South Tyneside NHS Foundation Trust. Annual Members Meeting 5 th December 2016

Transcription

1 South Tyneside NHS Foundation Trust Annual Members Meeting 5 th December 2016

2 Welcome and Introduction

3 Reports for the Year 2015/16

4 Review of the Year Chief Executive Ken Bremner

5 Key Performance for 2015/16 Emergency Care 4 hour standard 93.4% for all types of A & E attendances including our Urgent Care Hub were seen and treated within 4 hours. National performance was 91.91% % of Hospital A & E attendances were seen and treated within 4 hours. Nationally, for Type 1 units, the figure was 87.88%. Cancer targets met 18 week Referral To Treatment targets met No cases of MRSA bacteraemia 6 cases of C. Difficile (against a target of 8)

6 2015/16 Patient Safety Priorities 1. To develop and publish a 3 year Safety Improvement Plan as part of a 5-year Quality Strategy 2. To create and roll out quality improvement training 3. To further develop our culture of learning from experience 4. To provide assurance to the Board and patients that we are continually focused on demonstrating safe staffing levels

7 CQC inspection headlines Overall assessment Requires Improvement 70% all individual assessments good or outstanding Outstanding for Are services caring? Good or Outstanding for every community services assessment Areas for improvement and include the following - Safety, Quality, Staffing, Environment, Corporate

8 Annual Report 2015/16

9 2015/16 Annual Report & Summary Financial Statements Accountability Report Governance & Disclosures Key Performance Figures Annual Governance Statement Remuneration Report Quality Report Assurance Statements from Commissioners, Healthwatch and Local Authority Oversight and Scrutiny Committee Financial Performance

10 Financial Performance April March 2016 STATEMENT OF COMPREHENSIVE 2015/ /15 INCOME Income from continuing operations 200, ,235 Operating expenses (212,081) (209,063) Operating deficit (11,182) (828) Net Finance Costs* (1,782) (2,395) Transfer by Absorption (St. Benedict s Hospice) 9,811 - DEFICIT FOR THE YEAR (3,153) (3,223) Net revaluations/ (impairments) 10,733 (29,109) TOTAL COMPREHENSIVE INCOME/(EXPENSES) 7,580 (32,332) * Includes Public Dividend Capital Dividends (1,703) (2,411)

11 Financial Performance April March 2016 Underlying Deficit 8,295k after: Transfer of St. Benedict s Hospice 9,811k Restructuring costs of ( 3,500k) Impairments of ( 767k) Equal pay costs ( 402k) Achievement of a 10.7m cost improvement Closing Cash 15.5m. This includes approximately 12m of loans drawn down in advance of capital expenditure Capital investments 10.3m Revised Risk assessment Framework from August Assessed by NHS Improvement as 2 for Financial Sustainability Risk Rating and Under Review for the Governance Risk Rating

12 Auditors Report 2015/16

13 South Tyneside NHS Foundation Trust 2015/16 Audit Presentation to the Annual Members Meeting 5 December 2016

14 Scope of our work Accounts, Quality Report and Annual Report Consolidation Schedules Identification and testing of the key risk areas. Performance of sample testing and analytical review. Testing of the auditable sections of the Remuneration Report. Review of the work of relevant regulatory bodies. Review and testing of the Quality Report. Review of: The Annual Report for consistency with the content of the Financial Statements. The Annual Governance Statement. Comparison of the Consolidation Schedules to the audited Annual Report and Accounts. True and Fair Opinion Standard Limited Assurance Consistency of the Consolidation Confirmation to National Audit on Accounts opinion on Value for Money & Going Concern Schedules Office over content Quality Report of WGA schedules The opinion on the Quality Report was qualified on the A&E 4 hour waits & 18 week RTT indicator. All other opinions were unmodified. External Audit presentation to Council of Governors 2015 Deloitte LLP. Private and confidential.

15 Key Findings Deloitte PowerPoint timesaver March 2011

16 Audit Findings - Accounting Performance The Trust submitted its draft and audited Annual Report and Accounts ahead of the Monitor timetable. Regular meetings have been held with management through the year. Early discussions were held to improve the efficacy and efficiency of the audit process in certain areas. The working papers produced to support the draft accounts were of a very high standard and we received full co-operation from management throughout the audit visit. Annual Governance Statement The review of the Trust s Annual Governance Statement identified no significant issues. Annual Report The Trust provided a largely complete draft of the Annual Report during the audit process, and management were keen to reflect recommendations made. Controls Findings Accounting policies and financial reporting As part of our audit, we consider the quality and acceptability of the Trust s accounting policies and financial reporting. We provided comments to the Trust on presentational matters which have been reflected in the financial statements. We did not identify any significant deficiencies in the financial reporting systems. Three recommendations were raised during the audit in relation to the IT environment. We raised four recommendations with regard to the District Valuer Service in relation to property valuations. External Audit presentation to Annual Members Meeting 2015 Deloitte LLP. Private and Confidential

