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TRUST BOARD MEETING

TUESDAY 1ST APRIL 2014

ANNUAL BUDGETS 2014/2015

1 Introduction

The Budgets for 2014/15 have been prepared in line with the principles and processes agreed by the Trust Executive Management Team in October 2013. The expenditure budgets have been worked up in detail at cost centre level and discussed with all relevant divisional and departmental managers. The income budgets are based on the current status of negotiations with Commissioners’ and have been informed by the national guidance issued by the NHS Trust Development Authority, Monitor and the NHS England. The overall funding plan for the National Health Service continues to be for a “flat cash settlement” and therefore this is not a period of developments in services, rather for managing within existing funds and for driving efficiency improvements whilst maintaining high standards of patient safety and care.

2 Overview

The year ahead will be a challenge for the Trust, which is in a transition through the Trust “organisational form” procurement process, operating with a recurrent deficit and with the need for a clear focus on quality and patient safety, consistently achieving key performance indicators and delivering the savings programme of £4,500k. The financial management of expenditure and income by Budget Holders will be critical to enable the financial plan to be delivered. All budgets have been signed off by budget holders and all divisions’ budgets have also been signed off by Divisional Managers.

3 Income and Expenditure Budget 2014/15

The Budgets have been prepared in line with the principles and processes and framework of the Trust. The key principles and assumptions include:

Inflation – Pay reserve of 1% based on estimated national pay awards. Following the NHS employers’ announcement in late March 2014 the actual cost of the award will be calculated and applied to budgets in April 2014. Non pay inflation has mostly been included in relevant budgets as part of the agreement of cost pressures.

Staff costing – All staff posts were re-costed based on payroll information from October 2013 and where there were vacant posts they were costed at bottom of the salary scale. The value of incremental drift included is £340k (£230k Agenda for Change & £110k Medical).

27 March 2012K:\Board Papers\Board Papers 2012\April\Open\Agenda Item 728 12 Budgets 20122013

Vacancy Factor – A vacancy factor of 1% is applied on all pay budgets with a Whole time equivalent in excess of 5.00.

Cost pressures – The cost pressures which are agreed as unavoidable have been included in the budgets for 2014/15. This has included recognition of some very substantial pressures including medical staffing, nurse staffing, drugs and a 9.2% increase in the cost of the Trust’s Clinical Negligence Scheme for Trusts (CNST), managed by NHS Litigation Authority.

Service developments – The establishment of the Clinical Decision making unit (CDU) and the Surgical Assessment Unit (SAU) during the winter period has proved to be successful for providing high quality, rapid and effective patient care. This was funded using the additional winter funds that we attracted in 2013/14. The Trust has decided to continue with these services on a recurrent basis and this has therefore been funded in 2014/15.

The essential service developments required by commissioners or deemed necessary by the Director of Nursing to address patient safety concerns have been funded as part of the 2014/15 budget setting process. This includes the additional Saturday clinic, on alternate weekends, for the WISH centre.

There has been an increase in the funded establishment from 2013/14 into 2014/15 which is mainly in the nursing establishment.

The budgets include the project costs for expenditure and income associated with the Trust’s open procurement process that provides for either an acquisition by another NHS Body or an operating type franchise agreement.

The budgets include the additional external support required to deliver on the major clinical efficiency programme which will lead to release of savings in the current year.

3.1 Income and Expenditure

The key points to note are:

The Statement of Comprehensive Income in Table 1 shows a planned deficit of £4.95m.

The contract income with North Somerset CCG has been agreed for 2014/15.

The income position is still subject to final negotiations on contract income with other commissioners’.

2

The income values based on current income expectations are reflected in the income plan for the year and are summarised in Table 2.

The Trust will be operating on a fully variable Payment by Results contract in 2014/15 which presents opportunities and risks regarding the income for the year. There will be a risk share agreement for non elective in patients with North Somerset CCG.

Table 3 shows the summary budgets for all Divisions and Departments.

The value of the Savings Programme is £4,500k which is 4.28% of Expenditure including Capital charges and Depreciation.

A summary of the cost pressures and developments that have been funded in the budgets is shown in Table 7.

The overall reserves of £6,025k are detailed in Table 8 and these are fully committed in the year. This presents no flexibility for in year variations.

The recurrent deficit and the major movements from the outturn 2013/14 to the budget for 2014/15 are detailed in Table 9.

