Revised Constitution approved by the Council of Governors on 11th February 2013

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Summary of Amendments to Trust Constitution Page 2 Revised during November 2012 Revised Constitution approved by the Council of Governors on 11th February 2013 Revised Constitution approved at a Special Members Meeting on 11th February 2013 Revision approved by Monitor on (date tbc) Page 5 3) Powers The powers of the Foundation Trust are set out in the 2006 Act. subject to any restrictions in the terms of Authorisation. Page 6 6) Public Constituency 6.2) Those individuals who live in an the area specified in an area for any Public Constituency are referred to collectively as the a Public Constituency. 6.3) The minimum number of members in each area for the Public Constituency is to be four five. Page 7 Automatic Membership by Default Staff 6.10) An individual who is: 6.10.1 Eligible to become a member of the Staff Constituency, and 6.10.2 Invited by the Foundation Trust to become a member of the Staff Constituency and a member of the appropriate class within the Staff Constituency, shall become a member of the Foundation Trust as a member of the Staff Constituency and appropriate class within the Staff Constituency without an application being made, unless he/she informs the Foundation Trust that he/she does not wish to do so.

The Trust will include within the appointment letter that the individual will automatically be a staff member of the Foundation Trust unless he/she decides to opt out. The Trust will include within the termination form that the individual will automatically become a public member of the Foundation Trust unless he/she decides to opt out. Page 10-11 10) a) Council of Governors - Tenure for Elected Governors 10.7) An elected Governor who replaces a Governor whose terms of office has not expired will be eligible to service for the remainder of that term of office i.e. will be eligible for reelection for a further three years only for two terms, i.e. six years, and will not be eligible for re-election in the future. b) Council of Governors - Tenure for Appointed Governors 10.9 Shall normally hold office for a period of three years commencing immediately after the Annual Members and Public Meeting at which his/her appointment is announced; 10.12 An Appointed Governor who replaces a Governor whose terms of office has not expired will be eligible to serve for the remainder of that term of office i.e. will be eligible for re-election for two terms, i.e. six years, and will not be eligible for re-election in the future. Page 11-12 12. Council of Governors Duties of Governors Page 12 12.1 The general duties of the Council of Governors are:- 12.1.1 to hold the Non-Executive Directors individually and collectively to account for the performance of the Board of Directors and 12.1.2 to represent the interest of the members of the Trust as a whole and the interests of the public. 12.2 The Trust must take steps to secure that the Governors are equipped with the skills and knowledge they require in their capacity as such. 13. Council of Governors Meetings of Governors

13.3 For the purposes of obtaining information about the trust s performance of its functions or the directors performance of their duties (and deciding whether to propose a vote on the Trust s or directors performance), the Council of Governors may require one or more of the directors to attend a meeting Page 12 15. Council of Governors Referral to the Panel Page 14 15.1 In this paragraph, the Panel means a panel of persons appointed by Monitor to which a Governor of an NHS Foundation Trust may refer a question as to whether the Trust has failed or is failing:- 15.1.1 to act in accordance with its constitution, or 15.1.2 to act in accordance with provision made by or under Chapter 5 of the 2006 Act. 15.2 A Governor may refer a question to the Panel only if more than half of the members of the Council of Governors voting approve the referral. 20. Board of Directors General Duty The general duty of the Board of Directors and of each director individually, is to act with a view to promoting the success of the trust so as to maximise the benefits for the members of the trust as a whole and for the public. Page 15 21. Board of Directors qualification for appointment as a NED Page 16 21.3 He/she is not disqualified by virtue of paragraph 27 or Annex 3. 28. Board of Directors - Meetings 28.1 Meetings of the Board of Directors shall be open to members of the public. Members of the public may be excluded from a meeting for special reasons. 28.2 Before holding a meeting, the Board of Directors must send a copy of the agenda of the meeting to the Council of Governors. As soon as practicable after holding a meeting, the Board of Directors must send a copy of the minutes of the meeting to the Council of Governors. Page 16-19 27. Board of Directors - Conflicts of Interest of Directors

