PCT Accounts 200809 by L136wS97

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									 1998/99 Trust Accounts pro-forma

 Introduction

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                      Data entered below will be used throughout the workbook:


PCT name:             SANDWELL PCT
This year             2008/09
Last year             2007/08
This year ended       31 March 2009
Last year ended       31 March 2008
This year beginning   1 April 2008




                                                     Intro
SANDWELL PCT - Annual Accounts 2008/09

                        OPERATING COST STATEMENT FOR THE YEAR ENDED
                                        31 March 2009




                                                                    2008/09       2007/08
                                                 NOTE                £000          £000

Commissioning
Gross operating costs                                  4               484,404       457,242
Less: Miscellaneous income                             3                (9,782)      (11,423)
Commissioning net operating costs                                      474,622       445,819
Provider
Gross operating costs                                  4                35,800        31,074
Less: Miscellaneous income                             3                (5,690)       (4,498)
Provider Net operating costs                                            30,110        26,576
Net operating costs before interest                                    504,732       472,395
Interest receivable                                                           0             (19)
Interest payable                                6.2 & 8                       3               0
Net operating cost for the financial year                              504,735       472,376


The notes on pages 5 to 36 form part of this account




                                                           Page 1
SANDWELL PCT - Annual Accounts 2008/09

          STATEMENT OF RECOGNISED GAINS AND LOSSES FOR THE YEAR ENDED
                                               31 March 2009



                                                                        2008/09       2007/08
                                                                         £000          £000


Fixed asset impairment losses                                              (5,086)         (297)
Unrealised surplus / (deficit) on fixed asset revaluations/indexation         886         1,639
Increase in the donated asset reserve and government grant
reserve due to receipt of donated and government granted
assets                                                                            0             0

Additions / (reductions) in the General Fund due to the transfer
of assets from/(to) NHS bodies and the Department of Health                       0             0
Additions / (reductions) in "other reserves"                                      0             0
Recognised (losses)/gains for the financial year                           (4,200)        1,342
Prior period adjustment - other                                                   0             0
(Losses)/gains recognised in the financial year                            (4,200)        1,342




                                                           Page 2
SANDWELL PCT - Annual Accounts 2008/09
                                                    BALANCE SHEET AS AT
                                                        31 March 2009


                                                                                             31 March 2009 31 March 2008
                                                                   NOTE        £000              £000          £000
FIXED ASSETS
Intangible assets                                                     9                14                           17
Tangible assets                                                    10.1             19,139                       24,752
Investments                                                        10.4                 0                          305
Financial assets                                                   10.5               305
                                                                                                  19,458         25,074
CURRENT ASSETS
Stocks and work in progress                                           11              112                          106
Debtors                                                               12             5,500                        4,975
Other financial assets                                             10.5                 0
Cash at bank and in hand                                           16.3              1,681                         610
TOTAL CURRENT ASSETS                                                                               7,293          5,691
CREDITORS : Amounts falling due within one year                    13.1                          (41,795)      (37,297)
Other financial liabilities falling due within one year            13.1/1                              0
NET CURRENT LIABILITIES                                                                          (34,502)      (31,606)
TOTAL ASSETS LESS CURRENT LIABILITIES                                                            (15,044)       (6,532)
Creditors: Amounts falling due after more than one year            13.1                                0             0
Other financial liabilities falling due after more than one year   13.1/1                              0
Provisions for liabilities and charges                                14                          (4,888)       (2,373)
TOTAL ASSETS EMPLOYED                                                                            (19,932)       (8,905)

FINANCED BY:
TAXPAYERS EQUITY
General fund                                                          15                         (26,686)      (20,157)
Revaluation reserve                                                   15                           5,320          8,388
Donated asset reserve                                                 15                           1,434          2,864
Government grant reserve                                              15                               0             0
Other reserves                                                        15                                0             0
TOTAL TAXPAYERS EQUITY                                                                           (19,932)       (8,905)




The notes on pages 5 to 36 form part of this account

The financial statements on pages 1 to 4 were approved by the Board on 5 June 2009 and signed on its behalf by

Chief Executive:                                                            Date:




                                                             Page 3
SANDWELL PCT - Annual Accounts 2008/09

                            CASH FLOW STATEMENT FOR THE YEAR ENDED
                                                31 March 2009

                                                                                          2008/09       2007/08
                                                                   NOTE      £000          £000            £000
OPERATING ACTIVITIES
Net cash outflow from operating activities                          16.1                  (495,752)       (470,383)


SERVICING OF FINANCE AND RETURNS ON INVESTMENT:
Interest paid                                                      6.2 & 8          (3)                            0
Interest received                                                                    0                            19
Interest element of finance leases                                                   0                             0
Net cash outflow from servicing of finance and returns on
investment                                                                                      (3)               19



CAPITAL EXPENDITURE
Payments to acquire intangible assets                                                0                            (2)
Receipts from sale of intangible assets                                              0                             0
Payments to acquire tangible fixed assets                                     (1,871)                       (1,742)
Receipts from sale of tangible fixed assets                                      152                         1,154
Payments to acquire fixed asset investments                                                                        0
Receipts from sale of fixed asset investments                                                                      0
Payments to acquire financial instruments                                            0                             0
Receipts from sale of financial instruments                                          0                             0
Net cash outflow from capital expenditure                                                   (1,719)           (590)

Net cash outflow before financing and management of liquid
resources                                                                                 (497,474)       (470,954)


MANAGEMENT OF LIQUID RESOURCES
(Purchase) of other current asset investments                                                                      0
Sale of other current asset investments                                                                            0
Net cash inflow/(outflow) from management of liquid
resources                                                                                           0              0


Net cash outflow before financing                                                         (497,474)       (470,954)


FINANCING
Net Parliamentary Funding                                                    498,545                       472,845
Other capital receipts surrendered                                                   0                             0
Capital grants received                                                              0                             0
Capital element of finance lease rental payments                                     0                             0
Cash transfers (to)/from other NHS bodies                                            0                             0
Net cash inflow from financing                                                             498,545         472,845


Increase in cash                                                                             1,071           1,891




                                                                Page 4
SANDWELL PCT - Annual Accounts 2008/09

                                                NOTES TO THE ACCOUNTS
Note 1. Accounting policies


  The financial statements have been prepared in accordance with the 2008/09 Financial Reporting Manual
  (FReM) issued by HM Treasury. The particular accounting policies adopted by the Primary Care Trust (PCT)
  are described below. They have been applied 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 fixed assets, and stock where material, at their value to the business by reference to current
  costs. This is in accordance with directions issued by the Secretary of State and approved by HM Treasury.
  Income and Funding
  The main source of funding for the Primary Care Trust is allocations (Parliamentary funding) from the
  Department of Health within an approved cash limit, which is credited to the General Fund of the Primary Care
  Trust. Parliamentary funding is recognised in the financial period in which the cash is received.
  Miscellaneous income is income which relates directly to the operating activities of the PCT. It principally
  comprises fees and charges for services provided on a full cost basis to external customers, as well as public
  repayment work. It includes both income appropriated-in-aid of the Vote and income to the Consolidated Fund
  which HM Treasury has agreed should be treated as operating income.
  Income is accounted for by applying the accruals convention. Income is recognised in the period in which
  services are provided. Where income has been received for a specific activity to be delivered in the following
  financial year, that income will be deferred.
  Acquisitions and Discontinued Operations
  Activities are considered to be 'acquired' only if they are acquired from outside the public sector. Activities are
  considered to be 'discontinued' only if they cease entirely. They are not considered to be 'discontinued' if they
  transfer from one public sector body to another.
  Taxation
  The PCT is not liable to pay corporation tax. Expenditure is shown net of recoverable VAT. Irrecoverable VAT
  is charged to the most appropriate expenditure heading or capitalised if it relates to an asset.

  Fixed Assets
  i) Capitalisation
  All assets falling into the following categories are capitalised:
  Intangible assets which can be valued, are capable of being used in a PCT's activities for more than one year
  and have a cost equal to or greater than £5,000;

  Intangible fixed assets held for operational use are valued at historical cost and are depreciated over the
  estimated life of the asset on a straight line basis. The carrying value of intangible assets is reviewed for
  impairment at the end of the first full year following acquisition and in other periods if events or changes in
  circumstances indicate the carrying value may not be recoverable.

  Purchased computer software licences are capitalised as intangible fixed assets where expenditure of at least
  £5,000 is incurred. They are amortised over the shorter of the term of the licence and their useful economic
  lives.




                                                          Page 5
Page 5
SANDWELL PCT - Annual Accounts 2008/09

  Tangible assets which are capable of being used for a period which exceeds one year and which:
  - individually have a cost equal to or greater than £5,000; or
  - collectively have a cost equal to or greater than £5,000 and individually cost more than £250, where the
  assets are functionally interdependent, they had broadly simultaneous purchase dates and are anticipated to
  have simultaneous disposal dates; and are under single managerial control; or
  - form part of the initial equipping and setting-up cost of a new building, ward or unit irrespective of their
  individual or collective costs; or
  - form part of an I.T. network which collectively has a cost of more than £5,000 and individually have a cost of
  more than £250.
  ii) Valuation
  Intangible fixed assets held for operational use are valued at historical cost, except Research and Development
  which is valued using appropriate index figures. Surplus intangible assets are valued at the net recoverable
  amount. Sandwell PCT has no Research and Development expenditure.

  Tangible fixed assets are stated at the lower of replacement cost and recoverable amount. On initial
  recognition they are measured at cost (for leased assets, fair value) including any costs such as installation
  directly attributable to bringing them into working condition. They are restated to current value each year. The
  carrying values of tangible fixed assets are reviewed for impairment in periods if events or changes in
  circumstances indicate the carrying value may not be recoverable.

