2012/13 NHS ESTATE IN WALES Facilities Performance Report NHS ESTATE IN WALES

Facilities Performance Report 2012/13

CONTENTS

1 INTRODUCTION 5

2 EXECUTIVE SUMMARY 6-8 2.1 Context of the report 2.2 Facilities performance

3 THE 2012/13 FACILITIES PERFORMANCE REPORT 9-10 3.1 Health Board / Trust-wide services 3.2 Hospital-specific information 3.3 General observations on data returns

4 ANALYSIS OF HEALTH BOARD / TRUST-WIDE SERVICES DATA 11-24 4.1 Expenditure on NHS facilities services 4.2 Telecommunications 4.3 Car parking 4.4 Cleaning services 4.5 Catering services 4.6 Laundry and linen services 4.7 Security services 4.8 Portering services 4.9 Postal services

5 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA 25-32 5.1 Overall analysis 5.2 Car parking 5.3 Cleaning services 5.4 Catering services 5.5 Laundry and linen services 5.6 Security services 5.7 Portering services

6 APPENDICES 33-108 Appendices I – VIII Observations on FM-related operating costs for each Health Board / Trust

1 INTRODUCTION

1.1 The 2012/13 Facilities Performance Report is based on annual estate data returns for the 2012/13 financial year, submitted to the on-line Estates and Facilities Performance Management System (EFPMS) by seven Health Boards and Velindre NHS Trust with respect to their healthcare premises. Due to the uniqueness of the Welsh Ambulance Services NHS Trust estate, the system, by and large, does not include FM data relating to this Trust. The system was introduced by the Welsh Government in April 2002 and is managed by NHS Wales Shared Services Partnership - Facilities Services (NWSSP-FS).

1.2 Over a number of years the EFPMS has been evolving to enable the production of FM reports that are more useful to Health Boards / Trusts for the purpose of comparison and improvement in performance. This process of refinement has also embraced the need to provide the Welsh Government with high level data on Health Board / Trust FM performance, to inform the strategic planning process and to assist in the prioritisation and allocation of resources. The restructuring of the NHS in Wales in 2009, along with the previous merger of some Trusts in April 2008, has now allowed Health Boards / Trusts to use FM data for more coherent comparison with previous years.

1.3 This report is complemented by the Estate Condition and Performance Report 2012/13. This focuses on the six estate national performance indicators, addressing Physical condition, Statutory and safety compliance, Fire safety compliance, Functional suitability, Space utilisation and Energy performance. The report also includes a section on Environmental issues, dealing with Waste, Transport and Water usage. It should be noted that, in the main, this report is based on an analysis of the costs of carrying out the FM functions and, therefore, the performance indicators (PIs) do not take into account the quality aspects of these services and, in particular, the way they impact on the patient experience.

1.4 Following, the revision of the EFPMS catering data definitions last year, in support of the new costed model for catering services, experience has been gained in their implementation and an opportunity will be taken before the next reporting period to make refinements, particularly in the area of staff cost accounting. The exclusion of ward based catering staff from ‘total staff costs’ is clearly highlighting some anomalies and the data definition will require further discussions with Health Boards / Trusts to determine a way forward that captures all staff costs.

The Welsh Government and NWSSP-FS are progressing proposals for a Catering Computerised Information System for Wales, in order to provide more accurate information in relation to standard costed recipes, menu planning, and the separation of costs between patient and non- patient catering and any contribution made to non-patient catering. A business case is currently being written following several informal meetings with catering companies and upon completion will be submitted to the Welsh Government for consideration as to whether to proceed to a formal procurement exercise.

1.5 An area of work that the Welsh Government has indicated requires some further action before next year’s EFPMS report concerns catering waste. Currently, the data collected is confined to the cost/percentage of ‘untouched meals’ and there is now concern relating to the levels and methods of disposal of other forms of catering waste.

Facilities Performance Report 2012/13 5 2 EXECUTIVE SUMMARY 2.1 Context of the report

This report has been compiled by NHS Wales Shared Services Partnership – Facilities Services (NWSSP-FS) and is based on the Facilities Management data returns submitted to the Estates and Facilities Performance Management System (EFPMS) by Health Boards / Trusts in Wales for 2012/13.

Detailed analysis has been completed at both Health Board / Trust-wide and hospital-specific levels with specific comments on variances and anomalies. A further breakdown of individual Health Board / Trust performance is contained in Appendices I – VIII.

As with previous annual reports, there are concerns regarding the accuracy, consistency and reliability of some data. Effective analysis is largely dependant on the quality of the data and NWSSP-FS is of the view that there has been an improvement again this year by some Health Boards / Trusts. NWSSP-FS have endeavoured to validate the 2012/13 data wherever anomalies have been evident. However, responsibility for the accuracy of the data submitted to the EFPMS rests ultimately with the Health Boards / Trusts that inputted the data.

2.2 Facilities performance

2.2.1 Overall Expenditure

An analysis of expenditure reported for 2012/3 shows that facilities management (hotel services) costs totalled just over £164 million across Wales. This is a decrease of over £4.2 million on the costs reported for 2011/12 and represents approximately 2.8% of the Health Boards’ / Trusts’ income.

2.2.2 Hotel services

• Telecommunications

The overall expenditure on telecommunications services in 2012/13, excluding Welsh Ambulance Services NHS Trust costs, decreased by 2.1% from just over £11.7 million in 2011/12 to just under £11.5 million in 2012/13. From the FM service cost perspective, there remains no clear indication of performance available for telecommunication services.

• Car parking

The total number of car parking spaces across all Health Boards / Trusts in 2012/13 was 36,158, an increase of 280 spaces on the figure reported for 2011/12. Of these, the total number of spaces allocated to disabled users was 2,108, an increase from 2011/12 of 103 spaces and a further increase on the figures reported since 2008/09, resulting in an improvement in the allocation in the majority of Health Boards / Trusts.

The number of car parking spaces provided/100m2 of occupied floor area ranged between approximately 1.5 and 2.4 spaces for individual Health Boards / Trusts, with the overall average number being just over 2.

6 Facilities Performance Report 2012/13 EXECUTIVE SUMMARY

• Cleaning

Cleaning audit scores submitted for 98 hospitals and aggregate sites for 2012/13 ranged from as low as 75% up to 99%. Overall, the Health Boards’ / Trusts’ average score was just over 91%, slightly higher than for 2011/12. It is noted, however, that a significant number of individual sites still reported comparatively low scores that warrant urgent attention. Scores for the major acute hospitals ranged between 85% and 98%, with an average score of 91%, the same as the previous reporting period.

The total cost for cleaning services reported for 2012/13 was just under £55 million, a decrease of 1.4% compared with 2011/12. The cost equates to 0.94% of the Health Boards’ / Trusts’ income and about one third of the overall facilities budget. The service was provided by approximately 2,265 whole time equivalent (WTE) staff, a decrease of about 53 WTE (-2.3%) compared with 2011/12, spending just over 4.1 million hours on cleaning activities.

The cleaning cost/m2 of occupied floor area, used for comparison purposes, indicates that the all- Wales average for 2012/13 was £30.87, which is a reduction of 37p (-1.18%) on 2011/12. At Health Board / Trust level, the average costs ranged between £24.05 and £48.67.

• Catering

Following the decision to implement a new catering costed model, as described in Section 1.4, the EFPMS data definitions were changed for 2011/12. To allow comparisons to be made with the previous reporting period the Welsh Government collated retrospective data provided by Health Boards and Trusts for 2010/11 against the revised definitions. However, it should be noted that for comparisons with cost data submitted against the previous EFPMS catering data definitions, account may need to be taken of a reduction due to the omission of ward staff costs.

A total of just under £51 million was spent on catering operations (including non-patient activity) in 2012/13, a reduction of almost £4.1 million on the figure reported for 2011/12. The expenditure represents 31% of the total spent on FM services by Health Boards / Trusts and approximately 0.9% of their income for 2012/13.

Catering staff numbers have decreased by 9 WTE from 1,766 in 2011/12 to 1,757 in 2012/13.

The all-Wales average ‘patient meal’ cost for 2012/13 was £3.26, which is a 6p (-2.4%) decrease on the figure reported for 2011/12. It should be noted that the data submitted includes some implausibly wide variations in patient meal costs, particularly between specific hospitals but also with the headline costs for each Health Board. However, it is anticipated that the accuracy of the data will improve with time as difficulties with using the new data definitions are overcome.

The percentage of food waste relating to untouched meals in 2012/13 was 6.4%, a decrease on the 7.7% in 2011/12. This has meant that that the cost of waste meals for 2012/13 was almost £800k, a 15% improvement compared with £1.05 million for 2011/12.

Facilities Performance Report 2012/13 7 EXECUTIVE SUMMARY

A breakdown of patient meals according to the type of service employed by the Health Boards / Trusts indicates 40% used conventional meals, which has been overtaken by cook freeze (49%) as the most widespread method employed. The remaining 11% were produced by either cook chill or hybrid services. Of the total meals produced, the split for plated and bulk methods of delivery is estimated to be 20% and 80% respectively.

• Laundry and linen

In 2012/13, a total of just fewer than 31 million items were laundered at a cost of almost £11.9 million, resulting in an average cost per item of 38.3p, fractionally less than reported for 2011/12. The cost of linen and laundry per occupied bed day ranged between £2.37 and £4.84, with an average of £3.27, compared with £3.32 in 2011/12.

The cost per annum of laundry services per occupied hospital bed for the major acute hospitals for 2012/13 ranged from £932 to £1,789, with the average cost per occupied bed being £1,340.

• Security

In 2012/13 the NHS in Wales spent nearly £3.9 million on security services, the same as for 2011/12. As in previous years, the data submitted shows a wide variation in the proportion of FM expenditure on security services by Health Boards / Trusts with figures ranging this year from just 0.2% to just over 5.7%.

The 2012/13 data reported for security-related incidents suggests that Health Boards / Trusts continue to experience difficulties in providing accurate figures in accordance with the EFPMS data definitions and detailed analysis has not been possible.

• Portering

The total number of porters employed in 2012/13 was 1,029 WTE, 20 fewer than in 2011/12. Total expenditure on portering services in 2012/13 was just over £225.6 million. Utilising WTE data for 2012/13, Health Board / Trust portering service costs (i.e. including pay and non-pay) per WTE ranged from £22,000 to £29,000.

Analysis of the portering service data for major acute hospitals shows that the number of porters per 100 beds on a hospital site basis also varied considerably. For 2012/13 the number ranged between approximately 5.5 and 17 WTE, averaging 10.9 WTE, a decrease of 0.7 on 2011/12.

• Postal services

Expenditure on postal services for 2012/13 was just over £5.7 million, an increase of approximately 4.3% on 2011/12, equating to approximately 3.5% of the total facilities budget.

8 Facilities Performance Report 2012/13 3 THE 2012/13 FACILITIES PERFORMANCE REPORT The following analysis of returns uses the same format as previous years with an overview of FM Health Board / Trust-wide services followed by an in-depth analysis of major acute hospitals and individual Health Board / Trust analyses included in Appendices I – VIII.

Figure 1 lists the major acute hospitals included for detailed analysis in this report along with the Health Board to which they belong.

HEALTH BOARD HOSPITAL

Morriston

Abertawe Bro Morgannwg University Princess of Wales

Singleton

Nevill Hall Aneurin Bevan Royal Gwent

Ysbyty Glan Clwyd

Betsi Cadwaladr University Ysbyty Gwynedd

Ysbyty Maelor

University Hospital Llandough Cardiff and Vale University University Hospital of Wales

Prince Charles Cwm Taf Royal Glamorgan

Bronglais General

Prince Philip Hywel Dda Glangwili General

Withybush General

Figure 1: Acute hospitals included in the report

3.1 Health Board / Trust-wide services

An analysis of the data submitted for the following Health Board / Trust-wide facilities functions is included in Section 4.

❖ Telecommunications ❖ Car parking ❖ Cleaning services ❖ Catering services ❖ Laundry and linen services

Facilities Performance Report 2012/13 9 THE 2012/13 FACILITIES PERFORMANCE REPORT

❖ Security services ❖ Portering services ❖ Postal services

3.2 Hospital-specific information

An analysis of the data submitted for the following hospital-specific facilities functions is included for major acute hospitals in Section 5.

❖ Car parking ❖ Cleaning services ❖ Catering services ❖ Laundry and linen services ❖ Security services ❖ Portering services

3.3 General observations on data returns

3.3.1 In general, improvements reported last year with regards to Health Boards’ / Trusts’ validation of FM data submitted to the EFPMS have continued this year, particularly in respect of some organisations, leaving scope for improvement with others.

3.3.2 Whilst NWSSP-FS has not carried out a comprehensive validation of all the data, every effort has been made to identify and address significant anomalies by communicating queries to appropriate managers within Health Boards / Trusts.

3.3.3 With specific regard to the accuracy of some FM data, it is noted that some Health Boards / Trusts were unable to submit data in accordance with the EFPMS definitions. This is of particular concern with regard to individual hospitals, where finance systems are currently not able to account for particular sites/services, resulting in the inability to identify site-specific financial needs, often for a range of services. As anticipated, the introduction of changes to catering data fields and definitions for the 2011/12 reporting period has provided opportunities for enhancing the accuracy of catering data and for more meaningful benchmarking. It has also led to some unexpected anomalies in respect of ward labour costs that will need to be addressed for future data returns.

3.3.4 Where possible, NWSSP-FS will continue to assist Health Boards / Trusts in addressing these issues through an on going process of refinement of the EFPMS and through additional guidance and support where required. However, it is also suggested that EFPMS representatives in Health Boards / Trusts will need to make a more concerted effort with FM service providers and mobilise all contributors of the required data in order to report accurately and on time. Furthermore, the responsibility for the accuracy of the data submitted to the EFPMS, in particular its provision in accordance with the stated data definitions, ultimately rests with Health Boards / Trusts.

10 Facilities Performance Report 2012/13 4 ANALYSIS OF HEALTH BOARD / TRUST-WIDE SERVICES DATA 4.1 Expenditure on NHS facilities services

4.1.1 The EFPMS holds information on a range of facilities services (hotel services) costs, which are listed on an all-Wales basis in Figure 2. As with the previous reporting period, the overall gross cost figure fell significantly from almost £168.6 million to just under £164.4 million in 2012/13, mostly due to a further large reduction of over £3 million in catering costs. It should be borne in mind that Cardiff and Vale University Health Board accounted for the overall fall by returning a reduction in their gross catering services cost of £3.5 million.

It follows that when making comparisons with data submitted in previous years throughout this section of the report, account should be taken of the 2011/12 review of EFPMS catering cost data definitions and the further adjustments being made by Health Boards to reported labour costs, due to the exclusion of ward staff costs. It is noteworthy that, by comparison with 2010/11 data, catering services costs have reduced by almost 16%, and account for 88% of the reduction in overall FM costs reported for that 2-year period.

. Facility (Hotel Services) Function 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 Telecommunications 12,293,134 12,697,640 13,366,467 12,024,859 11,717,939 11,474,433 Catering services 57,000,819 59,063,950 60,489,332 60,220,937 54,000,865 50,847,142 Cleaning services 49,227,402 52,297,943 53,935,115 55,073,271 55,727,432 54,938,562 Laundry and linen services 12,253,510 12,512,162 11,968,084 12,455,714 11,982,245 11,860,065 Portering services 23,765,755 25,070,982 25,035,715 26,163,188 25,760,315 25,629,156 Security services 3,423,636 3,621,463 3,690,798 3,798,896 3,893,562 3,874,520 Postal services 4,032,745 4,590,135 4,915,310 5,329,666 5,503,822 5,742,748 Total 161,997,001 169,854,275 173,400,821 175,066,531 168,586,180 164,366,626

Figure 2: All-Wales costs by facility services

4.1.2 Figure 3 provides a breakdown of the all-Wales total FM costs by Health Board / Trust and the FM cost for each in terms of £/m2.

Health Board / Trust Organisation Type Calculated FM FM cost FM cost as a cost totals from proportion of submitted data Board/Trust income (£) (£/m2) (%)

Abertawe Bro Morgannwg University Health Board Large Multi Service 32,435,667 99.20 3.43 Aneurin Bevan Health Board Large Multi Service 26,446,339 93.88 2.67 Betsi Cadwaladr University Health Board Large Multi Service 31,867,663 80.80 2.53 Cardiff and Vale University Health Board Acute Teaching 25,741,490 72.32 3.12 Cwm Taf Health Board Large Multi Service 22,655,700 125.51 3.79 Hywel Dda Health Board Large Multi Service 19,142,118 105.35 2.74 Powys Teaching Health Board Community with MH 4,883,142 113.68 2.01 Velindre NHS Trust Acute Specialist 1,194,507 75.97 0.41 Estimated all-Wales figures 164,366,626 92.35 2.81

Figure 3: Facilities service costs

Facilities Performance Report 2012/13 11 ANALYSIS OF TRUST-WIDE SERVICES DATA

4.1.3 Figure 3 also gives the 2012/13 FM services costs expressed as percentage of each Health Board / Trust income from activities. As a proportion of total all-Wales Health Board / Trust income which, for the purposes of this report is taken to be just under £5.85 billion, the overall percentage in 2012/13 had decreased to 2.81%, compared with 2.98% in 2011/12.

It should also be noted that, due to its unique nature as a Trust, Velindre NHS Trust does not feature in some of the following analyses.

4.1.4 Figure 4 shows the all-Wales breakdown of the percentage expenditure on facilities services over the last nine years. It is noted that the only significant fluctuation in the data appears to be the percentages for catering and cleaning expenditure.

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0% 2008/09 2009/10 2010/11 2011/12 2012/13

Postal 3% 3% 3% 3% 3% Portering 2% 2% 2% 2% 2% Security 15% 14% 15% 15% 16% Laundry & Linen 7% 7% 7% 7% 7% Catering 33% 31% 31% 33% 33% Cleaning 32% 35% 34% 32% 31% Telecoms 7% 8% 7% 7% 7% Figure 4: All-Wales breakdown of the percentage expenditure on facilities services

4.1.5 Figure 5 shows the cost of the individual FM functions in terms of £/m2 of occupied floor area for each Health Board / Trust along with the percentage of the overall FM expenditure for the respective Health Board / Trust that the cost represents. The inclusion of the all-Wales averages in each case is provided to assist with benchmarking.

Summary data relating to operating costs for each Health Board / Trust have been included in Appendices I – VIII.

12 Facilities Performance Report 2012/13 ANALYSIS OF TRUST-WIDE SERVICES DATA

Health Board / Trust Facility Function services services services eaning services eaning services

Telecommunications Catering Cl services Laundry & linen services Portering services Security Postal

(£/m2) (£/m2) (£/m2) (£/m2) (£/m2) (£/m2) (£/m2)

Abertawe Bro Morgannwg University Health Board 7.96 28.11 32.32 6.67 18.06 2.52 3.55

Aneurin Bevan Health Board 5.98 31.63 30.65 7.89 13.23 1.63 2.88

Betsi Cadwaladr University Health Board 6.82 25.24 24.86 4.71 14.97 1.15 3.05

Cardiff and Vale University Health Board 3.74 18.59 26.91 6.85 9.36 4.09 2.78

Cwm Taf Health Board 8.08 46.50 38.96 8.84 17.38 2.77 2.98

Hywel Dda Health Board 6.43 32.48 37.72 7.45 16.32 0.59 4.36

Powys Teaching Health Board 9.54 37.09 48.67 3.35 10.34 0.02 4.68

Velindre NHS Trust 8.19 18.20 24.05 4.15 13.66 4.69 3.03

All-Wales average FM costs 6.45 28.57 30.87 6.66 14.40 2.18 3.23

Health Board / Trust (%) (%) (%) (%) (%) (%) (%)

Abertawe Bro Morgannwg University Health Board 8.03 28.34 32.58 6.73 18.21 2.54 3.58

Aneurin Bevan Health Board 6.37 33.69 32.65 8.40 14.09 1.74 3.06

Betsi Cadwaladr University Health Board 8.44 31.24 30.76 5.83 18.53 1.42 3.78

Cardiff and Vale University Health Board 5.17 25.70 37.21 9.48 12.94 5.66 3.84

Cwm Taf Health Board 6.44 37.05 31.04 7.05 13.85 2.21 2.37

Hywel Dda Health Board 6.10 30.83 35.80 7.07 15.49 0.56 4.14

Powys Teaching Health Board 8.39 32.62 42.81 2.95 9.09 0.02 4.12

Velindre NHS Trust 10.78 23.96 31.66 5.47 17.98 6.17 3.98

All-Wales average percentage breakdowns 6.98 30.94 33.42 7.22 15.59 2.36 3.49

Figure 5: FM costs and percentage breakdown of the reported expenditure allocated to facilities services in each Health Board / Trust

Facilities Performance Report 2012/13 13 ANALYSIS OF TRUST-WIDE SERVICES DATA

4.2 Telecommunications

Analysis of Health Board / Trust telecommunication data

4.2.1 The overall expenditure on telecommunication services in 2012/13, excluding Welsh Ambulance Services NHS Trust costs, was £11,474,433, a decrease of £243,506 (-2.08%) on the 2011/12 figures.

4.3 Car parking

Analysis of Health Board / Trust car parking data

4.3.1 The total number of car parking spaces available for use within Health Board / Trust healthcare premises in 2012/13 was 36,158, representing an increase for these premises of 280 on the previous year. Of these, 2,108 were allocated for disabled staff and visitors, an increase of 103 on the previous year. These increases indicate that, overall, the proportion of car parking spaces allocated for disabled staff and visitors has increased marginally from 5.6% in 2011/12 to just over 5.8% in 2012/13.

4.3.2 Figure 6 shows the total number of parking spaces/100m2 of occupied floor area provided by individual Health Boards / Trusts in 2012/13. It can be seen that the number of spaces varied between approximately 1.5 and 2.4. The overall average was marginally higher than in 2011/12 at 2.03 spaces/100m2 of occupied floor area.

3.00

2.50 2

2.00 ◆ ◆ ◆ ◆ ◆◆◆◆

1.50

1.00 Number of spaces/100m

0.50

0 Cwm Taf University University University Abertawe Hywel Dda Health Board Health Board Health Board Health Board Health Board Health Board Health Board Aneurin Bevan Powys Teaching Cardiff and Vale Cardiff Betsi Cadwaladr Bro Morgannwg Bro elindre NHS Trust elindre V

Health Board / Trust ◆ All Wales average

Figure 6: Number of parking spaces/occupied floor area

14 Facilities Performance Report 2012/13 ANALYSIS OF TRUST-WIDE SERVICES DATA

4.3.3 Figure 7 shows the number of spaces allocated for disabled parking as a percentage of total spaces for each Health Board / Trust. It can be seen that for 2012/13 the number of spaces varied between approximately 4.6% and 7.6%. At just over 5.8%, the overall average is slightly higher when compared with the previous five reporting periods.

8.00

7.00

6.00 ◆ ◆◆◆◆◆◆◆

5.00

4.00

3.00

2.00

1.00 Disabled spaces / total No of (%) Disabled

0 Cwm Taf University University University Abertawe Hywel Dda Health Board Health Board Health Board Health Board Health Board Health Board Health Board Aneurin Bevan Powys Teaching Cardiff and Vale Cardiff Betsi Cadwaladr Bro Morgannwg Bro elindre NHS Trust elindre V

Health Board / Trust ◆ All Wales average

Figure 7: Disabled car parking allocation

4.3.4 Following the introduction of Welsh Health Circular (2008) 011 Reform of Car Parking in NHS Hospitals, which required NHS health organisations to provide free car parking at sites that are managed in-house and reduce fees at sites where existing external contractual arrangements are in place, analysis of car parking charges no longer features in annual Facilities Performance Reports.

Additional analysis of car parking on acute hospital sites is included in Section 5.2.

4.4 Cleaning services

Analysis of Health Board / Trust cleaning data

4.4.1 Overall, the cost for cleaning in 2012/13 was just under £55 million, a decrease of 1.42% on the £56 million reported for 2011/12. This equates to just over 0.9% of the overall Health Board / Trust income and about one third of the overall facilities budget.

