EXTRAORDINARY TRUST BOARD MEETING

TUESDAY 31 MARCH 2015

2015/2016 REVENUE & CAPITAL BUDGETS

1 Introduction

The Budgets for 2015/16 have been prepared in line with the principles and processes agreed by the Trust Executive Management Group in October 2014. 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 £3,750k. The financial management of expenditure and income by Budget Holders will be critical to enable the financial plan to be delivered.

All 142 cost centre budgets have been signed off by budget holders. All divisions’ budgets have also been signed off by Divisional Managers.

3 Income and Expenditure Budget 2015/16

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 national pay awards of £692k. Following the NHS employers’ announcement in March 2015 the actual cost of the award will be applied to budgets in April 2015. Non pay inflation has been included in relevant budgets.

Staff costing – All staff posts were re-costed based on payroll information from September 2014 and where there were vacant posts they were costed at bottom of the salary scale. The value of incremental drift included is £365k (£281k Agenda for Change & £84k 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 2015/16. This has included recognition of some very substantial pressures including a 35% increase in the cost of the Trust’s Clinical Negligence Scheme for Trusts (CNST), managed by NHS Litigation Authority (£684k).

The service development of the Rheumatology service has been agreed with commissioners and funded as part of the 2015/16 budget setting process.

There has been an increase in the funded establishment from 2014/15 into 2015/16 and this is mainly in the housekeeping establishment.

3.1 Income and Expenditure

The key points to note are:

The Statement of Comprehensive Income in Table 1 shows a planned deficit of £7.950m.

The income position is still subject to final negotiations on contract income with the North Somerset CCG and other commissioners’.

The income values are based on current negotiations and are summarised in the income plan for the year in Table 2. The contract income is still under negotiation with the North Somerset Clinical Commissioning Group. There is a gap in excess of £4m, mainly related to coding & capture changes, Winter funding for continuation of schemes into April 2015 and for Winter 2015/16, and for an agreement for modification to ED tariff.

The Trust is planning to be operating on a fully variable Payment by Results contract in 2015/16 which presents opportunities and risks regarding the income for the year.

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

The value of the Savings Programme is £3,750k which is 4.09% of Expenditure excluding Capital charges and Depreciation with details in Tables 4 and 5.

The overall reserves of £6,511k are detailed in Table 6 and these are fully committed in the year.

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The Trust estimated expenditure run rates are shown in Table 7. They have been profiled based on expected expenditure by month and a profile of the £3.75m savings. The 14/15 run rate shows expenditure for Clinical Negligence and Rates as profiled over just the first 10 months of the year (artificially increasing months 1 to 10 by approximately £50k per month and reducing months 11 and 12 by £250k per month) whereas this will be profiled straight over the 12 months in the 15/16 plan.

The recurrent deficit and the major movements from the outturn 2014/15 to the budget for 2015/16 are detailed in Table 11a and 11b.

3.2 Capital, Cash Flow and Statement of the Financial Position

A Capital Plan is shown in Table 8 which indicates the resources anticipated and the proposed plans for 2015/16.There will be a regular review process through the Capital Planning Committee. The plan includes a centrally funded scheme with exceptional public dividend capital (PDC) capital support of £829k for the interim service using the Cerner patient administration system. 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 9 which is formulated on the £7.950m 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.

The Statement of Financial Position is shown in Table 10 and shows a deteriorating position due to the £7.950m deficit, which is in line with the original two year plan of the Trust. This position could be improved when income negotiations are concluded.

3.3 Contract Activity and Bed Capacity

Tables 12 and 13 show the estimated Contract Activity analysed by Commissioner and Speciality.

The funded bed capacity is shown in Table 14 and includes all current wards based at the hospital and excludes the overflow capacity ward of the Trust.

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3.4 Funded establishment

Table 15 shows the funded establishment for the 2015/16 budgets and includes a comparison to the budgets for the previous year. This illustrates the increase in the establishment including the increase in housekeeping posts.

