Annual Report and Accounts - The Great Western Hospital

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Great Western Hospitals NHS Foundation Trust Accounts for the year ended 31 March 2012 STATEMENT OF COMPREHENSIVE INCOME FOR THE YEAR ENDED 31 MARCH 2012 Restated Year Ended Year end 31 March 31 March 2012 2011 Notes £000 £000 Operating Income from continued operations 3 - 4 290,475 202,712 Operating Expenses of continued operations 5 (275,274) (187,835) Operating surplus 15,201 14,877 Finance Costs Finance income 10 333 217 Finance expense - financial liabilities 11 (13,834) (14,102) Finance expense - unwinding of discount on provisions (44) (49) Public Dividend Capital Dividends payable (1,120) (1,190) Net finance costs (14,665) (15,124) SURPLUS/(DEFICIT) FOR THE YEAR 536 (247) Other comprehensive income Loss on Asset Disposal (22) 0 Total comprehensive income/(expense) for the year 514 (247) Note: The Trust acquired the community services of NHS Wiltshire from 1 June 2011 under a Transfer of Community Services (TCS) agreement. As per Department of Health guidance, merger accounting has been used and as a result a full year of trading has been included within the above SoCI for the year ending 31 March 2012. All income and expenditure is derived from continuing operations. Page 176 of 211
Great Western Hospitals NHS Foundation Trust Accounts for the year ended 31 March 2012 STATEMENT OF FINANCIAL POSITION AS AT 31 MARCH 2012 Restated Restated Restated 31 March 31 March 1 April 2012 2011 2010 Notes £000 £000 £000 Non-Current Assets Intangible assets 13 1,162 1,170 612 Property, Plant and Equipment 14 179,122 183,018 182,725 Trade & Other Receivables 17 1,733 Total non-current assets 180,284 184,188 185,070 Current Assets Inventories 16 4,839 3,820 3,156 Trade and other receivables 17 13,577 8,335 11,095 Cash and cash equivalents 19 14,482 11,223 12,181 Total current assets 32,898 23,379 26,432 Current Liabilities Trade and Other Payables 20 (22,970) (18,652) (19,102) Borrowings 22 (4,533) (1,425) (3,004) Provisions 23 (565) (350) (1,434) Tax Payable 21.1 (1,788) (1,324) Other liabilities 21 (1,425) (1,016) (1,491) Total current liabilities (31,281) (22,766) (25,031) Total assets less current liabilities 181,901 184,801 186,472 Non-Current Liabilities Trade and Other Payables 20 (412) 0 (593) Borrowings 22.2 (128,133) (132,036) (133,118) Provisions 23 (4,686) (4,495) (4,132) Other Liabilities 21 (1,816) (1,930) (2,044) Total non-current liabilities (135,047) (138,461) (139,886) Total assets employed 46,854 46,340 46,586 Financed by Taxpayers' Equity Public dividend capital 27,111 27,111 27,111 Revaluation reserve 18,529 18,551 18,551 Income and expenditure reserve 1,214 678 925 Total taxpayers' equity 46,854 46,340 46,586 Note: The Balance Sheet has been restated from 1st April 2010 following a change in accounting treatment for Donated Asset Reserve and Government Grant Reserve. These Reserves were previously held separately in Taxpayers Equity and were released over the life of the assets to which they related. The revised accounting treatment is to charge the costs to the Statement of Comprehensive Income in the year in which the asset/liability arises. The impact on the Statement of Financial Position is that any balances held in these reserves now form part of the Income and Expenditure Reserve. Page 177 of 211
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Great Western Hospitals NHS Foundat
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CONTENTS 1 Chair and Chief Executiv
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The Great Western Hospital became a
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Underpinning this, our values are t
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3.2 Principal activities of the Tru
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Further Companies Act Disclosures 3
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Business Review / Management Commen
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3. To ensure that staff are proud t
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6. To work in partnership with othe
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With funding received from the Depa
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3.13 Contractual arrangements The T
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Patient care 3.16 Development of se
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3.20 New or significantly revised s
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3.24 Complaints Handling For the Tr
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The Trust actively responds to feed
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3.25 Using patient experience to dr
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The table below shows the CQUIN res
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Action plans based on the Quarterly
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3.27 Development of services with o
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3.29 Health and Overview Scrutiny C
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3.32.5 Interests held by Directors
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4.3 Attendance at meetings of the R
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4.7 Board of Directors’ employmen
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Remuneration Name Title Salary (Ban
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4.8.4 Additional disclosures The Tr
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5.1.2 Elected Governors - Public Co
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5.1.4 Nominated Governors Name Nomi
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5.1.6 Lead and Deputy Lead Governor