4.4.2 The cleaning data for 2012/13 indicates that approximately 2,265 WTE staff, working just over 4,122,000 hours, provided the service. Compared with data reported for 2011/12, cleaning hours decreased by approximately 2.5% and the number of WTE staff decreased by approximately 2.3%.

Facilities Performance Report 2012/13 15 ANALYSIS OF TRUST-WIDE SERVICES DATA

4.4.3 Figure 8 shows a comparison of the 2012/13 cleaning service costs, reported as a percentage of Health Board / Trust income. The average figure for 2012/13 of 0.94% of Health Board / Trust income compares with 0.99% reported for 2011/12. Although a direct comparison with the values for Trusts in previous years may be inappropriate given the organisational changes during 2009/10, it may be of interest to recognise that the all-Wales average for Trusts calculated on a similar basis in 2008/09 was significantly higher at 1.4%, with the proportion steadily reducing year-on-year.

1.40

1.20

1.00 ◆ ◆ ◆ ◆◆ ◆ ◆◆

0.80 (%) 0.60

0.40

0.20

0 Cwm Taf University University University Abertawe Hywel Dda Health Board Health Board Health Board Health Board Health Board Health Board Health Board Aneurin Bevan Powys Teaching Cardiff and Vale Cardiff Betsi Cadwaladr Bro Morgannwg Bro elindre NHS Trust elindre V

Health Board / Trust ◆ All Wales average

Figure 8: Cost of cleaning services as a percentage of Health Board / Trust income

4.4.4 Figure 9 opposite, shows the cost of cleaning services per occupied floor area. Although the cost/m2 PI is widely used, it should not be viewed in isolation from local conditions. Design standards, building functionality and quality of finishes will all influence the cost/m2 and must all be borne in mind when making comparisons. For example, the age profile of properties will impact upon cleaning costs. In addition, there continues to be uncertainty around the reliability of cleaning labour costs due to the fact that cleaning duties are undertaken by a variety of staff and, unless the cleaning element of their working day is correctly identified and apportioned, the accuracy of the data submitted will suffer.

4.4.5 The total cost for cleaning services in 2012/13 was £54,938,562, a decrease of £778,870 (-1.42%) on the cost reported for 2011/12. Figure 9 shows that the all-Wales average for the cost of cleaning/m2 for 2012/13 was £30.87, a decrease of 37p (-1.18%) on 2011/12. At Health Board / Trust level, the average costs ranged between £24.05 and £48.67.

4.4.6 Cleaning audit scores ranging from 75% to 99% were submitted for 98 hospital and aggregate sites out of the total of 107 that should have been submitted. There were 71 site scores ranging from 75% and 95% and 27 site scores achieving 95% and above.

16 Facilities Performance Report 2012/13 ANALYSIS OF TRUST-WIDE SERVICES DATA

60.00

50.00

(£) 40.00 2

30.00 ◆◆ ◆◆◆◆◆◆

20.00 Cleaning cost / m

10.00

0 Cwm Taf University University University Abertawe Hywel Dda Health Board Health Board Health Board Health Board Health Board Health Board Health Board Aneurin Bevan Powys Teaching Cardiff and Vale Cardiff Betsi Cadwaladr Bro Morgannwg Bro elindre NHS Trust elindre V

Health Board / Trust ◆ All Wales average

Figure 9: Cost of cleaning services/m2 occupied floor area

Figure 10 provides an indication of Health Board / Trust performance with the average score calculated for 2012/13 for their hospital(s).

96.00

95.00

94.00

93.00

92.00 ◆◆◆◆◆◆◆◆ 91.00

90.00

89.00

88.00 verage cleaning scores (%) cleaning verage

A 87.00

86.00

85.00 Cwm Taf University University University Abertawe Hywel Dda Health Board Health Board Health Board Health Board Health Board Health Board Health Board Aneurin Bevan Powys Teaching Cardiff and Vale Cardiff Betsi Cadwaladr Bro Morgannwg Bro elindre NHS Trust elindre V

Health Board / Trust ◆ All Wales average

Figure 10: Health Board / Trust average cleaning scores

Facilities Performance Report 2012/13 17 ANALYSIS OF TRUST-WIDE SERVICES DATA

4.4.7 The overall average score, based on Health Board / Trust level data, at just over 91%, was a slight improvement on the 2011/12 figure. Only one hospital achieved a very low score of below 75%. It is noted that 9 individual/aggregate site scores have not been submitted. Whilst this is a significant reduction on last year’s figure, this should be addressed by the Health Boards concerned as a matter of urgency.

Credits 4 Cleaning (C4C) is utilised by Health Boards / Trusts to monitor their cleaning performance at ward level and its mandatory use to provide central returns is monitored by NWSSP-FS.

Additional analysis in respect of cleaning at the acute hospital sites is detailed in Section 5.3.

4.5 Catering services

Analysis of Health Boards / Trust catering data

4.5.1 Following the decision to implement a costed model for catering, a new set of EFPMS data definitions for catering were introduced in 2011/12. It should be noted that for comparisons with cost data submitted against earlier EFPMS catering data definitions, account may need to be taken of a reduction due to the omission of ward staff costs. For reference and comparison of headline figures, key catering data for 2011/12 and 2012/13 are provided in Figure 11, shown opposite.

4.5.2 In 2012/13, almost £51 million was spent on catering operations (including non-patient activities), which is a decrease of £4.1 million (-7.4%) compared with 2011/12. This figure represents 31% of the total expenditure on FM services by Health Boards / Trusts and approximately 0.9% of their income for 2012/13.

18 Facilities Performance Report 2012/13 ANALYSIS OF TRUST-WIDE SERVICES DATA

7 6 221 1,75 1,76 51.71 staff Total (WTE) 6 0 5 211.26 81 3. 4.25 238 3.91 233.27 4.09 FSA (No) rating rating 26 34 22 4.67 22 4.67 338 320.42 23 4.30 . . 3. 3. eal (£) per Cost Cost m patient 69,916 3.36 4.67 69,916 3.36 283 eals (No) Total m patient requested requested 11,430,490 11,660,536 3 2,2 52 1,785,772 52 1,785,772 2.97 4.00 312 745 1,965,761 4.00 345.20 4.25 aste (£) 08,770 2,417,097 3.51 283.41 4.65 cost 799,679 936,589 140,710 2,275,553 2.70 296.49 4.75 160,537 2,501,937 2.64 303.66 4.13 W

6.36 7.71 aste (%) W sts

-885,487 -1.35 -136,910 -230,046 -0.08 -0.29-8.78 -0.08 -230,046 -136,910 -885,487 -1.35 (£) 2,969,097 3,854,584 catering Net co Net non patient (contribution)

(£) 336,692 patient income Total non 11,535,978 11,199,286

(£) costs patient catering 37,264,428 38,946,802 Total gross

(£) Total gross patient catering costs non 14,505,075 15,053,870

(£) Figure 11: Catering data costs catering -3,153,724 -548,795 -1,682,374 -3,153,724 -548,795 50,847,142 54,000,865 Total gross

(£) Total other costs -1,455,217 2,644,881 4,100,098

(£) costs -2,243,882 Total staff 28,132,386 30,376,268 (£) 178,894 91,898 15,360 286,151 184,903 101,248 148,988 35,915 8.90 6,085 43,116 2.35 0.42 148,988 16 2.35 101,248 184,903 6,085 43,116 8.90 286,151 15,360 35,915 178,894 91,898 172,953 116,877 6,811 200,149 296,641 134,985 96,492 65,164 9.70 17.08 6,872 3.00 2.18 44,165 Total costs 3,068,827 4,974,355 349,689 2,126,263 8,392,871 1,786,460 6,504,431 339,803 3.80 90,474 1,735,002 3.75 4.2 2,811,672 3,995,318 397,385 2,274,205 7,204,375 1,672,838 4,930,175 601,367 3.78 70,959 1,624,535 3.03 3.7 20,069,876 19,524,500 provisions d 3,298,336 3,044,157 272,882 6,615,375 1,993,660 5,306,253 1,725,124 268,536 4.41 116,8 4.41 268,536 1,725,124 5,306,253 217, 1,993,660 9.45 6,615,375 469,942 272,882 1,760,205 3,044,157 7,857,477 d 3,298,336 2,230,147 10,087,624 772,805 6,169,484 d 3,145,335 on 545,376 12/13 12/13 ealth Board 3,369,799 6,106,885 478,379 9,955,064 2,336,792 7,618,272 1,801,126 ealth Board 535,666 4.27 3,243,973 105,43 6,308,753 1,682,532 11,235,258 2,743,204 8,491,855 1,692,999 1,050,205 4.39 1 H H mparis

r 20 for 2011/12 Totals Yearly co Totals fo ealth Board 1,938,615 3,522,432 441,357 ealth Board 5,902,404 1,728,159 4,174,245 1,281,943 446,216 9.51 1,970,172 131,372 3,495,862 1,196,796 368,351 3.49 5,834,385 1,629,791 4,204,594 1,258,895 370,896 7.61 112,394 1,166,597 3.60 hing Health Board 516,282 1,036,310 40,430 1,593,022 hing Health Board 163,846 1,429,176 79,273 514,246 84,573 1,002,826 8.61 82,665 40,373 1,599,737 265,231 263,838 5.39 1,335,899 3.50 80,966 53 182,872 12.88 59,054 257,381 5.19 4.78 adwaladr University University adwaladr University adwaladr ealth Board/Trust bertawe Bro Morgannwg University Health Board neurin Bevan Health Board 4,074,860 4,421,805 695,960 9,192,625 3,054,066 6,138,559 3,624,263 2,344,195 4,934,543 350,824 709,871 bertawe Bro Morgannwg University Health Board 8,909,630 neurin Bevan Health Board 4.84 2,917,385 4,284,707 4,635,135 5,992,245 2,368,869 585,376 9,505,218 548,516 2,907,187 6,598,031 6.55 3,381,442 2,350,588 168,380 4,652,013 1,859,104 204,173 556,599 3 8,237,628 5.15 2,805,348 5,432,280 2,247,810 557,538 8.70 200,258 1,683,063 3 H A A C Betsi Cardiff and Vale University Health Boar TafCwm Health Board H Dda Hywel Teac Powys NHS Trust Velindre A A C Betsi Cardiff and Vale University Health Boar TafCwm Health Board H Dda Hywel Teac Powys NHS Trust Velindre

Facilities Performance Report 2012/13 19 ANALYSIS OF TRUST-WIDE SERVICES DATA

4.5.3 The portion of the gross cost of catering operations allocated to labour costs for 2012/13 was just over £28.1 million which, at just over 55% of the gross cost of catering, represents a reduction of £2,243,882 (-7.4%) on 2011/12. As a component of total staff costs for 2012/13, just over £1.94 million is attributed to management costs. Figure 12 provides a comparison of labour costs expressed as a percentage of the gross cost of catering operations for each Health Board / Trust.

70.00

60.00 ◆ ◆ ◆ ◆ ◆◆◆◆ 50.00

40.00 (%) 30.00

20.00

10.00

0 Cwm Taf University University University Abertawe Hywel Dda Health Board Health Board Health Board Health Board Health Board Health Board Health Board Aneurin Bevan Powys Teaching Cardiff and Vale Cardiff Betsi Cadwaladr Bro Morgannwg Bro elindre NHS Trust elindre V

Health Board / Trust ◆ All Wales average

Figure 12: Labour costs as a percentage of gross catering cost

4.5.4 The net contribution towards non-patient catering (subsidy) for 2012/13 was £2.97m, which is just over £885k less (-23%) compared with 2011/12. This data field/definition provides Health Boards / Trusts with an indication whether there is a need to review their policy on net cost (contribution) for non-patient catering.

4.5.5 The ‘cost of a patient meal’ has been introduced as a new indicator for this reporting period, replacing the previous ‘cost of a patient meal day’ indicator. The reported data shows the wide range in average cost of a patient meal for Health Boards / Trusts in 2012/13 of between £1.66 and £13.83. The overall average for a patient meal for 2012/13 of £3.26 was a marginal decrease of 6p (-2.4%) on that calculated for 2011/12.

4.5.6 The percentage of food waste relating to untouched meals in 2012/13 was 6.4%, a decrease on the 7.7% in 2011/12 and inside the target of 10% set by the Welsh Government. Work is underway on how to capture data for other types of food waste in future years. The cost of waste meals for 2012/13 derived from percentage data was almost £800k, £137k (-14.6%) less compared with £937k for 2011/12.

20 Facilities Performance Report 2012/13 ANALYSIS OF TRUST-WIDE SERVICES DATA

4.5.7 Food Standards Agency (FSA) hygiene ratings for hospitals were introduced to the EFPMS data set for the 2011/12 reporting period. The rating given for an FSA inspection can range from 0, indicating that urgent improvements are necessary, to 5 for excellence. Overall ratings, derived as a patient-meal normalised average for all relevant sites for Health Boards / Trusts, ranged from 4.02 to 4.83 with an all-Wales average of 4.60. This average is derived from 94 hospital scores and is a significant improvement from the 4.10 average for 2011/12. The breakdown of the 94 scores shows 62 having the maximum 5 rating, 30 having a rating of 4 and only 2 with a rating of 3.

4.5.8 Figure 13 shows the all-Wales breakdown in the reported number of patient meals requested during 2012/13 according to the type of service employed. This indicates that 40% were produced by conventional means, which has been replaced as the most widespread method employed by cook freeze at 49% and with cook chill and hybrid systems accounting for the remaining 11%. Of the total meals produced, the split for plated and bulk methods of delivery was estimated at 20% and 80% respectively.

Hybrid system 7% Conventional plated 19%

Cook freeze bulk 48% Conventional bulk 21%

Cook chill bulk 4% Cook freeze plated 1%

Figure 13: Total patient meals provided according to type of service

4.5.9 Catering staff numbers are shown to have decreased slightly by 9 WTE from 1,766 in 2011/12 to 1,757 in 2012/13.

Additional information on catering at the acute hospital sites is detailed in Section 5.4.

4.6 Laundry and linen services

Analysis of Health Board / Trust laundry and linen data

4.6.1 In 2012/13 a total of just less than 31 million laundry and linen pieces were processed at a cost of £11,860,065. Compared with the figures for 2011/12, the number of pieces decreased by 39,117 (-0.13%) and the processing costs decreased by £122,180 (-1%). This has resulted in the average cost/item staying virtually the same at 38.3p.

Facilities Performance Report 2012/13 21 ANALYSIS OF TRUST-WIDE SERVICES DATA

4.6.2 Figure 14 shows the 2012/13 costs of laundry & linen per occupied bed day on a Health Board / Trust basis. These range from £2.37 to £4.84. The average cost was £3.27, which is a 5p decrease on the cost for 2010/11.

6.00

5.00

4.00

◆◆◆ ◆ ◆◆◆ ◆ 3.00 (%)

2.00

1.00

6.000 Cwm Taf University University University Abertawe Hywel Dda Health Board Health Board Health Board Health Board Health Board Health Board Health Board Aneurin Bevan Powys Teaching Cardiff and Vale Cardiff Betsi Cadwaladr Bro Morgannwg Bro elindre NHS Trust elindre V

Health Board / Trust ◆ All Wales average

Figure 14: Cost of laundry and linen/occupied bed day

Additional analysis of laundry and linen services at the acute hospital sites is detailed in Section 5.5.

4.7 Security services

Analysis of Health Board / Trust security services data 4.7.1 As with previous reports, much of the 2012/13 data on the reporting of security costs and on the number of incidents was incomplete and/or considered unreliable. Bearing this in mind, the total number of security incidents reported by individual Health Boards / Trusts for 2012/13 had improved slightly but still varied significantly. For Health Boards this ranged from less than 100 to almost 3,000 incidents. Similarly, the number of reported cases of assaults on staff and security incidents requiring police attendance varied from less than 150 to over 2,100 and 1 to over 1,800, respectively.

4.7.2 Health Boards / Trusts spent just under £3.9 million on security services in 2012/13, which is almost the same compared with 2011/12. With respect to the total expenditure on FM services by each Health Board / Trust, analysis of the data shows that expenditure ranged from less than 0.2% to just over 5.7%. At approximately 2.4%, the overall average was marginally higher than for 2011/12.

22 Facilities Performance Report 2012/13 ANALYSIS OF TRUST-WIDE SERVICES DATA

4.7.3 Figure 15 expresses security costs on a Health Board / Trust basis as a percentage of its overall expenditure on facilities services and illustrates a minimal expenditure by some Health Boards / Trusts. However, some Health Boards / Trusts apparently continue to experience difficulty in accounting for all security-related costs according to the data definition, for example, where maintenance contracts have been funded from various budgets. As for previous reporting periods, therefore, the total reported expenditure is likely to be significantly less than actual expenditure, as defined for EFPMS returns.

6.50 6.00 5.50 5.00 4.50 4.00 3.50

(%) 3.00 2.50 ◆◆◆◆◆◆◆◆ 2.00 1.50 1.00 0.50 0 Cwm Taf University University University Abertawe Hywel Dda Health Board Health Board Health Board Health Board Health Board Health Board Health Board Aneurin Bevan Powys Teaching Cardiff and Vale Cardiff Betsi Cadwaladr Bro Morgannwg Bro elindre NHS Trust elindre V

Health Board / Trust ◆ All Wales average

Figure 15: Security cost as a percentage of overall Health Board / Trust expenditure on facilities services

Additional analysis of security services at the acute hospital sites is detailed in Section 5.6.

4.8 Portering services

Analysis of Health Board / Trust portering data

4.8.1 Total expenditure on portering services for 2012/13 was £25,629,156, a decrease of £131,159 (-0.51%) from 2011/12. Portering service costs for 2012/13 equate to approximately 15.6% of the total facilities budget.

4.8.2 The number of porters employed across Wales was reported to be 1,029 WTE, which is a decrease of 20 (-1.9%) on last year.

4.8.3 The number of porters employed by individual Health Boards (with the exclusion of Powys Teaching Health Board and Velindre NHS Trust at 21 and 11 WTE respectively) varied between 255 and 115 WTE. Using the data reported for portering service costs (including

Facilities Performance Report 2012/13 23 ANALYSIS OF TRUST-WIDE SERVICES DATA

pay and non-pay) and the number of WTE the cost/WTE for Health Boards varied between approximately £22,000 and £29,000.

Additional analysis of portering services at the acute hospital sites is detailed in Section 5.7.

4.9 Postal services

Analysis of postal services data

4.9.1 Total expenditure on postal services for 2012/13 was £5,742,748, an increase of £238,926 (4.34%) on the figure for 2011/12. This equates to 3.49% of the total 2012/13 facilities budget.

24 Facilities Performance Report 2012/13 5 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA 5.1 Overall analysis

5.1.1 The total facilities function (hotel services) cost during 2012/13 was £98,252,266, a decrease of just over £2 million (2%) on the amount for 2011/12. This overall decrease is essentially accounted for by a fall of £3 million in Catering costs, mainly accounted for by the combined reductions for Llandough and UHW hospitals of £2.8 million. Otherwise, overall costs for Laundry & Linen, Portering and Security services remained much the same with each increasing by approximately 1.4%.

5.1.2 Figure 16 shows the breakdown of the remaining facility function cost expressed as a percentage. It can be seen that catering and cleaning together now account for 68.5% of the hotel services costs, representing a 0.5% decrease from 2011/12.

Once again, it should be borne in mind if making comparisons with previous breakdowns that pre-date 2011/12, that ward staff costs are no longer included in the catering costs. Also, consistent with the FM data requirements for earlier reporting periods, the EFPMS returns do not include site-specific data for the Health Board / Trust postal service and telecommunication costs and, therefore, they do not feature in the overall cost for the facility functions carried out within the 16 major acute hospitals.

Security 3% Laundry & Linen 9.2% Portering 19.3%

Catering 33.2% Cleaning 35.3%

Figure 16: Average cost for facility functions as a percentage of their total cost for the 16 major acute hospitals

Facilities Performance Report 2012/13 25 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA

5.2 Car parking

Analysis of acute hospital car parking data

5.2.1 A total of 22,661 parking spaces were provided in 2012/13, a decrease of 482 spaces (2.1%) on last year’s figure, spread across three of the 16 sites.

5.2.2 There was a drop of 43 spaces for disabled staff and visitors in 2012/13 compared with 2011/12. The proportion of the total number of parking spaces allocated for disabled staff and visitors ranged between approximately 2.5% and 10.3% and averaged 4.9%, marginally less than the previous year. Figure 17 compares the provision in 2011/12 and 2012/13 against generally accepted local authorities guidelines for car parks whereby those with up to 200 total spaces should have a minimum of 3 spaces or 6% of total capacity (whichever is the greatest) allocated for the disabled and those above 200 spaces should have 4 spaces plus 4% of total capacity. The figure illustrates that, if these guidelines were applied to healthcare facilities, five of the major acute hospitals in 2012/13 would not have provided the minimum number.

Bronglais General Hospital

Glangwili General Hospital

Llandough Hospital

Morriston Hospital

Nevill Hall Hospital

Prince Charles Hospital

Prince Philip Hospital

Princess of Wales Hospital

Royal Glamorgan Hospital

Royal Gwent Hospital

Singleton Hospital

University Hospital of Wales

Withybush General Hospital

Ysbyty Glan Clwyd

Ysbyty Gwynedd

Ysbyty Maelor

0 50 100 150 200 250

Local Authority Standard Disabled spaces 2011/12 Disabled spaces 2012/13

Figure 17: Number of disabled car parking spaces

5.3 Cleaning services

Analysis of acute hospital cleaning data

5.3.1 The total cost of cleaning services for 2012/13 was £34,695,154 which is an increase of £484,687 (1.42%) compared with 2011/12.

26 Facilities Performance Report 2012/13 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA

5.3.2 Figure 18 illustrates the cost of cleaning/m2. The data for 2012/13 shows that the average cost/m2 was £33.11, 32p less than calculated for 2011/12. The cost of cleaning/m2 ranges from £24.04 to £51.12.

60.00

50.00

40.00 ) 2 ◆ ◆◆◆ ◆ ◆◆◆◆◆◆◆ ◆◆◆◆ 30.00 (£/m

20.00

10.00

0 Hospital Hospital Hospital Hospital of Wales Ysbyty Maelor Ysbyty Gwynedd ithybush General Princess of Wales Princess of Wales Royal Glamorgan Glangwili General Singleton Hospital University Hospital Morriston Hospital Nevill Hall Hospital Ysbyty Glan Clwyd W Llandough Hospital Prince Philip Hospital Royal Gwent Hospital Prince Charles Hospital Bronglais General Hospital Bronglais

Acute Hospital◆ Acute Hospital Average

Figure 18: Cleaning costs/m2

5.3.3 Figure 19 shows the whole hospital audit scores for major acute hospitals externally-verified against the Standards for the last five reporting periods.

100

95

90

85 (%)

80

75

70 Hospital Hospital Hospital Hospital Hospital of Wales Ysbyty Maelor Ysbyty Gwynedd ithybush General Princess of Wales Princess of Wales Royal Glamorgan Bronglais General Bronglais Glangwili General Singleton Hospital University Hospital Morriston Hospital Nevill Hall Hospital Ysbyty Glan Clwyd W Llandough Hospital Prince Philip Hospital Royal Gwent Hospital Prince Charles Hospital

2008/09 2009/10 2010/11 2011/12 2012/13

Figure 19: Audit score against cleaning standards

Facilities Performance Report 2012/13 27 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA

It can be seen that for 2012/13 the reported scores range from 85% to 98%. Six of the hospitals indicated an improvement on their 2011/12 scores but eight hospitals had slightly lower scores. However, overall, the average score for 2012/13, at 91%, was the same as for 2011/12.

