Finance Report Month 11 - Royal Shrewsbury Hospitals NHS Trust

advertisement
Enclosure 10
Trust Board Meeting
– 25th March 2010
FINANCE REPORT for the period ending 28th February 2010 (Month 11)
EXECUTIVE
RESPONSIBILITY
Steve Shanahan
Finance Director
AUTHOR (if
different from
above)
Tony Brown
Assistant Director Financial Performance
Chris Benham
Assistant Director Financial Accounting
CORPORATE
OBJECTIVE
Deliver national and local targets and priorities, including
financial balance
EXECUTIVE
SUMMARY
KEY FACTS
The table below summarises the Income and Expenditure position for February
and the eleven months to 28th February 2010.
Plan
£'000
The Trust Board approved a budget to deliver a £4.4
million surplus in 2009/10 so that the Trust could fulfil
Working Capital and capital loan repayments.
February (Month 11) financial performance highlights:
•Actual in-month surplus for month 11 of £436k; year
to date deficit £859k.
•Shortfall against Plan £3.332m.
•Best case forecast outturn based on current
performance £0.300m surplus. Worst case forecast is
a £1.8m deficit.
The Trust has one remaining instalment to pay in March
2010 on its Working Capital loan. The Trust has informed
the Department of Health that it will not take up the Capital
Loan in 2009/10 but will meet the final Working Capital
loan repayment.
•On plan to achieve revised CRL of £13.988 million
•Cumulatively, 66% (63% January) of Non-NHS
invoices and 52% (55% January) of NHS invoices paid
within 30 days against the Public Sector Payments
Policy (PSPP) target of 95%.
Finance Report
Sheet 1
Actual
£'000
Month
Variance
£'000
Year to Date
Variance
Plan £'000 Actual £'000
£'000
L Year
£'000
L Year
£'000
Annual
Budget
20,484
(13,860)
(5,629)
22,181
(15,028)
(5,612)
1,697
(1,168)
17
20,726
(13,609)
(5,348)
Income
Pay
Non Pay
232,561
(153,190)
(62,541)
238,705
(161,935)
(64,894)
6,144
(8,745)
(2,353)
225,230
(146,678)
(60,599)
254,885
(166,966)
(67,879)
995
(1,298)
1,541
(1,105)
546
193
1,769
(1,319)
Contribution
Finance Costs
16,830
(14,357)
11,876
(12,735)
(4,954)
1,622
17,953
(14,567)
20,040
(15,659)
(303)
436
739
450
2,473
(859)
(3,332)
3,386
4,381
RECOMMENDATIONS
Total
The Trust Board is asked to NOTE at month 11:
1. An Income and Expenditure deficit of £0.859m
year to date month 11 2009/10 and £3.332m
shortfall to plan.
2. PSPP performance marginal improvement.
3. Best case forecast for 2009/10 is a surplus
£0.300m.
4. Forecasting delivery of CRL.
5. Forecasting planned repayment of final
instalment of original loan.
