Fylde Coast Health Event and Annual Meetings Monday 16 September 2019
Welcome Dr Adam Janjua, Acting Chair NHS Fylde and Wyre Clinical Commissioning Group
NHS Fylde and Wyre CCG Annual General Meeting 2018/19
Apologies for absence
Minutes of the previous meeting held on 5 July 2018
Annual report and accounts 2018/19 Andrew Harrison Chief Finance Officer
Key statutory financial targets Revenue control total Each CCG is empowered to spend the resources allocated to it based on population need in an effective and efficient manner, but no more. Additionally included in this target NHS England sets ‘Business Rules’ to determine levels of surplus (unspent resource) for each CCG. Cash limit Each CCG is required to ensure that it manages the cash associated with the above control total effectively. Better payment practice code (BPCC) A CCG is required to pay its suppliers within 30 days of being invoiced (or receipt of goods and services where invoices are in advance ).
Revenue control total 2013/14 2014/15 2015/16 2016/17 2017/18 17/18 17/18 2018/19 18/19 18/19 Achieved Achieved Achieved Achieved Achieved Target Actual Achieved Target Actual £300.9m £300.9m £310.2m £310.2m Blackpool P P O P P P £5.87m £5.87m £5.87m £5.87m surplus surplus surplus surplus £246.5m £246.5m £294m £294m Fylde and Wyre P P P P P P £6m £6m £6m £6m Surplus Surplus Surplus Surplus
Cash limit and BPPC Achieved Achieved Achieved Achieved 13/14 14/15 15/16 16/17 Cash limit 17/18 17/18 17/18 18/19 18/19 18/19 Achieved Target Actual Achieved Target Actual P P P P P P Blackpool CCG £ 302.0m £ 296.9m £314.1m £314.1m P P P P P P Fylde & Wyre CCG £ 250.2m £ 250.2m £293.9m £292.0m BPPC P P P P P P Blackpool CCG 95% 99.70% 95% 99.80% P P P P P P Fylde & Wyre CCG 95% 98.70% 95% 99.30%
Welcome Helen Williams, Lay Member Blackpool Clinical Commissioning Group
NHS Blackpool CCG Annual General Meeting 2018/19
Apologies for absence
Minutes of the previous meeting held on 5 July 2018
Annual report and accounts 2018/19 Andrew Harrison Chief Finance Officer This item was taken in conjunction with the presentation given at the Fylde and Wyre CCG AGM
Blackpool Teaching Hospitals NHS Foundation Trust Annual Members Meeting 2018/19
Apologies for absence
Minutes of the previous meeting held on 5 July 2018
Annual report and accounts 2018/19 Tim Bennett Deputy Chief Executive / Director of Finance
2018/19 – Financial headlines • Trust reported an operating deficit of £10.9m including Provider Sustainability Fund (PSF) Incentive of £2.8m (£11.0m loss after exceptional items). • Deficit excluding PSF Incentive of £12.6m. • The operating deficit equates to -2.9% of turnover. • The exceptional item relates to a loss on transfer by absorption of community services to University Hospitals of Morecambe Bay NHS FT which is a non cash item. • Cash position £15.6m positive balance, after receiving an £20.9m Interim Revenue Support loan from the Department of Health & Social Care (DHSC)
2018/19 – Financial headlines • Full details in the group accounts - https://www.bfwh.nhs.uk/wp- content/uploads/2019/07/BTH6014-Annual-Report-and-Accounts- 2018-19-v1.5-eProof.pdf • Auditors Report (published with the Council of Governors agenda for the meeting on 11th September 2019) https://www.bfwh.nhs.uk/wp- content/uploads/2019/09/Council-of-Governors-11th-September-Full- Papers.pdf • Annual Report - https://www.bfwh.nhs.uk/wp- content/uploads/2019/07/BTH6014-Annual-Report-and-Accounts- 2018-19-v1.5-eProof.pdf
Efficiencies • Cost savings of £17.0m. • Equivalent to 3.9% of our cost £25.0 CIP base. £20.0 • Delivered through: £15.0 £m Recurrent • Transformational schemes. £10.0 • Non- Transactional schemes and £5.0 Recurrent increased expenditure £0.0 controls.
Investments • Improvements in clinical quality and safety including: • Implementation of primary care streaming. • Investments in medical staff. • Haematology collaboration with Lancashire Teaching Hospitals NHS Foundation Trust (LTH). • Enhancement to the Diabetic Foot Service. • Investment in Radiology out of hours service.
