ࡱ> 6Z[\]^_` O P Q R S T U V W X Y Z [ \ ] ^ _ ` a b c d e f g h []g} abjbj55  __4Y+)=###d7 $"0FLF"FF3GMNN/N؎z#GSLM@GSGSF3G|8qZqZqZGSFR G(qZGSqZqZo@" G?aOU(<0` V`P`# ?NHOqZqP-Q?N?N?NX?N?N?N0GSGSGSGS`?N?N?N?N?N?N?N?N?N : NORTHERN IRELAND AMBULANCE SERVICE HEALTH AND SOCIAL SERVICES TRUST ANNUAL ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 FOREWORD These accounts for the year ended 31 March 2008 have been prepared in accordance with Article 90(2)(a) of the Health and Personal Social Services (Northern Ireland) Order 1972, as amended by Article 6 of the Audit and Accountability (Northern Ireland) Order 2003, in a form directed by the Department of Health, Social Services and Public Safety. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 STATEMENT OF THE NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST'S RESPONSIBILITIES AND CHIEF EXECUTIVE'S RESPONSIBILITIES Under the Health and Personal Social Services (Northern Ireland) Order 1972 (as amended by Article 6 of the Audit and Accountability (Northern Ireland) Order 2003), the Northern Ireland Ambulance Service HSS Trust is required to prepare financial statements for each financial year in the form and on the basis determined by the Department of Health, Social Services and Public Safety. The financial statements are prepared on an accruals basis and must provide a true and fair view of the state of affairs of the Northern Ireland Ambulance Service HSS Trust, of its income and expenditure and cash flows for the financial year. In preparing the financial statements the Trust is required to: - observe the accounts direction issued by the Department of Health, Social Services and Public Safety including relevant accounting and disclosure requirements, and apply suitable accounting policies on a consistent basis. - make judgements and estimates on a reasonable basis. - state whether applicable accounting standards have been followed, and disclose and explain any material departures in the financial statements. - prepare the financial statements on the going concern basis, unless it is inappropriate to presume that the Trust will continue in operation. - keep proper accounting records which disclose with reasonable accuracy at any time the financial position of the Trust. - pursue and demonstrate value for money in the services the Trust provides and in its use of public assets and the resources it controls. The Permanent Secretary of the Department of Health, Social Services and Public Safety as Accounting Officer for health and personal social services resources in Northern Ireland has designated Mr L McIvor of the Northern Ireland Ambulance Service HSS Trust as the Accounting Officer for the Trust. His relevant responsibilities as Accounting Officer, including his responsibility for the propriety and regularity of the public finances for which he is answerable and for the keeping of proper records, are set out in the Accountable Officer Memorandum, issued by the Department of Health, Social Services and Public Safety. The Accounting Officer is also responsible for safeguarding the assets of the Trust and hence for taking reasonable steps to prevent and detect fraud and other irregularities. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 CERTIFICATES OF DIRECTOR OF FINANCE, CHAIRMAN AND CHIEF EXECUTIVE I certify that the annual accounts set out in the financial statements and notes to the accounts (pages 13 to 48) which I am required to prepare on behalf of the Northern Ireland Ambulance Service Health and Social Services Trust have been compiled from and are in accordance with the accounts and financial records maintained by the Trust and with the accounting standards and policies for HSC Trusts approved by the DHSSPS.  EMBED MSPhotoEd.3  Mrs Sharon McCue Director of Finance 29 May 2008 I certify that the annual accounts set out in the financial statements and notes to the accounts (pages 13 to 48) as prepared in accordance with the above requirements have been submitted to and duly approved by the Board.  Mr Douglas Smyth Chairman 29 May 2008  EMBED MSPhotoEd.3  Mr Liam McIvor Chief Executive 29 May 2008 STATEMENT ON INTERNAL CONTROL FOR THE FINANCIAL YEAR 2007/08 Scope of Responsibility The Board of the Northern Ireland Ambulance Service (NIAS) is accountable for internal control. As Accounting Officer and Chief Executive of the Board, I have responsibility for maintaining a sound system of internal control that supports the achievement of the organisations policies, aims and objectives, and for reviewing the effectiveness of the system. In essence, the role of Accounting Officer is to see that the Trust carries out the following functions in a way that ensures the proper stewardship of public money and assets: To enter into and fulfil service level agreements with commissioners; To meet statutory financial duties; To maintain and develop relationships with patients, the local community, commissioners and suppliers. The Trust is directly accountable to the Department of Health, Social Services and Public Safety (DHSSPS) for the performance of these functions. The Trust works in partnership with the DHSSPS and the four Health and Social Services Boards through the Commissioning Group for Ambulance Services (CGAS). This group has been established to secure the best possible service within the available resources. The role and remit of this group is contained within the Protocol for Partnership which is an integral part of the Service and Budget Agreement between the four Boards and the Trust. The Trust also works closely with other partner organisations through the establishment and representation on various working groups, for example local ambulance liaison groups. The purpose of the system of internal control The system of internal control is designed to manage risk to a reasonable level rather than to eliminate all risk of failure to achieve policies, aims and objectives; it can therefore only provide reasonable and not absolute assurance of effectiveness. The system of internal control is based on an ongoing process designed to: identify and prioritise the risks to the achievement of organisational policies, aims and objectives; evaluate the likelihood of those risks being realised and the impact should they be realised, and to manage them efficiently, effectively and economically. The system of internal control has been in place in NIAS for the year ended 31 March 2008, and up to the date of approval of the annual report and accounts, and accords with Department of Finance and Personnel guidance. The Board exercises strategic control over the operation of the organisation through a system of corporate governance which includes:- a schedule of matters reserved for Board decisions; a scheme of delegation, which delegates decision making authority within set parameters to the Chief Executive and other officers; standing orders and standing financial instructions, the establishment of an audit committee. The system of internal financial control is based on a framework of regular financial information, administrative procedures including the segregation of duties and a system of delegation and accountability. In particular it includes:- comprehensive budgeting systems with an annual budget which is reviewed and agreed by the board; regular reviews by the board of periodic annual financial reports which indicate financial performance against the forecast; setting targets to measure financial and other performances; clearly defined capital investment control guidelines; as appropriate, formal budget management disciplines. The Trust has an internal audit function which operates to defined standards and whose work is informed by an analysis of risk to which the body is exposed and annual audit plans are based on this analysis. In 2007/08 Internal Audit reviewed the following systems: Bank & Cash Payments to Creditors Payroll (Including Human Resources) Financial Ledgers Budgetary Control Ordering and Receipt of Goods Travel Expenses In his annual report, the Internal Auditor reported that overall based on the work performed, assurance could be provided on the system of internal control within NIAS. However, weaknesses in control were identified in a number of areas. In particular, limited assurance was provided in relation to the controls surrounding the authorisation and processing of travel claims. Recommendations to address these control weaknesses have been or are being implemented. With regard to the wider control environment the Trust has in place a range of organisational controls, commensurate with the current assessment of risk, designed to ensure the efficient and effective discharge of its business in accordance with the law and departmental direction. Every effort is made to ensure that the objectives of the Trust are pursued in accordance with the recognised and accepted standards of public administration. For example, the Trusts recruitment and selection policies are based on the principle of equality of opportunity and controls are in place to ensure that all such decisions are taken in accordance with the relevant legislation. With regard to estate management, decisions are taken within the context of an estate plan, which prioritises management action based on an assessment of risk. The Trust reports on Fire Code compliance on a regular basis to the Department and, in conjunction with Health Estates, is further developing its Estate Strategy with particular regard to Health and Safety, Fire Code and the Disability Discrimination Act. The Trust Board Clinical Governance Sub Committee continues to meet regularly and these meetings are recorded and minutes reported to Trust Board. The Clinical Audit function continues to analyse all clinical information contained