Summary Net Position Month 7 (By Business Unit) Pay Non Pay Income Net
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1 Business Unit North Herts, Stevenage & Welwyn 14,703-2,418 12,285 7,961 7, ,411 1, ,269 6, North, South, East, West & Central 17,407-2,487 14,920 7,215 7, ,059 3, ,452 1, ,822 9, Watford & Dacorum 17, ,010 9,352 8, , ,084 10,089-5 St Albans & Hertsmere 19,055-3,471 15,584 9,776 9, ,601 1, ,026 2, ,351 9, Children's Universal 14, ,385 8,145 7, ,338 8, Children's Disability & Development 10,679-3,008 7,671 5,999 5, ,756 1, ,565 4, Specialist 6,210-2,054 4,156 2,413 2, ,250 1, ,198 1, ,465 2, Operations Directorate 1, , Quality 1, ,767 1,057 1, ,077 1, Management 1, Finance Directorate 1, , Estates 10,178-2,163 8, ,000 6, ,465 1, ,535 5, HR & Training 1, , Contingency ,509-17, ,311 54,060 52,577 1,483 15,347 17,710-2,363 10,296 11, ,111 59,068 43
2 Summary Net Position Month 7 (By Service) Cardiac Rehab Child Health Child Psychology Community Medical Staffing 1, , Community Nursing 16, ,314 8,958 8, , ,664 9, Community Nursing Children Continence 1,806-1, , ,075 1, Continuing Care 1,047-1, Dematology 1,028-1, Dental 1, , Diabetes Diabetic Retinopathy Health Visiting & School Nursing 13, ,106 7,315 7, ,576 7, Intermediate Care Beds 14, ,494 7,551 7, ,284 1, ,713 8, Intermediate Care Home 7, ,589 4,043 3, ,426 4, Minor Injuries Unit MSK 1, MSKATS 2,475-1, ,275 1, ,020 1, N&D 1, , Nascot Lawn Neonatal Hearing Neuro Beds 2, ,761 1,161 1, ,038 1, Neuro Rehab 1, , OT (Adults) 1,399-1, OT (Children) Paediatric Audiology Pain Management & CFS Palliative Care 1, , Physio (Adults) 2,310-1,146 1,164 1,328 1, Physio (Children) 1, , Podiatry 2, ,118 1, ,287 1, Prison Respiratory Sexual Health 3,048-1,438 1, ,061 1, , SLT (Adults) SLT (Children) 4,183-1,839 2,344 2,411 2, ,073 1, ,406 1, Special School Nurses Specialist Diabetes Wheelchairs 2,913-1,424 1, ,211 1, , Patient Services Management 3, ,855 2,305 2, ,397 2, Operations Directorate 1, , Quality 1, , Management 1, Finance Estates 10,178-2,163 8, ,000 6, ,465 1, ,535 5, HR Training Other 3,116-1,554 1,562 1,544 1, Contingency ,509-17, ,311 54,060 52,577 1,483 15,347 17,709-2,362 10,296 11, ,111 59,067 44
3 North Herts, Stevenage & Welwyn Patient Services Management Community Nursing 4, ,506 2,417 2, ,700 2,699 1 Intermediate Care Home 2,684-2,684 1,440 1, ,556 1,549 7 Intermediate Care Beds 2,283-2,283 1,176 1, ,346 1, SLT (Adults) Physio (Adults) 2,310-1,146 1,164 1,328 1, OT (Adults) 1,399-1, Other ,703-2,418 12,285 7,961 7, ,411 1, ,269 6, Narrative: Risk in Acute therapies that pay not managed within SLA vlue agreed with East & North Herts NHS Trust, all agency now stopped and vacancies being reviewed. North, South, East, West & Central Patient Services Management Community Nursing 3, ,157 1,668 1, ,828 1,825 3 Intermediate Care Home 1, , Intermediate Care Beds 2, ,385 1,352 1, ,384 1, Minor Injuries Unit Continence 1,806-1, , ,075 1, Dematology 1,028-1, Neuro Rehab 1, , Neuro Beds 2, ,761 1,161 1, ,038 1, Wheelchairs 2,913-1,424 1, ,211 1, , Other ,407-2,487 14,920 7,215 7, ,059 3, ,452 1, ,822 9, Narrative: Main risks continue to be wheelchair stock and continence products. Underspend in community beds being held as part of overall review of bed numbers and staffing levels. Watford & Dacorum Patient Services Management Community Nursing 5, ,493 3,096 2, ,242 3, Intermediate Care Home 1, ,959 1,069 1, ,146 1, Intermediate Care Beds 5, ,731 2,923 3, ,464 3, Palliative Care 1, , Respiratory Cardiac Rehab Prison Other , ,010 9,352 8, , ,084 10,089-5 Narrative: Large pay undersepnd in Community Nursing continue to be offset by overspends in non pay. Risks that Community Hospitals continue to overspend, although reduction in number of beds is starting to address this.