  Land & Buildings and Dwellings



  Land and buildings are restated at current cost using professional valuations at three-yearly intervals in
  accordance with FRS15. Between valuations price indices appropriate to the category of asset are applied to
  arrive at the current value. The buildings indexation is based on the All in Tender Price Index published by the
  Building Cost Information Service (BCIS). The land index is based on the residential building and land values
  reported in the Property Market Report published by the Valuation Office. Indexation was applied in April 2008
  in accordance with Department of Health guidance issued at that time. Professional valuations are carried out
  by the District Valuers of the Inland Revenue Government Department at three-yearly intervals. A three-yearly
  revaluation was carried out for the first time as at 01 April 2009.

  In preparation for the adoption of International Financial Reporting Standards (IFRS) in 2009/10, the three-
  yearly interval for valuation was adopted in 2008/09 accounts as against the five-yearly interval adopted in 2004
  revaluation. This change in valuation interval and attendant revaluation resulted in an impairment charge of
  £393K to the current year's Operatiing Cost Statement (OCS) after utilising the revaluation reserve balances in
  respect of each asset.

  The valuations were carried out in accordance with the Royal Institute of Chartered Surveyors (RICS) Appraisal
  and Valuation Manual insofar as these terms are consistent with the agreed requirements of the Department of
  Health and HM Treasury. In accordance with the requirements of the Department of Health, the asset
  valuations were undertaken in 2009 as at the prospective valuation date of 01 April 2009 and were applied on
  31 March 2009.

  The valuations have been carried out primarily on the basis of Depreciated Replacement Cost for specialised
  operational property and Existing Use Value for non-specialised operational property.

  In respect of non-operational properties, including surplus land, the valuations have been carried out at Open
  Market Value. The value of land for existing use purposes is assessed to Existing Use Value.

  In line with HM Treasury guidance, the revaluation on 01 April 2009 was based on "modern equivalent assets"
  rather than the "like for like" replacement basis used in the previous valuation.

  Additional alternative Open Market Value figures have only been supplied for operational assets scheduled for
  imminent closure and subsequent disposal.

  Gains made from indexation and revaluations are taken to the revaluation reserve. Losses arising from
  revaluations are recognised as impairments and are charged to the revaluation reserve to the extent that a
  balance exists in relation to the revalued asset. Losses in excess of that amount are charged to the current
  year's Operating Cost Statement (OCS), unless it can be demonstrated that the recoverable amount is greater
  than the revalued amount in which case the impairment is taken to the revaluation reserve. Falls in value when
  newly constructed assets are brought into use are charged in full to the OCS. These falls in value result from
  the adoption of ideal conditions as the basis for depreciated replacement cost valuations.

  Land and buildings held under finance leases are capitalised at inception at the fair value of the asset but may
  be subsequently revalued by the District Valuer. The valuations do not include notional directly attributable
  acquisition costs nor have selling costs been deducted, since they are regarded as not material. Sandwell PCT
  does not have any finance leases.


                                                                             Page 6
SANDWELL PCT - Annual Accounts 2008/09

  Financial asset - LIFT investments

  Sandwell PCT has a Loan Stock investment in Sandwell LIFT Company. The three former PCT's each
  purchased the stock of 333 Class B shares in January 2004. The Shares are recorded in the accounts at
  cost. Each year, the Auditors are consulted on what value to show in the Accounts as market value is not
  available for LIFT investments. This year it has been decided to value the investment at cost. If valuation was
  to change, any increase would be taken in full to the revaluation reserve, or if there was a fall in value, the
  impairments would be charged directly as operating expenditure.

  Equipment

  Operational equipment is carried at current value. Where assets are at low value, and/or have short useful
  economic lives, these are carried at depreciated historic cost as a proxy for current value. Equipment surplus
  to requirements is valued at net recoverable amount and assets held under finance leases are capitalised at
  the fair value of the assets. With those exceptions, equipment is valued at estimated net current replacement
  cost through annual uplift by the change in the value of the GDP deflator, other than IT equipment which is
  considered to have nil inflation.

  Assets in the course of construction
  Assets in the course of construction are valued at current cost using the index as for land and buildings (see
  above). These assets include any existing land or buildings under the control of a contractor.
  iii) Depreciation, amortisation and impairments
  The accounts include details of estimated lives of assets. These range from 2 years for software and IT
  to 63 years for one of the buildings owned.
  Tangible fixed assets are depreciated at rates calculated to write them down to estimated residual value on a
  straight line basis over their estimated useful lives.
  Freehold land and land and buildings surplus to requirements are not depreciated. Assets in the course of
  construction are not depreciated until the asset is brought into use or reverts to the Primary Care Trust,
  respectively.
  Buildings, installations and fittings are depreciated on their current value over the estimated remaining life of
  the asset as advised by the District Valuer.
  Leaseholds are depreciated over the primary lease term.
  Equipment is depreciated on current cost evenly over the estimated life of the asset.
  Intangible assets are amortised over the estimated lives of the assets.
  Where the useful economic life of an asset is reduced from that initially estimated due to the revaluation of an
  asset for sale, depreciation is charged to bring the value of the asset to its value at the point of sale.
  Purchased computer software licences are amortised over the shorter of the term of the license and their
  useful economic lives.

  Donated Assets
  Donated tangible fixed assets are capitalised at their valuation on receipt and this value is credited to the
  donated asset reserve. Donated assets are revalued and depreciated as described above for purchased
  assets. Gains and losses on revaluations are taken to the donated asset reserve and, each year, an amount
  equal to the depreciation charge on the asset is released from the donated asset reserve to the OCS.
  Similarly, any impairment on donated assets charged to the OCS is matched by a transfer from the donated
  asset reserve. On sale of donated assets, the value of the sale proceeds is transferred from the donated
  asset reserve to the general fund.




                                                          Page 7
SANDWELL PCT - Annual Accounts 2008/09

  Cash, Bank and Overdraft:

  Cash, bank and overdraft balances are recorded at current values. Interest earned on bank accounts and
  interest charged on overdrafts are recorded as, respectively, 'Interest receivable' and ' Interest payable' in the
  periods to which they relate. Bank charges are recorded as operating expenditure in the periods to which they
  relate.
  Pooled budgets (See Note 24)
  The PCT has entered into a pooled budget with Sandwell Metropolitan Borough Council. Under the
  arrangement funds are pooled under S75 of the NHS Act 2006 for Adult Mental Health, Learning Disabilities
  and Community Equipment activities and a memorandum note to the accounts provides details of the joint
  income and expenditure.

  The Learning Disabilities and Community Equipment Services pools are hosted by Sandwell Metropolitan
  Borough Council. The Adult Mental Health Pool is hosted by Sandwell PCT. As a commissioner of healthcare
  services, the Primary Care Trust makes contributions to the pool, which are used to purchase healthcare
  services. The Primary Care Trust accounts for its share of assets, liabilities, income and expenditure of the
  pool as determined by the pooled budget agreement.

  Leases
  Where substantially all risks and rewards of ownership of a leased asset are borne by the Primary Care Trust,
  the asset is recorded as a tangible fixed asset and a debt is recorded to the lessor of the minimum lease
  payment discounted by the interest rate implicit in the lease. The interest element of finance lease payments is
  charged to the OCS over the period of the lease at a constant rate in relation to the balance outstanding. There
  are no finance leases in Sandwell PCT.
  Other leases are regarded as operating leases and the rentals are charged to the OCS on a straight line basis
  over the term of the lease.

  Private Finance Initiative
  Sandwell PCT does not have any PFI projects.

  Stocks and work-in-progress

  Stocks comprise raw materials and consumables and are valued at the lower of cost and net realisable value.
  This is considered to be a reasonable approximation to current cost due to the high turnover of stocks.
  Work-in-progress comprises goods in intermediate stages of production. Partially completed contracts for
  patient services are not accounted for as work-in-progress, but the PCT reflects the treatment of the main
  patient care providers in Sandwell by accruing expenditure in respect of part-completed treatment episodes at
  the balance sheet date.
  Stocks at Sandwell PCT primarily relate to equipment held by the Wheelchairs service.




                                                         Page 8
SANDWELL PCT - Annual Accounts 2008/09



  Provisions
  The Primary Care Trust provides for legal or constructive obligations that are of uncertain timing or amount at
  the balance sheet date on the basis of the best estimate of the expenditure 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 Treasury's discount rate of 2.2% in real terms.
  Clinical Negligence Costs
  The NHS Litigation Authority (NHSLA) operates a risk pooling scheme under which the Primary Care 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
  Primary Care Trust. The total value of clinical negligence provisions carried by the NHSLA on behalf of the
  Primary Care Trust is disclosed at Note 14.

  Non-clinical risk pooling
  The Primary Care Trust participates in the Property Expenses Scheme and the Liabilities to Third Parties
  Scheme. Both are risk pooling schemes under which the Primary Care 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 as and when they become due.

  Losses and Special Payments
  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 each individual case is handled.

  Losses and special payments are charged to the relevant functional headings, including losses which would
  have been made good through insurance cover had Primary Care Trusts not been bearing their own risks
  (with insurance premiums then being included as normal revenue expenditure). However, Note 25 is
  compiled directly from the losses and compensations register which is prepared on a cash basis.




                                                        Page 9
SANDWELL PCT - Annual Accounts 2008/09

  Pension Costs
  Past and present employees are covered by the provisions of the NHS Pensions Scheme. Details of the
  benefits payable under these provisions can be found on the NHS Pensions website at
  www.nhsbsa.nhs.uk/pensions. The Scheme is an unfunded, defined benefit scheme that covers NHS
  employers, General Practices and other bodies, allowed under the direction of the Secretary of State, in
  England and Wales. The scheme is not designed to be run in a way that would enable NHS bodies to identify
  their share of the underlying Scheme assets and liabilities. Therefore, the Scheme is accounted for as if it were
  a defined contribution scheme: the cost to the NHS body of participating in the Scheme is taken as equal to the
  contributions payable to the Scheme for the accounting period.
  The Scheme is subject to a full actuarial valuation every four years (until 2004, based on a five year valuation
  cycle), and a FRS17 accounting valuation every year. An outline of these follows:

  a) Full actuarial (funding) valuation
  The purpose of this valuation is to assess the level of liability in respect of the benefits due under the scheme
  (taking into account its recent demographic experience), and to recommend the contribution rates to be paid by
  employers and scheme members. The last such valuation, which determined current contribution rates was
  undertaken as at 31 March 2004 and covered the period from 1 April 1999 to that date.


