SWBTB (2/10) 045 (b) <strong>Sandwell</strong> & <strong>West</strong> <strong>Birmingham</strong> <strong>Hospitals</strong> NHS <strong>Trust</strong> Maternity Services Reconfiguration Financial Appraisal OPTION 3 APPENDIX 4 Outpatients Year <strong>2010</strong>/11 Year 2011/12 Year 2012/13 Year 2013/14 SWBH City <strong>Sandwell</strong> SWBH City <strong>Sandwell</strong> SWBH City <strong>Sandwell</strong> SWBH City <strong>Sandwell</strong> SWBH Heading £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s Income All - 4,139,094 - 3,318,389 - 860,640 - 4,179,029 - 4,204,592 184,235 - 4,020,358 - 4,149,512 184,235 - 3,965,277 - 4,091,950 184,235 - 3,907,716 Expenditure Pay 2,567,468 2,144,035 443,001 2,587,036 2,562,484 5,578 2,568,062 2,503,995 5,578 2,509,573 2,444,291 5,578 2,449,869 N Pay 671,485 582,609 97,262 679,871 668,021 3,719 671,740 642,954 3,719 646,673 617,366 3,719 621,085 Capital Charges 499,017 228,443 270,574 499,017 228,443 270,574 499,017 228,443 270,574 499,017 228,443 270,574 499,017 Total Exenditure 3,737,970 2,955,087 810,837 3,765,924 3,458,948 279,871 3,738,819 3,375,392 279,871 3,655,264 3,290,100 279,871 3,569,971 I&E Position - 401,124 - 363,301 - 49,803 - 413,104 - 745,644 464,106 - 281,538 - 774,119 464,106 - 310,014 - 801,850 464,106 - 337,745 Movement in I&E From 2009/10 - 346,521 334,540 - 11,980 - 728,863 848,449 119,586 - 757,339 848,449 91,110 - 785,070 848,449 63,379 Community Midwifery Year <strong>2010</strong>/11 Year 2011/12 Year 2012/13 Year 2013/14 SWBH City <strong>Sandwell</strong> SWBH City <strong>Sandwell</strong> SWBH City <strong>Sandwell</strong> SWBH City <strong>Sandwell</strong> SWBH Heading £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s Income All - 6,393,234 - 3,175,868 - 3,098,365 - 6,274,234 - 3,175,868 - 3,098,365 - 6,274,234 - 3,175,868 - 3,098,365 - 6,274,234 - 3,175,868 - 3,098,365 - 6,274,234 Expenditure Pay 3,859,179 1,770,587 1,969,592 3,740,179 1,770,587 1,969,592 3,740,179 1,770,587 1,969,592 3,740,179 1,770,587 1,969,592 3,740,179 N Pay 548,952 274,476 274,476 548,952 274,476 274,476 548,952 274,476 274,476 548,952 274,476 274,476 548,952 Capital Charges 215,059 107,530 107,530 215,059 107,530 107,530 215,059 107,530 107,530 215,059 107,530 107,530 215,059 Total Exenditure 4,623,190 2,152,593 2,351,597 4,504,190 2,152,593 2,351,597 4,504,190 2,152,593 2,351,597 4,504,190 2,152,593 2,351,597 4,504,190 I&E Position - 1,770,043 - 1,023,275 - 746,768 - 1,770,043 - 1,023,275 - 746,768 - 1,770,043 - 1,023,275 - 746,768 - 1,770,043 - 1,023,275 - 746,768 - 1,770,043 Movement in I&E From 2009/10 - - - - - - - - - - - - All Service Categories Year <strong>2010</strong>/11 Year 2011/12 Year 2012/13 Year 2013/14 SWBH City <strong>Sandwell</strong> SWBH City <strong>Sandwell</strong> SWBH City <strong>Sandwell</strong> SWBH City <strong>Sandwell</strong> SWBH Heading £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s Income All - 27,875,559 - 20,435,905 - 7,462,914 - 27,898,819 - 24,171,891 - 2,914,131 - 27,086,021 - 24,897,943 - 3,277,134 - 28,175,077 - 25,632,435 - 3,821,638 - 29,454,073 Expenditure Pay 21,135,527 15,691,405 5,271,959 20,963,364 18,799,180 2,014,782 20,813,962 18,888,227 2,169,782 21,058,010 18,981,410 2,457,282 21,438,692 N Pay 8,454,071 6,689,584 1,853,132 8,542,716 8,306,992 298,630 8,605,622 8,305,155 519,463 8,824,618 8,345,091 656,963 9,002,054 Capital Charges 2,832,238 1,556,536 1,303,649 2,860,186 1,639,338 550,455 2,189,794 1,636,209 559,985 