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Region Stockholm Annual Report 2020 RS 2020-0769

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Region Stockholm Annual Report 2020 RS 2020-0769 Region Stockholm Annual Report 2020 RS 2020-0769 2 Annual Report 2020 Chapter name Contents Energy to restart ........................................................................4 Patient Advisory Committee ................................................62 Stockholm County’s Healthcare Area .................................62 Statement by the Regional Chief Executive .........................6 Karolinska University Hospital .......................................... 64 Transport Committee .......................................................... 66 Significant events......................................................................8 Mobility Service Committee .................................................73 COVID-19 .................................................................................9 Growth and Regional Planning Committee ........................73 Major investments ................................................................12 Culture Committee................................................................75 Sale of property .....................................................................13 Karolinska University Hospital – the world’s Property and Service Committee .........................................77 The Audit Board ....................................................................81 tenth best hospital .................................................................13 Safety Commission ...............................................................13 Companies ............................................................................... 82 Landstingshuset i Stockholm AB .........................................83 The Regional Group.................................................................14 Södersjukhuset AB ................................................................83 Governance and follow-up of regional operations .......... 17 Danderyds Sjukhus AB .........................................................85 Goals and mandates ..............................................................18 Södertälje Sjukhus AB ..........................................................87 Internal control .....................................................................18 S:t Eriks Ögonsjukhus AB ................................................... 89 Folktandvården Stockholms län AB ................................... 90 Good financial management and financial position ........ 21 Ambulanssjukvården i Storstockholm AB .......................... 91 Long-term financial sustainability ......................................23 Stockholm Care AB ...............................................................92 Sustainable regional development ......................................29 MediCarrier AB .....................................................................93 Region Stockholm shall be a sustainable employer ...........35 Locum AB .............................................................................. 94 Results for committees and companies ............................. 38 AB Stockholms Läns Landstings Internfinans .................. 94 A comparison of the hospitals’ common indicators .......... 38 AB Storstockholms Lokaltrafik ............................................95 Investments inRegion Stockholm .......................................41 Investments withincommittees and companies ................41 Local government federations and foundations ............. 96 Local government federations .............................................97 Important conditions for the result and Foundations .......................................................................... 99 the financial position ..............................................................43 Operations and Investment accounts ...............................100 Development overview of operations ................................45 Operational accounts .......................................................... 101 Investment accounts ...........................................................102 Expected development ..........................................................47 Notes ........................................................................................103 Financial Report ...................................................................... 50 Income statement ................................................................. 51 Auditor’s report regarding the County Council Balance sheet .........................................................................52 Executive Committee for 2020 ........................................... 119 Cash flow statement ..............................................................53 Abbreviations ........................................................................120 Committees ..............................................................................54 The Regional Executive Committee ....................................55 Healthcare Committee .........................................................56 Healthcare Service Steering Committee ............................. 61 Figures in brackets refer to the corresponding period the previous year, unless otherwise specified. Deviations may occur in tables and diagrams, as the figures have been rounded up from SEK thousands to millions. Energy to restart THE PAST YEAR has been unparalleled to handle extraordinary situations and in the history of Sweden and the region. meet important long-term commit- Tremendous efforts have been made by ments to the county’s inhabitants all parts of and all employees in Region within healthcare and public transport. Stockholm, as well as by those who work When the pandemic broke out in the on behalf of the region. Together we region, we were able to act quickly with summoned our strength to meet the the goal of always being one step ahead. magnitude of the pandemic. Through We prepared for the worst, but hoped concerted efforts, the region has always for the best. had a capacity in healthcare that at any The surplus for 2020 is largely due to given time was greater than what was non-recurring items such as lower needed. At the same time, public trans- pension costs, capital gains from port has been operating according to property sales, lower financial expenses the normal schedule despite having and temporary pandemic-related only a fraction of the regular number of contributions. However, the time ahead passengers. Over the past year, many will be challenging. The economic people have lost their lives during the situation and high unemployment rate pandemic, thousands have been cared mean that there is a risk of lower tax for in our hospitals, and healthcare revenues. Public transport continues to employees have made invaluable generate low revenue, deferred medical contributions. Despite the stressful care must be carried out and a marked year, a number of successes are notable increase in the transfer of tax revenue in the Stockholm healthcare sector. will hit the region with full force over One example is Karolinska University the coming years. Thus, Region Hospital, which was named the world’s Stockholm has significant economic seventh best hospital, another is that challenges in the near future. when ranking cardiac care in Sweden, That is why the 2020 surplus is being three of the five best hospitals are used responsibly to secure resources located in Region Stockholm: Danderyds within healthcare and public transport, Sjukhus AB, Karolinska University so that the recession and worsening Hospital and Capio S:t Görans Sjukhus. financial situation resulting from lower Region Stockholm reported a result passenger revenue and sharply for 2020 of SEK 5,802 million. The increased transfer of tax revenue can be result exceeded the budget for the year bridged. The sick must receive care in by SEK 5,490 million. Region Stockholm time and the county’s inhabitants must has reported a surplus since 2007. This be able to rely on a well-functioning makes Region Stockholm unique in public transport system. Region Sweden as the only region that has not Stockholm will contribute to the restart run a deficit. Furthermore, Region of the Stockholm region. As much of the Stockholm is the only region in Sweden surplus as is legally possible – SEK that did not raise taxes during this 3,247 million – has therefore been set period. Through a surplus and financial aside in a profit equalization reserve. It rectitude, the region has built up buffers will act as a kind of insurance in order to 4 Annual Report 2020 be able to manage a high-capacity focus on future benefits for implement- of great importance for the region’s public transport system and to manage ing the correct priorities. continued development that the econ- deferred medical care due to the pan- The consequences of the pandemic omy can be restarted, but at the same demic over the coming years, as it is are not entirely clear. What is clear, time it must be done in manner that estimated that the recession will result however, is that the pandemic will have minimizes the risk of infection. At the in lower tax revenue. a strong adverse impact on the economy end of 2020, vaccine deliveries began to Region Stockholm has made and in the long term, and risks accelerating arrive. Unfortunately, they were revised continues to make major investments in the downturn in the economy that we down dramatically at the beginning of healthcare by improving, developing saw even before the pandemic. Labour 2021, which will delay
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