ANNUAL REPORT DEFENCE MEDICAL EDUCATION & TRAINING AGENCY DMETA 2005 - 06
ANNUAL
REPORT
2005 - 06
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DMETA Annual Report 2005-06
O S T : n o d n o L 4 2 4 1 C H
Defence Medical Education. Ordered by the House of Commons to be printed 19th July 2005. July 19th printed be to Commons of House the by Ordered
.
of the Government Resources and Accounts Act 2000. Act Accounts and Resources Government the of and Training Agency
Presented to the House of Commons pursuant to section 7 section to pursuant Commons of House the to Presented .
06 2005 Accounts
. - Annual Report and.
Annual Report and Report Annual . Accounts 2005-06.
Presented to the House of Commons pursuant to section 7.
and Training Agency Training and of the Government Resources and Accounts Act 2000. .
Ordered by the House of Commons to be printed 19th July 2005.
Defence Medical Education Medical Defence .
HC 1424 London: TSO
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Contents
72 Contacts
70 Glossary 70
Addenda: Contents Page
n uio eea oteHueo omn 48 Commons of House the to General Auditor and Chief Executive’s Overview 5
Certificate and Report of the Comptroller Comptroller the of Report and Certificate
ttmn fteAec’ n he xctv’ epniiiis42 responsibilities Executive’s Chief and Agency’s the of Statement Section 1: About the Agency 7
Financial Accounts Financial 41 Section 4: Section Agency Aim 8 Objectives 8
MT nulRpr n consfrteya nig3 ac 0636 2006 March 31 ending year the for Accounts and Report Annual DMETA Personnel 8
MT rgam aaeetFaeok35 Framework Management Programme DMETA Organisation 8 uiesCniut 35 Continuity Business
34
DMICP Section 2: DMETA Performance 2005-6 11
eia riigt h ilns(TM 34 (MT2M) Midlands the to Training Medical 2005-06 Key Targets 12
rjcsadPorme 34 Programmes and Projects Performance against Key Targets 13
32
DMRC Performance Highlights 15
ult fLf n wrns riig31 Training Awareness and Life of Quality Financial Review 16 lncladAaei atesis31 Partnerships Academic and Clinical DMETA New Key Targets 2006-07 18
MT lnclUis30 Units Clinical DMETA Section 3: In-year Activity 19 29
DPMD Support to Operations and Exercises 20 RCDM
25 Headquarters Activities 21
MT dcto n riigUis25 Units Training and Education DMETA Commitments 21
oprt omnctos24 Communications Corporate Education and Training (ET) 21
uiesAssmn n ui nt(AU 23 (BAAU) Unit Audit and Assessment Business Corporate Services 23
oprt evcs23 Services Corporate Business Assessment and Audit Unit (BAAU) 23
dcto n riig(T 21 (ET) Training and Education Corporate Communications 24
omtet 21 Commitments DMETA Education and Training Units 25
eduresAtvte 21 Activities Headquarters RCDM 25
upr oOeain n xrie 20 Exercises and Operations to Support DPMD 29 In-year Activity In-year 19
Section 3: Section DMETA Clinical Units 30
MT e e agt 060 18 2006-07 Targets Key New DMETA Clinical and Academic Partnerships 31
iaca eiw16 Review Financial Quality of Life and Awareness Training 31
efrac ihihs15 Highlights Performance DMRC 32
efrac gis e agt 13 Targets Key against Performance Projects and Programmes 34
050 e agt 12 Targets Key 2005-06 Medical Training to the Midlands (MT2M) 34
DMETA Performance 2005-6 Performance DMETA 11 Section 2: Section DMICP 34
Business Continuity 35 Organisation
8 DMETA Programme Management Framework 35 Personnel
8 DMETA Annual Report and Accounts for the year ending 31 March 2006 36 Objectives 8
Agency Aim Agency
8 Section 4: Financial Accounts 41
About the Agency the About 7 Section 1: Section Statement of the Agency’s and Chief Executive’s responsibilities 42 Certificate and Report of the Comptroller
he xctv’ vriw5 Overview Executive’s Chief and Auditor General to the House of Commons 48 otnsPage Contents Addenda: 70 Glossary 70
Contacts 72
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Chief Executive’s Overview
military patients’ requirements for rehabilitative care. rehabilitative for requirements patients’ military Chief Executive’s Overview Rehabilitation Centre (DMRC) at Headley Court, which will better determine and direct and determine better will which Court, Headley at (DMRC) Centre Rehabilitation
Evaluation and Coordination Centre (DMRECC), run from the Defence Medical Defence the from run (DMRECC), Centre Coordination and Evaluation In last year’s Annual Report I noted that the foundations
Defence Medical Services Department (DMSD), the new Defence Medical Rehabilitation Medical Defence new the (DMSD), Department Services Medical Defence had been laid to successfully deliver against our
that the process is sound. We have also set in place, with Director Healthcare at the at Healthcare Director with place, in set also have We sound. is process the that aspirations, and those of our customers, for the future.
holistic, end-to-end review of that associated patient care pathway has demonstrated has pathway care patient associated that of review end-to-end holistic, This year, while we have continued to meet the increasing
University Hospital Birmingham Foundation Trust (UHBFT) in Birmingham. A recent, A Birmingham. in (UHBFT) Trust Foundation Birmingham Hospital University demands of our primary role, (the provision of personnel
from operational theatres to the Royal Centre for Defence Medicine (RCDM) and the and (RCDM) Medicine Defence for Centre Royal the to theatres operational from to meet the Commanders’ in Chief requirements for An important aspect of DMETA is the reception and care of patients aeromedevaced patients of care and reception the is DMETA of aspect important An secondary healthcare personnel operational deployments and exercises). I am also pleased to report that the
(MT2M) projects progressing satisfactorily. progressing projects (MT2M) Agency has built on these foundations to further enhance Military Withdrawal From Haslar (MWFH) and the Medical Training to the Midlands the to Training Medical the and (MWFH) Haslar From Withdrawal Military Surgeon Rear Admiral Raffaelli,
our delivery in other areas. CE DMETA We also remain firmly on course to deliver against our estate rationalisation with both the both with rationalisation estate our against deliver to course on firmly remain also We
and the Continuing Professional Development (CPD) requirements of the single Services. single the of requirements (CPD) Development Professional Continuing the and DMETA deliberately stretched itself with this year’s revised Key Targets and has also had
education and training commitments, including Phase 2 training for all medical personnel medical all for training 2 Phase including commitments, training and education a reduced reporting timeline of 9 months in order to meet Ministerial timelines for reporting In parallel with meeting the operational requirement, DMETA has continued to meet its meet to continued has DMETA requirement, operational the meeting with parallel In to Parliament. Key Target 2 (completion of mandatory individual military continuation training) was increased from 80% the previous year to a demanding 90% with the
fully reported on next year. next on reported fully Agency achieving a highly creditable 89% against this in the 9 month reporting period.
capture of relevant data. This issue has now been addressed and the Key Target will be will Target Key the and addressed been now has issue This data. relevant of capture Similarly, with Key Target 5 (Customer Focus) we achieved a remarkable 4% increase
“unknown” due to problems with the data collection software which prevented adequate prevented which software collection data the with problems to due “unknown” against the Customer Confidence Index baseline score which fell just short of the 5%
in meeting the high operational tempo. Unfortunately, this Key Target is reported as reported is Target Key this Unfortunately, tempo. operational high the meeting in improvement target for the year. I introduced Key Target 6 (ensuring 100% compliance
under-bearing and also to enable us to ensure equity across personnel of all Services Services all of personnel across equity ensure to us enable to also and under-bearing with Harmony guidelines) to assess the penalty in harmony terms of meeting Key Target
1 (meeting 100% of the operational manpower requirements) in our current state of state current our in requirements) manpower operational the of 100% (meeting 1 1 (meeting 100% of the operational manpower requirements) in our current state of
with Harmony guidelines) to assess the penalty in harmony terms of meeting Key Target Key meeting of terms harmony in penalty the assess to guidelines) Harmony with under-bearing and also to enable us to ensure equity across personnel of all Services
improvement target for the year. I introduced Key Target 6 (ensuring 100% compliance 100% (ensuring 6 Target Key introduced I year. the for target improvement in meeting the high operational tempo. Unfortunately, this Key Target is reported as
against the Customer Confidence Index baseline score which fell just short of the 5% the of short just fell which score baseline Index Confidence Customer the against “unknown” due to problems with the data collection software which prevented adequate
Similarly, with Key Target 5 (Customer Focus) we achieved a remarkable 4% increase 4% remarkable a achieved we Focus) (Customer 5 Target Key with Similarly, capture of relevant data. This issue has now been addressed and the Key Target will be
Agency achieving a highly creditable 89% against this in the 9 month reporting period. reporting month 9 the in this against 89% creditable highly a achieving Agency fully reported on next year.
training) was increased from 80% the previous year to a demanding 90% with the with 90% demanding a to year previous the 80% from increased was training)
to Parliament. Key Target 2 (completion of mandatory individual military continuation military individual mandatory of (completion 2 Target Key Parliament. to In parallel with meeting the operational requirement, DMETA has continued to meet its
a reduced reporting timeline of 9 months in order to meet Ministerial timelines for reporting for timelines Ministerial meet to order in months 9 of timeline reporting reduced a education and training commitments, including Phase 2 training for all medical personnel DMETA deliberately stretched itself with this year’s revised Key Targets and has also had also has and Targets Key revised year’s this with itself stretched deliberately DMETA and the Continuing Professional Development (CPD) requirements of the single Services.
We also remain firmly on course to deliver against our estate rationalisation with both the
CE DMETA CE our delivery in other areas. other in delivery our Surgeon Rear Admiral Raffaelli, Admiral Rear Surgeon Military Withdrawal From Haslar (MWFH) and the Medical Training to the Midlands
Agency has built on these foundations to further enhance further to foundations these on built has Agency (MT2M) projects progressing satisfactorily.
and exercises). I am also pleased to report that the that report to pleased also am I exercises). and
secondary healthcare personnel operational deployments operational personnel healthcare secondary An important aspect of DMETA is the reception and care of patients aeromedevaced
to meet the Commanders’ in Chief requirements for requirements Chief in Commanders’ the meet to from operational theatres to the Royal Centre for Defence Medicine (RCDM) and the
demands of our primary role, (the provision of personnel of provision (the role, primary our of demands University Hospital Birmingham Foundation Trust (UHBFT) in Birmingham. A recent,
This year, while we have continued to meet the increasing the meet to continued have we while year, This holistic, end-to-end review of that associated patient care pathway has demonstrated
aspirations, and those of our customers, for the future. the for customers, our of those and aspirations, that the process is sound. We have also set in place, with Director Healthcare at the
had been laid to successfully deliver against our against deliver successfully to laid been had Defence Medical Services Department (DMSD), the new Defence Medical Rehabilitation In last year’s Annual Report I noted that the foundations the that noted I Report Annual year’s last In Evaluation and Coordination Centre (DMRECC), run from the Defence Medical
Rehabilitation Centre (DMRC) at Headley Court, which will better determine and direct
Chief Executive’s Overview Executive’s Chief military patients’ requirements for rehabilitative care. Chief Executive’s Overview Executive’s Chief
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DMETA Annual Report 2005-06
Following the results of the DMSD Continuous Attitude Survey (CAS), we are preparing a further survey of all DMETA nurses and Health Care Assistants (HCAs) to address those professional clinical and military training issues identified within the CAS and to take a snapshot of the ‘psychological contract’ of military nurses and HCAs working within DMETA. Information gained from this should better enable us to champion their needs and may also inform the AFPRB submission for next year. In addition, CE DMETA has been appointed the Skills Champion for the MoD’s civilian health professionals. As such, CE DMETA now looks after the interests of over 1000 staff, across 19 different medical specialisations within MoD, addressing issues such as career development and reward and recognition of these staff to the benefit of the individual and the business.
This Report will highlight many other developments and achievements over the past year and the initiatives we have set to further deliver in the future. DMETA is building and refining its business at a remarkable pace, with appropriately qualified, capable and highly motivated staff, to successfully deliver above and beyond the requirement for the benefit of the Defence Medical Services (DMS), our patients and customers.
Surgeon Rear Admiral PI Raffaelli BSc MSc MBChB MRCGP FFOM Chief Executive
July 2006 2006 July Chief Executive Chief
Surgeon Rear Admiral PI Raffaelli BSc MSc MBChB MRCGP FFOM MRCGP MBChB MSc BSc Raffaelli PI Admiral Rear Surgeon
for the benefit of the Defence Medical Services (DMS), our patients and customers. and patients our (DMS), Services Medical Defence the of benefit the for
and highly motivated staff, to successfully deliver above and beyond the requirement requirement the beyond and above deliver successfully to staff, motivated highly and
and refining its business at a remarkable pace, with appropriately qualified, capable capable qualified, appropriately with pace, remarkable a at business its refining and
year and the initiatives we have set to further deliver in the future. DMETA is building building is DMETA future. the in deliver further to set have we initiatives the and year
This Report will highlight many other developments and achievements over the past past the over achievements and developments other many highlight will Report This
and recognition of these staff to the benefit of the individual and the business. the and individual the of benefit the to staff these of recognition and
specialisations within MoD, addressing issues such as career development and reward and development career as such issues addressing MoD, within specialisations
CE DMETA now looks after the interests of over 1000 staff, across 19 different medical different 19 across staff, 1000 over of interests the after looks now DMETA CE
been appointed the Skills Champion for the MoD’s civilian health professionals. As such, As professionals. health civilian MoD’s the for Champion Skills the appointed been
and may also inform the AFPRB submission for next year. In addition, CE DMETA has DMETA CE addition, In year. next for submission AFPRB the inform also may and
DMETA. Information gained from this should better enable us to champion their needs their champion to us enable better should this from gained Information DMETA.
snapshot of the ‘psychological contract’ of military nurses and HCAs working within working HCAs and nurses military of contract’ ‘psychological the of snapshot
professional clinical and military training issues identified within the CAS and to take a take to and CAS the within identified issues training military and clinical professional
a further survey of all DMETA nurses and Health Care Assistants (HCAs) to address those address to (HCAs) Assistants Care Health and nurses DMETA all of survey further a
Following the results of the DMSD Continuous Attitude Survey (CAS), we are preparing preparing are we (CAS), Survey Attitude Continuous DMSD the of results the Following DMETA Annual Report 2005-06 Report Annual DMETA
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Section
standards to meet the operational requirement. operational the meet to standards exercises, and to deliver appropriate medical and military training to specified to training military and medical appropriate deliver to and exercises,
To make available nominated Secondary Care personnel for deployments and deployments for personnel Care Secondary nominated available make To 1
About the Agency
About the Agency the About 1 To make available nominated Secondary Care personnel for deployments and
exercises, and to deliver appropriate medical and military training to specified
standards to meet the operational requirement.
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DMETA Annual Report 2005-06
About the Agency Agency Aim DMETA’s aim is to make available nominated Secondary Care personnel for deployments and exercises, and to deliver appropriate medical and military training and education to specified standards to meet the operational requirement.
Objectives
In achieving its aim, DMETA seeks to meet the following objectives while operating Birmingham); (in DPMD b.
within the framework of the Defence Health Programme and the Deputy Chief of Blockhouse; Fort at facility training
Defence Staff (Health)’s Management Plan – residual small, a and (Aldershot) DMSTC for responsibility has also which RCDM, a. a. Make nominated Secondary Care personnel available for deployment; – Consultants Hospital to through recruits Technician
b. Provide medical, dental and military education and training to Defence Medical Medical Combat and Nurse new from ranging trainees for training and education military
Service and other personnel; and academic clinical, provide to UK the across sites principal ten from operates DMETA Organisation
c. Develop training and training policy in response to change;
support services. support d. Provide worldwide Defence Medical Library Services; and clinical providing civilian) 27% and military (73% staff 2325 some employs DMETA
e. Develop and motivate DMETA’s personnel; Personnel
f. Ensure efficiency in business processes; public. the of members and Parliament Ministers, Services, single MoD, the to issues h. Provide timely and accurate advice on Defence medical education and training and education medical Defence on advice accurate and timely Provide h.
g. Ensure financial propriety and regularity; g. Ensure financial propriety and regularity; and propriety financial Ensure g. h. Provide timely and accurate advice on Defence medical education and training
issues to the MoD, single Services, Ministers, Parliament and members of the public. processes; business in efficiency Ensure f.
Personnel personnel; DMETA’s motivate and Develop e. DMETA employs some 2325 staff (73% military and 27% civilian) providing clinical and Services; Library Medical Defence worldwide Provide d.
support services. c. Develop training and training policy in response to change; to response in policy training and training Develop c. Organisation
DMETA operates from ten principal sites across the UK to provide clinical, academic and personnel; other and Service
military education and training for trainees ranging from new Nurse and Combat Medical Medical Defence to training and education military and dental medical, Provide b.
Technician recruits through to Hospital Consultants – deployment; for available personnel Care Secondary nominated Make a.
a. RCDM, which also has responsibility for DMSTC (Aldershot) and a small, residual – Plan Management (Health)’s Staff Defence training facility at Fort Blockhouse; of Chief Deputy the and Programme Health Defence the of framework the within
b. DPMD (in Birmingham); operating while objectives following the meet to seeks DMETA aim, its achieving In Objectives
specified standards to meet the operational requirement. operational the meet to standards specified
and exercises, and to deliver appropriate medical and military training and education to education and training military and medical appropriate deliver to and exercises, and
DMETA’s aim is to make available nominated Secondary Care personnel for deployments for personnel Care Secondary nominated available make to is aim DMETA’s
Agency Aim Agency
About the Agency the About DMETA Annual Report 2005-06 Report Annual DMETA
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About the Agency
c. Intermediate and Secondary care delivered from two military establishments: DMRC (at Headley Court), and the RHH (in Gosport). In addition, DMETA personnel provide Secondary Care within more than thirty NHS Hospitals, with large concentrations of staff at Birmingham and the five Ministry of Defence Hospital Units (MDHUs) at Derriford, Plymouth; Frimley Park, Surrey; Northallerton, Yorkshire; Peterborough, Cambridgeshire; and Portsmouth, Hampshire;
d. A worldwide Defence Medical Library Service (DMLS);
e. Agency Headquarters at Fort Blockhouse, Gosport.
Defence Medical Education & Training Agency Organisational Structure 2005-06
CE DMETA
otalro Portsmouth Peterborough Northallerton Park Frimley Derriford
DMETA HQ RCDM DPMD
Royal Centre Defence
Centre Units Hospital Blockhouse Centre for Defence Postgraduate
Services Training Training Services Defence of Fort and Haslar Rehabilitation Rehabilitation Medicine Medical Deanery
Defence Medical Medical Defence Ministry Hospital Royal Medical Defence
DMSTC MDHUs RHH&FB DMRC
DMRC RHH&FB MDHUs DMSTC
Defence Medical Royal Hospital Ministry Defence Medical
Medical Deanery Medical Medicine Rehabilitation Haslar and Fort of Defence Services Training
Postgraduate Postgraduate for Defence Defence for Centre Blockhouse Hospital Units Centre
Defence Defence Centre Royal
MT QRCDM HQ DMETA DPMD
Derriford Frimley ParkNorthallerton Peterborough Portsmouth
CE DMETA CE
Organisational Structure 2005-06 Structure Organisational
Defence Medical Education & Training Agency Training & Education Medical Defence
e. Agency Headquarters at Fort Blockhouse, Gosport. Blockhouse, Fort at Headquarters Agency e.
d. A worldwide Defence Medical Library Service (DMLS); Service Library Medical Defence worldwide A d.
Cambridgeshire; and Portsmouth, Hampshire; Portsmouth, and Cambridgeshire;
Derriford, Plymouth; Frimley Park, Surrey; Surrey; Park, Frimley Plymouth; Derriford, e; Peterborough, e; Yorkshir Northallerton,
staff at Birmingham and the five Ministry of Defence Hospital Units (MDHUs) at (MDHUs) Units Hospital Defence of Ministry five the and Birmingham at staff
Secondary Care within more than thirty NHS Hospitals, with large concentrations of concentrations large with Hospitals, NHS thirty than more within Care Secondary
(at Headley Court), and the RHH (in Gosport). In addition, DMETA personnel provide personnel DMETA addition, In Gosport). (in RHH the and Court), Headley (at
c. Intermediate and Secondary care delivered from two military establishments: DMRC establishments: military two from delivered care Secondary and Intermediate c. About the Agency the About
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DMETA Annual Report 2005-06
DMETA Establishments
DCDS (H) MDHU Derriford MDHU
CE DMETA
RHH/MDHU Portsmouth RHH/MDHU HQ DMETA HQ
DMSTC Aldershot DMSTC MDHU Frimley Park Frimley MDHU Defence Comdt Chief of Staff Court Headley DMRC Postgraduate Royal Centre and
Medical Dean for Defence Deputy CE
Medicine Peterborough MDHU
DPMD Birmingham DPMD Birmingham RCDM Comdt CO CO CO Defence Medical Hospital Unit Defence Medical Royal Hospital Services Training x5 Rehabilitation Haslar & Fort
Centre Centre Blockhouse
MDHU Northallerton Northallerton MDHU
Blockhouse Centre Centre
Haslar & Fort Fort & Haslar x5 Rehabilitation Rehabilitation Services Training Training Services
Royal Hospital Hospital Royal Unit Hospital Defence Medical Medical Defence Defence Medical Medical Defence
CO CO CO CO Comdt
RCDM Birmingham DPMD Birmingham
MDHU Peterborough Medicine
Deputy CE Deputy for Defence for Dean Medical
and Royal Centre Centre Royal Postgraduate
Chief of Staff of Chief Comdt DMRC Headley Court Defence MDHU Frimley Park DMSTC Aldershot
HQ DMETA RHH/MDHU Portsmouth CE DMETA CE
MDHU Derriford
DCDS (H) DCDS
DMETA Establishments DMETA DMETA Annual Report 2005-06 Report Annual DMETA
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Section
delivery times have been achieved. been have times delivery significant enhancement to these foundations and considerable success in success considerable and foundations these to enhancement significant
We have continued to meet the ever-increasing demands of our primary role… primary our of demands ever-increasing the meet to continued have We 2
DMETA Performance 2005-06
DMETA Performance 2005-06 Performance DMETA 2 We have continued to meet the ever-increasing demands of our primary role…
significant enhancement to these foundations and considerable success in
delivery times have been achieved.
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DMETA Annual Report 2005-06
2005-06 Key Targets Key Target 1 – Meeting Operational Manpower Requirements: To meet the Commanders in Chief’s requirements for Secondary Care personnel under DMETA command for operational deployments.
Key Target 2 – Individual Military Continuation Training: To ensure that 90 per cent of all DMETA personnel, whose medical category permits, achieve their Service’s annual mandatory individual military training.
Key Target 3 – Medical Professional and Career Training.
• Initial Training (Phase 2) command. DMETA’s under personnel deployable
To provide Initial training (Phase 2) that meets the requirements, professional all for guidelines harmony Services’ single the with compliance cent per 100 ensure To
standards and timescales defined by the single Services. Service. Harmony/Separated – 6 Target Key
• Career, Professional and Continuation Training (Phase 3). cent. per 5 by FY2004-05, year financial of
To provide Career, Professional and Continuation training (Phase 3) that meets the end the at assessed as score, baseline Index Confidence Customer the upon improve To
requirements, professional standards and timescales defined by the single Services. Focus. Customer – 5 Target Key
Key Target 4 – Efficiency. exploitation. Budgeting and Resource and outputs Defence
• DMETA Estate. of cost the of support in initiatives Departmental led centrally with comply To To ensure the rationalisation and efficient usage of the current DMETA estate, Measurement. Cost • reducing the balance sheet value of the estate as at 1 April 2003 by at least 50 per
cent by 2010, thereby reducing the cost of training. training. of cost the reducing thereby 2010, by cent
reducing the balance sheet value of the estate as at 1 April 2003 by at least 50 per 50 least at by 2003 April 1 at as estate the of value sheet balance the reducing
• Cost Measurement. estate, DMETA current the of usage efficient and rationalisation the ensure To
To comply with centrally led Departmental initiatives in support of the cost of Estate. DMETA •
Defence outputs and Resource and Budgeting exploitation. Efficiency. – 4 Target Key
Key Target 5 – Customer Focus. Services. single the by defined timescales and standards professional requirements,
To improve upon the Customer Confidence Index baseline score, as assessed at the end the meets that 3) (Phase training Continuation and Professional Career, provide To
of financial year FY2004-05, by 5 per cent. 3). (Phase Training Continuation and Professional Career, •
Key Target 6 – Harmony/Separated Service. Services. single the by defined timescales and standards
To ensure 100 per cent compliance with the single Services’ harmony guidelines for all professional requirements, the meets that 2) (Phase training Initial provide To
deployable personnel under DMETA’s command. 2) (Phase Training Initial •
Key Target 3 – Medical Professional and Career Training. Career and Professional Medical – 3 Target Key
achieve their Service’s annual mandatory individual military training. military individual mandatory annual Service’s their achieve
To ensure that 90 per cent of all DMETA personnel, whose medical category permits, category medical whose personnel, DMETA all of cent per 90 that ensure To
Key Target 2 – Individual Military Continuation Training: Training: Continuation Military Individual – 2 Target Key
DMETA command for operational deployments. operational for command DMETA
To meet the Commanders in Chief’s requirements for Secondary Care personnel under personnel Care Secondary for requirements Chief’s in Commanders the meet To
Key Target 1 – Meeting Operational Manpower Requirements: Requirements: Manpower Operational Meeting – 1 Target Key
2005-06 Key Targets Key 2005-06 DMETA Annual Report 2005-06 Report Annual DMETA
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DMETA Performance 2005-06
Performance against Key Targets
Key Target 2003/04 2004/05 2005/06
Target Achieved Target Achieved Target Achieved
Key Target 1. 100% 100% 100% 100% 100% 100% To meet 100% of the Commanders in Chief’s requirements for Secondary Care personnel under DMETA command for operational deployments
Key Target 2. 80% 88% 80% 76% 90% 89%
To ensure that 90% of all DMETA
by the single Services. single the by personnel, whose medical category
standards and timescales defined defined timescales and standards permits, achieve their Service’s annual meets the requirements, professional professional requirements, the meets mandatory individual military training.
Continuation training (Phase 3) that that 3) (Phase training Continuation Key Target 3.
To provide Career, Professional and and Professional Career, provide To a. Initial Training (Phase 2). >95% 97.1% >95% 96.5%1 >95% 94.5%
Continuation Training (Phase 3). (Phase Training Continuation To provide Initial training (Phase 2) / / 9%9%>5 95.6% >95% 96% >95% N/A N/A
b. Career, Professional and and Professional Career, b. that meets the requirements, professional standards and
timescales defined by the single Services. Services. single the by defined timescales timescales defined by the single Services. professional standards and and standards professional
that meets the requirements, requirements, the meets that b. Career, Professional and N/A N/A >95% 96% >95% 95.6%
To provide Initial training (Phase 2) 2) (Phase training Initial provide To Continuation Training (Phase 3).
9%94.5% >95% 96.5% >95% 97.1% >95% a. Initial Training (Phase 2). (Phase Training Initial a.
1 To provide Career, Professional and
Key Target 3. Target Key Continuation training (Phase 3) that
mandatory individual military training. military individual mandatory meets the requirements, professional
permits, achieve their Service’s annual annual Service’s their achieve permits, standards and timescales defined
personnel, whose medical category category medical whose personnel, by the single Services.
To ensure that 90% of all DMETA DMETA all of 90% that ensure To
0 8 0 6 0 89% 90% 76% 80% 88% 80% Key Target 2. Target Key
command for operational deployments operational for command
Care personnel under DMETA DMETA under personnel Care
in Chief’s requirements for Secondary Secondary for requirements Chief’s in
To meet 100% of the Commanders Commanders the of 100% meet To
0%10 0%10 0%100% 100% 100% 100% 100% 100% Key Target 1. Target Key
agtAhee agtAhee agtAchieved Target Achieved Target Achieved Target
030 2004/05 2003/04 2005/06 Target Key
Performance against Key Targets Key against Performance DMETA Performance 2005-06 Performance DMETA
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DMETA Annual Report 2005-06
Key Target 2003/04 2004/05 2005/06
Target Achieved Target Achieved Target Achieved Key Target 4. a. DMETA Estate. 7.3% 7.3% 7.3% 8.2% 7.3% 8.2% To ensure the rationalisation and efficient usage of the current DMETA estate, reducing the agreed Balance Sheet value of the estate as at 01 Apr 03 by at least 50% by 2010,
thereby reducing the cost of training. command. DMETA’s under guidelines for all deployable personnel personnel deployable all for guidelines
b. Cost Measurement. N/A N/A N/A N/A No set All harmony Services’ single the with
Targets requests compliance 100% ensure To available
met 2
To comply with centrally led data
Departmental initiatives in support reliable N/A N/A N/A N/A 100% No No 100% N/A N/A N/A N/A
of the Cost of Defence Outputs 6. Target Key and RAB exploitation. 5%. by
Key Target 5. N/A N/A N/A 60 +5% 62 FY2005-06, of end the at assessed as
(baseline) (to 63) score, baseline Index Confidence
To improve upon the Customer Customer the upon improve To
Confidence Index baseline score, 63) (to (baseline) / / / 0+%62 +5% 60 N/A N/A N/A
as assessed at the end of FY2005-06, 5. Target Key by 5%. exploitation. RAB and
Key Target 6. N/A N/A N/A N/A 100% No Outputs Defence of Cost the of
reliable support in initiatives Departmental
data led centrally with comply To
available2 met
To ensure 100% compliance requests Targets / / / / ost All set No N/A N/A N/A N/A
with the single Services’ harmony Measurement. Cost b. guidelines for all deployable personnel
under DMETA’s command. training. of cost the reducing thereby
01 Apr 03 by at least 50% by 2010, 2010, by 50% least at by 03 Apr 01
Sheet value of the estate as at at as estate the of value Sheet
estate, reducing the agreed Balance Balance agreed the reducing estate,
efficient usage of the current DMETA DMETA current the of usage efficient
To ensure the rationalisation and and rationalisation the ensure To
.%73 .%82 .%8.2% 7.3% 8.2% 7.3% 7.3% 7.3% a. DMETA Estate. DMETA a.
Key Target 4. Target Key
agtAhee agtAhee agtAchieved Target Achieved Target Achieved Target
030 2004/05 2003/04 Key Target Key 2005/06 DMETA Annual Report 2005-06 Report Annual DMETA
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DMETA Performance 2005-06
Performance Highlights Key Target 1 – Deployable Personnel 2005-06 status: Achieved
Achieved once again, although not without difficulty due to the operational depth and tempo, and to DMS under-manning (numbers having remained almost unchanged since last year).
