SOMERSET PARTNERSHIP NHS FOUNDATION TRUST FINANCE REPORT. Report to the Trust Board 8 May 2018

Transcription

1 F SOMERSET PARTNERSHIP NHS FOUNDATION TRUST FINANCE REPORT Report to the Trust Board 8 May 2018 Sponsoring Director: Author: Purpose of the report: Key Issues and Recommendations: Director of Finance. Director of Finance supported by Deputy Director of Finance. The purpose of the report is to update the Board on the financial position as at 31 March The Finance report sets out the overall income and expenditure position for the Trust. It includes commentary on the key factors and variances which are impacting on the financial position. The report also sets out information on capital expenditure, balance sheet, cash flow and cost improvements. Key financial ratios and performance against the NHS Improvement continuity of service risk rating are also included. The result for the year to 31 March 2018 is a provisional surplus, before the impact of the revaluation of the Trust s estate, of 4,042,000 (against a planned surplus of 2,775,000). The Trust s underlying position was a surplus of 2,813,000 this meant that Trust achieved its Control Total (agreed with NHS Improvement at the beginning of the year) and became eligible for 1,229,000 of additional monies from the Department of Health s Sustainability and Transformation fund The result takes account of the Trust s contractual risk share obligations under the Somerset Sustainability and Transformation Plan. Agency costs remain high at 7,042,000 for the year - 1,866,000 over the agency cap. Costs in month of 605,000 (43% of which related to medical staff) were lower than for February 2018, but still remain high. Actions required by the Board: The Board is requested to discuss the report. Finance Report May 2018 Public Board - 1 -

2 F Finance Report May 2018 Public Board - 2 -

3 F SOMERSET PARTNERSHIP NHS FOUNDATION TRUST FINANCE REPORT TO 31 MARCH SUMMARY 1.1 The Income and Expenditure result for the Trust for the year to 31 March 2018 is as follows: a surplus, before the impact of gains arising from the revaluation of the Trust s estate, of 2,813,000 against a planned surplus of 2,775,000; the Trust received and additional 1,229,000 of funding from the Department of Health s Sustainability and Transformation Fund as a result of achieving its Control Total, which resulted in an overall surplus of 4,042,000 for the year a gain on revaluation of the estate of 4,620,000; and a NHS Improvement continuity of service rating of 1. The planned rating at the end of March 2018 is INCOME AND EXPENDITURE (Tables 2 and 3 attached) 2.1 Table 2 sets out the income and expenditure account to 31 March The overall Trust position shows a surplus of 4,042,000 against a planned surplus of 2,775,000. This includes 1,229,000 additional funding from the Department of Health for achieving its control total, agreed at the beginning of the year. 2.2 Clinical income is ahead of plan for the month because of high levels of non-contract activity in the month and additional support from NHS England in respect of losses incurred providing dental services. Nonclinical is also slightly higher than plan, due in the main to increases in training income. 2.3 Total operating expenditure is higher than plan for the month. Pay costs remain ahead of plan driven in the main by high agency costs, 46% of which related to cover for medical staff. 2.4 Non-pay costs are higher than plan for the month due in particular to the Trust meeting its contractual risk share obligation under the Somerset Sustainability and Transformation Plan and continuing pressures from out of area placements. 2.5 Table 3 sets out the position by service directorates. From 1 October 2017, budget responsibility for operational medical services has been Finance Report May 2018 Public Board - 3 -

4 F adopted by the operational directorates. Table 3 has been adjusted accordingly to reflect this structure going forward. 2.6 In Community Services, spend was higher than budget in the month (but spend in the division remained below budget for the year). The main driver for the high costs in month were the community hospital wards, driven by significant agency cost. 2.7 The Mental Health directorate shows an overspend. This is driven by high cost of medical agency cover and Out of Area Patients and a shortfall in delivery of the Cost improvement programme. 2.8 Expenditure in the Children, Young People, Families and Dental directorate is lower than budget for the month. Cost pressures continue within medical services and SWISH, but these are offset by savings elsewhere in the directorate. In particular, additional funding from NHS England has covered overspends from previous months in the Dorset and Isle of Wight dental services. 2.9 Central operations comprise the operational management structure, certain non-pay costs that are held centrally (such as pathology, radiology and maintenance of medical equipment). Costs are in line with plan for the month The Medical costs, which reflects the central medical service and medical trainee costs and income that cannot be allocated to operational services, is slightly lower than plan for the month Within Central Services, costs are lower than plan in the month. Provision has been made for the Trust s contribution to the Somerset risk share arrangements in the 2017/18 commissioning contract. This cost has been offset by release of the CQUIN reserve (held for any potential recovery by the CCG for deficiencies within the CQUIN programme) and a retrospective rates rebate Depreciation is higher than plan due to the impact of high year end property values and increased capital spends in the fourth quarter of 2016/ COST IMPROVEMENT PROGRAMME 3.1 A cost improvement programme totalling 4,627,000 was drawn up in conjunction with operational directors and managers and has been discussed with the Director of Nursing and Patient Safety and the Medical Director. 3.2 Table 4 details the schemes for 2017/18. Finance Report May 2018 Public Board - 4 -

