10 Simple Steps

Team Pack

Distributed by HFMA

10 Simple Steps

1) New patients – collect referrals and emergencies

2) Record current use of beds

3) Record current use of theatre time

4) Cash – collect your debts and pay your creditors

5) Pay your surgical units and overheads

6) Plan how to utilise your available beds and theatre

time and consider changing capacity

7) Plan – doctors, nurses, porters and cleaning – pay

any additional costs if incurred from these

decisions

8) Invoice the CCG

9) Depreciate your assets

10)Record final performance on budget statement &

complete the cash statement form

Step 1 – New Patients

Collect

referrals &

emergencies

Step 2 – Beds

Record

current use of

beds

Step 2 – Beds

Bed Manager

records

information on the

Post op beds

control sheet for

CURRENT

PERIOD and then

calculate your

current

surplus/shortfall

These sections are completed in Step 6 and then new totals calculated

Step 3 – Theatre

Record

current use of

theatre time

Step 3 – Theatre

Theatre

Manager

records

information on

the Theatre

Operations

control sheet –

FOR CURRENT

PERIOD and

then calculate

your current

surplus/shortfall

These sections are completed in Step 6 and then new totals calculated

Step 4 – Cash – 15th of the Month

Collect your

Debts

Count your

cash (£375k)

– record on

cash

management

statement

Pay your

creditors

Step 5 – Pay Surgical Units &

Overheads

Step 6 – Plan how to utilise available beds and

theatre hours and consider changing capacity

• Patients can be moved up the pathway

• Patients must move in a ‘reel’ of 30 patients

• Costs incurred must be paid from your cash

• Changes to be recorded on the relevant control sheets

Step 7 – Plan Resources – pay additional

costs incurred from these decisions

Plan

Doctors

& Nurses

– will you

reduce

staff or

employ

agency

nurses

Plan

Porters –

will you

pay

overtime?

Plan

Cleaning

– what

level of

cleaning

?

Step 8 – Invoice CCG

Contract

accountant

produces the

Income

sheet – all

patients that

make it to

Post Op

beds can be

invoiced for

Step 9 – Depreciate your assets

Step 10 – Recording Final

Performance part 1

Management

Accountant

produces the

expenditure

statement, this

should be

completed as you

carry out the

payment of

treatments in steps

5 and 6

Step 10 – Recording Final

Performance part 2

Management

Accountant

produces the I & E

Statement

Step 10 – Recording Final

Performance part 3

Contract

Accountant

completes the cash

management

statement – this

should be an

ongoing process

throughout the

game

Did you make a surplus or deficit?

Where were the variances and why?

What was your cash balance?

What is your quality rating?

Distributed by HFMA

Any Questions

?Distributed by HFMA