Derby Hospitals NHS Foundation Trust

Population 600,000
Beds 1,139
Income £397,277k
Comprehensive Surplus £11,909k
Operating Surplus £26,355k
EBITDA
PPI Cap 1.3%
PPI £1,938k
Public Members 10,732

In 2011/12 Monitor found the trust had breached the terms of its authorisation [1]:

The decision was based on the Trust’s financial performance and the challenges it is facing to improve its position during the next twelve months

In addition the trust received a qualified audit certificate from their external auditors [2]:

this relates to Monitor finding the trust in significant breach in January 2012 based on its financial performance and challenges it is facing to improve its position during the next 12 months. There are ongoing concerns about poor financial performance and future plans to address this, particularly around board scrutiny of financial plans and performance.

The trust website indicates the private services offered [3], although it has no private patient unit:

We believe that it is beneficial for our private patients to be treated in the area with the appropriate field of expertise. You will therefore be located in a clinic, day-case unit, single room or ward area specific to your required clinical treatment.

In the Annual Report the trust lists a joint venture with local GPs:

Over the past three years the Trust has formed formal relationships with GPs both within and close to Derby City, based on a model of care relating to diabetes in the community. These joint ventures have been in the form of joint venture companies where the Trust and third parties hold a 50% shareholding

The Accounts [4] list three joint venture companies. iQudos Limited (£16k expenditure, no income), First Diabetes Limited (no expenditure, £69k income) and InterCare Health Limited (no expenditure, £266k income).

In the Forward Plan [5] the trust sees AQP as an opportunity:

However, in areas such as audiology which is out for tender in Derbyshire we view this as an opportunity to develop the service. In surrounding counties muscular skeletal neck and back pathways and diagnostics may also represent an opportunity for business growth in 2012/13.

The trust is expecting to increase its private work:

Private patients unit – The Trust is exploring options for increased generation of Private Patient income as some clinical capacity becomes available for a dedicated PPU.

The trust also says that QIPP will mean fewer staff:

Transformation Programme requires reductions in nurse and medical staffing expenditure

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[1] http://www.monitor-nhsft.gov.uk/home/news-events-and-publications/latest-press-releases/monitor-finds-derby-hospitals-significant-br
[2] http://www.monitor-nhsft.gov.uk/home/browse-category/reports-nhs-foundation-trusts/nhs-foundation-trusts-review-and-consolidated-acc
[3] http://www.derbyhospitals.nhs.uk/patients/private-patients/services-consultants/
[4] http://www.monitor-nhsft.gov.uk/sites/all/modules/fckeditor/plugins/ktbrowser/_openTKFile.php?id=12381
[5] http://www.monitor-nhsft.gov.uk/sites/all/modules/fckeditor/plugins/ktbrowser/_openTKFile.php?id=10681

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