Board paper cover sheet - NHS Ayrshire and Arran.

More documents

Recommendations

Info

NHS Board Meeting23 June 2010 Paper 5OPERATING AND FINANCIAL REVIEWThe operating and financial review has been prepared in accordance with thegovernment Financial Reporting Manual and complies with best practice.1. Principal Activities and Review of the YearThe Board was established in 1974 under the National Health Service(Scotland) Act, 1974 and is responsible for commissioning healthcare servicesfor the residents of Ayrshire and Arran, a total population of 368,000.Health Boards form a local health system, with single governing boardsresponsible for improving the health of their local populations and delivering thehealthcare they require. The overall purpose of the unified NHS Board is toensure the efficient, effective and accountable governance of the local NHSsystem and to provide strategic leadership and direction for the system as awholeThe role of the unified NHS Board is to:- improve and protect the health of the local people;- improve health services for local people;- focus clearly on health outcomes and people’s experience oftheir local NHS system;- promote integrated health and community planning by workingclosely with other local organisations; and- provide a single focus of accountability for the performance ofthe local NHS systemThe functions of the unified NHS Board comprise:- strategy development- resource allocations- implementation of the Local Delivery Plan- performance managementProposals for new Community Health Partnership (CHP) committees wereapproved by the Health Board meeting on 25 June 2008. The new structureincludes a CHP Committee, CHP Forum and CHP Officer Locality Group foreach of the three council areas. The Board meeting on 7 February 2010received a progress report on each of the three CHPs.Acute servicesAt the Board meeting on 4 October 2006 the Board approved plans toreconfigure acute services and these were submitted to the Scottish ExecutiveHealth Department to seek approval for the plans. The Minister for Health andCommunity Care wrote on 15 December 2006 approving the plans and makingsome specific requirements of NHS Ayrshire and Arran. The Minister alsomade provision in the NHS Scotland capital plan for an additional £30 millionabove the normal capital allocation to NHS Ayrshire and Arran.On 6 June 2007, following the election of an SNP government at the May 2007elections, the Cabinet Secretary for Health and Wellbeing announced herreversal of the previous administration’s decisions regarding accident andPage 16 of 136
NHS Board Meeting23 June 2010 Paper 5emergency services at Ayr Hospital. The Cabinet Secretary required NHSAyrshire and Arran to produce revised proposals that would enable A&Eservices to continue at both Ayr and Crosshouse Hospitals. These proposalswere to be subject to independent scrutiny from a Panel.Costed options were submitted to the Independent Scrutiny Panel inSeptember 2007 and at the Board meeting on 23 January 2008 the Boardconsidered reports from the Independent Scrutiny Panel as well as otherevidence. A recommendation was submitted to the Cabinet Secretary whichmet the requirement to retain A&E services at both Ayr and CrosshouseHospitals and this was approved by the Cabinet Secretary on 27 February2008. This will require significant capital spend on the accident andemergency departments at both Ayr and Crosshouse Hospitals and thecreation of combined assessment units at both sites. During 2008/09 an InitialAgreement for this capital spend was submitted to Scottish Government HealthDepartment and has been approved. The Outline Business Case will besubmitted to the October 2010 Board meeting.Mental HealthIn January 2008 the Board considered and approved planned communityinvestments in mental health services. An additional £2.8 million was investedin 2008/09 in mental health services. A “Mind Your Health” option appraisalwas undertaken in 2008 around the future location of acute mental health inpatientservices and a consultation exercise was undertaken. The outcomefrom this was reported to the NHS Board meeting on19 November 2008 with the preferred option being the move of most adult inpatientservices to a new build facility at the Ayrshire Central Hospital site at acapital cost of around £50 million. This has been approved by the CabinetSecretary and an Initial Agreement for the capital spend was submitted with theOutline Business Case due to come to the August 2010 Board meeting.Capital SchemesAs planned, capital expenditure totalling £36.148 million has been incurred inthe year. The following are the main capital spend areas (over £0.5 million)during 2009/10.£000Girvan Community Hospital 11,723Ayrshire Central Hospital – kitchen 2,447Ayrshire Central Hospital – outpatients etc 2,931North Ayrshire Community Hospital 2,000Ailsa Hospital - former laundry 861Patna Clinic 1,912Theatre Sterile Supplies Unit 620Sexual Health at Ayrshire Central Hospital 1,479The Ayr Hospital - endoscopy unit 951Breast screening expansion 500Electro medical equipment 3,630Information management and technology 1,491Furniture and equipment 1,507Estates and maintenance 5,350Page 17 of 136
Page 1 and 2: NHS Board Meeting23 June 2010 Paper
Page 15: NHS Board Meeting23 June 2010 Paper
Page 23 and 24: HEAT indicators 2009/10NHS Board Me

Board paper cover sheet - NHS Ayrshire and Arran.

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?