5.4 Catering services

Analysis of acute hospital catering data

5.4.1 Figure 20 provides a breakdown of key catering data for 2012/13. Also shown is the EFPMS data return for 2011/12 in order to provide yearly comparisons. It should be noted that, if comparisons are made with cost data submitted against EFPMS catering data definitions for reporting periods earlier than 2010/11, account will need to be taken of a reduction in reported staff costs where ward staff costs have been omitted from total labour costs.

5.4.2 The gross cost of catering operations for 2012/13 was £32,087,594, a decrease of £3,582,053 (-10%) compared with 2011/12. The total number of patient main meals requested was 7,684,924, an increase of 8,827 (0.1%) over the same period.

It is noted that, whilst the overall cost of catering operations was reported to have decreased considerably, there were modest increases at seven of the acute hospitals. Most of the decreases were also relatively modest with the exception of Llandough Hospital and University Hospital Wales that reported reductions of 43% and 37% respectively. The reductions reported for these two hospitals accounted for 80% of the overall decrease in the gross cost of catering operations. From these data comparisons it would appear that the introduction of the new catering data definitions has caused further problems in terms of the omission of ward-based catering service costs which, it is anticipated, will be addressed by the next reporting period.

The non-patient catering cost was subsidised by almost £1.4 million in 2012/13, which is a fall of just under £760,000 (-36%) on the figure for 2011/12.

5.4.3 The total labour costs for 2012/13 were £17,514,626, a decrease of £2,868,682 (14%) compared with 2011/12. Most of the acute hospitals reported little change or a modest decrease in staff costs; however, large decreases were reported for Llandough Hospital and the University Hospital of Wales that together exceeded £3 million.

5.4.4 The cost of a patient meal reported for 2012/13 ranged from £2.06 at University Hospital Wales to £5.81 at Bronglais General Hospital. This amounts to an average cost for a patient meal of £2.94 for 2012/13 compared with £2.70 in 2011/12. The overall decrease in average cost from the previous year (9%) masks an implausibly wide range of cost differences for individual hospitals with the largest being an increase of £0.53 (35%) along with a decrease of £1.40 (-34%).

5.4.5 The food wastage reported for 2012/13 indicates that just under 433,000 patient meals were wasted, representing approximately 6% of production, at a cost of almost £509,000. This level of waste is a slight improvement on 2011/12 for which a total of just over 473,000 meals at a cost of almost £527,000 was reported.

28 Facilities Performance Report 2012/13 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA -9.57 57.18 127.8 66.28 64.16 84.18 56.48 staff Total (WTE) 1,149.92 1,159.49 4 42.15 3 27.26 4 69.56 5 96.72 5 54.55 5 95.72 1 38.75 5 48.94 44 06 4. 4. FSA (No) rating rating

1 5 1 5 4 4 4 75 4 75 4 67 5 67 5 94 70 .59 4 123.14 .59 4 2.18 4 56.13 2.18 4 3.21 4 55.10 3.21 4 62.05 3.66 5 3.56 5 64.53 3.56 5 2. 2. eal (£) per Cost Cost m patient

7 0.24 0.38 0.38 7 0.24 26 2.30 26 2.30 5 57 3.22 57 3.22 5 772 4.70 30.43 3 908 3.23 69.66 5 ,300 2.64 42.95 3 8,82 8,843 2.46 2.46 8,843 3,620 5.81 5.81 3,620 2.86 1,024 eals (No) 623,650 3.71 100.09 4 635,668 3.87 90.98 4 Total m patient 7,684,924 7,676,097 requested requested aste 5,900 731,6432.06 163.45 4 7,906 7,906 (£) cost 77,840 808,8911.53 170.40 4 W 508,888 526,795 63 16 8.13 31,645 332,958 3.64 5 69.46 9.00 45,604 397,994 3.11 5 55.83 5.00 27,392 531,654 2.93 4 57.15 6.18 18,603 251,407 3.37 4 42.86 5.49 30,175 519,545 3.30 4 65.56 5. 6. aste (%) -0.53 -1 11.00 43,970 270,686 4.07 5 59.91 W 13 46 90 93 61 17 6 4 5 0 7 0 sts

-25, -11, -93, -20, -25, -41, -758,589 (£) 1,355,851 2,114,440 catering Net co Net non patient (contribution) non non (£) patient income 9,394,467 9,351,989 Total

(£) 207,276 42,478 costs patient catering 22,583,719 22,376,443 Total gross

(£) Total gross patient catering costs non 10,750,318 11,466,429

(£) costs catering 32,087,594 35,669,647 Total gross Figure 20: Catering data

(£) Total other costs 1,714,076 2,472,659

(£) costs -2,868,682 -758,583 -3,582,053 -716,111 Total staff 17,514,626 20,383,308 (£) Total costs 13,360,137 12,813,680 provisions type type entional bulk 1,462,523 1,560,539 165,296 3,188,358 1,275,091 1,913,267 1,197,763 77,328 5.00 47,319 695,059 entional bulk 2. 1,581,678 1,569,817 107,170 3,258,665 1,480,313 1,778,352 1,301,113 179,200 5.00 46,695 687,928 2 uction brid system 720,844 1,247,651 100,457 2,068,952 509,112 1,559,840 529,205 ook freeze bulk 1,557,320 1,138,876 128,292 2,824,488 1,319,354 1,505,134 1,221,262 98,092 3.70 3 ook freeze bulk 1,435,218 2,974,669 104,960 4,514,847 1,447,970 1,240,097 1,219,250 228,720 9.50 onventional plated 863,558 1,292,449 70,974 2,226,981 872,957 1,354,024 670,246 202,711 5.13 25,251 onventional plated 449,167 3.0 811,073 1,281,070 803,461 2,895,604 1,137,549 1,758,055 544,719 592,830 4.83 22,721 479,803 C C Prod on 546,457 12/13 12/13 11/12 mparis r 20 r 20 Yearly co Totals fo Totals fo spital Hybrid system 664,734 1,187,540 119,398 1,971,672 665,521 1,306,156 554,865 110,656 3.00 11,965 406,975 11,965 3.00 110,656 554,865 1,306,156 665,521 1,971,672 119,398 1,187,540 system 664,734 spital Hybrid

Hospital Hy neral Hospital Conventional plated 376,265 611,611 72,231 1,060,107 212,021 848,086 237,782 neral Hospital Conventional plated 406,458 565,721 35,846 1,008,025 231,846 776,179 230,118 1,727.75 5.00 15,649 27 gan Hospital Cook freeze bulk 1,315,538 2,038,497 160,975 3,515,010 1,053,439 2,461,572 974,421 79,018 gan Hospital 3.00 29,600 Cook freeze bulk 1,270,213 2,077,951 216,534 3,564,698 1,251,458 2,313,240 953,306 298,152 3.00 24,769 Maelor Conventional plated 905,035 1,133,875 91,642 2,130,552 600,312 1,530,240 429,870 170,442 4.94 34,381 590,701 2.59 590,701 34,381 4.94 2.50 170,442 429,870 694,576 1,530,240 38,723 600,312 5.60 2,130,552 90,474 423,055 91,642 1,733,545 1,133,875 513,529 905,035 plated 2,247,074 Glan Clwyd 201,667 Maelor Conventional Conventional plated 1,158,892 787,821 1,544,406 120,838 886,515 2,453,065 436,890 plated 2,016,175 446,216 Glan Clwyd -9,326 Maelor Conventional 4.90 28,547 Conventional plated 566,170 654,338 1,380,556 142,649 2,177,543 463,542 1,714,001 504,559 Gwynedd C Gwynedd C ss ofWales Hospital Conventional bulk 668,680 976,806 144,024 1,227,605 561,905 1,227,605 324,095 237,810 ss ofWales Hospital 9.50 50,820 Conventional bulk 49 622,295 997,275 76,139 1,695,709 423,910 1,271,799 349,407 74,503 10.00 49,784 482 glais General Hospital Conventional plated 315,203 655,376 76,417 1,046,996 387,389 659,607 230,913 glais General Hospital 156,476 10.35 20,553 Conventional plated 11 289,134 685,308 65,853 1,040,295 416,118 624,177 217,031 199,087 3.00 5,204 132, ngleton Hospital Cook freeze bulk 590,171 856,926 134,859 1,581,956 756,709 825,247 ngleton Hospital 646,402 110,307 4.00 Cook freeze bulk 14,872 349,995 611,102 2.36 861,497 112,227 1,584,826 765,918 818,908 633,389 132,529 3.00 11,367 338,493 2.42 Hospital Bron Glangwili General Hospital Llandough Hospital Morriston Hospital Conventional bulk HallNevill Hospital CharlesPrince Prince Philip Hospital Cook freeze 512,151 bulk Prince Cook freeze bulk GlamorRoyal 978,565 Conventional plated Gwent Royal 103,719 804,423 Si Cook chill bulk 1,314,265 1,594,435 University Hospital Walesof 716,031 613,460 1,200,450 Ge Withybush 382,664 933,936 Ysbyty 77,017 170,448 450,309 1,211,771 Ysbyty 67,010 1,494,900 2,685,163 Ysbyty Conv 408,277 731,203 1,019,931 1,716,977 464,138 1,665,232Bron 29,877 478,630 1,715,300 Glangwili General Hospital 1,272,049 864,467 1,238,347 426,655 Llandough Hospital 419,776 Morriston Hospital 490,076 Conventional bulk 155,464 HallNevill Hospital 37,483 852,273 CharlesPrince Ho 3.00 4.00Prince Philip Hospital 296,817 26,417 Cook freeze 486,148 bulk Prince 22,657 Cook freeze bulk GlamorRoyal 725,4 924,189 Conventional plated 122,959 495,530 Gwent Royal 16.35 760,227 85,907 Si Cook chill bulk 3.46 1,192,197 1,790,994 49,329 University Hospital Walesof 672,083 1,496,244 1,190,667 Ge Withybush 1,002,192 319,089 94,018 448,873 Ysbyty 176,775 470,267 40,276 Ysbyty 2,645,239 2. 1,047,371 2,559,639 Ysbyty Conv 1,714,551 734,970 536,771 398,281 973,434 515,425 2,108,468 89,779 1,586,205 1,199,126 447,453 1,295,016 50,592 828,354 459,247 9.00 194,252 30,627 89,318 1,100,764 145,080 56,178 323, 8.00 3.00 287,842 11.00 41,176 23,606 52,523 534,658 728,531 372,3 3.9

Facilities Performance Report 2012/13 29 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA

5.4.6 The Food Standards Agency (FSA) hygiene ratings assigned to the acute hospitals for 2012/13 were generally Good (4) and Very Good (5). Only one hospital fell short, achieving a rating of (3), which is of great concern for a healthcare setting. A comparison with the 2011/12 ratings indicates significant improvement has been made overall, with the average improving from 4.06 to 4.44 for 2012/13.

5.4.7 The total number of WTE catering staff working in the acute hospitals is reported to have dropped slightly (-0.8%) from 1,159 in 2011/12 to about 1,149 in 2012/13.

5.5 Laundry and linen services Analysis of acute hospital laundry and linen data

5.5.1 The overall cost of the laundry service in 2012/13 was £9,053,835, an increase of £127,586 (1.43%) on 2011/12. The overall number of pieces per annum increased by 237,088 (1.03%), making the cost/piece for the acute hospitals almost the same at fractionally over 39p.

5.5.2 Within the overall cost increase, the data indicates that the cost of the laundry service dropped at five of the 16 acute hospitals. The largest decrease reported was just over 8% at Morriston Hospital, accompanied by increases at eight hospitals, the largest ones associated with Prince Charles Hospital (10%) and Llandough Hospital (12%).

5.5.3 Figure 21 shows the cost of laundry per occupied hospital bed for the last five reporting periods. The costs per annum for 2012/13 ranged between £932 at Ysbyty Maelor and £1,789 at Glangwili General Hospital. Notwithstanding the significant fluctuations in overall costs for individual acute hospitals, at £1,340 the average cost of laundry per occupied bed for 2012/13 was £55 (4%) lower than that reported for 2011/12.

2,500

2,000

1,500 (£)

1,000

500

0 Hospital Hospital Hospital Hospital Hospital Hospital of Wales Prince Charles Ysbyty Maelor Ysbyty Gwynedd ithybush General Princess of Wales Princess of Wales Royal Glamorgan Bronglais General Bronglais Glangwili General Singleton Hospital University Hospital Morriston Hospital Nevill Hall Hospital Ysbyty Glan Clwyd W Llandough Hospital Prince Philip Hospital Royal Gwent Hospital

2008/09 2009/10 2010/11 2011/12 2012/13

Figure 21: Year-on-year cost of laundry per occupied bed

30 Facilities Performance Report 2012/13 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA

5.6 Security services

Analysis of acute hospital security data

5.6.1 Figure 22 shows that the cost of providing security services during 2012/13 was £2,934,989, an increase of £310,919 (12%) compared with 2011/12. As with 2011/12, it can be seen that reported costs for three hospitals have not been returned. Furthermore the return for Nevill Hall was once again implausibly low. Otherwise, reported security services costs ranged widely between £49,128 at Glangwili General Hospital and £630,418 at the University Hospital of Wales.

Site Name Security services costs Security staff Total Security Security Assaults incidents incidents on staff reported requiring police attendance (£) (WTE) (No) (No) (No) Bronglais General Hospital 0.00 0.00 204 21 118 Glangwili General Hospital 49,128.00 1.92 148 15 70 Llandough Hospital 355,812.00 13.00 744 18 496 Morriston Hospital 502,262.00 16.32 273 11 129 Nevill Hall Hospital 7,355.00 0.25 195 28 125 Prince Charles Hospital 155,870.00 8.96 31 2 48 Prince Philip Hospital 57,808.00 1.92 214 17 103 Princess of Wales Hospital 254,744.00 3.00 245 39 210 Royal Glamorgan Hospital 171,980.00 9.70 46 3 95 Royal Gwent Hospital 372,423.00 10.32 529 152 365 Singleton Hospital 0.00 0.00 122 5 47 University Hospital of Wales 630,418.00 23.00 910 98 784 Withybush General Hospital 0.00 0.00 144 13 69 Ysbyty Glan Clwyd 205,320.00 3.50 65 65 68 Ysbyty Gwynedd 75,775.00 4.32 000 Ysbyty Maelor 96,094.00 2.96 1,693 1,662 117 Total 2,934,989.00 99.17 5,563 2,149 2,844

Figure 22: Security service data

5.6.2 It can be seen from Figure 22 that the number of security incidents reported in 2012/13 ranged widely from 31 to 1,693. Overall, the 5,563 incidents reported represent a decrease of 264 (4.5%) compared with 2011/12.

5.6.3 The number of reported assaults on hospital staff increased from 2,521 in 2011/12 to 2,844 in 2012/13, which underlines the challenge for Health Boards / Trusts to focus on the safety of front line hospital staff and putting measures into place to improve their protection.

Many of the concerns raised in earlier reports regarding the effectiveness of hospital reporting systems for security incidents are acknowledged to have been addressed in this aspect of reporting security incidents and it is likely that this increase, in part, is a consequence of improvements made in this area.

5.6.4 The number of WTE security staff reported for 2012/13 was 99.17, a decrease of just over 4.3% compared with 2011/12.

Facilities Performance Report 2012/13 31 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA

5.7 Portering services

Analysis of acute hospital portering data

5.7.1 The total number of porters employed in 2012/13 was 737 WTE, 5 fewer than in 2011/12, with the reported cost for the portering service being £18,918,789. This represents an increase of £275,827 (1.5%) compared with 2011/12 and brings it back to the amount reported for 2010/11, albeit with 45 WTE fewer porters in service.

5.7.2 The cost/WTE of providing the portering service at the hospitals ranged from £20,605 to £28,914 and averaged £25,653, an increase of approximately £540 (2.2%) on the average for 2011/12.

5.7.3 Figure 23 shows the number of porters WTE per 100 beds on a hospital site basis. It can be seen that the number of porters/100 beds ranged between 5.5 WTE to 17 WTE.

The average number of porters/100 beds for 2012/13 was 10.9 WTE, a reduction of 0.7 WTE on the figure calculated for 2011/12.

20.00

18.00

16.00

14.00

12.00 ◆◆◆ ◆ ◆ ◆◆◆◆◆ ◆ ◆◆◆◆◆ 10.00 (No)

8.00

6.00

4.00

2.00

0 Hospital Hospital Hospital Hospital of Wales Ysbyty Maelor Ysbyty Gwynedd ithybush General Princess of Wales Princess of Wales Royal Glamorgan Glangwili General Singleton Hospital University Hospital Morriston Hospital Nevill Hall Hospital Ysbyty Glan Clwyd W Llandough Hospital Prince Philip Hospital Royal Gwent Hospital Prince Charles Hospital Bronglais General Hospital Bronglais

Acute Hospital◆ Acute Hospital Average

Figure 23: Number of porters (WTE)/100 beds

32 Facilities Performance Report 2012/13 APPENDIX I

Observations on FM-related Operating Costs

ABERTAWE BRO MORGANNWG UNIVERSITY HEALTH BOARD

Facilities Performance Report 2012/13 33

APPENDIX I

Health Board: Abertawe Bro Morgannwg University Health Board

No of Returns: 16 Individual hospital sites including: 3 – Major Acute 2 – Minor Acute 2 – Community 4 – Community Geriatric 1 – Psychiatric (Learning Disabilities) 1 – Psychiatric (MI/MSU) 3 – Psychiatric (Mental Illness) Aggregate sites – All other non-hospital sites

1.0 Introduction

1.1 This Appendix provides a summary of the FM data submitted for the reporting period 2012/13 by Abertawe Bro Morgannwg University Health Board. The complete data set can be downloaded by the NHS in Wales from the NHS Wales Shared Services Partnership - Facilities Services intranet website.

1.2 When making comparisons with data submitted in previous years, it should be borne in mind that anomalies have been identified. Any apparent inaccuracies in data submitted for 2012/13 have been queried with the Health Board.

1.3 It is recognised that expenditure on facilities services is not, on its own, an adequate measure of performance in so far as it does not address the quality aspects of the service. However, it can be a helpful indicator when used to compare expenditure of similar organisations and healthcare sites, and draw attention to potential savings and the allocation of resources for optimum performance. Hence, where appropriate for internal benchmarking and performance monitoring, an emphasis is placed on making year-on-year comparisons, at both Health Board / Trust and hospital site level, in preference to comparisons with national averages.

2.0 Breakdown of Health Board FM services expenditure

2.1 Figure 1 overleaf, shows the cost data reported for FM services by Abertawe Bro Morgannwg University Health Board for 2012/13, 2011/12, 2010/11, 2009/10 and the aggregated costs for 2008/09 for the former organisations. Also shown is a breakdown of overall FM cost of occupancy (£/m2) for Health Board properties.

Facilities Performance Report 2012/13 35 APPENDIX I

FM Telecoms Cleaning Catering Laundry Security Portering Postal Totals Costs & Linen

(£) 2012/13 2,603,982 10,567,332 9,192,625 2,181,762 823,250 5,906,584 1,160,132 32,435,667 2011/12 2,837,832 10,984,307 9,505,218 2,356,667 793,734 6,175,845 1,303,517 33,978,326 2010/11 2,698,499 10,366,093 11,990,088 2,517,612 772,511 6,165,081 1,255,000 35,764,884 2009/10 2,526,588 11,056,008 11,521,958 2,277,492 493,589 5,418,261 1,045,806 34,339,702 2008/09 3,059,796 9,526,582 10,936,029 2,654,808 582,986 5,353,698 953,177 33,067,076 (£/m2) 2012/13 7.96 32.32 28.11 6.67 2.52 18.06 3.55 99.20 2011/12 8.51 33.83 28.51 7.07 2.38 18.52 3.91 102.73 2010/11 8.18 31.42 36.34 7.63 2.34 18.68 3.80 108.39 2009/10 7.79 34.10 35.54 7.02 1.52 16.71 3.23 105.91 2008/09 9.55 29.74 34.13 8.29 1.82 16.71 2.98 103.21

Figure 1: Abertawe Bro Morgannwg University Health Board FM services cost data

2.2 The total operating cost for the above FM services for 2012/13 was £32,435,667, a decrease of £1,509,138 (-4.5%) compared with 2011/12.

2.3 Figures 2 and 3 show year-on-year changes with FM service costs.

40,000,000

35,000,000

30,000,000

25,000,000

20,000,000 (£)

15,000,000

10,000,000

5,000,000

0 2008/09 2009/10 2010/11 2011/12 2012/13

Postal Portering Security Laundry & Linen Catering Cleaning Telecoms

Figure 2: Yearly breakdown of overall FM service costs

36 Facilities Performance Report 2012/13 APPENDIX I

14,000,000

12,000,000

10,000,000

8,000,000 (£) 6,000,000

4,000,000

2,000,000

0 Telecoms Cleaning Catering Laundry & Linen Security Portering Postal

2008/09 2009/10 2010/11 2011/12 2012/13

Figure 3: Year-on-year changes in FM service costs

2.4 Figure 4 shows the year-on-year breakdown of the FM service costs expressed as a percentage of the total FM reported costs.

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0% 2008/09 2009/10 2010/11 2011/12 2012/13

Postal 2.88% 3.05% 3.51% 3.84% 3.58% Portering 16.19% 15.78% 17.24% 18.04% 18.21% Security 1.76% 1.44% 2.16% 2.34% 2.54% Laundry & Linen 8.03% 6.63% 7.04% 6.94% 6.73% Catering 33.07% 33.55% 33.52% 27.97% 28.34% Cleaning 28.81% 32.20% 28.98% 32.33% 32.58% Telecoms 9.25% 7.36% 7.55% 8.55% 8.03%

Figure 4: FM service expenditure % by function

Facilities Performance Report 2012/13 37 APPENDIX I

3.0 Breakdown of facilities services costs for individual sites

3.1 Figure 5 opposite, shows individual FM service costs presented on a site-by-site basis.

It should be noted that, in accordance with the EFPMS data requirements, postal service and telecommunications costs have been reported on a Health Board-wide basis and not allocated to individual sites. Furthermore, the charts include a sum total for each of the FM service costs for all of the aggregate site types.

3.2 Figure 6 on page 40, provides a breakdown of key catering data for individual hospitals along with Health Board totals and comparisons with headline data for 2011/12 where appropriate.

3.3 Figures 7 to 10 on the following pages show comparisons of performance between sites on the basis of £/m2 by FM service.

