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Preparation of National Health Service Financial Statements (Roles…
Preparation
of National
Health
Service
Financial
Statements
Roles and Functions within the NHS
Commissioning Body
Organisation responsible for commissioning services
Clinical Commissioning Group (CCG)
Commissions health care services from provider trusts and other licenced health care services
Commission vast majority of their services from hospitals
(Secondary Healthcare)
, GPs, Opticians and Dentists (
Primary Healthcare
)
Commissioning
one health body (eg CCG) pays another health body (usually a trust) to provide health care services
#
Provider Body
Organisation responsible for delivery
of healhcare services
NHS Foundation Trusts (NHSFTs)
Provide healthcare to the public under the terms of a provider's licence
NHSFT financial statements
Comprises of:
Statement of financial position
Statement of financial performance
State,emt of change's in taxpayer's equity
Statement of cashflows
Notes (accounting policies & other notes)
Financing of NHSFT's
Revenue
NHS commissioning process & contracts
Treatment of private patients
Other Charges such as car parking
Borrowing from the Foundation trust Financing Facility
Capital
Public dividend capital (PDC)
Capital invested in an NHSFT by DoH to
finance net assets of the NHSFT
NHSFTs must pay PDC dividends to DoH
NHS Improvement
Oversight body for health services
Responsible for ensuring that care of the
appropriate quality is delivered to patients and that
services are delivered in a financially sustainable manner
Regulations
Group Accounting Manual (GAM)
Published annually by DoH
Contains detailed guidance on how accounting standards are applied
Financial Reporting Manual (FReM)
Published by HM Treasury
Interprets IFRS for Central Government
Forms basis of reporting requirements of ARM & GAM
Annual Reporting Manual (ARM)
How NHS improvement sets out ways NHSFTs should report both Financial and Non Financial performance
Legislation
National Health Service Act 2006
consolidated various other acts of legislation
into a single act
National Health Service & Community Care Act 1990
the Act which enabled NHS provider trusts
to be established
National Health Service Act 1977
principal legislation governing the preparation of financial statements in the NHS
Health & Social Care Act 2012
Act which abolished Primary Care Trusts in England and transferred their commissioning powers to CCGs