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5 Boroughs Partnership NHS Foundation Trust Annual ... - Monitor

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Financial Viability<br />

This theme relates to our ability to operate within our financial targets and<br />

budgets. It is about how we manage our resources in the most effective way<br />

we can. We have fully met objectives agreed with the <strong>Trust</strong> Board for this<br />

year, for this strategic theme.<br />

What have we done against this Strategic Objective in 2011/12?<br />

Meeting our Statutory Financial Duties and Financial Targets in addition<br />

to Meeting our Terms of Authorisation<br />

In 2011-12 we have posted an underlying surplus of £4.4m and paid over 95<br />

percent of our invoices within 30 days for the third consecutive year. We have<br />

£12.5m of cash in the bank to make sure that we can continue to meet our<br />

payment obligations. This has meant that overall our regulator <strong>Monitor</strong> has<br />

given us a Financial Risk Rating of 4, which is good and shows that we<br />

remain financially healthy and viable as a <strong>Foundation</strong> <strong>Trust</strong>.<br />

Budget-Holder Management and Ownership<br />

Overall the <strong>Trust</strong> has exceeded the surplus target of £4 million it set itself at<br />

the start of the financial year, which means that overall the budgetary control<br />

in the <strong>Trust</strong> has been very good. This has been borne out by an independent<br />

assessment of our budgetary control systems by our auditors, which has<br />

provided the Board with significant assurance that the way in which we<br />

manage our budgets is effective.<br />

Whilst this continues to be good news for the <strong>Trust</strong>, not every budget holder in<br />

the organisation is able to manage to their original planned budget. This is<br />

almost always as a consequence of factors outside of their control, such as<br />

higher-than-expected sickness rates or maternity leave or particularly complex<br />

service users who require additional clinical support. In these instances the<br />

costs are met by individual budget holders, but the senior managers overall<br />

find a way of funding these costs so that even if an individual budget<br />

overspends the <strong>Trust</strong> stays within plan.<br />

What else have we achieved against this Strategic Theme during the<br />

reporting year?<br />

During the reporting period we have continued to maintain a strong financial<br />

position and have increased our surplus a little when compared with last year.<br />

We acquired Knowsley Integrated Provider Services - the community services<br />

provider arm from <strong>NHS</strong> Knowsley – on 1 April 2011. This brought in an extra<br />

£45million of income in 2011-12 and has improved our overall financial<br />

standing.<br />

We have developed and delivered on a range of cost improvement initiatives<br />

that have helped to underpin our strong financial performance and still<br />

maintain the quality of our service.<br />

<strong>Annual</strong> Report and <strong>Annual</strong> Accounts 2011-12 57

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