Annual report 2012 for web

RCPCH Annual Report 2012 | 01

AnnuAl RePoRt

2012

Mission To transform child health through

knowledge, innovation and expertise.

VisionA healthier future for children and

young people across the world.

Values

AUTHORITATIVE

Recognised and respected as the

authority on child health.

MODERN

Committed to leading the way in

paediatric research and training.

INFLUENTIAL

Champions of the best health

outcomes for children and

young people.

PROFESSIONAL

The standard bearer of child health

within the medical profession.

ContentsFrom the President

From the CEO

Child health

Setting and raising standards

Membership

Sustainability

People

Treasurer’s Report

Accounts

Administration

04

06

08

10

12

14

16

18

20

22

04 | RCPCH Annual Report 2012

From the PresidentAs a Royal College we have consistently punched above our weight. Having been President for a third of my term I now see, at fi rst hand, the extent to which that can be attributed to the incredible dedication, tenacity, creativity and skill of both the staff and members of the College.

This is the fi rst annual Report in my three year term

as President of the Royal College of Paediatrics and

Child Health. Throughout the ensuing report you

will observe repeated references to the way in

which we have worked with others to implement a

particular objective or another and my delight at this

could not be more genuine. as members and staff of

the RCPCH will attest, if i have one, over-arching aim

through my Presidency it is about making the need

for collaboration in children’s healthcare a reality.

Why do I say this? Throughout the UK, Europe and

indeed the world, children’s healthcare faces greater

challenges than ever before. For example, with the

Millennium Development Goals as an international

focus, mortality rates in the Developing World have

rightly driven an enormous amount of political energy

amongst NGOs, governments and international

institutions. But closer to home, the UK and some

comparatively wealthy European countries still

have unacceptably high numbers of preventable

child deaths.

Equally, over the last few decades, as the

industrialised world has seen an epidemiological

shift away from infectious diseases, health systems

throughout the Developed World are facing diff erent

challenges through a much greater burden of

non-communicable disease. As paediatricians we

are looking after many more children with complex

neurological conditions who are surviving into

adult life, as well as increasing numbers with asthma,

epilepsy and mental health problems. Obesity has

become a major public health problem across the life

course. Trying to respond to these new pressures as

Europe faces a period of huge economic turmoil and

an ageing population is placing a profound strain on

our services.

In the UK many services for children have evolved

serendipitously, sometimes through creativity and

innovation, and sometimes in the wake of adult

services. There has also been the most enormous

upheaval in the NHS in England, the implications of

which are not even beginning to be known but which

will certainly not, in the short term at least, relieve

the pressure on primary care. Experts here have

concluded that only a long-term freeze in other

public service budgets or massive tax increases would

allow NHS funding to grow at historic levels neither

of which are palatable. When one considers the

enormous burden created on health and indeed social

care services around the world by a vastly expanded

ageing population, the scale of the challenge can

easily seem insurmountable.

Re-thinking our assumptions about how the world

works is not therefore simply a diverting distraction

but a moral and economic imperative. So just what

are the implications for children’s services?

RCPCH Annual Report 2012 | 05 Dr Hilary Cass, President

The challenges, technological, systemic, cultural and

intellectual are all great but none of them can be

ducked because the hard reality is that we have to

start to plan a fundamentally different way of

delivering children’s healthcare.

Our ground-breaking work in developing standards

for acute paediatric care has set the benchmark

against which services are delivered and we will

monitor and audit the extent to which these are being

met. It is almost inevitable that this will throw up

some difficult decisions such as how services are

configured at a local and regional level and no doubt

tough choices will have to be made. In the year of

the much awaited report in the Mid Staffordshire

hospital we cannot either ignore the messages Robert

Francis QC had for the profession about patient

safety or the need to make sure that those raising

concerns about the quality of care are treated as

defenders of the NHS, not its enemies. We also need

to make sure that where good practice and innovation

are flourishing that we do all we can to help it spread

and the RCPCH has an absolutely central role to play in

driving improvement in the quality of children’s care,

across the UK and wider world.

This drive for improvement needs to be underpinned

by a solid body of research – an enterprising, curious

spirit is the foundation stone of medicine and what

happens on a daily basis in thousands of clinical

settings all over the world is informed by the work

carried out by academic and clinical researchers.

Above all, however, we can only meet these

challenges by working together. That should not

be taken as a standard platitude. Collaboration

between nurses, GPs, physicians, psychiatrists and

paediatricians, as well as many others in health,

education, social and the voluntary sectors is

essential if we are to provide more effective care and

to speak with a unified voice on some of the societal

factors which drive poor health. This is the only route

by which to get sustained and consistently improving

outcomes for children. Engagement from our

trainees will, of course, be paramount, since they will

be the ones who inherit the new models of care that

are developed, in partnership with colleagues across

the children’s healthcare workforce.

