Annual Statutory Accounts - Year Ending 31 March 2015

Transcription

1 Annual Statutory Accounts - Year Ending 31 March 2015 Trust name: Oxford Health NHS Foundation Trust This year 2014/15 Last year 2013/14 This year ended 31 March 2015 Last year ended 31 March 2014 This year beginning 1 April 2014 Last year beginning 1 April 2013

2 FOREWORD TO THE ACCOUNTS Oxford Health NHS Foundation Trust The accounts for the year ended 31 March 2015 are set out on the following pages and comprise the Statement of Comprehensive Income, the Statement of Financial Position, the Statements of Changes in Taxpayers' Equity, the Statement of Cash Flows and the Notes to the Accounts. The accounts have been prepared by Oxford Health NHS Foundation Trust in accordance with Schedule 7, Paragraph 24 and 25 of the National Health Service Act 2006 in the form in which Monitor, the Independent Regulator of NHS Foundation Trusts has, with the approval of HM Treasury, directed. The 2014/15 statutory accounts have been prepared in accordance with International Financial Reporting Standards (IFRS) as adopted by the European Union unless directed otherwise within the NHS Foundation Trust Reporting Manual 2014/15. The Trust Board has approved the preparation of the 2014/15 accounts on a going concern basis. Signed:. Stuart Bell, Chief Executive Date: Foreword

3 NOTE Operating income 4,5,6 288, ,069 Operating expenses 7 (297,063) (286,373) Operating deficit (8,727) (304) Finance costs STATEMENT OF COMPREHENSIVE INCOME FOR THE YEAR ENDED 31 March 2015 Finance income Financial expense - financial liabilities 17 (2,089) (2,075) Financial expense - unwinding of discount on provisions 17 (36) (50) Public Dividend Capital dividends payable 37 (4,071) (3,030) Net finance costs (6,120) (5,077) Deficit from continuing operations (14,847) (5,381) DEFICIT FOR THE FINANCIAL YEAR (14,847) (5,381) Other comprehensive income : Gain from transfer by absorption from demising bodies Revaluation losses and impairment losses property, plant and equipment Remeasurements of net defined benefit pension scheme asset / liability 29-38,974 20,29 (6,149) (4,209) 11,42 (343) 249 Other reserve movements - (10) TOTAL COMPREHENSIVE INCOME AND EXPENSE FOR THE YEAR (21,339) 29,623 All income and expenditure is derived from continuing operations. All items in other comprehensive income will not be reclassified subsequently to income and expenditure. Page 1 - Statement of Comprehensive Income

4 STATEMENT OF FINANCIAL POSITION AS AT 31 March March March 2014 NON-CURRENT ASSETS NOTE Intangible assets 18 1, Property, plant and equipment , ,214 Trade and other receivables Total Non-Current Assets 160, ,874 CURRENT ASSETS Inventories 21 1,804 1,285 Trade and other receivables 22 9,571 10,753 Non-current assets held for sale 23 3,077 2,525 Cash and cash equivalents 30 15,288 24,213 Total Current Assets 29,740 38,776 CURRENT LIABILITIES Trade and other payables 24 (24,649) (26,840) Borrowings 25 (1,471) (1,430) Other financial liabilities 26 (357) (768) Other liabilities 27 (1,838) (3,820) Provisions 28 (1,600) (1,150) Total Current Liabilities (29,915) (34,008) NON-CURRENT LIABILITIES Borrowings 25 (28,574) (30,045) Local government pension scheme 27 (629) (241) Provisions 28 (2,620) (2,562) Total Non-Current Liabilities (31,823) (32,848) TOTAL ASSETS EMPLOYED 128, ,794 TAXPAYERS' EQUITY Public dividend capital 90,583 89,804 Revaluation reserve 29 20,702 27,851 Other reserves 1,317 1,317 Income and expenditure reserve 15,632 29,822 TOTAL TAXPAYERS' EQUITY 128, ,794 The notes on pages 5 to 47 form part of these accounts. The financial statements on pages 1 to 47 were approved by the Board and signed on its behalf and authorised for issue by: Signed: Date: Stuart Bell (Chief Executive) Page 2 - Statement of Financial Position

