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Contents:

Introduction Overall achievements 2010 - 2013 2012/13 Review Plans for 2013 Budget and Expenditure 2012/13 and 2010/13 overview

Executive Board

Professor Jessica Corner (Chair) University of Southampton, Dean, Health Sciences

Professor Iain Cameron University of Southampton, Dean, Medicine

Michael Marsh University Hospital Southampton, Medical Director

Dr Andrew Mortimore Southampton City Council, Director of Public Health

Tony Horne Portsmouth University

Judy Hillier Solent NHS Trust, Director of Nursing

HIEC Staff Team

Chris Hawker Programme Director

Kevin Brooks Knowledge Programme Manager

Katherine Barbour Telehealth/care Programme Manager

Sara Moseley Community Solutions Programme Manager

Charlotte Forder Web and Communications Officer

Hazel Orriss Project Support Administrator

www.wessexhiecpartnership.org.uk www.wessexhiecpartnership.org.uk/wires

www.wessexahsn.org.uk

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WESSEX HIEC – IMPLEMENTING INNOVATION IN WESSEX HEALTH AND CARE SERVICES FINAL REVIEW and TRANSITION PLAN 2010 – 2013

INTRODUCTION – PROFESSOR JESSICA CORNER

We set out on the HIEC ‘ journey’ over three years ago, not at all sure about where all this was leading us all but knowing that we all needed to give more attention to improvement, the application of innovation and how we worked together to build on all our local talents. This review sets out the achievements from this programme which range far and wide across the health and care landscape.

I believe the Wessex HIEC to have been a real success story in which many of us have been enabled to participate through the hard work of the staff team, with their focus on supporting partnership, innovation and improvement. This review demonstrates both the breadth of the project based achievements and the depth of the infrastructure supports which the HIEC has established for the future.

Within months of establishing the Wessex HIEC, the whole landscape for health services was changed by the incoming government. The HIEC partnership and programme has subsequently become even more relevant to helping to unite us all in managing change and improvement in our services.

More specifically, the Wessex HIEC Partnership has been the springboard for our Wessex AHSN application and, once funding is secured, for a Wessex CLAHRC programme. So from quite humble beginnings we have been able to ensure the resources for a dynamic and vibrant ‘beating heart’ at the centre of the Wessex health and care system.

I am particularly pleased that the Wessex universities have played their part in supporting these developments and that our relationships with commissioners and services have clearly grown and matured. I am personally grateful for the chance to have played my part in all of this and I look forward to a growing bond between the academic, business and health and care services in delivering improved outcomes for patients in the years ahead.

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KEY PROGRAMME ACHIEVEMENTS 2010 – 2013 The Wessex HIEC has supported the implementation and promotion of 15 major projects over its three year life, alongside support for a wide range of smaller initiatives. The HIEC team have moved from start up to delivery in a very short time frame and have developed the mechanisms for project support, delivery and dissemination which will be carried through into the Wessex AHSN. There have been clear themes to the work programme including:

Initial project work was, of necessity, opportunistic. However, as the programme has matured, these themes have been shaped into a range of linked developments, and captured on the Wessex Innovation Resources (WIRES) website.

Some have focused on developing and capturing innovation, some have tackled implementation challenges and others on improving direct delivery – although there are overlaps in the way the projects have taken shape.

Major projects

The fifteen major projects include:

DEVELOPING INNOVATION

Hospital Discharge Support Schemes review (UHS) Evidence of success, models for practice

Dorset Respiratory Services Extensive Service and Research review informing re-commissioning of services

Developing new Hospice based Service approaches Enabling expansion of services

Improving the value of Simulation Promoting network and options for future improvement

Reducing Alcohol Misuse Scoping opportunities for hospital intervention, improving local responses, models for hospital and community services

Supporting an MSK network Promoting better practice

Preventing hospital admissions, reducing stays, enabling community solutions

Empowering users

Reducing costs

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IMPLEMENTATION CHALLENGES / CHANGING CULTURES

Improving Dementia Care in Community Hospitals (Southern Health)

Improving quality through staff development

Review of Solent Healthcare ‘PEACE’ Telehealthcare services Identifying future opportunities for technology

Review of Common Assessment Framework Project Learning from User Involvement in future information based projects