Key Target 2 – Military Training
2005-06 status: Nearly achieved
Defence Outputs were met in the required timescales. timescales. required the in met were Outputs Defence
to achieve its estate rationalization. All requests for information in support of the costs of costs the of support in information for requests All rationalization. estate its achieve to There was a substantial increase in attainment from 76% in FY2005-06 to 89%. Although there were no disposals during the year, as planned, DMETA remains on target on remains DMETA planned, as year, the during disposals no were there Although However, this was just short of the new, stretched target of 90%. The development of formalised agreements with FLEET, LAND and STRIKE Commands has proved beneficial
2005-06 status: Achieved status: 2005-06 to the training process, and will be further reviewed during FY2006-07. Key Target 4 – Estate – 4 Target Key Key Target 3 – Medical Professional and Career Training
Phase 2 and 3 courses remains above the target at 95.2%. at target the above remains courses 3 and 2 Phase 2005-06 status: Achieved
This is primarily related to changes in student numbers. The overall success rate for all for rate success overall The numbers. student in changes to related primarily is This There has been a very slightly reduced performance against KT3a compared with last year. last with compared KT3a against performance reduced slightly very a been has There Agency trainees continue to excel and during the past year 37% of Nursing Students gained a 1st Class Honour whilst a further 40% attained a Distinction in the Nursing
and standard of CMTs and MAs qualifying from DMSTC is also being maintained. being also is DMSTC from qualifying MAs and CMTs of standard and Diploma. The Allied Health Professional Disciplines (Environmental Health, Operating
results which are significantly better than the national average. The high quality quality high The average. national the than better significantly are which results Department Practitioners, Radiology and BioMed) are achieving equally impressive
Department Practitioners, Radiology and BioMed) are achieving equally impressive equally achieving are BioMed) and Radiology Practitioners, Department results which are significantly better than the national average. The high quality
Diploma. The Allied Health Professional Disciplines (Environmental Health, Operating Health, (Environmental Disciplines Professional Health Allied The Diploma. and standard of CMTs and MAs qualifying from DMSTC is also being maintained.
gained a 1st Class Honour whilst a further 40% attained a Distinction in the Nursing the in Distinction a attained 40% further a whilst Honour Class 1st a gained Agency trainees continue to excel and during the past year 37% of Nursing Students Nursing of 37% year past the during and excel to continue trainees Agency There has been a very slightly reduced performance against KT3a compared with last year. This is primarily related to changes in student numbers. The overall success rate for all
2005-06 status: Achieved status: 2005-06 Phase 2 and 3 courses remains above the target at 95.2%. Key Target 3 – Medical Professional and Career Training Career and Professional Medical – 3 Target Key Key Target 4 – Estate
to the training process, and will be further reviewed during FY2006-07. during reviewed further be will and process, training the to 2005-06 status: Achieved
formalised agreements with FLEET, LAND and STRIKE Commands has proved beneficial proved has Commands STRIKE and LAND FLEET, with agreements formalised
However, this was just short of the new, stretched target of 90%. The development of development The 90%. of target stretched new, the of short just was this However, Although there were no disposals during the year, as planned, DMETA remains on target There was a substantial increase in attainment from 76% in FY2005-06 to 89%. to FY2005-06 in 76% from attainment in increase substantial a was There to achieve its estate rationalization. All requests for information in support of the costs of
Defence Outputs were met in the required timescales. 2005-06 status: Nearly achieved Nearly status: 2005-06
Key Target 2 – Military Training Military – 2 Target Key
last year). last
tempo, and to DMS under-manning (numbers having remained almost unchanged since unchanged almost remained having (numbers under-manning DMS to and tempo,
Achieved once again, although not without difficulty due to the operational depth and depth operational the to due difficulty without not although again, once Achieved
2005-06 status: Achieved status: 2005-06
Key Target 1 – Deployable Personnel Deployable – 1 Target Key
Performance Highlights Performance DMETA Performance 2005-06 Performance DMETA
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DMETA Annual Report 2005-06
Activity contract that covers the Royal Hospital Haslar and Fort Blockhouse (RHH&FB). Blockhouse Fort and Haslar Hospital Royal the covers that contract Activity The increase in Accommodation Services is mainly due to price increases on the Multi- the on increases price to due mainly is Services Accommodation in increase The
Key Target 5 – Customer Focus costs. Utility in increase (30%) £0.8M a and Services, Accommodation in increase (25%)
2005-06 status: Customer Confidence Index improved £1.3M a been also has There increases. pay to due remainder the and numbers increased
year are a £5.4M (5%) increase in Personnel costs. Of this, about £1M is due to due is £1M about this, Of costs. Personnel in increase (5%) £5.4M a are year
Following the inaugural DMETA Customer Confidence Index (CCI) survey in FY2005-06, prior the over costs operating in changes main The £140,255,000. were 2006 March 31
DMETA developed an Action Plan to address the issues raised by its Customers, at liabilities current less assets Total £192,319,000. was year the for cost operating net
actively seeking consultation with Customer Agent representatives to ensure the The £121,229,000. of allocation budget the than higher slightly £125,380,000, was year
continued relevance of the FY2005-06 questionnaire in measuring key Agency outputs. the for expenditure cash net The accounts. financial its of preparation allow to DMETA to
To meet the requirement to supply DMSD (by end-January 2006) with a Key Target notified was holders budget MoD other by provided services of cost full The allocation.
esource descriptor for FY2006-07, data collection for FY2005-06 was based on 9 months r MoD the through funding resource its received and vote on remains DMETA performance. Commitment to year-on-year measurement will continue, ensuring that
DMETA remains responsive to declared and agreed Customer requirements and 2000. Act Accounts and Resources Government the of
expectations. 7(2) Section with accordance in Treasury HM by given Direction a with accordance
at Fort Blockhouse in Gosport, Hampshire. These Accounts have been prepared in prepared been have Accounts These Hampshire. Gosport, in Blockhouse Fort at
Key Target 6 – Harmony/Separated Service Headquarters its has and UK the across sites ten from operates It Budget. Level Top 2005-06 status: Unknown Centre the within DCDS(H), under DMS the of part integral an and Agency Executive
It has not previously been possible to accurately measure Harmony status for DMETA MoD an is DMETA 2003. April 1 on Agency Defence a as launched was DMETA
personnel because of the diversity of single Service guidelines and the absence of any Background common measurement criteria. In response to this, DMETA has had to develop a database Review Financial which will be able to record the Harmony status of each individual overall compliance report. Due to technical software problems, this was not rolled out until March 2006.
However it will provide accurate data for future Reports. Meanwhile, it is perceived that, specialities. critical
within pinch-point specialities (Accident & Emergency and Intensive Care nurses), single operationally these in under-manning of result a as broken being are guidelines Service
Service guidelines are being broken as a result of under-manning in these operationally single nurses), Care Intensive and Emergency & (Accident specialities pinch-point within
critical specialities. that, perceived is it Meanwhile, Reports. future for data accurate provide will it However report. Due to technical software problems, this was not rolled out until March 2006. March until out rolled not was this problems, software technical to Due report.
which will be able to record the Harmony status of each individual overall compliance overall individual each of status Harmony the record to able be will which Financial Review database a develop to had has DMETA this, to response In criteria. measurement common
Background any of absence the and guidelines Service single of diversity the of because personnel
DMETA was launched as a Defence Agency on 1 April 2003. DMETA is an MoD DMETA for status Harmony measure accurately to possible been previously not has It
Executive Agency and an integral part of the DMS under DCDS(H), within the Centre Unknown status: 2005-06 Top Level Budget. It operates from ten sites across the UK and has its Headquarters Service Harmony/Separated – 6 Target Key at Fort Blockhouse in Gosport, Hampshire. These Accounts have been prepared in
accordance with a Direction given by HM Treasury in accordance with Section 7(2) expectations.
of the Government Resources and Accounts Act 2000. and requirements Customer agreed and declared to responsive remains DMETA
performance. Commitment to year-on-year measurement will continue, ensuring that ensuring continue, will measurement year-on-year to Commitment performance.
DMETA remains on vote and received its resource funding through the MoD resource months 9 on based was FY2005-06 for collection data FY2006-07, for descriptor
allocation. The full cost of services provided by other MoD budget holders was notified Target Key a with 2006) end-January (by DMSD supply to requirement the meet To
to DMETA to allow preparation of its financial accounts. The net cash expenditure for the outputs. Agency key measuring in questionnaire FY2005-06 the of relevance continued
year was £125,380,000, slightly higher than the budget allocation of £121,229,000. The the ensure to representatives Agent Customer with consultation seeking actively
net operating cost for the year was £192,319,000. Total assets less current liabilities at Customers, its by raised issues the address to Plan Action an developed DMETA 31 March 2006 were £140,255,000. The main changes in operating costs over the prior FY2005-06, in survey (CCI) Index Confidence Customer DMETA inaugural the Following year are a £5.4M (5%) increase in Personnel costs. Of this, about £1M is due to
increased numbers and the remainder due to pay increases. There has also been a £1.3M improved Index Confidence Customer status: 2005-06
(25%) increase in Accommodation Services, and a £0.8M (30%) increase in Utility costs. Focus Customer – 5 Target Key The increase in Accommodation Services is mainly due to price increases on the Multi-
Activity contract that covers the Royal Hospital Haslar and Fort Blockhouse (RHH&FB). DMETA Annual Report 2005-06 Report Annual DMETA
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DMETA Performance 2005-06
The main changes to the values of assets are as a result of adjustments to reflect the quinquennial review and there have not been any material additions or disposals of assets. The significant increase in Debtors and Accrued Income has arisen as a result of the protracted negotiations with National Health Service Trusts over the provision of Service Personnel.
Policy on the payment of creditors The Department’s bills, with the exception of some payments to suppliers by units locally and outside Great Britain, are paid through the Defence Bills Agency (DBA). In FY2005-06 the DBA met its target of paying 99.9% of all correctly submitted bills within eleven calendar days, ensuring that the Department is in compliance with its statutory obligation under the Late Payment of Commercial Debts (Interest) Act 1998. Neither DBA nor DMETA incurred any liability under the Late Payment of Commercial Debts (Interest) 1998.
Auditor The accounts of DMETA are audited by the Comptroller and Auditor General under
section 7(3)(b) of the Government Resources and Accounts Act 2000. The notional cost
Facilities Agreement with UHBFT into a single overarching agreement. overarching single a into UHBFT with Agreement Facilities of the statutory audit is £41,000. The Comptroller and Auditor General has not carried FY2006-07 it is intended to bring together the current Service Level Agreement and the and Agreement Level Service current the together bring to intended is it FY2006-07 out any further audit or assurance work within DMETA.
take effect sometime in 2010 when the Birmingham New Hospital is opened. During opened. is Hospital New Birmingham the when 2010 in sometime effect take Future financial agreements
a Facilities Agreement with UHBFT. This is due to be signed during FY2006-07 and will and FY2006-07 during signed be to due is This UHBFT. with Agreement Facilities a Portsmouth Hospitals NHS Trust (PHT) have confirmed their requirement to continue to
2005 approval was given by the Departmental Investment Approvals Board to enter into enter to Board Approvals Investment Departmental the by given was approval 2005 use the Royal Hospital Haslar site after military withdrawal from the site in March 2007.
to cover the provision of clinical services to PHT and their use of the site. In October In site. the of use their and PHT to services clinical of provision the cover to Subject to Ministerial approval, work is in hand to reach a financial agreement with PHT
Subject to Ministerial approval, work is in hand to reach a financial agreement with PHT with agreement financial a reach to hand in is work approval, Ministerial to Subject to cover the provision of clinical services to PHT and their use of the site. In October
use the Royal Hospital Haslar site after military withdrawal from the site in March 2007. March in site the from withdrawal military after site Haslar Hospital Royal the use 2005 approval was given by the Departmental Investment Approvals Board to enter into
Portsmouth Hospitals NHS Trust (PHT) have confirmed their requirement to continue to continue to requirement their confirmed have (PHT) Trust NHS Hospitals Portsmouth a Facilities Agreement with UHBFT. This is due to be signed during FY2006-07 and will
Future financial agreements agreements financial Future take effect sometime in 2010 when the Birmingham New Hospital is opened. During
out any further audit or assurance work within DMETA. within work assurance or audit further any out FY2006-07 it is intended to bring together the current Service Level Agreement and the
of the statutory audit is £41,000. The Comptroller and Auditor General has not carried not has General Auditor and Comptroller The £41,000. is audit statutory the of Facilities Agreement with UHBFT into a single overarching agreement.
section 7(3)(b) of the Government Resources and Accounts Act 2000. The notional cost notional The 2000. Act Accounts and Resources Government the of 7(3)(b) section
The accounts of DMETA are audited by the Comptroller and Auditor General under General Auditor and Comptroller the by audited are DMETA of accounts The
Auditor
DMETA incurred any liability under the Late Payment of Commercial Debts (Interest) 1998. (Interest) Debts Commercial of Payment Late the under liability any incurred DMETA
under the Late Payment of Commercial Debts (Interest) Act 1998. Neither DBA nor DBA Neither 1998. Act (Interest) Debts Commercial of Payment Late the under
calendar days, ensuring that the Department is in compliance with its statutory obligation statutory its with compliance in is Department the that ensuring days, calendar
the DBA met its target of paying 99.9% of all correctly submitted bills within eleven within bills submitted correctly all of 99.9% paying of target its met DBA the
and outside Great Britain, are paid through the Defence Bills Agency (DBA). In FY2005-06 In (DBA). Agency Bills Defence the through paid are Britain, Great outside and
The Department’s bills, with the exception of some payments to suppliers by units locally units by suppliers to payments some of exception the with bills, Department’s The
Policy on the payment of creditors of payment the on Policy
negotiations with National Health Service Trusts over the provision of Service Personnel. Service of provision the over Trusts Service Health National with negotiations
The significant increase in Debtors and Accrued Income has arisen as a result of the protracted the of result a as arisen has Income Accrued and Debtors in increase significant The
quinquennial review and there have not been any material additions or disposals of assets. of disposals or additions material any been not have there and review quinquennial
The main changes to the values of assets are as a result of adjustments to reflect the reflect to adjustments of result a as are assets of values the to changes main The DMETA Performance 2005-06 Performance DMETA
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DMETA Annual Report 2005-06
DMETA New Key Targets 2006-07 Key Target 1: To meet 100% of the Commanders in Chief’s requirements for Secondary Care personnel under DMETA command for operational deployments
Key Target 2: To ensure that 90% of all DMETA personnel, whose medical category permits, achieve their Service’s annual mandatory individual military training
Key Target 3: Initial Training (Phase 2): To provide initial training (Phase 2) that meets the requirements, professional standards and timescales defined by the single Services.
Career, professional and Continuation Training (phase 3): To provide career, professional
and continuation training (Phase 3) that meets the requirements, professional standards command. DMETA’s under personnel deployable
and timescales defined by the single Services. all for guidelines Harmony Services’ single the with compliance 100% ensure To Key Target 6: Target Key Key Target 4:
DMETA Estate: To ensure the rationalisation and efficient usage of the current DMETA 5%. by FY2005-06, of
estate, reducing the agreed Balance Sheet value of the estate as at 01 Apr 03 by at least end the at assessed as score, baseline index Confidence Customer the upon improve To
50% by 2010, thereby reducing the cost of training. 5: Target Key
Cost Measurement: To comply with centrally led Departmental initiatives in support of exploitation. RAB and Outputs Defence of Cost the
the Cost of Defence Outputs and RAB exploitation. of support in initiatives Departmental led centrally with comply To Measurement: Cost
Key Target 5: training. of cost the reducing thereby 2010, by 50%
To improve upon the Customer Confidence index baseline score, as assessed at the end least at by 03 Apr 01 at as estate the of value Sheet Balance agreed the reducing estate,
of FY2005-06, by 5%. DMETA current the of usage efficient and rationalisation the ensure To Estate: DMETA Key Target 4: Target Key Key Target 6:
To ensure 100% compliance with the single Services’ Harmony guidelines for all Services. single the by defined timescales and
deployable personnel under DMETA’s command. standards professional requirements, the meets that 3) (Phase training continuation and Career, professional and Continuation Training (phase 3): To provide career, professional career, provide To 3): (phase Training Continuation and professional Career,
professional standards and timescales defined by the single Services. single the by defined timescales and standards professional
Initial Training (Phase 2): To provide initial training (Phase 2) that meets the requirements, the meets that 2) (Phase training initial provide To 2): (Phase Training Initial
Key Target 3: Target Key
their Service’s annual mandatory individual military training military individual mandatory annual Service’s their
To ensure that 90% of all DMETA personnel, whose medical category permits, achieve permits, category medical whose personnel, DMETA all of 90% that ensure To
Key Target 2: Target Key
personnel under DMETA command for operational deployments operational for command DMETA under personnel
To meet 100% of the Commanders in Chief’s requirements for Secondary Care Secondary for requirements Chief’s in Commanders the of 100% meet To
Key Target 1: 1: Target Key
DMETA New Key Targets 2006-07 Targets Key New DMETA DMETA Annual Report 2005-06 Report Annual DMETA
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Section
beyond the requirement for the benefit of Defence Medical Services as a whole. a as Services Medical Defence of benefit the for requirement the beyond qualified, capable and highly motivated staff, to successfully deliver above and above deliver successfully to staff, motivated highly and capable qualified,
DMETA is building and refining its business at a remarkable pace, with appropriately with pace, remarkable a at business its refining and building is DMETA 3
In-year Activity
In-year Activity In-year 3 DMETA is building and refining its business at a remarkable pace, with appropriately
qualified, capable and highly motivated staff, to successfully deliver above and
beyond the requirement for the benefit of Defence Medical Services as a whole.
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DMETA Annual Report 2005-06
In-year Activity 1. Support to Operations and Exercises The high rate of deployments this year – not least to operations in Iraq and the Balkans, and latterly an increased presence in Afghanistan, placed unremitting pressure on DMETA clinical resources. Derriford staff (predominantly Royal Navy) provided strong support to Land operations. Substantial numbers of Northallerton staff (predominantly Army) deployed to support operations and exercises such as Ex MEDICAL ENDEAVOUR
with Commando Forward Surgical Group (CFSG) in Norway, and the Primary Casualty Receiving Facility (PCRF) aboard RFA ARGUS. Frimley Park personnel deployed in 19% Afghanistan in Operations support of Op TELIC and prepared for Op HERRICK, many undertaking more than one tour, or remaining on standby. Peterborough (predominantly RAF) maintained operational support while preparing for the major RAF-heavy medical deployment to Op TELIC 8; RAF Anaesthetist consultants contribute substantially to Critical Care Aeromedical Support Teams (CCAST), and others to the permanent Overseas Joint bases in Gibraltar and Cyprus. The Royal Hospital Haslar (with MDHU Portsmouth) met Operational Support tasking for deployments and major exercises, including on-going PCRF deployment.
In-year Activity plot
Commitments 12% Commitments Activities 2005-06 46% Iraq in
High Readiness Readiness High Staff deployed, as a percentage of those available Operations
CFSG 7% CFSG CCAST 2% CCAST
CFSG 7% CCAST 2%
High Readiness Operations available those of percentage a as deployed, Staff
Commitments 12% in Iraq 46% 2005-06 Activities
lot p Activity In-year
tasking for deployments and major exercises, including on-going PCRF deployment. deployment. PCRF on-going including exercises, major and deployments for tasking
and Cyprus. The Royal Hospital Haslar (with MDHU Portsmouth) met Operational Support Operational met Portsmouth) MDHU (with Haslar Hospital Royal The Cyprus. and
Support Teams (CCAST), and others to the permanent Overseas Joint bases in Gibraltar in bases Joint Overseas permanent the to others and (CCAST), Teams Support
RAF Anaesthetist consultants contribute substantially to Critical Care Aeromedical Care Critical to substantially contribute consultants Anaesthetist RAF
support while preparing for the major RAF-heavy medical deployment to Op TELIC 8; TELIC Op to deployment medical RAF-heavy major the for preparing while support
Peterborough (predominantly RAF) maintained operational maintained RAF) (predominantly Peterborough standby. on remaining or tour,
epared for Op HERRICK, many undertaking more than one than more undertaking many HERRICK, Op for epared pr and TELIC Op of support
Operations in Afghanistan 19% in deployed personnel Park Frimley ARGUS. RFA aboard (PCRF) Facility Receiving
with Commando Forward Surgical Group (CFSG) in Norway, and the Primary Casualty Primary the and Norway, in (CFSG) Group Surgical Forward Commando with
Army) deployed to support operations and exercises such as Ex MEDICAL ENDEAVOUR MEDICAL Ex as such exercises and operations support to deployed Army)
support to Land operations. Substantial numbers of Northallerton staff (predominantly staff Northallerton of numbers Substantial operations. Land to support
DMETA clinical resources. Derriford staff (predominantly Royal Navy) provided strong provided Navy) Royal (predominantly staff Derriford resources. clinical DMETA
and latterly an increased presence in Afghanistan, placed unremitting pressure on pressure unremitting placed Afghanistan, in presence increased an latterly and
The high rate of deployments this year – not least to operations in Iraq and the Balkans, the and Iraq in operations to least not – year this deployments of rate high The
ercises x E and erations Op to ort pp Su 1.
In-year Activity In-year DMETA Annual Report 2005-06 Report Annual DMETA
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In-year Activity
rst four students commencing students four rst fi the with Army the to placements training Paramedic of
the single Services), and the introduction introduction the and Services), single the by received well been has (and 2006
BATLS (Battlefield Advanced Trauma Life Support) course that was piloted in January in piloted was that course Support) Life Trauma Advanced (Battlefield BATLS
provision for the three single Services. Other successes include the delivery of a revised a of delivery the include successes Other Services. single three the for provision 2. Headquarters Activities
on course to provide a tauter and more accurate forecast of training requirement and requirement training of forecast accurate more and tauter a provide to course on DMETA HQ consists of the Directorate and policy teams coordinating Commitments, Provision (AATP). The AATP process is under review following a recent DIA audit and is and audit DIA recent a following review under is process AATP The (AATP). Provision Education & Training, Business Assessment & Audit, Corporate Services, and Finance.
ET’s Training Delivery cell is the focal point for the production of Agreed Annual Training Annual Agreed of production the for point focal the is cell Delivery Training ET’s During the year, DMETA took the major step of achieving corporate ‘Investors in People’
Units (TDUs) at RCDM, DMSTC, DMRC and DDS. and DMRC DMSTC, RCDM, at (TDUs) Units accreditation. A review of Headquarters structure and functions identified elements
The staff of this Branch work closely on a day-to-day basis with the Training Delivery Training the with basis day-to-day a on closely work Branch this of staff The which should migrate to the Training Development Units as the MT2M project progresses, Education and Training (ET) Training and Education and adjustments to staffing which would be required to meet directed efficiency measures.
All these adjustments were brought together by the Review in a staged four-year plan.
process by which these are notified and agreed, and the related performance indicators. performance related the and agreed, and notified are these which by process
being agreed), to set out the customer requirements DMETA will be expected to meet, the meet, to expected be will DMETA requirements customer the out set to agreed), being Commitments
were established during the year (and others are others (and year the during established were A number of of number A Service Level Agreements Level Service Commitments worked closely with Permanent Joint Headquarters (PJHQ), in providing support to operations and exercises. For Op TELIC, 233 Regular personnel deployed
potential to place squads of nurses within Trusts, in support of given specialities. given of support in Trusts, within nurses of squads place to potential for 207/256 Field Hospital (V) and 33 Field Hospital in Iraq; others deployed in support
in other NHS Trusts for their specialist clinical skills. There was also an increase in the in increase an also was There skills. clinical specialist their for Trusts NHS other in of Op OCULUS B in Bosnia, and stood by for Op FRESCO fire fighting. Support was
NHS trusts over the year. A small minority of consultants were placed as singletons singletons as placed were consultants of minority small A year. the over trusts NHS also provided from the UK through the Aeromed team at RCDM. An enhanced
In total, 1361 personnel from all career employment groups were placed in MDHU host MDHU in placed were groups employment career all from personnel 1361 total, In telemedicine service was established, with which UK-based clinical staff applied
MAXEVAL) were supported. were MAXEVAL) advanced imaging technology to support diagnosis of injuries and other medical three major Service exercises (Primary Casualty Receiving Facility 100, LOG VIPER and VIPER LOG 100, Facility Receiving Casualty (Primary exercises Service major three conditions affecting those deployed.
and for leave, or for peripatetic specialist clinics and other support services. Each of the of Each services. support other and clinics specialist peripatetic for or leave, for and Personnel remained at extended high readiness in support of single Service standing
to the Permanent Joint Overseas Bases in Gibraltar and Cyprus as relief for courses courses for relief as Cyprus and Gibraltar in Bases Overseas Joint Permanent the to commitments such as the Spearhead Lead Element, Commando Forward Surgical
Group and Critical Care Air Support Teams, and were detached from time to time time to time from detached were and Teams, Support Air Care Critical and Group Group and Critical Care Air Support Teams, and were detached from time to time such as the Spearhead Lead Element, Commando Forward Surgical Surgical Forward Commando Element, Lead Spearhead the as such
commitments to the Permanent Joint Overseas Bases in Gibraltar and Cyprus as relief for courses Personnel remained at extended high readiness in support of single Service Service single of support in readiness high extended at remained Personnel
standing and for leave, or for peripatetic specialist clinics and other support services. Each of the
conditions affecting those deployed. deployed. those affecting conditions three major Service exercises (Primary Casualty Receiving Facility 100, LOG VIPER and advanced imaging technology to support diagnosis of injuries and other medical other and injuries of diagnosis support to technology imaging advanced MAXEVAL) were supported.
telemedicine service was established, with which UK-based clinical staff applied staff clinical UK-based which with established, was service telemedicine In total, 1361 personnel from all career employment groups were placed in MDHU host
also provided from the UK through the Aeromed team at RCDM. An enhanced An RCDM. at team Aeromed the through UK the from provided also NHS trusts over the year. A small minority of consultants were placed as singletons
of Op OCULUS B in Bosnia, and stood by for Op FRESCO fire fighting. Support was was Support fighting. fire FRESCO Op for by stood and Bosnia, in B OCULUS Op of in other NHS Trusts for their specialist clinical skills. There was also an increase in the
for 207/256 Field Hospital (V) and 33 Field Hospital in Iraq; others deployed in support support in deployed others Iraq; in Hospital Field 33 and (V) Hospital Field 207/256 for potential to place squads of nurses within Trusts, in support of given specialities.
support to operations and exercises. For Op TELIC, 233 Regular personnel deployed deployed personnel Regular 233 TELIC, Op For exercises. and operations to support
Commitments worked closely with Permanent Joint Headquarters (PJHQ), in providing in (PJHQ), Headquarters Joint Permanent with closely worked Commitments A number of Service Level Agreements were established during the year (and others are Commitments being agreed), to set out the customer requirements DMETA will be expected to meet, the
process by which these are notified and agreed, and the related performance indicators.
All these adjustments were brought together by the Review in a staged four-year plan. four-year staged a in Review the by together brought were adjustments these All
and adjustments to staffing which would be required to meet directed efficiency measures. efficiency directed meet to required be would which staffing to adjustments and Education and Training (ET)
which should migrate to the Training Development Units as the MT2M project progresses, project MT2M the as Units Development Training the to migrate should which The staff of this Branch work closely on a day-to-day basis with the Training Delivery accreditation. A review of Headquarters structure and functions identified elements identified functions and structure Headquarters of review A accreditation. Units (TDUs) at RCDM, DMSTC, DMRC and DDS.
During the year, DMETA took the major step of achieving corporate ‘Investors in People’ in ‘Investors corporate achieving of step major the took DMETA year, the During ET’s Training Delivery cell is the focal point for the production of Agreed Annual Training
Education & Training, Business Assessment & Audit, Corporate Services, and Finance. and Services, Corporate Audit, & Assessment Business Training, & Education Provision (AATP). The AATP process is under review following a recent DIA audit and is
DMETA HQ consists of the Directorate and policy teams coordinating Commitments, coordinating teams policy and Directorate the of consists HQ DMETA on course to provide a tauter and more accurate forecast of training requirement and
Activities uarters q Head 2. provision for the three single Services. Other successes include the delivery of a revised BATLS (Battlefield Advanced Trauma Life Support) course that was piloted in January 2006 (and has been well received by the single Services), and the introduction
of Paramedic training placements to the Army with the first four students commencing In-year Activity In-year
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DMETA Annual Report 2005-06 DMLS are preparing for assessment. for preparing are DMLS
training in May 2006. Training Delivery was also responsible for the implementation of the of libraries professionally-staffed other the Subsequently Libraries. MoD of echelon
DGT&E policies and guidelines generated from the DHALI (Directorate of Operational top the in placed being 2005, during Scheme Accreditation Libraries MoD the under
Capability/House of Commons Defence Committee/Adult Learning Institute) Best assessed successfully was Library Central (DMLS) Service Library Medical Defence The
Practice Working Group. The implementation of these new policies and guidelines has (DMLS) Service Library Medical Defence
had a beneficial effect on the management of Phase 2 training within the DMETA TDUs. Assistants Medical and Technicians above the national average. national the above
The Training Development cell has been successful in the development of, and Medical Combat ‘professionalising’ – priority DMETA A
amendment to, a number of training courses including BATLS, NBC (Nuclear, Biological now ‘completers’ Apprenticeship
and Chemical) Training for DMS personnel, First Aid and Acute Care training for medical of number the with Apprenticeship
and non-medical Service personnel and a single Service RN Leading Medical Assistant MA the deliver to staff DMSTC with
Promotional Qualification Course (LMAPQC). The effort to formalize guidelines for closely work to continues also team
medical training publications continues, and the inaugural DMETA Education and Accreditation The Registration. Nurse
Training Publications Editorial Committee met in March 2006. In addition, Training Dental and Professionalisation MA
Development continues to support other MoD projects including input to the DMSD DG Assistant Medical including team
Med Op Cap Study, and the staffing of a post to develop the DMETA Defence Medical Accreditation the by developed being
Information Capability Programme (DMICP) Business Change and Implementation Project. currently are work of lines Several
The Training Analysis Cell (TAC) continue to work closely with single Service training analysts 2006. June in begin to due is TDUs the of
and customers in the production of medical Operational Performance Statements and in programme audit An Policy. Standards and Examinations pan-DMETA a of introduction
the Early Training Analysis for Defence medical training solutions. The tasking of the TAC and production the in resulted process Standards and Examinations the of review continues to grow, with the team currently working on eleven projects. Governance Training A promulgation. to prior endorsement formal for Management
A Training Governance team was formed in October 2005 to manage the governance of Board the to presented be to shortly is and produced been has Manual Governance
of training delivered by, and on behalf of, DMETA. An Education and Training Training and Education An DMETA. of, behalf on and by, delivered training of
Governance Manual has been produced and is shortly to be presented to the Board of governance the manage to 2005 October in formed was team Governance Training A
Management for formal endorsement prior to promulgation. A Training Governance projects. eleven on working currently team the with grow, to continues
review of the Examinations and Standards process resulted in the production and TAC the of tasking The solutions. training medical Defence for Analysis Training Early the
introduction of a pan-DMETA Examinations and Standards Policy. An audit programme in and Statements Performance Operational medical of production the in customers and of the TDUs is due to begin in June 2006. analysts training Service single with closely work to continue (TAC) Cell Analysis Training The
Several lines of work are currently Project. Implementation and Change Business (DMICP) Programme Capability Information
being developed by the Accreditation Medical Defence DMETA the develop to post a of staffing the and Study, Cap Op Med
team including Medical Assistant DG DMSD the to input including projects MoD other support to continues Development
MA Professionalisation and Dental Training addition, In 2006. March in met Committee Editorial Publications Training
Nurse Registration. The Accreditation and Education DMETA inaugural the and continues, publications training medical
team also continues to work closely for guidelines formalize to effort The (LMAPQC). Course Qualification Promotional
with DMSTC staff to deliver the MA Assistant Medical Leading RN Service single a and personnel Service non-medical and
Apprenticeship with the number of medical for training Care Acute and Aid First personnel, DMS for Training Chemical) and
Apprenticeship ‘completers’ now Biological (Nuclear, NBC BATLS, including courses training of number a to, amendment
A DMETA priority – ‘professionalising’ Combat Medical above the national average. and of, development the in successful been has cell Development Training The Technicians and Medical Assistants TDUs. DMETA the within training 2 Phase of management the on effect beneficial a had
Defence Medical Library Service (DMLS) has guidelines and policies new these of implementation The Group. Working Practice
The Defence Medical Library Service (DMLS) Central Library was successfully assessed Best Institute) Learning Committee/Adult Defence Commons of Capability/House
under the MoD Libraries Accreditation Scheme during 2005, being placed in the top Operational of (Directorate DHALI the from generated guidelines and policies DGT&E training in May 2006. Training Delivery was also responsible for for responsible also was Delivery Training 2006. May in training
echelon of MoD Libraries. Subsequently the other professionally-staffed libraries of the of implementation the
DMLS are preparing for assessment. DMETA Annual Report 2005-06 Report Annual DMETA
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(Information Governance) meetings, reporting to DMETA Chief of Staff (Caldicott Staff of Chief DMETA to reporting meetings, Governance) (Information In-year Activity
University. A compliance framework is being developed through quarterly quarterly through developed being is framework compliance A University. Caldicott
Support Group will develop best practice across clinical Units, working with Glamorgan with working Units, clinical across practice best develop will Group Support Assurance Framework has been established, and a new DMETA Managers Quality Managers DMETA new a and established, been has Framework Assurance
CE DMETA, parallel systems and processes support military personnel. A CG Quality CG A personnel. military support processes and systems parallel DMETA, CE Corporate Services policy is led by Host Trusts at embedded clinical Units. For For Units. clinical embedded at Trusts Host by led is policy
Clinical Governance Clinical The team provided the Agency’s
audit programme and the Statement of Internal Control, with external links. external with Control, Internal of Statement the and programme audit coordinating focus for the
for informing Units about issues of policy, corporate risk, audit and assurance, an annual an assurance, and audit risk, corporate policy, of issues about Units informing for Investors in People organisation,
There was progress toward an Agency-wide web based means based web Agency-wide an toward progress was There Corporate Governance: Corporate leading to DMETA’s successful bid for accreditation (IiP found
organisational developments, and build links with HR Partnering. Partnering. HR with links build and developments, organisational that the Agency is ‘successfully
concerns, and an all-Agency consensus is being sought. EFQM will underpin future underpin will EFQM sought. being is consensus all-Agency an and concerns, meeting its requirements for
will be driven by local action plans, while a corporate Action Plan addresses strategic addresses Plan Action corporate a while plans, action local by driven be will providing secondary care
identified much good practice as well as some need for change. At Unit level change change level Unit At change. for need some as well as practice good much identified personnel for operational A A (EFQM) survey of DMETA units DMETA of survey (EFQM)
European Foundation for Quality Management Quality for Foundation European deployments and exercises
and accompanying systems of internal control. internal of systems accompanying and whilst at the same time meeting
evaluation and assessment of DMETA performance and risk management processes processes management risk and performance DMETA of assessment and evaluation the education and training
independent
Evaluation (BET) teams, to provide the CE and Audit Committee with with Committee Audit and CE the provide to teams, (BET) Evaluation commitments for all medical During this year, BAAU has been reconfigured into Clinical Delivery (CDT) and Business and (CDT) Delivery Clinical into reconfigured been has BAAU year, this During personnel and CPD for trained
IiP found DMETA is ‘successfully meeting its requirements’
Business Assessment & Audit Unit (BAAU) Unit Audit & Assessment Business personnel.’)
the terms and conditions of its Civilian Health Professionals reflect those of the NHS. NHS. the of those reflect Professionals Health Civilian its of conditions and terms the Human Resource Management: DMETA Human Resources (HR) Policy and Secretariat
integrated with the new NHS ‘Agenda for Change’ initiative, adopted by MoD to ensure to MoD by adopted initiative, Change’ for ‘Agenda NHS new the with integrated team became the Agency HR Business Partner, and ensure civilian staff are fully
DMETA ensured its Civilian Health Professionals were Professionals Health Civilian its ensured DMETA Civilian Health Professionals: Health Civilian integrated with MoD’s revised ‘People Programme’ standards for recruitment, reporting, records, and evaluation. They also provide the lead on business output, and advise and
and Skills Planning, in which they support CE DMETA in his role as Skills Champion. Skills as role his in DMETA CE support they which in Planning, Skills and support senior Agency personnel on employee relations, Diversity and Equal Opportunities,
support senior Agency personnel on employee relations, Diversity and Equal Opportunities, Equal and Diversity relations, employee on personnel Agency senior support and Skills Planning, in which they support CE DMETA in his role as Skills Champion.
records, and evaluation. They also provide the lead on business output, and advise and advise and output, business on lead the provide also They evaluation. and records,
integrated with MoD’s revised ‘People Programme’ standards for recruitment, reporting, recruitment, for standards Programme’ ‘People revised MoD’s with integrated Civilian Health Professionals: DMETA ensured its Civilian Health Professionals were
team became the Agency HR Business Partner, and ensure civilian staff are fully are staff civilian ensure and Partner, Business HR Agency the became team integrated with the new NHS ‘Agenda for Change’ initiative, adopted by MoD to ensure
DMETA Human Resources (HR) Policy and Secretariat and Policy (HR) Resources Human DMETA
Human Resource Management: Resource Human the terms and conditions of its Civilian Health Professionals reflect those of the NHS.
personnel.’) Business Assessment & Audit Unit (BAAU)
IiP found DMETA is ‘successfully meeting its requirements’ its meeting ‘successfully is DMETA found IiP
personnel and CPD for trained for CPD and personnel During this year, BAAU has been reconfigured into Clinical Delivery (CDT) and Business
commitments for all medical all for commitments Evaluation (BET) teams, to provide the CE and Audit Committee with independent
the education and training and education the evaluation and assessment of DMETA performance and risk management processes whilst at the same time meeting time same the at whilst and accompanying systems of internal control.
deployments and exercises and deployments A European Foundation for Quality Management (EFQM) survey of DMETA units
personnel for operational for personnel identified much good practice as well as some need for change. At Unit level change
providing secondary care secondary providing will be driven by local action plans, while a corporate Action Plan addresses strategic
meeting its requirements for requirements its meeting concerns, and an all-Agency consensus is being sought. EFQM will underpin future ‘successfully
that the Agency is is Agency the that organisational developments, and build links with HR Partnering.
bid for accreditation (IiP found (IiP accreditation for bid
leading to DMETA’s successful DMETA’s to leading Corporate Governance: There was progress toward an Agency-wide web based means
Investors in People organisation, People in Investors for informing Units about issues of policy, corporate risk, audit and assurance, an annual coordinating focus for the for focus coordinating audit programme and the Statement of Internal Control, with external links.
