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Cash & Treasury Management Policy Annex 1 Category: Policy / Procedure The aim of the Cash & Treasury Management Policy is to provide a framework within which the Trust can manage risk Summary: and protect financial assets, and as a subsidiary objective maximise return. Equality Impact Assessment [September 2018.] undertaken: Valid From: [14 th November 2018] Date of Next Review: November 2021 Approval Date/ Via: Trust Board To relevant finance staff and on Trust Intranet in folder: Distribution: OUHi>Finance and Procurement> Document Library>General>Finance Manual Standing Orders / Standing Financial Instructions January Related Documents: 2018 Author(s): Further Information: This Document replaces: Richard Gardner: Interim Financial Consultant Contact Associate Director of Financial Services and Capital Investment Management Policy v1 (January 2015) Lead Director: Chief Finance Officer Issue Date: [November 2018] Once printed off, this is an uncontrolled document. Please check the intranet for the most up to date copy. Cash and Treasury Management Policy Version 1 November 2018 Page 1 of 14

Contents Page Introduction. 4 Policy Statement 4 Scope 4 Aim... 4 Definitions 5 Responsibilities.. Chief Executive.. 6 Chief Finance Officer.. 6 The Treasury Team... 6 The Financial Services Team.. 7 The Accounts Payable Team.. 7 The Accounts Receivable Team. 7 Internal Audit..... 7 Cash Committee 7 The Board of Directors.... 8 The Audit Committee 8 Attitude to risk... 8 Bank Accounts and Relationship Banking.. 9 Operational Parameters Investments 9 Funding.. 9 Foreign exchange management 10 Interest rate management.. 11 Reporting. 11 Embedded Derivatives in Financial Instruments.. 11 Competencies and Training. 11 Monitoring compliance. 11 Review of this policy. 12 References... 12 Equality Impact Assessment 12 Document History... 12 Annex 1 List of Procedure Documents.. 14 Cash and Treasury Management Policy Version 1 November 2018 Page 2 of 14

Annex 2 Procedure for investments of surplus cash other than with the Government Banking Service 15 Annex 3 Terms of Reference for Cash Committee 23 Cash and Treasury Management Policy Version 1 November 2018 Page 3 of 14

Introduction. 1. Treasury management represents the set of policies and strategies which an organisation adopts and implements to manage its cash resources and to raise finance at acceptable cost and risk. It also governs its relationships with its financial stakeholders (mainly banks). 2. The Trust s Treasury Management policies and procedures primarily focus on ensuring that cash management processes and controls deliver value for money for the Trust and associated risks are mitigated appropriately. It also sets out processes for the investment of surplus operating cash likely to be needed within twelve months to support on-going operations and meet liquidity requirements. 3. The policy on the provision of funding via a working capital facility is also documented. 4. As a public benefit corporation, the Trust has a duty to safeguard and properly account for public money. Therefore, the overriding aim in this policy is to ensure responsible, properly authorised and controlled Treasury management, and the use of prudent investments and other financial instruments, and to ensure that this does not compromise effective, efficient and economic delivery of services. 5. The Trust must comply with its statutory, regulatory and performance management obligations to manage its cash and liquidity position. 6. This policy may be supplemented by detailed operational guidelines setting out how particular transactions or issues are to be handled, but nothing in those guidelines may override this policy, and no investments or financial instruments may be used which are not authorised in this Policy. Policy Statement 7. It is the policy of the Trust that: Scope 7.1. short term investments of the Trust s surplus operating cash (i.e. cash that is likely to be required to support the Trust s on-going operations) should be placed in investments that have a maximum maturity date of three months, in line with NHSI s (Monitor s) guidance and corporate best practice in the UK. 8. Compliance with this policy is an obligation for all Trust staff. 9. No Treasury management operations may be undertaken except by designated staff within the Finance Directorate. 10. No Treasury management operations may be undertaken outside this policy and any operational guidelines established under it. 11. All investment of surplus cash must be reported to the Cash Committee and the Trust Board in accordance with requirements in paragraph 52. Aim 12. The purpose of this policy is to: 12.1. Protect the Trust s financial assets 12.2. to maintain liquidity, 12.3. to mitigate and manage risk, and Cash and Treasury Management Policy Version 1 November 2018 Page 4 of 14

