Summary of Trust Board - March 2026

Updates provided

  • Replacement care services are transitioning due to funding challenges, with a focus on safe handover.
  • Performance updates highlighted waiting time pressures, particularly in neurodiversity and paediatrics.
  • Workforce updates included ongoing recruitment challenges and national role reviews.
  • Financial updates confirmed delivery against plan and preparation for a difficult future year.
  • Patient experience work continues to strengthen engagement, health literacy, and co-production.
  • Neighbourhood health was emphasised as a key strategic priority for integrated care delivery. 

Positive news and assurance

  • Patient feedback on respite services was highly positive, highlighting strong care and support for families.
  • The system delivered its best winter performance in several years, with improved flow and stability.
  • Staff engagement scores improved and are now above the national average. 
  • The Trust remains financially stable and on plan, with good governance and control.
  • Emergency preparedness is strong, with high compliance against national standards. 

Decisions made

  • Minutes and actions from the previous meeting were approved.
  • The emergency preparedness assurance statement was approved.
  • Revenue and capital budgets were approved, confirming a balanced financial plan.
  • The Board agreed to continue monitoring key risks closely and to support safe service transitions. 

Matters of concern

  • Concerns were raised about the impact of service changes on families using replacement care.
  • Financial pressures and funding shortfalls remain significant risks.
  • Staffing pressures persist, particularly in specialist services.
  • Some regulatory and improvement programmes have been delayed due to capacity constraints. 
  • Staff concerns about the effectiveness of speaking up highlight communication gaps, but work is underway to improve this.