2011/12 THE NHS ESTATE IN WALES Facilities Performance Report THE NHS ESTATE IN WALES

Facilities Performance Report 2011/12

CONTENTS

1 INTRODUCTION 5

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

3 THE 2011/12 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 11-23 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 24-31 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 33-109 Appendices I – VIII Observations on FM-related operating costs for each Health Board/Trust

1 INTRODUCTION

1.1 The 2011/12 Facilities Performance Report is based on annual estate data returns for the 2011/12 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 2011/12. This focuses on the five estate national performance indicators, addressing ‘Physical condition’, ‘Statutory and 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 The format of the report is broadly the same as previous years except for catering. Following the Wales Audit Office National Report – Hospital Catering and Patient Nutrition, March 2011, the Welsh Government identified a need for a new catering cost model to be monitored through revised EFPMS catering data fields and definitions. Consultation meetings were held with representatives of each Health Board/Trust to reach agreement on the changes during the first quarter of 2012. Those meetings proved fruitful and it was jointly agreed that a new catering costed model would be implemented as part of the EFPMS, and that Health Boards and Trusts would also resubmit their 2010/11 EFPMS catering data in order that this could be benchmarked against the 2011/12 catering data. The revised EFPMS catering data definitions, in support of the new costed model, now provide for reporting on the levels of catering waste, subsidisation of non-patient catering and capturing the cost of a patient meal in place of the cost of feeding one patient per day. To allow for benchmarking, the Welsh Government collected retrospective data for 2010/11 against the revised data definitions.

The Welsh Government and NWSSP-FS are currently taking forward 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.

Facilities Performance Report 2011/12 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 2011/12.

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 2011/12 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 2011/12 shows that facilities management (hotel services) costs totalled just under £168.59 million across Wales. This is a decrease of over £6.48 million on the costs reported for 2010/11 and represents almost 2.98% of the Health Boards’ income.

2.2.2 Hotel services

• Telecommunications

The overall expenditure on telecommunications services in 2011/12, excluding Welsh Ambulance Services NHS Trust costs, decreased by 2.55% from just over £12 million in 2010/11 to about £11.7 million in 2011/12. 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 2011/12 was 35,878, an increase of 476 spaces on the figure reported for 2010/11. Of these, the total number of spaces allocated to disabled users was 2,005, an increase from 2010/11 of 99 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 1.4 and 2.4 spaces for individual hospitals. Compared with the 2010/11 data, the overall average number of spaces/occupied bed available for patients/visitors increased from about 1.7 to just over 2.

6 Facilities Performance Report 2011/12 EXECUTIVE SUMMARY

• Cleaning

Cleaning audit scores submitted for 103 hospitals and aggregate sites for 2011/12 ranged from as low as 70% up to 99%. Overall, Health Boards/Trusts’ average score was just under 90%, slightly less than for 2010/11. 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 83% and 95%, with an average score of 91%. This is a approximately 1% less than the previous reporting period and reaffirms there has been a slight deterioration of cleaning service performance at some hospital sites.

The total cost for cleaning services reported for 2011/12 was just under £56 million, an increase of almost £665,000 (1.2%) compared with 2010/11. The cost equates to almost 1% of the Health Boards/Trusts’ income and about one third of the overall facilities budget. The service was provided by approximately 2,318 whole time equivalent (WTE) staff, a decrease of about 84 WTE (-3.5%) compared with 2010/11, spending almost 4.23 million hours on cleaning activities.

The cleaning cost/m2 of occupied floor area, used for comparison purposes, indicates that the all- Wales average for 2011/12 was £31.24, which is a reduction of 76p (-2.4%) on 2010/11. At Health Board/Trust level, the average costs ranged between £23.50 and £50.51.

• Catering

As mentioned in 1.4, following the decision to implement a new catering costed model, the EFPMS data definitions were changed 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 over £54 million was spent on catering operations (including non-patient activity) in 2011/12, a reduction of almost £0.94 million on the figure reported for 2010/11. The expenditure represents 32% of the total spent on FM services by Health Boards/Trusts and approximately 1% of their income for 2011/12.

The all-Wales average ‘patient meal’ cost for 2011/12 was £3.34, which is a £0.61p (22%) increase on the figure reported for 2010/11. 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 2011/12 was 7.7%, an increase on the 7.4% in 2010/11. However, the cost of waste meals for 2011/12 is estimated to have been just over £936,000, an 11% improvement compared with £1.05 million for 2010/11.

A breakdown of patient meals according to the type of service employed by the Health Boards/Trusts indicates 54% used conventional meals, which continues to be the most widespread method employed. At 37%, cook freeze was the next most widespread method

Facilities Performance Report 2011/12 7 EXECUTIVE SUMMARY

employed, with the remaining meals produced by cook chill and hybrid services. Of the total meals produced, the split for plated and bulk methods of delivery is estimated to be 26% and 74% respectively.

• Laundry and linen

In 2011/12, a total of just over 31 million items were laundered at a cost of almost £12 million, resulting in an average cost per item of 38.6p, fractionally less than reported for 2010/11. The cost of linen and laundry per occupied bed day ranged between £2.50 and £4.66, with an average of £3.32, compared with £3.27 in 2010/11.

The cost per annum of laundry services per occupied hospital bed for the major acute hospitals for 2011/12 ranged from £1,036 to £1,783, with the average cost per occupied bed being £1,395.

• Security

In 2011/12 the NHS in Wales spent nearly £3.9 million on security services. This represents an increase of 2.5% on the costs reported for 2011/12, and 2.3% of the total expenditure on FM services. As in previous years, the data submitted shows a significant variation in the proportion of FM expenditure on security services by Health Boards/Trusts with figures ranging from less than 1% to over 5.8%.

The 2011/12 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 2011/12 was 1,049 WTE, 48 fewer than in 2010/11. Total expenditure on portering services in 2011/12 was almost £25.8 million. Utilising WTE data for 2011/12, Health Board/Trust portering service costs (i.e. including pay and non-pay) per WTE ranged from £22,000 to £25,500.

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 2011/12 the number ranged between approximately 7 and 18 WTE, with the average of 11.6 for this period being a decrease of 0.2 on that for 2010/11.

• Postal services

Expenditure on postal services for 2011/12 was just over £5.5 million, an increase of almost 3.3% on 2010/11, equating to approximately 3.3% of the total facilities budget.

8 Facilities Performance Report 2011/12 3 THE 2011/12 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 acute hospitals included for detailed analysis in this report along with the Health Board to which they belong.

HEALTH BOARD HOSPITAL HOSPITAL TYPE

ABMU Morriston Large multi-service

ABMU Princess of Wales Large multi-service

ABMU Singleton Large multi-service

Aneurin Bevan Nevill Hall Large multi-service

Aneurin Bevan Royal Gwent Large multi-service

Betsi Cadwaladr Ysbyty Glan Clwyd Large multi-service

Betsi Cadwaladr Ysbyty Gwynedd Large multi-service

Betsi Cadwaladr Ysbyty Maelor Large multi-service

Cardiff and Vale Llandough Acute teaching

Cardiff and Vale University Hospital of Wales Acute teaching

Cwm Taf Prince Charles Medium multi-service

Cwm Taf Royal Glamorgan Large multi-service

Hywel Dda Bronglais General Small multi-service

Hywel Dda Prince Philip Medium acute

Hywel Dda Glanwili General Medium acute

Hywel Dda Withybush General Medium multi-service

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

Facilities Performance Report 2011/12 9 THE 2011/12 FACILITIES PERFORMANCE REPORT

❖ Cleaning services ❖ Catering services ❖ Laundry and linen services ❖ 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 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. The introduction of changes to catering data fields and definitions for 2011/12 is anticipated to provide opportunities for enhancing the accuracy of catering data and for more meaningful benchmarking in future.

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 2011/12 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. The overall gross cost figure fell from just over £175 million in 2010/11 to almost £168.6 million in 2011/12.

When making comparisons with data submitted in previous years, account should be taken of the recent review of EFPMS catering cost data definitions and the effect that a reduction in reported labour costs, due to the exclusion of ward staff costs, has made for 2011/12.

Facility (Hotel Services) Function 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 Telecommunications 11,081,118 12,293,134 12,697,640 13,366,467 12,024,859 11,717,939 Catering services 57,342,243 57,000,819 59,063,950 60,489,332 60,220,937 54,000,865 Cleaning services 44,527,471 49,227,402 52,297,943 53,935,115 55,073,271 55,727,432 Laundry and linen services 12,145,681 12,253,510 12,512,162 11,968,084 12,455,714 11,982,245 Portering services 22,336,216 23,765,755 25,070,982 25,035,715 26,163,188 25,760,315 Security services 3,175,485 3,423,636 3,621,463 3,690,798 3,798,896 3,893,562 Postal services 3,689,980 4,032,745 4,590,135 4,915,310 5,329,666 5,503,822

Total 154,298,194 161,997,001 169,854,275 173,400,821 175,066,531 168,586,180

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 33,978,326 101.92 3.67 Aneurin Bevan Health Board Large Multi Service 24,993,456 79.47 2.41 Betsi Cadwaladr University Health Board Large Multi Service 34,758,785 91.76 2.85 Cardiff and Vale University Health Board Acute Teaching 28,366,176 81.11 3.64 Cwm Taf Health Board Large Multi Service 21,575,682 126.82 3.59 Hywel Dda Health Board Large Multi Service 18,733,096 104.22 2.67 Powys Teaching Health Board Community with MH 4,977,172 118.26 1.96 Velindre NHS Trust Acute Specialist 1,203,488 76.54 0.90 Estimated all-Wales figures 168,586,180 94.49 2.98

Figure 3: Facilities service costs

4.1.3 Figure 3 also gives the 2011/12 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 over £5.65 billion, the overall percentage in 2011/12 had significantly decreased to 2.98%, compared with 3.17% in 2010/11.

Facilities Performance Report 2011/12 11 ANALYSIS OF TRUST-WIDE SERVICES DATA

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%'&&8

90%5&8

80%4&8

70%3&8

60%2&8

50%1&8

40%0&8

30%)&8

20%(&8

10%'& 8

0%&8 (&&)#&02003/04 (&&0#&12004/05 (&&1#&22005/06 (&&2#&32006/07 (&&3#&42007/08 (&&4#&52008/09 (&&5"'&2009/10 (&'&"''2010/11 (&''"'(2011/12 Postal (82% )83% )83% (82% (82% )83% )83% )83% )83% Security ! (82% (82% (82% (82% (82% (82% (82% (82% (82% Portering 14%'0 814% '0 814% '0 8 '014% 8 '115% 8 '115% 8 '014% 815% '1 815% '1 8 Laundry ! and Linen 488% 387% 488% 488% 488% 387% 387% 387% 387% Cleaning (3827% (4828% )&830% (5829% )&830% ))833% )'831% 31% )'8 ))833% Catering )3837% )3837% )1835% )3837% )1835% )(832% )1835% )0834% )(832% Telecoms 10%'& 8 59% 8 48% 8 37% 8 48% 8 387% 488% 387% 387%

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 2011/12 ANALYSIS OF TRUST-WIDE SERVICES DATA

Health Board/Trust Facility Function

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

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

Abertawe Bro Morgannwg University Health Board 8.71 28.51 32.95 7.07 18.39 2.38 3.91

Aneurin Bevan Health Board 5.56 26.19 26.21 7.06 10.46 1.63 2.37

Betsi Cadwaladr University Health Board 7.12 29.66 27.78 5.07 16.67 1.87 3.59

Cardiff and Vale University Health Board 3.97 28.84 27.11 7.09 8.56 3.66 1.88

Cwm Taf Health Board 7.85 30.94 42.78 8.58 20.02 2.57 2.68

Hywel Dda Health Board 6.17 32.46 37.40 7.45 16.06 0.51 4.17

Powys Teaching Health Board 9.65 38.01 50.51 3.44 12.22 0.04 4.39

Velindre NHS Trust 8.18 18.87 23.50 4.11 14.28 4.46 3.15

All-Wales average FM costs 6.57 29.18 31.24 6.72 14.44 2.18 3.08

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

Abertawe Bro Morgannwg University Health Board 8.55 27.97 32.33 6.94 18.04 2.34 3.84

Aneurin Bevan Health Board 6.99 32.96 32.96 8.88 13.17 2.05 2.98

Betsi Cadwaladr University Health Board 7.76 32.32 30.27 5.53 18.17 2.04 3.91

Cardiff and Vale University Health Board 4.90 35.56 33.43 8.74 10.55 4.51 2.31

Cwm Taf Health Board 6.19 33.39 33.73 6.76 15.78 2.02 2.11

Hywel Dda Health Board 5.92 31.14 35.89 7.15 15.41 0.49 4.00

Powys Teaching Health Board 8.16 32.14 42.71 2.91 10.33 0.03 3.72

Velindre NHS Trust 10.69 24.65 30.70 5.37 18.65 5.82 4.11

All-Wales average percentage breakdowns 6.95 32.03 33.06 7.11 15.28 2.31 3.26

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

Facilities Performance Report 2011/12 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 2011/12, excluding Welsh Ambulance Services NHS Trust costs, was £11,717,939, a decrease of £306,920 (-2.55%) on the 2010/11 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 2011/12 was 35,878, representing an increase for these premises of 476 on the previous year. Of these, 2,005 were allocated for disabled staff and visitors, an increase of 99 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 5.4% in 2010/11 to 5.6% in 2011/12.

4.3.2 Figure 6 shows the total number of parking spaces/100m2 of occupied floor area provided by individual Health Boards/Trusts in 2011/12. It can be seen that the number of spaces varied between approximately 1.4 and 2.4. The overall average was slightly lower than in 2010/11 at 2.01 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 2011/12 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 2011/12 the number of spaces varied between approximately 4.7% and 7.6%. At almost 5.6%, 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 Trusts 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 2011/12 was just under £56 million, an increase of 1.2% on the £55.1 million reported for 2010/11. This equates to just less than 1% of the overall Health Board/Trust income and about one third of the overall facilities budget.

4.4.2 The cleaning data for 2011/12 indicates that approximately 2,318 WTE staff, working almost 4,230,000 hours, provided the service. Compared with data reported for 2010/11, cleaning hours decreased by approximately 3.5% and the number of WTE staff decreased by approximately 3.5%.

Facilities Performance Report 2011/12 15 ANALYSIS OF TRUST-WIDE SERVICES DATA

4.4.3 Figure 8 shows a comparison of the 2011/12 cleaning service costs, reported as a percentage of Health Board/Trust income. The average figure for 2011/12 of 0.99% of Health Board/Trust income compares with 1.00% reported for 2010/11. 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%.

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 2011/12 was £55,727,432, an increase of £654,161 (1.2%) on the cost reported for 2010/11. Figure 9 shows that the all-Wales average for the cost of cleaning/m2 for 2011/12 was £31.24, a decrease of 76p (-2.39%) on 2010/11. At Health Board/Trust level, the average costs ranged between £23.50 and £50.51.

4.4.6 Cleaning audit scores ranging from 70% to 99% were submitted for 103 hospital and aggregate sites out of the total of 122 that should have been submitted. Apart from four scores below 75%, there were 70 site scores ranging between 75% and 95% and 25 site scores 95% and above.

16 Facilities Performance Report 2011/12 ANALYSIS OF TRUST-WIDE SERVICES DATA

60.00

50.00

(£) 40.00 2

30.00

20.00 Cleaning cost / m

10.00

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

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 2011/12 for their hospital(s).

98.00

96.00

94.00

92.00

90.00

88.00

86.00

84.00

verage cleaning scores (%) verage cleaning 82.00 A

80.00

78.00 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 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 2011/12 17 ANALYSIS OF TRUST-WIDE SERVICES DATA

4.4.7 The overall average score, based on Health Board/Trust level data, at just under 90%, was a slight fall compared with 2010/11, with the number of hospitals with very low scores of below 75% having increased by three. It is noted that 23 individual/aggregate site scores have not been submitted which needs to 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 has been introduced for 2011/12. The Welsh Government has also collated retrospective data for the new data set provided by Health Boards and Trusts for 2010/11 to allow comparison with the previous reporting period. However, it should be noted that for comparisons with cost data submitted against the old EFPMS catering data definitions, account may need to be taken for a reduction due to the omission of ward staff costs. For reference, and comparison of headline figures, key catering data for 2010/11 and 2011/12 are provided in Figure 11, shown opposite.

4.5.2 In 2011/12, just over £54 million was spent on catering operations (including non-patient activities), which is a decrease of £936,107 (-1.7%) compared with retrospective data for 2010/11. This figure represents 32.03% of the total expenditure on FM services by Health Boards and approximately 1% of their income for 2011/12.

