Contract for Ongoing Sale of Goods to Pharmacy

Document Sample
Contract for Ongoing Sale of Goods to Pharmacy Powered By Docstoc
					                                                       The Shrewsbury & Telford Hospital NHS Trust
                                                                   Income & Expenditure 2004/5
                                                     Current Plan and Performance to Date as at Month 9 2004/5

             Changes       Revised                                                                                                                                              Variance
Original     Previously    Plan @        Changes     Current       Forecast                                                                Budget to    Actual to   Variance    Previous
 Plan         reported     Month 8       in Month     Plan         Outturn        Variance                                                   Date        Date        to Date     Month
 £'000          £'000       £'000          £'000      £'000         £'000            £'000                                                   £'000       £'000        £'000      £'000
                                                                                                   Income
  148,508        (3,065)    145,443           283     145,727       145,877              150       Service Agreements                        109,309     109,426         117         111
    5,325            760      6,085            11       6,096         6,136               40       Specialised Services Income                 4,572       4,604          32          14
   17,733            867     18,600         1,046      19,646        19,826              180       Other Income                               15,014      15,166         152       (113)

  171,566        (1,437)    170,129         1,340     171,469       171,839              370       Total Operating Income                    128,895     129,196         301          12

                                                                                                   Expenditure
  113,888          7,755    121,643           155     121,798       122,098             (300)      Pay                                        91,618      92,054        (436)       (399)
   52,419       (12,783)     39,636         1,185      40,821        41,854           (1,033)      Non Pay                                    35,387      36,912      (1,525)     (1,201)
                   (807)      (807)             0       (807)             0             (807)      Outstanding Savings Required               (2,967)     (2,967)           0
    7,179            398      7,577             0       7,577         7,577                 0      Depreciation                                 3,443       3,443           0

  173,486        (5,437)    168,049         1,340     169,389       171,529           (2,140)      Total Operating Expenditure               127,481     129,442      (1,961)     (1,600)

   (1,920)        4,000       2,080             0        2,080          310           (1,770)      Total Operating Surplus /(Deficit)          1,414        (246)     (1,660)     (1,588)

      130             0         130              0         130           130                  0    Interest Receivable                            65         119          54          18
                  2,000       2,000            (0)       2,000         2,000                  0    StHa Brokerage                              1,500       1,500           0           0

   (1,790)        6,000       4,210            (0)       4,210         2,440          (1,770)      Surplus / (Deficit )for the period          2,979       1,373      (1,606)     (1,570)

    4,210             0       4,210            (0)       4,210         4,210                  0    PDC Dividends Payable                       2,979       2,979           0           0
                                                                                                   BBC Loan
                                                                                                   StHA 2003/4 Brokerage

   (6,000)        6,000          (0)            0              0     (1,770)          (1,770)      Retain Surplus / (Deficit) for Period           0      (1,606)     (1,606)     (1,570)

                      0              0          0              0       1,770          (1,770)      Balance Sheet and other adjustments

   (6,000)        6,000          (0)            0              0              0              (0)   Total Cumulative Position                       0      (1,606)     (1,606)     (1,570)
The Shrewsbury & Telford Hospital NHS Trust                                                   APPENDIX B
Financial Position to month 9 2004/5
Income

Variance
    to
previous                                      Annual      Budget To   Actual to    Variance    Variance
 month                                        Budget        Date       Date         to Date     to Date
  £'000                                        £'000        £'000      £'000         £'000         %

        0   Shropshire County                  (81,123)    (60,852)     (60,852)           0           0
        0   Telford & Wrekin                   (53,238)    (39,929)     (39,929)           0           0
       16   South Staffordshire                   (563)       (422)        (444)          22           5
        5   North Staffordshire                    (83)        (62)         (63)           1           2
     (13)   Cheshire & Wirral                     (128)        (96)         (82)        (14)        (15)
        5   Herefordshire                         (157)       (118)        (124)           6           5
        3   Birmingham                             (65)        (49)         (56)           7          14
        8   Wolverhampton                         (160)       (120)        (125)           5           4
       49   Worcestershire                        (117)        (88)        (134)          46          52
       46   Powys                               (9,455)     (7,095)      (7,131)          36           1
        0   Powys Provider                        (198)       (148)        (148)           0           0
      (8)   North Wales                           (372)       (279)        (287)           8           3
        0   Velindre                               (68)        (51)         (51)           0           0