5 STATEMENT OF CHANGES IN TAXPAYERS' EQUITY 2014/15 Total Public Dividend Capital Revaluation Reserve Other Reserves Income and Expenditure Reserve 000 Taxpayers' Equity at 1 April ,794 89,804 27,851 1,317 29,822 Deficit for the year (14,847) (14,847) Transfer to retained earnings on disposal of assets between reserves Revaluation losses and impairment losses on property plant and equipment - - (459) (11,507) - (11,507) - - Revaluations - Property, Plant & Equipment Actuarial losses on defined benefit pension schemes 5,358-5, (343) (343) Transfer of the excess of current cost depreciation over historical cost depreciation to the income and expenditure reserve - - (551) Movements on other reserves (10) Public Dividend Capital received Taxpayers' Equity at 31 March ,234 90,583 20,702 1,317 15,632 STATEMENT OF CHANGES IN TAXPAYERS' EQUITY 2013/14 Public Income and Revaluation Other Total Dividend Expenditure Reserve Reserves Capital Reserve Taxpayers' Equity at 1 April ,910 88,543 15,040 6,700 7,627 Deficit for the year (5,381) (5,381) Transfers by modified absorption: gains on 1 April transfers from demising bodies 38, ,974 Transfers by modified absorption: transfers between reserves Transfer to retained earnings on disposal of assets between reserves ,160 - (14,160) - - (1,994) - 1,994 Revaluation losses and impairment losses on property plant and equipment (6,200) - (6,200) - - Revaluations - Property, Plant & Equipment Actuarial gains on defined benefit pension schemes Transfer of the excess of current cost depreciation over historical cost depreciation to the income and expenditure reserve 1,991-1, (519) Movements on other reserves (10) - 5,373 (5,383) - Public Dividend Capital received 1,261 1, Taxpayers' Equity at 31 March ,794 89,804 27,851 1,317 29,822 Page 3 - Statements of Changes in Taxpayers' Equity

6 STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 March 2015 NOTE Cash flows from operating activities Operating deficit from continuing operations (8,727) (304) Operating deficit (8,727) (304) Non-cash income and expense: Depreciation and amortisation 7 6,467 5,022 Impairments 7 16,377 10,299 Reversals of impairments 6 (5,263) (2,037) Non-cash donations/grants credited to income - (35) Net loss on disposal of assets Interest accrued not paid - - Dividends accrued and not paid or received - - Employer contributions paid less net charge in relation to Local Government Pension Scheme Decrease/(Increase) in trade and other receivables 1,167 (3,045) (Increase)/Decrease in inventories (519) 270 Increase in trade and other payables 105 1,851 (Decrease)/Increase in other liabilities (2,373) 1,548 Increase/(Decrease) in provisions 473 (103) NET CASH GENERATED FROM OPERATIONS 7,998 13,966 Cash flows from investing activities: Interest received Purchase of intangible assets (757) (416) Purchase of property, plant and equipment (10,723) (22,042) Sales of Property, Plant and Equipment 1,300 6,882 PFI lifecycle prepayments (cash outflow) (94) (108) NET CASH GENERATED USED IN INVESTING ACTIVITIES (10,198) (15,606) Cash flows from financing activities: Public Dividend Capital received 779 1,261 Loans received - - Loans repaid (1,354) (1,371) Capital element of private finance initiative obligations (91) (62) Interest paid (1,056) (1,064) Financing element of private finance initiative obligations (1,042) (1,015) Public Dividend Capital dividend paid (3,961) (2,840) NET CASH USED IN FINANCING ACTIVITIES (6,725) (5,091) Decrease in cash and cash equivalents (8,925) (6,731) Cash and cash equivalents at 1 April 24,213 30,944 Cash and cash equivalents at 31 March 15,288 24,213 Page 4 - Statement of Cash Flow

7 NOTES TO THE ACCOUNTS 1 Accounting policies and other information Monitor has directed that the financial statements of NHS foundation trusts shall meet the accounting requirements of the Foundation Trust Annual Reporting Manual (FT ARM) which shall be agreed with HM Treasury. Consequently, the following financial statements have been prepared in accordance with the FT ARM 2014/15 issued by Monitor. The accounting policies contained in that manual follow International Financial Reporting Standards (IFRS) and HM Treasury s Financial Reporting Manual (FReM) 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 material in relation to the accounts. These accounts have been prepared under the historical cost convention modified to account for the revaluation of property, plant and equipment, intangible assets, inventories and certain financial assets and financial liabilities. After conducting a detailed review which included consideration of forecasts covering the next twelve months (and projections for 2016/17), the directors have a reasonable expectation that Oxford Health NHS Foundation Trust has adequate resources to continue in operational existence for the foreseeable future. For this reason, the Audit Committee, on behalf of the Board of Directors, resolves to approve the preparation of the accounts on a going concern basis. 1.1 Consolidation NHS Charitable Fund Oxford Health NHS Foundation Trust is the corporate trustee to the Oxford Health Charity. Oxford Health NHS Foundation Trust has assessed its relationship to the charity and determined it to be a subsidiary because the Trust is exposed to, or has rights to, variable returns and other benefits for itself, patients and staff from its involvement with the charity and has the ability to affect those returns and other benefits through its power over the fund. However, the size of the Oxford Health Charity is not considered material to the accounts of Oxford Health NHS Foundation Trust. On this basis, Oxford Health Charity is not consolidated within the Oxford Health NHS Foundation Trust accounts. A summary of the financial results and position of Oxford Health Charity is included in note 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. Where income is received for a specific activity which is to be delivered in a subsequent financial year, that income is deferred. Income from the sale of non-current assets is recognised only when all material conditions of sale have been met, and is measured as the sums due under the sale contract. 1.3 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 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 employees are permitted to carry-forward leave into the following period. Page 5