4 Key Risks

The major risks and opportunities to the Plan are:

Income related:

Income negotiations for NHS patient services PBR Activity against contracted levels – income impact and ability to

change/flex revenue expenditure CQUIN achievement Commissioner QIPP plans Penalties/fines/sanctions Best practice tariffs Winter funding

Expenditure related:

Delivery of savings plans Robust Budget management Recruitment to medical and nursing vacancies Destabilisation during Acquisition process Failure to deliver key statutory duties Cash flow pending final agreement

5 Next Steps

This paper sets out the proposed Trust financial plans and budgets for the year. The income negotiations need to be concluded with the CCG’s and Specialised Commissioning, and with the final expected agreement on the cash position this should 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.

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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 Summary of Reserves

Table 7 Trust Expenditure run rate

Table 8 Capital Plan

Table 9 Statement of Cash Flows

Table 10 Statement of Financial Position

Table 11 Analysis of Recurrent Deficit- a) 14/15 outturn into 14/15 underlying position b) 14/15 underlying position into 15/16 plan

Table 12 Planned Activity Summaries by Specialty

Table 13 Planned Activity Summaries by Specialty and Commissioners’

Table 14 Bed Capacity

Table 15 Summary of Funded whole time equivalents

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Weston Area Health NHS Trust TABLE 1

ANNUAL BUDGET

£'000

INCOME

Clinical Commissioning Groups 82,775Specialist Services Commissioning 5,469Local Authorities 1,239Education and Training 3,229Road Traffic Accidents (RTA's) 466Divisional Income 3,291Divisional Income - Private Patients 650Divisional income - Cancer Drugs Fund 1,095Divisional Savings Target 208Total Income 98,422

EXPENDITURE

Pay Expenditure 64,099Non-Pay Expenditure 30,255Savings Target -3,542General Reserves 3,619Pay Reserves 2,892Winter resilience expenditure 2,327PAS 863Depreciation 3,900Total Expenditure 104,413

Operational Deficit -5,991Interest Receivable -8Interest Payable 12Dividends Payments on PDC 2,115Deficit -8,110

Technical adjustment for Depreciation on donated assets 160

Deficit - as measured by DH for performance -7,950

INCOME & EXPENDITURE ACCOUNT 2015-16

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Weston Area Health NHS Trust Table 2Sources of Income 2015/16

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

£,000 £,000 £,000 £,000 £,000 £,000

North Somerset 66,064 66,064Bristol 318 318South Gloucestershire 177 177Somerset 14,238 14,238BANES 179 179NCAs (English & Non English) 1,799 1,799Specialist Services Commissioning 5,469 5,469Local Authorities 1,239 126 1,365Overseas patients 0 0Education & Training 3,229 3,229NICE 0RTA income 466 466Other Income-Divisional 3,165 3,165Private Patients 650 650Other income - Cancer Drugs Fund 1,095 1,095Other Income-SIP target 208 208

Total 89,483 3229 466 4594 650 98,422

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Weston Area Health NHS Trust Table 3

Summary of Divisional Budgets

DIV NAME PAY £'000NON PAY £'000

SUBTOTAL £'000

DIVISIONAL SUNDRY INCOME £'000

TOTAL BEFORE SIP SAVINGS £'000

SIP SAVING 15-16

DIVISIONAL BUDGET

FUNDED ESTABLISHMENT WTE

Chief Executive 960 86 1,046 0 1,046 -43 1,004 12.45Emergency Services 27,077 7,439 34,515 -543 33,972 -1,411 32,561 611.67Estates & Facilities 3,679 4,960 8,638 -1,283 7,355 -353 7,002 152.47Finance 583 379 962 -27 935 -39 896 15.51Health Informatics 1,543 585 2,128 -4 2,124 -87 2,037 53.11Human Resources 1,529 573 2,102 -50 2,053 -83 1,970 38.26Integrated Governance 368 2,828 3,197 -28 3,169 -27 3,142 10.21Nursing Mgt & Infect Control 902 52 954 -4 950 -39 911 21.43Operations Management 295 54 349 0 349 -14 335 4.00Planned Care 27,163 13,299 40,462 -3,097 37,365 -1,654 35,711 624.70Grand Total 64,099 30,255 94,354 -5,036 89,318 -3,750 85,568 1,543.82

Budget 2015-16

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Weston Area Health NHS Trust Table 4