Promoting Telehealthcare Solutions, EXPO’s, Learning Sets and Network

Growth in take up of telehealthcare across Wessex in Community Services to 500 users

Training Tools for Telehealth Training tools for changing culture and approaches to using telehealthcare

DELIVERING BETTER SERVICES

Early Supported Discharge in Stroke Care (All Wessex Hospitals)

Evidence of success, nationally accredited training tools, Wessex patient information materials

Improving Sepsis care (with Patient Safety Federation/ Lymington Hospital)

Improvement in outcomes for patients, reducing stays

Early Hormonal Contraception (Hampshire PCT) Training programmes for pharmacies to reduce unwanted pregnancy

Improved Inhaler Use – Pharmacy training programme and evaluation (Wessex wide)

Reduced admissions, better patient care

In addition, a number of short term initiatives have also been supported through promotion or related activity. All of these are supported by the Wessex HIEC website, marketed as Wessex Innovation Resources. The website has been an overarching major investment designed to support promotion and access to innovation ideas easily and quickly.

The site also includes facilities for secure collaboration between professionals working across Wessex.

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ASSESSING THE OVERALL IMPACT 2010-2013

The national ‘HIEC’ initiative was a relatively modest and short term programme designed to test the benefits of dedicated inputs into stimulating innovation and its take up in the NHS. The 17 HIEC programmes across England undertook a range of projects and approaches and positive lessons can be taken from each of them.

The Wessex HIEC programme has made its unique contribution to the national picture. The experience of the HIEC programme will now be taken on into the Wessex AHSN which will be able to build a much more

robust set of structures and initiatives to extend the work started through the Wessex HIEC programme.

The vision set out in the original Wessex HIEC bid:

Our vision is a partnership of health and care organisations delivering the NHS priorities

across the South Central Area, through a common agenda and a concerted set of

initiatives which will deliver tangible and significant results within the time and resources

allocated.

The partnership currently comprises 40 organisations, encompassing the health, social

care, education, not-for-profit and business sectors and serving the population across

Hampshire and the Isle of Wight, Dorset and South Wiltshire.

Each organisation is committed to bring specific knowledge and resources to ensure that

results are delivered efficiently. Strong leadership and clear governance will ensure a

common agenda, tangible commitments and results driven actions.

The partnership will:

• unite geographies and sectors to deliver the NHS strategic priorities in an effective

and measurable manner

• generate research, innovation, best practices and knowledge transfer

• reduce the cost of delivering health services to the community.

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Supporting Partnership, uniting geographies and sectors

The Wessex HIEC supported a number of interactive partnership discussions, learning from our early experiences, in its first two years.

As the Wessex HIEC Partnership has become the footprint for the Wessex Academic Health Science Network (AHSN) during 2012, the HIECs key local stakeholders have met to design and shape the new AHSN programme, incorporating the key functions of the Wessex HIEC.

The new AHSN programme builds on many of the foundations developed through the HIEC programme, linking commissioning initiatives and service delivery developments, and now also championing the opportunities explored by the HIEC in engaging local and national commercial investment in supporting change and promoting local wealth creation initiatives.

Generating research, innovation and knowledge transfer

New models for transforming services have been developed. Projects have focused on using pharmacy resources in new ways, delivering shorter hospital stays and enabling improved use of community services, using new technology to engage and support patients in managing their own care and tackling entrenched problems such as alcohol misuse. These have generated data on outcomes and costs which have been evaluated. There is now a better understanding of health and care service development models based on knowledge generated through practice developments.

The development of video, website and social media communication tools have been championed by the Wessex HIEC. This have become an integral part of change processes and in the sharing and spread of ideas, thinking and innovation delivery methods. Three major training programme initiatives have been sponsored through the Wessex HIEC to build workforce related programmes which support widescale adoption both in Wessex and beyond. These activities will be taken forward into the Wessex AHSN.

Reducing the cost of delivering health services

A major evaluation of HIEC programmes in 2012 explored how innovations being supported by the Wessex HIEC could be assessed (given their formal outcomes cannot be fully evaluated on retrospective data).

This showed how the existing HIEC programmes were already contributing to the Health Economy – as well as the potential for greater contribution in the future.

Adoption of 2012 Wessex HIEC project initiatives across Wessex would generate a minimum of £40m savings annually for Wessex NHS services.

