Stephen Twist, Governor, County Durham & Darlington NHS Trust

Stephen Twist, Governor, County Durham & Darlington NHS Trust Elected in 2023 for a term of 3 years as a public Governor of our local NHS Foundation Trust to represent the people of Darlington.
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Practicing barrister, arbitrator and mediator, on 3rd attempt elected in 2023 as a public governor of the Trust; 2024 Chair of the Audit & Governance Committee; and Chair of the Organ Donation Committee. Highly active to ensure the best possible governance for hospitals throughout the region.

NHS AI Ambassador Network: a learning forum set up in January 2025 for health and social care professionals and those in...
05/11/2025

NHS AI Ambassador Network: a learning forum set up in January 2025 for health and social care professionals and those interested in AI in healthcare to share their ideas and practical applications of AI. Todays event focused on AI in primary care: developments, risk management and regulation: medium-term planning. Outstanding presentations from Dr Tim Caroe, GP and Medical Director Digital Lead NHSE; Dr Tafsir Ahmed, Clinical Research Fellow; and Mark Okun, AI Lead West Yorks ICB. Examining the landscape from procurement to implementation and how to protect patients and practitioners.

04/11/2025

I have decided to put my name forward for another three years as your Darlington Public Governor. This is my biography should you wish to vote for me: 'Darlington-born and QE educated, a practicing barrister, mediator, arbitrator and governance specialist with over 40 years of legal, regulatory and board-level experience. I combine strong financial literacy, NHS governance training and expertise, and a lifelong commitment to local healthcare. Currently serving as Public Governor for County Durham & Darlington NHS Foundation Trust, where I chair the Audit & Governance subcommittee and the Organ and Tissue Donation Committee. I bring independent scrutiny, ethical leadership and a collaborative approach. My background spans financial oversight, clinical governance (including unexplained deaths), workforce wellbeing, and digital transformation. I have a proven record of constructive challenge, strategic innovation, and championing inclusive patient care. My particular interest is in end-of-life care, ensuring that patient and family experience is the best that is possible. If you vote for me, this will be my second (and final) term of three years. To explore what I have been doing over the last three years, demonstrating transparency in real-time, visit my page here: https://www.facebook.com/profile.php?id=100091550093253 To vote, you will need to take 30 seconds to join the Trust as a member - here is the link for that: https://www.cddft.nhs.uk/about-us/corporate-information/foundation-trust

Elected in 2023 for a term of 3 years as a public Governor of our local NHS Foundation Trust to represent the people of Darlington.

Those who follow my page will be aware that on 31 January 2026 I will reach the end of my term as publicly elected gover...
28/10/2025

Those who follow my page will be aware that on 31 January 2026 I will reach the end of my term as publicly elected governor for our Trust. It has been a busy and demanding three years as you will see from my postings. In an earlier post I asked whether I should stand again for election? My core followers messaged encouragement. Being a hospital governor is an entirely voluntary (unpaid) role. (For transparency my entire expenses claim for three years was a total of £82.90). If I am to stand again I will need your vote, and for that, you will need to join the Trust as a member. It is free. It takes seconds with the link below. Joining as a member has other benefits, so check it out!

About foundation trust membership.

In times of religious strife and conflict, the Chaplaincy stands aside as a beacon of hope. Vulnerable patients at CDDFT...
20/10/2025

In times of religious strife and conflict, the Chaplaincy stands aside as a beacon of hope. Vulnerable patients at CDDFT speak of the Chaplaincy with considerable affection.

Our chaplains are here to offer spiritual, pastoral, and religious support to the hospital community. Whether you are a patient, family member, friend, or st...

16/10/2025

NHS Foundation Trusts require well-researched digital and cyber understanding, hence enrolling for the course, Harnessing Agentic AI for the Public Sector.
As artificial intelligence is deployed across public sector organisations, the technology continues to evolve. Agentic AI is the latest development to demonstrate real potential for enabling more efficient delivery of services. AI agents are semi-autonomous assistants that can carry out complex tasks, communicate with multiple different systems and tools, and even collaborate with each other.