The Shrewsbury and Telford Hospital NHS Trust
Section One- EXECUTIVE SUMMARY
Monthly
Direction of
Performance
Travel
Position
In month
£0.436m surplus
Green

Year to
Date
Forecast
Red
Comment
Sheet
Ref
Red
£0.739m surplus to plan
1
Red
=
Red
Red
£3.332m adverse to plan
1
£0.300m surplus
Amber
=
Amber
Amber
£4.081m adverse to plan
3
£15.028m
Red

Red
Red
8.4% above plan for the month and 5.7% over plan YTD
4
WTE Worked
4506 wte
Amber
=
Amber
Amber
Decrease of 9 wte over Month 10
4
Pay Costs
96 wte
Amber
=
Amber
Amber
Decrease of 59 wte over Month 10
4
£0.626m
£5.612m
Amber
Amber
=
=
Amber
Red
Amber
Red
Decrease of £0.271m over month 10
0.3% below plan for the month and 3.8% over plan YTD
4
11
Division 1
YTD £26.324m surplus
Red

Red
Red
£6.512m adverse to plan
Division 2
YTD £41.026m surplus
Red

Red
Red
£1.567m adverse to plan
Division 3
YTD £35.377m deficit
Red

Red
Red
£0.206m surplus to plan
Corporate
YTD £31.114m deficit
Green

Green
Green
£4.541m surplus to plan
In month
£0.553m
Red
=
Red
Red
£0.509m adverse to plan
6
Year to date
£6.079m
Red
=
Red
Red
£2.775m adverse to plan
6
Full Year Forecast (Oct 09)
£7.173m
Red
=
Red
Red
£3.231m adverse to plan
6
Full Year Forecast (M8 projection)
£6.500m
Red
=
Red
Red
£3.904m adverse to plan
6
Debtors
Green
=
Green
Green
£1.063m decrease
11
Creditors
Red
=
Red
Red
66% Non-NHS invoices and 52% NHS invoices paid within 30 days
£0.084m increase
Red
=
Red
Red
£0.317m balance at Month 11 against plan of £0.243m
In month
£1.229m
Amber
=
Amber
Green
14
Year to date
£8.244m
Amber
=
Amber
Green
14
Full Year Forecast
Liquidity
EBITDA Margin %
Financial Risk Rating
PCT SLA Performance
£13.988m
12.6
5.0%
2
£2.7m
Green
Red
Red
Red
Green
=
=
=
=
=
Green
Red
Red
Red
Green
Green
Red
Red
Red
Green
Key
Capital
Metrics &
Cash
Expenditure
Ratios
Balance
Sheet
Improvement
Programme
I & E Position
£0.859m deficit
Full Year Forecast (Revised)
Divisional
Performance
Year to date
Agency WTE
Agency Costs
Non Pay Costs
In Month Movement
Finance Report
Sheet 2
To plan
Impact of I & E position on working capital
Below plan level of 7.2%
Reflects YTD I & E deficit
Above plan
The Shrewsbury and Telford Hospital NHS Trust
See
Divisional
Finance
Paper
12/13
5
14
7
7
7
7
Section Two - Forecast Outturn based on Month 11 YTD Performance
Actual
Mth 8
£m
171.2
F'cast
Mth 9
£m
F'cast
Mth 10
£m
F'cast
Mth 11
£m
F'cast
Mth 12
£m
(2.4)
(1.8)
(1.0)
(0.4)
21.6
21.9
21.5
21.7
Cum
F'cast
Mth 12
£m
Best Case
Opening Surplus/(Deficit)
257.9 Income
SHA Support
257.9 Total Income
171.2
21.6
21.9
21.5
21.7
(116.9)
(13.9)
(14.0)
(13.9)
(13.8)
(47.0)
(6.0)
(6.0)
(5.9)
(6.1)
(71.0) Non Pay
(9.7)
(1.1)
(1.1)
(1.1)
(1.1)
(14.1) Finance Costs
(2.4)
0.6
0.8
0.6
0.7
(2.4)
(1.8)
(1.0)
(0.4)
0.3
Actual
Mth 8
£m
F'cast
Mth 9
£m
F'cast
Mth 10
£m
F'cast
Mth 11
£m
F'cast
Mth 12
£m
(2.4)
(3.2)
(3.7)
(4.5)
21.6
21.9
21.6
21.6
171.2
Variance Variance Variance Proj Var Revised
To F'cast To F'cast To F'cast To F'cast F'cast
Mth 9 Mth 10 Mth 11 Mth 12 Mth 12
£m
£m
£m
£m
£m
(172.5) Pay
0.3 Surplus/(Deficit)
(0.5)
1.6
1.1
0.0
0.7
0.7
1.5
0.7
0.7
1.5
258.9
3.0
261.9
(1.1)
(1.0)
(1.1)
(1.2)
(176.9)
(0.2)
(0.1)
0.2
0.3
(70.8)
0.3
(0.3)
(13.8)
(0.1)
(0.2)
0.6
0.3
Forecast Surplus/(Deficit)
Cum
F'cast
Mth 12
£m
Worst Case
Variance Variance Proj Var Proj Var Revised
To F'cast To F'cast To F'cast To F'cast F'cast
Mth 9 Mth 10 Mth 11 Mth 12 Mth 12
£m
£m
£m
£m
£m
Opening Surplus/(Deficit)
257.9 Income
SHA Support
257.9 Total Income
171.2
21.6
21.9
21.6
21.6
(116.9)
(15.3)
(15.3)
(15.3)
(15.3)
(47.0)
(6.0)
(6.0)
(6.0)
(6.0)
(71.0) Non Pay
(9.7)
(1.1)
(1.1)
(1.1)
(1.1)
(14.1) Finance Costs
(2.4)
(0.8)
(0.5)
(0.8)
(0.8)
(2.4)
(3.2)
(3.7)
(4.5)
(5.3)
(178.1) Pay
(5.3) Surplus/(Deficit)
0.7
0.7
(0.5)
1.6
1.1
(0.1)
0.7
0.6
(0.1)
0.3
0.3
0.3
(177.2)
(0.2)
(0.1)
0.3
(71.0)
(0.1)
0.3
1.1
257.2
3.0
260.2
(13.8)
1.3
1.2
(0.1)
(1.8)
 The initial planned I&E surplus of £4.4m was revised following SHA discussions
around loan requirements at month 6 to £4.3m. It is anticipated that the planned
working capital loan repayment will be made in March 2010
 The table opposite shows the Best and Worst case forecasts for the year. The
columns to the left represent the forecast £300k surplus reported at month 8.
