ANNUAL GENERAL MEETING

30th September 2010

AGENDA

• Welcome – Sir Philip Hunter, Chairman

• Formal presentation of the Trust Accounts Colin Groom – Deputy Director of Finance

• Review of the year and looking to the future Fiona Myers - Chief Executive

• Questions from members of the public

Annual Accounts 2009/10

COLIN GROOM

Deputy Director of Finance

Statutory Financial Duties in 2009/10

• Achieved an Operational Surplus

(excluding exceptional items)

• Maintained capital spending within overall resource limit (Capital Resource Limit)

• Ensured cash spending was within the cash limit set (External Financing Limit)

Reconciliation to Operational Surplus

Asset Impairments 3,765Increased Financial Impact in respect of PFI schemes 517

Resultant operational surplus 449

The following items are included in the retained defict above but are considered exceptional and do not count towards the measurement of the Trusts Operational Position

Operating Expenses Includes:Pay £67.1mServices from other NHS bodies £3.4mClinical Supplies £1.8mImpairment £3.8mDepreciation £1.9mPFI Unitary charge £2.9mPremises £3.3mTravel Costs £1.7mOther Costs £5.9m

STATEMENT OF COMPREHENSIVE INCOME FOR THE YEAR ENDED 31 MARCH 2010.

2009/10 2008/09

NOTE £000 £000

Revenue from patient care activities 5 78,050 79,903

Other operating revenue 6 12,549 11,007

Operating expenses 8 (91,775) (88,336)

Operating surplus (deficit) (1,176) 2,574

Finance costs:

Investment revenue 14 20 293

Other gains and (losses) 15 183 (4)

Finance costs 16 (1,787) (1,614)

Surplus/(deficit) for the financial year (2,760) 1,249

Public dividend capital dividends payable (1,073) (1,296)

Retained surplus/(deficit) for the year (3,833) (47)

STATEMENT OF FINANCIAL POSITION AS AT 31 MARCH 2010

31 March 2010

£000

Assets Land, Property & Equipment 46,835

Current assets Stocks 146

Debtors 5,497

Cash 3,253

8,896

Total assets 55,731

Current liabilities Creditors & Provisions (7,209)

Borrowings (14,991)

Other liabilities (5,479)

Net current assets/(liabilities) (18,783)

Total assets employed 28,052

Financed by taxpayers' equity: Public dividend capital 7,998

Retained earnings 5,106

Revaluation reserve 20,328

Donated asset reserve 70

Government grant reserve 29

Other reserves (5,479)

Total Taxpayers' Equity 28,052

Significant Accounting Issues 2009/10

Embedding IFRS:

– Accounts prepared in accordance with International Financial Reporting Standards (IFRS) for the first time.

Modern Equivalent Asset Valuation:

– In 2009/10, line with HM Treasury instructions, the Trust carried out a revaluation of its fixed assets on a Modern Equivalent Asset basis.

Accounting for PFI:

• In 2009/10 the Trust accounted for its PFI scheme (Harplands Hospital) under the requirements of IFRS.

2009/10 Accounts Audit opinion

An unqualified opinion was issued.

Auditors Opinion:

• Financial statements give a true and fair view.

• Information which comprises the commentary on the financial performance included within the Directors’ report, included within the Annual Report, is consistent with the financial statements.

• The Remuneration Report has been properly prepared in accordance with the accounting policies directed by the Secretary of State.

Auditors Local Evaluation (ALE)

Key to Score levels

1 Below minimum requirements − inadequate performance.2 Only at minimum requirements − adequate performance.3 Consistently above minimum requirements − performing well.4 Well above minimum requirements − performing strongly

Area Score 2009/10

Financial reporting 3

Financial management 3

Financial standing 3

Internal control 3

Value for money 3

REVIEW OF THE YEAR

FIONA MYERS

CHIEF EXECUTIVE

Background

• Specialist provider of mental health and learning disability services for all ages

• Turnover £91m

• Over 1900 staff

• Operate from over 30 facilities across North Staffordshire

Our Purpose

Working to improve the mental health and wellbeing of local communities

• To provide patient centred mental health, specialist learning disability and related service for people of all ages

• To be the best in all that we do

• To work in partnership to deliver services that promote recovery, wellbeing and independent living as appropriate

Our Vision

• Person centred

• Transparency and integrity

• Excellence and respect

• Supportive and responsive

Our Values

Looking to the future

Integrated business plan and supporting financial

model

• Focus on quality of service provision (QIPPP)

• Focus on improving our performance and productivity

• Revised our infrastructure and through our 3 clinical directors have developed our business plan

– Children and young people

– Adult

– Older people and learning disability

Our Achievements - Performance• Service User Survey rated us in the top 20% of Mental

Health Trusts

• Achieved financial balance for the 14th consecutive year

Registered without conditions by the Care Quality Commission

• Awarded ‘GOOD’ for quality financial management and ‘FAIR’ for quality of services (2008/09).

