1. Annual Report 2006/07 Neighbourhood Services Scrutiny Committee 23 October 2007

2. Annual Report 2006/07 The Services We Provide Our Performance External Inspection Financial Performance The Future

3. Annual Report 2006/07 The Services We Provide Locations –South Tyneside District Hospital –Palmer Community Hospital –Primrose Hill –Hebburn

4. Annual Report 2006/07 The Services We Provide Principal Activities [Medicine] –General Medicine –Geriatric Medicine –Cardiology –Endocrinology –Gastroenterology –Haematology –Clinical pharmacology –Neurology –Accident & Emergency

5. Annual Report 2006/07 The Services We Provide Principal Activities [Surgery] –General Surgery –Trauma & Orthopaedics –Anaesthetics –Urology –ENT –Ophthalmology –Oral Surgery –Plastic Surgery

6. Annual Report 2006/07 The Services We Provide Principal Activities –Obstetrics –Gynaecology –Paediatrics –Child & Family Psychiatry –Radiology –Pathology

7. Annual Report 2006/07 Our Performance Key Facts –53,490 attendances in A&E –32,730 new attendances in Outpatients –87,808 follow ups in Outpatients –15,095 elective inpatients/day cases –16,301 non elective in patients

8. Annual Report 2006/07 Our Performance Targets –99% patients in A&E seen within 4 hours –100% cancer patients seen in 14 days –85.7% heart attack patients received clot busting drugs within 30 mins of arrival at A&E –100% patients access chest pain clinic in 14 days –No inpatients waited longer than 6 months –No new outpatients waited longer than 13 weeks

9. Annual Report 2006/07 External Inspection Monitor Governance – GREEN Services – GREEN Finance - 5 HCC Quality of services – GOOD Use of Resources - EXCELLENT PCT Legally Binding Contract CHKS Top 40

10. Financial Performance April 2006 - March 2007 INCOME AND EXPENDITURE 2006/07 2005/06 £000 £000 Income from activities 84,20481,188 Other operating income 8,938 8,906 TOTAL INCOME93,14290,094 Operating expenses (89,643) (87,152) Operating surplus 3,499 2,942 Profit/(Loss) on disposals (4) (21) SURPLUS BEFORE INTEREST 3,495 2,921 Net Financing Costs 546 335 Public Dividend Capital Dividends (3,161) (3,187) RETAINED SURPLUS/(DEFICIT) FOR THE YEAR 880 69

11. Financial Performance April 2006 - March 2007 INCOME AND EXPENDITURE 2006/07 2005/06 £000 £000 Income from activities 84,20481,188 Other operating income 8,938 8,906 TOTAL INCOME93,14290,094 Operating expenses (89,643) (87,152) Operating surplus 3,499 2,942 Profit/(Loss) on disposals (4) (21) SURPLUS BEFORE INTEREST 3,495 2,921 Net Financing Costs 546 335 Public Dividend Capital Dividends (3,161) (3,187) RETAINED SURPLUS/(DEFICIT) FOR THE YEAR 880 69

12. Financial Performance April 2006 - March 2007 INCOME AND EXPENDITURE 2006/07 2005/06 £000 £000 Income from activities 84,20481,188 Other operating income 8,938 8,906 TOTAL INCOME93,14290,094 Operating expenses (89,643) (87,152) Operating surplus 3,499 2,942 Profit/(Loss) on disposals (4) (21) SURPLUS BEFORE INTEREST 3,495 2,921 Net Financing Costs 546 335 Public Dividend Capital Dividends (3,161) (3,187) RETAINED SURPLUS/(DEFICIT) FOR THE YEAR 880 69

13. Financial Performance April 2006 - March 2007 INCOME AND EXPENDITURE 2006/07 2005/06 £000 £000 Income from activities 84,20481,188 Other operating income 8,938 8,906 TOTAL INCOME93,14290,094 Operating expenses (89,643) (87,152) Operating surplus 3,499 2,942 Profit/(Loss) on disposals (4) (21) SURPLUS BEFORE INTEREST 3,495 2,921 Net Financing Costs 546 335 Public Dividend Capital Dividends (3,161) (3,187) RETAINED SURPLUS/(DEFICIT) FOR THE YEAR 880 69

14. Financial Performance April 2006 - March 2007 Operating Surplus £3,499,000 Retained Surplus £880,000 Closing Cash £11,548,000 Capital investments £1,982,000 Private patient activity £95,000 ie 0.1% of patient related income

15. Financial Performance April 2006 - March 2007 Financial issues in the year –Risk share agreement with South Tyneside PCT limited income –Achievement of a £2.1m cost improvement –Provisions for potential legal costs of equal pay and employment tribunal –Income due from partly completed spells in 2005/06 corrected in 2006/07

16. Financial Performance Monitor risk rating 2006/07 2005/06 –EBITDA margin8.5% 7.6% –RoA [Return on Assets]4.4%3.57% –I&E Margin1.2%0.08% –Days Cash Cover59.240.40 Overall Rating – 54

17. Annual Report 2006/07 The Future Finance & Other Pressures National Funding Payment by Results Working Times Directives etc Efficiency Site & Service Redesign Changes in Clinical Practice Sustainablity Elective & Non Elective Pathways Modernisation NHS South of Tyne Programme

18. Annual Report 2006/07 Neighbourhood Services Scrutiny Committee 23 October 2007