The columns to the right show the months 9,10 and 11performance against
forecast and the revised forecast £300k incorporating the additional SHA
support.
Best Case :
o Improving Income run rate due to emergency activity and additional SHA
support in respect of EWTD rota compliance, Hospital at Night and innovation
investment expenditure.
o Pay run rate reflects reduced agency reliance, vacancy management and
Divisional working arrangement changes but no reduction in Month 12.
o No 2009/10 spend on additional A&E Consultants. Earliest start dates 2010/11
o Additional 28 beds at PRH at an additional cost of £300k. Therapies weekend
working at an additional cost of £60k.
o Non Pay spend reduction due to strict management of requisitions and non
accountable stock control measures
Worst Case :
o Income at c.£21.5m for Month 12
o Pay run rate increases to £15.3m in Month 12
o Non pay run rate does not reduce below £6.0m
Both Cases :
o Deferral of return of the £1.8m 2007/08 tariff support to SHA.
o MEA revaluation of assets giving £1.0million depreciation charge gain 2009/10.
o Current Improvement Programme run rates continue, to give £6.5m forecast.
KEY RISKS:
o Reliance on Divisional expenditure and commitment management.
o Management of waiting list cost pressures within income constraints and
baselines
o Achieving required income levels.
Forecast Surplus/(Deficit)
Finance Report
Sheet 3
The Shrewsbury and Telford Hospital NHS Trust
Section Three – Expenditure - Pay

Pay Costs
£'000
15,750
15,250
14,750
14,250
13,750
13,250
12,750
2009/10 Plan
De
c
Ja
n
Fe
b
M
ar
Ju
l
Au
g
Se
p
O
ct
No
v
Ap
r
M
ay
Ju
n


2009/10 Actual
2008/09 Actual
Agency Spend

£'000
1,500
1,250
1,000
750
500
250
0
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb
2009/10 Actual
Pay expenditure continues to exceed plan. Best case forecast
now assumes continuation of February run rate due to expected
increase in reliance on agency as a consequence of escalation
in early March.
Month 11 run rate includes new ward at PRH, costs £75k
Waiting list payments in February were £264k (£2,908k YTD)


In February agency costs have reduced to £0.6m,an
improvement of £0.3m on the month 10 spend. This is
equivalent to 96 wte, in January agency was equivalent to 141
wte. The in month agency spend per wte of £6,521 is above the
month 10 average of £5,787 – a reflection of the switch in spend
to medical staffing.
Medical staff agency cover costs have reduced in February to
£286k (£362k in January). As previously reported this is due to
the need to cover rota gaps to ensure EWTD compliance.
The nursing agency spend in February was £176k, a reduction
on the January levels and the number of shifts filled by agency
was 474 (January 1,052).
2008/09 Actual
Finance Report
Sheet 4
The Shrewsbury and Telford Hospital NHS Trust
Section Four - Cash
The following table summaries the cash flow for Month 11. Full details are supplied in Appendix C.
 Closing cash balance
£317,000, this is an
increase of £84,000
on the prior month
balance and £74,000
higher than plan.
