Better Medicine Better Health
Annual General Meeting& Open Event 2008
Better Medicine Better Health
WELCOME AND INTRODUCTION
David Richardson
Better Medicine Better Health
Review of the Year2007/08
Miles Scott
Chief Executive
Better Medicine Better Health
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
Better Medicine Better Health
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
Better Medicine Better Health
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
Better Medicine Better Health
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
Better Medicine Better Health
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
Better Medicine Better Health
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
Better Medicine Better Health
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
Better Medicine Better Health
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
Better Medicine Better Health
2009 and Beyond
Better Medicine Better Health
2009 and Beyond
Better Medicine Better Health
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
Better Medicine Better Health
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
Better Medicine Better Health
ANNUAL ACCOUNTS 2007/08
Better Medicine Better Health
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
Better Medicine Better Health
INCOME
£’m
Income from Activities 227.5
Other Operating Income 30.4
Total 257.9
Better Medicine Better Health
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%)
Better Medicine Better Health
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%)
Better Medicine Better Health
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
Better Medicine Better Health
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
Better Medicine Better Health
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
Better Medicine Better Health
MEMBERS QUESTIONS
Better Medicine Better Health
UPDATE FROM GOVERNORS
Nora Whitham, Deputy Chair of the Board of Governors
Better Medicine Better Health
MEMBERS QUESTIONS
Better Medicine Better Health
QUESTIONS
Better Medicine Better Health
ANY OTHER RELEVANT BUSINESS