in Patient Report Forms, which are held electronically within the Formic Intelligent Data Capture System. Regular reports are produced and presented at the Clinical Governance Committee on a range of clinical issues. The Trust has developed and is currently implementing a new management structure within the operations department. This structure is designed to enable the Trust to meet its PFA targets while at the same time delivering a robust system of clinical supervision. During the year a control weakness was identified within the systems and procedures in place to record the arrival times of ambulances at potentially life threatening Category A calls. An investigation carried out under the Trusts disciplinary procedure revealed that the details for 123 calls (0.5% of the total number of Category A calls) had been falsified. The Trusts disciplinary process was followed and appropriate disciplinary action taken. This incident had no adverse impact on patient care or the response provided to patients. Improved procedures have been implemented to address this control weakness and ensure that there is a thorough audit trail of any alterations made to call times. Capacity to handle risk The Board of the Northern Ireland Ambulance Trust has established a Risk Management Committee (RMC), which as a sub-committee of the Board is responsible for overseeing all aspects of risk management within the organisation. The RMC meets on a quarterly basis and receives regular reports on untoward incident reporting, the risk register, health and safety issues, controls assurance and other risk management issues. The Trusts Medical Director has been given delegated responsibility for risk management and a full time Risk Manager has been in post since July 2005. The NIAS Risk Management Strategy which complies with the AS/NZS 4360 Risk Management Standard was approved by the Trust Board in December 06 and throughout 2008 staff will continue to receive risk management training complementary to the implementation of the strategy. This will include the further development of the Trusts Corporate and local risk registers. The Trusts Untoward Incident Reporting Procedure has undergone a further review since its inception in April 2006. The revised procedure complies with the DHSSPS Safety Framework and was approved by the Board in December 2006. The risk and control framework The Trusts Risk Management Strategy specifies a number of reactive and proactive ways in which risk will be identified. The means of identification include although not exclusively untoward incident reporting, complaints management, risk assessment, claims management, controls assurance, benchmarking and consultation with staff and service users. The strategy also places upon all Trust employees the responsibility to be aware of and to report any and all risks to which they or the Trust are exposed. Once identified risks are recorded on the risk register and evaluated in line with the risk matrix identified within the strategy taking into account the potential impact on the Trusts patients, employees, environment, reputation and resources. This evaluation then prompts the development of individual risk treatment plans against which progress is monitored through the Trusts Risk Register, which is reviewed at each meeting of the RMC. Corporate Risks are those that impact the organisation as a whole or which cannot be resolved immediately or adequately reduced by treatment at a local level. They are recorded on the Corporate Risk Register, which is reviewed at each meeting of the Risk Management Committee and by the responsible manager on a continual basis. Local Risks are those which have a localised impact and which can be reduced to an acceptable level by treatment at a local level. These are recorded on the Local Risk Register and are the responsibility of NIAS line management. Local Risk Register updates are forwarded to the relevant Directors for distribution and review at local level on a bi-monthly basis. The Trust assessed its compliance with the 22 Controls Assurance Standards which were defined by the Department and against which a degree of progress is expected in 2007/08. Following the audit, the Trust achieved the following levels of compliance for 2007/08: StandardDHSS&PS Expected Level of ComplianceTrust Level of ComplianceReviewed ByBuildings, land, plant and non-medical equipment70% - 99% (Substantive)SubstantiveSelf AssessmentDecontamination of medical devices70% - 99% (Substantive)Not Assessed *Emergency Planning70% - 99% (Substantive)SubstantiveSelf AssessmentEnvironmental Cleanliness70% - 99% (Substantive)ModerateInternal AuditEnvironment Management70% - 99% (Substantive)SubstantiveSelf AssessmentFinancial Management (Core Standard)70% - 99% (Substantive)SubstantiveInternal AuditFire safety70% - 99% (Substantive)SubstantiveSelf AssessmentFleet and Transport Management70% - 99% (Substantive)ModerateSelf AssessmentFood Hygiene70% - 99% (Substantive)Not Assessed *Governance (Core Standard)70% - 99% (Substantive)SubstantiveInternal AuditHealth & Safety70% - 99% (Substantive)SubstantiveInternal AuditHuman Resources70% - 99% (Substantive)SubstantiveSelf AssessmentInfection Control70% - 99% (Substantive)SubstantiveInternal AuditInformation Communication Technology 70% - 99% (Substantive)SubstantiveSelf assessmentManagement of Purchasing and Supply70% - 99% (Substantive)SubstantiveInternal AuditMedical Devices and Equipment Management70% - 99% (Substantive)SubstantiveSelf assessmentMedicines Management70% - 99% (Substantive)SubstantiveSelf AssessmentRecords Management70% - 99% (Substantive)ModerateSelf AssessmentResearch Governance30% - 69% (Moderate)Not Assessed *Risk Management (Core Standard)70% - 99% (Substantive)SubstantiveInternal AuditSecurity Management70% - 99% (Substantive)SubstantiveSelf AssessmentWaste Management70% - 99% (Substantive)SubstantiveSelf Assessment * Refer to Departmental Guidance HSS (PPM) 1/2005 not applicable to the Trust The Trust has met the required levels of compliance as determined by the Department with the exception of the Environmental Cleanliness Standard, Fleet and Transport Management Standard and Records Management Standard. Performance against the Environmental Cleanliness Standard was judged as moderate after a process of self assessment and also a review by internal Audit. This was mainly due to the need to establish appropriate accountability arrangements, establish appropriate processes, targets and performance indicators and obtain independent assurance that an effective system of managing environmental cleanliness risk is in place. Performance against the Fleet and Transport Management Standard was self assessed as moderate. This was mainly due to the need to formally agree the Fleet and Transport Strategy with all Stakeholders for approval by Trust Board. Performance against the Records Management Standard was self assessed as moderate. This was mainly due to the need to establish appropriate accountability arrangements, establish appropriate processes, targets and performance indicators in relation to Records Management. The Trust continues to develop systems and processes to ensure compliance with Controls Assurance Standards. An action plan will be developed for areas of non compliance with controls assurance standards and progress against the plan will be monitored throughout the year by the Trusts Risk Management Committee. The age of the ambulance vehicles in service remained an issue and a risk for the Trust in 2007/08. At the end of the year, 55.3% of the Accident and Emergency (A&E) fleet and 57.1% of the Patient Care Service (PCS) fleet were overdue for replacement. During the year, the Trust purchased eleven replacement PCS vehicles using the general capital resource allocation. While this went some way to addressing the issue, unfortunately no funds were available in the year for the purchase of A&E vehicles. The Trust will continue to work with the DHSSPS to finalise a Fleet Replacement Strategy and develop the appropriate business cases to enable the release of funding to ensure that fleet can be replaced in an appropriate, planned and timely manner. Review of Effectiveness As Accounting Officer, I have responsibility for the review of effectiveness of the system of internal control. My review of the effectiveness of the system of internal control is informed by the work of the internal auditors and the executive managers within the Trust who have responsibility for the development and maintenance of the internal control framework, and comments made by the external auditors in their management letter and other reports. I have been advised on the implications of the result of my review of the effectiveness of the system of internal control by the Board, Audit Committee, Risk Management Committee and Clinical Governance Committee. A plan to address weaknesses and ensure continuous improvement to the system is in place. The process of maintaining and reviewing the effectiveness of internal control is embedded throughout the organisation. In particular: The Board exercises financial supervision and control by: Approving the financial strategy; Requiring the submission and approval of budgets within approved allocations/overall income; Defining and approving essential features in respect of important procedures and financial systems (including the need to obtain value for money); Defining specific responsibilities placed on directors and employees as indicated in the Scheme of Delegation Document. The Audit Committee, with agreed terms of reference, provides an independent and objective view of internal financial control by: Overseeing internal and external audit services; Reviewing financial systems; Ensuring compliance with