5 F 3.3 As at the end of March 2018, the cost improvement programme plan shows a 417,000 variance overall against the plan. 4 CASH FLOW, INVESTMENT REPORT, DEBTORS AND BALANCE SHEET 4.1 The Balance Sheet is shown in Table 5, including a comparison with the plan submitted to NHS Improvement. There are several variances in the elements making up working capital. 4.2 The aged debtor analysis is shown in Table 6. The value outstanding continues to represent a low percentage of overall income. Debtor days have decreased from 5.5 in February to 3.8 in March. There are no significant debts thought to be at risk. 4.3 A twelve-month cash flow forecast is shown in Table 7 showing how cash balances are planned to change over the next twelve months. This is in line with the 2018/19 final plan submitted to NHS Improvement. 4.4 The Trust had cash balances of 14,895,000 at 31 March This is 6,373,000 higher than plan driven by higher creditors, lower capital expenditure and improved debt collection. 5. CAPITAL 5.1 Capital expenditure for the year was 3,710,000 as detailed in Table 8. This resulted in an underspend against plan of 897,000 of which 485,000 was carried forward into the 2018/19 plan. 5.2 The capital plan for 2017/18 includes schemes totalling 4,607, CHARITABLE FUNDS 6.1 Table 9 shows the position of the Trust s charitable funds for the year to 31 March The funds are administered by Taunton & Somerset NHS Foundation Trust, within their registered charity. Investment income and administration costs are shared across all the funds of the charity on a quarterly basis in proportion to the value of the individual funds. 6.3 For the year to 31 March 2018: total donations were 128,000, including significant legacies for Frome and Bridgwater hospital in Quarter 4; Finance Report May 2018 Public Board - 5 -

6 F the funds spent 106,000 in the year of which 64,000 was in Quarter 4 including purchases of a mattress system at Wincanton, and various armchairs and mattresses elsewhere; the loss on investment was 55,511 in quarter 4 taking the loss for the year to 35,000. Administrative costs were 6,000 in the quarter ( 21,000 for the year). 7. RECOMMENDATION 7.1 The Board is requested to discuss the report. DIRECTOR OF FINANCE Finance Report May 2018 Public Board - 6 -

7 F Links to Strategic Themes: Identify to which of the Somerset Partnership NHS Foundation Trust strategic themes this report relates by including a cross behind the relevant theme(s) Quality and Safety Sustainability and Transformation Service Delivery Culture and People Links to the Assurance Framework: Links to the Trust Values: Identify to which risks of the Assurance Framework this report relates strong financial management and controls supports all risks on the assurance framework. Identify the Values to which the issues raised in this report relate by including a cross behind the relevant value(s) Working together Making a Difference Everyone counts Links to CQC Domains: Identify which of the CQC domains are covered by this report by including a cross behind the relevant domain(s) Is it safe? Is it caring? Is it well-led? Is it effective? Is it responsive to people s needs? Equality: Identify whether the report has an impact on the protected characteristics set out below, including risks, and if so, say how these risks are to be managed. Only tick the relevant box for which there is an impact. ZAge Gender re-assignment Pregnancy and maternity Religion or Belief Sexual Orientation Finance Report May 2018 Public Board Disability Marriage and Civil Partnership Race Sex Learning Disabilities

8 F Legal or statutory implications/ requirements: Public/Staff Involvement History: Previous consideration under the terms of its licence and NHS Improvement s risk assessment framework the Trust has a duty to remain financially viable. not applicable. financial position is reported on a monthly basis to the Board. Finance Report May 2018 Public Board - 8 -

