Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

SWBTB (2/10) 039 (a)
Theme
Triggers
Financial standing • the Trust forecasts a deficit for the year from the beginning of
quarter three or four.
Internal control • a significant adverse event or external report suggesting that
internal controls were not operating adequately; or
• the board has not reviewed its arrangements against the board
checklist and general findings in the Audit Commission report
Taking it on Trust and has developed an action plan
accordingly.
Value for money • evidence that performance on key operational targets has
materially deteriorated; or
• the Trust is not implementing key actions from the NHS
Carbon Reduction Strategy 2009.
ALE assessment will, as normal, be undertaken in two stages with the financial
management, internal control and value for money standards being assessed
during the interim audit (commenced 1 st February) and the remaining two
standards during the statutory accounts audit (commencing 10 th May).
3. Trust Evidence
The Trust expects to be able to provide evidence in all cases that no triggers
points have been breached. This is consistent with achieving ALE scores in each
of the themes of at least 3 during the 2008/2009 assessment. Key areas of
evidence for the three themes to be assessed during interim audit are outlined in
the following table.
Theme Trigger Key Evidence
Financial Shift in forecast from • Stability in planned and forecast statutory targets
Management financial plan
• Internal FPC/Board Reports and forecasts
Internal
Control
Value
Money
for
Review of medium term
financial plan
Adverse events or
external reports
Taking It On Trust review
No material deterioration
on key targets
Implementing key actions
from NHS Carbon
Reduction Strategy
• DoH FIMS returns
• Development of 3 year CIP/QuEP programme
• RCRH and associated planning work
• Initial 10/11 and beyond financial plans
• Reports to Governance and Audit Committees
• Presentation to and outcome from Governance
Committee and Trust Board
• Routine performance monitoring reports to
FPC/TMB and Trust Board
• Report from Director of Estates at Trust Board
meetings, e.g. sustainability agenda