     111 Sub Total - Service Agreements       (145,727)   (109,309)   (109,426)         117          71

      14 Wales Health Commission                  (516)       (387)        (419)         32           8
       0 Renal Consortium inc. EPO              (3,397)     (2,548)      (2,548)          0           0
       0 Neonatal Consortium                    (2,183)     (1,637)      (1,637)          0           0

      14 Sub Total - Specialised Services       (6,096)     (4,572)      (4,604)         32           8

       30   Road Traffic Accidents                (844)       (633)        (679)          46          7
        0   DOH                                                                            0
      (5)   Private Patients                    (2,631)     (1,999)      (2,028)          29          1
        4   Perscription Charges                   (62)        (47)         (50)           3          6
        1   Overseas Visitors                       (3)         (3)         (19)          16        533
     (48)   Education & Training                (6,538)     (4,745)      (4,825)          80          2
        0   DOH Discretionary Points              (102)                                    0
     (14)   Clinical Trials & Research            (339)       (242)        (234)         (8)         (3)
       33   Sale of Services                      (647)       (527)        (553)          26           5
     (72)   Staff & Patient Services            (1,940)     (1,555)      (1,550)         (5)         (0)
     (51)   Recharges with the NHS              (3,651)     (2,811)      (2,775)        (36)         (1)
        0   Donated Asset Depn                    (448)       (370)        (370)           0           0
        9   Other                               (2,441)     (2,082)      (2,083)           1           0

    (113) Sub Total - Other income             (19,646)    (15,014)     (15,166)        152           1

      12 Sub Total Operational Income         (171,469)   (128,895)   (129,196)         301           0

        0 StHA Brokerage                        (2,000)     (1,500)      (1,500)          0           0

      12 Total Income                         (173,469)   (130,395)   (130,696)         301           0
The Shrewsbury & Telford Hospital NHS Trust                                                APPENDIX C
Financial Position to April - December 2004/5

Pay
Variance
     to
 previous                                         Annual     Budget To   Actual to   Variance    Variance
  month                                           Budget       Date       Date        to Date     to Date
   £'000                                           £'000       £'000      £'000        £'000         %

    (188)    Womens                                 10,614       7,972       8,150       (178)      (2.23)
     (30)    Paediatric                              7,264       5,473       5,523        (50)      (0.91)
    (183)    Surgical                               38,550      29,194      29,399       (205)      (0.70)
     (53)    Medical                                30,914      23,303      23,333        (30)      (0.13)
     (33)    Radiology                               5,420       4,085       4,149        (64)      (1.57)
      (1)    Pathology                               6,396       4,920       4,921         (1)      (0.02)
        3    Pharmacy                                2,661       1,986       1,982           4        0.20

        26   Chief Operation Officer                   713         494         464          30        6.07
       (4)   Head of Nursing                         6,367       4,731       4,776        (45)      (0.95)
        67   Corporate Services inc. Chief Exc.      2,232       1,465       1,380          85        5.80
      (42)   Head of Estates & Facilities            7,091       5,323       5,351        (28)      (0.53)
        47   Medical Director                        1,485       1,093       1,043          50        4.57

       (8) Finance                                   2,091       1,579       1,583         (4)      (0.25)
           Corporate Finance

    (399) Total                                    121,798      91,618      92,054       (436)      (0.48)

Non Pay

       30    Womens                                  1,744       1,196       1,183          13        1.09
     (55)    Paediatric                                571         429         503        (74)     (17.25)
    (288)    Surgical                               10,727       8,098       8,374       (276)      (3.41)
    (764)    Medical                                12,722       9,671      10,627       (956)      (9.89)
    (116)    Radiology                               2,433       1,932       2,091       (159)      (8.23)
        0    Pathology                               2,582       2,245       2,246         (1)      (0.04)
       22    Pharmacy                                  239         180         153          27       15.00

       (5)   Chief Operation Officer                    38          29          38         (9)     (31.03)
        41   Head of Nursing                         1,642       1,073         999          74        6.90
      (14)   Corporate Services inc. Chief Exc.        920         507         530        (23)      (4.54)
      (44)   Head of Estates & Facilities            6,434       5,132       5,241       (109)      (2.12)
        13   Medical Director                        1,395         470         468           2        0.43

       (3) Finance                                  10,224      10,782      10,762         20        0.19
           Corporate Finance

   (1,183) Total                                    51,671      41,744      43,215     (1,471)      (3.52)