Standing Orders and Standing Financial Instructions; Reviewing schedules of losses and compensation payments and making recommendations to the Board; Review and discuss the annual financial statements before submission to the Board. The Clinical Governance Committee is responsible for assuring the NIAS Board that effective and regularly reviewed structures are in place to support the implementation and development of Clinical Governance. The responsibilities of the Clinical Governance Committee include: To monitor and oversee all clinical activities occurring within the Trust and provide clinical advice to the Trust Board; To ensure that processes for assuring the quality of clinical care are in place and regulated by the Trust; To monitor and oversee the establishment of a framework for professional self regulation within the Trust; To monitor the development and implementation of national standards of care and practice within the Trust; That there is a system and support for clinical audit and that there is regular audit of patient report forms; To ensure that professional performance procedures are in place and understood by all staff; To ensure that regular reports are provided to the Trust Board regarding the quality of clinical care delivered by the Trust; To monitor and oversee all clinical research and development activities taking place within the Trust; To ensure that evidence based health care is fostered; To oversee clinical risk assessment procedures and outcomes; To oversee the continuing professional development of all staff within the Trust; To oversee the clinical complaints procedure and ensure that all lessons are learned from such complaints and action taken to avoid the recurrence of similar problems in the future; To monitor critical incident reporting to ensure that all adverse events are identified, openly investigated, lessons are learnt and promptly applied; To promote and facilitate a supportive no-blame culture committed to the concept of lifelong learning; To ensure that results from clinical review and risk management programmes inform the training agenda; To promote, monitor and oversee the Trusts infection control programme; To oversee the preparation of an Annual report on Clinical Governance. The Risk Management Committee is responsible for supporting the risk management accountability arrangements within the organisation and ensuring that all risks are properly considered and communicated to the board as appropriate. Its responsibilities are to: To develop and deliver a Trust wide strategy for risk management, establishing key performance indicators and monitoring actual performance against them; To review the Trusts Risk Register on an ongoing basis, and to make recommendations to Trust Board for action as required; To review the outcome of serious untoward incidents and to ensure that appropriate remedial action has been taken including measures to prevent reoccurrence; To monitor progress and ensure compliance with the DHSSPSNIs Controls Assurance Standards; To establish and receive reports from risk related working groups; To receive internal and external reviews and assessments relating to the management of risk within the Trust; To secure adequate resources for risk management. Internal Audit will review, appraise and report upon: The extent of compliance with, and the financial effect of, relevant established policies, plans and procedures; The adequacy and application of financial and other related management controls; The suitability of financial and other related management data; The extent to which the Trusts assets and interests are accounted for and safeguarded from loss of any kind, arising from: fraud and other offences; waste, extravagance, inefficient administration; poor value for money or other causes. The Chief Executive is ultimately accountable to the Board and, as Accounting Officer, to the Accounting Officer of the DHSSPS for ensuring that the Board meets its obligation to perform its functions within the available financial resources. The Chief Executive has overall executive responsibility for the Trusts activities, is responsible to the Board for ensuring that its financial obligation and targets are met and has overall responsibility for the Trusts system of internal control.  EMBED MSPhotoEd.3  Mr Liam McIvor Chief Executive 28 June 2007 NORTHERN IRELAND AMBULANCE SERVICE HEALTH AND SOCIAL SERVICES TRUST THE CERTIFICATE AND REPORT OF THE COMPTROLLER AND AUDITOR GENERAL TO THE Northern Ireland AssEmbly I certify that I have audited the financial statements of Northern Ireland Ambulance Service Health and Social Services Trust for the year ended 31 March 2008 under the Health and Personal Social Services (Northern Ireland) Order 1972 as amended. These comprise the Income and Expenditure Account, the Balance Sheet, the Cash Flow Statement and Statement of Total Recognised Gains and Losses and the related notes. These financial statements have been prepared under the accounting policies set out within them. I have also audited the information in the Remuneration Report that is described in that report as having been audited. Respective responsibilities of the Trust, Chief Executive and Auditor The Trust and Chief Executive as Accounting Officer are responsible for preparing the Annual Report, the Remuneration Report and the financial statements in accordance with the Health and Personal Social Services (Northern Ireland) Order 1972 as amended and Department of Health, Social Services and Public Safety directions made thereunder and for ensuring the regularity of financial transactions. These responsibilities are set out in the Statement of Northern Ireland Ambulance Service Health and Social Services Trusts Responsibilities and Chief Executives Responsibilities. My responsibility is to audit the financial statements and the part of the Remuneration Report to be audited in accordance with relevant legal and regulatory requirements, and with International Standards on Auditing (UK and Ireland). I report to you my opinion as to whether the financial statements give a true and fair view and whether the financial statements and the part of the Remuneration Report to be audited have been properly prepared in accordance with the Health and Personal Social Services (Northern Ireland) Order 1972 as amended and Department of Health, Social Services and Public Safety directions made thereunder. I report to you whether, in my opinion, the information, which comprises the information on the Trust Board included in the Annual Report is consistent with the financial statements. I also report whether in all material respects the expenditure and income have been applied to the purposes intended by the Assembly and the financial transactions conform to the authorities which govern them. In addition, I report to you if the Northern Ireland Ambulance Service Health and Social Services Trust has not kept proper accounting records, if I have not received all the information and explanations I require for my audit, or if information specified by the Department of Health, Social Services and Public Safety regarding remuneration and other transactions is not disclosed. I review whether the Statement on Internal control reflects the Northern Ireland Ambulance Service Health and Social Services Trusts compliance with the Department of Health, Social Services and Public Safety guidance, and I report if it does not. I am not required to consider whether this statement covers all risks and controls, or form an opinion on the effectiveness of the Northern Ireland Ambulance Service Health and Social Services Trusts corporate governance procedures or its risk and control procedures. I read the other information contained in the Annual Report and consider whether it is consistent with the audited financial statements. This other information comprises the unaudited part of the Remuneration Report, the Chairmans Preface, the Chief Executive Introduction and the information on services provided by the Trust included in the Annual report. I consider the implications for my report if I become aware of any apparent misstatements or material inconsistencies with the financial statements. My responsibilities do not extend to any other information. Basis of audit opinions I conducted my audit in accordance with International Standards on Auditing (UK and Ireland) issued by the Auditing Practices Board. My audit includes examination, on a 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 Trust and Accounting Officer in the preparation of the financial statements, and of whether the accounting policies are most appropriate to the Northern Ireland Ambulance Service Health and Social Services Trusts circumstances, consistently applied and adequately disclosed. I planned and performed my audit so as to obtain all the information and explanations which I considered necessary in order to provide me with sufficient evidence to give reasonable assurance that the financial statements and the part of the Remuneration Report to be audited are free from material misstatement, whether caused by fraud or error, and that in all material respects the expenditure and income have been applied to the purposes intended by the Assembly and the financial transactions conform to the authorities which govern them. In forming my opinion I also evaluated the overall adequacy of the presentation of information in the financial statements and the part of the Remuneration Report to be audited. Opinions In my opinion: the financial statements give a true and fair view, in accordance with the Health and Personal Social Services (Northern Ireland) Order 1972 as amended and directions made thereunder by Department of Health, Social Services and Public Safety of the state of the Northern Ireland Ambulance Service Health and Social Services Trusts affairs as at 31 March 2008 and of its deficit, cash flows and recognised gains and losses for the year then ended; the financial statements and the part of the Remuneration Report to be audited have been properly prepared in accordance with the Health and Personal Social Services (Northern Ireland) Order 1972 as amended and Department of Health, Social Services and Public Safety directions made thereunder; and information, which comprises the information on the Trust Board included within the Annual Report, is consistent with the financial statements. Opinion on Regularity In my opinion, in all material respects the expenditure and income have been applied to the purposes intended by the Assembly and the financial transactions conform to the authorities which govern them. Report I have no observations to make on these financial statements.  