27.1 Members of the Board of Directors shall disclose to the Board of Directors any material interests (as defined in paragraph 27.2) held by a Director, their spouse or partner, which shall be recorded in the Register of Interests of the Directors. 27.2 A material interest is: 27.2.1 Any interest (excluding a holding of shares in a company whose shares are listed on any public exchange where the holding is less than 2% of the total shares in issue) or position held by a Director in any firm, company or business which has or is likely to have a trading or commercial relationship with the Foundation Trust; 27.2.2 Any interest in an organisation providing health and social care services to the National Health Service; 27.2.3 A position of authority in a charity or voluntary organisation in the field of health and social care; 27.2.4 Any connection with any organisation, entity or company considering entering into a financial arrangement with the Foundation Trust including but not limited to lenders or banks. 27.3 Any Director who has an interest in a matter to be considered by the Board of Directors (whether because the matter involves a firm, company, business or organisation in which the Director or his spouse or partner has a material interest or otherwise) shall declare such interest to the Board of Directors and: 27.3.1 Shall withdraw from the meeting and play no part in the relevant discussion or decision; and 27.3.2 Shall not vote on the issue (and if by inadvertence they do remain and vote, their vote shall not be counted). 27.4 Details of any such interest shall be recorded in the Register of Interests of the Directors. 27.5 Any Director who fails to disclose any interest or material interest required to be disclosed under these provisions must permanently vacate their office if required to do so by a majority of the remaining Directors and (in the case of a Non-Executive Director) by a majority of the Council of Governors. 30. Board of Directors - Conflicts of Interest of Directors 30.1 The duties that a Director of the Trust has by virtue of being a Director include in particular:- 30.1.1 A duty to avoid a situation in which the Director has (or can have) a direct or indirect interest that conflicts (or possibly may conflict) with the interests of the Trust. 30.1.2 A duty not to accept a benefit from a third party by reason of

being a Director or doing (or not doing) anything in that capacity. 30.2 The duty referred to in sub-paragraph 26.1.1 is not infringed if:- 30.2.1 The situation cannot reasonably be regarded as likely to give rise to a conflict of interest, or 30.2.2 The matter has been authorised in accordance with the Constitution. 30.3 The duty referred to in sub-paragraph 26.1.2 is not infringed if acceptance of the benefit cannot reasonably be regarded as likely to give rise to a conflict of interest. 30.4 In sub-paragraph 26.1.2, third party means a person other than 30.4.1 The Trust, or 30.4.2 A person acting on its behalf. 30.5 If a Director of the Trust has in any way a direct or indirect interest in a proposed transaction or arrangement with the Trust, the Director must declare the nature and extent of that interest to the other Directors. 30.6 If a declaration under this paragraph proves to be, or becomes, inaccurate, incomplete, a further declaration must be made. 30.7 Any declaration required by this paragraph must be made before the Trust enters into the transaction or arrangement. 30.8 This paragraph does not require a declaration of an interest of which the Director is not aware or where the Director is not aware of the transaction or arrangement in question. 30.9 A Director need not declare an interest:- 30.9.1 if it cannot reasonably be regarded as likely to give rise to a conflict of interest; 30.9.2 if, or to the extent that, the Directors are already aware of it; 30.9.3 If, or to the extent that, it concerns terms of the Director s appointment that have been or are to be considered:- 30.9.3.1 By a meeting of the Board of Directors, or 30.9.3.2 By a committee of the Directors appointed for the purpose under the Constitution.

