Reservationofpowersand Schemeofdelegation

ReservationofPowersandSchemeofDelegation

Author(s) / DeputyDirectorofFinance
Version / 1.0
VersionDate / December2015
Implementation/approvalDate / December 2015
ReviewDate / December 2016
ReviewBody / TrustBoard
PolicyReferenceNumber / 318/tw/o/rp

December 2015

RESERVATIONOFPOWERSAND SCHEMEOFDELEGATION

CONTENTS / Page
Functions which are reserved for decision by the Board / 3
Scheme of Delegation / 4
1 / Planning & Budgetary Control / 4
2 / Bank and GBS Accounts / 5
3 / Non-pay revenue and Capital Expenditure / 5
4 / Authorisation of invoices / 5
5 / Capital Schemes / 6
6 / Quotations, Tendering, Leasing and Contract Procedures / 6
7 / Setting of Fees and Charges / 7
8 / Engagement of staff not on the establishment / 8
9 / Charitable Funds / 8
10 / Agreements/Licences / 8
11 / Condemning and Disposal / 9
12 / Losses, Write-Offs and Compensation / 9
13 / Reporting of Incidents to the Police / 10
14 / Petty Cash Disbursements / 10
15 / Receipt of Provision of Hospitality and Gifts / 10
16 / Implementation of Internal and External Audit Recommendations / 10
17 / Maintain and Update Trust Financial Procedures / 10
18 / Personnel and Pay / 11
19 / Authorisation of New Drugs / 13
20 / Authorisation of Sponsorship Deals / 14
21 / Authorisation of Research and Development Projects / 14
22 / Authorisation of Clinical Trials / 14
23 / Insurance Policies and Risk Management / 14
24 / Multi-User Clinical Products Review / 14
25 / Patients and Relatives’ Complaints / 14
26 / Relationship with Press / 14
27 / Infectious Diseases and Notifiable Outbreaks / 14
28 / Extended Role Activities / 15
29 / Patient Services / 16
CONTENTS / Page
30 / Facilities for Staff not Employed by the Trust to gain Practical Experience / 15
31 / Review of Fire Precautions / 15
32 / Review of all statutory compliance legislation and Health & Safety requirements, including Control of Substances Hazardous to Health (COSHH) / 15
33 / Review of Medicines Inspectorate Regulation / 15
34 / Review of Compliance with environmental regulations (e.g. clean air, waste disposal) / 16
35 / Review of Trust’s Compliance with the Data Protection Act / 16
36 / Monitorproposalsforcontractual arrangements between the Trustand
outsidebodies / 16
37 / ReviewtheTrust’scompliancewith AccesstoRecordsAct / 16
38 / ReviewoftheTrust’s compliancewith theCodeofPracticeforhandling
confidentialinformationin thecontractingenvironmentand compliancewith “safe Haven” per EL(92)60 / 16
39 / ThekeepingofaDeclarationof Interest Register / 16
40 / The keeping of a Hospitality Register / 16
41 / Attestationof sealing inaccordance with Standing Orders / 16
42 / RetentionofRecords / 16
43 / Clinical Governance / 16
44 / Serious Untoward Incident Reporting / 16
45 / Management of Medical Devices / 16
46 / Management and control of computer systemsandfacilities / 17
47 / Approval of credit notes / 17

FUNCTIONSWHICHARERESERVEDFORDECISIONBYTHEBOARD

TheBoardshallnotdelegateunderStandingOrder19.1itsfunctionsinrespectofthefollowing:

1.ConsiderationofreportsmadetotheBoardbytheCareQualityCommission;

2.UseoftheTrust'sland,buildings,propertyorotherresources,orstaff,otherthanforrelevanthealthservicesorcollaborationwithlocalauthorities;

3.RecognitionorwithdrawalofrecognitionofSpecialistAdvisoryCommittees;

4.Authorisationofofficersorclassesofofficersforstatutorypurposes;

5.Closureorchangeofuseofhealthservicepremisesorthecommencementofrelatedformalprocedures;

6.AdoptionoftheBusiness,OperationalandStrategicPlans;