Total Pay & Non-Pay

    (158)    Womens                                 12,358       9,168       9,333       (165)      (1.80)
     (85)    Paediatric                              7,835       5,902       6,026       (124)      (2.10)
    (471)    Surgical                               49,277      37,292      37,773       (481)      (1.29)
    (817)    Medical                                43,636      32,974      33,960       (986)      (2.99)
    (149)    Radiology                               7,853       6,017       6,240       (223)      (3.71)
      (1)    Pathology                               8,978       7,165       7,167         (2)      (0.03)
       25    Pharmacy                                2,900       2,166       2,135          31        1.43

        21   Chief Operation Officer                   751         523         502          21        4.02
        37   Head of Nursing                         8,009       5,804       5,775          29        0.50
        53   Corporate Services inc. Chief Exc.      3,152       1,972       1,910          62        3.14
      (86)   Head of Estates & Facilities           13,525      10,455      10,592       (137)      (1.31)
        60   Medical Director                        2,880       1,563       1,511          52        3.33

      (11) Finance                                  12,315      12,361      12,345         16        0.13
         0 Corporate Finance

   (1,582) Total                                   173,469     133,362     135,269     (1,907)      (1.43)
The Shrewsbury & Telford Hospital NHS Trust                                                   APPENDIX D
Financial Position to month 9 2004/5
Divisional Analysis


Variance                                                                                                   Agreed
   to                                             Pay      Non Pay     Income        Total                 End of
previous                                       Variance    Variance    Variance    Variance                 Year
 month                                          to Date     to Date     to Date     to Date                Position
 £'000                                           £'000       £'000       £'000       £'000                  £'000

    (153)   Womens                                (178)          13          20       (145)                    (150)
     (85)   Paediatric                             (50)        (74)            0      (124)                        0
    (450)   Surgical                              (205)       (276)          72       (409)                    (500)
    (841)   Medical                                (30)       (956)          (9)      (995)                  (1,000)
    (119)   Radiology                              (64)       (159)          19       (204)                       20
      (4)   Pathology                               (1)         (1)          (2)        (4)                       20
       92   Pharmacy                                  4          27          63          94                      100

       20 Chief Operation Officer                     30         (9)        (60)        (39)                     40
     (23) Head of Nursing                           (45)          74        (16)          13                     80
       58 Corporate Services inc. Chief Exc.          85        (23)          73        135                      60


    (191) Head of Estates & Facilities              (28)      (109)         (66)      (203)                     157
        1 Medical Director                            50          2          (2)         50                      60

       0 Finance                                     (4)         20          60          76                       0
     125 Corporate Income                                                   149         149                     150

  (1,570) Total                                   (436)      (1,471)        301      (1,606)                   (963)
The Shrewsbury & Telford Hospital NHS Trust                                                                                                                                                                     APPENDIX E
Financial Savings 2004/5