The team provided the Agency’s the provided team The Clinical Governance policy is led by Host Trusts at embedded clinical Units. For
Corporate Services Corporate CE DMETA, parallel systems and processes support military personnel. A CG Quality Assurance Framework has been established, and a new DMETA Managers Quality Support Group will develop best practice across clinical Units, working with Glamorgan
University. A compliance framework is being developed through quarterly Caldicott In-year Activity In-year (Information Governance) meetings, reporting to DMETA Chief of Staff (Caldicott
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DMETA Annual Report 2005-06
Guardian for the Agency). The aim is to implement a Department of Health-compliant assurance framework and processes for the handling of patient identifiable information.
It is crucial that patients attend their appointments for Secondary Care, and the Agency uses Military Patient Administration Centres (MPACs) within each MDHU to monitor attendance, and has worked with DMSD on a publicity campaign to reinforce awareness across the single Services, and successfully drive down the Did Not Attend (DNA) rates.
Business Evaluation: A wide range of consulting activities was undertaken, including a peer review of the Institute of Naval Medicine, support in development of the new DMETA Business Plan, Balanced Scorecard review, MWFH and DMSD.
Corporate Communications DMETA aims for best-practice communications
with its staff, making full use of the Chain of media. the and public the with interaction for procedures clear out setting year, the of
Command and supporting it with on-line and end the at launched was Policy Communications Corporate Agency revised A DMETA.
hard copy information cascades, and across staff medical military of achievements the and activities deployment of awareness
maintaining a network of Communications NHS reinforce to much did this hospital; Birmingham a of grounds the in Hospital Field
Liaison Officers. A Board of Management a of siting the including events training high-profile of number a to given was support
‘Core Briefing’ to the Units and personnel was Comms Corp directly. contribute will Units appears as an on-line publication to which to publication on-line an as appears
established early in the year, and a facility for future on-line an with magazine compatible with internet distribution, and now and distribution, internet with compatible
returning feedback was set in place. The house DMETA well-established – ‘eTrainers’
Agency’s ‘Trainers’ house magazine was given fully it make to year the during facelift a
a facelift during the year to make it fully given was magazine house ‘Trainers’ Agency’s
‘eTrainers’ – well-established DMETA house compatible with internet distribution, and now The place. in set was feedback returning
magazine with an on-line future appears as an on-line publication to which for facility a and year, the in early established
Units will contribute directly. Corp Comms was personnel and Units the to Briefing’ ‘Core
support was given to a number of high-profile training events including the siting of a Management of Board A Officers. Liaison
Field Hospital in the grounds of a Birmingham hospital; this did much to reinforce NHS Communications of network a maintaining
awareness of deployment activities and the achievements of military medical staff across and cascades, information copy hard
DMETA. A revised Agency Corporate Communications Policy was launched at the end and on-line with it supporting and Command
of the year, setting out clear procedures for interaction with the public and the media. of Chain the of use full making staff, its with DMETA aims for best-practice communications best-practice for aims DMETA
Corporate Communications Corporate
Business Plan, Balanced Scorecard review, MWFH and DMSD. DMSD. and MWFH review, Scorecard Balanced Plan, Business
peer review of the Institute of Naval Medicine, support in development of the new DMETA new the of development in support Medicine, Naval of Institute the of review peer
A wide range of consulting activities was undertaken, including a including undertaken, was activities consulting of range wide A Business Evaluation: Business
across the single Services, and successfully drive down the Did Not Attend (DNA) rates. rates. (DNA) Attend Not Did the down drive successfully and Services, single the across
attendance, and has worked with DMSD on a publicity campaign to reinforce awareness reinforce to campaign publicity a on DMSD with worked has and attendance,
uses uses (MPACs) within each MDHU to monitor to MDHU each within (MPACs) Military Patient Administration Centres Administration Patient Military
It is crucial that patients attend their appointments for Secondary Care, and the Agency the and Care, Secondary for appointments their attend patients that crucial is It
assurance framework and processes for the handling of patient identifiable information. information. identifiable patient of handling the for processes and framework assurance
Guardian for the Agency). The aim is to implement a Department of Health-compliant of Department a implement to is aim The Agency). the for Guardian DMETA Annual Report 2005-06 Report Annual DMETA
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In-year Activity
Birmingham Research Park. Park. Research Birmingham
in the year, the Department collocated with other military professorial departments at departments professorial military other with collocated Department the year, the in 3. DMETA Education and Training Units
Research, who will work to further the research done by all military departments. Late Late departments. military all by done research the further to work will who Research, A number of DMETA Units manage or deliver education and training for Defence Medical
Research activity and output rose with the appointment of a new DMETA Director of Director DMETA new a of appointment the with rose output and activity Research Services and Primary Care personnel. They consist of RCDM, DMSTC, DSHCS, DPMD Research and DMRC plus the training elements of Defence Dental Services (DDS) and the Veterinary Service. A significant focus has been placed on the care, supervision and welfare of
experience’. High operational tempo continues to reduce the availability of military tutors. military of availability the reduce to continues tempo operational High experience’. trainees. This has included the scrutiny of staff:student ratios, and ensuring trainers these courses offer ‘richness of educational of ‘richness offer courses these
Graduate Training of GPs considers GPs of Training Graduate are, themselves, properly trained for role.
Islands’ one-week courses. The Joint Committee Post Committee Joint The courses. one-week Islands’ and ‘Highlands quarterly attend
attend the fixed GP Vocational Training system of release courses, so instead they may they instead so courses, release of system Training Vocational GP fixed the attend RCDM
medical assistants. DMS GPs travel widely and it is not always practical for them to them for practical always not is it and widely travel GPs DMS assistants. medical During the period of this Report,
also provided to other primary healthcare professionals including practice nurses and nurses practice including professionals healthcare primary other to provided also RCDM has continued to build on
military doctors attended these courses just before deploying on Operations. Training is Training Operations. on deploying before just courses these attended doctors military its partnerships with teaching
Trauma Centre Medical Management and Primary Care on Military Operations. Many Operations. Military on Care Primary and Management Medical Centre Trauma hospitals and top universities
including MIMMS (Major Incident Medical Management and Support), and Regional and Support), and Management Medical Incident (Major MIMMS including in the Birmingham area, where
civilian GPs. Much of this training reflects that for NHS GPs, but some is Military-specific, is some but GPs, NHS for that reflects training this of Much GPs. civilian UHBFT is currently in the
One of this Department’s key outputs is post-graduate education for DMS military and military DMS for education post-graduate is outputs key Department’s this of One process of constructing the General Practice & Primary Healthcare Primary & Practice General Birmingham New Hospital Project (BNHP) on the site of
academic functions, alongside new research and education facilities. facilities. education and research new alongside functions, academic the existing Queen Elizabeth of this new state-of-the-art hospital. The new hospital complex will also house RCDM’s house also will complex hospital new The hospital. state-of-the-art new this of Birmingham New Hospital project –
Medical Centre (QEMC) by due for completion in 2010, but with some phases opening earlier, and RCDM will be part be will RCDM and earlier, opening phases some with but 2010, in completion for due focus for the future of Defence Medicine means of an NHS Private
Finance Initiative (PFI). BNHP is BNHP (PFI). Initiative Finance Finance Initiative (PFI). BNHP is
means of an NHS Private NHS an of means
focus for the future of Defence Medicine Defence of future the for focus due for completion in 2010, but with some phases opening earlier, and RCDM will be part
Medical Centre (QEMC) by (QEMC) Centre Medical Birmingham New Hospital project – – project Hospital New Birmingham of this new state-of-the-art hospital. The new hospital complex will also house RCDM’s
the existing Queen Elizabeth Queen existing the academic functions, alongside new research and education facilities.
Project (BNHP) on the site of site the on (BNHP) Project
Birmingham New Hospital New Birmingham General Practice & Primary Healthcare
constructing the constructing
process of of process One of this Department’s key outputs is post-graduate education for DMS military and
UHBFT is currently in the in currently is UHBFT civilian GPs. Much of this training reflects that for NHS GPs, but some is Military-specific,
in the Birmingham area, where area, Birmingham the in including MIMMS (Major Incident Medical Management and Support), and Regional
hospitals and top universities universities top and hospitals Trauma Centre Medical Management and Primary Care on Military Operations. Many
with teaching with its its
partnerships military doctors attended these courses just before deploying on Operations. Training is
RCDM has continued to build on build to continued has RCDM also provided to other primary healthcare professionals including practice nurses and
During the period of this Report, this of period the During medical assistants. DMS GPs travel widely and it is not always practical for them to RCDM attend the fixed GP Vocational Training system of release courses, so instead they may attend quarterly ‘Highlands and Islands’ one-week courses. The Joint Committee Post
are, themselves, properly trained for role. for trained properly themselves, are, Graduate Training of GPs considers these courses offer ‘richness of educational
trainees. This has included the scrutiny of staff:student ratios, and ensuring trainers trainers ensuring and ratios, staff:student of scrutiny the included has This trainees. experience’. High operational tempo continues to reduce the availability of military tutors.
Service. A significant focus has been placed on the care, supervision and welfare of welfare and supervision care, the on placed been has focus significant A Service.
and DMRC plus the training elements of Defence Dental Services (DDS) and the Veterinary the and (DDS) Services Dental Defence of elements training the plus DMRC and Research
Primary Care personnel. They consist of RCDM, DMSTC, DSHCS, DPMD DSHCS, DMSTC, RCDM, of consist They personnel. Care Primary
Services and and Services Research activity and output rose with the appointment of a new DMETA Director of
A number of DMETA Units manage or deliver education and training for Defence Medical Defence for training and education deliver or manage Units DMETA of number A Research, who will work to further the research done by all military departments. Late
Units Training and Education DMETA 3. in the year, the Department collocated with other military professorial departments at
Birmingham Research Park. In-year Activity In-year
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DMETA Annual Report 2005-06
Defence Medical Services Training
Centre (DMSTC) Wales; in week Training Adventurous an and
This Unit, which is part of RCDM, School Diving Defence the at course extraction casualty a include to widened and
performed well in a busy year during package, Training General Naval a incorporate to updated was – training Navy Royal •
which many posts were gapped (among Services. single the of needs the meet which cells by delivered but managed, them, significantly, that of the Chief and staffed Tri-Service is ORPT) and 2 (Ph Training Promotion Ranks Other and 2 Phase Instructor), due to DMS operational
commitments. The overall development, exercises. and Ops on deployed have staff DMSTC many and high, remain will demand
updating and delivery of training that dictates employment EOH of nature The University. Middlesex with partnership in
continued to meet DMETA balanced latter the delivered, were course, degree foundation 2-year ‘flagship’ the to course EOH
scorecard planning and commitments, 2-day a from ranging courses, (EOH) Health Occupational and Environmental of range A
and training backlogs, such as in Officers. Medical Combat Med Tech (CMT) training, were Service for training 2 Phase to integral now is training this Germany; Forces British
DMSTC’s skills training is vital successfully addressed. to delivered was training Doctors’ for ‘Dispensing training, surge UK Following course.
A new course for 2nd year RCDM student nurses, introducing military command, qualification additional supply medical updated an of introduction the by enhanced
leadership and management was piloted, and work continued on Team Medic ‘Train the also was training supply medical Army NVQs. undertake to placement on students
Trainer’ and both Junior and Senior Medical Administrator courses. Classroom facilities technician pharmacy military accept to ready Trusts NHS of numbers the in increase
were increased. Regular MORI surveys of student opinion proved their worth with an of negotiation DMETA’s from benefited training Supply Medical and Pharmacy enhancements to welfare and pastoral care arrangements. launched. were courses Medic Team Army and
Primary and Pre-Hospital Care training continued for Phase 2 and Phase 3 students courses, Assistant Medical Regimental former replaced training CMT Regimental
in line with Military Acute Care principles and new Resuscitation Council guidelines. guidelines. Council Resuscitation new and principles Care Acute Military with line in
Regimental CMT training replaced former Regimental Medical Assistant courses, students 3 Phase and 2 Phase for continued training Care Pre-Hospital and Primary and Army Team Medic courses were launched. arrangements. care pastoral and welfare to enhancements
Pharmacy and Medical Supply training benefited from DMETA’s negotiation of an with worth their proved opinion student of surveys MORI Regular increased. were
increase in the numbers of NHS Trusts ready to accept military pharmacy technician facilities Classroom courses. Administrator Medical Senior and Junior both and Trainer’
students on placement to undertake NVQs. Army medical supply training was also the ‘Train Medic Team on continued work and piloted, was management and leadership
enhanced by the introduction of an updated medical supply additional qualification command, military introducing nurses, student RCDM year 2nd for course new A
course. Following UK surge training, ‘Dispensing for Doctors’ training was delivered to addressed. successfully
DMSTC’s skills training is vital is training skills DMSTC’s
British Forces Germany; this training is now integral to Phase 2 training for Service were training, (CMT) Tech Med Combat Medical Officers. in as such backlogs, training and
A range of Environmental and Occupational Health (EOH) courses, ranging from a 2-day commitments, and planning scorecard
EOH course to the ‘flagship’ 2-year foundation degree course, were delivered, the latter balanced DMETA meet to continued
in partnership with Middlesex University. The nature of EOH employment dictates that training of delivery and updating
demand will remain high, and many DMSTC staff have deployed on Ops and exercises. development, overall The commitments.
Instructor), due to DMS operational DMS to due Instructor),
Phase 2 and Other Ranks Promotion Training (Ph 2 and ORPT) is Tri-Service staffed and Chief the of that significantly, them, managed, but delivered by cells which meet the needs of the single Services. (among gapped were posts many which
• Royal Navy training – was updated to incorporate a Naval General Training package, during year busy a in well performed
and widened to include a casualty extraction course at the Defence Diving School RCDM, of part is which Unit, This
and an Adventurous Training week in Wales; (DMSTC) Centre Defence Medical Services Training Services Medical Defence DMETA Annual Report 2005-06 Report Annual DMETA
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In-year Activity
• Army training – was updated with further military and medical field exercises; Junior and Senior Military Qualification Courses were modularized and enhanced; Command Leadership and Management Training courses are to be updated May 2006; CMTs now complete 1-week Junior and Senior Medical Administration
Courses (JMAC and SMAC);
has focused on Tri-Service as well as single Service needs. Service single as well as Tri-Service on focused has
its courses and with DMETA Training Development staff and OC Training Analysis Cell Analysis Training OC and staff Development Training DMETA with and courses its • RAF training – the exercise phase of RAF training was extended with 1-day and DMSTC Training Development Division has worked closely with the Customers to refine to Customers the with closely worked has Division Development Training DMSTC 3-day exercises, designed to practice and combine the medical, administrative and clinical skills learned at DMSTC before being released to Station Medical
Tactical, Operational and Strategic formats. Strategic and Operational Tactical, Centres as MAs. Trade Management Training for all List 1 RAF personnel was
Operations Course. A staff planning exercise (Ex POPSICLE) is being redesigned in redesigned being is POPSICLE) (Ex exercise planning staff A Course. Operations completely reviewed at HQ PTC, RAF Innsworth, and a single course is to be
JIMP with a Joint Medical Operational Planners course and to introduce a Disaster Relief Disaster a introduce to and course Planners Operational Medical Joint a with JIMP offered, replacing previous List 1 courses and delivering a new 4-day course.
given stronger DMETA and DMSTC identity throughout. Plans are in place to replace to place in are Plans throughout. identity DMSTC and DMETA stronger given
revised to reflect the needs of current operations as far as possible, and have been have and possible, as far as operations current of needs the reflect to revised Physical training remained a priority, with several high-profile sporting events and
Officer and the Joint Intermediate Medical Planners (JIMP) course. These courses are courses These course. (JIMP) Planners Medical Intermediate Joint the and Officer Adventurous Training on the agenda. All students must take a physical fitness test Reserve personnel, with courses ranging from Entry through Intermediate to Senior to Intermediate through Entry from ranging courses with personnel, Reserve before leaving DMSTC, and Gym staff continued to deliver 100% of requirement.
Officer Training delivered eleven Officer and Warrant Officer courses to Regular and Regular to courses Officer Warrant and Officer eleven delivered Training Officer New technologies are important to the training of today’s DMS personnel, and
rates in Health and Social Care improved with every course. every with improved Care Social and Health in rates DMSTC greatly enhanced its internet network to provide an additional 15 workstations Foundation Modern Apprenticeship into the School continued, and NVQ completion NVQ and continued, School the into Apprenticeship Modern Foundation per classroom.
in need of assistance to ensure appropriate support is available. Integration of the of Integration available. is support appropriate ensure to assistance of need in The Common Core School developed to reflect the increasing emphasis on student
a system of mentorship. A learning difficulties coordinator worked to identify trainees trainees identify to worked coordinator difficulties learning A mentorship. of system a welfare and learning experience, and now has an Administration team and a Training
team, the former working closely with Unit Welfare Officers, and the latter introducing introducing latter the and Officers, Welfare Unit with closely working former the team, team, the former working closely with Unit Welfare Officers, and the latter introducing
welfare and learning experience, and now has an Administration team and a Training a and team Administration an has now and experience, learning and welfare a system of mentorship. A learning difficulties coordinator worked to identify trainees
The Common Core School developed to reflect the increasing emphasis on student on emphasis increasing the reflect to developed School Core Common The in need of assistance to ensure appropriate support is available. Integration of the
per classroom. per Foundation Modern Apprenticeship into the School continued, and NVQ completion DMSTC greatly enhanced its internet network to provide an additional 15 workstations 15 additional an provide to network internet its enhanced greatly DMSTC rates in Health and Social Care improved with every course.
New technologies are important to the training of today’s DMS personnel, and and personnel, DMS today’s of training the to important are technologies New Officer Training delivered eleven Officer and Warrant Officer courses to Regular and
before leaving DMSTC, and Gym staff continued to deliver 100% of requirement. of 100% deliver to continued staff Gym and DMSTC, leaving before Reserve personnel, with courses ranging from Entry through Intermediate to Senior
Adventurous Training on the agenda. All students must take a physical fitness test fitness physical a take must students All agenda. the on Training Adventurous Officer and the Joint Intermediate Medical Planners (JIMP) course. These courses are Physical training remained a priority, with several high-profile sporting events and events sporting high-profile several with priority, a remained training Physical revised to reflect the needs of current operations as far as possible, and have been given stronger DMETA and DMSTC identity throughout. Plans are in place to replace
offered, replacing previous List 1 courses and delivering a new 4-day course. 4-day new a delivering and courses 1 List previous replacing offered, JIMP with a Joint Medical Operational Planners course and to introduce a Disaster Relief
completely reviewed at HQ PTC, RAF Innsworth, and a single course is to be to is course single a and Innsworth, RAF PTC, HQ at reviewed completely Operations Course. A staff planning exercise (Ex POPSICLE) is being redesigned in
Centres as MAs. Trade Management Training for all List 1 RAF personnel was personnel RAF 1 List all for Training Management Trade MAs. as Centres Tactical, Operational and Strategic formats.
and clinical skills learned at DMSTC before being released to Station Medical Station to released being before DMSTC at learned skills clinical and
3-day exercises, designed to practice and combine the medical, administrative administrative medical, the combine and practice to designed exercises, 3-day DMSTC Training Development Division has worked closely with the Customers to refine • RAF training – the exercise phase of RAF training was extended with 1-day and and 1-day with extended was training RAF of phase exercise the – training RAF • its courses and with DMETA Training Development staff and OC Training Analysis Cell
has focused on Tri-Service as well as single Service needs. Courses (JMAC and SMAC); and (JMAC Courses
2006; CMTs now complete 1-week Junior and Senior Medical Administration Medical Senior and Junior 1-week complete now CMTs 2006;
Command Leadership and Management Training courses are to be updated May updated be to are courses Training Management and Leadership Command
Junior and Senior Military Qualification Courses were modularized and enhanced; and modularized were Courses Qualification Military Senior and Junior
• Army training – was updated with further military and medical field exercises; exercises; field medical and military further with updated was – training Army • In-year Activity In-year
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DMETA Annual Report 2005-06
for all future courses. courses. future all for
management aspects of training was piloted with DMSTC, and is now being formalized being now is and DMSTC, with piloted was training of aspects management Phase 2 students. A new course focusing on military command, leadership and leadership command, military on focusing course new A students. 2 Phase
Defence School for Health Care for opportunities training military increase to was aim key the Birmingham, in DSHCS
Studies (DSHCS) at Meanwhile, present. and past staff lecturing military and university by attended and
DSHCS is part of RCDM. It is responsible General Surgeon by over presided Parade Graduation a by celebrated was event The
for the Phase 2 training of nurses, ODPs, Portsmouth. in education nursing for partnership successful of years 30 than more after
biomedical scientists, radiographers, 2006, January in Portsmouth of University the and Div Trg RCDM from graduated nurses
clinical physiologists and health care student of cohort final the when students and staff for emotions mixed were There
assistants, and during this year has Birmingham DSHCS and Div Trg RCDM Department, Nursing Pre-Registration
focused on training development and on partnership). UCE – DSHCS the for success further and first, UK (a ODPs
initiatives to enhance the military and and nurses qualified for programme Practice Perioperative (Hons) BSc inter-professional welfare support available to trainees. innovative, an validated and designed also teams The Council. Professions Health the by
Biomedical Science Training Department approval parallel with 05, May in course ODP DipHE the revalidated successfully staff
Offers a six-month Blood Donor Supply England, Central of University the at colleagues university with partnership close in
and Storage course, and reports a 100% Working department. this for issues key were design and development Curriculum
increase in student numbers from across Birmingham DSHCS Department, (ODP) Practicioners Department Operating
the spectrum of Service personnel. The requirement. operational the meet fully to course a for approval
pre-deployment course for Biomedical refinement, due after and, Statement Training Formal a to led This development.
Scientists continued to develop, and career future for pathway integrated an of development and cadre HCA the of
dedicated operational training facilities review level strategic a by followed was this Statement; Performance Operational an to DSHCS Pre-Deployment Training Suite were set up in Fort Blockhouse, in Gosport. led and tasks and roles responsibilities, existing reviewed which HCAs, practicing of
Health Care Assistant (HCA) Training Department, Fort Blockhouse analysis job level operational an processes: key two using training, this re-designed
Identified constraints in the delivery of operationally competent HCAs, and duly duly and HCAs, competent operationally of delivery the in constraints Identified
re-designed this training, using two key processes: an operational level job analysis Blockhouse Fort Department, Training (HCA) Assistant Care Health
were set up in Fort Blockhouse, in Gosport. in Blockhouse, Fort in up set were
of practicing HCAs, which reviewed existing responsibilities, roles and tasks and led Suite Training Pre-Deployment DSHCS
to an Operational Performance Statement; this was followed by a strategic level review facilities training operational dedicated
of the HCA cadre and development of an integrated pathway for future career and develop, to continued Scientists
development. This led to a Formal Training Statement and, after due refinement, Biomedical for course pre-deployment
Service personnel. The personnel. Service
approval for a course to fully meet the operational requirement. of spectrum the from across from
Operating Department Practicioners (ODP) Department, DSHCS Birmingham numbers student in increase
Curriculum development and design were key issues for this department. Working 100% a reports and course, Storage and
in close partnership with university colleagues at the University of Central England, Supply Donor Blood six-month a Offers
staff successfully revalidated the DipHE ODP course in May 05, with parallel approval Department Training Science Biomedical
by the Health Professions Council. The teams also designed and validated an innovative, trainees. to available support welfare
inter-professional BSc (Hons) Perioperative Practice programme for qualified nurses and and military the enhance to initiatives ODPs (a UK first, and further success for the DSHCS – UCE partnership). on and development training on focused
Pre-Registration Nursing Department, RCDM Trg Div and DSHCS Birmingham has year this during and assistants,
There were mixed emotions for staff and students when the final cohort of student care health and physiologists clinical
nurses graduated from RCDM Trg Div and the University of Portsmouth in January 2006, radiographers, scientists, biomedical
after more than 30 years of successful partnership for nursing education in Portsmouth. ODPs, nurses, of training 2 Phase the for
The event was celebrated by a Graduation Parade presided over by Surgeon General responsible is It RCDM. of part is DSHCS
and attended by university and military lecturing staff past and present. Meanwhile, at (DSHCS) Studies
DSHCS in Birmingham, the key aim was to increase military training opportunities for Care Health for School Defence Phase 2 students. A new course focusing on military command, leadership and management aspects of training was piloted with DMSTC, and is now being formalized
for all future courses. DMETA Annual Report 2005-06 Report Annual DMETA
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In-year Activity
the DMS. Through the Committee of Postgraduate Dental Deans and Directors and Deans Dental Postgraduate of Committee the Through DMS. the
and should lead to a greater coherence in the delivery of medical and dental training to training dental and medical of delivery the in coherence greater a to lead should and
The assimilation of DDS training output into DMETA is a much welcomed development welcomed much a is DMETA into output training DDS of assimilation The Defence Dental Services (DDS) Training (DDS) Services Dental Defence Post-Registration Nurse Education Access to the BSc (Hons) Defence Nursing Studies for deployed Defence nurses was
Health Professionals. Health improved in line with the 2005 Defence Nursing Strategy. Many students study whilst
by DPMD to ensure equitable opportunity among nurses and the spectrum of Allied of spectrum the and nurses among opportunity equitable ensure to DPMD by deployed, and the Modular Object-Oriented Dynamic Learning Environment, or
DPMD and HQ DMETA. Applications for post-registration training are carefully monitored carefully are training post-registration for Applications DMETA. HQ and DPMD ‘MOODLE’ was introduced in their support. This system, previously used at UCE,
Research Position Paper has also recently been completed and is being staffed both at both staffed being is and completed been recently also has Paper Position Research provides various interactive facilities, and provides a vital support to three key DSHCS
work directly to the Director of Healthcare Higher Education. A Defence Nursing Services Nursing Defence A Education. Higher Healthcare of Director the to directly work courses: Essentials of High Dependency Nursing, Operational Critical Care, and Transition
communication between DPMD, HQ DMETA, and the Directors of Nursing Services, and Services, Nursing of Directors the and DMETA, HQ DPMD, between communication to Military Practice: Staff Nurse. With MOODLE chat rooms, students can link up with
at DPMD, from the single Services. They are already improving synergy and ease of ease and synergy improving already are They Services. single the from DPMD, at their course coordinators from any computer; with its fora, they can tackle questions
Three Nurse Education Advisors have recently transferred onto DMETA establishment establishment DMETA onto transferred recently have Advisors Education Nurse Three within set time frames (useful when deployed or otherwise very busy), and pilot evaluation
Nurse Education Advisors Advisors Education Nurse shows that students approve and enjoy MOODLE’s simplicity, easy access to electronic within the DMS remains high (as confirmed by outstanding in-year MRCGP results). MRCGP in-year outstanding by confirmed (as high remains DMS the within reading lists, submission countdown clocks and links to important sites.
its implementation will be an exciting challenge for DPMD. The standard of GP training GP of standard The DPMD. for challenge exciting an be will implementation its DPMD
Registrar training. There was also a fundamental revision of the GP training curriculum, and curriculum, training GP the of revision fundamental a also was There training. Registrar DPMD has been actively involved with the Department of Health MMC team, and is
will be benchmarked against it, as currently applies to DMS applicants for Specialist for applicants DMS to applies currently as it, against benchmarked be will represented at national level on the Modernising Medical Careers Advisory Board. It is
selection process for selection into GP training has been introduced, and DMS applicants DMS and introduced, been has training GP into selection for process selection therefore well-positioned to meet the challenges ahead. Links have been established
Major national changes to GP training will inevitably affect DMS GP training. A national A training. GP DMS affect inevitably will training GP to changes national Major also with the new Postgraduate Medical Education and Training Board, and working graduates is being negotiated, possibly a greater number with a WMD focus. WMD a with number greater a possibly negotiated, being is graduates relations with the West Midlands Deanery (WMD) have been developed.
into F2 (all including an A&E module). Further FP capacity for future medical cadet medical future for capacity FP Further module). A&E an including (all F2 into DPMD Junior Clinicians Training Office is now fully established and co-ordinates the
graduates at MDHUs will commence their F1 year and the current 22 in F1 will move will F1 in 22 current the and year F1 their commence will MDHUs at graduates placement of junior medical officers in training across all specialties, including
Foundation Programmes (FP) at MDHUs. From FY2006-07, some 36 medical cadet medical 36 some FY2006-07, From MDHUs. at (FP) Programmes Foundation Foundation Programmes (FP) at MDHUs. From FY2006-07, some 36 medical cadet
placement of junior medical officers in training across all specialties, including specialties, all across training in officers medical junior of placement graduates at MDHUs will commence their F1 year and the current 22 in F1 will move
DPMD Junior Clinicians Training Office is now fully established and co-ordinates the co-ordinates and established fully now is Office Training Clinicians Junior DPMD into F2 (all including an A&E module). Further FP capacity for future medical cadet relations with the West Midlands Deanery (WMD) have been developed. been have (WMD) Deanery Midlands West the with relations graduates is being negotiated, possibly a greater number with a WMD focus.
also with the new Postgraduate Medical Education and Training Board, and working and Board, Training and Education Medical Postgraduate new the with also Major national changes to GP training will inevitably affect DMS GP training. A national
therefore well-positioned to meet the challenges ahead. Links have been established been have Links ahead. challenges the meet to well-positioned therefore selection process for selection into GP training has been introduced, and DMS applicants
represented at national level on the Modernising Medical Careers Advisory Board. It is It Board. Advisory Careers Medical Modernising the on level national at represented will be benchmarked against it, as currently applies to DMS applicants for Specialist
DPMD has been actively involved with the Department of Health MMC team, and is and team, MMC Health of Department the with involved actively been has DPMD Registrar training. There was also a fundamental revision of the GP training curriculum, and
DPMD its implementation will be an exciting challenge for DPMD. The standard of GP training reading lists, submission countdown clocks and links to important sites. sites. important to links and clocks countdown submission lists, reading within the DMS remains high (as confirmed by outstanding in-year MRCGP results).
shows that students approve and enjoy MOODLE’s simplicity, easy access to electronic to access easy simplicity, MOODLE’s enjoy and approve students that shows Nurse Education Advisors
within set time frames (useful when deployed or otherwise very busy), and pilot evaluation pilot and busy), very otherwise or deployed when (useful frames time set within Three Nurse Education Advisors have recently transferred onto DMETA establishment
their course coordinators from any computer; with its fora, they can tackle questions tackle can they fora, its with computer; any from coordinators course their at DPMD, from the single Services. They are already improving synergy and ease of to Military Practice: Staff Nurse. With MOODLE chat chat MOODLE With Nurse. Staff Practice: Military to
rooms, students can link up with up link can students rooms, communication between DPMD, HQ DMETA, and the Directors of Nursing Services, and
courses: Essentials of High Dependency Nursing, Operational Critical Care, and Transition and Care, Critical Operational Nursing, Dependency High of Essentials courses: work directly to the Director of Healthcare Higher Education. A Defence Nursing Services
provides various interactive facilities, and provides a vital support to three key DSHCS key three to support vital a provides and facilities, interactive various provides Research Position Paper has also recently been completed and is being staffed both at
‘MOODLE’ was introduced in their support. This system, previously used at UCE, at used previously system, This support. their in introduced was ‘MOODLE’ DPMD and HQ DMETA. Applications for post-registration training are carefully monitored
deployed, and the Modular Object-Oriented Dynamic Learning Environment, or Environment, Learning Dynamic Object-Oriented Modular the and deployed, by DPMD to ensure equitable opportunity among nurses and the spectrum of Allied
improved in line with the 2005 Defence Nursing Strategy. Many students study whilst study students Many Strategy. Nursing Defence 2005 the with line in improved Health Professionals.