2,196,195 1,634,123 559,600 2,193,724 Total Exenditure 32,421,835 23,937,525 8,428,740 32,366,265 28,745,510 2,863,867 31,609,378 28,829,592 3,249,231 32,078,823 28,960,624 3,673,846 32,634,470 I&E Position 4,546,276 3,501,620 965,826 4,467,446 4,573,620 - 50,264 4,523,356 3,931,649 - 27,903 3,903,746 3,328,189 - 147,792 3,180,397 Movement in I&E From 2009/10 456,605 - 535,434 - 78,830 1,528,604 - 1,551,524 - 22,920 886,633 - 1,529,164 - 642,530 283,173 - 1,649,053 - 1,365,879 Capital Expenditure Needs - 1,521,040 1,521,040 329,806 329,806 - - Key Movements Cumlative Year 9/10 Year <strong>2010</strong>/11 Year 2011/12 Year 2012/13 Year 2013/14 over 4 years SWBH City <strong>Sandwell</strong> SWBH City <strong>Sandwell</strong> SWBH City <strong>Sandwell</strong> SWBH City <strong>Sandwell</strong> SWBH SWBH Heading £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s £'s Income Prosense V5 - - 247,922 - 31,338 - 279,260 - 177,978 - 73,957 - 251,935 - 150,853 - 30,876 - 181,729 - 157,942 - 32,227 - 190,169 Births Repatriated - - - 544,323 - - 544,323 - 544,323 - 544,323 - 544,323 - 544,323 Catchment Loss - - 1,609,056 1,609,056 - - Additional Activity - MLU - 363,003 - 363,003 - 544,504 - 544,504 Other - 189,000 67,000 256,000 - - - Total Income - - 58,922 35,662 - 23,260 - 722,302 1,535,099 812,798 - 695,177 - 393,879 - 1,089,056 - 702,265 - 576,731 - 1,278,996 - 1,578,514 812,798 Expenditure Prosense V5 173,545 21,937 195,482 124,585 51,770 176,355 105,597 21,613 127,211 110,560 22,559 133,118 Catchment Loss Births Repatriated Pay Budget Adjustments - 170,025 - 48,025 - 218,050 - - - - - - Pay - 3,357,517 - 3,448,467 - 90,950 3,020,565 - 3,293,415 - 272,850 15,129 139,871 155,000 15,791 271,709 287,500 N Pay - 1,549,589 - 1,519,589 30,000 1,580,033 - 1,570,033 10,000 - 33,516 214,349 180,833 6,768 130,732 137,500 Sub Total Pay & Non-pay - 4,910,627 - 4,994,145 - 83,518 4,725,183 - 4,811,678 - 86,495 87,211 375,833 463,044 133,118 425,000 558,118 Capital Charges - Savings (Maty Block at SGH) - - - - - - 765,624 - 765,624 - - - - - - - Additional - 27,948 - 27,948 82,802 12,430 95,232 - 3,129 9,530 6,401 - 2,086 - 385 - 2,471 Sub Total Capital Charges - 27,948 - 27,948 82,802 - 753,194 - 670,392 - 3,129 9,530 6,401 - 2,086 - 385 - 2,471 Total Expenditure - 4,938,575 - 4,994,145 - 55,570 4,807,985 - 5,564,873 - 756,888 84,082 385,363 469,445 131,032 424,615 555,647 212,635 TOTAL MOVEMENT 4,879,653 - 4,958,483 - 78,830 4,085,683 - 4,029,774 55,910 - 611,095 - 8,516 - 619,611 - 571,233 - 152,116 - 723,349 - 1,365,879
<strong>Sandwell</strong> & <strong>West</strong> <strong>Birmingham</strong> <strong>Hospitals</strong> NHS <strong>Trust</strong> Maternity Reconfiguration Business Case Developing a Midwifery Led Unit at Wednesbury High level Income & Expenditure Forecast Financial Years Activity 2012/13 2013/14 Estimated Births 160 400 SWBTB (2/10) 045 (b) APPENDIX 5 Financial Years Income 2012/13 PYE 2013/14 FYE £'s £'s Tariff 10/11 for Routine / Normal Deliveries (363,003) (907,507) Sub Total (363,003) (907,507) Expenditure Pay Midwives 142,500 417,500 Administration 12,500 25,000 Non Pay Sub Total 155,000 442,500 Medical consumables 50,000 100,000 Other Non Pay 83,333 150,000 Facilities Rental Charge 87,500 150,000 Sub Total 220,833 400,000 Total Expenditure 375,833 842,500 MLU Forecast Trading Position 12,830 (65,007) Average Income Per Birth (2,269) (2,269) Average Cost Per Birth 2,349 2,106
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