                                                                          Savings Revised
                                                                         Plan as at Savings                                   Target
                                                                          Month 2    Plan                                   Savings to   Achieved
Division    Scheme                                                         £'000     £'000      Changes of Deliverer           Date       to Date                                                                  Progress
                                                                                              High   Medium      Low
Surgical
            Reduce overspend on Medical Staffing                              150      150      150                               150         150   Appointments made at risk in 2003/4 will be funded by new EWTD allocation
            Review Casemix                                                    150      150       50       50           50          50          50   Review to take place on the number of orthopaedic revisions required in the Contract
            Procurement                                                        50      206       206                              155         155   Procurement to review purchasing patterns etc, review of drapes etc already started
            Slippage in Development                                           300      300               300                                        As a result of the planning required to implement some developments this should occur in the early part of the year
            Waiting List Management                                           250      250      100      100           50         188         104   As a consequence of the flexibility created in the merger, a greater percentage of activity should be done in planned sessions
            RJAH SLA                                                          100      100      100                               100         100   In the even that the RJAH do not use there allocated sessions, these session may be used for waiting list activity
            Hold Management Vacancies                                                   44                             44                           ITU/T&O Modern Matron Posts to be removed from establishment
            Renal Access Efficiencies                                                   25       25                                19          19
            Review of staffing levels and skill mix                                                                                                 The staffing levels / skill mix in outpatients is in the process of being reviewed
Womens
            Review bed usage on Ward 19                                        40       40                             40          30               The Beds will now be managed Flexible
            Introduce NICE Guidelines                                          45       40                             40          30               The impact in 2004/5 will only be 66% of the full year effect, implementation date to be confirmed
            Reduce overspend on Medical Staffing                               40       40       40                                30          30   Appointments made at risk in 2003/4 will be funded by new EWTD allocation
            Reduce Maternity/Sickness leave                                    70       70                             70          53               Maternity leave not expected to be as high as in 2003/4 and sickness policy to be reviewed
            Review 12/20 week scanning                                                                                                              In view of the Legal / Clinical issues this will not be changed
            Ring Fence Gynae Beds                                                                                                                   To enable this to happen a Strategic Decision would need to be taken re ring fencing beds, No decision taken to date
            Actiivty Management                                                        230      230                               230         230   Managing additional activity within the same establishment
            Review GP Units                                                    65       65                10           55          49               The reduced savings relate to a review in Staffing levels at Night for approx 50% of the year in 2004/5
Radiology
            Fund growth in activity from 2004/5 capacity funding              125      125      125                               125         125   This covers growth in 2003/4 and estimated growth in 2004/5
            Maintenance on Gamma Camera                                        22       22       22                                22          22   Replacement Camera purchased therefore no maintenance required in 2004/5
            Slippage in Development (Room 4 )                                  10       10        5        5                        8           5   As a result of the planning required to implement some developments this should occur in the early part of the year
            Procurement                                                         6        6        6                                 5           5   Procurement to review purchasing pattern etc i.e. Syringe Contract, Contrast Media, Bone Scans
Childrens
          Reduce overspend on Medical Staffing                                 60       60       60                                45          45   Appointments made at risk in 2003/4 will be funded by new EWTD allocation
          Funding of Paediatric Oncology                                       30                                                 -                 No Savings in 2004/5
          Review bed numbers at RSH/PRH                                        80       80                             80          60               No of beds to be reviewed and some closed
Head of Nursing
          Increase trading activities in EBME                                  24       24       24                                18          18   Achieved due to increase trading
          Close Rehabit 2 at RSH                                                5        5        5                                 4           4   Already actioned potential to make additional saving depending on decision re PRH shop
          Increase charges for Hydrotherapy pool                                3        3        3                                 2           2   Price increase will deliver target
          Increase income from PPI, Gym rental                                 23       23       23                                17          17   Price increase will deliver target
Medical
          Introduce additional controls on NICE drugs                         337      337      337                               253         253   Partly funded in 2004/5 saff and also use of 2004/5 drug inflation
          Revise controls on travelling expenses, ward environment etc        111      111       49       62                       83          49   This areas is to monitored on a regular basis
          Reduce overspend on Medical Staffing                                 31       31       31                                23          23   Appointments made at risk in 2003/4 will be funded by new EWTD allocation
          Review of staffing levels and skill mix                             138      138      134        4                      104         100   The staffing levels / skill mix is in the process of being reviewed

            Sub Total for Divisions                                          2,265    2,685   1,725     531       429           1,850       1,505

Additional Saving Schemes

            Learning Programme                                                         500                         500
            Capital Charges                                                            100      100
            Capital / Revenue Flexibility                                              500               250       250
            Deficit Management                                                         700               700
            Increase Private Patient Income                                            200                         200
            Control Building / Engineering Maintenance                                 200                         200
            Slippage on Developments                                                   400               300       100

            Procurement                                                       300      300       77                223            225          32
            Service Reviews                                                   807      807                         807

            Not yet Identified                                           -     72       84                             84          49

            Total Savings                                                    3,300    6,476   1,902    1,781    2,793           2,124       1,537


                                                                                                                                              587
The Shrewsbury & Telford Hospital NHS Trust                                                              Appendix F
Procurement Savings 2004/5


                                                                                            Element        Element
                                                                                           of plan not     either in
                                                                                                in        Divisional
                                     Implementation                Plan        Change in   Divisional    Plans or not
Scheme                                    Date        2004/5       08/04         plan         plans         owned
                                                       £'000       £'000         £'000        £'000          £'000