Access to the BSc (Hons) Defence Nursing Studies for deployed Defence nurses was nurses Defence deployed for Studies Nursing Defence (Hons) BSc the to Access Post-Registration Nurse Education Education Nurse Post-Registration Defence Dental Services (DDS) Training The assimilation of DDS training output into DMETA is a much welcomed development and should lead to a greater coherence in the delivery of medical and dental training to
the DMS. Through the Committee of Postgraduate Dental Deans and Directors In-year Activity In-year
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DMETA Annual Report 2005-06
to the Board of Management. of Board the to
practice at the Clinical Units Board which reports, through the Agency Risk Panel, Panel, Risk Agency the through reports, which Board Units Clinical the at practice
will seek to build on this trend in the coming year. The units share examples of best of examples share units The year. coming the in trend this on build to seek will
There has been significant improvement in levels of preparatory training and the Agency the and training preparatory of levels in improvement significant been has There
(COPDEND), the Dental Dean is involved in the development of the national strategy MDHUs. of activity main the the is deployment operational for individuals Preparing
for Modernising Dental Careers and so is providing timely guidance on the implications fields. both in skills their honing spend to are staff which time of proportion the
of a two-year Foundation Programme for both the single Services and HQ-DDS. The clarify helped has Time Protected Trust and Time
and adoption, of Military Protected Military of adoption, and
first military students are undertaking a new conversion course for the Diploma in Dental separation, The heritage. Service their of personnel
such as museum visits, which remind which visits, museum as such
Therapy, which will have a fundamental effect on the career development opportunities events, to training leadership and adventure
for the Dental Hygienist cadre and promises to provide a ‘skill mix’ benefit for the future through exercises field in participation from ranging activities, of variety a through delivery of military dental care. maintained is ethos military that ensure teams command MDHU The commitments.
Veterinary military ensuring training, underwriting expertise, management maintaining expertise,
The first cohort of Veterinary Officers (VOs) to complete a period of postgraduate and skills clinical protecting are arrangements new the that evidence good is There well.
vocational training were presented with their certificates by the President of the Royal bedding-in are year, last introduced arrangements, hosting revised the and MDHUs at
College of Veterinary Surgeons (RCVS) and the DPMD in a special ceremony in July 05. arrangements Control and Command revised The arrangements. the from benefit mutual
This is a progressive step for training governance within veterinary training, and a acknowledging partners both with are cooperative and professional, professional, and cooperative are
national ‘first’. Annual professional appraisal of veterinary officers has been introduced line front the to medics structures and operational activities activities operational and structures
and successfully accomplished at DPMD with all VOs now maintaining personal DMETA-trained by delivered care Acute
development plans to facilitate professional development appropriate to their needs and management Trust Host their with
those of the DMS. integrated are staff MDHU Senior
4. DMETA Clinical Units appropriate. where
The primary role of DMETA’s clinical Trusts Host NHS with collaboration in
units (RCDM Clinical Division DMRC, done is This personnel. care secondary
RHH and the MDHUs) is to support DMETA for experience and practice
an environment which provides clinical clinical provides which environment an
practice and experience for DMETA support to is MDHUs) the and RHH
secondary care personnel. This is done DMRC, Division Clinical (RCDM units
in collaboration with NHS Host Trusts clinical DMETA’s of role primary The
Units Clinical DMETA where appropriate. 4.
Senior MDHU staff are integrated DMS. the of those
with their Host Trust management and needs their to appropriate development professional facilitate to plans development
Acute care delivered by DMETA-trained structures and operational activities personal maintaining now VOs all with DPMD at accomplished successfully and
medics to the front line are cooperative and professional, introduced been has officers veterinary of appraisal professional Annual ‘first’. national
with both partners acknowledging a and training, veterinary within governance training for step progressive a is This
mutual benefit from the arrangements. The revised Command and Control arrangements 05. July in ceremony special a in DPMD the and (RCVS) Surgeons Veterinary of College
at MDHUs and the revised hosting arrangements, introduced last year, are bedding-in Royal the of President the by certificates their with presented were training vocational
well. There is good evidence that the new arrangements are protecting clinical skills and postgraduate of period a complete to (VOs) Officers Veterinary of cohort first The
expertise, maintaining management expertise, underwriting training, ensuring military Veterinary
commitments. The MDHU command teams ensure that military ethos is maintained care. dental military of delivery
through a variety of activities, ranging from participation in field exercises through future the for benefit mix’ ‘skill a provide to promises and cadre Hygienist Dental the for
adventure and leadership training to events, such as museum visits, which remind opportunities development career the on effect fundamental a have will which Therapy,
personnel of their Service heritage. The separation, and adoption, of Military Protected Dental in Diploma the for course conversion new a undertaking are students military first
Time and Trust Protected Time has helped clarify The HQ-DDS. and Services single the both for Programme Foundation two-year a of
the proportion of time which staff are to spend honing their skills in both fields. implications the on guidance timely providing is so and Careers Dental Modernising for Preparing individuals for operational deployment is the the main activity of MDHUs. strategy national the of development the in involved is Dean Dental the (COPDEND), There has been significant improvement in levels of preparatory training and the Agency will seek to build on this trend in the coming year. The units share examples of best practice at the Clinical Units Board which reports, through the Agency Risk Panel,
to the Board of Management. DMETA Annual Report 2005-06 Report Annual DMETA
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In-year Activity
While the majority of DMS secondary care personnel are employed in MDHUs, if there is a pressing Service requirement which necessitates having singleton staff in another Trust, those individuals are provided administrative support through ‘parenting’ arrangements
competing; DMRC were victors and will host the next event). event). next the host will and victors were DMRC competing; with the nearest MDHU. Inevitably this is less effective and resource-demanding.
and martial arts, a corporate Inter-Unit Sports Day was hosted by Haslar with nine Units nine with Haslar by hosted was Day Sports Inter-Unit corporate a arts, martial and
to a number of high profile exercises and individual successes in all forms of training of forms all in successes individual and exercises profile high of number a to Clinical and Academic partnerships
Adventurous Training remains a key buttress to military ethos at all Units, and in addition in and Units, all at ethos military to buttress key a remains Training Adventurous Excellent opportunities for staff had been developed by all Units, with military contributions
speeches from the Secretary of State and from the CE of the National Health Service. Health National the of CE the from and State of Secretary the from speeches in senior Trust clinical, management and committee roles; for example, the military
hospital and the event included presentations from 202 (TA) Field Hospital, and keynote and Hospital, Field (TA) 202 from presentations included event the and hospital Visiting Professor at Teesside University is also Director of Academic Emergency
adjacent to the Selly Oak site. Large numbers of civilian and military visitors visited the visited visitors military and civilian of numbers Large site. Oak Selly the to adjacent Medicine at the James Cook University Hospitals. All senior MDHU staff are integrated
up a Field Hospital Field a up set it September in
success with its host Trust and beyond, when when beyond, and Trust host its with success with their Trust management structures and initiatives – operational activities are
achieved a major awareness major a achieved RCDM Birmingham, In
Standard’ award from PMA/RAF. PMA/RAF. from award Standard’ co-operative and professional, both partners acknowledging mutual benefit from the
activity in meeting the challenging demands and timelines of JPA attracted a ‘Gold a attracted JPA of timelines and demands challenging the meeting in activity arrangements, and unit commands at the MDHUs are fully embedded within their Trust Shows to Field Gun displays, concerts, charity and other events. Royal Hospital Haslar Hospital Royal events. other and charity concerts, displays, Gun Field to Shows higher management structures and processes.
are important, and all Units pursue awareness programmes which may range from Air from range may which programmes awareness pursue Units all and important, are Quality of Life and Awareness
walks. Positive local public profiles public local Positive walks. Throughout DMETA, every effort is charitable events such as sponsored as such events charitable
the roles of Defence medics Defence of roles the made to nurture personal and team in local community sporting or sporting community local in
show NHS and MoD staff the quality of deployed care and care deployed of quality the staff MoD and NHS show job satisfaction, and enhance military most of their down time and take part take and time down their of most
A fully functional Field Hospital – erected in Birmingham to Birmingham in erected – Hospital Field functional fully A ethos and clinical recognition directly
Staff are also encouraged to make the make to encouraged also are Staff and through good relations with
as these are crucial to Service ethos. Service to crucial are these as parenting Units (example – MDHU
Peterborough with RAF Wittering), Wittering), RAF with Peterborough Peterborough with RAF Wittering),
parenting Units (example – MDHU – (example Units parenting as these are crucial to Service ethos.
and through good relations with relations good through and Staff are also encouraged to make the
ethos and clinical recognition directly recognition clinical and ethos most of their down time and take part A fully functional Field Hospital – erected in Birmingham to
job satisfaction, and enhance military enhance and satisfaction, job in local community sporting or show NHS and MoD staff the quality of deployed care and
made to nurture personal and team and personal nurture to made charitable events such as sponsored the roles of Defence medics
Throughout DMETA, every effort is effort every DMETA, Throughout walks. Positive local public profiles
Quality of Life and Awareness and Life of Quality are important, and all Units pursue awareness programmes which may range from Air
higher management structures and processes. and structures management higher Shows to Field Gun displays, concerts, charity and other events. Royal Hospital Haslar
arrangements, and unit commands at the MDHUs are fully embedded within their Trust their within embedded fully are MDHUs the at commands unit and arrangements, activity in meeting the challenging demands and timelines of JPA attracted a ‘Gold
co-operative and professional, both partners acknowledging mutual benefit from the from benefit mutual acknowledging partners both professional, and co-operative Standard’ award from PMA/RAF. In Birmingham, RCDM achieved a major awareness
with their Trust management structures and initiatives – operational activities are are activities operational – initiatives and structures management Trust their with success with its host Trust and beyond, when in September it set up a Field Hospital
Medicine at the James Cook University Hospitals. All senior MDHU staff are integrated are staff MDHU senior All Hospitals. University Cook James the at Medicine adjacent to the Selly Oak site. Large numbers of civilian and military visitors visited the
Visiting Professor at Teesside University is also Director of Academic Emergency Academic of Director also is University Teesside at Professor Visiting hospital and the event included presentations from 202 (TA) Field Hospital, and keynote
in senior Trust clinical, management and committee roles; for example, the military the example, for roles; committee and management clinical, Trust senior in speeches from the Secretary of State and from the CE of the National Health Service.
Excellent opportunities for staff had been developed by all Units, with military contributions military with Units, all by developed been had staff for opportunities Excellent Adventurous Training remains a key buttress to military ethos at all Units, and in addition Clinical and Academic partnerships partnerships Academic and Clinical to a number of high profile exercises and individual successes in all forms of training and martial arts, a corporate Inter-Unit Sports Day was hosted by Haslar with nine Units
with the nearest MDHU. Inevitably this is less effective and resource-demanding. and effective less is this Inevitably MDHU. nearest the with competing; DMRC were victors and will host the next event). those individuals are provided administrative support through ‘parenting’ arrangements ‘parenting’ through support administrative provided are individuals those
a pressing Service requirement which necessitates having singleton staff in another Trust, another in staff singleton having necessitates which requirement Service pressing a
While the majority of DMS secondary care personnel are employed in MDHUs, if there is there if MDHUs, in employed are personnel care secondary DMS of majority the While In-year Activity In-year
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DMETA Annual Report 2005-06
Training Every DMETA Clinical Unit aims to ensure the training of its staff complies with MoD and NHS requirements, and there is growing emphasis on computing competence. Links to
single Service and Academic mentors were consolidated. Clinical excellence is NHS. the
becoming well and widely established: as examples, a Peterborough SNCO RGN has within treatment undergoing those for and overseas, and Operations from returning
played an instrumental role training host Trust personnel on decontamination, an casualties for both service, clinical administration/ an up set has DMRC readiness, In
achievement which has brought the Trust A&E Department recognition from the Royal tailored. programmes rehabilitation and management case their and earlier, identified are
College of Nursing as a national standard for this area; Northallerton has established patients nominated ensure will RCDM, at hub aeromedevac the with liaison Enhanced
nine Foundation One posts under the Modernising Medical Careers initiative, and duty. to return patients Service of majority the helping in link vital a centre, limb-fitting
expects them to significantly increase the uptake of military trainees within its host Trust; and amputee Services’ the now is DMRC Unit. Long Peter 36-bed the of establishment
at Frimley Park a new Regimental Team concept facilitates training links with other Units the in increase an from benefited facilities rehabilitation complex and Polytrauma
and ‘tailored training’ is being developed; Derriford has an active training team which Developments Clinical
coordinates its training with local single Service Units; and Portsmouth, which stood up customers. DMETA’s of
centre of rehabilitation excellence rehabilitation of centre
as a Unit in 2005, works with other DMETA Units and the Portsmouth military cadres to needs rehabilitation the to matched
DMRC Headley Court – – Court Headley DMRC
ensure its staff achieve their mandated training objectives. optimally are outputs operational DMRC training, research and research training, DMRC
DMRC ensuring are and history, Unit’s the in
Recent developments at the Defence significant most the among been have
Medical Rehabilitation Centre, including Plan, Rehabilitation Medical Defence
closer integration with Healthcare the to response and DMETA, within Unit
delivery under the Defence Health the of role the of evolution Programme,
Programme, evolution of the role of the Health Defence the under delivery
Unit within DMETA, and response to the Healthcare with integration closer
Defence Medical Rehabilitation Plan, including Centre, Rehabilitation Medical
have been among the most significant Defence the at developments Recent
in the Unit’s history, and are ensuring DMRC
DMRC training, research and operational outputs are optimally objectives. training mandated their achieve staff its ensure
DMRC Headley Court – matched to the rehabilitation needs to cadres military Portsmouth the and Units DMETA other with works 2005, in Unit a as
centre of rehabilitation excellence of DMETA’s customers. up stood which Portsmouth, and Units; Service single local with training its coordinates
Clinical Developments which team training active an has Derriford developed; being is training’ ‘tailored and
Polytrauma and complex rehabilitation facilities benefited from an increase in the Units other with links training facilitates concept Team Regimental new a Park Frimley at
establishment of the 36-bed Peter Long Unit. DMRC is now the Services’ amputee and Trust; host its within trainees military of uptake the increase significantly to them expects
limb-fitting centre, a vital link in helping the majority of Service patients return to duty. and initiative, Careers Medical Modernising the under posts One Foundation nine
Enhanced liaison with the aeromedevac hub at RCDM, will ensure nominated patients established has Northallerton area; this for standard national a as Nursing of College
are identified earlier, and their case management and rehabilitation programmes tailored. Royal the from recognition Department A&E Trust the brought has which achievement
In readiness, DMRC has set up an administration/ clinical service, both for casualties an decontamination, on personnel Trust host training role instrumental an played
returning from Operations and overseas, and for those undergoing treatment within has RGN SNCO Peterborough a examples, as established: widely and well becoming
the NHS. is excellence Clinical consolidated. were mentors Academic and Service single NHS requirements, and there is growing emphasis on computing competence. Links to Links competence. computing on emphasis growing is there and requirements, NHS
Every DMETA Clinical Unit aims to ensure the training of its staff complies with MoD and MoD with complies staff its of training the ensure to aims Unit Clinical DMETA Every
Training DMETA Annual Report 2005-06 Report Annual DMETA
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In-year Activity
DMRECC The Defence Medical Rehabilitation Evaluation and Coordination Centre was established this year to enable DMRC clinical teams to be kept informed of patients returning from deployments overseas or within other Service medical establishments who will require
the Chief of Defence Staff and the Secretary of State for Defence. for State of Secretary the and Staff Defence of Chief the rehabilitation. The DMRECC coordinates clinical assessment, rehabilitation and care
highest levels and were exposed to high profile visits including HRH the Prince of Wales, of Prince the HRH including visits profile high to exposed were and levels highest pathways. In addition to those casualties with more significant injuries, minor and
DMRC) are contributing to Harmony. These developments have been recognised at the at recognised been have developments These Harmony. to contributing are DMRC) moderate musculoskeletal conditions (in particular those returning from operational
Doctor, Physiotherapist and Remedial Instructor, and five teams (on the establishment of establishment the (on teams five and Instructor, Remedial and Physiotherapist Doctor, theatres) are staffed through DMRECC, ensuring they can be managed appropriately
provide rehabilitation for Medium/Large Scale enduring Ops. DMRT consists of an R & R & R an of consists DMRT Ops. enduring Scale Medium/Large for rehabilitation provide at Regional Rehabilitation Units or within DMRC.
School. The Deployed Medical Rehabilitation Team (DMRT) concept was developed to developed was concept (DMRT) Team Rehabilitation Medical Deployed The School.
OCULUS), in support of Royal Marines winter training, and to Malawi at the Infantry Battle Infantry the at Malawi to and training, winter Marines Royal of support in OCULUS), A Regional Rehabilitation Unit (RRU) for London was established at DMRC. It is
Trained personnel were provided to Operations (in particular Ops TELIC, HERRICK and HERRICK TELIC, Ops particular (in Operations to provided were personnel Trained functionally a Primary Health Care service, but close liaison with DMRC clinical teams Rehabilitation Operational Commitments Operational Rehabilitation makes it very effective and efficient, and in addition to servicing London, it is available
to meet the needs of patients returning from theatre, needing rehabilitation support.
to assess the efficacy of the DMRP and develop statistical assessment tools. assessment statistical develop and DMRP the of efficacy the assess to
Research and Clinical Assessment. HQ DMETA has established a Scientific Officer post Officer Scientific a established has DMETA HQ Assessment. Clinical and Research Training and Research
Research is given a high priority at DMRC, under the auspices of the Centre for Injury for Centre the of auspices the under DMRC, at priority high a given is Research DMRC’s new Education, Training and Research Division has been developing training Research programmes for all clinical professionals within the Unit and more broadly across DMS, and helps ensure that Unit personnel are trained for deployment. To ensure compliance
output of some 40 students. students. 40 some of output with the Defence Systems Approach to Training (DSAT), courses have been ‘reverse
(JSSRI) has maintained its momentum in the training of Service RIs, with an annual an with RIs, Service of training the in momentum its maintained has (JSSRI) engineered’ wherever appropriate to ensure they meet customer requirements and
Services and from all levels at DMRC. The Joint Services School of Remedial Instructors Remedial of School Services Joint The DMRC. at levels all from and Services deliver appropriately trained clinical rehabilitation personnel; the extra effort required
for this ambitious programme has had substantial support from across Defence Medical Defence across from support substantial had has programme ambitious this for for this ambitious programme has had substantial support from across Defence Medical
deliver appropriately trained clinical rehabilitation personnel; the extra effort required required effort extra the personnel; rehabilitation clinical trained appropriately deliver Services and from all levels at DMRC. The Joint Services School of Remedial Instructors
engineered’ wherever appropriate to ensure they meet customer requirements and requirements customer meet they ensure to appropriate wherever engineered’ (JSSRI) has maintained its momentum in the training of Service RIs, with an annual
with the Defence Systems Approach to Training (DSAT), courses have been ‘reverse been have courses (DSAT), Training to Approach Systems Defence the with output of some 40 students.
and helps ensure that Unit personnel are trained for deployment. To ensure compliance ensure To deployment. for trained are personnel Unit that ensure helps and
programmes for all clinical professionals within the Unit and more broadly across DMS, across broadly more and Unit the within professionals clinical all for programmes Research
DMRC’s new Education, Training and Research Division has been developing training developing been has Division Research and Training Education, new DMRC’s Research is given a high priority at DMRC, under the auspices of the Centre for Injury Training and Research and Training Research and Clinical Assessment. HQ DMETA has established a Scientific Officer post
to assess the efficacy of the DMRP and develop statistical assessment tools.
to meet the needs of patients returning from theatre, needing rehabilitation support. rehabilitation needing theatre, from returning patients of needs the meet to
makes it very effective and efficient, and in addition to servicing London, it is available available is it London, servicing to addition in and efficient, and effective very it makes Rehabilitation Operational Commitments
functionally a Primary Health Care service, but close liaison with DMRC clinical teams clinical DMRC with liaison close but service, Care Health Primary a functionally Trained personnel were provided to Operations (in particular Ops TELIC, HERRICK and A Regional Rehabilitation Unit (RRU) for London was established at DMRC. It is It DMRC. at established was London for (RRU) Unit Rehabilitation Regional A OCULUS), in support of Royal Marines winter training, and to Malawi at the Infantry Battle School. The Deployed Medical Rehabilitation Team (DMRT) concept was developed to
at Regional Rehabilitation Units or within DMRC. DMRC. within or Units Rehabilitation Regional at provide rehabilitation for Medium/Large Scale enduring Ops. DMRT consists of an R & R
theatres) are staffed through DMRECC, ensuring they can be managed appropriately appropriately managed be can they ensuring DMRECC, through staffed are theatres) Doctor, Physiotherapist and Remedial Instructor, and five teams (on the establishment of
moderate musculoskeletal conditions (in particular those returning from operational from returning those particular (in conditions musculoskeletal moderate DMRC) are contributing to Harmony. These developments have been recognised at the
pathways. In addition to those casualties with more significant injuries, minor and minor injuries, significant more with casualties those to addition In pathways. highest levels and were exposed to high profile visits including HRH the Prince of Wales,
rehabilitation. The DMRECC coordinates clinical assessment, rehabilitation and care and rehabilitation assessment, clinical coordinates DMRECC The rehabilitation. the Chief of Defence Staff and the Secretary of State for Defence. deployments overseas or within other Service medical establishments who will require will who establishments medical Service other within or overseas deployments
this year to enable DMRC clinical teams to be kept informed of patients returning from returning patients of informed kept be to teams clinical DMRC enable to year this
The Defence Medical Rehabilitation Evaluation and Coordination Centre was established was Centre Coordination and Evaluation Rehabilitation Medical Defence The
DMRECC In-year Activity In-year
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DMETA Annual Report 2005-06
the contractor’s development of the roll-out training solution. training roll-out the of development contractor’s the
Agency IT Skills and assess the start standard and training numbers as a precursor to precursor a as numbers training and standard start the assess and Skills IT Agency
5. Projects and Programmes pan- of conduct the co-ordinate to Group, Working Implementation and Management
Medical Training to the Midlands Change DMICP a established has DMETA HQ whole, a as DMS the for training
DMETA is working to consolidate its command, control and training elements under state steady of establishment the and Agency the across DMICP of out roll successful
this strategic programme, to modernise its business and in order to generate efficiency the ensure To training. DMICP
and DMSD with the development of development the with DMSD and
savings. MT2M consists of the current Midlands Medical Accommodation (MMA) and them need Forces Armed the
assisted the Integrated Project Team Project Integrated the assisted
the planned Birmingham Medical Accommodation (BMA) projects. Under MMA, DMETA anywhere and time any records, health current – DMICP
will benefit from synergy with the Department’s long-term commitments to RCDM and to also have They Analysis. Needs
Birmingham, and its aims are to capitalise on RCDM as an international Centre for Training the of 2A Phase and 1 Phase
Clinical Excellence; make significant contributions to MoD’s Lyons Review commitment of assurance quality and production
to move 1070 personnel out of the South East; substantially reduce current estate the in contractor independent
holdings, and develop a suitable environment for its military and civilian personnel an with working been have and
(including those who currently serve in Birmingham without access to MoD Groups, Working and fora DMICP of accommodation or facilities. range broad a with engaged been
MT2M will bring together on one site HQ DMETA, the HQ and deployed TDU have staff HQ DMETA; by supported
components of RCDM, and 33 Field Hospital. It will provide significant benefits, strongly is Programme Capability
accommodating military training (Basic Combat Fitness Test, weapon training, parade Information Medical Defence The
training, leadership training etc) as well as command and control, primary medical and DMICP dental care, stores and administrative functions for DMETA assets in the city. infrastructure. support and classrooms training accommodation,
The project is at the initial approval stage and options for the site include RAF Stafford living extra to and modernisation to subject adopted be could infrastructure
(needs substantial new build or adopting existing facilities) and the ATRA Training existing the of much where Barracks’), (‘Whittington Lichfield at Establishment
Establishment at Lichfield (‘Whittington Barracks’), where much of the existing Training ATRA the and facilities) existing adopting or build new substantial (needs
infrastructure could be adopted subject to modernisation and to extra living Stafford RAF include site the for options and stage approval initial the at is project The accommodation, training classrooms and support infrastructure. city. the in assets DMETA for functions administrative and stores care, dental
DMICP and medical primary control, and command as well as etc) training leadership training, accommodating military training (Basic Combat Fitness Fitness Combat (Basic training military accommodating parade training, pon
The Defence Medical Information wea Test,
Capability Programme is strongly benefits, significant provide will It Hospital. Field 33 and RCDM, of components
supported by DMETA; HQ staff have TDU deployed and HQ the DMETA, HQ site one on together bring will MT2M
been engaged with a broad range facilities. or accommodation
of DMICP fora and Working Groups, MoD to access without Birmingham in serve currently who those (including
and have been working with an personnel civilian and military its for environment suitable a develop and holdings,
independent contractor in the estate current reduce substantially East; South the of out personnel 1070 move to
production and quality assurance of commitment Review Lyons MoD’s to contributions significant make Excellence; Clinical
Phase 1 and Phase 2A of the Training for Centre international an as RCDM on capitalise to are aims its and Birmingham,
Needs Analysis. They have also to and RCDM to commitments long-term Department’s the with synergy from benefit will
DMICP – current health records, any time and anywhere assisted the Integrated Project Team DMETA MMA, Under projects. (BMA) Accommodation Medical Birmingham planned the
the Armed Forces need them and DMSD with the development of and (MMA) Accommodation Medical Midlands current the of consists MT2M savings.
DMICP training. To ensure the efficiency generate to order in and business its modernise to programme, strategic this
successful roll out of DMICP across the Agency and the establishment of steady state under elements training and control command, its consolidate to working is DMETA
training for the DMS as a whole, HQ DMETA has established a DMICP Change Midlands the to Training Medical
Programmes and ects j Pro Management and Implementation Working Group, to co-ordinate the conduct of pan- 5. Agency IT Skills and assess the start standard and training numbers as a precursor to
the contractor’s development of the roll-out training solution. DMETA Annual Report 2005-06 Report Annual DMETA
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In-year Activity
Business Continuity Fit for Purpose is a key business indicator, and BAAU has begun a development programme to compile a Business Continuity Planning (BCP) Framework; workshops will develop fit for purpose BCPs across the Agency. An overarching framework, policy and Administrative Instruction is currently being developed in partnership with units. Individual DMETA units will be subject to internal assurance by means of a table-top exercise during FY2006-07 followed by a Defence Internal Audit review of the overarching BCP framework at the end of the year.
DMETA Programme Management Framework The Defence Health Programme (DHP) has been driving substantial clinical and organisational change across DMS. DMETA has been working with its Customers and Partners, both to embrace and manage such change and to adapt its outputs to meet future requirements. Change management must take account of the interdependencies between the working environment, the organisation, people and supporting technologies and tools. CE DMETA directed the establishment of a Strategic Programme to structure and assist the management and exploitation of these change activities and projects, and
programme definition was under way as the year closed. Chief Executive Chief
Surgeon Rear Admiral PI Raffaelli BSc MSc MBChB MRCGP FFOM MRCGP MBChB MSc BSc Raffaelli PI Admiral Rear Surgeon Surgeon Rear Admiral PI Raffaelli BSc MSc MBChB MRCGP FFOM
Chief Executive
programme definition was under way as the year closed. year the as way under was definition programme
and assist the management and exploitation of these change activities and projects, and projects, and activities change these of exploitation and management the assist and
and tools. CE DMETA directed the establishment of a Strategic Programme to structure to Programme Strategic a of establishment the directed DMETA CE tools. and
between the working environment, the organisation, people and supporting technologies supporting and people organisation, the environment, working the between
future requirements. Change management must take account of the interdependencies the of account take must management Change requirements. future
Partners, both to embrace and manage such change and to adapt its outputs to meet to outputs its adapt to and change such manage and embrace to both Partners,
organisational change across DMS. DMETA has been working with its Customers and Customers its with working been has DMETA DMS. across change organisational
The Defence Health Programme (DHP) has been driving substantial clinical and clinical substantial driving been has (DHP) Programme Health Defence The
DMETA Programme Management Framework Management Programme DMETA
end of the year. year. the of end
followed by a Defence Internal Audit review of the overarching BCP framework at the at framework BCP overarching the of review Audit Internal Defence a by followed
will be subject to internal assurance by means of a table-top exercise during FY2006-07 during exercise table-top a of means by assurance internal to subject be will
Instruction is currently being developed in partnership with units. Individual DMETA units DMETA Individual units. with partnership in developed being currently is Instruction
for purpose BCPs across the Agency. An overarching framework, policy and Administrative and policy framework, overarching An Agency. the across BCPs purpose for
to compile a Business Continuity Planning (BCP) Framework; workshops will develop fit develop will workshops Framework; (BCP) Planning Continuity Business a compile to
Fit for Purpose is a key business indicator, and BAAU has begun a development programme development a begun has BAAU and indicator, business key a is Purpose for Fit
Business Continuity Business In-year Activity In-year
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DMETA Annual Report 2005-06
DMETA Annual Report & Accounts for the year ending 31 March 2006 Remuneration Report Composition of the Board of Management The composition of the Management Board during 2005/06 was:
Chairman Surgeon Rear Admiral PI Raffaelli Chief Executive DMETA
Brigadier EB Carmichael Chief of Staff HQ DMETA Surg Cdre JJW Sykes DPMD to 4 September 2005 Surg Cdre NS Bevan DPMD from 5 September 2005 Air Cdre AJ Batchelor Comdt RCDM Surg Capt J Campbell CO RHH&FB Mr RD Spencer Director Resources HQ DMETA
Mrs E Ransom Non Executive Director
Changes in the Board of Management staff. civilian for agreement pay MoD national the of part as determined
Surgeon Commodore NS Bevan was appointed Defence Postgraduate Medical Dean is pay Board, Management the of member civilian the For Board. Review Pay
on 5 September 2005 in place of Surgeon Commodore JJW Sykes who moved to Forces Armed the by determined is pay Board, Management the of members service For
another appointment. Policy Remuneration
Remuneration Policy appointment. another
For service members of the Management Board, pay is determined by the Armed Forces to moved who Sykes JJW Commodore Surgeon of place in 2005 September 5 on
Pay Review Board. For the civilian member of the Management Board, pay is Dean Medical Postgraduate Defence appointed was Bevan NS Commodore Surgeon
determined as part of the national MoD pay agreement for civilian staff. Management of Board the in Changes
Mrs E Ransom Non Executive Director Executive Non Ransom E Mrs
Mr RD Spencer Director Resources HQ DMETA DMETA HQ Resources Director Spencer RD Mr
Surg Capt J Campbell CO RHH&FB RHH&FB CO Campbell J Capt Surg
Air Cdre AJ Batchelor Comdt RCDM RCDM Comdt Batchelor AJ Cdre Air
Surg Cdre NS Bevan DPMD from 5 September 2005 September 5 from DPMD Bevan NS Cdre Surg
Surg Cdre JJW Sykes DPMD to 4 September 2005 September 4 to DPMD Sykes JJW Cdre Surg
Brigadier EB Carmichael Chief of Staff HQ DMETA DMETA HQ Staff of Chief Carmichael EB Brigadier
Surgeon Rear Admiral PI Raffaelli Chief Executive DMETA DMETA Executive Chief Raffaelli PI Admiral Rear Surgeon
Chairman
The composition of the Management Board during 2005/06 was: 2005/06 during Board Management the of composition The
Composition of the Board of Management of Board the of Composition
Remuneration Report Remuneration
for the year ending 31 March 2006 March 31 ending year the for
DMETA Annual Report & Accounts Accounts & Report Annual DMETA DMETA Annual Report 2005-06 Report Annual DMETA
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In-year Activity
as a taxable emolument. taxable a as
in kind covers any benefits provided by the employer and treated by the Inland Revenue Inland the by treated and employer the by provided benefits any covers kind in Salary and Benefits in Kind
allowance to the extent that it is subject to UK taxation. The monetary value of benefits benefits of value monetary The taxation. UK to subject is it that extent the to allowance The following sections provide details of the remuneration and pension interests of the to London weighting or London allowances, private office allowances and any other any and allowances office private allowances, London or weighting London to members of the Management Board.
