January 2012 - Sandwell & West Birmingham Hospitals

strengthened in the forthcoming months to ensure that the target surplus of
£1.8m was achieved by the year end.
SWBTB (12/11) 263
On a separate point, Mr White advised that the Return on Assets value as part of
the reported Financial Risk Rating calculation might be understated in the report.
9.2 Update from the meeting of the Finance and Performance Management
Committee held on 15 December 2011
Verbal
Mr Trotman advised that at its meeting earlier in the day, the Finance and
Performance Management Committee had received a presentation from the
Medicine & Emergency Care division, where concerns over activity levels being
handled by the division had been highlighted. Mr Adler added that it had been
agreed at the meeting that discussions were needed with the division to approve
the proposed outturn position on its Cost Improvement Plan and the replacement
schemes that would be necessary to address any shortfall.
An update on the work to improve the Women and Child Health division’s
financial position was reported to have been received at the meeting.
The Board was advised that a shortfall in the delivery of the Cost Improvement
Programme by 9.2% had been reported, however the Committee had been given
assurances that the target would be met by the end of the year.
Mr Trotman reported that the Committee had been advised that following an
exercise to recruit to the post of Associate Director for Transformation, an
appointment had not been made.
9.3 Monthly performance monitoring report
SWBTB (12/11) 247
SWBTB (12/11) 247 (a)
Mr White advised that the reported breach of the 62 day cancer waiting time
target had been determined to have been an error on further validation of the
information, meaning that all cancer waiting time targets had been met for the
month.
Cancelled operations were reported to have increased slightly, with a third being
attributable to the Oral Surgery area.
Delayed Transfers of Care were noted to have deteriorated, particularly in
Sandwell. Mr Gayle asked whether an agreement was in place around Delayed
Transfers of Care. Miss Barlow advised that it was planned to adopt an integrated
approach with the commissioners and the Local Authorities, which would
implement robust escalation processes. Mr Adler asked what action was being
taken in the meantime to address the position. He was advised that the Trust was
working with Adult Social Care and was also reviewing the internal processes for
discharge to ensure that escalation processes were as effective as possible. The
Board was advised that this work was integral to the capacity and discharge
project that was incorporated within the Transformation Plan.
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