2015-16 Final SIP allocations

£'000Emergency Services 1,411Planned Care 1,654Estates and Facilities 353OPERATIONAL TOTAL 3,418

Chief Executive 43Finance 39Health Informatics 87Human Resources 83Integrated Governance 27Nursing Management 39Operations Management 14TOTAL 332

GRAND TOTAL 3,750

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WESTON AREA HEALTH NHS TRUST Table 5

Summary of Savings Programme schemes

£'000OPERATIONAL including ESTATESDivisional Projects 176Income 440Length of Stay 987Non Pay 586Pay 1,280

TOTAL OPERATIONAL 3,469

CORPORATEChief Executive 29Finance 39Health Informatics 75Human Resources 62Integrated Governance 27Nursing Management 35Operations Management 14TOTAL CORPORATE 281

TOTAL 3,750

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Weston Area Health NHS Trust Table 6SUMMARY OF RESERVES 2015-16

£000 £000Pay Inflationary pressuresPay award -all staff 692Clinical Excellence Awards 80Medical Locum premiums 900Nurse Agency Premiums 1100Additional WLIs 120

2892

General ReservesNICE drugs 520Contingency (0.5%) 500Corporate reserve Savings risk (30%) 1125Corporate reserve Income risk (1%) 900Commissioner Activity Growth 574

3619

Uncommitted reservesAvailable funding Nil

TOTAL 6511

ANNUAL BUDGET

11

7300

7400

7500

7600

7700

7800

7900

8000

8100

8200

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

£000

Month

Divisional expenditure run rate against budget (Including SIP)

Total Expenditure 14-15 Forecast Expenditure 14-15 Total Budget 15-16

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Weston Area Health NHS Trust Table 8Capital Programme 2015/16

£Estimated Capital resource Limit 3,900,000 PAS Interim Service - PDC 829,000 2015/16 Capital Allocation 4,729,000

Project nameCapital 2015/16

£Capital PDC ExpenditurePAS Interim Service 829,000 Capital PDC Expenditure Total 829,000

Theatres refurbishment programme 1,450,000 Order Communications 20,000 Compliance electrical fixed wire testing 80,000 Compliance fire precaution work (P1) 200,000 Cardiology refurbishment 15,000 Estates Capital Project Manager 41,000 2014/15 carry forward Total 1,806,000

Remedial work fixed wire testing 150,000 Compliance water management 50,000 Replace air handling plant (phased) 200,000 Provide negative pressure room 150,000 Ward refurbishment (phased) 100,000 Replace east intake mains panel 200,000 Modify existing heating pipework boilers-CHP 100,000 Estates Total 950,000

Medical Equipment 250,000 Medical Equipment Total 250,000

Room 2 replacement & upgrade to DR. 300,000 Imaging Room/equipment Total 300,000

IT Infrastructure / hardware 400,000 IT Hardware Total 400,000

IT Systems 150,000 IT Systems Total 150,000

Grand Total 4,685,000

Under / (Over) commitment 44,000

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Weston Area Health NHS TrustTable 9

Statement of Cash Flow 2015/16

2014/15 Full Year FOT

2015/16 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) (2,522) (5,991) (600) (649) (576) (533) (503) (512) (450) (437) (434) (435) (431) (431)Depreciation and Amortisation 3,858 3,900 325 325 325 325 325 325 325 325 325 325 325 325Impairments and Reversals 342 0Dividend (Paid) (1,985) (2,115) (1,057) (1,058)(Increase)/Decrease in Inventories (167) 0(Increase)/Decrease in Trade and Other Receivables 947 0Increase/(Decrease) in Trade and Other Payables (188) (1,302) (324) (326) (326) (326)Increase/(Decrease) in Provisions 298 (12) (3) (3) (3) (3)Net Cash (Outflow) from Operating Activities 583 (5,520) (275) (324) (578) (208) (178) (1,573) (125) (112) (438) (110) (106) (1,493)

