Our staff - Leicestershire and Rutland

2006-2007review of the year.The Annual Report and Summary FinancialStatements of Leicester City Primary Care Trust(incorporating Eastern Leicester Primary Care Trustand Leicester City West Primary Care Trust)

1The Chair’s perspectiveOver the previous five years staff of bothof the predecessor PCTs had worked hardand imaginatively to respond to thevarying health needs of those that livein the city and in thanking them it isencouraging for me to report that wehave been able to retain most of themand their skills in the new organisation.This year >Unfortunately what had not been achieved in the local healthcommunity was a strong and robust financial position and as isreported elsewhere, the new PCT began its life facing a largefinancial overspend.The late summer of 2006 proved very hectic; a much morevigorous recruitment process by the Appointments Commissionresulted in the appointment of a very good team of new Non-Executive Directors. September and October saw the appointmentof Tim Rideout as the Chief Executive of the new PCT and of SueBishop as Director of Finance & Delivery, followed over the nextfew months by a new director team. Everyone had to hit theground running as the challenges facing the new organisationwere huge and immediate.6 Leicester City PCT Annual Report 2006 - 07

The achievements of our first six months, and in particular thedelivery of a small surplus, were outstanding. The new PCT hasshown real determination in not only putting its own financialhouse in order, but contributing to the local health economydoing the same. This is important because a surplus allowsus to invest yet more money in improved services.All reconfigured PCTs had to go through a national Fitness forPurpose review and despite being only a few months old weput up a very creditable performance.From the outset the new PCT has sought to establish stronglinks with statutory partners and the local community; a varietyof informal get togethers were held in the spring and a numberof groups to advise and hold the PCT to account wereestablished. We look forward to building upon these firstimportant steps in the year ahead.You will see from this Annual Report that a great deal remainsto be done. We will work tirelessly to improve the health of thepopulation of the city. Tim Rideout has brought strong leadershipand drive to the PCT and a passion to change things for thebetter. This passion is shared by his director team, the staff of thePCT, the Professional Executive Committee and my Board. I havebeen genuinely moved by the commitment, hard work andfortitude shown by everyone involved with the PCT and it iscertainly a privilege for me to be its Chair.We will worktirelessly toimprove thehealth of thepopulation ofthe cityPhilip ParkinsonChair of the Boardwww.leicestercitypct.nhs.uk 7

1Reviewing ourperformanceAs a new organisation, we set ourselvesambitious goals for our first six months.What we set out to achieveWe had three organisational objectives:1. To achieve financial balance (reach break-even)2. To ensure that the organisation had the appropriatemanagement arrangements in place to deliver our main rolesand responsibilities (sometimes called "Fitness for Purpose")3. Achieve agreed progress in delivering the six key nationaltargets of:I. Reducing health inequalities by 10% by the year 2010,focusing on life expectancy at birth and smoking cessationII. Reducing the maximum wait between a doctor’s referraland appropriate treatment to 18 weeks by 2008This year >III. Reducing the wait for sexual health services to 48 hoursby 2008IV. Electronically administering 90% of hospital bookingsthrough the national Choose and Book systemV. Reducing the level of MRSA infectionsVI. A maximum waiting time of two months from urgentreferral to treatment for all cancers, with a maximumwaiting time of one month from diagnosis to treatment.How we performed1. Financial balanceWe are very pleased to beable to report that weunderspent by £136,000at the end of the financialyear 2006-2007Achieving financial balance was going to be one of the mostchallenging goals to reach. The two PCTs that were dissolvedon 30 September 2006 were required to report a breakevenposition, but the reality was that we inherited a forecastoverspend of £12million. Therefore, we are very pleased to beable to report that we underspent by £136,000 at the end of thefinancial year 2006-2007.8 Leicester City PCT Annual Report 2006 - 07

We achieved this tremendous milestone by reducing ourexpenditure, making one-off savings and through effectivepartnership working with other NHS organisations and LeicesterCity Council, and because of the hard work and dedication ofour staff. The Turnaround Plan - our 18 month programme toensure that we are able to meet the health needs of the peopleof Leicester within the available resources - will help us to deliverlong-term savings by changing the way we work.We are now working towards increasing the surplus to bedelivered at the end of the financial year 2007-2008.This is very important as a surplus will provide the foundationfor future investment in services that will deliver clear healthimprovements for our population.2. Fitness for purposeOur management arrangements were reviewed just three monthsafter being established. We performed well considering the scaleof change that we had undertaken in this short time. There wereareas identified for improvement and these have been addressedthrough action plans.3. Delivering the national targetsDelivering the demanding set of national targets has beenparticularly difficult during this period of reorganisation as thetable below shows.1.2.3.4.5.6.National targetReducing health inequalities:Smoking CessationReducing waiting timesto 18 weeksAccess to sexual healthservicesChoose and BookReducing MRSACancer waitsDetailed targetHelping 2,368 people to quit smoking(measured after 4 weeks)97% of inpatients to be treated within 20weeks91% within 48 hours90% of GP referrals booked by March 200779 MRSA casesTwo month wait from GP referralto treatment 95%One month wait from diagnosisto treatment 98%Our actual performance2,10294%82%33%9397.8%99.8%---✗✗✓✓- Underachieved ✗Not met ✓Met the targetFor more information about the performance of the Primary Care Trusts in Leicester, visit the HealthcareCommission website at www.healthcarecommission.org.ukwww.leicestercitypct.nhs.uk 9

1Deliveringquality throughfeedbackInformation about the quality of ourservices is key to improving them. Wewant our patients to be informed abouttheir health services so that they canmake choices about their own healthand their care. For this reason, we willbe publishing much more of theinformation that we collect.This year >We will onlydeliver clearimprovementsto our serviceif we respondto what ourpatients tell usStandards for better healthThis year, in addition to our own review of our performance againstour objectives we also assessed our compliance with the Departmentof Health’s national set of standards – these are called Standards forBetter Health and they set out core standards for NHS healthcare.In May 2007, we submitted a declaration to the Department ofHealth which reflected the combined positions of all three PrimaryCare Trusts operating within the financial year.We declared that we complied with 32 of the 44 standards; hadinsufficient assurance that we complied with 11 and did not meet 1of the core standards. This is a fair representation of a very difficultand challenging year.Patient feedbackWe are currently developing a process for capturing our patients’experience of our services and we should be able to report this inmore detail next year. In the meantime, our most valuable sourceof patient feedback is the complaints that we receive.10 Leicester City PCT Annual Report 2006 - 07

