Mid Cheshire Hospitals NHS Foundation Trust Annual Members Meeting

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Ann Evans
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1 Mid Cheshire Hospitals NHS Foundation Trust 2016 Annual Members Meeting Welcome and Introductions Dennis Dunn MBE 1

2 Agenda 1. Welcome and Introductions Dennis Dunn 2. Minutes of the Annual Members meeting - held on 8 October 2015 Dennis Dunn 3. s Report Appointments made to Directors and Governors Results of the 2016 Governor Elections Changes to the Constitution Dennis Dunn 4. Summary of 2015/16 - including the Annual Report and Quality Account Tracy Bullock Chief Executive 5. Financial Report - including presentation on Annual Accounts and Auditors Report 2015/16 Mark Oldham Director of Finance 6. Governor s Perspective - including the discharge of Governor duties John Lyons Lead Governor 7. Questions and Answers Dennis Dunn 8. Closing Remarks Dennis Dunn s Report Appointments and changes to Board of Directors and Council of Governors Changes to Trust s Constitution Results of 2016 Elections Dennis Dunn MBE 2

3 Summary of the Year Annual Report and Quality Accounts 2015/16 Tracy Bullock Chief Executive Performance 2015/16 Met majority of all key national targets and standards for the year end exclusion MRSA & 4 Hourly Transit Time Specific in year challenges: 4 hourly standard 18 week in all specialities Cancelled Operations Notable Achievements: Outpatient Cancellations reduced by 20% in 14/15 & 11.6% in 15/16 Cancer Performance Standards Clostridium Difficile performance 3

4 Monitor Governance Ratings Governance rating 2014/15 Q1 2012/13 Q2 2012/13 Q3 2012/13 Q4 2012/13 Governance rating Green Green Green Green Governance rating 2015/16 Q1 2013/14 Q2 2013/14 Q3 2013/14 Q4 2013/14 Governance rating Under Review Under Review Under Review Under Review Key Highlights Quality Account Ongoing recruitment, Return to Practice Refurbished Treatment Centre What our patients say - NHS Choices / Friends & Family Test / National survey National Excellence Award for Lung Cancer Treatment Partnership working Our staff New Director of Nursing Sickness Absence Top 120 NHS Employer 4

5 Annual Report and Accounts for year ended 31st March 2016 Mr Mark Oldham CPFA Director of Finance and Strategic Planning Income & Expenditure - Reported Deficit of 10.7M - 1.7M exceptional items associated with changes in valuation and charitable income - Normalised deficit of 9.0M against planned 6.5M deficit - Key variances are associated with under delivery of elective activity, with costs generally well controlled but some pressures in agency, external reporting and outsourcing of Gastroenterology - Provision for outstanding Commissioner challenge 5

6 Compliance against Authorisation Overall rating (1) Red level 1 Governance Rating Under Review Compliance continued Accounts formally laid before parliament Unqualified External Audit opinion on Accounts Substantial assurance on systems of internal control Cash balance remained positive throughout the year (Just!) 72% of trade invoices by value paid within terms 6

7 Key features of the year Total increase 3.5% Elective Activity Growth GP Referrals up almost 7% High Cost drug recharges 3.2% increase Incremental drift 1% Pay Rises 0% Staff numbers +53(1.7%) - Doctors and Nurses Health Care Assistants Admin and estates Agency -32 Key movements in income and expenditure Surplus ( m) M 3.9M Management Costs reduced to 4.9% Total increase 17.7% High Cost Drugs Total recharged Increase 9.8% circa 1.1M Driven by Elective activity particularly in Orthopaedics Impact of revaluation 1.3M M 1.3M 0.5M 0.1M 1.4M Movement Type Investments Capital additions include: Surgical Assessment Lounge completed to finish work on theatres. Completed 2 nd MRI Scanner High Voltage sub station work Energy Efficiency schemes 1.1M of new leases including medical equipment replacement and infusion pumps Continued programme of asbestos removal and street refurbishment On-going programme of backlog maintenance 7

8 Cash Management Cash deteriorated in year by 6.3M to 0.8M, in line with expectations Working capital facility in place of 5.7M after 31 st March. Very difficult year with an increase in trade creditors of 6.5M to manage cash Future Challenges Efficiency savings increasing due to pressures on balancing public expenditure, expect a further 2% each year until at least 2019/20 Local health economy significantly challenged financially Maintaining the quality agenda (7/7 working) Investments required to maintain the infrastructure are significant, need to support the financing costs. Rapidly changing and fluid regulatory framework with greater top down directives 8

9 A Governor Perspective How Governors have discharged their duties. John Lyons Lead Governor Discharge of Duties Quarterly Council of Governor Meetings Listening to Members Changes to the Constitution Participation in Strategic Planning Appointment of External Auditors Recruitment, Reappointment and Remuneration of Non-Executive Directors 9

10 Questions and Answers Dennis Dunn MBE Closing Remarks Dennis Dunn MBE 10

BOARD OF DIRECTORS COVER SHEET PART 1. DATE: 30 January Subject: CHARITABLE FUNDS EXPENDITURE OVER 25,000

BOARD OF DIRECTORS COVER SHEET PART 1 DATE: 3 January 219 Agenda item: 11 Paper: F Subject: CHARITABLE FUNDS EXPENDITURE OVER 25, Prepared by: Presented by: Purpose of paper Background Key points for Board