As a Royal College we have consistently punched

above our weight and, having been President for a

third of my term I now see at first hand the extent

to which that can be attributed to the incredible

dedication, tenacity, creativity and skill of both the

staff and members of the College. I have no doubt

that the remarkable list of successes that you will see

included in the pages of this report are as a direct

result of clinicians and staff increasingly working

more effectively together to identify and focus on

areas where we can improve children’s health,

however difficult and daunting that might be.

Equally we should never give up on aspiring to give

every child the right to the best possible health and

that means that the future must be more about

what we can achieve together as one profession

than what we will ever do alone.


Improving child health is at the very centre of our work and, during a tumultuous period of change in the nHS, the RCPCH has continued to respond to a rapidly changing landscape not only in england but the whole of the uK.

From the Ceo

‘Historians will look back and defi ne events in

relation to this day; we will come to view things as

pre- or post-April 1 2013, in the same way that we

currently think of before or after the establishment

of the NHS.’

Max Pemberton, Doctor and Telegraph Columnist

The complexity and scale of the nHs reforms in

england have been well documented. at their

inception sir David nicholson, Chief executive of the

nHs, expressed the need to build a system that can

continue to deliver high-quality outcomes for

patients. This focus on patient outcomes is very much

in line with the College’s own ethos; improving child

health is at the very centre of our work and, during a

tumultuous period of change in the nHs, the RCPCH

has continued to strive for excellence in this fi eld.

Despite the challenges the reforms have brought, the

College has made great strides to ensure the best

possible outcomes for young patients. The recent

RCPCH publication ‘Back to Facing the Future’

evidences our commitment to this, with summer 2012

spent auditing the ten standards for acute paediatric

care presented in our seminal 2011 report ‘Facing the

Future’. We’ve also successfully engaged child health

teams around national audits, resulting in the

publication of three further national audit reports for

diabetes, neonatal care and epilepsy, allowing us to

evaluate practice against national standards. The new

research and policy audit tool, which allows all systems

onto one universal platform, has been another

welcome development this year.

Last year also saw the launch of the Academy of

Medical Royal Colleges (AoMRC) report on obesity,

for which we led the policy, media and public aff airs

work, and formed a part of the College’s own key

priority of reducing childhood obesity. Alongside

collaborative campaigning we have been working

tirelessly to raise awareness and to produce resources

to support healthcare professionals address what is

fast becoming one of the greatest public health

threats of our time.

Our strong leadership role across the other medical

Royal Colleges and increased exposure through the

media has ensured that issues such as obesity, mental

health and improvements to children’s health services

have climbed up the list of political priorities. The

scoping phase for MindEd, a public-facing e-portal

of learning and reference material to support the

emotional wellbeing of children and young people,

which will be hosted by the College, has recently

been completed and we look forward to taking

this innovative programme further over the

coming months.

We continue to support our members with training

and resources in order to equip them for their work

on the front line of child healthcare. The inaugural

Specialty Trainee Assessment of Readiness for Tenure

(START) assessments were held at the end of last year,

designed to be a formative experience for trainees and

taking a new approach to measuring performance.

Responses from candidates and assessors alike have

been extremely positive, with trainees commenting

that START was a ‘helpful experience’ and that the

personalised feedback they received ‘was very useful

for determining my future priorities for training’.

The facility to apply online for exams has been

another great improvement.


The establishment and success of the Invited Review

service has given the College a mechanism with which

to support healthcare organisations and clinical teams

in resolving concerns about paediatric service provision,

safety, training and compliance with standards.

Further afield, the Medical Training Initiative

(Paediatrics) was launched to complement our

objectives in the promotion of global child health.

This initiative enables non-UK/EEA paediatricians to

spend up to 24 months in training posts in the UK.

This represents a vital way of sharing good practice

and is mutually beneficial, feeding into our

international strategy to improve the health and

wellbeing of all children. We also developed and

delivered the Child Health in Developing Countries

programme for 60 participants in 2012, which aims to

equip paediatricians to manage the most common

presentations in low-resource settings, as well as

providing insight into the nature of working overseas.

This course was designed to complement the College’s

various volunteering programmes.

Internally, we have also had a productive year. In the

last Annual Report we highlighted several significant

financial issues, and over the last twelve months we

have succeeded in stabilising and improving our

finances by resolving the pension scheme liability.

In addition, we have had marked success with the

expansion of our existing income streams and

attracting new ones. This healthy income growth for

2011/12 can only strengthen our sustainability.