38 Facilities Performance Report 2012/13 APPENDIX I .07 .07 99.20 102.91 (£/m²) (£/m²) FM Costs 2,236 ilable ilable (No) beds Ava 326,975 (m²) (m²) Occupied Occupied floor area (£) 32,435,667.00 Total FM Costs 00 00 00 2,603,982.00 1,160,132.00 t-wide (£) Trus service cost service cost 3,764,114.00 (£) ce costs ce costs Portering Portering 5,906,584.00 Servi (£) costs Security Security services 823,250.00 (£) Laundry & & Laundry Linen costs costs Linen 2,181,762.00 0 9,103.00 0.00 11,584.00 126,040.00 1,004 125.54 28 00 14,692.00 0.00 22,178.00 123,347.00 3,642 0 33.87 .0 Figure 5: Facilities expenditure (£) catering catering operations operations 9,192,625.00 Gross cost of Gross cost of ng ng (£) costs services Cleani 10,567,332.00 2,603,982. 1,160,132. al type al type

WHE Hospit WHE

Community Geriatric 105,130.00 72,718.00 36,878.00 0.00 0.00 214,726.00 3,181 45 67.50

ons services ons services

Site Name Name Site of Wales of Hospital Acute Major 2,142,718.00 1,789,510.00 538,667.00 254,744.00 975,534.00 5,701,173.00 53,248 405 107

mmunicati ss for submitted data for submitted data ce rriston Hospital Acute Major 2,933,475.00 2,685,163.00 716,326.00 502,262.00 2,372,943.00 9,210,169.00 85,670 708 107.51 stal services in ngleton Hospital Acute Major 2,097,899.00 1,581,956.00 313,933.00 0.00 1,224,769.00 5,218,557.00 63,593 362 82.06 aesteg Community Hospital Community 43,143.00 201,748.00 16,148.00 0.00 21,900.00 282,939.00 3,136 22 90.22 ggregated sites 652,963.00 0.00 1,840.00 0.00 9,450.00 664,253.00 31,755 77 20.92 Cefn Coed Hospital Cimla Hospital Garngoch Hospital* Gellinudd Hospital Psychiatric - MI Glanrhyd Hospital Gorseinon Hospital Psychiatric - MI Hospital Hill House 769,358.00 Community Geriatric 1,345,365.00 Llwyneryr Hospital Psychiatric - MI/MSU 174,446.00 M Community Geriatric 34,489.00 Mo 201,301.00 Community Geriatric 0.00 Neath Port Talbot Hospital (PFI) 70,864 111,682.00 0.00 224,474.00 Psychiatric - LD Acute Minor Pr 119,516.00 29,518.00 214,255.00 15,373.00 Si 0.00 23,906.00 56,959. Tonna Hospital 32,937.00 2,345.00 1,220,957.00 A 0.00 0.00 873,196.00 13,020.00 271,307.00 2,503,424.00 248,283.00 Teleco 0.00 57,927.00 3,114.00 Po 66,244.00 Psychiatric - MI 21,755 626,106.00 0.00 0.00 Total 191,762.00 712,455.00 191 313,031.00 158,136.00 0.00 115.07 18,265 66,708.00 3,034,786.00 3,835 2,345.00 29,490 52 0.00 54 1,835 39.01 98,631.00 49,071.00 214 81.62 1,052 0 1.28 515,237.00 13 46.65 5,514 65 93.44 * Garngoch hospital closed May 2012 * Garngoch hospital closed May

Facilities Performance Report 2012/13 39 APPENDIX I * Garngoch hospital closed May* Garngoch 2012 ase omnt optl okfez uk 083 4,6 2,8 2178 007 9,6 280 ,8 10 9 3,6 58 5 5.72 5 7.95 5.81 5 32,966 3.33 725,42 293 47,085 26,417 1.0 4,570 3.0 7,287 7.5 155,464 34,137 864,467 2,800 1,665,232 33,544 191,661 70,864 1,019,931 13,020 156,793 10,087 2,685,163 0 1,019 56,959 170,448 67,681 201,748 119,516 1,200,450 4,825 A 6,553 1,314,265 224,474 29,885 12,222 T bulk freeze Cook 70,864 7,176 24,839 141,060 9,469 Si 47,490 8,721 25,567 Prince 30,803 bulk freeze Cook 59,804 129,189 N 22,274 bulk freeze Cook bulk freeze Cook 85,816 Hospital Morriston bulk chill Cook 39,869 Hospital Community Maesteg bulk freeze Cook Hospital Llwyneryr bulk freeze Cook Hill House Hospital bulk freeze Cook Hospital Gorseinon Hospital Glanrhyd freez Cook Hospital Gellinudd Hospital Garngoch Hospital Cimla Hospital Coed Cefn Site Name

onna Hospital Cook freeze bulk 106,780 28,000 23,356 158,136 158,136 23,356 28,000 106,780 bulk freeze Cook Hospital onna ggregated sites Cook freeze bulk bulk freeze Cook sites ggregated ahPr abtHsia PI Co reebl 3958 2,3 6,9 8316 5,6 4371 6,2 9,3 20 ,3 212,3 4,934 2.0 92,736 366,729 413,731 459,465 873,196 63,990 429,638 379,568 bulk freeze Cook (PFI) Hospital Talbot Port eath geo optl okfez uk 9,7 8696 3,5 15196 5,0 8527 4,0 1037 . 1,7 3995 .6 5 2.36 349,995 14,872 4.0 110,307 646,402 825,247 756,709 1,581,956 134,859 856,926 590,171 bulk freeze Cook Hospital ngleton ss of Wales Hospital Conventional 668,680 976,806 144,024 1,789,510 561,905 1,227,605 324,095 237,810 9.5 50,820 498,843 498,843 50,820 9.5 237,810 324,095 1,227,605 561,905 1,789,510 144,024 976,806 668,680 Conventional Hospital Wales ss of

Yearly Totals fo Totals fo Totals

comparison comparison r 20 r 20 11/12 12/13 Cook freeze bu freeze Cook Prod type uction uction e bulk 703,571 550,658 91,136 1,345,365 178,288 1,167,077 103,429 74,859 3.0 18,152 221,120 5.28 5 5.28 3.0 18,152 221,120 e 74,859 103,429 1,167,077 bulk 178,288 703,571 91,136 550,658 1,345,365 lk lk Provis 4,284,707 4,635,135 585,376 9,505,218 2,907,187 6,598,031 2,350,588 556,599 5.15 160,537 2,501,937 2.64 2.64 4.13 303.66 5.15 160,537 556,599 2,501,937 6,598,031 4,284,707 2,350,588 2,907,187 4,635,135 9,505,218 585,376 4,074,860 4,074,860 -209,847 -213,330 -213,330 -209,847 Cost Total Total 62,790 9,650 278 72,718 72,718 278 9,650 62,790 (£) (£) ion s 0 0 4,421,805 4,421,805 Cost Total Total Staff (£) (£) s 0 0 695,960 695,960 110,584 110,584 Cost Other Other Total Total (£) (£) s 0 0 Cate 9,192,625 9,192,625 Gross Gross Costs -312,593 -312,593 Total Total (£) (£) Figure 6: Catering data ring ring 0 0 Costs Non Costs Non Cate 3,054,066 3,054,066 Patient Gross Gross Total Total 146,879 146,879 (£) (£) ring ring 0 0 0 0 0 0 0 Total Gross Gross Total Cate Patient 6,138,559 6,138,559 Costs -459,472 -6,393 -6,393 -459,472 158,136 158,136 119,516 119,516 (£) (£) 72,718 72,718 13,020 13,020 56,959 ring ring 0 0 Total Total 2,344,195 2,344,195 income income patient patient (£) (£) 2,72 non 9 0 0 0 0 0 0 0 (contribution) (contribution) non patient patient non Net co catering catering (£) (£) 709,871 709,871 153,272 153,272 -2,729 -2,729 sts sts 0 0 W (%) (%) -0.31 -19,828 -226,384 -226,384 -19,828 -0.31 aste aste 4.84 4.84 10.0 3,987 32,490 2.18 4 2.38 2.38 2.18 4 32,490 3,987 10.0 0. 3. 1.17 2.24 5 25,484 1,278 5.0 2.89 2.75 4 26,396 3,767 6.0 0. 9.0 9,610 48,988 3.23 5 8.2 8.2 3.23 5 48,988 9,610 9.0 3.0 1,794 51,198 2.33 5 5.7 5.7 2.33 5 51,198 1,794 3.0 0 0 0 140,710 140,710 W Cost Cost (£) (£) aste aste 215 0 0

requested 2,275,553 2,275,553 patient patient m Total Total (No) (No) eals eals 3, 16 97 1.95 6 2.30 5 0 0 Cost per Cost per patient patient m (£) (£) eal eal 2.46 4 42.15 42.15 4 2.46 2.70 2.70 4. 0.06 0.06 11 0 0

Rating -0.67 -7.17 -7.17 -0.67 NCR 2.46 NCR 2.46 NCR 0 NCR 0 (No) (No) FSA FSA 4.75 4.75 5 44.53 5 44.53 5 57.18 5 57.18

(WTE) (WTE) Total Total Sta 296.5 296.5 96.72 96.72 19.44 ff

40 Facilities Performance Report 2012/13 APPENDIX I

Cleaning services costs

45.00

40.00

35.00

30.00

2 25.00

£/m 20.00

15.00

10.00

5.00

0 Hospital Hospital Hospital (PFI) onna Hospital Cimla Hospital T Aggregated sites Princess of Wales Neath Port Talbot Glanrhyd Hospital Singleton Hospital Garngoch Hospital Gellinudd Hospital Llwyneryr Hospital Morriston Hospital Hill House Hospital Gorseinon Hospital Cefn Coed Hospital Maesteg Community

Figure 7: Cleaning services cost indicator

Catering services costs

80.00

70.00

60.00

50.00 2 40.00 £/m

30.00

20.00

10.00

0 Hospital Hospital Hospital (PFI) onna Hospital Cimla Hospital T Aggregated sites Princess of Wales Neath Port Talbot Glanrhyd Hospital Singleton Hospital Garngoch Hospital Gellinudd Hospital Llwyneryr Hospital Morriston Hospital Hill House Hospital Gorseinon Hospital Cefn Coed Hospital Maesteg Community

Figure 8: Catering services cost indicator

Facilities Performance Report 2012/13 41 APPENDIX I

Portering services costs

30.00

25.00

20.00 2 15.00 £/m

10.00

5.00

0 Hospital Hospital Hospital (PFI) onna Hospital Cimla Hospital T Aggregated sites Princess of Wales Neath Port Talbot Glanrhyd Hospital Singleton Hospital Garngoch Hospital Gellinudd Hospital Llwyneryr Hospital Morriston Hospital Hill House Hospital Gorseinon Hospital Cefn Coed Hospital Maesteg Community

Figure 9: Portering services cost indicator

Laundry and linen costs

14.00

12.00

10.00

8.00 2 £/m 6.00

4.00

2.00

0.00 Hospital Hospital nna Hospital Hospital (PFI) Cimla Hospital To Aggregated sites Princess of Wales Neath Port Talbot Glanrhyd Hospital Singleton Hospital Garngoch Hospital Gellinudd Hospital Llwyneryr Hospital Morriston Hospital Hill House Hospital Gorseinon Hospital Cefn Coed Hospital Maesteg Community

Figure 10: Laundry and linen services cost indicator

42 Facilities Performance Report 2012/13 APPENDIX II

Observations on FM-related Operating Costs

ANEURIN BEVAN HEALTH BOARD

Facilities Performance Report 2012/13 43

APPENDIX II

Health Board: Aneurin Bevan Health Board

No of Returns: 16 Individual hospital sites including: 2 – Major Acute 4 – Minor Acute 5 – Community 1 – Psychiatric (Learning Disabilities) 4 – Psychiatric (Mental Illness) Aggregate sites – All other non-hospital sites

1.0 Introduction

1.1 This Appendix provides a summary of the FM data submitted for the reporting period 2012/13 by Aneurin Bevan Health Board. The complete data set can be downloaded by the NHS in Wales from the NHS Wales Shared Services Partnership - Facilities Services intranet website.

1.2 The Health Board’s commitment to the submission of accurate FM data was evident in the limited number of queries raised by NWSSP-FS during the production of the annual report.

1.3 It is recognised that expenditure on facilities services is not, on its own, an adequate measure of performance in so far as it does not address the quality aspects of the service. However, it can be a helpful indicator when used to compare expenditure of similar organisations and healthcare sites, and draw attention to potential savings and the allocation of resources for optimum performance. Hence, where appropriate for internal benchmarking and performance monitoring, an emphasis is placed on making year-on-year comparisons, at both Health Board / Trust and hospital site level, in preference to comparisons with national averages.

2.0 Breakdown of Health Board FM services expenditure

2.1 Figure 1 overleaf, shows the cost data reported for FM services by Aneurin Bevan Health Board for the last five years, along with a breakdown of overall FM cost of occupancy (£/m2) for Health Board properties.

Facilities Performance Report 2012/13 45 APPENDIX II

FM Telecoms Cleaning Catering Laundry Security Portering Postal Totals Costs & Linen

(£) 2012/13 1,683,823 8,634,077 8,909,630 2,221,823 459,896 3,726,655 810,435 26,446,339 2011/12 1,747,177 8,242,462 8,237,628 2,218,906 512,310 3,291,045 743,928 24,993,456 2010/11 2,060,134 8,951,768 12,169,719 2,511,369 533,415 3,451,882 726,298 30,404,585 2009/10 2,283,560 8,575,590 13,006,633 2,426,785 536,096 3,477,753 731,878 31,038,295 2008/09 2,353,000 7,659,202 11,572,823 2,072,463 420,839 3,034,516 543,631 27,656,474 (£/m2) 2012/13 5.98 30.65 31.63 7.89 1.63 13.23 2.88 93.88 2011/12 5.98 28.21 28.19 7.59 1.75 11.26 2.55 83.40 2010/11 7.60 33.01 44.88 9.26 1.97 12.73 2.68 112.12 2009/10 8.87 33.30 50.51 9.42 2.08 13.50 2.84 120.53 2008/09 9.02 29.35 44.35 7.94 1.61 11.63 2.08 105.98

Figure 1: Aneurin Bevan Health Board FM services cost data

2.2 The total operating cost for the above FM services for 2012/13 was £26,446,339, an increase of £1,452,883 (5.8%) compared with 2011/12.

2.3 Figures 2 and 3 show year-on-year changes with FM service costs.

40,000,000

35,000,000

30,000,000

25,000,000

20,000,000 (£)

15,000,000

10,000,000

5,000,000

0 2008/09 2009/10 2010/11 2011/12 2012/13

Postal Portering Security Laundry & Linen Catering Cleaning Telecoms

Figure 2: Yearly breakdown of overall FM service costs

46 Facilities Performance Report 2012/13 APPENDIX II

14,000,000

12,000,000

10,000,000

8,000,000 (£) 6,000,000

4,000,000

2,000,000

0 Telecoms Cleaning Catering Laundry & Linen Security Portering Postal

2008/09 2009/10 2010/11 2011/12 2012/13

Figure 3: Year-on-year changes in FM service costs

2.4 Figure 4 shows the year-on-year breakdown of the FM service costs expressed as a percentage of the total FM reported costs.

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0% 2008/09 2009/10 2010/11 2011/12 2012/13

Postal 1.97% 2.36% 2.39% 2.98% 3.06% Portering 10.97% 11.20% 11.35% 13.17% 14.09% Security 1.52% 1.73% 1.75% 2.05% 1.74% Laundry & Linen 7.49% 7.82% 8.26% 8.88% 8.40% Catering 41.84% 41.91% 40.03% 32.96% 33.69% Cleaning 27.69% 27.63% 29.44% 32.98% 32.65% Telecoms 8.51% 7.36% 6.78% 6.99% 6.37%

Figure 4: FM service expenditure % by function

Facilities Performance Report 2012/13 47 APPENDIX II

3.0 Breakdown of facilities services costs for individual sites

3.1 Figure 5 opposite, shows individual FM service costs presented on a site-by-site basis.

It should be noted that, in accordance with the EFPMS data requirements, postal service and telecommunications costs have been reported on a Health Board-wide basis and not allocated to individual sites. Furthermore, the charts include a sum total for each of the FM service costs for all of the aggregate site types.

3.2 Figure 6 page 50, provides a breakdown of key catering data for individual hospitals along with Health Board totals and comparisons with headline data for 2011/12 where appropriate.

3.3 Figures 7 to 10 on the following pages show comparisons of performance between sites on the basis of £/m2 by FM service.

48 Facilities Performance Report 2012/13 APPENDIX II 1 0.00 0.00 0.00 93.88 (£/m²) (£/m²) FM Costs 1,830 ilable ilable (No) beds Ava 715 0 3,721 39 281,702 (m²) (m²) Occupied Occupied floor area 6.00 4,050 0 (£) Costs 108,508.00 3,591 30.22 15 246,080.00 15,758 7 15.62 449,142.00 24,294 27 18.49 Total FM 26,446,339.00

t-wide (£) 810,435.00 810,435.00 Trus 2,494,258.00 1,683,823.00 1,683,823.00 service cost service cost 0.00 236,929.00 3,089 20 76.70 20 3,089 236,929.00 0.00 3,336.00 106,456.00 917 12 116.09 12 917 106,456.00 3,336.00 (£) ce costs ce costs 10,746.00 196,623.00 2,583 20 76.12 20 2,583 196,623.00 10,746.00 422,726.00 2,971,160.00 30,417 204 97.68 204 30,417 2,971,160.00 422,726.00 177,044.00 732,410.00 6,097 56 120.13 56 6,097 732,410.00 177,044.00 44.91 51 18,663 838,198.00 109,665.00 Portering Portering 3,726,655.00

Servi

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (£) ecurity ecurity costs S services 459,896.00

6.00 (£) 2,873.00 1,764.00 Laundry & & Laundry

Linen costs costs Linen 2,221,823.00

Figure 5: Facilities expenditure 0.00 0.00 977.00 582,658.00977.00 7,355.00 928,535.00 4,630,957.00 51,566 377 89.81 (£) of catering operations Gross cost

8,909,630.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (£) costs services Cleaning 8,634,077.00

ital ital type type WHE Hosp WHE

os Hospital Acute Minor 691,383.00 751,034.00 128,657.00 38,640.00 220,614.00 1,830,328.00 19,373 123 94.48 ol for submitted data for submitted data ndiff Court Hospital Psychiatric - MI 105,635.00 ecommunications services ecommunications services i stal services Cadoc's Hospital Psychiatric - MI 287,277.00 421,199.00 20,057.00 rennu Children's Centre Community Wo byty Aneurin Bevan Tri Chwm byty Ystradbyty Fawr Minor Acute Psychiatric - MI 612,332.00 Acute Minor 512,707.00 106,791.00 118,387.00 1,162,796.00 121,080.00 1,199,049.00 2,335.00 186,589.00 9,058.00 175,835.00 1,421,596.00 13,087 107 108.63 l

aenavon Health Care Unit Community onnow Valeonnow HealthFacility Community 69,014.00 101,570.00 15,293.00 ggregated sites 447,378.00 Name Site Bl Chepstow Community Hospital County Hospital Community Llanfrechfa Grange Hospital Ma Psychiatric 152,676.00 - LD M 355,205.00 Hall Hospital Nevill Acute Minor 145,798.00 47,485.00 Redwood Memorial Hospital 97,885.00 HospitalRoyal Gwent 567,858.00 Community 2,397.00 Se 410,262.00 Acute Major St 69,900.00 Acute Major St 63,226.00 1,395,432.00 39,143.00 Siriol Talygarn & Ty 1,716, 34,304.00 163,754.00 2,826,481.00 Ys 3,188,358.00 Ys 5,590.00 1,031,109.00 372,423.00 Ys Psychiatric - MI 1,514,400.00 A 1,250,917.00 Te 11,693 Po 8,932,771.00 Total 70 72,088 106.98 702 123.9

Facilities Performance Report 2012/13 49 APPENDIX II syyYta ar C C 490,076 A 1,238,347 Fawr Ystrad Ysbyty 478,630 Chwm Tri Ysbyty 1,716,977 An Ysbyty 67,010 Talygarn & Ty 933,936 97,885 St W 716,031 St Cadoc' 97,885 plated Conventional Serenn 2,857 Royal Gwent Hospital 61,723 Redw system Hybrid 33,305 Hospital Nevill Hall Mo plated Conventional Hospital Court Maindiff Hospital Grange Llanfrechfa C C Bl Site Name ggregated sites Hybrid system system Hybrid sites ggregated ounty Hospital Conventional bulk 131,105 268,982 10,175 410,262 29,251 381,011 21,299 7,952 4.0 4,775 117,997 3.23 5 17.43 17.43 5 3.23 117,997 4,775 4.0 7,952 21,299 381,011 29,251 410,262 10,175 268,982 355,205 131,105 0 bulk Conventional 274,744 80,461 bulk Conventional Hospital ounty Hospital Community hepstow aenavon Health Care Unit Hybrid system system Hybrid Unit Care Health aenavon nn oo optl ovninlbl 2241 6,4 2,4 7104 5,1 4859 0,3 1256 . 1,2 1556 .7 3 4 3.97 125,526 14,822 7.0 142,576 109,939 498,519 252,515 751,034 28,340 460,243 262,451 bulk Conventional Hospital oolos ow ood Memorial Hospital Cook freeze bulk 16,336 17,542 426 34,304 34,304 426 17,542 16,336 bulk freeze Cook Hospital Memorial ood u Children's Centre Hybrid system system Hybrid Centre u Children's Vl elhFclt Cnetoa ltd 094 868 ,0 1150 424 726 005 ,7 1. 273 001 .5 5 3.85 20,091 2,743 11.0 4,279 20,005 77,286 24,284 101,570 2,008 68,628 30,934 plated Conventional Facility Health Vale optl ovninlbl 107428641,9 2,9 3,0 8,9 5,7 8,2 001,6 4,2 64 11 5 6.47 44,221 10.0 84,522 10,366 Conventional 50,479 278,684 130,724 286,198 135,001 421,199 11,791 s bulk Hospital ui ea Conventional bu eurin Bevan Siriol Hybrid system system Hybrid Siriol

Totals fo Totals Yearly comp Yearly Totals for 2011/12 3,381,442 4,652,013 204,173 8,237,628 2,805,348 5,432,280 2,247,810 557,538 8.7 200,258 1,683,063 3.23 4.30 4.30 3.23 1,683,063 8.7 200,258 557,538 2,247,810 5,432,280 2,805,348 8,237,628 204,173 4,652,013 3,381,442 for 2011/12 r 20 arison 242,821 282,530 282,530 242,821 121,059 559,965 112,037 672,002 146,651 arison 12/13 C ook freeze bulk 34,918 84,128 2,034 121,080 5,799 115,281 16,016 16,016 115,281 5,799 121,080 2,034 84,128 34,918 5 3.02 244,118 7.0 25,830 161,476 onventional 630,083 526,513 42,453 299,777 737,796 461,253 1,199,049 bulk freeze ook bulk 69 47,319 5.0 77,328 onventional 1,197,763 1,913,267 1,275,091 3,188,358 165,296 1,560,539 1,462,523 bulk Prod uction uction type lk lk Provis 3,624,263 3,624,263 Costs Costs 198,962 295,311 18,434 512,707 157,677 355,030 105,374 52,303 9.0 12,541 119,046 2.98 4 2.98 119,046 9.0 12,541 52,303 295,311 198,962 105,374 355,030 157,677 512,707 18,434 Total Total (£) (£) ion ion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total Staff Staff Total 4,934,543 4,934,543 Costs Costs (£) (£) 350,824 350,824 Cost Other Other Total Total (£) (£) s Catering Catering 8,909,630 8,909,630 Gross Gross Costs Total Total Figure 6: Catering data (£) (£) Costs Non Costs Non Cate 2,917,385 2,917,385 Patient Gross Gross Total Total (£) (£) ring ring 0 0 Cate 5,992,245 5,992,245 Patient Gross Gross Costs Total Total 355,205 355,205 (£) (£) 34,304 34,304 ring ring 0 Total non non Total 2,368,869 2,368,869 income income patient patient (£) (£) 58,141 39,744 39,744 58,141 0 0 (contribution) (contribution) non patient patient non Net co catering catering (£) (£) 548,516 548,516 -10, -11, -9,022 -9,022 sts sts 2 4 17 46 0 0.0 0 56,625 56,625 14.75 6.27 0 5 0 0.0 0 16.0 2,614 9,604 3.57 5 1.9 1.9 5 3.57 9,604 2,614 0 16.0 0 0 0 0 0 W (%) (%) -2.15 -3 -2.15 aste aste 6. 6.0 1,767 28,823 4.00 5 5.4 5.4 4.00 5 28,823 1,767 6.0 9.0 45,604 397,994 3.11 5 55.83 55.83 5 3.11 397,994 45,604 9.0 . 0 0 0 0.0 . 0 0 0.0 . 0 0 0 0.0 0 0 0 0 0.0 0 0 0 0.0 0 0 0 0 0.0 55 168,380 168,380 W Cost Cost (£) (£) aste aste 1,878 requested 1,859,104 1,859,104 patient patient m Total Total (No) (No) 176,041 176,041 eals eals ,5 .54 127.8 5,059 2.75 4 patient patient m Cost per per n/a n/a n/a n/a n/a (£) (£) -0.01 -0.01 eal eal 3. 22 Rating (No) (No) FSA 4 3.34 4 3.34 0 0 0 0.37 17.92 17.92 0.37 4.