9 Table 1 Somerset Partnership NHS Foundation Trust EXECUTIVE SUMMARY AT 31 MARCH 2018 BUDGET PERFORMANCE NHS IMPROVEMENT SINGLE OVERSIGHT FRAMEWORK m m m Budget Actual Variance 20% 1 Income Pay (122.3) (123.0) (0.7) 20% 1 Non Pay (38.0) (38.4) (0.4) EBITDA % 1 Other (7.3) (7.6) (0.3) Surplus before exceptional items % 1 EBITDA Margin 5.94% 6.75% 20% 3 Surplus Margin 1.63% 2.34% 1 MONTHLY SURPLUS PERFORMANCE 4,500K 4,000K 3,500K 3,000K 2,500K 2,000K 1,500K 1,000K 500K - 0 A M J ` J A S O N D J F M ` Plan Actual 1,500K 1,000K 500K - (500)K 0 A M J J A S O N D J F M MEDICAL OVER/(UNDER)SPEND 1,000K 900K 800K 700K 600K 500K 400K 300K 200K 100K - A M J J A S O N D J F M 2017/ /17 STAFFING COSTS - NURSING Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 '000 '000 '000 '000 '000 4,747 4,644 4,778 4,634 4, Bank Overtime Total nursing costs 5,419 5,164 5,378 5,181 5,184 Excess as proportion of total 12.45% 10.11% 11.16% 10.56% 12.96% COST IMPROVEMENT PLANS 5,000K 4,500K 4,000K 3,500K 3,000K 2,500K 2,000K 1,500K 1,000K 500K - A M J J A S O N D J F M Plan CYE actual Recurrent EXCESS STAFFING COSTS AS A PROPORTION OF TOTAL NURSING 14% 12% 10% 8% Agency 6% Bank 4% Overtime 2% 0% CASH ( m) Actual Plan 12 month forecast CAPITAL Capital spend YTD trust Donated assets YTD Spend YTD (below)/above plan Annual plan trust m (0.89) A M J J A S O N D J F M COMMENTARY... The financial result for the year to 31 March 2018 was a surplus, before revaluation adjustments, of 4,042,000 against a planned surplus of 2,775,000. this included additional STF funding of 1,229,000 In month, the Trust made a surplus, before revaluation adjustments, of 1,666,000 against a planned surplus of 366,000 Capital expenditure for the year to 31 March 2018 was 3.7m against the plan of 4.6m

10 Somerset Partnership NHS Foundation Trust Table 2 STATEMENT OF COMPREHENSIVE INCOME Month 12 - MARCH 2018 Current Budget for Year Current Budget to Date Variance from Budget to Date Variance from Budget Last Month Actual to Date Last Year Variance Actual to Date Last Year Actual to Date In-Month Run Rate '000 '000 '000 '000 '000 '000 '000 '000 A(ii) B C D E F G H Clinical income 150,981 NHS clinical income 151, ,057 1,916 14, , ,314 Other clinical income 12,314 12, , ,303 (705) 163,295 Total clinical 163, ,602 2,147 15, ,123 (478) Non-clinical income 139 Research and development ,552 Education and training 1,552 1, , Catering (11) 12 (12) 137 (5) 3,846 Accommodation 3,846 3,793 (53) , Services to NHS bodies Miscellaneous other (18) 7,000 Total non-clinical 6,968 7, , ,295 Total Operating Income 170, ,061 2,638 16,333 1, , (122,305) Pay (122,286) (122,952) (666) (10,175) (632) (121,229) 240 (37,872) Non Pay (38,019) (38,434) (415) (3,807) (255) (36,965) 251 (160,177) Total Operating Expenditure (-) (160,305) (161,386) (1,081) (13,982) (887) (158,194) ,118 EBITDA for FRR 10,118 11,675 1,557 2, , Donated asset income Gain/(loss) on disposal - (2) (2) - (2) (3,918) Depreciation and amortisation (3,918) (4,161) (243) (343) (226) (3,874) 44 6,300 Operating Surplus/ (Deficit) from Operations 6,300 7,614 1,314 2,018 (44) 6, Net profit(+)/loss(-) on disposal of assets Bad debts written off/(back) (7) (7) 32 Interest receivable (+) (10) (32) Interest payable and other finance costs (-) (32) (28) 4 (2) 3 (23) 9 (3,525) PDC dividends payable(-) (3,525) (3,587) (62) (356) - (3,556) (31) 2,775 Retained Surplus/(Deficit) for period 2,775 4,042 1,267 1,666 (33) 3, Revaluation exceptional items (note 2) - 4,620 4,620 4,620 1,857 1,857 Retained Surplus/(Deficit) after exceptional items 2,775 8,662 5,887 6,286 (33) 5,197 2, % EBITDA margin 5.94% 6.75%