8 Pension costs NHS Pension scheme Past and present employees are covered by the provisions of the NHS Pensions Scheme. The scheme is an unfunded, defined benefit scheme that covers NHS employers, general practices and other bodies, allowed under the direction of Secretary of State, in England and Wales. It is not possible for the NHS foundation trust to identify its share of the underlying scheme liabilities. Therefore, the scheme is accounted for as a defined contribution scheme. Employers pension cost contributions are charged to operating expenses as and when they become due. Additional pension liabilities arising from early retirements are not funded by the scheme except where the retirement is due to ill-health. The full amount of the liability for the additional costs is charged to the operating expenses at the time the trust commits itself to the retirement, regardless of the method of payment. Local government pension scheme Some employees are members of the Local Government Pension Scheme which is a defined benefit pension scheme. The scheme assets and liabilities attributable to these employees can be identified and are recognised in the trust s accounts, arising from the date of transfer to the Trust. The assets are measured at fair value, and the liabilities at the present value of future obligations. The increase in the liability arising from pensionable service earned during the year is recognised within operating expenses. The net interest cost during the year arising from the unwinding of the discount on the net scheme liabilities is recognised within finance costs. Remeasurements of the defined benefit plan are recognised in the income and expenditure reserve and reported in the Statement of Comprehensive Income as an item of 'other comprehensive income'. 1.4 Expenditure on other goods and services Expenditure on goods and services is recognised when, and to the extent that they have been received, and is measured at the fair value of those goods and services. Expenditure is recognised in operating expenses except where it results in the creation of a non-current asset such as property, plant and equipment or current assets such as inventory. 1.5 Property, plant and equipment Recognition Property, Plant and Equipment is capitalised where: it is held for use in delivering services or for administrative purposes; it is probable that future economic benefits will flow to, or service potential be provided to, the Trust; it is expected to be used for more than one financial year; and the cost of the item can be measured reliably. Where a large asset, for example a building, includes a number of components with significantly different asset lives e.g. plant and equipment, then these components are treated as separate assets and depreciated over their own useful economic lives. Measurement Valuation All property, plant and equipment assets are measured initially at cost, representing the costs directly attributable to acquiring or constructing the asset and bringing it to the location and condition necessary for it to be capable of operating in the manner intended by management. All assets are measured subsequently at fair value. They are restated to current value each year. The carrying values of property, plant and equipment are reviewed for impairment in periods if events or changes in circumstances indicate the carrying value may not be recoverable. Costs arising from financing the construction of the fixed assets are not capitalised but are charged to the Statement of Comprehensive Income in the year to which they relate. Valuations are carried out by professionally qualified valuers in accordance with the Royal Institute of Chartered Surveyors (RICS) Appraisal and Valuation Manual. The last asset valuations were undertaken as at the valuation date of 31 January Page 6

9 The Treasury has decided that the NHS should value its property assets in line with the Royal Institution of Chartered Surveyors (RICS) Red Book standards. This means that specialised property, for which market value cannot be readily determined, should be valued at depreciated replacement cost (DRC) on a modern equivalent asset (MEA) basis. Assets in the course of construction are valued at cost and are valued by professional valuers when they are brought into use. Operational equipment is valued at depreciated replacement cost. Equipment surplus to requirements is valued at net recoverable amount. Subsequent expenditure Subsequent expenditure relating to an item of property, plant and equipment is recognised as an increase in the carrying amount of the asset when it is probable that additional future economic benefits or service potential deriving from the cost incurred to replace a component of such item will flow to the enterprise and the cost of the item can be determined reliably. Where a component of an asset is replaced, the cost of the replacement is capitalised if it meets the criteria for recognition above. The carrying amount of the part replaced is de-recognised. Other expenditure that does not generate additional future economic benefits or service potential, such as repairs and maintenance, is charged to the Statement of Comprehensive Income in the period in which it is incurred. Depreciation Items of Property, Plant and Equipment are depreciated over their remaining useful economic lives in a manner consistent with the consumption of economic or service delivery benefits. Freehold land is considered to have an infinite life and is not depreciated. Property, Plant and Equipment which has been reclassified as held for sale ceases to be depreciated upon the reclassification. Assets in the course of construction are not depreciated until the asset is brought into use. Revaluation gains and losses Revaluation gains are recognised in the revaluation reserve, except where, and to the extent that, they reverse a revaluation decrease that has previously been recognised in operating expenses, in which case they are recognised in operating income. Revaluation losses are charged to the revaluation reserve to the extent that there is an available balance for the asset concerned, and thereafter are charged to operating expenses. Gains and losses recognised in the revaluation reserve are reported in the Statement of Comprehensive Income as an item of other comprehensive income. Impairments In accordance with the FT ARM, impairments that arise from a clear consumption of economic benefits or of service potential in the asset are charged to operating expenses. A compensating transfer is made from the revaluation reserve to the income and expenditure reserve of an amount equal to the lower of (i) the impairment charged to operating expenses; and (ii) the balance in the revaluation reserve attributable to that asset before the impairment. An impairment that arises from a clear consumption of economic benefit or of service potential is reversed when, and to the extent that, the circumstances that gave rise to the loss is reversed. Reversals are recognised in operating income to the extent that the asset is restored to the carrying amount it would have had if the impairment had never been recognised. Any remaining reversal is recognised in the revaluation reserve. Where, at the time of the original impairment, a transfer was made from the revaluation reserve to the income and expenditure reserve, an amount is transferred back to the revaluation reserve when the impairment reversal is recognised. Other impairments are treated as revaluation losses. Reversals of other impairments are treated as revaluation gains. Page 7

