Annual Report

and Accounts2007/08

Item 5

Content• Presentation of Annual Report

– Key Facts about the RD&E– Key achievements– Key strategic priorities – Key priorities for 2008/09

• Presentation of Annual Accounts• Questions

Key Facts and Figures

2006/07 2007/08Outpatients 257,853 271,318

Inpatients and daycases 117,080 123,867

Accident and Emergency 69,964 76,966

Emergency admissions 28,804 29,461

Babies delivered 2988 3,381

Expenditure £275m £289m

Staff Employed 5,940 6,298

Key achievements

• 55% reduction in number of MRSA bacteraemias

• 90% of patients needing an operation and 98% needing outpatient care were treated within 18 weeks of GP referral

• Invested over £4 million in new and additional equipment and facilities identified by the clinical team

• Undertook an additional 1,800 operations in local community hospital settings

• Improve Healthcare Commission rating – Good for service quality and Excellent for Finance

• Generated a surplus of £8.33 million

• £31.5 million Centre for Women's Health completed

• 50% increase in the number of ITU beds

• 100% increase the number of Endoscopy suites

• Linear accelerator upgrade and replacement programme underway

Investment in new facilities and equipment

Service Innovation• Glaucoma shared care service

won the Allergan Glaucoma achievement award

• Hip modelling for planning the best possible outcome for patient with severely damage bones

• One of eight hospitals in UK offering primary angioplasty 24/7

• Only hospital in South West Peninsula to offer 24/7 stroke thrombolysis service

• Minimally invasive uterine fibroid embolisation

People to be proud of:• Theatre Assistant Leona won the City

and Guilds gold medal for outstanding performance in Health Science and Technology

• Orthopaedic auxiliary nurse won the NHS Innovations South West award for an improving patient safety initiative

• Our lead Specialist Palliative Care Nurse was one of two finalists in the Palliative Nurse of the Year Awards

• Our Fledglings Day Nursery Team were rated “outstanding” by the Ofsted inspection team

Strategic Direction 2008 -2012

• Key themes for the Royal Devon and Exeter

– Respond – Deliver – Enable

In responding we aim to:• Be the provider of choice, delivering care in

the most convenient and appropriate location, with no delay

• Eliminate all avoidable hospital infections

• Deliver services in a comfortable, friendly environment in which staff can care for patients effectively

• Recognise our wider responsibility to the environment and local community by using resources wisely

We aim to deliver:

• A high standard of care delivered by experts, which meets the needs and aspirations of patients, staff, carers and the public

• A full range of cost-effective accessible local hospital services

• A range of excellent specialist services

We aim to enable:• Staff to do their jobs to the best of their ability,

by valuing them, ensuring they have the right skills and giving them the opportunity to focus on meeting the needs of patients, so making the RD&E the employer of choice

• Staff to have a good work/life balance, and achieve their full potential

• Research and innovation

• Future and sustained success through good financial management

Strategic Direction 2008 -2012• Key areas of focus

– Privacy and dignity– Reducing waiting – Control of Infection– Efficiency and effectiveness– Care closer to home

Key priorities 2008/09

• Reducing hospital acquired infection

• Reducing waiting times

• Delivering more care closer to home

• Working closely with partner organisations to maximise health gain for our local population

• Continuing to work efficiently to ensure we are able to continue to invest is service improvement in the future

Key Capital Investments

• Completion of first Linear accelerator replacement

• Upgrade Heavitree theatres • £5 million equipment

replacement/upgrade programme• Main entrance improvement scheme• Additional renal dialysis capacity• Enabling work for creation of emergency

hub

Conclusion

• A year of substantial progress

• A year of outstanding patient care

• A year of challenge

• A year of looking forward and setting ambitious aspirations for future improvement

• A year of tremendous staff commitment and effort

Annual Accounts

2007/2008

Financial Overview

– Actual surplus £8.4m against plan of £6.5m

– Risk rating achieved plan of 4 (out of max of 5)

– Delivered £3.9m of savings plan

– Created a strategic investment fund for 2008/09 in order to upgrade equipment

Annual accounts 2007/08

Financial Summary 2007/08 2006/07

Operating income £289.1m £253.7m

Operating expenses £273.0m £242.6m

Net interest £1.1m £0.9m

Public dividend capital £8.8m £8.5m

Loss on disposal of assets £0.0m £0.6m

Net surplus/(deficit) £8.4m £2.9m

Annual accounts 2007/08

Financial Summary 2007/08 2006/07

Fixed Assets £294m £262m

Stocks £4.1m £4.1m

Debtors £13.8m £16.5m

Creditors £27.8m £21.0m

Cash £31.5m £15.8m

Annual Plan Forward

Look 2007/08

Finance Key Features

• Achieve financial risk rating of• 4 in 2008/09 5 in 2009/10 5 in 2010/11

• Achieve a surplus £ 6.5m 2008/09

£10.0m 2009/10 £10.0m 2010/11

• £ 5.85m cost and service improvement programme 2008/9

• £ 23.1m capital expenditure programme 08/09

Key Capital Investments

• Linear accelerator scheme• Equipment replacement/upgrade programme• Nursery facilities• Replacement Pathology & Radiology systems• Capital Strategic Investment Fund• Renal dialysis provision• Enabling work for creation of emergency hub

Annual Report

and Accounts2007/08