Agenda and supporting papers - Plymouth Hospitals NHS Trust

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Item 18, Annex 1 June. However, work was well ahead and had not identified any areas of concern. There had been a small number of trivial errors. Mr Barber wished to record his thanks to Mr Teape, Mrs Wilson and to their team, who had produced comprehensive working papers and with whom they had worked to produce a very positive outcome. This outcome confirmed his audit planning assumptions that the Trust was a low risk organisation. D Mr Barber stated that he was satisfied that the Trust had in place arrangements to secure economy, efficiency and effectiveness, with the exception of Financial Resilience. For this reason it was intended to issue a qualified ‘except for’ conclusion on the Trust’s arrangements for securing economy, efficiency and effectiveness in its use of resources. His R firm had been proposing to issue an ‘emphasis of matter’ conclusion in recognition of the Trust Board setting a deficit budget for 2013/14. However, confirmation had been received from the Trust Development Authority of their willingness to underwrite the deficit and there was now no longer any requirement to issue an ‘emphasis of matter’ conclusion. A Mr Barber confirmed that his firm would report on the outcome of their external assurance work on the Trust’s Quality Account prior to issuing their opinion on the financial statements and issuing their VFM conclusion for the year. 50/13 F Annual Accounts for the year ended 31 March 2013 The Committee noted the draft report. Mr Teape presented the Annual Accounts (Annex 1) to the Committee for scrutiny, together with a statement of comprehensive income for 2012/13, showing movement from 2011/12 (Annex 2), a Going Concern Review (Annex 3) and draft Letter of Representation. T Mr Douglas queried whether there had been any significant changes to format, style or content this year and Mrs Wilson confirmed that there had not. Since circulating the accounts there had been some minor amendments to the narrative but these were not of a material nature. Mr Warren queried whether the financial statements aligned with the management accounts. Mr Teape and Mrs Wilson confirmed that this was the case. Mr Warren sought, and received, clarification of the information set out in section 9.4 of the accounts. Mr Teape stated that the Trust did not make payments outside contractual terms. The Committee reviewed and approved the Annual Governance Statement set out on pages 3 to 10 of the accounts. There were no other queries on the financial statements. 9
Item 18, Annex 1 Going Concern Review Mr Teape reminded the Committee of its responsibility to obtain assurance that the accounts had been prepared on a going concern basis. Referring to page 5 of Annex 3, Dr Williams sought to understand the statement that “Income for the year has been agreed with Commissioners on a managed PbR basis.” Mr Teape stated that there was a joint commitment across the health community to ensure the Trust would deliver D the contract value. The contract had been ‘split’ into three themes: block, variables and a risk-share element. The contract had been signed and there was good assurance of its integrity. Mr Baber would circulate to NEDs the summary briefing recently issued by commissioners R to GPs. Professor Lewis sought assurance that the Trust would be appropriately recompensed for winter pressures this year. Mr Baber stated that the Trust was involved in discussions and there may be some additional funding to support additional activity and there was optimism that this would A be forthcoming. Mr Warren strongly argued that the Trust was a going concern given its unique purpose and funding arrangements and Committee members welcomed his perspective. COO The Committee endorsed F the assessment of the Trust as a going concern and recommended to the Trust Board the approval of the assessment as the basis for preparation of the Trust’s financial statements. Letter of Representation The Committee reviewed T this and recommended to the Trust Board that they approve it and that they authorise the Chief Executive and Director of Finance to sign it. 51/13 Losses and Special Payments for the year ended 31 March 2013 The Committee reviewed the schedule and noted that the total, £298k, was lower than 2011/2012 and that the total number of bad debts written off had reduced. The Committee remained concerned, however, by the increase, both in terms of incidence and payments made, in respect of the loss of patients’ property. The Committee noted the report and recommended to the Trust Board that they approve the formal write-off. 52/13 Management of External Assessments Mr Budge presented the half yearly review of progress in responding to recommendations and requirements arising from external 10
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Trust Board Friday 5 July 2013, 9.0
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Members of Plymouth Hospitals NHS T
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Item 3 observer. The Chairman requi
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Item 3 been involved and there was
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Item 3 continuing to build. Mr Babe
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Item 3 to Norovirus, Professor Lewi
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Item 3 • Careful communication of
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Item 3 • Approved the writing off
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Updated: prior to July Board Item 4
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Updated: prior to July Board Item 4
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Item 8 Quality Impact Assessment Pa
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Item 8 3.2 Quarterly Summary Hospit
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Item 8 4.4 Monthly Proportion of Pa
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Item 8 Inpatient falls are currentl
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Item 8 REI signage PALS were contac
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Item 8 Complaints received listed b
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Item 8 The graphs below illustrate
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Item 8 5.5 Friends and Family Test
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Item 8 1. Pressure Ulcers (EoC) 2.
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Item 8 Observations The essence of
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Item 8a SUMMARY REPORT Trust Board
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Annex 2 Item 8a Summary of Serious
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Item 9 Key Recommendations The Trus
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Item 9 Effective Care (Section B2 o
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Item 9 Description 31 days from 'de
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Item 9 4.6 Non Elective Activity is
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Item 9 Summary of performance excep
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Item 9 Ensure that all patients adm
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Item 9 Forecast Significant progres
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Item 9 Update on previous actions C
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Contents EXECUTIVE SUMMARY D FINANC
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B1 Safe care Description Hospital S
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Response Rate Recommender Score B3
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B5 Other safety & quality metrics D
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C2 Non-Elective Activity Descriptio
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C4 Referral To Treatment (RTT) Desc
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C6 Other access & activity metrics
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D2 Cost improvement programme (CIP)
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D4 Cash Management Description Revi
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E1 Staffing numbers Description Est
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E3 Sickness absence PERFORMANCE IND
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Risk Rating F2 Monitor's Financial
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Item 10 DETAILED REPORT Trust Board
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Item 10 4. Key Issues for the Board
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Item 11 SUMMARY REPORT Trust Board
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Item 11 DETAILED REPORT Trust Board
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Item 11 • Challenge in respect of
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Item 11 Over the past two years, me
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Item 11 Getting it Right Charter An
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Item 11 Outcome of review with exte
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Item 11 Learning Disabilities Natio
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Page 109 and 110: Item 12 Next Steps 1. Conversation
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Page 125 and 126: Item 14 SUMMARY REPORT Trust Board
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Page 133 and 134: Item 15, Annex 1 The Chair asked SS
Page 135 and 136: Item 16 COMMITTEE MINUTES Finance,
Page 137 and 138: Item 16 pay and staffing, highlight
Page 139 and 140: Item 16 • PACS contract - likely
Page 141 and 142: Item 17 Terms and Conditions of Emp
Page 143 and 144: Item 17, Annex 1 29/2013 Minutes an
Page 145 and 146: Item 17, Annex 1 31/2013 Francis Re
Page 147 and 148: Item 18 SUMMARY REPORT Trust Board
Page 149 and 150: Item 18 Next Steps The Audit Commit
Page 151 and 152: Item 18, Annex 1 Matters arising 4/
Page 153 and 154: Item 18, Annex 1 time to embed and
Page 155 and 156: Item 18, Annex 1 Payroll & Expenses
Page 157: Item 18, Annex 1 The Committee note
Page 161: Item 18, Annex 1 if Internal Audit
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Agenda and supporting papers - Plymouth Hospitals NHS Trust

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