Annual Report 2017 LS 2017-0126
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Annual Report 2017 LS 2017-0126 2 Annual Report 2017 Kapitelnamn Innehåll Message from the County Council Operations report ................................................................... 43 Finance Commissioner .............................................................4 Fields of operation .................................................................. 43 Introduction.................................................................................6 Healthcare ..................................................................................45 Administration Report ...........................................................10 General health and medical care .........................................46 Financial follow-up of self-produced care ..........................49 Economic development ..........................................................10 The County Council and the surrounding world ................11 Public transport ........................................................................ 51 The global economic trend ....................................................11 General information about public transport .....................52 The economic trend in Sweden .............................................11 Culture.........................................................................................55 The economic trend in Stockholm County ........................ 12 Overall culture .......................................................................56 Significant events 2017 ......................................................... 12 Regional planning ....................................................................57 Objectives ...................................................................................14 General information on regional planning ........................58 Assessment of goal attainment ............................................ 15 Other operations ......................................................................59 Balanced finances .................................................................. 15 General information on other operations ......................... 60 Improved availability and quality of health and medical care .................................................................... 16 Personnel and training ........................................................... 62 Attractive public transport as part of a sustainable A secured skills supply and an attractive employer ...........63 transport system.................................................................... 18 Financial statements .............................................................. 66 Free culture that promotes experiences, meetings, Income statement ....................................................................67 education and participation ................................................. 19 Sustainable growth and development ................................20 Balance sheet ............................................................................ 68 Secured skills supply .............................................................22 Cash-flow statement .............................................................. 69 Financial analysis ..................................................................... 23 Operating report ......................................................................70 Surplus/deficit .......................................................................25 Revenues .................................................................................26 Investment report .................................................................... 71 Expenses .................................................................................28 Accounting principles ..............................................................72 Financing ................................................................................30 Notes............................................................................................75 Investments .............................................................................. 32 Key ratios 2017 ......................................................................... 85 Investment trend ...................................................................33 Investments in health Audit Report for the County Council and medical care ....................................................................33 Executive Board 2017 .............................................................. 86 Investments in public Abbreviations ............................................................................87 transport .................................................................................36 Expected financial development ......................................... 38 Development in coming years ..............................................39 Management ............................................................................ 40 County Council’s governance and management system... 41 Assignments ........................................................................... 41 Follow-up of supervisory obligations .................................. 41 The figures in parentheses refer to the year-before period, unless otherwise specified. Deviations may occur in tables and diagrams since the figures have been rounded from SEK 000s to millions. Annual Report 2017 3 Message from the County Council Finance Commissioner AFTER MY FIRST YEAR as the County There is a great deal to be proud of in Council Finance Commissioner, I can Stockholm County Council. One exam- note that the County Council is well- ple is that more than 9 out of 10 moth- managed after almost three mandate ers give birth at the obstetrics clinic periods of Alliance governance, with of their first choice, at the same time incredibly strong finances, Sweden’s that we welcome mothers from other shortest healthcare queues and public counties who want to give birth in our transport that after Hong Kong is the county. Other examples are that we best in the world. For 2017, Stockholm have Sweden’s shortest healthcare County Council reports a surplus of queues, most choice and a diversity of SEK 2.1 billion, compared with the providers and the highest salaries for account closing for 2006, when the nurses and we are ranked highly in Alliance inherited a deficit of SEK 2.1 several medical specialities, such as billion after earlier governance from the cancer care and cardiac care, and left. The County Council has reported several of our hospitals are at the top of a surplus for 11 consecutive years. the list of Sweden’s best hospitals. Our public transport is ranked as the best in Well-ordered finances are crucial for us the world after Hong Kong and is so to be able to implement historic invest- attractive that it draws more travellers ments in the future to meet the needs to use public transport than to take of a rapidly growing population. It is their own car. Satisfaction reached fantastic that growing numbers of peo- record levels in 2017. ple want to study, work and establish a family in Stockholm County, but at the In the next ten years, we will allocate same time it makes great demands of SEK 117 billion to upgrading, convert- us in Stockholm County Council to ing and expanding the County’s public increase the capacity of the municipal transport and hospitals. We are open- services. It is a financial strain that ing new local urgent care centres to requires that we use all of our tax fund- supplement the emergency wards, the ing as effectively as possible. first of which opened next to Karolin- ska University Hospital in Solna in My first agenda item at the County 2017 and another ten will open in 2018. Council Executive Board on 31 Janu- It is a matter of patients receiving the ary, “A more efficient County Council”, right care at the right place – and on was about this very thing: Using every time. We are building many kilometres SEK from taxes efficiently and stream- of new Metro track with 17 new stations lining our organisation to free up (six of which are included in the Swe- resources from administration, prem- den Negotiations) – the Light Rail ises costs and consultants for what we Kista, the Southern Tramway and the feel is the most important – our core Roslagsbanan suburban railway are operations: healthcare and public being extended by tunnel from the transport. We have also established Universitet station to Stockholm that the County Council will become Central Station. In 2017, the Citybanan Sweden’s best procurement organisa- commuter rail line opened and together tion. We are not there yet, but the jour- with several of the County’s municipal- ney has begun. ities and the State, agreements were 4 Annual Report 2017 reached in the Sweden Negotiations, environment. Employees at the hospi- which involve yet another major invest- tal should thrive and be able to do ment in public transport that will go their job as well as possible to provide hand in hand with more than 100,000 high-quality, safe, on-time care to the new homes. This gives the County patients. New Karolinska in Solna will excellent conditions to continue grow- become a world-leading hospital. Here, ing strongly and sustainably. diseases that were previously fatal will be able to be cured or made treatable in Even if a great deal is working well, no the future. county council is perfect. We also have issues that must be addressed and Last year showed all of us that we are resolved,