67 (WTE) (WTE) 320.42 320.42 338.34 338.34 Total Total Sta 21.53 21.53 46.56 46.56 1. 0.69 0.69 .16 ff 95

50 Facilities Performance Report 2012/13 APPENDIX II

Cleaning services costs

80.00

70.00

60.00

50.00 2

£/m 40.00

30.00

20.00

10.00

0.00 County Hospital Aggregared sites Ysbytyr Tri Chwm Ysbytyr Tri alygarn & Ty Siriol alygarn & Ty St Cadoc’s Hospital St Cadoc’s St Woolos Hospital St Woolos Nevill Hall Hospital T Ysbyty Ystrad Fawr Royal Gwent Hospital Ysbyty Aneurin Bevan Maindiff Court Hospital Maindiff Serennu Children’s Centre Serennu Children’s Blaenavon Health Care Unit Llanfrechfa Grange Hospital Redwood Memorial Hospital Monnow Vale Health Facility Monnow Vale Chepstow Community Hospital

Figure 7: Cleaning services cost indicator

Catering services costs

70.00

60.00

50.00

2 40.00 £/m

30.00

20.00

10.00

0.00 County Hospital Aggregared sites Ysbytyr Tri Chwm Ysbytyr Tri alygarn & Ty Siriol alygarn & Ty St Cadoc’s Hospital St Cadoc’s St Woolos Hospital St Woolos Nevill Hall Hospital T Ysbyty Ystrad Fawr Royal Gwent Hospital Ysbyty Aneurin Bevan Maindiff Court Hospital Maindiff Serennu Children’s Centre Serennu Children’s Blaenavon Health Care Unit Llanfrechfa Grange Hospital Redwood Memorial Hospital Monnow Vale Health Facility Monnow Vale Chepstow Community Hospital

Figure 8: Catering services cost indicator

Facilities Performance Report 2012/13 51 APPENDIX II

Portering services costs

35.00

30.00

25.00

2 20.00 £/m

15.00

10.00

5.00

0.00 County Hospital Aggregared sites Ysbytyr Tri Chwm Ysbytyr Tri alygarn & Ty Siriol alygarn & Ty St Cadoc’s Hospital St Cadoc’s St Woolos Hospital St Woolos Nevill Hall Hospital T Ysbyty Ystrad Fawr Royal Gwent Hospital Ysbyty Aneurin Bevan Maindiff Court Hospital Maindiff Serennu Children’s Centre Serennu Children’s Blaenavon Health Care Unit Llanfrechfa Grange Hospital Redwood Memorial Hospital Monnow Vale Health Facility Monnow Vale Chepstow Community Hospital

Figure 9: Portering services cost indicator

Laundry and linen costs

16.00

14.00

12.00

10.00 2

£/m 8.00

6.00

4.00

2.00

0.00 County Hospital Aggregared sites Ysbytyr Tri Chwm Ysbytyr Tri alygarn & Ty Siriol alygarn & Ty St Cadoc’s Hospital St Cadoc’s St Woolos Hospital St Woolos Nevill Hall Hospital T Ysbyty Ystrad Fawr Royal Gwent Hospital Ysbyty Aneurin Bevan Maindiff Court Hospital Maindiff Serennu Children’s Centre Serennu Children’s Blaenavon Health Care Unit Llanfrechfa Grange Hospital Redwood Memorial Hospital Monnow Vale Health Facility Monnow Vale Chepstow Community Hospital

Figure 10: Laundry and linen services cost indicator

52 Facilities Performance Report 2012/13 APPENDIX III

Observations on FM-related Operating Costs

BETSI CADWALADR UNIVERSITY HEALTH BOARD

Facilities Performance Report 2012/13 53

APPENDIX III

Health Board: Betsi Cadwaladr University Health Board

No of Returns: 26 Individual hospital sites including: 3 – Major Acute 2 – Minor Acute 17 – Community 3 – Community Geriatric 1 – Psychiatric (Mental Illness) Aggregate sites – All other non-hospital sites

1.0 Introduction

1.1 This Appendix provides a summary of the FM data submitted for the reporting period 2012/13 by Betsi Cadwaladr University Health Board. The complete data set can be downloaded by the NHS in Wales from the NHS Wales Shared Services Partnership - Facilities Services intranet website.

1.2 When making comparisons with data submitted in previous years, it should be borne in mind that anomalies have been identified. Any apparent inaccuracies in data submitted for 2012/13 have been queried with the Health Board and many remain unresolved. However, where the integrity of the all-Wales data reporting risked being compromised, a suitable adjustment has been made.

1.3 It is recognised that expenditure on facilities services is not, on its own, an adequate measure of performance in so far as it does not address the quality aspects of the service. However, it can be a helpful indicator when used to compare expenditure of similar organisations and healthcare sites, and draw attention to potential savings and the allocation of resources for optimum performance. Hence, where appropriate for internal benchmarking and performance monitoring, an emphasis is placed on making year-on-year comparisons, at both Health Board / Trust and hospital site level, in preference to comparisons with national averages.

2.0 Breakdown of Health Board FM services expenditure

2.1 Figure 1 overleaf, shows the cost data reported for FM services by Betsi Cadwaladr University Health Board for 2012/13, 2011/12, 2010/11, 2009/10 and the aggregated costs for 2008/09 for the former organisations. Also shown is a breakdown of overall FM cost of occupancy (£/m2) for Health Board properties.

Facilities Performance Report 2012/13 55 APPENDIX III

FM Telecoms Cleaning Catering Laundry Security Portering Postal Totals Costs & Linen

(£) 2012/13 2,689,466 9,802,678 9,955,064 1,858,370 453,858 5,904,830 1,203,397 31,867,663 2011/12 2,695,811 10,522,780 11,235,258 1,920,716 707,933 6,315,918 1,360,369 34,758,785 2010/11 2,914,674 10,914,281 10,475,156 1,858,831 598,168 6,602,237 1,415,438 34,778,785 2009/10 3,724,952 10,597,655 10,597,325 1,993,811 678,314 6,610,534 1,399,164 35,601,755 2008/09 2,749,260 10,808,774 10,274,882 1,967,999 699,190 6,893,064 1,405,101 34,798,270 (£/m2) 2012/13 6.82 24.86 25.24 4.71 1.15 14.97 3.05 80.80 2011/12 7.10 27.70 29.58 5.06 1.86 16.63 3.58 91.51 2010/11 7.83 29.33 28.15 4.99 1.61 17.74 3.80 93.45 2009/10 10.08 28.67 28.66 5.39 1.83 17.88 3.78 96.30 2008/09 7.77 30.54 29.04 5.56 1.98 19.48 3.97 98.33

Figure 1: Betsi Cadwaladr University Health Board FM services cost data

2.2 The total operating cost for the above FM services for 2012/13 was £31,867,663, a decrease of £2,891,122 (-8.3%) compared with 2011/12. Reductions have been reported across the board with catering, at just under £1.3 million, being the biggest single component of this decrease.

2.3 Figures 2 and 3 show year-on-year changes with FM service costs.

40,000,000

35,000,000

30,000,000

25,000,000

20,000,000 (£)

15,000,000

10,000,000

5,000,000

0 2008/09 2009/10 2010/11 2011/12 2012/13

Postal Portering Security Laundry & Linen Catering Cleaning Telecoms

Figure 2: Yearly breakdown of overall FM service costs

56 Facilities Performance Report 2012/13 APPENDIX III

12,000,000

10,000,000

8,000,000

6,000,000 (£)

4,000,000

2,000,000

0 Telecoms Cleaning Catering Laundry & Linen Security Portering Postal

2008/09 2009/10 2010/11 2011/12 2012/13

Figure 3: Year-on-year changes in FM service costs

2.4 Figure 4 shows the year-on-year breakdown of the FM service costs expressed as a percentage of the total FM reported costs.

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0% 2008/09 2009/10 2010/11 2011/12 2012/13

Postal 4.04% 3.93% 4.07% 3.91% 3.78% Portering 19.81% 18.57% 18.98% 18.17% 18.53% Security 2.01% 1.91% 1.72% 2.04% 1.42% Laundry & Linen 5.66% 5.60% 5.34% 5.53% 5.83% Catering 29.53% 29.77% 30.12% 32.32% 31.24% Cleaning 31.06% 29.77% 31.38% 30.27% 30.76% Telecoms 7.90% 10.46% 8.38% 7.76% 8.44%

Figure 4: FM service expenditure % by function

Facilities Performance Report 2012/13 57 APPENDIX III

3.0 Breakdown of facilities services costs for individual sites

3.1 Figure 5 opposite, shows individual FM service costs presented on a site-by-site basis.

It should be noted that, in accordance with the EFPMS data requirements, postal service and telecommunications costs have been reported on a Health Board-wide basis and not allocated to individual sites. Furthermore, the charts include a sum total for each of the FM service costs for all of the aggregate site types.

3.2 Figure 6 page 60, provides a breakdown of key catering data for individual hospitals along with Health Board totals and comparisons with headline data for 2011/12 where appropriate.

3.3 Figures 7 to 10 on the following pages show comparisons of performance between sites on the basis of £/m2 by FM service.

58 Facilities Performance Report 2012/13 APPENDIX III 80.80 (£/m²) (£/m²) FM Costs 2 2,54 ilable ilable (No) beds Ava 394,391 (m²) (m²) Occupied Occupied floor area (£) Costs Total FM 31,867,662.51 300,494.00 47,159 16 6.37 t-wide (£) 3,892,863.00 Trus service cost service cost 74,513.00 122,341.00 397 1,017 12 8 120.30 187.69 9,593.00 9,593.00 87,848.00 702 10 125.14 18,946.00 18,946.00 170,426.16 40,842.00 716 309,103.00 14 3,243 238.03 40 95.31 48,268.00 48,268.00 277,862.00 2,316 31 119.97 66,521.00 66,521.00 47,730.00 53,350.00 536,034.75 382,744.00 11,571 355,362.26 4,668 3,708 58 53 46.33 45 81.99 95.84 76,989.00 21,160.00 240,666.00 305,076.02 8,349 2,478 15 31 28.83 123.11 78,310.00 78,310.00 416,614.08 4,272 40 97.52 (£) ce costs ce costs 5,904,830.00 Portering Portering Servi 00 00 00 00 00 0.00 00 0.00 00 0.00 00 00 00 00 00 00 .00 .00 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. (£) ecurity ecurity costs 453,858 S services (£) 1,858,370.00 Laundry & & Laundry Linen costs costs Linen Figure 5: Facilities expenditure 852.08 17,265.00 (£) 9,955,063.51 of catering operations Gross cost (£) 87,587.00 2,226,981.00 479,934.00 75,775.00 1,110,180.00 5,680,457.00 64,369 504 88.25 75,328.00 145,225.00 9,041.00 2,453,064.90447,451.00 205,320.00 1,553,383.00 00,700.00 7,259,918.90 72,613 569 99.98 125,692.00 199,473.00 8,719.00 5,925.00 55,729.00 395,538.00 6,752 18 58.58 7 costs 9,802,678.00 services Cleaning

2,689,466.00 1,203,397.00 2,689,466.00 1,203,397.00 riatric 73,190.00 115,391.00 11,905.00 4,011.00 41,623.00 246,120.00 2,926 41,623.004,011.00 11,905.00 25 84.11 115,391.00 riatric 73,190.00

ty ty ty 148,187.00 172, 148,187.00 ty unity 141,089.00 187,388.00 17,732.00 7,008.00 77,631.00 430,848.00 4,286 43 100.52 43 4,286 unity Geriatric 430,848.00 171,478.00 140,340.00 23,825.00 77,631.00 6,703.00 7,008.00 78,945.00 17,732.00 187,388.00 unity 141,089.00 421,291.00 5,242 38 80.37 unity 93,553.00 135,482.00 9,770.00 6,008.00 61,715.00 306,528.00 1,943 32 157.76 32 1,943 306,528.00 61,715.00 6,008.00 9,770.00 135,482.00 15,400.00 unity 93,553.00 303,318.75 unity 150,795.00 3,442.00 11,453.00 9,930.00 152,444.02 unity 150,305.00 unity 120,019.00 Hospital type Hospital type

Comm rial Community 40.00 58,770.00 7,236.00 2,914.00 24,416.00 rial Community 93,376.00 1,682 12 55.5124,416.00 2,914.00 7,236.00 58,770.00 40.00 ital Comm services

ons ons unity Hospital Community 48,893.00 68,101.00 5,347.00 andra Hospital Hospital andra Comm nrhos Stanley Stanley nrhos Comm District War Memo euaddHospital Psychiatric - MI 344,399.00 240,490.00 13,421.00 11,059.00 113,236.00 722,605.00 23,264 57 31.06 lltwen Community Maelor Major Acute 2,189,928.00 2,130,552.00 602,693.00 96,094.00 1,962,982.00 6,982,249.00 91,083 693 76.66 Glan Clwyd Clwyd Glan Gwynedd Acute Major Acute Major 2,6 1, tyn Comm tyn al services gellau & Barmouth District Community 99,813.00 118,354.00 8,731.00 2,322.00 41,623.00 270,843.00 2,220 24 122.00 eeside Community Hospital enbigh Community Hospital Community Community 159,158.00 111,809.00 158,988.00 172,726.26 16,868.00 17,477.00 bergele Hospital Minor Acute 169,580.00 83,977.30 19,794.00 enley Hospital 0.00 145,125.00 Community Geriatric 26,073.00 418,476.30 ggregated sites 43,881.00 13,604 4,559.00 38 30.76 293,344.00 6.00 7,144.00 Site Name Name Site A Hospital Beryl Bryn Bryn-y-N HospitalCefni Chirk Community Hospital BayColwyn Community Hospital D D Comm Communi Dol HospitalEryri Community Ge Ffestiniog Memorial Hospital Flint Community Hospital Hospital Community Holywell Llandudno General Hospital Community Llangollen Community Hospital Communi Community Mold Community Hospital Comm P Minor Acute Community Presta AlexRoyal 44.00 Community Ruthin Community Hosp 62,407.00 & Tywyn 505,374.00 71,790.00 Ysbyty A 43,869.00 83,518.16 Ysbyty 308,976.04 5,428.00 Ysbyty 110,024.00 29,177.00 5,555.00 68,601.00Ysbyty 143,867.00 Ysbyty Pe 3,071.00 5,209.00 27,648.00 A 14,370.00 33,872.00 142,661.00Telecommunicati Post Total for submitted data 114,205.00 1,053,260.04 13,082 729 105 11 80.51 156.66

Facilities Performance Report 2012/13 59 APPENDIX III Llangollen Community Hospital Cook freeze bulk 9,972 18,706 499 29,177 494 28,683 465 29 1.0 99 8,760 3.27 4 0.77 0.77 5.04 4 4 3.27 2.52 8,760 53,232 99 4 940 1.0 2.85 2.2 88,801 29 7,780 2,401 2.7 1,912 465 9,836 134,175 28,683 9,692 A 494 45,872 Pe Ysbyty 143,867 Mael Ysbyty 253,268 29,177 3,457 Gwyne Ysbyty 55,708 Gl Ysbyty 499 91,817 A Ysbyty 308,976 Tywyn & Distri 48,593 10,466 18,706 Hosp Community Ruthin 188,965 Royal 9,972 Alex bulk freeze Cook Presta 109,545 P bulk freeze Cook Hospital Community Mold bulk Conventional Hospital Community Llangollen C Hospital General Llandudno Holywell Community Hospital Flint Ffestiniog 2.27 Community 6,022 5 13.83 915 6.8 Eryri Hospital 113 Cook 2.56 Memorial Dol 5 6.35 Hospital Conv 8,925 525 5.9 109 D freeze 10,686 Hospital Conventional 83,297 222 4,390 56,714 71,790 15,076 1,165 11,220 83,518 D 1,929 13,497 59,405 68,092 plated bulk Colwyn C Hospit CommunityChirk Cefni Hospital Bryn-y-N Bryn Beryl Hospital A Site Name geae ie Co reepae 2 2 3 3 00 4 .5 5 5 0.75 4 0 0.0 0 3 3 3 6 2 2 2 plated freeze Cook 43,881 454 sites ggregated 37,939 5,488 bulk freeze Cook Hospital enley 12,885 73,081 10,896 83,977 2,434 62,906 18,637 plated Conventional Hospital bergele eieCmuiyHsia Co reebl 5,2 1084 ,6 1898 096 3,5 590 496 . 186 446 .4 5. 4 2.54 54,436 1,806 4.4 14,956 2,577 5,980 170,213 138,052 2,514 20,936 172,726 158,988 7,298 3,369 130,239 100,894 35,189 54,725 plated Conventional bulk freeze Cook Hospital Community enbigh Hospital Community eeside elu&Brot itit ovninlpae 2,0 9,2 201 1,5 1,7 1154 ,9 1,7 05 7 027 .2 4 5.02 20,247 77 0.5 10,572 6,198 101,584 16,770 118,354 2,021 96,329 20,004 plated Conventional District Barmouth & gellau tyn Comm Bay Comm lltwen Conv lltwen euadd Hospital Conventional bulk 71,122 164,632 4,736 240,490 51,868 188,622 49,657 2,211 0.4 147 46,150 4.09 5 7.89 7.89 5 4.09 46,150 147 0.4 2,211 49,657 188,622 51,868 240,490 4,736 164,632 71,122 bulk Conventional Hospital euadd an Cl ro tne C nrhos Stanley andra Hospital r okfez uk 905,0 Cook freeze bulk or dd Conv ct War 2.22 5 4.99 9,427 30 Memorial 0.3 Conventional 7,273 4,481 47,016 58,770 11,754 1,054 13,051 44,665 plated wyd Convwyd

unity Hospital Conventional bulk 36,000 31,411 690 68,101 68,101 690 31,411 36,000 bulk Conventional Hospital unity unity unity Totals fo Totals Yearly co Yearly Totals al Cook freeze bulk 40,740 80,715 23,770 145,225 12,524 132,701 3,230 9,294 5.8 2,008 37,227 3.56 5 2.87 2.87 5 3.56 37,227 2,008 5.8 9,294 3,230 132,701 12,524 145,225 23,770 80,715 40,740 bulk freeze Cook al ital C ital Hospital for 2011/12 2011/12 for r 20 mparis C 12/13 on 125,826 125,826 on C C Prod ook freeze bulk 51,803 114,536 6,513 172,852 6,715 166,137 6,580 135 3.2 1,566 42,750 3.89 5 4.95 4.95 5 3.89 42,750 1,566 3.2 9,930 135 9,930 183 6,580 8,330 166,137 6,715 1,417 172,852 bulk onventional 6,513 114,536 51,803 bulk freeze ook netoa ltd 6921176 ,4 5,4 5221712409 ,9 18482,9 64 5.08 5 6.40 onventional 448 1.8 22,995 1,193 26,962 3,746 5,292 plated 121,736 4,099 147,152 152,444 4.97 4 3.83 onventional 108 0.4 34,205 5,254 27,974 2,744 9,462 plated 109,622 4,208 130,878 140,340 4.51 onventional 5 3.61 592 2.1 34,107 5,730 32,732 2,703 plated 100,047 135,482 12,475 6,745 123,007 onventional onventional 6.56 5 3.81 748 1.9 41,185 47,408 14,645 3,793 plated 136,187 187,388 30,456 156,932 15,811 onventional plated 78,284 137,809 87,226 303,319 21,638 281,681 16,928 4,710 3.8 2,685 58,813 4.79 3 5.47 5.47 3 4.79 58,813 2,685 3.8 4,710 16,928 281,681 21,638 303,319 87,226 137,809 78,284 plated onventional uction uction entional plated 38,200 157,339 3,934 199,473 97,157 102,316 35,016 62,141 0.1 18 14,512 7.05 5 7.34 7.34 5 7.05 3.01 14,512 18 449,167 25,251 0.1 5.1 62,141 202,711 35,016 670,246 102,316 1,354,024 446,216 872,957 2,016,175 97,157 436,890 2,226,981 199,473 70,974 2,453,065 3,934 120,838 1,292,449 863,558 1,544,406 157,339 787,821 plated 38,200 entional plated entional plated entional 3.57 entional 5 4.37 105 0.8 20,691 8,341 20,820 73,832 20,739 plated 90,340 115,391 25,051 16,710 type provisions provisions 3,243,973 6,308,753 1,682,532 11,235,258 2,743,204 8,491,855 1,692,999 1,050,205 4.39 108,770 2,417,097 3.51 4.65 283.41 283.41 4.65 3.51 2,417,097 108,770 4.39 1,050,205 1,692,999 8,491,855 2,743,204 11,235,258 1,682,532 6,308,753 3,243,973 3,369,799 3,369,799 costs costs Total Total (£) (£) 35 1,1 6,106,885 6,106,885 -201,868 -1,204,153 -1,280,194 -406,412 -873,583 -873,583 -406,412 -1,280,194 -1,204,153 -201,868 costs costs Total Total staff staff 33,875 91,642 91,642 33,875 5 4.9 2,130,552 600,312 5 2.59 34,381 170,442 1,530,240 590,701 429,870 (£)

costs costs other other 478,379 478,379 Total Total (£)

9,955,064 9,955,064 catering Figure 6: Catering data gross gross costs costs Total Total (£)

costs non non costs 2,336,792 2,336,792 catering catering patient patient gross gross Total Total (£)

0 0 catering catering 7,618,272 7,618,272 patient patient gross gross costs costs Total Total (£) 43,881 7 43,881 68,101 0 0 1.0 360 8,820 7.72 5 1.13 1.13 5 7.72 8,820 360 1.0 0 0 68,101

0 1,801,126 1,801,126 income income patient patient 108,127 108,127 Total Total non non 10,931 10,931 (£)

(contribution) (contribution) non patient patient non Net co catering catering -514,539 -514,539 (£) 535,666 535,666 -1,001 -1,001 -1,989 -1,989 -9,326 -9,326

sts sts -63 -63 -7 -7 W (%) (%) aste aste -0.12 -3,337 -147,181 -0.15 -0.15 -147,181 -3,337 -0.12 4. . 0 0 5 0.45 0.0 n/a 4.0 1,369 28,470 5.98 5 5.2 5.2 5 5.98 28,470 1,369 4.0 3.16 4 4.17 247 1.8 17,529 1.1 60 60 1.1 6,570 1.39 6.68 5 4.9 28,547 566,170 3.56 5 64.53 64.53 5 3.56 566,170 28,547 4.9 27 105,433 105,433 W cost cost (£) (£) aste aste requested 2,269,916 2,269,916 patient patient m Total Total (No) (No) eals eals Cost per Cost per patient patient m (£) (£) eal eal 3. 36

rating (No) (No) FSA FSA 5 64.16 5 64.16

0. 4. 02 67 282.54 282.54 (WTE) (WTE) Total Total staff staff -0.87 -0.87 7. 4.55 4.55 3. 95 02 93

60 Facilities Performance Report 2012/13 APPENDIX III

Cleaning services costs

100.00 90.00 80.00 70.00

2 60.00

£/m 50.00 40.00 30.00 20.00

10.00 0.00 Eryri Hospital Cefni Hospital Ysbyty Maelor Ysbyty Alltwen Penley Hospital Ysbyty Gwynedd Aggregated sites Abergele Hospital Ysbyty Glan Clwyd Bryn Beryl Hospital Ysbyty Penrhos Stanley Bryn-y-Neuadd Hospital Royal Alexandra Hospital Flint Community Hospital Mold Community Hospital Chirk Community Hospital Ruthin Community Hospital Llandudno General Hospital Deeside Community Hospital Ffestiniog Memorial Hospital Denbigh Community Hospital Holywell Community Hospital Prestatyn Community Hospital Llangollen Community Hospital Colwyn Bay Community Hospital Dolgellau & Barmouth District Hospital ywyn & District War Memorial Hospital ywyn & District War T

Figure 7: Cleaning services cost indicator

Catering services costs

140.00

120.00

100.00

2 80.00 £/m 60.00

40.00

20.00

0.00 Eryri Hospital Cefni Hospital Ysbyty Maelor Ysbyty Alltwen Penley Hospital Ysbyty Gwynedd Aggregated sites Abergele Hospital Ysbyty Glan Clwyd Bryn Beryl Hospital Ysbyty Penrhos Stanley Bryn-y-Neuadd Hospital Royal Alexandra Hospital Flint Community Hospital Mold Community Hospital Chirk Community Hospital Ruthin Community Hospital Llandudno General Hospital Deeside Community Hospital Ffestiniog Memorial Hospital Denbigh Community Hospital Holywell Community Hospital Prestatyn Community Hospital Llangollen Community Hospital Colwyn Bay Community Hospital Dolgellau & Barmouth District Hospital ywyn & District War Memorial Hospital ywyn & District War T

Figure 8: Catering services cost indicator

Facilities Performance Report 2012/13 61 APPENDIX III

Portering services costs

50.00 45.00 40.00 35.00

2 30.00

£/m 25.00 20.00 15.00 10.00 5.00 0.00 Eryri Hospital Cefni Hospital Ysbyty Maelor Ysbyty Alltwen Penley Hospital Ysbyty Gwynedd Aggregated sites Abergele Hospital Ysbyty Glan Clwyd Bryn Beryl Hospital Ysbyty Penrhos Stanley Bryn-y-Neuadd Hospital Royal Alexandra Hospital Flint Community Hospital Mold Community Hospital Chirk Community Hospital Ruthin Community Hospital Llandudno General Hospital Deeside Community Hospital Ffestiniog Memorial Hospital Denbigh Community Hospital Holywell Community Hospital Prestatyn Community Hospital Llangollen Community Hospital Colwyn Bay Community Hospital Dolgellau & Barmouth District Hospital ywyn & District War Memorial Hospital ywyn & District War T

Figure 9: Portering services cost indicator

Laundry and linen costs

14.00

12.00

10.00

2 8.00 £/m 6.00

4.00

2.00

0.00 Eryri Hospital Cefni Hospital Ysbyty Maelor Ysbyty Alltwen Penley Hospital Ysbyty Gwynedd Aggregated sites Abergele Hospital Ysbyty Glan Clwyd Bryn Beryl Hospital Ysbyty Penrhos Stanley Bryn-y-Neuadd Hospital Royal Alexandra Hospital Flint Community Hospital Mold Community Hospital Chirk Community Hospital Ruthin Community Hospital Llandudno General Hospital Deeside Community Hospital Ffestiniog Memorial Hospital Denbigh Community Hospital Holywell Community Hospital Prestatyn Community Hospital Llangollen Community Hospital Colwyn Bay Community Hospital Dolgellau & Barmouth District Hospital ywyn & District War Memorial Hospital ywyn & District War T

Figure 10: Laundry and linen services cost indicator

62 Facilities Performance Report 2012/13 APPENDIX IV

Observations on FM-related Operating Costs

CARDIFF and VALE UNIVERSITY HEALTH BOARD

Facilities Performance Report 2012/13 63

APPENDIX IV

Health Board: Cardiff and Vale University Health Board

No of Returns: 9 Individual hospital sites including: 2 – Major Acute 2 – Minor Acute 1 – Specialist Acute 2 – Community 2 – Psychiatric (Mental Illness) Aggregate sites – All other non-hospital sites (excl. Fieldway Pharmacy)

1.0 Introduction

1.1 This Appendix provides a summary of the FM data submitted for the reporting period 2012/13 by Cardiff and Vale University Health Board. The complete data set can be downloaded by the NHS in Wales from the NHS Wales Shared Services Partnership - Facilities Services intranet website.

