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Scheme of Reservation and Delegation 

This document sets out the scheme of reservation and delegation of NSFT, arising from the Standing Orders and Standing Financial Instructions and Constitution.

Table 1 – Matters reserved to the Board of Directors and Council of Governors Table 2 – Scheme of Delegation

Table 3 – Operational Scheme of Delegation Table 4 – Authorisation Limits by Role

Table 5 – Schedule of delegations in respect of the Mental Health Act

Title

Scheme of Reservation and Delegation

Outcome Statement

To provide a schedule of reserved and delegated matters arising from the Standing Financial Instructions and Standing Orders so that the Trust’s decision making and financial transactions are carried out in accordance with the law and to achieve probity, accuracy, economy, efficiency and effectiveness

Written by

Kathy Walsh, Deputy Director of Finance Jean Clark, Trust Secretary

Reviewed by

Audit & Risk Committee, Trust Board

In consultation with

Executive Committee

Approval by and date

Board of Directors

With reference to

NSFT Constitution

The NHS Foundation Trust Code of Governance July 2014

Associated Trust Policies

Standing Financial Instructions

Applicable to/ For use by

All employees, all Non-Executive Directors

Reference Number

F005

Version

10

Retention period

20 years

Published Date

July 2022

Review Date

July 2023

Impact Assessment

Reason for Development/review

Annual review to ensure the Scheme of Reservation and Delegation reflects the most up to date procedures of the Trust

Monitoring and implementation of policy

Chief Executive Officer, Chief Finance Officer Audit & Risk Committee

All employees and the Board have a duty to disclose any non-compliance with the Scheme of Reservation and Delegation and Standing Financial Instructions to the CEO and Trust Secretary as soon as possible

  1. Introduction

    1. The Foundation Trust Code of Governance states:

A1.1 The Board of Directors should meet sufficiently regularly to discharge its duties effectively. There should be a schedule of matters specifically reserved for its decision. The schedule of matters reserved for the board of directors should include a clear statement detailing the roles and responsibilities of the council of governors. These arrangements should be kept under review at least annually.

  1. The NSFT Constitution states:

  1. The powers of the Trust are set out in the 2006 Act

  2. The powers of the Trust shall be exercised by the Board of Directors on behalf of the Trust.

  3. Any of these powers may be delegated to a committee of Directors or to an Executive Director

  1. The NSFT Standing Orders and Standing Financial Instructions state:

    1. The Standing Financial Instructions (SFIs)

    2. The Standing Orders (SOs)

  2. The purpose of this document is to demonstrate how those powers are to be reserved to the Board while at the same time delegating to the appropriate level the detailed application.

  3. The Board remains accountable for all of its functions including those delegated and would therefore expect to receive information about the exercise of delegated functions. Powers and decisions may only be exercised by the Board of Directors in formal session. Any non-compliance will be reported to the next formal meeting of the Board for action or ratification.

  4. FTs can only delegate authority to a committee of directors or to an Executive director i.e. individual Non-executive directors cannot be delegated powers by the board and committees that have formal memberships other than directors cannot be delegated powers by the Board. Where committees are authorised to establish sub-committees they may not delegate executive powers to the sub-committee unless expressly authorised by the Board of Directors

  5. All powers of the Trust which have not been retained as reserved by the Board or delegated to an individual or committee shall be exercised on behalf of the Board by the Chief Executive.

  6. This Scheme of Delegation shows only the ‘top level’ of delegation and is to be used in conjunction with the system of budgetary control and other established procedures within the Trust.

  7. In the absence of an officer to whom powers have been delegated, those powers shall be exercised by a designated deputy or by the responsible director.

Table 1 – Matters Reserved to the Board of Directors and to the Council of Governors

No.

Reserved Matter

Reserved to the Board of Directors

Reserved to Council of Governors

1

Set the Trust’s strategic aims

🗸

2

Approval of standing orders and standing financial instructions

🗸

3

Disclose any non-compliance with these SFIs to the CEO and Trust Secretary as soon as possible

🗸

4

The establishment, terms of reference and reporting arrangements of all committees and sub-committees of the Board; as a minimum Appointments and Remuneration Committee, Audit and Risk Committee, Charitable Funds Committee. The Board may establish such other committees as required to discharge the Trust’s responsibilities.

