For Information Finance Report August 2023 (Month

For Information Finance Report August 2023 (Month
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For Information Finance Report August 2023 (Month 5), FY24 Report to Board of Directors Executive Summary Income Statement Forecast Movement from Previous Month Forecast Risks Opportunities Capital Investment Programme Directorate

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01
For Information

Finance Report
August 2023 (Month 5), FY24
Report to Board of Directors Executive Summary
Income Statement
Forecast Movement from Previous Month
Forecast Risks & Opportunities
Capital Investment Programme
Directorate Financial Performance Summary
Pay Trends
Agency Analysis
Non-Pay Expenditure analysis
Out of Area Placements
Cost Improvement Plan
Productivity Improvement Plan
Statement of Position
Cash-flow
Working Capital Indicators Contents A risk assessment has been undertaken around the legal issues that this paper presents and there are no issues that need to be referred to the Trust Solicitors. 1<br>
02
2 Executive Summary Highlights:
The Month 5 Income and Expenditure YTD position is a surplus of £1.6m, £0.3m favourable to plan.
The forecast is a surplus of £3.2m,  £0.1m favourable to plan.
Since the reporting of the month 5 financial position, revised figures for agency spend have been confirmed as £2.1m lower than in the month 5 YTD figures. For month 6 this will feed through into the YTD position and the forecast will be revised. This is likely to improve the Trust’s forecast position and this is reflected as one of the high likelihood opportunities to the forecast in this report. (see slide 12)
There are £14.5m of risks and £17.8m of opportunities to the forecast. This gives a forecast range of between £17.9m better than plan and £14.5m worse than plan. Taking into account only those risks and opportunities assessed as high likelihood there is a forecast range of between £7.7m better than plan and £1.4m worse than plan.
The Directorates forecasting adverse variances to budget are: Forensic Mental Health £1.6m, Learning Disabilities £1.8m, Provider Collaboratives £0.5m, Primary, Community and Dental Care £1.0m, Buckinghamshire Mental Health £0.6m and Block Income £2.3m. These are offset by £4.6m favourable variance in Reserves a £0.9m favourable variance in Corporate and a £1.5m favourable variance across other Directorates.
Using the revised figures at month 5 £15.2m has been spent on agency staff, which is 10.2% of total staff costs. The forecast agency spend is £34.6m, £2.4m above target. This includes the effect of spend reduction targets in the ID Medical contract.
£4.8m of the £7.2m CIP target has been delivered so far. Further work is needed to identify schemes for the remaining £2.4m.
The Trust has a £11.0m PIP target to be met through a reduction in temporary staffing spend. £3.7m of savings have been made so far.
Capital expenditure is reporting a £3.0m underspend YTD. The forecast is for a £0.9m overspend against the funding available.
Cash remains strong with a cash balance of £84.5m. Income & Expenditure position
YTD - £0.3m better than plan
Forecast – £0.1m better than plan Capital Expenditure
YTD - £3.0m better than plan
Forecast - £0.9m worse than funding available Cash
Actual £84.5m, £9.5m better than plan Risks £14.5m
Opportunities £17.8m
Net £3.3m upside<br>
03
Year-to-Date Performance

The month 5 YTD position is a surplus of £1.6m, £0.3m favourable to plan.

The favourable variance on income (£5.9m) is made up of £1.3m on Provider Collaboratives offsetting additional expenditure, £1.0m higher sales in Oxford Pharmacy Store, £0.9m additional income in Research & Development, £0.7m Childrens Continuing Healthcare additional income for risk share (offset with expenditure), £0.7m for various projects in the Nursing & Clinical Standards directorate, £0.6m in Learning and Development, £0.4m for education and training income in clinical directorates where budget needs to be set and £0.3m income for Covid vaccinations.

The adverse variance on expenditure (£5.9m) is made up of £1.4m in Provider Collaboratives (offset with income), £1.3m overspends in Estates & Facilities, £1.1m overspend on Mental Health out of area placements, £0.9m higher cost of sales in Oxford Pharmacy Store, £0.7m in Children's Continuing Healthcare for which risk share income is received, £0.7m in Research and Development funded by additional income, a £0.7m overspend on Learning Disabilities out of area placements, £0.4m in Learning & Development (offset with income), and £0.2m for Covid vaccinations (offset with income). These are offset with a £0.9m favourable variance on pay due to vacancies and a £0.6m net favourable variance in other areas including contingency reserves. 1. Income Statement 3<br>