ComplaintsBetween October 2006 and March 2007, we received 142complaints. Of these 55 were about PCT services and 87 wereabout doctors, dentists, optometrists and pharmacists.Of the complaints about PCT services, 12 were about the serviceprovided when doctors’ surgeries are closed. Eight complaintswere received about access to speech and language therapy.Of the complaints about doctors, over a quarter were about theunhelpful attitude of staff. Other main areas of complaint wereabout diagnosis & treatment and appointment systems (13complaints).Of the 11 complaints made about dentists, 4 were about thequality of dental healthcare. In response to these complaints, wehave introduced a process whereby a patient can be examined bya dental referral officer who reports their findings to the PCT.Patient Advice and Liaison ServiceOur Patient Advice and Liaison Service (PALS) has continuedto support our patients and our public with issues relatingto the health service. Throughout the last year they dealtwith 1,853 enquiries.The team will be working throughout 2007-2008 on developingour patient and public involvement strategy to ensure that welisten to, and act on, what patients tell us about our service.PCTGPLeicester West PCT1 April - 30 Sept 2006Eastern Leicester PCT1 April - 30 Sept 2006OptometristsDentistsPALS are based at St Peters HealthCentre and can be contacted on0116 295 7011 or by email,PALS@leicestercitypct.nhs.uk.All enquiries are confidential.District nurses delivering qualityAn investment of nearly £300,000 has meant that district nursingteams can now work with GPs to identify people with chronicillnesses who would benefit from home visits to help themmanage their condition.Supporting people in their own homes means that they are lesslikely to be admitted unnecessarily to hospital. This is transformingthe care of housebound people with chronic illnesses.Teresa Smith, Head of Adult Services, explains "Our aim is to manageour patients who have chronic illnesses using the skills and experienceof our district nursing teams."Historically, many district nurses have looked after patients withleg ulcers or a skin tear, for example. The focus of care has beento heal the wound, and once healed, the patient would be discharged."This is now changed. We are looking after people for longer,helping them to manage their chronic illness."This is just one example of how quality healthcare services arebeing developed in the community so that people don’t have togo to hospital unnecessarily.Additionalinvestment plannedfor the financial year2007-2008Doctors, pharmacists,optometrists and dentists£4.8mMental health andlearning disabilities£7mAmbulance services£1mHospital services£6.3mCommunity-based services£2.8mwww.leicestercitypct.nhs.uk 11

1DeliveringimprovementstogetherThe challenges facing the NHS inLeicester are significant and we willnot be able to deliver better care forour patients and better value for thepeople of Leicester without the helpof others.This year >We will continueto work with otherorganisations todeliver our ambitionof providing thepeople of Leicesterwith the highestquality healthservicesWe have been working closely with Leicester City Council tohelp ensure that our patients benefit from health and socialcare services that are integrated and seamless.Voluntary organisations and the independent sector have becomeincreasingly important as we develop more services in responseto the needs of our patients and ensure that they have a choiceof the organisation, place and time of their appointmentand treatment.We will continue to work with other NHS organisations todeliver our ambition of providing the people of Leicester withthe highest quality health services. We are working together toplan our services better and to invest in ways which will deliverreal improvements to people’s health.We will only deliver the real transformations in healthcare if weuse the knowledge, experience and expertise of our workforceand our clinicians – our doctors, nurses, therapists.Throughout the first few months of our existence, we reallyfocused on engaging our clinicians.12 Leicester City PCT Annual Report 2006 - 07

Professional Executive CommitteeFrom 1 October 2006 to 30 May 2007 we operated withan interim Professional Executive Committee. In June 2007, weappointed a new Professional Executive Committee. Thiscommittee plays an essential role in clinical leadership. Itsmembership is drawn from the professions that are deliveringhealthcare services in the community.The members of the Professional Executive Committee provide aprofessional viewpoint on the strategy and operations of the PCT.Practice-based commissioningDoctors understand the needs of their patients and are beinggiven more influence over the services that are offered to theirpatients. This is called practice-based commissioning.Under practice-based commissioning, doctors will be able tosecure a wider range of services which are more responsive topatient needs and from which patients can choose.Much time has been spent, this year, getting the systems andprocesses right for this change in the way health services arecommissioned – or ‘bought’.Clinicians CouncilTo support the development of practice-based commissioning,nine doctors have been elected to sit on a Clinicians Council.The members of the newProfessional ExecutiveCommittee are:Dr Azhar Farooqi(Chair)Dr Liz SiddonsDr David SalkinDr Bhup ModiSatyan KotechaSerbjit KaurSharon MartMark PierceCo-opted members:GPGPGPGPPharmacistDentistAllied HealthProfessionalNurseDr Robin Graham-Brown,University Hospitals of LeicesterNHS TrustDr Jane Hoskyns, LeicestershirePartnership NHS TrustDr John Stevenson, East MidlandsAmbulance Service NHS TrustRuth Lake, Leicester City CouncilDr Adrian Brooke, Leicester CityPCT, Directorate of Operations.Discussions at the Clinicians Council will be taken into accountby the Professional Executive Committee when makingrecommendations and decisions.Working with employeesThe effects of a major re-organisation are profound, and goodcommunication is essential to ensuring staff are informed of,and involved in, the changes that are taking place. Throughoutthe year, staff have received regular newsletters and had theopportunity to attend a number of staff briefings held acrossthe city.The officer members ofthe new Professional ExecutiveCommittee are:Chief ExecutiveTim RideoutDirector of Finance & DeliverySue BishopActing Director of Public Health& Health ImprovementRod MooreIn addition to the Joint Staff Consultative Committee (JSCC)meeting, the Chief Executive meets the Chair of theStaff Side Committee regularly.This working partnership ensured a speedy re-structuring exercise,which reduced the amount of anxiety experienced by staff andenabled most staff placed ‘at risk’ to find suitable alternativeemployment.www.leicestercitypct.nhs.uk 13

1Deliveringimproved servicesin better facilitiesWe are transforming the healthcarelandscape of the city. Many of ourpremises are old, outdated and somewere never built to house healthservices. This is changing.This year >This year saw the opening of two new, purpose-built,state-of-the-art health centres – St Peters and Westcotes.These new facilities are fitted with the very latest technologyand allow room for the expansion of community-based services.An additional advantage of the new centres is that they bringtogether a range of services under one roof.Other developments took a leap forward during the year. Theconstruction contract was signed for the Charnwood Health andSocial Care Centre. This centre will bring together primary care,social care and community based services in a £13millionfit for purpose building. Construction on the new centre willcontinue during 2007-2008. The new centre will becomeoperational in spring 2009.14 Leicester City PCT Annual Report 2006 - 07

Construction work continued on the Humberstone Health Centre.This will become operational late in 2007 and provides space fordoctors’ surgeries.Plans for 2007-2008 include developing new health facilities atDe Montfort University and in the Belgrave area. Construction willstart in the early part of 2008.These new buildings, providing improved services are all fundedthrough the Local Improvement Finance Trust (LIFT). LIFT is managedby Leicester LIFTCo, a partnership between three majorshareholders, both public and private. Leicester City PCT is one ofthe major shareholders.In addition to LIFT, the PCT also invested £600,000 in improvingits health centres.EnvironmentalissuesThe PCT monitorsits impact on theenvironment andsubmits an annualEstates ReturnInformation Collection(ERIC) to theDepartment of HealthEmergencyPreparednessWe have in place aMajor Incident Planthat is fully compliantwith the requirementsof the NHS EmergencyPlanning Guidance2005 and all associatedguidancewww.leicestercitypct.nhs.uk 15

2Lookingforward tonext yearOur local delivery plan sets out whatwe are going to deliver during thefinancial year 2007-2008. It is anambitious plan with a demanding setof targets. This is because we havehigh expectations of ourselves and aredriven to ensure that the health servicein Leicester is of the highest quality.Next year >16 Leicester City PCT Annual Report 2006 - 07

