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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.
06 | RCPCH Annual Report 2012
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.
RCPCH Annual Report 2012 | 07
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
08 | RCPCH Annual Report 2012
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’
RCPCH Annual Report 2012 | 09
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.
010 | RCPCH Annual Report 2012
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.
RCPCH Annual Report 2012 | 011
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.
012 | RCPCH Annual Report 2012
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.
RCPCH Annual Report 2012 | 013
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.
014 | RCPCH Annual Report 2012
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.
RCPCH Annual Report 2012 | 015
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.
016 | RCPCH Annual Report 2012
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.
RCPCH Annual Report 2012 | 017
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 .
018 | RCPCH Annual Report 2012
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.
RCPCH Annual Report 2012 | 019
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
020 | RCPCH Annual Report 2012
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
RCPCH Annual Report 2012 | 021
inCoMinG ResouRCes 2012
022 | RCPCH Annual Report 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
RCPCH Annual Report 2012 | 023
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]