  The conclusion from the 2004 valuation was that the Scheme had accumulated a notional deficit of £3.3 billion
  against the notional assets as at 31 March 2004. However, after taking into account the changes in the benefit
  and contribution structure effective from 1 April 2008, the Scheme actuary reported that employer contributions
  could continue at the existing rate of 14% of pensionable pay. On advice from the Scheme actuary, scheme
  contributions may be varied from time to time to reflect changes in the scheme’s liabilities. Up to 31 March
  2008, the vast majority of employees paid contributions at the rate of 6% of pensionable pay. From 1 April
  2008, employees contributions are on a tiered scale from 5% up to 8.5% of their pensionable pay depending on
  total earnings.

  b) FRS17 Accounting valuation
  In accordance with FRS17, a valuation of the Scheme liability is carried out annually by the Scheme Actuary as
  at the balance sheet date by updating the results of the full actuarial valuation.

  Between the full actuarial valuations at a two-year midpoint, a full and detailed member data-set is provided to
  the Scheme Actuary. At this point the assumptions regarding the composition of the Scheme membership are
  updated to allow the Scheme liability to be valued.
  The valuation of the Scheme liability as at 31 March 2009, is based on detailed membership data as at 31
  March 2006 (the latest midpoint) updated to 31 March 2009 with summary global member and accounting data.
  The latest assessment of the liabilities of the Scheme is contained in the Scheme Actuary report, which forms
  part of the annual NHS Pension Scheme (England and Wales) Resource Account, published annually. These
  accounts can be viewed on the NHS Pensions website. Copies can also be obtained from The Stationery
  Office.




                                                                 Page 10
SANDWELL PCT - Annual Accounts 2008/09

  Scheme Provisions as at 31 March 2009
  The scheme is a 'final salary' scheme.
  For early retirements other than those due to ill health the additional pension liabilities are not funded by the
  scheme. The full amount of the liability for the additional costs is charged to the OCS at the time the PCT
  commits itself to the retirement, regardless of the method of payment.
  The Scheme provides the opportunity to members to increase their benefits through money purchase
  Additional Voluntary Contributions (AVCs) provided by an approved panel of life companies. Under the
  arrangement the employee/member can make contributions to enhance an employee's pension benefits. The
  benefits payable relate directly to the value of the investments made. From 1 April 2008 a voluntary additional
  pension facility becomes available, under which members may purchase up to £5,000 per annum of additional
  pension at a cost determined by the actuary from time-to-time.
  Early payment of a pension is available to members of the Scheme who are permanently incapable of fulfilling
  their duties effectively through illness or infirmity. A death gratuity of twice final year’s pensionable pay for
  death in service, and five times their annual pension for death after retirement, less pension already paid,
  subject to a maximum amount equal to twice the member’s final year’s pensionable pay less their retirement
  lump sum for those who die after retirement, is payable.

  Existing members at 1 April 2008
  Annual pensions are normally based on 1/80th of the best of the last 3 years pensionable pay for each year of
  service. A lump sum normally equivalent to 3 years pension is payable on retirement. From 1 April 2008 there
  is the opportunity of giving up some of the pension to increase the retirement lump sum. Annual increases
  are applied to pension payments at rates defined by the Pensions (Increase) Act 1971, and are based on
  changes in retail prices in the twelve months ending 30 September in the previous calendar year. On death, a
  pension of 50% of the member’s pension is normally payable to the surviving spouse or eligible unmarried
  partner.

  New entrants from 1 April 2008
  Annual pensions for new entrants from 1 April 2008 will be based on 1/60th of the best three-year average of
  pensionable earnings in the ten years before retirement. Members wishing to obtain a retirement lump sum
  may give up some of this pension to obtain a retirement lump of up to 25% of the total value of their retirement
  benefits. Survivor pensions will be available to married and unmarried partners and will be equal to 37.5% of
  the member's pension.

  Foreign currency
  Transactions in foreign currencies are translated into sterling at the rates of exchange current at the dates of
  the transactions. Resulting exchange gains and losses are taken to the OCS. Sandwell PCT had no foreign
  currency transactions in 08/09

  Third Party Assets
  Assets belonging to third parties (such as money held on behalf of Patients) are not recognised in the
  accounts since the Primary Care Trust has no beneficial interest in them. There are no reported assets
  belonging to third parties held by Sandwell PCT, (see Note 23).

  Cost of Capital Charge
  The cost of capital applies to all the assets and liabilities of the PCT, less cash balances held at the OPG and
  donated assets. The interest rate applied to capital charges in the 2008/09 financial year was 3.5% (2007/08
  3.5%).

  EU Emissions Trading Scheme
  Sandwell PCT does not hold any provisions of this type.




                                                             Page 11
SANDWELL PCT - Annual Accounts 2008/09

  Financial Instruments

  Financial assets

  Financial assets are recognised on the balance sheet when the PCT becomes party to the financial instrument
  contract or, in the case of trade debtors, when the goods or services have been delivered. Financial assets are
  derecognised when the contractual rights have expired or the asset has been transferred.

  Financial assets are initially recognised at fair value.

  Financial assets are classified into the following categories: financial assets ‘at fair value through profit and loss’;
  ‘held to maturity investments’; ‘available for sale’ financial assets, and ‘loans and receivables’. The classification
  depends on the nature and purpose of the financial assets and is determined at the time of initial recognition.
  Sandwell PCT has only the latter.

  Loans and receivables

  Loans and receivables are non-derivative financial assets with fixed or determinable payments which are not quoted
  in an active market. After initial recognition, they are measured at amortised cost using the effective interest
  method, less any impairment. Interest is recognised using the effective interest method. Such items are debtors
  and the bank balance.

  Fair value is determined by reference to quoted market prices where possible. In the case of Sandwell LIFT
  investment, there is no quoted market price.The fair value is deemed to be equal to cost. This approach has been
  agreed with the Auditors.

  The effective interest rate is the rate that exactly discounts estimated future cash receipts through the expected life
  of the financial asset, to the net carrying amount of the financial asset.

  At the balance sheet date, the PCT assesses whether any financial assets, other than those held at ‘fair value
  through profit and loss’ are impaired. Financial assets are impaired and impairment losses recognised if there is
  objective evidence of impairment as a result of ore 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.
  asset and which has an impact on the estimated future cash flows of the asset.
  Sandwell PCT has no impairments of financial asset instruments.




                                                             Page 12
SANDWELL PCT - Annual Accounts 2008/09



  Financial liabilities

  Financial liabilities are recognised on the balance sheet when the Trust becomes party to the contractual
  provisions of the financial instrument or, in the case of trade creditors, when the goods or services have been
  received. Financial liabilities are de-recognised when the liability has been discharged, that is, the liability has
  been paid or has expired.

  Financial liabilities are initially recognised at fair value.


  Financial liabilities are classified as either financial liabilities ‘at fair value through profit and loss’ or other
  financial liabilities. Sandwell PCT has no financial liabilities at fair value through the profit and loss.


  Other financial liabilities

  These are items such as creditors who the PCT owes money to. After initial recognition, all financial liabilities
  are measured at amortised cost using the effective interest method. The effective interest rate is the rate that
  exactly discounts estimated future cash payments through the life of the asset, to the net carrying amount of
  the financial liability. Interest is recognised using the effective interest method.




                                                                  Page 13
SANDWELL PCT - Annual Accounts 2008/09

Note 2. Financial Performance Targets
Note 2.1 Revenue Resource Limit
The PCTs' performance for 2008/09 is as follows:                                2008/09        2007/08
                                                                                 £000           £000
Total net operating cost for the financial year                                   504,735        472,376
Less: Non-discretionary Expenditure                                                 3,273           3,164
Operating Costs less non-discretionary expenditure                                501,462        469,212
Final Revenue Resource Limit for year                                             508,482        470,728
Under spend against Revenue Resource Limit                                          7,020           1,516



Note 2.2. Capital Resource Limit
The PCT is required to keep within its Capital Resource Limit
                                                                                2008/09        2007/08
                                                                                 £000           £000
Gross Capital Expenditure                                                           1,774           1,810
Add: Loss in respect of disposals of donated assets                                       0                0
less: Net book value of assets disposed of                                           (155)        (1,107)
less: Capital grants                                                                      0                0
less: Donations                                                                           0                0
Charge Against the Capital Resource Limit                                           1,619             703
Capital Resource Limit                                                              1,702             710
(Over) / Under spend against Capital Resource Limit                                    83               7

Note 2.3. Provider full cost recovery duty

The PCT is required to recover full costs in relation to its provider functions. The performance
for 2008/09 is as follows:
                                                                                   2008/09       2007/08
                                                                                    £000          £000

Provider gross operating cost                                                      35,800         31,074
less: Miscellaneous income relating to provider functions                          (5,690)        (4,498)
Net Operating Cost                                                                 30,110         26,576
less: Costs met from PCT's own allocation                                         (30,361)       (26,978)
Under / (over) recovery of costs                                                     (251)          (402)




