Board of Directors Meeting - 29 March 2012 - Devon Partnership ...

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Board of Directors Meeting, 29 March 2012Agenda Item 11inpatient services.Both Specialist Services and Secure Services Directorates are under-spent. Withinthe Specialist Services Directorate the Devon Drug Service contract remains overspenthowever joint work with EDP and Devon DAAT has improved this position.Headquarters budgets are under-spent and are forecasting a position below budgetby the year-end.The IPP budget is forecasting an over-spend of £5.366m however, under the termsof the risk sharing arrangement with commissioners the Trust bears the risk of £300kof this over-spend, the residual risk rests with the commissioners. It was noted thatPICU average occupancy reduced in Month 11 however the latest information showsoccupancy rates for Devon patients are above budget.2. CIPSAt month 11 the Trust had achieved £4.1m against the savings target at this stage ofthe year of £4.3m however the Trust is forecasting to meet its target at the year end.3. CapitalThe Trust has a capital resource limit of £16m, supported by property sales of £1.6mgiving a capital programme for the year of £17.6m. Capital spend to the end ofmonth 11 was £12.5m against an original plan of £16.5m and a revised plan of£13.8m. The revised expenditure plan reflects the timing of the approval of the loanrelating to the Langdon development.4. Balance SheetCash has increased by £8.8m at the end of month 11 compared to the year endposition, relating largely to the receipt of the second tranche of the Langdon loan.Debtors have increased by £3.4m relating largely to NHS receivables. Currentliabilities have increased by £10.6m. The Trust is meeting its PSPP targets in termsof the number and value of bills paid within 30 days and at month 11 thepercentages were 98.08% and 99.27% respectively.5. Risks & MitigationsThe key risks were noted and a verbal update was given to the Committee.6. Key RatiosAt month 11 there were two Monitor indicators rated red, relating to Capitalexpenditure and the planned EBITDA margin.44.1Treasury ReportThe report for month 11 was agreed. The content of the report was discussed and itwas agreed that the level of detail met the needs of the committee at this time.Page 94 of 156
Board of Directors Meeting, 29 March 2012Agenda Item 1155.15.25.366.177.17.27.37.488.199.1Assurance FrameworkThe Committee considered the latest Assurance Framework for the Trust and inparticular noted the risks included in the sustainable section.It was noted that SU1 did not have an end date as such and should be reviewed atregular intervals. SU2 is to be updated to reflect the potential impact of potentialBMA industrial action. It is anticipated that the risk score for SU3 would move to 5x3in the new financial year. The risk score for SU12 will reduce to 4x1 at the year end.The Committee approved the report.Capital PlanChanges to the plan around property sales have been updated to reflect progress todate. Some capital expenditure projects have been delayed to manage the resourceavailable. The Committee asked for a review of estates plans where relocation andother costs might exceed asset disposal proceeds. The Committee also asked ifconsideration could be made for the benefit of early sale of Melrose to mitigate anyother delay of sales.IM&T Strategy UpdateProgress on the 11/12 plan was reported with improvements to a number of areasincluding telephony services, remote access working and wireless connectivitynoted. There were 3 top priority objectives identified for 11/12 and the reduction ofservice providers was noted as North Devon is now almost fully transferred to theRD&E server. The other priorities around training and integration with social caresystems have moved to a lower status as demand for change / action has beenminimal.The IM&T Outline Delivery Plan for 12/13 was presented and the top 3 priorities for12/13 were noted as the introduction of an SLA between IM&T and the ClinicalDirectorates, which will allow user input to service developments, to expand on BestPractice audits to support staff in utilising the equipment provided, and to support theestate and office rationalisation programme.There were a number of other possible IM&T projects which still required fundingdecisions including; extension of Trust Wi-Fi support for video-conferencing,provision of tablet computers, smartphones and support for their infrastructure.These projects would fall below the FIC approval limit but the expectation was thatthey would be subject to the usual rigorous cost/benefit evaluation.The Committee endorsed the plan and the priorities identified.HDD Action PlanThere had been no changes to the HDD action plan that were recorded in the month.Finance & Investment Committee WorkplanThe FIC workplan was approved on the basis that some flexibility is available toreprioritise certain items, if required, over the coming months.Page 95 of 156
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