Annual Report and Accounts 2010
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bupa Registered office the British united Provident Bupa House Association Limited is a company 15-19 Bloomsbury Way limited by guarantee. London WC1A 2BA registered in england No. 432511. a For further copies of this document nnual report 2010 ‘Bupa’ and the Heartbeat logo are +44 (0)20 7656 2300 registered service marks. Press office +44 (0)20 7656 2454 bupa annual report 2010 W i t H yo u t H r o u g H L i f e rA / 2010 www.bupa.com 2 0 1 0 H i g hl i g H t s Group revenues 5 year record Group underlying 5 year record (up 9%) surplus before tax 06 £3,827.2m 06 £359.1m £7.58bn 07 £4,250.1m £464.9m 07 £374.2m 2009: £6.94bn 08 £5,923.9m 2009: £428.2m 08 £413.4m 09 £6,941.4m 09 £428.2m 10 £7,576.0m 10 £464.9m Group revenues by segment Surplus by segment* Care services £1,182.9m Care services £139.7m europe and North America £2,999.5m europe and North America £116.7m international Markets £3,394.0m international Markets £208.9m throughout the annual report and accounts: equity 5 year record underlying surplus before taxation expense excludes non-recurring items (mainly adjustments relating to amortisation of other intangible assets attributable arising on business combinations, impairment of goodwill and other to bupa 06 £1,917.1m intangible assets, profit / (loss) on sale of businesses and assets, the impact 07 £3,347.4m of property revaluations, realised and unrealised foreign exchange gains and losses and the absolute return on return seeking assets). £4.37bn 08 £3,587.5m *surplus by segment refers to surplus for reportable segment. 2009: £3.95bn 09 £3,949.1m 10 £4,366.4m Printed on Revive 50:50 Offset – an FSC certified recycled paper containing 50% recovered waste and 50% virgin fibre and is manufactured at a mill which is accredited with the ISO 14001 environmental management standard. Printed by Fulmar Designed and produced by Salterbaxter Business review Business W h o W e ar e Bupa’s purpose is to help people lead longer, healthier, happier lives. A leading international healthcare group, we offer personal and corporate health insurance, workplace health services and health Governance assessments. We also run care homes for older people, operate hospitals and provide chronic disease management services. With no shareholders, we invest all our profits to provide more and better healthcare. Apart from providing Financial statements Financial healthcare funding solutions, we are committed to making patient centred healthcare more accessible in the areas of wellness, chronic disease management and ageing. c o n t e n t s Business review Governance Financial statements 2 Bupa and the changing 38 Directors and advisers 50 Independent Auditors’ report healthcare landscape 40 Report of the Board 51 Financial statements 3 Chairman’s statement of Directors 119 Five year financial summary 4 Chief executive’s review 41 Corporate governance 120 International Financial Reporting statement standards relevant to Bupa 6 Our strategy 45 Remuneration report 8 With you and your family 48 Statement of Directors’ through life responsibilities 10 Healthy employees are happier and more productive 12 Supporting public health systems 14 Partnering with healthcare professionals 16 Our markets 18 Our markets: europe and north America 22 Our markets: International Markets 24 Our markets: care services 26 Group Finance Director’s report 30 Sustainability report 34 Risks and uncertainties Bupa Annual Report 2010 1 B u pa A n D t h e c h A n gi n G h e A lt h c ar e l A n D s c ap e a g e i n g a g e i n g Trend: How Bupa is making 300% a difference: According to Alzheimer’s £77m Disease International, In 2010, Bupa invested by 2050, the number over £77m in developing of people living with its care homes in the dementia worldwide is UK, Spain, Australia and predicted to increase by New Zealand, opening over 300% to 115 million. four new homes and four C H r o n i C care home extensions, d i s e a s e including specialist dementia facilities. Trend: 70% Chronic diseases account for more than 70% of Across the world, healthcare costs in many the rise of chronic countries including the disease, ageing US, England and Spain. populations, changing consumer C H r o n i C expectations and d i s e a s e escalating medical costs are driving How Bupa is making a difference: fundamental change in healthcare markets 400% W e l l B e i n g Health Dialog’s chronic disease management Trend: services were proven to deliver a: £17bn ° 400% return on According to the investment; and a Confederation of British ° 10% reduction in Industry, sickness absence hospital admissions by The New England costs the UK economy W e l l B e i n g £17bn a year. Journal of Medicine in September 2010. How Bupa is making a difference: 80% Bupa helps over 80% of FTSE 100 companies in the UK to keep their workforce healthy and productive through workplace health services. 