Agenda and supporting papers - Plymouth Hospitals NHS Trust

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Item 10 SUMMARY REPORT Trust Board 5 th July 2013 Subject Prepared by Approved by Presented by Month 2 Financial Results Director of Finance Director of Finance Director of Finance Purpose The purpose of this paper is to provide the Board with a summary of the Trust’s financial performance to the end of May 2013 (Month 2). This report accompanies the detailed performance dashboard for May 2013 with the finance section included at D1 to D5. Corporate Objectives Decision Approval Information Assurance Quality Care Inspired People Healthy Organisation Innovate & Collaborate • Executive Summary At the end of the second month of the new financial year, the Trust’s position is some £54k better than the £2.45 million planned deficit, at an actual position of £2.40 million deficit. The annual cost improvement target is £24m. There are currently £25.7m of schemes identified. The risk assessed value of schemes is currently £19.7million which is £4.3million below the target. The Board will note from this that there remains significant risk in delivering a £24m savings programme and actions are on-going to address this. • • Quality Impact Assessment Each of the Trust’s proposed savings is subject to a formal Quality Impact Assessment, which is signed off by the Medical Director and Director of Nursing and monitored by the Programme Management Office and Executive Management Team. Financial Impact Assessment This paper updates the Board on the overall financial performance of the Trust. Regulatory Impact Assessment This paper addresses the performance of the Trust against its statutory financial duties and against Trust Development Authority and Monitor financial standards. Key Recommendations The Trust Board is asked to: 1. Note the financial position of the Trust as at 31st May 2013. 2. Endorse and discuss the actions set out at 5.3 of the report. Next Steps Carry out a review of progress and forecast delivery of cost improvement schemes. Implement improved financial controls. Develop a medium to long term financial recovery plan.
Item 10 DETAILED REPORT Trust Board 5 th July 2013 Subject Prepared by Approved by Presented by Month 2 Financial Results Director of Finance Director of Finance Director of Finance 1. Purpose 1.1 The purpose of this paper is to provide the Board with a summary of the Trust’s financial performance to the end of May 2013 (Month 2). 1.2 This report accompanies the detailed performance dashboard for May 2013 with the finance section included at D1 to D5. 2. Background 2.1 For 2013-14 the Trust has a planned deficit of £13m after assuming savings of £24m. 2.2 The month 2 detailed financial results have been subject to review at the Finance and Investment Committee meeting of the 26 th June 2013. Any issues from the Finance Committee review will be reported to the Board. 3. Overall Position Month 2 3.1 At the end of the second month of the new financial year, the Trust’s position is some £54k better than the £2.45 million planned deficit, at an actual position of £2.40 million deficit. Overall, this represents a £254k underspend against operational budgets and a £200k under-delivery of cost improvement programme (CIP) targets. 3.2 The overall position to date is shown against plan below: -
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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
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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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Page 39 and 40: Item 8 5.5 Friends and Family Test
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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 and 80: D2 Cost improvement programme (CIP)
Page 81 and 82: D4 Cash Management Description Revi
Page 83 and 84: E1 Staffing numbers Description Est
Page 85 and 86: E3 Sickness absence PERFORMANCE IND
Page 87: Risk Rating F2 Monitor's Financial
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.
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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
Page 131 and 132: Item 15, Annex 1 • Top three issu
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
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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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