RCPCH Annual Report 2009 by Royal College of Paediatrics and Child Health

ROYAL COLLEGE OF PAEDIATRICS AND CHILD HEALTH

FROM THE COLLEGE’S ROYAL CHARTER The objects of the College shall be: (i) to advance the art and science of Paediatrics; (ii) to raise the standard of medical care provided to children; (iii) to educate and examine those concerned with the health of children; (iv) to advance the education of the public (and in particular medical practitioners) in child health, which means the protection of children, the prevention of illness and disease in children and safeguarding their optimal development.

Presidentâ&#x20AC;&#x2122;s Report 02 Policy and Standards 04 Training and Assessment 06 Education 08 Research 10 Health Services 12 International Work & Devolved Nations 14 Structure of the College 16 Officers and Trustees 17 Treasurerâ&#x20AC;&#x2122;s Report 18 Accounts 20 Fundraising 23 Benefactors 24

PRESIDENT’S REPORT

WE AIM TO SUPPORT PAEDIATRICIANS NOT JUST AT THE BEGINNING OF THEIR CAREERS BUT THROUGHOUT. Professor Terence Stephenson, President

When I became President of the College in April 2009, I inherited from Pat Hamilton an organisation that had substantial achievements to its credit and ambitious plans for the future – as the rest of this report shows. I will try to highlight some of the most important here, but I must first record my debt to Pat for leading the College through such a challenging three years, and leaving it with its standing very much enhanced. Of issues we confronted this year, perhaps the most high-profile was the European Working-Time Directive. Its implementation on 1st August brought many problems for paediatricians across the country, which we have done our best to help alleviate. I am glad that the College has been able to provide advice and expertise on this issue: more details can be found under Health Services on pages 12-13. A continuing thread in our work has been Child Protection. As it has been for a number of years, the College’s approach has been to offer support and advice to individual practitioners, often in private, while providing a range of resources to enhance knowledge and skills more generally. Over the last year, a particular success has been the Court Skills course, which offers paediatricians the chance to practice before they undertake the often stressful experience of giving evidence in court. I am pleased that it will be continuing into 2010. These, and many other strands of our work, have been reflected in our growing range of media activity. Claire Brunert and Ella Wilson have helped us gain a higher profile over such issues as workforce levels, smoking, obesity, and swine flu. Of course, much of our work is devoted to ensuring that paediatric trainees are supported as fully as possible. Following the problems with the government’s MTAS application system two years earlier, in 2009 we ran for the first time an online recruitment site allowing trainees to apply for posts in

paediatrics. This has been extremely successful, and is a process we are repeating in 2010.

will of course continue to look at the structure of the meeting to ensure that it best meets members’ needs.

Our MRCPCH exam celebrated its tenth birthday in 2009. It has grown enormously in success and rigour over those years, and is an exam that the College can be justly proud of. In the coming year, our goal – one of our most important undertakings – will be to extend the exam to India in concert with the Indian Academy of Pediatrics.

I am especially pleased that the College’s finances, as recorded on pages 20-23, have not been too severely affected by the global financial turmoil we have seen in the last year. Although we can never be sure about the future of our sources of income – especially with a General Election, and public-sector spending cuts, looming – Sue Hobbins and her team have managed to keep the ship on an even keel. Our journal, Archives of Disease in Childhood, had an especially successful year, with much credit due to Howard Bauchner’s leadership as Editor-in-Chief.

We aim to support paediatricians not just at the beginning of their careers but throughout. Our CPD scheme has continued to have wide success among members but much of our work this year has been devoted to developing our scheme for Revalidation. We are working closely with other Medical Royal Colleges, the Department of Health, and other regulatory bodies to ensure that we have a scheme that is transparent to use but provides the public with assurance that practitioners are fully up-to-date. We also see the courses we run as part of this more general remit for continuing education. Although the 2009 Spring Meeting was enjoyable and judged successful by those who attended, we have begun to question whether we are doing all we can to maximise the appeal of such a meeting to our members. Accordingly, the 2010 meeting will have a reconfigured 3-day programme and will take place at Warwick University, a venue used for the BPA’s meetings until the early 1990s. I hope that we will see a reinvigorated meeting and that attendees will find it a productive few days; but we

I cannot close this report without mentioning Len Tyler, who stood down as Chief Executive of the College in August 2009. He had been with the College for over a decade, having worked with six Presidents: David Baum, Richard Cooke, David Hall, Alan Craft, Pat Hamilton and myself. A great deal of the College’s current structure and reputation are due to Len and we are very grateful to him. In the short term, his place was taken by Lois Whittaker, who has been an energetic and enthusiastic Interim CEO. As I write, we are about to welcome Chris Hanvey as the new permanent CEO. I look forward to working with him, and with all of you, to take forward our work of improving standards of child health in the future.