Last year I also described the restructure of the

organisation. The much-improved Human Resources

and Organisational Development (HR/OD) Team and

creation of key performance measures have been

instrumental in progressing toward the College’s fifth

strategic aim - people. In order to enthuse and equip

all College staff to deliver our organisational goals,

we have devised, developed and implemented a

comprehensive training prioritisation model. Between

January and August 2012 the HR/OD team ran 53 staff

training events, which equates to four days’ continuous

and professional development per member of staff.

The introduction of a Leadership Development

Programme for all middle managers in 2012 directly

improved the performance management of staff and the

implementation of a performance dashboard has allowed

us to assess the College’s performance against our five

strategic aims. The dashboard is reported on quarterly to

the Senior Management Team and annually to Council.

Performance has been consistent for 2012 and with a

number of KPIs being met; eight were revised

significantly to establish further goals for 2012/13.

Although we have made great progress in many areas

this year, there is still much to be done. Against the

backdrop of historic political reforms in the health

sector, there is no room for complacency. You will

notice as you read through this report that we are

setting stretching targets for the coming months and

years to ensure we continue to deliver a first-class

service to members. Only with this level of ambition

and the continued efforts of our dedicated staff

can we collectively work towards our mission of

transforming child health through knowledge,

innovation and expertise.

Dr Chris Hanvey, CEO


Child health

Child health is at the core of everything we do. our members unrivalled knowledge and expertise means we are in a unique position to transform the health of children and young people. in 2012, RCPCH made significant advances in raising its profile as a leader for child health, improving paediatric health care and widening the platform for the voice and experiences of children, young people and their families.

The combined work of the Research and Policy and Communications Division is central to translating our five key policy priorities into real change.

• A better NHS for children and young people• Reducing child mortality and morbidity• Tackling childhood obesity• Child protection and Looked After Children• Mental health

This work includes several major research projects reducing child mortality and morbidity and addressing obesity. Audits of national provision for neonatal care and diabetes have reached the stage for the release of key recommendations in 2013.

The Communications and Research and Policy Divisions work closely to promote the work of the RCPCH to the media and to those with political influence in order to drive policy change. Ensuring the College is at the centre of debates on child health across the four nations has been a key priority; this year media coverage in Wales and Scotland has

grown significantly and policy events on service reconfiguration have proved successful. The RCPCH led the policy and communications activity following the 2012 launch of the Academy of Medical Royal College’s campaign report, ‘Measuring Up: The Medical Profession’s Prescription for the National’s Obesity Crisis.’ Members are kept informed and involved in campaigns through the RCPCH website, print publications and email bulletins. The College is committed to working with children and young people directly and their involvement with our clinical guidance work and standard setting is invaluable. A new set of standards for the healthcare of young people in secure settings is due for release in 2013. Ten Children and Young Person networks have been established across the UK to inform the RCPCH Youth Advisory Panel, along with the launch of the RCPCH’s first UK-wide parents and carers’ group. The College also involved patients and families with advocating for a participation infrastructure to influence the UK Children and Young People’s Health Outcomes Forum.

The RCPCH international strategy has made considerable progress with the creation of the ‘Global Links’ volunteers programme to recruit paediatricians to work overseas. The first volunteer placements are located in East and West Africa. This programme is supported by a DFID grant under the Health Partnerships Scheme administered by the Tropical Health and Education Trust (THET) to reduce under-five mortality in Africa.

Goal: Play a key role in influencing children and young people’s health in the uK and internationally. Concentrating on this, as the primary focus of the College, will help to address child mortality, obesity and well being.

‘We said We Would iNFlueNCe CHild HealTH by raisiNg our proFile iN THe Media by 10% eaCH year – We did’


2012 aCHieVeMenTs

• RCPCH establish a number of major research projects, including Child Health Review, Epilepsy12 and National Paediatric Diabetes Audit, along with the launch of new growth charts for school age children.

• An exceptional year for media and campaigns who not only exceed the media target by a considerable margin of 196%, but also successfully raise the College’s profi le including coverage on Epilepsy12, and the President speaking to a number of media sources about the NHS and workforce issues.

• The obesity campaign attracts buy in from a range of stakeholders including parliamentarians, industry and the media. The College also hosts a number of well attended events at party conferences.

• RCPCH launch the International Global Links programme for working overseas.

• Ten Children and Young Person networks established across the UK to inform the RCPCH Youth Advisory Panel.

in 2013 We Will:

• Incorporate the voice and experience of children, young people and families in at least two specifi c RCPCH activities.

• Further raise the RCPCH’s profi le in the media by 10% each year from its already high benchmark.

• Lead evidence-based campaigns to improve child health through fi ve policy priority areas (improving NHS services, reducing childhood obesity, improving mental health, reducing mortality and enhancing child protection).

• Seek to drive up the quality of care provided for children through the development of a quality improvement framework, a series of audits, research activities and guidance and standards setting.


Setting and raising standardsGoal: ensure high standards of evidence-based training,assessment, education, clinical practice and service provision.