4
5 St Albans & Hertsmere Patient Services Management Community Nursing 3, ,158 1,777 1, ,894 1,899-5 Intermediate Care Home 1, , , Intermediate Care Beds 4, ,095 2,100 2, ,519 2, N&D 1, , Podiatry 2, ,118 1, ,287 1, MSK 1, MSKATS 2,475-1, ,275 1, ,020 1, Diabetes Diabetic Retinopathy Pain Management & CFS Other ,055-3,471 15,584 9,776 9, ,601 1, ,026 2, ,351 9, Narrative: Diabetes costs recharged to the PCT so income offsetting much of the pay and non pay overspend. Income not recognised on recharge for Rapid Assessment Unit activity to West Herts Hospitals until issues are resolved and invoices paid. Risk within bedded units that pay continues to overspend Children's Universal Patient Services Management Health Visiting & School Nursing 13, ,106 7,315 7, ,576 7, Child Health Neonatal Hearing Other , ,385 8,145 7, ,338 8, Narrative: Continued underspend on pay despite recruiting additional students. Ithis is helped by income from SHA to fund student places. Underspend on Other services is from HCC-funded Children's Centres and must be returned to HCC if not spent. Children's Disability & Development Patient Services Management 1, , Special School Nurses SLT (Children) 4,183-1,839 2,344 2,411 2, ,073 1, ,406 1, Physio (Children) 1, , OT (Children) Community Medical Staffing 1, , Community Nursing Children Continuing Care 1,047-1, Nascot Lawn Specialist Diabetes Other ,679-3,008 7,671 5,999 5, ,756 1, ,565 4, Narrative: Overall underspend on pay is increasing, due to vacancies. High levels of staff on maternity leave also affecting pay spends, particularly in SLT, and impacts on ability to deliver service.
6 Specialist Patient Services Management Sexual Health 3,048-1,438 1, ,061 1, , Dental 1, , Paediatric Audiology Child Psychology Other ,210-2,054 4,156 2,413 2, ,250 1, ,198 1, ,465 2, Narrative: Sexual Health overspend on non pay is mainly HIV drugs, offset by overachieving income due to pass-through nature of costs. Oversepnd on non pay for Other services due to start up costs for Step2 service, funded by HCC, which must be returned if not spent. Underspend on pay is due to delays in recruiting to this service. Corporate Services Management 1, Operations Directorate 1, , Quality 1, , Finance Estates 10,178-2,163 8, ,000 6, ,465 1, ,535 5, HR Training Other ,113-2,848 14,265 3,199 3, ,888 7,913-1,025 1,870 2, ,217 9, Narrative: Management pay overspend due to costs above budget for Finance support to achieve Trust status. The main risk for this area remains Estates and level of recharges to come from PCT now the budget has transferred. Check Totals 117,474-17, ,276 54,060 52,577 1,483 15,347 17,710-2,363 10,296 11, ,111 59,068 43
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