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The benefits were achieved in close partnership with other NHS interests and agencies and so they are not claimed by the HIEC alone.

This indicates the scale of the impact of the application of a relatively small number of innovative developments and the benefits from active spread and adoption across local NHS services.

Further concentrated efforts (beyond the resources of the Wessex HIEC) would be needed to realise these benefits in practice across the whole Wessex system.

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2012/13: PROGRAMME REVIEW A detailed assessment of progress against the targets set out for the 2012/13 is included at Appendix 1.

There have been three major sets of achievements in the 2012/13 year:

1. Major change projects

The conclusion of major change projects initiated in the early phases of the HIEC programme. Highlights include:

Delivery of a complete package to support the delivery of Early Supported Discharge in Stroke Care services, including promotional and training development programmes

Delivery and evaluation of the Improved Inhaler Use Programme, demonstrating its success in reducing morbidity and expanding take up of the programme in other parts of the UK

Supporting adoption of telehealth/care across Wessex. Three major schemes are now going ahead supported by Wessex HIEC networks and training tools.

2. New approaches

The implementation of new approaches to supporting adoption and spread of initiatives:

The development and use of video materials to provide easy access to good ideas, accelerate learning and support the spread and take up of knowledge based developments

The launch of the new Wessex Innovation Resources (WIRES) website and associated promotion and social media activities. Now established as a key project support resource and, in its new form, continuing to support the development of future innovation management, adoption and spread for the Wessex AHSN.

3. Future programme

The publication of Innovation, Health and Wealth in December 2011 announced the creation of local Academic Health Science Networks (AHSNs).

The Wessex HIEC supported the creation of this new organisation and the drafting of the Expression of Interest and the Prospectus for the Wessex AHSN.

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The HIEC is now actively supporting the development of a future programme of work within the Wessex Academic Health Science Network (Wessex AHSN):

The adoption of the Wessex HIEC Partnership as the footprint for the proposed AHSN Building on proven HIEC successes in developing AHSN programmes The development of the Centre for Implementation Science which will build improved links between

academic knowledge and service improvement.

An extensive work programme is now continuing into 2013 to support the introduction of the AHSN programme.

The Wessex HIEC is also being commissioned to manage projects and extend the use of our video and website tools to promote innovative services and workforce developments.

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PLANS FOR 2013 The Wessex HIEC will have formally transferred all its activities and programmes to the AHSN by Autumn 2013 and will cease operating as a standalone function by then. Careful management of the Wessex HIEC resources and a growing income from other sources has enabled the HIEC to continue its operations into 2013 (well beyond the original time frame of 2010 – 2012).

The key aims for the 2013 programme are all associated with establishing a successful startup programme for the Wessex AHSN, including the University based Centre for Implementation Science. These will include:

AHSN wide initiatives Key Development areas Wessex HIEC contribution

Supporting Quality Improvement initiatives

Wessex Respiratory Services Extending the partnership with Dorset CCG to develop a new service design for respiratory services in Dorset. This will build on effective and proven outcomes from local and national research.

Once established, this will also set benchmarks for services across Wessex and opportunities for improved service delivery.

Championing Information System improvements

Delivering the Government’s ‘Digital Health’ programme

Delivering the Government’s proposals for improved information and data management in the NHS, and delivering ‘paperless’ communication systems

The Wessex HIEC Telehealth/care programme can make a direct contribution to achieving these objectives. Much has also been learnt about supporting important organizational and cultural changes in using new IT mechanisms in human services.

Life Sciences- Wealth Creation AHSN Wealth Creation functions The Wessex HIEC will lead on establishing this function for the AHSN, leading to a major conference in early Autumn 2013 to launch this function.

Centre for Implementation Science initiatives

Analysis

Reviewing outcome variations to identify opportunities for service improvement

Building on the resources of the Hampshire Health Record and UoS research in population and service modeling, a project programme for taking these two key AHSN

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Developing the initial impact assessment of the needs of older people (especially dementia related)

commitments forward will be shaped.

Evidence Synthesis

Identifying developments using local/national research findings to improve services

The AHSN programme commitments will be translated into a set of key evidence collection initiatives to bring together local knowledge and national research to inform the implementation of Wessex AHSN programmes.

