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

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Cluster Performance In Month Year to date Forecast Actual Var Actual Var Actual Var (25,605) 2,011 Outer North East London (161,828) 4,832 (324,928) 8,700 (559) 82 Inner North East London (2,881) 9 (5,776) 5 (1,016) 67 London Specialist Commissioning (5,891) 199 (11,610) 227 East Of England Specialist (3,027) (134) Commissioning (18,288) (787) (36,843) (1,516) (427) (63) Non Contract Activity (2,297) 127 (4,596) 397 (95) 32 North Central London (383) 3 (768) 5 (255) (158) Trust (2,169) (308) (3,992) (963) (30,984) 1,837 (193,737) 4,074 (388,514) 6,855 8
Devolved income Annual Budget Forecast Variance Forecast Income overperformance against plan Income attibuted to Directorate Net variance after income attribution 9 Difference between forecast income overperformance and income attributed Comment Surgical Services Anaesthetics 44,614 (2,476) (197) 479 (1,997) 676 Includes allocation from Surgical Business Units for over/(under) performance Specialist Surgery 16,166 (566) 2,569 439 (127) (2,130) Over‐performance primarily related to Out‐patient Surgery 16,977 (351) 965 29 (322) (936) QiPP non‐delivery Surgical Services Total 77,757 (3,393) 3,337 948 (2,445) (2,389) Emergency Care, Gen Med & Neurosciences Emergency Care 30,208 (1,476) 331 (162) (1,638) (493) Neurosciences 13,724 (188) (817) (62) (250) 755 Adjustment for Drugs/devices & NEL activity Medicine 44,561 (1,751) 7,894 1,438 (313) Most of over‐performance associated with nondelivery of QiPP as opposed to increase in activity (6,456) from 2011/12 Emergency Care, Gen Med & Neuroscie 88,493 (3,415) 7,408 1,214 (2,201) (6,194) Women's, Children & Support Services Most of under‐performance associated with reclassification of PAU activity from NEL to Outpatients, Children 13,858 236 (1,347) 134 370 1,481 not reflected in contract Support Services 10,779 (567) 172 (395) 172 Most of over‐performance associated with lower Women 35,567 (660) 2,963 (170) (830) (3,133) reductions in births than planned Women's, Children & Support Services 60,204 (991) 1,616 136 (855) (1,480) Diagnostics & Specialist Medicine Pathology 21,974 (1,455) 27 179 (1,276) 152 Radiology 19,509 (640) 1,088 832 192 (256) Includes allocation from other Business Units for Specialist Medicine 41,488 (2,527) 3,758 1,259 (1,268) (2,499) support services Diagnostics & Specialist Medicine Tota 82,971 (4,622) 4,873 2,270 (2,352) (2,603) Total of above 309,425 (12,421) 17,234 4,569 (7,852) Most of difference associated with non‐delivery of (12,665) circa £10m QiPP reductions in contract • The table above, gives a summary of the forecast outturn position for each business unit, and then builds in an appropriate share of over-performance income, as mitigation against the increased marginal cost of the over-performance for each area. • Business Unit budgets are funded to 2011/12 outturn levels (as forecast at Month 8), so the principle applied is as follows: o Take the increase (or decrease) in activity from the 2011/12 outturn (as at Month 8 forecast) to the 2012/13 forecast outturn (as at Month 6) o Apply 65% of the full tariff, as a proxy for marginal costs (this is also the level that commissioners are paying for over-performance and is commensurate with the average level of direct & indirect costs, as calculated through SLR) o Apply 50% of the 65% to Business Units in respect of direct costs, with the other 15% apportioned to clinical support services (e.g. Pathology, Radiology) o Of the 50%, a proportion is then allocated to Operating Theatres, in respect of the surgical specialties. o • It is proposed to allocate budgets through the ledger on this basis for Month 7 and to review the allocation again at Q3 (Month 9) and Month 12.