18 Facilities Performance Report 2011/12 ANALYSIS OF TRUST-WIDE SERVICES DATA 1,766 1,637 staff Total (WTE) 128.85 4.10 4.16 -0.06 FSA (No) rating 0.61 3.34 2.73 (£) per Cost meal patient (No) Total meals patient requested 11,660,536 14,687,761 (£) cost 936,589 Waste -115,773 -3,027,225 1,052,362 0.29 7.71 7.42 (%) Waste 61

65,164 9.70 6,872 44,165 17.08 2.18 3.00 76,882 10.25 7,734 56,239 1.80 3.00 18.96 556,599 5.15 160,537 2,501,937 2.64 4.13 303.66 2,501,937 160,537 556,599 5.15 2.64 4.13 320.42 1,683,063 200,258 557,538 8.70 3.23 4.30 345.20 1,965,761 217,745 469,942 9.45 4.00 4.25 601,367 3.78 211.26 1,624,535 70,959 3.03 3.75 233.27 1,166,597 112,394 370,896 7.61 3.60 3.91 182,872 12.88 59,054 257,381 5.19 4.78 51.71 4,735,443 171,976 790,416 5.67 297.46 1.27 n/a 232,617 12.36 303,669 1,758,530 118.89 2,823,942 164,328 3.34841,710 4.86 3.61 4.88 316.32 n/a 368.35 2,121,323 176,038 232,870 6.35 3.58 4.60 1,298,320 114,368 426,619 8.73 248.31 3.25 n/a 311,072 5.63 20,423 270,805 5.63 57.79 n/a -173,5 (£) 1,050,205 4.39 108,770 2,417,097 3.51 4.65 283.41 2,417,097 108,770 1,050,205 4.39 3.51 4.65 3,854,584 1,115,959 5.52 1,623,159 93,826 211.07 2.85 n/a 4,028,145 catering Net costs non patient (contribution) 83

80,966 82,124 (£) 134,985 145,771 -314,7 patient income 2,350,588 2,247,810 1,692,999 1,760,205 1,672,838 1,258,895 2,279,643 2,402,342 2,083,938 1,752,617 1,485,651 1,281,983 Total non 11,199,286 11,514,069

(£) costs patient catering 38,946,802 40,032,169 Total gross

(£) Total gross patient catering costs non 15,053,870 15,843,708

(£) -936,107 -789,838 -1,085,368 -936,107 -789,838 costs Figure 11: Catering data catering 54,000,865 54,936,972 Total gross 05,21876 9,5 2,907,187 6,598,031 95,24840 9,0 3,068,737 6,026,675

(£) Total other 479,270 costs 4,100,098 3,620,828

(£) costs -1,690,875 Totalstaff 30,376,268 32,067,143 (£) 182,188 127,842 13,658 323,688 222,593 101,095 13,658 323,688 127,842 182,188 Total costs 3,381,442 4,652,013 204,173 8,237,628 2,805,348 5,432,280 4,652,013204,173 8,237,628 3,381,442 2,968,972 6,077,703 4,700,571289,320 8,329,088 3,339,197 2,811,672 3,995,318 397,385 7,204,375 2,274,205 4,930,175 2,428,508 4,277,533 298,582 7,004,623 2,601,610 4,632,690 3,145,335 6,169,484 772,805 10,087,624 2,230,147 7,857,477 2,700,132 6,289,726 687,919 9,677,774 1,985,487 7,599,895 4,108,009 7,780,345 1,077,903 12,966,257 2,894,511 10,195,771 3,243,973 6,308,753 1,682,532 11,235,258 2,743,204 8,491,855 19,524,500 19,249,004 provisions ealth Board 4,284,707 4,635,135 585,3 ealth Board 4,035,909 4,199,899 859,4 on 275,495 mparis

Board Board ls for 2010/11 t Tota Yearly co Totals for 2011/12 ust 172,953 116,877 6,811 296,641 200,149 96,492 200,149 296,641 6,811 116,877 ust 172,953 hing Health Board 514,246 1,002,826 hing Health Board 82,665 1,599,737 263,838 1,335,899 475,562 1,070,209 41,395 1,587,166 393,196 1,174,389 wel Dda Health Board 1,970,172 3,495,862 wel Dda Health Board 368,351 5,834,385 1,629,791 4,204,594 1,979,499 3,621,018 352,611 5,953,128 1,708,602 4,223,952 Abertawe Bro Morgannwg UniversityH Aneurin Bevan Health Betsi Cadwaladr University Health Board Cardiff and Vale University Health Board Cwm Taf Health Board Hy Teac Powys NHS Tr Velindre Abertawe Bro Morgannwg UniversityH Aneurin Bevan Health Betsi Cadwaladr University Health Board Cardiff and Vale University Health Board Cwm Taf Health Board Hy Teac Powys NHS Trus Velindre Health Board/Trust

Facilities Performance Report 2011/12 19 ANALYSIS OF TRUST-WIDE SERVICES DATA

4.5.3 The portion of the gross cost of catering operations allocated to labour costs for 2011/12 was approaching £30.4 million which, at just over 56% of the gross cost of catering, represents a reduction of £1,690,875 (-5.3%) on 2010/11. As a component of total staff costs for 2011/12, just under £2 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 2011/12 was £3.85m, which is almost £174k less (-4.3%) compared with 2010/11. This data field and data definition introduced this year clearly identifies to Health Boards whether there is a need to consider a policy on how they should manage 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 average cost of a patient meal for Health Boards in 2011/12 ranged between £2.18 and £5.19. The overall average for a patient meal for 2011/12 of £3.34 was an increase of £0.61p (22.3%) on that calculated for 2010/11.

4.5.6 The percentage of food waste relating to untouched meals in 2011/12 was 7.7%, a slight increase on the 7.4% in 2010/11 but still well inside the target of 10% set by the Welsh Government. Work is ongoing on how to capture data for other types of food waste in future years. However, the cost of waste meals for 2011/12 derived from percentage data indicates that in 2011/12 food waste cost approximately £937k, which was £116k (-11%) less compared with £1,052m for 2010/11.

4.5.7 Food Standards Agency (FSA) hygiene ratings for hospitals have been introduced to the EFPMS data set this year. 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 an average for all

20 Facilities Performance Report 2011/12 ANALYSIS OF TRUST-WIDE SERVICES DATA

relevant sites, for Health Boards ranged from 3.00 to 4.78 with an all-Wales average of 4.10. This is a slight decrease when compared to 2010/11 but it should be borne in mind that far fewer hospitals were rated in 2010/11.

4.5.8 Figure 13 shows the all-Wales breakdown in the reported number of patient meals requested during 2011/12 according to the type of service employed. This indicates that 54% were produced by conventional means, which continues to be the most widespread method employed. Cook freeze at 37% was the next most popular type of service and with cook chill and hybrid systems accounting for the remaining 9%. Of the total meals produced, the split for plated and bulk methods of delivery was estimated at 26% and 74% respectively.

Hybrid 6%

Conventional plated 24%

Cook freeze bulk 35%

Conventional bulk 30% Cook freeze plated 2% Cook chill bulk 3%

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

4.5.9 Catering staff numbers are shown to have increased by almost 129 WTE from 1,637 in 2010/11 to 1,766 in 2011/12.

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 2011/12 a total of 31,028,948 laundry and linen pieces were processed at a cost of £11,982,245. Compared with the figures for 2010/11, the number of pieces decreased by 1,124,571 (-3.5%) and the processing costs decreased by £473,469 (-3.8%). This has resulted in the average cost/item staying virtually the same at 38.6p.

4.6.2 Figure 14 overleaf, shows the 2011/12 costs of laundry & linen per occupied bed day on a Health Board basis. These range from £2.50 to £4.66. The average cost was £3.32, which is a 5p increase on the cost for 2010/11.

Facilities Performance Report 2011/12 21 ANALYSIS OF TRUST-WIDE SERVICES DATA

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 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 Unfortunately, as with previous reports, much of the 2011/12 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 2010/11, varied widely. For Health Boards this ranged from as little as 22 to almost 11,000 incidents. Similarly, the number of reported cases of assaults on staff and security incidents requiring police attendance varied from less than 100 to over 2,300 and 0 to over 1,700, respectively.

4.7.2 Health Boards/Trusts spent just under £3.9 million on security services in 2011/12, which is an increase of 2.5% compared with 2010/11. 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 0.4% to just over 5.8%. At approximately 2.3%, the overall average was marginally higher than for 2010/11.

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.

22 Facilities Performance Report 2011/12 ANALYSIS OF TRUST-WIDE SERVICES DATA

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 2011/12 was £25,760,315, a decrease of £402,873 (-1.54%) from 2010/11. Portering service costs for 2011/12 equate to approximately 15.5% of the total facilities budget.

4.8.2 The number of porters employed across Wales was reported to be 1,049 WTE, which is a decrease of 48 (-4.4%) on last year.

4.8.3 The number of porters employed by individual Health Boards (with the exclusion of Powys Teaching at 21 WTE) varied between 255 and 124 WTE. Using the data reported for portering service costs (including pay and non-pay) and the number of WTE the cost/WTE for Health Boards varied between approximately £22,000 and £25,500.

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 2011/12 was £5,503,822, an increase of £174,156 (3.27%) on the figure for 2010/11. This equates to 3.3% of the total 2011/12 facilities budget.

Facilities Performance Report 2011/12 23 5 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA 5.1 Overall analysis

5.1.1 The total facilities function (hotel services) cost during 2011/12 was £100,263,896, a decrease of 1.8% on the amount for 2010/11. This overall decrease arises from cost reductions for Laundry & Linen, Portering and, most notably, Catering which contributed a decrease of £4.3m, against increased costs for Cleaning and Security.

However, it should be noted that this comparison is made with cost data submitted against the 2010/11 EFPMS data definitions for catering that included ward staff costs. The Welsh Government has collated retrospective catering data for 2010/11 against the 2011/12 data definitions and, when correction is made for a reduction in reported staff costs, due to the omission of ward staff costs, this comparison shows that there has actually been an overall increase of £2.1m (2.1%).

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 69% of the hotel services costs, representing a 1% decrease from 2010/11.

Once again, it should be borne in mind if making comparisons with previous breakdowns that ward staff costs are no longer included in the catering costs. Also, as with the FM data requirements for the previous three reporting periods, the EFPMS returns for 2010/11 did 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% Portering 19%

Catering 34% Cleaning 35%

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

24 Facilities Performance Report 2011/12 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA

5.2 Car parking

Analysis of acute hospital car parking data

5.2.1 A total of 23,143 parking spaces were provided in 2011/12, an increase of 80 spaces (0.35%) on last year’s figure, spread across four of the 16 sites.

5.2.2 The proportion of the total number of parking spaces allocated for disabled staff and visitors ranged between approximately 2% and 10% and averaged 5% for 2011/12, much the same as the previous year. Figure 17 compares the provision in 2010/11 and 2011/12 against local authorities guidelines for new 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. Despite the further increases in number this year the figure illustrates that, if these guidelines were applied to healthcare facilities, three of the major acute hospitals in 2011/12 would not have provided the minimum number.

Ysbyty Maelor

Ysbyty Gwynedd

Ysbyty Glan Clwyd

Withybush General Hospital

Glangwili General Hospital

University Hospital of Wales

Singleton Hospital

Royal Gwent Hospital

Royal Glamorgan Hospital

Princess of Wales Hospital

Prince Philip Hospital

Prince Charles Hospital

Nevill Hall Hospital

Morriston Hospital

Llandough Hospital

Bronglais General Hospital

0 50 100 150 200 250

Local Authority Standard Disabled spaces 2010/11 Disabled spaces 2011/12

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 2011/12 was £34,210,467 which is an increase of £678,236 (2.02%) compared with 2010/11.

Facilities Performance Report 2011/12 25 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA

5.3.2 Figure 18 illustrates the cost of cleaning/m2. The data for 2011/12 shows that the average cost/m2 was £33.43, almost identical to that calculated for 2010/11. The cost of cleaning/m2 ranges from £25.42 to £54.23.

60.00

50.00

40.00 ) 2 30.00 (£/m

20.00

10.00

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

90

80

70

60

50 (%)

40

30

20

10

0 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

2007/08 2008/09 2009/10 2010/11 2011/12

Figure 19: Audit score against cleaning standards

26 Facilities Performance Report 2011/12 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA

It can be seen that for 2011/12 the reported scores range from 82.6% to 95.2%. Half of the hospitals indicated an improvement on their 2010/11 scores. The score for seven hospitals had deteriorated by a marginal amount. The Royal Glamorgan Hospital, however, reported a drop of almost 16%. Overall, the average score for 2011/12 was almost 91%, a decrease of 0.6% on 2010/11.

5.4 Catering services

Analysis of acute hospital catering data

5.4.1 Figure 20 overleaf, provides a breakdown of key catering data for 2011/12. Also shown is the retrospective data for 2010/11, collated by the Welsh Government, in order to provide yearly comparisons with headline data for 2010/11 where appropriate. (N.B. where retrospective data for 2010/11 were missing, or required substitution in order for hospital data fields to reconcile, they are shown highlighted). It should be noted that if comparisons are made with cost data submitted against the previous EFPMS catering data definitions, 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 2011/12 was £35,669,647, an increase of £1,653,650 (4.9%) compared with 2010/11. The total number of patient main meals requested was 7,676,097, a decrease of 222,253 (-2.8%) over the same period.

It is noted that, whilst the overall cost of catering operations was reported to have increased at some hospitals there were decreases at seven of the acute hospitals. Most of the increases were relatively modest with the exception of UHW that reported an increase of 44%. From these data comparisons it would appear that the introduction of the new catering data definitions has caused some problems in terms of data reliability which, it is hoped, will be addressed by the next reporting period.

The non-patient catering cost was subsidised by just over £2.1 million in 2011/12, which is a fall of just under £90,000 (-4.1%) on the figure for 2010/11.

5.4.3 The total labour costs for 2011/12 were £20,383,308, an increase of £416,154 (2.1%) compared with 2010/11. Most of the acute hospitals reported little change or a modest increase in staff costs; however, small decreases were reported at five hospitals.

5.4.4 The cost of a patient meal reported for 2011/12 ranged from £1.53 at University Hospital Wales to £4.70 at Bronglais General Hospital. This amounts to an average cost for a patient meal of £2.70 for 2011/12 compared with £2.85 in 2010/11. The slight decrease in average cost from the previous year masks an implausibly wide range of cost differences for individual hospitals with the largest being an increase of £1.46 (45%) along with a decrease of £1.24 (-45%).

5.4.5 The food wastage reported for 2011/12 indicates that just over 473,000 patient meals were wasted, representing approximately 6% of production, at a cost of almost £527,000. This level of waste is an improvement (0.8%) on 2010/11 for which a total of just over 548,000 meals at a cost of almost £624,000 was reported.

Facilities Performance Report 2011/12 27 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA

0,598 931,959 931,959 2 0,598 3.00 44,766 206,639 6.00 509,710 1,118,314 2,577,523 163, 828,382 1,324,953 3,904,988 4,625 2,054,387 26,771 3.00 1,338,092 3,345,232 246,774 2,685,251 130,041 1,192,966 Ysbyty 223,582 2,050,452 Ysbyty 1,159,784 530,401 bulk freeze Cook Ysbyty Withybush 470,356 of Wales Hospital University bulk freeze Cook 1,006,564 Hospital Singleton 24,769 bulk Conventional Royal Gwent 47,909 3.00 Hospital Glamorgan Royal 298,152 Hospital of Wales Princess 667,531 Hospital Philip Prince 291,124 132, Hospital Charles Prince 953,306 Hospital Nevill Hall bulk Conventional 5,204 2,313,240 Hospital Morriston plated Conventional Hospital Llandough 3.00 1,251,458 Hospital General Glangwili 3,564,698 199,087 2,974,669 Hospital General Bronglais 216,534 1,435,218 Ysbyty 217,031 2,077,951 Ysbyty 1,270,213 624,177 bulk freeze Cook Ysbyty Withybush 416,118 of Wales Hospital University bulk freeze Cook 1,040,295 Hospital Singleton bulk Conventional Gwent Royal 65,853 Hospital Glamorgan Royal Hospital of Wales Princess 685,308 Hospital Philip Prince 289,134 Hospital Charles Prince Hospital Nevill Hall bulk Conventional Hospital Morriston plated Conventional Hospital Llandough Hospital General Glangwili Hospital General Bronglais Hospital Meo Conv Conv Maelor Gwynedd Conv Conv Maelor Gwynedd Glan Clwyd Clwyd Glan Clwyd Glan General Hospital Conventional plated 324,816 559,402 64,370 64,370 559,402 324,816 27 15,649 plated Conventional 5.00 1,727.75 Hospital General 230,118 776,179 231,846 1,008,025 35,846 565,721 406,458 plated Conventional Hospital General

Totals 2011/12 for Totals Yearly comp Yearly Tota ls for 2010/11 2010/11 ls for arison 484,271 484,271 arison 416,154 770,320 1,653,650 59,532 ovninlpae 6735 6,4 8,2 16112 3,3 11075 6,6 6,7 1.0 602 394,532 56,072 12.00 61,371 469,066 1,150,755 530,437 1,681,192 83,627 960,240 637,325 372,3 plated Conventional 52,523 11.00 56,178 459,247 1,199,126 515,425 1,714,551 40,276 1,002,192 672,083 plated Conventional Cook chill bulk bulk chill Cook Hybrid system system Hybrid bulk chill Cook Hybrid system system Hybrid Conventional plated 718,771 1,367,332 110,734 2,196,837 396,687 1,800,150 417,201 417,201 1,800,150 396,687 2,196,837 110,734 1,367,332 718,771 plated Conventional 504,559 1,714,001 463,542 2,177,543 142,649 1,380,556 654,338 plated Conventional Cook freeze bulk bulk freeze Cook bulk freeze Cook okfez uk ,9,9 11067 7,7 25969 7,3 15625 2,5 1500 .0 366 728,531 23,606 bulk freeze Cook 3.00 145,080 828,354 1,586,205 973,434 2,559,639 176,775 1,190,667 1,192,197 bulk freeze Cook bulk freeze Cook okfez uk ,6,1 10413 5,5 2,3 250,850 1,064,123 1,068,919 bulk freeze Cook ovninlpae 15087 1,592,86 1,580,867 plated Conventional 3,2 107,170 1,569,817 1,581,678 plated Conventional Production type Production entional plated 894,425 1,168,776 211,435 2,274,636 457,573 1,817,063 476,835 476,835 1,817,063 457,573 947 2,274,636 2,159,993 211,435 80,203 1,168,776 1,274,825 894,425 804,965 plated entional plated entional 1,1 2,247,074 2,895,604 201,667 803,461 1,158,892 1,281,070 886,515 811,073 plated entional plated entional provisions provisions 12,329,409 12,329,409 12,813,680 costs costs Total Total 2,9 9725 619 ,9,0 4390 ,7,9 3947 453 00 4,8 482 49,784 10.00 74,503 349,407 1,271,799 423,910 1,695,709 76,139 997,275 622,295 507,058 748,129 67,320 1,322,507 197,885 1,121,347 288,110 288,110 1,121,347 197,885 1,322,507 67,320 748,129 507,058 470,267 734,970 89,779 1,295,016 194,252 1,100,764 287,842 287,842 1,100,764 194,252 1,295,016 89,779 734,970 470,267 4,2 9066 3,0 17752 2,3 11741 5,2 2912 10 5,6 5 56,163 11.00 279,112 250,822 1,177,451 529,934 1,707,582 139,108 920,646 647,828 8,4 9419 597 ,9,4 4883 ,4,7 3821 052 .0 067 323, 30,627 9.00 50,592 398,281 1,047,371 448,873 1,496,244 85,907 924,189 486,148 7,8 11490 574 ,3,1 7910 ,1,4 4676 8,1 50 1,9 387 19,592 5.00 282,414 496,756 1,117,240 779,170 1,938,418 75,794 1,174,900 675,584 6,3 11750 1,9 19162 6,2 13616 5,6 1066 .0 195 406,975 11,965 3.00 110,656 554,865 1,306,156 665,521 1,971,672 119,398 1,187,540 664,734 740,515 1,909,025 68,365 2,717,905 520,837 2,154,094 482,609 38,228 5.40 26,660 534,658 534,658 26,660 5.40 38,228 482,609 2,154,094 520,837 2,717,905 68,365 1,909,025 740,515 534,658 41,176 8.00 89,318 447,453 2,108,468 536,771 2,645,239 94,018 1,790,994 760,227 0,0 975 505,701 7,6 8851 1,8 1,5 117,080 848,561 578,761 1,5 112,227 861,497 611,102 (£) (£) 19,967,154 19,967,154 20,383,308 Total staff staff Total costs costs (£)