1.2 The Health Board’s commitment to the submission of accurate FM data was evident in the limited number of queries raised by NWSSP-FS during the production of the annual report.

However, one query raised regarding the magnitude of the reduction in catering staff costs reported for catering services for the period 2012/13 continues to give rise for concern. This relates to the £3.5 million reduction (-34.4%) for the catering costs compared with 2011/12, influenced mainly by almost £3 million less in patient staff costs being attributed to the University Hospital of Wales and Llandough Hospitals this year.

With regard to the labour costs at the University Hospital of Wales, the Health Board has advised that strict adherence was applied to the (data) definitions, for example, Ward Based Caterers, who regenerated the food at ward level and served patients, have been excluded from the information submitted as the (data) definition states to exclude ward staff. In previous years the Health Board confirmed that a percentage of their time was included which related to the time spent serving meals.

In respect of Llandough Hospital, the decrease in labour costs has been explained by the Health Board as a result of the reassessment of the apportionment of time between housekeeping and catering duties for those staff with a dual role.

These explanations have been taken on board and anticipated to be taken forward with a review of the related data definitions in due course.

1.3 It is recognised that expenditure on facilities services is not, on its own, an adequate measure of performance in so far as it does not address the quality aspects of the service. However, it can be a helpful indicator when used to compare expenditure of similar organisations and healthcare sites, and draw attention to potential savings and the allocation of resources for optimum performance. Hence, where appropriate for internal benchmarking and performance monitoring, an emphasis is placed on making year-on-year comparisons, at both Health Board / Trust and hospital site level, in preference to comparisons with national averages.

Facilities Performance Report 2012/13 65 APPENDIX IV

2.0 Breakdown of Health Board FM services expenditure

2.1 Figure 1 shows the cost data reported for FM services by Cardiff and Vale University Health Board for the last five years, along with a breakdown of overall cost of occupancy (£/m2) for Health Board properties.

FM Telecoms Cleaning Catering Laundry Security Portering Postal Totals Costs & Linen

(£) 2012/13 1,331,291 9,579,283 6,615,375 2,439,428 1,456,363 3,330,058 989,692 25,741,490 2011/12 1,389,750 9,482,092 10,087,642 2,478,382 1,278,749 2,993,231 656,348 28,366,194 2010/11 1,624,750 9,356,331 10,451,606 2,522,238 1,207,182 2,949,919 623,499 28,735,525 2009/10 1,447,448 8,757,201 10,294,427 2,569,853 1,185,375 2,962,642 635,074 27,852,020 2008/09 1,277,797 9,076,554 10,591,552 2,649,740 1,165,032 3,077,559 720,476 28,558,710 (£/m2) 2012/13 3.74 26.91 18.59 6.85 4.09 9.36 2.78 72.32 2011/12 3.97 27.11 28.84 7.09 3.66 8.56 1.88 81.11 2010/11 4.72 27.16 30.34 7.32 3.50 8.56 1.81 83.41 2009/10 4.30 25.99 30.55 7.63 3.52 8.79 1.88 82.65 2008/09 3.81 27.09 31.61 7.91 3.48 9.19 2.15 85.24

Figure 1: Cardiff and Vale University Health Board FM services cost data

2.2 The total operating cost for the above FM services for 2012/13 was £25,741,490, a decrease of £2,624,704 (-9.25%) compared with 2011/12. (N.B. There has been an extraordinarily large reduction in catering services costs this year compared with previous reporting periods, particularly relating to the Health Board’s two major acute hospitals, which has given rise to many anomalies with the FM reporting of performance throughout this appendix.)

66 Facilities Performance Report 2012/13 APPENDIX IV

2.3 Figures 2 and 3 show year-on-year changes with FM service costs.

40,000,000

35,000,000

30,000,000

25,000,000

20,000,000 (£)

15,000,000

10,000,000

5,000,000

0 2008/09 2009/10 2010/11 2011/12 2012/13

Postal Portering Security Laundry & Linen Catering Cleaning Telecoms

Figure 2: Yearly breakdown of overall FM service costs

12,000,000

10,000,000

8,000,000

6,000,000 (£)

4,000,000

2,000,000

0 Telecoms Cleaning Catering Laundry & Linen Security Portering Postal

2008/09 2009/10 2010/11 2011/12 2012/13

Figure 3: Year-on-year changes in FM service costs

Facilities Performance Report 2012/13 67 APPENDIX IV

2.4 Figure 4 shows the year-on-year breakdown of the FM service costs expressed as a percentage of the total FM reported costs.

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0% 2008/09 2009/10 2010/11 2011/12 2012/13

Postal 2.52% 2.28% 2.17% 2.31% 3.84% Portering 10.78% 10.64% 10.27% 10.55% 12.94% Security 4.08% 4.26% 4.20% 4.51% 5.66% Laundry & Linen 9.28% 9.23% 8.78% 8.74% 9.48% Catering 37.09% 36.96% 36.37% 35.56% 25.70% Cleaning 31.78% 31.44% 32.56% 33.43% 37.21% Telecoms 4.47% 5.20% 5.65% 4.90% 5.17%

Figure 4: FM service expenditure % by function

3.0 Breakdown of facilities services costs for individual sites

3.1 Figure 5 opposite, shows individual FM service costs presented on a site-by-site basis.

It should be noted that, in accordance with the EFPMS data requirements, postal service and telecommunications costs have been reported on a Health Board-wide basis and not allocated to individual sites. Furthermore, the charts include a sum total for each of the FM service costs for all of the aggregate site types.

3.2 Figure 6 page 70, provides a breakdown of key catering data for individual hospitals along with Health Board totals and comparisons with headline data for 2011/12 where appropriate.

3.3 Figures 7 to 10 on the following pages show comparisons of performance between sites on the basis of £/m2 by FM service.

68 Facilities Performance Report 2012/13 APPENDIX IV 72.32 FM (£/m²) (£/m²) Costs 972 63.40 2,032 ilable ilable (No) beds Ava

355,924 (m²) (m²) Occupied Occupied floor area (£) 33,239.00 2,525 13.16 0 74,277.00 6,584 11.28 0 Costs 377,499.00 28,004 13.48 8 Total FM 25,741,490.00

(£) wide costs Board- service 989,692.00 989,692.00

1,331,291.00 1,331,291.00 2,320,983.00

0.00 (£) 14,117.00 453,602.00 2,322 45 195.35 45 2,322 453,602.00 14,117.00 costs 108,379.00 872,923.00 6,914 120 126.25 120 6,914 84.92 872,923.00 68 11,678 991,739.00 108,379.00 244,626.00 175,146.00 175,146.00 792,984.00 6,172 67 128.48 service Portering Portering 3,330,058.00

0.00 0.00 0.00 0.00 (£) ecurity ecurity costs service S 186,777.00

1,456,363.00

nen (£) costs & li Laundry Laundry

2,439,428.00

Figure 5: Facilities expenditure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (£) Gross cost of catering operations operations 6,615,375.00

(£) costs service Cleaning 9,579,283.00

Hospital type type Hospital

for submitted data for submitted data hurch Hospital hurch Psychiatric - MI 638,444.00 636,852.00 55,331.00 163,734.00 100,266.00 1,594,627.00 24,523 115 65.03 c it ecommunications services ecommunications services stal services David’s Hospital Community 640,690.00 471,819.00 81,501.00 119,622.00 93,436.00 1,407,068.00 9,934 68 141.64 rry Hospital Community 243,723.00 290,288.00 83,827.00 l

rwerth Jonesrwerth Centre Psychiatric - MI 205,997.00 154,965.00 78,523.00 Site Name Name Site ggregated Sites 190,722.00 Ba CardiffInfirmary Royal CRI - West Wing Io Acute Minor Llandough Hospital HospitalRookwood St Minor Acute 74,277.00 UniversityWales Hospital of Acute Major Wh SpecialistAcute Acute Major 274,009.00 PharmacyFieldway 1,865,694.00 A 402,091.00 328,236.00 1,494,900.00 5,084,252.00 88,444.00 339,972.00 601,618.00 2,824,488.00 Te 1,371,279.00 355,812.00 78,905.00 Po 630,418.00 782,176.00 1,811,912.00 Total 33,239.00 5,100,200.00 11,722,349.00 184,900 72,368 569 70.48

Facilities Performance Report 2012/13 69 APPENDIX IV lnog optl okfez uk 0,2 6340 707 ,9,0 4418 ,1,0 4665 743 . 2,5 4550 .6 4 3.46 495,530 22,657 4.0 37,483 426,655 1,715,300 464,138 1,494,900 154,965 plated freeze Cook 77,017 6,760 613,460 A 86,635 804,423 Pharmacy Fieldway freeze Cook C 61,570 Whitc bulk freeze Cook of Wales Hospital University St David’ bulk C freeze Cook Hospital Rookwood C Hospital Llandough plated freeze Cook Centre Jones Iorwerth Wing - West CRI Infirmary Royal Cardiff Barry Hospital Site Name ggregated Sites Cook freeze plated plated freeze Cook Sites ggregated uc optl okfez uk 5,0 3398 812 3,5 1023 3,7 5,4 4,2 25 ,0 1816 .2 16.8 4 3.62 148,126 5,900 2.5 45,824 54,449 536,579 100,273 636,852 28,182 353,968 254,702 bulk freeze Cook Hospital hurch s Hospital Cook freeze bulk 228,659 237,160 6,000 471,819 47,432 424,387 424,387 47,432 471,819 6,000 237,160 228,659 bulk freeze Cook s Hospital

Totals fo Totals Yearly co Yearly Totals f r2 1/2 ,4,3 ,6,8 72851,8,2 22017 ,5,7 ,6,0 4992 .5277519579 .0 4.2 4.00 1,965,749 217,745 9.45 469,942 1,760,205 7,857,477 2,230,147 10,087,624 772,805 6,169,484 3,145,335 for 2011/12 r 20 mparis 12/13 on 153,001 153,001 on Prod ook freeze plated 123,548 208,009 8,415 339,972 16,052 323,920 5,022 11,030 1.6 1,838 62,777 5.16 4 13.47 13.47 4 5.16 21.52 62,777 4 3.08 1,838 1.6 122,398 6,347 11,030 4.7 5,022 16,613 323,920 8,876 16,052 376,602 339,972 25,489 8,415 402,091 208,009 7,103 123,548 251,062 plated freeze ook 143,926 bulk freeze ook ook freeze bulk 124,188 154,987 11,113 290,288 20,922 269,366 8,860 12,062 6.2 7,139 86,823 3.10 4 13.88 13.88 4 3.10 86,823 7,139 6.2 12,062 8,860 269,366 20,922 290,288 11,113 154,987 124,188 bulk freeze ook uction uction bl 15730 ,3,7 1822 ,2,8 13934 ,0,3 12122 802 . 35 3.7 98,092 1,221,262 1,505,134 1,319,354 2,824,488 128,292 1,138,876 1,557,320 bulk type provisions provisions 3,298,336 3,298,336 costs costs Total Total (£) (£) 0 0 0 Total staff staff Total -3,125,327 -499,923 -3,472,249 -236,487 -2,551,224 -35,081 -201,406 -9.45 -100,893 -179,977 -1.03 -1.03 -0.25 -33.57 -9.45 -179,977 -100,893 -201,406 -35,081 -236,487 -499,923 -3,125,327 -2,551,224 -3,472,249 3,044,157 3,044,157 costs costs (£)

0 0 0 costs costs other other 272,882 272,882 Total Total (£)

0 0 0 Figure 6: Catering data catering catering 6,615,375 6,615,375 gross gross costs costs Total Total (£)

0 0 0 costs non non costs 1,993,660 1,993,660 catering catering patient patient gross gross Total Total (£)

0 0 0 0 catering catering 5,306,253 5,306,253 patient patient gross gross costs costs Total Total 154,965 154,965 (£)

0 0 0 Total Total 1,725,124 1,725,124 income income patient patient (£) non

0 0 0 0 0 (contribution) (contribution) non patient patient non Net co catering catering (£) 268,536 268,536 47,432 15.0 15.0 47,432 4.56 34,299 93,155 4 10.38

sts sts 0 0 0 W (%) (%) aste aste 0. 0. 0. 0. 4.5 2,771 45,320 3.42 4 2.50 2.50 3.42 4 45,320 2,771 4.5 00 0 0 0 116,852 116,852 W cost cost (£) (£) aste aste , 900 731,643 2.06 2.06 4 163.45 731,643 900 0 0 0 requested 1,785,772 1,785,772 patient patient m Total Total (No) (No) eals eals 0 0 0 Cost per Cost per patient patient m n/ n/ n/ (£) (£) eal eal a a a 2. 97 rating NCR 0 NCR 0 NCR 0 (No) (No) FSA 4.

00 5 345.20 311.63 311.63 (WTE) (WTE) Total Total staff staff 69.56 69.56 7

70 Facilities Performance Report 2012/13 APPENDIX IV

Cleaning services costs

100.00

90.00

80.00

70.00

60.00 2

£/m 50.00

40.00

30.00

20.00

10.00

0.00 of Wales Barry Hospital CRI - West Wing CRI - West Aggregated sites St David’s Hospital St David’s University Hospital Fieldway Pharmacy Llandough Hospital Rookwood Hospital Whitchurch Hospital Iorweth Jones Centre Cardiff Royal Infirmary Cardiff

Figure 7: Cleaning services cost indicator

Catering services costs

80.00

70.00

60.00

50.00 2

£/m 40.00

30.00

20.00

10.00

0 of Wales Barry Hospital CRI - West Wing CRI - West Aggregated sites St David’s Hospital St David’s University Hospital Fieldway Pharmacy Llandough Hospital Rookwood Hospital Whitchurch Hospital Iorweth Jones Centre Cardiff Royal Infirmary Cardiff

Figure 8: Catering services cost indicator

Facilities Performance Report 2012/13 71 APPENDIX IV

Portering services costs

30.00

25.00

20.00 2

£/m 15.00

10.00

5.00

0 of Wales Barry Hospital CRI - West Wing CRI - West Aggregated sites St David’s Hospital St David’s University Hospital Fieldway Pharmacy Llandough Hospital Rookwood Hospital Whitchurch Hospital Iorweth Jones Centre Cardiff Royal Infirmary Cardiff

Figure 9: Portering services cost indicator

Laundry and linen costs

40.00

35.00

30.00

25.00 2

£/m 20.00

15.00

10.00

5.00

0 of Wales Barry Hospital CRI - West Wing CRI - West Aggregated sites St David’s Hospital St David’s University Hospital Fieldway Pharmacy Llandough Hospital Rookwood Hospital Whitchurch Hospital Iorweth Jones Centre Cardiff Royal Infirmary Cardiff

Figure 10: Laundry and linen services cost indicator

72 Facilities Performance Report 2012/13 APPENDIX V

Observations on FM-related Operating Costs

CWM TAF HEALTH BOARD

Facilities Performance Report 2012/13 73

APPENDIX V

Health Board: Cwm Taf Health Board

No of Returns: 9 Individual hospital sites including: 2 – Major Acute 1 – Minor Acute 5 – Community 1 – Psychiatric (Mental Illness) Aggregate sites – All other non-hospital sites

1.0 Introduction

1.1 This Appendix provides a summary of the FM data submitted for the reporting period 2012/13 by Cwm Taf Health Board. The complete data set can be downloaded by the NHS in Wales from the NHS Wales Shared Services Partnership - Facilities Services intranet website.

1.2 The Health Board’s commitment to the submission of accurate FM data was evident in the limited number of queries raised by NWSSP-FS during the production of the annual report.

1.3 It is recognised that expenditure on facilities services is not, on its own, an adequate measure of performance in so far as it does not address the quality aspects of the service. However, it can be a helpful indicator when used to compare expenditure of similar organisations and healthcare sites, and draw attention to potential savings and the allocation of resources for optimum performance. Hence, where appropriate for internal benchmarking and performance monitoring, an emphasis is placed on making year-on-year comparisons, at both Health Board / Trust and hospital site level, in preference to comparisons with national averages.

2.0 Breakdown of Health Board FM services expenditure

2.1 Figure 1 overleaf, shows the cost data reported for FM services by Cwm Taf Health Board for 2012/13, 2011/12, 2010/11, 2009/10 and the aggregated costs for 2008/09 for the former organisations. Also shown is a breakdown of overall FM cost of occupancy (£/m2) for Health Board properties.

Facilities Performance Report 2012/13 75 APPENDIX V

FM Telecoms Cleaning Catering Laundry Security Portering Postal Totals Costs & Linen

(£) 2012/13 1,459,118 7,033,083 8,392,871 1,596,314 499,621 3,136,928 537,765 22,655,700 2011/12 1,335,816 7,277,930 7,204,375 1,459,363 436,746 3,405,361 456,091 21,575,682 2010/11 1,112,295 7,142,336 7,160,946 1,360,550 417,512 3,683,255 459,873 21,336,767 2009/10 1,101,487 7,135,209 6,874,842 1,328,347 525,504 3,466,548 359,020 20,790,957 2008/09 1,074,285 6,713,422 7,286,069 1,534,179 517,190 3,454,699 239,306 20,819,150 (£/m2) 2012/13 8.08 38.96 46.50 8.84 2.77 17.38 2.98 125.51 2011/12 7.85 42.78 42.35 8.58 2.57 20.02 2.68 126.82 2010/11 6.63 42.56 42.67 8.11 2.49 21.95 2.74 127.14 2009/10 6.55 42.41 40.86 7.90 3.12 20.61 2.13 123.58 2008/09 6.31 39.41 42.77 9.01 3.04 20.28 1.40 122.22

Figure 1: Cwm Taf Health Board FM services cost data

2.2 The total operating cost for the above FM services for 2012/13 was £22,655,700 an increase of £1,080,018 (5%) compared with 2011/12.

2.3 Figures 2 and 3 show year-on-year changes with FM service costs.

25,000,000

20,000,000

15,000,000 (£)

10,000,000

5,000,000

0 2008/09 2009/10 2010/11 2011/12 2012/13

Postal Portering Security Laundry & Linen Catering Cleaning Telecoms

Figure 2: Yearly breakdown of overall FM service costs

76 Facilities Performance Report 2012/13 APPENDIX V

9,000,000

8,000,000

7,000,000

6,000,000

5,000,000 (£) 4,000,000

3,000,000

2,000,000

1,000,000

0 Telecoms Cleaning Catering Laundry & Linen Security Portering Postal

2008/09 2009/10 2010/11 2011/12 2012/13

Figure 3: Year-on-year changes in FM service costs

2.4 Figure 4 shows the year-on-year breakdown of the FM service costs expressed as a percentage of the total FM reported costs.

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0% 2008/09 2009/10 2010/11 2011/12 2012/13

Postal 1.15% 1.73% 2.16% 2.11% 2.37% Portering 16.59% 16.67% 17.26% 15.78% 13.85% Security 2.48% 2.53% 1.96% 2.02% 2.21% Laundry & Linen 7.37% 6.39% 6.38% 6.76% 7.05% Catering 35.00% 33.07% 33.56% 33.39% 37.05% Cleaning 32.25% 34.32% 33.47% 33.73% 31.04% Telecoms 5.16% 5.30% 5.21% 6.19% 6.44%

Figure 4: FM service expenditure % by function

Facilities Performance Report 2012/13 77 APPENDIX V

3.0 Breakdown of facilities services costs for individual sites

3.1 Figure 5 opposite, shows individual FM service costs presented on a site-by-site basis.

It should be noted that, in accordance with the EFPMS data requirements, postal service and telecommunications costs have been reported on a Health Board-wide basis and not allocated to individual sites. Furthermore, the charts include a sum total for each of the FM service costs for all of the aggregate site types.

3.2 Figure 6 page 80, provides a breakdown of key catering data for individual hospitals along with Health Board totals and comparisons with headline data for 2011/12 where appropriate.

3.3 Figures 7 to 10 on the following pages show comparisons of performance between sites on the basis of £/m2 by FM service.

