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Agenda and supporting papers - Plymouth Hospitals NHS Trust

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£m<br />

D1<br />

0.0<br />

(2,000.0)<br />

(4,000.0)<br />

(6,000.0)<br />

(8,000.0)<br />

Income & Expenditure<br />

OVERALL SUMMARY<br />

Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13<br />

COMMENTARY<br />

At the end of the second month of the new financial year, the <strong>Trust</strong>’s position is some £54k better<br />

than the £2.45 million planned deficit, at an actual position of £2.40 million deficit. Overall, this<br />

represents a £254k underspend against operational budgets <strong>and</strong> a £200k under-delivery of CIP<br />

targets.<br />

Income is £242k behind plan in Month 2 before CIPs as a result of under-performance against cardiac<br />

<strong>and</strong> non-contracted activity within the variable element of the contract <strong>and</strong> low levels of Private<br />

Patient, Education <strong>and</strong> Research income.<br />

Pay is underspent by £668k to Month 2 before CIPs with savings from vacancies exceeding<br />

discretionary pay costs in the majority of areas.<br />

(10,000.0)<br />

(12,000.0)<br />

(14,000.0)<br />

Actual<br />

Plan<br />

Non Pay expenditure is overspent by £154k before CIPs. Drug expenditure remains higher than plan,<br />

with 50% of the excluded drugs overspend being re-imbursed by Commissioners. Medical <strong>and</strong> Surgical<br />

Supplies expenditure is lower than plan reflecting lower than planned activity levels in some high cost<br />

areas.<br />

DETAILED ANALYSIS<br />

PLAN Plan Actual Variance MONTH PERFORMANCE Budget Actual Variance<br />

Variance Variance<br />

DIRECTORATE<br />

Apr-12 (941) (913) (28) Income (34,011) (33,210) 801<br />

in-month YTD<br />

May-12 (2,455) (2,401) (54) Pay expenditure 21,116 20,389 (727) Cardiothoracics 43 (97)<br />

Jun-12 (3,580) Non-pay expenditure 12,580 12,439 (141) Children & Young People's Health 23 52<br />

Jul-12 (4,683) Depreciation <strong>and</strong> interest 1,829 1,869 40 Emergency Services 26 39<br />

Aug-12 (5,869) NET DEFICIT/(SURPLUS) 1,514 1,488 (26) Gastro, Surgery <strong>and</strong> Renal Services 119 184<br />

Sep-12 (7,052) Head & Neck Surgery 60 81<br />

Oct-12 (8,132) YTD PERFORMANCE Budget Actual Variance Medical Specialties 153 222<br />

Nov-12 (9,040) Income (67,945) (66,906) 1,039 Neurosciences 12 30<br />

Dec-12 (9,923) Pay expenditure 41,978 40,859 (1,119) Ophthalmology 50 68<br />

Jan-13 (11,043) Non-pay expenditure 24,764 24,775 10 Oncology & Blood (51) 286<br />

Feb-13 (11,581) Depreciation <strong>and</strong> interest 3,658 3,674 16 Orthopaedics & Rheumatology (11) 126<br />

Mar-13 (13,000) NET DEFICIT/(SURPLUS) 2,455 2,401 (54) Reproductive Health <strong>and</strong> Womens Srvs 97 142<br />

Anaesthetics Pain <strong>and</strong> Critical Care (24) (62)<br />

Pharmacy (37) 9<br />

Health Science & Technology (42) (45)<br />

Clinical Support Services 95 94<br />

Chief Executive (2) 29<br />

Information <strong>and</strong> Planning (15) (54)<br />

Director of Finance (53) (72)<br />

Director of Human Resources (40) (88)<br />

Site Services 126 169<br />

Medical Director (36) (92)<br />

<strong>Trust</strong> Wide (490) (1,077)<br />

All figures are recorded in £000s Research <strong>and</strong> Development (30) 3<br />

TOTAL (26) (54)<br />

15

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