Annual Report 2014 To contents Kapitelnamn Annual Report 2014 1 Contents Important events in 2014 ...........................................................4 Karolinska University Hospital .............................................62 Summary .....................................................................................6 Södersjukhuset AB ..................................................................63 Danderyds Sjukhus AB ...........................................................64 Administration report ...............................................................9 TioHundra AB .........................................................................65 Introduction ................................................................................9 Södertälje Sjukhus AB ............................................................67 The global economic trend ......................................................10 St. Eriks Ögonsjukhus AB .......................................................68 The economic trend in Sweden ...............................................10 Ambulanssjukvården i Storstockholm AB .............................69 The economic trend in Stockholm County ............................. 10 Stockholm Care AB .................................................................70 Significant events during 2014 ................................................11 Folktandvården Stockholms län AB .......................................70 Goals ..........................................................................................12 MediCarrier AB .......................................................................72 Assessment of goal attainment ............................................... 13 Public transport ........................................................................73 Balanced finances ................................................................... 13 Overall public transport..........................................................74 Improved availability and qua li ty of health AB Storstockholms Lokaltrafik ..............................................76 and medical care ..................................................................... 14 Waxholms Ångfartygs AB.......................................................77 Improved reliability of public transport ................................. 15 Transport services for the disabled ........................................78 Sustainable growth ................................................................. 16 Culture .......................................................................................79 Free, accessible, high quality cultural life .............................. 18 Free, accessible, high-quality cultural life ............................ 80 An attractive and competitive employer ................................ 18 Sustainable growth .................................................................81 Financial analysis .....................................................................20 Regional development ............................................................82 Surplus/deficit ......................................................................... 21 The County Council as an employer .......................................88 Revenues..................................................................................23 Expenses ..................................................................................26 An attractive and competitive employer ................................89 Financing ................................................................................28 Salary policy that supports operational improvement ......... 90 The County Council – an employer with breadth .................. 90 Investments ..............................................................................32 Skills provisioning ................................................................. 90 Investment trend .....................................................................33 Education ............................................................................... 90 Public transport investments .................................................33 Greater diversity – equal conditions and opportunities ........ 91 Investments in healthcare including properties ....................34 Management and leadership ..................................................92 New Karolinska Solna .............................................................35 Health-promoting work environment ..................................92 Financial performance of Properties in healthcare ..........................................................93 boards and committees ...........................................................37 Overall properties ...................................................................94 County Council Executive Board ............................................38 Locum AB ................................................................................94 Public Healthcare Services Committee ..................................39 Landstingsfastigheter Stockholm (LFS) ................................95 Health and Social care Committee in Norrtälje .................... 41 Financial and other operations ...............................................96 Traffic Committee ...................................................................42 Culture Committee ................................................................44 Overall financial operations ...................................................97 Patient Advisory Committee ..................................................44 Group financing .......................................................................97 County Council Auditors .........................................................45 AB Stockholms Läns Landstings Internfinans ......................98 All Stockholm County Council operations .............................46 Landstingshuset i Stockholm AB ...........................................99 Damages Account ....................................................................99 Expected development ............................................................47 Foundations, endowments and coordinating Development over the next few years .....................................48 federations .............................................................................100 Operations report ....................................................................50 Formed by the County Council independently Overall areas of operation .......................................................50 or with others .........................................................................101 Governance ...............................................................................52 Financial report ......................................................................104 County Council’s responsibility and mission .........................53 Audit Report for the County Council Objectives ................................................................................53 Executive Board 2014 ...........................................................126 Assignments ............................................................................53 Abbreviations ........................................................................ 127 Follow-up of supervisory obligations .....................................54 Contact information ..............................................................128 Health and medical care ..........................................................55 General health and medical care ............................................56 Healthcare Provision, Stockholm County ............................. 60 Follow-up of emergency hospitals ..........................................62 The figures in parentheses refer to the year-before period, unless 2 otherwise specified. Deviations may occur in tables and diagrams To sincecontents LS 1410-1162 the figures have been rounded from SEK thousands to millions. Message from the County Council Finance Commissioner Working as the County Council Finance Commissioner in Stockholm County is a privilege. After the election in the autumn, I was privileged to have again been entrusted with the reins of the County Council with the support of the parties of the Alliance. My main responsibility is to ensure that the resources exist to meet the residents’ needs, finance health and medical care and ensure good transport options for all. This must be done with finances bal- anced on the long term, both with regard to healthcare and public transport. Balanced finances are a prerequisite in order for us to be able to continue developing health and medical care and to meet the needs of tomorrow for accessible and functioning public transportation. 2014 was yet another year that was characterised by rapid growth, popu- lation growth and large expansion in the region. Stockholm County is an engine for growth for Sweden as a whole and we must constantly keep our sights set on the future – extensive investments are a must for the region’s continued development. New Karolinska and the Metro expansion are two examples of investments for the future that will develop our operations and I can confidently confirm that both of these projects are continuing according to plan. After eight years of a surplus for the County Council, we now have several years ahead of us with financial challenges. In conclusion,