 EBITDA
shortfalls
continue
to
be
managed
through
creditor
payments
within working capital
and
capital
expenditure.
 The Trust is working
with the SHA to (i)
understand
the
historical
working
capital
loan
drawdown and (ii)
assisting
in
accelerating
cash
allocations from the
local
PCT’s
to
improve the BPPC.
Plan
M11
Actual
M11
Plan
YTD
Actual
YTD
1,409
233
441
441
940
1,483
16,052
11,239
0
(333)
(4,500)
940
940
1,150
11,552
12,179
(2,110)
(1,045)
(11,788)
(13,346)
0
0
0
1,144
(1,170)
105
(236)
(23)
Net interest paid
4
1
(70)
(100)
Provisions spent
0
(22)
0
(109)
Loan received
0
0
5,000
0
Loan repayment
0
0
(2,050)
(2,050)
PDC received
0
0
0
5,000
PDC paid
0
0
(2,842)
(2,842)
(1,166)
84
(198)
(124)
243
317
243
317
Opening cash balance
EBITDA
Working capital movement
Operating cash flow
Capital expenditure
Proceeds from sale of assets
Operating cash flow after net capital
expenditure
Cash flow for period
Closing cash balance
Finance Report
Sheet 5
The Shrewsbury and Telford Hospital NHS Trust
 Revised forecasting
procedures are in
place and will be
closely managed to
ensure
sufficient
cash is available
towards the latter
part of the calendar
year, last quarter of
2009/10 and first
quarter of 2010/11 –
this is due to (i) the
completion
and
timing of large capital
projects
(including
decontamination
offsite solution) and
(ii)
the
second
tranche of loan and
dividend obligations.
Section Five - Improvement Programme
Improvement Programme Status Report
12000
10000
 For the year to month
11 the Trust achieved
69% of its planned
Improvement
Programme (IP)
 A more detailed report is
presented monthly to the
Finance
&
Performance
Committee.
£'000
8000
6000
4000
2000
0
M1
M2
M3
M4
M5
M6
M7
M8
M9
M10
M11
M12
Months
Actual
Planned
Sept '09 Forecast Savings
 The September reforecast of
the CIP gave a forecast
outturn of £7.2m. Taking into
consideration YTD CIP run
rate the current forecast
outturn is £6.5m.
Projected 09/10
M11 Risk Analysis by Division
£4,000
£3,500
£3,000
£2,500
£000
 IP target for 2009/10
was
£10.4
million
(original FIMs plan
submission
£10.65
million).
£2,000
£1,500
£1,000
£500
£0
Corporate
Finance Report
Facilities
Estates
Division 1
Division 2
Division 3
Savings released to date
Remaining full year effect of active schemes RAG- Green
Remaining full year effect of active schemes RAG- Amber
Remaining full year effect of active schemes RAG- Red
Schemes in forecast not due to start
Unidentified
Sheet 6
The Shrewsbury and Telford Hospital NHS Trust
Section Six - Financial Risk Rating
Financial
Criteria
Weight
Achievement of
plan
10%
EBITDA Achieved (% of Plan)
Underlying
Performance
25%
EBITDA Margin (%)
Financial
Efficiency
20%
Liquidity
Metric
Rating categories (min thresholds)
Previous
Month
Value
5
4
3
2
100%
85%
70%
50%
<50%
70.6%
60.8%
11%
9%
5%
1%
<1%
5.0%
4.5%
Return on assets excluding dividend
(%)
6%
5%
3%
-2%
<-2%
2.7%
2.0%
20%
I&E Surplus Margin net of dividends
(%)
3%
2%
1%
-2%
<-2%
-0.4%
-0.9%
25%
Liquidity Ratio (days)
35
25
15
10
<10
12.6
12.1
2.4
2.0
2
2
Weighted Financial Risk Rating
Overall Rating
1
Current
Month
Value
 At month 11 the risk rating remains at
2. The in month surplus has
improved performance against all
criteria when compared to month 10.
 The cumulative deficit and shortfall to
plan continue to adversely affect the
financial performance criteria.
 There has been a slight improvement
in the cash balance at Month 11,
however the overspend continues to
affect cash and other working capital
balances.