The Trust estimated expenditure run rates are shown in Table 10. They have been profiled based on expected expenditure by month and a profile of the £4,500k savings using current planned profile from documented project plans. The summary information for the savings plans (SIP) are shown in Tables 4, 5 and 6.

3.2 Capital, Cash Flow and Statement of the Financial Position

A Capital Plan is shown in Table 11 which indicates the resources anticipated and the proposed plans for 2014/15.There will be a regular review process through the Capital Planning Committee. The plan includes estimates for a number of centrally funded schemes which will be funded by exceptional public dividend capital (PDC) capital support of £2,424k if successful. The largest scheme is for the replacement of the Cerner patient administration system which is currently going through a procurement process. Also included in the plan are the prioritised schemes for Estates, Medical equipment, IT equipment and systems development. The programme will use priority ratings to ensure that the resource limit is not exceeded.

The Cash Flow Plan is shown in Table 12 which is formulated on the £4.95m deficit and this therefore includes in year exceptional PDC revenue support funding which has been phased into the cash flow. This funding is subject to approval of a financing application by the Independent Trust Financing Facility.

3

The Statement of Financial Position is shown in Table 13 and shows a deteriorating position due to the £4.95m deficit.

3.3 Financial risk ratings

Table 14 estimates the forecast ratios under the Foundation Trust financial regime and highlights the major issues with a planned deficit impacting on income, expenditure and cash.

3.4 Contract Activity and Bed Capacity

Tables 15 and 16 show the estimated Contract Activity analysed by Commissioner and Speciality.

The funded bed capacity is shown in Table 17 and includes all current wards based at the hospital including the new Clinical Decision and Surgical Assessment Units and the Rowan ward based at the adjoining Long Fox facility for rehabilitation services.

3.5 Funded establishment

Table 18 shows the funded establishment for the 2014/15 budgets and includes a comparison to the budgets for the previous year. This illustrates the increase in the establishment which is due to the increase in nursing posts.

4 Key Risks

The major risks and opportunities to the Plan are:

PBR Activity against contracted levels – income impact and ability to change/flex revenue expenditure

CQUIN achievement QIPP plans Penalties/fines Best practice tariffs Delivery of savings plans Robust Budget management Recruitment to medical vacancies Failure to deliver key statutory duties

5 Next Steps

4

This paper sets the proposed Trust financial plans and budgets for the year. The income negotiations need to be concluded with the other commissioners and, with the final agreement on the cash settlement, will ensure that the Trust is in a viable financial position for the whole year.

It is critical that all Divisions and Departments manage expenditure and income within the budgets, deliver the planned level of SIP savings and that emerging risks are mitigated throughout the year to enable a reasonable financial outcome. The aim will be to minimise the deficit where possible whilst continuing to maintain high quality and safe patient care services.

5

LIST OF TABLES

Table 1 Statement of Comprehensive Income

Table 2 Sources of Income

Table 3 Summary of Divisional Budgets

Table 4 Final SIP Savings allocations - efficiency requirements by Division

Table 5 Summary of Savings Programme schemes

Table 6 Undelivered recurrent savings 2012/13 & 2013/14

Table 7 Summary of Cost pressures and Developments funded

Table 8 Summary of Reserves

Table 9 Analysis of recurrent deficit

Table 10 Trust Expenditure run rate

Table 11 Capital Plan

Table 12 Statement of Cash Flows

Table 13 Statement of Financial Position

Table 14 Financial Risk Ratings

Table 15 Planned Activity Summaries by Specialty

Table 16 Planned Activity Summaries by Specialty and Commissioners’

Table 17 Bed Capacity

Table 18 Summary of Funded whole time equivalents

6

Weston Area Health NHS Trust Table 1

ANNUAL BUDGET

£'000

INCOME

Clinical Commissioning Groups 79,315Specialist Services Commissioning 4,973Local Authorities 1,239Overseas patient income 1Education and Training 3,044NICE 230Road Traffic Accidents (RTA's) 400Divisional Income 4,992Divisional Income - Private Patients 738Divisional income - Cancer Drugs Fund 447Divisional Savings Target 648Total Income 96,027

EXPENDITURE

Pay Expenditure 65,877Non-Pay Expenditure 27,240Savings Target -3,852General Reserves 3,920Pay Reserves 2,105Depreciation 3,858Total Expenditure 99,148