10 De-recognition Oxford Health NHS Foundation Trust - Annual Accounts 2014/15 Assets intended for disposal are reclassified as held for sale once all of the following criteria are met: the asset is available for immediate sale in its present condition subject only to terms which are usual and customary for such sales; the sale must be highly probable i.e.: - management are committed to a plan to sell the asset; - an active programme has begun to find a buyer and complete the sale; - the asset is being actively marketed at a reasonable price; - the sale is expected to be completed within 12 months of the date of classification as held for sale ; - the actions needed to complete the plan indicate it is unlikely that the plan will be dropped or significant changes made to it. Following reclassification, the assets are measured at the lower of their existing carrying amount and their fair value less costs to sell. Depreciation ceases to be charged. Assets are de-recognised when all material sale contract conditions have been met. Property, plant and equipment which is to be scrapped or demolished does not qualify for recognition as held for sale and instead is retained as an operational asset and the asset s economic life is adjusted. The asset is de-recognised when scrapping or demolition occurs. Donated, government grant and other grant funded assets Donated and grant funded property, plant and equipment assets are capitalised at their fair value on receipt. The donation/grant is credited to income at the same time, unless the donor has imposed a condition that the future economic benefits embodied in the grant are to be consumed in a manner specified by the donor, in which case, the donation/grant is deferred within liabilities and is carried forward to future financial years to the extent that the condition has not yet been met. The donated and grant funded assets are subsequently accounted for in the same manner as other items of property, plant and equipment. Private finance initiative (PFI) transactions PFI transactions which meet the IFRIC 12 definition of a service concession, as interpreted in HM Treasury s FReM, are accounted for as on-statement of Financial Position by the trust. In accordance with IAS 17, the underlying assets are recognised as property, plant and equipment at their fair value, together with an equivalent finance lease liability. Subsequently, the assets are accounted for as property, plant and equipment and/or intangible assets as appropriate. The annual contract payments are apportioned between the repayment of the liability, a finance cost and the charges for services. The service charge is recognised in operating expenses and the finance cost is charged to finance costs in the Statement of Comprehensive Income. Lifecycle replacement costs are capitalised in line with the charges incurred by the Trust. Page 8

11 1.6 Intangible assets Recognition Oxford Health NHS Foundation Trust - Annual Accounts 2014/15 Intangible assets are non-monetary assets without physical substance which are capable of being sold separately from the rest of the Trust s business or which arise from contractual or other legal rights. They are recognised only where it is probable that future economic benefits will flow to, or service potential be provided to, the Trust and where the cost of the asset can be measured reliably. Internally generated intangible assets Internally generated goodwill, brands, mastheads, publishing titles, customer lists and similar items are not capitalised as intangible assets. Expenditure on research is not capitalised. Expenditure on development is capitalised only where all of the following can be demonstrated: the project is technically feasible to the point of completion and will result in an intangible asset for sale or use; the Trust intends to complete the asset and sell or use it; the Trust has the ability to sell or use the asset; how the intangible asset will generate probable future economic or service delivery benefits e.g. the presence of a market for it or its output, or where it is to be used for internal use, the usefulness of the asset; adequate financial, technical and other resources are available to the Trust to complete the development and sell or use the asset; and the Trust can measure reliably the expenses attributable to the asset during development. Software Software which is integral to the operation of hardware e.g. an operating system, is capitalised as part of the relevant item of property, plant and equipment. Software which is not integral to the operation of hardware e.g. application software, is capitalised as an intangible asset. Measurement Intangible assets are recognised initially at cost, comprising all directly attributable costs needed to create, produce and prepare the asset to the point that it is capable of operating in the manner intended by management. Subsequently intangible assets are measured at fair value. Revaluations gains and losses and impairments are treated in the same manner as for property, plant and equipment. Intangible assets held for sale are measured at the lower of their carrying amount or fair value less costs to sell. Amortisation Intangible assets are amortised over their expected useful economic lives in a manner consistent with the consumption of economic or service delivery benefits. 1.7 Government and other grants Government grants are grants from Government bodies other than income from NHS bodies for the provision of services. Where a grant is used to fund revenue expenditure it is taken to the Statement of Comprehensive Income. 1.8 Inventories Inventories are valued at the lower of cost and net realisable value. The cost of inventories is measured using the weighted average cost method. 1.9 Financial instruments and financial liabilities Recognition Financial assets and financial liabilities which arise from contracts for the purchase or sale of non-financial items (such as goods or services), which are entered into in accordance with the Trust s normal purchase, sale or usage requirements, are recognised when, and to the extent which, performance occurs i.e. when receipt or delivery of the goods or services is made. Page 9