EMBED MSPhotoEd.3  JM Dowdall Comptroller and Auditor General Northern Ireland Audit Office 106 University Street Belfast BT7 1EU 13th June 2008 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31 MARCH 2008 20082007NOTE000000Income from Activities2 46,355  49,155Other Operating Income3 251  28146,60649,436 Operating Expenses  4,5 (50,057) (49,166) SURPLUS (DEFICIT) BEFORE INTEREST(3,451)270Interest Receivable229 366 Interest Payable70(208)SURPLUS (DEFICIT) FOR THE FINANCIAL YEAR (3,222)  428 Public Dividend Capital Dividends Payable14.50(404)OPERATIONAL SURPLUS (DEFICIT) BEFORE PROVISIONS   (3,222)  24 Provisions for Future Obligations8.1(934)681RETAINED SURPLUS/(DEFICIT) FOR THE FINANCIAL YEAR  (4,156)  705  Adjustment for Capital Charges and Other Non Cash Costs 4.3 3,388 0 BREAK EVEN POSITION 19 166 24 The notes on pages 17 to 48 form part of these accounts. All Income and Expenditure is derived from continuing activities. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST BALANCE SHEET AS AT 31 MARCH 2008 20082007NOTE000000000000FIXED ASSETSIntangible assets9476Tangible assets10,10.219,96219,22720,00919,233 CURRENT ASSETSStocks and work in progress116263Debtors: Amounts falling due Within one year125,6199,125 After one year1233199Short term investments132,104105Cash at bank and in hand00TOTAL CURRENT ASSETS7,8189,492CREDITORS: Amounts falling due within one year 14 (11,609) (11,712)NET CURRENT ASSETS (LIABILITIES)(3,791)(2,220)TOTAL ASSETS LESS CURRENT LIABILITIES 16,218 17,013CREDITORS: Amounts falling due after more than one year 14  (2,261)  (2,093)PROVISIONS FOR LIABILITES AND CHARGES 8 (1,954) (1,186) TOTAL ASSETS EMPLOYED 12,003 13,734FINANCED BY:CAPITAL AND RESERVESPublic dividend capital1610,5949,319Revaluation reserve174,8444,389Donation reserve1700Realised donation reserve1700Other reserves1700Income and expenditure reserve17(3,435)26 12,003 13,734 The notes on pages 17 to 48 form part of these accounts.   Mr D Smyth Mr W McIvor Chairman Chief Executive 29 May 2008 29 May 2008 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST STATEMENT OF TOTAL RECOGNISED GAINS AND LOSSES FOR THE YEAR ENDED 31MARCH 2008 20082007000000Surplus (Deficit) for the financial year(3,222) 428 Provisions for future obligations(934) 681(4,156)1,109 Fixed asset impairment losses  0 0 Non donated Fixed AssetsIndexation of fixed assets418420Revaluation of fixed assets0(152)418268Donated AssetsAdditions to donated assets00Indexation00Revaluation00Disposals00(except transfers to realised donation reserve)00Total recognised gains and losses relating to the year(3,738)1,377Additions to Capital Assets Reserve00TOTAL GAINS (LOSSES) RECOGNISED IN THE FINANCIAL YEAR(3,738)1,377 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST CASH FLOW STATEMENT FOR THE YEAR ENDED 31 MARCH 2008 20082007000000000000 Net Cash Inflow from Operating Activities (Note 25.1) 3,573 3,646Returns on Investments and Servicing of FinanceInterest received231365Interest paid0(208)Interest element of finance lease rental payments00Net Cash (Outflow) Inflow from Returns on Investments and Servicing of Finance 231 157Capital ExpenditurePayments to acquire intangible fixed assets(43)0Receipts from sales of intangible fixed assets00Payments to acquire tangible fixed assets(2,606)(3,149)Receipts from sales of tangible fixed assets430Net Cash Inflow (Outflow) from Capital Expenditure (2,606) (3,149)Dividends Paid(404)(388)Management of Liquid ResourcesPurchase of current asset investments00Sale of current asset investments00Net Cash Inflow (Outflow) from Management of Liquid Resources 0 0Net Cash Inflow (Outflow) before Financing794266FinancingNew money capital reserve00Additional public dividend capital advances in year1,2750Repayment of public dividend capital to DHSSPS00Repayment of loans Interest Bearing Debt(9)(167)Repayment of prior year impairment(61)(99)Net Cash Inflow (Outflow) from Financing1,205(266)Increase (Decrease) in Cash (Notes 25.2 and 25.3) 1,999 0 The notes on page 17 to 48 form part of this statement. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 1. STATEMENT OF ACCOUNTING POLICIES 1.1 Authority These accounts have been prepared in a form determined by the Department of Health, Social Services and Public Safety in accordance with the requirements of Article 90(2)(a) of the Health and Personal Social Services (Northern Ireland) Order 1972 No 1265 (NI 14) as amended by Article 6 of the Audit and Accountability (Northern Ireland) Order 2003. 1.2 Accounting Convention These accounts have been prepared under the historical cost convention as modified by the indexation and revaluation of tangible fixed assets. 1.3 Basis of Preparation of Accounts The accounts have been prepared in accordance with the 2007/08 HSC Trust Manual of Accounts issued by the Department of Health, Social Services and Public Safety. The accounting policies contained in that Manual follow UK generally accepted accounting practice (UK GAAP) to the extent that it is meaningful and appropriate to HSS Trusts. The accounting policies are selected in accordance with the principles set out in FRS 18 "Accounting Policies as the most appropriate for giving a true and fair view. The accounting policies have been applied consistently in dealing with items considered material in relation to the accounts. The principal variations between UK GAAP and the accounting policies directed by the Department of Health, Social Services and Public Safety are: Paragraph 20 of Financial Reporting Standard 3 Reporting Financial Performance requires certain items of expenditure to be separately disclosed in the income and expenditure account after operating surplus/(deficit). These expenditure items do not include the costs associated with provision for liabilities and charges which are normally included within the calculation of the operating surplus/(deficit). However, as the Department measures the operating performance of Trusts by reference to the operating surplus/(deficit) excluding the impact of certain provisions, the income and expenditure account is presented to disclose the operating surplus/(deficit) before provisions for future obligations. Financial Reporting Standard 15 Tangible Fixed Assets requires impairment losses on revalued fixed assets to be recognised in the Statement of Total Recognised Gains and Losses until the carrying value of the asset falls below depreciated historic cost, at which stage any further impairments are recognised in the Income and Expenditure Account There are occasions, particularly in relation to new built where losses or downward revaluations arising from a general fall in prices are charged to the revaluation reserve and may lead to a temporary negative revaluation reserve in respect of certain assets. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS Intangible Fixed Assets Intangible fixed assets are capitalised when they are capable of being used in a Trusts activities for more than one year; and they have a cost of at least 5,000 (either individually or as a grouped asset). Intangible fixed assets held for operational use are valued at historical cost and are depreciated over the estimated life of the asset on a straight line basis, except capitalised Research and Development which is revalued using an appropriate index figure. The carrying value of intangible assets is reviewed for impairment at the end of the first full year following acquisition and in other periods if events or changes in circumstances indicate the carrying value may not be recoverable. Purchased computer software licences are capitalised as intangible fixed assets where expenditure of at least 5,000 is incurred (either individually or as a grouped asset). They are amortised over the shorter of the term of the licence and their useful economic lives. Tangible Fixed Assets Capitalisation Tangible assets are capitalised if they are capable of being used for a period which exceeds one year and they: individually have a cost of at least 5,000; OR they satisfy the criteria of a grouped assets i.e. collectively have a cost of at least 5,000, are functionally interdependent, broadly simultaneous purchase dates, and anticipated to have simultaneous disposal dates, under single managerial control and have an individual cost of 1,000 ;OR form part of the initial equipping and setting-up cost of a new building, ward or unit irrespective of their individual or collective cost. Valuation Tangible fixed assets are stated at the lower of replacement cost and recoverable amount. On initial recognition they are measured at cost (for leased assets, fair value) including any costs such as installation directly attributable to bringing them into working condition. They are restated to current value each year. The carrying values of tangible fixed assets are reviewed for impairment in periods if events or changes in circumstances indicate the carrying value may not be recoverable. All land and buildings are restated to current value using professional valuations in accordance with FRS 15 every five years and in the intervening years by the use of indices. The buildings index is based on the All in Tender Price Index published by the Building Cost Information Service (BCIS). The land index is based on the residential building land values reported in the Property Market Report published by the Valuation Office. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS Professional valuations are carried out by the District Valuers of the Valuations and Land Agency. The valuations are carried out in accordance with the Royal Institute of Chartered Surveyors (RICS) Appraisal and Valuation Manual insofar as these terms are consistent with the agreed requirements of the Department of Health, Social Services and Public Safety. In accordance with the requirements of the Department, asset valuations were undertaken in 2004/05 as at the valuation date of 31 March 2005. The valuations are carried out primarily on the basis of Depreciated Replacement Cost for specialised operational property and Existing Use Value for non-specialised operational property. The value of land for existing use purposes is assessed at Existing Use Value. For non-operational properties including surplus land, the valuations are carried out at Open Market Value. Additional alternative Open Market Value figures have only been supplied for operational assets scheduled for imminent closure and subsequent disposal. All increases in value arising from indexation and five-yearly revaluations are taken to the Revaluation Reserve. All decreases in value resulting from price changes are charged to the Statement of Total Recognised Gains and Losses to the extent that a revaluation reserve covers these price impairments and if there is insufficient cover in the revaluation reserve the remainder is charged to the I&E account. Assets in the course of construction are valued at cost and are not indexed. These assets include any existing land or buildings under the control of a contractor. Residual interests in off-balance sheet Private Finance Initiative properties are included in tangible fixed assets as assets under construction and payments on account where the PFI contract specifies the amount, or a nil value, at which the assets will be transferred to the Trust at the end of the contract. The residual interest is built up, on an actuarial basis, during the life of the contract by capitalising part of the unitary charge so that at the end of the contract the balance sheet value of the residual value plus the specified amount equal the expected fair value of the residual asset at the end of the contract. The estimated fair value of the asset on reversion is determined by the District Valuer based on Department of Health guidance. The District Valuer should provide an estimate of the anticipated fair value of the assets on the same basis as the District Valuer values the NHS Trusts estate. Operational equipment other than IT equipment, which is considered to have nil inflation, is valued at net current replacement cost through annual uplift by the change in the value of the GDP deflator. Equipment surplus to requirements is valued at net recoverable amount. Depreciation, Amortisation and Impairments Tangible fixed assets are depreciated at rates calculated to write them down to estimated residual value on a straight-line basis over their estimated useful lives. No depreciation is provided on freehold land, and assets surplus to requirements. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS Assets in the course of construction and residual interests in off-balance sheet PFI contract assets are not depreciated until the asset is brought into use or reverts to the Trust, respectively. Buildings, installations and fittings are depreciated on their current value over the estimated remaining life of the asset as advised by the District Valuer. Leaseholds are depreciated over the primary lease term. Equipment is depreciated on current cost evenly over the estimated life of the asset. Impairment losses resulting from short-term changes in price that are considered to be recoverable in the longer term are taken in full to the revaluation reserve, where one exists with any remaining balance charged to the I&E account. Impairment losses caused by economic events are taken in full to the I&E account with a transfer being made from the revaluation reserve to the I&E reserve up to the amount of the economic impairment. Donated Fixed Assets Donated fixed assets are capitalised at their current value on receipt and this value is credited to the Donated Asset Reserve. Donated fixed assets are valued and depreciated as described above for purchased assets. Gains and losses on revaluations are also taken to the Donated Asset Reserve and, each year, an amount equal to the depreciation charge on the asset is released from the Donated Asset Reserve to the Income and Expenditure account. Similarly, any impairment on donated assets charged to the Income and Expenditure Account is matched by a transfer from the Donated Asset Reserve. On sale of donated assets, the value of the sale proceeds is transferred from the Donated Asset Reserve to the Income and Expenditure Reserve. Research and Development Research and development expenditure is charged against income in the year in which it is incurred, except in so far as development expenditure relates to a clearly defined project and the benefits therefrom can reasonably be regarded as assured. Expenditure so deferred is limited to the value of future benefits and is amortised through the income and expenditure account on a systematic basis over the period expected to benefit from the project. Private Finance Initiative (PFI) transactions The HSS follows HM Treasurys Technical Note 1 (Revised) How to Account for PFI transactions which provides definitive guidance for the application of the FRS 5 Amendment. PFI schemes are schemes under which the PFI operator receives an annual payment from the Trust for the services provided by the PFI operator. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS Where the balance of the risks and rewards of ownership of the PFI property are borne by the PFI operator, the PFI obligations are recorded as an operating expense. Where the Trust has contributed assets, a prepayment for their fair value is recognised and amortised over the life of the PFI contract by charge to the Income and Expenditure Account. Where, at the end of the PFI contract, a property reverts to the Trust, the difference between the expected fair value of the residual on reversion and any agreed payment on reversion is built up over the life of the contract by capitalising part of the unitary charge each year, as a tangible fixed asset. Where the balance of risks and rewards of ownership of the PFI property are borne by the Trust, it is recognised as a fixed asset along with the liability to pay for it which is accounted for as a finance lease. Contract payments are apportioned between an imputed finance lease charge and a service charge. Stocks and Work-in-Progress Stocks and work-in-progress are valued at the lower of cost and net realisable value. This is considered to be a reasonable approximation to current cost due to the high turnover of stocks. Work-in-progress comprises goods in intermediate stages of production. Partially completed contracts for patient services are not accounted for as work-in-progress. Provisions The Trust provides for legal or constructive obligations that are of uncertain timing or amount at the balance sheet date on the basis of the best estimate of the expenditure required to settle the obligation. Where the effect of the time value of money is significant, the estimated risk-adjusted cash flows are adjusted using the Treasurys discount rate of 2.2% in real terms. Provisions for clinical negligence are recognised only where it is more probable than not that a settlement will be required. Clinical Negligence Central Fund A Clinical Negligence Central Fund was established in 1998 to manage the payment of clinical negligence settlements. HSS Trusts are reimbursed by the Central Fund for payments made. Reimbursements are accounted for as income. The reimbursements from the Central Fund in respect of clinical negligence liabilities and provisions are included within debtors. Pensions The Trust participates in the HSS Superannuation Scheme. Under this multi-employer defined benefit scheme both the Trust and employees pay specified percentages of pay into the scheme and the liability to pay benefit falls to the DHSSPS. The Trust is unable to identify its share of the underlying assets and liabilities in the scheme on a consistent and reliable basis. Further information regarding the HSS Superannuation Scheme can be found in the HSS Superannuation NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS Scheme Statement in the Departmental Resource Account for the Department of Health, Social Services and Public Safety. The costs of early retirements are met by the Trust and charged to the Income and Expenditure Account at the time the Trust commits itself to the retirement. As per the requirements of FRS 17, full actuarial valuations by a professionally qualified actuary are required at intervals not exceeding four years. The actuary reviews the most recent actuarial valuation at the balance sheet date, in this case the 2003 valuation, and updates it to reflect current conditions. A full valuation took place with affect from 31 March 2004 and this is the valuation being used for 2007-08 accounting purposes. 