Annual General Meeting 17 July 2018 Welcome Graham Sims Chairman - - PowerPoint PPT Presentation

Annual General Meeting

17 July 2018

Welcome

Graham Sims Chairman

Our Community Your Hospital

Steve McManus Chief Executive

Our Community Your Hospital

• 1. Our History
• 2. Our 2017/18 Highlights
• 3. Our Vision

Our Values: Compassionate | Aspirational | Resourceful | Excellent

Our Values: Compassionate | Aspirational | Resourceful | Excellent

NHS|70

Royal Berkshire Hospital

Over the next year we will prepare to celebrate 180 years of the Royal Berkshire Hospital The hospital has changed dramatically over that time as the possibilities of healthcare have expanded Throughout we have stuck to the founding principles of the pioneers who opened the hospital on 27 May 1839. On 23 February 1836, a report was submitted to a special meeting of the governors of the Reading Dispensary proposing the creation of a hospital. The founders recognised that hospitals in London, Winchester and Oxford were not close enough to meet the needs of the people of Berkshire. Former Prime Minister Henry Addington, 1st Viscount Sidmouth, donated the land on London Road and ground was soon broken. The formal opening of the Royal Berkshire Hospital took place on 27 May 1839. The first patient to be treated was George Earley, aged 15, a labourer for the Great Western Railway.

Our Values: Compassionate | Aspirational | Resourceful | Excellent

1 million meals

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Over 550,000 outpatients

136,000 Emergency patients

36,000 admissions

25,000 ED shifts

5,500 babies born

2,300 cancer treatments

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1 ‘outstanding’ CQC rating

Our Values: Compassionate | Aspirational | Resourceful | Excellent

Our new strategy

Key aspects of our Strategy

What Matters

Bringing our Strategy to Life

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Our Values: Compassionate | Aspirational | Resourceful | Excellent

Financial Results of the Trust for the year ended 31 March 2018 Craig Anderson Director of Finance

Trust Group Accounts for 2017/18 (including Royal Berks Charity)

• Follow International Financial Reporting Standards
• Audited by Deloitte
• Include the Charity
• Submitted to NHS Improvement in May
• Presented to Parliament in June

Auditor‘s Comments

• Deloitte’s comments as external auditors
• PWC’s comments as internal auditors

Trust Group Accounts 2017/18

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Group Income Statement

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• Group surplus of

£17.14m versus £5.42m last year

• Group operating costs

include the benefit of a £4.37m reduction in depreciation due to re- lifing of assets

• Group operating costs,

excluding gains made in asset re-lifing, increased by £10.49m, 2.7%

£m 2017/18 2016/17 Change Income 412.17 401.10 3% Operating Costs (388.54) (390.12) 0% Operating Surplus / (Deficit) 23.63 10.98 Interest (0.76) (0.96) 21% Public Dividend (5.18) (4.61) (12)% Tax movements & Other (0.56) 0.01 Surplus / (Deficit) 17.14 5.42

Note: Group comprises the Trust, its facilities management subsidiary, and the Charity

• Group cash flow from
• perations grew by

118% to £45.52m

• Group cash at March

2018 was £46.82m (£28.99m more than March 2017), of which £14.40m belongs to the Trust and £4.84m belongs to the Charity

Group Cash Flow

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£m 2017/18 2016/17 Change Cash flow from operations 45.52 20.90 118% Sale of Fixed Assets 4.32 0.16 2,635% Purchase of Fixed Assets (18.12) (9.64) (88)% Loan Repayments (3.03) (3.62) 16% Net Interest (0.85) (1.11) 23% Capital received 5.39 0.33 Public Dividend (4.24) (4.55) 7% Net Cash Flow 28.99 2.47 26.52 Opening Cash and Investments 17.83 15.36 Closing Cash and Investments 46.82 17.83 28.99

• Trust surplus of £10.86m

was £4.74m more than budget

• Trust income was £2.96m

better than budget due primarily to extra Sustainability Funding from the Department of Health

• Pay £0.46m more than

budget due to high medical and nursing costs

Trust Income Statement v Budget 2017/18

Our Values: Compassionate | Aspirational | Resourceful | Excellent Note: Trust comprises the Trust results only, excluding the facilities management subsidiary and charity

£m Actual Budget Variance Income 410.63 407.67 2.96 Pay Costs (227.18) (226.72) (0.46) Drug Costs (45.13) (48.95) 3.82 Non Pay Costs (122.06) (120.68) (1.38) Other Costs (5.40) (5.21) (0.19) Surplus / (Deficit) 10.86 6.12 4.74 2017/18