Operational Deficit -3,121Interest Receivable -8Interest Payable 12Dividends Payments on PDC 1,985Deficit -5,110

Technical adjustment for Depreciation on donated assets 160

Deficit - as measured by DH for performance -4,950

STATEMENT OF COMPREHENSIVE INCOME 2014-15

7

Weston Area Health NHS Trust Table 2Sources of Income 2014/15

Divisional DivisionalService Education RTA Other Private ANNUALIncome NICE & Training Income Income Patients BUDGET

£,000 £,000 £,000 £,000 £,000 £,000 £,000

North Somerset 62,963 62,963Bristol 257 257South Gloucestershire 115 115Somerset 13,980 13,980BANES 178 178NCAs (English & Non English) 1,822 1,822Specialist Services Commissioning 4,973 4,973Local Authorities 1,239 126 1,365Overseas patients 1 1Education & Training 3,044 3,044NICE 230 230RTA income 400 400Other Income-Divisional 4,866 4,866Private Patients 738 738Other income - Cancer Drugs Fund 447 447Other Income-SIP target 648 648

Total 85,527 230 3044 400 6088 738 96,027

8


Summary of Divisional Budgets

DIV NAME PAY £'000NON PAY £'000

SUBTOTAL £'000

DIVISIONAL SUNDRY INCOME £'000

TOTAL BEFORE SIP SAVINGS £'000

SIP SAVING 14-15

DIVISIONAL BUDGET

FUNDED ESTABLISHMENT WTE

Chief Executive 878 59 937 0 937 -36 901 12.00Corporate 0 0 0 0 0 -150 -150 0.00Emergency Services 27,790 6,634 34,424 -691 33,734 -1,230 32,504 643.99Estates & Facilities 3,586 5,602 9,188 -1,247 7,941 -656 7,285 144.84Finance 590 373 963 -27 936 -34 902 15.51Health Informatics 1,553 438 1,992 -4 1,987 -74 1,913 53.11Human Resources 1,396 578 1,974 -50 1,924 -75 1,849 37.19Integrated Governance 710 2,167 2,877 -30 2,847 0 2,847 19.42Nursing Management 556 25 581 -4 577 -26 551 11.80Operations Management 348 68 416 0 416 -60 356 5.00Planned Care 28,470 11,295 39,765 -2,522 37,243 -2,159 35,084 658.81Grand Total 65,877 27,240 93,117 -4,575 88,542 -4,500 84,042 1,601.67

Budget 2014-15

9


2014-15 Final SIP allocations

TOTAL 14-15 ALLOCATION

£'000Emergency Services 1,230Estates and Facilities 656Planned Care 2,159OPERATIONAL TOTAL 4,045

Chief Executive 36Corporate 150Finance 34Health Informatics 74Human Resources 75Integrated Governance 0Nursing Management 26Operations Management 60TOTAL 455

GRAND TOTAL 4,500

10

WESTON AREA HEALTH NHS TRUST Table 5

Summary of Savings Programme schemes

£'000OPERATIONAL including ESTATESDivisional Projects 296Income 673Length of Stay 2,131Non Pay 502Pay 273Theatres 170TOTAL OPERATIONAL 4,045

CORPORATEChief Executive 36Corporate 150Finance 34Health Informatics 74Human Resources 75Integrated Governance 0Nursing Management 26Operations Management 60TOTAL CORPORATE 455

TOTAL 4,500

11

WESTON AREA HEALTH NHS TRUST Table 6SIP UNDELIVERED CARRIED FORWARD INTO 2014/15

DIVISION

UNDELIVERY IN 2012-13 CARRIED FORWARD £000

UNDELIVERY IN 2013-14 CARRIED FORWARD £000

TOTAL SAVINGS NOT DELIVERED NOTIONALLY CARRIED INTO 2014-15 £000

CLINICAL DIVISIONS -2181 -1816 -3997

CORPORATE DEPARTMENTS -141 -207 -348

Grand Total -2322 -2023 -4345

12

Weston Area Health NHS Trust Table 7Agreed Cost pressures and Developments funded 1415

