Minutes of the Twenty First Meeting of the Board of NHS Leicester ...

More documents

Recommendations

Info

Paper DNHS Leicester City Board Meeting12 May 2011Discussion ensued relating to the support mechanisms in place for staff and thesystem itself.PS/11/53 To Receive the Financial Report for Month 11The financial performance of Leicester City Community Health Service(LCCHS) for the month ended February 2011 was relayed to members of theBoard by Sarah Ferrin.LCCHS is reporting an under spend of £24k for the year to date ending 28 thFebruary 2011.Agency expenditure increased from £2.94m to £3.13m. Expenditure has beenincurred in respect of the Emergency Department (ED) Deflection Scheme andan accrual has been included for the pilot scheme. OOH income has beenagreed at £40 per head and an accrual has been included, whilst in hour’sactivity relating to ED deflection is reflected in ‘in hours’ accrual above.The amount of debt over 90 days has decreased by £406k over the month from£703k in month 10 to £297k in month 11. By the end of the financial year it isexpected that LCCHS will have no debts outstanding over 90 days.Children’s Community Health Services is reporting an under spend of £127k,compared to an under spend of £237k at month 10. This is an adversemovement of £110k and relates to additional spend within therapy services toreduce waiting times and an overall increase in non pay expenditure.Adult Services is reporting an over spend of £22k to month 11, compared to abreak even position for month 10. This is an adverse movement of £22k. Thisrelates to an increase in clinical spend to reduce waiting times within therapyservices.Support Services are reporting an over spend of £222k, compared to an overspend of £162k for last month. This over spend relates largely to additionalcosts for Braunstone Health & Social Care Centre (BHSCC) for service charges(including the sinking fund) and rental increases.The Quality Directorate is reporting an under spend of £85k to date andHeadquarters is reporting an under spend of £54k, compared to an over spendof £108k for last month. Human Resources is reporting an under spend of £3k.Cate Boulton, Alison Hall and David Oldershaw congratulated the seniormanagement team on a very pleasing result. It was acknowledged thatbreaking even and making a saving of 7% was an excellent result.It was RESOLVED:- to note the year to date position.PS/11/54 To Receive a Report on the Financial Plan 2011/12Sarah Ferrin updated the Board on the financial plan for LCCHS, highlightingthe underlying assumptions and associated risks. NHS Leicester City are4
GOVERNANCEPaper DNHS Leicester City Board Meeting12 May 2011acting as Lead Commissioners. LCCHS have agreed an initial baseline ServiceLevel Agreement (SLA) with NHSLC but with several items listed on the financeschedule as ‘to be confirmed’NHS Leicestershire County and Rutland (NHS LCR) are acting as an AssociateCommissioner to NHS LC; this effectively means all negotiations take placewith NHS LC who act on behalf of NHS LCR. The NHS LCR contract coversChildren’s Services and Travelling Families with a total value of £6.05m.With regard to income, the contracting negotiations with NHS Leicester Cityare reaching conclusion with formal sign off of the Heads of Agreement to beundertaken imminently. The main issues outstanding are allocation of supportservices budgets & lease rental budgets, commissioner held overheads andpublic health budget transfer.The Financial Planning Assumptions included in the draft plan were highlightedto members of the Board. Mrs Ferrin also explained the timeline for integratingthe two CHS arms into LPTs planning and budget setting process, following thetransfer to LPT on 1 st April.The financial risks were discussed and it was reported that the LPT Board willbe updated on the risks through the standard risk management processes thatare in place.It was RESOLVED:- to note the contents of the report.PS/11/55To Receive A Closing Down Report for LCCHSPaul Miller provided a report on the closing down of Leicester City CommunityHealth Service as an arms length management organisation (ALMO) withinNHS Leicester City. The bulk of its services and staff are transferring to theLeicestershire Partnership Trust on 1 st April 2011 and other services aretransferring to other providers on the same day. Services transferring to otherorganisations are:Thalassaemia Service – UHL NHS Trust.TB Service – UHL NHS Trust.Assist Service – retained by NHS LC pending appointment of new providerthrough the procurement process.Urgent Care Centre – George Eliot Hospital NHS Trust.GP Out of Hours Service – transfer back to GPs who have collectivelycontracted with Central Nottinghamshire Clinical Services (CNCS) to providethis service.5
Page 1 and 2: Paper ANHS Leicester City Board Mee
Page 9 and 10: Paper BNHS Leicester City Board Mee
Page 11 and 12: NHS LEICESTER CITYMEETING: TRUST BO
Page 13 and 14: Paper CNHS Leicester City Board Mee
Page 17 and 18: Table 4 - Achievement of £6.192mPa
Page 21 and 22: Paper C, Appendix 1NHS Leicester Ci
Page 23 and 24: Paper C, Appendix 2NHS Leicester Ci
Page 25 and 26: Paper DNHS Leicester City Board Mee
Page 27: PERFORMANCEPaper DNHS Leicester Cit
Page 31 and 32: PS/11/56To Receive A Report on the

Minutes of the Twenty First Meeting of the Board of NHS Leicester ...

Create successful ePaper yourself

Delete template?

Save as template?