Professor Terence Stephenson President

POLICY AND STANDARDS THE POLICY AND STANDARDS DEPARTMENT ASSISTS THE COUNCIL AND THE EXECUTIVE COMMITTEE IN GENERATING POLICY DOCUMENTS AND OFFICIAL COLLEGE POSITIONS. Because of this, nearly everything the College does at some point crosses our desks. The work we do is diverse and high-level â&#x20AC;&#x201C; for instance, this year one of our key achievements was to re-shape the role of the Council. This also means that we work on a tremendous range of projects and schemes. Updated information, and a full list of the details of our work, can be found at www.rcpch.ac.uk/Policy

Dr David Vickers, Registrar

Role of Regional Councillors One of the topics that dominated our work this year has been the role of Regional Councillors. There’s been much conversation about how best to support members through the College’s services. In this regard, we stepped up efforts to get matters discussed by the Council in front of regional committees, and regional views fed into the central debates. This includes consultation about a new longterm strategy from 2009-2013, which David Vickers is working on.

Council meetings We have also looked at the format of Council meetings themselves as part of the move away from micro-management to longer-term strategy work. Council meetings were thought to have unwieldy and overlong agendas, so we looked at ways to break down topics to be discussed, as well as how they get considered. Future meetings will be much more focused and direct.

ECATs External Clinical Advisory Teams (ECATs) are teams of paediatricians who advise external trusts on child health and health services. The Policy department is responsible for the arrangements between the trusts and the paediatricians who conduct the review. The trust owns the final report, and also pays the paediatricians involved. It’s an excellent way for paediatricians to engage with different bodies and get insight into service delivery problems, and we’d encourage anyone interested to offer their services. To do this, visit www.rcpch.ac.uk/consultationpanel (members only) and return the form to David Ennis at the Policy department.

Child Participation Strategy and the RCPCH Youth Advisory Panel ■

We produced a report setting out the College’s Child Participation Strategy from 2009-2012. It looks at ways to increase participation from Young

■

People in the development, assessment and training of paediatricians. For more information, please visit www.rcpch.ac.uk/ParentsCarers/Participation

press coverage and a very successful launch event. To read the press release, please visit: www.rcpch.ac.uk/ doc.aspx?id_Resource=5828

At the 2009 Spring Meeting we facilitated a debate between the Youth Advisory Panel and the Ethics and Law Forum. The YAP was successful in arguing for youth participation in healthcare, in a lively and extremely well-attended debate. We have also looked at ways to include the Youth Advisory Panel in more College decisions, such as the appointment of our new CEO.

Consultation Documents

20th Anniversary of UNCRC November 2009 saw the 20th anniversary of the UN Convention on the Rights of the Child. We prepared a range of activities for this event, featuring a superb line-up of guests and speakers involved in talks, debates and presentations. For a report of the event, please visit www.rcpch.ac.uk/Education/Events_a nd_Courses/RCPCH-Events/UNCRC20th-Anniversary-Event

Advisory Appointment Committees AACs are quality checks on the recruitment process when appointing clinicians to the consultant grade. We encourage commitment to this process, and are working to keep up the number of College members willing to do this work, as well as supporting new arrangements in Scotland to meet the same standards as in the rest of the UK.

Policy Statement on the Health Needs of Children in Detention Throughout the year we conducted a policy review in conjunction with the Royal College of General Practitioners, the Royal College of Psychiatrists and UK Faculty of Public Health on the health needs of children in detention. The statement was released in December 2009 with considerable

We provided responses to many documents and consultations throughout the year. Among the most notable were: ■ Future Doctor Working Party; by King’s Fund ■ Children, Young People and Alcohol; by DCSF (Department for Children, Schools and Families) ■ Together We Can End Violence Against Women and Girls; by the Home Office ■ Safeguarding Children and Young People who may be affected by Gang Activity; by DCSF ■ Regulating Medical Education & Training; a Policy Review by Lord Naren Patel ■ Guidance on Promoting the Health and Wellbeing of Looked After Children; by DCSF.