Duty
Description
Forecast Outturn
Break-even
To achieve a break-even position on income and
expenditure taking one year with another.
Surplus of £0.3m
 The table opposite summarises
anticipated performance against our
NHS Trust Statutory and
Departmental financial duties.
Capital Resource Limit (CRL)
To keep capital expenditure within a pre-determined
limit
Expected to achieve
 Surplus forecast remains at £0.3m
External Financing Limit (EFL)
A cash limit on external financing from PDC set once
the capital expenditure plans have been finalised.
Expected to achieve
 Impact of I & E performance on cash
management and consequence
ability to meet BPPC targets.
Capital Cost Absorption Rate
To absorb capital costs in full through a charge (PDC
Dividend) calculated at 3.5% of average net relevant
assets.
Expected to achieve
Better Payments Practice Code
(BPPC)
To pay all invoices within 30 days of receipt of goods
or valid invoice (whichever is later)
Performance
anticipated in the
region of 70-75%
Finance Report
Sheet 7
The Shrewsbury and Telford Hospital NHS Trust
Section Seven – Activity and Income
The graphs below detail the 2009/10 activity against plan and 2008/09 actual levels for each activity type.
 Total elective and day case activity is 54 spells/£287k above plan in February.
Cumulatively activity is 1,839 spells below plan, the income shortfall is £858k.
Activity is above 2008/09 levels.
Total In Patients
Attend
9,250
9,000
 Day case activity was 33 spells above plan in February with a £184k surplus.
8,750
8,500
 Day case activity for General Surgery, Ophthalmology, Gastroenterology and
Anaesthetics were above plan in the month.
8,250
8,000
7,750
7,500
Apr
M ay
Jun
Jul
2009/10 Plan
Aug
Se p
Oct
2009/10 Actual
Finance Report
Nov
De c
Jan
Fe b
2008/09 Actual
Sheet 8
 Non elective activity is 90 spells above plan in the month and cumulatively 717
spells (£3,074k) over plan, which is above previous year’s levels.
 Maternity activity is below plan 80 spells in month and 267 spells YTD below
plan. Planned growth was 7.2% on last years outturn, actual activity is 95.8% of
plan
The Shrewsbury and Telford Hospital NHS Trust
Section Seven – Activity and Income
Total Out Patients
Attend
30,000
 Outpatient attendances continue above plan for February and the year to date.
29,000
28,000
27,000
 In February new outpatients are 1,048 attendances above profile (6,543 YTD).
26,000
25,000
 Follow up outpatients are 1,218 attendances above plan in February (4,358 YTD).
24,000
23,000
 Outpatient income shows a £1,419k YTD over performance.
22,000
21,000
20,000
19,000
Apr
M ay
Jun
Jul
2009/10 Plan
Aug
Se p
Oct
2009/10 Actual
Nov
De c
Jan
Fe b
 Included within the New Outpatient attendances are Outpatients Procedures which
show 230 attendances over performance in February (1,567 YTD)
2008/09 Actual
Accident & Emergency
10,000
 A & E attendances are 237 below plan in February, (926 above plan YTD).
9,750
9,500
 Cumulatively income is £496k (6.6%) above plan.
9,250
Attend
9,000
 Year to date activity analysis shows RSH 50.7% and PRH 49.3%, income shows
a near 50/50 split.
8,750
8,500
8,250
8,000
7,750
7,500
Apr
M ay
Jun
Jul
2009/10 Plan
Aug
Se p
Oct
2009/10 Actual
Finance Report
Nov
De c
Jan
Fe b
2008/09 Actual
Sheet 9
The Shrewsbury and Telford Hospital NHS Trust
Section Eight- Expenditure – Non-Pay and Finance Costs
 Non pay shows a £17k under spend in month; £2.3 million over spend Year-to-date
(YTD).
Non Pay costs
£'000
7,000
6,000
5,000
4,000
3,000
2,000
1,000
0
 The key contributing factors YTD are as follows
 Activity outsourced to private providers to maintain 18 week waiting times
 Overhead recharges from RJAH in respect of orthotics services.
 Drugs outside PbR tariff offset by income over recovery
 Developing Health and Healthcare contribution
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb
2009/10 Plan
2009/10 Actual
 All non-clinical non-pay expenditure requisitions continue to be reviewed and
scrutinised for validity and necessity before being approved.
