Minutes of the meeting on 24 April 2009 - Plymouth Hospitals NHS ...

Item 2
The ABP had been formulated in <strong>the</strong> context <strong>of</strong> <strong>the</strong> national
requirement implicit in <strong>the</strong> PbR tariff that trusts deliver a minimum
3% CIP in 2009/10. The Trust had achieved a surplus <strong>of</strong> £5,015k in
2008/09 and plans were in place to achieve a surplus <strong>of</strong> £9m in
2009/10. JDY detailed <strong>the</strong> frameworks in place to ensure <strong>the</strong>
successful implementation <strong>of</strong> <strong>the</strong> business plan and realisation <strong>of</strong> <strong>the</strong>
planned benefits. The Trust would be working to ensure that savings
were achieved on a timely and proportionate basis as <strong>the</strong> year
progressed.
D
JDY stated that <strong>the</strong> Trust had recently finalised its position with its
commissioners and colleagues in Primary Care were exploring
alternative means <strong>of</strong> providing some services to ensure appropriate
referrals. These plans were expected to be in place by June. There
had been a 7.5% increase in GP referrals in 2008/09 and by March
2009 this had increased
R
to 12% overall - c7% from GPs with <strong>the</strong>
balance from consultants. Agreement had been reached with
commissioners that tariff for patients in excess <strong>of</strong> agreed referrals
would be split 25/75% between <strong>the</strong> referring PCT and <strong>the</strong> Trust,
respectively.
JDY drew <strong>the</strong> Board’s
A
attention to <strong>the</strong> revisions to <strong>the</strong> Trust’s capital
plan and noted that investment in <strong>the</strong> Vanguard Gateway scheme
and Digital Mammography was dependent upon <strong>the</strong> Board’s
confidence at Quarter 2 that financial performance was on target.
44/09
The Board approved <strong>the</strong> outline business plan for 2009/10 and
<strong>the</strong> revised capital investment plan.
F
Standards for Better Health Declaration
Annette Penney-Cousins, Assurance & Governance Manager,
attended for this item.
T
The Board had previously considered <strong>the</strong> evidence to support its
declaration in <strong>the</strong> private part <strong>of</strong> <strong>the</strong> <strong>meeting</strong>; discussion in this part
<strong>of</strong> <strong>the</strong> Board focused on those standards on which compliance had
been agreed as ‘not met’ and ‘not met at year end’. PC stated that
Internal Audit had verified <strong>the</strong> evidence files and supported <strong>the</strong>
assessments made.
C2 – assessed as ‘not met’ due to insufficient availability <strong>of</strong> L3
training places. The Board noted this was a multi-agency problem.
Agreed by <strong>the</strong> Board.
C4a – assessed as ‘not met’ due to Care Quality Commission (CQC)
intervention. Agreed by <strong>the</strong> Board.
C4c – assessed as ‘not met’ due to CQC intervention. Agreed by
<strong>the</strong> Board.
C5a – assessed as ‘met at year end’ due to carry over <strong>of</strong> pre-2006
3