CASH FLOWS FROM INVESTING ACTIVITIESInterest Received 12 8 1 1 1 1 1 1 1 1Proceeds of disposal of assets held for sale (PPE) 5 0(Payments) for Property, Plant and Equipment (3,974) (4,729) (228) (473) (229) (245) (197) (198) (197) (476) (407) (593) (497) (989)Net Cash (Outflow) from Investing Activities (3,957) (4,721) (227) (473) (228) (245) (196) (197) (196) (475) (407) (592) (497) (988)

NET CASH INFLOW/(OUTFLOW) BEFORE FINANCING (3,374) (10,241) (502) (797) (806) (453) (374) (1,770) (321) (587) (845) (702) (603) (2,481)

CASH FLOWS FROM FINANCING ACTIVITIESNew Public Dividend Capital received in year: PDC Capital 124 829 207 207 207 208New Public Dividend Capital received in year: PDC Revenue 4,950 7,950 1,987 1,988 1,987 1,988Net Cash Inflow from Financing Activities 5,074 8,779 0 0 2,194 0 0 2,195 0 0 2,194 0 0 2,196

NET INCREASE/(DECREASE) IN CASH AND CASH EQUIVALENTS 1,700 (1,462) (502) (797) 1,388 (453) (374) 425 (321) (587) 1,349 (702) (603) (285)

Cash and Cash Equivalents at Beginning of the Period 750 2,450 2,450 1,948 1,151 2,539 2,086 1,712 2,137 1,816 1,229 2,578 1,876 1,273

Cash and Cash Equivalents at the end of the period 2,450 988 1,948 1,151 2,539 2,086 1,712 2,137 1,816 1,229 2,578 1,876 1,273 988

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Weston Area Health NHS Trust Table 10

STATEMENT OF FINANCIAL POSITION 2015/16

Forecast as at 31

March 2015

Forecast as at 31 March

2016

£'000 £'000

Non-current assets64,342 Property, plant and equipment 64,4922,343 Intangible Assets 3,022

500 Trade and other receivables 50067,185 68,014

Current assets1,345 Inventories 1,3452,825 Trade and other receivables 2,8252,450 Cash and cash equivalents 9886,620 Total current assets 5,158

Current liabilities(9,110) Trade and other payables (7,808)

(389) Provisions (389)(2,879) NET CURRENT ASSETS (LIABILITIES) (3,039)

64,306 TOTAL ASSETS LESS CURRENT LIABILITIES 64,975

Non-current liabilities(215) Provisions (215)

64,091 TOTAL ASSETS EMPLOYED 64,760

Financed by taxpayers' equity:

68,057 Public dividend capital 76,836(17,250) Retained earnings (25,360)13,377 Revaluation reserve 13,377

(93) Other reserves (93)

64,091 64,760

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Weston Area Health NHS Trust Table11a

Analysis of Recurrent Deficit

Movement from 2014/15 outturn to 2014/15 underlying position £'000

Forecast Deficit -4,000

Non recurring IncomeNorth Somerset CCG activity 96Somerset CCG activity -74WISH activity -35Overeseas visitors -4Injury recovery income 0Winter resilience income -2,327Integrated Care project -600Other Income -2,377Non recurring savings -37

Non Recurring PayNon recurring savings -1,350Non recurring expenditure 1,357Winter resilience expenditure 1,921

Non Recurring Non PayWinter resilience expenditure 86Non recurring expenditure 2,379Non recurring savings -245One off benefit of balance sheet review -256

Non Recurring OtherInterest receivable -4Loss of disposal of assets -5

2014/15 underlying position -5,475

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Weston Area Health NHS Trust Table 11b

Analysis of Recurrent Deficit

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

Brought forward recurring Deficit -5,475 0 -5,475

Tariff deflator -312 -312Demand Growth 743 743Coding & Capture 513 513Best Practice Tariff 56 56Local Tariffs 0 0Emergency marginal rate -117Specialist Commissioning marginal rate -207 -207High cost Drugs 410Other -428 -428Winter resilience income 2,327 2,327

Recurring income changes 658 2,327 2,692

Inflation -650 -650Pay awards -692 -692Incremental drift -365 -365Clinical Excellence awards -80 -80CNST -684 -684NICE -520 -520PAS -863 -863Cost Pressures -938 -212 -1,150Other -216Non recurrent reserves -1,663Winter resilience expenditure -2,327