Cost pressures funded £000 WTEIncrease in drugs funding 557CNST - increase in premiums 1415 157Council - rates 84Loss of MacMillan income 77Emergency div wards clinical supplies 64Theatres - 2.25% non pay inflation on 1314 non pay budgets 58Catering supplies inflation 50Radiology - Inflation on Maintenance contracts and clinical supplies 48Legal fees - Defence of Clinical claims etc 40Utilities - Gas inflation 37Increase of outsourcing to Medica for Radiology reporting 35Endoscopy - 2.25% non pay inflation on 1314 non pay budgets 32Utilities - Electricity inflation 19Planned care wards clinical supplies 18Legionella water quality testing and maintenance 10Security services - Inflation on contract 9Contract Laundry Services contact inflation 9Other 381Developments fundedIncreases in Nursing Establishments - Berrow 20 0.81

MAU 30 1.21Kewstoke 38 1.01Uphill 76 2.26Hutton 20 0.85PPU 15 0.60

Additional Colorectal consultant 118 1.00Additional Urology Locum Consultant (NR) 50 1.00Permanent establishment of Surgical Assessment & Clinical Decision Units 845 24.37Optometrist supporting Seashore - UHB visiting service 34Vascular visiting services - UHB recharges 26Portering - Allowance to cover Annual leave and stat mand training 26

13

Weston Area Health NHS Trust Table 8SUMMARY OF RESERVES 2014-15

£000 £000Pay Inflationary pressuresPay award -all staff 665Clinical Excellence Awards 60Medical Locum premiums 780Nurse Agency Premiums 480Additional WLIs 120

2105

General ReservesNICE drugs 295Procurement 600Maternity payments 250Savings programme project support 600Contingency 510Development reserves 175Corporate reserve - Savings programme risk 850Corporate reserve - Income risk 640

3920

Uncommitted reservesAvailable funding Nil

TOTAL 6025

ANNUAL BUDGET

14


Analysis of Recurrent Deficit

Movement from 2013/14 outturn to 2013/14 underlying position £'000

Forecast Deficit -4,950

Non recurring IncomeNorth Somerset CCG activity 865Somerset CCG activity 173Injury recovery income -35Winter resilience income -1,825Procurement project -600Other CCG income -850Non recurring savings 55

-2,217

Non-Recurring savings 0

Non Recurring PayNon-Recurring savings -656Winter resilience expenditure 1,705

1,049

Non Recurring Non PayProcurement project 600Non-Recurring savings -584Winter resilience expenditure 120Savings project support 917One off recruitment fees 115Other 778Depreciation 23

1,969

2013/14 underlying position -4,149

15

Weston Area Health NHS Trust Table 9a

Analysis of Recurrent Deficit

Recurring Non-Recurring Total£'000 £'000 £'000

Brought forward recurring Deficit -4,149 0 -4,149

Tariff deflator -1,102 -1,102Demand Growth 1,148 1,148Coding & Capture 914 914Best Practice Tariff 298 298Local Tariffs 204 204Emergency marginal rate -802 -802Winter Resilience 0 0Other CCG income -904 1,000 96Procurement project 600 600Savings programme 648 648

Recurring income changes -244 2,248 2,004

Pay budgetIncremental drift -340 -340Developments -963 -963Procurement project -600 -600Pay award -665 -665Clinical Excellence awards -60 -60Agency staff -488 -488Savings programme - Pay 2,380 398 2,778

Non Pay budgetCost pressures -628 -628Savings programme - Non Pay 219 855 1,074

ReservesContingency -510 -510Other reserves -2,090 -2,090

FinancingDepreciation and Dividend payments on PDC -313 -313Recurring expenditure changes -858 -1,947 -2,805

Projected 2014-15 Deficit -5,251 301 -4,950

16

Weston Area Health NHS TrustTable 10

7300

7400

7500

7600

7700

7800

7900

8000

April May June July August September October November December January February March

£000

Month

Trust expenditure run rate against budget (Including SIP)

Total Expenditure 13-14 Forecast Expenditure 13-14 Total Budget 14-15

17

Weston Area Health NHS Trust Table 11Capital Programme 2014/15

£Capital Resource Limit 3,858,000 Safer Hospital, Safer Wards year 2 124,000 Improving Birthing Environments 50,000 Technology Fund - Vitalpacs 250,000 Replacement PAS / EPR 2015 2,000,000 Total capital allocation 6,282,000

Project nameCapital 2014/15

£West sw itch room upgrade - Linking generators 300,000 STOR bringing generators on-line to reduce demand on grid, reduce costs at peak times and create FIT income

