OPERADORES DE CALL CENTER MISIÓN DEL CARGO

33.1.1 Currency risk

33.1.2 Interest rate risk

33.1.3 Credit risk

33.1.4 Liquidity risk

The Clinical Commissioning Group had no contracted capital commitments not otherwise included in these financial

The Clinical Commissioning Group had no non-cancellable contracts (which are not leases, private finance initiative contracts or other service concession arrangements) as at 31 March 2014.

The clinical commissioning group is required to operate within revenue and capital resource limits agreed with NHS England, which are financed from resources voted annually by Parliament. The clinical commissioning group draws down cash to cover expenditure, from NHS England, as the need arises. The clinical commissioning group is not, therefore, exposed to significant liquidity risks.

Financial reporting standard IFRS 7 requires disclosure of the role that financial instruments have had during the period in creating or changing the risks a body faces in undertaking its activities.

Because the clinical commissioning group is financed through parliamentary funding, it 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 listed companies, to which the financial reporting standards mainly apply. The clinical

commissioning group 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 clinical commissioning group in undertaking its activities.

Treasury management operations are carried out by the finance department, within parameters defined formally within the clinical commissioning group’s standing financial instructions and policies agreed by the Governing Body. Treasury activity is subject to review by the clinical commissioning group’s internal auditors.

The clinical commissioning group is principally a domestic organisation with the great majority of transactions, assets and liabilities being in the UK and sterling based. The clinical commissioning group has no overseas operations. The clinical commissioning group therefore has low exposure to currency rate fluctuations.

The clinical commissioning group borrows from government for capital expenditure, subject to affordability as confirmed by NHS England. The borrowings are for 1 to 25 years, in line with the life of the associated assets, and interest is charged at the National Loans Fund rate, fixed for the life of the loan. The clinical commissioning group therefore has low exposure to interest rate fluctuations.

Because the majority of the clinical commissioning group’s revenue comes parliamentary funding, the clinical

commissioning group has low exposure to credit risk. The maximum exposures as at the end of the financial year are in receivables from customers, as disclosed in the trade and other receivables note.

NHS Ealing Clinical Commissioning Group - Annual Accounts 2013-14

33 Financial instruments cont'd 33.2 Financial assets At ‘fair value through profit and loss’ Loans and Receivables Available for Sale Total 2013-14 2013-14 2013-14 2013-14 £000 £000 £000 £000 Embedded derivatives - - - - Receivables: - - - - · NHS - 4,294 - 4,294 · Non-NHS - 462 - 462 Cash at bank and in hand - 197 - 197 Other financial assets - - - -

Total at 31 March 2014 - 4,953 - 4,953 33.3 Financial liabilities At ‘fair value through profit and loss’ Other Total 2013-14 2013-14 2013-14 £000 £000 £000 Embedded derivatives - - - Payables: - - - · NHS - 16,376 16,376 · Non-NHS - 18,273 18,273

Private finance initiative, LIFT and finance lease obligations - - - Other borrowings - - - Other financial liabilities - - -

Total at 31 March 2014 - 34,649 34,649

34 Operating segments

The clinical commissioning group consider they have only one segment: commissioning of healthcare services.

NHS Ealing Clinical Commissioning Group - Annual Accounts 2013-14 35 Pooled budgets 2013-14 £000 Income 2,100 Expenditure (2,100)

The CCG's contribution to the pool is £0.5 million.

36 NHS Lift investments

The Clinical Commissioning Group had no NHS LIFT investments as at 31 March 2014.

37 Intra-government and other balances

Current Receivables Non-current Receivables Current Payables Non-current Payables 2013-14 2013-14 2013-14 2013-14 £000 £000 £000 £000 Balances with:

· Other Central Government bodies - - 178 -

· Local Authorities 86 - 2,844 -

Balances with NHS bodies: · NHS bodies outside the Departmental Group - - 3,088 -

· NHS Trusts and Foundation Trusts 5,835 - 13,288 -

Total of balances with NHS bodies: 5,835 - 16,376 -

· Public corporations and trading funds - - - -

· Bodies external to Government - - 15,502 -

Total balances at 31 March 2014 5,921 - 34,900 - The Clinical Commissioning Groups share of the income and expenditure handled by the pooled budget in the financial year were:

The Clinical Commissioning Group had entered into a pooled budget with London Borough of Ealing. The pool is hosted by London Borough of Ealing. Under the arrangement funds are pooled under Section 75 of the NHS Act 2006 for an Integrated Community Equipment Store (ICES).

NHS Ealing Clinical Commissioning Group - Annual Accounts 2013-14 38 Related party transactions

Clinical Commissioning Board Member Name of related party Nature of interest Nature of transaction

Payments to Related Party 2013/14 £'000

Dr M Parmar Barnabas Medical Centre Partner in practice RFS/LES/Planned Care payments 88

Dr M Parmar North West London Hospitals NHS Trust

Spouse is a Non Exec Director of NWL Hospitals

Service Level Agreement Payments made by the CCG to NWL Hospitals

NHS Trust during the year 21,779 Dr R Chandok Guru Nanak Medical Centre Partner in practice Planned Care/LES payments 69 Dr A Dhillon

The Argyle Surgery Partner in practice

RFS/LES payments/ Nursing home

contract 660

Dr M Alzarrad Lady Margarat Road Medical Centre Partner in practice RFSLES/Planned Care payments 90