Recurring expenditure changes -5,008 -4,202 -5,004

Savings programme 1,875 1,875 3,750

Projected 2015-16 Deficit -7,950 0 -7,950-7,950 0 -7,950

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Weston Area Health Trust Table 12

Operating Framework 2015-16

Draft Planned activity- Summary by Specialty 2015/16

Day case Inpatient

Spells

Elective Inpatient

Spells

Non-Elective Inpatient

Spells

Total Inpatient

Spells

Outpatient First

Attendances

Outpatient Follow up

AttendancesOutpatient Procedures

Total Outpatient

Attendances

Specialty Activity Activity Activity Activity Activity Activity Activity Activity

Accident & Emergency 0 0 361 361 12 17 0 29

Anaesthetic Medicine 2 0 0 2

Anticoagulant Service 0 0 3 3 0 677 0 677

Breast Surgery 135 70 3 208 903 1,964 359 3,226

Cardiology 51 25 19 95 984 602 4,101 5,687

Cardiothoracic Surgery 0 0 0 0 0 142 0 142

Chemical Pathology 0 0 0 0 33 158 25 216

Clinical Oncology 2,640 6 5 2,651 441 2,604 0 3,045

Colorectal Surgery 1,318 187 40 1,545 1,371 1,619 381 3,371

Dermatology 0 0 0 0 0 0 0 0

Diabetic medicine 0 0 0 0 432 2,196 1 2,629

Endocrinology 0 0 0 0 275 1,320 3 1,598

ENT 0 0 0 0 1,227 909 916 3,052

Gastroenterology 1,113 63 28 1,204 969 2,350 6 3,325

General Medicine 1,060 28 10,371 11,459 649 3,431 35 4,115

General Surgery 691 186 2,561 3,438 987 618 149 1,754

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

Geriatric Medicine 0 0 4 4 109 174 5 288

Gynaecological Oncology 0 0 0 0 4 0 0 4

Gynaecology 757 234 354 1,345 3,192 2,508 462 6,162

Heamatology (Clinical) 2,103 0 0 2,103 473 4,377 57 4,907

Medical Oncology 0 0 0 0 0 0 0 0

Neurology 0 0 0 0 0 0 0 0

Opthalmology 0 0 0 0 1,972 5,179 143 7,294

Paediatric Diabetic medicine 0 0 0 0 8 229 0 237

Paediatric Endocrinology 0 0 0 0 0 4 0 4

Paediatric ENT 0 0 0 0 33 9 0 42

Paediatric Opthalmology 0 0 0 0 16 14 0 30

Paediatric Trauma & Orthopaedics 0 0 0 0 10 10 0 20

Paediatrics 180 0 573 753 1,385 1,820 148 3,353

Palliative Medicine 0 0 0 0 83 92 0 175

Respiratory Medicine 117 7 22 146 631 1,394 60 2,085

Rheumatology 375 0 17 392 735 4,073 23 4,831

Transient Ischaemic Attack 382 0 0 382

Thoracic Surgery 0 0 0 0 0 6 0 6

Trauma & Orthopaedics 988 601 1,268 2,857 6,070 9,904 3,211 19,185

Upper GI Surgery 299 22 8 329 384 352 76 812

Urology 2,161 402 152 2,715 2,820 3,972 807 7,599

Vascular Surgery 0 0 0 0 0 0 0 0

Other 35 15 35 85 36 86 35 157

Grand Total 14,023 1,846 15,824 31,693 33,612 54,614 11,003 99,229

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Weston Area Health Trust Table 13

Draft Planned Activity - Summary by Speciality and Commissioners' 2015/16

Day cases

North

Somerset SomersetSpecialist Services Bristol

South Gloucestershire Banes

Local Authority NCAs Total

General Surgery 532 156 1 2 691Urology 1,576 485 6 3 1 90 2,161Breast Surgery 106 29 135Colorectal Surgery 1,062 253 1 2 1,318Upper GI Surgery 244 55 299Trauma & Orthopaedics 819 149 8 1 11 988ENT General Medicine 836 216 4 4 1,060Gastroenterology 937 174 2 1,113Heamatology (Clinical) 878 275 930 19 1 2,103Palliative Medicine Cardiology 41 10 51Respiratory Medicine 103 13 1 117Rheumatology 311 46 13 5 375Paediatrics 166 4 10 180Gynaecology 628 125 4 757Clinical Oncology 494 134 2,000 2 9 1 2,640Other 18 5 8 4 35