‘Salary’ includes gross salary, performance pay or bonuses, overtime, reserved rights rights reserved overtime, bonuses, or pay performance salary, gross includes ‘Salary’ 2005-2006 2004-2005
during either year. either during Salary Benefits Salary Benefits any benefits in kind during their membership of the DMETA Board of Management of Board DMETA the of membership their during kind in benefits any £000 in kind £ £000 in kind £
members of the Board of Management during 2005/2006. None of the above received received above the of None 2005/2006. during Management of Board the of members Surgeon Rear Admiral PI Raffaelli
The salary details in the table above reflect only the periods when the individuals were individuals the when periods the only reflect above table the in details salary The Chief Executive 135 – 140 – 110 – 115 –
attendance at meetings during the period of these accounts these of period the during meetings at attendance Brigadier EB Carmichael
may conflict with their management responsibilities. Mrs E Ransom received £9k for £9k received Ransom E Mrs responsibilities. management their with conflict may COS DMETA 105 – 110 – 60 – 65 –
Management Board holds any directorships or has any other significant interests which interests significant other any has or directorships any holds Board Management
Department for Environment, Food and Rural Affairs. No other member of the of member other No Affairs. Rural and Food Environment, for Department Surgeon Commodore JJW Sykes RN Mrs E Ransom is also a Non Executive Director on the Management Board of the of Board Management the on Director Executive Non a also is Ransom E Mrs DPMD
(Until 4 Sep 05) 60 – 65 – 120 – 125 –
ietrRsucs4 0–4 0– 50 – 45 – 50 – 45 Resources Director Surgeon Commodore N Bevan RN Mr RD Spencer RD Mr DPMD
(From 5 Sep 05) 60 – 65 – – –
ORHF 2 3 0 1 – 110 – 105 – 130 – 125 RHH&FB CO Surgeon Captain J Campbell RN Campbell J Captain Surgeon Air Commodore AJ Batchelor
Comdt RCDM 140 –145 – 80 – 85 –
od CM10–4 0–8 – 85 – 80 – –145 140 RCDM Comdt Air Commodore AJ Batchelor AJ Commodore Air Surgeon Captain J Campbell RN
CO RHH&FB 125 – 130 – 105 – 110 –
Fo e 5 0–6 – – – 65 – 60 05) Sep 5 (From
DPMD Mr RD Spencer
Surgeon Commodore N Bevan RN Bevan N Commodore Surgeon Director Resources 45 – 50 – 45 – 50 –
Utl4Sp0)6 5–10–15– 125 – 120 – 65 – 60 05) Sep 4 (Until
DPMD Mrs E Ransom is also a Non Executive Director on the Management Board of the Surgeon Commodore JJW Sykes RN Sykes JJW Commodore Surgeon Department for Environment, Food and Rural Affairs. No other member of the Management Board holds any directorships or has any other significant interests which
O MT 0 1 0–6 – 65 – 60 – 110 – 105 DMETA COS may conflict with their management responsibilities. Mrs E Ransom received £9k for
Brigadier EB Carmichael EB Brigadier attendance at meetings during the period of these accounts
he xctv 3 4 1 1 – 115 – 110 – 140 – 135 Executive Chief The salary details in the table above reflect only the periods when the individuals were
Surgeon Rear Admiral PI Raffaelli PI Admiral Rear Surgeon members of the Board of Management during 2005/2006. None of the above received
£000 in kind £ £000 in kind £ kind in £000 £ kind in £000 any benefits in kind during their membership of the DMETA Board of Management aayBnfisSlr Benefits Salary Benefits Salary during either year.
0520 2004-2005 2005-2006 ‘Salary’ includes gross salary, performance pay or bonuses, overtime, reserved rights
members of the Management Board. Management the of members to London weighting or London allowances, private office allowances and any other
The following sections provide details of the remuneration and pension interests of the of interests pension and remuneration the of details provide sections following The allowance to the extent that it is subject to UK taxation. The monetary value of benefits Salary and Benefits in Kind in Benefits and Salary in kind covers any benefits provided by the employer and treated by the Inland Revenue
as a taxable emolument. In-year Activity In-year
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DMETA Annual Report 2005-06
members of the Board of Management during 2005/2006. during Management of Board the of members
The salary details in the table above reflect only the periods when the individuals were individuals the when periods the only reflect above table the in details salary The
lump sum lump sum lump sum lump
Pension Entitlements 5 – 2.5 plus 65 – 60 plus
Column 1 Column 2 Column 3 Column 4 Column 5 19 325 292 2.5 – 0 25 – 20 Resources Director Total accrued Real increase CETV at CETV at Real increase Spencer RD Mr pension at in pension 31 March 31 March in CETV after
normal retirement and related adjustment sum lump sum lump
age at 31 March 2006 lump sum for inflation 5 – 2.5 plus 110 – 105 plus
and related at normal and changes 37 850 800 2.5 – 0 40 – 35 RHH&FB CO
lump sum retirement in market RN Campbell J Captain Surgeon
age investment sum lump sum lump
factors 2.5 – 0 plus 135 – 130 plus £000 £000 £000 £000 £000 7 845 840 2.5 – 0 45 – 40 RCDM Comdt
Surgeon Rear Admiral PI Raffaelli Batchelor AJ Commodore Air
Chief Executive 40 – 45 0 – 2.5 plus 933 945 1 sum lump sum lump
plus 120 – 125 0 – 2.5 5 – 2.5 plus 130 – 125 plus lump sum lump sum 28 931 899 2.5 – 0 45 – 40 05) Sep 5 (From DPMD
Brigadier EB Carmichael RN Bevan N Commodore Surgeon
COS DMETA 30 – 35 2.5 – 5 plus 669 746 63 sum lump sum lump
plus 90 – 95 7.5 – 10 2.5 – 0 135 – 130 plus lump sum lump sum 7 864 857 plus 2.5 – 0 45 – 40 05) Sep 4 (Until DPMD
Surgeon Commodore JJW Sykes RN RN Sykes JJW Commodore Surgeon
DPMD (Until 4 Sep 05) 40 – 45 0 – 2.5 plus 857 864 7 sum lump sum lump
plus 130 – 135 0 – 2.5 10 – 7.5 95 – 90 plus lump sum lump sum 63 746 669 plus 5 – 2.5 35 – 30 DMETA COS
Surgeon Commodore N Bevan RN Carmichael EB Brigadier
DPMD (From 5 Sep 05) 40 – 45 0 – 2.5 899 931 28 sum lump sum lump
plus 125 – 130 plus 2.5 – 5 2.5 – 0 125 – 120 plus lump sum lump sum 1 945 933 plus 2.5 – 0 45 – 40 Executive Chief
Air Commodore AJ Batchelor Raffaelli PI Admiral Rear Surgeon
Comdt RCDM 40 – 45 0 – 2.5 840 845 7 £000 £000 £000 £000 £000
plus 130 – 135 plus 0 – 2.5 factors
lump sum lump sum investment age retirement in market in retirement
Surgeon Captain J Campbell RN sum lump at normal and changes and normal at
CO RHH&FB 35 – 40 0 – 2.5 800 850 37 related and lump sum for inflation inflation for sum lump
plus 105 – 110 plus 2.5 – 5 2006 March 31 at age and related adjustment adjustment related and
lump sum lump sum retirement normal in pension 31 March 31 March in CETV after CETV in March 31 March 31 pension in pension at pension
Real increase CETV at CETV at Real increase Real at CETV at CETV increase Real
Mr RD Spencer accrued Total
Director Resources 20 – 25 0 – 2.5 292 325 19 5 Column 4 Column 3 Column 2 Column 1 Column plus 60 – 65 plus 2.5 – 5 Entitlements Pension lump sum lump sum
The salary details in the table above reflect only the periods when the individuals were
members of the Board of Management during 2005/2006. DMETA Annual Report 2005-06 Report Annual DMETA
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In-year Activity
Civil Service Pensions Pension benefits for civilian staff are provided through the Principal Civil Service pension Scheme (PCSPS) arrangements. From 1 October 2002, civil servants may be in one of three statutory based ‘final salary’ defined benefit schemes (Classic, Premium, and Classic Plus). The schemes are unfunded with the cost of benefits met by monies voted by Parliament each year. Pensions payable under Classic, Premium and Classic Plus are increased annually in line with changes in the Retail Price Index. New entrants after 1 October 2002 may choose between membership of premium or joining a good quality ‘money purchase’ stakeholder based arrangement with a significant employer contribution (partnership pension account).
Employee contributions are set at the rate of 1.5% of pensionable earnings for Classic 1 and 3.5% for Premium and Classic Plus. Benefits in Classic accrue at the rate of ⁄80th of
www.civilservice-pensions.gov.uk pensionable salary for each year of service. In addition, a lump sum equivalent to three Further details about the CSP arrangements can be found at the website website the at found be can arrangements CSP the about details Further 1
years’ pension is payable on retirement. For Premium, benefits accrue at the rate of ⁄60th
retirement). of final pensionable earnings for each year of service. Unlike Classic, there is no
cover the cost of centrally-provided risk benefit cover (death in service and ill health ill and service in (death cover benefit risk centrally-provided of cost the cover automatic lump sum (but members may give up (commute) some of their pension to
basic contribution). Employers also contribute a further 0.8% of pensionable salary to salary pensionable of 0.8% further a contribute also Employers contribution). basic provide a lump sum). Classic Plus is essentially a variation of Premium, but with benefits match these up to a limit of 3% of pensionable salary (in addition to the employer’s the to addition (in salary pensionable of 3% of limit a to up these match in respect of service before 1 October 2002 calculated broadly as per Classic.
does not have to contribute but where they do make contributions, the employer will employer the contributions, make do they where but contribute to have not does The partnership pension account is a stakeholder pension arrangement. The employer
member) into a stakeholder pension product chosen by the employee. The employee The employee. the by chosen product pension stakeholder a into member) makes a basic contribution of between 3% and 12.5% (depending on the age of the
makes a basic contribution of between 3% and 12.5% (depending on the age of the of age the on (depending 12.5% and 3% between of contribution basic a makes member) into a stakeholder pension product chosen by the employee. The employee
The partnership pension account is a stakeholder pension arrangement. The employer The arrangement. pension stakeholder a is account pension partnership The does not have to contribute but where they do make contributions, the employer will
in respect of service before 1 October 2002 calculated broadly as per Classic. per as broadly calculated 2002 October 1 before service of respect in match these up to a limit of 3% of pensionable salary (in addition to the employer’s
provide a lump sum). Classic Plus is essentially a variation of Premium, but with benefits with but Premium, of variation a essentially is Plus Classic sum). lump a provide basic contribution). Employers also contribute a further 0.8% of pensionable salary to
automatic lump sum (but members may give up (commute) some of their pension to pension their of some (commute) up give may members (but sum lump automatic cover the cost of centrally-provided risk benefit cover (death in service and ill health
of final pensionable earnings for each year of service. Unlike Classic, there is no is there Classic, Unlike service. of year each for earnings pensionable final of retirement).
th th ⁄ years’ pension is payable on retirement. For Premium, benefits accrue at the rate of of rate the at accrue benefits Premium, For retirement. on payable is pension years’ 60
1 Further details about the CSP arrangements can be found at the website
pensionable salary for each year of service. In addition, a lump sum equivalent to three to equivalent sum lump a addition, In service. of year each for salary pensionable www.civilservice-pensions.gov.uk
th of th ⁄ and 3.5% for Premium and Classic Plus. Benefits in Classic accrue at the rate of of rate the at accrue Classic in Benefits Plus. Classic and Premium for 3.5% and 80
1
Employee contributions are set at the rate of 1.5% of pensionable earnings for Classic Classic for earnings pensionable of 1.5% of rate the at set are contributions Employee
contribution (partnership pension account). pension (partnership contribution
‘money purchase’ stakeholder based arrangement with a significant employer significant a with arrangement based stakeholder purchase’ ‘money
October 2002 may choose between membership of premium or joining a good quality good a joining or premium of membership between choose may 2002 October
increased annually in line with changes in the Retail Price Index. New entrants after 1 after entrants New Index. Price Retail the in changes with line in annually increased
by Parliament each year. Pensions payable under Classic, Premium and Classic Plus are Plus Classic and Premium Classic, under payable Pensions year. each Parliament by
Classic Plus). The schemes are unfunded with the cost of benefits met by monies voted monies by met benefits of cost the with unfunded are schemes The Plus). Classic
three statutory based ‘final salary’ defined benefit schemes (Classic, Premium, and Premium, (Classic, schemes benefit defined salary’ ‘final based statutory three
Scheme (PCSPS) arrangements. From 1 October 2002, civil servants may be in one of one in be may servants civil 2002, October 1 From arrangements. (PCSPS) Scheme
Pension benefits for civilian staff are provided through the Principal Civil Service pension Service Civil Principal the through provided are staff civilian for benefits Pension
Civil Service Pensions Service Civil In-year Activity In-year
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The Cash Equivalent Transfer Value (CETV) The above table show the member’s Cash Equivalent Transfer Value (CETV) accrued at the beginning and the end of the reporting period. Column 5 reflects the increase in CETV effectively funded by the employer. It takes account of the increase in accrued pension due to inflation, contributions paid by the employee (including the value of any benefits transferred from another pension scheme or arrangement) and uses common market valuation factors for the start and end of the period.
A CETV is the actuarially assessed capitalised value of the pension scheme benefits accrued by a member at a particular point in time. The benefits valued are the member’s
accrued benefits and any contingent spouse’s pension payable from the scheme. A 2006 July 14
CETV is a payment made by a pension scheme or arrangement to secure pension Executive Chief
benefits in another pension scheme or arrangement when the member leaves a scheme FFOM MRCGP MBChB MSc BSc Raffaelli PI Admiral Rear Surgeon and chooses to transfer the benefits accrued in their former scheme. The pension figures shown relate to the benefits that the individual has accrued as a consequence of
their total membership of the pension scheme, not just their service in a senior capacity
to which disclosure applies. The CETV figures, and from 2003/2004 the other pension £15,271.49. was 2005/2006 in pensions these to contribution details, include the value of any pension benefit in another scheme or arrangement departmental the pensions, partnership out taken have DMETA in staff of members Nine which the individual has transferred to the AFPS or CSP arrangements and for which
the AFPS or CS Vote has received a transfer payment commensurate to the additional Actuaries. of Faculty and Institute the by prescribed framework
pension liabilities being assumed. They also include any additional pension benefit and guidelines the within calculated are CETVs cost. own their at scheme the in service
accrued to the member as a result of their purchasing additional years of pension pension of years additional purchasing their of result a as member the to accrued
service in the scheme at their own cost. CETVs are calculated within the guidelines and benefit pension additional any include also They assumed. being liabilities pension
framework prescribed by the Institute and Faculty of Actuaries. additional the to commensurate payment transfer a received has Vote CS or AFPS the
which the individual has transferred to the AFPS or CSP arrangements and for which which for and arrangements CSP or AFPS the to transferred has individual the which
Nine members of staff in DMETA have taken out partnership pensions, the departmental arrangement or scheme another in benefit pension any of value the include details,
contribution to these pensions in 2005/2006 was £15,271.49. pension other the 2003/2004 from and figures, CETV The applies. disclosure which to
their total membership of the pension scheme, not just their service in a senior capacity senior a in service their just not scheme, pension the of membership total their
figures shown relate to the benefits that the individual has accrued as a consequence of consequence a as accrued has individual the that benefits the to relate shown figures and chooses to transfer the benefits accrued in their former scheme. The pension The scheme. former their in accrued benefits the transfer to chooses and
Surgeon Rear Admiral PI Raffaelli BSc MSc MBChB MRCGP FFOM scheme a leaves member the when arrangement or scheme pension another in benefits
Chief Executive pension secure to arrangement or scheme pension a by made payment a is CETV
14 July 2006 A scheme. the from payable pension spouse’s contingent any and benefits accrued accrued by a member at a particular point in time. The benefits valued are the member’s the are valued benefits The time. in point particular a at member a by accrued
A CETV is the actuarially assessed capitalised value of the pension scheme benefits scheme pension the of value capitalised assessed actuarially the is CETV A
market valuation factors for the start and end of the period. the of end and start the for factors valuation market
benefits transferred from another pension scheme or arrangement) and uses common uses and arrangement) or scheme pension another from transferred benefits
pension due to inflation, contributions paid by the employee (including the value of any of value the (including employee the by paid contributions inflation, to due pension
CETV effectively funded by the employer. It takes account of the increase in accrued in increase the of account takes It employer. the by funded effectively CETV
the beginning and the end of the reporting period. Column 5 reflects the increase in increase the reflects 5 Column period. reporting the of end the and beginning the
The above table show the member’s Cash Equivalent Transfer Value (CETV) accrued at at accrued (CETV) Value Transfer Equivalent Cash member’s the show table above The
The Cash Equivalent Transfer Value (CETV) Value Transfer Equivalent Cash The DMETA Annual Report 2005-06 Report Annual DMETA
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Statement of the Agency’s and Chief Executive’s responsibilities Under Section 7(2) of the Government Resources and Accounts Act 2000 the Treasury have directed the Defence Medical Education and Training Agency to prepare a statement of accounts for each financial year in the form and on the basis set out in the Accounts Direction. The accounts are prepared on the accruals basis and must give a true and fair view of the Agency’s state of affairs at the year end and of its net operating cost, recognised gains and losses and cash flow for the financial year.
In preparing the accounts the Agency is required to:
• Observe the Accounts Direction issued by the Treasury, including the relevant accounting disclosure requirements, and apply suitable accounting policies on
a consistent basis. • Make judgements and estimates on a reasonable basis. Accounting’. ‘Government in published
• State whether applicable accounting standards have been followed, and disclose and Treasury the by issued Memorandum, Officer’s Accounting the in out set are
and explain any material departures in the financial statements. records, proper of keeping for and answerable is Executive Chief the which for finances
responsibilities, including responsibility for the propriety and regularity of the public the of regularity and propriety the for responsibility including responsibilities,
• Prepare the financial statements on the going concern basis, unless it These apply. will arrangements analogous Officers, Accounting Agency appointed not are
is inappropriate to presume that the Agency will continue in operation. Agencies Defence of Executives Chief although that, Treasury HM with agreed been has It
It has been agreed with HM Treasury that, although Chief Executives of Defence Agencies operation. in continue will Agency the that presume to inappropriate is are not appointed Agency Accounting Officers, analogous arrangements will apply. These it unless basis, concern going the on statements financial the Prepare • responsibilities, including responsibility for the propriety and regularity of the public
finances for which the Chief Executive is answerable and for keeping of proper records, statements. financial the in departures material any explain and
are set out in the Accounting Officer’s Memorandum, issued by the Treasury and disclose and followed, been have standards accounting applicable whether State •
published in ‘Government Accounting’. basis. reasonable a on estimates and judgements Make •
a consistent basis. consistent a
accounting disclosure requirements, and apply suitable accounting policies on on policies accounting suitable apply and requirements, disclosure accounting
• Observe the Accounts Direction issued by the Treasury, including the relevant the including Treasury, the by issued Direction Accounts the Observe •
In preparing the accounts the Agency is required to: required is Agency the accounts the preparing In
recognised gains and losses and cash flow for the financial year. financial the for flow cash and losses and gains recognised
view of the Agency’s state of affairs at the year end and of its net operating cost, operating net its of and end year the at affairs of state Agency’s the of view
Direction. The accounts are prepared on the accruals basis and must give a true and fair and true a give must and basis accruals the on prepared are accounts The Direction.
of accounts for each financial year in the form and on the basis set out in the Accounts the in out set basis the on and form the in year financial each for accounts of
have directed the Defence Medical Education and Training Agency to prepare a statement a prepare to Agency Training and Education Medical Defence the directed have
Under Section 7(2) of the Government Resources and Accounts Act 2000 the Treasury the 2000 Act Accounts and Resources Government the of 7(2) Section Under
Chief Executive’s responsibilities Executive’s Chief
Statement of the Agency’s and Agency’s the of Statement DMETA Annual Report 2005-06 Report Annual DMETA
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action will have in mitigating the risk. At all levels managers submit regular reports on reports regular submit managers levels all At risk. the mitigating in have will action
identified by the HLB Management Board and assesses the impact that management that impact the assesses and Board Management HLB the by identified through the Defence Health Programme risk-reporting framework. It also evaluates risks evaluates also It framework. risk-reporting Programme Health Defence the through
those risks that should be reported to Defence Medical Services Department (DMSD) Department Services Medical Defence to reported be should that risks those Statement on internal control
on the effectiveness of the mitigating actions. The Risk Panel also identifies and reviews and identifies also Panel Risk The actions. mitigating the of effectiveness the on Scope of responsibility
and whether they should be recognised as DMETA-wide risks. The panel then focuses then panel The risks. DMETA-wide as recognised be should they whether and As Chief Executive of the Defence Medical Education and Training Agency I have
identified by the subordinate boards to agree at which level these should be managed be should these level which at agree to boards subordinate the by identified responsibilities analogous to an Accounting Officer. These include responsibility for
Chief Executive, the Risk Panel has met three times and reviews ‘candidate’ risks ‘candidate’ reviews and times three met has Panel Risk the Executive, Chief maintaining a sound system of internal control that supports the achievement of Agency
now reported to a Risk Panel that was established during 2005/2006. Chaired by the by Chaired 2005/2006. during established was that Panel Risk a to reported now objectives which underpin departmental policies and aims, whilst safeguarding the public
three times during the year and have identified a number of ‘candidate’ risks. These are These risks. ‘candidate’ of number a identified have and year the during times three funds and departmental assets for which I am personally responsible in accordance with
The Clinical Units Board and the Education and Training Advisory Board have each met each have Board Advisory Training and Education the and Board Units Clinical The the responsibilities assigned to me in Government Accounting and through my letters of to capture both a top down and a bottom up view of risk. of view up bottom a and down top a both capture to delegation and designation.
reporting of issues that may constitute Agency risks. The agreed process is designed designed is process agreed The risks. Agency constitute may that issues of reporting The Agency is an Intermediate Higher Level Budget (IHLB) and separate Management
during 2004/2005 have been updated to further assist staff in the identification and identification the in staff assist further to updated been have 2004/2005 during Group within the Deputy Chief of Defence Staff(Health)’s (DCDS(H))’s Higher Level
emerging best practice. As a result, the risk and issue reporting templates introduced templates reporting issue and risk the result, a As practice. best emerging Budget (HLB) and provides regular reports to DCDS(H) as the Agency Owner.
mechanisms. Guidance is regularly reviewed and updated in the light of experience and experience of light the in updated and reviewed regularly is Guidance mechanisms.
planning for their mitigation and implementation of appropriate management and control and management appropriate of implementation and mitigation their for planning Purpose of the system of internal control
facing the Agency, an analysis of the risks in the form of an organisation wide risk register, risk wide organisation an of form the in risks the of analysis an Agency, the facing The system of internal control is designed to manage risk to a reasonable level rather than
strategy, which includes details of the methods to be used in the identification of the risks the of identification the in used be to methods the of details includes which strategy, to eliminate all risk of failure to achieve policies, aims and objectives; it can therefore
The Agency Board of Management has adopted a fully documented risk management risk documented fully a adopted has Management of Board Agency The only provide reasonable and not absolute assurance of effectiveness. The system of Capacity to handle risk handle to Capacity internal control is based on an ongoing process designed to identify and prioritise the risks to the achievement of departmental policies, aims and objectives, to evaluate the
approval of the annual report and accounts, and accords with Treasury guidance. Treasury with accords and accounts, and report annual the of approval likelihood of those risks being realised and the impact should they be realised, and to
been in place in DMETA for the year ended 31 March 2006 and up to the date of the of date the to up and 2006 March 31 ended year the for DMETA in place in been manage them efficiently, effectively and economically. The system of internal control has
manage them efficiently, effectively and economically. The system of internal control has control internal of system The economically. and effectively efficiently, them manage been in place in DMETA for the year ended 31 March 2006 and up to the date of the
likelihood of those risks being realised and the impact should they be realised, and to and realised, be they should impact the and realised being risks those of likelihood approval of the annual report and accounts, and accords with Treasury guidance.
risks to the achievement of departmental policies, aims and objectives, to evaluate the evaluate to objectives, and aims policies, departmental of achievement the to risks
internal control is based on an ongoing process designed to identify and prioritise the prioritise and identify to designed process ongoing an on based is control internal Capacity to handle risk
only provide reasonable and not absolute assurance of effectiveness. The system of system The effectiveness. of assurance absolute not and reasonable provide only The Agency Board of Management has adopted a fully documented risk management
to eliminate all risk of failure to achieve policies, aims and objectives; it can therefore can it objectives; and aims policies, achieve to failure of risk all eliminate to strategy, which includes details of the methods to be used in the identification of the risks
The system of internal control is designed to manage risk to a reasonable level rather than rather level reasonable a to risk manage to designed is control internal of system The facing the Agency, an analysis of the risks in the form of an organisation wide risk register, Purpose of the system of internal control internal of system the of Purpose planning for their mitigation and implementation of appropriate management and control mechanisms. Guidance is regularly reviewed and updated in the light of experience and
Budget (HLB) and provides regular reports to DCDS(H) as the Agency Owner. Agency the as DCDS(H) to reports regular provides and (HLB) Budget emerging best practice. As a result, the risk and issue reporting templates introduced
Group within the Deputy Chief of Defence Staff(Health)’s (DCDS(H))’s Higher Level Higher (DCDS(H))’s Staff(Health)’s Defence of Chief Deputy the within Group during 2004/2005 have been updated to further assist staff in the identification and
The Agency is an Intermediate Higher Level Budget (IHLB) and separate Management separate and (IHLB) Budget Level Higher Intermediate an is Agency The reporting of issues that may constitute Agency risks. The agreed process is designed delegation and designation. designation. and delegation to capture both a top down and a bottom up view of risk.
the responsibilities assigned to me in Government Accounting and through my letters of letters my through and Accounting Government in me to assigned responsibilities the The Clinical Units Board and the Education and Training Advisory Board have each met
funds and departmental assets for which I am personally responsible in accordance with accordance in responsible personally am I which for assets departmental and funds three times during the year and have identified a number of ‘candidate’ risks. These are
objectives which underpin departmental policies and aims, whilst safeguarding the public the safeguarding whilst aims, and policies departmental underpin which objectives now reported to a Risk Panel that was established during 2005/2006. Chaired by the
maintaining a sound system of internal control that supports the achievement of Agency of achievement the supports that control internal of system sound a maintaining Chief Executive, the Risk Panel has met three times and reviews ‘candidate’ risks
responsibilities analogous to an Accounting Officer. These include responsibility for responsibility include These Officer. Accounting an to analogous responsibilities identified by the subordinate boards to agree at which level these should be managed
As Chief Executive of the Defence Medical Education and Training Agency I have I Agency Training and Education Medical Defence the of Executive Chief As and whether they should be recognised as DMETA-wide risks. The panel then focuses
Scope of responsibility of Scope on the effectiveness of the mitigating actions. The Risk Panel also identifies and reviews Statement on internal control internal on Statement those risks that should be reported to Defence Medical Services Department (DMSD) through the Defence Health Programme risk-reporting framework. It also evaluates risks identified by the HLB Management Board and assesses the impact that management
action will have in mitigating the risk. At all levels managers submit regular reports on Financial Accounts Financial
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auditors. During 2005/2006 two DIA reports on DMETA activities were published. These published. were activities DMETA on reports DIA two 2005/2006 During auditors. of the DIA and the Defence Audit Committee, which oversees the work of the internal the of work the oversees which Committee, Audit Defence the and DIA the of
the steps they are taking to manage risks in their areas of responsibility, including progress work the by informed also is review my scrutiny DIA to subject been has Agency the
reports on key projects. This is complemented by the use of a Balanced Scorecard, which when addition, In reports. other and letter management their in auditors external the by
supports monitoring of performance against key targets, balanced scorecard objectives made comments and framework, control internal the of maintenance and development
and performance indicators. the for responsibility have who Agency the within managers executive the and auditors
of the effectiveness of the systems of Internal Control is informed by the work of internal of work the by informed is Control Internal of systems the of effectiveness the of
This year has seen a continuing increase in awareness and understanding of risk review My Control. Internal of system the of effectiveness the reviewing for responsibility
management across DMETA and units are now much more alert to which unit/candidate have I Officer, Accounting an of those to analogous powers with Executive, Chief As issues should be reported upwards and in identifying appropriate mitigating action. The effectiveness of Review most significant risks continue to be related to personnel issues and in the delivery of
key projects relating to the rationalisation of the DMETA estate. attend. to invited are
DMETA. Representatives from Defence Internal Audit and the National Audit Office Office Audit National the and Audit Internal Defence from Representatives DMETA.
The risk and control framework to external member further a includes Committee Audit the of Membership year.
There is a framework of regular management information, financial regulations, financial 2005/2006 the during times four met Committee Audit The Management. of
administrative procedures, management supervision and a system of delegation and Board the to reports that and Management of Board Agency the of member Executive accountability that this year has been incorporated into a Service Delivery Agreement Non- external an by chaired Committee Audit Agency an has DMETA addition In that sets out the annual resource control total and the outputs to be delivered.
Development and maintenance of the system is undertaken by executive managers reviews. compliance and assurance Periodic •
within the Agency. In particular, it includes: disciplines. management project formal appropriate, As • • Comprehensive budgeting systems with an annual budget which is agreed guidelines. control investment capital defined Clearly •
as part of the MoD’s resource allocation process. • Setting targets to measure financial and other performance. other and financial measure to targets Setting • • Quarterly reviews by the DMETA Board of Management of periodic and annual
financial reports which report the Agency’s financial performance against forecasts. forecasts. against performance financial Agency’s the report which reports financial • Quarterly reviews by the DMETA Board of Management of periodic and annual and periodic of Management of Board DMETA the by reviews Quarterly •
• Setting targets to measure financial and other performance.
as part of the MoD’s resource allocation process. allocation resource MoD’s the of part as
• Clearly defined capital investment control guidelines. agreed is which budget annual an with systems budgeting Comprehensive • • As appropriate, formal project management disciplines. includes: it particular, In Agency. the within
• Periodic assurance and compliance reviews. managers executive by undertaken is system the of maintenance and Development
that sets out the annual resource control total and the outputs to be delivered. be to outputs the and total control resource annual the out sets that
In addition DMETA has an Agency Audit Committee chaired by an external Non- Agreement Delivery Service a into incorporated been has year this that accountability
Executive member of the Agency Board of Management and that reports to the Board and delegation of system a and supervision management procedures, administrative
of Management. The Audit Committee met four times during the 2005/2006 financial regulations, financial information, management regular of framework a is There year. Membership of the Audit Committee includes a further member external to framework control and risk The DMETA. Representatives from Defence Internal Audit and the National Audit Office
are invited to attend. estate. DMETA the of rationalisation the to relating projects key
most significant risks continue to be related to personnel issues and in the delivery of delivery the in and issues personnel to related be to continue risks significant most
Review of effectiveness The action. mitigating appropriate identifying in and upwards reported be should issues
As Chief Executive, with powers analogous to those of an Accounting Officer, I have unit/candidate which to alert more much now are units and DMETA across management responsibility for reviewing the effectiveness of the system of Internal Control. My review risk of understanding and awareness in increase continuing a seen has year This of the effectiveness of the systems of Internal Control is informed by the work of internal
auditors and the executive managers within the Agency who have responsibility for the indicators. performance and
development and maintenance of the internal control framework, and comments made objectives scorecard balanced targets, key against performance of monitoring supports
by the external auditors in their management letter and other reports. In addition, when which Scorecard, Balanced a of use the by complemented is This projects. key on reports
the Agency has been subject to DIA scrutiny my review is also informed by the work progress including responsibility, of areas their in risks manage to taking are they steps the of the DIA and the Defence Audit Committee, which oversees the work of the internal
auditors. During 2005/2006 two DIA reports on DMETA activities were published. These DMETA Annual Report 2005-06 Report Annual DMETA
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looked at the effectiveness of the Annual Agreed Training Provision process (which homed
in on an area of risk which has been highlighted in DMETA’s Risk Register for some time)
future external audits achieve a rating of at least 85%, the new target set by SofS. SofS. by set target new the 85%, least at of rating a achieve audits external future and the process for determining Operational Manpower Requirements. Both audits
HQ staff to progress existing and new SHEF policies and procedures to ensure any ensure to procedures and policies SHEF new and existing progress to staff HQ made a number of recommendations but each gave a ‘Substantial’ assurance as to the
baseline, the recommendations from which, will enable both individual units and and units individual both enable will which, from recommendations the baseline, effectiveness of the controls in place. Management Action Plans have now been agreed
highlighted and addressed accordingly. The results of this audit have provided a provided have audit this of results The accordingly. addressed and highlighted and the implementation of the recommendations will be monitored through the Audit • An internal audit of SHEF processes which enabled site specific issues to be to issues specific site enabled which processes SHEF of audit internal An • Committee and reported to the Board of Management. I have been advised on the implications of the result of my review of the effectiveness of the system of internal
owned DMETA sites by the end of April 2006. April of end the by sites DMETA owned control by the Board of Management and the Audit Committee and plan to address
compliant with MoD policy and international best practice (ISO 14001) at all 3 MoD 3 all at 14001) (ISO practice best international and policy MoD with compliant weaknesses, and ensure continuous improvement of the system is in place.
and work is in hand to have in place an Environmental Management System which is which System Management Environmental an place in have to hand in is work and
of Management. Activity this year has been focused on Environmental Management Management Environmental on focused been has year this Activity Management. of The Agency defines a “significant internal control issue” as one that has had a bearing
Measures to achieve this have included making it a standing agenda item at the Board the at item agenda standing a it making included have this achieve to Measures on DMETA’s ability to achieve any or all of its key targets and/or objectives or which has
business and remains firmly embedded in all management systems and processes. and systems management all in embedded firmly remains and business impacted adversely on the successful operation of a key process. No such issues have
Ensuring that Safety, Health, Environment and Fire is included as an integral part of our of part integral an as included is Fire and Environment Health, Safety, that Ensuring occurred during the year ending 31 March 2006.
any failure, shortcomings and examples of best practice. best of examples and shortcomings failure, any During this financial year, in addition to existing controls, further measures have been
Agency to review the application of financial controls and procedures and identify and procedures and controls financial of application the review to Agency introduced to ensure that the Agency has in place all the risk management and review • An ongoing annual rolling programme of checks and assurance visits across the across visits assurance and checks of programme rolling annual ongoing An • systems and processes necessary to ensure compliance with the provisions of Treasury
guidance and good governance practice.