‘We said We Would CreaTe eduCaTioNal prograMMes For eNHaNCiNg THe delivery oF CHildreN’s serviCes – We did’

The RCPCH has a responsibility to set and raise standards across paediatrics and child health. last year the College developed a new range of programmes and resources, published useful guidance and standards, and audited service provision across the uK in order to achieve this.

A number of key resources were produced to

support practitioners and develop competence.

Five new events programmes and e-learning courses

included the How to Manage series, Child Protection:

From Examination to Court and the Healthy Child

Programme. Other courses continue to be well-

received, with 140,000 sessions of the Safeguarding

Children and Young People e-learning course

completed by the end of August 2012.

Alongside the delivery of learning programmes,

the RCPCH has published a range of guidance and

standards to promote best practice and support

practitioners, both in paediatric training and the wider

field of child health. A revised edition of ‘Standards

for Children and Young People in Emergency Care

Settings’, which set out the minimum requirements

for the treatment of children in emergency settings,

was published in 2012. Other publications include

‘Consultant Delivered Care’, ‘Safeguarding 2012:

Views from the frontline’ and revalidation supporting

information guidelines for paediatricians. The College

continues to respond to consultation drafts of clinical

guidelines and standards.

In order to examine current provision of care for

children and young people, the RCPCH published

‘Facing the Future’, outlining 10 minimum standards

for acute, general paediatric care. In 2012 the College

conducted an audit of these standards. The RCPCH

now aims to build on the progress made with ‘Facing

the Future’ to support local service providers in

finding the solutions to the challenges that they face.

Pass rates across all MRCPCH examinations have

remained relatively stable. Along with an overall 5%

increase in pass rates, the MRCPCH Clinical exam saw

improved pass rates (increase of 10%) for overseas

graduates taking the exam in the UK.


2012 aCHieVeMenTs

• RCPCH develop and deliver a range of programmes including How To Manage Child Mental Health in General Paediatrics, End of Life Care with the Child Bereavement Charity and an Obesity Management course.

• Department of Health provide £2.2M grant to RCPCH for Children and Young Person’s Improving Access to Psychological Therapies: e-portal consortium.

• Revalidation preparations, including enhanced functionality in online CPD diary and launch of PaedCCF, underway to ensure members are fully supported throughout the process.

• RCPCH undertake a UK-wide audit of paediatric care provision based on the 10 standards outlined in the RCPCH publication Facing the Future: A Review of Paediatric Services.

in 2013 We Will:

• Set, monitor and improve the standards for training in the clinical practice of the children’s healthcare workforce.

• Deliver a suite of blended learning programmes to assist the paediatric workforce develop competence to deliver children and young people’s services.

• Publish and promote seven key resources each year that will support practitioners in improving practice and delivering high quality care to improve child health.

• Set, monitor and improve the standards and guidelines for CPD and revalidation of the paediatric workforce.


MembershipGoal: Develop and deliver a high quality service for members.

‘We said We Would expaNd our oNliNe CapabiliTies For MeMbers – We did’

The RCPCH currently has 14,700 uK and overseas members and is reliant on member volunteers who serve in many capacities to achieve its objectives - on committees, working parties and as examiners, tutors, regional advisers and other roles. RCPCH aims to deliver a high quality service to members and in 2012 undertook a programme of assessment and new developments to achieve this.

The RCPCH embarked on a college governance review

to ensure a College governance structure that is

democratic, fit for purpose and enables more

engagement with members. A Governance Review

Project Board has been established and proposals are

expected to be presented at the Colleges Annual

General Meeting in 2013.

There are also new ways for members to express their

views and opinions:

• a ‘Have your say’ area on website at:

www.rcpch.ac.uk/have-your-say

• a ‘Your Views’ section in the member newsletter.

• social media interaction with RCPCH via Twitter

and Facebook.

RCPCH planned and delivered new website services

and online access facilities for members including:

• an online exam registration system with sign up for

new candidates in process.

• an online member records and website sign in

facility allowing members to update their details,

renew membership and access member-related

sections of the RCPCH website.

Understanding member needs and nurturing debate

is essential to improving service provision. RCPCH

conducted a range of member surveys, webinars and

roadshows to engage members and evaluate their

needs. The results were used to plan service and

communication improvements.

Media training for members has helped to build their

communication skills and the RCPCH Press Panel has

expanded significantly as a result.

RCPCH redefined its existing communications for

target audiences within the membership:

• a new commissioning process and redevelopment

for the member newsletter and RCPCH ebulletin.

• new Wales, Scotland, Trainees and Events

ebulletins with opt in functionality embedded into

the RCPCH website to allow members to control

their preferences.

• new and improved welcome packs for new

members and trainees.

