health Monitoring Clinic for people commencing on antipsychotic medication or having this titrated, Individual Placement Support team and (PCN) Mental Health Practitioners.
- Forensic and Mental Health Rehabilitation Services: following commissioner investment, the division continues to develop the forensic service line. It includes a Community Forensic Team, a Criminal Justice Liaison and Diversion Team and a Placement Review Team with a Low Secure Inpatient Unit provided at the Kedleston Unit. Currently there is a rehabilitation inpatient service at Cherry Tree Close and there is and ongoing transformation to extend the rehabilitation pathway including a community rehabilitation team. The division also includes a number of specialist teams including Perinatal Services (inpatient and community), Eating Disorders services for adults, Substance Misuse services through Derby Drug and Alcohol Recovery Service and Derbyshire Recovery Partnership, Physiotherapy and Dietetics services.
- Mental Health Services for Older People: provides an inpatient service for people suffering with dementia on the Cubley Court wards and an inpatient service for older people experiencing functional illness, such as severe depression or psychosis, at Tissington House. This division also delivers services locally across Derbyshire within the Community Mental Health Teams (CMHT) and Memory Assessments Service (MAS) and provides an intensive alternative to hospital admission through the Dementia Rapid Response Teams (DRRT) and the In-reach and Home Treatment Team.
- Children’s Care Services: provides Child and Adolescent Mental Health Services (CAMHS) including CAMHS RISE, a team supporting Accident and Emergency (A&E) liaison and acute inpatient services. It also includes 0 to 19 Universal Children’s Services, with public health teams including health visitors and school nurses and specialist children’s services providing therapy and complex needs services, and a service for looked after children in care.
- Neurodevelopmental Services: this is a new division which provides Autistic Spectrum Disorder (ASD) assessment and learning disabilities services including an intensive LD support team to help prevent hospital admission.
- Psychology and Psychological Therapies Division: This is a newly formed division which provides psychological assessment and interventions for patients across the trust. Interventions are delivered in 1:1 or group format and utilise the range of psychological models highlighted in guidance. All talking therapies including Talking Mental health Derbyshire (IAPT) across all services sit within the Division. Psychological therapy is delivered by a range of therapists and clinical psychologists for all age groups and presentations in the community and in patient services. They are embedded in teams across the Trust.