,101 101,301 1,582,103 393,503 1,180,508 396,679 396,679 1,180,508 393,503 1,582,103 101,301 ,101 0 1,702,339 1,702,339 2,472,659 costs costs 127,431 3,301,158 3,301,158 127,431 1,928,636 1,372,522 1,504,693 228,720 9.50 4,514,847 104,960 1,240,097 1,447,970 1,219,250 other other Total Total (£)

Figure 20: Catering data Total gross gross Total 34,015,997 34,015,997 35,669,647 catering catering costs costs 948,588 274,472 671,983 243,066 31,406 31,406 7.00 285,25 16,143 671,983 243,066 274,472 948,588 (£) 86514033 ,7,5 ,0,1 1920 .0 665 687,928 46,695 5.00 179,200 1,778,352 1,301,113 1,480,313 58,665 83,892 989,756 1,394,136 814,519 175,237 175,237 3.00 707,784 21,319 989,756 83,892 1,394,136 814,519 44,402 883,388 661,014 670,522 212,866 212,866 376,273 9,518 3.00 661,014 670,522 883,388 44,402 132,529 3.00 338,493 11,367 818,908 633,389 765,918 84,826

11,406,896 11,406,896 11,466,429 costs non non costs catering catering patient patient gross gross Total Total 513,529 1,733,545 423,055 90,474 5.60 38,723 694,576 90,474 694,576 5.60 38,723 423,055 1,733,545 513,529 (£) 37,549 1,758,055 544,719 592,830 4.83 22,721 479,803 479,803 592,830 4.83 22,721 544,719 1,758,055 37,549 ,332 1,212,661 521728 425,604 3.94 17,881 478,334 478,334 425,604 3.94 17,881 521728 1,212,661 ,332

Total gross Total 22,549,350 22,549,350 22,376,443 catering catering patient patient costs costs -172,9 (£)

06 06 Total non non Total 9,202,884 9,202,884 9,351,989 income income patient patient 149,105 149,105 (£)

(contribution) (contribution) non patient patient non Net costs costs Net catering catering 2,204,012 2,204,012 2,114,440 (£) -132,1 -90,225 -90,225 -93,590 -20,514 -20,514 -41,017 -19,262 -19,262 -89,573 -89,573 -3,176 -3,176

71 71 Waste Waste 16.00 156,233 677,572 677,572 156,233 16.00 319,890 51,719 12.00 333,010 41,720 11.00 270,686 43,970 11.00 -0.78 -96,880 -222,253 -222,253 -96,880 -0.78 (%) (%) 4.90 29,855 529,980 529,980 29,855 4.90 519,545 30,175 5.49 6.80 50,811 598,250 598,250 50,811 6.80 6.94 6.94 6.16 623,675 623,675 526,795 Waste Waste 77,840 808,891 808,891 77,840 cost cost (£) (£)

requested requested 63 7,898,350 7,898,350 7,676,097 patient patient meals meals Total Total 623,650 623,650 (No) (No) 50,000 50,000 1,024 0,201 ,300 ,300 ,036 ,036 615 615 908 772 57 6

patient patient meal meal Cost Cost per per (£) (£) -0.15 -0.15 2.85 2.85 3.04 2.54 3.40 2.36 2.77 1.75 2.85 3.18 2.14 3.51 2.95 2.92 1.97 4.03 3.54 3.24 2.70 2.50 3.66 3.30 2.86 1.53 2.42 2.59 3.71 2.64 4.07 3.21 3.22 2.18 3.94 3.23 4.70 rating rating NCR 62. NCR 38.75 NCR 182.35 NCR 92. NCR 91. NCR 42. NCR 67. NCR 45. NCR 53. NCR 56. NCR 76. NCR 30. (No) (No) FSA -0.19 -8.52 -8.52 -0.19 4.25 4.25 4.06 4 48.94 4 48.94 5 65.56 4 124.84 4 88.65 5 48.94 5 62.05 4 65.56 1 38.75 4 170.40 5 95.72 4 123.14 4 100.09 3 42.95 5 59.91 4 55.10 5 56.48 4 56.13 4 84.18 5 69.66 3 30.43 1,159.49 1,159.49 (WTE) (WTE) Total Total staff staff 1,168 1,168 05 05 64 18 09 89 70 63 48 83 43

28 Facilities Performance Report 2011/12 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA

5.4.6 The Food Standards Agency (FSA) hygiene ratings assigned to the acute hospitals for 2011/12 were generally Good (4) and Very Good (5). However, three hospitals fell short of these ratings, which is of great concern for a healthcare setting. A comparison with the 2010/11 ratings to check for progress is not possible as FSA inspections were not widely conducted during that reporting period.

5.4.7 The total number of WTE catering staff working in the acute hospitals is reported to have dropped slightly (-0.7%) from 1,168 in 2010/11 to about 1,159 in 2011/12.

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 2011/12 was £8,926,249 a decrease of £312,044 (-3.38%) on 2010/11. The overall number of pieces per annum decreased in proportion by 737,351 (-3.12%), making the cost/piece for the acute hospitals this year £0.39p.

5.5.2 Within the overall cost decrease, the data indicates that the cost of the laundry service dropped at ten of the 16 acute hospitals, with the largest decrease reported as almost 20% at Prince Philip Hospital, accompanied by 15% drops at the Royal Gwent and Singleton Hospitals. Of the six hospitals that reported increases, half of these were relatively small increases along with approximately 10% increases at the Princess of Wales Hospital and Ysbyty Maelor and 16% at Prince Charles Hospital.

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 2011/12 ranged between £1,036 at Singleton Hospital and £1,783 at Glangwili General Hospital. Notwithstanding the significant fluctuations in overall costs for individual acute hospitals, at £1,395 the average cost of laundry per occupied bed for 2011/12 was almost identical to that reported for 2010/11.

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

2007/08 2008/09 2009/10 2010/11 2011/12

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

Facilities Performance Report 2011/12 29 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 2011/12 was £2,624,070, an increase of £162,704 compared with 2010/11. It can be seen that reported costs once again range widely, between £6,439 at Nevill Hall Hospital and £476,912 at Morriston Hospital, along with nil returns this year for Bronglais, Singleton and Withybush Hospitals.

Site Name Security Security Total Security Assaults services costs staff Security incidents on staff incidents requiring reported police attendance (£) (WTE) (No) (No) (No) Bronglais General Hospital 0.00 0.00 159 3 88 Glangwili General Hospital 40,729.00 1.92 55 7 16 Llandough Hospital 225,542.00 9.50 526 30 367 Morriston Hospital 476,912.00 16.32 234 21 79 Nevill Hall Hospital 6,439.00 0.00 164 35 88 Prince Charles Hospital 169,370.00 9.70 118 8 101 Prince Philip Hospital 51,570.00 1.92 88 10 39 Princess of Wales Hospital 250,578.00 9.55 206 9 69 Royal Glamorgan Hospital 170,436.00 10.57 299 12 145 Royal Gwent Hospital 389,126.00 12.00 540 119 327 Singleton Hospital 0.00 0.00 117 10 27 University Hospital of Wales 383,347.00 18.00 955 121 808 Withybush General Hospital 0.00 0.00 77 7 24 Ysbyty Glan Clwyd 94,750.00 5.00 301 48 50 Ysbyty Gwynedd 152,019.00 5.23 405 156 213 Ysbyty Maelor 213,252.00 3.96 1583 1327 80 Total 2,624,070.00 103.67 5827 1923 2521

Figure 22: Security service data

5.6.2 It can be seen from Figure 22 that the number of security incidents reported in 2011/12 ranged from 55 to 1,583. Overall, the 5,827 incidents reported represent an increase of 525 (9.9%) compared with 2010/11.

Many of the concerns raised in earlier reports regarding the effectiveness of hospital reporting systems for security incidents are acknowledged to have been addressed and this increase, along with that reported for 2010/11, are understood to be, in part, a consequence of improvements made in this area.

5.6.3 The number of reported assaults on hospital staff decreased from 2,762 in 2010/11 to 2,521 in 2011/12, which is understood to reflect the on-going Health Boards/Trusts’ focus on the safety of front line hospital staff and the measures being put into place to improve their protection.

5.6.4 The number of WTE security staff reported for 2011/12 was 103.67, an increase of just over 2% compared with 2010/11.

30 Facilities Performance Report 2011/12 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 2011/12 was 742 WTE, forty fewer than in 2010/11, with the reported cost for the portering service being £18,642,962. This represents a decrease of £291,394 (-1.5%) compared with 2010/11.

5.7.2 The cost of providing the portering service at the hospitals in terms of the WTE number of porters ranged from £20,439 to £35,788 and averaged £25,114, an increase of approximately £900 (3.7%) on the average for 2010/11.

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 just under 7 to just less than 18.

The average number of porters/100 beds for 2011/12 was 11.6, a reduction of 0.2 WTE on figures calculated for 2010/11.

20.00

18.00

16.00

14.00

12.00

10.00 (No)

8.00

6.00

4.00

2.00

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

Acute Hospital Acute Hospital Average

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

Facilities Performance Report 2011/12 31

APPENDIX I

Observations on FM-related Operating Costs

ABERTAWE BRO MORGANNWG UNIVERSITY HEALTH BOARD

Facilities Performance Report 2011/12 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 2011/12 by Abertawe Bro Morgannwg University Health Board. The complete data set is made available to the NHS in Wales on the CDROM that accompanies the annual FM Performance Report. The dataset can also 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, account should be taken of the recent review of catering cost data definitions and the effect that a reduction in reported staff costs due to the omission of ward staff costs may have made for 2011/12.

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 2011/12, 2010/11 and 2009/10, and the aggregated costs for 2008/09 and 2007/08 for the former organisations. Also shown is a breakdown of overall FM cost of occupancy (£/m2) for Health Board properties.

Facilities Performance Report 2011/12 35 APPENDIX I

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

(£) 2011/12 2,837,832 11,277,900 9,505,218 2,356,667 793,734 6,175,845 1,303,517 34,250,713 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 2007/08 3,212,057 9,752,452 10,643,981 2,754,256 525,226 5,062,287 837,283 32,787,542 (£/m2) 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 2007/08 9.82 29.82 32.55 8.42 1.61 15.48 2.56 100.26

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

2.2 The total operating cost for the above FM services for 2011/12 was £34,250,713, a decrease of £1,514,171, (-4.2%) compared with 2010/11. It should be noted that there has been a reduction in catering labour/staff costs of £2,350,941.

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

40,000,0000,000

35,000,0000,000

30,000,0000,000

Postal 25,000,0000,000 Portering Security 20,000,0000,000 (£) Laundry & Linen Catering 15,000,0000,000 Cleaning Telecoms

10,000,0000,000

5,000,0000,000

0 2007/08 2008/09 2009/10 2010/11 2011/12

Figure 2: Yearly breakdown of overall FM service costs

36 Facilities Performance Report 2011/12 APPENDIX I

14,000,0000

12,000,0000

10,000,0000

8,000,0000 (£)

6,000,0000

4,000,0000

2,000,0000

0 Telecoms Cleaning Catering Laundry & Linen Security Portering Postal

2007/08 2008/09 2009/10 2010/11 2011/12

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 costs.

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0% 2007/08 2008/09 2009/10 2010/11 2011/12 Postal 2.55% 2.88% 3.05% 3.51% 3.81% Portering 15.44% 16.19% 15.78% 17.24% 18.03% Security 1.60% 1.76% 1.44% 2.16% 2.32% Laundry & Linen 8.40% 8.03% 6.63% 7.04% 6.88% Catering 32.46% 33.07% 33.55% 33.52% 27.75% Cleaning 29.74% 28.81% 32.20% 28.98% 32.93% Telecoms 9.80% 9.25% 7.36% 7.55% 8.29%

Figure 4: FM service expenditure % by function

Facilities Performance Report 2011/12 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 overleaf, provides a breakdown of key catering data for individual hospitals along with Health Board totals and comparisons with headline data for 2010/11 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 2011/12 APPENDIX I ) ² 0.00 0.00 FM (£/m Costs 102.73 109.19 106.23

2,540 (No) beds Available

665 0 ) 1,526 0 (m ² 333,391 Occupied floor area

0 311,496 3,181 64 97.92 311,496 3,181 64 82.30 315,614 3,835 54 249,243 1,835 32 135.83 249,243 1,835 167.28 32 167,947 1,004 30 134.33 489,231 3,642 73 (£) 2,565,049 21,118 184 121.46 2,565,049 21,118 184 1,046,949 19,861 52.71 116 Costs 34,250,713 Total FM 0 9,109,550 83,426 712 83,426 428 53,248 9,109,550 5,656,604

48,659 1,052 13 46.25

(£) 4,141,349 2,837,832 1,303,517 Board-wide service cost

692 3,460,001 29,490 225 117.33 225 29,490 3,460,001 723 692 421 34,245 370,647 3,136 30 118.19 26,675 30 3,136 93.40 18.18 370,647 55,106 80 138 5,514 37,265 515,008 34,245 677,363 54,880 10,257 20,514 11,660 66,190 (£) 309,011 404,942 costs 6,175,845 1,214,529 5,126,003 63,593 361 80.61 361 63,593 5,126,003 1,214,529 service Portering

0 0 0 0 0 0 0 0 0 0 0 0 (£) 793,734 costs Security services

4,045 (£) 2,356,667 Laundry & linen costs

0 (£) 9,505,218 Figure 5: Facilities expenditure of catering operations Gross cost

0 0 0 0 0 0 0 0 0 0 0 0 0 78,915 128,274 21,540 78,915 128,274 9,266 49,310 97,711 81,253 86,810 254,978 2,949 32,098 13,612 813,800 1,289,472 152,766 52,727 135,858 96,236 51,884 332,050 258,073 23,611 134,267 102,630 23,359 136,174 176,869 78,322 194,230 187,576 663,061 (£) 3,122,863 2,559,639 667,413 476,912 2,282, 476,912 3,122,863 2,559,639 667,413 1,298,400 1,059,613 66,244 364,052 671, 1,013, 250,578 2,186,268 1,695,709 510,628 2,013,796 1,584,826 312,852 costs 11,277,900 services Cleaning

Hospital type Psychiatric - MI Community Geriatric Minor Acute Psychiatric - MI Community Geriatric Psychiatric - MI/MSU Community Geriatric Community Geriatric Psychiatric - LD Community Community Acute Major Minor Acute Acute Major Acute Major Psychiatric - MI

Site Name Cefn Coed Hospital Cimla Hospital Fairwood Hospital Garngoch Hospital Gellinudd Hospital Glanrhyd Hospital Gorseinon Hospital Hill House Hospital Llwyneryr Hospital Maesgwyn Hospital Maesteg Community Hospital Morriston Hospital Neath Port Talbot Hospital (PFI) Princess of Wales Hospital Singleton Hospital Tonna Hospital Aggregated sites Telecommunications services Postal services Total for submitted data

Facilities Performance Report 2011/12 39 APPENDIX I A bulk Conventional T Hospital Singleton bu freeze Cook Hospital of Wales Princess bulk Conventional (PFI) Hospital Talbot Port Neath Hospital Morriston Hospital Community Maesteg Hospital Maesgwyn Hospital Llwyneryr Hospital House Hill Hospital Gorseinon Hospital Glanrhyd Hospital Gellinudd Hospital Garngoch Fair Hospital Cimla Hospital Coed Cefn Name Site onna Hospital Cook freeze bulk 124,416 42,900 20,260 187,576 187,576 20,260 42,900 124,416 bulk freeze Cook Hospital onna ggregated sites Conventional plated plated Conventional sites ggregated wood Hospital Hospital wood

Totals for 2011/12 for Totals Yearly comp Yearly Tota ls for 2010/11 4,035,909 4,199,899 859,440 9,095,248 3,068,737 3,068,737 9,095,248 859,440 4,199,899 4,035,909 2010/11 ls for arison 248,798 248,798 arison 435,236 Cook freeze plated plated freeze Cook Cook freeze bulk bulk freeze Cook Cook freeze bulk bulk freeze Cook Cook freeze bulk bulk freeze Cook Cook freeze bulk bulk freeze Cook Cook freeze bulk bulk freeze Cook Cook freeze bulk bulk freeze Cook Cook freeze bulk 1,192,197 1,190,667 176,775 2,559,639 973,434 973,434 2,559,639 176,775 1,190,667 1,192,197 bulk freeze Cook bulk freeze Cook Cook freeze bulk bulk freeze Cook Cook freeze bulk bulk freeze Cook Production type Production Cook freeze plated plated freeze Cook lk 588,425 588,425 lk 423,934 47,254 1,059,613 493,360 provisions provisions 4,284,707 4,284,707 costs costs Total Total 622,295 997,275 76,139 1,695,709 423,910 423,910 1,695,709 76,139 997,275 622,295 652,319 557,678 79,475 1,289,472 178,142 178,142 1,289,472 79,475 557,678 652,319 117,196 112,852 24,930 254,978 254,978 24,930 112,852 117,196 611,102 611,102 (£) (£) 92,854 153,805 11,414 258,073 63,579 63,579 258,073 11,414 153,805 92,854 42,231 41,378 14,102 97,711 97,711 96,236 14,102 41,378 187 42,231 7,181 88,868 62,026 57,148 9,100 128,274 128,274 9,100 57,148 62,026 45,110 48,063 9,457 102,630 102,630 9,457 48,063 45,110 36,781 136,876 3,212 176,869 8,843 8,843 176,869 3,212 136,876 36,781 8,887 3,881 844 13,612 13,612 844 3,881 8,887 0 0 0 0 0 0 0 0 0 0 0 0 Total staff staff Total 4,635,135 4,635,135 costs costs 861,497 112,227 1,584,826 765,918 765,918 1,584,826 112,227 861,497 (£)