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TRUST BOARD MEETING Wednesday, 7 No
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2 Following Mr White’s concerns r
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4 forecast in terms of community be
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6 The Trust Board noted the Plan fo
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8 The Co-Chair of the Improving Pat
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TRUST BOARD MEETING Actions from Mi
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Agenda Item Action Deadline Date Da
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Question: Mr Skillman was pleased t
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CQC Trust-wide Action Plan Review a
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1.0 PURPOSE 1.1 Background This rep
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• Review the Senior Responsible O
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APPENDIX 1 ‐ CQC ACTION PLAN - EX
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RECORDS records management to ensur
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CQC Update Report 2012 Theme CQC Re
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CQC Update Report 2012 ASSESSING &
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CQC Update Report 2012 ASSESSING &
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CQC Update Report 2012 pathways thr
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CQC Update Report 2012 identified i
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CQC Update Report 2012 outlining th
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CQC Update Report 2012 improvements
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CQC Update Report 2012 aware of the
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CQC Update Report 2012 are now supe
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CQC Update Report 2012 autumn. RECO
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CQC Update Report 2012 of the pilot
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EXECUTIVE SUMMARY TITLE: Informatio
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INFORMATION GOVERNANCE STRATEGY 201
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Information is a vital asset in ter
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starters as well as being mandatory
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The standards are split into the ar
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10a Reapproval of IG training progr
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343 Directorate Anaesthetic: Risk:
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Table of Contents TRUST PRINCIPAL O
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BHRUT STRATEGIC OBJECTIVES WITH EAC
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DIRECTORATES RISKS REVIEW 12 10 8 6
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RISKS DETAILS PRINCIPAL RISK What c
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PRINCIPAL RISK What could prevent t
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RISK DESCRIPTORS OBJECTIVE SAFE, HI
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BOARD ASSURANCE FRAMEWORK ELEMENTS
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EXECUTIVE SUMMARY TITLE: Risk Manag
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Contents Section Page 1 Introductio
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incorporate mitigation controls wit
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“Risk Register” “Risk Registe
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potential risks they may face in ac
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4.1.1 Quality and Safety Committee
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• Financial risks: risks associat
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Proactive risk assessment enables t
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Trust’s risk matrix and will popu
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Risk Grading Staff Group Evidence R
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4.8 RISK REGISTER The Risk Register
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5.1 Consultation and Communication
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The Trust recognises the importance
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timescale with supporting evidence
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Checklist for the Review and Approv
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Equality Impact Assessment Tool To
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Plan for Dissemination of Procedura
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Consequence score (severity levels)
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Frequency How often might it/does i
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Appendix 3 Framework for Risk Manag
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Risk Register inventory they are ex
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2. DECISION REQUIRED: CATEGORY: The
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• A review of data capture to ens
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Pilot Wards Division Discharges Per
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Workforce Appraisals - the actions
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Delayed transfers of care (DTOC) -
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EXECUTIVE SUMMARY TITLE: Emergency
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• Training competencies are being
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Appendix A: Trajectory for all type
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would welcome feedback from the Tru
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Maternity Services Monthly Performa
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4. Capping The maternity service is
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7. Obstetric Assessment Unit (OAU)
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10. Serious Incidents Reported Inci
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12. Maternity Dashboard The dashboa
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It should also be noted that the ta
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Priority Action Lead Monitoring Too
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Priority Action Lead Monitoring Too
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Contents Section No: Description Pa
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3. Complaints Activity 3.1 Total Co
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3.5 Themes General care issues and
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Corporate Non Clinical Category Num
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order to resolve concerns. Particul
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The findings of the review were tha
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SELF-CERTIFICATION RETURNS Organisa
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12 AA - Quality Improvement Strateg
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TFA Progress BHR University Hospita
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25 TFA - Final IBP /; LTFM Dec-12 H
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Effectiveness GOVERNANCE RISK RATIN
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Safety 4b MRSA Enter Are you below
Page 181 and 182: FINANCIAL RISK RATING BHR Universit
Page 183 and 184: CONTRACTUAL DATA BHR University Hos
Page 185 and 186: 4 Single Sex Accommodation Breaches
Page 187 and 188: TITLE: EXECUTIVE SUMMARY BOARD/GROU
Page 189 and 190: causes/ Not specified' will be remo
Page 191 and 192: Staff In Post Starters & Leavers FT
Page 193 and 194: TURNOVER Actual Versus Target Annua
Page 195 and 196: FTE Lost due to Sickness Absence by
Page 197 and 198: The data on the previous page has b
Page 199 and 200: Indicator Target Apr-12 May-12 Jun-
Page 201 and 202: Starters *¹ 7.00 3.60 5.00 7.43 6.
Page 203 and 204: EXECUTIVE SUMMARY TITLE: COST IMPRO
Page 205 and 206: Month 6 CIP Performance Workstream
Page 207 and 208: Governance The Cost Improvement Pro
Page 209 and 210: 1 REPORT TO: REPORT FROM: Trust Boa
Page 211 and 212: 3 Preparations for winter planning
Page 213 and 214: 5 Preparing the Payment by Results
Page 215 and 216: 7 People with dementia to receive m
Page 217 and 218: 9 Clinical Patient Management and H
Page 219 and 220: 102/2012 Apologies Apologies were r
Page 221 and 222: Action Members were advised that ac
Page 223 and 224: Action 115/2012 Any Other Business
Page 225 and 226: EXECUTIVE SUMMARY TITLE: Finance Re
Page 227 and 228: 1. EXECUTIVE SUMMARY Monthly I&E Ru
Page 229 and 230: Trust I&E summary by Division/Direc
Page 231: Income by POD In Month Year to date
Page 237 and 238: 4. BALANCE SHEET Balance Sheet Curr
Page 239: 6. Business Unit Summaries Attached
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