Simon WorthingtonDirector of Finance

Leeds Teaching Hospitals NHS

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Managing Cost Improvement

Programmes to Deliver

Significant Benefits Over The

Medium Term

Simon Worthington

Director of Finance

Leeds Teaching Hospitals NHS Trust

The Leeds Way

• Engaging the organisation

• The compelling reason • The most efficient teaching hospital in

England

• Build the Leeds Way

• Clinical leadership

• Waste reduction

• Quality impact assessment

• Behavioural aspects of budgeting ☺

• Doable challenge

• Example from LTHT

• Everybody on RED

• Survey of leaders

• Abolish the central reserves

• Back of the sofa money

• Collective and individual achievement

• The finance performance frame work • Simple framework

• Forecasts, sign on the dotted line

• >1% = RED

• Between 1% and zero = AMBER

• Achievement = GREEN

• Structured, supportive responses

• Consistent

• Proud to be GREEN

• Finance the Leeds Way • Service and financial sustainability

• Financial Governance Improvements

• Finance Skills Development

• Five year planning

• Trust level

• CSU level

• Adult to Adult

• The clinicians

• How the finance team works

• The PMO

• The Leeds Improvement Method

• Inside the organisation

• Aligned Incentive Contract

• The Leeds Plan

• WYAAT

• West Yorkshire and Harrogate ICS

Outstanding staff engagement

Positive clinical leadership

Right support and accountability

= outstanding use of resources

= financial sustainability