120,000

2013/14 carry forward Total 420,000

Ward refurbishment programme ITU 550,000 Ward refurbishment programme Theatres 550,000 Recovery space for Endoscopy 500,000 Legionella w orks including replacing w ater tanks 100,000 Compliance: (Fire, DDA) 100,000 Phase 2 Internal Improvements 55,000 Improving Birthing Environments 50,000 Estates capital project manager 40,000 Theatres laminar f low /ventilation 40,000 Central Storage Area For Waste bins & Soiled Linen (by Pathology)

25,000

Theatres electrical upgrade 10,000 Estates Total 2,020,000

Piped medical gases 100,000 Endoscopy flexiscopes 20,000 Video Stack 50,000 Electric Profiling Beds 13,000 Anaesthetic Machines 58,000 Medical Equipment Total 241,000

Main ED & inpatient plain f ilm room. 300,000 Replacement for obstetric ultrasound machine used by imaging in ultrasound room 2 for obstetric screening.

75,000

Imaging Room/equipment Total 375,000

IT Infrastructure / hardw are PC's 50,000 IT Infrastructure / hardw are 10,000 IT Hardw are Total 60,000

Order Communications (n.b. £124,000 w ith 50% fund match from Tech Fund)

248,000

Replacement PAS / EPR 2015 2,607,296 Technology Fund - Vitalpacs 250,000 Intranet 50,000 IT Systems Total 3,155,296

Grand Total 6,271,296

Under / (Over) commitment 10,704

18

Weston Area Health NHS TrustTable 12

Statement of Cash Flow 2014/15

2013/14 Full Year FOT

2014/15 Full Year Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar

£000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000sCash Flows from Operating ActivitiesOperating (Deficit) (3,671) (3,121) (449) (348) (328) (275) (273) (232) (292) (286) (284) (284) (38) (32)Depreciation and Amortisation 3,653 3,858 321 321 322 321 321 323 321 321 322 321 321 323Impairments and Reversals 465 0 0 0 0 0 0 0 0 0 0 0 0 0Dividend (Paid) (1,900) (1,985) (993) (992)Increase/(Decrease) in Trade and Other Payables 41 (137) 400 (537)Provisions Utilised (428) (363) (363)Increase in Movement in non Cash Provisions 387 0Net Cash (Outflow) from Operating Activities (1,453) (1,748) 272 (27) (6) 46 48 (902) 29 35 38 37 283 (1,601)

CASH FLOWS FROM INVESTING ACTIVITIESInterest Received 6 8 1 1 1 1 1 1 1 1(Payments) for Property, Plant and Equipment (5,310) (5,436) (400) (107) (167) (227) (209) (321) (924) (350) (302) (1,356) (541) (532)Net Cash (Outflow) from Investing Activities (5,304) (5,428) (399) (107) (166) (227) (208) (320) (923) (349) (302) (1,355) (541) (531)

NET CASH INFLOW/(OUTFLOW) BEFORE FINANCING (6,757) (7,176) (127) (134) (172) (181) (160) (1,222) (894) (314) (264) (1,318) (258) (2,132)

CASH FLOWS FROM FINANCING ACTIVITIESNew Public Dividend Capital received in year: PDC Capital 154 2,424 10 11 10 10 11 530 30 70 811 60 61 810New Public Dividend Capital received in year: PDC Revenue 7,900 4,950 1,238 1,237 1,237 1,238Public Dividend Capital repaid in year: PDC Revenue (2,950) 0Net Cash Inflow from Financing Activities 5,104 7,374 10 1,249 10 10 11 1,767 30 1,307 811 1,298 61 810

NET INCREASE/(DECREASE) IN CASH AND CASH EQUIVALENTS (1,653) 198 (117) 1,115 (162) (171) (149) 545 (864) 993 547 (20) (197) (1,322)

Cash and Cash Equivalents at Beginning of the Period 1,987 334 334 217 1,332 1,170 999 850 1,395 531 1,524 2,071 2,051 1,854

Cash and Cash Equivalents at the end of the period 334 532 217 1,332 1,170 999 850 1,395 531 1,524 2,071 2,051 1,854 532

19


STATEMENT OF FINANCIAL POSITION 2014/15

Forecast as at 31

March 2014

Forecast as at 31 March

2015

£'000 £'000

Non-current assets63,192 Property, plant and equipment 62,7672,228 Intangible Assets 5,083

