Nurses Day! - Birmingham Children's Hospital

SECTION TWO
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The Governance of our Organisation
Directors’ Report
Brief history of the Trust and its statutory background
The Birmingham and Midland Free Hospital was
founded in 1862 and moved to Steelhouse Lane
in Birmingham in 1998. The hospital Trust was
granted Foundation Trust status on 1 February
2007 under the Health and Social Care (Community
Health and Standards) Act 2003.
The Trust’s Executive Directors
and Non-Executive Directors in 2012/13
The Trust also owns a second site located at
Parkview in Moseley which hosts the Child and
Adolescent Mental Health Service (CAMHS).
The Trust provides services from a range of
accommodation in the community and in several
partner acute organisations.
Ms Sarah-Jane Marsh Chief Executive Officer (maternity leave from November 2012)
Mrs Michelle McLoughlin
Dr Vinod Diwakar
Chief Nursing Officer
Chief Medical Officer
Mr David Melbourne Chief Finance Officer/Interim Chief Executive Officer (from November 2012)
Mr Phil Foster Interim Chief Finance Officer (from November 2012)
Mr David Eltringham Chief Operating Officer (until September 2012)
Mr Tim Atack Chief Operating Officer (from September 2012)
Mrs Theresa Nelson
Chief Officer for Workforce Development
Ms Joanna Davis Chairman (until sick leave 16 April 2012)
Mr Keith Lester Deputy Chairman/Interim Chairman (from 16 April 2012)
Mrs Judith Green
Mr Colin Horwath
Professor Jon Glasby
Deputy Chairman, Engagement and Participation
Deputy Chairman, Strategy and Partnerships
Non Executive Director
Mr Zubair Khan Non Executive Director (until December 2012)
Mrs Elaine Simpson
Non Executive Director
Mr Roger Peace Non Executive Director (from July 2012)
Statement as to disclosures
to auditors
So far as each individual Director is aware, there
is no relevant audit information of which the Trust’s
auditor is unaware. Each Director has taken all
the steps they ought to have taken as a Director in
order to make themselves aware of any relevant
audit information and to establish that the Trust’s
auditor is aware of that information.
Principle activities of the Trust
Birmingham Children’s Hospital NHS Foundation
Trust provides the widest range of children’s health
services for young patients from Birmingham, the
West Midlands and beyond, with over 240,000
patient visits every year. We are one of the UK’s
four standalone children’s hospitals, one of 37
providers of specialised children’s services, and
one of the UK’s 246 trusts providing hospital
paediatric services to the local population. We
provide 11 national services, 30+ services to
children and young people in the West Midlands,
and general and emergency services to the south
and central population of Birmingham.
We are characterised by a unique collocation of all
the services, specialist expertise and diagnostic
and treatment resources that a sick child needs.
The population is characterised by diseases which
have one or more of the following characteristics:
rarity, complexity, co-morbidity, unresponsiveness
to conventional therapy, age or acuity.
Significant Research &
Development Activities
Information about research and development can
be found at pages 38-41 and 120.
Operating & Financial Review
With 2012/13 being another challenging period for
the NHS it is pleasing that the Trust ended the year
achieving its key financial targets and delivering
another strong set of results. Given the wider
financial environment it was unrealistic to expect a
performance on a par with 2011/12 so the surplus
we reached of £6.3m should be regarded as an
excellent achievement.
The reduced surplus compared to 2011/12 was
mirrored by a reduction in earnings before interest,
tax, depreciation and amortisation (EBITDA) to
7.2% for the financial year, down from 8.1% in
2011/12. This 11% decrease on 2011/12’s position
is a result of:
a) The Trust being increasingly affected by the
method of reimbursement for emergency care
for activity over a specific threshold agreed with
commissioners. This activity is paid at 30% of
the national tariff and does not fully reflect the
costs incurred in treating these patients.
b) Provisions set aside for the impact of workforce
issues in Community CAMHS and junior doctors.
The impact of austerity measures across the
public sector have hit the Trust particularly hard
with a potential 25% reduction in our Community
CAMHs funding which will impact upon the
numbers of staff in this service.
c) The costs of providing additional capacity within
the Trust outside of core working hours.
d) Inflation and cost pressure levels being higher
than expected especially in Estates and on gas
and electricity.
e) Continued difficulty in fully realising the cost
efficiency targets.
The Trust maintains a Register of Interests of Directors and Governors that may be accessed via the Trust’s
Publication Scheme available on the Trust’s website.
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