🗸

5

Approval and review of clinical governance arrangements

🗸

6

Approval and review of risk management arrangements, including emergency response, information governance

🗸

7

Approval of Standards of Business Conduct and Conflicts of Interest Policy

🗸

8

Expenditure in excess of approved budgets

🗸

9

Use of Trust’s land, buildings, property or other resources, or staff other than for relevant health services or collaboration with local authorities

🗸

No.

Reserved Matter

Reserved to the Board of Directors

Reserved to Council of Governors

10

Acquisition and disposal of significant assets (value greater than £500,000)

🗸

11

Approval of Capital Programme as part of Annual Plan

🗸

12

Approval of PFI Capital Procurement

🗸

13

Approval of banking arrangements

🗸

14

Closure or change of use of health services premises or the commencement of related formal procedures

🗸

15

Authorisation of the CEO to enter into partnership arrangements with local authorities regarding the provision of health-related local authority functions in accordance with S31 of the Health Act 1999

🗸

16

Approval and adoption of the Annual Report and Annual Accounts

🗸

17

Approve changes to the Trust’s Constitution

🗸

🗸

18

General: To hold the Non-Executive Directors individually and collectively to account for the performance of the Board of Directors

🗸

19

General: To represent the interests of the members of the Trust as a whole and the interests of the public

🗸

20

Financial: Appointment and removal of external auditors following recommendations of the audit committee

🗸

No.

Reserved Matter

Reserved to the Board of Directors

Reserved to Council of Governors

21

Financial: Receive the annual report, annual accounts and auditor’s report at the annual members meeting

🗸

22

Remuneration & Culture: Appoint and remove the Chair of the Board of Directors

🗸

23

Remuneration & Culture: Appoint and remove NEDs

🗸

24

Remuneration & Culture: Approve remuneration and other allowances of the Chair and NEDs

🗸

25

Remuneration & Culture: approval of process for evaluation of the Chair

🗸

26

Remuneration & Culture: to agree skills, knowledge and competencies required by the board and the process for performance evaluation of the NEDs

🗸

27

Remuneration & Culture: Approve the appointment of the CEO

🗸

28

Remuneration & Culture : Appoint and remove the lead governors

🗸

29

Strategy: to provide views on the forward plan and annual report

🗸

30

Strategy: Approve ‘significant transactions’ as defined in the Constitution; mergers, acquisitions, separations or dissolutions; proposals to increase the proportion of the Trust’s income earned from non- NHS work by 5% a year or more, as proposed by the Board of Directors

🗸

Table 2 – Main Scheme of Reservation and Delegation

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

STRATEGY AND PLANNING

1

PREPARATION & APPROVAL OF ANNUAL PLAN AND BUDGETS

Approval of Capital programme as part of Annual Plan

🗸

2

Compilation and submission to Board of Directors a Forward plan in respect of each financial year

🗸

🗸

3

Preparation and submission of budgets for approval by the Board of Directors prior to start of the financial year

🗸

4

Budget holders to sign up to their allocated budgets at commencement of each financial year. Care

🗸

🗸 budget

manager

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

Group/Department budgets to be approved

5

Determination of the level of delegation to Budget Holders

🗸

6

Approval of cost improvement and income generation activities in line with Annual Plan

🗸

HUMAN RESOURCES

7

APPOINTMENT AND REMUNERATION

Appoint and remove the Chair and NEDs

🗸

8

Approve remuneration and other allowances of the Chair and NEDs

🗸

9

Approve the appointment of the CEO

🗸

10

Approve remuneration and other allowances of Executive Directors including pension rights and any compensation

🗸

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

payments

12

TERMS AND CONDITIONS

Approve terms and conditions of employment and contractual arrangements for employees

🗸

13

Authority to grant discretionary increments to existing or newly appointed staff within budget, regulations and Agenda for Change Terms and Conditions

🗸

14

Authority to authorise temporary variations to pay rates within budget and standard Agenda for Change Terms and Conditions

🗸

15

CONTRACTS OF EMPLOYMENT

Authority to issue contract of employment in a form approved by the Board of Directors

🗸 Budget

manager

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

16

Authority to vary terms and conditions of employment not within budget and regulations

🗸with

executive

approval

17

Renewal of fixed term Contract <2 years

🗸 Budget

manager

18

Renewal of fixed term Contract =>2 years

🗸with

Chief People

Officer approval

19

Approval of payroll forms, including standing data forms affecting pay, new starters, variations and leavers, overtime payments