What we are going to achieveWe will continue to work to improve the health of our populationand to prevent ill-health. We have identified a number of prioritiesfor next year:• Reduce waiting times for your treatment to 18 weeks, froma doctor’s referral to being seen by a specialist• Reduce the number of MRSA cases and other healthcareassociated infections• Invest in services that will look after our patients better at homeand in the community to reduce the need to go to hospital• Make sure that all our services are available to everyone whocould benefit from them, and ensuring that no matter wherepeople live in the city they will have the same chance of goodhealth• Improve the quality of local NHS services by involving NHS staffand the people who use our services.Key challengeWe are facing another challenging financial year in 2007-2008,but we are confident that the momentum developed during2006-2007 will be maintained and we will be able to investfurther surpluses in health services that really meet the healthneeds of our population.www.leicestercitypct.nhs.uk 17

3Declarationof interestsThe following declaration of interestshave been made by senior managers,Board and Professional ExecutiveCommittee members of Leicester CityPCT, Leicester City West PCT and EasternLeicester PCT.Declaration of Interests >Leicester City PCTThe following senior managers had no interests to declare:Philip Parkinson*Gill BrigdenSue Bishop*Dr Stephen Whitehead***Dr Charlie McGarrity*ChairNon-Executive DirectorDirector of Finance and DeliveryInterim Director of Public Health& Health ImprovementMedical DirectorGinder Narle* PEC member until 30 May 2007Mark Wheatley* PEC member until 30 May 2007Paul MillerMartin Hughes*Chief Operating OfficerAssistant Chief Executive/Trust Secretary18 Leicester City PCT Annual Report 2006 - 07

Name and PositionCouncillor Ross WillmottNon-Executive DirectorBrian WilsonNon-Executive DirectorPatricia Mansfield MBENon-Executive DirectorDaxa Patel *Non-Executive DirectorTim RideoutChief ExecutiveDr Bhupendra Modi **GP (Board/PEC Member)Rajni Hindocha*Independent Contractor – Pharmacist(PEC Member until 30 May 2007)Sharon Mart *Allied Health Professional(PEC Member)Interest(s) DeclaredLeicester City Councillor • Board member of East MidlandsDevelopment AgencyLeicestershire Employment for Autism Today (Charity) - Chair• English Churches Housing Association - Non-Executive DirectorCLASP The Carers Centre – Trustee • Sutton Trust – Trustee• Soroptimist Housing (Leicester) Ltd – Trustee • LeicestershireCounty Council, Secure Accommodation Review Panel– Lay memberTrustee and Board Director of the Belgrave Boheno PeepulCentre plc • Member of the Belgrave Baheno WomensOrganisation KanjakertaCommunity Governor Reepham CoE School, LincolnshireSingle-handed General Practitioner, Canon StreetDirector – Campdale Pharmaceuticals Ltd • Director – Camrx Ltd• Unipharm ChemistManagement interest in Primary Care Physiotherapy,Primary Care OT, Physiotherapy Direct Access Service,Podiatry, Speech and Language TherapyDr Prakash Pancholi*GP (PEC member until 30 May 2007)Prof Mandy Ashton **Director of Quality AssuranceDr John Wood *GP PEC Chairman(Board/PEC Member until 30 May 2007)Serbjit Kaur*(PEC member)Dr Simon FreemanDirector of Information & Corporate PerformanceGP Partner at Spinney Hill Medical Centre • Committee memberof “Pancholi Samaj”, a community voluntary organisationVisiting Professor De Montfort UniversityGP at St. Elizabeth’s Medical Centre• Volunteer, British Red Cross SocietyPrincipal of Parkview Dental PracticeOccasional consulting assignments. In the last 6 months:Nexus Consulting Group PLC and PRG Shultz UK LtdOliver NewbouldDirector of Strategy & Market Management* Also Eastern Leicester PCT and the same declarations apply** Also Leicester City West PCT and the same declarations applyPublic Sector Director on the Leicester LIFTCo Boardwww.leicestercitypct.nhs.uk 19

3Declarationof interestsEastern Leicester PCTThe following senior managers, Board and Professional ExecutiveCommittee members had no interest to declare:Carolyn CliftonParesh PatelLinda ShawDr Robert ThurstansShellina ViraniDavid BellAnnette HogarthChief ExecutiveNon-Executive DirectorNon-Executive DirectorNon-Executive DirectorNon-Executive DirectorDirector of Strategy and CommissioningDirector of Patient ServicesDeclaration of Interests >20 Leicester City PCT Annual Report 2006 - 07

Eastern Leicester PCTName and positionDavid GorrodNon-Executive Director (Board)Dr Vijoy SinghGP (PEC Member until 30 May 2006)Interest(s) declaredJoint Vice-Chair of Patient and Public Involvement Forumfor the University Hospitals of Leicester NHS Trust (UHL)• Patient Advisor UHL NHS TrustGeneral Practitioner • Chair of Leicestershire and Rutland LMCClinical lead of Leicester City Central PBC GroupRuth Lake(Co-opted PEC member)Employee of Leicester City Councilwww.leicestercitypct.nhs.uk 21

3Declarationof interestsLeicester City West PCTThe following senior managers, Board and Professional ExecutiveCommittee Members had no interest to declare:Rob McMahonSangita JobanputraGill PhillimoreManjit DarbySarah PremaRachel HolynskaDr Adrian BrookeChief ExecutiveNon-Executive DirectorPEC memberDirector of Clinical ServicesActing Director of StrategicCapital DevelopmentDirector of Strategic DevelopmentConsultant PaediatricianDeclaration of Interests >Leicester City West PCTName and PositionBernard GreavesChairDavid BaconDirector of FinanceJohn BlackmoreNon-Executive DirectorInterest(s) DeclaredChair of Leicester Local Strategic Partnership • Member of the Board of DirectorsLeicester Shire Economic Partnership • Trustee and Treasurer, Voluntary ActionLeicester • Trustee, Age Concern • Member of the Advisory Panel of the Instituteof Energy and Sustainable Development, DeMontfort UniversityPublic Sector Director on the Leicester LIFTCo BoardLabour Councillor for New Parks ward of Leicester City Council • Member of NewParks Sure Start Partnership Board • Member of New Parks CommunityPartnershipRekha ChudasannaNon-Executive Director(until 30 April 2006)Project Co-ordinator, Leicester Racial Equality Council promoting physical activityand sports projects. Officers working for some of the partners on the project wereemployed directly by Leicester City West PCT • Links with voluntary projects inBelgrave/Rushey Mead, Highfields and St Matthews, which will be working withthe community cohesion agenda and linking into the Sport Action Zonein Braunstone22 Leicester City PCT Annual Report 2006 - 07