Planning of education materials and events entailed a

more audience targeted approach in recognition of

key member benefits and the paediatric career

pathway. For example, the RCPCH ‘Effective

Educational Supervision’ course has been designed

for ST7s as well as consultants.


2012 aCHieVeMenTs

• The target of 4,500 online interactions for Year 1 is exceeded by 17%.

• Online examinations process was launched in July 2012 resulting in approximately 700 trainees applying to sit the exam through this mechanism. RCPCH also introduced an online member records and website sign in facility with 14,596 members now registered to the RCPCH website.

• Expansion of training and revalidation support.

• RCPCH establishes a review of governance to provide a college structure in-line with best practice in the charity sector and to improve RCPCH member engagement.

in 2013 We Will:

• Through the development and delivery of a high level recruitment and retention plan we will seek to increase the proportion of Members citing benefi ts provided as good or excellent.

• Increase associate membership and overseas membership.

• Review the College’s Bye-Laws and Royal Charter to facilitate eff ective governance and Member engagement.


SustainabilityGoal: Protect, utilise and develop all the assets of the College. At the same time, we will increase and diversify income streams.

‘We said We Would geNeraTe £500K oF graNT FuNdiNg For iNTerNaTioNal WorK – We did’

For RCPCH to maintain its reputation as a leader in child heath, its assets need to diversify and grow. as illustrated in the Hon Treasurer’s report (p18-20) the College saw a healthy income growth in 2012. This was achieved with increases in existing activity and via new initiatives.

The College has held more events over the last twelve

months which has resulted with income increasing by

24% compared to the previous year. The increase is

driven from a hugely successful 2012 annual

conference in Glasgow which attracted more

attendees, paying exhibitors and more sponsorship.

RCPCH experienced significant international

expansion via the establishment of MRCPCH Part 2

Clinical examinations in India and a DFID grant of

£2million in the form of two grants under the Health

Partnerships Scheme administered by the Tropical

Health and Education Trust (THET) to reduce

under-five mortality in Africa. The first grant funds a

programme of ETAT+ intervention in 18 hospitals

across Kenya, Uganda and Rwanda to benefit more

than 150,000 children. The second funds the

development of a volunteering and exchange

programme between the UK and countries in East

and West Africa.

The College attracted an additional 59% increase

in income via research and policy initiatives and

is delivering audits within Epilepsy, Child Health

Review-UK (CHR-UK), diabetes and neonatal work.

The outcomes from these audits will provide the

evidence to improve safety and practice within

paediatric healthcare.

The MTI Scheme relaunched in March 2012 and 46

doctors have now been admitted to the scheme.

Direct links with several hospitals have already been

made. It is expected that this will facilitate a further

20-30 applicants per annum. The year on year

increase for MRCPCH examinations continues with UK

candidates increasing by 21% and overseas candidates

increasing by 50% compared to 2010-11.

The RCPCH head office is based in central London

and houses an array of modern and well serviced

meeting rooms. The College has marketed these

rooms externally and income for the year was c.£100k,

up by 60% from last year.

The positive outcome from the VAT case (as detailed

with the Treasurer’s Report on page 18 and assuming

no appeal is lodged) will mean the College is not

servicing an additional £2m mortgage.


2012 aCHieVeMenTs

• An excellent performance year for International Operations with £2.13M of grant income secured.

• The Finance Strategy targets a general fund surplus of £0.5m by 2014, and as a result of the 2012 performance the College is expected to achieve this.

• The year-on-year increase for MRCPCH examinations continues with MRCPCH Part 1 achieving an 11.5% increase compared to October 2011, and MRCPCH Part 2 gaining a 20% increase for the same reporting period.

• The total income for Research and Policy (including restricted and unrestricted income) has increased by 59%.

in 2013 We Will:

• Generate £50k income from international programmes including the Child Health in Developing Countries and Clinical Leadership programmes.

• Increase RCPCH reserves

• Increase candidate numbers entering MRCPCH and/or DCH Examinations.

• Building on the success of RCPCH current research and policy activities, we will attract new income to drive quality improvement and raise standards of health care for children and young people.


PeopleGoal: Put in place a progressive, enabling people strategyso all RCPCH staff are enthused and equipped to deliverthe organisational goals and to establish the RCPCH as aresponsive body which is quick to answer members’ needs.to ensure that members and officers who engage directlywith delivery of the RCPCH’s work are effectively supported.

‘We said We Would iMpleMeNT a leadersHip developMeNT prograMMe aNd perForMaNCe MaNageMeNT FraMeWorK For THe rCpCH – We did’

To ensure that members are supported and a high quality service is provided, considerable emphasis has been placed on our people and their professional development. in 2012 the RCPCH introduced a comprehensive training programme and ran 55 courses. The College also conducted a staff survey ‘Have Your say’ with the results published to all staff. overall the findings of the survey were exceptionally positive and show that the College has an engagement index of 63.7% against a national average of 51.9%.