1.13 Third Party Assets Assets belonging to third parties (such as money held on behalf of Patients) are not recognised in the accounts since the Trust has no beneficial interest in them. Details of third party assets are given in Note 27 to the accounts. 1.14 Leases Assets held under finance leases are capitalised at the fair value of the asset with an equivalent liability categorised as appropriate under creditors due within or after one year. The asset is subject to indexation and revaluation and is depreciated on its current fair value over the shorter of the lease term and its useful economic life. Finance charges are allocated to accounting periods over the period of the lease to produce a constant rate of interest on the outstanding balance. Rentals under operating leases are charged to the Income and Expenditure Account in the year in which they arise. 1.15 Losses This note (Note 24) is a memorandum statement unlike most notes to the accounts which provide further detail of figures in the primary accounting statements. Most of the contents will be included in operating expenses. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 200820072.Income from Activities000000 NI Health and Social Services Boards44,99547,665GB/Republic of Ireland Health Authorities00HSS Trusts1,3601,487Non-HSS:- private patients03- other00Clients contributions00Total46,35549,1553.Other Operating Income 2008 0002007 000 Other income from non-patient services240220NIMDTA / NICPMDE00SUMDE00Charitable and other contributions to expenditure00Donated asset reserve transfer for Impairment00Donated asset reserve transfer for Depreciation00Income in respect of fixed asset impairments061Profit on disposal of land00Clinical Negligence Central Fund110Reversal of fixed asset impairments00Other income00Total251281 In 2007/08 the Department of Health, Social Services and Public Safety was required to change the funding arrangements for Trust's capital charges, with Trusts no longer receiving income for these charges. Consequently the income has decreased significantly in 2007/08 in comparison with 2006/07. In line with guidance issued by the Department of Finance and Personnel and the Department of Health, Social Services and Public Safety, the comparative 2006/07 figures have not been restated to reflect the impact of these changes and therefore the 2006/07 income includes 3,514k for Trust capital charges. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 4.Operating Expenses4.1Operating Expenses are as follows:20082007000000 Salaries and Wages (excluding Board members remuneration)37,67636,322Executive Board members remuneration387394Non-executive Board members remuneration4852Supplies and services-clinical603699Supplies and services-general193392Establishment1,1371,242Transport3,9853,644Premises1,5381,774Bad debts01Depreciation and amortisation Cost of Capital2,656 5302,843 0(Profit)/Loss on disposal of fixed assets (excluding profit on land)(37)0Fixed asset impairments4561Donated asset impairments00Purchase of care from non-HSS bodies and grants to voluntary organisations00Personal social services00Recharges from other HSS organisations396466Clinical Negligence Payments:- Provisions utilised70- Other00Audit fees2420Other auditors remuneration00Miscellaneous8691,256Total50,05749,1664.2Operating LeasesOperating expenses include the following amounts in respect of hire and operating lease rentals:2008 0002007 000Hire of plant and machinery00Other operating leases156136 156136 Commitments under non-cancellable operating leases are: Land and buildingsOther leases 2008 0002007 0002008 0002007 000Operating leases which expire:Within 1 year22012Between 1 and 5 years106146812After 5 years922785001,030 933824 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS NOTE 4 (Contd) 4.3Capital Charges and Other Non Cash Costs (Memorandum Note) The following amounts have been included in Note 4.1:2008 Capital charges- Depreciation2,656- Cost of capital530Audit fee24Other auditors remuneration0Impairments45Loss on sale / disposal of land & buildings0Other133Total3,388 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 5.1 Staff Costs Directly employed 000 Other 000 2008 000 2007 000Salaries and Wages (including Board Members remuneration and Non-executive Board Members) 33,347 354 33,701 32,840Social security costs2,54902,5492,309Pension costs for early retirements reflecting the single lump sum to buy over the full liability 0 0 0 6Other pension costs1,86101,8611,613Early departure costs0000Sub-Total37,75735438,11136,768Less recoveries in respect of outward secondments00Total net costs38,11136,768Of the total, NIL has been charged to capital. 5.2 Average Number of Persons Employed Directly employed No. Other No. 2008 No 2007 NoMedical and dental1011Nursing and Midwifery0000Professions allied to medicine0000Ancillaries0000Administrative and clerical50146471Ambulance staff1,00441,008964Works3033Other professional and technical0000Social Services0000Other0000Total1,058181,0761,039 Figures refer to wholetime equivalents (WTEs) rather than individuals. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS NOTE 5 (Contd) Senior Employees' Remuneration The salary, pension entitlements, and the value of any taxable benefits in kind of the most senior members of the Trust were as follows: Name 2007-082006-072007-08 Salary, including Performance Pay 000 Benefits in Kind (rounded to nearest 100) Salary, including Performance Pay 000 Benefits in Kind (rounded to nearest 100)Real increase in pension at age 60 and related lump sum 000Total accrued pension at age 60 and related lump sum 000 CETV at 31/03/07 000 CETV at 31/03/08 000 Real increase in CETV 000Non-Executive MembersD Smyth15-20-15-20- - - - - -L Gillespie (until 17 May 2007) M Greer M Hanratty (Appointed 01 August 07)0 5 (5 10*) 5 10 0 5 (5 10*)- - - -5-10 5 10 - - - - - - - - -  - - - - - - - -  - - - - - - - -F Hughes S Mullan5-10 5-10- -5-10 5-10- - - - - - - - - - - -R Perrott 5-10-5-10- - - - - -Executive MembersL McIvor65-70-65-70-0-2.5 + lump sum of 0-2.515-20 + lump sum of 45-501952229S McCue55-60-55-60-0-2.5 + lump sum of 0-2.5 0-5 + lump sum of 10-15567111R OHara55-60-50-55-0-2.5 + lump sum of 0-2.510-15 + lump sum of 40-451471677D McManus90-95-80-85-0-2.5 + lump sum of 0-2.525-30 + lump sum of 85-9040645315B McNeill50-55-50-55-0-2.5 + lump sum of 0-2.515-20 + lump sum of 45-501882086 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS NOTE 5 (Contd) Senior Employees' Remuneration (Contd) As Non-Executive members do not receive pensionable remuneration, there will be no entries in respect of pensions for Non-Executive members. A Cash Equivalent Transfer Value (CETV) is the actuarially assessed capital value of the pension scheme benefits accrued by a member at a particular point in time. The benefits valued are the members accrued benefits and any contingent spouses pension payable from the scheme. A CETV is a payment made by a pension scheme, or arrangement to secure pension benefits in another pension scheme or arrangement when the member leaves a scheme 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 the disclosure applies. The CETV figures, and from 2004-05 the other pension details, include the value of any pension benefits in another scheme or arrangement which the individual has transferred to the HSS pension scheme. They also include any additional pension benefit accrued to the member as a result of their purchasing additional years of pension service in the scheme at their own cost. CETVs are calculated within the guidelines and framework prescribed by the institute and Faculty of Actuaries. Real Increase in CETV This 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. 5.4Staff Benefits20082007000 000None00 00 5.5Trust Management Costs20082007000 000 Trust Management Costs2,8982,870 Total Income46,25049,029 % of total income 6.27%5.85% The above information is based on the Audit commission's definition "M2" Trust management costs, as detailed in HSS (THR) 2/99. Changes to the Trust Budgeting Finance Regime (DHSSPS Circular HSS(F) 05/2008) were introduced in 2007/08. The principal change in the current year is the replacement of the circular flow of cash to fund depreciation and capital charges with a non-cash budget. This has the effect of reducing the Trusts income by the order of 3.5 million. As income is the denominator in the calculation of management costs, the headline management cost percentage has increased to 6.27%. The comparable figure under the new finance regime for 2006/07 is 6.34%. 5.6 Retirements Due to Ill-health During 2007/08 there were 5 early retirements from the Trust agreed on the grounds of ill-health. The estimated additional pension liabilities of these ill-health retirements will be 23,008. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 6.1 Public Sector Payment Policy - Measure of Compliance The Department requires that Trusts pay their non HSS trade creditors in accordance with the CBI Prompt Payment Code and Government Accounting Rules. The Trust's payment policy is consistent with the CBI prompt payment codes and Government Accounting rules and its measure of compliance is: 2008 Number2007 NumberTotal bills paid 12,36912,040Total bills paid within 30 day target11,41111,434% of bills paid within 30 day target92.3%95.0% 6.2 The Late Payment of Commercial Debts Regulations 2002 The amount included within Interest Payable (Note 7) arising from claims made by small businesses under this legislation are as follows:  Total 0 7. Interest Payable 2008 000 2007 000Originating interest bearing debt0208Further borrowing (government)00Further borrowing (other)00Finance leases00Other interest00Total0208 An amount of 37,537 is included within Note 8 for the unwinding of discount on provisions. