Better Medicine Better Health Annual General Meeting

Better Medicine Better Health

Annual General Meeting& Open Event 2008


WELCOME AND INTRODUCTION

David Richardson


Review of the Year2007/08

Miles Scott

Chief Executive


Content Review of 2007/08:

Infection Prevention & Control Quality & Safety of Care Service Developments Buildings & Equipment Teaching & Research

Board of Directors Update Looking ahead to 2009 and beyond:

Better Medicine, Better Health: BTHFT in 2015 Service & Capital Developments


2007/08: Infection Prevention & Control - MRSA

75

58 59

47

10

4

20

0

10

20

30

40

50

60

70

80

2004-2005 2005-2006 2006-2007 2007-2008 YTD 2008-2009

Non Attributable

Attributable

Aug 2007-2008YTD Figure


Infection Prevention & Control – Clostridium Difficile

24

16

1311

17

3

0

5

10

15

20

25

30

April May June July August September

C-Diff Cases

Trajectory


2007/08: Quality & Safety of Care Access targets:

18 Weeks Admitted patients – 88% (target 85%) Outpatients – 91% (target 90%) Diagnostics – maximum wait of 6 weeks

Existing targets for A&E, cancer, GUM, cataracts Service improvement & innovation:

Day Case rates up 4% Increased weekend trauma lists and patient pre-optimisation for major

surgery MRI scanning for breast cancer patients Laparoscopic techniques for radical colo-rectal, upper GI and pelvic

surgery Safer Patients Initiative:

Critical Care; General Ward Care; Medicines Safety; Perioperative Care


2007/08: Developing Services A&E Bowel cancer screening Critical care Elderly care Head & Neck Cancer Centre Medical Oncology Neurology Obesity surgery Orthopaedics Winter beds


2007/08: Investing in Buildings & Equipment

£8.8m capital expenditure Haematology Day Unit Wards 1, 3, 6, 20, 21 & 23 upgraded Delivery Suite Assessment Unit Interventional Radiology Suite PAS & PACS £1.2m medical equipment Major schemes initiated:

Lecture Theatre Listening for Life Centre


2007/08: Developments in Teaching & Research

Bradford Institute for Health Research: Institute launched at Temple Bank House Clinical Research Facility opened NIHR programme grants for childhood obesity & stroke Leeds, York & Bradford Research Alliance

Educational development: 2,300 staff attended internal courses National laparoscopic colorectal training centre BTHFT consultants appointed as Directors of the Schools

of Surgery & Ophthalmology and Programme Director for Higher Surgical Training


Board of Directors Update Retirements:

Balbir Singh, Non Executive Director Rose Stephens, Chief Nurse/Deputy CEO

New members: John Waterhouse, Non Executive Director Sally Ferguson, Chief Nurse

Honours: OBE & DUniv for Rose Stephens


2009 and Beyond


2009 and Beyond Corporate Strategy Approved Developments:

New ward block Field House Education & Conference Centre Macular Service Maternity Services Critical Care Chronic Pain Hepatology & Upper GI Surgery Orthopaedics Restorative Dentistry


2009 and Beyond Corporate Strategy Approved Developments Pipeline of further developments:

Acute paediatrics Critical care Colorectal surgery Diabetes Heart attack and stroke services Maternity Matters implementation Neonatology Radiotherapy Robotic surgery Specialist childrens services Vascular services


ANNUAL ACCOUNTS 2007/08


INCOME & EXPENDITURE

06/07

£’m

07/08

£’m%

Income 237.6 257.9 +8.5

Operating Expenditure (225.6) (245.1)

Other Expenses (11.3) (11.0)

Total Expenditure (236.9) (256.1) +8.1

Surplus 0.7 1.9


INCOME

£’m

Income from Activities 227.5

Other Operating Income 30.4

Total 257.9


INCOME ANALYSIS

Elective Inpatients (20%)

Non-elective Inpatients (27%)

Outpatients (15%)

Other Activity Income (21%)

A&E Activity (4%)

Private Patients (0.5%)

Research & Development (0.5%)

Education & Training (5%)

Other Income (7%)


EXPENDITURE ANALYSISMedical & Dental Pay (21%)

Nursing & Midwifery Pay (20%)

Other Pay (23%)

Clinical Supplies & Services (13%)

Drugs (7%)

Other Non Pay (11%)

Depreciation (3%)

Public Dividend Capital (2%)


CAPITAL INVESTMENT Capital investment totalling £8.8 million was made during the year. The main elements of the capital programme are as follows:

Scheme £m

Buildings and Infrastructure Schemes- including development of Temple Bank House development, the start of the Lecture Theatre Scheme and a range of ward refurbishments.

4.5

Medical Equipment Replacement Programme 1.2

Information Technology Schemes- Including PACS implementation 3.1

Total 8.8


EXTERNAL AUDIT REPORTWe reviewed and considered:

The Statement of Internal Control; Annual Report of the Trust; and Whether proper arrangements had been put in place for securing economy,

efficiency and effectiveness in use of resources.

We identified no significant issues regarding the above which we believe need to be brought to the attention of Governors.

We provided an unqualified audit opinion on the Trust’s financial statements for 2007/08.

PricewaterhouseCoopers, External Audit 2007/08

Presentation to Governors 16 July 2008


LOOKING FORWARDActual Outturn

2007/08

£m

Annual Plan

2008/09

£m

Annual Plan

2009/10

£m

Annual Plan

2010/11

£m

INCOME

Clinical Income 227.5 233.7 239.7 245.2

Non Clinical Income 30.4 32.9 33.3 33.7

TOTAL INCOME 257.9 266.6 273.0 278.9

EXPENSES

Pay Costs (165.2) (178.7) (187.0) (193.2)

Non Pay Costs (79.9) (72.6) (69.5) (69.0)

TOTAL EXPENSES (245.1) (251.3) (256.5) (262.2)

EBITDA 12.8 15.3 16.5 16.7

Other Costs (11.0) (12.6) (13.7) (13.9)

Net Surplus/ -Deficit 1.9 2.7 2.8 2.8


MEMBERS QUESTIONS


UPDATE FROM GOVERNORS

Nora Whitham, Deputy Chair of the Board of Governors


MEMBERS QUESTIONS


QUESTIONS


ANY OTHER RELEVANT BUSINESS

Better Medicine Better Health Annual General Meeting

Documents

Transcript of Better Medicine Better Health Annual General Meeting