1. Finance presentation to Blackpool Health Overview and Scrutiny Committee

2. Drivers of poor financial performance Prior year financials Internal planning and non delivery of financial plans Commissioning intentions Scale of the challenge Uncertain planning environment Management capacity Investment for the future including TCS

3. Actions taken prior to Monitor escalation meeting Board review of poor performance (May) Dissolution of CS Division Board review of poor performance (June) External review by Finnamore Revised planning & delivery framework Development of supporting skills and competencies Establishment of Finance & Performance Committee Briefing of the Council of Governors

4. Breach letter Monitor requirements.........

5. Actions since escalation meeting / breach letter Board Assurance Review – External validation QuIPP Programme Management - KPMG Self-certification / governance - KPMG Financial Forecast / CIPs - KPMG Cashflow management - KPMG Board Development / Effectiveness - Deloitte

6. Board Effectiveness Review Effectiveness of the Board as a Whole Effectiveness of Individual Board members Review of Trust Governance Assurance Arrangements Engagement of Key Personnel in QuIPP Development Financial Governance Arrangements & Risk Assessment Half Day Board Workshop 1 to 1 Feedback Sessions Written Report on Board Effectiveness (February 2011)

7. Actions since escalation meeting / breach letter Board Assurance Review – External validation Board Development / Effectiveness - Deloitte PCT Contract Enhancement Vacancy Controls PMO Embedded MARS closed Communications – QuIPP Newsletter / Medics Letter Management Capacity – Training & Development

8. I&E performance

9. Cash performance

10. CIP Monthly Performance against plan

11. Extra-ordinary Board meeting 6/1 Compulsory redundancies Reduction in capital expenditure programme Estate utilisation /public consultation Review of all corporate functions Management cost savings

12. Full year effect 2011/2012 460 posts 11/12 160posts 10/11 Turnover Redundancy Fixed Term Contracts The 2011/12 Workforce Challenge Leavers Flex Futures Bank Agency MARS Vacancy Control Required Reductions Retirements Overtime

13. December 2010March 2012 To achieve £19.1m 620 posts 61 post FTC’s 45 posts MARS 50 posts Retirements 333 post leavers QuIPP 10/11 Workforce Bridge Analysis 2010/11 QIPP Shortfall = 160 posts 2011/12 Level 1 QIPP @ 5% = 230 posts App 1 Pay Related Cost Savings 2011/12 Level 2 CI @ 5% = 230 posts GAP = Redundancy 131 posts 490 posts Recurrent saving equates to £15.7m Gap £3.4m