7.DecisionstomakeformalrepresentationstoGovernmentorotherauthoritiesonmatters ofmajorpolicy;

8.Comments on Department of Health, Care Quality Commission and Monitorconsultationdocumentsandreports;

9.ThedecisiontoholdformalinquiriesontheconductofservicesmanagedbytheBoard,ortorequestsuchaninquirybySecretaryofState;

10.Majorchangesinprovisionofhealthservices;

11.Financialandperformancereportingarrangements;

12.AmendmentstoStandingOrders;StandingFinancialInstructions;andscheduleofmattersreservedfortheBoard;

13.The establishment, terms of reference and reporting arrangements of all committeesactingonbehalfoftheTrust;

14.TheapprovalofanInvestmentpolicyforexchequerfundsanddischargeoftrusteeresponsibilitiesinrelationtonon-exchequerfunds, and

15.ApprovalandmonitoringoftheTrust’spoliciesandproceduresforthemanagementofall risk.

December 2015

SCHEMEOFDELEGATION

DelegatedmattersinrespectofdecisionswhichmayhaveafarreachingeffectmustbereportedtotheChiefExecutive.Thedelegationshownbelowisthelowestleveltowhichauthorityisdelegated.DelegationtolowerlevelsisonlypermittedwithwrittenapprovaloftheChiefExecutivewhowill,beforeauthorisingsuchdelegation,consultwithotherSeniorOfficersasappropriate.AllitemsconcerningFinancemustbecarriedoutinaccordancewithStandingFinancialInstructionsandStandingOrders.

DELEGATEDMATTER / AUTHORITYDELEGATED TO / REFERENCE DOCUMENTS
1. / PlanningBudgetaryControl
a)Prepare and submit an Annual Plan forBoardapproval
b)Prepareandsubmitrevenuebudgets forBoardapproval
c)Delegation ofthe management of budgets
d)Responsibilityofkeepingwithin budget:-
•for totality of services
•at Directoratelevel
•at cost centrelevel
e)Non-Budgeted Expenditure:-
Anyplannedexpenditurewhichhas notbeen providedforinanapproved budgetrequiresthefollowing authorisation:-
•Upto£100,000
•Above£100,000
f)CapitalPlanning
•Prepareandsubmitcapital budgets(CapitalProgramme)for BoardApproval
•Authorisationofchangestothe Capital Programme
•Approval ofemergency capital expenditure / Chief Executive
Director ofFinance
Chief Executive
Director ofFinance Executive Director Budget Holder
Chief Executive TrustBoard
Director ofFinance
Investment Committee althoughanychangeof
£250korabovemustbe formally reported to the
Boardforretrospective ratification
Director ofFinanceorother Executive Director in absentia / SFI Section2
Investment Approval Policy
DELEGATEDMATTER / AUTHORITYDELEGATED TO / REFERENCE DOCUMENTS
2. / BankGBSAccounts
a)Maintenanceandoperationofbank and GBS accounts in thename of the Trust
b)ChequeandGBS Payments
•Crossedcheque/ CHAPS/ Payments to Govt. Bodies/On- LinePaymentsupto£20,000
•Crossedcheque/ CHAPS/ Payments to Govt. Bodies/On- LinePayments£20,000to £250,000
•Crossedcheque. CHAPS/ Payments to Govt. Bodies/On- LinePaymentsover£250,000 / Director ofFinance
Onesignatoryasperbank mandate
Twosignatoriesas perthe bankmandate
Director ofFinanceplus oneothersignatoryasper thebankmandate / SFIs Section4
SFI ScheduleI
3. / Non-Pay Revenueand Capital
Expenditure–Requisitioningand OrderingofGoodsandServices
a)Overall responsibility for requisitioning/orderingofallgoods and services
b)Non-Stockrequisitions
c)Stockrequisitions
d)PurchasingCard
e)On-line
f)Pharmacy
g)Medical Equipment / Director ofFinance
Designatedofficersas recordedon the authorised signatorieslist
Designatedofficersas recordedon the authorised signatorieslistandSupplies Ward Inventory Clerks
Designatedpurchasing card holders
Designated purchasing card holders
Chief Technician & Purchasing Officer
Head of Medical Electronics / SFIs Section8
Authorised signatorieslist
PurchasingCard Procedures
Medical Devices and Equipment Policy
4. / Authorisation of Invoices / Designatedofficersas recordedon the authorised signatorieslist / Authorised signatorieslist
DELEGATEDMATTER / AUTHORITYDELEGATED TO / REFERENCE DOCUMENTS
5. / Capital Schemes
a)Productionandapprovalofbusiness caseproposalsforcapitalschemes.
i)Approval ofannual rolling programs approvedby Investment Committee.
ii)Prepareandsubmitabusiness casedocument.
iii)Approval of Business Case proposals:
• 0to£500k
•>£500k
b)Selection ofarchitects, quantity surveyors,consultantengineersand otherprofessional advisors within EU RegulationsandCONCODE
c)Approval to commencescheme (IAD form)
d)Financialmonitoring andreportingon thecapitalprogramme
e)Grantingandterminationofleases with annual rent less than£100k
f)Grantingandterminationofleases with annual rent greater then £100k / Investment Committee
Project Manager in
conjunctionwiththe appropriate ExecutiveDirector
Investment Committee
TrustBoard
Director ofEstates, Facilities and Capital Projects
Chief Executive Director of Finance
Director ofFinancein conjunctionwiththe Investment Committee
Director ofEstates, Facilities and Capital Projects
Director ofFinanceorChief Executive / SFIs Section9
Investment Approval Policy
Investment Approval Document(IAD) Business Case Document(BCD)
6. / Quotations,Tendering,Leasing and Contract Procedures
a)Quotations and TenderingLimits:
•Obtaina non-competitive
quotationforgoods/servicesupto£10,000(exclVAT)
•Obtain competitive quotations for goods/services from£10,000 to£50,000(exclVAT)
•Obtain competitive tenders for goods/services over£50,000 / Budget Holder in liaison with PurchasingDepartment
Budget Holder/Project Managerinliaisonwith PurchasingDepartment
Budget Holder/Project Managerinliaisonwith PurchasingDepartment / SFI
StandingOrders

