Agenda and supporting papers - Plymouth Hospitals NHS Trust

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D3 16,000 14,000 12,000 10,000 Capital expenditure OVERALL SUMMARY Actual Plan COMMENTARY The Capital plan of £15 million was approved at the June meeting of the Board. Expenditure to date totals £1.8 million, principally on the Stem Cell ward and other projects carried forward from the previous year. The remainder of schemes are underway or in planning in order to deliver the entirety of the programme by yearend. 8,000 6,000 4,000 2,000 0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar DETAILED ANALYSIS MONTH Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar CAPITAL SCHEME Plan Actual % Plan 1,262 491 2,027 1,543 1,057 1,591 1,209 1,083 1,143 906 1,060 1,649 Stem Cell Ward upgrade 600 356 59% Actual 1,262 574 LINAC C replacement 450 18 4% VARIANCE 0 83 Radiopharmacy 1,000 34 3% % OF PLAN 100% 117% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 5th Endoscopy Room 40 14 35% Other Planning Schemes 1,706 70 4% CUMULATIVE Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Estates Backlog Maintenance 2,958 220 7% Plan 1,262 1,753 3,780 5,323 6,380 7,971 9,180 10,263 11,406 12,313 13,372 15,022 IM&T systems and infrastructure 2,980 698 23% Actual 1,262 1,836 Rolling Equipment Replacement programme 1,400 0 0% VARIANCE 0 83 Imaging Replacement Programme % OF PLAN 100% 105% Directorate equipment/minor works 2,826 403 14% Transformational Change enabling mesures 522 22 4% Contingency 540 Donated assets Over commitment TOTAL 15,022 1,836 12% 17
D4 Cash Management Description Revised Planned Closing Cash Balance (£'000s) Actual Closing Cash Balance (£'000s) Cleared Balances (£'000s) BPPC - NHS Volume (% within target) BPPC - NHS Value (% within target) BPPC - Non-NHS Volume (% within target) BPPC - Non-NHS Value (% within target) PERFORMANCE INDICATORS Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar YTD Target RAG RAG Thresholds 5,362 3,226 3,226 Not applicable 5,846 8,761 8,761 Not applicable 8,416 9,409 9,409 Not applicable 96% 97% 97% 95% Green R < 80% G > 95% 95% 98% 98% 95% Green R < 80% G > 95% 94% 95% 95% 95% Green R < 80% G > 95% 86% 90% 90% 95% Amber R < 80% G > 95% £000 18,000 16,000 14,000 12,000 10,000 8,000 6,000 4,000 2,000 ANALYSIS OF KEY PERFORMANCE INDICATORS COMMENTARY The original cash plan anticipated receipt of cash support in June. The revised cashflow forecast reflects indications that the support will be provided in a number of smaller issues when necessary through the year to avoid cash deficits. The actual timings and values of these payments have yet to be confirmed. The cash balance is higher than plan at the end of May as a result of timing differences in the payment of Capital and Revenue creditors. The forecast balance at the end of June is close to the revised plan at £2.2m. The Trust’s Better Payments Practice Code (BPPC) performance improved against all measures in the month. Performance at Month 2 against all measures was at or above the 95% target, with the exception of Non-NHS invoices by value. 0 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-142007/08 Mar-14 Actual Plan Revised Cash Forecast 18
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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 Board oversight of contribut
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Item 3 the Board next month. • Th
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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
Page 29 and 30: Item 8 4.4 Monthly Proportion of Pa
Page 31 and 32: Item 8 Inpatient falls are currentl
Page 33 and 34: Item 8 REI signage PALS were contac
Page 35 and 36: Item 8 Complaints received listed b
Page 37 and 38: Item 8 The graphs below illustrate
Page 39 and 40: Item 8 5.5 Friends and Family Test
Page 41 and 42: Item 8 1. Pressure Ulcers (EoC) 2.
Page 43 and 44: Item 8 Observations The essence of
Page 45 and 46: Item 8a SUMMARY REPORT Trust Board
Page 47 and 48: Annex 2 Item 8a Summary of Serious
Page 49 and 50: Item 9 Key Recommendations The Trus
Page 51 and 52: Item 9 Effective Care (Section B2 o
Page 53 and 54: Item 9 Description 31 days from 'de
Page 55 and 56: Item 9 4.6 Non Elective Activity is
Page 57 and 58: Item 9 Summary of performance excep
Page 59 and 60: Item 9 Ensure that all patients adm
Page 61 and 62: Item 9 Forecast Significant progres
Page 63 and 64: Item 9 Update on previous actions C
Page 65 and 66: Contents EXECUTIVE SUMMARY D FINANC
Page 67 and 68: B1 Safe care Description Hospital S
Page 69 and 70: Response Rate Recommender Score B3
Page 71 and 72: B5 Other safety & quality metrics D
Page 73 and 74: C2 Non-Elective Activity Descriptio
Page 75 and 76: C4 Referral To Treatment (RTT) Desc
Page 77 and 78: C6 Other access & activity metrics
Page 79: D2 Cost improvement programme (CIP)
Page 83 and 84: E1 Staffing numbers Description Est
Page 85 and 86: E3 Sickness absence PERFORMANCE IND
Page 87 and 88: Risk Rating F2 Monitor's Financial
Page 89 and 90: Item 10 DETAILED REPORT Trust Board
Page 91 and 92: Item 10 4. Key Issues for the Board
Page 93 and 94: Item 11 SUMMARY REPORT Trust Board
Page 95 and 96: Item 11 DETAILED REPORT Trust Board
Page 97 and 98: Item 11 • Challenge in respect of
Page 99 and 100: Item 11 Over the past two years, me
Page 101 and 102: Item 11 Getting it Right Charter An
Page 103 and 104: Item 11 Outcome of review with exte
Page 105 and 106: Item 11 Learning Disabilities Natio
Page 107 and 108: Item 11 Peer Review 2.5 Peer Review
Page 109 and 110: Item 12 Next Steps 1. Conversation
Page 111 and 112: Item 12 2. Board Inclusion Developm
Page 113 and 114: Item 12 EDS Grades and E & D Object
Page 115 and 116: Item 12 Plymouth Hospitals Trust -
Page 117 and 118: Item 12 3.6 The workforce is suppor
Page 119 and 120: Item 13 Key Recommendations The Tru
Page 121 and 122: Item 13 Telephone conversations.
Page 123 and 124: Item 13 19. The Medical Director ha
Page 125 and 126: Item 14 SUMMARY REPORT Trust Board
Page 127 and 128: Item 15 incident investigations to
Page 129 and 130: Item 15, Annex 1 3. Review of Actio
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Item 15, Annex 1 • Top three issu
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Item 15, Annex 1 The Chair asked SS
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Item 16 COMMITTEE MINUTES Finance,
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Item 16 pay and staffing, highlight
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Item 16 • PACS contract - likely
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Item 17 Terms and Conditions of Emp
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Item 17, Annex 1 29/2013 Minutes an
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Item 17, Annex 1 31/2013 Francis Re
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Item 18 SUMMARY REPORT Trust Board
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Item 18 Next Steps The Audit Commit
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Item 18, Annex 1 Matters arising 4/
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Item 18, Annex 1 time to embed and
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Item 18, Annex 1 Payroll & Expenses
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Item 18, Annex 1 The Committee note
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Item 18, Annex 1 Going Concern Revi
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Item 18, Annex 1 if Internal Audit
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Agenda and supporting papers - Plymouth Hospitals NHS Trust

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