🗸 Budget

manager

20

Approval to authorise travel and subsistence expenses

🗸 Budget

manager

21

WORKFORCE/ ESTABLISHMENT

Approve workforce plans with annual budget as part of the Annual Plan

🗸

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

22

Agree the workforce establishment in line with workforce plans above

🗸

23

Authority to permanently appoint staff to posts above the formal budgeted establishment with NO income to offset

🗸with

executive approval

24

Authority to change establishment within Board of Director’s agreed financial budget

🗸

25

Authority to fill funded posts on the establishment within area of operational / corporate responsibility

🗸Budget

manager

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

26

Authority to add additional staff to the agreed establishment with specifically allocated finance

🗸

27

Authority to make changes to the establishment whether permanent or temporary including requests for re- grading within agreed budget

🗸

28

Engagement of staff whether permanent or temporary within agreed budget

🗸Budget

manager

29

Approval of Payroll provider (depending on value may need Board of Directors approval in addition)

🗸

REGULATION AND CONTROL

30

POLICY

Approval of policies:-

  • Clinical policies Quality Committee

  • Operational policies Service Delivery Board

31

Approval of all financial policies

🗸

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

32

SYSTEM OF INTERNAL CONTROL

Maintaining systems of internal control

🗸

33

Overview and scrutiny of systems of internal control including risk management

🗸

34

Preparation and publication of Scheme of Delegation, Standing Financial Instructions and financial procedures

🗸

35

Maintenance of Risk Management framework

🗸

36

Maintenance and review of Emergency Preparedness resilience and response procedures and business continuity planning

🗸

37

Maintenance and review of Information Governance, data protection and cyber security arrangements

🗸 as

SIRO

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

38

Review arrangements for Whistleblowing and Freedom to Speak Up

🗸

39

ANNUAL ACCOUNTS AND ANNUAL REPORT

Preparation and submission of financial reports in accordance with accounting policies, guidance and timetable prescribed and approved by the Department of Health

🗸

40

Preparation and publication of annual report and audited accounts and presentation to the Board of Director and to the Annual Public meeting of the Trust

🗸

41

Approval of Annual Report and Accounts

🗸

42

Receive the Annual Report and Accounts at the Annual General Meeting

🗸

43

AUDITORS

Appointment and removal of external auditors

🗸

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

44

Approval of internal auditors and Local Counter Fraud Specialist

🗸

45

Ensure adequate internal audit service and counter fraud service are provided

🗸

46

MANAGEMENT OF BUDGETS

Maintaining expenditure within budgets, in line with SFIs, at individual budget level

🗸

🗸Budget

manager

47

Transfers (virement) of budgets within same Department/Locality

🗸

48

Transfers (virement) of designated reserves budgets

🗸

49

Transfers (virement) of undesignated reserves/contingency

🗸

50

BUDGETARY DELEGATION (REVENUE)

Responsibility for delegation of the management of revenue budget to permit the

🗸

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

performance of a defined range of activities

51

(a) Designation of budget holder

🗸

52

(b) Responsibility for management of revenue budget at individual budget level

🗸

🗸Budget

manager

53

(c) Responsibility for the totality of activities covered by each Corporate or Operational Directorate

🗸

Executive Directors

54

(d) Responsibility for all other revenue budgetary areas,

e.g. reserves

🗸

55

BUDGETARY DELEGATION (CAPITAL)

Responsibility for delegation of the management of capital budget in line with the approved Capital Programme

🗸

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

56

(a) Designation of budget holder

🗸

57

(b) Responsibility for management and monitoring of the capital budget

🗸

58

(c) Responsibility for the management of capital budget at individual level

🗸Project

managers

59

Overview and scrutiny of capital programme

🗸

60

SYSTEMS OF PAYMENT AND PAYMENT VERIFICATION

Responsibility for prompt payment of accounts, contract invoices and claims and that payments are only made once the goods and services are received and been appropriately certified

🗸

61

Agree and maintain a list of managers authorised to place requisition for the ordering and receipt of goods and

🗸

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

services and authorisation of invoices

62

Agree and maintain a register of employees authorised to certify invoices

🗸

63

Pre-payments (i.e. payments in advance) only permitted where exceptional circumstances apply

🗸

64

EXTERNAL BORROWING

Preparation of detailed procedural instructions concerning applications for loans and overdrafts