Corporate Governance and Assurance Framework. Assurance and Governance Corporate improvement that has led to the development of a comprehensive overarching comprehensive a of development the to led has that improvement In particular, these measures have included:
• A review of the DMETA Corporate Governance system to identify areas for areas identify to system Governance Corporate DMETA the of review A • • A review of the DMETA Corporate Governance system to identify areas for In particular, these measures have included: included: have measures these particular, In improvement that has led to the development of a comprehensive overarching
Corporate Governance and Assurance Framework.
guidance and good governance practice. governance good and guidance
systems and processes necessary to ensure compliance with the provisions of Treasury of provisions the with compliance ensure to necessary processes and systems • An ongoing annual rolling programme of checks and assurance visits across the
introduced to ensure that the Agency has in place all the risk management and review and management risk the all place in has Agency the that ensure to introduced Agency to review the application of financial controls and procedures and identify
During this financial year, in addition to existing controls, further measures have been have measures further controls, existing to addition in year, financial this During any failure, shortcomings and examples of best practice.
occurred during the year ending 31 March 2006. 2006. March 31 ending year the during occurred Ensuring that Safety, Health, Environment and Fire is included as an integral part of our
impacted adversely on the successful operation of a key process. No such issues have issues such No process. key a of operation successful the on adversely impacted business and remains firmly embedded in all management systems and processes.
on DMETA’s ability to achieve any or all of its key targets and/or objectives or which has which or objectives and/or targets key its of all or any achieve to ability DMETA’s on Measures to achieve this have included making it a standing agenda item at the Board The Agency defines a “significant internal control issue” as one that has had a bearing a had has that one as issue” control internal “significant a defines Agency The of Management. Activity this year has been focused on Environmental Management and work is in hand to have in place an Environmental Management System which is
weaknesses, and ensure continuous improvement of the system is in place. in is system the of improvement continuous ensure and weaknesses, compliant with MoD policy and international best practice (ISO 14001) at all 3 MoD
control by the Board of Management and the Audit Committee and plan to address to plan and Committee Audit the and Management of Board the by control owned DMETA sites by the end of April 2006.
implications of the result of my review of the effectiveness of the system of internal of system the of effectiveness the of review my of result the of implications
Committee and reported to the Board of Management. I have been advised on the on advised been have I Management. of Board the to reported and Committee • An internal audit of SHEF processes which enabled site specific issues to be
and the implementation of the recommendations will be monitored through the Audit the through monitored be will recommendations the of implementation the and highlighted and addressed accordingly. The results of this audit have provided a
effectiveness of the controls in place. Management Action Plans have now been agreed been now have Plans Action Management place. in controls the of effectiveness baseline, the recommendations from which, will enable both individual units and
made a number of recommendations but each gave a ‘Substantial’ assurance as to the to as assurance ‘Substantial’ a gave each but recommendations of number a made HQ staff to progress existing and new SHEF policies and procedures to ensure any
and the process for determining Operational Manpower Requirements. Both audits Both Requirements. Manpower Operational determining for process the and future external audits achieve a rating of at least 85%, the new target set by SofS.
in on an area of risk which has been highlighted in DMETA’s Risk Register for some time) some for Register Risk DMETA’s in highlighted been has which risk of area an on in
looked at the effectiveness of the Annual Agreed Training Provision process (which homed (which process Provision Training Agreed Annual the of effectiveness the at looked Financial Accounts Financial
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• The development of a Clinical Governance Quality Assurance Framework as part of the overarching DMETA Corporate Governance Framework. The main drivers for the framework are the desire to continually improve the quality of reporting mechanisms across DMETA units, and to provide assurance that our Clinical Governance processes and procedures are appropriate and fit for purpose. Included within the framework is the process by which CG outputs from DMETA units are to be monitored. To that end, the Clinical Delivery Team (CDT) has developed an audit programme with a remit to undertake advisory visits to all DMETA units annually
to monitor how Clinical Governance is being addressed. The CDT has also formed
a DMETA Clinical Governance leads Support Group with the intent of facilitating 2007. in Haslar from staff finance include to centralisation further development of Clinical Governance and best practice across DMETA clinical Units. recommended has review further A objectives. those of achievement the to points
• An audit of the Defence Postgraduate Medical Deanery coordinated by the Business far so evidence The management. resource of quality the improving and efficiency
Audit and Assurance Unit (BAAU). Specific areas audited were the organisational enhancing at aimed was and HQ at management budget concentrated This staffing.
framework and Corporate Governance system including budgeting, and education Finance of review a of recommendations the implemented DMETA year, the During •
and training quality assurance. Whilst identifying many areas of good practice, an Agency. an as DMETA for issue an become might initiatives Improve and Simplify
agreed Action Plan has been implemented to address those areas identified for Closing Faster the from arising changes that noted but effective was controls
improvement. These included the development of definitive criteria and a funding financial of system the overall that concluded review The environment. accounting
formula for the assessment of Higher Professional Training and Continuing resource the in controls financial of operation the of assessments subjective and
Professional Development and publishing the selection criteria for course objective both includes This review. departmental annual the of part as completed attendance and establishing an Intelligent Customer Cell. A follow-up visit is been has review Systems Financial of Health A Systems. Financial of Health •
scheduled to be undertaken in Apr 06 to confirm Action Plan progress.
scheduled to be undertaken in Apr 06 to confirm Action Plan progress. Plan Action confirm to 06 Apr in undertaken be to scheduled
• Health of Financial Systems. A Health of Financial Systems review has been is visit follow-up A Cell. Customer Intelligent an establishing and attendance
completed as part of the annual departmental review. This includes both objective course for criteria selection the publishing and Development Professional
and subjective assessments of the operation of financial controls in the resource Continuing and Training Professional Higher of assessment the for formula
accounting environment. The review concluded that overall the system of financial funding a and criteria definitive of development the included These improvement.
controls was effective but noted that changes arising from the Faster Closing for identified areas those address to implemented been has Plan Action agreed Simplify and Improve initiatives might become an issue for DMETA as an Agency. an practice, good of areas many identifying Whilst assurance. quality training and
• During the year, DMETA implemented the recommendations of a review of Finance education and budgeting, including system Governance Corporate and framework
staffing. This concentrated budget management at HQ and was aimed at enhancing organisational the were audited areas Specific (BAAU). Unit Assurance and Audit
efficiency and improving the quality of resource management. The evidence so far Business the by coordinated Deanery Medical Postgraduate Defence the of audit An •
points to the achievement of those objectives. A further review has recommended Units. clinical DMETA across practice best and Governance Clinical of development
further centralisation to include finance staff from Haslar in 2007. facilitating of intent the with Group Support leads Governance Clinical DMETA a
to monitor how Clinical Governance is being addressed. The CDT has also formed formed also has CDT The addressed. being is Governance Clinical how monitor to
programme with a remit to undertake advisory visits to all DMETA units annually annually units DMETA all to visits advisory undertake to remit a with programme
monitored. To that end, the Clinical Delivery Team (CDT) has developed an audit an developed has (CDT) Team Delivery Clinical the end, that To monitored.
the framework is the process by which CG outputs from DMETA units are to be to are units DMETA from outputs CG which by process the is framework the
processes and procedures are appropriate and fit for purpose. Included within within Included purpose. for fit and appropriate are procedures and processes
across DMETA units, and to provide assurance that our Clinical Governance Clinical our that assurance provide to and units, DMETA across
framework are the desire to continually improve the quality of reporting mechanisms reporting of quality the improve continually to desire the are framework
the overarching DMETA Corporate Governance Framework. The main drivers for the for drivers main The Framework. Governance Corporate DMETA overarching the
• The development of a Clinical Governance Quality Assurance Framework as part of part as Framework Assurance Quality Governance Clinical a of development The • DMETA Annual Report 2005-06 Report Annual DMETA
46 344572_HC1424_DMETA / Sig: 23 / Plate B B Plate / 23 Sig: / 344572_HC1424_DMETA
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Financial Accounts
Business Continuity Having developed a Business Continuity Strategy last year, the focus this year has moved to ensuring that DMETA units have fit for purpose Business Continuity Plans. A bespoke DMETA BCP template has been developed to enable the maintenance of effective business processes should the requirement to implement BCPs arise. DMETA has recognised the need for awareness training for Business Continuity focal points within DMETA units. The programme of workshops delivered by Db Learning and HQ DMETA BAAU has gone some way to address this capability gap. In addition, to assist in the maintenance of impetus and focus details of Business Continuity specific training courses have been forwarded to units.
The overarching DMETA BC policy, administration instruction and audit programme for 2006/2007 are being developed and will be published on the Corporate Governance web pages. Unit draft Business Continuity Plans will be reviewed and there is a
commitment to apply 100% testing during 2006/2007. In my view, DMETA is making 14 July 2006 July 14 acceptable progress in applying good practice, but the tests are vital to show whether
this opinion is well-grounded.
Chief Executive Chief Surgeon Rear Admiral PI Raffaelli BSc MSc MBChB MRCGP FFOM FFOM MRCGP MBChB MSc BSc Raffaelli PI Admiral Rear Surgeon This has been a challenging year but I am confident that good progress has been made in a number of areas and that the Agency is able to manage risk effectively. The next year will see further improvements in Business Continuity Planning in particular and provide
me with further assurance as to the robustness of our Plans.
me with further assurance as to the robustness of our Plans. our of robustness the to as assurance further with me
will see further improvements in Business Continuity Planning in particular and provide and particular in Planning Continuity Business in improvements further see will
in a number of areas and that the Agency is able to manage risk effectively. The next year next The effectively. risk manage to able is Agency the that and areas of number a in This has been a challenging year but I am confident that good progress has been made been has progress good that confident am I but year challenging a been has This Surgeon Rear Admiral PI Raffaelli BSc MSc MBChB MRCGP FFOM
Chief Executive
this opinion is well-grounded. is opinion this
acceptable progress in applying good practice, but the tests are vital to show whether show to vital are tests the but practice, good applying in progress acceptable 14 July 2006
commitment to apply 100% testing during 2006/2007. In my view, DMETA is making is DMETA view, my In 2006/2007. during testing 100% apply to commitment
web pages. Unit draft Business Continuity Plans will be reviewed and there is a is there and reviewed be will Plans Continuity Business draft Unit pages. web
2006/2007 are being developed and will be published on the Corporate Governance Corporate the on published be will and developed being are 2006/2007
The overarching DMETA BC policy, administration instruction and audit programme for programme audit and instruction administration policy, BC DMETA overarching The
courses have been forwarded to units. units. to forwarded been have courses
in the maintenance of impetus and focus details of Business Continuity specific training specific Continuity Business of details focus and impetus of maintenance the in
DMETA BAAU has gone some way to address this capability gap. In addition, to assist to addition, In gap. capability this address to way some gone has BAAU DMETA
within DMETA units. The programme of workshops delivered by Db Learning and HQ and Learning Db by delivered workshops of programme The units. DMETA within
has recognised the need for awareness training for Business Continuity focal points focal Continuity Business for training awareness for need the recognised has
effective business processes should the requirement to implement BCPs arise. DMETA arise. BCPs implement to requirement the should processes business effective
A bespoke DMETA BCP template has been developed to enable the maintenance of maintenance the enable to developed been has template BCP DMETA bespoke A
moved to ensuring that DMETA units have fit for purpose Business Continuity Plans. Plans. Continuity Business purpose for fit have units DMETA that ensuring to moved
Having developed a Business Continuity Strategy last year, the focus this year has year this focus the year, last Strategy Continuity Business a developed Having
Business Continuity Continuity Business Financial Accounts Financial
47 344572_HC1424_DMETA / Sig: 24 / Plate A A Plate / 24 Sig: / 344572_HC1424_DMETA
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DMETA Annual Report 2005-06
financial statements. My responsibilities do not extend to any other information. other any to extend not do responsibilities My statements. financial Defence Medical Education and the with inconsistencies material or misstatements apparent any of aware become I if
Training Agency report my for implications the consider I statements. financial audited the with consistent
The Certificate and report of the Comptroller and Auditor is it whether consider and Report Annual the in contained information other the read I
General to the House of Commons procedures. control and risk its or procedures governance corporate Agency’s
I certify that I have audited the financial statements of the Defence Medical Education the of effectiveness the on opinion an form to or controls, and risks all cover control
and Training Agency for the year ended 31 March 2006 under the Government internal on statements Officer’s Accounting the whether consider to required not am I
Resources and Accounts Act 2000. These comprise the Operating Cost Statement not. does it if report I and Control, Internal on Statement the on guidance Treasury’s
and Statement of Recognised Gains and Losses, the Balance Sheet, the Cashflow HM with compliance Agency’s the reflects ] [ page on statement the whether review I
Statement and the related notes. These financial statements have been prepared disclosed. not is transactions under the accounting policies set out within them. other and remuneration regarding authorities relevant by specified information if
Respective responsibilities of the Agency, the Chief Executive and auditor or audit, my for require I explanations and information the all received not have I if
The Agency and Chief Executive are responsible for preparing the Annual Report and records, accounting proper kept not has Agency the if statements, financial the with
the financial statements in accordance with the Government Resources and Accounts consistent not is Report Annual the opinion, my in if, you to report also I them. govern
Act 2000 and HM Treasury directions made thereunder and for ensuring the regularity which authorities the to conform transactions financial the and Parliament by intended
of financial transactions. These responsibilities are set out in the Statement of purposes the to applied been have income and expenditure the respects material all in
Accounting Officer’s Responsibilities. whether report also I 2000. Act Accounts and Resources Government the under issued
to be audited have been properly prepared in accordance with HM Treasury directions Treasury HM with accordance in prepared properly been have audited be to
My responsibility is to audit the financial statements in accordance with relevant Report Remuneration the of part the and statements financial the whether and view legal and regulatory requirements, and with International Standards on Auditing fair and true a give statements financial the whether to as opinion my you to report I
(UK and Ireland).
(UK and Ireland). Ireland). and (UK
I report to you my opinion as to whether the financial statements give a true and fair Auditing on Standards International with and requirements, regulatory and legal view and whether the financial statements and the part of the Remuneration Report relevant with accordance in statements financial the audit to is responsibility My to be audited have been properly prepared in accordance with HM Treasury directions
issued under the Government Resources and Accounts Act 2000. I also report whether Responsibilities. Officer’s Accounting
in all material respects the expenditure and income have been applied to the purposes of Statement the in out set are responsibilities These transactions. financial of
intended by Parliament and the financial transactions conform to the authorities which regularity the ensuring for and thereunder made directions Treasury HM and 2000 Act
govern them. I also report to you if, in my opinion, the Annual Report is not consistent Accounts and Resources Government the with accordance in statements financial the
with the financial statements, if the Agency has not kept proper accounting records, and Report Annual the preparing for responsible are Executive Chief and Agency The
if I have not received all the information and explanations I require for my audit, or auditor and Executive Chief the Agency, the of responsibilities Respective
if information specified by relevant authorities regarding remuneration and other them. within out set policies accounting the under transactions is not disclosed. prepared been have statements financial These notes. related the and Statement
I review whether the statement on page [ ] reflects the Agency’s compliance with HM Cashflow the Sheet, Balance the Losses, and Gains Recognised of Statement and
Treasury’s guidance on the Statement on Internal Control, and I report if it does not. Statement Cost Operating the comprise These 2000. Act Accounts and Resources
I am not required to consider whether the Accounting Officer’s statements on internal Government the under 2006 March 31 ended year the for Agency Training and
control cover all risks and controls, or to form an opinion on the effectiveness of the Education Medical Defence the of statements financial the audited have I that certify I
Agency’s corporate governance procedures or its risk and control procedures. Commons of House the to General The Certificate and report of the Comptroller and Auditor and Comptroller the of report and Certificate The
I read the other information contained in the Annual Report and consider whether it is
consistent with the audited financial statements. I consider the implications for my report Agency Training if I become aware of any apparent misstatements or material inconsistencies with the and Education Medical Defence
financial statements. My responsibilities do not extend to any other information. DMETA Annual Report 2005-06 Report Annual DMETA
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Financial Accounts Date 18 July 2006 July 18 Date
London SW1W 9SP SW1W London Basis of audit opinion
Victoria I conducted my audit in accordance with International Standards on Auditing (UK and
Comptroller and Auditor General 157-197 Buckingham Palace Road Palace Buckingham 157-197 General Auditor and Comptroller Ireland) issued by the Auditing Practices Board. My audit includes examination, on a
John Bourn National Audit Office Audit National Bourn John test basis, of evidence relevant to the amounts, disclosures and regularity of financial transactions included in the financial statements and the part of the Remuneration Report to be audited. It also includes an assessment of the significant estimates and judgments made by the Agency and Chief Executive in the preparation of the financial statements, and of whether the accounting policies are most appropriate to the Agency’s
I have no observations to make on these financial statements. statements. financial these on make to observations no have I circumstances, consistently applied and adequately disclosed.
authorities which govern them. them. govern which authorities I planned and performed my audit so as to obtain all the information and explanations
purposes intended by Parliament and the financial transactions conform to the to conform transactions financial the and Parliament by intended purposes which I considered necessary in order to provide me with sufficient evidence to give
• in all material respects the expenditure and income have been applied to the to applied been have income and expenditure the respects material all in • reasonable assurance that the financial statements and the part of the Remuneration
under the Government Resources and Accounts Act 2000; and 2000; Act Accounts and Resources Government the under Report to be audited are free from material misstatement, whether caused by fraud
have been properly prepared in accordance with HM Treasury directions issued directions Treasury HM with accordance in prepared properly been have or error and that in all material respects the expenditure and income have been applied • the financial statements and the part of the Remuneration Report to be audited be to Report Remuneration the of part the and statements financial the • to the purposes intended by Parliament and the financial transactions conform to the authorities which govern them. In forming my opinion I also evaluated the overall
then ended; ended; then adequacy of the presentation of information in the financial statements and the part
the net operating cost, recognised gains and losses and cashflows for the year year the for cashflows and losses and gains recognised cost, operating net the of the Remuneration Report to be audited.
by HM Treasury, of the state of the Agency’s affairs as at 31 March 2006 and of of and 2006 March 31 at as affairs Agency’s the of state the of Treasury, HM by
Government Resources and Accounts Act 2000 and directions made thereunder thereunder made directions and 2000 Act Accounts and Resources Government Opinions
• the financial statements give a true and fair view, in accordance with the with accordance in view, fair and true a give statements financial the • In my opinion:
In my opinion: opinion: my In • the financial statements give a true and fair view, in accordance with the Opinions Government Resources and Accounts Act 2000 and directions made thereunder by HM Treasury, of the state of the Agency’s affairs as at 31 March 2006 and of
of the Remuneration Report to be audited. be to Report Remuneration the of the net operating cost, recognised gains and losses and cashflows for the year
adequacy of the presentation of information in the financial statements and the part part the and statements financial the in information of presentation the of adequacy then ended;
authorities which govern them. In forming my opinion I also evaluated the overall the evaluated also I opinion my forming In them. govern which authorities
to the purposes intended by Parliament and the financial transactions conform to the to conform transactions financial the and Parliament by intended purposes the to • the financial statements and the part of the Remuneration Report to be audited
or error and that in all material respects the expenditure and income have been applied been have income and expenditure the respects material all in that and error or have been properly prepared in accordance with HM Treasury directions issued Report to be audited are free from material misstatement, whether caused by fraud fraud by caused whether misstatement, material from free are audited be to Report under the Government Resources and Accounts Act 2000; and
reasonable assurance that the financial statements and the part of the Remuneration the of part the and statements financial the that assurance reasonable • in all material respects the expenditure and income have been applied to the
which I considered necessary in order to provide me with sufficient evidence to give to evidence sufficient with me provide to order in necessary considered I which purposes intended by Parliament and the financial transactions conform to the
I planned and performed my audit so as to obtain all the information and explanations and information the all obtain to as so audit my performed and planned I authorities which govern them.
circumstances, consistently applied and adequately disclosed. adequately and applied consistently circumstances, I have no observations to make on these financial statements. and of whether the accounting policies are most appropriate to the Agency’s the to appropriate most are policies accounting the whether of and
made by the Agency and Chief Executive in the preparation of the financial statements, financial the of preparation the in Executive Chief and Agency the by made
to be audited. It also includes an assessment of the significant estimates and judgments and estimates significant the of assessment an includes also It audited. be to transactions included in the financial statements and the part of the Remuneration Report Remuneration the of part the and statements financial the in included transactions
test basis, of evidence relevant to the amounts, disclosures and regularity of financial of regularity and disclosures amounts, the to relevant evidence of basis, test John Bourn National Audit Office
Ireland) issued by the Auditing Practices Board. My audit includes examination, on a a on examination, includes audit My Board. Practices Auditing the by issued Ireland) Comptroller and Auditor General 157-197 Buckingham Palace Road
I conducted my audit in accordance with International Standards on Auditing (UK and (UK Auditing on Standards International with accordance in audit my conducted I Victoria
Basis of audit opinion audit of Basis London SW1W 9SP
Date 18 July 2006 Financial Accounts Financial
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DMETA Annual Report 2005-06 1 2004/2005 figures have been re-stated due to the re-allocation of costs between Notes 3, 4, and 5 and 4, 3, Notes between costs of re-allocation the to due re-stated been have figures 2004/2005 1
Operating cost statement For the year ended 31 March 2006 2005/2006 2004/2005 1 (Re-stated ) Note £’000 £’000
Operating Costs Staff Costs 2 106,147 100,496 Supplies and Services Consumed 3 41,348 38,515 Accommodation Costs 4 19,138 16,994 Other Administration Costs 5 40,481 26,992
Gross Operating Cost 207,114 182,997
Operating Income Income from Non MoD Customers 6 (14,794) (14,018)
Net Operating Cost 192,320 168,979
All activities undertaken during the year are continuing.
The notes on pages 54 to 69 form part of these accounts.
The notes on pages 54 to 69 form part of these accounts. these of part form 69 to 54 pages on notes The
All activities undertaken during the year are continuing. are year the during undertaken activities All
e prtn ot1230168,979 192,320 Cost Operating Net
noefo o o utmr (474 (14,018) (14,794) 6 Customers MoD Non from Income
Operating Income Operating
rs prtn ot2714182,997 207,114 Cost Operating Gross
te diitainCss54,8 26,992 40,481 5 Costs Administration Other
comdto ot 91816,994 19,138 4 Costs Accommodation
upisadSrie osmd34,4 38,515 41,348 3 Consumed Services and Supplies
tf ot 0,4 100,496 106,147 2 Costs Staff
Operating Costs Operating
oe£00£’000 £’000 Note
(Re-stated )
1
0520 2004/2005 2005/2006
For the year ended 31 March 2006 2006 March 31 ended year the For Operating cost statement cost Operating
1 2004/2005 figures have been re-stated due to the re-allocation of costs between Notes 3, 4, and 5 DMETA Annual Report 2005-06 Report Annual DMETA
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Financial Accounts
Statement of recognised gains and losses For the year ended 31 March 2006 2005/2006 2004/2005 Note £’000 £’000
Net gain on revaluation of Tangible Fixed Assets 15 16,212 10,224
The notes on pages 54 to 69 form part of these accounts.
The notes on pages 54 to 69 form part of these accounts. these of part form 69 to 54 pages on notes The
e ano eauto fTnil ie ses1 62210,224 16,212 15 Assets Fixed Tangible of revaluation on gain Net
oe£00£’000 £’000 Note
0520 2004/2005 2005/2006
For the year ended 31 March 2006 2006 March 31 ended year the For
Statement of recognised gains and losses and gains recognised of Statement Financial Accounts Financial
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DMETA Annual Report 2005-06
Balance Sheet As at 31 March 2006 31 March 31 March 2006 2005 Note £’000 £’000
Fixed Assets Tangible Fixed Assets 8 134,512 126,777
Current Assets Stocks 9 3,698 3,115 accounts. these of part form 69 to 54 pages on notes The
Debtors 11 12,817 10,513
14 July 2006 July 14
Current Liabilities Executive Chief Creditors due within one year 12 (6,205) (5,284) FFOM MRCGP MBChB MSc BSc Raffaelli PI Admiral Rear Surgeon
Net Current Assets 10,310 8,344 Provisions for liabilities & other charges 13 (4,567) 0
Net Assets 140,255 135,121
Taxpayers’ Equity General Fund 14 109,169 78,802 135,121 140,255 Total
Revaluation Reserve 15 31,086 56,319
eauto eev 53,8 56,319 31,086 15 Reserve Revaluation
Total 140,255 135,121 78,802 109,169 14 Fund General
Taxpayers’ Equity Taxpayers’
e ses1025135,121 140,255 Assets Net
rvsosfrlaiiis&ohrcags1 457 0 (4,567) 13 charges other & liabilities for Provisions
e urn ses1,1 8,344 10,310 Assets Current Net
Surgeon Rear Admiral PI Raffaelli BSc MSc MBChB MRCGP FFOM (5,284) (6,205) 12 year one within due Creditors Chief Executive Liabilities Current
14 July 2006
etr 11,1 10,513 12,817 11 Debtors
The notes on pages 54 to 69 form part of these accounts. 3,115 3,698 9 Stocks
Current Assets Current
agbeFxdAst 3,1 126,777 134,512 8 Assets Fixed Tangible
Fixed Assets Fixed
oe£00£’000 £’000 Note
062005 2006
31 March 31 March 31 March 31
As at 31 March 2006 March 31 at As
Balance Sheet Sheet Balance DMETA Annual Report 2005-06 Report Annual DMETA
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Financial Accounts
Cash flow statement For the year ended 31 March 2006 2005/2006 2004/2005 Note £’000 £’000
Net Cash Outflow from Operating Activities 17 125,081 122,221
Capital Expenditure Payments to acquire Tangible Fixed Assets 8 299 812 Payments to dispose of Tangible Fixed Assets 0 0
Net Cash Outflow before Financing 14 125,380 123,033
Financing Payments from the Defence Resource Account 140,174 137,051 Receipts into the Defence Resource Account (14,794) (14,018)
Net Financing from the Defence Resource Account 125,380 123,033 (Increase)/Decrease in cash 0 0
The notes on pages 54 to 69 form part of these accounts.
The notes on pages 54 to 69 form part of these accounts. these of part form 69 to 54 pages on notes The
Ices)Dces ncs 0 0 cash in (Increase)/Decrease
con 2,8 123,033 125,380 Account
Net Financing from the Defence Resource Resource Defence the from Financing Net
eepsit h eec eoreAcut(474 (14,018) (14,794) Account Resource Defence the into Receipts
amnsfo h eec eoreAcut1014 137,051 140,174 Account Resource Defence the from Payments
Financing
e ahOto eoeFnnig1 2,8 123,033 125,380 14 Financing before Outflow Cash Net
amnst ips fTnil ie ses00 0 Assets Fixed Tangible of dispose to Payments
amnst cur agbeFxdAst 9 812 299 8 Assets Fixed Tangible acquire to Payments
Capital Expenditure Capital
e ahOtlwfo prtn ciiis1 2,8 122,221 125,081 17 Activities Operating from Outflow Cash Net
oe£00£’000 £’000 Note
0520 2004/2005 2005/2006
For the year ended 31 March 2006 March 31 ended year the For
Cash flow statement flow Cash Financial Accounts Financial
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DMETA Annual Report 2005-06
It has been agreed between the Ministry of Defence and the National Audit Office Audit National the and Defence of Ministry the between agreed been has It
Professional revaluation of existing Land and Buildings is carried out every 5 years. 5 every out carried is Buildings and Land existing of revaluation Professional
vested in the Secretary of State for Defence. Defence. for State of Secretary the in vested Notes to the Financial Accounts is ownership legal although DMETA of asset an as treated is estate such Estate,
for the year ended 31 March 2006 Departmental of user beneficial principal the is DMETA BuildingsWhere and Land (a)
Note 1 – Principle Accounting Policies Depreciation and Assets Fixed E.
The accounts for the Defence Medical Education and Training Agency have been provided. services of
prepared in accordance with the Financial Reporting Manual issued by H M Treasury. cost the on based statement cost operating the to charge notional the represents
DMETA is not charged an audit fee by the National Audit Office. The audit fee audit The Office. Audit National the by fee audit an charged not is DMETA A. Basis of Accounting Fee Audit (c) These accounts have been prepared under the historical cost convention modified
to account for the revaluation of fixed assets at their value to the business by DMETA. to services these
reference to their current costs. providing of cost full the reflect charged amounts The overheads. departmental
respect of services provided from other areas of MoD, including a share of central of share a including MoD, of areas other from provided services of respect
B. Value Added Tax in charges for Statement Cost Operating the in included are amounts Notional DMETA is not separately registered for Value Added Tax (VAT) as the Ministry of Charges Intra-Departmental (b) Defence (MoD) accounts for VAT centrally. Input VAT on certain contracted out
services is recovered centrally through the MoD registration under specific Treasury Statement. Cost Operating the to charged is assets,
Direction. Other non-recoverable input VAT attributable to the DMETA’s activities is net total of value average the of annum per 3.5% at calculated charge, notional A
included in the cost of the related expenditure or asset. Capital on Charge Interest (a) D. Notional Charges Notional D. C. Income
Income comprises the invoiced value of transactions of services to repayment customers. Statement. Flow Cash the in terms cash in shown is DMETA of funding MoD
The amounts charged are calculated to reflect the full cost to DMETA of providing The MoD. to provided services to accounts the in attributed is value No Estates.
the service, except in the case of rent for buildings, which are calculated by Defence Defence by calculated are which buildings, for rent of case the in except service, the
Estates. No value is attributed in the accounts to services provided to MoD. The providing of DMETA to cost full the reflect to calculated are charged amounts The
MoD funding of DMETA is shown in cash terms in the Cash Flow Statement. customers. repayment to services of transactions of value invoiced the comprises Income C. Income C. D. Notional Charges
(a) Interest Charge on Capital asset. or expenditure related the of cost the in included
A notional charge, calculated at 3.5% per annum of the average value of total net is activities DMETA’s the to attributable VAT input non-recoverable Other Direction.
assets, is charged to the Operating Cost Statement. Treasury specific under registration MoD the through centrally recovered is services
Defence (MoD) accounts for VAT centrally. Input VAT on certain contracted out contracted certain on VAT Input centrally. VAT for accounts (MoD) Defence
(b) Intra-Departmental Charges of Ministry the as (VAT) Tax Added Value for registered separately not is DMETA Notional amounts are included in the Operating Cost Statement for charges in Tax Added Value B. respect of services provided from other areas of MoD, including a share of central
departmental overheads. The amounts charged reflect the full cost of providing costs. current their to reference
these services to DMETA. by business the to value their at assets fixed of revaluation the for account to
These accounts have been prepared under the historical cost convention modified convention cost historical the under prepared been have accounts These (c) Audit Fee Accounting of Basis A. DMETA is not charged an audit fee by the National Audit Office. The audit fee
represents the notional charge to the operating cost statement based on the cost Treasury. M H by issued Manual Reporting Financial the with accordance in prepared
of services provided. been have Agency Training and Education Medical Defence the for accounts The Note 1 – Principle Accounting Policies Accounting Principle – 1 Note
E. Fixed Assets and Depreciation
(a) Land and BuildingsWhere DMETA is the principal beneficial user of Departmental 2006 March 31 ended year the for Estate, such estate is treated as an asset of DMETA although legal ownership is Accounts Financial the to Notes vested in the Secretary of State for Defence.
Professional revaluation of existing Land and Buildings is carried out every 5 years.