December 2015

DELEGATEDMATTER / AUTHORITYDELEGATED TO / REFERENCE DOCUMENTS
•Compliancewiththedirectives from the Council of the European Community
•Posttendernegotiations
b)Waivingofquotationorsingletender action:
• Upto£100,000
•Morethan£100,000
c)Receiptand safecustody of quotations and tender:
•Quotations
•Tenders
d)Opening ofquotations andtenders:
• £10,000to£50,000
• £50,000to£500,000
• Over£500,000
e)Acceptanceoftenders
•upto£250,000
•over£250,000
g) Signingof Contacts
•upto£111,676
• £111,677to£500,000
•over£500,000
f) Maintenance of the Tender Register / Director of Estates, Facilities and Capital Projects and Head of Procurement
Director ofFinancein conjunction with Executive Director
Director ofFinanceor DeputyDirectorofFinance
BoardApproval
ProjectManager
Head of Procurement
ProjectManager
TwoSeniorManagersone of whom isnot from the originating department
TwoBoardMembers
TwoExecutiveDirectors
TrustBoard
Head of Procurement
Director ofFinance
ChiefExecutive
Head of Procurement / Proceduresonthe receipt,safe custody,opening andrecordingof tenders.
7 / Settingof FeesandCharges
a)ServiceAgreementsfortheprovision of services topatients.
b)Allotherchargesincludingprivate patients, overseas visitors,income generationand other related services. / Chief Executive
inconjunctionwith Director ofFinance
Chief Nurse Director of Governance
Director ofFinance / SFI 5 & 6