12.4. within those parameters the treasury function also aims to obtain a competitive return and 12.5. minimize financing costs within an acceptable risk profile. 13. The Trust s treasury activities will be undertaken in a manner that achieves the following key objectives: 13.1. Ensures the liquidity of the Trust is optimized and that cash management processes and controls deliver value for money for the Trust and associated risks are mitigated appropriately. 13.2. Surplus cash: To obtain the most competitive deposit rates primarily using a group of relationship banks, in line with deposit guidelines ratified by the Cash Committee. 13.3. Funding: Ensure the availability of flexible and competitively priced funding from alternative sources to meet the trust s current and future requirements. 13.4. Interest Rate Management: Maintain an interest rate structure which smoothes out the impact of rises or falls in interest rates on surpluses. Manage the maturity dates of deposits and loans to reduce exposure to interest rate changes. 13.5. Bank relationships: Develop and maintain strong, long-term relationships with a core group of quality banks that can meet current and future funding requirements. Definitions 14. The terms in use in this document are defined as follows:- Word, Phrase or Abbreviation Clearing bank Derivatives Government Banking Service (GBS) Long term Borrowing Prudent Liquidity Amount Public Dividend Capital (PDC) Definition A bank which (of itself or through a subsidiary company) is a member of Cheque and Credit Clearing Company Limited, which oversees the bulk clearing of cheques and paper credits in the UK Financial instruments that are off-balance sheet and may be used to manage risk or as speculative instruments. Examples include forwards, futures, swaps, options and credit derivatives. The Government Banking Service (GBS) was established in April 2008 and is the banking shared service provider to government and the wider public sector. It is part of HM Revenue & Customs and incorporates the Office of HM Paymaster General (OPG) which had provided banking services to the public sector since 1836. All outstanding borrowing (e.g., borrowings from the Foundation Trust Financing Facility, commercial loans); finance leases and similar items; on-balance sheet PFIs; and any Accumulated Dividend. This excludes off-balance sheet PFIs, as well as amounts drawn down from a Working Capital Facility (overdraft facility) An amount equal to or in excess of 1% of the annual turnover of the Trust in the preceding financial year. A form of long-term government finance which was initially provided to NHS trusts when they were first formed to enable them to purchase the Trust s assets from the Secretary of State. Public Cash and Treasury Management Policy Version 1 November 2018 Page 5 of 14

Word, Phrase or Abbreviation Surplus Cash Balances Treasury function Trust Definition dividend capital (PDC) represents the Department of Health s (DH s) equity interest in defined public assets across the NHS. Current liquid balances in excess of the Prudent Liquidity Amount. This is not a separate department with full time staff within the Trust, but is a function carried out by a team drawn from the Financial Services Department. Oxford University Hospitals NHS Foundation Trust 15. The terms used in annex 2 are defined within that annex Responsibilities 16. The responsibilities of staff in respect of this policy are set out below: 16.1. The Chief Executive is the Accountable officer of the Trust and with the Trust Board, is charged in ensuring probity in the use of money. Day to day management responsibility rests with the Chief Finance Officer. 16.2. The Chief Finance Officer has a responsibility to:- 16.2.1. Define the Trust s investment approach to Treasury Management and the investment of surplus cash for approval by the Audit Committee. 16.2.2. Put systems and resources in place to ensure that: 16.2.2.1. the liquidity of the Trust is optimized and that cash management processes and controls deliver value for money for the Trust and associated risks are mitigated appropriately. 16.2.2.2. key banking relations are properly managed 16.2.2.3. investment activities are managed within the agreed policies and procedures and that investment activities are reported on a timely and accurate basis 16.2.3. Regularly review reports on the operations of the investment system and the Trust s risk exposure, discuss issues with the Treasury Team, and ensure that matters of concern are brought to the attention of the Audit Committee. 16.2.4. These duties may be carried out on behalf of the Chief Finance Officer by the Associate Director of Financial Services and Capital. 16.3. The Treasury Team has a responsibility to:- 16.3.1. Define the systems to ensure that the liquidity of the Trust is optimized and that cash management processes and controls deliver value for money for the Trust and associated risks are mitigated appropriately for approval by the Audit Committee. 16.3.2. Define the Trust s investment approach for approval by the Chief Finance Officer and the Audit Committee. 16.3.3. Keep appropriate documentation of any deals. Cash and Treasury Management Policy Version 1 November 2018 Page 6 of 14