Entral Feeds                         April 04              90          90              0                           90
Surgical Staples                     April 04              71          71              0            0              71
X Ray Procedure Packs                January 05             1                         -1            0               0
Tray Wrap                            August 04             32                        -32            0               0
Ripple Beds                          October 04             8                         -8            8              -8
Shaver Blades                        October 04             1                         -1            1              -1
Microbiology Reagents                January 05             2                         -2                            0
Endoscopy Equipment                  January 05             2                         -2            2              -2
Evacuated Blood Collection                                             24             24                           24
Opthalmic Consumables                                                   5              5                            5
Sharps Bins                                                             2              2                            2
Pacemakers                                                             13             13                           13
Urology Instruments                                                     1              1                            1
Wound Management                     February 05                        4              4                            4

Sub Total                                                 207         210              3           11             199

Staff Uniform                        April 04                  1           1           0            1               0
Personel Computers                   April 04                  6           6           0            6               0
Lease Car Insurance                  April 04                  1           1           0            1               0
Water                                April 04                  2           2           0            2               0
Funeral Services                     April 04                  2           2           0            2               0
Chilled & Frozen Food                July 04                   2                      -2                            0
Therapy Agency Services              April 05                              6           6                            6
Printed Stationery Services          August 04                 3                      -3            3              -3

Sub Total                                                  17          18              1           15               3

Internal Audit Services                                    13          13              0           13               0
Baby Photography                                            5           5              0            0               5
Office Furniture                                            9           9              0            9               0
Domestic Waste Services                                     3           3              0            3               0
Dairy Products                                              2           2              0            2               0
Paper Hand Towels                                           6           6              0            6               0
Recruitment Advertising                                    13          13              0                           13
Domestic Waste                                              2           2              0            2               0
Dell PC's                                                   3           3              0            3               0
Dry Goods                                                   3           3              0            3               0
Clinical Waste Services                                     6           6              0            6               0
Uniforms Contracts                                          1           1              0            1               0
Confectionery                                               2           2              0            2               0
Ingredents for café bar                                     1           1              0            1               0
Sanitary Bin Service                                        1                         -1            0               0
Funeral Service                                             2              2           0                            2
Others ( to be identified)                                  4              1          -3                            1

Sub Total                                                  76          72             -4           51              21

Total                                                     300         300              0           77             223
The Shrewsbury & Telford Hospital NHS Trust                                                                                   APPENDIX G
Potential Saving Schemes 2004/5


                                                                             Potential
                                                             Responsible     Savings
Scheme                                                         Officer        £'000                                               Update

Decentralise Pathology                                      Chris Crosby                 To evaluate this proposal involves a significant amount of work, any savings may only
                                                                                         be possible if there is significant capital expenditure.
Create One Switchboard                                      Chris Needham                Paper to be prepared inc. need for capital investment. No savings expected in 2004/5
Cancel all external grounds and gardens contracts           Chris Needham                Review under way, no savings expected in 2004/5
Close 3 Medical Wards                                       Eric Roe                     Discussions on going with the PCT regrading operational centre, no timescales established.
Review A&E Provision at night                               Eric Roe                     This schemes would put the the 98% target at significant risk therefore will not be taken forward
Review Provision of Elderly Day Care Service                Eric Roe                     Paper submitted to Executive Directors put no action taken, service also under review by the PCT
Combine Acute Referral Centre into A&E                      Eric Roe                     Scheme ongoing as part of Outpatients Review, no timesclaes a this stage
Review Lifestyle Service Level Agreement                    Julia Buckley                Discussions being held with Lifestyle, 2004/5 contract agreed. There may be some savings in 2005/6
Review the need for Nebosh training                         Julia Buckley                In view of the risk to Health & Safety Regulations this option is not to be taken forward
Review all overtime payments                                Keith Roberts                Details of payments circulated to all divisions, requesting for a review of authorisation practice
Review New to Follow up ratios to contracted levels         Lynda Speake                 Review undertaken and actions implemented, savings included in Divisions plans
Review Call Centre provision(2 into 1 or Countywide)        Lynda Speake                 No Significant review in place, therefore no savings expected in 2004/5
Sell and lease back assets to interested parties            Martin Herd
Review Paediatric Service                                   Mel Fallon                   Included in Strategic Review
Review Expenditure on Software Licenses                     Nigel Appleton               Review on going results expected in August
Review Radiology Waiting Lists / Times                      Pam Brown                    At the recent Executive Review it was agreed that this option would not be developed
Review Non Emergency Patient Transport Service              Paul Hodson                  Service being reviewed as part of the Strategic Review
Review provision of HDU facilities                          Peter Skitt                  Beds will not be closed but opportunistic savings
Review Orthopaedic Bed Base                                 Peter Skitt                  Included in Strategic discussions NOP, not impact in 2004/5
Review Provision of H&N Cancer Activity                     Peter Skitt                  No Significant review in place, therefore no savings expected in 2004/5
Review Provision of Medicines Management at RSH             Roger Skews                  No Review being undertaken, likely to require investment rather than savings
Review Provision of GP Maternity Service                    Sue Breslin           100    Service being reviewed as part of the Strategic Review
Review Travelling Expenses Policy to RSH to PRH journeys    William Wraith               Meeting planned within the next few weeks, ant savings unlikely to be deliver before Q3 2004/5
Review Advertising Effectiveness                            William Wraith               No Significant review in place, therefore no savings expected in 2004/5
Review Management and Medical Secretaries Staffing Levels   William Wraith               Review to take place during Q2 of 2004/5, any savings unlikely before Q3 2004/5