The College began development of a framework for

managing people with the aim of producing a set

of policies and procedures to underpin the line

management of staff. Considerable progress was

made throughout 2012 and in consultation with

UNITE, the College’s recognised union, policies

ranging from Induction, to Conduct and Discipline,

Performance Management to Recruitment and

Selection, Reorganisation and Redundancy to

Parents and Carers were ratified and published.

In addition, RCPCH introduced a new online

Performance Management Framework which includes

standards of behaviour for all staff. The electronic

system allows the HR/OD Department to dip sample

on a regular basis to test full compliance and take

action appropriately if the system is not being used

correctly to performance manage staff.

The RCPCH introduced a Leadership Development

Programme for all middle managers with 97% stating

that the programme had met its aims and objectives.

Delegates of the Leadership Development Programme

have worked on nine initiatives including reward and

recognition, communications, corporate social

responsibility, unlocking talent, volunteering and

improving the intranet. The initiatives required

delegates to actively seek the views of staff across

the College.

The above activities are part of an action plan for

RCPCH to be acknowledged as an employer of

choice and with the longer term aim to achieve

Best Companies Standard accreditation.


in 2013 We Will:

• Create an organisational

development programme that

pays particular attention to

mapping and enhancing the

skills of staff to address future

College needs.

• Develop succession planning

and talent management

strategies for all business

critical roles.

2012 aCHieVeMenTs

• The College successfully delivered its fi rst Leadership Development

Programme for all middle managers with 97% of delegates

reporting that they were Satisfi ed, Very Satisfi ed or Extremely

Satisfi ed with the programme.

• The College conducted a diagnostic against the Best Companies

Standard and completes a range of activities, including the

Leadership Development Programme, to address any gaps against

the Standard.

• A fully costed training prioritisation model has been devised and

implemented. From 1 January to 31 August 2012 the RCPCH hosted

53 training events for staff which equates to 498 training days

or four days’ continuous and professional development per

member of staff .


treasurer’s Report

Further information: The full fi nancial statements are available on the College website, www.rcpch.ac.uk. Transparency throughout the College is important and encouraged particularly within fi nance. If you have any queries about the fi nances of the College, please do not hesitate to contact me ([email protected]) or David Howley ([email protected]), Director of Corporate Services.

FINANCIAL ISSUES

During this successful year the College has also been

dealing with one signifi cant fi nancial issue which has

arisen with the purchase of our Head Offi ce in

Theobalds Road.

The College purchased the property under the

assumption VAT was not applicable. However,

HMRC appealed against this decision and in February

2013 the Tribunal was held in Manchester.

The College has now been informed of the decision

that RCPCH is not liable for the VAT.

The full judgement states that on both counts:

fi rstly, that the building was sold as a going concern

and, secondly, relating to HM Customs & Revenue

being out of time - were found in the College’s favour.

Whilst this is positive news, HMRC have approximately

two months to appeal against this decision if they

choose to. At the time of writing this deadline has

not passed and no appeal has been lodged.

Financially, the outcome is that the College will not

have the fi nancial burden of servicing an additional

£2m mortgage.

suMMaRY aCHieVeMenTs 2011/12

• A 9% increase in membership income to £3.6m. The number of members increased by 6% to over 14,000

• The College made a general fund surplus of £0.4k restoring general reserves to a positive balance.

• Assessment income increased by 14% to £3.4m.

• Income from our trading subsidiary increased by 19% to £0.3m due to attracting more exhibitors at the annual conference and increased revenue from renting rooms within our building.

• Events income is £0.5m, 24% higher than last year. The success is built on attracting more delegates to our Annual Conference and hosting a number of training events.

• Restricted income is 73% higher than 2010/11 at £2.3m, which includes signifi cant grants for Child Health Review-UK, epilepsy and diabetes audits.

• The assessment team managed to gain effi ciencies during the year which meant costs fell by £0.2m.

• Education and Training secured additional income but also managed to reduce expenditure by £0.6m.

• The events team hosted more events during the year but also managed to reduce costs.

• Cash balances remain strong at £3.9m.

• Our mortgage debt has reduced by £0.3m during the fi nancial year which is signifi cantly ahead of schedule.


INCOME

The College has achieved income of £11.9m for the

financial year 2011/12. This is an increase of 17%

compared to the previous financial year and evidences

the success the College has had in expanding current

income streams and attracting new ones. Figure 1

shows trends over a seven-year period.

Within our general fund, income has increased by

10% to £9.6m and restricted income has increased

by 73% to £2.2m, An increase in restricted income

is positive especially given the external market

where the availability of securing funds has

contracted significantly over the last few years.