Patients’ and Carers’ Advisory Group This year the Patients’ and Carers’ Advisory Group, a committee helping lay people have their voice heard at the College, were involved with a number of projects: ■ A contribution to the ‘Communications Toolkit’ DVD ■ A stand at the 2009 Spring Meeting ■ Representation on the Department of Health Child Health Stakeholder Advisory Group ■ Attendance at the Involve Conference promoting user involvement in research. For more information about PCAG’s work, see www.rcpch.ac.uk/Parents-Carers

People This year Bharti Mepani joined us as Children and Young People’s Participation Manager. Sally Carroll stepped down from the Patients’ and Carers’ Advisory Group after excellent service; replacing her is Carol Webley-Brown.

TRAINING AND ASSESSMENT The College’s Training and Assessment department set and monitor standards for paediatricians in professional practice, and aim to support trainees through training and evaluation. The year has been a very significant period of maturation for us; we have seen many longterm projects come to fruition. Prior to this, we had a period of change and development – now we are beginning to see the direct impact our work over the past few years is having. We are also consolidating our achievements to date: extending successes, learning how we could improve, and communicating new beginnings. And, of course, we have continued our ‘behind the scenes’ programmes, those long-running schemes vital to the service the College provides. We could not deliver these programmes without the help of many volunteers, who we would like to thank for their dedication and time.

WE ARE NOW BEGINNING TO SEE THE DIRECT IMPACT OUR WORK OVER THE PAST FEW YEARS IS HAVING – ON TRAINING AND ASSESSMENT.

Dr Mary McGraw Vice-President, Training and Assessment

e-Portfolio development A good example of such a project is the rolling-out of our new e-Portfolio. We piloted this scheme in the Yorkshire region previously; now we have extended it nationally following refinement and are seeing great results and uses for it as it gets used in practise.

Careers fair, and the recruitment process This was a first for us: the College held its own fair for medical students at the Foundation stage of their careers. The queue outside our Theobalds Road headquarters extended some way down the street. It was a great success, and we’ve had some excellent feedback that

suggests we got everything – from the planning to the marketing and administration – absolutely right. Elsewhere, we have developed the paediatric recruitment process by implementing new software that improves the assessment process in the NTN grid (through which paediatricians select their speciality). Improving our recruitment and selection process is going to continue being a key feature of our work in the future.

Reducing the workload Another theme found in the year’s work was streamlining. We are examining how we can reduce the administrative burden on paediatricians and child health

professionals across the country – how we can simplify paperwork, replace timeconsuming processes with automation and free more time for front-line services in training. This is something we take very seriously – we recognise a need to improve communication between the College and members without increasing time-consuming administration.

New faces We would like to welcome Martyn Clark, our new Training Manager who handles data and careers work; and Dr Andrew Long, who joined us last year as Assessment Officer.

Finally, we would like to take this opportunity to thank those working within the Training department as well as those outside the department who have helped and supported us in our work. Difficulties in recruiting for short-term vacancies and gaps in rotas mean that everyone has faced challenges this year. We’ve coped well thanks to the outstanding efforts of many people in the College making the system work. More information, and other resources, tools and guidelines, can be found at www.rcpch.ac.uk/Training

This has been a year of some distinction for College Exams and Assessment. September 2009 was the tenth year of our running the MRCPCH, having assumed responsibility for it from the Royal College of Physicians. At the time it wasn’t without risk, but our Training and Assessment department, and the MRCPCH itself, has gone from strength to strength. Our assessments are very highly regarded – as shown by our invitation from the Royal College of General Practitioners and the Royal College of Physicians to become a lead member of the ‘Sharing Good Practice Forum’ – a group that brings together senior exam officers to share ideas and processes. The RCGP and the RCP are the only other two members, and are recognised as the leading colleges on exam issues. By inviting us to join them, they show their faith in our abilities. The year saw the launch of two important new systems: we piloted ST7A in July 09; it’s an assessment

designed for late-stage trainees to evaluate their preparedness for consultant grade work. This is an entirely new system, developed completely from scratch by the College – so new that there are no existing benchmarks. Regardless, the feedback and data showing the feasibility and reliability of the system have been excellent. Additionally, we launched ASSET: an online system for workplace-based assessment. The previous system, run by a third party, was not satisfactory so we designed and built a new process using feedback regarding the old method and consultation with suppliers. The result has been a significantly improved system, far better than the old one.