2 Bupa Annual Report 2010 Business review Business c h airma n ’ s s tAt e M e n t alone, preventative healthcare and workplace health services are also becoming increasingly important for businesses. Through our health insurance products and services across the Group, we are helping millions of people not only access high quality healthcare when they are unwell, but also identify and make the lifestyle changes that will positively impact their health. Governance Alongside these efforts, as health inflation in every major economy continues to exceed the growth of GDP, we are lord leitch Chairman also innovating to provide affordable healthcare for the long-term, including harnessing effective new technologies, such as home healthcare services, to benefit patients and Using our expertise to help address the public healthcare providers we work with. healthcare trends Across the world, the rise of ageing populations, chronic Health underpins our sustainability agenda disease, changing consumer expectations and escalating We are committed to using our healthcare expertise in medical costs are driving fundamental change in healthcare a way that supports the delivery of Bupa’s strategy, is markets. As an international healthcare group, with over good for society and better for the environment – doing 11 million customers in more than 190 countries and over good beyond our current customer base through our six decades of healthcare expertise, Bupa is uniquely people, products and services, as well as our community statements Financial placed not only to identify the challenges facing the partnerships. healthcare sector, but also to help address them. This goes Bupa is shaping its sustainability agenda to concentrate to the heart of our purpose of helping people live longer, on where we can create the greatest public value, with a healthier, happier lives. strong focus on keeping people well, empowering them As a Group, our wide geographic footprint allows us to with their health and supporting a healthy planet. More see first hand that ageing populations are creating new information about sustainability challenges, and our patterns of disease in many of the markets in which we response to them, can be found on pages 30 to 33. operate. Dementia, for example, is anticipated to increase Board news by over 300% to affect 115 million people worldwide by In 2010, we welcomed Rita Clifton to the Board as a new 2050. Through our Care Services division, we are helping to Director of Bupa. In addition to being a Non-Executive improve the quality and availability of aged and dementia member of the Board, Rita is Chairman and former Chief care for older people in the UK, Spain, Australia and New Executive of Interbrand and is a member of the board of Zealand. In 2010, we invested over £77m in developing our Dixons Retail plc. She has previously been on the board care homes, opening four new homes and four care home of the Judge Business School in Cambridge and EMAP extensions, across our portfolio. plc and has also served on the Sustainable Development In each of the major markets in which we operate, the Commission. Rita is currently Chairman of Populus Limited, number of people living with chronic disease is rising. a Trustee of WWF (Worldwide Fund for Nature) and a The financial impact of this trend is considerable, with visiting professor of Henley Business School. a staggering 70% of healthcare costs in Spain, the US Bupa people at the heart of our success and England now spent on chronic illness. As such, how Without question, Bupa’s people are a vital ingredient best to treat and manage chronic disease – for the good in our success. Their commitment to care – and to go of patients and public finances – is one of the biggest the extra mile – for our customers is a common mindset issues facing public health systems today. Through Health right across the Group. We also have a highly skilled and Dialog, our chronic disease management business, we are experienced management team that has proven itself developing innovative approaches to support patients over many years and particularly during the current weak make informed healthcare decisions and to coach them economic conditions in some of our markets. Ray King and to manage their health better, including the management his senior team have been supported by all of our people of complex chronic diseases. In 2010, The New England around the world and I thank them for all their commitment Journal of Medicine independently found that Health to supporting our customers with their healthcare needs Dialog’s chronic disease management services deliver throughout life.