1. Trust Board Meeting Chief Executive’s Update 25 th January 2007

2. Key Themes for 2007:- Clinical Engagement Commercial approach to business processes Delivering to maintain independence and achieve our published strategy Putting SaTH on the national map – for the right reasons

3. Management Executive:- Transition from HEG to fully operational ME over 3 months started 16 January 2007 Devolved power from Trust Board/ Executive Directors meetings Will be the Executive Board by April Executive Directors meeting to initiate strategy, guide the ME, review progress CEO will always be the “Accountable Officer”

4. Management Executive:- Discuss more clinical/ operational issues Develop Strategy (including Business Development) Consider Business Cases Senior Managerial/ Clinical interface

5. Organisational Structure:- Fewer levels More clinical engagement Devolved power/ accountability Earned autonomy to be developed Fit for Foundation Trust Status

6. Trust Board:- Chair, NEDs, Exec Directors, Director of Strategy (Director of Nursing) Management Executive:- CEO, Exec Directors, Divisional Directors, Divisional General Managers, Directors of Strategy and Infection Control Divisional Boards (3):- Divisional Director, Divisional General Manager, Nurse Lead, Finance Lead, Human Resources Lead Business Units:- Clinical Directors, Service Delivery Manager, Nursing Lead, Clinical Leads

9. Transitional/ Appointment Process:- Structure paper, Job Descriptions and Person Specifications (DD/DGMs) 19 Jan Closing date for applications 1 Feb Assessment Centres 8/9 Feb Interviews - DGMs 12 Feb - DDs 13 Feb Divisional Director/ General Manager/ Service Delivery Director then appoint to Divisional Board/ Business Units 31 Mar

10. Healthcare Acquired Infection DoH Inspection Team invited visit 23/24 Jan Staff Testing Policy December 2006 Infection control areas capital bid Jan 2007 CEO retains Executive Responsibility Director of Infection Control reports to CEO (and on Management Executive from January 2007) Director of Strategy responsible for implementation of DoH recommendations Hand Washing Campaign re-issued January 2007 Review of CMO guidance on MRSA and CDiff guidance Health economy approach via STEG December 2006

11. Shropshire Futures - 31 January 2007 –Unitary Status - Council Leaders –Health Futures - P Spilsbury SHA - J Chambers SCPCT - T Taylor SaTH LDP progressing Trish Rowson and Debbie Shaw accepted on SHA Development Programme Steve Evans assessment for second cohort SaTH surgical services supported by Cancer Network Board (minimal queries by DoH being actioned)