Investments • Major capital investments totalling £11.2m including : • Medical equipment - £1.9m. • Electronic information projects - £5.7m. • Building infrastructure improvements - £1.9m. • Bed replacement scheme - £1.7m. • Successful bid for £13m for critical care and emergency village
Outlook for 2019/20 • Continued financial pressure • Increases in costs due to actions to improve the quality and safety of care we provide. • Also activity increases and pay pressures. • Provider Sustainability fund of £6.3m dependent upon achievement of the NHSI control total. • Marginal Rate Emergency Tariff funding of £4.2m. • Cost Improvement Programme (CIP) target of £17.5m • NHSI control total £5.6m surplus • Cash position by year end – positive group cash balance of £1.9m
Outlook for 2020/21 onwards • Single improvement plan drawing all areas of improvement together • On-going investments in services • Should start to see some positive returns on those investments • However, significant savings will still be required and we will need to prioritise our efforts • In addition, we need to continue to work closely with partners across both the Fylde Coast and the whole of Lancashire and South Cumbria • NHS Long Term Plan (LTP) see next slide
LTP Implementation Framework Overview - Moving to ICSs everywhere – ICS maturity matrix LTP commitments that are critical foundations to wider change LTP commitments systems have freedom to define pace of delivery
Trust Constitution Pearse Butler – Chair
• In November 2018, the Council of Governors approved the following amendment to the Trust Constitution: • An update to the Chair/Non-Executive Director recruitment process in order to transparently comply with paragraph 140. • In May 2019, the Council of Governors approved the following changes to the Trust Constitution: • The removal of Community Health Services (North Lancashire) from paragraphs 31 and 59.2 (due to these services transferring to the University Hospitals of Morecambe Bay NHS FT). The remaining 40 members have been consolidated into the remaining Staff Constituencies.
• The removal of Governor from the eligibility criteria in paragraph 60.1 (to allow for greater flexibility in appointing Governors by removing the criterion that prevents a Governor being on more than one Council of Governors). • An amendment to paragraph 124 relating to the Board Composition to align to the Model Constitution and NHS Act 2006 allowing ‘not less than four directors but not more than seven directors’ to be the composition of the Board, rather than between five and seven.
Membership report 2018/19 Pearse Butler – Chair
Membership • There has been a decrease in public membership during 2018/19 (from 5,114 at 1st April 2018 to 4,931 at 31 March 2019) and a decrease in staff membership (from 8,964 at 1st April 2018 to 7,178 at 31 March 2019). Membership Committee achievements/initiatives 2018/19 • Use of the Trust’s Facebook social network site to engage with, and inform, members and the wider public of developments, seminars and events at the Trust.
• Use of the Trust’s Twitter social network page to attract new members (the Trust has over 8,700 followers). • Continuation of the Youth Health leaders Project which is now within 11 schools. • A Trust Volunteer to help with membership engagement. • A dedicated Membership and Governors Officer who acts a link between the members, the Council of Governors and the Trust. • A dedicated membership email address (bfwh.members@nhs.net) and telephone line (01253 956673). • Further information relating to membership can be found at: www.bfwh.nhs.uk
Looking forward 2019/20 • To review and implement the Membership Strategy • To increase engagement with the membership via the App • To increase young people’s membership
Council of Governors and Board of Directors Pearse Butler – Chair
Council of Governors • A by-election to the Council of Governors took place during 2018/19 and Christina McKenzie Townsend was newly elected to the Wyre Constituency. • Elections to the Council of Governors have recently taken place and the results are as follows: – Public – Blackpool: − Public – Wyre: • • Lisa Robins (newly elected) Patricia Greenhough (newly elected) • • Sue Crouch (re-elected) Zacky Hameed (re-elected) • Ian Owen (re-elected) • Graham Curry (newly elected) • Jeannette Beckett (newly elected) − Public – North West Counties : – Public – Fylde: • Stephen Cross (elected unopposed) • Steven Gratrix (newly elected)
─ Staff – Nursing and Midwifery: • Sharon Vickers (re-elected) ─ Staff – Clinical Support : • Jenny Gavin (re-elected unopposed) ─ Thank you to Governors not re-elected: • Beverley Clark • Heather O’Hara ─ Thank you to Governors not re-standing: • Bob Hudson • Tony Winter
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