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“Eyes and Ears” - An initiative
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5.1.12 Nominations and Remuneration
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Rowland Cobbold, Non-Executive Dire
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Lyn Hill-Tout, Chief Executive (unt
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5.2.3 Length of appointments of Non
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5.2.6 Attendance at meetings of the
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5.3 Audit Committee 5.3.1 The Audit
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5.4 Directors’ responsibility for
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Note: Angela Gillibrand and Rowland
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The Mental Health Act / Mental Capa
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The Trust has a wide range of staff
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5.8.6 Membership Strategy To encour
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5.9 Code of Governance Disclosure S
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6 QUALITY REPORTS Part 1 - Statemen
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Part 2 - Priorities for improvement
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6.3.1 Review of services and partic
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The trust chose not to contribute t
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No. Audit Title Reconstruction Audi
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The reports of 273 local clinical a
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No. Audit Title 15. Non Invasive Ve
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No. Audit Title Antibiotic Prescrib
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No. Audit Title 50. NICE CG111 - No
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Part 3 - Other Information 6.4 Over
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GRAPH - Clostridium Difficile WCHS2
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GRAPH - Medicine incidents by type
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Harm from falls WCHS: It was not po
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• Rolling educational programme w
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CHART - Relative risk SW Acute Trus
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Following the Trust’s merge in Ju
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Priority 7: Participation on the Re
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All the guidelines have been dissem
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This has been achieved by: • Mont
Page 125 and 126: • As a result of complaints and c
Page 127 and 128: CHART - National Sentinel Stroke Au
Page 129 and 130: Priority 16: To ensure patients are
Page 131 and 132: 6.5 Care Quality Commission (CQC) I
Page 133 and 134: 6.7 Statement of Directors’ respo
Page 135 and 136: a Quality Account and the opportuni
Page 137 and 138: Overall, the Trust has good plans t
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Page 141 and 142: Graph 1 - GWH carbon footprint (ton
Page 143 and 144: The Trust is working with local bus
Page 145 and 146: Graph 9 - Total tonnes of waste pro
Page 147 and 148: The Trust will be working towards a
Page 149 and 150: Detailed below is a summary of the
Page 151 and 152: Wiltshire Community Health Services
Page 153 and 154: providers. Feedback obtained across
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Page 157 and 158: 10.2.2 Governance risk rating The t
Page 159 and 160: 11 OTHER DISCLOSURES IN PUBLIC INTE
Page 161 and 162: 13 AUDITOR’S OPINION AND CERTIFIC
Page 163 and 164: 14 ANNUAL GOVERNANCE STATEMENT 14.1
Page 165 and 166: • the key controls to mitigate ag
Page 167 and 168: 14.4.6 Organisation Culture The Tru
Page 169 and 170: 14.5 Review of economy, efficiency
Page 171 and 172: Process Board Role and Conclusions
Page 173 and 174: 15 GLOSSARY OF TERMS BARS - Blood A
Page 175: 16 FOREWORD TO THE ACCOUNTS 16.1 Fo
Page 179 and 180: Great Western Hospitals NHS Foundat
Page 209: Great Western Hospitals NHS Foundat
Page 214: Great Western Hospitals NHS Foundat
Page 217 and 218: 1 CHAIR AND CHIEF EXECUTIVE’S REP
Page 219 and 220: 2 OUR TRUST 2.1 Vision - Your healt
Page 221 and 222: 3 DIRECTOR’S REPORT General Compa
Page 223 and 224: 3.3.2 The Brunel Treatment Centre O
Page 225 and 226: 14 In relation to the use of financ
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Checklist, a World Health Organisat
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organisations to adapt to these cha
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TABLE - Wiltshire Community Activit
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The Trust is currently reviewing it
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Enhanced Quality Governance Reporti
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The Trust is using its foundation t
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of implementing the programme. Incl
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As part of the corporate back offic
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What patients and service users hav
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3.25.3 Patient Surveys The PICKER I
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3.25.5 Annual Inpatient Survey The
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CHART - Percentage of patients who
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3.28 Working with our partners to s
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3.31 Statement as to disclosures to