🗸

65

Approval of Borrowings from the Department of Health

🗸

66

BANKING & CASH

Approval of banking arrangements

🗸

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

67

Opening of bank accounts

🗸

68

Designation of authorised officers for signing of cheques for cash, other cheques and authorisation of Government Banking Services and BACS payment schedules

🗸

69

Approval of Credit Card and Credit Card limit

🗸

70

INCOME, FEES AND CHARGES AND SECURITY OF CASH, CHEQUES AND OTHER NEGOTIABLE INSTRUMENTS

Maintain and ensure compliance with income and expenditure systems for prompt banking of all monies

🗸

71

Approval and regular review of the level of all fees and charges, other than those determined by the Secretary

🗸

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

of State or statute

72

Responsibility for debt recovery and associated procedures

🗸

73

Overview of Losses and special payments register

🗸

74

Security of cash, cheques and other negotiable instruments

🗸

75

Memorandum of Understanding (MOU)

Approval of MOU

🗸with

executive

approval

76

PROCUREMENT AND CONTRACTS

PROCUREMENT OF IN-HOUSE

SERVICES - Determination of in-house services to be subject to competitive tendering

🗸

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

77

PROCUREMENT OF IN-HOUSE

SERVICES - Delegation of lead officer(s) to oversee and manage the process and contract on behalf of the Trust

🗸

78

APPROVED FIRMS

Maintenance of approved list of firms for tendering – including financial standing, technical/medical competence

🗸

79

MANAGEMENT OF TENDERS

Issue of all tenders for goods, materials, services, building, engineering works with appropriate Terms and Conditions regulating the conduct of the tender and appropriate Terms and Conditions on which Contract to be awarded

🗸

🗸

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

80

Receipt and safe custody of all tenders

🗸

🗸

81

Opening of Tenders via tender submission or via tender portal and Preparation and submission of formal written Tender Evaluation Report

🗸

Procurement team

82

Review and sign off of formal written Tender Evaluation Report

🗸

83

Approval of expenditure over agreed tender quotation/quotation budget

🗸

84

SINGLE TENDER WAIVERS

Approval of Single Tender Waivers if either of the above limits are breached (excluding those related to finance directorate)

🗸

85

Approval of Single Tender Waivers associated with Finance Directorate

🗸

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

86

Scrutiny and oversight of Single Tender Waivers, Losses, compensations and special payments

🗸

87

PRIVATE FINANCE FOR CAPITAL PROCUREMENT

Approval of PFI Capital Procurement

🗸

🗸

88

ASSET REGISTER

Maintenance of Asset Register and responsibility for re- valuation of assets in accordance with the Accounting Manual issued by the Department of Health

🗸

89

Prepare procedures for disposal of assets

🗸

90

Responsibility for the security of Trust assets, property, avoiding loss, exercising

🗸

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

economy and efficiency in using resources and conforming to SFIs and financial procedures

91

Overview and scrutiny of asset management

🗸

92

LEASES, TENANCY AGREEMENTS AND LICENCES (NEW AND RENEWALS)

Letting of premises to outside organisations

🗸

93

STANDARDS OF BUSINESS CONDUCT

Approval of the Standards of Business Conduct Policy and Conflict of Interest Policy

🗸

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

94

Maintenance of Gifts and Hospitality Register Maintenance of Declaration of Interest Registers:

  1. Board of Directors

  2. Governor

  3. Decision Making Staff

🗸

95

Authorisation of sponsorship deals

🗸with

executive approval

96

Authorisation of the use of the Trust’s seal

🗸

97

Register of use of the Trust’s seal

🗸

98

Authorisation of research projects and other research documents

🗸Chief

Medical Officer

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

99

Maintain and publish a Freedom of Information Scheme

🗸

100

Retention of document procedures in accordance with DoH guidelines

🗸

101

SERVICE USER PROPERTY

Written instructions for the collection, safe custody and recording of money and other personal property handed in by service users.