It has been agreed between the Ministry of Defence and the National Audit Office DMETA Annual Report 2005-06 Report Annual DMETA
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Financial Accounts
no effect on the Operating Costs of DMETA. DMETA. of Costs Operating the on effect no
asset transfers to other MoD bodies are transferred through the General Fund with Fund General the through transferred are bodies MoD other to transfers asset
parts of the MoD on a nil gain / nil loss basis. Under this accounting treatment, net treatment, accounting this Under basis. loss nil / gain nil a on MoD the of parts
In common with all Defence Agencies, tangible fixed assets are transferred to other to transferred are assets fixed tangible Agencies, Defence all with common In that these revaluations should be carried out across the Department on a rolling (e) Tangible Fixed Asset Transfers Asset Fixed Tangible (e) programme. DMETA Land and Buildings have been included in this revaluation programme for 2005/2006. Revaluation is carried out annually using appropriate
optr 5 Computers indices in accordance with MoD policy. Adjustments arising on revaluation of fixed ln n ahnr 5-15 machinery and Plant assets are taken to a Revaluation Reserve. Permanent diminution in value of fixed assets is charged to the Operating Cost Statement to the extent that it is not
eprr osrcin5-20 construction Temporary covered by previous increases in values.
ihigEupet5-40 Equipment Fighting (b) Plant, Machinery and Vehicles and IT and Communications Equipment ulig emnn rc osrcin15-50 construction brick permanent – Buildings Plant, Machinery and Vehicles and IT and Communications Equipment are capitalised where their useful lives exceed 1 year and the cost of acquisition and
Life in years in Life installation exceeds DMETA’s capitalisation threshold. They are revalued annually
over their estimated remaining lives, which are normally in the following ranges: following the in normally are which lives, remaining estimated their over using indices issued by the Corporate Financial Controller. Adjustments arising on Freehold buildings and other tangible assets are depreciated in equal instalments equal in depreciated are assets tangible other and buildings Freehold revaluation of fixed assets are taken to a Revaluation Reserve. Permanent diminution in value of fixed assets is charged to the Operating Cost Statement to the extent
on their Fixed Asset Register. Register. Asset Fixed their on that it is not covered by previous increases in values.
the Equipment Support (Land) area of the MoD in respect of DMETA assets held held assets DMETA of respect in MoD the of area (Land) Support Equipment the
Military Equipment (SUME) and Transport Other is communicated to DMETA by by DMETA to communicated is Other Transport and (SUME) Equipment Military (c) Single Use Military Equipment (SUME) and Transport Other
Freehold land is not depreciated. The majority of depreciation on Single Use Use Single on depreciation of majority The depreciated. not is land Freehold The majority of DMETA’s SUME and Transport Other is held on the Fixed Asset d Depreciation (d) Register of the Equipment Support (Land) area of the MoD, and is communicated by them to DMETA. Fighting Equipment is capitalised where the useful life exceeds
Financial Controller. Financial 1 year and the cost of acquisition and installation exceeds DMETA’s capitalisation
threshold. They are revalued annually using indices issued by the Corporate the by issued indices using annually revalued are They threshold. threshold. They are revalued annually using indices issued by the Corporate
1 year and the cost of acquisition and installation exceeds DMETA’s capitalisation DMETA’s exceeds installation and acquisition of cost the and year 1 Financial Controller.
by them to DMETA. Fighting Equipment is capitalised where the useful life exceeds exceeds life useful the where capitalised is Equipment Fighting DMETA. to them by
Register of the Equipment Support (Land) area of the MoD, and is communicated communicated is and MoD, the of area (Land) Support Equipment the of Register (d) Depreciation
The majority of DMETA’s SUME and Transport Other is held on the Fixed Asset Fixed the on held is Other Transport and SUME DMETA’s of majority The Freehold land is not depreciated. The majority of depreciation on Single Use (c) Single Use Military Equipment (SUME) and Transport Other Transport and (SUME) Equipment Military Use Single (c) Military Equipment (SUME) and Transport Other is communicated to DMETA by the Equipment Support (Land) area of the MoD in respect of DMETA assets held
that it is not covered by previous increases in values. values. in increases previous by covered not is it that on their Fixed Asset Register.
in value of fixed assets is charged to the Operating Cost Statement to the extent the to Statement Cost Operating the to charged is assets fixed of value in
revaluation of fixed assets are taken to a Revaluation Reserve. Permanent diminution Permanent Reserve. Revaluation a to taken are assets fixed of revaluation Freehold buildings and other tangible assets are depreciated in equal instalments using indices issued by the Corporate Financial Controller. Adjustments arising on arising Adjustments Controller. Financial Corporate the by issued indices using over their estimated remaining lives, which are normally in the following ranges:
installation exceeds DMETA’s capitalisation threshold. They are revalued annually revalued are They threshold. capitalisation DMETA’s exceeds installation Life in years
capitalised where their useful lives exceed 1 year and the cost of acquisition and acquisition of cost the and year 1 exceed lives useful their where capitalised Plant, Machinery and Vehicles and IT and Communications Equipment are Equipment Communications and IT and Vehicles and Machinery Plant, Buildings – permanent brick construction 15-50
(b) Plant, Machinery and Vehicles and IT and Communications Equipment Communications and IT and Vehicles and Machinery Plant, (b) Fighting Equipment 5-40
covered by previous increases in values. values. in increases previous by covered Temporary construction 5-20
assets is charged to the Operating Cost Statement to the extent that it is not is it that extent the to Statement Cost Operating the to charged is assets assets are taken to a Revaluation Reserve. Permanent diminution in value of fixed of value in diminution Permanent Reserve. Revaluation a to taken are assets Plant and machinery 5-15
indices in accordance with MoD policy. Adjustments arising on revaluation of fixed of revaluation on arising Adjustments policy. MoD with accordance in indices Computers 5
programme for 2005/2006. Revaluation is carried out annually using appropriate using annually out carried is Revaluation 2005/2006. for programme
programme. DMETA Land and Buildings have been included in this revaluation this in included been have Buildings and Land DMETA programme. (e) Tangible Fixed Asset Transfers that these revaluations should be carried out across the Department on a rolling a on Department the across out carried be should revaluations these that In common with all Defence Agencies, tangible fixed assets are transferred to other parts of the MoD on a nil gain / nil loss basis. Under this accounting treatment, net asset transfers to other MoD bodies are transferred through the General Fund with
no effect on the Operating Costs of DMETA. Financial Accounts Financial
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DMETA Annual Report 2005-06
F. Stocks
All stocks are held for continuing use and are valued at current replacement cost.
has been submitted. been has
G. Pension Costs claim or invoice no which for but received services and goods by represented
Past and present employees are covered by the provisions of the Principal Civil are Accruals paid. not but received been have invoices supplier which for and
Service Pension Scheme (PCSPS) and the Armed Forces Pension Scheme (AFPS), end period the before received been have that services and goods of respect which are described in Note 2. These defined benefit schemes are unfunded and in MoD, the outside organisations, other to owing amounts represent Creditors
non-contributory, except in respect of dependents, benefits.
have not yet been received. been yet not have
DMETA recognises the expected cost of these elements on a systematic and rational services and goods which for but made payments by represented are Prepayments
basis over the period during which it benefits from employees’ services by payment issued. been has invoice specific no where receivable properly amounts other as
to the PCSPS and AFPS of amounts calculated on an accruing basis. Liability for defined is which income, accrued include also Debtors settled. not but issued been
payment of future benefits is a charge on the PCSPS and AFPS. In respect of the have invoices which for and end period the before provided been have services
PCSPS defined contribution schemes, DMETA recognises the contributions payable and goods where customers its by DMETA to owed monies represent Debtors
for the year. Creditors and Debtors I.
H. Cash Balances and Liabilities Sheet. Balance DMETA’s in disclosed not are these and
Apart from minor transactions through local imprest accounts, which are cleared date, Sheet Balance the at Pensions and Works for Department the or Customs and
to nil balances at the Balance Sheet date, DMETA does not pay or receive money Revenue to due be may which liabilities any of payment the for liable is Department
on its own account. The majority of cash payments are made, and receipts the employees, DMETA to due contributions, Insurance National and PAYE of collected, by the MoD’s central accounting organisations on behalf of DMETA. inclusive payments, gross the with year the during DMETA charges MoD the As All transactions, both locally and centrally processed, are brought to account by
the MoD in the Department Resource Account and are disclosed in aggregate in Statement. Flow Cash the
the Cash Flow Statement. in aggregate in disclosed are and Account Resource Department the in MoD the
All transactions, both locally and centrally processed, are brought to account by by account to brought are processed, centrally and locally both transactions, All
As the MoD charges DMETA during the year with the gross payments, inclusive DMETA. of behalf on organisations accounting central MoD’s the by collected,
of PAYE and National Insurance contributions, due to DMETA employees, the receipts and made, are payments cash of majority The account. own its on
Department is liable for the payment of any liabilities which may be due to Revenue money receive or pay not does DMETA date, Sheet Balance the at balances nil to
and Customs or the Department for Works and Pensions at the Balance Sheet date, cleared are which accounts, imprest local through transactions minor from Apart
and these are not disclosed in DMETA’s Balance Sheet. Liabilities and Balances Cash H.
I. Debtors and Creditors year. the for
Debtors represent monies owed to DMETA by its customers where goods and payable contributions the recognises DMETA schemes, contribution defined PCSPS
services have been provided before the period end and for which invoices have the of respect In AFPS. and PCSPS the on charge a is benefits future of payment
been issued but not settled. Debtors also include accrued income, which is defined for Liability basis. accruing an on calculated amounts of AFPS and PCSPS the to
as other amounts properly receivable where no specific invoice has been issued. payment by services employees’ from benefits it which during period the over basis Prepayments are represented by payments made but for which goods and services rational and systematic a on elements these of cost expected the recognises DMETA
have not yet been received.
non-contributory, except in respect of dependents, benefits. benefits. dependents, of respect in except non-contributory,
Creditors represent amounts owing to other organisations, outside the MoD, in and unfunded are schemes benefit defined These 2. Note in described are which
respect of goods and services that have been received before the period end (AFPS), Scheme Pension Forces Armed the and (PCSPS) Scheme Pension Service
and for which supplier invoices have been received but not paid. Accruals are Civil Principal the of provisions the by covered are employees present and Past represented by goods and services received but for which no invoice or claim Costs Pension G.
has been submitted. All stocks are held for continuing use and are valued at current replacement cost. cost. replacement current at valued are and use continuing for held are stocks All
F. Stocks F. DMETA Annual Report 2005-06 Report Annual DMETA
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Financial Accounts
J. Reserves Taxpayers’ equity comprises the General Fund and the Revaluation Reserve. The General Fund represents the total net assets of DMETA to the extent that they are not represented by other reserves. Net funding from the MoD and realised gains and losses for the period are reflected in the General Fund. The General Fund also includes the notional funding in respect of the communicated costs shown in the operating cost statement. The Revaluation Reserve represents the unrealised element of the cumulative balance of revaluation and indexation adjustments on fixed assets.
K. Operating Leases Rentals due under Operating Leases are charged over the lease term on a straight- line basis or on the basis of actual rentals payable where this fairly reflects usage.
L. Provisions for Liabilities and other charges
Provisions for liabilities and other charges have been established under the criteria
Cost Statement. Cost of FRS12 and are based on realistic and prudent estimates of the expenditure
the remaining life of the provision and shown as an interest charge in the Operating the in charge interest an as shown and provision the of life remaining the required to settle future legal or constructive obligations that exist at the Balance Rate which was 2.2% for the financial year 2005-2006. The discount is unwound over unwound is discount The 2005-2006. year financial the for 2.2% was which Rate Sheet date.
provisions are discounted to current prices by the use of HM Treasury’s Test Discount Test Treasury’s HM of use the by prices current to discounted are provisions Provisions are charged to the Operating Cost Statement unless they have been
the remaining estimated useful economic life of the underlying asset. All long-term All asset. underlying the of life economic useful estimated remaining the capitalised as part of the cost of the underlying facility where the expenditure provides
provision will be depreciated as a charge to the Operating Cost Statement over over Statement Cost Operating the to charge a as depreciated be will provision access to current and future economic benefits. In such cases the capitalised
access to current and future economic benefits. In such cases the capitalised the cases such In benefits. economic future and current to access provision will be depreciated as a charge to the Operating Cost Statement over
capitalised as part of the cost of the underlying facility where the expenditure provides expenditure the where facility underlying the of cost the of part as capitalised the remaining estimated useful economic life of the underlying asset. All long-term
Provisions are charged to the Operating Cost Statement unless they have been have they unless Statement Cost Operating the to charged are Provisions provisions are discounted to current prices by the use of HM Treasury’s Test Discount
Sheet date. Sheet Rate which was 2.2% for the financial year 2005-2006. The discount is unwound over
required to settle future legal or constructive obligations that exist at the Balance the at exist that obligations constructive or legal future settle to required the remaining life of the provision and shown as an interest charge in the Operating
of FRS12 and are based on realistic and prudent estimates of the expenditure the of estimates prudent and realistic on based are and FRS12 of Cost Statement.
Provisions for liabilities and other charges have been established under the criteria the under established been have charges other and liabilities for Provisions
L. Provisions for Liabilities and other charges other and Liabilities for Provisions L.
line basis or on the basis of actual rentals payable where this fairly reflects usage. reflects fairly this where payable rentals actual of basis the on or basis line
Rentals due under Operating Leases are charged over the lease term on a straight- a on term lease the over charged are Leases Operating under due Rentals
K. Operating Leases Operating K.
on fixed assets. fixed on
element of the cumulative balance of revaluation and indexation adjustments adjustments indexation and revaluation of balance cumulative the of element
operating cost statement. The Revaluation Reserve represents the unrealised the represents Reserve Revaluation The statement. cost operating
includes the notional funding in respect of the communicated costs shown in the in shown costs communicated the of respect in funding notional the includes
and losses for the period are reflected in the General Fund. The General Fund also Fund General The Fund. General the in reflected are period the for losses and
not represented by other reserves. Net funding from the MoD and realised gains gains realised and MoD the from funding Net reserves. other by represented not
General Fund represents the total net assets of DMETA to the extent that they are they that extent the to DMETA of assets net total the represents Fund General
Taxpayers’ equity comprises the General Fund and the Revaluation Reserve. The Reserve. Revaluation the and Fund General the comprises equity Taxpayers’
.Reserves J. Financial Accounts Financial
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DMETA Annual Report 2005-06
PCSPS is also available on the web at www.civilservice-pensions.gov.uk. at web the on available also is PCSPS
of these schemes, which are published and laid before the House of Commons. The Commons. of House the before laid and published are which schemes, these of
PCSPS and at 31 March 2005 for the AFPS. Details can be found in the resource accounts resource the in found be can Details AFPS. the for 2005 March 31 at and PCSPS assets and liabilities. A full actuarial valuation was carried out at 31 March 2003 for the for 2003 March 31 at out carried was valuation actuarial full A liabilities. and assets
Note 2 – Staff numbers and costs underlying the of share its identify to unable is Agency Training and Education Medical
(a) The average number of full time equivalent staff employed during the year Defence the but schemes, benefit defined multi-employer un-funded are (AFPS) Scheme
was as follows: Pension Forces Armed the and (PCSPS) Scheme Pension Service Civil Principle The
2005/2006 2004/2005
Number Number 48 56 month per staff Casual of number Average
Service 1,708 1,735 573 675 year the over employed staff Casual of number Total Non-Industrial Civilian 463 442 100,496 106,147 costs Staff Total
Industrial Civilian 152 155 oa aulSafcss1461,159 1,456 costs Staff Casual Total
Total 2,323 2,332
oa 0,9 99,337 104,691 Total All civilian staff are members of the Civil Service. 17,742 19,889 Total Sub
(b) Staff costs for the year were as follows: 1,288 1,879 Civilian
evc 80016,454 18,010 Service 2005/2006 2004/2005 Costs Pension Other
£’000 £’000
u oa ,1 6,457 6,711 Total Sub
Salaries and Wages 797 847 Civilian
Service 65,943 63,739 5,660 5,864 Service Civilian 12,148 11,399 (ERNIC) Costs Security Social
Sub Total 78,091 75,138
u oa 80175,138 78,091 Total Sub
Social Security Costs (ERNIC) 11,399 12,148 Civilian
Service 5,864 5,660 63,739 65,943 Service Civilian 847 797 Wages and Salaries
Sub Total 6,711 6,457
’0 £’000 £’000 Other Pension Costs 2004/2005 2005/2006 Service 18,010 16,454
Civilian 1,879 1,288 follows: as were year the for costs Staff (b) Sub Total 19,889 17,742 Service. Civil the of members are staff civilian All
Total 104,691 99,337 oa ,2 2,332 2,323 Total
Total Casual Staff costs 1,456 1,159
nutilCvla 5 155 152 Civilian Industrial Total Staff costs 106,147 100,496 442 463 Civilian Non-Industrial
Total number of Casual staff employed over the year 675 573 1,735 1,708 Service
Average number of Casual staff per month 56 48 Number Number 0520 2004/2005 2005/2006
The Principle Civil Service Pension Scheme (PCSPS) and the Armed Forces Pension follows: as was
Scheme (AFPS) are un-funded multi-employer defined benefit schemes, but the Defence year the during employed staff equivalent time full of number average The (a) Medical Education and Training Agency is unable to identify its share of the underlying costs and numbers Staff – 2 Note assets and liabilities. A full actuarial valuation was carried out at 31 March 2003 for the PCSPS and at 31 March 2005 for the AFPS. Details can be found in the resource accounts of these schemes, which are published and laid before the House of Commons. The
PCSPS is also available on the web at www.civilservice-pensions.gov.uk. DMETA Annual Report 2005-06 Report Annual DMETA
58 344572_HC1424_DMETA / Sig: 29 / Plate B B Plate / 29 Sig: / 344572_HC1424_DMETA
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Financial Accounts 2, 3 The 2004/2005 figures have been re-stated due to the re-allocation of costs between Notes 3, 4, and 5 and 4, 3, Notes between costs of re-allocation the to due re-stated been have figures 2004/2005 The 3 2,
Note 3 – Supplies and services consumed This heading includes the following cash and non-cash cost items:
2005/2006 2004/2005 2 (Re-stated ) £’000 £’000
Career, Professional and External Training 24,703 23,309 Cost of Stationery, Materials and Equipment and Publications 3,603 2,548 Medical Stores 8,172 7,864 Food Purchases 4,541 4,450 Miscellaneous 329 344
Total 41,348 38,515 oa 91816,994 19,138 Total Note 4 – Accommodation costs
This heading includes the following cash and non-cash cost items:
prtn es ot etlo rmss1359 183 premises of Rental – costs Lease Operating comdto evcs679 5,445 6,779 Services Accommodation 2005/2006 2004/2005
3
cuainCags201 2,372 2,001 Charges Occupation (Re-stated ) tlte ,8 2,611 3,386 Utilities £’000 £’000
euiy1721,701 1,722 Security Works Maintenance 5,067 4,806
ok aneac ,6 4,806 5,067 Maintenance Works Security 1,722 1,701
’0 £’000 £’000 Utilities 3,386 2,611
(Re-stated
) Occupation Charges 2,001 2,372
3 0520 2004/2005 2005/2006 Accommodation Services 6,779 5,445
Operating Lease costs – Rental of premises 183 59
This heading includes the following cash and non-cash cost items: cost non-cash and cash following the includes heading This
Note 4 – Accommodation costs Accommodation – 4 Note Total 19,138 16,994
oa 13838,515 41,348 Total
iclaeu 2 344 329 Miscellaneous
odPrhss4514,450 4,541 Purchases Food
eia trs8127,864 8,172 Stores Medical
oto ttoey aeil n qimn n ulctos3632,548 3,603 Publications and Equipment and Materials Stationery, of Cost
aer rfsinladEtra riig2,0 23,309 24,703 Training External and Professional Career,
’0 £’000 £’000
) (Re-stated
2
0520 2004/2005 2005/2006
This heading includes the following cash and non-cash cost items: cost non-cash and cash following the includes heading This Note 3 – Supplies and services consumed services and Supplies – 3 Note
2, 3 The 2004/2005 figures have been re-stated due to the re-allocation of costs between Notes 3, 4, and 5 Financial Accounts Financial
59 344572_HC1424_DMETA / Sig: 30 / Plate A A Plate / 30 Sig: / 344572_HC1424_DMETA
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DMETA Annual Report 2005-06 4 2004/2005 figures have been re-stated due to the re-allocation of costs between Notes 3, 4, and 5 and 4, 3, Notes between costs of re-allocation the to due re-stated been have figures 2004/2005 4
Note 5 – Other administration costs Other administration costs comprise cash, communicated and capitation rate based charges as follows:
2005/2006 2004/2005 4 (Re-stated ) £’000 £’000 Departmental Overheads 2,846 2,777 Depreciation on Fixed Assets 6,894 6,319 Information Technology 4,986 4,788 Travel and Subsistence 4,074 3,810 Early Departure Provision 4,567 0 Miscellaneous Expenditure 6,608 6,075 Office Machinery & Telecoms 3,241 3,301 Audit Fee 41 40 Impairment in the value of Fixed Assets 2094 682 Impairment Reversals (0) (5,890) (Profit) / Loss on Disposal of Fixed Assets 356 285 Asset Write – Ons (590) 0
Operating Lease Costs – Hire of plant and machinery 291 287
Interest charge on Capital 5,073 4,518 26,992 40,481 Total
Total 40,481 26,992 4,518 5,073 Capital on charge Interest
prtn es ot ieo ln n ahnr 9 287 291 machinery and plant of Hire – Costs Lease Operating
se rt n 50 0 (590) Ons – Write Asset
Poi)/Ls nDsoa fFxdAst 36285 356 Assets Fixed of Disposal on Loss / (Profit)
maretRvras() (5,890) (0) Reversals Impairment
mareti h au fFxdAst 04 682 2094 Assets Fixed of value the in Impairment
ui e 140 41 Fee Audit
fieMciey&Tlcm ,4 3,301 3,241 Telecoms & Machinery Office
iclaeu xedtr ,0 6,075 6,608 Expenditure Miscellaneous
al eatr rvso ,6 0 4,567 Provision Departure Early
rvladSbitne4043,810 4,074 Subsistence and Travel
nomto ehooy4964,788 4,986 Technology Information
ercaino ie ses ,9 6,319 6,894 Assets Fixed on Depreciation
eatetlOehas ,4 2,777 2,846 Overheads Departmental
’0 £’000 £’000
(Re-stated )
4
0520 2004/2005 2005/2006
charges as follows: follows: as charges
Other administration costs comprise cash, communicated and capitation rate based rate capitation and communicated cash, comprise costs administration Other Note 5 – Other administration costs administration Other – 5 Note
4 2004/2005 figures have been re-stated due to the re-allocation of costs between Notes 3, 4, and 5 DMETA Annual Report 2005-06 Report Annual DMETA
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Financial Accounts
income between other categories. other between income
ion of ion reallocat the and category, Income separate a as ‘Infrastructure’ of insertion the to due re-stated been have figures 2004/2005 5
Note 6 – Operating income The majority of income received by DMETA arises from the MDHU arrangements with NHS Trusts. The Trusts hosting the MDHUs pay for the value of DMETA personnel working within the hospitals and contributing to the clinical outputs of the hospitals. This is known as the NHS value of service personnel (NVSP) and is based on what the hospitals would have paid had they employed NHS staff. The total NVSP income during the year was £11,785,071.
The Department of Health have produced a Health Service Guidance note covering arrangements between the Ministry of Defence and NHS for the use of service personnel in NHS Trusts. This sets out the concept under which DMETA guarantee either a percentage of time that will be provided to a NHS Trust, ‘Trust Protected Time’ for individual posts such as Consultants, or ‘Whole Time Equivalents’ for groups of posts such as Nurses. The level of Trust Protected Time and Whole Time Equivalents provided determines the level of NVSP that will be paid by the Trusts. An adjustment is made to take account of the costs of accommodating MDHU staff on the hospital site.
2005/2006 2004/2005 oa 47414,018 14,794 Total 5
(Re-stated ) te noe321,223 372 income Other £’000 £’000
etlicm 3 135 137 income Rental NHS value of service personnel (NVSP) 11,785 11,660
nrsrcueicm ,0 1,000 2,500 income Infrastructure Infrastructure income 2,500 1,000
H au fsriepronl(VP 17511,660 11,785 (NVSP) personnel service of value NHS Rental income 137 135
’0 £’000 £’000 Other income 372 1,223
(Re-stated )
5 Total 14,794 14,018
0520 2004/2005 2005/2006
the costs of accommodating MDHU staff on the hospital site. hospital the on staff MDHU accommodating of costs the
level of NVSP that will be paid by the Trusts. An adjustment is made to take account of account take to made is adjustment An Trusts. the by paid be will that NVSP of level
The level of Trust Protected Time and Whole Time Equivalents provided determines the determines provided Equivalents Time Whole and Time Protected Trust of level The
such as Consultants, or ‘Whole Time Equivalents’ for groups of posts such as Nurses. as such posts of groups for Equivalents’ Time ‘Whole or Consultants, as such
of time that will be provided to a NHS Trust, ‘Trust Protected Time’ for individual posts individual for Time’ Protected ‘Trust Trust, NHS a to provided be will that time of
in NHS Trusts. This sets out the concept under which DMETA guarantee either a percentage a either guarantee DMETA which under concept the out sets This Trusts. NHS in
arrangements between the Ministry of Defence and NHS for the use of service personnel service of use the for NHS and Defence of Ministry the between arrangements
The Department of Health have produced a Health Service Guidance note covering note Guidance Service Health a produced have Health of Department The
the year was £11,785,071. was year the
hospitals would have paid had they employed NHS staff. The total NVSP income during income NVSP total The staff. NHS employed they had paid have would hospitals
This is known as the NHS value of service personnel (NVSP) and is based on what the what on based is and (NVSP) personnel service of value NHS the as known is This
working within the hospitals and contributing to the clinical outputs of the hospitals. hospitals. the of outputs clinical the to contributing and hospitals the within working
NHS Trusts. The Trusts hosting the MDHUs pay for the value of DMETA personnel DMETA of value the for pay MDHUs the hosting Trusts The Trusts. NHS
The majority of income received by DMETA arises from the MDHU arrangements with arrangements MDHU the from arises DMETA by received income of majority The Note 6 – Operating income Operating – 6 Note
5 2004/2005 figures have been re-stated due to the insertion of ‘Infrastructure’ as a separate Income category, and the reallocation of
income between other categories. Financial Accounts Financial
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DMETA Annual Report 2005-06
Note 7 – Non-cash and notional items The non-cash and notional cost elements included under the headings of Supplies and Services Consumed, Accommodation, and Other Administration Costs, are as follows:
2005/2006 2004/2005 £’000 £’000
Notional Costs: Interest on Capital 5,073 4,518 Notional Staff Costs 351 0
Shared Cost of Training 16,514 15,863 Security 1,722 1,701 1,396 13,321 Total MoD Central Overhead 17,728 17,346
MoD Permanent Transfer & Allowances 1,455 1,435 0 (590) –Ons Write Asset
Utilities 304 187 285 356 assets fixed of disposal on Loss / (Profit)
MoD Telecom, Welfare & Post 3,529 3,444 (5,890) 0 Reversals Impairment
Audit Fee 41 40 682 2,094 assets fixed of value in Impairment
Stores supplied 4,141 4,271 0 4,567 provision Departure Early
Office & Business support 494 553 6,319 6,894 Depreciation
Payroll costs 0 209 Costs: Non-Cash Other Accommodation 53 16 52,083 55,883 Total
Works Maintenance 4,478 2,500
ok aneac ,7 2,500 4,478 Maintenance Works Total 55,883 52,083 16 53 Accommodation
Other Non-Cash Costs: 209 0 costs Payroll
Depreciation 6,894 6,319 553 494 support Business & Office
Early Departure provision 4,567 0 4,271 4,141 supplied Stores
Impairment in value of fixed assets 2,094 682 40 41 Fee Audit
Impairment Reversals 0 (5,890) 3,444 3,529 Post & Welfare Telecom, MoD
(Profit) / Loss on disposal of fixed assets 356 285 187 304 Utilities
Asset Write –Ons (590) 0 1,435 1,455 Allowances & Transfer Permanent MoD
MoD Central Overhead 17,728 17,346 17,346 17,728 Overhead Central MoD
Total 13,321 1,396 1,701 1,722 Security
hrdCs fTann 65415,863 16,514 Training of Cost Shared
oinlSafCss310 351 Costs Staff Notional
neeto aia ,7 4,518 5,073 Capital on Interest
Notional Costs: Notional
’0 £’000 £’000
0520 2004/2005 2005/2006
Services Consumed, Accommodation, and Other Administration Costs, are as follows: as are Costs, Administration Other and Accommodation, Consumed, Services
The non-cash and notional cost elements included under the headings of Supplies and Supplies of headings the under included elements cost notional and non-cash The
Note 7 – Non-cash and notional items notional and Non-cash – 7 Note DMETA Annual Report 2005-06 Report Annual DMETA
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Financial Accounts
Note 8 – Tangible Fixed Assets
Land & Land & Building Single Use Assets
t3 ac 062,8 0,7 91789 20134,512 0 22 97 1,718 19 109,873 22,783 2006 March 31 At Building Non Military Plant & IT Under t1Arl20 5099,6 2298184 126,777 0 45 188 2,928 22 98,565 25,029 2005 April 1 At Dwellings Dwellings Equipment Machinery Equipment Transport Construction Total
£000 £000 £000 £000 £000 £000 £000 £000 Net Book Value Book Net Cost or Valuation
t3 ac 067151,8 0433141 25,110 0 14 134 4,353 10 13,484 7,115 2006 March 31 At At 1 April 2005 28,546 119,413 32 14,177 279 71 0 162,518
ipsl 81(3)(703) (732) 1 28 Disposals Additions 37 262 299
se aus(,2)(,7)(10,103) (7,376) (2,727) values asset Reclassifications 5,858 (5,682) (24) (13) 139
Adjustments to Adjustments Transfers In 0
eauto 81 599 3 4()(6,822) (3) 54 (3) (5,979) (891) Revaluation Transfers Out (35) (23) (58)
rnfr u 3 1)(14) (11) (3) Out Transfers Revaluation (4,025) 13,146 (3) 167 1 9286
0
Transfers In Transfers Adjustments to
elsiiain ,9 295 2 4 139 (4) 126 (2,975) 2,992 Reclassifications asset values (2,446) (7,553) (9,999)
hrefrteya ,9 ,8 ,3 636,872 3 46 1,035 2 4,289 1,497 year the for Charge Impairment losses (1,003) (1,043) (48) (2,094) t1Arl20 ,1 0881 1299 6035,741 0 26 91 11,249 10 20,848 3,517 2005 April 1 At Write – Ons 522 68 590
Disposals (136) (923) (1,059) Depreciation
At 31 March 2006 29,898 123,357 29 6,071 231 36 0 159,622 t3 ac 062,9 2,5 9601213 159,622 0 36 231 6,071 29 123,357 29,898 2006 March 31 At
Depreciation
ipsl 16 93 (1,059) (923) (136) Disposals
rt n 2 8590 68 522 Ons – Write At 1 April 2005 3,517 20,848 10 11,249 91 26 0 35,741
maretlse 103 103 4)(2,094) (48) (1,043) (1,003) losses Impairment Charge for the year 1,497 4,289 2 1,035 46 3 6,872
se aus(,4)(,5)(9,999) (7,553) (2,446) values asset Reclassifications 2,992 (2,975) 126 (4) 139
Adjustments to Adjustments Transfers In 0
eauto 405 316()1719286 1 167 (3) 13,146 (4,025) Revaluation Transfers Out (3) (11) (14)
rnfr u 3)(3 (58) (23) (35) Out Transfers Revaluation (891) (5,979) (3) 54 (3) (6,822)
Transfers In Transfers
0 Adjustments to
elsiiain ,5 562 2)(3 139 (13) (24) (5,682) 5,858 Reclassifications asset values (2,727) (7,376) (10,103) diin 722299 262 37 Additions Disposals 28 1 (732) (703)
At 1 April 2005 28,546 119,413 32 14,177 279 71 0 162,518 162,518 0 71 279 14,177 32 119,413 28,546 2005 April 1 At At 31 March 2006 7,115 13,484 10 4,353 134 14 0 25,110 Cost or Valuation or Cost
Net Book Value
00£0 00£0 00£0 00£000 £000 £000 £000 £000 £000 £000 £000 wlig wlig qimn ahnr qimn rnpr osrcinTotal Construction Transport Equipment Machinery Equipment Dwellings Dwellings At 1 April 2005 25,029 98,565 22 2,928 188 45 0 126,777
uligNnMltr ln TUnder IT & Plant Military Non Building At 31 March 2006 22,783 109,873 19 1,718 97 22 0 134,512
ad&Bidn igeUeAssets Use Single Building & Land
Land & Land
Note 8 – Tangible Fixed Assets Fixed Tangible – 8 Note Financial Accounts Financial
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DMETA Annual Report 2005-06
Note 9 – Stock
31 March 31 March 10,513 12,817 Total
2006 2005 4,079 9,361 income Accrued £’000 £’000 503 607 Prepayments
Stock 3,698 3,115 21 355 Debtors Other rd etr ,9 5,910 2,494 Debtors Trade
Note 10 – Commitments Under Operating Leases £’000 £’000 062005 2006
At 31 March 2006 DMETA had annual commitments under non-cancellable operating March 31 March 31
leases set out below: year: one within due falling Amounts 31 March 31 March Debtors – 11 Note
2006 2005
£’000 £’000 300 425 Total
Land & Buildings 99 144 years five Over
Operating leases which expire: 137 89 inclusive years fifth to second the In
Within one year 51 0 5 9 year one Within
In the second to fifth years inclusive 132 59 expire: which leases Operating
Over five years 0 0 Other
Other 0 0 years five Over
Operating leases which expire: 59 132 inclusive years fifth to second the In
Within one year 9 5 0 51 year one Within
In the second to fifth years inclusive 89 137 expire: which leases Operating
Over five years 144 99 Buildings & Land
Total 425 300 £’000 £’000 062005 2006
Note 11 – Debtors March 31 March 31 Amounts falling due within one year: below: out set leases
31 March 31 March operating non-cancellable under commitments annual had DMETA 2006 March 31 At
2006 2005 £’000 £’000 Leases Operating Under Commitments – 10 Note
Trade Debtors 2,494 5,910
Other Debtors 355 21 3,115 3,698 Stock
Prepayments 607 503 £’000 £’000 Accrued income 9,361 4,079 2005 2006
Total 12,817 10,513 March 31 March 31
Note 9 – Stock – 9 Note DMETA Annual Report 2005-06 Report Annual DMETA
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Financial Accounts
Note 12 – Creditors Amounts falling due within one year:
31 March 31 March 2006 2005 £’000 £’000
Trade Creditors 2,380 2,159 Accruals and Deferred Income 3,825 3,125
enough to warrant the creation of two long term provisions in accordance with FRS12. FRS12. with accordance in provisions term long two of creation the warrant to enough Total 6,205 5,284 still subject to minor changes, the obligation for MoD to fund these liabilities is certain is liabilities these fund to MoD for obligation the changes, minor to subject still
TUPE that posts transferring to PHT will carry with them. Although this analysis is is analysis this Although them. with carry will PHT to transferring posts that TUPE
determine those posts that will be subject to CER and CES, and to determine the the determine to and CES, and CER to subject be will that posts those determine Note 13 – Provisions for Liabilities and other Charges
Portsmouth Hospitals NHS Trust (PHT). Detailed analysis has been carried out to out carried been has analysis Detailed (PHT). Trust NHS Hospitals Portsmouth
(CES) of civilian staff. It will also result in a number of civilian posts transferring to transferring posts civilian of number a in result also will It staff. civilian of (CES) Early Total
number of Compulsory Early Retirements (CER) and Compulsory Early Severences Severences Early Compulsory and (CER) Retirements Early Compulsory of number Departure
site by 31 March 2007. The withdrawal from Royal Hospital Haslar will result in a a in result will Haslar Hospital Royal from withdrawal The 2007. March 31 by site Costs Ministry of Defence’s declared intention to withdraw from the Royal Hospital Haslar Haslar Hospital Royal the from withdraw to intention declared Defence’s of Ministry £’000 £’000
Two new provisions have been created in 2005/2006, both of which relate to the the to relate which of both 2005/2006, in created been have provisions new Two Balance at 1 April 2005 0 0
Early Departure Costs: Departure Early New Provisions created 4,567 4,567
Balance at 31 March 2006 4,567 4,567 aac t3 ac 064574,567 4,567 2006 March 31 at Balance
e rvsoscetd4574,567 4,567 created Provisions New Early Departure Costs:
aac t1Arl20 0 0 2005 April 1 at Balance Two new provisions have been created in 2005/2006, both of which relate to the
’0 £’000 £’000 Ministry of Defence’s declared intention to withdraw from the Royal Hospital Haslar
Costs site by 31 March 2007. The withdrawal from Royal Hospital Haslar will result in a
Departure number of Compulsory Early Retirements (CER) and Compulsory Early Severences al Total Early (CES) of civilian staff. It will also result in a number of civilian posts transferring to
Portsmouth Hospitals NHS Trust (PHT). Detailed analysis has been carried out to Note 13 – Provisions for Liabilities and other Charges other and Liabilities for Provisions – 13 Note determine those posts that will be subject to CER and CES, and to determine the TUPE that posts transferring to PHT will carry with them. Although this analysis is still subject to minor changes, the obligation for MoD to fund these liabilities is certain
oa ,0 5,284 6,205 Total enough to warrant the creation of two long term provisions in accordance with FRS12.