Review Security across both sites                           Julia Buckley                The financial effects of this scheme are included within the Estates financial plan


Total                                                                             100
                                                                                                                  APPENDIX H

THE SHREWSBURY & TELFORD HOSPITAL NHS TRUST ANALYSIS OF CAPITAL EXPENDITURE AT 31.12.04

                     Project                          Board       Expenditure    Expenditure      Expenditure      Variance
                                                     Approved       to date      committed -       committed
                                                      Budget                       ordered      - to be ordered
                       PRH

1. Completion of 2003/04 schemes
Endoscopy Equipment                                                      6,105
Turnkey for X-Ray Ultrasound Equipment                                  24,985
Replacement Theatres equipment                                          76,332
H & S Equipment for Bariatric patients                                   1,485
Staff Gym (IWL)                                                         11,271
ITU Side Rooms (Infection control)                                       5,718
Refurbishment of Bed Passenger Lifts                                  41,822            2,500
Gamma Camera (Access allocation)                                       17,750
Total PRH Commitments b/fwd                              50,000       185,468           2,500                       (137,968)



2. New commitments
MRI Scanner PRH                                         839,000                       839,000                               0
MRI Scanner enabling PRH                                100,000                       275,774                       (175,774)
League of Friends refurbishment                          40,000         34,523                                          5,477
Decontamination Business case fees                       20,000                        15,000                           5,000
Day Surgery Trolleys                                                    18,525                                       (18,525)
Portacabin 1 - Medical Records                                          10,693          2,307                        (13,000)
Portacabin 2 - Medical Records                                           8,001          2,999                        (11,000)
Eye Suite Project                                                                      77,311            50,689     (128,000)
Cruciform fees                                                           7,750          2,234                         (9,984)
Medical Devices Library                                                                 7,000                         (7,000)
Total of PRH new commitments                            999,000         79,492      1,221,625            50,689     (352,806)



                       RSH

1. Completion of 2003/04 schemes
Refurbishment of Pathology (mini phase)                                27,805
Rainbow Ward asbestos removal                                          13,136
LIS - IT Developments                                                 123,387
Paediatric Oncology Unit F & E (Rainbow Ward)                          18,362
Pharmacy Clean Room                                                     6,460         14,956
Skills Lab (Dr Maxton-SIFT)                                             9,268
A & E additional capacity                                              155,769        19,942
Audiology Equipment                                                    20,892
Rainbow Ward Alterations                                               24,958
Troponin analyser                                                       8,695
Theatres North Swiss LithoClast Master System                          18,794
Radiology Transvaginal Ultrasound                                       6,717
Repairs to Boiler House Generator                                      12,916
Dental Compressors                                                      4,517
Residences Block - Outstation Upgrade                                   5,701
Gamma Camera                                                           17,750
Private Patient Development Business Case                              28,981         19,019
Total RSH Commitments b/fwd                             50,000        504,108         53,917                 0      (508,025)




