Tuesday, 22 April 2014 The Foundation Trust Experiment and UCLH Presentation to Civitas 22nd October 2007

Tuesday, 22 April 2014 UCLH context – 7 central London hospitals – Acute local services – Five major tertiary services Neurosciences Cardiac Cancer Women's Health Gastrointestinal – Biomedical Research Centre 1,200 R&D projects R&D budget = £300m – Attendances 600k p.a. – Turnover c£600m:

Tuesday, 22 April 2014 UCLH Hospitals University College Hospital, Eastman Dental Hospital, The Heart Hospital, Hospital for Tropical Diseases, Elizabeth Garrett Anderson & Obstetric Hospital, National Hospital for Neurology and Neurosurgery, Royal London Homoeopathic Hospital

Tuesday, 22 April 2014 Our vision UCLH is committed to delivering: top quality patient care excellent education world class research Can this vision be better delivered as a Foundation Trust?

Tuesday, 22 April 2014 Foundation Trusts Political Context

Tuesday, 22 April 2014 Political comment - Milburn The challenge over this next decade is to move power irrevocably outwards and downwards to those using public services… Alan Milburn Secretary of State for Health ( )

Tuesday, 22 April 2014 What are Foundation Trusts? NHS plan earned autonomy & funding for reform Public benefit corporations, but part of the NHS A membership of local people and staff A Board of Governors of patients, staff, and local people (elected by members) + local stakeholders Freedom to borrow & use surplus cash to reinvest in new services and innovation Not centrally managed, but regulated by Monitor Source: Foundation Trust Network – The story so far (2007)

Tuesday, 22 April 2014 Progress Towards FT Status April 2004 – 20 First wave FTs April 2007 – 70 FTs –200,000 staff –600,00 members –1,000 Governors April 2008 – 100+ FTs non-FTs

Tuesday, 22 April 2014 Foundation Trusts Are they delivering benefits?

Tuesday, 22 April 2014 Delivering Benefits Better governance, enhanced accountability to patients and the public Greater focus on patients (customers) needs Strong financial management, improved efficiency and productivity Freedom to innovate in health care Higher staff and patient satisfaction Source: Foundation Trust Network – The story so far (2007)

Tuesday, 22 April 2014 Insider Views We have to stand or fall by our own decisions. The buck really does stop here. Alan Whittle, CEO, Basildon Hospitals FT We have transformed our drive towards financial efficiency. Dr Mary Archer, Chair, Cambridge Hospitals FT We have championed the need for the Trust to listen to and learn from patients. Veronica Beechey, Governor, UCLH FT Its a different world. Its about developing services to our own prescription. Chris Burke, CEO, Stockport FT

Tuesday, 22 April 2014 Foundation Trusts How do they compare?

Tuesday, 22 April 2014 Foundation Trusts Delivering improved efficiency EBITDA margin Percent AP FY 07/08 Quarters /07 Quarter 1 07/ / /08 Achieved CIP PbR efficiency assumption Planned CIP PbR efficiency assumption 2.9% 2.5% % COST BASE 3.0% 2.5% 1 2 3

Tuesday, 22 April 2014 I&E Surplus /08 Plan

Tuesday, 22 April 2014 NHS Trusts and Foundation Trusts Use of Resources 2006/7 NHS Trusts

Tuesday, 22 April 2014 NHS Trusts and Foundation Trusts Use of Resources 2006/7 Foundation TrustsNHS Trusts

Tuesday, 22 April 2014 Foundation Trusts Only Use of Resources 20005/6 – 2006/7 FTs 2005/06

Tuesday, 22 April 2014 Foundation Trusts Only Use of Resources 20005/6 – 2006/7 FTs 2006/07FTs 2005/06

Tuesday, 22 April 2014 NHS Trusts and Foundation Trusts HCC Quality Standards /7 NHS Trusts 2006/7

Tuesday, 22 April 2014 NHS Trusts and Foundation Trusts HCC Quality Standards /7 Foundation Trusts 2006/7NHS Trusts 2006/7

Tuesday, 22 April 2014 Foundation Trusts Only HCC Quality Standards Foundation Trusts 2005/6

Tuesday, 22 April 2014 Foundation Trusts Only HCC Quality Standards Foundation Trusts 2006/7Foundation Trusts 2005/6

Tuesday, 22 April 2014 These results endorse our view that with strong leadership and the right freedoms, NHS foundation trusts will deliver improvements for their patients. Bill Moyes, Monitor 17 th October 2007

Tuesday, 22 April 2014 Foundation Trusts – Should we go further? FTs now model of choice Mergers and acquisitions - will FTs acquire failing NHS Trusts? - who represents customers & shareholders? Extension of public/private partnerships? Commerciality and franchising Will FTs become a holding company with internal/external contracts and JVs What can UCLH do???

Tuesday, 22 April 2014 Ambulatory cancer centre New patient focused cancer care Designed for each cancer specialty Building planned to start next year

Tuesday, 22 April 2014 The UCLH campus of the future