Performance Committee Assurance Report - February 2026
Meeting: Trust Board – Public Meeting
Date: 11 February 2026
Report Title: Performance Committee Assurance Report
Agenda Item: PUB26/02/2.4
Committee Date: 26 November 2025
Meeting Chair: Julie Thallon, Non-Executive Director and Committee Chair
Meeting quorate: YES
Purpose: Assurance
| Link to EEAST Strategic Mission: | |
|---|---|
| Patient Mission | X |
| Partnership Mission | X |
| People Mission | |
| Productivity Mission |
Summary of items considered at the meeting:
| Issue | Consideration | Resolution | Assurance |
|---|---|---|---|
| Patients per Shift reporting | Paper presented following an action from previous meeting discussing how to measure the impact on delays for crews at hospitals and the incidents that could be responded to if that ‘effective’ time were available. | Committee agreed on method A as presented in the paper, which measures the time effective hours lost against the extra patients that could be seen without the lost hours (if they were time effective). Ability to measure this should provide the detail required to inform productivity improvement and better efficiency. This metric is expected to be included from the February IPR to Committee. | Good |
| Board Assurance Framework | Continued development of the framework and contents was welcomed. Some mitigations and actions need to be further reviewed to ensure they are representative of the risks and actions needed. Also discussed the link to transformation and impact demonstrated in the IPR. | Further development still required but substantial progress and improvement noted. The Committee is keen to see the thread between the risks, actions taken and the impact through performance – looking to make this link more explicit would ensure the BAF remains relevant and impactful. | Moderate |
| Group Assurance Report | This reports inability to meet the assurance needs of the Committee remains a concern. The governance structure reporting into the Performance Committee and how assurance can be provided without duplication of work. | This report should be ceased until a review of the governance of the groups, their purpose and terms of reference that report to Performance Committee can be reviewed. This should be undertaken as soon as practical. | Limited |
| NHS Annual Return | Progress against the 9 metric areas identified in the PA report. Whilst good progress is noted everyone is mindful of the increasing winter pressures and the potential impact this may have. | Good progress continues to be made with good articulation of the issues. Significant progress continues to be demonstrated against the same period in 2024, and colleagues were thanked for their continued efforts and hard work which continues to demonstrate sustained improvement. NHSE have reviewed our performance and are assured by progress against those metrics considered attributable solely to EEAST. | Good |
| Committee IPR & metrics | The IPR was discussed by exception as most areas covered in discussion on annual return 9 key metrics. | Need to monitor as winter pressures increase and look at the impact of winter plan actions as well as sustaining improvements that have demonstrated impact is important. | Good |
| Winter Plan Review | Good report on actions being taken but limited feedback on the impact actions may be having. Maintaining PFSH may be challenging given recruitment timescales, but progress made with call centre and CAS staff appointments. | Keep under constant review and ensure actions can be related to the IPR to track impact and sustainability. | Moderate |
| Business Continuity 6mth Review | Discussed as it relates to performance, but this paper has already been reviewed by Audit Committee. | The self-assessment has been reviewed and is presents a good position for the trust. | Good |
| Transformation Programme Group | Discussed feedback from the groups and noted progress. Discussed how to ensure the report remains faithful to transformation and doesn’t become a report on performance progress. | Agreed need to link programmes of work to the trust missions and look at the cross-cutting impacts e.g. EOC reconfiguration. | Good |
| System Partnerships update | We are still awaiting further NHSE guidance on the next stage development of the clinical hubs. Further lone development by EEAST may be unwise in case decisions are made that may be contrary to the direction of travel directed from the centre. | There continues to be a risk to the trust around how to deliver against targets with uncertainty in the system. EEAST remains committed to system working and will continue to work closely with partners and will continue to seek ways to demonstrate impact and potential across the system. | Moderate |
Matters for escalation or referral:
None.
