Better Medicine Better Health Annual General Meeting

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Better Medicine Better Health Annual General Meeting

  1. 1. Annual General Meeting & Open Event 2008
  2. 2. WELCOME AND INTRODUCTION David Richardson
  3. 3. Review of the Year 2007/08 Miles Scott Chief Executive
  4. 4. <ul><li>Review of 2007/08: </li></ul><ul><ul><li>Infection Prevention & Control </li></ul></ul><ul><ul><li>Quality & Safety of Care </li></ul></ul><ul><ul><li>Service Developments </li></ul></ul><ul><ul><li>Buildings & Equipment </li></ul></ul><ul><ul><li>Teaching & Research </li></ul></ul><ul><li>Board of Directors Update </li></ul><ul><li>Looking ahead to 2009 and beyond: </li></ul><ul><ul><li>Better Medicine, Better Health: BTHFT in 2015 </li></ul></ul><ul><ul><li>Service & Capital Developments </li></ul></ul>Content
  5. 5. 2007/08: Infection Prevention & Control - MRSA
  6. 6. Infection Prevention & Control – Clostridium Difficile
  7. 7. 2007/08: Quality & Safety of Care <ul><li>Access targets: </li></ul><ul><ul><li>18 Weeks </li></ul></ul><ul><ul><ul><li>Admitted patients – 88% (target 85%) </li></ul></ul></ul><ul><ul><ul><li>Outpatients – 91% (target 90%) </li></ul></ul></ul><ul><ul><ul><li>Diagnostics – maximum wait of 6 weeks </li></ul></ul></ul><ul><ul><li>Existing targets for A&E, cancer, GUM, cataracts </li></ul></ul><ul><li>Service improvement & innovation: </li></ul><ul><ul><li>Day Case rates up 4% </li></ul></ul><ul><ul><li>Increased weekend trauma lists and patient pre-optimisation for major surgery </li></ul></ul><ul><ul><li>MRI scanning for breast cancer patients </li></ul></ul><ul><ul><li>Laparoscopic techniques for radical colo-rectal, upper GI and pelvic surgery </li></ul></ul><ul><li>Safer Patients Initiative: </li></ul><ul><ul><li>Critical Care; General Ward Care; </li></ul></ul><ul><ul><li>Medicines Safety; Perioperative Care </li></ul></ul>
  8. 8. 2007/08: Developing Services <ul><li>A&E </li></ul><ul><li>Bowel cancer screening </li></ul><ul><li>Critical care </li></ul><ul><li>Elderly care </li></ul><ul><li>Head & Neck Cancer Centre </li></ul><ul><li>Medical Oncology </li></ul><ul><li>Neurology </li></ul><ul><li>Obesity surgery </li></ul><ul><li>Orthopaedics </li></ul><ul><li>Winter beds </li></ul>
  9. 9. 2007/08: Investing in Buildings & Equipment <ul><li>£8.8m capital expenditure </li></ul><ul><li>Haematology Day Unit </li></ul><ul><li>Wards 1, 3, 6, 20, 21 & 23 upgraded </li></ul><ul><li>Delivery Suite Assessment Unit </li></ul><ul><li>Interventional Radiology Suite </li></ul><ul><li>PAS & PACS </li></ul><ul><li>£1.2m medical equipment </li></ul><ul><li>Major schemes initiated: </li></ul><ul><ul><li>Lecture Theatre </li></ul></ul><ul><ul><li>Listening for Life Centre </li></ul></ul>
  10. 10. 2007/08: Developments in Teaching & Research <ul><li>Bradford Institute for Health Research: </li></ul><ul><ul><li>Institute launched at Temple Bank House </li></ul></ul><ul><ul><li>Clinical Research Facility opened </li></ul></ul><ul><ul><li>NIHR programme grants for childhood obesity & stroke </li></ul></ul><ul><ul><li>Leeds, York & Bradford Research Alliance </li></ul></ul><ul><li>Educational development: </li></ul><ul><ul><li>2,300 staff attended internal courses </li></ul></ul><ul><ul><li>National laparoscopic colorectal training centre </li></ul></ul><ul><ul><li>BTHFT consultants appointed as Directors of the Schools of Surgery & Ophthalmology and Programme Director for Higher Surgical Training </li></ul></ul>
  11. 11. Board of Directors Update <ul><li>Retirements: </li></ul><ul><ul><li>Balbir Singh, Non Executive Director </li></ul></ul><ul><ul><li>Rose Stephens, Chief Nurse/Deputy CEO </li></ul></ul><ul><li>New members: </li></ul><ul><ul><li>John Waterhouse, Non Executive Director </li></ul></ul><ul><ul><li>Sally Ferguson, Chief Nurse </li></ul></ul><ul><li>Honours: </li></ul><ul><ul><li>OBE & DUniv for Rose Stephens </li></ul></ul>