December 2015

DELEGATEDMATTER / AUTHORITYDELEGATED TO / REFERENCE DOCUMENTS
c)ServiceAgreementsfortheprovision of IT services forother healthcare providers.
d)ServiceAgreementsfortheprovision of estates and facilitiesservices for other healthcare providers. / Director of ITin conjunctionwithDirectorof Finance
Director ofEstates, Facilities and Capital Projects in conjunctionwithDirectorof Finance
8. / EngagementofStaffnotonthe Establishment
a)Non-medical consultancystaff:-
•Whereaggregatecommitmentin anyoneyear(ortotalcommitment) islessthan£20k
•Whereaggregatecommitmentin anyoneyearisgreaterthan£20k
b)EngagementofTrust’ssolicitors
c) Booking of bank, locum oragency staff:
•MedicalLocums
•Others / Divisional OperationsDirector in conjunctionwiththeDirector ofFinanceandAssociate Director of Workforce
Divisional Operations Director in conjunctionwiththeDirector ofFinanceandAssociate Director of Workforce
Executive Director
Medical Staffing Ward Sister/Headof
Department
9. / CharitableFunds
a)Authoriseexpenditure
• Upto£2,000
• From£2,001to£10,000
• Above£10,000
b)Investment of Funds
c)Reporting to the Trustees / DesignatedFundHolder Two Trustees
TrusteesCommittee
Trustees Committee
Trustees Committee
Director ofFinance / CharitableFunds Policy
10. / Agreements/Licences(PropertyOnly)
a)Preparation andsignatureofallnew tenancyagreements/licencesforall staffsubject to Trust Policyon accommodation staff
b)Extensions to existing leases
c)Lettingofpremises tooutside organisations
d)Approval of rentbasedonprofessional assessment / Director ofEstates, Facilities and Capital Projects
Director ofEstates, Facilities and Capital Projects and Director ofFinance
Director ofEstates, Facilities and Capital Projects
Director ofEstates, Facilities and Capital Projects and Director ofFinance
DELEGATEDMATTER / AUTHORITYDELEGATED TO / REFERENCE DOCUMENTS
11. / Condemningand Disposal
Itemsobsolete,obsolescent,redundant, irreparableorcannotberepairedcost effectively (including x-ray films, mechanicalandengineeringplant):
a)with currentestimated value of less than£5,000
b)with currentestimated value greater than£5,000 / DirectorateManager Director ofFinance / SFI 12
DisposalPolicy
12. / Losses, Write-Offsand Compensation
a)Cash Losses (theft, fraud, salary, overpayments, loss of cash), Bad DebtsandAbandonedClaims
•upto£10k
•£10kto£50
•above£50k
b)Fruitless Payments (including abandoncapitalschemes)
•upto£50k
•£50kto£100k
•above £100k
c)Loss or Damage to buildings, property,equipmentandstock
•upto£50k
•above£50k
d)Compensationunderlegalobligation
•upto£10k
Personal Injuries
•upto£50k
•above£50k
MedicalNegligence
•£10kto£250k
•above £250k / Chief Nurse Director of Governance / Deputy Director ofFinance Director ofFinance
Chief Executive
Director of Estates, Facilities and Capital Projects
Director ofFinance
Chief Executive
Director of Estates, Facilities and Capital Projects
Chief Executive
Chief Nurse Director of Governance
Chief Nurse Director of Governance
Chief Executive
Director of Finance
Chief Executive / SFI 12
SFI Schedule III