8,751 2,124 2,930 22 20 41 135 14,023

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Elective inpatients

North

Somerset SomersetSpecialist Services Bristol

South Gloucestershire Banes

Local Authority NCAs Total

General Surgery 145 40 1 186Urology 272 83 2 45 402Breast Surgery 61 9 70Colorectal Surgery 157 29 1 187Upper GI Surgery 18 4 22Trauma & Orthopaedics 498 97 1 1 1 3 601General Medicine 23 5 28Gastroenterology 53 10 63Heamatology (Clinical) Cardiology 17 8 25Respiratory Medicine 7 7Gynaecology 181 50 1 1 1 234Clinical Oncology 5 1 6Other 11 1 1 2 15

1,448 337 5 2 2 52 1,846

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Non Electives Inpatients

North

Somerset SomersetSpecialist Services Bristol

South Gloucestershire Banes

Local Authority NCAs Total

General Surgery 1,925 479 6 9 142 2,561Urology 108 27 10 1 6 152Breast Surgery 2 1 3Colorectal Surgery 31 9 40Upper GI Surgery 7 1 8Trauma & Orthopaedics 905 271 4 10 78 1,268Accident & Emergency 280 10 6 65 361General Medicine 8,128 1,816 75 29 17 306 10,371Gastroenterology 19 9 28Heamatology (Clinical) Cardiology 14 5 19Anticoagulant Service 3 3Respiratory Medicine 18 2 1 1 22Rheumatology 17 17Paediatrics 495 38 2 38 573Geriatric Medicine 4 4Gynaecology 283 58 1 1 11 354Clinical Oncology 3 2 5

Other 8 14 3 10 35

11,953 3,012 108 61 43 647 15,824

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1st Outpatient attendancesNorth

Somerset SomersetSpecialist Services Bristol

South Gloucestershire Banes

Local Authority NCAs Total

General Surgery 779 187 1 1 19 987Urology 2,010 684 9 3 3 111 2,820Breast Surgery 753 144 3 1 1 1 903Colorectal Surgery 1,081 288 1 1 1,371Upper GI Surgery 284 99 1 384Vascular Surgery Trauma & Orthopaedics 4,879 1,062 38 16 8 67 6,070ENT 1,047 178 1 1 1,227Opthalmology 1,652 277 30 4 8 1 1,972Transient Ischaemic Attack 316 64 2 382A&E 9 3 12Genito-Urinary Medicine 6,984 6,984Paediatric Trauma & Orthopaedics 7 1 2 10Paediatric ENT 30 3 33Paediatric Opthalmology 11 4 1 16Paediatric Diabetic medicine 8 8General Medicine 522 117 3 1 6 649Gastroenterology 820 144 1 1 3 969Endocrinology 201 70 1 1 2 275Clinical Haematology 263 66 144 473Diabetic medicine 380 52 432Palliative Medicine 63 20 83Cardiology 768 213 1 2 984Dermatology Respiratory Medicine 483 143 1 1 3 631Medical Oncology Anaesthetic Medicine 2 2Rheumatology 611 118 1 1 4 735Paediatrics 1,275 102 1 7 1,385Geriatric Medicine 98 11 109Gynaecology 2,665 488 2 2 35 3,192Gynaecological Oncology 4 4Clinical Oncology 441 441Chemical Pathology 25 8 33

Other 4 12 1 4 4 11 36

21,050 4,558 585 94 33 35 6,984 273 33,612

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Follow up Outpatient AttendancesNorth