Name and PositionMichael CookeNon-Executive DirectorMichael Brian PageNon-Executive DirectorAnnie PeelNon-Executive DirectorDr Basil HainsworthPEC ChairRobert BingConsultant PhysicianDeb Perry(PEC member)Interest(s) DeclaredManaging Director, Michael Cooke Associates Limited, a consultancyassociated with environmental health, public health, performancemanagement, strategic management and local government modernisation •Chair Leicester LIFT Strategic Partnering Board • Statutory DirectorBraunstone Community Association • Chair of Environ • Non-ExecutiveDirector, Braunstone Motor Project • Chair of Institute of Energy andSustainable Development, De Montfort University • Chair of Green AppleAwards • Executive Member, Spon Publications Editorial Board •Chair Braunstone Park and Rowley Fields Labour Party • Chair of Saferand Stronger Communities Partnership, Leicestershire PartnershipCharnwood Borough Councillor • Leicestershire County Councillor •Trustee of Wyggeston’s Hospital • Director of Acorn Development (UK) LimitedEmployed as a part-time senior lecturer in health studies at De MontfortUniversity • Engaged in research with the Department of Primary Careat Aberdeen UniversityGP at the Parks Primary Care Centre • Honorary Clinical Senior Lecturerat De Montfort University • Medical Adviser for TransmediConsultant for University Hospitals of Leicester NHS TrustEmployee of Leicester City CouncilSatyan KotechaPharmacist (PEC member)Steve Gulati*Director of Human Resourcesand Organisational DevelopmentLocal Pharmaceutical Committee Member for Leicestershire andWarwickshire • Director of K&K Pharmacy Ltd in Leicester• Area Manager of Thurnby Rose Ltd, Glen ParvaCommercial interests in residential lettings in the city of Leicester• Member of the Education Appeals Panel for Solihull Local EducationalAuthority • Fee-paying private Human Resources consultancy work* Also Eastern Leicester PCT and the same declarations applyDisclosure of charitable donationsThe Companies Act requires disclosure of political and charitable donations. However, the Departmentof Health has received legal advice which states that NHS bodies do not have the power to make suchdonations. Leicester City PCT has made no political or charitable donations during the year.www.leicestercitypct.nhs.uk 23

4Summary Financial StatementsStatement on Internal ControlThe Board is accountable for internal control.As Accountable Officer, and Chief Executiveof this Board, I have responsibility formaintaining a sound system of internalcontrol that supports the achievement of theorganisation’s policies, aims and objectives. Ialso have responsibility for safeguarding thepublic funds and the organisation’s assets forwhich I am personally responsible as set outin the Accountable Officer Memorandum.The system of internal control is designed tomanage risk to a reasonable level rather thanto eliminate all risk of failure to achievepolicies, aims and objectives; it can thereforeonly provide reasonable and not absoluteassurance of effectiveness. The system ofinternal control is based on an ongoingprocess designed to:• identify and prioritise the risks to theachievement of the organisation’s policies,aims and objectives and• evaluate the likelihood of those risks beingrealised and the impact should they berealised, and to manage them efficiently,effectively and economically.Due to NHS reconfiguration, the system ofinternal control has been in developmentduring the year ended 31 March 2006-2007.This is outlined in our statement on InternalControl, which appears in the full set ofaccounts.During 2006-2007 the Primary CareTrusts in the city of Leicesterreceived from the Department ofHealth just under £404 million tospend on the provision of healthcarefor their population. Of this amount£111 million was spent on thedelivery of primary care services and£293 million on secondaryor hospital delivered care.Total received from theDepartment of Health (£404m)Tim RideoutChief ExecutiveThe following pages contain the summaryfinancial statements for the full year forLeicester City PCT and for Eastern LeicesterPCT & Leicester City West PCT (1 April 2006– 30 September 2006). Copies of the full setof accounts are available on request. Contactdetails appear on the back page.24 Leicester City PCT Annual Report 2006 - 07

Leicester City PCTOperating cost statement for the year ended 31 March 2007Leicester City PCTBalance sheet as at 31 March 20072006/07 2005/06£000 £000CommissioningGross Operating Costs 519,042 477,697Less: Miscellaneous Income (133,975) (123,810)Commissioning NetOperating Costs 385,067 353,887ProviderGross Operating Costs 38,972 33,415Less: Miscellaneous income (13,609) (12,373)Provider Net Operating Costs 25,363 21,042Net Operating Costsbefore interest 410,430 374,929Interest Receivable 0 0Interest Payable 37 37Net Operating cost forthe Financial Year 410,467 374,96631 March 31 March2007 2006£000 £000Fixed assets 18,073 18,712Current assets 19,070 18,380Creditors: Amounts fallingdue within one year (36,305) (32,076)Net current liabilities (17,235) (13,696)Total assets less current liabilities 838 5,016Creditors: Amounts falling dueaftermore than one year (263) (263)Provisions for liabilities and charges (4,250) (3,437)Total assets employed (3,675) 1,316Financed by:Taxpayers equityGeneral Fund (9,558) (4,124)Revaluation reserve 5,877 5,433Donated asset reserve 6 7Government grant reserve 0 0Other reserves 0 0Leicester City PCTCash flow statement for the year ended 31 March 20072006/07 2005/06£000 £000Operating activities (403,916) (373,230)Servicing of finance andreturns on investment: (37) (37)Capital expenditure (397) 1,652Net cash inflow/(outflow)before financing (404,350) (371,615)Financing 404,353 371,611Increase/(decrease) in cash 3 (4)Leicester City PCTStatement of recognised gains and losses for the yearended 31 March 20072006/07 2005/06£000 £000Fixed asset impairment losses 0 0Unrealised surplus/(deficit) onfixed asset revaluations/indexation 1,166 656Increase in the donated assetreserve and government grantreserve due to receipt of donatedand government granted assets 0 7Additions/(Reductions) in theGeneral Fund due to the transferof assets from/(to) NHS bodiesand the Department of Health 0 0Additions/(Reductions) in"other reserves" 0 0Recognised gains and (losses)for the financial year 1,166 663Prior period adjustment - other 0 0Gains and (losses) recognisedin the financial year 1,166 663Total taxpayers equity (3,675) 1,316www.leicestercitypct.nhs.uk 25

4Summary Financial StatementsLeicester City PCTManagement costsLeicester City PCTBetter Payment Practice Code - measure of compliance2006/07 2005/06Management costs (£000s) 8,701 8,264Weighted population(Number) 317,142 317,142Management cost per headof weighted population (£) 27.44 26.06The PCT measures its management costs according tothe definitions provided by the Department of Health.2006/07 2005/06Number £000 Number £000Non-NHS CreditorsTotal bills paid in the year 11,515 52,212 9,807 29,110Total bills paid within target 9,421 45,151 9,585 28,601Percentage of billspaid within target 81.82% 86.48% 97.74% 98.25%NHS CreditorsTotal bills paid in the year 3,569 447,311 3,217 441,688Total bills paid within target 2,251 412,702 3,075 431,922Percentage of billspaid within target 63.07% 92.26% 95.59% 97.79%The PCT’s target is to pay 95% of valid invoices by the due date or within 30days of receipt of a valid invoice, whichever is later.Leicester City PCTRelated Party TransactionsLeicester City Primary Care Trust is a body corporateestablished by order of the Secretary of State forHealth. During the year none of the Board Members ormembers of the key management staff or parties relatedto them has undertaken any material transactions withLeicester City Primary Care Trust (2005/06 none).The Department of Health is regarded as a related party.During the year, Leicester City Primary Care Trust hashad a significant number of material transactions withthe Department, and with other entities for which theDepartment is regarded as the parent Department.These entities are listed below;East Midlands Strategic Health AuthorityUniversity Hospitals of Leicester NHS TrustLeicestershire Partnership NHS TrustLeicestershire County & Rutland Primary Care TrustNorthamptonshire Primary Care TrustNHS Logistics Authorityand a wide range of NHS Specialised Service Providers on behalf of theLeicestershire NHS and Northamptonshire NHS Communities.In addition, the Primary Care Trust has had a significant number ofmaterial transactions and partnership agreements with otherGovernment Departments and other central and local Governmentbodies. Most of these transactions have been with Leicester CityCouncil and Leicestershire and Rutland County Councils in respect offunded nursing care provision and the intermediate care strategy.Local GPs sit on the Board and Professional Executive Committee of the Primary Care Trust. For the 6 months to 31 March 2007,the PCT made payments of £23m to all GP Partnerships within which GPs operate as independent contractors.Below is a table that details transactions with those GP Partnerships within which PCT Board and PEC members operate.GP Practice Payments to Receipts from Amounts owed Amounts dueRelated Party Related Party to Related Party from Related Party£ £ £ £Dr Singh & Partner 404,571 0 20,384 0Dr Wood 404,396 0 19,279 0Dr Modi 293,956 0 15,600 0Dr Amin & Partners 2,008,895 0 80,120 0Dr Longworth & Partners 1,548,017 0 108,258 026 Leicester City PCT Annual Report 2006 - 07