Designated income was £0.1m in the year the

same as the previous year.

EXPENDITURE

Expenditure for the year is £10.9m - a decrease

of £0.5m from 2010/11. This should be viewed in

the context of a one-off pension liability cost of

£1.3m last year. Excluding this from the calculation

would result in expenditure being £0.8m higher

than 2010/11. Figure 2 shows the trend over the

seven years.

Expenditure continues to be under control when

allowance is made for the one-off cost related to

the pension liability last year, normal expenditure

year-on-year growth of £0.8m is in the context of

year-on-year growth in income of £1.8m.

RESERVES

Reserves for the College are £18.3m, an increase of

£1.0m. The reserves are predominantly unrestricted

totalling £16.3m, with restricted funds accounting for

£2.0m.

Whilst our unrestricted reserves are high at £16.3m,

our free reserves are low. This is due to the majority

of our unrestricted fund being tied up within our

freehold property in London. This is not a concern for

the College as we are a membership organisation

with a very strong cash flow. We aim to keep reserves

relatively low as it is not financially favourable for the

College to hold reserves earning a low interest rate

whilst holding a mortgage on its property at a higher

interest rate. During 2011/12 the College increased its

mortgage payments to service this debt quicker.

Dr. David Vickers, Honorary Treasurer

2006 2007 2008 2009 2010 2011

£10

£12

£8

£6

£4

£2

£0

2006 2007 2008 2009 2010 2011

£10

£12

£8

£6

£4

£2

£0

Mill

ion

Mill

ion

Year ended 31 August

Year ended 31 August

Normal College activity One off pension liability

2012

2012

The Statement of Financial Activities and Balance Sheet are not the full statutory accounts but are a summary of the information which appears in the full accounts. The full accounts have been audited and given an unqualifi ed opinion. The full accounts were approved by the Trustees on 7 March 2012 to be updated and a copy has been submitted to the Charity Commission and Registrar of Companies. These summarised accounts may not contain suffi cient information to allow for a full understanding of the fi nancial aff airs of the Company. For further information the full annual accounts, including the auditor’s report, which can be obtained from the Company’s offi ces, should be consulted..

sTaTeMenT oF FinanCial aCTiViTies 2012 2011 Total TotalinCoMinG ResouRCes £ £incoming Resources from Generated Funds Voluntary income 25,035 19,715Activities for generating funds 310,713 260,051Investment income 32,802 34,825incoming Resources from Charitable activities Assessment 3,384,368 2,978,501Events 471,846 380,878 Education and Training 846,119 729,903Research and Policy 1,692,489 1,067,757 Members’ subscriptions 3,649,332 3,358,589 Publications 962,750 1,009,468Other income 530,957 240,244Total incoming Resources 11,906,412 10,079,931 ResouRCes eXPenDeD Costs of Generating Funds Costs of generating voluntary income 91,928 10,943 Fundraising Trading: Costs of goods sold and other costs 50,056 45,775Charitable activities Assessment 2,036,566 2,240,885 Events 303,979 366,559 Education and Training 1,305,056 1,922,279 Research and Policy 2,099,367 1,905,442Other professional activities and standards 5,007,660 4,867,080 Governance Costs 55,334 40,640 Total Resources expended 10,949,94 11,399,603net Resources expended / net incoming Resources before Transfers (956,466) (1,319,672)Transfer between funds 0 0net Movement in Funds (956,467) (1,319,672) Fund balances brought forward 17,323,622 18,643,294Total Funds Carried Forward 18,280,089 17,323,622

BalanCe sHeeT GRouP 2012 2011 £ £Fixed assets Tangible assets 19,576,825 19,462,493Investments 2 2 19,576,827 19,462,495

Current assets Stock of Publications and Merchandise - -Debtors 1,242,336 1,248,056 Cash at bank and in hand 3,887,201 4,407,656 5,129,537 5,655,712Creditors: amounts falling due within one year (3,058,594) (4,236,881) net Current assets 2,070,943 1,418,830 Total assets less current liabilities 21,647,770 20,881,325Creditors: amounts falling due after more than one year (3,367,681) (3,557,704)

net assets 18,280,089 17,323,622 Represented By: unrestricted Funds including Designated Fund 16,255,401 15,834,981Restricted Funds 2,009,833 1,473,786 Permanent endowments 14,855 14,855 Total Funds of the College 18,280,089 17,323,622

INDEPENDENT AUDITORS’ STATEMENT TO THE TRUSTEES OF THE ROYAL COLLEGE OF PAEDIATRICS AND CHILD HEALTH

We have examined the summarised fi nancial statements of the Royal College of Paediatrics and Child Health for the year ended 31 August 2012, which comprise the Summary consolidated statement of fi nancial activities, and the Summary consolidated balance sheet set out on page 18 which are contained within the charity’s non-statutory summarised Annual Report. The summarised fi nancial statements are non-statutory accounts prepared for the purpose of inclusion in the summarised Annual Report, as explained above.