Also this year we formally arranged and launched the first MRCPCH exam in Egypt in conjunction with the Egyptian Membership Association. The first exam took place in December 2008, and was followed by a high-profile symposium on Training and Assessment issues. We hope to replicate its success in India; we’re currently in discussions to extend the MRCPCH there, and plan to formalise an arrangement in 2010. Finally, a note on people: Dr Jim Gould replaced Andrew Long as Chair of the Overseas Exams Committee; Dr Charles Skeoch took up post as Chair of the MRCPCH Clinical Exam; and Dr Ramesh Mehta took up post as Principle Regional Examiner for South Asia.

EDUCATION HERE IN THE EDUCATION DEPARTMENT WE HAVE ENJOYED A SIGNIFICANT YEAR. WE ARE GOING FROM STRENGTH TO STRENGTH AS WE TAKE ON INCREASINGLY DIVERSE PROJECTS.

Our purpose is, as ever, to develop and provide high-quality and robust educational materials for doctors working at all levels in the field of paediatrics and child health. But we are also evolving: in the projects we do, in the manner in which we do them and the people to whom we deliver. The year saw us extend our audience beyond paediatricians to a greater range of healthcare workers. In fact, the department has done so much that it has grown considerably â&#x20AC;&#x201C; going from eight members to fourteen. Among those who joined us are Sarah Fellows, who is our Revalidation and CPD Manager, and Jo Lawton, Education Projects lead.

Continuing programmes Revalidation Revalidation is the process used to demonstrate that doctors are fit to practice medicine. The Education department is developing this procedure and is working to start the programme effectively and efficiently. One of our achievements this year was to develop the revalidation standards for paediatrics. We will continue to develop and test the process to ensure it can provide an effective measure of paediatricians' fitness to practice.

Continuing Professional Development (CPD) Our CPD scheme has been running for over a decade now, providing the tools for paediatricians to prove their practice is up-to-date. Members should aim to achieve 50 CPD credits each year (250 over a five-year period). CPD will also form part of the revalidation procedure.

Healthy Child Programme Thanks to the success of the Adolescent Health Programme, we were able to secure the funding to apply the principles to another area of paediatrics, for the age range 0-5 years. We’re working with the Department of Health (DH) to deliver e-learning resources. This means a wide number of health professionals can access and enable the DH’s child health strategy. Delivery is expected in December 2010.

Adolescent Health Programme Continuing from last years’ work, the Adolescent Health Programme has been a tremendous success: we have made material on adolescent health available to many health professionals. We have had so much success with this that we’re rolling it out and turning it from a one-off project into a continuing programme; we are also looking to market the scheme more effectively to get a bigger profile and uptake.

Other continuing programmes we run include: Court Skills in Child Protection – We run this programme so paediatricians can learn basic family law and how to effectively give evidence in legal cases. We run the courses on a regular basis, and the college is now looking to extend the programme regionally to forge strong links between paediatricians and local barristers. RCPCH Paediatric Nutrition Course – this programme continues to teach paediatricians about nutrition and its importance in child development. Paediatricians as Educators – this course helps paediatricians who have an active interest in education to deliver their skills in this area. Child in Mind – this scheme provides a solid grounding in child mental health. The project is now closed. However, materials for supporting the emotional well being of children are being planned. For more information visit: www.rcpch.ac.uk/Education/Projectsand-Programmes/Child-In-Mind

Events The 2009 Spring Meeting The 2009 Meeting was the last to be held at the University of York: from now, we are finding ways to make the meeting as relevant and useful to as many members as possible – providing more of what is wanted and what is needed. The College has looked at ways to improve the event and make it more inspiring, more accessible and of greater use than ever before – major changes are expected from 2011.

Growth Charts course We ran three one-day courses at the College about the new WHO/RCPCH growth charts for those aged 0-4 for regional facilitators. Follow-on work from this next year will see us taking the course to the regions; the DH have commissioned us to deliver the training across the country.

Child protection skills Over the year we have updated child protection material using funding from the Department of Health and by working with e-Learning for Healthcare. We have launched an e-learning training programme, building on existing child protection material, for use by trainees in years ST4 and ST5. We are also developing further e-learning resources for consultants and other career grade paediatricians. There’s more information about the international work the College’s Education team do on page 14-15 of this report. You can find out more about the projects mentioned above, and find other resources and up-todate news, tools, resources and information at www.rcpch.ac.uk/Education

RESEARCH WE HAVE BEEN INVOLVED IN A WIDE RANGE OF PROJECTS THIS YEAR, INCLUDING SOME THAT COULD CHANGE THE WAY CHILD HEALTHCARE IS PROVIDED. The Science and Research departmentâ&#x20AC;&#x2122;s function is to support the guidelines and advice the College provides, and monitor the way paediatricians and child health professionals work. We have three ongoing streams of work: Clinical Standards (looking at evidencebased guidance); Workforce (looking at changes in the paediatric workforce); and hosting the British Paediatric Surveillance Unit, which carries out work on the frequency of rare conditions. In addition, we take on a number of time-limited projects to improve knowledge in specific areas; these are often funded by the English Department of Health.

