1. Mid Cheshire Hospitals NHS Foundation Trust 2015 Annual Members Meeting

2. Welcome and Introductions Dennis Dunn MBE Chairman

3. ItemLed by 2.Minutes of Annual Members Meeting held on 25 November 2014 Chairman 3.Chairman’s Report  Including appointments made to Directors and Governors  Results of the 2015 Governor Elections  Changes to Constitution Chairman 4.Summary of the Year including presentation on Annual Report and Quality Account 2014/15 Chief Executive 5.Financial Report including presentation on Annual Accounts and Auditors Report 2014/15 Director of Finance and Strategic Planning 6.Governor Perspective -including how Governors have discharged their duties Lead Governor 7.Questions and Answers Chairman 8.Closing Remarks Chairman Agenda

4. Chairman’s Report Appointments and changes to Board of Directors and Council of Governors Changes to Trust’s Constitution Results of 2015 Elections Dennis Dunn MBE Chairman

5. Summary of the Year Annual Report and Quality Accounts 2014/15 Tracy Bullock Chief Executive

6. Financial Report Annual Accounts and Auditors Report 2014/15 Mark Oldham Director of Finance and Strategic Planning

7. Income & Expenditure Reported Deficit of £1.1M £1.9M exceptional items associated with charitable donations (2.2M gain) and revaluation impairment (0.3M loss) Normalised deficit of £3.0M against planned £0.3M surplus Key variance in elective activity shortfalls due to cancellations and delays in recruitment

8. Compliance against risk ratings Liquidity (3) Capital servicing (3) Overall rating (3) Green level 3 Red level 1 Amber level 2

9. Compliance continued… Accounts formally laid before parliament Unqualified External Audit opinion “Substantial assurance” on systems of internal control Cash balance remained positive throughout the year 91% of trade invoices paid within terms

10. Key Features 4.0M 1.4M 4.5M 1.8M 0.4M 3.0M Total increase 2.1% Winter Pressures Funding £1.0M High Cost drug recharges £1.6M Pathology costs £0.4M GP Referrals Growth 6.5% increasing outpatient activity and case mix. 3.6% increase Incremental drift 0.6% Pay Rises 0% Staff numbers +93(2.9%) - Doctors and Nurses +28 - Agency +23 - Health Care Assistants +9 - Admin and estates +27 Management Costs reduced to 4.9% Total Increase 9.8% Driven by Elective activity particularly in Orthopaedics 0.7M Total increase 15.9% High Cost Drugs recharged circa £1.6M. Small net pressure driven by high cost ophthalmology and Gastroenterology growth 0.9M Offset by income 2013/14Contract income paydrugs clinical supplies Patholog y for ECT -3.0 -2.0 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 £’M Other 2014/15 £200K Increase in Pension provisions. £300K outsourced Gastroenterology £155K Asbestos Surveys £80K Carbon reduction Levy

11. Investments Capital additions include: Theatres and Critical Care both building and state of the art equipment completed and significant progress on the Surgical Assessment Lounge

12. Investments Capital additions include: Ward Refurbishment on Ward 2 Continued programme of asbestos removal and street refurbishment

13. Investments Capital additions include: Strengthened our IT infrastructure On-going programme of backlog maintenance Main entrance scheme completed

14. Cash Management Cash deteriorated in year by £4.2M to £6.9M Borrowings approved in year of £4.4M of which £3.1M drawn down drawn in year to support site developments. –Surgical assessment Lounge –2 nd MRI Scanner building work Leasing liabilities increased by £0.75M to fund medical equipment: –Defibrillators. –Monitors

15. Future Challenges Efficiency savings increasing due to pressures on balancing public expenditure, expect a further 4% each year until 2021 Managing the financial impact of competition and service changes Local health economy becoming challenged. Maintaining the quality agenda (7/7 working) Responding to workforce shortages Ongoing backlog maintenance increasing with a rising tide. Rapidly changing and fluid regulatory framework

16. Summary Some non recurrent slippage and operational issues over winter has knocked us off track for the first time. Significant improvements to the site and equipment “Good” platform in respect of quality of services. Improvements in Nursing Numbers Efficiency requirements going forward are significant and require transformational changes. Commitment to working together across the local health economy through the Provider Board and with partners in UHNM

17. A Governor Perspective How Governors have discharged their duties………. John Lyons Lead Governor

18. Questions and Answers Dennis Dunn MBE Chairman

19. Closing Remarks Dennis Dunn MBE Chairman