17 Value for Money & Going Concern The Trust faces a number of significant financial challenges in both the short and medium term that will require careful management going forwards. Nature of Risk The Trust operates in an increasingly financially constrained environment, with significant ongoing cost pressures. Work performed In order to gain assurance over the Trust s financial sustainability in relation to value for money, we completed additional focussed work in this area which included: review of the Trust s financial performance during the year and outturn position and challenge of management s assessment of going concern. review of correspondence with Monitor in relation to the Trust s FSRR rating. review of Board papers and other documentation in respect of the Trust s deficit/variance to plan. review of CIP performance in 2015/16. review Trust plans for 2016/17 including strategy and mitigating actions to achieve financial sustainability. review of the cash position of the Trust and its future cashflow forecast including mitigating options agreed to ensure the Trust has sufficient cash headroom to meet its future liabilities as they fall due. Based upon the evidence provided to us by management we have accepted the Trust s ability to continue as a going concern for the 12 month period to May We gave a clean opinion on VfM for the year ended 31 st March External Audit presentation to Annual Members Meeting 2015 Deloitte LLP. Private and confidential.

18 Significant Audit Risks 3 significant risks were identified as part of the 2015/16 audit: Revenue recognition Risk identified in relation to contract income which may not recognised in the correct period at year end. Tested income on a sample basis with no issues to report Management Override of Controls Property Valuations Risk required by auditing standards in relation to the potential misstatement of the financial statements as a result of management override of controls. No issues noted from our testing. Valuations of Trust properties are by nature significant estimates which are based on specialist and management assumptions. We are satisfied that key assumptions are appropriate. We raised four recommendations regarding commentary in the valuation report received from the valuer, the inclusion of St Benedict s Hospice and Haven Court, as well as providing more detail on reasons for changes in the asset portfolio. External Audit presentation to Annual Members Meeting 2015 Deloitte LLP. Private and confidential.

19 Quality Report Audit The scope of our work is to support a limited assurance opinion, which is based upon procedures specified by Monitor in their Detailed Guidance for External Assurance on Quality Reports 2015/16. Our audit responsibilities are to review the content and consistency of the quality report and to undertake testing of three performance indicators, two of which are mandated and one of which is selected by the Council of Governors. In response to the growth of performance indicators across the NHS, we have developed a framework of considerations for evaluating data quality. We have used this framework in evaluating our findings and the recommendations we have raised. We have completed our review, including validation of the selected indicators, of the 2015/16 quality report and documentation. We issued a modified opinion in relation to the A&E 4 Hour waits and 18 weeks RTT indicators. External Audit presentation to Annual Members Meeting 2015 Deloitte LLP. Private and confidential.

20 Chief Executives Update Ken Bremner

21 Single Oversight Framework Group Update Sustainability and Transformation Plan (STP)

22 Forward planning our draft STP The Northumberland Tyne and Wear and North Durham (NTWND) STP footprint is a new collaboration covering a total population of 1.7 million residents across three Localities: Newcastle Gateshead Northumberland and North Tyneside South Tyneside, Sunderland and North Durham

23 STP: Our 3 key gaps

24 Our STP local plans Path to Excellence Programme of clinical service reviews Developing our Out of Hospital services including building on the success of our Sunderland Vanguard Programme and our South Tyneside Pioneer Self Care Programme Increasingly working with partners across health and social care to enable greater prevention and earlier intervention Developing our Single Executive and Management Team and the South Tyneside and Sunderland Healthcare Group to support both Foundation Trusts In the longer term, develop further collaborative opportunities with North Durham

25 Council of Governors Reports Neil Mundy Chairman

26 Re-appointment of Non Executive Director Re-appointment of Mrs Pat Harle for a further 3 years Robust appraisal process Approved by Council of Governors at meeting of 22 September 2016

27 Membership as at end November 2016 Public Members 5518 Staff Members 3854 Gateshead 175 South Tyneside 5109 Sunderland 234 Clinical 2707 Non Clinical 1147

28 Broad Aims Membership Strategy Trust Membership To achieve a year on year increase in the Trust s membership to ensure an appropriate representation of the diversity of the community Using a range of methods to engage with our members about the Trust s vision, mission and objectives

29 Election Results 2016

30 Public Constituencies Gateshead (elected unopposed) Tom Scott South Tyneside Alan Cormack Mo Abuzahra David Herbert Margaret Eaglesham Sunderland Hemendra Gandhi Chris Morgan

31 Staff Constituencies Staff Non Clinical (elected unopposed) Marion Langley Staff Clinical (elected unopposed) Simon Ayre Susan Goldsbrough Congratulations to all our new and returning Governors

32 Thank you and Goodbye Dr Rob Bolton, Clinical Staff Governor Tom Defty, South Tyneside Public Governor Graeme Hunt, South Tyneside Public Governor Sophie Marchal, Gateshead Public Governor Michael McDonnell, Sunderland Public Governor Elaine Richards, South Tyneside Public Governor

33 South Tyneside NHS Foundation Trust Thank you Annual Members Meeting 2016