16.3.4. Manage key banking relationships including the opening of any required bank accounts. 16.3.5. Manage investment activities within agreed policies and procedures. 16.3.6. Reconcile the Trust s bank accounts. 16.4. The Financial Services Team has a responsibility to: 16.4.1. Ensure that in addition to mandatory cash reporting to NHS Improvement, the Trust must maintain and develop, as appropriate, a comprehensive, timely, relevant and reliable reporting package to support the trust 16.4.2. The Trust must also continue to produce a robust cash flow forecasting model to enable the accurate and timely management of cash. This must incorporate processes and procedures in order to fully comply with current guidance. Any requirement for cash support must be identified at the earliest opportunity in order to obtain Trust Board approval to apply for finance funding support from NHSI. 16.4.3. Ensure that any investment activities have been recorded on an accurate and timely basis in the Trust s accounting records. 16.4.4. Ensure that all control and suspense accounts are regularly reconciled or cleared. 16.4.5. Review bank reconciliations carried out by the Treasury Team. 16.4.6. Match any bank and counterparty confirmations and contract notes with internal deal documentation. 16.5. The Accounts Payable Team has a responsibility to: 16.5.1. Pay valid invoices in accordance with the payment terms agreed 16.5.2. Work with other finance staff to ensure that the Trust s payment profile is matched, as far as possible, by the Trust s receipts profile 16.5.3. Work with suppliers to encourage consolidation of invoices. 16.6. The Accounts Receivable Team has a responsibility to 16.6.1. Raise invoices for valid charges as soon as practicable. 16.6.2. Ensure that robust credit control procedures are consistently applied to ensure that cash receipts are recovered by the due date and non-payment is escalated in a timely manner. 16.6.3. Make recommendations for the write-off of any income which can t be collected. 16.7. Internal Audit has a responsibility to: 16.7.1. at least annually, review the Trust s cash and treasury management procedures and operations 16.7.2. report any significant deviations from the agreed policies and procedures to the Audit Committee. 16.8. The Cash Committee will: 16.8.1. monitor the cash levels of the Trust in the short, medium and longer term. 16.8.2. will develop a set of Key Performance Indicators to monitor the cash position of the Trust and take appropriate action to minimize risk. These KPIs will be Cash and Treasury Management Policy Version 1 November 2018 Page 7 of 14

