Performance Committee Assurance Report - July 2025
Meeting: Trust Board – Public Meeting
Date: 9 July 2025
Report Title: Performance Committee Assurance Report
Agenda Item: PUB25/07/4.2
Committee Date: 2 July 2025
Meeting Chair: Julie Thallon, Non-Executive Director and Committee Chair
Meeting quorate: YES
Purpose: Assurance
Link to Strategic Objective:
- Provide outstanding quality of care and performance.
- Be excellent collaborators and innovators as system partners.
Summary of items considered at the meeting:
| Issue | Consideration | Resolution | Assurance |
|---|---|---|---|
| Committee Integrated Performance Report and metrics | The Committee reviewed the new style IPR and considered both the new format and performance information. The new report was welcomed. The Committee discussed the contemporaneousness of the information. Today’s report was using April data and yet May and some of June was available. Discussed the Winter Plan for 2025/26. | It was agreed that the Performance Committee should only be presented with the information relating to the business of this Committee. This will avoid duplication or omission between Committees. Further work to be undertaken on getting more contemporaneous information into the IPR for presentation to the Committee. Further review of workforce planning, particularly the vacancy rate and skill mix, to be referred to People Committee. The ongoing development of the 2025-26 Winter Plan is being considered by Executive Directors and will be submitted to Performance Committee in due course. It will include information about a new system for managing fleet as raised at the last Performance Committee meeting. | Moderate |
| NHS Annual Return | Progress against the 9 metric areas identified in the PA Consulting report as those that will deliver performance improvement. | Very good progress was noted against 8 of the metrics, with good understanding of the issues behind why the time associated with On-Scene Times for conveyed patients was not performing as planned and how lower conveyance rates was instead supporting that metric. Significant progress was noted compared to the same month in 2024 and colleagues were thanked for their continued efforts and hard work which was showing sustained improvement. As this report details the key metrics for the Committee, it was agreed that this would be the focus for the discussions and should be discussed before the IPR. The 9 metrics should direct the discussion at Committee meetings and be related to the BAF to ensure the golden thread through operational performance and risk continue to be linked. | Good |
| Transformation Programme Group | Discussed feedback from the groups and noted progress. | Groups are generally performing well but those which are slower to deliver are being supported. The data presented supports the improvements already discussed in the Annual Plan. | Moderate |
| Integration Progress Report | Considered the risk associated with the reorganisation of NHS England and the Integrated Care Boards (ICBs). Considered the plans around acutes leading the health partnerships and the need to ensure community services are commissioned in support of system operations. | EEAST has a pivotal role to play in the emerging new systems and has an opportunity to provide support and direction. The Committee discussed the organisational changes for Local Authorities. Integration team to provide intelligence on the changes as they emerge to ensure the Board can understand the impacts. | Substantial |
| Board Assurance Framework | The Committee considered the first draft of the new BAF. | It was agreed that the format is good but further work is needed to ensure the content is reflective of the key metrics and areas of concern in the IPR. The actions need to be more action-focussed as they are currently more measurement based. Further work also to be done on scoring; scheduled following a further Board discussion. | Limited |
| Group Assurance Reports | As discussed at previous meetings, this report still does not meet the needs of the Committee. | Further work is needed to ensure that these groups provide assurance to the Committee as the current arrangements are still not working. Meeting to be convened to progress; Committee Chair to be involved to ensure that any new arrangements meet the needs of the Committee. | Limited |
Matters for escalation or referral:
| Issue | Resolution | Reason | |
|---|---|---|---|
| Workforce Planning | People Committee | This is outside the remit of the Performance Committee. | |
| Further development of an approach for managing intensive users of the 999 services | Quality Governance Committee | It was agreed that, whilst this can impact on performance, essentially it is about good quality support for vulnerable patients whose needs may extend beyond the ambulance service. |