500 Trade and other receivables 50065,920 68,350

Current assets1,345 Inventories 1,3452,825 Trade and other receivables 2,825

334 Cash and cash equivalents 5324,504 Total current assets 4,702

Current liabilities(8,108) Trade and other payables (8,456)

(368) Provisions (411)(3,972) NET CURRENT ASSETS (LIABILITIES) (4,165)

61,948 TOTAL ASSETS LESS CURRENT LIABILITIES 64,185

Non-current liabilities(220) Provisions (193)

61,728 TOTAL ASSETS EMPLOYED 63,992

Financed by taxpayers' equity:

62,829 Public dividend capital 70,203(14,064) Retained earnings (19,174)13,056 Revaluation reserve 13,056

(93) Other reserves (93)

61,728 63,992

20

Weston Area Health NHS Trust

Financial Risk RatingsAs at 31/03/2014 Table 14

Risk Ratings Financial Metric

Forecast Year to 31-

Mar-14Forecast Year to 31-Mar-15

£000s £000sEBITDA YTD from SoCI 447 737

Underlying Operating Income YTD from SoCI 97,453 96,027performance EBITDA Margin metric (%) 0.46 0.01

EBITDA Margin rating 1 1Financial Efficiency Net return after financing costs, YTD from SoCI (5,110) (5,110)Return on Capital Net return after Financing metric (17) (12)

Net return after financing rating 1 1Deficit YTD from SoCI (5,575) (5,110)

Financial Efficiency I & R (Impairments & restructuring) expenses YTD from SoCI (465) 0I&E Surplus Margin Operating Income YTD from IS 97,453 96,027

I&E Surplus margin metric (%) (5.2) (5.3)I&E Surplus margin rating 1 1Overall Financial Efficiency rating 1 1Net liquid Assets (net working capital less stock) 2,656 2,337Operating expenditure less depreciation 97,006 95,290

Liquidity Notional Working Capital Facility 7,973 7,847WCF in terms of Operating Expenditure YTD 30 30Liquidity days metric (WCF limited to 30 days) 10 9Liquidity rating 1 1

Overall Financial Risk Ratings Limit due to overriding rules 1 1

Continuity of Services RatingsWorking Capital Balance (5,317) (5,510)

Liquidity Ratio Annual Operating Expenses 97,006 95,290(days) Liquidity Ratio Days (20) (21)

Liquidity Ratio Metric 1 1Revenue Available for Debt Service 447 737

Capital Servicing Capacity Annual Debt Service 1,912 1,997(times) Capital Servicing Capacity (times) 0 (1)

Capital Servicing Capacity metric 1 1

Continuity of Services Rating Continuity of Services Rating for Trust 1 1

KeyWorking capital balance (Current assets less inventories - current liabilities + wholly comitted lines of credit available) Annual operating expensesRevenue available for capital service (surplus or (deficit) for year (pre dividend) + depreciation + annual interest + restructuring costs + other exceptionals)Annual debt service (All interest, prinicpal payable on borrowings & finance leases + annual PDC dividend payable)

