1. Chief Executive’s Update 29 th November 2007 TRUST BOARD

2. “Our Future, Our NHS” Clinical Leaders Forum now established Cancer Services added to the brief Staff Engagement day held Links to West Midlands SHA 8 Pathway Groups

3. SaTH FT Application 41 out of 68 presentations complete Good support for our application but low numbers at public meetings “Should any Trust be unable to progress towards NHS Foundation Trust Status then the SHA will need to identify how its services will be delivered” – David Flory, Director General Finance, Performance and Operations External “State of Readiness” review 3 rd / 4 th December

4. “Lean Initiatives” Theatre stocks/ utilisation Pre-operative assessment test A&E event MAU event Productive Ward (Pilot for West Midlands) – Ward 26 Presentation to West Midlands Chief Executives Presentation at HSJ Conference in London and Birmingham External evaluation – Warwick University – 31 st January Trust Board

5. Health Care Acquired Infections Good progress currently on monthly profile No “Central Line” cases for 6 months DoH/ SHA/ Health Economy “Roundtable” discussion on C.diff (11 th December) Deep clean/patient improvements – £1.8 M revenue Replacement of 80% of bed frames – £1.2 M capital

6. Health Care Acquired Infections Published C Diff Rate 2006 Sandwell & West Birmingham Hospitals1.76 The Shrewsbury and Telford Hospital2.18 South Warwickshire General Hospitals2.63 Walsall Hospitals2.68 Dudley Group of Hospitals2.88 The Royal Wolverhampton Hospitals2.89 HEFT3.03 UHCW3.19 Worcestershire Acute Hospitals3.31 UHB3.56 Burton Hospitals3.62 Mid Staffordshire General Hospitals4.02 George Elliot Hospital4.47 UHNS5.18

7. A&E 98% within 4 hours target A real challenge because of early year performance and delayed discharges Escalation policy Problems across West Midlands but we perform well on ambulance waits

8. A&E 98% within 4 hours target Hours Lost - October

9. Health Care Commission Ratings Quality of Services - Good Use of Resources - Weak (because of deficit) Only 16% of Provider Trusts in England scored better for quality of services – only 1 Acute Trust in West Midlands Level of financial support influenced scores on Use of Resources Only 19 Trusts received excellent for both – ALL were Foundation Trusts

10. Good News Stories Wards 8 and 9 at PRH passed their “observed medicine rounds and formal drug assessments” with flying colours Letter to Sister MacKune at RSH re pre-operative assessment “Thank you for sorting me out so promptly – people like you are far too few today – you have restored my faith in NHS services”

11. Good News Stories Scottish Health Department visit to review IT system “We found this a very positive experience and an example of what can be achieved in terms of patient management system development” Jane Jones – RSH Radiotherapy Dosimetrist – represented Great Britain in the World Triathalon Championships – ranked 57 th in the world in her age group

12. Good News Stories Chris Needham – Head of Estates and Facilities – invited to be Vice Chair of Health Estates and Facilities Management Association and will become Chairman in spring 2008

13. and finally “The reports showed the greatest possible alarm at the financial position” “A second period of financial anxiety followed …… these bad times continued and for the first time in its history the Board were compelled to curtail facilities” “The financial position was entirely recovered and the hospital was at long last able to balance its budget”

14. and finally “The reports showed the greatest possible alarm at the financial position” 1757 “A second period of financial anxiety followed …… these bad times continued and for the first time in its history the Board were compelled to curtail facilities” 1857 “The financial position was entirely recovered and the hospital was at long last able to balance its budget” 1933