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Finance presentation to Blackpool Health Overview and Scrutiny Committee

Finance presentation to Blackpool Health Overview and Scrutiny Committee. Drivers of poor financial performance. Prior year financials Internal planning and non delivery of financial plans Commissioning intentions Scale of the challenge Uncertain planning environment Management capacity

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Finance presentation to Blackpool Health Overview and Scrutiny Committee

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  1. Finance presentation to Blackpool Health Overview and Scrutiny Committee

  2. Drivers of poor financial performance Prior year financials Internal planning and non delivery of financial plans Commissioning intentions Scale of the challenge Uncertain planning environment Management capacity Investment for the future including TCS

  3. Actions taken prior to Monitor escalation meeting Board review of poor performance (May) Dissolution of CS Division Board review of poor performance (June) External review by Finnamore Revised planning & delivery framework Development of supporting skills and competencies Establishment of Finance & Performance Committee Briefing of the Council of Governors

  4. Breach letter Monitor requirements.........

  5. Actions since escalation meeting / breach letter • Board Assurance Review – External validation • QuIPP Programme Management - KPMG • Self-certification / governance - KPMG • Financial Forecast / CIPs - KPMG • Cashflow management - KPMG • Board Development / Effectiveness - Deloitte

  6. Board Effectiveness Review Effectiveness of the Board as a Whole Effectiveness of Individual Board members Review of Trust Governance Assurance Arrangements Engagement of Key Personnel in QuIPP Development Financial Governance Arrangements & Risk Assessment Half Day Board Workshop 1 to 1 Feedback Sessions Written Report on Board Effectiveness (February 2011)

  7. Actions since escalation meeting / breach letter • Board Assurance Review – External validation • Board Development / Effectiveness - Deloitte • PCT Contract Enhancement • Vacancy Controls • PMO Embedded • MARS closed • Communications – QuIPP Newsletter / Medics Letter • Management Capacity – Training & Development

  8. I&E performance

  9. Cash performance

  10. CIP Monthly Performance against plan

  11. Extra-ordinary Board meeting 6/1 • Compulsory redundancies • Reduction in capital expenditure programme • Estate utilisation /public consultation • Review of all corporate functions • Management cost savings

  12. Fixed Term Contracts The 2011/12 Workforce Challenge Full year effect 2011/2012 Overtime 160posts 10/11 Retirements MARS 460 posts 11/12 Flex Futures Redundancy Turnover Bank Agency Vacancy Control Required Reductions Leavers

  13. App 1 QuIPP 10/11 Workforce Bridge Analysis December 2010 Pay Related Cost Savings March 2012 620 posts To achieve £19.1m 2010/11 QIPP Shortfall = 160 posts 61 post FTC’s Recurrent saving equates to £15.7m 45 posts MARS 2011/12 Level 1 QIPP @ 5% = 230 posts 50 posts Retirements 333post leavers 2011/12 Level 2 CI @ 5% = 230 posts GAP = Redundancy 131 posts Gap £3.4m 490 posts

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