Presentation to the AGM 2010/11 Annual Accounts Eifion Williams Director of Finance 27 th September

Presentation Includes: An overview of the Financial & Service Environment The Auditor General for Wales Opinion on the Annual Accounts Our performance against the 3 Statutory Financial Targets A summary of where we spent our money An analysis of what we spent our money on 2

Financial & Service Environment 2010/11 ABM University Health Board Statutory Financial Targets Revenue, Capital, PSPP Low Discretionary Uplift 2010/ % 2009/ % 2008/ % Major Service Pressures Unscheduled Care Critical Care Capacity Other Service & Technology Pressures Organisational Restructure WAG Service Targets 95% within 26 weeks 100% within 36 weeks Cancer Targets Savings Targets 2010/11 £77.4m 2009/10 £46m 3

External Audit Opinion 4 Draft Accounts Completed 4/5/11 WAO External Audit Review 3/6/11 Audit Committee Approval 6/6/11 Health Board Adoption 6/6/11 Submission of Audited Accounts to Welsh Gov. 8/6/11 Auditor General for Wales issued an Unqualified Opinion 21/6/11

Performance Against Financial Targets 3 Statutory TargetsHealth Board Performance Revenue Resource Limit (£ m) √£0.347m Under-spend (0.038%) Capital Resource Limit (£64.463m) √£0.066m Under-spend (0.102%) Public Sector Payment Policy (Pay 95% of Non NHS Invoices within 30 Days) √96.6% 5

Statement of Comprehensive Net Expenditure for the Year Ended 31 st March /112009/10 Restated £000 Expenditure on Primary Health Care 231,982223,195 Expenditure on Healthcare from Other Providers 206,100102,502 Expenditure on Hospital & Community Health Services 849,725869,360 1,287,8071,195,057 Less Miscellaneous Income -383, ,259 Net Operating Costs Before Interest and Other Gains & Losses 904,710813,798 Investment Income -123 Other (Gains)/Losses 9343 Finance Costs 5,26314,094 Net Operating Costs for the Financial Year 910,065827,812 6

Expenditure on Primary Healthcare Services £232m 2010/11 £223m 2009/10 7

Expenditure on Healthcare from Other Providers £206m 2010/11 £103m 2009/10 8

Expenditure on Hospital & Community Health Services /112009/10 Restated £000 Directors' costs 1,68264%2,48961% Staff costs 540,659531,742 Supplies and Services – Clinical 91,30611%90,09810% Supplies and Services - General 9,4378,855 Consultancy Services 1,3402,930 Establishment 19,50119,557 Transport 2,5382,364 Premises 22,20823,637 External Contractors Depreciation 25,57424,542 Amortisation Fixed asset impairments & reversals 22,06949,448 Audit fees 5501,083 Losses, special payments and irrecoverable debts 3,2832,588 Other operating expenses 108,66113%109,11213% Total849,725869,360

Expenditure on Hospital & Community Services Employee Numbers W.T.E.& Pay Costs £542m (64%) 10

Expenditure on Hospital & Community Services Non Pay Costs : Supplies & Services Clinical £91m (11%) 11

Drugs Expenditure : 3 Yr Trend 12

Expenditure on Hospital & Community Services Non Pay Costs : Other Operating Expenses £109m (13%) 13 Student Bursaries relate to Student Nurses Student Salaries relate to Professional & Technical Students (e.g. Radiographers, Pharmacy Technicians, Audiologists etc

Statement of Financial Position 31 March March 2010 RestatedKey Variances £000 Non Current AssetsProperty, Plant & Equipment 531,792514,582+17,210 Intangible Assets 2,0731,948 Trade & Other Receivables 37,37254,512-17, ,237571,042 Current AssetsInventories 11,96311,867 Trade & Other Receivables 66,13943,090+23,049 Other Current Assets 4,3113,291+1,020 Cash & Cash Equivalents 2,6142,753 85,02761,001 Non Current Assets "Held for Sale" Current LiabilitiesTrade & Other Payables 104,83397,879+6,954 Provisions 61,07139,454+21, ,904137,333 Net Current Liabilities -80,355-75,467 Non Current LiabilitiesTrade & Other Payables 61,57363,442-1,869 Provisions 44,45258,882-14, ,025122,324 Total Assets Employed 384,857373,251 Financed By: Taxpayers EquityGeneral Fund 361,934350,227 Revaluation Reserve 17,48317,558 Donated Assets Reserve 5,1795,318 Government Grant Reserve Total Taxpayers Equity 384,857373,251 14

Assets – Key Variances Property, Plant & Equipment Increased by £17.2m  Additions +£65.2m  Revaluations / Impairments -£22.1m  Disposals -£0.3m  Depreciation -£25.6m 15 Additions : Buildings (Top 5)£m CAMHS Unit, PoW9.7 Cont Care Unit, Glanrhyd6.0 RMHSS, Intermediate Care Unit, Cefn Coed 5.7 HVS, Multi Storey Car Park3.3 RMHSS, Adult Rehab, Cefn Coed2.4 Total27.1 Additions : Equipment (Top 5)£m MRI Scanners, PoW & Morrison2.8 Linear Accelerator, Singleton1.6 CT Scanners, Singleton & Morriston2.4 IM & T Refresh Programme0.9 CT Scanner, NPTH0.8 Total8.5

Summary The Annual Accounts were completed, audited and submitted to the Welsh Government by the due dates The Auditor General for Wales issued an unqualified certificate and report on the Financial Statements for 2010/11 The Health Board met all 3 Statutory Financial Targets 16