Knowledge Transfer

Extending the existing website, promotion and communications activities relating to innovation development and adoption

The Wessex Innovation Resources (WIRES) website will be reshaped to accommodate Wessex AHSN initiatives.

A new programme of dissemination through established and newly developed social networking communication channels will be developed.

Evaluation

Developing new evaluation capacity to ensure effective learning and feedback into future service and AHSN plans.

Recruiting evaluation knowledge and expertise to the Centre and shaping an ongoing AHSN programme to inform system learning and performance evaluation.

This will continue the Wessex HIEC’s approach to cost benefit evaluation.

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BUDGET AND EXPENDITURE

2010-13 Overview Details of the HIEC’s budget and expenditure to 31st March 2013 since its inception are included in Appendix 2.

The original Department of Health funding contribution of £1,533,700 was committed for an initial two year programme to April 2012, and designed to enable the HIEC to develop other income streams which would enable the continuation of proven workstreams into the future. By mutual agreement with the South Central SHA, the original Memorandum of Understanding was extended to March 2013 (utilising the funding originally intended to for the period to March 2012). The continued need for a HIEC partnership infrastructure would then be dependent on local agreement to continue a longer term strategic approach. The Wessex HIEC therefore sought and secured £456,625 of additional income in support of range of projects which would also support the HIEC’s core funding.

The total expenditure to the end of March 2013 was £1,674,092, showing that the original Department of Health investment had been committed and spent, but leaving the HIEC able to continue forwards using funding earned for specific projects, some of these are to be delivered in 2013/14.

However, the announcement of the Department of Health’s Innovation, Health and Wealth programme in Dec 2011 has subsequently set out a new environment for innovation development and support. This programme proposes the development of local Academic Health Science Networks (which in many ways build on the activity streams pioneered locally through the Wessex HIEC programme) and a ‘sunset review’ of other innovation initiatives. The Wessex HIEC supported the application for a Wessex AHSN and is now supporting the implementation of the AHSN infrastructure and programmes.

2013 Budget Proposals

At 1st April 2013, the Wessex HIEC had £511,052 to commit to a further work programme in 2013. It is proposed to use this to fund:

1. Project costs for projects still being implemented; these will be completed by September 2013. 2. Support for the establishment of the Wessex AHSN to enable a positive start to the AHSN programmes. It

would be hoped to continue this work to the point at which the AHSN has its own management and staffing infrastructure.

The current funds should enable the continued support of a staff team until the end of September 2013 and also allow for any redundancy payments which may then be required, (staff contracts currently expire at the end of August 2013). A framework contract has been agreed with the Wessex AHSN to enable it to fund the HIEC to manage further specific AHSN initiatives as may be required. Key AHSN based work programmes being supported by the HIEC currently include:

• Initiating a Quality Improvement Programme for Respiratory Services • Establishing the AHSN Life Sciences and Wealth Creation Programme

• Managing a major workshop/conference on telehealth/care and ‘Digital Health’

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APPENDIX 1

EVALUATING THE 2012/13 PROGRAMME Assessing achievement against the targets for 2012/13

Targets (from 2012/13 Plan)

Actions Measuring Success Achievement Review

Demonstrate and deliver key service development innovations in a) Community Solutions

Enhanced Supported Discharge Service provided by Healthcare at Home for Southampton University Hospital trust

Promotion of innovative model of outsourcing care.

National promotion of model innovation, which created national interest and uptake.

Executive summary and combined overview of current state of Community Services and Future Need

Identification of community need for the IOW Community Services.

Development of their rehabilitation services, and integration of service provision, to move cases from a traditional bed-based model of care with separate providers to a more appropriate model based on care pathways across traditional boundaries and provide new collaboration model and multidisciplinary working with its health economy

Neurological Conditions – Redesigning and integrating Parkinson's Disease and Multiple Sclerosis Pathways across Hampshire

The overall objectives of the programme were to: • Develop an Integrated

Hampshire Neurological Care Pathway for the community, to offer people with a Neurological condition a tangible improvement in the quality of service they receive

• Establish the capability to deliver a high quality service for people across Hampshire with Neurological conditions

Initial service analysis support provided to enable implementation of local programme initiative.