🗸

102

Operational management of service user property in accordance with procedures

🗸Chief

Operating Officer

Ref

Delegated Area

Delegated Matter

Reserved to the Board of Directors

Reserved to Council of

Governors

Delegated to Audit & Risk Committee

Delegated to Finance Business & Investment

Committee

Delegated to Remuneration & Culture

Committee

Delegated to Chief Executive Officer

Delegated to Chief Finance Officer

Delegated to Trust Secretary

Delegated to Service Directors/Head of

Service

Delegated to Other

MENTAL HEALTH ACT – further details in Table 5

103

MENTAL HEALTH ACT

Discharge of patients under S23 of MHA 1983 (as

amended) may be exercise by three or more “persons authorise by the Board of the Trust in that behalf each of whom is neither an Executive Director of the Board nor an employee of the Trust”

🗸

Table 3 – NSFT Operational Scheme of Delegation

Ref

Delegated Area

Delegated Matter

Limit (Excl VAT)

Delegated to

1

APPROVAL OF PURCHASE REQS/INVOICES FOR GOODS AND SERVICES

(a) All requisitions/invoices

<£25,000

Budget Holder

2

(b) All requisitions/invoices

>=£25,000 and <£100,000

Service Director/Head of Department

3

(c) All requisitions/invoices

>=£100,000 and <£500,000

Executive Director

4

(c) All requisitions/invoices

>=£500,000

Chief Finance Officer or Chief Executive Officer

5

REVENUE INVESTMENT (NOT BUDGETED)/NEW BUSINESS CASES

Revenue Investment

<£250,000

Chief Finance Officer

6

Revenue Investment

>=£250,000 and <£1 million

Chief Finance Officer (following Executive Approval)

7

Revenue Investment

>=£1 million and <£5 million

Finance, Business and Investment Committee

8

Revenue Investment

>=£5 million

Board of Directors (following discussion at FBIC)

Ref

Delegated Area

Delegated Matter

Limit (Excl VAT)

Delegated to

9

INCOME CONTRACTS FOR PROVISION OF EXISTING SERVICES (INCLUDING SLAs)

Approval of Existing Business/Contract Rollover

<£10 million (over life of the contract)

Chief Finance Officer AND Lead Executive Director

10

Approval of Existing Business/Contract Rollover

>=£10 million and <£25 million (over life of the contract)

Chief Finance Officer (following Exec. Approval)

11

Approval of Existing Business/Contract Rollover

>=£25 million and <£50 million (over life of the contract)

Finance, Business and Investment Committee

12

Approval of Existing Business/Contract Rollover

>=£50 million (over life of the contract)

Board of Directors

13

INCOME CONTRACTS FOR PROVISION OF SERVICES/NEW BUSINESS (INCLUDING SLAs)

Approval of New Business or Diversification.

<£1 million (over life of the contract)

Chief Finance Officer AND Lead Executive Director

14

Approval of New Business or Diversification.

>=£1 million and <£10 million (over life of the contract)

Chief Finance Officer (following Executive approval)

15

Approval of New Business or Diversification.

>=£10 million and <£25 million (over life of the contract)

Finance, Business and Investment Committee

16

Approval of New Business or Diversification.

>=£25 million (over life of the contract)

Board of Directors and Council of Governors (Significant Transaction definition)

17

VARIATIONS TO INCOME CONTRACTS FOR PROVISION OFSERVICES

Variation to Existing Contract

<=5% of Original Contract value

Chief Finance Officer

18

Variation to Existing Contract

>5% of Original Contract value

In line with Ref 9 to 12 above

19

COMPETITIVE QUOTATION AND TENDERING REQUIREMENTS

Minimum limit above which written competitive quotes are required

£10,000

20

Minimum limit above which competitive local tender required

£50,000

Ref

Delegated Area

Delegated Matter

Limit (Excl VAT)

Delegated to

21

Minimum limit above which OJEU tender required (Supplies & Service Contracts)

£138,760

22

Minimum limit above which OJEU tender required (Works Contracts)

£5,336,937

23

Minimum limit above which OJEU tender required (Social and other specific services) * (speak to Procurement for advice)

£663,540

24

Minimum number of firms invited to quote competitively

3

25

Minimum number of firms invited to tender

3

26

APPROVAL OF TENDERS AND COMPETITIVE QUOTATIONS (WITHIN BUDGET)

Contract Approvals and sign off

<=£100,000 (over life of the contract)

Service Director or Head of Service

27

Contract Approvals and sign off

>£100,000 and <=£500,000 (over life of the contract)

Exec Lead

Contract Approvals and sign off

>£500,000 and <£2 million (over life of the contract)

Chief Finance Officer AND Lead Executive Director

28

Contract Approvals and sign off

>£2 million <£10 million (over life of the contract)

