Meeting 12 July 2017 Welcome Graham Sims Chairman A Year in the - - PowerPoint PPT Presentation

Annual General Meeting 12 July 2017

Welcome Graham Sims Chairman

A Year in the Life of RBFT Steve McManus Chief Executive

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Our Values: Compassionate | Aspirational | Resourceful | Excellent

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Key Facts 2016/17

• Population served 500,000 – 1,000,000
• 4,982 staff
• 5,391 babies born
• 124,735 patients were seen in the Emergency Department (A&E)
• 530,053 outpatient appointments over a number of sites
• 49,324 operations (42,387 day case / 6,937 elective)
• Five main locations

Our Values: Compassionate | Aspirational | Resourceful | Excellent

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Key Performance Standards 2016/17

Standard Target 2016/17 2015/16 Emergency access 95% 92.29% 94.16% Cancer Standards 2 week wait 93% 95.4% 77.5% 31 days wait 96% 97.68% 96.8% 62 days wait 85% 85.07% 74.2% Referral to treatment 18 weeks 92% 94.1% 93.02% Clostridium difficile (C.diff) 27 17 31

Our Values: Compassionate | Aspirational | Resourceful | Excellent

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Review Against the 2016/17 Quality Priorities

Domain Priority Progress Patient Safety 1: Ensuring we have the right numbers of clinical staff to meet

• ur patients’ needs

Not achieved 2: Ensuring the timely recognition and management of sepsis Achieved Clinical Effectiveness 3: Reducing waiting times to ensure treatment is received at the right time for patients with cancer Achieved 4: Improving the availability and quality of medical records Partially achieved 5: Improving antimicrobial stewardship Partially achieved Patient Experience 6: Improving our administration systems Achieved 7: Improving the care of patients with dementia and support for carers Achieved

Our Values: Compassionate | Aspirational | Resourceful | Excellent

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Our Vision and Values

Vision “Seamless Excellence in Health Care Delivery and Outcomes” Values

• Compassionate
• Aspirational
• Resourceful
• Excellent

What Trust values mean to our staff

Our Values: Compassionate | Aspirational | Resourceful | Excellent

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Our Successes

Our Values: Compassionate | Aspirational | Resourceful | Excellent

• 99% of inpatients recommended us as part of the National Friends and

Family Test

• 4.5 star rating on NHS Choices
• Patient leaders
• Leading organisation for stroke care and heart attack centre
• Most improved cancer performance
• Achieved financial surplus
• Regulatory undertakings removed
• Education and research

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Our Focus for the Year Ahead

• Listening to our staff
• Being outstanding in the care we deliver
• Modernising the delivery of patient care
• Clinical Services Strategy
• Continuing to work with our partners
• Berkshire West Accountable Care System
• Sustainability and Transformation Programme
• University of Reading
• Berkshire Surrey Pathology Services (BSPS)
• Listening to the needs of our population
• Financial sustainability

Our Values: Compassionate | Aspirational | Resourceful | Excellent

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Our Values: Compassionate | Aspirational | Resourceful | Excellent

Financial Results of the Trust for the year ended 31 March 2017 Craig Anderson Director of Finance

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Trust Group Accounts for 2016/17 (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 2016/17

Our Values: Compassionate | Aspirational | Resourceful | Excellent

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Income Statement

Our Values: Compassionate | Aspirational | Resourceful | Excellent

• Group surplus of

£5.42m versus £9.58m deficit last year

• Group income grew by

7% to £401.10m, of which 2.9%, £10.78m, was Sustainability and Transformation Funding (STF)

• Group operating costs

grew by 4% to £390.12m

£m 2016/17 2015/16 Change Income 401.10 373.28 7% Operating Costs (390.12) (376.89) 4% Operating Surplus / (Deficit) 10.98 (3.61) Interest (0.95) (0.99)

• 4%

Public Dividend (4.61) (4.66)

• 1%

Tax movements & Other 0.00 (0.32) Surplus / (Deficit) 5.42 (9.58)

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• Group cash flow from
• perations grew by 18%

to £20.90m

• Group cash at March

2017 was £17.83m (£2.47m more than March 2016), of which £14.40m belongs to the Trust and £3.43m belongs to the Charity

Cash Flow

Our Values: Compassionate | Aspirational | Resourceful | Excellent

£m 2016/17 2015/16 Change Cash flow from operations 20.90 17.69 18% Sale of Fixed Assets 0.16 0.74

• 78%

Purchase of Fixed Assets (9.64) (11.47)

• 16%

Loan Repayments (3.62) (3.67)

• 1%

Net Interest (1.11) (1.02) 9% Capital received 0.33 0.03 Public Dividend (4.55) (4.66)

• 2%

Net Cash Flow 2.47 (2.36) (0.71) Opening Cash and Investments 15.36 17.72 Closing Cash and Investments 17.83 15.36 16%