Stroke Early Supported Discharge (ESD) Completed review of Stroke Early Supported Discharge arrangements Supported Delivery of RBCHT ESD arrangements Completed production of resource materials, including video materials, training resources (see below) and

Adoption and extension of ESD framework for RBCHT, promotion of model at national level. Set up a Wessex Wide ESD Clinical Forum Patient booklet and training materials adopted in all Wessex Trusts, national promotion initiated Developed National Stroke

This programme has promoted and supported the delivery of key innovations enabling better community based care for people with long term conditions, including stroke rehabilitation and respiratory conditions. It has shown how effective service analysis, including major contributions from users, change project management support with good clinical leadership, supported by the development of effective communication and workforce development tools can support

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patient booklet for adoption across Wessex.

ESD Training Package SSEF accredited

delivery of system wide changes in care.

Respiratory Services Project Completed Review of Dorset Respiratory Services and identified key research led opportunities for future development Currently developing the Desired Future State Document

Decision to go forward with future options review with Wessex HIEC support, building on local and national research developments. Provides evidence of model, clinical interventions, and process

To reduce emergency admissions, and support people in their own homes. To provide the infrastructure for community delivery of a new service, and to ensure that patients’ needs are met based on the current status review findings.

Demonstrate and deliver key service development innovations in b) Public Health

Supported development of hospital based preventive services and developed care pathway for alcohol services in Wessex. Enabled development of contraception support services delivered through pharmacies in Hampshire

Identification of future model for adoption across Wessex and basis for a next stage adoption programme as part of the AHSN programme. Successful implementation of training and video based information resources for pharmacy programme. Built on innovation approaches developed for Inhaler Use project.

Despite much reduced resources being available for this programme, these initiatives have illustrated how public health services can benefit from new innovations. In particular these have benefited from the use of new web-based and video materials designed to help in promoting staff training in supporting people though important lifestyle changes.

Demonstrate and deliver key service development innovations in c) Telehealth/care

Launch of key initiatives in engaging GPs/Commissioners THC in Dementia Care and with Learning Disabilities/Epilepsy Supported unsuccessful DALLAS bid Managed telehealthcare use reviews for Solent NHS Trust, information system review for Southampton City Council CAFA project Continued to build THC network and build communications materials on website Developed THC Training materials (see below)

Positive reviews of workshops and resource materials. Positive review of workshops and linkages made to wider networks. Although SW HIEC bid unsuccessful, many new contacts and ideas identified for future development Positive review of HIEC input and support. Improved knowledge of implementation programmes at a Trust level and opportunities for user involvement in future information system developments. Resources now in place for future development of professional and user approaches and ‘cultures’ in adopting telehealth/care as part of a wider information and data management initiatives.

This programme has identified how major change initiatives have to overcome professional and user ‘cultures’ and understanding to begin to change the way services can be delivered using new technologies. The project has developed a number of key tools including: • Network support

• Promotional events

• Training materials

Can assist major transitions in service delivery. THC schemes are now being developed in all community trusts across Wessex with the benefit of access to these services and supports.

Enable Innovation adoption and spread through the HIEC Knowledge Programme websites and engagement of key innovation champions, ensure effective linkage with national information developments

New Wessex WIRES website and associated social media communication tools launched; future support to be continued through Wessex AHSN.

New website launched as key tool for Wessex AHSN to support development and adoption of innovations. Effective take up of social media links.

Traffic to this website continues to increase even before formal launch through linking key networks to website based initiatives. The use of social media has been pioneered and early signs demonstrate the necessity of fuller adoption of these communication channels.

Key innovation champions supported in development of:

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Hospital dementia services (My Life)

New approach tested and materials promoted through website

The Knowledge Programme raised over £200K in additional funding to run many of the individual projects listed here. These projects have all supported local initiatives and many will become incorporated into future AHSN programmes. Some will benefit from a longer term promotion at a national level through the resources now available on the website.

Hospice Services

Project reports and promotion of approach for extending community based hospice care, website materials.

Emergency Hormonal Contraception

Evaluation underway, 200 pharmacists registered to access training for accreditation in accessing EHC materials and medication.

Evaluation of the Inhaler Project and supporting adoption in other parts of the UK

Formal external evaluation demonstrated value of the work, showing improvements in CAT and ACT scores for participants. Positive association with reduced Winter admissions.

PSF Sepsis Project support at Lymington Hospital

Evaluation underway, early indications are reduction of cases requiring transfer to ICU. Part of a wider PSF programme.