                                                         Page 14
SANDWELL PCT - Annual Accounts 2008/09
Note 3. Miscellaneous Income
                                                                                                   2008/09                2007/08
                                                                £000               £000             £000                   £000
                                                                                   Not
                                                           Appropriated        Appropriated
                                                              In Aid              In Aid
Fees and Charges                                                     1,038                 0             1,038                    904
Dental Charge income from contractor led GDS & PDS                   3,506                 0             3,506                 3,217
Dental Charge income from trust led GDS & PDS                           34                 0                 34                     35
Prescription Charge Income                                               2                 0                  2                      0
Strategic Health Authorities                                             0             1,693             1,693                 1,921
NHS Trusts                                                               0             2,248             2,248                 2,542
Foundation Trusts                                                        0                80                 80                      5
Primary Care Trusts for Drug Action Teams                              740                 2               742                 1,223
Primary Care Trusts - other                                              0             1,167             1,167                 1,532
Primary Care Trusts - Lead Commissioning Income                          0                 0                  0                      0
English RAB Special Health Authorities                                   0                 0                  0                      0
Other English Special Health Authorities/CGA Bodies                      0                48                 48                     48
Department of Health - SMPTB                                             0                 0                  0                      0
Department of Health - other                                             0                84                 84                   132
Income for Trust Impairment                                                                                                          0
Local Authorities                                                    2,654                 0             2,654                 2,309
Patient Transport Services                                               0                 0                  0                      0
Education, Training and Research                                        94               492               586                    261
Non NHS: Private Patients                                                0                 0                  0                      0
Non-NHS: Overseas Patients (non-reciprocal)                              0                 0                  0                      0
NHS Injury Costs Recovery                                                0                 0                  0                      0
Other Non-NHS patient care services                                     13                 0                 13                      8
Charitable and other contributions to expenditure                        2                 0                  2                      4
Transfer from the donated asset reserve                                  0                15                 15                     59
Transfer from the government grant reserve                               0                 0                  0                      0
Rental income from finance leases                                        0                 0                  0                      0
Rental income from operating leases                                    977               109             1,086                 1,349
Other income                                                           474                 0               474                    372
TOTAL MISCELLANEOUS INCOME                                           9,534             5,938            15,472                15,921


Other Income includes income for staff recharges for various services provided by the PCT (£155K), grants income
for obesity in children (£93K), and sales rebates from Nutricia Ltd for feeding equipment sales to GP practices (£97k).

Rental income from operating leases is a new line for 2008/09. Previous year costs have been restated to provide a comparator.




                                                                     Page 15
SANDWELL PCT - Annual Accounts 2008/09
Note 4. Operating Costs
Note 4.1 Analysis of gross operating costs:
                                                                                       2008/09         2007/08
                                                                                        £000            £000
Goods and services from other Primary Care Trusts
Healthcare                                                                                 55,863        45,353
Non Healthcare                                                                                378           654
Total                                                                                      56,241        46,007
Goods and services from other NHS bodies excluding Foundation Trusts
Healthcare                                                                               183,811        196,670
Non Healthcare                                                                              1,995             4,656
Total                                                                                    185,806        201,326
Goods and Services from Foundation Trusts                                                  38,421        14,078
Purchase of healthcare from non-NHS providers                                              41,980        38,733
Social Care from independent providers                                                           0               0
Expenditure on Drugs Action Teams                                                           3,669             4,205
Non-GMS services from GPs                                                                     615             1,053
Contractor led GDS & PDS                                                                   20,341        18,002
Trust led GDS & PDS                                                                           423              421
PCT Board members' costs                                                                    1,077             1,177
PCT Executive Committee non-officer members' costs                                            220              182
Staff costs                                                                                41,046        37,001
Consultancy services                                                                        2,533             1,311
GMS/PMS/APMS/PCTMS                                                                         43,406        42,556
Prescribing costs                                                                          53,196        53,211
Pharmaceutical Services                                                                       676              590
Local Pharmaceutical Service Pilots                                                              0               0
New Pharmacy Contract                                                                       4,200             2,480
General Ophthalmic Services                                                                 3,273             3,164
Supplies and services - clinical                                                            3,018             2,744
Supplies and services - general                                                             2,660             1,394
Establishment                                                                               3,275             2,357
Transport                                                                                      25               24
Premises                                                                                    8,055             6,989
Impairment of debtors                                                                       (236)              218
Depreciation                                                                                2,026             1,322
Amortisation                                                                                   12               13
Tangible fixed asset impairments and reversals                                                997              281
Intangible fixed asset impairments and reversals                                                 0               0
Impairments and reversals of financial assets (by class)                                         0
Change in the fair value of financial instruments                                                0
NHS Trust Impairments                                                                            0            2,065
(Profit)/loss on disposal of fixed assets                                                        3             (47)
Cost of capital charge                                                                      (620)             (443)
Audit fees                                                                                    238              231
Other auditor's remuneration                                                                   39               42
Clinical negligence costs                                                                      83              110
Other finance costs - unwinding of discount                                                    14                0
Redundancies                                                                                     0               0
Education and training                                                                      1,140              798
Other                                                                                       2,352             4,721
Total                                                                                    520,204        488,316

There are no costs for PCT Board member's early retirements prior to 6/3/95 in either 07/08 or 08/09.
There are no Staff costs in the above figures for early retirements prior to 6/3/95 (and none for 2007/08).
Consultancy includes general management services, legal, human resources, IT
and property services. These costs include the following main items:
 - Right care Right Here central costs to progress the programme plans
 - Accommodation review at Kingston House
 - Project work on the IFRS conversion of LIFT schemes
 - Provider management costs
 - Mental health design and development of services through Staffs University
Other mainly includes:
 - Training cost paid to GPs (£1.5m)
 - Prescribing Incentive Scheme for improving patients' experience (£0.3m)
 - Interpreting/translation costs (£0.2m)
 - School Nurses costs (£0.2m)
 - Training cost paid to GPs (£1.5m)                                                    Page 16
SANDWELL PCT - Annual Accounts 2008/09
Note 4.2 Analysis of operating expenditure by expenditure classification
Note 4.2 Purchase of Health Care by PCT
                                                                                       2008/09          2007/08
                                                                                        £000             £000
Purchase of Primary Health Care
GMS / PMS/ APMS / PCTMS                                                                    43,406             42,556
Prescribing costs                                                                          53,196             53,211
Pharmaceutical services                                                                       676               588
Contractor led GDS & PDS                                                                   20,343             17,458
Trust led GDS & PDS                                                                         2,110              2,029
General Ophthalmic Services                                                                 3,273              3,164
Department of Health Initiative Funding                                                          0                0
Local Pharmaceutical Services Pilots                                                             0                0
New Pharmacy Contract                                                                       4,200              2,480
Non-GMS Services from GPs                                                                     615              1,053
Other                                                                                       1,805              2,061
Total Primary Healthcare purchased                                                       129,624         124,600

Purchase of Secondary Healthcare
Learning Difficulties                                                                      19,330             18,556
Mental Illness                                                                             41,937             38,421
Maternity                                                                                  14,033             13,623
General and Acute                                                                        208,892         183,866
Accident And Emergency                                                                      6,328              6,239
Community Health Services                                                                  50,185             49,718
Other Contractual                                                                           7,135              6,105
Total Secondary Healthcare Purchased                                                     347,840         316,528
Impairments in Trusts                                                                            0             2,065
Grants (revenue) to fund Capital Projects - GMS                                                  0                0
Grants (revenue) to LAs to fund Capital Projects                                              368               460
Grants (revenue) to private sector to fund Capital Projects                                      0               23
Grants (revenue) to fund Capital Projects - Dental                                               0              544
Grants (revenue) to fund Capital Projects - other                                              0               0
TOTAL HEALTHCARE PURCHASED BY PCT                                                        477,832         443,193

Amount of self-commissioned secondary healthcare included above*                           30,361             26,978
Healthcare purchased from Foundation Trusts included above                                 38,421             14,078
Social Care from Independent Providers **                                                        0                0
* This is the total of secondary healthcare that the PCT commissioned from itself
** Applicable for Care Trusts only
Explanation for Variances
Contractor led GDS and PDS has increased partly due to a national uplift agreed by the Dentists and Doctors
Review Board. Also because of additional activity awarded to successful bidders (£1m) and
a reserve has been held as the funding is ring fenced, (£1.5m).
The New Pharmacy Contract rates have increased from 34.5p per item to 101.1p per item.
Mental Health has increased due to increased investment in specialised services.
The General and Acute line has increased due to patient treatment activity being greater than planned.



                                                             Page 17
SANDWELL PCT - Annual Accounts 2008/09


Note 4.3 Operating Leases
4.3/1 Operating expenses include:
                                                                                    2008/09          2007/08
                                                                                     £000             £000
Hire of plant & machinery                                                                     21               22
Other operating lease rentals                                                             3,622            3,078
Total                                                                                     3,643            3,100



Note 4.3/2 Annual commitments under non - cancellable operating leases are:
                                          2008/09           2008/09                 2007/08          2007/08
                                    Land and buildings    Other leases        Land and buildings   Other leases
                                           £000              £000                    £000             £000
Operating leases which expire:
Within 1 year                                      105                   0                    52                  0
Between 1 and 5 years                                6                16                      43                  0
After 5 years                                    2,001                33                  1,069                   0
Total                                            2,112                49                  1,164                   0




                                                            Page 18
Page 18
SANDWELL PCT - Annual Accounts 2008/09

Note 5. Staff numbers and related costs
Note 5.1 Staff costs
                                                                 2008/09                                          2007/08
                                                               Permanently                                      Permanently
                                                 Total          Employed          Other           Total          Employed          Other
                                                 £000             £000            £000            £000             £000            £000
Salaries and wages                                 35,426           33,056           2,370           32,015          30,968            1,047
Social security costs                               2,574            2,545                29          2,365           2,365                0
Employer contributions to NHSBSA                    4,342            4,293                49          3,968           3,968                0
Other pension costs                                     0                0               0              102             102                0
Total                                              42,342           39,894           2,448           38,450          37,403            1,047



Note 5.2 Staff Numbers
                                                                 2008/09                                          2007/08
                                                               Permanently                                      Permanently
                                                 Total          Employed        Other            Total           Employed          Other
                                                Number           Number        Number           Number            Number          Number
Medical and dental                                       31             24                7               25              23               2
Ambulance staff                                           0              0                0                0               0               0
Administration and estates                               494           457                37              451           435                16
Healthcare assistants & other support staff              93             83                10              93              84               9
Nursing, midwifery & health visiting staff               368           361                7               352           348                4
Nursing, midwifery & health visiting learners             0              0                0                0               0               0
Scientific, therapeutic and technical staff              226           224                2               232           229                3
Social Care staff                                        14              1                13               0               0               0
Other                                                   0                0                 0             1                1                 0
Total                                                1226             1150                76          1154             1120                34
In 07/08 there was an error on the classification of shared PCT/Council staff. 6 staff were classified as Administration and Estates
instead of Social Care. This was corrected in 08/09.