-274,0 costs costs 585,376 585,376 other Total Total (£)

64 64 Figure 6: Catering data Total gross gross Total catering catering 9,505,218 9,505,218 costs costs 409,970 409,970 (£)

costs non non costs 2,907,187 2,907,187 catering patient patient -161,5 gross gross Total Total (£)

50 50 0 0 0 0 0 0 0 Total gross gross Total catering catering 6,026,675 6,026,675 6,598,031 1,271,799 1,586,205 1,111,330 patient patient costs costs 571,356 571,356 187,576 818,908 566,253 168,026 254,978 102,630 194,494 128,274 (£) 13,612 13,612 97,711 96,236

0 0 0 Total non non Total 2,279,643 790,416 790,416 2,279,643 5.67 2,350,588 171,976 4,735,443 1.27 income income patient patient 633,389 132,529 132,529 633,389 3.0 74,503 349,407 11,367 116,240 377,120 10.0 6.0 338,493 2.42 145,080 828,354 3.0 49,784 25,067 240,969 23,606 482,300 2.35 2.64 728,531 2.18 50,521 127,621 3.0 16,830 198,543 5.60 70,945 70,945 34,588 28,991 1.6 1,040 66,430 2.93 (£) 1,767 1,767 5,168 3,675 5.0 1,747 37,343 4.5

264 264 0 0.0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0.0 0 0 0 (contribution) (contribution) non patient patient non Net costs costs Net catering catering (£) -233,817 -0.52 -0.52 -233,817 -11,438 -2,233,506 556,599 556,599 -1,767 -1,767

-264 -264 Waste Waste (%) (%) 11.0 13,686 90,617 2.07 2.07 90,617 13,686 11.0 5.15 5.15 3.0 267 5,157 2.64 2.64 5,157 2.4 267 3.0 106,161 2.29 3,516 3.0 44,748 2,707 6.0 2.57 38,046 2.34 3,378 8.0 54,711 3,101 5.0 5.0 4,443 69,888 1.38 1.38 69,888 4,443 5.0 160,537 160,537 Waste Waste cost cost (£) (£) requested requested 2,501,937 2,501,937 patient patient meals meals Total Total (No) (No) Cost per per Cost patient patient meal meal (£) (£) 1.36 1.36 2.64 2.64 rating rating NCR NCR (No) (No) FSA n/a n/a n/a 4.13 4.13 3 5 5 3 5 4 3 4 5 4 5 3 5 4 4 297.46 297.46 303.66 (WTE) (WTE) Total Total staff staff 11.56 11.56 95.72 42.95 45.51 56.13 16.43 4.69 4.69 2.61 9.68 3.77 7.27 2.05 1.97 3.32 6.2 6.2 0 0 0

40 Facilities Performance Report 2011/12 APPENDIX I

Cleaning services costs

60.0000

50.0000

40.0000 2 30.0000 £/m

20.0000

10.0000

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

Figure 7: Cleaning services cost indicator

Catering services costs

120.0000

100.0000

80.0000 2 60.0000 £/m

40.0000

20.0000

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

Figure 8: Catering services cost indicator

Facilities Performance Report 2011/12 41 APPENDIX I

Portering services costs

30.000

25.000

20.000 2 15.000 £/m

10.000

5.000

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

Figure 9: Portering services cost indicator

Laundry and linen costs

25.00.00

20.00.00

15.00.00 2

£/m 10.00.00

5.00.00

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

Figure 10: Laundry and linen services cost indicator

42 Facilities Performance Report 2011/12 APPENDIX II

Observations on FM-related Operating Costs

ANEURIN BEVAN HEALTH BOARD

Facilities Performance Report 2011/12 43

APPENDIX II

Health Board: Aneurin Bevan Health Board

No of Returns: 19 Individual hospital sites including: 2 – Major Acute 6 – Minor Acute 5 – Community 1 – Psychiatric (Learning Disabilities) 5 – 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 2011/12 by Aneurin Bevan Health Board. The complete data set is made available to the NHS in Wales on the CDROM that accompanies the annual FM Performance Report. The dataset can also 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, account should be taken of the recent review of catering cost data definitions and the effect that a reduction in reported staff costs due to the omission of ward staff costs may have made for 2011/12.

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 2011/12 45 APPENDIX II

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

(£) 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 2007/08 2,513,403 7,508,872 12,159,357 2,088,335 445,864 3,482,079 444,041 28,641,951 (£/m2) 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 2007/08 10.06 30.05 48.67 8.36 1.78 13.94 1.78 114.64

Figure 1: Aneurin Bevan Health Board FM services cost data

2.2 The total operating cost for the above FM services for 20011/12 was £24,993,456, a decrease of £5,411,129 (-17.8%) compared with 2010/11. It should be noted that there has been a reduction in catering labour/staff costs of £3,328,949.

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

35,000,0000,000

30,000,0000,000

25,000,0000,000 Postal Portering 20,000,000 0,000 Security

(£) Laundry & Linen 15,000,0000,000 Catering Cleaning Telecoms 10,000,0000,000

5,000,0000,000

00 2007/08 2008/09 2009/10 2010/11 2011/12

Figure 2: Yearly breakdown of overall FM service costs

46 Facilities Performance Report 2011/12 APPENDIX II

14,000,00000

12,000,00000

10,000,00000

8,000,00000 (£) 6,000,00000

4,000,00000

2,000,00000

0 Telecoms Cleaning Catering Laundry & Linen Security Portering Postal

2007/08 2008/09 2009/10 2010/11 2011/12

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 costs.

100% 90% 80% 70% 60%

50% 40% 30% 20% 10% 0% 2007/08 2008/09 2009/10 2010/11 2011/12

Pos tal 1.55% 1.97% 2.36% 2.39% 2.98% Por ter ing 12.16% 10.97% 11.20% 11.35% 13.17% Security 1.56% 1.52% 1.73% 1.75% 2.05% Laundry & Linen 7.29% 7.49% 7.82% 8.26% 8.88% Catering 42.45% 41.84% 41.91% 40.03% 32.96% Cleaning 26.22% 27.69% 27.63% 29.44% 32.98% Telecoms 8.78% 8.51% 7.36% 6.78% 6.99%

Figure 4: FM service expenditure % by function

Facilities Performance Report 2011/12 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 overleaf, provides a breakdown of key catering data for individual hospitals along with Health Board totals and comparisons with headline data for 2010/11 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 2011/12 APPENDIX II

) ² 0.00 0.00 0.00 0.00 0.00 0.00 83.40 (£/m FM Costs

1,726 (No) beds Available

) 1,315 0 4,050 0 3,721 35 1,289 0 7,441 0 13,024 0 (m ² 299,664 Occupied floor area

0.00 0.00 0.00 0.00 0.00 0.00 (£) Costs 741,136.00 6,097 121.56 56 299,229.00 16,112 167,222.00 3,591 9 18.57 19 46.57 194,011.00 2,583 20 75.11 138.60 127,099.00 917 12 939,258.00 21,006 69 44.71 254,660.00 3,089 20 82.44 456,036.00 24,740 21 18.43 743,928.00 Total FM 1,221,451.00 12,508 69 97.65 4,611,279.00 51,566 381 89.42 9,038,504.00 73,018 734 123.78 1,921,940.00 24,432 95 78.66 1,391,559.00 13,087 107 106.33 1,138,967.00 30,417 79 37.45 1,747,177.00 24,993,456.00

(£)

743,928.00 Board-wide 2,491,105.00 service cost 1,747,177.00

(£) 119,093.00 155,579.00 Portering 3,291,045.00 Service costs

0.00 0.00 0.00 0.00 0.00 0.00 0.00 (£) costs 40,373.00 199,997.00 Security services 389,126.00 1,407,581.00 512,310.00

00 6,439.00 966,391.00 00 6,439.00 265.00 36,250.00 114,063.00 166,493.00 822.00 4,383.00 568.00 35,739.00 161,848.00 (£) 5,112.00 Laundry & Linen costs 2,218,906.00

0.00 0.00 0.00 0.00 0.00 (£) Figure 5: Facilities expenditure catering operations 3,258,665.00 1,122,996.00 8,237,628.00 Gross cost of

00 1,714,551.00 557,731. 146,115.00 00 752,366.00 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 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 63,980.00 112,432.00 17,599.00 services 193,497.00 100,353.00 5,379.00 162,110.00 323,757.00 439,923.00 25, 116, 609,805.00 494,056.00 566,533.00 377,462.00 75,879.00 456,036.00 519,894.00 424,402.00 79, 124,628.00 120,219.00 9,813.00 149,796.00 385,144.00 50,617.00 Cleaning 8,242,462.00

mmunity 63,034.00 58,055.00 6,010.00 58,055.00 mmunity 63,034.00 Community Major Acute 1,366,167. Community

Hospital type Community Psychiatric - MI Minor Acute Minor Acute Minor Acute Co Minor Acute 783,089. Minor Acute Psychiatric - LD Major Acute Psychiatric - MI 2,860,136.00 Psychiatric - MI Psychiatric - MI

indiff Court Hospital indiff Court Hospital Psychiatric - MI Site Name Blaenavon Health Care Unit Caerphilly District Miners Hospital Chepstow Community Hospital Minor Acute County Hospital Llanfrechfa Grange Hospital Community Ma Monnow Vale Health Facility Nevill Hall Hospital Redwood Memorial Hospital Royal Gwent Hospital Serennu Children's Centre St Cadoc's Hospital St Woolos Hospital Talygarn & Ty Siriol Ty Sirhowy Unit Ysbyty Aneurin Bevan Ysbytyr Tri Chwm Ysbyty Ystrad Fawr Ystrad Mynach Hospital Aggregated sites Telecommunications services Postal services Total for submitted data

Facilities Performance Report 2011/12 49 APPENDIX II

A Ys 100,353 Chwm Tri Ysbytyr An Ysbyty 100,353 Ty 1,295 Talygarn & Ty Si Hospital St Woolos 61,455 St bulk Conventional Centre Children's Serennu Conventional 6 58702 6,467 98,022 4.76 138,678 Cadoc's 37,603 Royal Gwent 3 Hospital 289,417 12.33 439,923 11,828 279,641 160,282 62,260 bulk Conventional bulk Hospital Memorial Redwood Hospital Hospital Nevill Hall plated Conventional Facility Health Vale Monnow Court Hospital Maindiff Hospital Grange Llanfrechfa bulk Conventional Hospital County Hospital Community Chepstow Name Site ggregated sites sites ggregated Sirhowy Unit Unit Sirhowy by ty Ys rdFw Cnetoa uk 8,5 1227 ,5 3742 0,5 2944 425 383 8 937 0,0 26 NR 28. NCR 2.68 100,708 39,347 28 23,843 84,215 269,404 108,058 377,462 3,956 192,247 181,259 bulk Conventional trad Fawr ui ea Conventional eurin Bevan riol riol

Totals for 2011/12 for Totals Yearly co Yearly Tota sfr21/1 ,3,9 47051 8,2 83908 2,968, 8,329,088 289,320 4,700,571 3,339,197 2010/11 ls for mparis on 42,245 42,245 on Conventional plated 672,083 1,002,192 40,276 1,714,551 515,425 1,199,126 459,247 56,178 11 52,523 372,357 372,357 52,523 11 56,178 459,247 1,199,126 515,425 1,714,551 40,276 1,002,192 672,083 plated Conventional Conventional bulk bulk Conventional Conventional bulk bulk Conventional Cook freeze bulk 35,468 83,542 1,209 120,219 2,817 117,402 7,796 7,796 117,402 2,817 120,219 1,209 83,542 35,468 bulk freeze Cook Production type Production Conventional bulk bulk Conventional plated Conventional no da ta no no da ta no da ta no da ta no bulk provisions provisions 3,381,442 3,381,442 ,8,7 ,6,1 1710 ,5,6 ,8,1 1,7 3,258,665 1,480,313 107,170 1,569,817 1,581,678 costs costs Total Total 8,8 4753 057 5,6 2511 0,9 1504 2,6 9 104 2,6 40 1 30. 1 4.00 126,866 21,034 9 120,167 125,004 507,195 245,171 752,366 20,587 447,593 284,186 129,058 287,294 8,050 424,402 424,402 8,050 287,294 129,058 192,659 293,279 8,118 494,056 137,403 356,653 101,114 36,289 10 10 14,297 36,289 21 .94 3.21 111,010 5 356,653 101,114 494,056 137,403 8,118 293,279 192,659 (£) (£) 42,700 68,292 1,440 112,432 23,611 88,821 20,437 20,437 88,821 23,611 112,432 1,440 68,292 42,700 14,974 42,837 244 58,055 58,055 244 42,837 14,974 71,096 314,048 314,048 71,096 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total staff staff Total 4,652,013 4,652,013 costs costs -48,558 -85,147 -91,460 -163,623 -645,423 -645,423 -91,460 -154,532 -163,623 -85,147 -48,558 (£)

0 0 0 0 costs costs 204,173 204,173 other Total Total (£)

0 0 0 0 0 Figure 6: Catering data Total gross Total catering catering 8,237,628 8,237,628 costs costs 385,144 385,144 (£)

0 0 0 0 costs non non costs 2,805,348 2,805,348 catering patient patient gross gross Total Total (£) 31,916 392,486 17,449 14,467 14,467 10 11,895 392,486 31,916 110,407 17,449 3.55 5 20.38

972 6,077,703 2,402,342 232,617 232,617 12.36 303,669 6,077,703 972 1,758,530 2,402,342 0 0 0 0 0 0 Total gross gross Total catering catering 5,432,280 5,432,280 patient patient costs costs 385,144 385,144 (£) 78,352 1,301,113 179,200 5 46,695 687,928 2.59 2.59 687,928 46,695 5 179,200 1,301,113 78,352 58,055 58,055

0 0 0 0 0 Total non non Total 2,247,810 2,247,810 income income patient patient 69,175 31,178 31,178 69,175 (£)

0 0 0 0 0 0 0 0 (contribution) (contribution) non patient patient non Net costs costs Net catering catering (£) 324,921 324,921 557,538 557,538 -4,979 -4,979

,7 9 ,5 1,4 48 5 2.47 5 4.89 18,148 3,257 9 3,174 0 0 0 0 0 0 0 0 Waste Waste -3.66 -103,411 -75,467 -0.11 -0.11 -75,467 -103,411 -3.66 (%) (%) 8.70 8.70 12 12 0 0 0 9 Waste Waste 200,258 200,258 cost cost (£) (£) 1, 2, 79 94 7 7 0 0 0 0 requested requested 1,683,063 1,683,063 patient patient meals meals Total Total (No) (No) 254 4. 12,554 55,044 7.00 5 14.98 14.98 7.00 55,044 5 939 4. 29,339 0 0 0 0 0 0 0 0 patient patient meal meal Cost Cost per per (£) (£) 3.34 3.34 3.22 5 56.48 56.48 5 3.22 3.23 3.23 62 62 00 00 rating rating NCR 1.63 NCR 1.63 NCR 0 NCR 0 NCR 0 NCR 0 NCR 5.14 NCR 5.14 (No) (No) FSA 4.30 4.30 n/a 4.10 4.10 n/a n/a 316.32 316.32 n/a 5 5 3.32 5 3.32 4 320.42 320.42 123.14 123.14 (WTE) (WTE) Total Total staff staff 37 37 24 24 0

50 Facilities Performance Report 2011/12 APPENDIX II

Cleaning services costs

80.0000 70.0000 60.0000 50.0000 2 40.0000 £/m 30.0000

20.0000

10.0000 00 Sirhowy Unit Ty 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 Ystrad Mynach Hospital 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 Caerphilly District Miners Hospital

Figure 7: Cleaning services cost indicator

Catering services costs

70.0070.00

60.0060.00

50.0050.00

2 40.0040.00

£/m 30.0030.00

20.0020.00

10.0010.00

0.000 Sirhowy Unit Ty 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 Ystrad Mynach Hospital 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 Caerphilly District Miners Hospital

Figure 8: Catering services cost indicator

Facilities Performance Report 2011/12 51 APPENDIX II

Portering services costs

30.0000

25.0000

20.0000

2 15.0000 £/m

10.0000

5.0000

000 Sirhowy Unit Ty County Hospital lygarn & Ty Siriol lygarn & Ty Aggregared sites Ysbytyr Tri Chwm Ysbytyr Tri St Cadoc’s Hospital St Cadoc’s St Woolos Hospital St Woolos Nevill Hall Hospital Ta Ysbyty Ystrad Fawr Royal Gwent Hospital Ysbyty Aneurin Bevan Maindiff Court Hospital Maindiff Ystrad Mynach Hospital 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 Caerphilly District Miners Hospital

Figure 9: Portering services cost indicator

Laundry and linen costs

18.0000 16.0000 14.0000 12.0000 10.00

2 00

£/m 8.0000 6.0000 4.0000 2.0000 000 Sirhowy Unit Ty 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 Ystrad Mynach Hospital 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 Caerphilly District Miners Hospital

Figure 10: Laundry and linen services cost indicator

52 Facilities Performance Report 2011/12 APPENDIX III

Observations on FM-related Operating Costs

BETSI CADWALADR UNIVERSITY HEALTH BOARD

Facilities Performance Report 2011/12 53

APPENDIX III

Health Board: Betsi Cadwaladr University Health Board

No of Returns: 35 Individual hospital sites including: 3 – Major Acute 2 – Minor Acute 19 – Community 3 – Community Geriatric 3 – Day Hospitals 5 – 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 2011/12 by Betsi Cadwaladr University Health Board. The complete data set is made available to the NHS in Wales on the CDROM that accompanies the annual FM Performance Report. The dataset can also 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, account should be taken of the recent review of catering cost data definitions and the effect that a reduction in reported staff costs due to the omission of ward staff costs may have made for 2011/12.