12 Financial assets or financial liabilities in respect of assets acquired or disposed of through finance leases are recognised and measured in accordance with the accounting policy for leases described below. De-recognition All financial assets are de-recognised when the rights to receive cash flows from the assets have expired or the Trust has transferred substantially all of the risks and rewards of ownership. Financial liabilities are de-recognised when the obligation is discharged, cancelled or expires. Classification and measurement Financial assets are categorised as fair value through income & expenditure or loans & receivables. Financial liabilities are categorised as fair value through income & expenditure or as 'other financial liabilities'. Loans and receivables Loans and receivables are non-derivative financial assets with fixed or determinable payments which are not quoted in an active market. They are included in current and non-current assets. The Trust s loans and receivables comprise: cash and cash equivalents, NHS receivables, accrued income and other receivables. Cash and cash equivalents comprise cash on hand and demand deposits, recognisable within three months. Loans and receivables are recognised initially at fair value, net of transactions costs, and are measured subsequently at amortised cost, using the effective interest method. The effective interest rate is the rate that discounts exactly estimated future cash receipts through the expected life of the financial asset or, when appropriate, a shorter period, to the net carrying amount of the financial asset. Interest on loans and receivables is calculated using the effective interest method and credited to the Statement of Comprehensive Income. Other financial liabilities All other financial liabilities are recognised initially at fair value, net of transaction costs incurred, and measured subsequently at amortised cost using the effective interest method. The effective interest rate is the rate that discounts exactly estimated future cash payments through the expected life of the financial liability or, when appropriate, a shorter period, to the net carrying amount of the financial liability. They are included in current liabilities except for amounts payable more than 12 months after the Statement of Financial Position date, which are classified as long-term liabilities. Interest on financial liabilities carried at amortised cost is calculated using the effective interest method and charged to finance costs. Interest on financial liabilities taken out to finance property, plant and equipment or intangible assets is not capitalised as part of the cost of those assets. Determination of fair value For financial assets and financial liabilities carried at fair value, the carrying amounts are determined from quoted market prices, independent appraisals and discounted cash flow analysis. Impairment of financial assets At the Statement of Financial Position date, the Trust assesses whether any financial assets, other than those held at fair value through income and expenditure are impaired. Financial assets are impaired and impairment losses are recognised if, and only if, there is objective evidence of impairment as a result of one or more events which occurred after the initial recognition of the asset and which has an impact on the estimated future cash flows of the asset. Page 10

13 For financial assets carried at amortised cost, the amount of the impairment loss is measured as the difference between the asset s carrying amount and the present value of the revised future cash flows discounted at the asset s original effective interest rate. The loss is recognised in the Statement of Comprehensive Income and the carrying amount of the asset is reduced directly or through the use of a bad debt provision Leases Finance leases Where substantially all risks and rewards of ownership of a leased asset are borne by the NHS foundation trust, the asset is recorded as property, plant and equipment and a corresponding liability is recorded. The value at which both are recognised is the lower of the fair value of the asset or the present value of the minimum lease payments, discounted using the interest rate implicit in the lease. The asset and liability are recognised at the commencement of the lease. Thereafter the asset is accounted for as an item of property plant and equipment. The annual rental is split between the repayment of the liability and a finance cost so as to achieve a constant rate of finance over the life of the lease. The annual finance cost is charged to Finance Costs in the Statement of Comprehensive Income. The lease liability, is de-recognised when the liability is discharged, cancelled or expires. Operating leases Other leases are regarded as operating leases and the rentals are charged to operating expenses on a straight-line basis over the term of the lease. Operating lease incentives received are added to the lease rentals and charged to operating expenses over the life of the lease. Leases of land and buildings Where a lease is for land and buildings, the land component is separated from the building component and the classification for each is assessed separately Provisions The NHS foundation trust recognises a provision where it has a present legal or constructive obligation of uncertain timing or amount; for which it is probable that there will be a future outflow of cash or other resources; and a reliable estimate can be made of the amount. The amount recognised in the Statement of Financial Position is the best estimate of the resources required to settle the obligation. Where the effect of the time value of money is significant, the estimated risk-adjusted cash flows are discounted using the discount rates published and mandated by HM Treasury. Clinical negligence costs The NHS Litigation Authority (NHSLA) operates a risk pooling scheme under which the Trust pays an annual contribution to the NHSLA, which, in return, settles all clinical negligence claims. Although the NHSLA is administratively responsible for all clinical negligence cases, the legal liability remains with the NHS foundation trust. The total value of clinical negligence provisions carried by the NHSLA on behalf of the NHS foundation trust is disclosed at note 28, but is not recognised in the NHS foundation trust's accounts. Non-clinical risk pooling The NHS foundation trust participates in the Property Expenses Scheme and the Liabilities to Third Parties Scheme. Both are risk pooling schemes under which the trust pays an annual contribution to the NHS Litigation Authority and in return receives assistance with the costs of claims arising. The annual membership contributions, and any excesses payable in respect of particular claims are charged to operating expenses when the liability arises Contingencies Contingent assets (that is, assets arising from past events whose existence will only be confirmed by one or more future events not wholly within the entity s control) are not recognised as assets, but are disclosed in note 35 where an inflow of economic benefits is probable. Contingent liabilities are not recognised, but are disclosed in note 35, unless the probability of a transfer of economic benefits is remote. Contingent liabilities are defined as: Page 11

