Performance Committee Assurance Report - November 2025
Meeting: Public Board
Date: 5 November 2025
Report Title: Performance Committee Report to Board
Agenda Item: PUB25/11/5.4
Committee Date: 24.09.2025
Meeting Chair: Julie Thallon Non-Executive Director
Meeting quorate: For the second half only
Purpose: Assurance
Link to EEAST Strategic Mission:
- Patient Mission
- Productivity Mission
Summary of items considered at the meeting:
| Issue | Consideration | Resolution | Assurance |
|---|---|---|---|
| NHS Annual Return | Progress against the 9 metric areas identified in the PA report. | 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. The increased sickness rate in August and September was discussed and is to be referred to People Committee for a possible deep dive. | Good |
| Committee IPR & metrics | The IPR was discussed by exception. Even for areas consistently failing the target there is improvement across many areas. Some metrics are inconsistent with those in other reports at the Committee and the need for consistency and ‘one truth’ was discussed. | Refer inconsistent metric values to Board for further consideration. | Good |
| Committee IPR & metrics | The IPR was discussed by exception. Even for areas consistently failing the target there is improvement across many areas. Some metrics are inconsistent with those in other reports at the Committee and the need for consistency and ‘one truth’ was discussed. | Refer inconsistent metric values to Board for further consideration. | Good |
| Transformation Programme Group | Discussed feedback from the groups and noted progress. There is inconsistency across the reports for this meeting to those for the last one and so progress is difficult to track. | Good progress reported and Committee members asked for colleagues to be thanked for their continued hard work. Ensure consistency and read across between reports to enable better tracking and understanding of progress. | Good |
| System Partnerships update | The ICBs remain in transition to the new structures which means some uncertainty for EEAST around operations and system working, particularly going into this winter. | There is a risk to the trust around how to deliver against targets with uncertainty in the system. Implementation of the NHS 10yr plan and the shift from acute care into the community will need local development and agreement but the framework for that remains unclear. EEAST remains committed to system working and will continue to work closely with partners. | Moderate |
| Integration Progress Report | Verbal update provided. | Good | |
| Urgent Care Coordination Hubs | Committee received a paper on the current position and progress with the development of the UCCHs. Concerns raised about winter plans for managing higher numbers of patients in A&E and the impact on handover and maintaining operational performance for EEAST. | CEO having discussions with acute CEOs and within systems more widely about managing pressures. It is also being raised with NHSE. A more comprehensive dashboard is being developed which will cover the full range of services provided through the UCCHs. This will demonstrate significantly higher numbers of patients being triaged into more appropriate services. | Good |
| Patient Transport Service | This paper updated the Committee on the progress made. The services working under the new contractual arrangements is delivering an improved service whilst also delivering financial savings | Ensuring that the transfer of the service from NEE is managed using any lessons learned from the challenging transfer from C&P. | Substantial |
| Volunteer and Collaborative Functions | Committee received a paper detailing the range and current performance of these services. The range of offers and their impact on performance is well received. | The metrics around services will be included in the IPR once refined. Local variations in the services across the current 6 systems will need to be carefully managed across the EOCs to ensure they are used appropriately and to their fullest extent. Now that the baseline has been articulated work will progress on fully optimising existing potential and then moving on to further development and extension. | Substantial |
| Board Assurance Framework | Committee discussed the current version of the BAF which remains limited. | Further work is still required to get this right to ensure the content is reflective of the key metrics and areas of concern in the IPR. CEO leading the review to resolve this as soon as possible. | Limited |
| Group assurance reports | As discussed at previous meetings, this report still does not meet the needs of the Committee. | Further work needs to be carried out to try and ensure that these groups provide assurance to the Committee as the current arrangements are still not working. | Limited |
Matters for escalation or referral:
| Issue | Resolution | Reason | |
|---|---|---|---|
| Sickness rates persisting beyond summer. | People Committee | A pattern of sickness rates increasing in the summer is causing concern and failing to meet the required performance levels. | |
| Inconsistent metrics | Board | The variation of metrics across papers is providing and incomplete and inconsistent version of performance. Discuss how to ensure one version of the position is agreed before presenting to Committees. |