Note 5.3 Employee benefits
There were none in 08/09 or the prior year.


Note 5.4 Retirements due to ill-health
During 2008/09 there were 3 early retirements from the Primary Care Trust agreed on the grounds of ill-health (2007/08: 0). The estimated
additional pension liabilities of these ill-health retirements (calculated on an average basis and borne by the NHS Pension Scheme) will be
£289,260.23 (2007/08: £0).

Note 5.5 Management costs
                                                                 2008/09       2007/08
Management costs (£000s)                                            10,322          8,453
Weighted population (Number)                                       352,666       347,843
Management cost per head of weighted population (£)                   29.27         24.30

There is a 22% increase in management costs over the previous period. This is due to additional staff and higher grade mixes in ICT,
Finance and Planning and Development areas. Also, Older People Strategy staff were omitted in error last year . In addition,
the number of Locality Managers has increased and those staff in the 'Other Senior Nurse' category were moved in to General
Management of Clinical Services roles. Finally, the PCT incurred its share of management costs of the Commissioning
Business Support Agency.

The PCT measures its management costs according to the definitions provided by the Department of Health




                                                                        Page 19
SANDWELL PCT - Annual Accounts 2008/09


Note 6. Better Payment Practice Code
Note 6.1    Better Payment Practice Code - measure of compliance

                                                              2008/09            2008/09          2007/08           2007/08
Non-NHS Creditors                                             Number              £000            Number             £000
Total bills paid in the year                                     23,231            101,606            18,625              70,068
Total bills paid within target                                   17,065              88,427           14,146              58,747
Percentage of bills paid within target                        73.46%             87.03%              75.95%              83.84%

NHS Creditors
Total bills paid in the year                                      1,555            290,523             1,589             277,272
Total bills paid within target                                   1,350            287,761              1,271             271,681
Percentage of bills paid within target                        86.82%             99.05%              79.99%              97.98%

The Better Payment Practice Code requires the PCT to aim to pay all valid invoices by the due date or
within 30 days of receipt of a valid invoice, whichever is later. The figures in 08/09 are showing some improvement
on the previous year but there is still a lack of compliance with procedure which is dragging performance down.
Additional resources are being employed and a User group has been formed which will meet monthly and will be the
conduit for communication to the 450 users of the purchasing system.

Note 6.2 The Late Payment of Commercial Debts (Interest) Act 1998
                                                                                                  2008/09           2007/08
                                                                                                   £000              £000

Amounts included within Interest Payable (Note 7) arising from claims
made by businesses under this legislation                                                                   3                 0
Compensation paid to cover debt recovery costs under this legislation                                       0                 0

Note 7.1 Other Gains and Losses

                                                                                                  2008/09           2007/08
                                                                                                   £000              £000
Profit on disposal of intangible assets                                                                     0                 0
Loss on disposal of intangible assets                                                                       0                 0
Profit on disposal of land and buildings                                                                    0                47
Loss on disposal of land and buildings                                                                    (3)                 0
Profits on disposal of plant and equipment                                                                  0                 0
Loss on disposal of plant and equipment                                                                     0                 0
Profit on disposal of investment assets                                                                     0                 0
Loss on disposal of investment assets                                                                       0                 0
Gain/(loss) on foreign exchange                                                                             0                 0
Change in fair value of financial assets carried at fair value through profit and loss                      0
Change in fair value of financial liabilities carried at fair value through profit and loss                 0
Recycling gains/(loss) from equity on disposal of financial assets held for sale                            0
Total                                                                                                     (3)                47

Whiteheath Clinic was disposed of during the year for £152K. The original net book value prior to valuation was £219K.
It was valued at £155K. The loss on disposal was therefore £3K.




                                                               Page 20
and will be the




                  Page 20
SANDWELL PCT - Annual Accounts 2008/09

Note 7.2 Analysis of Impairments charged to operating costs
                                                                                                Fixed            Current
                                                         Intangible        Tangible           Financial         Financial
                                                           Assets          Assets           Instruments       Instruments
                                                            £000              £000              £000              £000
Loss or damage from normal operations                                 0                 0                0                 0
Loss as a result of catastrophe                                       0                 0                0                 0
Abandonment of assets in course of construction                       0                 0                0                 0
Unforseen obsolescence                                                0                 0                0                 0
Over specification of assets                                          0                 0                0                 0
Other (detail below)                                                  0               604                0                 0
Changes in Market Price                                               0               393                0                 0
Totals                                                                0               997                0                 0
Total impairments                                                     0

Analysis of 'Other'
A loss in value of a fixed asset is generally either caused by a general fall in market price due to economic conditions or
or where an asset has been written out of the accounts. In 08/09 two assets were identified for write off. The amount that
impacted the expenditure account was £604K.


Note 8. Finance Costs
                                                                                               2008/09           2007/08
                                                                                                £000              £000
Payable:
Finance leases                                                                                           0                 0
Late payment of commercial debt penalties                                                                3                 0
Loans                                                                                                    0                 0
Bank loans and overdrafts                                                                                0                 0
Other interest and finance costs                                                                         0                 0
TOTAL                                                                                                    3                 0




                                                          Page 21
SANDWELL PCT - Annual Accounts 2008/09

Note 9. Intangible Fixed Assets

                                            Software        Licenses &       Patents       Development     Total
                                            licences        trademarks                     expenditure
                                               £000             £000          £000            £000         £000
Gross cost at 1 April 2008                             52                0             0               0           52
Additions - purchased                                   0                0             0               0            0
Additions - donated                                     0                0             0               0            0
Additions - government granted                          0                0             0               0            0
Impairments                                             0                0             0               0            0
Indexation                                                                                             0            0
Other revaluation                                       9                0             0               0            9
Reclassifications                                       0                0             0               0            0
In year transfers to/from NHS bodies                    0                0             0               0            0
Disposals                                               0                0             0               0            0
Gross cost at 31 March 2009                            61                0             0               0           61
Accumulated amortisation at 1 April 2008               35                0             0              0            35
Indexation                                                                                            0             0
Impairments                                             0                0             0              0             0
Reversal of impairments                                 0                0             0              0             0
Other revaluation                                       0                0             0              0             0
Provided during the year                               12                0             0              0            12
Reclassifications                                       0                0             0              0             0
In year transfers to/from NHS bodies                    0                0             0              0             0
Disposals                                               0                0             0              0             0
Accumulated amortisation at 31 March 2009              47                0             0              0            47

- Purchased at 1 April 2008                            17                0             0              0            17
- Donated at 1 April 2008                               0                0             0              0             0
- Government granted at 1 April 2008                    0                0             0              0             0
Total at 1 April 2008                                  17                0             0              0            17

- Purchased at 31 March 2009                           14                0             0              0            14
- Donated at 31 March 2009                              0                0             0              0             0
- Government granted at 31 March 2009                   0                0             0              0             0
Total at 31 March 2009                                 14                0             0              0            14




                                                            Page 22
SANDWELL PCT - Annual Accounts 2008/09
Note 10. Tangible Fixed Assets
Note 10.1 Tangible fixed assets at the balance sheet date comprise the following elements:
                                                         Land            Buildings         Dwellings       Assets under          Plant &          Transport        Information      Furniture       Total
                                                                         excluding                          construction        machinery         equipment        technology       & fittings
                                                                         dwellings                         and payments
                                                                                                             on account
                                                          £000              £000              £000               £000              £000              £000              £000            £000         £000
Cost or valuation at 1 April 2008                             4,372            14,799                  0              818              1,489                  0             4,363          1,378       27,219
Additions - purchased                                             0             1,165                  0               17                274                  0               295             23        1,774
Additions - donated                                               0                 0                  0                0                  0                  0                 0              0            0
Additions - government granted                                    0                 0                  0                0                  0                  0                 0              0            0
Impairments                                                 (1,491)           (3,595)                  0                0                  0                  0                 0              0      (5,086)
Indexation                                                      187               626                  0               34                 19                  0                               20          886
Reclassifications                                               133               717                  0            (850)                  0                  0                 0              0            0
In year transfers to/from NHS bodies                              0                 0                  0                0                  0                  0                 0              0            0
Other in year revaluation                                         0                 0                  0                0                (3)                  0               (6)              0          (9)
Disposals                                                      (12)             (143)                  0                0                  0                  0                 0              0        (155)
At 31 March 2009                                              3,189            13,569                  0               19              1,779                  0             4,652          1,421       24,629

Accumulated depreciation at 1 April 2008                                                                                                  745                 0             1,100             622       2,467
Provided during the year                                                           636                 0                                  218                 0             1,003             169       2,026
Impairments                                                      88                909                 0                                    0                 0                 0               0         997
Reversal of Impairments                                                              0                 0                                    0                 0                 0               0           0
Reclassifications                                                                    0                 0                                    0                 0                 0               0           0
Indexation                                                                                                                                  0                 0                                 0           0
Other in year revaluation                                                           0                  0                                    0                 0                 0               0           0
In year transfers to/from NHS bodies                                                0                  0                                    0                 0                 0               0           0
Disposals                                                                           0                  0                                    0                 0                 0               0           0
Accumulated depreciation at 31 March 2009                        88             1,545                  0                  0               963                 0             2,103             791       5,490

Net book value
- Purchased at 1 April 2008                                   4,372            12,029                  0                818               744                 0             3,263             756      21,982
- Donated at 1 April 2008                                         0             2,770                  0                  0                 0                 0                 0               0       2,770
- Government Granted at 1 April 2008                              0                 0                  0                  0                 0                 0                 0               0           0
Total at 1 April 2008                                         4,372            14,799                  0                818               744                 0             3,263             756      24,752

Net book value
- Purchased at 31 March 2009                                  3,101            10,590                  0                 19               816                 0             2,549             630      17,705
- Donated at 31 March 2009                                        0             1,434                  0                  0                 0                 0                 0               0       1,434
- Government Granted at 31 March 2009                             0                 0                  0                  0                 0                 0                 0               0           0
Total at 31 March 2009                                        3,101            12,024                  0                 19               816                 0             2,549             630      19,139

Of the totals at 31 March 2009, £3.1m related to land valued at open market value and £9.9m related to buildings, installations and fittings valued at open market value.