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 2011/12, 2010/11 & 2009/10, and the aggregated costs for 2008/09 and 2007/08 for the former organisations. Also shown is a breakdown of overall FM cost of occupancy (£/m2) for Health Board properties.

Facilities Performance Report 2011/12 55 APPENDIX III

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

(£) 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 2007/08 2,530,909 8,989,181 10,509,154 2,041,159 439,417 6,037,563 1,024,178 31,571,561 (£/m2) 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 2007/08 7.10 25.21 29.47 5.72 1.23 16.93 2.87 88.55

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

2.2 The total operating cost for the above FM services for 2011/12 was £34,758,785, a marginal decrease of £20,000 (-0.06%) compared with 2010/11 and in conjunction with a slight reduction in catering labour/staff costs of £185,060.

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

40,40,000,000000,000

35,000,000 35,000,000

30,000,000 30,000,000

Postal 25,25,000,000000,000 Portering Security 20,000,000 (£) 20,000,000 Laundry & Linen () Catering

15,15,000,000000,000 Cleaning Telecoms

10,10,000,000000,000

5,000,0005,000,000

0 2007/08 2008/09 2009/10 2010/11 2010/11 2011/12

Figure 2: Yearly breakdown of overall FM service costs

56 Facilities Performance Report 2011/12 APPENDIX III

12,000,0000

10,000,0000

8,000,0000

6,000,0000 (£)

4,000,0000

2,000,0000

0 Telecoms Cleaning Catering Laundry & Linen Security Portering Postal

2007/08 2008/09 2009/10 2010/11 2011/12

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 costs.

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0% 2007/08 2008/09 2009/10 2010/11 2011/12

Pos tal 3.24% 4.04% 3.93% 4.07% 3.91% Por ter ing 19.12% 19.81% 18.57% 18.98% 18.17% Security 1.39% 2.01% 1.91% 1.72% 2.04% Laundry & Linen 6.47% 5.66% 5.60% 5.34% 5.53% Catering 33.29% 29.53% 29.77% 30.12% 32.32% Cleaning 28.47% 31.06% 29.77% 31.38% 30.27% Telecoms 8.02% 7.90% 10.46% 8.38% 7.76%

Figure 4: FM service expenditure % by function

Facilities Performance Report 2011/12 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 overleaf, provides a breakdown of key catering data for individual hospitals along with Health Board totals and comparisons with headline data for 2010/11 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 2011/12 APPENDIX III

) ² 91.51 (£/m FM Costs

2,407 (No) beds Available

) 379,835 (m ² Occupied floor area

5,732.00 1,134 0 5.05 0 5,732.00 1,134 29,453.00 293 10 100.52 10 29,453.00 293 91.31 125.34 0 15 47,845.00 524 26.29 78,965.00 630 0 22,429.00 853 200.61 13.09 0 83.66 13,998.00 1,069 8 12 79,440.00 396 71,112.00 850 394,517.00 13,567 36 29.08 146.45 36 394,517.00 13,567 55 553,430.00 3,779 159.10 108.79 32 336,174.00 2,113 16 134,462.00 1,236 51.30 102.21 57 899,365.00 17,533 25 129.19 269,946.00 2,641 31 315,488.00 2,442 76.94 42 88.00 358,100.00 4,654 118.71 48 408,693.00 4,644 126.20 45 372,999.00 3,142 24 100.49 214.13 308,571.00 2,445 38 270.34 11 512,195.00 5,097 14 178,801.00 835 240,604.00 890 22.68 26 216,422.00 9,543 87.66 40 416,828.00 4,755 114.63 101.16 10 116,117.00 1,013 40 337,062.00 3,332 29.70 141.15 0 242,968.00 8,182 102.73 31 303,610.00 2,151 12 64.38 180,196.00 1,754 30 434,681.00 6,752 119.06 43 485,539.00 4,078 6.15 0 217,389.00 35,370 (£) 1,224,764.00 12,223 105 100.20 105 1,224,764.00 12,223 97.11 509 100.90 6,684,812.00 68,834 462 89.20 6,320,256.00 62,636 580 7,889,642.00 88,445 2,695,811.00 1,360,369.00 34,758,785.00 Total FM Costs

(£) 2,695,811.00 1,360,369.00 4,056,180.00 Board-wide service cost

0.00 0.00 0.00 0.00 0.00 0.00 0.00 5,698.00 51,336.00 50,460.00 45,544.00 42,174.00 72,733.00 52,846.00 23,493.00 69,035.00 30,686.00 20,092.00 88,783.00 52,837.00 57,367.00 41,568.00 13,565.00 92,536.00 (£) 6,315,918.00 Portering Service costs

0.00 820.00 1,160.00 1,140.00 (£) 707,933.00 costs Security services

0.00 0.00 8,731.00 3,052.00 4,559.00 7,236.00 3,538.00 5,347.00 1,181.00 6,160.00 1,750.00 5,428.00 5,555.00 3,328.00 1,900.00 3,442.00 12,972.00 8,719.00 8,056.00 9,770.00 6,638.00 8,895.00 19,975.00 9,209.00 14,500.00 3,602.00 5,209.00 1,600.00 25,250.00 44,167.00 15,400.00 6,310.00 52,993.00 (£) 1,920,716.00 Laundry & Linen costs

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 49,449.00 70,566.00 77,306.00 96,006.00 32,307.00 56,840.00 39,222.00 36,304.00 11,235.00 34,244.00 (£) 11,235,258.00 catering Figure 5: Facilities expenditure operations Gross cost of

5,732.00 78,473.00 123,664.00 11,905.00 96,381.00 4,568.00 158,233.00 24,612.00 75,363.00 49,246.00 43,353.00 61,421.00 151,636.00 32,277.00 80,931.00 95,147.00 167,252.00 39,743.00 14,616.00 74,218.00 164,797.00 9,041.00 5,000.00 62,432.00 18,975.00 21,269.00 12,858.00 61,499.00 (£) 152,411.00 102,963.00 445,900.00 19,794.00 316,514.00 13,700.00 13,421.00 105,649.00 17,435.00 106,095.00 215,757.00 194,695.00 16,374.00 155,981.00 5,175.00 175,363.00 131,558.00 127,416.00 121,429.00 158,502.00 174,005.00 16,868.00 17,477.00 7,500.00 4,415.00 157,708.00 510,952.00 166,322.00 112,654.00 442,312.00 17,265.00 150,192.00 68,601.00 119,405.00 2,800.00 14,370.00 28,261.00 163,685.00 7,000.00 174,638.00 11,453.00 153,986.00 3,369.00 236,420.00 17,732.00 8,366.00 114,841.00 137,020.00 228,049.00 147,972.00 202,697.00 184,901.00 23,825.00 8,236.00 2,321,850.00 2,247,074.00 602,693.00 213,252.00 2,504,773.00 1,955,373.00 2,895,604.00 479,934.00 152,019.00 837,326.00 2,425,238.00 2,177,543.00 447,451.00 94,750.00 1,539,830.00 10,522,780.00 Cleaning services costs

Community Community Psychiatric - MI Community Community Community Community Community Community Community Community Community Community Community Community Minor Acute Psychiatric - MI Community Psychiatric - MI Community Geriatric Community Community Community Geriatric Community Psychiatric - MI Psychiatric - MI Community Geriatric Minor Acute Major Acute Major Acute Hospital type Day Hospital Day Hospital Day Hospital Major Acute Community

Abergele Hospital Ablett Unit Bodnant Psychiatric Unit Bryn Beryl Hospital Bryn Hesketh EMI Bryn-y-Neuadd Hospital Cefni Hospital Chirk Community Hospital Coed Celyn Support Unit Colwyn Bay Community Hospital Deeside Community Hospital Denbigh Community Hospital Dolgellau & Barmouth District Hospital Eryri Hospital Ffestiniog Memorial Hospital Flint Community Hospital Glan Traeth Day Hospital Glan Traeth Ward H M Stanley Hospital Hafod MHRC Holywell Community Hospital Llandudno General Hospital Llangollen Community Hospital Mold Community Hospital Nant y Glyn Hospital Penley Hospital Prestatyn Community Hospital Royal Alexandra Hospital Ruthin Community Hospital Tywyn & District War Memorial Hospital Ysbyty Alltwen Ysbyty Glan Clwyd Ysbyty Gwynedd Ysbyty Maelor Ysbyty Penrhos Stanley Aggregated sites Telecommunications services Postal services Total for submitted data Site Name

Facilities Performance Report 2011/12 59 APPENDIX III

Ruthin Community Hospital Conventional plated 23,837 134,868 4,980 163,685 3,204 160,481 5,625 5,625 160,481 3,204 163,685 17,589 4,980 79 134,868 A 0.52 Pe 23,837 Ysbyty Ysbyty 22,175 Ysbyty Ysbyty plated Conventional Allt Ysbyty 5,172 Ty l bulk Conventiona Hospital Community Ruthin 130,886 Hospital Alexandra Royal Hospital Community Prestatyn 27,347 Hospital Penley Hospital Day y RC & Glyn Nant bulk freeze Cook bulk Conventional 158,233 Hospital Community Mold plated freeze Cook Hospital Community Llangollen 23,845 Hospital General Llandudno Hospital Community Holywell 114,366 MHRC Hafod 136,4 Hospital MH Stanley 20,022 Ward Glan Traeth 32,511 Hospital Day Glan Traeth Hospital Community Flint plated Conventional Ff plated Conventional Eryri Hospital bulk freeze Cook District Barmouth & Dolgellau Hospital Community Denbigh Hospital Community Deeside Community Bay Colwyn Unit Support Celyn Coed Hospital Community Chirk Cefni Hospital Bryn-y-Neuadd EMI Bryn Hesketh Hospital Hospital Bryn Beryl B Ablett Unit A Name Site ggregated sites sites ggregated 17,085 782 3.8 3,554 7,966 91,443 11,520 102,963 3,579 71,427 27,957 plated Conventional Unit Psychiatric odnant Hospital bergele es wyn & District War Memorial Conventional plated 12,848 40,683 17,035 70,566 18,480 52,086 4,185 14,295 0.65 66 9,369 9,369 66 0.65 14,295 4,185 52,086 18,480 70,566 17,035 40,683 12,848 plated Conventional Memorial & District War wyn tiniog Memorial Hospital Conventional bulk 11,423 71,532 13,051 96,006 15,494 80,512 4,512 10,982 4.04 369 10,195 10,195 369 4.04 10,982 4,512 80,512 15,494 96,006 13,051 71,532 11,423 bulk Conventional Hospital Memorial tiniog Meo Conv Conv Maelor Gwynedd Glan Clwyd Clwyd Glan nrhos Stan wen Conventional Conventional wen plated 37,418 143,339 47,292 228,049 78,819 149,230 33,694 45,125 0.23 36 15,791

Totals for 2011/12 for Totals ley Conventional Conventional ley plated 48,469 131,134 56,817 236,420 54,565 181,855 14,630 39,935 1.78 733 41,819 Yearly co Yearly Tota sfr21/1 ,0,0 77035 ,7,0 1,6,5 2,8 12,966,257 1,077,903 7,780,345 4,108,009 2010/11 ls for mparis on on Conventional Conventional 22,549 19,864 75 0.54 7,843 81,001 19,941 93,272 22,722 123,664 30,392 plated Cook freeze plated plated freeze Cook Conventional plated 68,721 121,164 4,810 194,695 194,695 4,810 121,164 68,721 plated Conventional Cook freeze bulk bulk freeze Cook Conventional plated 654,338 1,380,556 142,649 2,177,543 463,542 1,714,001 504,559 504,559 1,714,001 463,542 2,177,543 142,649 1,380,556 654,338 plated Conventional Conventional plated 44,796 78,157 4,463 127,416 8,459 118,957 12,985 12,985 118,957 bulk freeze Cook 8,459 127,416 4,463 78,157 44,796 plated Conventional Conventional bulk bulk Conventional Conventional bulk bulk Conventional plat Conventional Cook freeze bulk bulk freeze Cook bulk chill Cook Conventional plated plated Conventional Production type Production Cook chill Cook Conventional bulk bulk Conventional bulk Conventional ninlpae 8103 ,8,7 8341 ,9,0 1,1 2,247,074 2,895,604 201,667 803,461 1,158,892 1,281,070 886,515 811,073 plated entional plated entional odt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 no data 0 0 0 0 0 0 0 no data odt 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 0 0 0 0 0 no data 0 no data no data bulk 19,642 19,642 bulk 55,523 2,141 77,306 ed provisions provisions 3,243,973 3,243,973 -864,036 -1,471,592 -1,471,592 -864,036 costs costs Total Total 1,3 1997 127 199,947 115,230 (£) (£) 10,197 22,901 1,146 34,244 668 33,576 2,213 2,213 33,576 668 34,244 1,146 22,901 10,197 15,431 39,276 2,133 56,840 53,775 3,065 16,621 37,154 37,154 16,621 3,065 53,775 56,840 2,133 39,276 374 15,431 151,458 178 151,636 2,641 134,868 14,127 18,310 20,022 890 39,222 39,222 890 20,022 18,310 49,183 109,737 7,402 166,322 7,998 158,325 9,140 9,140 158,325 7,998 166,322 7,402 109,737 49,183 37,154 103,404 24,239 164,797 1,898 162,899 4,411 4,411 162,899 1,898 164,797 24,239 103,404 37,154 45,898 98,839 5,455 150,192 2,922 147,270 1,652 1,652 147,270 2,922 150,192 5,455 98,839 45,898 11,223 20,432 652 32,307 32,307 652 20,432 11,223 48,880 48,880 75,327 158,547 82,640 316,514 106,883 209,631 17,137 89,746 0.49 207 36,421 36,421 207 89,746 0.49 27,423 869 27,167 17,137 209,631 3.37 316,514 106,883 82,640 158,547 75,327 5,153 134,932 32,320 167,252 33,101 104,838 29,313 31,786 116,677 36,438 184,901 32,367 152,534 4,355 28,012 0.36 105 36,222 36,222 105 28,012 0.36 4,355 152,534 32,367 184,901 36,438 116,677 31,786 6,424 29,592 288 36,304 9,727 26,577 13,800 13,800 26,577 9,727 36,304 288 29,592 6,424 7,044 42,026 379 49,449 0 49,449 49,449 0 49,449 379 42,026 7,044 8,935 2,300 2,300 8,935 Total staff staff Total 6,308,753 6,308,753 costs costs 105,199 4,423 158,502 3,104 3,104 6,380 4,423 105,199 155,199 158,502 (£)

36 5,058 1,682,532 1,682,532 costs costs 604,629 604,629 other other Total Total (£) ,135 442,312 125,486 316,826 40,495 84,991 2.59 2,328 93,949 93,949 84,991 2,328 2.59 40,495 316,826 125,486 442,312 ,135

0 Figure 6: Catering data Total gross gross Total 11,235,258 11,235,258 -1,730,999 -151,307 -151,307 -1,730,999 -1,703,916 -390,939 catering catering costs costs 174,005 2,979 171,026 2,323 656 656 3.95 2,979 174,005 171,026 1,226 2,323 30,571 (£) 11,235 11,235

costs non non costs 2,743,204 2,743,204 catering patient patient gross gross Total Total 513,529 1,733,545 423,055 90,474 5.6 38,723 694,576 694,576 5.6 38,723 90,474 423,055 1,733,545 513,529 (£) 94,511 10,195,771 2,083,938 841,710 4.86 4.86 2,823,942 164,328 841,710 10,195,771 94,511 2,083,938 37,549 1,758,055 544,719 592,830 4.83 22,721 479,803 479,803 592,830 4.83 22,721 544,719 1,758,055 37,549

0 32,307 32,307 0 0 0 0 0 Total gross gross Total catering catering 8,491,855 8,491,855 patient patient costs costs 194,695 194,695 (£) 11,235 11,235 39,222 39,222 77,306 77,306

Total non non Total 1,692,999 1,692,999 income income patient patient (£)

0 0 0 0 0 0 0 0 (contribution) (contribution) non patient patient non Net costs costs Net catering catering 1,050,205 1,050,205 (£) 208,495 208,495 -41,017 -41,017 -3,276 -3,276 -2,421 -2,421 -1,545 -1,143 -2,513 -4,526 -4,526 -4,073 -4,073

1,270 0.5 225 43,800 43,800 225 0.5 1,270 -196 -196 Waste Waste -0.47 -55,558 -406,845 -406,845 -55,558 -0.47 (%) (%) 4.39 4.39 5.49 30,175 519,545 519,545 30,175 5.49 5.68 3,903 51,879 51,879 3,903 5.68 2.95 579 579 2.95 16,791 0.5 240 240 0.5 56,210 0.5 35 35 0.5 8,760 2.8 657 657 2.8 24,530 50 0.5 15,330 37,071 1,176 2.6 3.1 434 7,755 7,755 434 3.1 1.2 135 8,593 8,593 135 1.2 3.2 1,362 41,818 41,818 1,362 3.2 2.1 385 385 2.1 12,082 3 1,092 27,740 27,740 3 1,092 0 4,256 0 108,770 108,770 Waste Waste cost cost (£) (£) requested requested 2,417,097 2,417,097 patient patient meals meals Total Total (No) (No) 8,760 8,760 1,500 1,500 patient patient meal meal Cost Cost 19.53 19.53 per (£) (£) -0.10 -0.10 3.61 3.61 3.51 4.35 3.66 9.45 5.56 6.54 2.04 3.76 5. 3.36 2.19 3.37 4.27 6.24 3.25 4.21 7.44 5.59 2.76 2.84 1.28 5.87 5.76 4.92 3.75 5.35 2.5 2.5 3.3 7.9 4.7 4.6 64 0 0 0 0 0 rating rating NCR 0 NCR 0.86 NCR 0 NCR 0 NCR 0.86 NCR 0 NCR 0.15 NCR 1.2 NCR 0 NCR 5.11 (No) (No) FSA -0.23 -0.23 4.88 118.89 118.89 4.88 4.65 5 6.29 5 6.29 5 48.94 5 62.05 4 65.56 5 6.99 5 2.09 5 5.65 5 1.86 5 2.58 5 4.33 5 0.7 3 9.13 4 4.73 5 1.38 4 2.95 5 3.17 5 4 4.78 5 6.66 5 4.49 5 4.54 5 3.75 5 4.05 3 7.03 5 3.96 4 2.57 283.41 283.41 (WTE) (WTE) Total Total staff staff 165 165