Chief Finance Officer (following Executive approval)

29

Contract Approvals and sign off

>=£10 million and <£25 million (over life of the contract)

Finance, Business and Investment Committee

30

Contract Approvals and sign off

>=£25 million (over life of the contract)

Board of Directors

Ref

Delegated Area

Delegated Matter

Limit (Excl VAT)

Delegated to

31

LEASES, TENANCY AGREEMENTS AND LICENCES (WITHIN BUDGET)

Lifetime value of lease/or termination value

<=£25,000 (over the term of the lease)

Budget Holder

32

Lifetime value of lease/or termination value

>£25,000 and <= £100,000(over the term of the lease)

Service Director/Head of Service

33

Lifetime value of lease/or termination value

>£100,000 and <£250,000 (over the term of the lease)

Lead Exec

34

Lifetime value of lease/or termination value

>=£250,000 and <£2 million (over the term of the lease)

Chief Finance Officer AND Lead Executive Director

35

Lifetime value of lease/or termination value

>=£2m and <£10 million (over the term of the lease)

Chief Finance Officer (following Executive approval)

36

Lifetime value of lease/or termination value

>=£10 million and <£25 million (over the term of the lease)

Finance, Business and Investment Committee

37

Lifetime value of lease/or termination value

>=£25 million (over the term of the lease)

Board of Directors

38

CAPITAL INVESTMENT

Approval of individual Capital schemes

<£100,000

Sponsoring Executive Director

and Chief Finance Officer

39

Approval of individual Capital schemes

>=£100,000 and <£2 million

Chief Finance Officer (following Quorate CRG/Executive approval)

40

Approval of individual Capital schemes

>=£2 million and <£5 million

Finance, Business and Investment Committee

Ref

Delegated Area

Delegated Matter

Limit (Excl VAT)

Delegated to

41

Approval of individual Capital schemes

>=£5 million

Board of Directors

42

CAPITAL DISPOSALS

Capital Disposals

<£50,000 NBV

Chief Finance Officer

43

Capital Disposals

>=£50,000 and <£500,000 NBV

Chief Executive and Chief Finance Officer

44

Capital Disposals

>=£500,000 and <£1 million NBV

Finance, Business and Investment Committee

45

Capital Disposals

>=£1 million NBV

Board of Directors

46

LOSSES & SPECIAL PAYMENTS

Losses governing: Cash, Fruitless Payments (including abandoned capital schemes, damage to buildings, equipment including loss)

<£1,000

Deputy Director of Finance (following Service Director/Dept Head approval)

47

Losses governing: Cash, Fruitless Payments (including abandoned capital schemes, damage to buildings, equipment including loss)

>=£1,000 and <£25,000

Chief Finance Officer(following Service Director/Dept Head approval)

48

Losses governing: Cash, Fruitless Payments (including abandoned capital schemes, damage to buildings, equipment including loss)

>=£25,000 and <£100,000

Chief Executive and Chief Finance Officer

49

Losses governing: Cash, Fruitless Payments (including abandoned capital schemes, damage to buildings,

>=£100,000 and <£500,000

Chief Finance Officer (following Executive approval)

Ref

Delegated Area

Delegated Matter

Limit (Excl VAT)

Delegated to

equipment including loss)

50

Losses governing: Cash, Fruitless Payments (including abandoned capital schemes, damage to buildings, equipment including loss)

>=£500,000

Finance, Business and Investment Committee

51

Write-off of NHS and non-NHS debtors

<£1,000

Deputy Director of Finance

52

Write-off of NHS and non- NHS debtors

>=£1,000 and <£50,000

Chief Finance Officer

53

Write-off of NHS and non-NHS debtors

>=£50,000

Chief Executive and Chief Finance Officer

54

BANKING & CASH

Amount above which cheques and electronic transfers require two authorised signatories (applies only to non GBS account)

£2,000

GBS account payment authorisation

Head of Financial Services

55

PETTY CASH

Maximum limit for petty cash holding (general expenditure)

£5,000

56

Maximum limit for petty cash holding (patient monies)

£5,000

Ref

Delegated Area

Delegated Matter

Limit (Excl VAT)