14 possible obligations arising from past events whose existence will be confirmed only by the occurrence of one or more uncertain future events not wholly within the entity s control; or present obligations arising from past events but for which it is not probable that a transfer of economic benefits will arise or for which the amount of the obligation cannot be measured with sufficient reliability Public dividend capital Public dividend capital (PDC) is a type of public sector equity finance based on the excess of assets over liabilities at the time of establishment of the predecessor NHS trust. HM Treasury has determined that PDC is not a financial instrument within the meaning of IAS 32. A charge, reflecting the cost of capital utilised by the NHS foundation trust, is payable as public dividend capital dividend. The charge is calculated at the rate set by HM Treasury (currently 3.5%) on the average relevant net assets of the NHS foundation trust during the financial year. Relevant net assets are calculated as the value of all assets less the value of all liabilities, except for (i) donated assets (including lottery funded assets), (ii) average daily cash balances held with the Government Banking Services (GBS) and National Loans Fund (NLF) deposits, excluding cash balances held in GBS accounts that relate to a short-term working capital facility, and (iii) any PDC dividend balance receivable or payable. In accordance with the requirements laid down by the Department of Health (as the issuer of PDC), the dividend for the year is calculated on the actual average relevant net assets as set out in the pre-audit version of the annual accounts. The dividend thus calculated is not revised should any adjustment to net assets occur as a result the audit of the annual accounts Value added tax (VAT) Most of the activities of the Trust are outside the scope of VAT and, in general, output tax does not apply and input tax on purchases is not recoverable. Irrecoverable VAT is charged to the relevant expenditure category or included in the capitalised purchase cost of fixed assets. Where output tax is charged or input VAT is recoverable, the amounts are stated net of VAT Corporation tax The Trust's activities relate to the provision of goods and services relating to healthcare authorised under Section 14(1) of the HSCA. On this basis the Trust is not liable for corporation tax Foreign exchange The functional and presentational currencies of the Trust are sterling. A transaction which is denominated in a foreign currency is translated into the functional currency at the spot exchange rate on the date of the transaction. Where the Trust has assets or liabilities denominated in a foreign currency at the Statement of Financial Position date: monetary items (other than financial instruments measured at fair value through income and expenditure ) are translated at the spot exchange rate on 31 March; non-monetary assets and liabilities measured at historical cost are translated using the spot exchange rate at the date of the transaction; and non-monetary assets and liabilities measured at fair value are translated using the spot exchange rate at the date the fair value was determined. Exchange gains or losses on monetary items (arising on settlement of the transaction or on re-translation at the Statement of Financial Position date) are recognised in income or expense in the period in which they arise. Exchange gains or losses on non-monetary assets and liabilities are recognised in the same manner as other gains and losses on these items Third party assets Assets belonging to third parties (such as money held on behalf of patients) are not recognised in the accounts since the NHS foundation trust has no beneficial interest in them. However, they are disclosed in a separate note to the accounts in accordance with the requirements of HM Treasury s Financial Reporting Manual. Page 12

15 1.18 Losses and special payments Oxford Health NHS Foundation Trust - Annual Accounts 2014/15 Losses and special payments are items that Parliament would not have contemplated when it agreed funds for the health service or passed legislation. By their nature they are items that ideally should not arise. They are therefore subject to special control procedures compared with the generality of payments. They are divided into different categories, which govern the way that individual cases are handled. Losses and special payments are charged to the relevant functional headings in expenditure on an accruals basis, including losses which would have been made good through insurance cover had NHS Foundation Trusts not been bearing their own risks (with insurance premiums then being included as normal revenue expenditure). However the losses and special payments note is compiled directly from the losses and compensations register which reports on an accrual basis with the exception of provisions for future losses Transfers of functions to or from other NHS and local government bodies For functions that have been transferred to the trust from another NHS or local government body, the assets and liabilities transferred are recognised in the accounts as at the date of transfer. The assets and liabilities are not adjusted to fair value prior to recognition. The net gain or loss corresponding to the net assets or liabilities transferred is recognised within income/expenses, but not within operating activities. In 2013/14 the net gain corresponding to the net assets transferred from Oxfordshire PCT is recognised within the income and expenditure reserve under the principles of modified absorption accounting which applied to transfers where the transferring body ceased to exist on 1 April For property plant and equipment assets and intangible assets, the cost and accumulated depreciation or amortisation balances from the transferring entity s accounts are preserved on recognition in the trust s accounts. Where the transferring body recognised revaluation reserve balances attributable to the assets, the trust makes a transfer from its income and expenditure reserve to its revaluation reserve to maintain transparency within public sector accounts. For functions that the trust has transferred to another NHS or local government body, the assets and liabilities transferred are de-recognised from the accounts as at the date of transfer. The net loss or gain corresponding to the net assets or liabilities transferred is recognised within expenses/income, but not within operating activities. Any revaluation reserve balances attributable to assets de-recognised are transferred to the income and expenditure reserve Accounting Standards that have been issued but have not yet been adopted The Treasury FReM does not require the following Standards and Interpretations to be applied in 2014/15. The application of the Standards as revised would not have a material impact on the accounts for 2014/15, were they applied in that year: IFRS 9 Financial Instruments - subject to consultation IFRS 13 Fair Value Measurement - adoption delay by HM Treasury. To be adopted from 2015/16 IAS 36 (amendment) recoverable amount disclosures - to be adopted from 2015/16 (aligned to IFRS 13 adoption) IAS 19 (amendment) employer contributions to defined benefit pension schemes - effective from 2015/16 but not yet EU adopted IFRS 15 Revenue from contracts with customers - not yet EU adopted but expected to be effective from 2017/18 Page 13