Liquidity

Capital service capacity

21

Weston Area Health Trust Table 15

Operating Framework 2014-15

Draft Planned activity- Summary by Specialty 2014/15

Day case Inpatient

Spells

Elective Inpatient

Spells

Non-Elective Inpatient

Spells

Total Inpatient

Spells

Outpatient First

Attendances

Outpatient Follow up

Attendances

Total Outpatient

Attendances

Specialty Activity Activity Activity Activity Activity Activity Activity

A&E 310 310 3 3 6

Anticoagulant Service 2 2 85 85

Breast Surgery 190 53 3 246 1,489 2,173 3,662

Cardiology 53 28 44 125 1,563 824 2,387

Cardiothoracic Surgery 0 123 123

Chemical Pathology 0 70 153 223

Clinical Oncology 2,284 3 9 2,296 353 1,716 2,069

Colorectal Surgery 1,127 157 109 1,393 1,658 2,317 3,975

Dermatology 0 2,309 4,360 6,669

Diabetic medicine 0 562 2,195 2,757

Endocrinology 0 226 1,223 1,449

ENT 5 5 1,658 1,295 2,953

Gastroenterology 880 58 156 1,094 1,030 2,145 3,175

General Medicine 394 30 9,776 10,200 1,693 4,419 6,112

General Surgery 545 181 2,311 3,037 632 579 1,211

Genito-Urinary Medicine 0 6,984 1,804 8,788

Geriatric Medicine 16 16 44 124 168

Gynaecological Oncology 0 8 3 11

Gynaecology 841 193 195 1,229 3,058 2,711 5,769

Heamatology (Clinical) 2,168 2 3 2,173 307 2,835 3,142

Medical Oncology 0 220 1,933 2,153

Neurology 0 231 244 475

Opthalmology 0 1,682 4,074 5,756

Paediatric Diabetic medicine 0 14 328 342

Paediatric Endocrinology 0 8 8

Paediatric ENT 0 10 9 19

Paediatric Opthalmology 0 16 14 30

Paediatric Trauma & Orthopaedics 0 26 28 54

Paediatrics 109 466 575 1,695 2,029 3,724

Palliative Medicine 2 2 87 117 204

Respiratory Medicine 71 13 38 122 776 1,692 2,468

Rheumatology 18 132 150 705 3,900 4,605

Thoracic Surgery 0 3 23 26

Trauma & Orthopaedics 1,007 535 1,246 2,788 7,567 11,472 19,039

Upper GI Surgery 1,364 40 15 1,419 519 626 1,145

Urology 2,333 312 114 2,759 2,809 4,906 7,715

Vascular Surgery 0 187 221 408

Grand Total 13,391 1,605 14,945 29,941 40,194 62,711 102,905

22

Weston Area Health Trust Table 16

Draft Planned Activity - Summary by Speciality and Commissioners' 2014/15

Day casesNorth

Somerset SomersetSpecialist Services Bristol

South Gloucestershire Banes

Local Authority NCAs Total

General Surgery 412 133 545

Urology 1,649 616 5 3 60 2,333

Breast Surgery 151 37 2 190

Colorectal Surgery 916 207 2 2 1,127

Upper GI Surgery 1,115 241 4 4 1,364

Trauma & Orthopaedics 809 179 9 3 2 5 1,007

ENT 4 1 5

General Medicine 310 77 2 3 2 394

Gastroenterology 709 161 4 3 3 880

Heamatology (Clinical) 1,335 374 438 18 3 2,168

Palliative Medicine 2 2

Cardiology 40 13 53

Respiratory Medicine 50 21 71

Rheumatology 15 3 18

Paediatrics 95 14 109

Gynaecology 680 153 1 1 6 841

Clinical Oncology 2,274 6 4 2,284

8,292 2,230 2,712 25 3 40 89 13,391

Elective inpatientsNorth




General Surgery 129 51 1 181

Urology 195 83 2 32 312

Breast Surgery 44 9 53

Colorectal Surgery 126 30 1 157

Upper GI Surgery 33 7 40

Trauma & Orthopaedics 428 103 1 3 535

General Medicine 24 6 30

Gastroenterology 48 10 58

Heamatology (Clinical) 2 2

Cardiology 17 11 28

Respiratory Medicine 8 5 13

Gynaecology 163 30 193

Clinical Oncology 3 3

1,220 345 3 2 35 1,605

23

Non Electives InpatientsNorth




General Surgery 1,680 458 12 10 9 142 2,311

Urology 95 15 1 3 114

Breast Surgery 3 3

Colorectal Surgery 81 23 5 109

Upper GI Surgery 12 3 15

Trauma & Orthopaedics 856 299 14 6 5 66 1,246

A&E 246 43 4 2 15 310

General Medicine 7,368 1,908 36 18 17 429 9,776

Gastroenterology 124 21 2 2 7 156

Heamatology (Clinical) 3 3

Cardiology 34 9 1 44

Anticoagulant Service 2 2

Respiratory Medicine 32 3 3 38

Rheumatology 117 9 6 132

