Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

SWBTB (2/10) 031 (a)
Divisional Performance
Financial Performance Report – January 2010
• Since the first quarter, the Trust has experienced a slow improvement in financial performance with the cumulative
I&E shortfall being steadily reduced to its current level of £44k. This has primarily been driven by higher than
planned activity levels generating higher patient related income and increased costs in delivering this activity
including the opening of additional capacity and meeting national and local targets.
• Pay costs remain significantly above plan now reaching £2,920k for the year to date with a further movement away
from plan of £336k during the month. This position does however represent an improvement against performance in
November and December. WTE numbers, excluding the impact of agency staff, are approximately 112 below plan
although when agency staff numbers are taken into account, this rises to 21 above plan. This is again an
improvement on the position reported in November and December. The non pay position also continues to be
significantly higher than plan. Generally, this has occurred in areas most closely related to patient activity levels
although in January there has also been some increased expenditure on printing & stationery, minor works and
clinical waste.
• In month, Medicine A, Anaesthetics and Surgery A have generated deficits, although in the case of the latter two
divisions these deficits are relatively small. Generally, the ongoing strong income position is reflected in improved
performance across many divisions, even those which remain in deficit. However, many operational divisions
continue to experience significant pressures on both pay and non pay, particularly on bank and agency costs and
patient related consumables although in some cases these are balanced by over achievement of income.
• The performance for the Trust overall continues to be assisted by favourable budget positions within corporate
divisions with a year to date performance of £619,000 better than plan.
Cumulative £000
Current Period and Year to Date Divisional Variances
excluding Miscellaneous and Reserves
600
400
200
0
-200 -100 -200 0 100 200
-400
-600
-800
-1,000
In Month £000
Medicine A
Medicine B
Surgery A
Surgery B
Women & Childrens
Anaethestics
Pathology
Imaging
Facilities & Estates
The tables adjacent and
overleaf show a mixed
position across divisions. The
performance of Medicine A,
Anaesthetics & critical Care
and Surgery A worsened in
month while Medicine B,
Women & Childrens
Services and Diagnostic
Services improved. Medicine
A, Medicine B, Surgery A,
Anaesthetics & Critical Care
and Facilities all continue to
report sizeable year to date
net deficit positions.
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