78 Facilities Performance Report 2012/13 APPENDIX V 8 FM (£/m²) (£/m²) Costs 125.51 1,350 ilable ilable (No) beds Ava 180,505 (m²) (m²) Occupied Occupied floor area (£) Costs 297,591.00 947 15 314.25 15 297,591.00 947 Total FM 22,655,700.00 t-wide (£) 537,765.00 537,765.00 Trus 1,459,118.00 1,459,118.00 1,996,883.00 service cost service cost ce i (£) costs 13,111.00 204,570.00 2,340 6 87.42 6 136.94 2,340 13,111.00 204,570.00 69 5,050 83,377.00 691,563.00 Serv 230,027.00 1,488,559.00 13,140 98 113.28 98 13,140 230,027.00 1,488,559.00 Portering Portering 3,136,928.00 0.00 0.00 0.00 0.00 0.00 (£) ecurity ecurity costs S services 499,621.00 (£) 1,596,314.00 Laundry & & Laundry Linen costs costs Linen Figure 5: Facilities expenditure (£) of catering operations Gross cost 8,392,871.00 (£) 7,033,083.00 Cleaning services costs ital ital

type type WHE Hosp WHE Charles Hospital Acute Major 2,139,359.00 2,068,952.00 567,849.00 155,870.00 919,113.00 5,851,143.00 51,099 403 114.51

for submitted data for submitted data ce ecommunications services ecommunications services stal services Tydfil's Hospital Community 140,776.00 85,779.00 11,616.00 6,000.00 188,801.00 432,972.00 11,609 31 37.30 byty Cwm Cynon byty Cwm Rhondda byty Cwm George Thomas byty Community Acute Minor Psychiatric - MI 725,425.00 228,127.00 418,130.00 814,317.00 304,666.00 714,983.00 151,078.00 125,419.00 75,393.00 89,751.00 235,298.00 2,015,869.00 16,462 123 122.46 l in

newood House newood Community 64,451.00 232,143.00 997.00 ontypridd District & Hospital Community 53,100.00 134,205.00 ggregated sites 4,154.00 368,712.00 80,006.00 2,905.00 9,404.00 72,375.00 533,402.00 22,501 0 23.71 Name Site SantDewi Hospital Pi P Pr Royal Glamorgan Hospital Community St Ys Acute Major Ys 394,684.00 Ys 442,810.00 A 2,500,319.00 3,515,010.00 86,199.00 Te 66,616.00 570,704.00 Po 171,980.00 141,465.00 1,253,361.00 Total 1,131,774.00 8,011,374.00 8,443 48,914 545 60 163.7 134.05

Facilities Performance Report 2012/13 79 APPENDIX V A Ysbyty Cwm Ysbyty Cy Cwm Ysbyty Ho St Tydfil's Royal Glamor Prince Charles P Pinewo Dewi Hospit Sant Site Name ggregated sites Cook freeze bulk 41,903 26,938 11,165 80,006 40,013 39,993 34,379 5,634 3.0 654 8,710 4.59 5 2.17 2.17 5 4.59 8,710 654 3.0 5,634 3.9 4 34,379 39,993 5.45 19,359 40,013 1,113 80,006 3.0 28,623 11,165 26,938 0 41,903 105,582 bulk freeze Cook 28,623 134,205 sites ggregated 3,275 91,802 39,128 bulk freeze Cook Hospital District & ontypridd

od House Cook freeze bulk 71,590 156,774 3,779 232,143 20,402 211,741 0 20,402 3.0 2,076 54,986 3.85 4 5.43 5.43 4 3.85 54,986 55,198 2,076 3.0 278,545 20,402 26,121 0 304,666 5,668 211,741 191,614 20,402 107,384 232,143 bulk freeze Cook 3,779 156,774 Thomas George 71,590 bulk freeze Cook House od Rhon spital Cook freeze bulk 18,789 58,561 8,429 85,779 53,997 123,753 2,262 51,735 5.0 939 21,112 5.86 5 5.05 5.05 5 5.86 21,112 939 5.0 51,735 2,262 123,753 53,997 85,779 8,429 58,561 18,789 bulk freeze Cook spital a optl okfez uk ,1,3 20847 6,7 35500 ,5,3 24152 7,2 7,1 30 960 6 29,600 3.0 79,018 974,421 2,461,572 1,053,439 3,515,010 160,975 2,038,497 1,315,538 bulk freeze Cook Hospital gan Hospital Hy Hospital o Cook freeze bulk non

al Cook freeze bulk 178,251 261,284 3,275 442,810 114,937 473,725 28,318 86,619 3.0 6,195 88,191 5.37 4 11.3 11.3 4 5.37 88,191 6,195 3.0 86,619 28,318 473,725 114,937 442,810 3,275 261,284 178,251 bulk freeze Cook al d Co reebl 230 Cook freeze bulk dda Totals fo Totals Yearly comp Yearly Totals for 2011/12 2,811,672 3,995,318 397,385 7,204,375 2,274,205 4,930,175 1,672,838 601,367 3.78 70,959 1,624,535 3.03 3.75 3.75 3.03 1,624,535 70,959 3.78 601,367 1,672,838 4,930,175 2,274,205 7,204,375 397,385 3,995,318 2,811,672 2011/12 for r 20 arison 257,155 257,155 arison 979,038 12/13 Prod brid system 720,844 1,247,651 100,457 2,068,952 509,112 1,559,840 529,205 529,205 1,559,840 509,112 2,068,952 100,457 1,247,651 720,844 system brid uction uction type

Provis Costs Costs Total Total 3,068,827 3,068,827 (£) 4,0 4,7 054 1,1 1310 8,4 0,5 3,1 30 ,4 4,0 45 4 19.78 4.58 148,703 9,144 3.0 32,417 100,753 681,147 133,170 814,317 345,104 20,534 448,679

ion ion ,296 452,555 32,132 714,983 146,450 568,533 61,924 84,526 5.0 5.0 84,526 4 10,248 144,140 3.94 17.4 61,924 568,533 146,450 ,296 714,983 452,555 32,132 4,974,355 4,974,355 Cost Total Total Staff (£)

s 349,689 349,689 Cost -47, Other Other Total Total (£) 6

s 96 Total Gross Gross Total Figure 6: Catering data Cate 1,188,496 1,188,496 8,392,871 8,392,871 Costs (£) ring ring

Total Gross Gross Total Costs Non Costs Non Cate Patient 2,126,263 2,126,263 -147,942 -147,942 (£) ring ring

Total Gross Gross Total Cate Patient 1,574,257 113,622 113,622 1,574,257 6,504,431 6,504,431 Costs (£) ring ring

Total Total 1,786,460 1,786,460 income income patient patient (£) non

(contribution) (contribution) non patient patient non Net co catering catering -261,564 -261,564 (£) 339,803 339,803 -29, -20,

sts sts 0 0 77 93 W (%) aste aste 3. 0.03 19,515 110,467 0.71 0.45 10.04 10.04 0.45 0.71 110,467 19,515 0.03 . ,1 8,7 .8 4 8.08 82,479 3.38 3,113 3.0 4 57.15 2.93 531,654 27,392 5.0 80

W Cost Cost 90,474 90,474 (£) aste aste

requested 1,735,002 1,735,002 patient patient m Total Total (No) 56838 4 90.98 3.87 35,668 eals eals

patient patient m Cost per per (£) 3. eal eal 75

Rating (No) FSA FSA 4. 20

211.26 211.26 221.30 221.30 (WTE) Total Total Sta ff 2 4

80 Facilities Performance Report 2012/13 APPENDIX V

Cleaning services costs

80.00

70.00

60.00

50.00 2

£/m 40.00

30.00

20.00

10.00

0 Hospital Hospital Pinewood House Aggregated sites Royal Glamorgan St Tydfil’s Hospital St Tydfil’s Dewi Sant Hospital Ysbyty Cwm Cynon Pontypridd & District Ysbyty Cwm Rhondda Prince Charles Hospital Ysbyty George Thomas

Figure 7: Cleaning services cost indicator

Catering services costs

300.00

250.00

200.00 2

£/m 150.00

100.00

50.00

0.00 Hospital Hospital Pinewood House Aggregated sites Royal Glamorgan St Tydfil’s Hospital St Tydfil’s Dewi Sant Hospital Ysbyty Cwm Cynon Pontypridd & District Ysbyty Cwm Rhondda Prince Charles Hospital Ysbyty George Thomas

Figure 8: Catering services cost indicator

Facilities Performance Report 2012/13 81 APPENDIX V

Portering services costs

30.00

25.00

20.00 2

£/m 15.00

10.00

5.00

0.00 Hospital Hospital Pinewood House Aggregated sites Royal Glamorgan St Tydfil’s Hospital St Tydfil’s Dewi Sant Hospital Ysbyty Cwm Cynon Pontypridd & District Ysbyty Cwm Rhondda Prince Charles Hospital Ysbyty George Thomas

Figure 9: Portering services cost indicator

Laundry and linen costs

16.00

14.00

12.00

10.00 2

£/m 8.00

6.00

4.00

2.00

0 Hospital Hospital Pinewood House Aggregated sites Royal Glamorgan St Tydfil’s Hospital St Tydfil’s Dewi Sant Hospital Ysbyty Cwm Cynon Pontypridd & District Ysbyty Cwm Rhondda Prince Charles Hospital Ysbyty George Thomas

Figure 10: Laundry and linen services cost indicator

82 Facilities Performance Report 2012/13 APPENDIX VI

Observations on FM-related Operating Costs

HYWEL DDA HEALTH BOARD

Facilities Performance Report 2012/13 83

APPENDIX VI

Health Board: Hywel Dda Health Board

No of Returns: 14 Individual hospital sites including: 4 – Major Acute 1 – Minor Acute 4 – Community 3 – Community Geriatric 1 – Day Hospital 1 – Psychiatric (Mental Illness / Learning Disabilities) Aggregate sites – All other non-hospital sites

1.0 Introduction

1.1 This Appendix provides a summary of the FM data submitted for the reporting period 2012/13 by Hywel Dda Health Board. The complete data set can be downloaded by the NHS in Wales from the NHS Wales Shared Services Partnership - Facilities Services intranet website.

1.2 The Health Board’s commitment to the submission of accurate FM data was evident in the limited number of queries raised by NWSSP-FS during the production of the annual report.

1.3 It is recognised that expenditure on facilities services is not, on its own, an adequate measure of performance in so far as it does not address the quality aspects of the service. However, it can be a helpful indicator when used to compare expenditure of similar organisations and healthcare sites, and draw attention to potential savings and the allocation of resources for optimum performance. Hence, where appropriate for internal benchmarking and performance monitoring, an emphasis is placed on making year-on-year comparisons, at both Health Board / Trust and hospital site level, in preference to comparisons with national averages.

2.0 Breakdown of Health Board FM services expenditure

2.1 Figure 1 overleaf, shows the cost data reported for FM services by Hywel Dda Health Board for 2012/13, 2011/12, 2010/11, 2009/10, and the aggregated costs for 2008/09 for the former organisations. Also shown is a breakdown of overall FM cost of occupancy (£/m2) for Health Board properties.

Facilities Performance Report 2012/13 85 APPENDIX VI

FM Telecoms Cleaning Catering Laundry Security Portering Postal Totals Costs & Linen

(£) 2012/13 1,168,353 6,853,402 5,902,404 1,353,131 106,936 2,965,352 792,540 19,142,118 2011/12 1,109,789 6,722,550 5,834,385 1,339,011 92,299 2,885,926 749,136 18,733,096 2010/11 1,109,789 6,269,626 5,629,911 1,470,685 172,922 2,810,674 624,728 18,088,335 2009/10 1,756,009 5,515,424 5,797,655 1,075,625 165,702 2,580,055 526,848 17,417,318 2008/09 1,655,974 5,611,056 5,964,113 1,212,998 165,702 2,765,967 574,120 17,949,930 (£/m2) 2012/13 6.43 37.72 32.48 7.45 0.59 16.32 4.36 105.35 2011/12 6.17 37.40 32.46 7.45 0.51 16.06 4.17 104.22 2010/11 6.22 35.11 31.53 8.24 0.97 15.74 3.50 101.31 2009/10 10.51 33.00 34.69 6.44 0.99 15.44 3.15 104.22 2008/09 9.93 33.65 35.77 7.27 0.99 16.59 3.44 107.65

Figure 1: Hywel Dda Health Board FM services cost data

2.2 The total operating cost for the above FM services for 2012/13 was £19,142,118, an increase of £409,022 (2.2%) compared with 2011/12.

2.3 Figures 2 and 3 show year-on-year changes with FM service costs.

25,000,000

20,000,000

15,000,000 (£)

10,000,000

5,000,000

0 2008/09 2009/10 2010/11 2011/12 2012/13

Postal Portering Security Laundry & Linen Catering Cleaning Telecoms

Figure 2: Yearly breakdown of overall FM service costs

86 Facilities Performance Report 2012/13 APPENDIX VI

8,000,000

7,000,000

6,000,000

5,000,000

4,000,000 (£)

3,000,000

2,000,000

1,000,000

0 Telecoms Cleaning Catering Laundry & Linen Security Portering Postal

2008/09 2009/10 2010/11 2011/12 2012/13

Figure 3: Year-on-year changes in FM service costs

2.4 Figure 4 shows the year-on-year breakdown of the FM service costs expressed as a percentage of the total FM reported costs.

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0% 2008/09 2009/10 2010/11 2011/12 2012/13

Postal 3.20% 3.02% 3.45% 4.00% 4.14% Portering 15.41% 14.81% 15.54% 15.41% 15.49% Security 0.92% 0.95% 0.96% 0.49% 0.56% Laundry & Linen 6.76% 6.18% 8.13% 7.15% 7.07% Catering 33.23% 33.29% 31.12% 31.14% 30.83% Cleaning 31.26% 31.67% 34.66% 35.89% 35.80% Telecoms 9.23% 10.08% 6.14% 5.92% 6.10%

Figure 4: FM service expenditure % by function

Facilities Performance Report 2012/13 87 APPENDIX VI

3.0 Breakdown of facilities services costs for individual sites

3.1 Figure 5 opposite, shows individual FM service costs presented on a site-by-site basis.

It should be noted that, in accordance with the EFPMS data requirements, postal service and telecommunications costs have been reported on a Health Board-wide basis and not allocated to individual sites. Furthermore, the charts include a sum total for each of the FM service costs for all of the aggregate site types.

3.2 Figure 6 page 90, provides a breakdown of key catering data for individual hospitals along with Health Board totals and comparisons with headline data for 2011/12 where appropriate.

3.3 Figures 7 to 10 on the following pages show comparisons of performance between sites on the basis of £/m2 by FM service.

88 Facilities Performance Report 2012/13 APPENDIX VI 48 . 105.35 (£/m²) (£/m²) FM Costs 1,190 ilable ilable (No) beds Ava 181,708 (m²) (m²) Occupied Occupied floor area 7,193.00 641 0 11.22 7,193.00 641 0 (£) 34,543.00 1,080 31.98 0 28,783.00 18,431 0 1.56 155,164.00 1,066 18 145.56 155,164.00 1,066 18 193,798.00 3,823 50.69 31 19,142,118.00 Total FM Costs

t-wide (£) 792,540.00 792,540.00 Trus

service cost service cost 1,960,893.00 1,168,353.00 1,168,353.00

ce i (£) 53,934.00 53,934.00 255,931.00 1,887 28 135.63 58,174.00 263,932.00 2,030 29 130.02 29 93.06 2,030 263,932.00 35 5,151 479,336.00 58,174.00 85,568.00 48,775.00 263,839.00 1,875 13 140.71 13 1,875 263,839.00 48,775.00 96.76 13 1,471 142,327.00 19,827.00 costs Serv 386,758.00 2,400,440.00 22,560 154 106.40 154 22,560 2,400,440.00 386,758.00 92.91 250 38,917 3,615,848.00 514,637.00 189,573.00 1,405,431.00 7,995 38 175.79 38 7,995 1,405,431.00 189,573.00 Portering Portering 2,965,352.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (£) ecurity ecurity costs S services 106,936.00

(£) 11,120.00 Laundry & & Laundry

Linen costs costs Linen 1,353,131.00

00 529,500.0000 1,038,228.00 49,128.00 4,611,559.00 46,826 345 98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Figure 5: Facilities expenditure (£) of catering operations Gross cost 5,902,404.00

(£) costs services Cleaning 6,853,402.00

al type al type

WHE Hospit WHE

Hospital Acute Major 1,185,852.00 1,272,049.00 237,514.00 57,808.00 569,878.00 3,323,101.00 27,955 236 118.87

ey Hospital Acute Minor 87,588.00 95,203.00 19,206.00 ll ip il Va Ph n

for submitted data for submitted data ybush Hospital General Acute Major 1,730,377.00 1,060,107.00 310,727.00 ce ma ecommunications services ecommunications services nydd HospitalMawr Community Geriatric 82,539.00 102,554.00 20,665.00 stal services th l o Cerwyn & St Brynacho Cerwyn onglais General Hospital Community Geriatric Acute Major 182,678.00 814,813.00 in 1,046,996.00 151,873.00 beraeron Hospital Day Hospital 7,193.00 outh Pembrokeshire Hospital Community ggregated sites 282,831.00 86,988.00 23,949.00 28,783.00 Name Site A Am Br Br Cardigan & District Hospital General Hospital Glangwili Community Hospital Hafan Derwen Acute Major Llandovery Community My Pr 81,015.00 69,290.00 78,807.00 7,067.00 1,400,268.00 S Psychiatric - MI/LD 1,594,435. 124,238.00 Tenby Cottage Hospital Tregaron Hospital 9,811.00 789,416.00 Wi Community 400,914.00 A 25,528.00 Community Geriatric Te Po 34,543.00 76,216.00 Total 40,113.00 6,171.00

Facilities Performance Report 2012/13 89 APPENDIX VI Llandovery Hospital Conventional plated 22,825 47,262 8,720 78,807 18,914 59,893 9,195 9,719 0 0 18,927 3.16 5 3.83 3.83 5 3.16 18,927 2. 0 4.39 319,089 49,329 0 5 16.35 3.22 9,719 122,959 26,280 296,817 9,195 0 852,273 59,893 419,776 0 18,914 1,272,049 6,415 90,537 78,807 408,277 731,203 4,057 1,211,771 8,720 450,309 A 84,731 382,664 Withybush 47,262 Ge Tr bulk chill Cook 10,472 22,825 1,594,435 T 103,719 plated Conventional bulk freeze Cook 95,203 S 978,565 Hospital PhilipPrince 512,151 13,906 My 52,111 Hospital Llandovery bulk Conventional 29,186 Derwen Hafan Hospital General Glangwili Cardigan & Dist bulk chill Cook Bron Bro Cerwyn & St Bryn ValleyAmman Hospital A Site Name enby Cottage Hospital Hybrid system system Hybrid Hospital Cottage enby ggregated sites Hybrid system system Hybrid sites ggregated 83,634 plated freeze Cook Hospital Pembrokeshire outh system Hybrid Hospital beraeron grnHsia Cnetoa ltd 767 046 ,3 4,1 566 447 ,8 385 .8 ,0 1,6 26 5 1 5 2.64 13,061 1,302 8.58 3,835 1,781 34,497 5,616 40,113 2,030 20,436 17,647 plated Conventional Hospital egaron ny li eea optl ovninlpae 3523 5,7 7,1 10696 8,8 6967 3,1 1646 03 2,5 11 20,553 10.35 156,476 230,913 659,607 387,389 1,046,996 76,417 655,376 315,203 plated Conventional Hospital General glais dd

Ma wr Hospital Cook chill bulk 26,438 71,257 4,859 102,554 20,511 82,043 5,583 14,928 0 0 26,801 3.06 5 5.73 5.73 5 3.06 26,801 0 0 14,928 5,583 82,043 20,511 102,554 4,859 71,257 26,438 bulk chill Cook wr Hospital neral Hospital Conventional plated 376,265 611,611 72,231 1,060,107 212,021 848,086 237,782 237,782 848,086 212,021 1,060,107 72,231 611,611 376,265 plated Conventional Hospital neral itHsia Cnetoa ltd 499 112 ,2 1428 477 941 ,0 2,7 30 58 068 .1 5 8.41 10,638 538 3.00 27,979 6,808 89,451 34,787 124,238 8,127 91,182 24,929 plated Conventional Hospital rict

Totals fo Totals Yearly co Yearly Totals ach Hybrid Hybrid ach system fr21/2 ,7,7 34582 6,5 58435 ,2,9 42454 ,5,9 3086 .1 1,9 11657 .0 3.91 3.60 1,166,597 112,394 7.61 370,896 1,258,895 4,204,594 1,629,791 5,834,385 368,351 3,495,862 1,970,172 2011/12 for r 20 mparis 12/13 on on Prod uction uction type provisions provisions 1,938,615 1,938,615 Total Total -31, (£) (£) 80,028 80,028 263,429 0 33,846 232,530 400,914 57,457 4.98 168,384 0 157,165 75,365 5 13.69 5 57 0 0 0 0 3,522,432 3,522,432 Cost Total Total Staff 26,570 73,006 68,019 98,368 98,368 68,019 73,006 26,570 (£)

s 0 0 0 0 0 441,357 441,357 Cost Other Other Total Total (£) 3,354 86,988 3,480 3,480 83,508 86,988 3,354 5,365

s 0 0 0 0 Total Gross Gross Total Catering Catering 5,902,404 5,902,404 Figure 6: Catering data Costs (£)

0 0 0 0 Total Gross Gross Total Costs Non Costs Non Cate Patient 1,728,159 1,728,159 (£) ring ring

0 0 0 0 Total Gross Gross Total Catering Catering Patient 4,174,245 4,174,245 Costs (£) -30,

3 49 0 0 0 0 Total Total 1,281,943 1,281,943 income income patient patient 23,048 75,320 75,320 23,048 1.91 18,977 30,199 (£) non

0 0 0 0 (contribution) (contribution) non patient patient non Net co catering catering (£) 446,216 446,216 -25, -25, -1,885 -1,885

sts sts 7 6 61 13 0 0 0 0 W 17 ,0 5,6 16 0 1.66 4 50,169 9,402 11.71 (%) (%) aste aste 6.18 18,603 251,407 3.37 4 42.86 42.86 4 3.37 251,407 18,603 6.18 69.46 5 3.64 332,958 31,645 8.13 9. 51 0 0 0 0 131,372 131,372 W Cost Cost (£) (£) aste aste 0 0 0 0 requested 1,196,796 1,196,796 patient patient m Total Total (No) (No) eals eals 3,620 5.81 0 0 0 0 Cost per Cost per patient patient m n/ n/ n/ n/ (£) (£) eal eal -0.12 -0.12 3. a a a a 67 5 49 Rating NCR 0 NCR 0 NCR 0 NCR 0 (No) (No) FSA FSA 0. 4. 3 27.26 3 27.26 34 4.42 25

233.27 233.27 237.69 237.69 (WTE) (WTE) Total Total Sta 66.28 66.28 3. 19 ff

90 Facilities Performance Report 2012/13 APPENDIX VI

Cleaning services costs

120.00

100.00

80.00 2 60.00 £/m

40.00

20.00

0 Hospital Hospital Bro Cerwyn & Hafan Derwen regaron Hospital Aggregated sites T Aberaeron Hospital Llandovery Hospital Prince Philip Hospital South Pembrokeshire enby Cottage Hospital Amman Valley Hospital Amman Valley T Mynydd Mawr Hospital St Brynach Day Hospitals Bronglais General Hospital Glangwili General Hospital Cardigan & District Hospital Withybush General Hospital

Figure 7: Cleaning services cost indicator

Catering services costs

80.00

70.00

60.00

50.00 2 40.00 £/m

30.00

20.00

10.00

0.00 Hospital Hospital Bro Cerwyn & Hafan Derwen regaron Hospital Aggregated sites T Aberaeron Hospital Llandovery Hospital Prince Philip Hospital South Pembrokeshire enby Cottage Hospital Amman Valley Hospital Amman Valley T Mynydd Mawr Hospital St Brynach Day Hospitals Bronglais General Hospital Glangwili General Hospital Cardigan & District Hospital Withybush General Hospital

Figure 8: Catering services cost indicator

Facilities Performance Report 2012/13 91 APPENDIX VI

Portering services costs

35.00

30.00

25.00

20.00 2 £/m 15.00

10.00

5.00

0.00 Hospital Hospital Bro Cerwyn & Hafan Derwen regaron Hospital Aggregated sites T Aberaeron Hospital Llandovery Hospital Prince Philip Hospital South Pembrokeshire enby Cottage Hospital Amman Valley Hospital Amman Valley T Mynydd Mawr Hospital St Brynach Day Hospitals Bronglais General Hospital Glangwili General Hospital Cardigan & District Hospital Withybush General Hospital

Figure 9: Portering services cost indicator

Laundry and linen costs

12.00

10.00

8.00 2 6.00 £/m

4.00

2.00

0 Hospital Hospital Bro Cerwyn & Hafan Derwen regaron Hospital Aggregated sites T Aberaeron Hospital Llandovery Hospital Prince Philip Hospital South Pembrokeshire enby Cottage Hospital Amman Valley Hospital Amman Valley T Mynydd Mawr Hospital St Brynach Day Hospitals Bronglais General Hospital Glangwili General Hospital Cardigan & District Hospital Withybush General Hospital

Figure 10: Laundry and linen services cost indicator

92 Facilities Performance Report 2012/13 APPENDIX VII

Observations on FM-related Operating Costs

POWYS TEACHING HEALTH BOARD

Facilities Performance Report 2012/13 93

APPENDIX VII

Health Board: Powys Teaching Health Board

No of Returns: 10 Individual Community Hospital sites Aggregate sites – All other non-hospital sites

1.0 Introduction

1.1 This Appendix provides a summary of the FM data submitted for the reporting period 2012/13 by Powys Teaching Health Board. The complete data set can be downloaded by the NHS in Wales from the NHS Wales Shared Services Partnership - Facilities Services intranet website.

