1. Annual Report and Accounts 2007/08 Item 5

2. Content Presentation of Annual Report –Key Facts about the RD&E –Key achievements –Key strategic priorities –Key priorities for 2008/09 Presentation of Annual Accounts Questions

3. Key Facts and Figures 2006/072007/08 Outpatients 257,853271,318 Inpatients and daycases 117,080123,867 Accident and Emergency 69,964 76,966 Emergency admissions 28,80429,461 Babies delivered 29883,381 Expenditure £275m£289m Staff Employed 5,9406,298

4. Key achievements 55% reduction in number of MRSA bacteraemias 90% of patients needing an operation and 98% needing outpatient care were treated within 18 weeks of GP referral Invested over £4 million in new and additional equipment and facilities identified by the clinical team Undertook an additional 1,800 operations in local community hospital settings Improve Healthcare Commission rating – Good for service quality and Excellent for Finance Generated a surplus of £8.33 million

5. £31.5 million Centre for Women's Health completed 50% increase in the number of ITU beds 100% increase the number of Endoscopy suites Linear accelerator upgrade and replacement programme underway Investment in new facilities and equipment

6. Service Innovation Glaucoma shared care service won the Allergan Glaucoma achievement award Hip modelling for planning the best possible outcome for patient with severely damage bones One of eight hospitals in UK offering primary angioplasty 24/7 Only hospital in South West Peninsula to offer 24/7 stroke thrombolysis service Minimally invasive uterine fibroid embolisation

7. People to be proud of: Theatre Assistant Leona won the City and Guilds gold medal for outstanding performance in Health Science and Technology Orthopaedic auxiliary nurse won the NHS Innovations South West award for an improving patient safety initiative Our lead Specialist Palliative Care Nurse was one of two finalists in the Palliative Nurse of the Year Awards Our Fledglings Day Nursery Team were rated “outstanding” by the Ofsted inspection team

8. Strategic Direction 2008 -2012 Key themes for the Royal Devon and Exeter –Respond –Deliver –Enable

9. In responding we aim to: Be the provider of choice, delivering care in the most convenient and appropriate location, with no delay Eliminate all avoidable hospital infections Deliver services in a comfortable, friendly environment in which staff can care for patients effectively Recognise our wider responsibility to the environment and local community by using resources wisely

10. We aim to deliver: A high standard of care delivered by experts, which meets the needs and aspirations of patients, staff, carers and the public A full range of cost-effective accessible local hospital services A range of excellent specialist services

11. We aim to enable: Staff to do their jobs to the best of their ability, by valuing them, ensuring they have the right skills and giving them the opportunity to focus on meeting the needs of patients, so making the RD&E the employer of choice Staff to have a good work/life balance, and achieve their full potential Research and innovation Future and sustained success through good financial management

12. Strategic Direction 2008 -2012 Key areas of focus –Privacy and dignity –Reducing waiting –Control of Infection –Efficiency and effectiveness –Care closer to home

13. Key priorities 2008/09 Reducing hospital acquired infection Reducing waiting times Delivering more care closer to home Working closely with partner organisations to maximise health gain for our local population Continuing to work efficiently to ensure we are able to continue to invest is service improvement in the future

14. Key Capital Investments Completion of first Linear accelerator replacement Upgrade Heavitree theatres £5 million equipment replacement/upgrade programme Main entrance improvement scheme Additional renal dialysis capacity Enabling work for creation of emergency hub

15. Conclusion A year of substantial progress A year of outstanding patient care A year of challenge A year of looking forward and setting ambitious aspirations for future improvement A year of tremendous staff commitment and effort

16. Annual Accounts 2007/2008

17. Financial Overview –Actual surplus £8.4m against plan of £6.5m –Risk rating achieved plan of 4 (out of max of 5) –Delivered £3.9m of savings plan –Created a strategic investment fund for 2008/09 in order to upgrade equipment

18. Annual accounts 2007/08 Financial Summary2007/082006/07 Operating income£289.1m£253.7m Operating expenses£273.0m£242.6m Net interest£1.1m£0.9m Public dividend capital£8.8m£8.5m Loss on disposal of assets£0.0m£0.6m Net surplus/(deficit)£8.4m£2.9m

19. Annual accounts 2007/08 Financial Summary2007/082006/07 Fixed Assets£294m£262m Stocks£4.1m Debtors£13.8m£16.5m Creditors£27.8m£21.0m Cash£31.5m£15.8m

20. Annual Plan Forward Look 2007/08

21. Finance Key Features Achieve financial risk rating of 4 in 2008/09 5 in 2009/10 5 in 2010/11 Achieve a surplus £ 6.5m 2008/09 £10.0m 2009/10 £10.0m 2010/11 £ 5.85m cost and service improvement programme 2008/9 £ 23.1m capital expenditure programme 08/09

22. Key Capital Investments Linear accelerator scheme Equipment replacement/upgrade programme Nursery facilities Replacement Pathology & Radiology systems Capital Strategic Investment Fund Renal dialysis provision Enabling work for creation of emergency hub

23. Annual Report and Accounts 2007/08