Due to a revaluation exercise in 08/09, some land and building assets were impaired, (lost value). Although there was a £5.1m fall in value, the impact on the
PCT expenditure was small because a Revaluation Reserve, which has accumulated in prior periods, was utilised in accordance with proper accounting practice.




                                                                                                                  Page 23
SANDWELL PCT - Annual Accounts 2008/09

Note 10.2/1 Asset Financing

                                          Land       Buildings,      Dwellings    Assets under    Plant and    Transport   Information   Furniture &     Total
                                                     excluding                     construction   machinery   equipment     technology       fittings
                                                     dwellings                   and payments
                                                                                    on account

                                          £000           £000            £000            £000         £000        £000          £000          £000       £000

Net book value 31 March 2009
Owned                                     3,101         12,024               0              19         816            0         2,549           630     19,139
Finance Leased                                0              0               0               0           0            0             0             0          0
On balance sheet PFI contracts                0              0               0               0           0            0             0             0          0
PFI residual interests                        0              0               0               0           0            0             0             0          0
Total 31 March 2009                       3,101         12,024               0              19         816            0         2,549           630     19,139

Net book value 1 April 2008                                                                                                                                  0
Owned                                     4,372         14,799                              818        744                      3,263           756     24,752
Finance Leased                                                                                                                                               0
On balance sheet PFI contracts                                                                                                                               0
PFI residual interests                                                                                                                                       0
Total 1 April 2008                        4,372         14,799               0              818        744            0         3,263           756     24,752




Note 10.3 The net book value of land, buildings and dwellings at 31 March 2009 comprises:

                                        2008/09        2008/09        2008/09         2008/09      2007/08
                                                                   Government
                                      Purchased       Donated         Granted            Total       Total
                                           £000         £000             £000            £000        £000
Freehold                                 10,955         1,434               0           12,389      15,709
Long Leasehold                            2,736             0               0            2,736       3,462
Short Leasehold                               0             0               0                0           0
TOTAL                                    13,691         1,434               0           15,125      19,171




                                                                                        Page 24
SANDWELL PCT - Annual Accounts 2008/09

Note 10.4 Fixed assets investments
                                                                             Equity                 Loan-stock               Total
                                                                          shareholdings
                                                                              £000                     £000                  £000
Balance as at 31 March 2008                                                            0                       305                    305
Additions                                                                                                                               0
Reclassifications                                                                        0                    (305)                 (305)
Revaluations                                                                                                                            0
Balance as at 31 March 2009                                                              0                       0                      0

In preparation for moving to International Accounting policies in 09/10, it was necessary in 08/09 to reclassify the investments held in LIFTCo.

Note 10.5 Other Financial Assets
                                                          Current
                                                         financial       Fixed financial
                                                            assets                assets
                                                    31 March 2009        31 March 2009
                                                              £000                  £000
Financial assets carried at fair value through
profit and loss                                                      0                   0
Held to maturity investments at amortised
cost                                                                 0                   0
Available for sale financial assets carried at
fair value                                                           0                305
Loans carried at amortised cost                                      0                  0

Total                                                                0                305
This reflects the reclassification of LIFT.

Note 10.6 Economic Lives of Fixed Assets
                                                                         Minimum Life            Maximum Life
                                                                            (years)                 (years)
Software Licences                                                                   3                       10
Licences and Trademarks                                                             0                        0
Patents                                                                             0                        0
Development Expenditure                                                             0                        0
Buildings excl. Dwellings                                                           5                       63
Dwellings                                                                           0                        0
Plant and Machinery                                                                 5                       15
Tansport Equipment                                                                  0                        0
Information Technology                                                              2                       17
Furniture and Fittings                                                              3                       15

Note 11. Stock and work in progress
                                                                         31 March 2009           31 March 2008
                                                                             £000                    £000

Raw materials and consumables                                                         112                      106
Work-in-progress                                                                        0                        0
Finished goods                                                                          0                        0
Total                                                                                 112                      106




                                                                  Page 25
ents held in LIFTCo.




                       Page 25
SANDWELL PCT - Annual Accounts 2008/09

Note 12.1 Debtors
                                                                           31 March 2009        31 March 2008
                                                                                    £000                 £000
Amounts falling due within one year:
NHS debtors                                                                          1,718                1,487
Non NHS trade debtors                                                                1,571                1,450
Provision for impairment of debtors                                                  (118)                (481)
Prepayments and accrued income                                                       1,785                1,799
Capital debtors - NHS                                                                    0                    0
Capital debtors - Non NHS                                                                0                    0
Current part of PFI prepayments                                                          0                    0
Other debtors                                                                          544                  720
                                                                                     5,500                4,975
Amounts falling due after more than one year:
NHS debtors                                                                               0                   0
Non NHS trade debtors                                                                     0                   0
Provision for impairment of debtors                                                       0                   0
Prepayments and accrued income                                                            0                   0
Capital debtors - Non NHS                                                                 0                   0
Current part of PFI prepayments                                                           0                   0
Other debtors                                                                             0                   0
                                                                                          0                   0

TOTAL                                                                                5,500                4,975

NHS Debtors include;
- £0 prepaid pension contributions at 31 March 2009 (31 March 2008 £0); and
- £0 prepayments from the buyout of early retirements (31 March 2008 £0).


Note 12.2 Provision for impairment of debtors
                                                                           31 March 2009
                                                                                    £000

Balance at 1 April                                                                   (481)
Amount written off during the year                                                     127
Amount recovered during the year                                                       191
(Increase)/decrease in debtors impaired                                                 45
Balance at 31 March                                                                  (118)

This is a new disclosure in 08/09. The amounts written off relate to items that were previously provided for as potential bad debts
but were later found to have been raised as debts in error. The debts weren't therefore technically written off. Instead credit notes
were raised.

Note 12.3 Debtors past due date but not impaired:
                                                                           31 March 2009
                                                                                    £000

By up to 3 months                                                                    3,715
By 3 to 6 months                                                                         0
By more than 6 months                                                                    0
TOTAL                                                                                3,715




                                                              Page 26
Page 26
s potential bad debts
f. Instead credit notes




                          Page 26
SANDWELL PCT - Annual Accounts 2008/09
Note 13. Creditors

Note 13.1 Creditors at the balance sheet date are made up of:
                                                                                              31 March 2009   31 March 2008
                                                                                                       £000            £000
Amounts falling due within one year:
Bank overdrafts                                                                                           0               0
Interest payable                                                                                          0               0
Payments received on account                                                                              0             142
NHS creditors - revenue                                                                               8,610           7,499
NHS creditors - capital                                                                                   0               0
Family Health Services (FHS) creditors                                                                  865           2,005
Non - NHS trade creditors - revenue                                                                   9,674           4,494
Non - NHS trade creditors - capital                                                                     264             361
Tax                                                                                                     451             478
VAT                                                                                                       8               0
Social Security costs                                                                                   422             360
Obligations under finance leases and hire purchase contracts                                              0               0
Other creditors                                                                                         149              77
Accruals and deferred income                                                                         21,352          21,881
Current part of finance lease element of on balance sheet PFI contracts                                   0               0
                                                                                                     41,795          37,297
Amounts falling due after more than one year:
Obligations under finance leases and hire purchase contracts                                              0               0
NHS creditors                                                                                             0               0
Imputed finance leases element of on balance sheet PFI contracts                                          0               0
Other                                                                                                     0               0
                                                                                                          0               0
Total                                                                                                41,795          37,297
NHS creditors include;
- £0 for payments due in future years under arrangements to buy out the liability for early
  retirements over 5 years (2007/08 £0); and
- £641K outstanding pensions contributions at 31 March 2009 (£1.1m at 31 March 2008)

Note 13.1/1 Other Financial Liabilities

                                                                                                 Within one       After more
                                                                                                       year    than one year
                                                                                              31 March 2009   31 March 2009
                                                                                                       £000             £000

Financial liabilities carried at fair value through profit and loss                                      0                0




                                                                      Page 27
31 March 2009




                Page 27
SANDWELL PCT - Annual Accounts 2008/09
Note 13.2 Finance lease obligations
There are no finance leases in Sandwell PCT.


Note 13.3 Finance Lease Commitments
Sandwell PCT has not entered into a contract to lease assets under a finance lease.