1.2 The Health Board’s commitment to the submission of accurate FM data was evident in the limited number of queries raised by NWSSP-FS during the production of the annual report.

1.3 It is recognised that expenditure on facilities services is not, on its own, an adequate measure of performance in so far as it does not address the quality aspects of the service. However, it can be a helpful indicator when used to compare expenditure of similar organisations and healthcare sites, and draw attention to potential savings and the allocation of resources for optimum performance. Hence, where appropriate for internal benchmarking and performance monitoring, an emphasis is placed on making year-on-year comparisons, at both Health Board / Trust and hospital site level, in preference to comparisons with national averages.

2.0 Breakdown of Health Board FM services expenditure

2.1 Figure 1 overleaf, shows the cost data reported for FM services by Powys Teaching Health Board for the last five years, along with a breakdown of overall cost of occupancy (£/m2) for the Health Board properties.

Facilities Performance Report 2012/13 95 APPENDIX VII

FM Telecoms Cleaning Catering Laundry Security Portering Postal Totals Costs & Linen (£) 2012/13 409,604 2,090,585 1,593,022 143,917 836 443,979 201,199 4,883,142 2011/12 406,006 2,125,801 1,599,737 144,595 1,691 514,377 184,965 4,977,172 2010/11 377,128 1,703,051 1,735,553 149,283 27,269 279,503 175,425 4,447,212 2009/10 434,155 1,953,860 1,813,222 226,807 27,269 283,295 176,155 4,914,763 2008/09 405,742 1,890,302 1,767,312 273,638 26,468 268,823 107,292 4,739,577 (£/m2) 2012/13 9.54 48.67 37.09 3.35 0.02 10.34 4.68 113.68 2011/12 9.65 50.51 38.01 3.44 0.04 12.22 4.39 118.26 2010/11 8.96 40.46 41.24 3.55 0.65 6.64 4.17 105.66 2009/10 10.12 45.54 42.26 5.29 0.64 6.60 4.11 114.55 2008/09 9.46 44.06 41.19 6.38 0.62 6.27 2.50 110.46

Figure 1: Powys Teaching Health Board FM services cost data

2.2 The total operating cost for the above FM services for 2012/13 was £4,883,142, a decrease of £94,030 (-1.9%) compared with 2011/12.

2.3 Figures 2 and 3 show year-on-year changes with FM service costs.

6,000,000

5,000,000

4,000,000

3,000,000 (£)

2,000,000

1,000,000

0 2008/09 2009/10 2010/11 2011/12 2012/13

Postal Portering Security Laundry & Linen Catering Cleaning Telecoms

Figure 2: Yearly breakdown of overall FM service costs

96 Facilities Performance Report 2012/13 APPENDIX VII

2,500,000

2,000,000

1,500,000 (£)

1,000,000

500,000

0 Telecoms Cleaning Catering Laundry & Linen Security Portering Postal

2008/09 2009/10 2010/11 2011/12 2012/13

Figure 3: Year-on-year changes in FM service costs

2.4 Figure 4 shows the year-on-year breakdown of the FM service costs expressed as a percentage of the total FM reported costs.

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0% 2008/09 2009/10 2010/11 2011/12 2012/13

Postal 2.26% 3.58% 3.94% 3.72% 4.12% Portering 5.67% 5.76% 6.28% 10.33% 9.09% Security 0.56% 0.55% 0.61% 0.03% 0.02% Laundry & Linen 5.77% 4.61% 3.36% 2.91% 2.95% Catering 37.29% 36.89% 39.03% 32.14% 32.62% Cleaning 39.88% 39.75% 38.29% 42.71% 42.81% Telecoms 8.56% 8.83% 8.48% 8.16% 8.39%

Figure 4: FM service expenditure % by function

Facilities Performance Report 2012/13 97 APPENDIX VII

3.0 Breakdown of facilities services costs for individual sites

3.1 Figure 5 opposite, shows individual FM service costs presented on a site-by-site basis.

It should be noted that, in accordance with the EFPMS data requirements, postal service and telecommunications costs have been reported on a Health Board-wide basis and not allocated to individual sites. Furthermore, the charts include a sum total for each of the FM service costs for all of the aggregate site types.

3.2 Figure 6 page 100, provides a breakdown of key catering data for individual hospitals along with Health Board totals and comparisons with headline data for 2011/12 where appropriate.

3.3 Figures 7 to 10 on the following pages show comparisons of performance between sites on the basis of £/m2 by FM service.

98 Facilities Performance Report 2012/13 APPENDIX VII 0.04 113.68 (£/m²) (£/m²) FM Costs 267 ilable ilable (No) beds Ava 42,954 (m²) (m²) Occupied Occupied floor area 71.00 1,872 12 (£) Costs 78,967.00 3,014 26.20 0 Total FM 4,883,142.36

t-wide (£) 201,199.00 201,199.00 409,604.00 409,604.00 610,803.00 Trus service cost service cost

0.00 (£) ce costs ce costs 14,899.00 266,454.98 1,581 15 168.54 15 1,581 266,454.98 14,899.00 68,746.00 682,440.55 5,673 49 120.30 77.73 49 5,673 72.48 12 3,439 682,440.55 46 9,887 267,320.15 134.87 716,642.10 43 4,423 596,521.35 112.06 68,746.00 13,782.00 28 4,464 94,978.00 500,220.64 51,321.00 47,430.00 49,788.00 416,346.85 2,891 24 144.01 24 2,891 416,346.85 49,788.00 443,979.00 Portering Portering Servi

0.00 0.00 0.00 0.00 0.00 0.00 0.00 71.00 836.00 (£) ecurity ecurity costs S services

(£) 143,917.00 Laundry & & Laundry Linen costs costs Linen

Figure 5: Facilities expenditure 0.00 0.00 0.00 0.00 (£) of catering operations Gross cost 1,593,022.36

0.00 0.00 0.00 0.00 0.00 (£) costs services Cleaning 2,090,585.00

type type WHE WHE Hospital

Cottage Hospital Community s ll We for submitted data for submitted data h adgynlais Hospital Community Community 240,134.00 191,449.64 21,207.00 ghton Hospital Community 119,820.00 126,158.98 5,577.00 ecommunications services ecommunications services stal services ilt i tr l econ Warecon Hospital Memorial oddyfi Community Hospital onllys Hospital Community Community 365,764.00 222,036.55 110,678.00 25,894.00 134,296.15 Community 8,564.00 350,056.00 252,900.10 18,708.00 ctoria Memorial Hospital Community 201,523.00 171,364.40 14,700.00 575.00 58,644.00 446,806.40 3,697 20 120.86 ontgomeryInfirmary County Community 211,208.00 142,452.85 12,898.00 ggregate sites 78,967.00 Name Site Br Br Br Bu Kn Llandrindod Wells Hospital Llanidloes& District Hospital M Vi Community Community Ys 304,309.00 A 108,126.00 217,239.35 135,124.34 Te 23,652.00 12,717.00 Po 190.00 Total 44,391.00 300,548.34 2,013 18 149.30

Facilities Performance Report 2012/13 99 APPENDIX VII Llanidloes & District Hospital Hybrid system 37,914 93,317 3,893 135,124 15,972 119,153 6,724 9,248 0.00 0 17,135 6.95 5 4.73 4.73 4.39 5 5 7.22 6.95 5.14 5 17,135 25,887 4.74 0 7,432 41,625 14.30 6,899 0.00 3,887 9,248 9.30 8,624 5,500 6,724 133,065 11,123 119,153 9,388 197,492 15,972 19,747 142,453 135,124 2,274 217,239 3,893 84,544 5,069 93,317 55,635 130,576 37,914 A 81,595 system Ystrad Hybrid system Hybrid Victoria Memori system Hybrid Infirmary County Montgomery Hospital District & Llanidloes Hospital Wells Llandrindod Kni Hosp Cottage Builth Wells Br Bro Memo Brecon War Site Name ggregate sites Hybrid system system Hybrid sites ggregate onllys Hospital Hybrid system 93,148 154,861 4,891 252,900 21,851 231,050 12,078 9,773 8.60 7,319 36,488 6.33 4 7.32 7.32 4 6.33 36,488 7,319 8.60 9,773 12,078 231,050 21,851 252,900 4,891 154,861 93,148 system Hybrid Hospital onllys ghton Hospital Hybrid system 38,040 86,136 1,984 126,159 18,116 108,043 8,193 9,923 3.20 1,042 24,768 4.36 5 4.51 4.51 5 4.36 24,768 1,042 3.20 9,923 8,193 108,043 18,116 126,159 1,984 86,136 38,040 system Hybrid Hospital ghton ddyfi CommunityHosp gynlais Comm al Hospital Hybrid system 43,910 122,252 5,203 171,364 9,237 162,128 3,553 5,683 11.10 4,611 23,997 6.76 4 6.07 6.07 4 6.76 23,997 4,611 11.10 5,683 3,553 162,128 9,237 171,364 5,203 122,252 43,910 system Hybrid Hospital al

ilHsia Hbi ytm 768 3,1 1,9 2207 143 9,7 1,9 1,6 1.0 ,6 4,7 40 5 4.08 46,675 7,262 10.90 14,966 16,497 190,574 31,463 222,037 11,097 133,312 77,628 system Hybrid Hospital rial Totals fo Totals Yearly comp Yearly Totals nt optl yrdsse 5,2 1173 ,7 1140 359 6,2 1,4 1,8 65 328 281 5.11 32,861 3,228 6.50 13,087 10,442 167,920 23,529 191,450 3,073 131,753 56,623 system Hybrid Hospital unity for 2011/12 514,246 1,002,826 82,665 1,599,737 263,838 1,335,899 80,966 182,872 12.88 59,054 257,381 5.19 4.78 4.78 5.19 182,872 51.71 12.88 257,381 59,054 80,966 1,335,899 263,838 514,246 1,599,737 82,665 1,002,826 for 2011/12 ital Hy ital ital Hy ital r 20 arison 2,036 2,036 arison 33,484 12/13 Prod brid system system brid brid system 31,790 99,560 2,947 134,296 14,544 119,752 5,163 9,381 9.10 2,580 15,795 7.58 5 4.97 4.97 5 7.58 15,795 2,580 9.10 9,381 5,163 119,752 14,544 134,296 2,947 99,560 31,790 system brid type uction uction provisions provisions Total Total 516,282 516,282 (£) (£) 0 0 1,036,310 1,036,310 Costs Costs Total Total Staff (£)

0 0 Cost Other Other -42,235 -6, -42,235 Total Total 40,430 40,430 (£)

s 0 0 Total Gross Gross Total Cate 1,593,022 1,593,022 Figure 6: Catering data Costs (£) ring ring

715 -9 715 0 0 Total Gross Gross Total Costs Non Costs Non Catering Catering Patient (£) 163,846 163,846 9,992

0 0 Total Gross Gross Total Cate Patient 1,429,176 1,429,176 Costs (£) 93,278 93,278 ring ring

0 0 Total Total income income patient patient 79,273 79,273 (£) -1,693 -1,693 non

0 0 (contribution) (contribution) non patient patient non Net co catering catering (£) -98, 84,573 84,573

sts sts 3 00 0 0 W (%) (%) -4.28 -1 -4.28 aste aste 8. 61 0 0 W Cost Cost 40,373 40,373 (£) (£) aste aste 8,681 0 0 requested patient patient m 265,231 265,231 Total Total (No) (No) eals eals 7,85 0 0.20 0 0 Cost per Cost per patient patient m n/ n/ (£) (£) eal eal a a 5. 39

Rating NCR 0 NCR 0 (No) (No) FSA FSA -1.28 -1.28 3. 4 6.96 4 6.96

50 (WTE) (WTE) Total Total Sta 53.48 53.48 7. 1. 31 77 ff

100 Facilities Performance Report 2012/13 APPENDIX VII

Cleaning services costs

80.00

70.00

60.00

50.00 2

£/m 40.00

30.00

20.00

10.00

0 Hospital Hospital Hospital Hospital Hospital Infirmary Builth Wells Ystradgynlais ictoria Memorial Bronllys Hospital Cottage Hospital Aggregated sites V Llandrindod Wells Knighton Hospital Llanidloes & District Community Hospital Broddyfi Community Montgomery County Brecon War Memorial Brecon War

Figure 7: Cleaning services cost indicator

Catering services costs

90.00

80.00

70.00

60.00

2 50.00 £/m 40.00

30.00

20.00

10.00

0 Hospital Hospital Hospital Hospital Hospital Infirmary Builth Wells Ystradgynlais ictoria Memorial Bronllys Hospital Cottage Hospital Aggregated sites V Llandrindod Wells Knighton Hospital Llanidloes & District Community Hospital Broddyfi Community Montgomery County Brecon War Memorial Brecon War

Figure 8: Catering services cost indicator

Facilities Performance Report 2012/13 101 APPENDIX VII

Portering services costs

25.00

20.00

15.00 2 £/m

10.00

5.00

0 Hospital Hospital Hospital Hospital Hospital Infirmary Builth Wells Ystradgynlais ictoria Memorial Bronllys Hospital Cottage Hospital Aggregated sites V Llandrindod Wells Knighton Hospital Llanidloes & District Community Hospital Broddyfi Community Montgomery County Brecon War Memorial Brecon War

Figure 9: Portering services cost indicator

Laundry and linen costs

7.00

6.00

5.00

4.00 2 £/m 3.00

2.00

1.00

0 Hospital Hospital Hospital Hospital Hospital Infirmary Builth Wells Ystradgynlais ictoria Memorial Bronllys Hospital Cottage Hospital Aggregated sites V Llandrindod Wells Knighton Hospital Llanidloes & District Community Hospital Broddyfi Community Montgomery County Brecon War Memorial Brecon War

Figure 10: Laundry and linen services cost indicator

102 Facilities Performance Report 2012/13 APPENDIX VIII

Observations on FM-related Operating Costs

VELINDRE NHS TRUST

Facilities Performance Report 2012/13 103

APPENDIX VIII

Health Board: Velindre NHS Trust

No of Returns: 1 Specialist Acute hospital site

1.0 Introduction

1.1 This Appendix provides a summary of the FM data submitted for the reporting period 2012/13 by Velindre NHS Trust. The complete data set can be downloaded by the NHS in Wales from the NHS Wales Shared Services Partnership - Facilities Services intranet website.

1.2 The Health Board’s commitment to the submission of accurate FM data was evident in the limited number of queries raised by NWSSP-FS during the production of the annual report.

1.3 It is recognised that expenditure on facilities services is not, on its own, an adequate measure of performance in so far as it does not address the quality aspects of the service. However, it can be a helpful indicator when used to compare expenditure of similar organisations and healthcare sites, and draw attention to potential savings and the allocation of resources for optimum performance. Hence, where appropriate for internal benchmarking and performance monitoring, an emphasis is placed on making year-on-year comparisons, at both Health Board / Trust and hospital site level, in preference to comparisons with national averages.

2.0 Breakdown of Trust FM services expenditure

2.1 Figure 1 shows the cost data reported for FM services by Velindre NHS Trust for the last five years, along with a breakdown of overall cost of occupancy (£/m2).

This unique Trust manages a range of specialist activities outside of secondary healthcare provision. In the earlier reporting periods this accounted for disproportionately high trust-wide postal service and telecommunications reported costs. Latterly, in order to make these costs site- specific, they have been reported in respect of Velindre Hospital only.

FM Telecoms Cleaning Catering Laundry Security Portering Postal Totals Costs & Linen (£) 2012/13 128,796 378,122 286,151 65,320 73,760 214,770 47,588 1,194,507 2011/12 128,675 369,510 296,641 64,605 70,100 224,489 49,468 1,203,488 2010/11 127,590 369,785 607,958 65,146 69,917 220,637 49,405 1,510,438 2009/10 92,268 344,168 583,270 69,364 78,949 236,627 41,365 1,446,011 2008/09 121,786 312,051 671,170 72,220 44,056 222,656 47,032 1,490,971 (£/m2) 2012/13 8.19 24.05 18.20 4.15 4.69 13.66 3.03 75.97 2011/12 8.18 23.50 18.87 4.11 4.46 14.28 3.15 76.54 2010/11 8.67 25.12 41.31 4.43 4.75 14.99 3.36 102.63 2009/10 6.27 23.38 39.63 4.71 5.36 16.08 2.81 98.25 2008/09 8.06 20.66 44.44 4.78 2.92 14.74 3.11 98.72

Figure 1: Velindre FM services cost data

Facilities Performance Report 2012/13 105 APPENDIX VIII

2.2 The total operating cost for the above FM services for 2012/13 was £1,194,507 which is a decrease of £8,981 (-0.8%) compared with data reported for 2011/12. It should be noted that, as with previous years, data for non-hospital sites was not required to be submitted and, therefore, year-on-year comparison is specifically for Velindre Hospital FM services and does not constitute Trust-wide data.

2.3 Figures 2 and 3 show year-on-year changes with FM service costs.

1,600,000

1,400,000

1,200,000

1,000,000

800,000 (£)

600,000

400,000

200,000

1,600,0000 2008/09 2009/10 2010/11 2011/12 2012/13

Postal Portering Security Laundry & Linen Catering Cleaning Telecoms

Figure 2: Yearly breakdown of overall FM service costs

8,000,000

7,000,000

6,000,000

5,000,000

4,000,000 (£)

3,000,000

2,000,000

1,000,000

0 Telecoms Cleaning Catering Laundry & Linen Security Portering Postal

2008/09 2009/10 2010/11 2011/12 2012/13

Figure 3: Year-on-year changes in FM service costs

106 Facilities Performance Report 2012/13 APPENDIX VIII

2.4 Figure 4 shows the year-on-year breakdown of the FM service costs expressed as a percentage of the total FM reported costs.

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0% 2008/09 2009/10 2010/11 2011/12 2012/13

Postal 3.15% 2.86% 3.27% 4.11% 3.98% Portering 14.93% 16.36% 14.61% 18.65% 17.98% Security 2.95% 5.46% 4.63% 5.82% 6.17% Laundry & Linen 4.84% 4.80% 4.31% 5.37% 5.47% Catering 45.02% 40.34% 40.25% 24.65% 23.96% Cleaning 20.93% 23.80% 24.48% 30.70% 31.66% Telecoms 8.17% 6.38% 8.45% 10.69% 10.78%

Figure 4: FM service expenditure % by function

3.0 Breakdown of facilities services costs

3.1 Figure 5 overleaf, shows individual FM service costs.

3.2 Figure 6 overleaf, provides a breakdown of key catering data for Velindre Hospital and comparisons with headline data for 2011/12.

3.3 As noted in 2.1 and 2.2, costs have been reported in respect of Velindre Hospital only.

Facilities Performance Report 2012/13 107 APPENDIX VIII Total Po Te Ve Site Name Velindre Hospit Site Name l li stal services stal ecommunications servicesecommunications deHsia Seils ct 38120 26110 6,2.0 3700 24700 ,1,2.0 574 8 48 15,724 1,018,123.00 214,770.00 73,760.00 65,320.00 286,151.00 378,122.00 Acute Specialist ndre Hospital for submitted data submitted for al Cook freeze bulk 178,894 91,898 15,360 286,151 184,903 101,248 148,988 35,915 8.90 6,085 43,116 2.35 5 15.76 15.76 5 2.35 43,116 6,085 8.90 35,915 148,988 101,248 184,903 286,151 15,360 91,898 178,894 bulk freeze Cook al

Totals fo Totals Yearly co Yearly Totals for 2011/12 172,953 116,877 6,811 296,641 200,149 96,492 134,985 65,164 9.70 6,872 44,165 2.18 3 17.08 17.08 3 2.18 44,165 6,872 9.70 65,164 134,985 96,492 200,149 296,641 6,811 116,877 172,953 2011/12 for r 20 mparis 12/13 on 5,941 5,941 on Prod

WHE Hosp uction uction type type ital provisions provisions Total Total 178,894 178,894 (£)

Cleaning Cleaning services services 378,122.00 378,122.00 costs (£) Cost Total Total Staff -24, 91,898 91,898 (£)

9 s 79

Gross cost operations of catering 286,151.00 286,151.00 Cost Other Other Total Total 15,360 15,360 (£) (£) 8,54

s 9 Figure 5: Facilities expenditure Total Gross Gross Total Figure 6: Catering data Catering Catering

Linen costs

Costs Laundry & (£) 286,151 286,151 -10,4 65,320.00 65,320.00

(£) 90 -15,246 Total Gross Gross Total Costs Non Costs Non Catering Catering Patient

(£) 184,903 184,903 services services S 73,760.00 73,760.00

costs ecurity (£) Total Gross Gross Total Cate Patient Costs 101,248 101,248 (£)

Servi

ring ring 4,756 14,003 14,003 4,756

Portering 214,770.00 214,770.00 ce costs (£) Total Total income income patient patient 148,988 148,988 (£) non

service cost service Trus 176,384.00 176,384.00 2,9.0 2,9.0 128,796.00 128,796.00 7580 4,8.0 47,588.00 47,588.00 (contribution) (contribution) non patient patient non (£) t-wide t-wide Net co catering catering (£) -29, 35,915 35,915

sts sts 2 49 1,194,507.00 1,194,507.00 Total FM FM Total W Costs (%) -0.80 -787 -787 -0.80 -1,049 aste aste (£) 8. 90

W Cost Cost (£) aste aste 6,08 floor areafloor Occupied

5 (m²) 15,724 15,724 requested patient patient m Total Total (No) 43,116 43,116 eals eals

Ava patient patient beds (No) (No) m Cost per per ilable (£) 0.17 2 0.17 2. eal eal 35

48 Rating (No) FSA FSA 5 FM Costs Costs FM

(£/m²) 75.97 75.97 (WTE) Total Total Sta 15.76 15.76 -1.32 -1.32 ff

108 Facilities Performance Report 2012/13 © Copyright NHS Wales Shared Services Partnership - Facilities Services 2013.

All Rights Reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise without the prior permission of the copyright owner.

Designed by Keith James.

Printed by iCOM Works Ltd

Cover photographs: 1, Women’s Unit, University Hospital of Wales – Courtesy of Cardiff and Vale University Health Board. 1 PO Box 182, 2 2, Ysbyty Alltwen, Porthmadog – Bevan House, 24-30 Lambourne Crescent, Llanishen Courtesy of Architect: IBI Nightingale, 3 Cardiff CF14 5GS Client: Betsi Cadwaladr University Health Board and Nick Short PO Box 182, Photography. Tyˆ Bevan, 24-30 Cilgant Lambourne, Llanisien 3, Ysbyty Aneurin Bevan, Ebbw Vale – Caerdydd CF14 5GS Courtesy of Aneurin Bevan Health Board.