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• Trust surplus of £5.55m

was £0.75m more than budget

• Trust income was

£2.82m better than budget, of which £0.88m was STF

• Pay £1.12m more than

budget due to high medical and nursing costs

Income Statement v Budget 2016/17

Our Values: Compassionate | Aspirational | Resourceful | Excellent

£m 2016/17 Actual Budget Variance Income 401.25 398.43 2.82 Pay Costs (223.97) (222.85) (1.12) Drug Costs (44.92) (45.79) 0.87 Non Pay Costs (121.29) (119.40) (1.89) Other Costs (5.52) (5.59) 0.07 Surplus / (Deficit) 5.55 4.80 0.75

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• Trust expects to deliver a

£6.12m surplus in 2017/18

• Trust income is budgeted to

grow by 2% to £409.44m

• Income down by £1.78m due to

reduction in STF to £9.0m

• Costs increase as a result of

activity growth and inflation

• However, costs reduce as a

result of £16.9m cost savings in the budget

Trust Budget 2017/18 Income Statement

Our Values: Compassionate | Aspirational | Resourceful | Excellent

£m 2017/18 2016/17 Budget Actual Change Income 409.44 401.25 2% Pay Costs (230.14) (223.97) 3% Drug Costs (50.99) (44.92) 14% Non Pay Costs (116.76) (121.29)

• 4%

Other Costs (5.43) (5.52)

• 2%

Surplus / (Deficit) 6.12 5.55 10%

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• Surplus of £5.5m in 2016/17
• Budget for 2017/18 is a £6.12m surplus

Trust Budget 2017/18 Year on Year Track

Our Values: Compassionate | Aspirational | Resourceful | Excellent

(10.00) (5.00) 0.00 5.00 10.00 15.00 £m

Year on Year Track

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• Capital spend in 2017/18 is £32.2m versus £11.5m in 2016/17
• The increase in spend is dependent upon on receipt of STF allocation

and increased loan/lease arrangements

Capital Spend

Our Values: Compassionate | Aspirational | Resourceful | Excellent

Reflection from Co-Lead Governors Tony Lloyd and Gwen Mason Council of Governors

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Farewell:

• Jeremy Butler, Public Governor, East Berkshire and Borders
• David Cooper, Public Governor, Reading
• Jon Andrews, Public Governor, Reading
• Charles McKenna, Staff Governor, Medical/Dental
• Filipe Morgado, Staff Governor, Allied Health Professionals/Scientific
• Ruth Evans, Partner Governor, University of Reading
• Caroline Bowder, Public Governor, South Oxfordshire
• Anne-Marie Probert, Staff Governor, Nursing/Midwifery

Governors that have joined this year:

• Sunila Lobo, Public Governor, Reading
• John Bagshaw, Public Governor, West Berkshire and Borders
• Shirley Anstis, Partner Governor, Alliance for Cohesion and Racial Equality
• Richard Dolinski, Partner Governor, Wokingham Borough Council

Recently elected governors:

• Tom Neill, Public Governor, East Berkshire and Borders
• Lynda Taylor, Public Governor, East Berkshire and Borders
• Jonathan Barker, Public Governor, Reading
• John Crossman, Staff Governor, Allied Health Professionals/Scientific
• Colin Lee, Public Governor, West Berkshire and Borders
• Tony Lloyd, Public Governor, Wokingham

Farewell and Welcome to Governors

Our Values: Compassionate | Aspirational | Resourceful | Excellent

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

• 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

• Approving the appointment of the external auditors
• Approving any new appointment of a Chief Executive
• Holding the Non-Executive Directors, individually and collectively, to

account for the performance of the Board of Directors

Statutory Duties of Governors

Our Values: Compassionate | Aspirational | Resourceful | Excellent

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Split Annual General Meeting / Open Day

• Open Day – 23 September 2017
• Members’ Events

Communication

• Members’ Survey
• Membership Strategy

Membership Engagement

Our Values: Compassionate | Aspirational | Resourceful | Excellent

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• Become 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?

Our Values: Compassionate | Aspirational | Resourceful | Excellent

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Governor Vacancies and Elections

Governors Vacancies

• 2 x Reading
• 1 x Southern Oxfordshire
• 1 x Staff Medical / Dental
• 1 x Staff Nursing / Midwifery
• 1 x Staff Healthcare Assistant / Ancillary

Elections – Key Dates

• 5 July – Launch of election
• 20 July – Nominations close
• 31 August – Results declared

Our Values: Compassionate | Aspirational | Resourceful | Excellent

Questions Welcome

Our Annual Report is available at www.royalberkshire.nhs.uk/our-performance.htm Hope to see you at our Open Day on Saturday 23 September 2017

Thank you