60 Facilities Performance Report 2011/12 APPENDIX III

Cleaning services costs

80.00

70.00

60.00

50.00 2 40.00 £/m 30.00

20.00

10.00

0 Ablett Unit Hafod MHRC Eryri Hospital Cefni Hospital Ysbyty Maelor Ysbyty Alltwen Penley Hospital Ysbyty Gwynedd Aggregated sites Bryn Hesketh EMI Glan Traeth Ward Glan Traeth Abergele Hospital Ysbyty Glan Clwyd Bryn Beryl Hospital H M Stanley Hospital Ysbyty Penrhos Stanley Bryn-y-Neuadd Hospital Bodnant Psychiatric Unit Coed Celyn Support Unit Glan Traeth Day Hospital Glan Traeth Royal Alexandra Hospital Flint Community Hospital Chirk Community Hospital Mold 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 Nant y Glyn Resource Centre & Day Hospital T

Figure 7: Cleaning services cost indicator

Catering services costs

180.00 160.00

140.00

120.00

100.00 2 80.00 £/m 60.00

40.00

20.00

0 Ablett Unit Hafod MHRC Eryri Hospital Cefni Hospital Ysbyty Maelor Ysbyty Alltwen Penley Hospital Ysbyty Gwynedd Aggregated sites Bryn Hesketh EMI Glan Traeth Ward Glan Traeth Abergele Hospital Ysbyty Glan Clwyd Bryn Beryl Hospital H M Stanley Hospital Ysbyty Penrhos Stanley Bryn-y-Neuadd Hospital Bodnant Psychiatric Unit Coed Celyn Support Unit Glan Traeth Day Hospital Glan Traeth 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 Nant y Glyn Resource Centre & Day Hospital T

Figure 8: Catering services cost indicator

Facilities Performance Report 2011/12 61 APPENDIX III

Portering services costs

40.00

35.00

30.00

25.00 2 20.00 £/m

15.00

10.00

5.00

0 Ablett Unit Hafod MHRC Eryri Hospital Cefni Hospital Ysbyty Maelor Ysbyty Alltwen Penley Hospital Ysbyty Gwynedd Aggregated sites Bryn Hesketh EMI Glan Traeth Ward Glan Traeth Abergele Hospital Ysbyty Glan Clwyd Bryn Beryl Hospital H M Stanley Hospital Ysbyty Penrhos Stanley Bryn-y-Neuadd Hospital Bodnant Psychiatric Unit Coed Celyn Support Unit Glan Traeth Day Hospital Glan Traeth Royal Alexandra Hospital Flint Community Hospital Chirk Community Hospital Mold 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 Nant y Glyn Resource Centre & Day Hospital T

Figure 9: Portering services cost indicator

Laundry and linen costs

18.00

16.00

14.00

12.00

10.00 2

£/m 8.00

6.00

4.00

2.00

0 Ablett Unit Hafod MHRC Eryri Hospital Cefni Hospital Ysbyty Maelor Ysbyty Alltwen Penley Hospital Ysbyty Gwynedd Aggregated sites Bryn Hesketh EMI Glan Traeth Ward Glan Traeth Abergele Hospital Ysbyty Glan Clwyd Bryn Beryl Hospital H M Stanley Hospital Ysbyty Penrhos Stanley Bryn-y-Neuadd Hospital Bodnant Psychiatric Unit Coed Celyn Support Unit Glan Traeth Day Hospital Glan Traeth 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 Nant y Glyn Resource Centre & Day Hospital T

Figure 10: Laundry and linen services cost indicator

62 Facilities Performance Report 2011/12 APPENDIX IV

Observations on FM-related Operating Costs

CARDIFF and VALE UNIVERSITY HEALTH BOARD

Facilities Performance Report 2011/12 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 2011/12 by Cardiff and Vale University Health Board. The complete data set is made available to the NHS in Wales on the CDROM that accompanies the annual FM Performance Report. The dataset can also 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, account should be taken of the recent review of catering cost data definitions and the effect that a reduction in reported staff costs due to the omission of ward staff costs may have made for 2011/12.

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 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.

Facilities Performance Report 2011/12 65 APPENDIX IV

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

(£) 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 2007/08 1,245,294 9,019,505 8,474,711 2,554,613 1,275,917 2,857,805 693,346 26,121,191 (£/m2) 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 2007/08 3.53 25.57 24.02 7.24 3.62 8.10 1.97 74.05

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

2.2 The total operating cost for the above FM services for 2011/12 was £28,366,194, a decrease of £369,331 (-1.3%) compared with 2010/11. It should be noted that there has been a reduction in catering labour/staff costs of £701,068.

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

35,000,0000

30,000,0000

25,000,0000 Postal Portering 20,000,0000 Security

(£) Laundry & Linen Catering 15,000,0000 Cleaning Telecoms 10,000,0000

5,000,0000

00 2007/08 2008/09 2009/10 2010/11 2011/12

Figure 2: Yearly breakdown of overall FM service costs

66 Facilities Performance Report 2011/12 APPENDIX IV

12,000,0000

10,000,0000

8,000,0000

6,000,0000 (£)

4,000,0000

2,000,0000

0 Telecoms Cleaning Catering Laundry & Linen Security Portering Postal

2007/08 2008/09 2009/10 2010/11 2011/12

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 costs.

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 2007/08 2008/09 2009/10 2010/11 2011/12

Pos tal 2.65% 2.52% 2.28% 2.17% 2.31% Por ter ing 10.94% 10.78% 10.64% 10.27% 10.55% Security 4.88% 4.08% 4.26% 4.20% 4.51% Laundry & Linen 9.78% 9.28% 9.23% 8.78% 8.74% Catering 32.44% 37.09% 36.96% 36.37% 35.56% Cleaning 34.53% 31.78% 31.44% 32.56% 33.43% Telecoms 4.77% 4.47% 5.20% 5.65% 4.90%

Figure 4: FM service expenditure % by function

Facilities Performance Report 2011/12 67 APPENDIX IV

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 overleaf, provides a breakdown of key catering data for individual hospitals along with Health Board totals and comparisons with headline data for 2010/11 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 2011/12 APPENDIX IV ) ² 81.11 FM (£/m Costs

2,088 (No) beds Available

) 349,725 (m ² Occupied floor area

(£) 27,343.00 2,525 0 10.83 27,343.00 2,525 0 Costs 232,197.00 28,000 8 8.29 850,992.00 6,580 80 129.33 850,992.00 6,580 80 322,630.00 2,321 45 139.01 322,630.00 2,321 45 386,940.00 6,589 0 58.73 386,940.00 6,589 0 931,750.00 7,103 119 131.18 119 931,750.00 7,103 Total FM 1,062,373.00 11,946 88.93 71 1,425,335.00 10,617 90 134.25 1,425,335.00 10,617 90 6,114,451.00 56,732 471 107.78 6,114,451.00 56,732 471 76.79 2,413,898.00 31,437 171 28,366,194.00 12,552,187.00 185,875 1,033 12,552,187.00 185,875 67.53

(£) costs service 656,348.00 1,389,750.00 2,046,098.00 Board-wide

(£) 73,992.00 costs service 147,170.00 238,819.00 Portering 2,993,231.00

0.00 0.00 0.00 (£) costs service 112,258.00 69,198.00 284,368.00 49,328.00 225,542.00 816,537.00 273,234.00 57,825.00 Security 1,278,749.00

00 383,347.00 1,540,362.00 00 383,347.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (£) Laundry & 2,478,382.00 Linen costs

Figure 5: Facilities expenditure 6.00 6.00 6.00 (£) 496,980.00 108,758.00 of catering operations 2,645,239.00 538,450.00 Gross cost 10,087,642.00

493.00 4,514,847.00 1,388,138. 493.00 4,514,847.00 (£) 53,238.00 27,337.00 costs service 232,191.00 273,772.00 360,430.00 69,620.00 638,141.00 Cleaning 9,482,092.00

ute 316,297.00 471,970.00 69,491.00 471,970.00 ute 316,297.00 ric - MI 124,826.00 197,804.00 Hospital type Community Minor Acute Community Psychiat

Minor Ac Major Acute 1,888,683.00 Psychiatric - MI 858,749. 00 1,001,355.00 222,735.00 Specialist Acute 343,365.00 398,999.00 81,190.00

Site Name Barry Hospital Cardiff Royal Infirmary CRI - West Wing Iorwerth Jones Centre Llandough Hospital Rookwood Hospital St Davids Hospital University Hospital of Wales Whitchurch Hospital Major Acute Fieldway Pharmacy Aggregated Sites 4,725, Telecommunications services Postal services Total for submitted data

Facilities Performance Report 2011/12 69 APPENDIX IV

A bulk freeze Cook Pharmacy Fieldway Whi of Wales Hospital University Hospital St Davids Hospital Rookwood Hospital Llandough Centre Jones Iorwerth Wing CRI - West Infirmary Royal Cardiff Hospital Barry Name Site ggregated Sites Sites ggregated tchurch Hospital Conventional bulk bulk Conventional Hospital tchurch

Totals for 2011/12 for Totals Yearly co Yearly Tota ls for 2010/11 2010/11 ls for mparis on on Cook freeze bulk bulk freeze Cook Cook freeze bulk bulk freeze Cook Cook freeze plated plated freeze Cook Cook freeze bulk bulk freeze Cook bulk freeze Cook Cook freeze bulk bulk freeze Cook Production type Production no data no data no data no data provisions provisions 2,700,132 2,700,132 3,145,335 1,435,218 costs costs Total Total 445,203 445,203 277,074 256,768 109,116 760,227 130,465 135,958 (£) (£) 40,509 40,509 0 0 0 Total staff staff Total 6,289,726 687,919 9,677,774 9,677,774 687,919 6,289,726 1,985,487 6,169,484 4,514,847 104,960 2,974,669 1,447,970 94,018 1,790,994 2,645,239 536,771 -120,2 costs costs 449,312 274,969 1,001,355 109,875 109,875 1,001,355 274,969 449,312 5,400 234,812 496,980 46,962 21,494 398,999 78,230 211,653 197,804 17,362 139,933 29,541 471,970 95,059 246,446 37,533 360,430 102,807 121,665 (£)

42 42 0 0 0 0 0 0 0 0 0 0 costs costs 772,805 772,805 other Total Total 84,886 409,850 409,850 84,886 244,660 (£)

Figure 6: Catering data Total gross gross Total 10,087,624 10,087,624 catering catering costs costs (£)

costs non non costs 2,230,147 2,230,147 catering patient patient gross gross Total Total (£)

0 Total gross gross Total catering catering 7,599,895 7,599,895 7,857,477 3,066,877 2,108,468 patient patient costs costs 257,582 257,582 891,480 450,018 377,505 197,804 442,429 322,897 (£)

0 0 0 Total non non Total 1,752,617 232,870 232,870 1,752,617 1,760,205 6.35 176,038 2,121,323 228,720 3.58 1,219,250 9.5 4.60 77,840 368.35 808,891 1.53 4 170.4 income income patient patient 447,453 89,318 89,318 447,453 8.0 41,176 534,658 3.94 4 84.18 64,922 44,953 44,953 64,922 9.0 22,318 165,683 5.38 17,923 11,618 4 9.3 20.2 10,920 (£) 127,350 3.47 5 18.3 7,588 237,072 237,072 7,588 3.10 41,707 13,488 8,006 15.0 14,731 75,550 5 28,577 8,956 4 13.0 12.67 15,907 87,199 3.7 4 22.04

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 (contribution) (contribution) non patient patient non Net costs costs Net catering catering (£) 469,942 469,942 46,962 13.1 33,637 117,008 3.85 4 11.65 11.65 4 3.85 117,008 13.1 46,962 33,637

Waste Waste (%) (%) 9.45 9.45 3.0 1,215 49,410 4.00 5 5.76 5.76 4.00 5 49,410 1,215 3.0 217,745 217,745 Waste Waste cost cost (£) (£) requested requested 1,965,749 1,965,749 patient patient meals meals -155,5 Total Total (No) (No) 74 74 patient patient meal meal Cost Cost per per (£) (£) 4.00 4.00 0.41 0.41 rating rating NCR NCR NCR 0 0 NCR 0 (No) (No) FSA -0.35 -23.15 -23.15 -0.35 4.25 4.25 345.20 345.20 (WTE) (WTE) Total Total staff staff

70 Facilities Performance Report 2011/12 APPENDIX IV

Cleaning services costs

70.00

60.00

50.00

2 40.00 £/m

30.00

20.00

10.00

0 of Wales Barry Hospital CRI - West Wing CRI - West Aggregated sites St Davids Hospital 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

90.00

80.00

70.00

60.00

2 50.00 £/m 40.00

30.00

20.00

10.00

0 of Wales Barry Hospital CRI - West Wing CRI - West Aggregated sites St Davids Hospital 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 2011/12 71 APPENDIX IV

Portering services costs

25.00

20.00

15.00 2 £/m

10.00

5.00

0 of Wales Barry Hospital CRI - West Wing CRI - West Aggregated sites St Davids Hospital 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

12.000

10.000

8.000 2 6.00

£/m 0

4.000

2.000

0 of Wales Barry Hospital CRI - West Wing CRI - West Aggregated sites St Davids Hospital 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 2011/12 APPENDIX V

Observations on FM-related Operating Costs

CWM TAF HEALTH BOARD

Facilities Performance Report 2011/12 73

APPENDIX V

Health Board: Cwm Taf Health Board

No of Returns: 10 Individual hospital sites including: 2 – Major Acute 2 – Minor Acute 4 – Community 2 – 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 2011/12 by Cwm Taf Health Board. The complete data set is made available to the NHS in Wales on the CDROM that accompanies the annual FM Performance Report. The dataset can also 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, account should be taken of the recent review of catering cost data definitions and the effect that a reduction in reported staff costs due to the omission of ward staff costs may have made for 2011/12.

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 2011/12, 2010/11 & 2009/10, and the aggregated costs for 2008/09 and 2007/08 for the former organisations. Also shown is a breakdown of overall FM cost of occupancy (£/m2) for Health Board properties.

Facilities Performance Report 2011/12 75 APPENDIX V

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

(£) 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 2007/08 935,990 6,537,918 6,431,239 1,368,410 471,504 3,208,040 306,872 19,259,973 (£/m2) 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 2007/08 6.05 42.26 41.57 8.85 3.05 20.74 1.98 124.50

Figure 1: Cwm Taf Health Board FM services cost data

2.2 The total operating cost for the above FM services for 2009/10 was £21,575,682 an increase of £238,915 (1.1%) compared with 2010/11. It should be noted that there has been a reduction in catering labour/staff costs of £282,216.

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

25,000,000

20,000,000

Postal 15,000,000 Portering (£) Security Laundry & Linen Catering 10,000,000 Cleaning Telecoms

5,000,000

0 2007/08 2008/09 2009/10 2010/11 2011/12

Figure 2: Yearly breakdown of overall FM service costs

76 Facilities Performance Report 2011/12 APPENDIX V

8,000,0000

7,000,0000

6,000,0000

5,000,0000

0

(£) 4,000,000

3,000,0000

2,000,0000

1,000,0000

0 Telecoms Cleaning Catering Laundry & Linen Security Portering Postal

2007/08 2008/09 2009/10 2010/11 2011/12

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 costs.