This statement is made, on terms that have been agreed with the charity, solely to the charity, in order to meet the requirements of Accounting and Reporting by Charities: Statement of recommended Practice (revised 2005). Our work has been undertaken so that we might state to the charity those matters we have agreed to state to it in such a statement and for no other purpose.

To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charity for our work, for this statement, or for the opinions we have formed.

ResPeCTiVe ResPonsiBiliTies oF TRusTees anD auDiToRs

The trustees are responsible for preparing the summarised fi nancial statements in accordance with applicable United Kingdom law and the recommendations of the charities SORP.

Our responsibility is to report to you our opinion on the consistency of the summarised fi nancial statements with the full fi nancial statements and the Trustees’ Annual Report. We also read the other information contained in the summarised Annual Report and consider the implications for our report if we become aware of any apparent misstatements or material inconsistencies with the summarised fi nancial statements.

We conducted our work in accordance with Bulletin 2008/3 issued by the Auditing Practices Board.

oPinion

In our opinion the summarised fi nancial statements are consistent with the full annual fi nancial statements and the Trustees’ Annual Report of the Royal College of Paediatrics and Child Health for the year ended 31 August 2012.

For and on behalf of Kingston Smith LLP, Statutory Auditor, Chartered Accountants and Registered Auditors, Devonshire House, 60 Goswell Road, London EC1M 7AD


AccountsAccounts for Financial Period 1 September 2011 to 31 August 2012

CAPTION

Activities for generating funds

Assessment

Events

Education and Training

Research and Policy

Members’ subscriptions

Publications

Other income

inCoMinG ResouRCes 2012


inCoMinG ResouRCes 2012


AdministrationRCPCH CounCil

Members of College Council are the Trustees of the College. Council comprises the following people as at 14 November 2012 (except for those marked; Offi cer positions are those held as at 14 November 2012):

The Senior Offi cers

Dr Hilary Cass President (from 22 May 2012)Professor Hamish Wallace Registrar (until 14 November 2012)Dr Ian Maconochie Registrar (Clinical Standards Offi cer until 14 November 2012)Dr David Vickers Honorary TreasurerProfessor Neena Modi Vice President, Science and ResearchDr Simon Newell Vice President, Training and AssessmentDr Alistair Thomson Vice President, EducationDr David Shortland Vice President, Health Services

Professor Terence Stephenson President (until 22 May 2012)

National and Other Offi cers

Dr Moira Stewart Ireland Dr Peter Fowlie ScotlandDr Iolo Doull WalesDr Kevin Windebank ExaminationsDr David Long AssessmentProfessor Stephen Allen International (the David Baum Fellow)Dr Carol Ewing Workforce PlanningDr Amanda Goldstein TrainingDr Rollo Cliff ord Continuing Professional DevelopmentDr Amanda Thomas Child ProtectionProfessor Mitch Blair Health PromotionDr Ian Maconochie Clinical Standards (appointed Registrar on 14 November 2012)

Other Members of Council

Dr Ishaq Abu-Arafeh Dr Ian Balfour-Lynn Dr Keith Brent Dr Nicholas Croft Dr David Devadason Dr Keith Dodd Dr Mark Dyke Dr James Fraser Dr John Gibbs Dr Rajeev Gupta Professor Hilary Hoey Dr Javed IqbalDr Kevin Ives Dr Jeremy Kirk Dr Joan LaRovere Dr Daniel LumsdenDr Donald MacGregor Dr Calum Macleod Dr William McGuire Dr Caro Minasian Dr Nisar Mir Dr Catherine (Angela) Moore Dr Stuart Nicholls Dr Venkateswaran Ramesh Dr Damian Roland Dr Robert Scott-Jupp Dr John Trounce Dr John Warner Dr Justin Warner Dr Alan Webb Dr Emma Webb Dr Andrew Wilkinson Dr Jane Wilkinson

Senior Management Team:

Dr Chris Hanvey Chief ExecutiveBrian Dow Director of CommuncationsJacqueline Fitzgerald Director of Research and PolicyJulia O’Sullivan Director of Education and TrainingDavid Howley Director of Corporate ServicesLouise Frayne Head of Human Resources and Organisational Development


inTeRiM RePoRT 2013

A web-based imterim report will be available to view in Autumn 2013.

AnnuAl RePoRt

2012Royal College of Paediatrics and Child Health

Annual Report 2012

Copyright© 2013

Royal College of Paediatrics and Child Health

Further copies available on request –

contact [email protected]

Annual report 2012 for web

Documents

Transcript of Annual report 2012 for web