2. New Committments
CT Scanner                                             521,000                                                      521,000
CT Scanner enabling                                    150,000                                                      150,000
Linear Accelerator enabling                            200,000                                                      200,000
MRI Scanner caging RSH                                 100,000                        97,290                          2,710
IT Investment                                          367,000        204,602         57,742           104,656            0
X-Ray Rooms 4 & 10 Refit (Access capital)              330,000                       343,729                        (13,729)
Capitalised Salaries                                   350,000        198,121         70,000                         81,879
Mammography cancer equipment                            76,000         38,957         41,187                         (4,144)
Breast Screening portacabin rentals                                    26,848          5,370                        (32,218)
Maternity Wiring Survey fees                                           11,750         34,909                        (46,659)
PHLS Block allocation                                   21,000                                          21,000            0
Retinal Screening                                       70,000         31,057         55,425                        (16,482)
Oscilating sagital saw                                                 10,915                                       (10,915)
SECTA fees - Renal Business Case                                        5,041         17,909                        (22,950)
SECTA fees - Pharmacy Business Case                                     2,182         19,868                        (22,050)
Renal increased capacity equipment                                     15,886          5,239                        (21,125)
Digital Hearing Aids                                   625,000        246,970        253,030                        125,000
Hamar Centre fees (contribution to Lingen Davies)                                                        5,000       (5,000)
Clinical Decisions Unit (A&E) - Showering Facility                                    12,000                        (12,000)
Medical Devices Lab 0405 allocation                     17,000                                          17,000            0
Total RSH New Commitments                            2,827,000        792,329       1,013,698          147,656      873,317

3. South to North Business Case
Costains contract (agreed items)                     2,640,000       3,281,365        518,750                  (1,160,115)
Costain Contingencies (most likely risk)                              -516,898        740,847                    (223,949)
Costain additional risk items                                                       1,237,042                  (1,237,042)
Clerk of works                                                          78,123         21,185                     (99,308)
Container Hire                                                           4,399                                     (4,399)
Car Park/Road re-instatement                            40,000                                                     40,000
Roundabout                                             350,000                                               0    350,000
Fees                                                   150,000         186,274         73,726                    (110,000)
Enabling works                                                          33,976          2,538                     (36,514)
Removal Expenses                                                        12,526                                    (12,526)
IT Links                                                                                5,750                      (5,750)
Incidental works                                                         2,000                                     (2,000)
Equipment                                              500,000         186,772         23,327          260,502     29,399
Total South to North Business Case                   3,680,000      3,268,537       2,623,165          260,502 (2,472,204)



4. EBME-X-Ray Contingency
Haag Streit Slit Lamp                                                  11,964
Yag Lasers Photodisruptors & assoc equip                               44,274
Kanmed Gel Warming Cabinet                                              5,899
Exercise ECG System                                                    18,305
Barcode Monitor                                                         6,184
Operating Microscope                                                   60,718
Defibrillator                                                           6,893
Urodynamics system (PRH)                                               22,636
Image Intensifier                                                      68,598           4,397
Diathermy Units                                                        36,177
Camera & Light Souce Equipment                                          9,736
CSSD Sonic Irrigator                                                   17,801
Catering steamer and Fryer                                                             11,240
Philips Haemosphere compact                                                            45,490
Gastro Video connector                                                 10,747
Capnometers x 8 (risk reg ref 129)                                                                      94,000
Laprascopic camera systems x 2 (rr ref 90)                                                              69,090
Polysonography machine                                                                                   8,000
Total EBME/X-Ray Contingency                           500,000        319,932          61,127          171,090       -52,149



5. Estates Compliance
Wireless Alarm system                                                   4,680
Dialysis Machine Water purification (RR ref 102)                                                         10,000
Operating Theatres ventilation testing (RR ref 2)                                                        10,000
PRH water supply                                                                       25,000
DDA                                                    100,000                                         100,000               0

Total Estates Compliance                               100,000          4,680          25,000          120,000       -49,680




6. National Programme for IT allocation
Aggregate of expenditure                               392,000        376,056          15,944                                0

                                                       392,000        376,056          15,944                 0              0

7. Decontamination
Decontamination Emergency Funding                       50,000                         51,969                         (1,969)

                                                        50,000               0         51,969                 0       (1,969)

8. Revenue to Capital Flexibility
Brokerage in lieu of Decontamination                 1,320,000        412,697          22,890          597,000      287,413
                                                     1,320,000        412,697          22,890          597,000      287,413

Unspecified CRL                                      1,585,000                                                    1,585,000

Totals                                              11,553,000      5,943,299       5,091,835         1,346,937    (829,071)

Current notifed CRL                                  7,892,000
allocations awaited:-                                3,661,000 (Includes £3.3m brokerage in lieu of De-contamination
Projected CRL                                       11,553,000                                   and South early vacation)

Available Uncommitted resources                       (829,071)

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:27
posted:1/12/2011
language:English
pages:9
Description: Contract for Ongoing Sale of Goods to Pharmacy document sample