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Our vision: To improve the health and wellbeing of the people of Leicester, Leicestershire and Rutland by providing high quality, integrated physical and mental health care pathways.
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How We Make Decisions

Our Trust Board heads up a governance structure made up of key committees that provide assurance to the Board about different aspects of our work.  Good governance leads to better patient care and allows the Trust Board to demonstrate proper accountability to local people for the safe running of their health service.

The Trust Board approved a revised structure for future governance arrangements and the sub committees of the Board.
The committees of the board are:
  • Audit and Assurance Committee
  • Finance and Performance Committee
  • Quality Assurance Committee
  • Remuneration Committee
  • Charitable Funds Committee
  • Strategic Workforce Group
  • Mental Health Act Assurance Committee

 The Trust Board commissions task and finish groups around specific programmes of work as required, and has established a Strategic Workforce Group.

Any risks that might emerge on which LPT needs to make decisions and take responsive action are reviewed and dealt with at the appropriate level in the governance structure.

To understand how we make decisions, in particular relating to finance, and how we delegate decision-making, the Trust has Standing Orders, Standing Financial Instructions and Schemes of Reservation & Delegation (SOs, SFIs and SORD). These documents have been split into separate documents, and you can click on each one below to open them:

Standing Orders (SOs)

Standing Financial Instructions (SFIs)

Schemes of Reservation & Delegation for SOs

Schemes of Reservation & Delegation for SFIs


 The LPT integrated governance handbook explains how decision making processes work within our Trust, and gives information on how key committees support delivery of the Trust’s objectives.

NHS trusts must self-certify every year that they meet the obligations set out in the overall NHS provider licence, and that appropriate governance requirements are in place. NHS Improvement (NHSi) is responsible for making sure trusts comply with these expectations.

On 23 May 2019, our Board determined that the licence conditions were not satisfied for the financial year 2018/19 in respect of:

a. Condition G6 – The provider has taken all precautions necessary to comply with the licence, NHS Acts and NHS Constitution.

b. Condition FT4 – The provider has complied with required governance arrangements.

We are working closely with NHSi to deliver a Quality Improvement Programme that will help us to meet all the obligations.

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