1. Finance Update

2. Year End 2017/18 Plan to hit a ‘control total’ deficit of £5.09million
If achieved would receive ‘sustainability’ funding (STF) of £4.2million
October 2017 – declared to NHSI that wouldn’t hit the target
Revised forecast to +£7million worse than plan
Increased scrutiny from NHSI but positive feedback that we had done all that we could

3. Year End 2017/18
End of year achieved a better position at £6.2million gap against plan
Didn’t receive all the sustainability funding (STF) – received £1.1million
Net position = £9.3million deficit
Note = Accounts = £8.9million due to technical capital adjustments

4. Planning – 2018/19
Initial Plan submitted in April – would not achieve the NHSI target ‘control total’
NHSI revised the ‘control total’ to be more in line with our forecast deficit
Board signed off revised plan to achieve the control total in June
STF opportunity = £2.96million

5. Month 2 – 2018/19 Positive start to the year Ahead of plan by £554,000
Cash = £15.7million (£3.2m more than plan)
Energy centre started – cash usage expected in year
Indications for month 3 – continued positive position & expected to receive quarter 1 sustainability funding

6. Alison King, Director of Performance
Performance Update
Alison King, Director of Performance

7. National Deliverables for 2018/19
A&E remains a national priority with 30% of the Provider Sustainability Fund associated with achieving an agreed performance trajectory – For STFT £887K for 18/19
90% to be achieved by Sept 18 with majority of providers achieving 95% in March 19
Reducing length of stay (time from admission to discharge from a hospital bed) – new measures for ‘stranded’ and ‘extended stranded’ patients (over 7 days and 21 days)
Reduction in Delayed Transfers of Care (patients who are ready for discharge)
Referral to treatment time waiting lists (patients waiting for treatment)
Delivery of cancer waiting time standards
Roll out of new outcome measure for Children and Young People’s MH services (Implementing the MH Forward View)

8. A&E – Q1 performance 3.4% increase in attendances
Top 25% of Trusts nationally
Q1 95% (trajectory 94.03%)
Attendances +200 per day
DTOC 0.7% (delayed days/occupied beds) May
Stranded 30%, extended stranded 4% (much lower than national for last 6 week period reported)

9. NHSI Single Oversight Framework/Ntl Indicators
Target
May
RTT
92%
95.4%
Diagnostics
<1% 0%
Cancer 2ww
93%
87.7%
Cancer 31d
96%
100%
Cancer 62d
85%
77.3%
IAPT recovery
50%
58.2%
IAPT access 6 weeks
75%
99.6%
IAPT access 18 weeks
95%
RTT in top 25% nationally
Diagnostics – no patients waiting over 6 weeks
Cancer 2 week wait performance affected by capacity issues in colorectal and gastro – back above target in June (93.4%)
Cancer 62 days – affected by small volume of patients (2.5) and due to patient choice to delay diagnostic tests. Remains a risk for June.
Continue to meet all IAPT indicators (Improving Access to Psychological Therapies)

10. Summary
The Trust continues to meet the majority of national standards and performance in the top 25% of Trusts nationally in relation to A&E and RTT
Challenges re: cancer 2ww performance (now resolved in the short term) and cancer 62 day performance – ‘small numbers’ issue
Risks going forwards – winter!
Horizon scanning – new CYP MH outcomes indicator