11 Somerset Partnership NHS Foundation Trust Table 3 DIVISIONAL PEFORMANCE Month 12 - MARCH 2018 Current Budget Budget to Date Actual to Date Variance to Date In Month Run Rate Variance Last Month '000 '000 '000 '000 '000 '000 A B C D E F 145,688 Contract income 145, ,724 1,035 13,987 (159) 574 Cost and volume contract income (387) (7) (332) 1,324 Non contracted activity income 1,324 1, ,585 Other activity income 10,585 10, ,171 Total Corporate Income 158, ,285 1,113 15,037 (139) Expenditure less sundry income: 70,022 Community Services 69,684 69, , ,838 Children & Young People & Dental 23,838 22,641 1,198 1, ,003 Mental Health and Learning Disabilities 31,003 31,595 (592) 2,908 (424) 2,588 Central Operations 2,927 2, ,451 TOTAL OPERATING DIRECTORATES 127, ,398 1,054 11, ,630 Medical 5,630 5,908 (277) 93 (311) 2,065 Pharmacy 2,065 2,221 (156) 228 (100) 12,906 Central Services 12,906 13,083 (177) 1,284 (239) 20,602 TOTAL OTHER SERVICES 20,602 21,212 (611) 1,606 (650) 148,053 Total Operating Expenditure 148, , , ,118 Trust EBITDA 10,118 11,675 1,557 2, Notes: Negative variances = Adverse EBITDA = Earnings before Interest Tax Depreciation & Amortisation An element of income, primarily not patient related, is credited to individual operating budgets so totals may differ from the way income is presented in Table 2

12 Somerset Partnership NHS Foundation Trust COST IMPROVEMENT PROGRAMME 2017/18 Lead Month 12 - MARCH 2018 Project Full Year Plan to Variance to Variance to Status Impact Plan Date Actual to Date Date Date Non- Recurrent Total Recurrent Recurrent RAG '000 '000 '000 '000 '000 '000 Operating Directorates Community Services Andy Heron AMBER R 1,751 1,751 1,203 1,744 (548) (7) Mental Health & Learning Disabilities Jane Yeandle AMBER R (115) (115) Childrens, Young People & Families & Dental Ethna Bashford AMBER R (2) (2) New Community Models Andy Heron AMBER R (750) (240) Central Operations Andy Heron GREEN R Property rentals Phil Brice GREEN R Pharmacy Sarah Oke AMBER R (20) (20) Medical Sarah Oke GREEN R Procurement Pippa Moger GREEN R Central services Executive Directors GREEN R (83) (35) 4,627 4,627 3,112 4,210 (1,515) (417) Board report tables for PM Table 4 03/05/ :26

13 Table 5 Somerset Partnership NHS Foundation Trust STATEMENT OF FINANCIAL POSITION Month 12 - MARCH 2018 Prior Year Movement in Current Period balances Plan Variance Prev Month Mar-17 Mar-18 YTD Mar-18 Mar-18 Feb A B C D E F Non-current assets 110, ,448 6, ,195 9, ,585 Assets for resale Trade receivables - non current Current Assets Inventories NHS Trade receivables 3,078 4,562 1,484 2,459 2,103 3,509 Related party receivables Provision for bad debts (157) (178) (21) (220) 42 (171) Other receivables - current 1,527 1, ,080 (246) 2,419 Accrued income ,273 (485) 557 Prepayments - current 2,454 2,027 (427) 2,467 (440) 887 Cash in hand and at bank 9,959 14,895 4,936 8,522 6,373 14,769 Total current assets 18,026 24,585 6,559 17,063 7,522 22,587 Liabilities - current Creditors - NHS (1,336) (2,613) (1,277) (1,817) (796) (2,036) Related party payables (3,862) (3,797) 65 (3,797) (3,883) Creditors - Non NHS: revenue (3,212) (4,001) (789) (1,889) (2,112) (1,039) Creditors - Non NHS: capital (9) - 9 (10) 10 (2) Other payables - (16) (16) (16) (12) Deferred income (55) (298) (243) (798) 500 (1,186) Accruals (3,688) (3,752) (64) (4,968) 1,216 (3,793) Provisions - current (107) (100) 7 (90) (10) (58) Loan - falling due within 1 year (200) (200) - (200) - (200) Finance leases - current (18) (32) (14) (16) (16) (16) Dividend accrued (42) (5) 37 - (5) (1,468) Total current liabilities (12,529) (14,814) (2,285) (9,788) (5,026) (13,693) Net current assets/(liabilities) 5,497 9,771 4,274 7,275 2,496 8,894 Borrowings - non current (1,300) (1,100) 200 (1,100) - (1,100) Finance leases - non current (51) (42) 9 (69) 27 (54) Provisions - non current (64) (52) 12 (2) (50) (111) TOTAL ASSETS EMPLOYED 114, ,025 11, ,299 11, ,214 TAXPAYERS EQUITY Public Dividend Capital 32,763 32,763-32,763-32,763 Revaluation reserve 17,422 19,947 2,525 16,534 3,413 17,422 Income and expenditure reserve 64,653 73,315 8,662 65,002 8,313 67,029 TOTAL TAXPAYERS EQUITY 114, ,025 11, ,299 11, ,214