Independent auditor’s statementto the Directors of the Board ofLeicester City PCTI have examined the summary financial statements set out on pages 25 to 26.This report is made solely to the Board of Leicester City PCT in accordance withPart II of the Audit Commission Act 1998 and for no other purpose, as set outin paragraph 36 of the Statement of Responsibilities of Auditors and ofAudited Bodies prepared by the Audit Commission.Respective responsibilities of Directors and AuditorsThe Directors are responsible for preparing the Annual Report.My responsibility is to report to you my opinion on the consistency of thesummary financial statements within the Annual Report with the statutoryfinancial statements.I also read the other information contained in the Annual Report and considerthe implications for my report if I become aware of any misstatements ormaterial inconsistencies with the summary financial statements.Basis of opinionI conducted my work in accordance with Bulletin 1999/6 ‘The auditors’statement on the summary financial statement’ issued by the AuditingPractices Board.OpinionIn my opinion the summary financial statements are consistent with thestatutory financial statements of the PCT for the year ended 31 March 2007.Chris WilsonDistrict AuditorAudit CommissionLittlemoor HouseLittlemoorEckingtonSheffieldS21 4EFAugust 2007During the full year 2006-2007 the total remunerationpayable to the Audit Commission by all three PCTswas as follows:Fees in relation to statutory auditand services carried out £- Financial Statements £84,200- Use of resources(Value for money conclusion and theAuditor’s Local Evaluation) £79,500- Planning and reporting £20,800Total £184,500www.leicestercitypct.nhs.uk 27

Eastern Leicester PCTOperating cost statement for the 6 months ended30 September 2006Summary Financial StatementsEastern Leicester PCTCash flow statement for the 6 months ended 30 September20061/04/06 - 12 months30/09/06 2005/06£000 £000CommissioningGross Operating Costs 180,878 338,746Less: Miscellaneous Income (76,980) (147,070)Commissioning Net Operating Costs 103,898 191,676ProviderGross Operating Costs 6,854 10,450Less: Miscellaneous income (786) (796)Provider Net Operating Costs 6,068 9,654Net Operating Costsbefore interest 109,966 201,330Interest Receivable 0 0Interest Payable 19 37Net Operating cost for theFinancial Year 109,985 201,367Eastern Leicester PCTBalance sheet as at 30 September 200630 September 31 March2006 2006£000 £000Fixed assets 12,796 13,025Current assets 15,117 12,321Creditors: Amounts fallingdue within one year (27,923) (20,168)Net current liabilities (12,806) (7,847)Total assets lesscurrent liabilities (10) 5,178Creditors: Amounts fallingdue after more than one year (263) (263)Provisions for liabilitiesand charges (3,234) (3,351)Total assets employed (3,507) 1,564Financed by:Taxpayers equityGeneral Fund (8,062) (2,540)Revaluation reserve 4,555 4,104Donated asset reserve 0 0Government grant reserve 0 0Other reserves 0 06 monthsto 30/09/06 2005/06£000 £000Operating activities (104,063) (199,416)Servicing of financeand returns on investment: (19) (37)Capital expenditure (1) (878)Net cash inflow/(outflow)before financing (104,083) (200,331)Financing 104,086 200,328Increase/(decrease) in cash 3 (3)Eastern Leicester PCTStatement of recognised gains and losses for the 6 monthsended 30 September 20061/04/06 - 12 months30/09/06 2005/06£000 £000Fixed asset impairment losses 0 0Unrealised surplus/(deficit) onfixed asset revaluations/indexation 862 398Increase in the donated assetreserve and government grantreserve due to receipt of donatedand government granted assets 0 0Additions/(Reductions) in theGeneral Fund due to the transferof assets from/(to) NHS bodiesand the Department of Health 0 0Additions/(Reductions) in"other reserves" 0 0Recognised gains and (losses)for the financial year 862 398Prior period adjustment - other 0 0Gains and (losses) recognisedin the financial year 862 398Total taxpayers equity (3,507) 1,56428 Leicester City PCT Annual Report 2006 - 07

Eastern Leicester PCTManagement costsEastern Leicester PCTBetter Payment Practice Code - measure of compliance1/04/06 - 12 month30/09/06 2005/06Management costs (£000s) 2,420 4,481Weighted population(Number) 172,380 172,380Management cost per headof weighted population (£) 14.04 25.99The PCT measures its management costs according tothe definitions provided by the Department of Health.1/04/06 - 30/09/06 12 months 2005/06Number £000 Number £000Non-NHS CreditorsTotal bills paid in the year 3,111 15,380 6,881 24,759Total bills paid within target 2,500 13,751 6,706 24,325Percentage of bills paidwithin target 80.36% 89.41% 97.46% 98.25%NHS CreditorsTotal bills paid in the year 1,286 157,925 2,167 298,631Total bills paid within target 764 139,436 2,049 290,365Percentage of bills paidwithin target 59.41% 88.29% 94.55% 97.23%The PCT’s target is to pay 95% of valid invoices by the due date or within 30days of receipt of a valid invoice, whichever is later.Eastern Leicester PCTRelated Party TransactionsEastern Leicester Primary Care Trust is a body corporateestablished by order of the Secretary of State for Health.During the year none of the Board Members ormembers of the key management staff or parties relatedto them has undertaken any material transactions withEastern Leicester Primary Care Trust (2005/06 none).The Department of Health is regarded as a related party.During the year, as per last year, Eastern LeicesterPrimary Care Trust has had a significant number ofmaterial transactions with the Department, and withother entities for which the Department is regarded asthe parent Department. These entities are listed below;Leicestershire, Northamptonshire & Rutland StrategicHealth AuthorityUniversity Hospitals of Leicester NHS TrustLeicestershire Partnership NHS TrustLeicester City West Primary Care TrustMelton, Rutland & Harborough Primary Care TrustSouth Leicestershire Primary Care TrustHinckley & Bosworth Primary Care TrustCharnwood & North West Leicestershire Primary Care TrustNorthampton Primary Care TrustNorthamptonshire Heartlands Primary Care TrustDaventry & South Northamptonshire Primary Care TrustNHS Logistics Authorityand a wide range of NHS Specialised Service Providers on behalf of theLeicestershire NHS and Northamptonshire NHS Communities.In addition, the Primary Care Trust has had a significant number ofmaterial transactions and partnership agreements with otherGovernment Departments and other central and local Governmentbodies. Most of these transactions have been with Leicester CityCouncil and Leicestershire and Rutland County Councils in respect offunded nursing care provision and the intermediate care strategy.Local GPs sit on the Board and Professional Executive Committee of the Primary Care Trust. For the 6 months to 30 September2006, the PCT made payments of £13m (2005/06 £24.9m Full year) to all GP Partnerships within which GPs operate asindependent contractors.Below is a table that details transactions with those GP Partnerships within which PCT Board and PEC members operate.GP Practice Payments to Receipts from Amounts owed Amounts dueRelated Party Related Party to Related Party from Related Party£ £ £ £Dr Lennox & Partners 258,794 24,977 14,205 29,722Dr Singh & Partner 202,176 0 15,902 0Dr Wood 191,498 0 15,025 0Dr Amin & Partners 1,077,733 0 119,309 0Dr Longworth & Partners 829,922 0 92,277 150,493www.leicestercitypct.nhs.uk 29

