1. CHIEF EXECUTIVE’S BRIEFING Tom Taylor Chief Executive 28 th March 2006

2. Key national issues: PbR tariff withdrawn and re-issued National Operating Framework issued resulting in PCT “loans” to West Midland “Bank” Local Delivery Plan deadline deferred to 30 April – not possible to formally set 06/07 budget! Key personnel changes at the top

3. Key local issues: Monthly deficit reducing April – September – (£1.4m per month) October – March – (£0.6m per month) Activity still high but key targets being met More work needed on 10 High Impact Changes Turnaround teams to start in April

4. Key local issues: CNST level 2 achieved Library level 3 achieved

5. Strategic Review update: “ To have two clinically viable hospitals within a financially viable Teaching Foundation Trust”

6. Strategic Review update: “ Hot and Cold” option ruled out Closure of Community Hospitals ruled out BUT DO NOTHING IS NOT AN OPTION

7. Strategic Review update: County-wide vision being developed SCPCT reviewing use of Community Hospitals Reconfiguration of how we provide services between RSH/PRH/Community Hospitals Cancer Outcomes Guidance Reviews – Strategic alliances! Productivity/ efficiency/ outsourcing reviews Procurement/ Finance/ Estates & Facilities/ Human Resources subject to West Midlands Review

8. Strategic Review update: Press release issued 24 March Update given to Overview and Scrutiny Committees and PPI Forum leads 27 March Update given to Senior Medical Staff Committee and HEG 27 March Launch of public consultation targeted for early May.