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0% 2007/08 2008/09 2009/10 2010/11 2011/12

Pos tal 1.59% 1.15% 1.73% 2.16% 2.11% Por ter ing 16.66% 16.59% 16.67% 17.26% 15.78% Security 2.45% 2.48% 2.53% 1.96% 2.02% Laundry & Linen 7.10% 7.37% 6.39% 6.38% 6.76% Catering 33.39% 35.00% 33.07% 33.56% 33.39% Cleaning 33.95% 32.25% 34.32% 33.47% 33.73% Telecoms 4.86% 5.16% 5.30% 5.21% 6.19%

Figure 4: FM service expenditure % by function

Facilities Performance Report 2011/12 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 overleaf, provides a breakdown of key catering data for individual hospitals along with Health Board totals and comparisons with headline data for 2010/11 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 2011/12 APPENDIX V ) ² 0.00 FM 126.82 (£/m Costs

1,403 (No) beds

Available ) 1,545 0 15,047 15 29.01 15,047 15 (m ² 170,123 Occupied floor area

0.00 (£) 27,284.00 2,771 0 9.85 Costs 675,082.00 8,443 79.96 78 134,739.68 2,339 57.61 6 101.99 515,041.98 5,050 68 436,564.00 456,091.00 Total FM 1,452,893.20 9,306 1,254,258.88 13,866 90.46 98 91 156.12 5,555,558.00 8,169,946.00 48,892 167.10 51,255 532 1,562,406.80 11,609 394 108.39 121 134.59 1,335,816.00 21,575,681.54

(£) 456,091.00 Board-wide service cost 1,335,816.00 1,791,907.00

0.00 (£) costs 72,997.00 18,061.00 Service 149,896.00 282,719.00 Portering 3,405,361.00

0.00 0.00 0.00 0.00 (£) costs 10,020.00 61,024.00 27,284.00 Security services 436,746.00

00 170,436.00 1,203,407.00 542.00 40,928.00 259,839.00 439.00 18,708.00 456,324.00 420.00 169,370.00 901,094.00 (£) Laundry & Linen costs 1,459,363.00

0.00 (£) Figure 5: Facilities expenditure of catering operations Gross cost 7,204,374.54

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (£) costs 41,971.00 70,364.68 4,343.00 services 665,064.00 416,520.20 70, 203,970.00 247,856.00 73,360.00 528,598.00 354,814.88 88,127.00 614,592.00 397,343.80 75, 208,978.00 181,104.98 51,962.00 365,520.00 Cleaning 1,998,002.00 1,971,672.00 515, 2,651,235.00 3,564,698.00 580,170. 7,277,930.00

Hospital type Minor Acute Community Minor Acute Community Community Acute Major Acute Major Community Psychiatric - MI Psychiatric - MI

Site Name Aberdare General Hospital Dewi Sant Hospital Ysbyty Cwm Rhondda Mountain Ash General Hospital Pontypridd & District Hospital Prince Charles Hospital Royal Glamorgan Hospital St Tydfil's Hospital Tonteg Hospital Ysbyty George Thomas Aggregated sites Telecommunications services Postal services Total for submitted data

Facilities Performance Report 2011/12 79 APPENDIX V

Royal Glamorgan Hospital Cook freeze bulk 1,270,213 2,077,951 216,534 3,564,698 1,251,458 2,313,240 953,306 953,306 2,313,240 1,251,458 3,564,698 216,534 2,077,951 1,270,213 A bulk Ysbyty freeze Cook T Hospital St Tydfil's fr Cook Hospital Glamorgan Royal Hospital Charles Prince Hospital & District Pontypridd Hospital General Ash Mountain bulk Conventional Rh Cwm Ysbyty Hospital Sant Dewi Hospital General Aberdare Name Site onteg Hospital Hospital onteg ggregated sites sites ggregated George Thomas Thomas George nd Co reebl 2797 134,436 207,967 Cook freeze bulk ondda

Totals for 2011/12 for Totals Yearly co Yearly Tota ls for 2010/11 2,428,508 4,277,533 298,582 298,582 4,277,533 2,428,508 2010/11 ls for mparis on 383,164 383,164 on Cook freeze bulk bulk freeze Cook Hybrid system system Hybrid Cook freeze bulk bulk freeze Cook Production type Production Cook freeze bulk bulk freeze Cook eeze bulk odt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 no data 0 no data no data provisions provisions 2,811,672 2,811,672 costs costs Total Total 197,230 184,279 15,835 397,344 79,469 317,875 27,251 27,251 317,875 79,469 397,344 15,835 184,279 197,230 177,636 63,712 6,508 247,856 53,476 194,380 33,536 33,536 194,380 53,476 247,856 6,508 63,712 177,636 664,734 1,187,540 119,398 1,971,672 665,521 1,306,156 554,865 554,865 1,306,156 665,521 1,971,672 119,398 1,187,540 664,734 101,782 74,937 4,386 181,105 9,055 172,050 7,784 7,784 172,050 9,055 181,105 4,386 74,937 101,782 158 (£) (£) 33,940 35,003 1,422 70,365 70,365 1,422 35,003 33,940 ,170 237,460 20,890 416,520 82,504 334,016 38,740 38,740 334,016 82,504 416,520 20,890 237,460 ,170 Total staff staff Total 3,995,318 3,995,318 -282,2 costs costs (£)

16 16 costs costs 397,385 397,385 other Total Total 98,803 199,752 199,752 98,803 12,412 354,815 354,815 12,412 222,093 132,722 57,356 (£)

Figure 6: Catering data Total gross gross Total catering catering 7,004,623 2,601,610 4,632,690 4,632,690 1,485,651 2,601,610 7,004,623 7,204,375 7,204,375 costs costs (£)

costs non non costs 2,274,205 2,274,205 catering patient patient -327,4 gross gross Total Total (£)

05 05 0 Total gross gross Total catering catering 4,930,175 4,930,175 patient patient costs costs 297,485 187,187 187,187 297,485 (£) 70,365 70,365

Total non non Total 1,672,838 1,672,838 income income patient patient (£)

0 (contribution) (contribution) non patient patient non Net costs costs Net catering 1,115,959 (£) - 514,592 298,152 110,656 601,367 52,218 75,366 19,940 43,764

1,271

0 0 0 0

Waste Waste 3.78 3.78 -1.74 -22,867 -22,867 -1.74 (%) (%) 5.52 93,826 1,623,159 2.85 n/a 211.07 211.07 n/a 2.85 93,826 5.52 1,623,159 4.3 4,158 74,014 2.32 4 9.54 9.54 2.32 4 74,014 4,158 4.3 8.81 100.09 1.74 5 4 182,425 55.1 9,467 6.0 3.71 623,650 4 24,769 3.0 3.21 406,975 1.57 11,965 3.0 3.30 2 21,353 1,282 3.0 13.96 1.87 3 118,584 5,615 4.5 11.16 2.19 4 88,764 6,111 4.3 11.03 3.07 4 108,770 7,592 6.0 0 0 0 NCR 0 0 0 0 NCR 0 0 0 0 NCR 0 Waste Waste 70,959 70,959 cost cost (£) (£) requested requested 1,624,535 1,624,535 patient patient meals meals Total Total (No) (No) 1,376 0.18 0.18 1,376 0.19 n/a patient patient meal meal Cost Cost per per (£) (£) 3.03 3.03 rating rating (No) (No) FSA 3.75 3.75 (WTE) (WTE) Total Total staff staff 211.3 211.3

80 Facilities Performance Report 2011/12 APPENDIX V

Cleaning services costs

80.000

70.000

60.000

50.000 2 40.000 £/m

30.000

20.000

10.000

0 Hospital Hospital Hospital Hospital onteg Hospital T Aggregated sites Royal Glamorgan Aberdare General St Tydfil’s Hospital St Tydfil’s Dewi Sant Hospital Pontypridd & District Ysbyty Cwm Rhondda Mountain Ash General Prince Charles Hospital Ysbyty George Thomas

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 n Hospital Hospital Hospital Hospital onteg Hospital T Aggregated sites Royal Glamorgan Aberdare General St Tydfil’s Hospital St Tydfil’s Dewi Sant Hospital Pontypridd & District Ysbyty Cwm Rhondda Mountain Ash General Prince Charles Hospital Ysbyty George Thomas

Figure 8: Catering services cost indicator

Facilities Performance Report 2011/12 81 APPENDIX V

Portering services costs

45.000

40.000

35.000

30.000

25.000 2

£/m 20.000

15.000

10.000

5.000

0 Hospital Hospital Hospital Hospital onteg Hospital T Aggregated sites Royal Glamorgan Aberdare General St Tydfil’s Hospital St Tydfil’s Dewi Sant Hospital Pontypridd & District Ysbyty Cwm Rhondda Mountain Ash General Prince Charles Hospital Ysbyty George Thomas

Figure 9: Portering services cost indicator

Laundry and linen costs

14.000

12.000

10.000

8.000 2 £/m 6.000

4.000

2.000

0 Hospital Hospital Hospital Hospital onteg Hospital T Aggregated sites Royal Glamorgan Aberdare General St Tydfil’s Hospital St Tydfil’s Dewi Sant Hospital Pontypridd & District Ysbyty Cwm Rhondda Mountain Ash General Prince Charles Hospital Ysbyty George Thomas

Figure 10: Laundry and linen services cost indicator

82 Facilities Performance Report 2011/12 APPENDIX VI

Observations on FM-related Operating Costs

HYWEL DDA HEALTH BOARD

Facilities Performance Report 2011/12 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 2011/12 by Hywel Dda Health Board. The complete data set is made available to the NHS in Wales on the CDROM that accompanies the annual FM Performance Report. The dataset can also 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, account should be taken of the recent review of catering cost data definitions and the effect that a reduction in reported staff costs due to the omission of ward staff costs may have made for 2011/12.

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 2011/12, 2010/11 & 2009/10, and the aggregated costs for 2008/09 and 2007/08 for the former organisations. Also shown is a breakdown of overall FM cost of occupancy (£/m2) for Health Board properties.

Facilities Performance Report 2011/12 85 APPENDIX VI

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

(£) 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 2007/08 1,419,503 5,442,691 6,532,950 1,167,687 203,284 2,504,444 568,345 17,838,904 (£/m2) 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 2007/08 9.39 36.02 43.24 7.73 1.35 16.58 3.76 118.07

Figure 1: Hywel Dda Health Board FM services cost data

2.2 The total operating cost for the above FM services for 2011/12 was £18,733,096, an increase of £644,761 (3.56%) compared with 2010/11. It should be noted that there has been a reduction in catering labour/staff costs of £856,927.

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

20,000,000

18,000,000

16,000,000

14,000,000

Postal 12,000,000 Portering Security 10,000,000 (£) Laundry & Linen

8,000,000 Catering Cleaning

6,000,000 Telecoms

4,000,000

2,000,000

0 2007/08 2008/09 2009/10 2010/11 2011/12

Figure 2: Yearly breakdown of overall FM service costs

86 Facilities Performance Report 2011/12 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

2007/08 2008/09 2009/10 2010/11 2011/12

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 costs.

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0% 2007/08 2008/09 2009/10 2010/11 2011/12 Postal 3.19% 3.20% 3.02% 3.45% 4.00% Portering 14.04% 15.41% 14.81% 15.54% 15.41% Security 1.14% 0.92% 0.95% 0.96% 0.49% Laundry & Linen 6.55% 6.76% 6.18% 8.13% 7.15% Catering 36.62% 33.23% 33.29% 31.12% 31.14% Cleaning 30.51% 31.26% 31.67% 34.66% 35.89% Telecoms 7.96% 9.23% 10.08% 6.14% 5.92%

Figure 4: FM service expenditure % by function

Facilities Performance Report 2011/12 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 overleaf, provides a breakdown of key catering data for individual hospitals along with Health Board totals and comparisons with headline data for 2010/11 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 2011/12 APPENDIX VI

) ² FM 104.22 (£/m Costs

0 11.01 0 28.54 0 1.33 28 139.81 31 40.31 21 157.69 41 200.01 18 147.93 28 122.82 35 98.62 20 90.43 169 107.76 241 112.04 347 98.97 270 90.15 1,249 (No) beds Available

) 7,390 1,066 2,306 5,151 1,080 1,471 641.00 27,955 45,806 38,917 18,431 (m ² 179,739 1,887.00 3,823.00 1,875.00 21,940.00 Occupied floor area

(£) 7,059.00 24,521.00 30,819.00 Costs 295,669.00 507,999.00 157,698.00 133,021.00 263,813.00 154,107.00 283,216.00 Total FM 2,364,271.00 1,478,053.00 3,132,056.00 3,508,530.00 4,533,339.00 18,733,096.00

(£) 749,136.00 Board-wide service cost 1,109,789.00 1,858,925.00

0.00 0.00 (£) costs 48,279.00 71,574.00 22,101.00 66,901.00 58,174.00 Service 379,345.00 203,909.00 507,096.00 Portering 2,885,926.00

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 92,299.00 40,729.00 1,047,452.00 Security services

899.00 51,570.00 481,095.00 899.00 51,570.00 (£) 9,402.00 Laundry & Linen costs 1,339,011.00

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 32,868.00 7,473.00 of catering operations Gross cost 5,834,385.00

00 1,496,244.00 502,913.00 (£) 7,059.00 costs 24,521.00 78,052.00 71,985.00 7,661.00 95,348.00 105,468.00 24,226.00 30,819.00 795,118.00 449,890.00 29,136.00 319,811.00 94,168.00 22,446.00 services Cleaning 1,058,476.00 1,295,016.00 245, 6,722,550.00 1,446,001.

ute 780,286.00 1,040,295.00 164,345.00 1,040,295.00 ute 780,286.00 ute 1,704,193.00 1,008,025.00 289,216.00 1,008,025.00 ute 1,704,193.00 Acute 82,102.00 94,072.00 20,738.00 94,072.00 Acute 82,102.00 mmunity 85,480.00 146,354.00 15,556.00 146,354.00 mmunity 85,480.00 Co Community Community Ge riatric 70,579.00 Community Community Major Ac

Hospital type Community Geriatric 144,705.00 Day Hospital Major Acute Minor Major Ac Major Acute Community Geriatric

Site Name Aberaeron Hospital Amman Valley Hospital Bro Cerwyn & St Brynach Day Hospitals Bronglais General Hospital Cardigan & District Hospital Hafan Derwen (St David's Hospital) Llandovery Hospital Psychiatric - MI/LD Mynydd Mawr Hospital Prince Philip Hospital South Pembrokeshire Hospital Tenby Cottage Hospital (New) Tregaron Hospital Glangwili General Hospital Withybush General Hospital Aggregated sites Telecommunications services Postal services Total for submitted data

Facilities Performance Report 2011/12 89 APPENDIX VI

Bronglais General Hospital Conventional plated 289,134 685,308 65,853 1,040,295 416,118 624,177 217,031 217,031 624,177 416,118 A Withybush 1,040,295 Tr 65,853 T S 685,308 28, Hospital Philip Prince 289,134 Mynydd Mawr Ho bulk Conventional Hospital Llandovery plated Conventional +DIDQ'HUZHQ 6W'DYLG V+RVS¶ plated Conventional Hospital General Glangwili Hospital & District Cardigan Hospital General Bronglais Bro & Cerwyn Valley Hospital Amman A Name Site enby Cottage Hospital (New) (New) Hospital Cottage enby outh Pembrokeshire Hospital Cook freeze plated 92,975 92,975 sites ggregated plated freeze Cook Hospital Pembrokeshire outh Hospital beraeron egaron Hospital Conventional plated 21,272 9,498 2,098 32,868 1,356.68 31,511.32 1,043 1,043 31,511.32 1,356.68 32,868 2,098 9,498 21,272 plated Conventional Hospital egaron General Hospital Conventional plated 406,458 565,721 35,846 1,008,025 231,845.75 776,179.25 230,118 230,118 776,179.25 231,845.75 1,008,025 35,846 565,721 406,458 plated Conventional Hospital General St Bryn

spital Cook Cook spital chill 28,701 bulk 70,855 5,912 105,468 11,601.48 93,866.52 5,276 Totals for 2011/12 for Totals Yearly co Yearly Totals ach ach for 2010/11 2010/11 for mparis

on on Cook chill bulk bulk chill Cook Conventional plated 23,957 41,531 6,497 71,985 19,435.95 52,549.05 9,996 9,996 52,549.05 19,435.95 71,985 6,497 41,531 23,957 plated Conventional Cook chill bulk bulk chill Cook Cook freeze bulk 92,928 292,656 64,306 449,890 260,936.20 188,953.80 92,955 92,955 188,953.80 260,936.20 449,890 64,306 292,656 92,928 bulk freeze Cook Production type Production odt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 no data 0 0 0 no data odt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 no data 0 0 no data provisions provisions 1,970,172 1,970,172 1,979,499 3,621,018 352,611 352,611 3,621,018 1,979,499 costs costs Total Total 470,267 734,970 89,779 1,295,016 194,252.40 1,100,763.60 287,842 287,842 1,100,763.60 194,252.40 1,295,016 89,779 734,970 470,267 8,4 924,1 486,148 (£) (£) 29,750 29,750 -9,327 -125,156 -125,156 -9,327 582 113,733 4,039 146,354 146,354 4,039 7,146 32,197.88 113,733 582 114,156.12 Total staff staff Total 3,495,862 3,495,862 costs costs (£) 57,401 6,921 94,072 94,072 6,921 57,401 9,407.20 4,883 84,664.80

89 0 costs costs 368,351 368,351 other Total Total 15,740 15,740 85,907 1,496,244 1,496,244 85,907 448,873.20 398,281 1,047,370.80 (£) 1,193 94,168 94,168 1,193 3,766.72 90,401.28 4,324

Figure 6: Catering data Total gross gross Total catering catering 5,834,385 5,834,385 5,953,128 1,708,602 4,223,952 4,223,952 1,281,983 1,708,602 5,953,128 costs costs -118,743 -78,811 -19,358 -19,358 -23,088 -78,811 -118,743 (£)

costs non non costs 1,629,791 1,629,791 catering patient patient gross gross Total Total (£)

Total gross gross Total catering catering patient patient 4,204,594 4,204,594 costs costs (£)

Total non non Total 1,258,895 1,258,895 income income patient patient (£)

(contribution) (contribution) non patient patient non Net costs costs Net catering catering 167,981.20 167,981.20 -93,589.60 -93,589.60 50,592.20 50,592.20 25,051.88 (£) 1,727.75 1,727.75 6,325.48 9,439.95 4,524.20 426,619 426,619 370,896 199,087 -55,723 -55,723 -557.28 313.68 313.68

0 0 0 0 Waste Waste 11.00 43,969.96 43,969.96 11.00 4,683.57 12.00 -1.12 -1,974 -1,974 -1.12 (%) (%) 8.73 114,368 114,368 8.73 7.61 15,648.63 5.00 612.63 3.00 7,140.48 8.00 1,532.63 6.00 699.54 4.00 30,627.32 9.00 668.82 3.00 5,204.41 3.00 1,606.50 6.00 0 0 0 0 Waste Waste 112,394 112,394 cost cost (£) (£) requested requested 1,298,320 1,298,320 1,166,597 patient patient meals meals -131,7 Total Total 271,024 271,024 270,686 323,908 132,772 (No) (No) 47,113 47,113 29,692 17,888 33,846 13,988 25,680 23 23 0 0 0 0 0 patient patient meal meal Cost Cost per per (£) (£) 0.35 n/a n/a 0.35 248 n/a 3.25 3.60 38.75 1 2.86 5 1.92 59.91 5 4.07 6.15 5 3.16 3.83 5 2.94 13.72 5 5.58 69.66 5 3.23 4.28 5 8.16 30.43 3 4.70 5.54 3 3.30 C 0 0 NCR 0 0 0 NCR 0 0 NCR 0 rating rating NCR (No) (No) FSA 3.9 3.9 1 (WTE) (WTE) Total Total staff staff 233 233 -15 -15 0 0

90 Facilities Performance Report 2011/12 APPENDIX VI

Cleaning services costs

120.00

100.00

80.00 2 60.00 £/m

40.00

20.00

0 regaron Hospital Aggregated sites T Aberaeron Hospital Llandovery Hospital Prince Philip Hospital Amman Valley Hospital Amman Valley Mynydd Mawr Hospital Bronglais General Hospital Glangwili General Hospital Cardigan & District Hospital Withybush General Hospital enby Cottage Hospital (New) T South Pembrokeshire Hospital Hafan Derwen (St David’s Hospital) Hafan Derwen (St David’s Bro Cerwyn & St Brynach Day Hospitals

Figure 7: Cleaning services cost indicator

Catering services costs

90.000 80.000 70.000 60.000 50.000 2 40.000 £/m 30.000 20.000 10.000 0 egaron Hospital Aggregated sites Tr Aberaeron Hospital Llandovery Hospital Prince Philip Hospital Amman Valley Hospital Amman Valley Mynydd Mawr Hospital Bronglais General Hospital Glangwili General Hospital Cardigan & District Hospital Withybush General Hospital enby Cottage Hospital (New) T South Pembrokeshire Hospital Hafan Derwen (St David’s Hospital) Hafan Derwen (St David’s Bro Cerwyn & St Brynach Day Hospitals

Figure 8: Catering services cost indicator

Facilities Performance Report 2011/12 91 APPENDIX VI

Portering services costs

40.00

35.00 30.00

25.00 2 20.00 £/m 15.00 10.00 5.00

0 aron Hospital Aggregated sites Treg Aberaeron Hospital Llandovery Hospital Prince Philip Hospital Amman Valley Hospital Amman Valley Mynydd Mawr Hospital Bronglais General Hospital Glangwili General Hospital Cardigan & District Hospital Withybush General Hospital enby Cottage Hospital (New) T South Pembrokeshire Hospital Hafan Derwen (St David’s Hospital) Hafan Derwen (St David’s Bro Cerwyn & St Brynach Day Hospitals

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 egaron Hospital Aggregated sites Tr Aberaeron Hospital Llandovery Hospital Prince Philip Hospital Amman Valley Hospital Amman Valley Mynydd Mawr Hospital Bronglais General Hospital Glangwili General Hospital Cardigan & District Hospital Withybush General Hospital enby Cottage Hospital (New) T South Pembrokeshire Hospital Hafan Derwen (St David’s Hospital) Hafan Derwen (St David’s Bro Cerwyn & St Brynach Day Hospitals

Figure 10: Laundry and linen services cost indicator

92 Facilities Performance Report 2011/12 APPENDIX VII

Observations on FM-related Operating Costs

POWYS TEACHING HEALTH BOARD

Facilities Performance Report 2011/12 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 2011/12 by Powys Teaching Health Board. The complete data set is made available to the NHS in Wales on the CDROM that accompanies the annual FM Performance Report. The dataset can also 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, account should be taken of the recent review of catering cost data definitions and the effect that a reduction in reported staff costs due to the omission of ward staff costs may have made for 2011/12.

