Performance Committee Assurance Report 2 - 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: 30 April 2025
Meeting Chair: George Lynn, Non-Executive Director and Acting 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 (IPR) | The Trust and Committee IPRs are also being updated. It was reported that metrics had been agreed, and the build was expected to be commenced shortly; new reports provided to 02 July meeting. | Noted the ongoing work and that draft reports will be reviewed by Performance Committee Chair and ELT members. | Moderate |
| Winter 2024-25 Debrief Update Report | Received output of structured debrief on EEAST’s planning and responses during the Winter 2024-25 period, including key learnings and future risks. | Noted review process undertaken, positive and development points. The degree of variation in the performance of system partners was noted. | Reasonable |
| Business Continuity Report | Review of management actions and proposed activities in response to Internal Audit report and Business Impact Assessments (BIA) of EEAST’s Business Continuity measures. | Noted the response to the internal audit report, especially relating to management and oversight. BIA identified the need to link the Business Continuity and Digital teams to work on live incidents. Noted the planned Business Continuity exercise due on 20 May. | Reasonable |
| Internal Audit Final Report – Performance Management and Data Quality | Independent internal audit final report on current IPR and data quality. | Noted the internal audit comments on performance management and data quality broadly concurred with the Board’s view – which has led to an overhaul of the IPR analysis noted earlier. Noted that, despite that, EEAST’s reporting provided the Board with reasonable assurance. | Reasonable |
| Internal Audit Final Report – Frequent Caller Review | Internal audit report on Frequent Callers; no urgent but seven important recommendations were identified. | Noted that EEAST has processes in place to manage those patients who had high contact with the ambulance service, identifying their un-met needs and working with community providers and GP multidisciplinary teams (MDT’s). The internal auditor noted that there is no management reporting being requested or provided in relation to frequent callers, providing limited assurance with regard to process management and governance. | Moderate |
| Operational Performance Reporting Dashboard | Report on using nine Key Operational metrics (based on OPIP work 2024/25) | Noted key operational metrics had been identified with PA Consulting. Target trajectories had been developed. Noted the intention to use this dashboard as a key operational management tool. Noted the significant work undertaken by the Operations teams, and the focus given to the identified areas which had resulted in substantial improvements. | Reasonable |
| Transformation Portfolio Update – Clinical Operations Change Programmes | Progress report on the following change programmes: (i) EOC Transformation (ii) Operational Productivity (iii) Operational Support Transformation | Noted progress being achieved but reflected on risks within the plan, particularly with (i) high-level risks with access to the Directory of Service, and (ii) meeting the fleet replacement programme. | Reasonable |
| System Partnership Progress Update | Report covered (i) system partner engagement following ICB restructure announcements, (ii) Community First Responder (CFR) utilisation, and (iii) Unscheduled Care Co-ordination Hub (UCCH) metrics. | Noted ongoing engagement with system partners and the need for better UCCH metrics and performance management. Expressed concern at cessation of funding for dedicated CFR despatch resource at EOC’s from 31 March. Referred to People Committee with respect to CFR utilisation | Moderate |
| Non-Emergency Patient Transport Services (NEPTS) | Update report on NEPTS contracts, performance and key activity metrics. | Noted ongoing engagement with system partners and the need for better UCCH metrics and performance management. Expressed concern at cessation of funding for dedicated CFR despatch resource at EOC’s from 31 March. Referred to People Committee with respect to CFR utilisation | Moderate |
| Board Assurance Framework (BAF) | Report reflecting that the EEAST BAF is currently being updated following a Board Risk Workshop. | Noted the current ongoing work and that the final draft should be presented to the Private Board on 07 May. | Moderate |
| Sub-Group Assurance Report | Report from the Compliance and Risk Group (CRG) | Noted only one sub-group report: Regulated Provider Assurance Group | Reasonable |
| Performance Committee Annual Report 2024-25 | Performance Committee annual effectiveness report 2024/25 to be submitted to the Audit and Risk Committee | Noted the report’s conclusion that there is a risk that insufficient time is available for meetings. It was agreed to increase the frequency of Committee meetings, but noted the concern that this should not interfere with ELT’s responsibility for operational management. | Reasonable |
Matters for escalation or referral:
| Issue | Resolution | Reason | |
|---|---|---|---|
| CFR Utilisation | People Committee | To consider the impact on CFR utilisation resulting from the cessation of funding for dedicated CFR dispatch resource at EOC’s from 31 March 2025 |