We have been involved in a range of projects this year – including some particular highlights that could change the way child healthcare is provided. And we’ve conducted some largescale national projects: exactly the kind of work that leads directly to improvements in child health and the working practices of paediatricians across the country. It’s always gratifying when we see immediate and obvious improvements stemming from our work, and this year has seen some major projects having noticeable impact. Nationwide diabetes survey The biggest project this year was also a fast one – we’re very proud that we produced the UK’s first ever nationwide survey of the number of diabetic children in just three months from start to finish. The Department of Health commissioned this research and needed the results quickly. We ran the survey online, relying on people taking the time to respond to us so we’d like to say thank you to all who took part.

UK-WHO Early years growth charts In May we launched UK growth charts, which combined World Health Organisation data on children up to the age of four with existing UK data for greater accuracy. These new charts contain a range of improvements and features making them easy to use. See www.growthcharts.rcpch.ac.uk for more information.

European Working Time Directive We anticipated problems would arise with the implementation of the reduction to a 48 hour working week for trainees in August 2009 and persuaded the Department of Health to agree an additional £50M for trained doctor solutions in paediatrics and obstetrics in England. The College believe new ways of working are needed to meet the demands of WTD and in May 2009 the Workforce section and Health Services department issued “RCPCH guidance on the role of the consultant paediatrician in providing acute care in the hospital” which contained guidance on developing a business plan for new consultants. Survey data collected from Paediatric Clinical Leads showed the number of new funded consultant posts was far lower than expected, that there were high numbers of middle grade rota vacancies and considerable resulting pressures on paediatric services. The College continues to work closely with DH and SHAs to ensure the delivery of safe and sustainable services.

The fever pathway project This DH funded pilot study will be carried out in three sites in England to explore the urgent care pathway from the parent and professional perspective using feverish illness as an indicator condition. Parents using any urgent care service will be invited to take part. The findings will be fed back to commissioners and providers of urgent care services to help improve services. More information can be found at: www.rcpch.ac.uk/fever

National audits This year we won a tender to conduct a national audit of epilepsies in children. The audit will begin in October 2009 and will compare delivered care against recommended care using standards derived from the NICE and SIGN guidelines. To register for updates and for more information, see www.rcpch.ac.uk/epilepsy12

Care bundles in neonatal care A project that started last year came to fruition this year: we looked at the use of care bundles in improving safety in neonatal care and this has had some valuable results. Our work on gentamicin led directly to a National Safety Alert.

Ongoing work with allergies This year we started work on an evidence-based look at care pathways for children with allergies. We’ve completed the first pathway already, and there are six more to do next year. These should result in some incredibly useful reports and guidelines.

Other projects We’ve continued producing leaflets for parents about medicines; indeed, we’ve so far recruited over 70 volunteer authors to produce literature about medicines for children so that we can empower parents with greater knowledge. To date we’ve produced about thirty of these guides, with a further seventy to come. The guides are available online at www.medicinesforchildren.org.uk We’ve also continued to facilitate the College’s responses to external clinical guidelines, supporting decisions with our evidence.

People In January 2009 Professor Neena Modi was appointed Vice-President of the Research and Science department. Elsewhere, Professor Allan Colver stood down as chair of the BPSU Executive Committee; he was succeeded by Professor Alan Emond. You can find out more about the projects mentioned above, and find other resources and up-to-date news, at www.growthcharts.rcpch.ac.uk

HEALTH SERVICES THIS YEAR WE PRODUCED A WIDE RANGE OF RESOURCES FOR PAEDIATRICS ON THE CONFIGURATION AND DELIVERY OF CHILDREN’S HEALTH SERVICES.

The Health Services Department works to improve quality of child health services by developing, influencing and communicating policy. The nature of this work means we cover a wide range of issues from service delivery to child protection. This frequently means working with other College departments on joint projects, providing advice and supporting other work. We try to establish relationships with key figures in national healthcare to make sure that paediatrics’ voices are always heard on important issues. We also work the other way – making sure that paediatricians and child health professionals know and understand the implications of service delivery policies. What this means is that the Health Service department retains a great deal of flexibility; responding to each issue as it rises, we work quickly to establish and communicate the impact on child health services. Projects this year have reflected this: obviously, a huge part of our work has been examining the impact of the new European Working Time Directive on services, as well as continuing quality review and improvement.

