Executive Summary for Submission of Paper to the
Trust Board
Paper No. NHST(13)009
Summary of matters discussed at the Finance Committee on 28th
November 2012
Purpose: To summarise the Board of matters discussed at the above meeting
Subject:
Summary:
The report presents the key points that were discussed and agreed at the
November finance committee.
Corporate Objectives met: N/A
Financial Implications: N/A
Stakeholders:
Recommendation(s): For the Trust Board to note the contents of the report.
Review Date: April 2013
Author : D Finn, Director of Finance
Presenting Director : Mr. D. Mahony, Non Executive Director
Board date: 30th January 2013
TH
28
TRUST FINANCE COMMITTEE HELD ON WEDNESDAY
NOVEMBER 2012 IN THE BOARD ROOM, WHISTON HOSPITAL
1. Chief Executive Update
a. Foundation Trust Update
Ms Marr provided a summary of the Trusts position on its FT timelines and
asked the committee to consider the implications of extended its current
milestones plans. I was agreed to carry on working to the original
timescales but to evaluate our options after the oversight meeting with the
SHA.
b. Collaboration Across Merseyside
To support Trusts in the QIPP agenda the new LATs have sponsored a
number of events looking at collaborative working.
c. Rehabilitation Service
The contract for this has now been signed and initially 10 beds will open
over a phased period from January 2013, serving the Merseyside
and Cheshire conurbation. The unit will open to full capacity of 20 beds in
the Spring.
d. A&E Performance
Due to current performance the Trust has commissioned the DoH Intensive
Support team to review current practices and provide recommendations.
e. Infection
No hospital acquired MRSA cases in the month, but five C.difficile cases.
f. CQC Inspection
The CQC undertook an unannounced inspection of the Trust on 5 th
October 2012. The report from this confirms that the Trust is meeting all
standards. Much positive feedback was received from patients and carers.
g. Clinical Commissioning Group Quality Assurance
An agreement was reached about the information the CCGs receive, and
the forum in which this will be discussed.
h. PFI Contract
There are problems with water ingress into the brick and render panels
covering the building (Whiston only). Remedial work will be extensive, and
the Executive Directors have received a presentation from Vinci about how
this will be managed
i.
Appointments to Director Positions
A process was undertaken to make a permanent appointment to the post
of Director of Nursing in early October. No appointment was made, and
Chrissie Cooke has agreed to extend her secondment until March 2013.
The post will be re-advertised in January 2013. The interviews for the
Medical Director post were held on 22nd October 2012 and Kevin Hardy
was formally appointed and took over the role on 1 st November 2012.
Terry Hankin will continue as Deputy Medical Director.
2. Performance Report
a. Ms D. McLaughlin noted key items from the Performance report including:
i. infection control
ii. Issues relating to A&E and the visit of the Emergency Care
Intensive Support Team
iii. The Trust is doing significantly more activity then in previous years.
Non elective activity is higher than plan, outpatients and day cases
are below plan. There is a recovery plan to recover this by end of
December. The risk in quarter 4 is to maintain elective activity
levels despite the growth in emergency cases.
3. Finance Report
a. Mr. D. Finn outlined key points from the finance report
i. The Trust must continue to deliver the levels of activity expected at
the cheapest rate possible giving a financial contribution.
ii. On-going meeting with the cluster and SHA regarding the
affordability of payment for the unexpected increase in demand for
services.
iii. Trust must ensure delivery of CQUINs
iv. Damien outlined the cash flow of the organisation noting that the
£13m national money has not been received to date.
4. Integrated Performance Report
a. The Finance Committee noted the intention to develop and implement a
new Integrated Performance Report and supported the initial high level
project plan. The first draft of the IPR will come to the Board on 30 th
January 2012.
5. St Helens Income & Expenditure Review
a.
The Finance Committee noted the results of the analysis of income and
expenditure by site for 2011-12, and noted the system changes to support
future reporting by site.