14 % of Debt allocation Debtor days Table 6 Somerset Partnership NHS Foundation Trust AGED DEBTOR ANALYSIS Month 12 - MARCH 2018 Current 1-30 over Older Total Doubtful debts Care UK 52,473 49, ,762 - Leagues of Friends 12,341-3, ,916 - NHS England 382, ,806 5, ,803 - Other CCGs 41,230 3, ,162 6,286 52,642 - Other FTs and NHS Trusts 16,667 5,472 26, ,270 51,982-11,212, SCC 66,816 5, , ,522 - South West CCGs 11,202,182 5,821 1,314 2, ,026 - Less billed in advance (10,870,333) South West FTs 185, ,116 86,382 9,079 10, ,782 - Universities, colleges and schools 19, ,102-20,590 - Sundry debtors 73,853 14,070 32,885 12,816 58, ,896 (15,191) Total invoices unpaid 1,182, , ,168 28, ,065 1,811,921 Less provision for doubtful debts (15,191) (15,191) - Trade debtors at month end 1,182, , ,168 28, ,874 1,796,730 (15,191) 66% 16% 8% 2% 8% Debtor days Previous month 1,056,952 1,074,786 72,620 51, ,007 2,565,757 (10,191) TOP TEN DEBTORS TAUNTON & SOMERSET NHS FT 143, ,832 76,828 9,080 10, ,866 - NHS ENGLAND 382, ,298 - SOMERSET CCG 279,892 5, ,912 - SOMERSET COUNTY COUNCIL 66,816 5, , ,524 - CARE UK 52,473 49, ,762 - YEOVIL DISTRICT HOSPITAL NHS FT 42,085 43,284 9, ,924 - HERTFORDHSIRE COUNTY COUNCIL 10,889-8,233 8,233 8,233 35,589 - SOUTH STAFFORDSHIRE & SHROPSHIRE NHS FT 240 5,472 24, ,312 - NORTH,EAST,WEST DEVON CCG 29, ,555 - ALLIANCE MEDICAL , ,600-90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Debtor trends Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar Debtor Days Current 1-30 over Older

15 Month 12 - MARCH 2018 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Actual Forecast Forecast Forecast Forecast Forecast Forecast Forecast Forecast Table 7 EBITDA 2, Movements in working capital: Inventories (16) NHS debtors (344) 1,867 Other debtors & prepayments (1,657) NHS creditors Other creditors & deferred income 2,676 (100) (100) (100) (100) (100) (100) (100) (100) Provisions and liabilities (18) Cash flow from operations 2, , Capital expenditure (1,051) (581) (581) (581) (581) (581) (581) (581) (581) Cash receipts from asset sales Cash flow before financing 1,941 (77) (176) 1,766 (28) (44) (1) Movement in long term provisions (5) (5) (5) (5) (5) (5) (5) (5) Interest (paid) (2) (4) (4) (4) (4) (4) (4) (4) (4) Interest received on cash balances Loans received /(repaid) (100) Dividends paid (1,819) (1,818) Net cash inflow/(outflow) 126 (83) (181) 1,661 (33) (50) (1,824) Opening cash balance 14,769 14,895 14,812 14,631 16,292 16,259 16,209 14,385 14,530 Net cash inflow/(outflow) 126 (83) (181) 1,661 (33) (50) (1,824) Closing cash balance 14,895 14,812 14,631 16,292 16,259 16,209 14,385 14,530 14,736