4Summary Financial StatementsIndependent auditor’s statement tothe Directors of the Board of LeicesterCity PCT in respect of EasternLeicester PCTI have examined the summary financial statements set out onpages 28 to 29.This report is made solely to the Board of Leicester City PCT inaccordance with Part II of the Audit Commission Act 1998 and forno other purpose, as set out in paragraph 36 of the Statement ofResponsibilities of Auditors and of Audited Bodies prepared by theAudit Commission.Respective responsibilities of Directors and AuditorsThe Directors are responsible for preparing the Annual Report.My responsibility is to report to you my opinion on theconsistency of the summary financial statements within theAnnual Report with the statutory financial statements.I also read the other information contained in the Annual Reportand consider the implications for my report if I become aware ofany misstatements or material inconsistencies with the summaryfinancial statements.Basis of opinionI conducted my work in accordance with Bulletin 1999/6 ‘Theauditors’ statement on the summary financial statement’ issuedby the Auditing Practices Board.OpinionIn my opinion the summary financial statements are consistentwith the statutory financial statements of the PCT for the sixmonths ended 30 September 2006.Chris WilsonDistrict AuditorAudit CommissionLittlemoor HouseLittlemoorEckingtonSheffieldS21 4EFAugust 200730 Leicester City PCT Annual Report 2006 - 07

Leicester City West PCTOperating cost statement for the 6 months ended 30September 20061/04/06 - 12 months30/09/06 2005/06£000 £000CommissioningGross Operating Costs 90,468 165,434Less: Miscellaneous Income (2,038) (3,067)Commissioning NetOperating Costs 88,430 162,367ProviderGross Operating Costs 12,442 23,925Less: Miscellaneous income (6,857) (12,693)Provider Net Operating Costs 5,585 11,232Net Operating Costsbefore interest 94,015 173,599Leicester City West PCTCash flow statement for the 6 months ended 30 September20066 monthsto 30/09/06 2005/06£000 £000Operating activities (90,766) (173,814)Servicing of finance and returnson investment: (0) (0)Capital expenditure 512 2,530Net cash inflow/(outflow)before financing (90,254) (171,284)Financing 90,254 171,283Increase/(decrease) in cash 0 (1)Interest Receivable 0 0Interest Payable 0 0Net Operating cost for theFinancial Year 94,015 173,599Leicester City West PCTBalance sheet as at 30 September 200630 September 31 March2006 2006£000 £000Fixed assets 5,225 5,687Current assets 9,133 10,159Creditors: Amounts falling duewithin one year (18,029) (16,008)Net current assets liabilities (8,896) (5,849)Total assets less current liabilities (3,671) (162)Creditors: Amounts fallingdue after more than one year 0 0Provisions for liabilities and charges (106) (86)Total assets employed (3,777) (248)Financed by:Taxpayers equityGeneral Fund (5,105) (1,584)Revaluation reserve 1,322 1,329Donated asset reserve 6 7Government grant reserve 0 0Other reserves 0 0Leicester City West PCTStatement of recognised gains and losses for the 6 monthsended 30 September 20061/04/06 - 12 months30/09/06 2005/06£000 £000Fixed asset impairment losses 0 0Unrealised surplus/(deficit) onfixed asset revaluations/indexation 304 258Increase in the donated assetreserve and government grantreserve due to receipt of donatedand government granted assets 0 7Additions/(Reductions) in theGeneral Fund due to the transferof assets from/(to) NHS bodiesand the Department of Health 0 0Additions/(Reductions) in"other reserves" 0 0Recognised gains and (losses)for the financial year 304 265Prior period adjustment - other 0 0Gains and (losses) recognisedin the financial year 304 265Total taxpayers equity (3,777) (248)www.leicestercitypct.nhs.uk 31

4Summary Financial StatementsLeicester City West PCTManagement costsLeicester City West PCTBetter Payment Practice Code - measure of compliance1/04/06 - 12 month30/09/06 2005/06Management costs (£000s) 2,018 3,783Weighted population(Number) 144,762 144,762Management cost per headof weighted population (£) 13.94 26.13The PCT measures its management costs according tothe definitions provided by the Department of Health.1/04/06 - 30/09/06 12 months 2005/06Number £000 Number £000Non-NHS CreditorsTotal bills paid in the year 2,476 9,037 2,926 4,351Total bills paid within target 2,076 7,702 2,879 4,276Percentage of bills paidwithin target 83.84% 85.23% 98.39% 98.28%NHS CreditorsTotal bills paid in the year 557 75,745 1,050 143,057Total bills paid within target 378 71,071 1,026 141,557Percentage of bills paidwithin target 67.86% 93.83% 97.71% 98.95%The PCT’s target is to pay 95% of valid invoices by the due date or within 30days of receipt of a valid invoice, whichever is later.Leicester City West PCTRelated Party TransactionsLeicester City West Primary Care Trust is a bodycorporate established by order of the Secretary of Statefor Health. During the year none of the Board Membersor members of the key management staff or partiesrelated to them has undertaken any materialtransactions with Leicester City West Primary Care Trust(2005/06 none).The Department of Health is regarded as a related party.During the year, as per last year, Leicester City WestPrimary Care Trust has had a significant number ofmaterial transactions with the Department, and withother entities for which the Department is regarded asthe parent Department.These entities are listed below;Leicestershire, Northamptonshire & Rutland Strategic Health AuthorityUniversity Hospitals of Leicester NHS TrustLeicestershire Partnership NHS TrustEastern Leicester Primary Care TrustMelton, Rutland & Harborough Primary Care TrustSouth Leicestershire Primary Care TrustHinckley & Bosworth Primary Care TrustCharnwood & North West Leicestershire Primary Care TrustNorthampton Primary Care TrustNorthamptonshire Heartlands Primary Care TrustDaventry & South Northamptonshire Primary Care TrustNHS Logistics AuthorityNHS Pensions AgencyIn addition, the Primary Care Trust has had a significant number ofmaterial transactions and partnership agreements with otherGovernment Departments and other central and local Governmentbodies. Most of these transactions have been with Leicester CityCouncil and Leicestershire and Rutland County Councils in respect offunded nursing care provision and the intermediate care strategy.Local GPs sit on the Board and Professional Executive Committee of the Primary Care Trust. For the 6 months to 30 September2006, the PCT made payments of £9.1m (2005/06 £15.2m Full year) to all GP Partnerships within which GPs operate asindependent contractors.Below is a table that details transactions with those GP Partnerships within which PCT Board and PEC members operate.GP Practice Payments to Receipts from Amounts owed Amounts dueRelated Party Related Party to Related Party from Related Party£ £ £ £Dr Hainsworth 279,887 3,247 33,545 3,247Dr Modi 159,246 0 21,890 032 Leicester City PCT Annual Report 2006 - 07