Note 14. Provisions for liabilities and charges


                                                    Pensions       Pensions     Legal        Restruc-    Other           Total
                                                    relating to   relating to   claims        turings
                                                      former      other staff
                                                     directors/
                                                     members
                                                       £000         £000        £000          £000        £000           £000
At 1 April 2008                                            132           925         27             9       1,280           2,373
Arising during the year*                                    87           143         27             0       3,071           3,328
Utilised during the year                                    (9)        (115)          0           (1)       (302)           (427)
Reversed unused                                               0            0       (29)           (8)       (363)           (400)
Unwinding of discount                                         0           14          0             0           0              14
Transfer in-year                                              0            0          0             0           0               0
At 31 March 2009                                           210          967          25              0      3,686           4,888

Future Payments to NHS trusts                                 0           0              0           0           0              0
Future Payments to NHS Foundation Trusts                      0           0              0           0           0              0
Future Payments to Primary Care Trusts                        0         207              0           0           0            207
Expected timing of cash flows:
Within 1 year                                               10          147          25              0      3,686           3,868
1 - 5 years                                                 40          480           0              0          0             520
Over 5 years                                               160          340           0              0          0             500

* Provisions relating to the PCT's own provider functions are shown gross with the expected reimbursements from the NHSLA
included in debtors

The provisions in the 'Other' column mainly relate to:
  Provision for the potential pay back of funding for Drugs and Alcohol work - £430k
  Provision for the potential loss of unspent ring fenced dental monies (per letter from the Stategic Health Authority) - £1.476k
  Provision for a potential claim for work carried out at the Lyng Health Centre - £181k
  Provision for untaken annual leave at 31/3/09 - £213k
  Provision for potential claims for continuing care of the elderly - £620k
  Provision for Cardiology funding received late in 08/09 not spent, which may have to be returned - £151k.
  Provision for Communities for Health income - £262k
  Provision for Independent Sector Project Board - £112k
The Other provisions figure for 07/08 was £1.280k




                                                                   Page 28
SANDWELL PCT - Annual Accounts 2008/09
Note 15.     Movements on Reserves

Movements on reserves in the year comprised the following:

                                                                        Revaluation reserve           Donated asset                Government grant       Other reserves          General Fund
                                                                                                          reserve                       reserve
                                                                       2008/09        2007/08       2008/09     2007/08           2008/09     2007/08   2008/09    2007/08     2008/09     2007/08
                                                                        £000           £000          £000        £000              £000        £000      £000       £000        £000        £000
At 1 April                                                                 8,388          7,726         2,864          2,697               0        0         0            0    (20,157)    (20,635)
PPA: elimination of negative revaluation reserves in respect
of change in policy on impairments                                              0                            0                             0                                           0
Net Parliamentary Funding                                                                                                                                                        498,545     472,845
Cost of Capital Charge                                                                                                                                                             (620)       (443)
Transfer from the OCS                                                                                                                                                          (504,735)   (472,376)
Fixed asset impairments                                                   (3,695)         (297)        (1,391)              0              0        0
Surplus/(deficit) on other revaluations/indexation of fixed
assets                                                                       769          1,383           117            256               0        0
Transfer of realised profits (losses)                                        (17)             0             0              0               0        0                                17           0
Receipt of donated/Government granted assets                                                                0              0               0        0
Depreciation and disposal of donated/Government granted
assets                                                                                                    (15)          (59)               0        0
Transfers to/(from) other NHS Bodies                                                                         0             0               0        0                                 0            0
Other movements on reserves                                                 (125)         (424)          (141)          (30)               0        0         0            0        264          452

At 31 March                                                                5,320          8,388         1,434          2,864               0        0         0            0    (26,686)    (20,157)

The other movements on reserves are explained as follows
£141K - following a reconcilation, this transfer was a necessary transfer to the revaluation reserves to correct the donated assets reserves
£125K - This is the opposite side of the entry above plus a further transfer to the general fund of £264K in respect of assets written off.




                                                                                                             Page 29
SANDWELL PCT - Annual Accounts 2008/09
Note 16. Notes to the cash flow statement

Note 16. 1 Reconciliation of operating costs to net cash flow from operating activities:
                                                                                              2008/09       2007/08
                                                                                                £000         £000
Net operating Cost                                                                             (504,732)    (472,395)
Depreciation charge                                                                                2,038        1,335
Cost of capital charge                                                                             (620)        (443)
Fixed asset impairments                                                                              997          281
(Profit)/loss on disposal of fixed assets                                                               3         (47)
Non-cash movement in provisions                                                                    2,942        1,222
Transfer from donated asset reserve                                                                  (15)         (59)
Transfer from the Government grant reserve                                                              0            0
(Increase)/decrease in stocks                                                                         (6)          (2)
(Increase)/decrease in debtors                                                                     (525)        2,534
Increase/(decrease) in creditors                                                                   4,593      (1,735)
Increase/(decrease) in provisions                                                                  (427)      (1,074)
Net cash inflow/(outflow) from operating activities                                            (495,752)    (470,383)

Note 16.2 Reconciliation of net cash flow to movement in net debt
                                                                                              2008/09       2007/08
                                                                                               £000          £000
Increase/(decrease) in cash in the period                                                         1,071         1,891
Cash outflow from finance lease payments                                                              0             0
Cash (inflow)/outflow from (decrease)/increase in liquid resources                                                  0
Change in net debt resulting from cash flows                                                       1,071        1,891
Non - cash changes in debt                                                                             0            0
Net debt at 1 April 2008                                                                             610      (1,281)
Net debt at 31 March 2009                                                                          1,681          610


Note 16.3 Analysis of changes in net debt

                                                  At 31        Cash flows       Non-cash    Transfers to/     At
                                                  March         in year        changes in    from NHS       1 April
                                                  2009                            year         bodies        2008
                                                  £000               £000         £000          £000         £000

OPG cash at bank                                      1,681            1,071                           0          610
Cash at bank and in hand                                  0                0                           0            0
Bank overdrafts                                           0                0                           0            0
Finance leases due within one year                        0                0           0               0            0
Finance leases due after one year                         0                0           0               0            0
Current asset investments
Total                                                 1,681            1,071           0               0          610




                                                                     Page 30
SANDWELL PCT - Annual Accounts 2008/09

Note 17. Capital Commitments

Commitments under capital expenditure contracts at the balance sheet date were £83k (2007/08: £378k)

Note 18. Post Balance Sheet Events
There are no post balance sheet events having a material effect on the accounts.

Note 19. Contingencies
The Primary Care Trust has the following contingent liabilities

                                                                                         2008/09          2007/08
                                                                                          £000             £000
Gross value                                                                                     48                  0
Amounts recoverable (if any)                                                                     0                  0
Net Contingent Liability                                                                        48                  0
Contingent asset                                                                                 0

Contingencies this year relates to a Continuing Care case that has not been reviewed to assess the possible liability
on the PCT. In 07/08, all cases had been assessed and included as provisions in the accounts, as the value and timing
of these liabilities was known.




                                                               Page 31
SANDWELL PCT - Annual Accounts 2008/09

Note 20. Related Party Transactions

Sandwell Primary Care Trust is a body corporate established by order of the Secretary of State for Health.
During the year the Board Members or members of the key management staff or parties related to them have
undertaken the transactions with Sandwell Primary Care Trust as listed below.
                                                          Payments to           Receipts from        Amounts owed           Amounts due from
                                                         Related Party          Related Party       to Related Party          Related Party
                                                              £000                  £000                     £000                 £000
Mr P Jones      Public Sector Director
Sandwell LIFT Co. Transactions                                        1,862                     0                      0                      0
Ms P K Dhani      Co-opted Board Member
Mr R Lloyd    Trustee
Murray Hall Transactions                                                334                     0                      0                      0
Dr J D Middleton     Honorary Reader
University of Birmingham                                                35                      0                      0                      0
Mr R Nugent      Governor
Sandwell College                                                         4                      0                      0                      0
Mr R Nugent      Estates/Architectural Advisor
Birmingham Children's Hospital                                        2,448                   (7)                      0                      0


Husband of Ms P K Dhani        Councillor
Ms P Pulsford     Employee
Husband of Ms PJ Pulsford       Councillor
Dr JD Middleton     Executive Director
Mrs S Khatun      Councillor
Mr R Lloyd    Employee
Sandwell MBC transactions                                            30,567               (2,873)                 (4,928)                   338


The Department of Health is regarded as a related party. During the year Sandwell Primary Care Trust has had a significant
number of material transactions with the Department, and with other entities for which the Department is regarded as the
parent Department. These entities are listed below;

Sandwell and West Birmingham Hospitals NHS Trust
The Dudley Group of Hospitals NHS Foundation Trust
Sandwell Mental Health and Social Care Trust
University Hospitals Birmingham NHS Foundation Trust

In addition, the Primary Care Trust has had a significant number of material transactions with other Government
Departments and other central and local Government bodies. Most of these transactions have been with
Sandwell Metropolitan Borough Council in respect of pooled budgets.
The PCT has also received revenue and capital payments from a number of charitable funds, certain of the Trustees
for which are also members of the PCT Board.
                                                          Payments to           Receipts from        Amounts owed           Amounts due from
                                                         Related Party          Related Party       to Related Party          Related Party
                                                                £                     £                       £                     £
Dr J D Middleton     Member
Mr R Nugent      Director & Trustee
Ms PJ Pulsford     Member
Warley Woods Trust                                                       2                      0                      0                      0


Ms PK Dhani      Member
NSPCC                                                                    2                      0                      0                      0


Dr K Sidhu    Data Analyst
Bridges Project                                                          0                (1516)                       0                      0

Prior Year comparators
                                                       Payments to            Receipts from         Amounts owed            Amounts due from
                                                       Related Party          Related Party         to Related Party        Related Party
                                                              £000                  £000                     £000                 £000
Sandwell LIFT transactions                                    1,742                   0                  (9,269)                    0
Murray Hall Transactions                                       333                 24,287                    3,990               24,605
Sandwell MBC transactions                                    28,417                 7,995                    1,271                1,038


                                                             Practice                                    £000
Dr N Pall                                              Smethwick Pathfinder                                  3,604
Dr P M Desai                                           Desai & Sharma                                        848
Dr S Mitchell                                          Regis Medical Centre                                  1,624
Dr G Soloman                                           Tipton Care Organisation                              223
Dr I Walton                                            Tipton Care Organisation                              1,456




                                                                                 Page 32
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SANDWELL PCT - Annual Accounts 2008/09

Note 21. Private Finance Transactions
Sandwell PCT does not hold any PFI schemes or finance leases.

