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Annual Report and Accounts 2012/13 - Royal Devon & Exeter Hospital

Annual Report and Accounts 2012/13 - Royal Devon & Exeter Hospital

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2. Our Trust <strong>Royal</strong> <strong>Devon</strong> <strong>and</strong> <strong>Exeter</strong> NHS Foundation Trust 33<br />

<strong>Annual</strong> <strong>Report</strong> <strong>and</strong> <strong>Accounts</strong> <strong>2012</strong>/<strong>13</strong><br />

• Maintain <strong>and</strong> improve the quality of<br />

existing patient services<br />

• Manage increasing dem<strong>and</strong> due<br />

to demographic changes <strong>and</strong><br />

advances in medical innovation <strong>and</strong><br />

technology <strong>and</strong> cost pressures<br />

• Meet the expectations (including<br />

those of taxpayers <strong>and</strong> patients) of<br />

increasing service excellence<br />

• Cope with year-on-year reductions<br />

in overall NHS budget, which for the<br />

RD&E equates to savings of around<br />

4% a year<br />

• Respond to growing competition<br />

from new providers of NHS services<br />

• Meet regulatory st<strong>and</strong>ards <strong>and</strong> targets.<br />

The report highlighted that staff pay<br />

remains our largest single item of<br />

expenditure <strong>and</strong> it is right <strong>and</strong> proper<br />

not to ring-fence this area as being<br />

beyond consideration. The Board<br />

signed up to the work undertaken by<br />

the Consortium because it believed<br />

that it has a responsibility to consider<br />

how taxpayer funding may be more<br />

efficiently used in order to protect both<br />

the continued delivery of high quality<br />

healthcare <strong>and</strong> employment.<br />

Our transformational<br />

change programme is<br />

designed to enable us to<br />

deliver clinically safe <strong>and</strong><br />

financially sustainable<br />

care for our patients<br />

within an increasingly<br />

challenging economic<br />

environment.

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