• Trust expects to deliver a £10.54m

surplus in 2018/19

• Trust income is budgeted to grow

by 2% to £418.22m

• 2017/18 costs benefit from reduced

depreciation as a result of re-lifing

• f assets
• Costs increase as a result of

activity growth and inflation

• However, costs reduce as a result
• f £16.1m cost savings in the

budget

Trust Budget 2018/19 Income Statement

Our Values: Compassionate | Aspirational | Resourceful | Excellent

£m 2018/19 2017/18 Budget Actual Change Income 418.22 410.63 2% Pay Costs (228.77) (227.18) (1)% Drug Costs (49.03) (45.13) (9)% Non Pay Costs (123.29) (122.06) (1)% Other Costs (6.60) (5.40) (22)% Surplus / (Deficit) 10.54 10.86 (3)%

• Budget Surplus of £10.54m for 2018/19 versus £10.86m in 2017/18

Trust Budget 2018/19 Year on Year Track

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• Capital spend in 2018/19 is £45m versus £20m in 2017/18
• The increase in spend is dependent upon receipt of Sustainability

Funding and increased loan/lease arrangements

Capital Spend

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Reflections from Lead Governor

Tony Lloyd Lead Governor, Council of Governors

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The Health and Social Care Act 2012 sets out the statutory duties of Governors which include:

• Holding the Non-Executive Directors, individually and collectively, to

account for the performance of the Board of Directors

• Representing the interests of the members and the interests of the public
• Appointing and, if appropriate, removing any of the Non-Executive

Directors including the Chair

• Appointing and, if appropriate, removing any of the external auditors
• Approving any new appointment of a Chief Executive

Statutory Duties of Governors

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Council

• f Governors

Governor Nominations and Remuneration Committee Governor Membership Committee Governor Strategy Committee Governor Assurance Committee

Governor Committee Structure

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• Become more closely involved in the work of the Trust
• Gain an insight into the challenges and achievements of the Trust
• Meet new people and learning about hospital life
• Feed back members’ views to the Trust

Why be a Governor?

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Open Day

• Open Day 8 September 2018
• Members’ Events
• Pain Management Presentation
• Trust Strategy events

Communication

• Membership Strategy
• Members feedback from the survey in December helped inform the Trust

Strategy

• New Platform launching in August for the refreshed ‘Pulse’ magazine.

Membership Engagement

Our Values: Compassionate | Aspirational | Resourceful | Excellent

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Governors that have joined this year:

• Michael Garman, Public Governor, Reading
• Andrew Dugdale, Public Governor, Reading
• Malcolm Edwards, Public Governor, Wokingham
• Adrian Williams, Partner Governor, University of Reading
• Councillor Jenny Cheng, Partner Governor, Wokingham Borough Council
• Councillor Graeme Hoskin, Partner Governor, Reading Borough Council

Recently elected governors:

• Kevin Boyle, Public Governor, Reading
• William Murdoch, Public Governor, South Oxfordshire and Borders
• Sayani Drury, Public Governor, Wokingham

Welcome to Governors

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Farewell to Governors

• Gwen Mason, (Co-Lead Governor) Public Governor, West Berkshire and Borders
• Tom Neill, Public Governor, East Berkshire and Borders
• Deborah Sander, Public Governor, Reading
• Angelina Lewis, Public Governor, Wokingham
• Paul Gupta, Public Governor, Wokingham
• Richard Dolinski, Partner Governor, Wokingham Borough Council
• Bet Tickner, Partner Governor, Reading Borough Council
• Steve Sellwood, Staff Governor, Admin/Management

Our Values: Compassionate | Aspirational | Resourceful | Excellent

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Governor Vacancies and Elections

Governors Vacancies

• 1 x East Berkshire & Borders
• 1 x West Berkshire & Borders
• 1 x Staff Medical / Dental
• 1 x Staff Nursing / Midwifery
• 1 x Staff Healthcare Assistant / Ancillary
• 1 x Staff Admin / Management

Elections will be launched in August 2018

Our Values: Compassionate | Aspirational | Resourceful | Excellent

Questions Welcome

Our Annual Report is available at www.royalberkshire.nhs.uk/our-performance.htm We hope to see you at our Open Day on Saturday 8 September 2018

Thank you