Note 22. Financial Instruments

FRS 29, Financial Instruments: Disclosures, requires disclosure of the role that financial instruments have had during the
period in creating or changing the risks an entity faces in undertaking its activities. Because of the way Primary Care Trusts are financed,
they are not exposed to the degree of financial risk faced by business entities. Also financial instruments play a much more limited role
in creating or changing risk than would be typical of the listed companies to which FRS 29 mainly applies. The PCT has limited
powers to borrow or invest surplus funds and financial assets and liabilities are generated by day-to-day operational activities rather
than being held to change the risks facing the PCT in undertaking its activities.

As allowed by FRS 29, debtors and creditors that are due to mature or become payable within 12 months from the balance sheet date
have been omitted from all disclosures other than the currency profile.

Liquidity risk
Most of the PCT’s net operating costs are incurred under annual service agreements with local Primary Care Trusts, NHS Trusts and
NHS Foundation Trusts and are financed from resources voted annually by Parliament or directly financed from resources voted annually
by Parliament. The PCT also largely finances its capital expenditure from funds made available from Government. Sandwell Primary Care
Trust is not, therefore, exposed to significant liquidity risks.

Currency Risk
The PCT does not transact in foreign currency so there is no risk on translation.

Interest-Rate Risk
All of the PCT's financial assets and financial liabilities carry nil or fixed rates of interest. Sandwell PCT is not,
therefore, exposed to significant interest-rate risk. The following two tables show the interest rate profiles of the PCT's financial
assets and liabilities:

Note 22.1 Financial Assets

                                                                                                       Fixed rate                Non-interest
                                                                                                                                   bearing
Currency                            Total       Floating       Fixed rate   Non-interest    Weighted ave       Weighted ave       Weighted
                                                  rate                        bearing         interest          period for         average
                                                                                                rate           which fixed          term
                                    £000          £000           £000          £000              %                  Years           Years
At 31 March 2009
Sterling                             1,986                 0         305          1,681                  11                  0                 0
Other                                     0                0           0              0                   0                  0                 0
Gross financial assets                1,986                0         305          1,681

At 31 March 2008
Sterling                                915                0         305              610                11                  0                 0
Other                                     0                0           0                0                 0                  0                 0
Gross financial assets                  915                0         305              610

The investment of £305K is in LIFTCo. There is no open market value for these investments so they are shown at cost.
The LIFTCo Board have not reported any potential fall in value arising from the current economic climate.
In 08/09, there was no interest from this investment, (07/08 £19,206)
The £1,681 relates to the bank balance as at 31 March 2009 after incorporating the bank balance within the pool budgets.


Note 22.2 Financial Liabilities

                                                                                                       Fixed rate                Non-interest
                                                                                                                                   bearing
Currency                            Total       Floating       Fixed rate   Non-interest    Weighted ave       Weighted ave       Weighted
                                                  rate                        bearing         interest          period for         average
                                                                                                rate           which fixed        term until
                                                                                                                                   maturity
                                    £000          £000           £000          £000              %                  Years           Years
At 31 March 2009
Sterling                             1,020                 0       1,020                0                  2                 0                 0
Other                                     0                0           0                0                  0                 0                 0
Gross financial assets                1,020                0       1,020                0

At 31 March 2008
Sterling                             1,071                 0       1,071                0                  2                 0                 0
Other                                     0                0           0                0                  0                 0                 0
Gross financial assets                1,071                0       1,071                0

These liabilities refer to provisions in the accounts that are greater than one year old. The majority relates to Director's and staff early retirement costs.




                                                                                            Page 33
Page 33
SANDWELL PCT - Annual Accounts 2008/09

Foreign Currency Risk

The PCT has no foreign currency income or expenditure.

Note 22.3 Fair Values
There are no financial assets or liabilities that have a different fair value to the book value as at 31 March 2009.
The LIFTCo investment is an unquoted equity investment whose fair value cannot be determined.

Note 22.4 Financial Assets
FRS25 defines a financial instrument as a contract that gives rise to a asset of one entity and a liability in another. So the following items
from the balance sheet are deemed as Financial instruments. They are grouped under various headings under FRS26.
The PCT does not have any embedded derivatives which are financial instruments whose contract includes variables on price.

                                                                      At fair value
                                                                          through
                                                                        profit and        Loans and      Available for
                                                                               loss      receivables              sale             Total
                                                                               £000             £000             £000              £000

Embedded derivatives                                                              0                0                   0               0
NHS debtors                                                                       0            1,718                   0           1,718
Non NHS debtors                                                                   0            2,533                   0           2,533
Cash at bank and in hand                                                          0            1,681                   0           1,681
Other financial assets                                                            0              305                   0             305
Total at 31 March 2009                                                            0            6,237                   0           6,237


Note 22.5 Financial Liabilities

                                                                      At fair value
                                                                          through
                                                                        profit and
                                                                               loss            Other             Total
                                                                               £000             £000             £000

Embedded derivatives                                                              0                0                 0
NHS creditors                                                                     0            8,610             8,610
Non NHS creditors                                                                 0           30,657            30,657
Borrowings                                                                        0                0                 0
Private Finance Initiative and finance lease obligations                          0                0                 0
Other financial liabilities                                                       0                0                 0
Total at 31 March 2009                                                            0           39,267            39,267




                                                                           Page 34
SANDWELL PCT - Annual Accounts 2008/09

Note 23. Third party assets

The PCT held £0 cash at bank and in hand at 31/3/2009 which relates to monies held on behalf of patients (£0 at 31/3/08). This has been
excluded from cash at bank and in hand figure reported in the accounts.
Note 24. Pooled Budget


The PCT is party to two Pooled Budget arrangements under S.75 of the Health Act 1999. The Learning Disability Pooled Budget is
administered by Sandwell Metropolitan Borough Council on behalf of the partners, while Mental Health Pool Budget is
administered by Sandwell PCT.

24.1 Learning Disabilities Pool Budget
Balance Sheet as at 31st March 2009
                                                                                £000
Assets
Debtors                                                                              25
Cash                                                                              3,234

Total Assets                                                                      3,259

Liabilities
Creditors                                                                         3,241
Receipts in advance                                                                  18

Total Liabilities                                                                 3,259

Income and Expenditure Statement for the year ended 31 March 2009

Agreed Contributions

Sandwell MBC                                                                    14,518
Sandwell PCT                                                                     19,330

Total Contributions                                                             33,848

Expenditure

Gross Expenditure                                                               34,611
Pool Income (excluding partner contributions)                                      -763

Net Pool Expenditure                                                            33,848

24.2 Mental Health Pool Budget

Balance Sheet as at 31st March 2009

Assets                                                                         £000
Cash                                                                               394

Liabilities
Creditors                                                                             394

Total Liabilities                                                                     394

Income and Expenditure Statement for the year ended 31 March 2009

Parner Contributions (Income)
Sandwell MBC                                                                      -6082
Sandwell PCT                                                            -        -20397

Total Contributions                                                             -26,479

Expenditure

Gross Expenditure                                                                26513
Pool Income (excluding partner contributions)                                      -34

Net Pool Expenditure                                                             26,479




                                                                            Page 35
SANDWELL PCT - Annual Accounts 2008/09

Note 25 Losses and Special Payments

There were 22 cases of losses and special payments (2007/08: 31 cases) totalling £35,271 (2007/08: £6,641) approved during 2008/09.

There were no clinical negligence cases where the net payment exceeded £100,000 totalling £0 (2007/08: 0 cases totalling £0).

There were no fraud cases where the net payment exceeded £100,000 totalling £0 (2007/08: 0 cases totalling £0).

There were no personal injury cases where the net payment exceeded £100,000 totalling £0 (2007/08: 0 cases totalling £0).

There were no compensation under legal obligation cases where the net payment exceeded £100,000 totalling £0 (2007/08: 0 cases totalling £0).
There were no fruitless payment cases where the net payment exceeded £100,000 totalling £0 (2007/08: 0 cases totalling £0).

Note: The total costs included in this note are on an accruals basis.

Note 26 Intra-government balances

                                                                 Debtors                    Debtors                Creditors             Creditors
                                                                 Amounts                   Amounts                 Amounts               Amounts
                                                                falling due               falling due             falling due           falling due
                                                                within one                after more              within one            after more
                                                                    year                   than one                   year               than one
                                                                                              year                                          year
                                                                   £000                       £000                   £000                   £000
Balances with other central government bodies                          184                          0                    880                      0
Balances with local authorities                                        338                          0                  5,013                      0
Balances with NHS Trusts/FTs                                         1,718                          0                  8,610                      0
Balances with public corporations and trading funds                      0                          0                      0                      0
Balances with bodies external to Government                          3,260                          0                 27,292                      0
At 31 March 2009                                                     5,500                          0                 41,795                      0

Balances with other central government bodies                               0                      0                     838                     0
Balances with local authorities                                           558                      0                     559                     0
Balances with NHS Trusts/FTs                                            1,487                      0                  15,927
Balances with public corporations and trading funds                         0                      0                       0                     0
Balances with bodies external to Government                             2,930                      0                  19,973                     0
At 31 March 2008                                                        4,975                      0                  37,297                     0




                                                                                Page 36

								
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