Annual Report and Accounts 2012/13 - Hillingdon Hospital NHS Trust

At the start of the 2011/12 year, the Trust
had a governance risk rating of green based
on its risk assessment when submitting the
annual plan to Monitor. The amber-red
rating in Q1 was due to the Trust failing
to meet the 62 day cancer target 11 for the
quarter and that the Trust declared a risk of
failing the annual C-diff target. The Trust’s
risk rating improved to amber-green in Q2:
whilst the C-diff performance improved, the
Trust again failed to meet the 62 day cancer
target for the quarter. The Trust’s rating for
Q3 improved to green as the Trust met all
healthcare targets for the quarter, as it did in
Q4.
The Trust planned for a risk rating of 3 for
the 2012/13 year, which included a planned
financial deficit. The Trust maintained this
risk rating throughout the year, but was
requested by Monitor to reforecast the
capital expenditure given the variance to
plan. Based on the performance that was
being sustained from the second half of
2011/12, the Trust declared a risk rating of
green for governance for the 2012/13 year.
This was maintained for each quarter of the
year, with the Trust meeting the required
targets (as outlined in the table at the start
of the report).
Following the submission of the Trust’s
2012/13 annual plan, Monitor commissioned
a ‘stage 2 review’ of the Trust’s annual
plan. The review, undertaken by
PricewaterhouseCoopers (PwC) sought
to examine the risks around the Trust’s
financial stability. The review confirmed the
challenging and delicate nature of the Trust’s
financial position, particularly in respect of
its cash position, and recommended that
the Trust’s programme management office
arrangements be substantially strengthened
in light of the level of savings required. The
Trust developed an action plan in response
to the report’s recommendations, which
included a significant strengthening of
the arrangements for the delivery of the
efficiency savings programme, and increased
Board reporting on cash flow and liquidity.
In addition, the Board continues to explore
longer-term options for further increasing
the Trust’s liquidity and ensuring the Trust’s
future sustainability.
There have been no formal interventions by
Monitor at the Trust.
Environmental performance:
Sustainability
Sustainable development management
plan
The Sustainability Steering Group has been
created for the purpose of ensuring a whole
Trust approach to meeting the organisation’s
sustainability obligations. Sustainability is
now used in procurement specifications and
is accounted for as an evaluation scoring
element in all new capital, estates, food,
transport, energy and waste contracts.
During 2013 the Trust plans to trial a
‘sustainable ward’ with a focus on waste
reduction, energy management, recycling
and procurement. The trial will seek to
quantify the reduction in carbon footprint
and identify the highest impact schemes
which can be extended across other wards at
the Trust.
Reducing our energy use
Another key element of the action plan is
to reduce the Trust’s energy use. The Carbon
Reduction Commitment Energy Efficiency
Scheme (often referred to as simply ‘the CRC’)
is a mandatory scheme aimed at improving
energy efficiency and cutting emissions in
large public and private sector organisations.
The scheme features a range of reputational,
behavioural and financial drivers, which
aim to encourage organisations to develop
energy management strategies that promote
a better understanding of energy usage.
11 Percentage of patients receiving first definitive treatment within 62 days of referral from an NHS Cancer Screening Service
14 Directors’ report