1. Half year update 2011/12 Presentation to Assembly of Governors 15 th December 2011

2. Contents Background information Finances Performance Governance

3. Background 50,000 service users seen last year Population covered - £1.2m Overall income - £220m Workforce – 3800 Locations – 83

4. What is our financial plan for 2011/12? In 2011/12 we are making investments in: –IT and electronic care records –Medium secure development Money set aside to pay for costs of making changes Means that this year we will spend more than we earn

5. What is our financial plan for 2011/12? Need to make savings of £9 million Forecast cash balance of c£25m Monitor Financial Risk Rating of ‘3’

6. What is the plan for 2011/12? Savings delivered through: Pay reduction for high earners Closure of acute inpatient wards – both adults and older adults Reduction in community buildings Management restructuring Drugs Procurement

7. Contractual changes Key areas of redesign: Birmingham Healthy Minds –Reduction of 40% contract value from April 2011 –Means reduction in caseload –Currently seeing third more people than contracted Addictions –Reduction of 25% contract value from April 2012 –Same caseload, redesign of service

8. Contractual changes New services: RAID rollout across Birmingham and Solihull - £4.3m Enhanced assessment beds for older adults - £1.7m

9. What is the impact on workforce? 244 people at risk 57 people made redundant at a cost of £2.4m 63% of people put at risk were redeployed New opportunities through RAID and new Medium Secure unit

10. What is the current performance? Meeting financial targets overall But Not achieving income targets Slow at achieving savings Have received one off benefits which have helped in year

11. What is the year end forecast? Will meet financial targets Expect to meet full year savings target Key risks: Delivery of savings Income Exit costs

12. Performance Key performance indicators TargetPerformance 7 day follow upMET Delayed transfers of careMET New early intervention casesMET CPA follow up within 12 monthsMET Data completenessMET Gatekeeping by Home treatment teams MET

13. Governance Big changes in key personnel Chair Non-Executive Directors Governors