December 2015

DELEGATEDMATTER / AUTHORITYDELEGATED TO / REFERENCE DOCUMENTS
e)Extra Contractual Payments to Contractors
•upto£50k
•above£50k
f)Ex-gratiapayments topatients and staff for loss of personal effects
•upto£10k
•£10kto£50k
•above£50k
g)Extra statutory and extra regulatory payments, and paymentsrelating to mal-administration / Director ofFinance Chief Executive
Associate Director of Workforce/ Chief Nurse & Director of Governance
Director ofFinance Chief Executive
HM Treasury
13. / Reporting of Incidents tothe Police
a)Whereacriminaloffenceissuspected
b)Whereafraudisinvolved / Clinical Site Manageror manager nominated by a Divisional DirectorCompliancewiththe CounterFraudand/or Security Management Services requirementsisalso required.
Director ofFinancein conjunctionwiththeLocal CounterFraudSpecialist / CounterFraudand Corruption Policy
14. / PettyCashDisbursements
a)Expenditure up to £60
b)Reimbursement of patients monies
c)Reimbursementofpatientsfares / Petty Cash Signatory Chief Cashier (cheque
request)
Outpatients Manager / SFI 8.5
SFI ScheduleII
15. / Receipt orProvision of Hospitality and Gifts
Appliestobothindividual andcollective hospitality received/provided. / All Trust Employeeshavea duty to declare / StandingOrder26 Standard of
BusinessConduct
16. / Implementation of Internal and ExternalAuditRecommendations / Director ofFinance / SFI1
17. / Maintain andUpdate Trust Financial Procedures / Director ofFinance / SFIIntroduction
DELEGATEDMATTER / AUTHORITYDELEGATED TO / REFERENCE DOCUMENTS
18. / Personnel Pay
a)Authority to fill funded post on the establishment
b)Authority to fill funded post not on the establishment(i.e.increasingrevenue cost to the Trust)
Authority to employ bank/agency staff
c)The grantingof additionalincrements to staff within budgets and regulations
d)Allrequestsforupgrading/re-grading shallbe dealtwith in accordance with Trustprocedures
e)Additional staff to the agreed establishment with specifically allocatedfinance
f)Pay:
i)Authority to complete standing data forms effecting pay, newstarters, variations and leavers.
ii)Authority to complete and authorise positivereportingforms.
iii)Authority to authorise overtime
iv)Authority to authorise travel and subsistence expenses.
g)AnnualLeave:
i)Approval ofannual leave
ii)Approval ofannual leave–carry forwardupto5days
iii)Approval ofannual leave–carry forwardofmorethan5days
h)CompassionateandSpecialLeave:
i)Compassionateleaveupto5days
ii)Compassionateleaveover5days
iii)Specialleavearrangementsupto five day (with pay) / Budget Holder in conjunctionwithDirectorate HRManager
ChiefExecutiveandDirector of Finance
Line/DepartmentalManager orBudgetHolder
BudgetHolder where discretionallows and Associate Director of Workforce
Line/DepartmentalManager inconjunctionwithAssociate Director of Workforce
BudgetHoldersin conjunctionwithAssociate Director of Workforce
HeadofbusinessandHR systems
BudgetHolders Line/DepartmentalManager
Line/DepartmentalManager
Line/DepartmentalManager
Line/DepartmentalManager
Directorate Manager/Executive Director asappropriate
Line/DepartmentalManager Line/DepartmentalManager inconjunctionwith Divisional HRManager
Line/DepartmentalManager / SFI7
Establishment Control Procedures
Whitley Council Conditions of Service
Agendafor ChangeTerms andConditions
Consultant MedicalContracts
Relevant Trust Policiesand Procedures

December 2015

DELEGATEDMATTER / AUTHORITYDELEGATED TO / REFERENCE DOCUMENTS
i)UnpaidLeave
i)Unpaidleaveupto5days
ii)Unpaidleaveinexcessof5days
j)SickLeave
i)Authorisationof sick leave
ii)Return to work part-time on full pay toassistrecovery
iii)Any extension of sick leave over employeeconditionsofservice
k)Study Leave
i)All study leave outside the UK including CME/professional leave
ii)Medical Staff CME/Professional study leave (UK)
iii)Junior medical staff in training
iv)All other study leave (UK)
l)RelocationExpenses
Authorisationof payment of relocation
expensesincurredbyofficerstaking upnewappointment(inaccordance with local policy)
m)GrievanceProcedure
Allgrievancecasesmustbedealt withstrictly in accordancewith the TrustGrievanceProcedureandthe adviceofHumanResourcesmustbe sought / Line/DepartmentalManager Line/DepartmentalManager
inconjunctionwith DivisionalHRManager
Line/DepartmentalManager Line/DepartmentalManager
inconjunctionwith DivisionalHRManager andOccupational Health
Line/DepartmentalManager inconjunctionwith DivisionalHRManager
Chief Executive/Medical Director inconjunctionwith the Clinical/Executive Director
MedicalDirectorin conjunction with the Clinical Director
Director of Medical Educationinconjunction withClinicalDirector
Line/DepartmentalManager
Associate Director of Workforce
Associate Director of Workforce / Study Leave Policy
Study leave policy