  12. 12. 2009 and Beyond
  13. 13. 2009 and Beyond
  14. 14. 2009 and Beyond <ul><li>Corporate Strategy </li></ul><ul><li>Approved Developments: </li></ul><ul><ul><li>New ward block </li></ul></ul><ul><ul><li>Field House Education & Conference Centre </li></ul></ul><ul><ul><li>Macular Service </li></ul></ul><ul><ul><li>Maternity Services </li></ul></ul><ul><ul><li>Critical Care </li></ul></ul><ul><ul><li>Chronic Pain </li></ul></ul><ul><ul><li>Hepatology & Upper GI Surgery </li></ul></ul><ul><ul><li>Orthopaedics </li></ul></ul><ul><ul><li>Restorative Dentistry </li></ul></ul>
  15. 15. 2009 and Beyond <ul><li>Corporate Strategy </li></ul><ul><li>Approved Developments </li></ul><ul><li>Pipeline of further developments: </li></ul><ul><ul><li>Acute paediatrics </li></ul></ul><ul><ul><li>Critical care </li></ul></ul><ul><ul><li>Colorectal surgery </li></ul></ul><ul><ul><li>Diabetes </li></ul></ul><ul><ul><li>Heart attack and stroke services </li></ul></ul><ul><ul><li>Maternity Matters implementation </li></ul></ul><ul><ul><li>Neonatology </li></ul></ul><ul><ul><li>Radiotherapy </li></ul></ul><ul><ul><li>Robotic surgery </li></ul></ul><ul><ul><li>Specialist childrens services </li></ul></ul><ul><ul><li>Vascular services </li></ul></ul>
  16. 16. ANNUAL ACCOUNTS 2007/08
  17. 17. INCOME & EXPENDITURE 0.7 (236.9) (11.3) (225.6) 237.6 06/07 £’m 1.9 (256.1) (11.0) (245.1) 257.9 07/08 £’m % +8.1 Total Expenditure Surplus Other Expenses Operating Expenditure +8.5 Income
  18. 18. INCOME £’m 257.9 Total 30.4 Other Operating Income 227.5 Income from Activities
  19. 19. INCOME ANALYSIS
  20. 20. EXPENDITURE ANALYSIS
  21. 21. CAPITAL INVESTMENT <ul><li>Capital investment totalling £8.8 million was made during the year. </li></ul><ul><li>The main elements of the capital programme are as follows: </li></ul>3.1 Information Technology Schemes - Including PACS implementation 1.2 Medical Equipment Replacement Programme 8.8 Total 4.5 Buildings and Infrastructure Schemes - including development of Temple Bank House development, the start of the Lecture Theatre Scheme and a range of ward refurbishments. £m Scheme
  22. 22. EXTERNAL AUDIT REPORT <ul><li>We reviewed and considered: </li></ul><ul><ul><li>The Statement of Internal Control; </li></ul></ul><ul><ul><li>Annual Report of the Trust; and </li></ul></ul><ul><ul><li>Whether proper arrangements had been put in place for securing economy, efficiency and effectiveness in use of resources. </li></ul></ul><ul><li>We identified no significant issues regarding the above which we believe need to be brought to the attention of Governors. </li></ul><ul><li>We provided an unqualified audit opinion on the Trust’s financial statements for 2007/08. </li></ul><ul><li>PricewaterhouseCoopers, External Audit 2007/08 </li></ul><ul><li>Presentation to Governors 16 July 2008 </li></ul>
  23. 23. LOOKING FORWARD 2.8 2.8 2.7 1.9 Net Surplus/ -Deficit (13.9) (13.7) (12.6) (11.0) Other Costs 16.7 16.5 15.3 12.8 EBITDA (262.2) (256.5) (251.3) (245.1) TOTAL EXPENSES (69.0) (69.5) (72.6) (79.9) Non Pay Costs (193.2) (187.0) (178.7) (165.2) Pay Costs EXPENSES 278.9 273.0 266.6 257.9 TOTAL INCOME 33.7 33.3 32.9 30.4 Non Clinical Income 245.2 239.7 233.7 227.5 Clinical Income INCOME Annual Plan 2010/11 £m Annual Plan 2009/10 £m Annual Plan 2008/09 £m Actual Outturn 2007/08 £m
  24. 24. MEMBERS QUESTIONS
  25. 25. UPDATE FROM GOVERNORS Nora Whitham, Deputy Chair of the Board of Governors
  26. 26. MEMBERS QUESTIONS
  27. 27. QUESTIONS
  28. 28. ANY OTHER RELEVANT BUSINESS

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