Delegated to

57

Maximum value of an individual petty cash reimbursement

£200

58

REDUNDANCY AND EARLY RETIREMENT PAYMENTS

Redundancy payments

<£75,000

Chief People Officer and Chief Finance Officer

59

Redundancy payments

>=£75,000 and <£150,000

Chief Executive, Chief Finance Officer and Chief People Officer

60

Redundancy payments

>=£150,000

Board of Directors

61

CLAIMS/SETTLEMENTS AND COMPENSATION PAYMENTS ARISING FROM CONTRACTS OF EMPLOYMENT

Approvals of Claims/Settlements and Compensation Payments

<£75,000

Chief People Officer and Chief Finance Officer

62

Approvals of Claims/Settlements and Compensation Payments

>=£75,000 and <£150,000

Chief Executive, Chief Finance Officer and Chief People Officer

63

Approvals of Claims/Settlements and Compensation Payments

>=£150,000

Board of Directors

64

CHARITABLE FUNDS

Approval of expenditure against Individual Funds

< £1,000

Fund-Holder

65

Approval of expenditure against Individual Funds

>= £1,000 and < £5,000

Fund-holder and Service Director

Ref

Delegated Area

Delegated Matter

Limit (Excl VAT)

Delegated to

66

Approval of expenditure against Individual Funds

>=£5,000 and < £25,000

Above plus Chief Finance Officer

67

Approval of expenditure against Individual Funds

>=£25,000 and < £100,000

Charitable Funds Committee

68

Approval of expenditure against Individual Funds

>=£100,000

Board of Directors

Within Budget Delegated Approval Limits

Role/Position

Delegated Approval Limit

Executive Director

<£500,000

Service Director/Head of Department

<£100,000

Budget Holder

<£25,000

The Chief Executive and Chief Finance Officer have unlimited delegated authority for expenditure within agreed budget

NOTE: Should any of the above decide to delegate their approval limits to another member of staff it is on the understanding that they would still be accountable. They can only delegate the responsibility for approval.

Table 4: Authorisation Limits by Role – Emergency Preparedness Resilience and Response (EPRR)

Role/Position

Delegated Approval Limit

EPRR Strategic Command

<£100,000 with single items in excess of this requiring approval of Chief Finance Officer or Deputy Director of

Finance (with escalation as per normal Scheme of Delegation)

EPRR Tactical Command

£25,000

EPRR Operational command

<£10,000

In the event of emergency response, these delegations will be invoked by the CEO, in consultation with the Chair, during an emergency response. All decisions made under this scheme will be reported to the Strategic Advisory Forum (Executive)

Table 5: Mental Health Act Scheme of Delegation

Section/Reference

Form/Code

Description

Responsible Staff

Section 2, 3 and 4

H3

CoP Chapter 14

Record of Detention in Hospital

Mental Health Law staff band 4 and above and clinical staff at Band 5 or above (or equivalent) who have at least one year’s experience at that level and have attended the relevant Trust training

Section 5(2)

H1 (part 2)

CoP Chapter 18

Record of receipt of report on hospital in- patient |

Section 5(3)

CoP Chapter 37

Nominated deputy power under section

5(2)

Duty doctor as per duty doctor rota or as otherwise set

out in writing

Section 14

CoP Chapter 37

Request for social circumstances report following receipt of an application for

detention made by Nearest Relative.

Mental Health Law staff

Section 15

CoP Chapter 35

Arranging for rectification of

recommendations and applications

Mental Health Law staff band 4 and above

MHA 15(2)

CoP Chapter 35

Scrutiny of Medical Grounds for Detention

Consultant Psychiatrist, other than the patient’s RC or Dr who made a recommendation

MHA sections 17C or 19

Regulations 11 and

12

CoP Chapter 17

Conveyance to Hospital on recall, transfer or other reasons

Any member of staff of the Trust or any person authorised in writing by the Hospital Managers

Table 6: Hellesdon New Build Scheme of Delegation

Approval of total project budget

Trust Board of Directors

with annual phasing

changes to total project budget or phasing (subject to 10% over/under for any year)

Trust Board of Directors

Within Board approved annual budget and subject to appropriate procurement:

>=£10 million

Trust Board of Directors

>=£5 million and <£10 million

Finance, Business and Investment Committee

>=£1 million and <£5 million

Executive Hellesdon Project Board

>=£500,000 and <£1 million

Chief Finance Officer and Senior Responsible Officer for project

>=£200,000 and <£500,000

Chief Finance Officer and Director of Estates and Facilities

<£200,000

Director of Estates and Facilities