The Christie Foundation Trust Annual Report and Accounts 2021-22

The Christie NHS Foundation Trust Annual Report & Accounts 2021-22

Our Financial Performance 2021/22

Our ability to take care of our patients reflects the financial health of the organisation. Every penny that we spend is used to support the people we care for, so it is really important that we manage our finances well. The COVID-19 pandemic has had a significant impact on both our operational and financial performance. As such, our financial result for the 2021/22 financial year should not be directly compared with previous years but represent the Trust’s strong grip on managing its finances during this unprecedented time. Financial highlights Our regulator, NHS Improvement, sets out a comprehensive framework to assess and monitor the financial performance of NHS trusts. Financial performance is evaluated across several financial metrics to arrive at an overall ‘use of resource’ score, where 1 represents the lowest financial risk and 4 the highest level of risk. In 2019/20, The Christie achieved the best financial rating available from NHS Improvement; a 'use of resource' score of 1. This assessment was suspended during 2020/21 due to reasons relating to the COVID-19 pandemic described above; therefore, no comparative score is available. A new assessment system, The NHS System Oversight Framework was introduced in 2021/22 to reflect the move from individual health and care bodies to working together as Integrated Care Systems (ICS). It uses five national themes that reflect the ambitions of the NHS Long Term Plan and apply across Trusts, commissioners and ICS to assess quality of care, access and outcomes; preventing ill health and reducing inequalities; people; finance and use of resources; and leadership and capability.

For 2021/22, NHS Improvement’s regional teams allocated ICSs, Trusts and CCGs to one of four ‘segments’. The segment indicates the scale and general nature of support needs from no specific support needs (segment 1) to a requirement for mandated intensive support (segment 4). For 2021/22, we have been allocated segment 1 and the Greater Manchester ICS which we are part of, into segment 2. Performance The below table illustrates the Trust and Group’s financial performance during the 2021/22 financial year. In line with our accounting policy, we are required to consolidate our accounts with those of The Christie Charity. This means that we present Group accounts which combine the Charity and the Foundation Trust alongside the Foundation Trust’s individual accounts. It should be noted that the financial results are those of the Trust operating under an altered income regime with exceptional costs to deliver services during the COVID-19 pandemic. Our performance for the financial year ended 31 st March 2022 is shown overleaf.

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