Annual General Meeting 22 22 September r 201 014 1 Patient-Centred & Safe Professional Responsive Friendly
Annual General Meeting Nick M ck Marsde den Chair hairman an Patient-Centred & Safe Professional Responsive Friendly
Agenda 1. Introduction and Welcome Nick Marsden, Chairman Malcolm Cassells, Director of Finance & 2. Annual Accounts and Audit Opinion Procurement 2013/14 Peter Hill, 3. Annual Report 2013/14 Chief Executive Dr Shaun McGee, Consultant Radiologist 4. 21 years of care and treatment at Maria Ford, Nurse Consultant in Critical Care Salisbury District Hospital 5. Questions and Answers Nick Marsden, Chairman Patient-Centred & Safe Professional Responsive Friendly
Financial Performance 1 April 2013 to 31 March 2014 Ma Malc lcolm Ca Cassells lls Direct Dir ctor or of of Finan Finance ce an and d Procu ocurement nt Patient-Centred & Safe Professional Responsive Friendly
Summary Facts for 2013-14 For the first time the SFT accounts for 2013-14 required the consolidation of Salisbury District Hospital Charitable Fund. In addition the accounts of Odstock Medical Ltd, and Salisbury Trading Ltd were also consolidated. We planned (excl charitable funds) a surplus of £1,856k and we achieved £1, 1,869k 869k. We struggled to achieve our savings target of £9.2m and achieved £6. £6.9m. The shortfall was offset by revenue from activities which grew by £15m overall. Each day on average the Hospital spends over £0.5m Non-Current Assets rose in value by £10.3m to £146. 6.0m 0m reflecting the revaluation of assets. Net Current Assets increased by £3.4m to £1 £14. 4.6m 6m Operating Surplus increased to £8. £8.2m 2m (2012-13 £6.4m), EBITDA was £1 £15. 5.4m with a margin of 7.7% of turnover Slight reduction in in-patients treated but big increase in day case work and out-patient attendances Positive External Audit Report Patient-Centred & Safe Professional Responsive Friendly
Group Statement of Comprehensive Income 2013-14 2013-14 2012-13 £000 £000 Income: 178,954 166,734 From clinical activities Other operating income 20,539 17,783 199,493 184,517 Total Operating Income Operating Expenses -191,321 -178,114 8,172 6,403 OPERATING SURPLUS 193 327 Finance income -3,510 -3,254 Public Dividend Capital payable -1,930 -1,853 Other finance costs RETAINED SURPLUS F OR THE YEAR 2,925 1,623 10,166 -1,811 Revaluation gains/losses (-) Fair value gains on investments 262 658 13,353 470 TOTAL RETAINED SURPLUS FOR THE YEAR - SFT ONLY 1,970 1,648 Patient-Centred & Safe Professional Responsive Friendly
2013-14 Group Revenue Total Revenue £199.5m including charitable (£184.5m in 2012-13) • Revenue in respect of SFT only was £194.3m • Revenue from Patient Care grew by £12.3m to £179.0m • Revenue from other activities grew by £2.8m to £20.5m • National Tariff declined by 4% • Final settlements with CCGs in accordance with Plan • Sales of ‘My Trusty Little Sunflower Cream’ £130k • Patient-Centred & Safe Professional Responsive Friendly
2013-14 Analysis of Group Revenue Other Income 8,555 Charitable 2,906 STL - laundry 3,191 Non-NHS 4,963 Research 789 FTs and NHSTs 4,120 Educ & Training 5,260 Local Auths 1,139 NHS England 39,363 Other CCGs 5,307 W. Hants CCG 14,393 Dorset CCG 18,648 Wilts CCG 90,859 £000 0 20,000 40,000 60,000 80,000 100,000 Patient-Centred & Safe Professional Responsive Friendly
2013-14 Analysis of Group Revenue Non-clinical, 20,539 2 7 9 , 6 3 , e v i t c e l E Private, 1,865 Other clin, 42,286 Non-elective, 63,215 Out-patients, 29,701 ED, 4,915 Patient-Centred & Safe Professional Responsive Friendly
2013-14 Group Expenditure Total Expenditure £196.8m (of which SFT is £192.3m) • Operating Expenditure £191.3m • £120.3m (62.6%) spent on paying staff • £36.7m spent on clinical supplies & healthcare • £37.2m spent on buildings, departments and non-clinical supplies etc • Good Efficiency - SFT costs are 8% less than National Average for • England [source national reference costs] Working Capital Facility has been discontinued • Management and administrative costs less than 4% of turnover • Patient-Centred & Safe Professional Responsive Friendly
Operating Expenditure - Pay (total £120.3m – SFT only) 1,412 Other 1,393 2012-13 6,120 Board & Sen Managers 2013-14 6,111 12,198 Admin & Clerical 12,711 14,048 Healthcare Assts 14,006 18,107 Scientific & Therapy 18,797 30,868 Medical & Dental 32,989 31,812 Nursing & Midwifery 34,333 0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 £000 Patient-Centred & Safe Professional Responsive Friendly