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 8. Provisions for Liabilities and Charges Pensions relating to former directors 000Pensions relating to other staff 000Clinical Negligence 000Restructuring 000Other 0002008 0002007 000Balance at 31 March 2007 0019909871,1861,859Arising during the year 00801,1581,166100Utilised during the year 00(7)0(145)(152)(435)Reversed unused 00(168)0(116)(284)(362)Unwinding of discount0010373824At 31 March 2008003301,9211,9541,186 8.1Income and Expenditure Account Charges000Arising during the year1,166Utilised during the year(152)Reversed unused(284)Unwinding of discounts38Movement in Year768Reimbursements ReceivableClinical Negligence Central Fund166Other0Total Reimbursements Receivable166Total Increase/Decrease (to I & E)934 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS NOTE 8 (Contd) Expected Timing of Cash Flow Pensions relating to former directors 000Pensions relating to other Staff 000 Clinical Negligence 000 Restructuring 000 Other 000 2008 000 2007 000Within 1 year 00001711712491 - 5 years 0033073106247Over 5 years00001,6771,677690 The provision in respect of other liabilities and charges comprises 241,845 for Accrued Leave, 157,995 for Employers Liability and 1,520,957 for Premature Pensions following Injury. The provision for Accrued Leave will crystallise as individuals retire or leave the service at future dates. The provision for Employers Liability has been calculated based in accordance with DHSSPS guidance and data was obtained from the CSAs Directorate of Legal Services. Expected reimbursements from the Clinical Negligence Central Fund included in debtors are: 000 Clinical Negligence Central Fund33 The clinical negligence provision includes NIL for incidents against which claims have not, as yet been received. The related reimbursements, included in the debtors, amount to NIL. In addition to the clinical negligence provision, contingent liabilities for clinical negligence are given in Note 22. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 9. Intangible Fixed Assets Software LicencesPurchasedDonatedTotalCost or Valuation000000000At 1 April 2007606Indexation000Additions 43043Reclassifications000Other Revaluation000Impairments000Disposals000 At 31 March 2008 49 0 49AmortisationAt 1 April 2007000Indexation000Transfers000Revaluation000Impairments000Disposals000Provided during the year202 At 31 March 2007 2 0 2Net Book Value At 31 March 2008 47047At 31 March 2007606 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 10. Tangible Fixed Assets 10.1 Tangible fixed assets comprise the following elements: Purchased Assets  LandBuildings (excluding dwellings) Dwellings Assets under ConstructionPlant and machinery (Equipment) Transport EquipmentInformation Technology (IT)Furniture and fittings Total000000000000000000000000000Cost or ValuationAt 1 April 20071,56711,121003,99016,7921,00020334,673Indexation6538500107162(96)2625Additions0334001602,4117202,977Reclassifications000000000Transfers000000000Revaluation000000000Impairments000000000Disposals0000(125)(1,689)(55)0(1,869) At 31 March 2008 1,632 11,840 0 0 4,132 17,676 921 205 36,406DepreciationAt 1 April 200703,538001,7179,6295342815,446Indexation0122004690(51)0207Transfers000000000Revaluation000000000Impairments000000000Disposals0000(121)(1,687)(55)0(1,863)Reversal of impairments000000000Provided during the year0316002811,904138152,654 At 31 March 2008 0 3,976 0 0 1,923 9,936 566 43 16,444Net Book ValueAt 31 March 20081,6327,864002,2097,74035516219,962At 31 March 20071,5677,583002,2737,16346617519,227 Of the total net book value at 31 March 2008, NIL related to buildings, installations and fittings valued at open market value for alternative use. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS NOTE 10 (Contd) 10.2 Donated Assets  LandBuildings (excluding dwellings) Dwellings Assets under ConstructionPlant and machinery (Equipment) Transport EquipmentInformation Technology (IT)Furniture and fittings Total000000000000000000000000000Cost or ValuationAt 1 April 2007000000000Indexation000000000Additions000000000Transfers000000000Impairments000000000Revaluation000000000Disposals000000000 At 31 March 2008 0 0 0 0 0 0 0 0 0DepreciationAt 1 April 2007000000000Indexation000000000Transfers000000000Impairments000000000Revaluation000000000Disposals000000000Reversal of impairments000000000Provided during the year000000000 At 31 March 2008 0 0 0 0 0 0 0 0 0Net Book ValueAt 31 March 2008000000000At 31 March 2007000000000 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS NOTE 10 (Contd) 10.3 Total Fixed Assets: PurchasedDonatedTotal2007000000000000Net book value:Land1,63201,6321,567Buildings (excluding dwellings)7,86407,8647,583Dwellings0000Assets under construction0000Plant and machinery (equipment)2,20902,2092,273Transport equipment7,74007,7407,163Information technology (IT)3550355466Furniture and fittings1620162175 Total Tangible Fixed Assets  19,962 0 19,962 19,227Total Intangible Fixed Assets470476 Total Assets 20,009 0 20,009 19,233 10.4 The net book value of land, buildings and dwellings comprises: 2008 0002007 000Freehold00Long leasehold9,4969,150Short leasehold00 9,496 9,150 10.5 The net book value of assets held under finance leases and hire purchase contracts are as follows: 2008 0002007 000Land00Buildings (excluding dwellings) 00Dwellings00Assets under construction00Plant and machinery (equipment)00Transport equipment00Information technology (IT)00Furniture and fittings00  0 0 The total amount of depreciation charged in the Income and Expenditure Account in respect of assets held under finance leases and hire purchase contracts is NIL (2007 NIL). NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 11.Stocks and Work in Progress2008 000 2007 000Raw Materials and consumables6263Work in progress00Finished goods00 Total 62 6312.1Debtors: Amounts falling due within one year:2008 000 2007 000HSS or NHS debtors194392Impairment debtor061Clinical negligence Central Fund110Other debtors5,2488,508Pension prepaymentsin respect of former directors00in respect of other staff00Interest receivable75Other prepayments and accrued income159159 Sub Total 5,619 9,125The balances are net of a provision for bad debts of:0012.2Debtors: Amounts falling due after more than one year: HSS or NHS debtors00Clinical Negligence Central Fund33199Other debtors00Pension prepaymentsin respect of former directors00in respect of other staff00Other prepayments and accrued income00 Sub Total 33 199 Total 5,652 9,324 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS NOTE 12 (Contd) 12.3 Intra-Government balances (Debtors)Name Amounts falling due within 1 year 2007/08 000 Amounts falling due within 1 year 2006/07 000Amounts falling due after more than 1 year 2007/08 000 Amounts falling due after more than 1 year 2006/07 000Department of Health, Social Services and Public Safety 4,556 8,053 33 199HSS Boards3140100Health Estates Executive Agency0000NI Central Services Agency11200Other Central Government Bodies67944000Local Authorities3300HSS/NHS Trusts1635200Public Corporations and Trading Funds3600Intra-Government Balances5,4468,95733199Balances with bodies external to government 173 168 0 0 Total Debtors at 31 March  5,619 9,125 33 199 13.Short-term Investments20082007000000Government securities00Other approved public sector organisations00Banking deposits2,104105Others00 Total 2,104 105 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 14.Creditors14.1Creditors: Amounts falling due within one year:2008 0002007 000Bank overdrafts00Current instalments on Interest Bearing Debt0168IBD Interest payable09Public dividend capital dividend payable0404Public dividend capital payable in respect of impairments061Payments received on account00HSS or NHS creditors and accruals763820Non HSS or NHS trade revenue creditors9,3499,102Non HSS or NHS trade capital creditors1,4851,115Payroll creditors including taxation and social security1233Net obligations under finance leases00Clinical Negligence00Pensions- relating to former directors00- relating to other staff00Other accruals00Other creditors00 Sub Total 11,609 11,712 14.2Creditors: Amounts falling due after more than one year: Long Term Loans2,2612,093Other00 Sub Total 2,261 2,093 Total Creditors 13,870 13,805 Pension creditors include NIL relating to payments due in future years under arrangements to buy out the liability for zero early retirements over 5 years.  NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS NOTE 14 (Contd) 14.3 Intra-Government balances (Creditors)Name Amounts falling due within 1 year 2007/08 000 Amounts falling due within 1 year 2006/07 000Amounts falling due after more than 1 year 2007/08 000 Amounts falling due after more than 1 year 2006/07 000Department of Health, Social Services and Public Safety 11 642 2,261 2,093HSS Boards0100Health Estates Executive Agency0000NI Central Services Agency103100Other Central Government Bodies1400Local Authorities1100HSS/NHS Trusts75382000Public Corporations and Trading Funds0000Intra-Government Balances7761,4992,2612,093Balances with bodies external to government 10,833 10,213 0 0 Total Creditors at 31 March  11,609 11,712 2,261 2,093 14.4 Finance lease obligations The future minimum lease payments under finance leases to which the Trust was committed at the balance sheet date were as follows:2008 0002007 000Within one year00Between one and five years00After five years00Less finance charges allocated to future periods00  0 0 This total net obligation under finance leases can be analysed as follows: 2008 0002007 000Creditors: amounts due within one year00Creditors: amounts due after more than one year00  0 0 14.5 Public Dividend Capital Dividends2008 0002007 000The dividend is in respect of Public Dividend Capital0404 0404 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 15. Loans Government LoansOther Loans 2008 2007000000000000Amounts falling due:In one year or less000168Between one and two years000167Between two and five years2,26102,261503In five years or more0001,423 Total 2,261 0 2,261 2,261 Government LoansOther Loans 2008 2007000 000000000Wholly repayable within five years0000Wholly repayable after five years, not by instalments 2,261 0 2,261 0Wholly or partially repayable after five years by instalments 0 0 0 2,261 Total 2,261 0 2,261 2,261Total Repayable after five years by instalments 0 0 0 1,423Loans wholly or partially repayable after five years: 0 0 0 0 Terms of paymentInterest Rate 2008 0002007 000 Originating Capital Debt8.750%2,2612,261 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 16. Public Dividend Capital 2008 0002007 000Public dividend capital was issued as follows:Opening balance9,3199,380Additional PDC advances in year1,2750PDC repaid to DHSSPS00PDC Impairments (current year)0(61) Total 10,594 9,319 17. Movements on Reserves  Revaluation Reserve 000 Donation Reserve 000Realised Donation Reserve 000 Other Reserves 000Income and Expenditure Reserve 000 Total 000At 1 April 20074,389000264,415Retained surplus / (deficit) for year 0 0 0 0 (4,156) (4,156)Revaluation and Indexation of fixed assets 463 0 0 0 0 463Transfer of realised profits / (losses) (8) 0 0 0 8 0Movements in donation reserve 0 0 0 0 0 0Fixed Asset Impairments 0 0 0 0 0 0Other reserve movements 0 0 0 0 687 687 At 31 March 2008 4,844 0 0 0 (3,435) 1,409 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 18. Reconciliation of Movement in Government Funds 2008 000 2007 000Surplus / (deficit) for the financial year(3,222)428less provisions for future obligations(934)681less public dividend capital dividends0(404) (4,156) 705Gains / (losses) from revaluation / indexation ofpurchased fixed assets418330Public dividend capital impairments0(61)Public dividend capital repayments00Public dividend capital issued1,2750New Government loans issued00Government loans repayments0(167)Additions (reductions) in other reserves00 Net Movement in Government funds  (2,463) 807Government funds at 31 March 200716,11815,311 Government funds at 31 March 2008 13,655 16,118 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 19 Financial Performance Targets 19.1 Break Even Performance The Trust is required to ensure that its income is sufficient to meet its expenditure taking one year with another. Over the last five years the Trust has achieved the following results: 2003/04 000 2004/05 0002005/06 0002006/07 0002007/08 000i.Turnover33,30239,94144,64149,43646,606ii.Break Even in year position710(21)24166iii.Break Even cumulative position (opening)359366376355379iv.Other Adjustments00000v.Break Even Cumulative Position (closing)366376355379545 Materiality Test: 2003/04 %2004/05 %2005/06 %2006/07 %2007/08 %Break Even in year position as % of turnover0.0%0.0%0.0%0.0%0.4%Break Even cumulative position as % of turnover1.1%0.9%0.8%0.8%1.2% 19.2 Capital Resource Limit The Trust is given a Capital Resource Limit which it is not permitted to overspend. 2008 0002007 000 Gross Capital Expenditure Receipts from sales of fixed assets where approval to use, has been granted by CIU3,020 43 3,980 0 Capital Resource Limit 2,979 4,015(Over) Underspend against CRL235(i.e. net capital expenditure less CRL) NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 20. Capital Commitments Capital commitments at the balance sheet date are: Finance Leases 000Other 0002008 Total 0002007 Total 000Contracted0000Authorised by the Board, but not contracted0000 Total 0 0 0 0 21. Post Balance Sheet Events There are no post balance sheet events having a material effect on the accounts. 22. Contingent Liabilities Clinical Negligence The Trust has contingent liabilities of NIL for clinical negligence incidents. The Trust's financial liability, if any, cannot be determined until the related claims are resolved. An estimate of the amount involved, inclusive of legal costs, is: 2008 000 2007 000Total estimate of contingent clinical negligence liabilities00Amount recoverable from the Clinical Negligence Central Fund00 Net Contingent liability00 In addition to the above contingent liability, provisions for clinical negligence are given in Note 8. Other clinical litigation claims could arise in the future due to incidents which have already occurred. The expenditure which may arise from such claims cannot be determined as yet. Contingencies not relating to clinical negligence are as follows: 2008 000 2007 000Public Liability00Employers' Liability00Accrued Leave00Injury Benefit00Other00 Total 0 0 NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 23. Related Party Transactions None of the Directors of the Trust hold company directorships with companies that are likely to do business with the HPSS. During the year, none of the board members, members of the key management staff or other related parties has undertaken any material transactions with the Northern Ireland Ambulance Service HSS Trust. The Department of Health, Social Services and Public Safety is regarded as a related party and the ultimate controlling parent Department. During the year the Northern Ireland Ambulance Service HSS Trust has had a significant number of material transactions with other entities for which the Department is regarded as the ultimate controlling parent Department. These entities include the four Health and Social Services Boards, the 5 HSC Trusts and the Central Services Agency. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 24. Analysis of Losses and Special Payments TYPE OF LOSS NO OF CASES  VALUE 1.Cash Losses Theft, fraud etc002.Cash Losses Overpayments of salaries, wages and allowances18,4623.Cash Losses Other causes (including unvouched and incompletely vouched payments) 0 04.Nugatory and fruitless payments Abandoned Capital Schemes005.Other nugatory and fruitless payments006.Bad debts and claims abandoned007.Stores and Inventory Losses Theft, fraud, arson (whether proved or suspected) etc i.Bedding and linen00ii.Other equipment and property008.Stores and Inventory Losses Incidents of the service (result of fire, flood, etc) 0 09.Stores and Inventory Losses Deterioration in store0010.Stores and Inventory Losses Stocktaking discrepancies0011.Stores and Inventory Losses Other Causesi.Bedding and linen00ii.Other equipment and property121,00012.Compensation payments (legal obligation)i.Clinical negligence37,250ii.Public Liability1200iii.Employers Liability957,75013.Ex-gratia payments Compensation payments (including payments to patients and staff) 0 014.Ex-gratia payments Other payments258415.Extra statutory payments0016.a.Losses sustained as a result of damage to buildings and fixtures arising from bomb explosions or civil commotion 0 0b.Damage to vehicles00 TOTAL  17 95,246 24.1 Special Payments The Northern Ireland Ambulance Service HSS Trust did not make any special payments or gifts during the financial year. NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 25. Notes to the Cash Flow Statement 25.1 Reconciliation of operating surplus (deficit) to net cash inflow from operating activities 2008 000 2007 000Operating surplus (deficit)(3,451)270Depreciation charge2,6562,843(Profit) Loss on sale of fixed assets(37)0Provisions for future obligations (I&E Account)(934)681Fixed asset impairments4561Transfer from donation reserve00Non-cash Items6870Increase (decrease) in provisions (Balance Sheet)768(673)(Increase) decrease in stocks127(Increase) decrease in debtors3,672(3,294)Increase (decrease) in creditors1663,731 Net cash inflow from operating activities3,5733,646 25.2 Reconciliation of net cash flow to movement in net debt 20082007000 000Increase (decrease) in cash in the period1,9990Cash inflow from new debt00Cash outflow from debt repaid and finance lease capital payments9167Cash (inflow) outflow from decrease / increase in liquid resources00Change in net debt resulting from cash flows2,008167Non-cash changes in debt(9)0Net debt at 1 April 2007(2,156)(2,323)Net debt at 31 March 2008(157)(2,156) 25.3 Analysis of changes in net debt At 1 April 2007 000 Cash flows 000Non-cash changes 000At 31 March 2008 000Cash at bank and in hand0000Bank overdrafts0000Debt due within 1 year(168)01680Debt due after 1 year(2,093)0(168)(2,261)Finance leases0000Current asset investments1051,99902,104 (2,156) 1,999 0 (157)NORTHERN IRELAND AMBULANCE SERVICE HSS TRUST ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2008 NOTES TO THE ACCOUNTS 26. Financial Instruments FRS 13, Derivatives and Other Financial Instruments, requires disclosure of the role that financial instruments have had during the period in creating or changing the risks an entity faces in undertaking its activities. Because of the relationships with HSS Commissioners, and the manner in which they are funded, the Northern Ireland Ambulance Service HSS Trust is not exposed to the degree of financial risk faced by business entities. Also financial instruments play a much more limited role in creating or changing risk than would be typical of the listed companies to which FRS 13 mainly applies. The Northern Ireland Ambulance Service HSS Trust has limited powers to borrow or invest surplus funds and financial assets and liabilities are generated by day-to-day operational activities rather than being held to change the risks facing the Northern Ireland Ambulance Service HSS Trust in undertaking its activities. 27. Third party assets The Trust held NIL Cash at bank and in hand at 31/3/2008 which relates to monies held by the Trust on behalf of patients. The Trust does not hold any monies on behalf of patients due to the nature of the service provided.     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