Perfomance Committee Assurance Report - September 2025
Meeting: Trust Board – Public Meeting
Date: 10 September 2025
Report Title: Performance Committee Assurance Report
Agenda Item: PUB25/09/4.3
Committee Date: 02 July 2025
Meeting Chair: Julie Thallon, Non-Executive Director and Committee Chair
Meeting quorate: YES
Purpose: Assurance
Link to EEAST Strategic Mission:
- Partnership Mission
- Productivity Mission
Summary of items considered at the meeting:
| Issue | Consideration | Resolution | Assurance |
|---|---|---|---|
| Committee IPR & metrics | The Committee reviewed the new-style IPR, considering both the format and the performance information. The new report was welcomed. The Committee discussed the timeliness of the data, noting that today’s report used April data despite May and some June data being available. The winter plan for 25/26 was also discussed. | It was agreed that the Performance Committee should only be presented with the information relevant to its business to avoid duplication or omission between Committees. Further work to be undertaken to ensure more up-to-date information is included in the IPR for presentation at the Committee. A further review of workforce planning—particularly the vacancy rate and skill mix—to be referred to People Committee. The ongoing development of the winter plan for 25/26 is being considered by Executive Directors and will be submitted to Performance Committee in due course. It will include information about the new system for managing fleet, as raised at the last Performance Committee meeting. | Moderate |
| NHS Annual Return | The Committee reviewed progress against the nine metric areas identified in the PA report as key to delivering performance improvement. | Very good progress was noted against 8 of the metrics, with a clear understanding of why on-scene times for conveyed patients were not performing as planned and how lower conveyance rates were instead supporting that metric. Significant progress compared to the same month in 2024 was noted, and colleagues were thanked for their continued efforts and hard work, which were delivering sustained improvement. As this report outlines the key metrics for the Committee, it was agreed that these would form the focus of discussions and be taken before the IPR. The 9 metrics should guide Committee discussions and be linked to the BAF to ensure the golden thread between operational performance and risk continues to be maintained. | Good Assurance |
| Transformation Programme Group | Discussed feedback from the groups and noted progress. | Groups generally performing well, with additional support provided to those slower to deliver. Data presented aligns with and supports the improvements outlined in the Annual Plan. | Moderate |
| Integration Progress Report | The Committee considered risk associated with the reorganisation of NHSE and ICBs, as well as the plans around acutes leading the health partnerships and the need to ensure community services are commissioned to support system operations. | EEAST has a pivotal role in the emerging new systems and the opportunity to provide support and direction. The organisational changes within Local Authorities were discussed, with the Integration Team tasked to provide updates as changes emerge to help the Board understand their impacts. | Substantial |
| Board Assurance Framework (BAF) | The Committee considered the first draft of the new BAF. | The format was agreed to be appropriate, but further work is needed to ensure the content reflects the key metrics and areas of concern in the IPR. Actions also need to be more action focused as they are currently more measurement based. Additional work also to be done on scoring and this is 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 needs to be carried out to try and ensure that these groups provide adequate assurance to the Committee, as current arrangements are still not effective. Meeting to be convened to address this, with the Committee Chair involved to ensure any new arrangements meet the Committee’s needs. | Limited |
Matters for escalation or referral:
| Issue | Resolution | Reason |
|---|---|---|
| Workforce planning: Further development of an approach for managing intensive users of the 999 services | People Committee and Governance Committee | This is out with the remit of the Performance 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. |