16 2 Critical accounting estimates and judgements 2.1 In the application of the Trust s accounting policies, management is required to make judgements, estimates and assumptions about the carrying amounts of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from those estimates and the estimates and underlying assumptions are continually reviewed. Revisions to accounting estimates are recognised in the period in which the estimate is revised, if the revision affects only that period or in the period of the revision and future periods if the revision affects both current and future periods. Critical judgements in applying accounting policies The following are the critical judgements, apart from those involving estimations (see below) that management has made in the process of applying the Trust s accounting policies and that have the most significant effect on the amounts recognised in the financial statements: The Trust's PFI scheme has been assessed as an on Statement of Financial Position PFI under IFRIC 12 because the Trust has judged that it controls the services and the residual interest at the end of the service arrangement. The carrying values of property, plant and equipment are reviewed for impairment when there is an indication that the values of the assets might be impaired. The Trust determines whether a substantial transfer of risks and rewards has occurred in relation to leased assets, if this is deemed to be the case the lease is treated as a finance lease, all other leases are classified as operating leases. 2.2 Key sources of estimation uncertainty The following are the key assumptions concerning the future, and other key sources of estimation uncertainty at the end of the reporting period, that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial year. Property Valuations Property Plant and Equipment Assets were valued by District Valuer Services as at 31 January These valuations are based on Royal Institution of Chartered Surveyors valuation standards insofar as these are consistent with the requirements of HM Treasury, the National Health Service and the Department of Health. Estimation of replacement of components of the PFI asset during the contract - 'lifecycle replacement'. PFI lifecycle replacement costs are estimated to take place as planned and at the values included in the operator's financial model as adjusted for indexation. Estimation of payments for the PFI asset, including finance costs. The assets and liabilities relating to the PFI scheme have been brought onto the Statement of Financial Position based on estimations from the Department of Health's financial model as required by Department of Health guidance. These estimations were reviewed by external audit as part of the 2008/09 IFRS accounts restatement exercise. Estimation of asset lives as the basis for depreciation calculations. Depreciation of equipment is based on asset lives, which have been estimated upon recognition of the assets. Discount rates for provisions. Where the effect of the time value of money is significant, the estimated risk-adjusted cash flows are discounted using the discount rates published and mandated by HM Treasury. Impairing of receivables. The majority of the Trust s income comes from contracts with other public sector bodies, hence the Trust has low exposure to credit risk. The maximum exposures as at 31 March 2015 are as disclosed in the trade and other receivables note. Page 14

17 3 Operating Segments All of the Trust's activities relate to the provision of healthcare, which is an aggregate of all the individual specialty components included therein. Similarly, the majority of the Trust's income originates with UK Whole of Government Accounting (WGA) bodies. The majority of expenses incurred are payroll expenditure on staff involved in the provision or support of healthcare activities generally across the Trust together with the related supplies and overheads necessary. The business activities which earn revenue and incur expenses are therefore of one broad combined nature. The operating results of the Trust are reviewed monthly or more frequently by the Trust's chief operating decision maker which is the overall Foundation Trust Board, which includes non-executive directors. The finance report considered by the Trust Board contains only total balance sheet positions and cash flow forecasts for the Trust as a whole. The Board as chief operating decision maker therefore only considers one segment of healthcare in its decision making process. The single segment of 'healthcare' has therefore been identified consistent with the core principle of IFRS 8 which is to enable users of the financial statements to evaluate the nature and financial effects of business activities in which the Trust engages and economic environments in which it operates. Page 15

18 4 Operating income Income from activities 239, ,012 Other operating income 48,709 44, , ,069 5 Income from activities 5.1 Income from activities (by activity) Mental health Block contract income 129, ,299 Cost and volume contract income 4,668 10,226 Clinical income for the secondary commissioning of mandatory services 2,803 2,857 Other clinical income from mandatory services 1,084 1,049 Community services 101, ,547 Private patient income , ,012 All income from activities arises from mandatory services. 5.2 Income from activities (by source) Commissioner Requested Services Clinical Commissioning Groups and NHS England 213, ,087 Non-Commissioner Requested Services Local authorities 21,730 22,497 NHS trusts 2,944 2,634 Other Central Government bodies - 1,018 Foundation trusts Health Education England Bodies external to government 1,388 1,340 Private patients , ,012 Page 16