reviewed at least on an annual basis prior to the start of the financial year, or more frequently if required. 16.8.3. Review and monitor investment and borrowing policy and performance against the relevant benchmarks in respect of all of the Trust s funds. 16.8.4. Ensure proper safeguards are in place for security of the Trust s funds 16.8.5. Review and monitor compliance with the Cash and Treasury management policy 17. The Board of Directors is responsible for. 17.1. Approving the external funding arrangements of 5m or more (other than loan renewals/refinancing) and new loans. 17.2. Approving any applications for finance funding support from NHS Improvement. 17.3. delegating the responsibility for approval of the Trust s Cash and Treasury Management procedures, controls and detailed policies to the Audit Committee. 18. The Audit Committee will: 18.1. Approve the Trust s Cash and Treasury Management Policy 18.2. Approve the Trust s investment and borrowing strategy and policies in line with its appetite for risk. 18.3. Approve the relevant benchmarks for measuring performance. 18.4. Review and monitor investment and borrowing policy and performance against the relevant benchmarks in respect of all Trust funds. 18.5. Ensure proper safeguards are in place for security of the Trust s funds 18.6. Monitor compliance with this policy. 18.7. Approve external funding arrangements within delegated authority. 18.8. Delegate responsibility for investment operations to the Chief Finance Officer. Attitude to Risk 19. The Trust has approved a Risk Appetite Statement most recently in November 2017 This states:- The Trust Board recognises that the Trust s long term sustainability depends upon the delivery of its strategic objectives and its relationships with its patients, the public and strategic partners. As such, the Board will not accept risks that materially impact on patient safety. However the Board has a greater appetite to take considered risks in terms of their impact on organisational and reputational issues. The Board has greatest appetite to pursue and support innovation and challenge current working practices in terms of its willingness to take opportunities where positive gains can be anticipated, having assessed the potential risks and the impacts posed to others. 20. The detailed analysis which underpins this Risk Appetite Statement identifies that the Trust takes a cautious approach to financial risk. 21. Under no circumstances will the Treasury Team be authorised to enter into trading positions or to undertake trading for purely speculative reasons. Cash and Treasury Management Policy Version 1 November 2018 Page 8 of 14

Bank Accounts and Relationship Banking 22. Section 5 of the Standing Financial Instructions sets out the principles determining how the trust s bank accounts should be operated. 23. The Trust s finance department maintains the bank mandate and a list of authorised signatures. 24. A suite of procedural notes is maintained by the Finance department, including instructions on the operation of the bank accounts, and a list of these procedures is set out in annex 1 25. Effective and risk-averse investment management depends upon developing and maintaining effective relationships with a small group of institutions which the Trust knows well and which know the Trust well. 26. Such relationship banking requires long-term commitment by both parties, based upon a high-level of service being provided for a price that is acceptable to both sides. 27. In selecting institutions with which to work the Trust will have regard to: 27.1. The ability of the institution to deliver a consistent and high level of service. 27.2. The reasonableness of the pricing for the services provided. 27.3. Evidence that the institution is making a long-term commitment to working with the healthcare sector and the Trust in particular, so that it can be expected to provide support during difficult as well as good times. 27.4. The stability and creditworthiness of the institution. 28. The Trust will only invest surplus funds with relationship banks (or UK Government and its agencies). Operational Parameters Investments 29. Surplus cash investments need to be safe and liquid, so that the risk to Trust assets is minimized and funds can be realized quickly. 30. Following changes introduced in 2013/14, any decisions to invest need to take account of the impact on the PDC dividend calculation and demonstrate a higher return than, the sum of the saving from the dividend payment and the lost interest earned on the deposit had it remained with the Government Banking Service (GBS). 31. Annex 2 sets out the procedure to be followed should the Trust wish to invest surplus cash other than with the Government Banking Service (GBS) Funding 32. The key funding objective is to ensure the availability of flexible and competitively priced funds from alternative sources to meet the Trust s current and future requirements. 33. The Trust will maintain a risk-averse approach to funding, recognizing the ongoing requirement to have committed funds in place to cover existing business cash flows and to provide reasonable headroom for seasonal cash flow fluctuations and capital expenditure programmes. The primary funding source is likely to be loans from the Independent Trust Financing Facility. 34. The Trust will not pre-finance in anticipation of potential future requirements. Cash and Treasury Management Policy Version 1 November 2018 Page 9 of 14