 This review has highlighted areas where standardisation of non-clinical spend items
and restriction of catalogue choice will reduce expenditure levels.
These
restrictions will be actioned as appropriate.
 The spend to Month 11 now includes non-recurring gains from goods received
reviews and IT capitalisations
2008/09 Actual
Finance Costs
 Finance costs are £193k under spent in February (£1,622k YTD).
£'000
1,500
1,400
1,300
1,200
1,100
1,000
900
800
This is due to a reduction in the depreciation charge (£1,266k YTD) as a result of the
revaluation of assets on a Modern Equivalent Asset (MEA) basis at month 6
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb
2009/10 Plan
2009/10 Actual
Finance Report
2008/09 Actual
Sheet 10
The Shrewsbury and Telford Hospital NHS Trust
Section Nine - Debtors
All
Current
+ 30 days
+ 60 days
Total
£ '000
£ '000
£ '000
£ '000
NHS
877
64
1,995
2,936
Priv ate Patients
116
22
74
212
Other *
541
91
137
769
1,534
177
2,206
3,917
Total
 Total trade debtors have decreased by £1,063,000 compared to prior
month.
 All categories have decreased with current reducing by £288,000, +30
day category reducing by £320,000 and +60 day category reducing by
£455,000
 The outcome of the arbitration with Shropshire County PCT is not
reflected within the trade debtor positions.
* Includes prescriptions, catering recharges, accomodation, telephones, ov erseas
v isitors and MES activ ity
NHS
Current
£'000
+ 30 days
£'000
+ 60 days
£'000
Total
£'000
Shropshire County PCT
Telford & Wrekin PCT
RJAH
Others
129
83
114
551
6
21
3
34
1,672
157
1
165
1,807
261
118
750
Total
877
64
1,995
2,936
Non NHS Debtors > £25k
League of Friends RSH
£'000
NHS Debtors > £100k
£'000
344
Shropshire County PCT
1,807
Danw ood
76
CP Plus
62
Ov erseas Visitor Z
56
BUPA
43
Total
581
Telford & Wrekin PCT
Finance Report
261
 Shropshire County PCT have settled some elements of current and +30
days, but a small increase of £7,000 has been seen within the +60 days
category. The outcome of the arbitration with Shropshire County PCT is
not reflected within the trade debtor positions.
 Telford and Wrekin PCT have settled £519,107 of the September 2009
dated over-activity invoice. The outstanding balance of £49,460 relates to
a tariff dispute for planned same day (PSD) elective work.
 Following the intervention at Finance Director level a further, significant
reduction has been seen within the position of RJAH.
 Danwood debtor relates to the Trust’s printing management contract
and will be partially offset by an outstanding creditor.
 Of the other debtors outstanding £30,000 has been referred to a
specialist collection agency with appropriate provisions for write off
made based on expected collection success.
 £56,000 in respect of an overseas visitor with no means to pay is shown
in line with DH guidance – this debtor has been provided for in full.
2,068
Sheet 11
The Shrewsbury and Telford Hospital NHS Trust
Section Ten – Creditors (Non NHS)
Be tte r Payme nt Practice Code - Trade Cre ditors
 The table and graph summarise the non-NHS creditor
payment performance for the month 11, month and year
to date position.
Percentage
100
95
90
 The Better Payment Practice Code stipulates a target of
30 days.
85
80
75
70
 Compliance remains as last month with the Trust
continuing to try to prioritise non-NHS payments. The
current cumulative compliance position is 66% for
volume and 64% for value.