December 2015

DELEGATEDMATTER / AUTHORITYDELEGATED TO / REFERENCE DOCUMENTS
n)DisciplinaryProcedure
Alldisciplinarycasesmustbedealt withstrictly in accordancewith the TrustDisciplinaryProcedureandthe adviceofHumanResourcesmustbe sought
o)AuthorisedCar andMobilePhone Users
i)Requests fornew post to be authorisedasregular car users
ii)Re-designation of existingpostsas authorisedcaruser
iii)Requests forauthorisedmobile phoneuserstatus
iv)Requestsforauthorised Blackberry user status
p)Renewal of Fixed Term Contract
q)Staff Retirement Policy
r)Redundancy
s)Ill HealthRetirement
Decisiontopursueandauthorise retirementonthegroundsofillhealth
t)Dismissal/Suspension
u)Appointment of consultantand honoraryconsultantmedicaland dental staff / Associate Director of Workforce
Executive/ClinicalDirector, GeneralManager,Senior Nurse
Executive/ClinicalDirector, GeneralManager,Senior Nurse
Executive/ClinicalDirector Executive/ClinicalDirector
Line/DepartmentalManager inconjunctionwithHeadof Employee Relationsand Financeas appropriate
Associate Director of Workforce
Associate Director of Workforcein conjunctionwiththeDirector of Finance
Associate Director of Workforcein conjunctionwith Clinical/ExecutiveDirector andOccupational Health
Chief Operating Officer in conjunctionwiththeChief Nurse and Medical Director for dismissal/suspension of registered professionals, and other directors as appropriate.
Appointments Advisory Committee
19. / Authorisation of New Drugs / Medical Director and Chief
Pharmacist

December 2015

DELEGATEDMATTER / AUTHORITYDELEGATED TO / REFERENCE DOCUMENTS
20. / Authorisation of Sponsorship Deals
a)GeneralSponsorship
b)Research Development Sponsorship / Chief Executive, Medical Director andDirector of Finance
R&D Committee in liaison withtheR&DManager / R&DPolicy
21. / AuthorisationofResearchDevelopment Projects / R&D Committee in liaison withtheR&DManager / R&DPolicy
22. / Authorisation of Clinical Trials / R&D Committee in liaison withtheR&DManager / R&DPolicy
23. / Insurance Policies and Risk Management / Chief Nurse & Director of Governance in conjunction with the Head of Patient Safety and Risk / RiskManagement Strategy
24. / Multi-UserClinical Products Review / R&D Committee in liaison withtheR&DManager / R&DPolicy
25. / Patients and Relative’ Complaints
a)Overall responsibility for ensuring that all complaints are dealt with effectively
b)Responsibility for ensuring complaints relatingtoaDirectorateare investigated thoroughly
c)Effective management of medical legal complaints / Chief Nurseand Director of Governance
Chief Nurseand Director of Governance/Complaints Officer/GeneralManager
Chief Nurseand Director of Governance/ClaimsHandler if complaints becomes a claim / Complaints Procedure
26. / Relationshipwith Press
a)Within officehours
b)Outsideofficehours / MedicalDirector/Chief NurseandDirector of Governance
Senior Manager on-call/ Clinical Site Manager in
liaison with the Medical Director /ChiefNurseand Director ofGovernance / Media Policy
27. / InfectiousDiseases& Notifiable Outbreaks / Infection Control Doctor / Infection Control Policy

