1. Trust Board Meeting 31 st January 2006 CHIEF EXECUTIVE’S BRIEFING Tom Taylor Chief Executive

2. Since last time ……………. Dr M Bamford taken up her post as Chair 53 applicants for 3 Non-Exec vacancies!!! ( Interviews 6 th & 7 th February) MD and FD jobs advertised (Interviews 1 st and 2 nd March) Trish confirmed as Deputy Chief Executive

3. Since last time ……………. CNST Level 2 for Maternity Improving Working Lives Practice Plus Head & Neck Improving Outcomes Guidance Review Foundation Trust “Board to Board” with SHA

4. Since last time ……………. Ernst & Young Turnaround Team Review West Midlands SHA Intervention Team Review MB/TT meeting meeting with Secretary of State Adjournment debate on “Shropshire Finances” Telford Senior Citizens Forum Presentation

5. Since last time ……………. Last seven days: Payment by Results 2006/07 Guidance NHS Operating Framework 2006/07 “Out of Hospitals” White Paper Listed for mandatory “Turnaround” support Healthworks meetings re change management programme

6. Since last time ……………. Extreme demand on beds/ theatres Community beds closed 98% A&E target not achieved yet in January High number of medical outliers So how do we break out from fire fighting?

7. What should our aims be? 1.High quality patient services should come first 2.Open and honest dialogue with the public/ staff/ LAs/ MPs/ WA 3.Understand the population we serve – opportunities / threats 4.Retention of two District General Hospitals (with A&E) 5.Productivity/ processes/ procurement/ PbR rather than major reconfiguration 6.Community Hospitals should not close 7.Committed to making our share of savings – everyone else must be 8.Statutory Duty to balance the books

8. What should our Strategy be: We need a single joined up strategy and supporting implementation plan that will deliver a lean, high quality (not just safe) and viable (financial and clinical) organisation to achieve foundation status in 2008 and realise all the associated benefits

9. What should our Strategy be: NON NEGOTIABLES Clinical targets and quality Financial balance

10. What should our Strategy be: Not a single major reconfiguration but no change is not an option either Service by service review to determine optimum county-wide provision to patients Must align with “Out of Hospital” White Paper direction of travel