Bwrdd Iechyd Prifysgol Hywel Dda University Health Board Adroddiad Blynyddol Annual Report 2015/16

Crynodeb o Gyfrifon Blynyddol Summary ofAnnual Accounts 2015/2016 Unqualified audit report New statutory financial duties from 2014/15: To balance income and expenditure over a three year rolling period Not measured until the end of the first three year rolling period being 2016/17 To prepare and have approved with Health Minister a rolling three year Integrated Medium Term Plan Not achieved – plan submitted, but not approved Annual Governance Statement shows that we properly enacted effective financial control

Adnoddau sydd ar gael Resources Available £810m Invested in delivering and purchasing healthcare for the population of Hywel Dda University Health Board of over 384,000 people (including Depreciation & Extraordinary impairment of £15m) £13.2m Invested in Capital schemes designed to improve the delivery of healthcare within Hywel Dda University Health Board.

Lle wnaethom wario’r arian Where we spent the money Secondary Care 4 main hospitals Community Services 7 community hospitals Primary Care 54 GP practices delivering Primary Care 48 Dental practices 99 Community Pharmacies 56 Optometry premises 11 Health Centres Specialist Tertiary Services Our Welsh Providers along the M4 Corridor – Abertawe Bro Morgannwg and Cardiff & Vale

Perfformiad alldro 2015/16 mewn £m 2015/16 Outturn Performance by £m Operating Cost Statement and Achievement of Operational Financial Balance for the year ended 31 March 2016 2016 £m 2015 Expenditure on Primary Healthcare Services 172.740 172.710 Expenditure on Healthcare from other Providers 179.320 173.091 Expenditure on Hospital and Community Health Services 457.847 435.040 Total Expenditure 809.907 780.841 Less : Miscellaneous Income 51.698 53.436 LHB Net Operating Costs Before Interest and Other Gains and Losses 758.209 727.405 Investment Income Other (Gains) / Losses 6 Finance Costs 46 43 Net Operating Costs for the Financial Year 758.261 727.448

Gwariant blwyddyn ar flwyddyn Expenditure Year on Year There was a very small increase in Primary Healthcare in 2015/16. Healthcare from Other Providers increase in 2015/16 is due to: Increase in costs on goods and services from Welsh Health Specialist Services Committee and Emergency Ambulance Services Committee of £3.3m Increase in goods and services from other Welsh Health Boards of £1.9m Increase in Local Authority expenditure of £2.4 Offset by a decrease in Private Provider costs of £1.5m Hospital and Community Health Service increase due to: Increase in staff costs of £20.4m Increase in clinical supplies and services of £6.9m Increase in establishment costs of £1.0m Offset by a decrease in losses and special payments costs of £1.4m Offset by a decrease in impairment costs of £6.2m

£810 miliwn, mewn darlun Pictorially, £810 million Equivalent to £2,109 per person Net of Income £1,974 per person

Gwasanaethau Gofal Sylfaenol £173m

Rhaniad Tybiannol o Wasanaethau Gofal Sylfaenol yn ôl Sir Notional Split of Primary Care Services by County

Gofal Iechyd gan ddarparwyr eraill £179

Gwasanaethau Iechyd Ysbyty a Chymunedol £457m

Incwm Amrywiol £52m

Net operating cost - £ per population Sut mae hyn yn cymharu â Byrddau Iechyd eraill How this compares with other Health Boards Net operating cost - £ per population

Sut mae hyn yn cymharu â Byrddau Iechyd eraill How this compares with other Health Boards GMS - £ per population

Hospital and Community Health Services - £ per population Sut mae hyn yn cymharu â Byrddau Iechyd eraill How this compares with Other Health Boards Hospital and Community Health Services - £ per population

Income from other LHBs - £ per population Sut mae hyn yn cymharu â Byrddau Iechyd eraill How this compares with other Health Boards Income from other LHBs - £ per population

Goods and services from other LHBs - £ per population Sut mae hyn yn cymharu â Byrddau Iechyd eraill How this compares with other Health Boards Goods and services from other LHBs - £ per population

Gwariant Cyfalaf Capital Expenditure The Health Board’s total capital resource allocation from Welsh Government 2015/16 was £13.238m, of which it spent £13.210m on capital schemes across the Health Board The major schemes included: Front of House Scheme in Bronglais General Hospital £2.594m Preparatory work for the Cardigan Integrated Care Centre £1.415m The Unscheduled Care scheme at Prince Philip Hospital £1.113m

Sut y gwnaethom wario ein harian, yn ôl cyflwr How we spent our money by Condition

Casgliad To sum up Unqualified audit report One statutory duty not measured until 2016/17 To balance income and expenditure over a three year rolling period. One statutory duty not achieved To prepare and have approved with Health Ministers, a rolling three year Integrated Medium Term Plan. One financial target achieved To stay within the agreed cash drawing limit. One financial target not achieved Prompt payment of invoices target of 95% not achieved (86%).