Dr R McLaren Northfield Road Surgery Partner in practice LES payments 39

Dr V Tailor Hillcrest Surgery Partner in practice RFS/LES payments 96

P Young St David's Nursing Home Trustee & Treasurer Nursing Care Services 845

F O'Donnell K S Medical Centre Practice Manager LES payments 37

Income Expenditure Receivables Payables

£'000 £'000 £'000 £'000 A CCGs NHS Brent CCG (54) 1,216 (54) 465 NHS Central London CCG (6) 969 (59) 1,318 NHS Hillingdon CCG (121) 403 (128) 412 NHS Hounslow CCG (250) 425 (250) 0

NHS Hammersmith & Fulham CCG (109) 935 (109) 139

NHS Lambeth CCG (2) 235 (2) 0

B Trusts

Barts Health NHS Trust 0 691 0 61

Central London Community Health NHS Trust 0 495 0 203

Ealing Hospital NHS Trust 0 127,945 0 4,664

Hounslow & Richmond Community Health NHS Trust 0 295 0 136

Imperial College Healthcare NHS Trust (284) 61,742 (1,183) 390

London Ambulance Service 0 10,501 0 126

North West London Hospitals NHS Trust 0 21,779 0 639

St Georges Healthcare NHS Trust 0 497 0 2

The Royal National Orthopaedic Hospital NHS Trust 0 1,353 0 41

West London Mental Health NHS Trust 0 38,307 0 687

West Middlesex University NHS Trust 0 8,607 (176) 1,349

C Foundation Trusts

Central And North West London MH NHS Foundation Trust (181) 3,645 (61) 896

Chelsea And Westminster Hospital NHS Foundation Trust 0 5,537 0 727

Great Ormond Street Hospital for Children NHS Foundation Trust 0 488 0 62

Guys And St Thomas NHS Foundation Trust 0 1,333 0 5

Heatherwood And Wexham Park Hosps NHS Foundation Trust 0 403 0 7

Hertfordshire Partnership NHS Foundation Trust 0 323 0 54

Kings College Hospital NHS Foundation Trust 0 466 0 82

Moorfields Eye Hospital NHS Foundation Trust 0 7,151 0 219

Royal Brompton And Harefield NHS Foundation Trust 0 2,092 (5) 0

Royal Free London NHS Foundation Trust 0 1,537 (358) 0

The Hillingdon Hospital NHS Foundation Trust 0 12,222 (6) 0

The Royal Marsden Hospital NHS Foundation Trust 0 400 (72) 0

University College London NHS Foundation Trust 0 2,107 0 15

D Others

NHS England (90) 18 (2,877) 413

North West London CSU 0 4,033 0 223

NHS Property Services 0 3,550 0 2

E Local Councils

Ealing London Borough Council (461) 8,434 (86) 2,840

Members of the Governing Body are required to declare any interests that they hold, either directly or through family members, in organisations other than the Clinical Commissioning Group. Where the CCG receives income or incurs expenditure with those organisations, the organisations are known as related parties and the transactions must be reported. Those transactions, together with the nature of the interest and the nature of the transaction, are shown below. The Local Enhanced Services (LES) payments relate to services provided by the practice in which the CCG member is a partner or employee, rather than payments to CCG members themselves. The payment is the total paid to the practices as a whole before taking into account practice expenses in delivering services.

The Department of Health is regarded as a related party and NHS England is regarded as a parent entity. During the year Ealing CCG has had a significant number of material transactions with the Department, and with other entities for which the Department is regarded as the parent Department.

During the year none of the Governing Body Members or members of the key management staff or parties related to them has undertaken any material transactions with Ealing CCG except those listed below:

In addition, the clinical commissioning group has had a number of material transactions with other government departments and other central and local government bodies. Most of these transactions have been with Ealing London Borough Council in respect of joint enterprises.

NHS Ealing Clinical Commissioning Group - Annual Accounts 2013-14

39 Events after the end of the reporting period

40 Losses and special payments

41 Third party assets

42 Financial performance targets

Clinical commissioning groups have a number of financial duties under the NHS Act 2006 (as amended). The clinical commissioning group’s performance against those duties was as follows:

Maximum Performance £'000 £'000

Duty Achieved?

National Health Service Act Section

223H(1) Expenditure not to exceed income 431,495 420,437 Yes 223I(2)

Capital resource use does not exceed the amount

specified in Directions - - Yes 223I(3)

Revenue resource use does not exceed the amount

specified in Directions 425,604 418,734 Yes 223J(1)*

Capital resource use on specified matter(s) does not

exceed the amount specified in Directions - - Yes 223J(2)*

Revenue resource use on specified matter(s) does not

exceed the amount specified in Directions 416,504 409,714 Yes 223J(3)

Revenue administration resource use does not exceed

the amount specified in Directions 9,100 9,020 Yes

*223J(1) and 223J(2) relate to all programme budgets.

The Clinical Commissioning Group had no losses and special payments cases during 2013/14.

The Clinical Commissioning Group held no third party assets as at 31 March 2014.

There are no post balance sheet events which will have a material effect on the financial statements of the Clinical Commissioning Group or consolidated group.

2013-14

For the purposes of 223H(1); expenditure is defined as the aggregate of gross expenditure on revenue and capital in the financial year; and, income is defined as the aggregate of the notified maximum revenue resource, notified capital resource and all other amounts accounted as received in the financial year (whether under provisions of the Act or from other sources, and included here on a gross basis).