Page 20-21 35. Documents Available for Public Inspection 35.1 The Foundation Trust shall make the following documents available for inspection by members of the public free of charge at all reasonable times and shall be available on the Foundation Trust s website: 31.1.1 A copy of the current Constitution; 31.1.2 A copy of the current Terms of Authorisation; 31.1.3 A copy of the latest Annual Accounts and of any report of the auditor on them; 31.1.4 A copy of the latest Annual Report; 31.1.5 A copy of the latest information as to its forward planning (Annual Plan); 31.1.6 A copy of any notice given under section 52 of the 2006 Act (Regulators Notice to failing NHS Foundation Trusts) 31.1.7 A copy of the Foundation Trust s Membership Strategy; 31.1.8 A copy of the Foundation Trust s policy for the composition of the Council of Governors and the Non-Executive Directors. 35.1.1 a copy of the current Constitution, 35.1.2 a copy of the latest annual accounts and of any report of the auditor on them, and 35.1.3 a copy of the latest annual report. 35.2 The Trust shall also make the following documents relating to a special administration of the Trust available for inspection by members of the public free of charge at all reasonable times: 35.2.1 a copy of any order made under section 65D (appointment of Trust special administrator), 65J (power to extend time), 65KC (action following Secretary of State s rejection of final report), 65L(trusts coming out of administration) or 65LA (trusts to be dissolved) of the 2006 Act. 35.2.2 a copy of any report laid under section 65D (appointment of Trust special administrator) of the 2006 Act. 35.2.3 a copy of any information published under section 65D (appointment of Trust special administrator) of the 2006 Act.

Page 23 35.2.4 a copy of any draft report published under section 65F (administrator s draft report) of the 2006 Act. 35.2.5 a copy of any statement provided under section 65F(administrator s draft report) of the 2006 Act. 35.2.6 a copy of any notice published under section 65F(administrator s draft report), 65G (consultation plan), 65H (consultation requirements), 65J (power to extend time), 65KA(Monitor s decision), 65KB (Secretary of State s response to Monitor s decision), 65KC (action following Secretary of State s rejection of final report) or 65KD (Secretary of State s response to re-submitted final report) of the 2006 Act. 35.2.7 a copy of any statement published or provided under section 65G (consultation plan) of the 2006 Act. 35.2.8 a copy of any final report published under section 65I (administrator s final report), 35.2.9 a copy of any statement published under section 65J (power to extend time) or 65KC (action following Secretary of State s rejection of final report) of the 2006 Act. 35.2.10 a copy of any information published under section 65M (replacement of trust special administrator) of the 2006 Act. 35.3 Any person who requests a copy of, or extract from, any of the above documents is to be provided with a copy. 35.4 If the person requesting a copy or extract is not a member of the Trust, the Trust may impose a reasonable charge for doing so. 40. Meeting of Council of Governors to Consider Presentation of the Annual Accounts and Reports to the Governors and Members 40.1 The following documents are to be presented to the Council of Governors at a formal meeting of the Council of Governors and at the Annual Members and Public Meeting: 40.1.1 The Annual Accounts 40.1.2 Any report of the auditor on them 40.1.3 The Annual Report. 40.2 The documents shall also be presented to the members of the Trust at the Annual Members and Public Meeting by at least one member of the Board of Directors in attendance. 40.2 The Trust may combine a meeting of the Council of Governors convened for the purposes of sub-paragraph 36.1 with the Annual Members and Public Meeting.