December 2015

DELEGATEDMATTER / AUTHORITYDELEGATED TO / REFERENCE DOCUMENTS
28. / ExtendedRoleActivities
Approval for staff to undertake extended professionalclinicalroles / MedicalDirector
Chief Nurse Director of Governancefornursingstaff / Professional Organisations& Regulatory Bodies
29. / PatientServices
a)Variationof operatingandclinic sessionswithinexistingresources
b)Allproposedchangesinbed allocationanduse:
•Temporary change
•Permanentchange / ChiefOperatingOfficer
Executive officeron call Chief Executive
30. / Facilities for Staff not Employed by the Trust togain Practical Experience
a)Professional recognition,honorary contractsandinsuranceofmedical staff
b)Workexperiencestudents
c)Volunteers / Medical Staffing Manager
Head of Education
Head of Patient Experience
31. / ReviewofFirePrecautions / Director ofEstates, Facilities and Capital Projects with Head of Facilities
32. / Reviewof all statutorycompliance legislationandHealthSafety requirements, including Control of
SubstancesHazardoustoHealth
(COSHH) / Director ofEstates, Facilities and Capital Projects in conjunctionwithHeadof Estates
33. / ReviewofMedicines Inspectorate Regulation / MedicalDirectorin conjunction with Chief
Pharmacist
DELEGATEDMATTER / AUTHORITYDELEGATED TO / REFERENCE DOCUMENTS
34. / Reviewof compliancewith environmental regulations, (e.g. clean air, waste disposal) / Director ofEstates, Facilities and Capital Projects in conjunctionwithHeadof Estates
35. / Review of Trust’s Compliance with the Data Protection Act / MedicalDirector
36. / Monitorproposalsforcontractual arrangements between the Trustand
outsidebodies / Director ofFinanceand
other appropriate Executive Director
37. / ReviewtheTrust’scompliancewith AccesstoRecordsAct / MedicalDirector
38. / ReviewoftheTrust’s compliancewith theCodeofPracticeforhandling
confidentialinformationin the
contractingenvironmentand compliancewith “safe Haven” per EL(92)60 / Director ofFinanceand MedicalDirector
39. / ThekeepingofaDeclarationof Interest Register / HeadofCorporate Governance / StandingOrders
40. / ThekeepingofaHospitalityRegister / HeadofCorporate Governance / StandingOrders
41. / Attestationof sealing inaccordance with Standing Orders
Maintaininga Register of Sealings / Chief Executive andHead of Corporate Governance . In the absence of either of the two officerstheChairman(or anotherDirectorduly authorised by the Chairman) may attest the use of the seal.
HeadofCorporate Governance / StandingOrders Part IV
42. / RetentionofRecords / Chief Executive
43. / Clinical Governance / Medical Director, Chief NurseDirectorof Governance
44. / Serious Untoward Incident Reporting / Chief Nurse and Director of Governance
45. / Management of Medical Devices / Chief Nurse Director of Governance / MedicalDevices & Equipment Policy
46. / Management and control of computer systemsandfacilities / Director of IT
47. / Authorisation of credit notes
-Relating to contractual under performance of activity
-All other credit notes / <£250k Deputy Director of Finance
>£250k Director of Finance
<£50k Head of Financial Control
<£100k Deputy Director of Finance
>£100k Director of Finance

PolicySubmissionForm

1 / Detailsofpolicy
1.1 / TitleofPolicy: / Reservation of Powers and Scheme of Delegation
1.2 / LeadExecutiveDirector / DirectorofFinance
1.3 / Author/Title / DeputyDirectorofFinance
1.4 / LeadSubCommittee / AuditCommittee
1.5 / ReasonforPolicy / It sets out those matters that the Trust Board reserve that cannot be delegated and the extent to which other matters can be delegated.
1.6 / Whodoespolicyaffect? / TrustDirectors,officersandagents.
1.7 / Arenationalguidelines/codesofpracticeincorporated? / Yes
1.8 / HasanEqualityImpactAssessmentbeencarriedout? / Yes
2 / InformationCollation
2.1 / WherewasPolicyinformationobtainedfrom? / CompiledinaccordancewiththerequirementsandprovisionsofTheNHSandCommunityCareAct1990,Healthand Social Care (Community Health and
Standards)Act2003, Health and Social Care Act 2012andarebasedonthe
Model documentissuedbytheNHS.
3 / PolicyManagement
3.1 / Istherearequirementforaneworrevisedmanagementstructureifthepolicyisimplemented? / No
3.2 / IfYESattachacopytothisform
3.3 / IfNOexplainwhy / Incorporatesexistingmanagementstructure
4 / ConsultationProcess
4.1 / Wasthereinternal/externalconsultation? / Yes
4.2 / Listgroups/Personsinvolved / AuditCommittee
Executive Directors
Head of Procurement
Head of Governance
Head of Financial Control
4.3 / Have internal/external comments been duly considered? / Yes

December 2015