crasadDfre noe3853,125 3,825 Income Deferred and Accruals
rd rdtr ,8 2,159 2,380 Creditors Trade
’0 £’000 £’000
062005 2006
31 March 31 March 31 March 31
Amounts falling due within one year: one within due falling Amounts
Note 12 – Creditors – 12 Note Financial Accounts Financial
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DMETA Annual Report 2005-06
Note 14 – General Fund Reconciliation of Net Operating Cost to changes in General Fund
2005/2006 2004/2005 £’000 £’000
Net Financing from the Defence Resource account 125,380 123,033 Transferred to General Fund in respect of Realised element of Revaluation Reserve 41,445 1,518 ES (Land) Asset Transfer (net) (22) 94 Other inter management group Fixed Asset transfers 0 (1,317) Notional charges 55,883 52,083 Net Operating Cost (192,319) (168,979)
Net Increase/(Decrease) in General Fund 30,367 6,432
General Fund: Opening Balance 1 April 2005 78,802 72,370 t3 ac 063,8 56,319 31,086 2006 March 31 At
General Fund: Closing Balance 31 March 2006 109,169 78,802
rnfrRaie eauto oteGnrlFn 4,4)(1,518) (41,445) Fund General the to Revaluation Realised Transfer
oeet nya 62210,145 16,212 year in Movements
Note 15 – Revaluation reserve 47,692 56,319 2005/2006 2004/2005 2005 April 1 At
£’000 £’000
’0 £’000 £’000
At 1 April 2005 2004/2005 2005/2006 56,319 47,692 reserve Revaluation – 15 Note Movements in year 16,212 10,145
Transfer Realised Revaluation to the General Fund (41,445) (1,518) eea ud lsn aac 1Mrh20 0,6 78,802 109,169 2006 March 31 Balance Closing Fund: General
At 31 March 2006 31,086 56,319
eea ud pnn aac pi 057,0 72,370 78,802 2005 April 1 Balance Opening Fund: General
e nrae(erae nGnrlFn 0376,432 30,367 Fund General in Increase/(Decrease) Net
e prtn ot(9,1)(168,979) (192,319) Cost Operating Net
Notional charges 55,883 52,083 52,083 55,883 charges Notional
te ne aaeetgopFxdAsttases0(1,317) 0 transfers Asset Fixed group management inter Other
S(ad se rnfr(e)(2 94 (22) (net) Transfer Asset (Land) ES
Revaluation Reserve 41,445 1,518 1,518 41,445 Reserve Revaluation
Transferred to General Fund in respect of Realised element of of element Realised of respect in Fund General to Transferred
e iacn rmteDfneRsuc con 2,8 123,033 125,380 account Resource Defence the from Financing Net
’0 £’000 £’000
0520 2004/2005 2005/2006
Reconciliation of Net Operating Cost to changes in General Fund General in changes to Cost Operating Net of Reconciliation
Note 14 – General Fund Fund General – 14 Note DMETA Annual Report 2005-06 Report Annual DMETA
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Financial Accounts
Note 16 – Capital commitments There were no Contracted Capital commitments, either at 31 March 2006 or 31 March 2005.
Note 17 – Reconciliation of net operating cost to operating cost cash flows
2005/2006 2004/2005 £’000 £’000
Net Operating Cost 192,319 168,979
Adjustments for non-cash transactions: Depreciation (6,894) (6,319) Loss on disposal of Fixed Assets (356) (285)
e ahOto rmOeaigAtvte 2,8 122,221 125,081 Activities Operating from Outflow Cash Net Asset Write – Ons 590 0
Ices)Dces nCeios(2) 1,197 (921) Creditors in (Increase)/Decrease Early Departure Provision (4,567)
nrae(erae nDbos234 5,556 2,304 Debtors in Increase/(Decrease) Impairment in the value of fixed assets (2,094) (682)
nrae(erae nSok 8 (32) 583 Stocks in Increase/(Decrease) Impairment Reversals 0 5,890
Movement in Net Current Assets Current Net in Movement Interest Charge on Capital (5,073) (4,518)
2,1 115,500 123,115 Other Notional Costs (see Note 7): (50,810) (47,565)
te oinlCss(e oe7:(080 (47,565) (50,810) 7): Note (see Costs Notional Other 123,115 115,500
neetCag nCptl(,7)(4,518) (5,073) Capital on Charge Interest Movement in Net Current Assets
maretRvras05,890 0 Reversals Impairment Increase/(Decrease) in Stocks 583 (32)
mareti h au ffxdast 204 (682) (2,094) assets fixed of value the in Impairment Increase/(Decrease) in Debtors 2,304 5,556 al eatr rvso (4,567) Provision Departure Early (Increase)/Decrease in Creditors (921) 1,197
se rt n 9 0 590 Ons – Write Asset Net Cash Outflow from Operating Activities 125,081 122,221
oso ipslo ie ses(5) (285) (356) Assets Fixed of disposal on Loss
Depreciation (6,894) (6,319) (6,319) (6,894) Depreciation
Adjustments for non-cash transactions: non-cash for Adjustments
Net Operating Cost 192,319 168,979 168,979 192,319 Cost Operating Net
’0 £’000 £’000
0520 2004/2005 2005/2006
cost cash flows cash cost
Note 17 – Reconciliation of net operating cost to operating to cost operating net of Reconciliation – 17 Note
There were no Contracted Capital commitments, either at 31 March 2006 or 31 March 2005. March 31 or 2006 March 31 at either commitments, Capital Contracted no were There
Note 16 – Capital commitments commitments Capital – 16 Note Financial Accounts Financial
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DMETA Annual Report 2005-06
Note 18 – Related party transactions The Defence Medical Education and Training Agency is an Executive Agency of the
Ministry of Defence.
The Ministry of Defence is regarded as a related party. During the period 1 April 2005 disclosure. require not do
to 31 March 2006, the Defence Medical Education and Training Agency has had material which creditors short-term than other liabilities financial other no has Agency The transactions with the Ministry of Defence and with other entities for which the Ministry value. book the to approximates provision the of value fair The liabilities. Financial of Defence is regarded as the parent Department. During the year none of the senior and
other key management staff, or related parties, has undertaken any material transactions disclosure. require not do which
with the Defence Medical Education and Training Agency. debtors term short than other assets financial no has Agency The assets. Financial Fair values. values. Fair
Note 19 – Financial Instruments risk. currency foreign to exposed not
FRS13, Derivatives and Other Financial Instruments, requires disclosure of the role therefore is and behalf own its on currencies foreign in transact not does Agency The
which financial instruments have had during the period in creating or changing the risks risk. currency Foreign an entity faces in undertaking its activities. interest. no carry liabilities and assets financial Agency’s the All
Because of the largely non-trading nature of its activities and the way in which agencies risk. rate Interest
are financed, DMETA is not exposed to the degree of financial risk faced by business risk. liquidity significant to exposed not therefore are and Parliament
entities. Moreover, financial instruments play a much more limited role in creating or by annually voted are requirements resource capital and revenue Agency’s The changing risk than would be typical of the listed companies to which FRS13 mainly risk. Liquidity applies. Financial assets and liabilities are generated by day-to-day operational activities
and are not held to change the risks facing the Agency in undertaking its activities. activities. its undertaking in Agency the facing risks the change to held not are and
applies. Financial assets and liabilities are generated by day-to-day operational activities operational day-to-day by generated are liabilities and assets Financial applies.
Liquidity risk. mainly FRS13 which to companies listed the of typical be would than risk changing
The Agency’s revenue and capital resource requirements are voted annually by or creating in role limited more much a play instruments financial Moreover, entities. Parliament and are therefore not exposed to significant liquidity risk. business by faced risk financial of degree the to exposed not is DMETA financed, are
Interest rate risk. agencies which in way the and activities its of nature non-trading largely the of Because All the Agency’s financial assets and liabilities carry no interest. activities. its undertaking in faces entity an
Foreign currency risk. risks the changing or creating in period the during had have instruments financial which
The Agency does not transact in foreign currencies on its own behalf and is therefore role the of disclosure requires Instruments, Financial Other and Derivatives FRS13, not exposed to foreign currency risk. Instruments Financial – 19 Note
Fair values.
Financial assets. The Agency has no financial assets other than short term debtors Agency. Training and Education Medical Defence the with
which do not require disclosure. transactions material any undertaken has parties, related or staff, management key other
of Defence is regarded as the parent Department. During the year none of the senior and senior the of none year the During Department. parent the as regarded is Defence of
Financial liabilities. The fair value of the provision approximates to the book value. Ministry the which for entities other with and Defence of Ministry the with transactions
The Agency has no other financial liabilities other than short-term creditors which material had has Agency Training and Education Medical Defence the 2006, March 31 to
do not require disclosure. 2005 April 1 period the During party. related a as regarded is Defence of Ministry The
Ministry of Defence. of Ministry
The Defence Medical Education and Training Agency is an Executive Agency of the of Agency Executive an is Agency Training and Education Medical Defence The
Note 18 – Related party transactions party Related – 18 Note DMETA Annual Report 2005-06 Report Annual DMETA
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Financial Accounts
Note 20 – Post Balance Sheet Events On 1 April 2006 the Ministry of Defence transferred responsibility for accounting for fixed assets from DMETA to other parts of the Ministry of Defence. Where DMETA retains the risks and rewards of ownership of these assets they will continue to be accounted for on DMETA’s Balance Sheet in accordance with FRS 5 and SSAP 21. In other cases the costs of the use of these assets will be communicated to DMETA by the asset owners and charged to the Operating Cost Statement. Consequently, these centrally accounted for assets will not be included in DMETA’s Balance Sheet as they
will be accounted for as operating leases under SSAP 21. There is no effect on the t3 ac 051,1 5,284 10,513 2005 March 31 At 2005/2006 accounts as a result of this change, and as a result no adjustments have
been made to these financial statements. aacswt oisetra ogvrmn 6 3,410 563 government to external bodies with Balances aacswt ulccroain n rdn ud 61 16 Funds Trading and corporations public with Balances
aacswt H rss9771,861 9,777 Trusts NHS with Balances Note 21 – Intra-Government Balances aacswt oa uhrte 12 0 authorities local with Balances
aacswt te eta oenetbde 5 0 157 bodies government central other with Balances Debtors: Creditors:
t3 ac 061,4 6,217 12,640 2006 March 31 At Amounts falling Amounts falling
aacswt oisetra ogvrmn 7 3,945 776 government to external bodies with Balances due within one year due within one year aacswt ulccroain n rdn ud 0 8 Funds Trading and corporations public with Balances £000 £000
aacswt H rss1,5 2,254 11,856 Trusts NHS with Balances Balances with other central government bodies 0 5
aacswt oa uhrte 13 0 authorities local with Balances Balances with local authorities 0 13
aacswt te eta oenetbde 5 0 bodies government central other with Balances Balances with NHS Trusts 11,856 2,254
00£000 £000 Balances with public corporations and Trading Funds 8 0 due within one year due within one year one within due year one within due Balances with bodies external to government 776 3,945
Amounts falling Amounts falling Amounts falling Amounts At 31 March 2006 12,640 6,217
etr:Creditors: Debtors: Balances with other central government bodies 157 0
Balances with local authorities 0 12 Note 21 – Intra-Government Balances Intra-Government – 21 Note Balances with NHS Trusts 9,777 1,861 Balances with public corporations and Trading Funds 16 1
Balances with bodies external to government 563 3,410
been made to these financial statements. financial these to made been
2005/2006 accounts as a result of this change, and as a result no adjustments have adjustments no result a as and change, this of result a as accounts 2005/2006 At 31 March 2005 10,513 5,284
will be accounted for as operating leases under SSAP 21. There is no effect on the on effect no is There 21. SSAP under leases operating as for accounted be will
centrally accounted for assets will not be included in DMETA’s Balance Sheet as they as Sheet Balance DMETA’s in included be not will assets for accounted centrally
the asset owners and charged to the Operating Cost Statement. Consequently, these Consequently, Statement. Cost Operating the to charged and owners asset the
In other cases the costs of the use of these assets will be communicated to DMETA by DMETA to communicated be will assets these of use the of costs the cases other In
accounted for on DMETA’s Balance Sheet in accordance with FRS 5 and SSAP 21. 21. SSAP and 5 FRS with accordance in Sheet Balance DMETA’s on for accounted
retains the risks and rewards of ownership of these assets they will continue to be to continue will they assets these of ownership of rewards and risks the retains
fixed assets from DMETA to other parts of the Ministry of Defence. Where DMETA Where Defence. of Ministry the of parts other to DMETA from assets fixed
On 1 April 2006 the Ministry of Defence transferred responsibility for accounting for for accounting for responsibility transferred Defence of Ministry the 2006 April 1 On
Note 20 – Post Balance Sheet Events Sheet Balance Post – 20 Note Financial Accounts Financial
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DMETA Annual Report 2005-06
IiP Investors in People in Investors IiP
QHeadquarters HQ & Education &
DHALI Directorate of Operational Assistant Care Health HCA
DGT&E Director of General of Training of General of Director DGT&E
Glossary Practitioner General GP
Capability/House of Commons Dep CE Deputy Chief Executive Chief Deputy CE Dep
AATP Agreed Annual Training Defence Committee/Adult Year Financial FY DDS Defence Dental Services Dental Defence DDS
Provision Learning Institute Programme Foundation FP (Health)
A&E Accident & Emergency DHP Defence Health Programme Exercise EX DCDS(H) Deputy Chief of Defence Staff Defence of Chief Deputy DCDS(H)
Aeromed Aeromedical DIA Defence Internal Audit Training and Education ET DBA Defence Bills Agency Bills Defence DBA
AFPRB Armed Forces Pay Review DipHE Diploma of Higher Education Health Occupational Development
Board DMETA Defence Medical Education & and Environmental EOH CPD Continuing Professional Continuing CPD
BAAU Business Assessment and Training Agency Studies Care CMT Combat Medical Technician Medical Combat CMT
Audit Unit DMICP Defence Medical Information Health for School Defence DSHCS COS Chief of Staff of Chief COS
BATLS Battlefield Advanced Trauma Capability Programme Training to CO Commanding Officer Commanding CO
Life Support DMLS Defence Medical Library Approach Systems Defence DSAT mtCommandant Cmdt
BCP Business Continuity Planning Service Deanery) (and Dean Clinical Assessment Clinical
BET Business Evaluation Team DMRC Defence Medical Rehabilitation Medical Postgraduate Defence DPMD CIRCA Centre for Injury Research and Research Injury for Centre CIRCA
BFG British Forces Germany Centre Education Healthcare Group
BMA Birmingham Medical DMRECC Defence Medical Rehabilitation Postgraduate of Director DPHE CFSG Commando Forward Surgical Forward Commando CFSG
Accommodation Evaluation and Coordination Services Nursing Defence DNS CE Chief Executive Chief CE
BNHP Birmingham New Hospital Centre Attend Not Did DNA CDT Clinical Delivery Team Delivery Clinical CDT
Project DMRT Deployed Medical Centre Training CCI Customer Confidence Index Confidence Customer CCI
BSc Bachelor of Science degree Rehabilitation Team Services Medical Defence DMSTC Support Team Support
CAS Continuous Attitude Survey DMS Defence Medical Services Department CCAST Critical Care Air-transportable Care Critical CCAST
CCAST Critical Care Air-transportable DMSD Defence Medical Services Services Medical Defence DMSD CAS Continuous Attitude Survey Attitude Continuous CAS
Support Team Department Services Medical Defence DMS BSc Bachelor of Science degree Science of Bachelor BSc
CCI Customer Confidence Index DMSTC Defence Medical Services Team Rehabilitation Project
CDT Clinical Delivery Team Training Centre Medical Deployed DMRT BNHP Birmingham New Hospital New Birmingham BNHP
CE Chief Executive DNA Did Not Attend Centre Accommodation
CFSG Commando Forward Surgical DNS Defence Nursing Services Coordination and Evaluation BMA Birmingham Medical Birmingham BMA
Group DPHE Director of Postgraduate Rehabilitation Medical Defence DMRECC BFG British Forces Germany Forces British BFG
CIRCA Centre for Injury Research and Healthcare Education Centre BET Business Evaluation Team Evaluation Business BET
Clinical Assessment DPMD Defence Postgraduate Medical Rehabilitation Medical Defence DMRC BCP Business Continuity Planning Continuity Business BCP
Cmdt Commandant Dean (and Deanery) Service Life Support Life
CO Commanding Officer DSAT Defence Systems Approach Library Medical Defence DMLS BATLS Battlefield Advanced Trauma Advanced Battlefield BATLS
COS Chief of Staff to Training Programme Capability Audit Unit Audit
CMT Combat Medical Technician DSHCS Defence School for Health Information Medical Defence DMICP BAAU Business Assessment and Assessment Business BAAU
CPD Continuing Professional Care Studies Agency Training Board
Development EOH Environmental and & Education Medical Defence DMETA AFPRB Armed Forces Pay Review Pay Forces Armed AFPRB
DBA Defence Bills Agency Occupational Health Education Higher of Diploma DipHE eoe Aeromedical Aeromed
DCDS(H) Deputy Chief of Defence Staff ET Education and Training Audit Internal Defence DIA A&E Accident & Emergency & Accident A&E
(Health) EX Exercise Programme Health Defence DHP Provision
DDS Defence Dental Services FP Foundation Programme Institute Learning AATP Agreed Annual Training Annual Agreed AATP
Dep CE Deputy Chief Executive FY Financial Year Committee/Adult Defence Capability/House of Commons of Capability/House DGT&E Director of General of Training GP General Practitioner Glossary
& Education HCA Health Care Assistant Operational of Directorate DHALI HQ Headquarters
IiP Investors in People DMETA Annual Report 2005-06 Report Annual DMETA
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Glossary
QAH Queen Alexandra Hospital Alexandra Queen QAH PTC Personnel Training Command Training Personnel PTC
PPHC Primary and Pre-Hospital Care Pre-Hospital and Primary PPHC IPT Integrated Project Team QEMC Queen Elizabeth Medical
PJHQ Permanent Join Headquarters Join Permanent PJHQ JMAC Junior Medical Administration Centre
PHT Portsmouth Hospitals Trust Hospitals Portsmouth PHT Course RAB Resource Accounting and
PFI Private Finance Initiative Finance Private PFI JIMP Joint Intermediate Medical Budgeting
PCRF Primary Care Receiving Facility Receiving Care Primary PCRF Planners RAF Royal Air Force
Training JSSRI Joint Services School for RCDM Royal Centre for Defence
ORPT Other Ranks Promotional Ranks Other ORPT Remedial Instructors Medicine
POperation OP KT Key Target RCVS Royal College of Veterinary
Practitioner LMAPQC Leading Medical Assistant Surgeons
ODP Operating Department Operating ODP Promotional Qualification RFA Royal Fleet Auxiliary
OC Officer Commanding Officer OC Course RGN Registered General Nurse
Qualification MA Medical Assistant RN Royal Navy
NVQ National Vocational National NVQ MDHU Ministry of Defence RRU Regional Rehabilitation Unit
NHS National Health Service Health National NHS Hospital Unit RTC Regional Trauma Centre
Chemical MIMMS Major Incident Medical SG Surgeon General
NBC Nuclear, Biological and Biological Nuclear, NBC Management and Support SMAC Senior Medical Administration MWFH Military Withdrawal from Haslar from Withdrawal Military MWFH
WMD West Midlands Deanery Midlands West WMD MMA Midlands Medical Course Midlands
VO Veterinary Officer Veterinary VO Accommodation SNCO Senior Non-Commissioned MT2M Medical Training to the to Training Medical MT2M
Foundation Trust Foundation MMC Modernising Medical Careers Officer International
UHBFT University Hospital Birmingham Hospital University UHBFT MoD Ministry of Defence TAC Training Analysis Cell MORI Market & Opinion Research Opinion & Market MORI
UCE University of Central England Central of University UCE MOODLE Modular Object-Oriented TDU Training and Development Unit Dynamic Learning Environment Learning Dynamic
TNA Training Needs Analysis Needs Training TNA Dynamic Learning Environment TNA Training Needs Analysis MOODLE Modular Object-Oriented Modular MOODLE
TDU Training and Development Unit Development and Training TDU MORI Market & Opinion Research UCE University of Central England MoD Ministry of Defence of Ministry MoD
TAC Training Analysis Cell Analysis Training TAC International UHBFT University Hospital Birmingham MMC Modernising Medical Careers Medical Modernising MMC
Officer MT2M Medical Training to the Foundation Trust Accommodation
SNCO Senior Non-Commissioned Senior SNCO Midlands VO Veterinary Officer MMA Midlands Medical Midlands MMA
Course MWFH Military Withdrawal from Haslar WMD West Midlands Deanery Management and Support and Management
SMAC Senior Medical Administration Medical Senior SMAC NBC Nuclear, Biological and MIMMS Major Incident Medical Incident Major MIMMS
SG Surgeon General Surgeon SG Chemical Hospital Unit Hospital
RTC Regional Trauma Centre Trauma Regional RTC NHS National Health Service MDHU Ministry of Defence Defence of Ministry MDHU
RRU Regional Rehabilitation Unit Rehabilitation Regional RRU NVQ National Vocational MA Medical Assistant Medical MA
RN Royal Navy Royal RN Qualification Course
RGN Registered General Nurse General Registered RGN OC Officer Commanding Promotional Qualification Promotional
RFA Royal Fleet Auxiliary Fleet Royal RFA ODP Operating Department LMAPQC Leading Medical Assistant Medical Leading LMAPQC
Surgeons Practitioner KT Key Target Key KT
RCVS Royal College of Veterinary of College Royal RCVS OP Operation Remedial Instructors Remedial
Medicine ORPT Other Ranks Promotional JSSRI Joint Services School for School Services Joint JSSRI
RCDM Royal Centre for Defence for Centre Royal RCDM Training Planners
RAF Royal Air Force Air Royal RAF PCRF Primary Care Receiving Facility JIMP Joint Intermediate Medical Intermediate Joint JIMP
Budgeting PFI Private Finance Initiative Course
RAB Resource Accounting and Accounting Resource RAB PHT Portsmouth Hospitals Trust JMAC Junior Medical Administration Medical Junior JMAC
Centre PJHQ Permanent Join Headquarters IPT Integrated Project Team Project Integrated IPT
QEMC Queen Elizabeth Medical Elizabeth Queen QEMC PPHC Primary and Pre-Hospital Care PTC Personnel Training Command
QAH Queen Alexandra Hospital Glossary
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72
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DMETA Annual Report 2005-06 Pr
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MDHU-Peterborough 4968 Murray John Col Lt CO: DMETA Contacts 4952 Fax: 96111) (Mil 764933 01609 Tel: Peterb’ro & Stamford Hosps NHS Foundation
Royal Centre for Defence Medicine Trust, Eastlea Building, Thorpe Rd, 1JG DL6 Yorks N Northallerton, Hospital,
K Block, Selly Oak Hospital, Peterborough PE3 6JW Friarage Trust, Hospls Acute Tees South
Birmingham B29 6JD Tel: 01733 87(ext) or 4000 Fax: 874939 MDHU-Northallerton
Tel: 0121 627 8565 Fax: 8361 CO: Wg Cdr Andrea Quinn 4984 6289 QARANC Bush Sue Col Lt CO: Commandant: Air Cdre Tony Batchelor 8352 675660 Fax: 94260) (Mil 604328 01276 Tel:
MDHU Portsmouth (MDHU-Pm) Dir Trg: Capt Ray Holyer 8370 5UJ GU16 Surrey Frimley, Albert House, Queen Alexandra Hospital,
Defence Medical Services Training Centre Cosham, Hants PO6 3LY Rd, Portsmouth Hospital, Park Frimley
Park Frimley
Keogh Barracks, Ash Vale, Hants GU12 5RQ Tel: 023 92 286000 Fax: 6549 MDHU
Tel: 01252 868658 (Mil 94229) Fax: 5209 CO: Cdr Bill Durning 02392 286000 x1305 763750 McAuslin Tom Cdr CO: Commandant: Gp Capt Keith Lane 5272 763755 Fax: n/a) (Mil 777111 01752 Tel:
Royal Hospital Haslar & Fort Blockhouse, mob 0781 0667279 0781 mob
Defence School for Health Care Studies Haslar Rd, Gosport, Hants PO12 2AA 5YE PL6 Devon Plymouth, Corp Comms: Mr Mike Blackwell 65243 65243 Blackwell Mike Mr Comms: Corp
Seacole Bdg, University of Central England, Tel: 02392 765166 (Mil 93819) Fax: 2403 Derriford, Rd, Brest Building, NU Floor, 3rd
Chief of Staff: Brig Ewan Carmichael 65824 Carmichael Ewan Brig Staff: of Chief Derriford
Westbourne Rd, Edgbaston, CO: Surg Capt James Campbell 65275 MDHU
CE: Surg R Adm Philip Raffaelli 65284 Raffaelli Philip Adm R Surg CE:
Birmingham B15 3TN 8169 DPHE: 8163 DPGPE:
Defence Medical Rehabilitation Centre 765501 Fax: 65243) (Mil 765243 02392 Tel:
CO: Cdr Caroline Williams 0121 331 6025 8154 Dharmeratnam Raj Capt Gp Dean: Dep
DMRC Headley Court, Epsom, 2AB PO12 Hants Gosport, Blockhouse, Fort
School administrator: Angela Edwards 6056 8152 Bevan Noel Cdre Surg Dean:
Surrey KT18 6JN & Haslar Hospital Royal Block, Mackenzie
Tel: 0121 415 8156 Fax: 8153 Fax: 8156 415 0121 Tel:
(HQ DMETA) (HQ uarters q Head Defence Postgraduate Medical Deanery Tel: 01372 378271 Fax: 377276 Agency
ICT Centre, Birmingham Research Park, CO: Lt Col David Minden 7223 2SQ B15 Edgbaston Drive, Vincent CO: Lt Col David Minden 7223 Minden David Col Lt CO:
Vincent Drive, Edgbaston B15 2SQ Park, Research Birmingham Centre, ICT
Tel: 01372 378271 Fax: 377276 Fax: 378271 01372 Tel: Deanery Medical Postgraduate Agency Headquarters (HQ DMETA) Defence
Tel: 0121 415 8156 Fax: 8153
Mackenzie Block, Royal Hospital Haslar & 6JN KT18 Surrey
Dean: Surg Cdre Noel Bevan 8152 6056 Edwards Angela administrator: School
Fort Blockhouse, Gosport, Hants PO12 2AB Epsom, Court, Headley DMRC
Dep Dean: Gp Capt Raj Dharmeratnam 8154 6025 331 0121 Williams Caroline Cdr CO:
Centre Rehabilitation Medical
Tel: 02392 765243 (Mil 65243) Fax: 765501 Defence DPGPE: 8163 DPHE: 8169 3TN B15 Birmingham
CE: Surg R Adm Philip Raffaelli 65284 CO: Surg Capt James Campbell 65275 Campbell James Capt Surg CO:
MDHU Derriford Chief of Staff: Brig Ewan Carmichael 65824 Edgbaston, Rd, Westbourne Tel: 02392 765166 (Mil 93819) Fax: 2403 Fax: 93819) (Mil 765166 02392 Tel:
3rd Floor, NU Building, Brest Rd, Derriford, Corp Comms: Mr Mike Blackwell 65243 England, Central of University Bdg, Seacole
Haslar Rd, Gosport, Hants PO12 2AA PO12 Hants Gosport, Rd, Haslar Studies Care Health for School
Plymouth, Devon PL6 5YE mob 0781 0667279 Defence
, Blockhouse Fort & Haslar ital p Hos Royal
Tel: 01752 777111 (Mil n/a) Fax: 763755 5272 Lane Keith Capt Gp Commandant:
CO: Cdr Bill Durning 02392 286000 x1305 286000 02392 Durning Bill Cdr CO:
CO: Cdr Tom McAuslin 763750 5209 Fax: 94229) (Mil 868658 01252 Tel: Tel: 023 92 286000 Fax: 6549 Fax: 286000 92 023 Tel:
MDHU Frimley Park 5RQ GU12 Hants Vale, Ash Barracks, Keogh
Cosham, Hants PO6 3LY PO6 Hants Cosham, Centre Training Services Medical
Frimley Park Hospital, Portsmouth Rd, Defence
Albert House, Queen Alexandra Hospital, Alexandra Queen House, Albert
Frimley, Surrey GU16 5UJ 8370 Holyer Ray Capt Trg: Dir
(MDHU-Pm) Portsmouth MDHU
Tel: 01276 604328 (Mil 94260) Fax: 675660 8352 Batchelor Tony Cdre Air Commandant:
Tel: 0121 627 8565 Fax: 8361 Fax: 8565 627 0121 Tel:
CO: Lt Col Sue Bush QARANC 6289 4984 Quinn Andrea Cdr Wg CO: Birmingham B29 6JD B29 Birmingham
MDHU-Northallerton 874939 Fax: 4000 or 87(ext) 01733 Tel: K Block, Selly Oak Hospital, Hospital, Oak Selly Block, K
South Tees Acute Hospls Trust, Friarage 6JW PE3 Peterborough
Trust, Eastlea Building, Thorpe Rd, Thorpe Building, Eastlea Trust, Medicine Defence for Centre
Hospital, Northallerton, N Yorks DL6 1JG Royal Peterb’ro & Stamford Hosps NHS Foundation NHS Hosps Stamford & Peterb’ro Tel: 01609 764933 (Mil 96111) Fax: 4952 Contacts DMETA
CO: Lt Col John Murray 4968 MDHU-Peterborough
Printed in the UK by The Stationery Office Limited on behalf of the Controller of Her Majesty’s Stationery Office ID 5382118 05/06
Printed on Paper containing 75% post consumer waste and 25% ECF pulp. 2005-06 Report Annual DMETA
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