Page 24-25 42. Amendment of the Constitution 38.1 No amendment shall be made to this Constitution (including its Annexes, save as otherwise specified) unless: 38.1.1 It has been approved by a majority of members of the Foundation Trust present and voting at a members meeting duly called by order of the Board of Directors in accordance with this Constitution; and 38.1.2 It has been approved by Monitor. 38.2 No amendment shall be made to the provisions of this Constitution concerning the Public Constituency unless it has also been approved by a majority of the members of the Public Constituency as may have voted at the members meeting. 38.3 No amendment shall be made to the provisions of this Constitution concerning the Staff Constituency or the classes of the Staff Constituency unless it has also been approved by a majority of the members of all of the classes of the Staff Constituency as may have voted at the members meeting. 42.1 The Trust may make amendments of its Constitution only if:- 42.1.1 More than half of the members of the Council of Governors of the trust voting approve the amendments, and 42.1.2 More than half of the members of the Board of Directors of the trust voting approve the amendments. 42.2 Amendments made under paragraph 38.1 take effect as soon as the conditions in that paragraph are satisfied, but the amendment has no effect in so far as the Constitution would, as a result of the amendment, not accord with schedule 7 of the 2006 Act. 42.3 Where an amendment is made to the Constitution in relation to the powers or duties of the Council of Governors (or otherwise with respect to the role that the Council of Governors has as part of the Trust):- 42.3.1 At least one member of the Council of Governors must attend the next Annual Members and Public Meeting and present the amendment, and 42.3.2 The Trust must give the members an opportunity to vote on whether they approve the amendment. 42.4 If more than half of the members voting approve the amendment, the amendment continues to have effect; otherwise, it ceases to have effect and the Trust must take such steps as are necessary as a

result. Page 25 42.4.1 Amendments by the Trust of its Constitution are to be notified to Monitor. For the avoidance of doubt, Monitor s functions do not include a power or duty to determine whether or not the Constitution, as a result of the amendments, accords with Schedule 7 of the 2006 Act. 43. Mergers etc. and Significant Transactions The Foundation Trust may in accordance with Section 56 of the 2006 Act apply to Monitor jointly with another NHS Foundation Trust or an NHS Trust for authorisation of the dissolution of the Foundation Trust and the transfer of some or all of their property and liabilities to a new NHS Foundation Trust established under that section. Such application shall only be made if it is approved by a majority of members of the Foundation Trust present and voting at a members meeting duly called by order of the Council of Governors in accordance with this Constitution. 43.1 The Trust may only apply for a merger, acquisition, separation or dissolution with the approval of more than half of the members of the Council of Governors. 43.2 The Trust may enter into a significant transaction only if more than half of the members of the Council of Governors of the Trust voting approve entering into the transaction. 43.3 Significant transaction means any transactions with ratios that are greater than 25% of the income of the NHS foundation trust. Under the Compliance Framework, a number of ratios are used to determine if a transaction is material or significant. Page 25-27 44. Interpretation and Definitions Constitution Members Meeting Monitor Means this Constitution and all Annexes. Means Annual Members and Public Meeting; Means the corporate body, known as Monitor, as provided by Section 61 of the 2012 Act; The 2012 Act Means the Health and Social Care Act 2012;

Page 56 ANNEX 2 ADDITIONAL PROVISIONS COUNCIL OF GOVERNORS 5 Tenure for Elected Governors Page 61 5.2 An elected Governor who replaces a Governor whose terms of office has not expired will be eligible to service for the remainder of that term of office i.e. will be eligible for re-election for a further three years only two terms, i.e. six years. ANNEX 3 - ADDITIONAL PROVISIONS BOARD OF DIRECTORS Meetings Of The Board Of Directors 7. Meetings of the Board of Directors shall be held in private public. Further Provisions As To Disqualification Of Directors Page 63 1.1 They have any significant business link through any company or body. ANNEX 4 STANDING ORDERS FOR THE PRACTICE AND PROCEDURE OF THE COUNCIL OF GOVERNORS The Foundation Trust Means Blackpool Teaching Fylde and Wyre Hospitals NHS Foundation Trust; Page 69 ANNEX 5 STANDING ORDERS FOR THE PRACTICE AND PROCEDURE OF THE BOARD OF DIRECTORS The Foundation Trust Means Blackpool Teaching Fylde and Wyre Hospitals NHS Foundation Trust; Page 73 ANNEX 6 ADDITIONAL PROVISIONS MEMBERS 3. ANNUAL MEMBERS MEETINGS (Council of Governors) 3.1 The Foundation Trust is to hold an Annual Members Meeting (called the Annual Members and Public Meeting) within nine months of the end of each financial year.