16 Table 8 Somerset Partnership NHS Foundation Trust CAPITAL PROGRAMME 2017/18 MONTH 12 - MARCH / /18 Outline Actual Source of Funds Spend YTD '000 '000 Depreciation 4,000 Re-investment of surplus 700 Sustainability and Transformation Funding 2,600 Loan repayment (200) Accumulated cash 2,352 Total Sources of Funds 9, / / /18 Outline Plan Actual Scheme Location Spend to date Spend '000 '000 '000 HEALTH & SAFETY / FIRE PRECAUTIONS Other TOTAL HEALTH & SAFETY / FIRE PRECAUTIONS SAFER SERVICES AND RISK MANAGEMENT Other TOTAL SAFER SERVICES PATIENT ENVIRONMENT P.L.A.C.E. improvements Trust Wide - MH & Boiler Plant Replacement Rydon/Holford Window Replacement Wessex House Other TOTAL PATIENT ENVIRONMENT SITE & SERVICE REDEVELOPMENTS Other TOTAL SITE REDEVELOPMENTS Six Facet Survey Strategic Site Redevelopment Implementation of IT strategy - inc Technology Fund 1,928 1,928 1,625 Other IT - E Prescribing Other 251 TOTAL STRATEGIC PROJECTS 2,612 2,612 2,062 Facilities capital programme management Specialist Equip Replacement - Diagnostic Imaging (SP Ultrasound), neonatal screning equip, diabetic retinopathy equip CONTINGENCIES Donated Assets 102 BACKLOG MAINTENANCE SUNDRY EQUIPMENT - MH plus safety search equip SUNDRY EQUIPMENT - CH plus reclining wheelchair SUNDRY EQUIPMENT - SOFT FM TOTAL OTHER 1,367 1,367 1,088 TOTAL CAPITAL PROGRAMME 4,607 4,607 3,710

17 Charitable Fund Somerset Partnership NHS Foundation Trust CHARITABLE FUND POSITION Balance Prior Year End Mar-2017 Quarter 4 - March 2018 Donations and Legacies Investment Return Fund Expenditure Admin Expenditure (note a) Balance Mar-2018 Burnham Hospital 42,493 8,567 (1,120) (21,615) (1,741) 26,584 Minehead Hospital 30, (1,530) (3,230) (1,092) 24,802 Bridgwater Hospital 5,953 60,673 (5,959) (3,101) (823) 56,743 Wellington Hospital 3, (130) (750) (124) 2,495 Dene Barton Hospital 1, (106) (930) (78) 1,768 Williton Hospital 17,938 3,011 (871) (9,870) (545) 9,662 Frome Hospital 261,636 39,642 (16,040) (28,369) (10,000) 246,870 Shepton Mallet Hospital 1, (57) (773) (58) 770 West Mendip Hospital (35) - (18) 499 Community Services 22,727 3,020 (1,430) (5,326) (930) 18,060 Chard Hospital 16, (913) (1,099) (620) 13,469 Crewkerne Hospital 14,755 - (833) (166) (570) 13,186 South Petherton Hospital 6,168 6,825 (662) (5,635) (292) 6,404 Wincanton Hospital 49, (1,216) (23,289) (1,717) 23,319 Adult Community 10,435 - (586) - (405) 9,445 Elderly Community 15, (914) - (609) 14,539 Pyrland Ward 9,055 1,944 (650) - (393) 9,955 Rydon/Holford Wards 5, (365) - (241) 5,769 Willow Ward 6,591 - (374) - (254) 5,963 Magnolia Ward 6, (273) (1,802) (187) 4,345 St Andrews Ward 1,068 1,033 (77) (649) (38) 1,337 CAMHS 2,650 - (147) - (103) 2,400 Rowan Ward (16) - (11) 252 Zanzibar Fund 1,864 - (105) - (71) 1,689 Post Graduate Education 3,237 - (184) - (123) 2,930 Child & Adol Research 1,579 - (89) - (60) 1,430 Help Me Smile Fund 1, ,008 Somerset Partnership General 1,881 - (105) - (72) 1,704 St Andrews Restricted Endowment TOTAL 542, ,704 (34,537) (106,604) (21,175) 509,341 Notes a) The 'Admin Expenditure' relates to costs incurred by Taunton & Somerset NHS Foundation Trust in administering the charity