What are the practical implications of agentic AI for public sector organisations, and what guardrails need to be put in place to ensure that it is deployed safely? In this webinar we looked at what advantages this new technology has over existing generative AI tools, what the most likely use cases will be, and what preparation and mitigations need to be in place to ensure successful deployment.

15/10/2025

For members of the Trust and the public who have enquired concerning the Nurses Changing Facilities Tribunal litigation, this post sets out County Durham and Darlington NHS Foundation Trust's response to the Freedom of Information Act 2000 request you sought :

As minuted at the joint TB & Audit Committee meeting on 08/09/2025, I seek the following information.

Questions:
1. What is the litigation cost/liability to the Trust in relation to the tribunal litigation to 9 September 2025, to include legal fees, counsel's fees, charges by experts and advisors, NHS England Legal Office liability, and internal staff charges incurred in relation to preparation and management of the tribunal litigation?

The current cost for litigation to the date based on the legal fee invoices is £275, 850

2. What is the Trust's estimate of ongoing costs up to and including the final hearing?

3. What contingency has been estimated/ identified by the Executive should the tribunal find against CDDFT?

Projected costs often change during the course of a case, or a claim and discussion of likely costs are conducted with the Trust's solicitor under legal privilege during the course of legal proceedings. The estimate of a cost or a contingency for an outcome, could give an insight into potential settlement, where applicable, and as such negatively affect the fairness in legal proceedings.

Section 42(1) of the Act provides that information is exempt information if a claim for Legal Professional Privilege could be made in respect of it. Section 42 is subject to a balance of public interest test.

Section 42 states that:
(1) Information in respect of which a claim to legal professional privilege or, in Scotland, to confidentiality of communications could be maintained in legal proceedings is exempt information.

(2) The duty to confirm or deny does not arise if, or to the extent that, compliance with section 1(1)(a) would involve the disclosure of any information (whether or not already recorded) in respect of which such a claim could be maintained in legal proceedings.

The Trust has considered the need to promote openness and transparency against the concept of Legal Professional Privilege reflecting the strong public interest in protecting the confidentiality of communications between lawyers and their clients. Such confidentiality promotes fairness in legal proceedings through respect for the rule of law by encouraging clients to seek legal advice and allowing for full and frank exchanges between clients and their lawyers.

Noting the case from Scottish Information Commissioner you have provided, this case related to past costs, following an action and not anticipate or upcoming costs. As such the Trust has provided costs to date under questions one, but in respect of question 2 and 3, the Trust has determined that the balance of public interest lies in favour of exempting this information.

In line with the Information Commissioner’s directive on the disclosure of information under the Freedom of Information Act 2000 your request will form part of our disclosure log on the Trust’s website.

15/10/2025

Today - a full day of training with NHSBT, serving organ and tissue donation. Did you know that consents to donation have dropped significantly since Covid? Where are the donors for over 8,000 people waiting? Why is it necessary for the UK to import corneas from the USA? Why don't family members respect the donation wishes of the deceased?

Being a publicly elected NHS Trust governor has many facets, some challenging and others satisfying. One of the latter w...
01/10/2025

Being a publicly elected NHS Trust governor has many facets, some challenging and others satisfying. One of the latter was learning more about the Freedom to Speak Up process in County Durham and Darlington NHS Foundation Trust from its guardian, Mel Anderson. Every organisation should have a F2SU guardian - an essential feature for a large NHS Trust.

We encourage everyone to speak up about anything you consider to be harming the service we are striving to deliver. Mel Anderson was appointed as the CDDFT Freedom to Speak Up Guardian in November 2021. You can contact Mel via telephone: 07795 506 008 or email: cddft.freedom2speakup@nhs.net.

26/09/2025

'Life's really short and we need to live it to the full because we never know what's round the corner'

Address

Darlington Memorial Hospital, Hollyhurst Road
Darlington
DL36HX

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