Annual General Meeting 12 July 2017
Welcome Graham Sims Chairman
A Year in the Life of RBFT Steve McManus Chief Executive
Presentation title here Our Values: Compassionate | Aspirational | Resourceful | Excellent
Key Facts 2016/17 Presentation title here • 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
Key Performance Standards 2016/17 Presentation title here 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
Review Against the 2016/17 Quality Priorities Presentation title here Domain Priority Progress Patient Safety 1: Ensuring we have the right numbers of clinical staff to meet Not achieved our patients’ needs 2: Ensuring the timely recognition and management of sepsis Achieved Clinical 3: Reducing waiting times to ensure treatment is received at Achieved Effectiveness the right time for patients with cancer 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 Achieved carers Our Values: Compassionate | Aspirational | Resourceful | Excellent
Our Vision and Values Presentation title here 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
Our Successes Presentation title here • 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 Our Values: Compassionate | Aspirational | Resourceful | Excellent
Our Focus for the Year Ahead Presentation title here • 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
Presentation title here Our Values: Compassionate | Aspirational | Resourceful | Excellent
Financial Results of the Trust for the year ended 31 March 2017 Craig Anderson Director of Finance
Trust Group Accounts 2016/17 Presentation title here 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 Our Values: Compassionate | Aspirational | Resourceful | Excellent
Income Statement Presentation title here • Group surplus of £5.42m versus £9.58m £m 2016/17 2015/16 Change deficit last year Income 401.10 373.28 7% • Group income grew by Operating Costs (390.12) (376.89) 4% 7% to £401.10m, of Operating Surplus / (Deficit) 10.98 (3.61) which 2.9%, £10.78m, was Sustainability and Interest (0.95) (0.99) -4% Transformation Funding -1% Public Dividend (4.61) (4.66) (STF) Tax movements & Other 0.00 (0.32) • Group operating costs Surplus / (Deficit) 5.42 (9.58) grew by 4% to £390.12m Our Values: Compassionate | Aspirational | Resourceful | Excellent
Cash Flow Presentation title here £m 2016/17 2015/16 Change Cash flow from operations 20.90 17.69 18% • Group cash flow from operations grew by 18% Sale of Fixed Assets 0.16 0.74 -78% to £20.90m Purchase of Fixed Assets (9.64) (11.47) -16% • Group cash at March Loan Repayments (3.62) (3.67) -1% 2017 was £17.83m Net Interest (1.11) (1.02) 9% (£2.47m more than Capital received 0.33 0.03 March 2016), of which £14.40m belongs to the Public Dividend (4.55) (4.66) -2% Trust and £3.43m Net Cash Flow 2.47 (2.36) (0.71) belongs to the Charity Opening Cash and Investments 15.36 17.72 Closing Cash and Investments 17.83 15.36 16% Our Values: Compassionate | Aspirational | Resourceful | Excellent
Income Statement v Budget 2016/17 Presentation title here • Trust surplus of £5.55m was £0.75m more than £m 2016/17 Actual Budget Variance budget Income 401.25 398.43 2.82 • Trust income was Pay Costs (223.97) (222.85) (1.12) £2.82m better than budget, of which £0.88m Drug Costs (44.92) (45.79) 0.87 was STF Non Pay Costs (121.29) (119.40) (1.89) • Pay £1.12m more than Other Costs (5.52) (5.59) 0.07 budget due to high Surplus / (Deficit) 5.55 4.80 0.75 medical and nursing costs Our Values: Compassionate | Aspirational | Resourceful | Excellent
Trust Budget 2017/18 Income Statement Presentation title here • Trust expects to deliver a £6.12m surplus in 2017/18 £m 2017/18 2016/17 • Trust income is budgeted to Budget Actual Change grow by 2% to £409.44m Income 409.44 401.25 2% • Income down by £1.78m due to Pay Costs (230.14) (223.97) 3% reduction in STF to £9.0m Drug Costs (50.99) (44.92) 14% • Non Pay Costs (116.76) (121.29) -4% Costs increase as a result of activity growth and inflation Other Costs (5.43) (5.52) -2% • Surplus / (Deficit) 6.12 5.55 10% However, costs reduce as a result of £16.9m cost savings in the budget Our Values: Compassionate | Aspirational | Resourceful | Excellent
Trust Budget 2017/18 Year on Year Track Presentation title here • Surplus of £5.5m in 2016/17 • Budget for 2017/18 is a £6.12m surplus 15.00 Year on Year Track 10.00 5.00 £m 0.00 (5.00) (10.00) Our Values: Compassionate | Aspirational | Resourceful | Excellent
Capital Spend Presentation title here • 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 Our Values: Compassionate | Aspirational | Resourceful | Excellent
Reflection from Co-Lead Governors Tony Lloyd and Gwen Mason Council of Governors
Farewell and Welcome to Governors Presentation title here 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 Our Values: Compassionate | Aspirational | Resourceful | Excellent
Statutory Duties of Governors Presentation title here 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 Our Values: Compassionate | Aspirational | Resourceful | Excellent
Membership Engagement Presentation title here Split Annual General Meeting / Open Day • Open Day – 23 September 2017 • Members’ Events Communication • Members’ Survey • Membership Strategy Our Values: Compassionate | Aspirational | Resourceful | Excellent
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