Welcome Dr Simon Lenton finished his term of office as Vice-President for Health Services, and we thank him for his hard work and the tremendous contribution he made. Dr David Shortland is our new Vice-President, and we welcome him and the expertise he brings from his previous position as Workforce Officer in the College’s Research department. You can find more resources, publications and information at www.rcpch.ac.uk/ Health-Professionals

Swine flu response

Modelling the Future – update

A major news story this year was the Swine Flu pandemic. The nature of the outbreak itself, coupled with the extensive media coverage, meant we needed to prepare a quick and effective response including guidance on the illness for paediatricians and a dedicated website full of resources. Obviously, this was quite a project considering the tight timescales involved (there wasn’t a great deal of warning about Swine Flu) and we all pulled together and worked across departments to produce the best guidance.

Last year’s Annual Report outlined the Modelling the Future project, which aims to create a practical vision for the future of paediatrics and child health for all. We worked on the third report throughout this year, ready for publication in December 2009, pulling together the strands of challenges and conclusions from the previous reports to construct recommendations. This report supports a model of care based around pathways set within clinical networks. The report can be read online at www.rcpch.ac.uk/Policy/Service Reconfiguration/Modelling-the-Future

Child maltreatment studies in The Lancet In December 2008 we facilitated a series of four research papers relating to child maltreatment, arranging the authorship of the papers and launching them (including a press launch and policy seminars) at the College. This work represents significant progress in this area in terms of improving the evidence base. Thanks to The Lancet and our work, we now have an important resource in a major journal for reference which should provide a strong foundation for future work.

Service guidance We produced a number of guidance tools throughout the year, including: The role of the consultant paediatrician www.rcpch.ac.uk/doc.aspx?id_Resource=4607

Short Stay Paediatric Assessment Units www.rcpch.ac.uk/doc.aspx?id_Resource=4263

Solutions for the medical staffing of acute units www.rcpch.ac.uk/doc.aspx?id_Resource=3862

Continuing programmes We’ve undertaken many projects that will soon bear fruit. This includes: ■ Developing of quality indicators for service delivery. Using published guidance and professional consensus, we’ve produced standards that can be used by child health practitioners as a guide. The indicators are scheduled to pilot in the first half of 2010.

INTERNATIONAL WORK International

Scotland

RCPCH International is the College’s reference point for its many overseas activities. Primarily, this means supporting networking, training and development across the world to enable paediatricians to deliver the best children’s health. The International Team is headed by Dr Stephen Greene, David Baum, Fellow for International Affairs; Dr Stephen Allen, Africa; Dr Ezzedin Gouta, Middle East; and Dr Mike Webb, India.

The Scottish office of the College represents and supports paediatricians in Scotland. This means a great deal of our projects revolve around implementing training schemes, and co-operating with external bodies on Scotland-specific issues.

We support and facilitate many overseas projects and construct two-way relationships with people we can help and learn from. Included in our regular work are: ■ ■ ■

The David Baum International Foundation International Child Health Group Extending MRCPCH qualifications and training schemes abroad

The most notable element of our year’s work was, without doubt, our work in Iraq. In last year’s report we told of the success of our training programmes in Jordan; this year, we’re happy to say that we’ve repeated the scheme in Iraq and we met with great success. It was an extraordinary achievement to visit Northern Iraq and help to start the programme there, and absolutely inspiring to see people working tremendously hard to improve the situation of a country afflicted by violence. The efforts and dedication under extreme duress displayed by our Iraqi colleagues were magnificent. Their courage, and their desire to create a sustainable culture in which they can operate their practices independently and build child health into a long-term and practical solution, was fantastic; a truly exciting and memorable experience. We are delighted that we could help these remarkable people with their work. Details of our continuing work can be found at www.rcpch.ac.uk/About-the-College/RCPCH-International

