Trust Board papers November 2012 - Barking Havering and ...

Trust I&E summary by Division/Directorate:
2012/13 In Month 2012/13 In Month 2012/13 Year to date (£'000) 2011/12 2012/13 2012/13 Foreast (£'000)
Actual £'000 Var £'000 Var %
Adj Actual
WTE
Variance
WTE Actual £'000 Var £'000 Var %
Adj Average
Actual WTE
Average
Actual £'000
YTD Actual
£'000
Annual
Budget £'000 Actual £'000 Var £'000
(32,691) 888 2.79% Central Income (193,737) 1,924 1.00% (32,119) (182,812) (381,659) (388,538) 6,879
Surgical Services Division
3,692 (109) -3.04% 662.14 -0.81 Anaesthetics 22,296 (672) -3.11% 613.40 3,507 19,928 42,137 44,268 (2,130)
1,370 (140) -11.38% 224.94 -0.93 Specialist Surgery 8,271 (242) -3.01% 250.26 1,340 7,900 15,600 16,271 (671)
1,475 (73) -5.19% 327.24 -5.18 Surgery 8,678 (203) -2.40% 384.78 1,624 9,614 16,625 17,178 (553)
6,538 (322) -5.17% 1,214.32 -6.92 Total 39,245 (1,117) -2.93% 1,248.44 6,472 37,443 74,363 77,717 (3,354)
Emergency Care, Gen Med & Neurosciences
3,774 (245) -6.95% 957.31 -63.82 Medicine 22,747 (909) -4.16% 1,033.10 3,829 22,837 42,811 44,476 (1,666)
2,371 47 1.95% 523.96 13.12 Emergency Care 15,012 (191) -1.29% 583.37 2,573 14,499 28,732 29,933 (1,201)
1,096 32 2.83% 237.60 -3.74 Neurosciences 6,916 11 0.16% 230.86 1,136 6,927 13,536 13,703 (166)
7,240 (166) -2.35% 1,718.87 -54.44 Total 44,675 (1,089) -2.50% 1,847.33 7,538 44,262 85,079 88,112 (3,032)
Women's, Children & Support Services
1,148 28 2.34% 269.75 -17.84 Children 6,922 117 1.66% 263.71 1,188 7,162 14,093 13,958 135
882 1 0.08% 377.20 -7.52 Support Services 5,380 (119) -2.27% 382.87 887 5,319 10,212 10,685 (473)
2,937 (26) -0.89% 634.61 35.36 Women 17,960 (401) -2.28% 678.97 3,124 18,846 34,907 35,659 (752)
4,967 2 0.05% 1,281.56 10.00 Total 30,262 (403) -1.35% 1,325.55 5,200 31,327 59,212 60,302 (1,090)
Diagnostics & Specialist Medicine
1,884 (158) -9.13% 279.47 7.71 Pathology 11,125 (631) -6.01% 284.06 1,777 10,854 20,519 22,003 (1,484)
1,730 (158) -10.08% 313.05 -21.16 Radiology 10,357 (629) -6.47% 287.38 1,543 9,081 18,869 20,445 (1,576)
3,226 105 3.15% 575.57 7.30 Specialist Medicine 20,354 (349) -1.74% 605.48 3,441 20,440 38,961 40,058 (1,097)
6,840 (211) -3.18% 1,168.09 -6.15 Total 41,836 (1,609) -4.00% 1,176.92 6,762 40,375 78,349 82,506 (4,157)
7,082 504 6.65% 840.00 34.75 Corporate 43,441 1,107 2.49% 728.52 6,777 41,169 87,962 87,437 524
(23) 695 103.46% 6,222.84 -22.76 - Sub-total 5,721 (1,187) -26.18% 6,326.76 630 11,763 3,307 7,536 (4,229)
91 (57) -167.77%
Central adjustment including
provisions & red CIP (520) 725 353.73% 134 764 410 (7,113) 7,523
(440) Contract QIPP adjmt. & reserves (1,465) (5,353) 4,888 (10,241)
1,171 37 3.08% Depreciation 7,104 143 1.97% 1,169 6,958 14,494 14,162 332
2,178 20 0.90% PDC & Net Interest 14,034 18 0.13% 2,209 13,431 28,075 28,008 67
3,417 255 6.95% Total 26,339 (1,766) -7.18% 6,326.76 4,142 32,917 40,933 47,481 (6,548)
Impairments (2,005) (5,318) (2,005) (2,005)
3,417 255 6.95% Net position 24,334 (1,766) -7.82% 6,326.76 4,142 27,599 38,928 45,476 (6,548)
• Central income over-performance primarily driven by over-performance on out-patients (£3.9m), less shortfall of £2.2m transitional funding to be agreed.
• Surgical Services YTD overspending primarily driven by £0.4m CIP shortfall, Medical staffing £0.5m and Theatres non-pay £0.2m.
• Emergency/Medicine/Neuro YTD overspending primarily related to CIP shortfall £0.3m and Nursing in Acute Medicine £0.6m
• Women/Children/Support YTD, primarily in Women, related to Midwifery £0.2m and HIV drugs £0.2m, although run rate has improved in M5.
• Diagnostics & Specialist Medicine primarily related to Pathology consumables £0.4m, pay of £0.8m (mainly Radiology medical staff £0.6m) and CIP shortfall £0.5m
• Corporate under-spending primarily from non-recurrent charitable funds contribution £0.4m and Estates £0.5m
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