Independent auditor’s statement tothe Directors of the Board of LeicesterCity PCT in respect of Leicester CityWest PCTI have examined the summary financial statements set out on pages 31 to 32.This report is made solely to the Board of Leicester City PCT in accordance withPart II of the Audit Commission Act 1998 and for no other purpose, as set outin paragraph 36 of the Statement of Responsibilities of Auditors and of AuditedBodies prepared by the Audit Commission.Respective responsibilities of Directors and AuditorsThe Directors are responsible for preparing the Annual Report.My responsibility is to report to you my opinion on the consistency of thesummary financial statements within the Annual Report with the statutoryfinancial statements.I also read the other information contained in the Annual Report and considerthe implications for my report if I become aware of any misstatements ormaterial inconsistencies with the summary financial statements.Basis of opinionI conducted my work in accordance with Bulletin 1999/6 ‘The auditors’statement on the summary financial statement’ issued by the Auditing PracticesBoard.OpinionIn my opinion the summary financial statements are consistent with thestatutory financial statements of the PCT for the six months ended 30September 2006.Chris WilsonDistrict AuditorAudit CommissionLittlemoor HouseLittlemoorEckingtonSheffieldS21 4EFAugust 2007www.leicestercitypct.nhs.uk 33

Remuneration Report – Salary Entitlements of Senior ManagersThe following details are provided for all staff who held senior management roles for the year ending 31 March 2007.It includes all senior managers for the two dissolved PCTs, Leicester City West PCT and Eastern Leicester PCT. The salaries of thoseindividuals listed under Leicester City PCT who have a named PCT in brackets following are full year salaries. Those salaries ofindividuals listed under Leicester City PCT with no reference to another PCT are salaries for the 6 months ended 31 March 2007.The remuneration and terms of service committee for Leicester City PCT is made up of all the Non-Executive Directors,including the Chair. A more detailed remuneration report is available on request, contact details appear on the back page.2006/2007 2005/2006OtherOtherName Title Salary Remuneration Benefits Salary Remuneration Benefits(in bands of £5,000) (in bands of £5,000) in Kind (in bands of £5,000) (in bands of £5,000) in Kind£000 £000 £ £000 £000 £Leicester City PCTBoardTim Rideout Chief Executive 70-75Dr Stephen Whitehead Interim Director of Public Healthand Health Improvement(previously Eastern LeicesterPCT & Leicester City West PCT) 110-115 110-115Sue Bishop Director of Finance and Delivery(previously Eastern Leicester PCT) 75-80 65-70Philip Parkinson Chair (previously Eastern Leicester PCT) 25-30 15-20Gill Brigden Non-Executive Director 0-5Ross Willmott Non-Executive Director 0-5Brian Wilson Non-Executive Director 5-10Patricia Mansfield Non-Executive Director 0-5Daxa Patel Non-Executive Director(previously Eastern Leicester PCT) 5-10 5-10Dr John Wood PEC Chair (previously Eastern Leicester PCT) 30-35 30-35Ginder Narle Nurse Member & EmployeeProfessional Executive Committee Nursemember (previously Eastern Leicester PCT) 10-15 35-40 1,523 10-15 30-35 1,300Dr Bhup Modi Professional Executive Committeemember (previously Leicester City West PCT) 5-10 5-10Leicester City West PCT BoardRob McMahon Chief Executive 55-60 100-105David Bacon Director of Finance 35-40 75-80Dr Basil Hainsworth Chair of PEC & Clinical Governance Lead 10-15 30-35Bernard Greaves Chair 5-10 15-20Michael Cooke Non-Executive Director & LIFTStrategic Partnering Board Chairperson 0-5 0-5 5-10 5-10Sangita Jobanputra Non-Executive Director 0-5 5-10Brian Page Non-Executive Director 0-5 5-10Rekha Chudasama Non-Executive Director 0-5 5-10John Blackmore Non-Executive Director 0-5 5-10Annie Peel Non-Executive Director 0-5 5-10Eastern Leicester PCT BoardCarolyn Clifton Chief Executive 55-60 100-105Linda Shaw Non-Executive Director 0-5 5-10David Gorrod Non-Executive Director 0-5 5-10Shellina Virani Non-Executive Director 0-5 5-10Paresh Patel Non-Executive Director 0-5 5-10Dr Robert Thurstans Non-Executive Director 0-5 5-10Leicester City PCTPECSerbjit Kaur Dentist (previously Eastern Leicester PCT) 5-10 5-10Mark Wheatley Nurse Member & Employee(previously Eastern Leicester PCT) 5-10 35-40 1,208 5-10 30-35 1,100Sharon Mart Clinical Professional(previously Eastern Leicester PCT) 5-10 5-10Rajni Hindocha Pharmacist (previously Eastern Leicester PCT) 5-10 5-10Dr Prakash Pancholi GP Member (previously Eastern Leicester PCT) 5-10 5-1034 Leicester City PCT Annual Report 2006 - 07