We’ve achieved a number of aims this year: ■ We developed a ‘Peer Review’ questionnaire to determine how this process is performed across Scotland ■ We liaised with Scottish Police College to train new recruits in forensic examination ■ We worked with National Education for Scotland to develop a Scottish co-ordinated paediatric education programme ■ Working with Edinburgh University, we created a ‘So you want to be a doctor…’ programme to encourage more pupils from state schools into medicine Additionally, we act as an extension of the College’s central departments to implement programmes throughout Scotland: ■ We ran training sessions for educational supervisors for e-Portfolio, and have taken over responsibility for the programme for Scottish trainees ■ We’re updating the ‘Court Skills for Paediatricians’ programme for 2010 ■ With the closure of the Healthcare Assessment and Training system, it became quite clear that there were thousands of assessment forms that hadn’t yet been inputted. We took this task on and managed to clear the backlog of forms before HCAT closed. This year we have worked with a wide range of external agencies to improve child health in Scotland. Often this revolves around quality controls – for instance, we worked with NHS Quality Improvement Scotland to develop a range of quality indicators for young people’s specialist services. Elsewhere, we liaised with the Scottish Government on the Review of Neonatal Services in Scotland programme to establish quality checks on the level of neonatal care provided by Health Boards. Additionally, we helped set up a Paediatric Programme Board to incorporate paediatricians and young people into the Scottish National Patient Safety programme. The nature of our wide remit, and the flexibility we retain to work with so many different stakeholders, means we conduct many more programmes than there is room to mention here. However, you can find out more about our projects at www.rcpch.ac.uk/Policy/RCPCH-Scotland

DEVOLVED NATIONS Wales

Ireland

In the College’s Welsh office we work to represent and enhance our members’ interests. This is a wide-ranging task, as we have to be flexible enough to cover issues across many different departments. Since devolution Wales has had different legislation and working practices to England and Scotland, which has influenced our workload greatly. For example, one of our key tasks is to consult with ministers of the Welsh Assembly and make sure they are aware of paediatricians’ concerns about certain issues. To this end, we hold regular meetings with the Department of Health and Social Services.

The RCPCH’s Ireland Committee represents paediatricians from both Northern Ireland and the Republic of Ireland, and its remit covers issues arising in both. It meets 2-3 times per year and is chaired by the Officer for Ireland, who sits on the College’s Council. The current incumbent is Dr Moira Stewart of Belfast.

This is something we’ve done a lot of this year in relation to the European Working Time Directive. This policy had the potential to seriously impact on paediatrics in Wales, as practices are already understaffed and further curbs on working hours would have caused serious problems. Thankfully, all practices in Wales received derogation, deferring the implementation of the EWTD for a further three years and giving us time to find a solution.

Events We hold three big events per year in Wales: the Spring Conference, the Autumn Conference and the St David’s Day Lecture and Study Afternoon. All three are popular events, and are excellently attended: Spring Conference: This year we hosted a joint meeting with the Irish Paediatric Society, held in Cork. Autumn Conference: Dr Tom Williams hosted this year’s event, held jointly with the Welsh Paediatric Society. St David’s Day Lecture: This year’s theme was neonatology, with Paul Williams OBE, head of the NHS in Wales, as guest speaker. Dr Robert Evans of Prince of Wales Hospital, Merthyr, hosted the conference.

Executive Committee elections Honorary Secretary: Dr Mair Parry, replacing Dr Justin Warner Council Member: Dr Justin Warner Deputy Regional Advisor: Dr Anneli Allman Regional Representatives: South and East Wales: Dr Ian Bowler, replacing Dr Tom Williams Dr Helen Fardy, replacing Dr Alison Kemp Mid and West Wales: Dr Velupillai Vipulendran, replacing Prof Gareth Morgan Dr Carol Sullivan, replacing Dr Dewi Evans North Wales: Dr Markus Hesseling, replacing Dr Brendan Harrington Dr Ewoud Bos, replacing Dr Val Klimach You can find us online at www.rcpch.ac.uk/Policy/RCPCH-Wales

Issues addressed by the Committee in 2008-9 include the increasing demand from trainees in the Republic of Ireland to take the College’s MRCPCH exam, which they perceive as offering them expanded training and career options. Cross-border issues are always pressing for the committee, for instance concerning the provision of specialised services such as paediatric cardiac surgery. However, transport arrangements for such services remain limited, and this is a future area to address. Cuts in spending on health have had particularly acute effects in Northern Ireland, and if anything this situation seems likely to worsen after the coming General Election. In the coming year, the Committee will continue to lobby for high standards of children’s healthcare on both sides of the border.

