University College London Hospitals NHS Foundation Trust

Population 1,600,000
Beds 1,284
Income £773,704k
Comprehensive Surplus £42k
Operating Surplus £22,325k
EBITDA £62,900k
PPI Cap 6.6%
PPI £18,006k
Public Members 1,893

The trust has three private patient units [1]. The Eastman Practice [2] based in the trust’s Eastman Dental Hospital provides private service; the Fitzrovia Suite [3] provides Caesarean Sections privately; and the Harley Street at University College Hospital [4] (part of HCA International) provide cancer services.

The Fitzrovia Suite is described as:

If you need to give birth via a caesarean section, we will do everything we can to make it as stress-free as possible.

The Fitzrovia suite, located within the Elizabeth Garrett Anderson Wing of University College Hospital, offers accommodation in two beautiful en-suite rooms.

The Harley Street PPU (18 bedded unit) is described as:

Harley Street at University College Hospital is a dedicated cancer service established to provide private patients with consistently high standards of care from some of the world’s leading consultants.

Our state-of-the-art facilities are staffed and managed by HCA International, the UK’s largest provider of private cancer care. Through our fully integrated partnership with University College Hospital patients have access to a team of internationally renowned specialists, a safe and modern environment to receive care and some of the world’s most advanced technology.

In the Annual Report [5] in a note to the Annual Accounts, the trust says:

The Trust provides services and leases clinical accommodation to HCA Ltd. The Trust has considered the stated contracts and has determined that the relevant income is derived from services to private patients. Accordingly it has included £6.271m of income from HCA within private patient income. The private patient income for 2010/11 has been restated accordingly to include this income from HCA.

Further, the accounts say that this income includes £1.6m of rent from HCA:

The Trust is the lessor in an arrangement with HCA. This is an operating lease from which the Trust receives an annual rent of £1.6m (2010/11 £1.6m.) The Trust includes this income within income derived from private patients.

The Board papers from October 2011 [6] say:

The Finance Director informed the Committee that in month 5 there had been a significant deterioration in Surgery and Cancer Clinical Board’s financial performance. This appeared to be mainly due to the following issues:

  • HCA had been unable to deliver their planned level of private patient income at the UCH site,

There were also contractual issues with HCA raised in January and May, although the situation improved by September.

The trust also receives a sizeable amount of money through charity:

During the year assets to the value of £6,856k were donated to the Trust, principally comprising contributions to the newly constructed UCH Macmillan Cancer Centre from Macmillan, UCLH Charitable Foundation, UCLH Charity and Teenage Cancer Trust. Additionally The National Brain Appeal funded the new Brain Analysis Centre.

HCA say that the fifth floor of the UCH Macmillan Cancer Centre is “dedicated to private patients” [7]:

The UCH Macmillan Cancer Centre fifth floor is now open and dedicated to private patients, the brand new £100million centre is home to our adult outpatient and day care facilities. Although the focus of the new centre is cancer care we will also be relocating all of our non-cancer outpatient services to this stunning new facility.

The trust says that the Macmillan Cancer Centre has a private outpatients service [8]:

What services are provided by the Cancer Centre?

There is a dedicated outpatient clinic area, day care and chemotherapy services, day surgery and on site diagnostic services to diagnose and treat cancers and haematological disorders. There is also a young persons’ cancer outpatients service, and a private patient cancer outpatient service.

The trust reports two joint ventures: Reporting Radiology Online and Imaging Partners Online Limited:

In April 2011 the Trust acquired a 50% stake in an arrangement with Imaging Partners Online Limited to operate a joint venture delivering both an enhanced on-site and off-site imaging reporting service. During its initial financial year 2011/12 the joint venture recorded an operating loss. The Trust has impaired its investment in the Reporting Radiology Online joint venture by 50% of the operating loss.

The trust also has a stake in UCL Partners Limited:

The Trust holds a 20% interest in UCL Partners Limited (a company limited by guarantee) acquired by a guarantee of £1. The company’s costs are funded by its partners who contribute to its running costs on an annual basis. During the year the Trust made a payment to UCLP of £0.389m (2011 £0.115m) which was expensed to operating expenses.

The trust uses a property at 170 Tottenham Court Road and board papers [9] say:

The fourth floor is currently empty and the fifth and sixth floors are currently being redesigned to create a ‘patient hotel’, as previously reported to the Board. This facility should be available for use during the summer, following which we will reduce our dependency on the use of local hotels. The cost of this new facility will be significantly less than the current arrangements although we anticipate significant increased demand from patients when the new Cancer Centre opens (and again in the future if we develop Proton Beam Therapy).

In May 2012, board papers [10] mention the proton beam therapy unit, and it is interesting that the issue raised is the NHS tariff:

The Board will be aware that the Secretary of State for Health has announced a capital allocation of £250m towards the cost of establishing two Proton Beam Therapy units, one at UCLH and the other in Manchester. There are a number of significant financial details that need to be resolved, not only on the nature of the capital allocation, but also guarantees on patient activity and the PBT tariff. We will continue to discuss these important details in parallel with the preparation of an outline business case which we plan to bring to the Board of Directors in June.

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