Paediatrics 396 45 2 2 21 466

Geriatric Medicine 12 4 16

Gynaecology 158 27 1 3 6 195

Clinical Oncology 7 2 9

11,226 2,869 71 39 42 698 14,945

24

1st Outpatient attendancesNorth




General Surgery 466 166 632

Urology 2,026 655 5 3 120 2,809

Breast Surgery 1,176 300 4 1 1 7 1,489

Colorectal Surgery 1,312 344 1 1 1,658

Upper GI Surgery 405 112 2 519

Vascular Surgery 146 41 187

Trauma & Orthopaedics 5,846 1,497 63 27 23 111 7,567

ENT 1,461 189 1 1 6 1,658

Opthalmology 1,450 221 3 3 5 1,682

Thoracic Surgery 3 3

A&E 2 1 3

Genito-Urinary Medicine 6,984 6,984

Paediatric Trauma & Orthopaedics 7 19 26

Paediatric ENT 10 10

Paediatric Opthalmology 16 16

Paediatric Diabetic medicine 14 14

General Medicine 1,364 281 3 3 4 38 1,693

Gastroenterology 817 211 2 1,030

Endocrinology 170 55 1 226

Heamatology (Clinical) 241 65 1 307

Diabetic medicine 461 97 2 2 562

Palliative Medicine 51 36 87

Cardiology 1,249 313 1 1,563

Dermatology 1,851 442 1 1 14 2,309

Respiratory Medicine 579 193 1 3 776

Medical Oncology 220 220

Neurology 197 34 231

Rheumatology 587 118 705

Paediatrics 1,598 77 5 2 13 1,695


Gynaecology 2,542 466 1 3 3 43 3,058

Gynaecological Oncology 7 1 8

Clinical Oncology 352 1 353

Chemical Pathology 44 26 70

26,140 5,962 572 88 37 44 6,984 367 40,194

25

Follow up Outpatient AttendancesNorth




General Surgery 449 127 3 579

Urology 3,620 1,098 7 7 10 164 4,906

Breast Surgery 1,783 384 6 2,173

Colorectal Surgery 1,831 479 2 3 2 2,317

Upper GI Surgery 481 143 2 626

Vascular Surgery 180 36 5 221

Trauma & Orthopaedics 9,274 1,971 73 23 31 100 11,472

ENT 1,108 180 1 6 1,295

Opthalmology 3,426 638 9 1 4,074

Cardiothoracic Surgery 105 18 123

Thoracic Surgery 21 2 23

A&E 1 2 3

Genito-Urinary Medicine 1,804 1,804

Paediatric Trauma & Orthopaedics 8 20 28

Paediatric ENT 8 1 9

Paediatric Opthalmology 13 1 14

Paediatric Endocrinology 8 8

Paediatric Diabetic medicine 323 5 328

General Medicine 3,620 690 10 8 49 42 4,419

Gastroenterology 1,714 397 22 9 3 2,145

Endocrinology 950 250 7 10 6 1,223

Heamatology (Clinical) 2,258 554 3 20 2,835

Diabetic medicine 1,899 292 4 2,195

Palliative Medicine 88 29 117

Cardiology 650 173 1 824

Anticoagulant Service 62 4 19 85

Dermatology 3,390 950 1 12 7 4,360

Respiratory Medicine 1,272 414 6 1,692

Medical Oncology 1,914 5 2 12 1,933

Neurology 192 50 1 1 244

Rheumatology 3,205 672 15 4 1 3 3,900

Paediatrics 1,913 99 6 2 3 6 2,029


Gynaecology 2,254 428 1 6 22 2,711

Gynaecological Oncology 3 3

Clinical Oncology 1,703 10 3 1,716

Chemical Pathology 110 35 4 3 1 153

46,333 10,152 167 47 197 1,804 394 62,711

North Somerset Somerset Bristol



Accident & Emergency attendances 38,545 7,982 534 258 226 3,326 50,871

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Bed Capacity

Ward Beds2014/15

Berrow Ward 28Cheddar Ward 20Harptree East 22Medical Assessment Unit 27Harptree High Care 5Hutton Ward 27Kewstoke Ward 28Rowan Rehabilitation 20SAU/CDU 14 Plus 6 trolliesSteepholm Ward 22Stroke Unit 20Uphill Ward 24ITU 5Waterside Unit 12Ashcombe Ward (maternity) 10Total 284

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Summary of Funded WTEs

2014/15Apr-13 Mar-14

Funded WTEs Funded WTEs Funded WTEs

Chief Executive 12.00 13.00 12.00Emergency Services 635.27 654.53 643.99Estates & Facilities 143.23 144.84 144.84Finance 15.51 15.51 15.51Health Informatics 53.48 53.44 53.11Human Resources 36.35 39.00 37.19Integrated Governance 13.88 19.02 19.42Nursing Management 17.07 12.20 11.80Operations Management 9.00 7.00 5.00Planned Care 657.72 632.35 658.81Grand Total 1593.51 1590.89 1601.67

2013/14

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