Annual Report 2009 -2010 - Belfast Health and Social Care Trust

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NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2010ANALYSIS OF NET EXPENDITURE BY SEGMENTService Group/Corporate GroupStaff Other TotalCosts Expenditure Expenditure£000 £000 £000Social Services/Family & Child Care 98,510 32,595 131,105 10.7%Older People, Medicine and Surgeryand T&O 161,098 129,195 290,293 23.8%Specialist Services 120,207 82,560 202,767 16.6%Clinical Services 142,281 69,120 211,401 17.3%Patient and Client Support Services 42,639 20,954 63,593 5.2%Mental Health & Learning Disability 64,434 30,033 94,467 7.7%Expenditure for Reportable Segments 629,169 364,457 993,626 81.3%Unallocated ExpenditureOther Expenditure 132,560Non- cash Costs (per Note 5):Depreciation 47,241Amortisation 620Impairments 115,394Cost of Capital charges 29,029Auditors remuneration 99Total Non-Cash Costs 192,383Sub-Total of Unallocated Expenditure 324,943Total Expenditure 1,318,569Unallocated Income (96,481)Net Expenditure as per Net Expenditure Account 1,222,088Revenue Resource Limit (RRL) 1,222,162Surplus/(Deficit) against RRL 7430
Public Sector Payment Policy - Measure of ComplianceThe Department requires that Trusts pay their non HSC trade creditors in accordance with theCBI Prompt Payment Code and Government Accounting Rules. The Trust’s payment policy isconsistent with the CBI prompt payment codes and Government Accounting rules and its measureof compliance is:312010 2009Number NumberTotal bills paid 386,943 368,639Total bills paid within terms 310,919 306,205% of bills paid within terms 80% 83%Financial EnvironmentOne of the most difficult tasks we face within the health and social care sector is to manage ourexpenditure within reducing resources, while dealing with increasing demands for our servicesand clinical and technological advances.2009/10 was a particularly challenging year for us. Our funding was reduced by £31m; we had tomake cumulative efficiency savings of 5.5%; and at the same time healthcare and overhead costssuch as fuel and water, increased.Through a concerted effort by staff across the Trust, sound budget management, the receipt ofadditional in-year funding and the implementation of our comprehensive efficiency programme(MORE), we achieved a balanced financial position in 2009/10.MORE - Maximising Outcomes, Resources and EfficienciesThe Trust, like all other government bodies, has to deliver cash efficiency savings of 9% over theyears 2008/09 to 2010/11, as part of the 2007 Comprehensive Spending Review. Essentially overthis period we have to deliver the same levels of service within a substantially reduced budget.Our MORE efficiency programme has enabled us to achieve the required levels of efficiencysavings in 2008/09 and 2009/10. We did this by changing the way we deliver services,modernising and driving improvements in services, enhancing productivity, reducing waste andmaximising value for money.The focus of our MORE programme is essentially about ensuring the right care is being deliveredby the right person, doing the right thing, in the right place.We are proud to outline the following achievements of our MORE programme during 2009/10:• We had 150 reform and modernisation schemes up and running.• The projects were about changing practices and modernising the way we do things, theyhave clear benefits for the patient and client, as well as efficiency and productivity benefitsfor the organisation.• We engaged widely with the public, interested groups and staff on the changes which wemade, and have managed to maintain constructive relationships with staff representativegroups.
Page 1 and 2: 12009/10ANNUAL REPORT
Page 3 and 4: increasing and it is important that
Page 5 and 6: We are continuing to develop leader
Page 7 and 8: Directors’ ReportDirector’s Rep
Page 9 and 10: ±From September 2009****Appointed
Page 11 and 12: AbsenteeismBelfast Health and Socia
Page 13 and 14: In addition, 17 complaints were rec
Page 15 and 16: Royal Hospitals. The Trust’s Inci
Page 17 and 18: work with the HSCB and the Departme
Page 19 and 20: PartnershipsWE WILL WORK COLLABORAT
Page 21 and 22: Employment equality and diversity p
Page 23 and 24: 10 staff have participated in a suc
Page 25 and 26: Table 2 shows the breakdown of staf
Page 27 and 28: Statement Of Financial Position as
Page 29: Reconciliation of UK GAAP reported
Page 33 and 34: Significant capital expenditure was
Page 35 and 36: Sustainability and InnovationDoing
Page 37 and 38: Service contractsDirectorsThe Trust
Page 39 and 40: Senior Employees’ Remuneration (A
Page 42: BT10- 481

Annual Report 2009 -2010 - Belfast Health and Social Care Trust

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