Operating Expenditure - Non-Pay (total £66.5m – SFT only) 2,370 Other 3,175 2,167 Other NHS Orgs 2,020 2012/13 3,272 Insurance 2013/14 3,926 579 Use of Non-NHS 576 8,496 Depreciation 9,171 6,387 Premises incl IT 7,101 5,690 General Supplies 6,184 17,552 Clinical Supplies 19,221 13,098 Drugs 14,841 5,000 0 10,000 15,000 20,000 25,000 £000 Patient-Centred & Safe Professional Responsive Friendly
Group Statement of Financial Position at 31.3.14 at 31.3.13 £000 £000 135,737 Non-current Assets - Property, plant & equip 146,004 30,291 Current Assets 34,119 -19,175 Current Liabilities -19,546 Total Assets less current liabilities 160,577 146,853 Less Non-current Liabilities -20,300 -21,714 TOTAL ASSETS EMPLOYED 140,277 125,139 FINANCED BY: 51,554 Public Dividend Capital 53,339 49,106 Revaluation Reserve 58,452 13,428 Income & Expenditure Reserve 15,965 10,989 Charitable Funds reserve 12,465 62 Minority Interest 56 TOTAL CAPITAL & RESERVES 140,277 125,139 Patient-Centred & Safe Professional Responsive Friendly
2013-14 Capital Expenditure - £8.288m Key schemes include: £m Medical equipment 1.281 Dementia friendly wards 737 Maternity improvements 446 Building works 2.363 Information technology 1.997 Energy efficiency 306 Patient-Centred & Safe Professional Responsive Friendly
Financial Ratings Monitor Risk Assessment Framework: RATING Capital Service Revenue available for debt service 3 Capacity divided by capital service costs Liquidity Cash divided by expenditure per day 4 Overall rating 4 Using earlier FRR assessment: 2013/14 2012/13 RATING EBITDA Margin 8.1% 8.0% 3 EBITDA % Achieved 103.3% 105.7% 5 Return on Assets Employed 0.8% 1.0% 3 I&E Surplus Margin 1.0% 1.3% 3 24.8 days 21.0 days 4 Liquidity Overall FRR is 3 Patient-Centred & Safe Professional Responsive Friendly
Key Messages A successful financial year – however: Exceedingly challenging financially - need to work closely with the • new Clinical Commissioning Groups to ensure continuity of local service provision Further reductions in the national tariff of 4% likely • Some reductions in activity in 2013/14 and more activity likely to be • restricted by CCGs Level of tariff deflator is not sustainable • Concern about how to improve and renew assets if we do not • generate surpluses at a higher level Proving very difficult to achieve recurring cost savings especially • given the Trust is one of the more efficient in the country Patient-Centred & Safe Professional Responsive Friendly
Charitable Receipts 2013-14 Donations, Legacies & Grants of £2, £2,269k 269k together with other net Charitable Income of £548k £548k Enabled New Equipment & Facilities £7 £774k 4k Patients Welfare & Amenities £420k £420k Staff Education & Welfare £3 £375k 75k Research £1 £180k 80k And (arriving in 2014) TWO NE NEW C W CT SCANNERS RS!!! Th Thank y you!!! Patient-Centred & Safe Professional Responsive Friendly
Annua nual R Repor ort 2 2013/14 Peter H Hil ill Chie hief E Executiv ive 18 Patient-Centred & Safe Professional Responsive Friendly
Some light reading: February Francis Report – Public inquiry into Mid Staffs Hospital April Health and Social Care Act July Keogh Review – Review of 14 hospitals with persistently high mortality rates Neuberger Review of Liverpool Care Pathway Cavendish Report – Independent review of training for healthcare assistants August Berwick Review – Improving patient safety October Clwd–Hart Report – Review of hospital complaint systems November Jane Cummings’ Report – Nursing & Midwifery staffing capacity and capability 19 Patient-Centred & Safe Professional Responsive Friendly
District General Hospital Services Diagnostics Maternity Emergency Department Children’s Services Facilities Surgery Medicine Orthopaedics Patient-Centred & Safe Professional Responsive Friendly
Regional Specialist Services Wessex Laser Centre Wessex Rehabilitation Cleft Lip & Palate Plastic Surgery Genetics Burns Patient-Centred & Safe Professional Responsive Friendly
Supra-Regional Spinal Services Patient-Centred & Safe Professional Responsive Friendly
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