• Were fully compliant with the core Standards for Better Health – for the 5th year running

• Achieved 21 ‘EXCELLENT’ and 3 ‘GOOD’ ratings in the patient environment action team assessment (PEAT)

• No MRSA bacteraemia and year on year reductions in

C. Difficile infections

• Completed a full self analysis against findings from national enquiries – e.g ‘Mid Staffs’ and ‘Taking it on Trust’

• Investment in developing a new web site to make more information available online

Our Achievements (2)

CQUIN• A national framework for locally agreed quality

improvement schemes.

• CQUIN framework intended to reward genuine ambition and stretch, encouraging a culture of continuous quality improvement in all providers

• The Trust and Commissioners worked together on a small number of schemes in 2009/10 and has accelerated these during 2010/11.

Success Criteria

• Increasing the opportunity for people to return to their home

• Improve the experience of patients suffering with dementia

• Early identification and support for people who have untreated psychosis

Success Criteria

• Improve nutritional screening and support

• Productivity Improvement Programme

• Understanding and improving the overall patient experience

Success Criteria

• Increasing safety through improved medicines management

• Improving health by supporting people to quit smoking or to reduce tobacco use

• Improving support through a clear understanding of accommodation and employment needs

• Increasing the opportunity for people to be treated in their own home through support from the Crisis Resolution and Home Treatment Team

ADULT MENTAL HEALTH SERVICES

Adult Mental Health Services Achievements

• Deprivation of Liberty Safeguards

• Early Intervention Service

• Personality Disorder Team

• It’s a Goal (men’s mental health)

Highlights from the Community Mental Health Survey

Summary – We were successful in achieving a high

response rate at 43% against a national average of 32%

– Of the 38 questions asked, our service users rated us as equal to other trusts in 16 areas and in the top 20% of trusts in 22 areas

– For the overall question ‘overall how would you rate your care in the last 12 months’ we were rated in the top 20%, scoring 77 (best trust scored 78)

Highlights from the Community Mental Health Survey

• Rated in top 20% in relation to how we manage:

– Medication & management

– Meeting with care coordinator prior to care review

– Care plan development

– Information provided

– What to do in a crisis

– Out of hours contact

CHILDREN AND YOUNG PEOPLES’ SERVICES

Children and Young People

• Participation of Children and Young People Official opening of our new clinical base, the Boat House

• CONNECT CAMHS and First Steps-integrated locality services

• Consolidation of CAMHS disability services within special schools

• Out of hours access protocols for regional Tier 4 services • Darwin Centre as a Pilot site for the QNIC review of

standards• A national pilot site for expert evidence in family law cases

Older People and Learning Disability Services

Older People and Learning Disability Services

• Stoke Mental Health and Wellbeing service – taken up by West Midlands - innovation in services for vascular dementia.

• Huntington’s service in Neuropsychiatry continues to be regarded as one of the best within UK and the European Network

• Specific Needs Access Project (SNAP) undertaken for 6 months to August 2009.

Our Staff

Our Staff• Improved our staff survey results

• Focus on health and wellbeing

• Invested in training and the People Management Programme (first line staff)

• Implemented a Leadership Development Programme for senior leaders and clinicians

• Strengthened our communications internally and externally

• Investing in People – 10 year achievement

The Future.........Challenging times ahead • QIPPP – focus on quality - mindful of fiscal

challenges• Working with GPs as our future commissioners

(2013)• Service redesign with service user and carer

engagement• Further investment in staff to ensure strong

clinical leadership • CQUIN targets achievement• Foundation Trust application – April 2012

Finally........

We wish to take this opportunity to thank our staff for their incredible professionalism,

hard work and dedication.

Thank you also to our carers and volunteers for all their support

Questions from members of the public