Improving Map of Medicine accessibility/ joint project with WIRES

Programme now getting underway, four podcasts completed, project still to be evaluated.

Remote clinical supervision (Isle of Wight)

New project based on PhD study to implement improved access to supervision and clinical support in training programmes.

Wessex HIEC prize for innovations in student research projects with local adoption potential

Two projects adopted for local promotion through WIRES website and local promotion activity.

Emergency Care skill development programme

A new project being adopted at the end of 2012/13 and funded by the Wessex LETB to build new approaches to developing a workforce for emergency care services.

Supporting development of a South Central NHS MSK network

This project is being developed at the end of the 2012/13 period to extend development of a SC SHA initiative.

Deliver an evaluation programme demonstrating effectiveness, and cost effectiveness, of key developments

Cost benefit evaluation programme for HIEC programmes to 2012 delivered and basis for managing innovation cost effectiveness developed.

Analysis promoted through Wessex HIEC partnership.

The evaluation programme forms the basis for future development in Wessex AHSN. The Centre for implementation Science will play an important role in evaluation of the Wessex AHSN programme

Support an ‘Innovation Leadership’ programme through a ‘HIEC Papers’ series and promotion events designed to highlight areas for future innovation

This area of work was overtaken by the need to develop the Wessex AHSN programme. This has ensured that Wessex HIEC initiatives have been recognized by key local leaders and used as part of the basis for the future AHSN programme.

Wessex AHSN Prospectus adopted by Partnership and used as the basis for successful AHSN application.

Future development of an effective work programme secured through the AHSN Centre for Implementation Science.

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Enable the delivery of Innovation Procurement programmes to utilize local commercial organisations and their skills and capacities, focusing on telehealth/care initiatives in the first instance

This initiative was stalled by the withdrawal of a key partner. However engagement of commercial partners has been re-established through the Wessex AHSN development programme where a new relationship with commercial suppliers is being established.

These developments only partially successful – though the initiative has been important in supporting the basis for the Wessex AHSN ‘Wealth Creation’ programme

Important development areas e.g. in matching needs to local commercial resources, identifying opportunities for external investment and addressing local procurement programmes identified for future inclusion in AHSN programme.

Support the development of a local Academic Health Science Network, providing a local framework agency for delivering innovation programmes delivering:

The Wessex HIEC Partnership has been used as the basis for the development of the Wessex AHSN initiative into which the Wessex HIEC programme will be merged.

This work is currently being taken forward through the Wessex AHSN development and delivery programme which is being fully supported by the Wessex HIEC team.

Engagement with Clinical Commissioning Groups/Boards, NHS Commissioning Board plans, Local Authority Public Health Teams, identifying clear opportunities for Innovation to support local QIPP programmes and initiatives

A number of stakeholder meetings held in the Spring/Summer of 2012 have taken the Wessex HIEC Partnership framework and developed the Wessex AHSN Governance model, Prospectus and Business Plan.

Clear linkage to local research programmes, and providing ‘translational’ and implementation support to ensure key findings are implemented in key service settings across Wessex

A review of the local research programme activity has been used to identify initial projects for the Wessex AHSN programme. Some of these will be delivered through the Wessex HIEC infrastructure until the AHSN arrangements are formally established.

The creation of training and development resources, and their adoption through Workforce Development initiatives sponsored through the Workforce Development Commissioning arrangements.

Three Wessex HIEC training development initiatives in ESD, Telehealth/care and contraception services have illustrated how innovation related training initiatives can be taken forward. A close relationship between the AHSN and LETB programmes is being developed to support future joint working in this area.

Programmes are being monitored for take-up.

