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Department of Health and Social Care Annual Report and Accounts 2018-19

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Department of Health and Social Care Annual Report and Accounts 2018-19 Department of Health and Social Care Annual Report and Accounts 2018-19 (For the period ended 31 March 2019) Accounts presented to the House of Commons pursuant to Section 6(4) of the Government Resources and Accounts Act 2000 Secretary of State’s annual report presented to Parliament pursuant to Section 247(D) of the National Health Service Act 2006 Annual Report presented to the House of Commons by Command of Her Majesty Annual Report and Accounts presented to the House of Lords by Command of Her Majesty Ordered by the House of Commons to be printed on 11 July 2019 HC2344 Department of Health and Social Care Annual Report and Accounts 2018-19 (For the period ended 31 March 2019) Accounts presented to the House of Commons pursuant to Section 6(4) of the Government Resources and Accounts Act 2000 Secretary of State’s annual report presented to Parliament pursuant to Section 247(D) of the National Health Service Act 2006 Annual Report presented to the House of Commons by Command of Her Majesty Annual Report and Accounts presented to the House of Lords by Command of Her Majesty Ordered by the House of Commons to be printed on 11 July 2019 This is part of a series of departmental publications which - along with the Main Estimates 2018-19 and the document Public Expenditure: Statistical Analyses 2018 - present the Government’s outturn for 2018-19 and planned expenditure for 2019-20. © Crown copyright 2019 This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. To view this licence, visit www.nationalarchives.gov.uk/doc/open-government- licence/version/3. Where we have identified any third-party copyright information you will need to obtain permission from the copyright holders concerned. This publication is also available on our website at: www.gov.uk/official-documents Any enquiries regarding this publication should be sent to us via our Customer Service Centre using the web contact form at: https://contactus.dh.gov.uk/ ISBN: 978-1-5286-1422-1 CCS0419976700 Printed on paper containing 75% recycled fibre content minimum Printed in the UK by the APS Group on behalf of the Controller of Her Majesty’s Stationery Office Contents Performance Report ............................................................................................................................... 1 Permanent Secretary’s Overview ................................................................................................... 1 Our 2018-19 Achievements - At a glance ....................................................................................... 4 Performance Summary ................................................................................................................... 6 Performance Analysis ................................................................................................................... 10 Delivering a Financially Sustainable System ................................................................................. 37 Secretary of State for Health and Social Care Annual Report 2018-19 ........................................ 49 Accountability Report .......................................................................................................................... 65 Lead Non-Executive Board Member’s Report .............................................................................. 65 Corporate Governance Report ...................................................................................................... 66 Directors’ Report ........................................................................................................................... 66 Statement of Principal Accounting Officer’s Responsibilities ....................................................... 73 Governance Statement ................................................................................................................. 75 Remuneration and Staff Report .................................................................................................... 96 Parliamentary Accountability and Audit Report ......................................................................... 117 Certificate and Report of the Comptroller and Auditor General to the House of Commons ..... 131 Financial Statements .......................................................................................................................... 135 Consolidated Statement of Comprehensive Net Expenditure .................................................... 135 Consolidated Statement of Financial Position ............................................................................ 136 Consolidated Statement of Cash Flows ...................................................................................... 137 Consolidated Statement of Changes in Taxpayers’ Equity ......................................................... 138 Notes to the Department’s Annual Report and Accounts .......................................................... 140 Annexes – Not subject to audit - presented for further information ................................................. 207 Annex A – Regulatory Reporting – Government Core Tables ..................................................... 207 Annex B – Financial Performance Detail ..................................................................................... 209 Annex C – NHS Operational Performance ................................................................................... 222 Annex D – Other Departmental Information .............................................................................. 228 Annex E – Department of Health and Social Care Official Development Assistance .................. 232 Annex F – Our Arm’s Length Bodies and Delivery Partners ........................................................ 235 Performance Report Performance Report Permanent Secretary’s Overview The Department of Health and Social Care supports its Ministers in leading the nation’s health and care to help people live more independent, healthier lives for longer. Our objectives are delivered in conjunction with our Arm’s Length Bodies, and are to help people lead healthier lives, creating a safe, high quality health and care system that is financially sustainable. In 2018 we celebrated the 70th year of the NHS, with the announcement of the long-term funding settlement, some £33.9 billion increase in revenue spending in cash terms by 2023-24. The NHS Long Term plan published in January 2019 sets out how this additional funding will be spent to address the challenges within the NHS both of today and the future, building an NHS fit for the future with prevention at the heart of our future healthcare system. 2018-19 has been challenging for the health and care system, with ever increasing demand for NHS services, treating more patients than ever before. This means that despite the continuing best efforts of the NHS, key waiting time and performance targets have again not been achieved in 2018-19. The system continues to work hard to address the challenges, focusing on the quality of patient care, striking the right balance across performance, transformation, quality and safety and living within its financial means. Against this backdrop however, the health and care system has delivered financial balance by focusing on financial rigour and efficiency, with the majority of NHS provider organisations meeting their control totals in 2018-19 which has contributed to the Department delivering overall financial balance. July 2019 sees the 100th anniversary of the Ministry of Health, established with the aim to ‘promote the health of the people throughout England and Wales’. We have much to look back on with pride and to this day our strategic aim remains similar, as we prepare for the challenge ahead for the Department and the health and care system. It remains a great privilege to lead the Department and I would like to take this opportunity to thank all the staff both within the Department and across the health and care system for their continued and dedicated hard work, passion and commitment to support the health and care system. Sir Chris Wormald KCB Permanent Secretary of the Department of Health and Social Care Department of Health and Social Care Annual Report and Accounts 2018-19 1 Performance Report Our Role and Purpose 1. The Department of Health and Social Care (DHSC) supports the Government’s Health and Social Care Ministers in leading the nation’s health and care to help people live more independent, healthier lives for longer. 2. We support and advise our Ministers to shape policy and set direction, while remaining accountable for delivering the Government’s commitments, coordinating the legal, financial and policy frameworks in health and social care and, when necessary, we step in as troubleshooters to take action to solve complex issues. In doing all this, we work closely with our partners in the health and care system, our Arm’s Length Bodies (ALBs) and agencies, local authorities, across Government, and with both patients and the public. We are accountable for the health and care system to Parliament and the taxpayer. 3. As a Department of State our strategic priorities are: • to keep people healthy and support economic productivity and sustainable public services; • to transform primary, community and social care; • to support the NHS to deliver high quality, safe and sustainable hospital care and secure the right workforce; • to stay at the cutting edge of research
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