The Rotherham Foundation Trust - Update on Action Plan Progress
Louise Barnett, Chief Executive, to present
Minutes:
Louise Barnett, Chief Executive, Rotherham Foundation Trust, gave a powerpoint presentation illustrating the progress made on the 5 year strategic plan as follows:-
Option 1 – the preferred Option
- There was overwhelming support from the lead commissioner to retain locally run services for the population of Rotherham led and managed by the Trust
- There was a significant number of potential opportunities that would be realised through closer working and collaboration with other providers without recourse to merger
Option 1 – Financial Challenge and Progress
- Final Cost Improvement Programme for 2014/15 agreed in 5 year plan was £10.9M
- As at 30th November, 2014, Month 8, the Trust had delivered c£6.3M in-year against £6.1M plan
- Year end forecast at Month 8 was £10.1M and full year effect was £12.1M
- Month 9 on track and on target to achieve the full Cost Improvement Programme in-year of £10.9M including significant full year effect to support 2015/16
- All schemes were approved subject to Quality Impact Assessments with sign off by the Chief Nurse and Medical Director
- The Cost Improvement Programme for 2015/16 was currently £12.9M as stated in 2014/15 5 year plan for year 2
- This would be refreshed in line with sector business planning requirements
- Over performance in 2014/15 would support delivery of this requirement
- Capital spend was slightly ahead of plan in Month 8 but was being monitored and where possible consideration was being given to advancing schemes for next year
- Aims was to ensure a robust planned programme of capital expenditure to support Service delivery
- Reserves were being access to support delivery of the plan for 2014/15
Progress against Key Areas
- Clinical Speciality Reviews had been completed and the outcome would be shared with the Trust Board in January
- Emergency Centre Business Case agreed and expected to open in 2017
- Further work would be progressed during 2015/16 and the outer years to support the Trust’s strategic direction to be a standalone Trust with collaboration
- Local context was compatible with national context – “Five Year Forward View” and the “Dalton Review” which supported local services and strived to achieve clinical and financial sustainability more broadly
- Benchmarking exercise undertaken with external input
- Identified opportunities for efficiencies compared with peer group
- Used to inform the cost improvement and transformation programmes for 2015/15 and beyond
- Importance of implementing Service Line Reporting and Patient Level Costing (PLiCS) to enable detailed understanding of cost base in 2015/16
Other Key Areas
- Monitor enforcement/undertakings
Electronic Patient Record enforcement lifted
Submitted documentation regarding Board Governance enforcement
Financial enforcement remained in place
- Board Director appointment since the last formal meeting
Simon Shepherd, Director of Finance
Chris Holt, Chief Operating Officer
Lynne Waters, Executive Director of Human Resources
Donal O’Donaghue, Interim Medical Director
- Winter pressures
A&E performance
Support from health and social care partners
Choose Well Campaign
- Sickness absence
- Recruitment and retention ... view the full minutes text for item 78