APPENDIX 2

WESSEX HIEC COSTING Working on NHS Years Actuals Actuals Actuals

Year 1 Year 2 Year 3

2010 - 2011 2011 - 2012 2012 - 2013

509143101 Core Management Costs Staffing

Programme Director (Chris Hawker) £78,701 £99,429 £91,585

Knowledge Project Manager (Kevin Brooks) £22,302 £60,108 £60,504

Business Support (Various) £14,125 £31,572 £43,609

Workstream Project Manager (Katherine Barbour) £22,425 £63,722 £67,041

Workstream Project Manager (Sara Moseley) £26,470 £66,514 £67,041

Other Expenditure

Advertising £3,624 £ - £ -

Partnership Development/ Branding & Marketing £3,255 £28,048 £3,443

Telephone Purchase (one off) £1,163 £432 £ -

Telephone Call Charges £164 £488 £412

Programme Development costs/Consultancy £ - £2,018 £16,861

Travel & Hospitality £3,776 £17,501 £13,342

Staff Training and Development £1,071 £756 £3,094

Equipment £ - £470 £641

Miscellaneous £75 £971 £777

509143102 Knowledge Programme

Programme Development/Promotion £ - £467 £7,813

509143103 Telehealthcare Programme

Programme Development/Promotion £ - £4,318 £6,147

509143104 Community Solutions Programme

Programme Development/Promotion £ - £ - £1,091

TOTAL £177,150 £376,815 £383,400

PROJECTS

509143106 IEC PROJECT Inhaler Technique Improvement project (ITIP)

Income £56,225 £ - £ -

Expenditure £700 £26,265 £4,599

Balance £55,525 £(26,265 )

509143107 HIEC PROJECT The Productive Operating Theatre (TPOT)

Income £29,400 £ - £ -

Expenditure £2,669.42 £26,254 £ -

Balance £26,731 £(26,254 )

509143108 HIEC PROJECT Organising for Quality (O4Q)

Income £28,000 £ - £ -

Expenditure £ - £22,048 £ -

Balance £28,000 £(22,048 )

509143110 HIEC PROJECT Enhanced Recovery Acceleration

Income £30,000 £ - £ -

Expenditure £ - £19,055 £ -

Balance £30,000 £(19,055 )

509143111 HIEC PROJECT Wessex Alcohol Screening and Intervention

Income £50,000 £ - £ -

Expenditure £ - £25,703 £5,006

Balance £50,000 £(25,703 )

509143112 HIEC PROJECT Stroke Network Support

Income £110,000 £ - £ -

Expenditure £ - £110,000 £ -

Balance £110,000 £(110,000 )

509143113 HIEC PROJECT Early Supported Discharge (SHA WEB project)

Income £ - £54,000 £ -

Expenditure £ - £3,332 £43,112

Balance £ - £50,668

509143114 HIEC PROJECT Improving Contraceptive Services (SHA WEB project)

Income £ - £30,000 £ -

Expenditure £ - £ - £2,611

Balance £ - £30,000

509143115 HIEC PROJECT Workforce Tools for Telehealth (SHA WEB project)

Income £ - £50,000 £ -

Expenditure £ - £ - £20,563

Balance £ - £50,000

509143116 HIEC PROJECT Simulation Project (IUSER)

Income £ - £48,000 £ -

Expenditure £ - £48,000 £12,000

Balance £ - £ -

509143117 HIEC PROJECT MyLife

Income £ - £ - £37,818

Expenditure £ - £ - £ -

Balance £ -

509143118 HIEC PROJECT Clinical Supervision

Income £ - £ - £5,000

Expenditure £ - £ - £ -

Balance £ - £ -

509143119 HIEC PROJECT MSK Network

Income £ - £ - £15,000

Expenditure £ - £ - £ -

Balance £ - £ -

509143120 HIEC PROJECT Enhanced Recovery Phase 2

Income £ - £ - £14,000

Expenditure £ - £ - £ -

Balance £ - £ -

509143121 HIEC PROJECT Emergency Care Workforce Development

Income £ - £ - £100,000

Expenditure £ - £ - £ -

Balance £ - £ -

Direct Project Expenditure UoS £3,369 £280,657 £92,891

School Salaried Staff £164,023 £321,346 £329,780

Non School Salaried Spend £16,496 £177,824 £146,511

Third Party Spend £2,669 £158,302 £ -

Overheads @ 19.4% on Salaries £31,820 £62,341 £63,977

Overheads @ 20% on all Expenditure £35,569.94 £68,173.62 £95,258

TOTAL INCLUDING OVERHEADS £250,579 £787,986 £635,527

Income £1,533,700 £(48,000 ) £161,818

Income from Projects £303,625 £182,000 £52,000

Balance Carried Forward £ - £1,586,746 £932,760

Total to Roll Forward £1,586,746 £932,760 £511,052

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May 2013