35. The Working Capital Facility can only be used to provide short-term funding of working capital. Funds obtained in this way must not be used for other purposes (e.g. it must not be used to fund fixed assets). 36. The Trust s approach to funding is that any necessary loans will be put in place in advance of the requirement for the funds but the timing should seek to minimize surplus cash balances or charges for unused loans / facilities as a result of prefinancing in anticipation of potential expenditure. 37. This will typically be between 6 and 18 months in advance. The Trust will need to take into account any uncertainties in its plans and the finance costs associated with loans / committed facilities. 38. Funding needs will be based upon the long-term cash forecast. This covers the next five years in outline, with detailed projections for the next 24 months. The long-term cash forecast must be updated regularly in line with the long-term business plan. 39. The cash flow must be prepared in best-guess and worst-case versions, and the assessment of the appropriate level of loan / committed facilities must be based upon the worst-case version. 40. Loans / Committed facilities have a cost even if they are unused. However, uncommitted facilities may not actually be available when they are needed. The Trust will therefore aim to use loans / committed facilities to cover anticipated requirements, while using uncommitted facilities to provide an additional degree of cover against unanticipated events. 41. Loans / Committed facilities should be put in place to cover a minimum of 100% of the expected borrowing requirements over the next six months. 42. The Cash Committee will consider what level of uncommitted facilities should be put in place. 43. The Trust will seek to negotiate similar covenant clauses in all facilities, particularly in respect of the definition of items such as net debt, net assets, etc. in order to facilitate the measurement of performance against covenants. 44. Facility covenants will be monitored regularly for actual or prospective defaults using information from the annual budgetary/forecasting process and the long-term financial plan. 45. The Trust will seek to avoid all loans / facilities coming up for renewal at the same time, in order to avoid exposure to risk due to unfavorable market conditions or temporary problems with the Trust s credit standing. Detailed operational procedures will be established to provide guidance on which facilities should be drawn down and when. These procedures will take into account: Foreign exchange management Matching the funding to the amount and timing of the cash-flow needs. Obtaining competitive quotes Allowing of the impact of commitment fees in comparing costs Spreading the use of facilities between providers Monitoring the all-in cost of different funding sources. 46. The Trust has only limited exposure to foreign exchange risk. Cash and Treasury Management Policy Version 1 November 2018 Page 10 of 14

47. It is therefore not Trust policy to purchase foreign currency in advance, to hold foreign currency deposits, or to use derivatives to manage foreign currency risk Interest rate management 48. It is not the policy of the Trust to use derivatives to manage interest rate exposure Reporting 49. The Cash Committee will be responsible for monitoring the cash levels of the Trust in the short, medium and longer term. 50. The Cash Committee will meet regularly, as set out in it s Terms of Reference, and review the Trust s short term cash flow ensuring the Trust retains sufficient cash to fulfil its obligations. 51. The Cash Committee will develop a set of Key Performance Indicators to monitor the cash position of the Trust and take appropriate action to minimise risk. These KPIs will be reviewed at least on an annual basis prior to the start of the financial year, or more frequently if required. 52. Regular reporting of investment management activities will be carried out as detailed in annex 2. Embedded Derivatives in Financial Instruments 53. The Trust will not use any explicit derivatives. 54. However, many financial instruments will include embedded derivatives as defined in International Financial Reporting Standards. 55. The Treasury Team will regularly consult with the Head of Operational Finance about the accounting treatments for any instruments used, and in particular will seek advice before any new types of instrument are used. Competencies and Training 56. The Trust will invest in training for staff members involved with or supervising investment functions with the aim of ensuring an appropriate degree of competence to carry out duties and that staff have the knowledge and experience to critically examine policies and proposals. 57. For on-going training on investment management please refer to the Trust Intranet. There is no mandatory training associated with this policy. Individuals training needs will be identified through annual appraisal and supervision. Monitoring Compliance 58. Compliance with the policy will be monitored in the following ways. Aspect of compliance or effectiveness being monitored Investment procedures and operations Monitoring method Internal Audit Report Responsibility for monitoring (job title) Internal Audit Frequency of monitoring At least annually Group or Committee that will review the findings and monitor completion of any resulting action plan Audit Committee Cash and Treasury Management Policy Version 1 November 2018 Page 11 of 14