65
60
55
50
45
40
35
30
25
20
Mar-09
Apr-09
May-09
Jun-09
Jul-09
Aug-09
Sep-09
Oct-09
Nov-09
Dec-09
Jan-10
Feb-10
Month
% Invoices Paid In 30 Days
NON NHS
M1
M2
M3
% Value of Invoices Paid In 30 Days
M4
M5
M6
M7
M8
M9 M10 M11
By Volume
Total Volume
BPPC compliant volume
BPPC compliant %
4017 8387 5610 7948 4929 4056 9523 7422 6175 6126 9341
2593 5588 3959 5604 3338 1139 3011 6448 4965 4098 7543
65% 67% 71% 71% 68% 28% 32% 87% 80% 67% 81%
By Value
Total value (£000)
6781 9115 5266 6702 4257 4225 7033 6548 5815 6217 7611
BPPC compliant value (£000) 5292 5080 3434 4640 2576 1803 2446 5657 4233 3916 5738
BPPC compliant %
78% 56% 65% 69% 61% 43% 35% 86% 73% 63% 75%
Finance Report
Sheet 12
The Shrewsbury and Telford Hospital NHS Trust
Section Ten – Creditors (NHS)
 The table and graph summarise the NHS creditor payment
performance for month 11, and the year to date position.
Better Payment Practice Code - NHS Creditors
Percentage
 The Better Payment Practice Code stipulates a target of 30
days.
100
90
80
 Compliance remains as last month and whilst the Trust
continues to try to prioritise non-NHS payments significant
pressure is being felt by certain NHS bodies (NHSLA and
NHS Supply Chain). The current cumulative compliance
position is 52% for volume and 35% for value.
70
60
50
40
30
20
10
Mar-09
Apr-09
May-09
Jun-09
Jul-09
Aug-09
Sep-09
Oct-09
Nov-09
Dec-09
Jan-10
Feb-10
Month
% Invoices Paid In 30 Days
NHS Spend
By Volume
Total Volume
BPPC compliant volume
BPPC compliant %
% Value of Invoices Paid In 30 Days
M1
M2
M3
M4
M5
M6
M7
M8
M9
M10
M11
185
153
83%
187
49
26%
184
147
80%
73
46
63%
289
88
30%
210
104
50%
227
109
48%
88
87
99%
205
121
59%
28
17
61%
307
109
36%
2122
1636
77%
1452
179
12%
1415
774
55%
868
482
56%
2800
355
13%
821
121
15%
3466 849
849 849
24% 100%
1655
391
24%
1714
529
31%
1770
426
24%
By Value
Total value (£000)
BPPC compliant value (£000)
BPPC compliant %
Finance Report
Sheet 13
The Shrewsbury and Telford Hospital NHS Trust
Section Eleven - Capital
Total
Expenditure/ Forecast
% of
CRL Expenditure Committed Committed Outturn approved
2009/10
M11 YTD
M11 YTD
M11 YTD 2009/10 sum spent/
£'000
£'000
£'000
£'000
£'000 committed
B/Fwd 2008/09 projects
2009/10 projects
Aspetic unit
Paediatric OPD/ 28 Bedded Ward
Decontamination Project
Redevelopment of Women and
Childrens Zone
Privacy and Dignity
Others
318
236
71
307
315
96.5%
2,736
2,411
2,600
100
2,157
2,038
170
28
406
171
1,991
8
2,563
2,209
2,161
36
2,636
2,319
2,276
36
93.7%
91.6%
83.1%
36.0%
700
4,343
12,890
596
1,717
6,706
90
1,966
4,632
686
3,683
11,338
686
4,936
12,889
98.0%
84.8%
88.0%
2009/10 contingency funds
1,649
1,302
130
1,432
1,653
86.8%
2009/10 unallocated funds
-869
-869
0.0%
13,988
93.5%
Total 2009/10
13,988
Revised CRL consists of:
Depreciation
Decontamination- DoH Funding
Total 2009/10
8,988
5,000
13,988
8,244
Finance Report
4,833
13,077
Sheet 14
 Revised CRL remains at £13.988 million.
 In month spend of £1,229,000 brings year to date spend to
£8,244,000.
 £869,000 has been under spent across the capital schemes.
This has been re-allocated to other capital schemes to
achieve our CRL.
 Pharmacy Aseptic unit build handover took place on 22
January 2010. A 3-4 month commissioning and validation
process is required before a phased transfer of services can
start.
 Paediatric outpatient department, new 28 bedded ward at
PRH and MAU move – completed as planned.
 Decontamination offsite solution to be completed by end of
August 2010, with operational services planned to commence
January 2011.
 The Maternity Project Board are reviewing the scope of the
project of the redevelopment of Women and Children’s Zone.
 Privacy and dignity screens and windows completed..
The Shrewsbury and Telford Hospital NHS Trust
Download