19 6 Other operating income Pharmacy sales 17,283 15,641 Education and training 12,493 11,969 Research and development 6,769 6,857 Non-patient care services to other bodies 4,375 3,088 Other income 2,263 3,623 Profit on disposal of assets held for sale - 46 Reversal of impairments of property, plant and equipment 5,263 2,037 Charitable and other contributions to expenditure Receipt of donations for capital acquisitions ,709 44,057 The 2013/14 total remains the same but some figures have been presented in new categories for comparative purposes. 7 Operating expenses Services from Foundation Trusts 1,571 2,797 Services from NHS Trusts Services from CCGs and NHS England 2 - Purchase of healthcare from non NHS bodies 3,091 2,361 Employee Expenses - Executive directors Employee Expenses - Non-executive directors Employee Expenses - Staff 205, ,831 Supplies and services - clinical (excluding drug costs) 9,061 9,155 Supplies and services - general 2,888 2,902 Establishment 3,005 2,621 Transport 4,272 5,330 Premises 8,599 7,949 Decrease in provision for impairment of receivables (34) (90) Increase / (Decrease) in other provisions 25 (15) Change in provisions discount rate Inventories written down/(back) (net, including inventory drugs) 42 (14) Drug costs (non inventory drugs only) 2,055 1,692 Inventories consumed (excluding drugs) 1,499 1,475 Drug Inventories consumed 17,815 16,251 Rentals under operating leases 5,331 5,904 Depreciation of property plant and equipment 6,296 4,927 Amortisation of intangible assets Loss on disposal of property, plant and equipment Impairment of property, plant and equipment 16,377 10,299 Audit services - statutory audit Other auditor remuneration - non-audit services 79 - Clinical negligence Professional fees and associated costs 264 1,017 Consultancy costs 1, Training, courses and conferences 1,675 1,607 Patient travel Car parking and security Redundancy (Included in Employee Expenses) Insurance Other services, e.g. External payroll 1,527 1,517 Losses, ex gratia & special payments Other 1,356 3, , ,373 The Trust has adopted the above operating expenses table in line with Monitor FTC guidance. The 2013/14 total remains the same but some figures have been presented in new categories for comparative purposes. Page 17

20 8 Staff costs and numbers 8.1 Employee expenses (excluding non-executive directors) 2014/ /14 Total Permanently Employed Other Total Salaries and wages 163, ,566 3, ,629 Social Security costs 11,914 11,914-12,051 Employer contributions to NHS pension scheme 19,735 19, ,517 Other pension costs Termination benefits Bank and agency staff 10,522-10,522 6,531 Capitalised employee costs (133) (133) - (74) 206, ,385 14, , Staff numbers (excluding non-executive directors) 2014/ /14 Total Permanently employed Other Total WTE WTE WTE WTE Medical and dental Administration and estates Healthcare assistants and other support staff 1,022 1,022-1,068 Nursing, midwifery and health visiting staff 1,553 1,553-1,582 Nursing, midwifery and health visiting learners Scientific, therapeutic and technical staff Social care staff Bank and Agency Staff ,001 4, ,033 WTE - Whole Time Equivalent. WTE shown is an average throughout the year 8.3 Directors' remuneration and other benefits Executive and non-executive directors' salaries Employers' contribution to executive directors' pensions* *relates to 5 directors (5 in 2013/14) accruing benefits under the NHS Pension Scheme, a defined benefit scheme Page 18

21 8.4 Staff exit packages 2014/ /15 Number of compulsory redundancies Number of other departures Total number of exit Total number of exit Exit package cost band agreed packages packages < 10, ,000-25, ,001-50, , , , , Total number of exit packages Total resource cost ' Redundancy and other departure costs have been paid in accordance with the provisions of the NHS Scheme. Where the Trust has agreed early retirements, the additional costs are met by the Trust and not by the NHS pension scheme. Illhealth retirement costs are met by the NHS pension scheme and are not included in the table. This disclosure reports the number and value of exit packages taken by staff leaving in the year. Note: The expense associated with these departures may have been recognised in part or in full in a previous period. 8.5 Staff exit packages: other (non-compulsory) departure payments 2014/ /14 Number of agreements Number of agreements Total value of agreements 000 Total value of agreements 000 Voluntary redundancies including early retirement contractual costs Mutually agreed resignations (MARS) contractual costs Non-contractual payments requiring HM Treasury approval Total Of which: non-contractual payments made to individuals where the payment value was more than 12 months of their annual salary As a single exit package can be made up of several components, each of which will be counted separately in this note, the total number above will not necessarily match the total number in note 8.4 which will be the number of individuals. The Remuneration Report provides details of exit payments payable to individuals named in that Report. One non-contractual payment requiring HM Treasury approval was made in 2014/15, for 66k. payments requiring HM Treasury approval were made in 2013/14, one for 1k and one for 3k. 9 Employee benefits Two non-contractual The Trust's employees received no material benefits in 2014/15 (none in 2013/14). 10 Retirements due to Ill-health During 2014/15 there were 6 early retirements (2013/14, 13) from the NHS Foundation Trust agreed on the grounds of illhealth. The estimated additional pension liabilities of these ill-health retirements will be 158,340 (2013/14, 630,195). The cost of these ill-health retirements will be borne by the NHS Business Services Authority - Pensions Division. Page 19