59. Where, in the view of the Audit Committee, the Trust s internal audit function do not have sufficient expertise or experience with regard to investment, arrangements will be made to out-source audit of investment procedures and operations. Where the internal audit is out-outsourced to an external provider, care will be taken to ensure that there is clear independence between those performing audit work, and any staff involved in providing investment advice, consultancy or operational support to the Trust. 60. The Trust will engage appropriate independent advisors where appropriate. 61. At least annually the Cash Committee will consider whether independent advice is required in respect of the Trust s Investment Policy, procedures or practice and make recommendations to the Chief Finance Officer as necessary. 62. The Cash Committee will also consider whether independent advice should be sought before Review 62.1. authorising the use of any type of instrument not previously used by the Trust, 62.2. any change in the structure of the portfolio which would result in a significant change in risk profile, or 62.3. when the use of any derivative products is being considered. 63. This policy will be reviewed in three years time. 64. The Trust Board has delegated the responsibility for approval of the Trust s investment procedures, controls and detailed policies to the Audit Committee. References 65. This policy forms part of part of the Trust s Standing Financial Instructions (SFIs) and this document should be read in conjunction with the SFI s 66. other key sources of information are shown in the table below:- Other Key Sources of Information The Policy is referred to in the Reservation and Delegation of Powers and Standing Financial Instructions section B (pages 10 & 29) and sections 5 and 12. NHS foundation trusts: managing operating cash Monitor (Dec 2005) Equality Impact Assessment 67. As part of its development, this policy and its impact on equality has been reviewed. The purpose of the assessment is to minimise and if possible remove any disproportionate impact on the grounds of race, gender, disability, age, sexual orientation or religious belief. No detriment was identified. Document History Date of revision Version number Reason for review or update Cash and Treasury Management Policy Version 1 November 2018 Page 12 of 14

20 Aug 2008 Draft 0.1 First Draft 23 Oct 2008 Draft 0.2 Second Draft 20 Feb 2009 Draft 0.3 Third Draft 31 March 2012 Draft 0.4 Fourth Draft 31 May 2012 Draft 0.5 Fifth Draft in Trust policy format 11 April 2014 Draft 1.0 Updated to reflect current guidance 30 October 2014 Draft 1.01 28 November 2014 Draft 1.02 Further revisions to reflect current guidance & proposed new structure. Updated to reflect discussions at Audit Committee 19 th November 2015 14.Jan 2015 Version 1 Investment Management Policy Approved by Trust Board August 2018 Version 0.01 Conversion to Cash & Treasury Management Policy 16 August 2018 Version 0.1 Consideration by Cash Committee. 19 September 2018 [8 November 2018] [14 November 2018] Version 1 Version 1 Version 1 Draft endorsed by Audit Committee Consideration by Trust Management Executive [Approved by Trust Board] Cash and Treasury Management Policy Version 1 November 2018 Page 13 of 14

List of Procedure Documents Annex 1 Ref Title 1 Logging into RBS 2 RBS Daily Download of Bank Statements 3 Inputting Reconciling Bank Statements 4 Preparing Daily Cash Sheet 5 To input receipt batches on Oracle 6 Making a manual payment via RBS 7 Banking Foreign Cheques 8 Direct Debits paid by OUH 9 Raising Manual Payable Orders 10 Purchasing Cards 11 Monthly Prof Fees - Oracle 12 Entering journals 13 Monthly reconciliations 14 Making Deposits with the NLF 15 BACS trace 16 To reverse and replace a receipt 17 Stopping Payable Orders 18 Cancelling a BACS File 19 New timesheets manager lockdown 20 To request a Cheque trace 21 Downloading a BACS file 22 G4S Cash processing reports 23 Submitting BACS file 24 BACS returns 25 Treasury Management procedures and Bank profiles Cash and Treasury Management Policy Version 1 November 2018 Page 14 of 14