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 |
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Introduction
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The Foundation Trust Code of Governance states:
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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.
-
The NSFT Constitution states:
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The powers of the Trust are set out in the 2006 Act
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The powers of the Trust shall be exercised by the Board of Directors on behalf of the Trust.
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Any of these powers may be delegated to a committee of Directors or to an Executive Director
-
The NSFT Standing Orders and Standing Financial Instructions state:
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The Standing Financial Instructions (SFIs)
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The Standing Orders (SOs)
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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.
-
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.
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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
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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.
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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.
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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:-
| ||||||||||
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:
| 🗸 | ||||||||||
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 |