Remuneration Report cont.2006/2007 2005/2006OtherOtherName Title Salary Remuneration Benefits Salary Remuneration Benefits(in bands of £5,000) (in bands of £5,000) in Kind (in bands of £5,000) (in bands of £5,000) in Kind£000 £000 £ £000 £000 £Eastern Leicester PCT PECDr Vijoy Singh Prescribing Lead 0-5 5-10Ruth Lake Social Services (not ELPCT Employee) 0 0-5Dr Azhar Farooqi GP Member 0-5 15-20 0-5 15-20Leicester City West PECGill Phillimore Nurse Rep(also Leicester City West PCT Board) 5-10 30-35 5-10 30-35Deborah Perry Social Services Representatives(not PCT Employee) 0 5-10Dr Adrian Brooke Associate Member 5-10Satyan Kotecha Associate Member 5-10 5-10Bob Bing Allied Healthcare Professional 0-5 5-10Senior Managers (Not Formal Board Members)Leicester City PCTOliver Newbould Director of Strategyand Market Management 30-35Paul Miller Chief Operating Officer 35-40Dr Simon Freeman Director of Information& Corporate Performance 15-20Prof Mandy Ashton Director of Quality Assurance(previously Leicester City West PCT) 65-70 50-55Dr Charlie McGarrity Medical Director(also Board representative & PEC MemberEastern Leicester PCT) 85-90 75-80Martin Hughes Assistant Chief Executive/Trust Secretary(previously Eastern Leicester PCT) 50-55 50-55Eastern Leicester PCTDavid Bell Interim Director of Strategyand Commissioning 35-40 45-50Annette Hogarth Director of Patient Services 30-35 65-70Leicester City West PCTManjit Darby Director of Clinical Services 35-40 70-75Rachel Holynska Director of Strategic Service Development 35-40 70-75Steve Gulati Director of HR & OrganisationalDevelopment (also Eastern Leicester PCT) 30-35 55-60Sarah Prema Acting Director of Strategic Capital(also Eastern Leicester PCT) 25-30 10-15Notes1 - All benefits in kind relate to leased cars.2 - Dr John Wood, Dr Basil Hainsworth and Ginder Narle's salaries include their PEC allowances for the year.3 - Carolyn Clifton and Rob McMahon received compensation for loss of office as Chief Executives of Eastern Leicester PCT and Leicester City West PCT respectively.4 - Figures stated are consistent with the financial statements. Where appropriate part year values are listed above.www.leicestercitypct.nhs.uk 35

Pension EntitlementThe Pension Scheme is an unfunded, defined benefits scheme that covers NHS employers, General Practices and other bodies,allowed under the direction of the Secretary of State in England and Wales.As a consequence it is not possible for the PCT to identify its share of the underlying scheme assets and liabilities. Therefore thescheme is accounted for as a defined contribution scheme and the cost of the scheme is equal to the contributions payable tothe scheme for the accounting period.The full accounting policy can be found on pages 10-11 of the full statement of accounts. The following tables give the details ofthe pension entitlements for the senior managers of Leicester City PCT, Eastern Leicester PCT and Leicester City West PCT.Real increase in Total Accrued Pension Cash Equivalent Cash Equivalent Real Increase inName Title Pension at Age 60 at Age 60 as at 31/03/07 Transfer Value at 31 Transfer Value at 31 Cash Equivalent(in bands of £2,500) (in bands of £2,500) March 2007 March 2006 Transfer Value(£000) (£000) £000 £000 £000Leicester City PCT BoardTim Rideout Chief Executive 7.5-10 102.5-105 302 233 22Sue Bishop Director of Finance 7.5-10 52.5-55 199 159 25Dr Stephen Whitehead Director of Public Health 2.5-5 120-122.5 484 483 (7)Ginder Narle Nurse Member 2.5-5 37.5-40 116 98 11Eastern Leicester PCT BoardCarolyn Clifton Chief Executive 2.5-5 140-142.5 501 469 15Leicester City West PCT BoardDavid Bacon Director of Finance 2.5-5 62.5-65 204 178 15Rob McMahon Chief Executive 47.5-50 127.5-130 Pension Paid Pension paid Pension PaidLeicester City PCTMark WheatleyPECClinical Lead PublicHealth Nursing 0-2.5 35-37.5 126 112 7Senior Managers (Not Formal Board Members)Leicester City PCTPaul Miller Chief Operating Officer 12.5-15 110-112.5 450 326 41Prof Mandy Ashton Director of Quality Assurance 0-2.5 62.5-65 211 197 6Oliver Newbould Director of Strategyand Market Management 0-2.5 47.5-50 138 125 3Martin Hughes Director of Governance 0-2.5 50-52.5 159 145 7Dr C McGarrity Medical Director 0-2.5 125-127.5 468 467 (8)Eastern Leicester PCTAnnette Hogarth Director of Patient Services 2.5-5 62.5-65 234 214 10David BellDirector of Strategyand Commissioning (2.5) - (5) 47.5-50 160 165 (6)Leicester City West PCTSteve GulatiActing Director ofHuman Resources 5-7.5 35-37.5 93 70 15Rachel Holynska Director of StrategicService Development 2.5-5 70-72.5 276 245 17Sarah PremaActing Joint Directorof Strategic Capital 2.5-5 62.5-65 186 166 11Manjit Darby Director of Clinical Services 2.5-5 67.5-70 211 191 1136 Leicester City PCT Annual Report 2006 - 07

4Statement of the Chief Executive’sresponsibilities as the accountableofficer of the Primary Care TrustThe Secretary of State has directed that the Chief Executiveshould be the Accountable Officer to the Primary Care Trust. Therelevant responsibilities of Accountable Officers are set out in theAccountable Officers Memorandum issued by the Departmentof Health. These include ensuring that:• there are effective management systems in place to safeguardpublic funds and assets and assist in the implementation ofcorporate governance;• value for money is achieved from the resources availableto the authority;• the expenditure and income of the authority has been appliedto the purposes intended by Parliament and conform to theauthorities which govern them;• effective and sound financial management systems are in place;and• annual statutory accounts are prepared in a format directedby the Secretary of State with the approval of the Treasuryto give a true and fair view of the state of affairs as at the endof the financial year and the net operating cost, recognisedgains and losses and cash flows for the year.To the best of my knowledge and belief, I have properly dischargedthe responsibilities set out in my letter of appointment as anAccountable Officer.Tim RideoutChief Executive3 July 2007www.leicestercitypct.nhs.uk 37

4Statement of Directors’ responsibilitiesin respect of the accountsThe Directors are required under the National Health Service Act1977 to prepare accounts for each financial year. The Secretaryof State, with the approval of the Treasury, directs that theseaccounts give a true and fair view of the state of affairs of theorganisation and the net operating cost, recognised gains andlosses and cash flows for the year. In preparing these accounts,Directors are required to:i. apply on a consistent basis accounting policies laid downby the Secretary of State with the approval of the Treasury;ii. make judgements and estimates which are reasonableand prudent;iii.state whether applicable accounting standards have beenfollowed, subject to any material departures disclosed andexplained in the accounts....these accountsgive a true andfair view of thestate of affairsof theorganisation...The Directors are responsible for keeping proper accountingrecords which disclose with reasonable accuracy at any timethe financial position of the organisation and to enable themto ensure that the accounts comply with requirements outlinedin the above mentioned direction of the Secretary of State. Theyare also responsible for safeguarding the assets of the healthauthority and hence for taking reasonable steps for theprevention of fraud and other irregularities.The directors confirm to the best of their knowledge and beliefthey have complied with the above requirements in preparingthe financial statements.By order of the board.Tim RideoutChief ExecutiveSue BishopFinance Director38 Leicester City PCT Annual Report 2006 - 07

Meeting the health needs of the people of Leicesterwithin the available resourceswww.leicestercitypct.nhs.uk 39

This publication can be provided in Braille, audio cassette tape ,disk, large print and in other languages on request.(0116) 295 4743(0116) 295 4743(0116) 295 4743(0116) 295 4743(0116) 295 4743(0116) 295 4743(0116) 295 4743For further information on anything contained within this report contact us:Leicester City Primary Care TrustSt John’s House30 East StreetLeicesterLE1 6NBTel: 0116 295 1100Email: enquiries@leicestercitypct.nhs.ukwww.leicestercitypct.nhs.uk