Somerset SomersetSpecialist Services Bristol

South Gloucestershire Banes

Local Authority NCAs Total

General Surgery 493 120 1 4 618Urology 2,797 1,002 3 13 9 148 3,972Breast Surgery 1,567 394 3 1,964Colorectal Surgery 1,292 322 2 3 1,619Upper GI Surgery 266 85 1 352Vascular Surgery Trauma & Orthopaedics 7,987 1,757 55 24 26 55 9,904ENT 790 116 3 909Opthalmology 4,271 894 4 5 5 5,179Cardiothoracic Surgery 105 36 1 142Thoracic Surgery 5 1 6A&E 13 4 17Genito-Urinary Medicine 1,804 1,804Paediatric Trauma & Orthopaedics 4 5 1 10Paediatric ENT 9 9Paediatric Opthalmology 14 14Paediatric Endocrinology 4 4Paediatric Diabetic medicine 218 11 229General Medicine 2,739 598 4 30 60 3,431Gastroenterology 1,886 441 14 9 2,350Endocrinology 1,012 281 2 6 1 18 1,320Heamatology (Clinical) 2,669 794 897 17 4,377Diabetic medicine 1,911 275 7 3 2,196Palliative Medicine 81 11 92Cardiology 432 170 602Anticoagulant Service 613 49 4 11 677Dermatology Respiratory Medicine 1,076 316 2 1,394Medical Oncology Neurology Rheumatology 3,383 667 6 4 5 8 4,073Paediatrics 1,687 128 2 2 1 1,820Geriatric Medicine 157 16 1 174Gynaecology 2,134 368 1 5 2,508Gynaecological Oncology Clinical Oncology 2,604 2,604Chemical Pathology 123 34 1 158Other 37 15 14 7 7 6 86

39,775 8,910 3,501 108 60 115 1,804 341 54,614

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Outpatient ProceduresNorth

Somerset SomersetSpecialist Services Bristol

South Gloucestershire Banes

Local Authority NCAs Total

General Surgery 125 24 149Urology 588 219 807Breast Surgery 298 61 359Colorectal Surgery 299 82 381Upper GI Surgery 56 20 76Vascular Surgery Trauma & Orthopaedics 2,592 619 3,211ENT 784 132 916Opthalmology 126 17 143Cardiothoracic Surgery Thoracic Surgery A&E Genito-Urinary Medicine Paediatric Trauma & Orthopaedics Paediatric ENT Paediatric Opthalmology Paediatric Endocrinology Paediatric Diabetic medicine General Medicine 29 6 35Gastroenterology 3 3 6Endocrinology 3 3Heamatology (Clinical) 25 9 23 57Diabetic medicine 1 1Palliative Medicine Cardiology 2,655 1,446 4,101Anticoagulant Service Dermatology Respiratory Medicine 43 17 60Medical Oncology Neurology Rheumatology 19 4 23Paediatrics 137 11 148Geriatric Medicine 5 5Gynaecology 367 95 462Gynaecological Oncology Clinical Oncology Chemical Pathology 18 7 25Other 30 5 35 8,202 2,778 23 11,003

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North

Somerset SomersetSpecialist Services Bristol

South Gloucestershire Banes

Local Authority NCAs Total

Accident & Emergency attendances 40,481 8,769 618 264 232 3,289 53,653

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Weston Area Health NHS Trust Table 14

Bed Capacity

Ward Beds2015/16

Berrow Ward 28Cheddar Ward 0Harptree East 22Medical Assessment Unit 27Harptree High Care 5Hutton Ward 27Kewstoke Ward 28SAU/CDU 14 Plus 6 trolliesSteepholm Ward 22Stroke Unit 20Uphill Ward 24ITU 5Waterside Unit 12Ashcombe Ward (maternity) 10Total 244

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Weston Area Health NHS Trust Table 15

Summary of Funded WTEs

DIVISION NAMEFeb 2014/15 Recurrent WTE

2015/16 Funded WTE

Chief Executive 12.45 12.45Emergency Services 611.94 611.67Estates & Facilities 143.63 152.47Finance 15.51 15.51Health Informatics 53.11 53.11Human Resources 37.61 38.26Integrated Governance 10.21 10.21Nursing Mgt & Infect Control 21.42 21.43Operations Management 4.00 4.00Planned Care 628.02 624.70Grand Total 1537.90 1,543.82

Note opening funded budget for 2014/15 was 1601.67 WTE but includedCheddar and Rowan (SIP 1415), CCT (T'fer to NSCP) and Specialities nowtransferred to Bristol.

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