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 CASH FLOWS FOR THE YEAR ENDED 31 MARCH 2012 Restated Year Ended Year Ended 31 March 31 March 2012 2011 Notes £000 £000 Cash flows from operating activities Operating surplus from continuing operations 15,201 14,877 Depreciation and amortisation 7,872 7,536 Amortisation of PFI credit 114 0 Increase in inventories (1,019) (664) (Increase) / decrease in trade and other receivables (5,242) 4,491 Increase in trade and other payables 5,195 281 Increase / (decrease) in other liabilities 180 (633) Increase / (decrease) in provisions 406 (721) NET CASH GENERATED FROM OPERATIONS 22,706 25,167 Cash flows from investing activities Interest received 333 87 Purchase of Property, Plant and Equipment (3,337) (8,452) Net cash used in investing activities (3,004) (8,365) Cash flows from financing activities Capital element of Private Finance Initiative Obligations (1,425) (2,595) Interest paid (57) (100) Interest element of Finance Leases (39) 0 Interest element of Private Finance Initiative Obligations (13,738) (14,002) PDC dividends paid (1,185) (1,063) Net cash generated (used in) financing activities (16,443) (17,760) Increase/(decrease) in cash and cash equivalents 3,259 (958) Cash and cash equivalents at 1 April 2011 11,223 12,181 Cash and cash equivalents at 31 March 2012 19 14,482 11,223 Page 179 of 211
Great Western Hospitals NHS Foundation Trust Accounts for the year ended 31 March 2012 ACCOUNTING POLICIES 1 Basis of Preparation Monitor has directed that the financial statements of NHS Foundation Trusts shall meet the accounting requirements of the NHS Foundation Trust Annual Reporting Manual which shall be agreed with HM Treasury. Consequently, the following financial statements have been prepared in accordance with the FT ARM 2011/12 issued by Monitor. The accounting policies contained in that manual follow International Financial Reporting Standards (IFRS) and HM Treasury's Financial Reporting Manual to the extent that they are meaningful and appropriate to NHS Foundation Trusts. The accounting policies have been applied consistently in dealing with items considered in relation to the accounts. 1.1 1.1.1 1.1.2 Accounting Convention These accounts have been prepared under the historical cost convention, on a going concern basis modified to account for the revaluation of property, plant and equipment, intangible assets, inventories and certain financial assets and financial liabilities. Subsidiaries Subsidiary entities are those over which the Trust has the power to exercise control or a dominant influence so as to gain economic or other benefits. The income, expenses, assets, liabilities, equity and reserves of subsidiaries are consolidated in full into the appropriate financial statement lines. The capital and reserves attributable to minority interests are included as a separate item in the Statement of Financial Position. Until 31st March 2013, NHS Charitable Funds considered to be subsidiaries are excluded from consolidation in accordance with the accounting direction issued by Monitor. TCS Merger Note The Trust acquired the contract to run Wiltshire Community Health Services (WCHS) from NHS Wiltshire with effect from 1st June 2011. This is operated under two commissioning contracts - one for Adult and Community Services and one for Maternity Services. The Foundation Trust Annual Reporting Manual requires that all transfers of functions between public sector bodies will be accounted for using full merger accounting. As a result a full 12 months of WCHS has been included within the SOCI. The Department of Health has considerd it impracticable to restate the comparative information. The Department of Health does not require Trusts to include prior year comparators for transfers under TCS (Transferring Community Services) and the amendments to the 2011/12 Opening Balances are shown by an adjustment to 1 April 2011 opening balances in the line 'Adjustment for transfer of functions' The following current and non-current assets were transferred to the Trust at book value, which also reflects their fair value, are included in the opening balances. Non-Curent Assets Current Assets Non-current liabilities Current liabilities At 1 April 2011 £'000 At 1 June 2011 £'000 0 0 1,492 0 0 0 (1,492) 94 It should be noted that the information in the annual accounts includes 12 months results for WCHS, even though it was only unde the Operational management of the Trust for 10 months of the year. The actual value of the contract from the date of transfer (1st June 2011) for 2011/12 is £66.2m. The current year reported results of the Trust can be analysed as follows: 1 April 2011- 31 May 2011 Great Western Hospitals NHS FoundationTrust Wiltshire Community Health Services 1 June - 31 March 2012 Total Combined Organisation Total for the Year 1.2 Operating Income Operating Expenses Finance Costs Surplus/Deficit for the period Other Comprehensive Income £'000 £'000 £'000 £'000 33,854 12,964 243,657 290,475 (31,397) (12,954) (230,923) (275,274) (2,442) 0 (12,223) (14,665) 15 10 511 536 Total comprehensive income for the 15 10 511 536 period Income Income in respect of services provided is recognised when, and to the extent that, performance occurs, and is measured at the fair value of the consideration receivable. The main source of income for the Trust is contracts with commissioners in respect of healthcare services. - 1.3 1.3.1 Income relating to patient care spells that are part-completed at the year end are apportioned across the financial years on the basis of length of stay at the end of the reporting period compared to expected total length of stay. Where income is received for a specific activity which is to be delivered in the following financial year, that income is deferred. Expenditure on Employee Benefits Short term Employee Benefits Salaries, wages and employment-related payments are recognised in the period in which the service is received from the employees. The cost of annual leave entitlement earned but not taken by employees at the end of the period is recognised in the financial statements to the extent that the employees are permitted to carry forward leave into the following period. Page 180 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
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• As a result of complaints and c
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CHART - National Sentinel Stroke Au
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Priority 16: To ensure patients are
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6.5 Care Quality Commission (CQC) I
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6.7 Statement of Directors’ respo
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a Quality Account and the opportuni
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Overall, the Trust has good plans t
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Graph 1 - GWH carbon footprint (ton
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The Trust is working with local bus
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Graph 9 - Total tonnes of waste pro
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The Trust will be working towards a
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Detailed below is a summary of the
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Wiltshire Community Health Services
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providers. Feedback obtained across
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The Musculoskeletal Disorder team a
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10.2.2 Governance risk rating The t
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11 OTHER DISCLOSURES IN PUBLIC INTE
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13 AUDITOR’S OPINION AND CERTIFIC
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14 ANNUAL GOVERNANCE STATEMENT 14.1
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• the key controls to mitigate ag
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14.4.6 Organisation Culture The Tru
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14.5 Review of economy, efficiency
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Process Board Role and Conclusions
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15 GLOSSARY OF TERMS BARS - Blood A
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16 FOREWORD TO THE ACCOUNTS 16.1 Fo
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1 CHAIR AND CHIEF EXECUTIVE’S REP
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2 OUR TRUST 2.1 Vision - Your healt
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3 DIRECTOR’S REPORT General Compa
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3.3.2 The Brunel Treatment Centre O
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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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Page 357 and 358: 8 EQUALITY REPORTING 8.1 Equality d
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Page 371 and 372: 12 STATEMENT OF ACCOUNTING OFFICER
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Page 375 and 376: 14.4 The risk and control framework
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Annual Report and Accounts - The Great Western Hospital

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