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4 REMUNERATION REPORT Information n
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4.5 Remuneration of senior managers
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4.8 Pension Benefits and Remunerati
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The accounting policies for pension
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5 NHS FOUNDATION TRUST CODE OF GOVE
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There is currently a vacancy for th
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5.1.5 Attendance at meetings of the
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In addition, in preparing the Trust
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5.1.11 Council of Governors Meeting
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5.2 Board of Directors 5.2.1 The Bo
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Roger Hill, Non-Executive Director
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Helen Bourner, Director of Business
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5.2.4 Statement about the balance,
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5.2.9 Significant Commitments of th
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5.3.2 The work of the Audit, Risk a
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5.6 Nominations Committee 5.6.1 The
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5.7 Mental Health Act / Mental Capa
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5.8 Membership 5.8.1 Membership The
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The groupings of the members in the
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5.8.8 Membership development propos
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G.1.2 - The Board should clarify in
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and Governors. We have also commenc
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Regulation 1. To sustain compliance
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Audit / confidential enquiry title
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Audit Title Submitted/Required (%)
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No. Audit Title Learning From The P
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No. Audit Title 8. Diabetes Ketoaci
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No. Audit Title Audit Summary/Learn
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No. Audit Title Audit Summary/Learn
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6.3.4 Registration with Care Qualit
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Steering Group, provides a quarterl
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Clostridium Difficile: The goal for
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Priority 2: To reduce harm associat
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Priority 3: To reduce harm associat
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Pressure ulcers Community: The comm
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Safe care of the patient receiving
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CHART - Serious Incidents grouped b
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The three top serious incident caus
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West conference call in August 2011
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Priority 9: To review the clinical
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Priority 12: To undertake nutrition
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• A regular ongoing training prog
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Community: • Q1 Performance April
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The survey results demonstrate that
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6.6 Performance against key nationa
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6.8 Statements from Primary Care Tr
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6.8.4 Wiltshire Primary Care Trust
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6.9 Independent Assurance Report to
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7 SUSTAINABILITY REPORTING 7.1 Stro
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Graphs 3 and 4 show energy consumpt
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Graph 7 - Water consumption in WCHS
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8 EQUALITY REPORTING 8.1 Equality d
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9 STAFF SURVEY REPORT 9.1 Our staff
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It was agreed that we would focus o
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Appraisal rates. The overall rate f
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A quarterly “Voluntary Service Ma
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10 REGULATORY RATINGS REPORT 10.1 M
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10.3.2 Explanation for differences
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12 STATEMENT OF ACCOUNTING OFFICER
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14.4 The risk and control framework
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Risk Licence to operate (compliance
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The governors and wider stakeholder
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Steps which have been put in place
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14.8 Conclusion I have not identifi
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SHA - Strategic Health Authority SW
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Annual Report and Accounts - The Great Western Hospital

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