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 2011/12 95 APPENDIX VII

FM Telecoms Cleaning Catering Laundry Security Portering Postal Totals Costs & Linen (£) 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 2007/08 308,531 1,697,663 1,604,853 198,969 16,548 374,698 113,315 4,314,577 (£/m2) 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 2007/08 6.77 37.24 35.20 4.36 0.36 8.22 2.49 94.64

Figure 1: Powys Teaching Health Board FM services cost data

2.2 The total operating cost for the above FM services for 2011/12 was £4,977,172, an increase of £529,960 (11.9%) compared with 2010/11. It should be noted that there has been a reduction in catering labour/staff costs of £67,383.

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

6,000,000

5,000,000

4,000,000 Postal Portering Security 3,000,000 Laundry & Linen (£) Catering Cleaning 2,000,000 Telecoms

1,000,000

0 2007/08 2008/09 2009/10 2010/11 2011/12

Figure 2: Yearly breakdown of overall FM service costs

96 Facilities Performance Report 2011/12 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

2007/08 2008/09 2009/10 2010/11 2011/12

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 costs.

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 2007/08 2008/09 2009/10 2010/11 2011/12

Pos tal 2.63% 2.26% 3.58% 3.94% 3.72% Por ter ing 8.68% 5.67% 5.76% 6.28% 10.33% Security 0.38% 0.56% 0.55% 0.61% 0.03% Laundry & Linen 4.61% 5.77% 4.61% 3.36% 2.91% Catering 37.20% 37.29% 36.89% 39.03% 32.14% Cleaning 39.35% 39.88% 39.75% 38.29% 42.71% Telecoms 7.15% 8.56% 8.83% 8.48% 8.16%

Figure 4: FM service expenditure % by function

Facilities Performance Report 2011/12 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 overleaf, provides a breakdown of key catering data for individual hospitals along with Health Board totals and comparisons with headline data for 2010/11 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 2011/12 APPENDIX VII

) ² 118.26 (£/m FM Costs 267 (No) beds Available

) 42,088 (m ² Occupied floor area

(£) Costs 78,967.00 3,014 0 26.20 78,967.00 3,014 0 631,542.19 5,673 49 111.32 631,542.19 5,673 49 90.26 310,397.76 3,439 12 116.50 520,038.48 4,464 28 706,185.12 9,887 46 71.43 706,185.12 9,887 46 92.41 172,984.00 1,872 12 131.31 580,775.67 4,423 43 137.78 398,332.43 2,891 24 290,518.31 2,013 18 144.32 290,518.31 2,013 18 153.69 435,084.92 2,831 20 261,374.98 1,581 15 165.32 261,374.98 1,581 15 Total FM 4,977,171.86

(£) cost wide Board- service 590,971.00 406,006.00 184,965.00 (£) costs 72,325.00 50,635.00 51,337.00 54,648.00 15,468.00 service 514,377.00 Portering 0.00 0.00 0.00 0.00 0.00 (£) costs 1,691.00 service Security 029.00 335.00 27,954.00 029.00 335.00 (£) 3,989.00 281.00 52,262.00 3,989.00 281.00 11,902.00 240.00 41,232.00 11,902.00 240.00 56,056.00 14,936.00 441.00 144,595.00 Laundry & linen costs 0.00 0.00 0.00 0.00 0.00 (£) Figure 5: Facilities expenditure of catering operations Gross cost 1,599,736.86

(£) costs 78,967.00 service 121,875.00 15,791.00 7, 121,875.00 15,791.00 192,718.00 149,082.43 197,041.00 166,610.92 114,722.00 125,866.98 5,318.00 Cleaning 2,125,801.00 ity 286,872.00 215,353.67 23,902.00 215,353.67 ity 286,872.00 132,480.31 ity 104,664.00

mmunity 245,907.00 201,150.48 21,644.00 201,150.48 mmunity 245,907.00 mmunity 325,609.00 208,974.19 24,634.00 208,974.19 mmunity 325,609.00 Hospital type Community 23,387.00 340,796. 00 249,148.12 394.00 92,460.00 Commun Commun

Community Community

Community 116,630.00 135,278.76 7,854.00 Co Community Community

Site Name Brecon War Memorial Hospital Broddyfi Community Hospital Bronllys Hospital Builth Wells Cottage Hospital Knighton Hospital Llandrindod Wells Hospital Llanidloes & District Hospital Montgomery County Infirmary Victoria Memorial Hospital Ystradgynlais Community Hospital Aggregate sites Co Telecommunications services Postal services Total for submitted data

Facilities Performance Report 2011/12 99 APPENDIX VII Victoria Memorial Hospital Hybrid system system Hybrid sites Aggregate Ys system Hybrid system Hybrid Hospital Memorial Victoria system Hybrid Infirmary County Montgomery Hospital & District Llanidloes system Hybrid Hospital Wells Llandrindod Hospital Knighton system Hybrid Hospital Cottage Builth Wells Hospital Bronllys system Hybrid Hospital Community Broddyfi Hospital Memorial Brecon War Name Site tr lais Community Hospital Hybrid system system Hybrid adgyn Hospital lais Community

Totals for 2011/12 for Totals Yearly co Yearly Tota ls for 2010/11 475,562 1,070,209 41,395 1,587,166 393,196 1,174,389 82,124 82,124 1,174,389 393,196 1,587,166 41,395 1,070,209 475,562 2010/11 ls for mparis on 38,683 38,683 on Cook freeze plated plated freeze Cook Hybrid sy Hybrid Hybrid syst Hybrid Production type Production stem 35,164 35,164 stem 83,483 7,220 125,867 29,176 96,691 2,805 em 93,855 93,855 em 147,990 7,303 249,148 30,546 218,603 11,533 provisions provisions costs costs Total Total 514,246 514,246 (£) (£) 59,205 131,546 10,399 201,150 41,497 159,653 12,214 12,214 159,653 41,497 201,150 10,399 131,546 59,205 34,842 89,462 8,176 132,480 27,092 105,388 7,504 7,504 105,388 27,092 132,480 8,176 89,462 34,842 65,292 124,878 25,183 215,354 28,685 186,669 10,641 10,641 186,669 28,685 215,354 25,183 124,878 65,292 82,521 118,534 7,919 208,974 52,160 156,814 18,975 18,975 156,814 52,160 208,974 7,919 118,534 82,521 14,623 1,168 1,168 14,623 40,964 119,214 6,433 166,611 14,845 151,766 4,285 4,285 151,766 14,845 166,611 6,433 119,214 40,964 56,937 87,748 4,397 149,082 15,177 133,906 6,067 6,067 133,906 15,177 149,082 4,397 87,748 56,937 30, 841 98,803 5,635 135,279 23,525 111,754 5,890 5,890 5,635 135,279 98,803 841 23,525 111,754 00 0 0 0 0 0 0 Total staff staff Total 1,002,826 1,002,826 costs costs -67,383 -67,383 (£)

costs costs other other Total Total 41,270 12,570 12,570 41,270 82,665 82,665 (£)

0 Figure 6: Catering data Total gross gross Total catering catering 1,599,737 1,599,737 costs costs (£) 15,791 1,135 14,656 14,656 1,135 1,052 15,791

costs non non costs catering catering patient patient -129,3 gross gross Total Total 263,838 263,838 (£)

57 57 Total gross gross Total catering catering 1,335,899 1,335,899 patient patient costs costs 161,510 161,510 (£)

Total non non Total income income patient patient 80,966 80,966 (£) -1,158 -1,158

(contribution) (contribution) non patient patient non Net costs costs Net catering catering (£) -128,1 311,072 311,072 182,872 29,283 29,283 10,560 19,588 18,044 26,371 19,013 17,635 33,185

9,110 9,110 99 99 83 83 0 Waste Waste 12.88 12.88 4.57 5.78 5 23,169 5.77 8,080 15.80 5 5.64 33,090 4.31 13,470 23.80 4.41 5 21,909 7.08 2,998 11.10 4 5.31 41,195 5.21 19,023 23.10 7.81 5 14,316 6.42 4,255 16.70 3.97 5 39,501 9,536 15.40 (%) (%) 5.63 20,423 270,805 5.63 n/a 58 58 38,631 7.25 n/a 5.63 270,805 20,423 5.63 4.78 33,369 6.98 NCR 1,692 3.60 0 0 0 0 0 0 Waste Waste 59,054 59,054 cost cost (£) (£) requested requested patient patient meals meals Total Total 257,381 257,381 (No) (No) -13,424 -0.44 -0.44 -13,424 23,178 6.55 4 6.06 6.06 6.55 23,178 4 4.54 5.42 19,437 5 8,217 1.78 1.78 8,217 0.77 NCR patient patient meal meal Cost Cost per per (£) (£) 5.19 5.19 rating rating (No) (No) FSA n/a n/a 4.78 4.78 5 (WTE) (WTE) Total Total staff staff 52 52 -6 -6 0

100 Facilities Performance Report 2011/12 APPENDIX VII

Cleaning services costs

80.0000

70.0000

60.0000

2 50.0000 £/m 40.0000

30.0000

20.0000

10.0000

000 Hospital Hospital Hospital Hospital Hospital Infirmary Builth Wells Ystradgynlais ctoria Memorial Bronllys Hospital Cottage Hospital Aggregated sites Vi 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

90.0000

80.0000

70.0000

60.0000

2 50.0000 £/m 40.0000

30.0000

20.0000

10.0000

000 Hospital Hospital Hospital Hospital Hospital Infirmary Builth Wells Ystradgynlais ctoria Memorial Bronllys Hospital Cottage Hospital Aggregated sites Vi 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 2011/12 101 APPENDIX VII

Portering services costs

25.000

20.000

2 15.000 £/m

10.000

5.000

0 Hospital Hospital Hospital Hospital Hospital Infirmary Builth Wells Ystradgynlais ctoria Memorial Bronllys Hospital Cottage Hospital Aggregated sites Vi 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

7.0000

6.0000

5.0000

2 4.0000 £/m

3.0000

2.0000

1.0000

000 Hospital Hospital Hospital Hospital Hospital Infirmary Builth Wells Ystradgynlais ctoria Memorial Bronllys Hospital Cottage Hospital Aggregated sites Vi 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 2011/12 APPENDIX VIII

Observations on FM-related Operating Costs

VELINDRE NHS TRUST

Facilities Performance Report 2011/12 103

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 2011/12 by Velindre NHS Trust. The complete data set is made available to the NHS in Wales on the CDROM that accompanies the annual FM Performance Report. The dataset can also 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, account should be taken of the recent review of catering cost data definitions and the effect that a reduction in reported staff costs due to the omission of ward staff costs may have made for 2011/12.

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).

FM Telecoms Cleaning Catering Laundry Security Portering Postal Totals Costs & Linen (£) 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 2007/08 127,447 279,120 644,574 80,081 45,876 238,839 45,365 1,461,302 (£/m2) 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 2007/08 8.91 19.51 45.07 5.60 3.21 16.70 3.17 102.17

Figure 1: Velindre FM services cost data

Facilities Performance Report 2011/12 105 APPENDIX VIII

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 costs to be reported. Latterly, in order to make these costs site-specific, they have been reported in respect of Velindre Hospital only.

2.2 The total operating cost for the above FM services for 2011/12 was £1,203,488 which is a decrease of £306,950 (-20.3%) compared with data reported for 2010/11. 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

Postal 1,000,000 Portering Security 800,000 Laundry & Linen (£) Catering

600,000 Cleaning Telecoms

400,000

200,000

0 2007/08 2008/09 2009/10 2010/11 2011/12

Figure 2: Yearly breakdown of overall FM service costs

106 Facilities Performance Report 2011/12 APPENDIX VIII

800,000

700,000

600,000

500,000

400,000 (£)

300,000

200,000

100,000

0 Telecoms Cleaning Catering Laundry & Linen Security Portering Postal

2007/08 2008/09 2009/10 2010/11 2011/12

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 costs.

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 2007/08 2008/09 2009/10 2010/11 2011/12

Pos tal 3.10% 3.15% 2.86% 3.27% 4.11% Por ter ing 16.34% 14.93% 16.36% 14.61% 18.65% Security 3.14% 2.95% 5.46% 4.63% 5.82% Laundry & Linen 5.48% 4.84% 4.80% 4.31% 5.37% Catering 44.11% 45.02% 40.34% 40.25% 24.65% Cleaning 19.10% 20.93% 23.80% 24.48% 30.70% Telecoms 8.72% 8.17% 6.38% 8.45% 10.69%

Figure 4: FM service expenditure % by function

Facilities Performance Report 2011/12 107 APPENDIX VIII

3.0 Breakdown of facilities services costs

3.1 Figure 5 shows individual FM service costs.

3.2 Figure 6 provides a breakdown of key catering data for Velindre Hospital and comparisons with headline data for 2010/11.

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

108 Facilities Performance Report 2011/12 APPENDIX VIII -1.88 17.08 staff Total (WTE) 76.54 76.54 FM (£/m²) (£/m²) Costs Costs

3 3 FSA (No) rating 50 65.21 50 (No) (No) beds beds 0.38 0 2.18 (£) per Cost meal Available patient

44,165 (No) 15,724 15,724 Total meals (m²) (m²) patient requested Occupied floor area

6,872 (£) cost Waste (£) (£) Costs Costs 49,468.00 Total FM 128,675.00 9.7 1,025,345.00 1,203,488.00

(%) Waste

65,164 (£) (£) (£) costs costs Other service 49,468.00 128,675.00 178,143.00 catering

Net costs non patient (contribution)

(£) (£) (£) 134,985 patient income costs costs Total non Service 224,489.00 224,489.00 Portering

96,492 (£) costs patient catering Total gross (£) (£) costs costs 70,100.00 70,100.00 Security services

(£) 200,149 Total gross patient catering costs non (£) (£) 64,605.00 64,605.00 Laundry &

Linen costs Linen costs

(£) 296,641 costs catering Total gross Figure 6: Catering data (£) (£)

Figure 5: Facilities expenditure 6,811 296,641.00 64,605.00 70,100.00 224,489.00 296,641.00 64,605.00 296,641.00 (£) Total other costs of catering operations Gross cost

(£) 116,877 6,811 296,641 200,149 134,985 96,492 65,164 9.7 6,872 44,165 3 2.18 17.08 116,877 costs (£) (£) Totalstaff costs costs 369,510.00 369,510.00 services Cleaning

-9,235 -10,965 -6,847 -22,444 -27,047 -10,786 -4,603 -0.55 -862 -12,074 -11,718 (£) 172,953 172,953 Total costs provisions

Hospital type Hospital type

Production type Cook freeze bulk on mparis ls for 2010/11 for ls 182,188 127,842 13,658 323,688 222,593 145,771 101,095 10.25 7,734 56,239 3 76,882 1.80 18.96 Tota Yearly co Totals for 2011/12

lindre Hospital Acute Specialist 369,510.00 Velindre Hospital Site Name Site Name Site Name Ve Telecommunications services Postal services Total for submitted data

Facilities Performance Report 2011/12 109 © Copyright NHS Wales Shared Services Partnership - Facilities Services 2012.

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.

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Cover photographs: 1, Ysbyty Ystrad Fawr – Courtesy of Nightingale Associates.

1 2, Ysbyty Cwm Cynon – Courtesy of PO Box 182, 2 HLM Architects and VINCI Bevan House, 24-30 Lambourne Crescent, Llanishen Construction. 3 Cardiff CF14 5GS 3, Women’s Unit, University Hospital of Wales – Courtesy of Cardiff and Vale PO Box 182, University Health Board. Tyˆ Bevan, 24-30 Cilgant Lambourne, Llanisien Caerdydd CF14 5GS