STRUCTURE OF THE COLLEGE Senior Management Team Chief Executive Officer Dr Chris Hanvey

Director of Internal Services Mike Poole

Director of Operations Jacqueline Fitzgerald

Director of Policy and Standards David Ennis

Head of Human Resources Michelle Macadam

Governance The College has a formal constitution, which sets out its powers and the ways in which it must operate. Changes to the Charter and Bye-Laws must have the approval of the Privy Council and Charity Commissioners, as well as the College’s own Annual General Meeting. The AGM has the power to agree changes to regulations, which cover matters of detail such as membership criteria and the arrangements for running examinations. The composition of Council is determined by the Bye-Laws; however, the College’s committee structure is not prescribed and is regulated by Council itself.

2009 College Boards and Committees The governing body of the College is its Council, which consists of the Trustees of the College. Trustees are elected by members and fellows of the College and comprise honorary officers, representatives from each of the College regions in the UK and the Republic of Ireland, paediatricians in the training grades, associate specialists, honorary and senior fellows and specialty paediatrics.

on behalf of the membership across the UK and Republic of Ireland. Regional committees have been established to improve communication at all levels.

Academic Board

The College’s national network is managed through its Scottish, Welsh and Irish committees. The College also has offices in Edinburgh and Cardiff. Together this provides a powerful voice for fellows and members, and also ensures effective communication with the four UK Departments of Health.

Examinations Committee

The College is in regular touch with its members through the monthly publication of its scientific, peer-reviewed journal, Archives of Disease in Childhood, the quarterly newsletter which contains general news and information and through regular e-bulletins sent to those members who have elected to be contacted by this method.

Strategic management of College publications Chair: Registrar, Dr David Vickers

Executive Committee

Additional to this central committee structure there are standing committees which report to the Executive Committee and Council. These committees offer expert advice to the College and assist with the development and execution of College policy.

Reviewing College activities, offering strategic direction to College activities and advice to Council Chair: President, Professor Terence Stephenson

Setting and conducting the MRCPCH and DCH examinations Chair: Officer for Examinations, Dr Simon Newell

Publications & Communications Committee

College Specialist Advisory Committees Represent the major paediatric specialties and advise the College primarily on training issues

Standing Committees

Financial Governance and Audit Committee

These include:

Responsible for ensuring the proper management of the finances of the College Chair: Honorary Treasurer, Dr Sue Hobbins

■

Training Committee Setting, delivering and maintaining the standards of paediatric training and examinations throughout the UK and Republic of Ireland Chair: Vice President, Dr Simon Newell

Research Division Executive Committee

The College’s primary functions are co-ordinated by a number of boards and committees, which are in turn supported by sub-committees and working parties, which report their activities to Council.

Reviewing research activity and offering strategic direction in the areas of research, surveillance and data collection Chair: Vice President, Professor Neena Modi

The officers of the College meet formally and informally with representatives from other Royal Colleges, and with government and external organisations allied to child health. The College also participates fully in consultation exercises and wider discussions on paediatric health care issues at national level.

Health Services Committee

Regional representatives, regional advisers, paediatric tutors and specialty advisers work

Managing conferences, scientific meetings and CPD Chair: Vice President, Dr Alistair Thomson

Provision of child health services and service configuration Chair: Vice President, Dr David Shortland

International Board Coordinating the international activities of the College Chair: David Baum Fellow, Dr Steve Greene

■

■ ■

■ ■ ■

■

Advocacy Committee Child Protection Committee Ethics Advisory Committee Medicines Committee (jointly with the Neonatal and Paediatric Pharmacists) Nutrition Committee Policy Committee Staff & Associate Specialist Group Committee Trainees

Working Parties and Publications The College (and previously the BPA) has a long standing and successful record in convening working groups with clear terms of reference specifically to focus on finite problems with a view to producing written reports. Some of the larger working parties are intercollegiate with the membership coming from a wide range of medical disciplines, nurses/midwives and charities related to children’s welfare. The College publishes reports on clinical paediatric services, workforce, training, assessment, audit and research.

OFFICERS AND TRUSTEES Patron: Her Royal Highness The Princess Royal Trustees 2008-2009: The Officers of the College and members of Council are as follows: Officers of the College President Professor Terence Stephenson

Vice Presidents Dr David Shortland (Health Services) Dr Mary McGraw (Training & Assessment) Professor Neena Modi (Science & Research) Dr Alistair Thomson (Education)

Honorary Treasurer Dr Sue Hobbins

Registrar Dr David Vickers

Dr Mark Dyke

East Anglia

Dr Nisar Mir

Mersey

Dr Venkat Ramesh

Northern

Dr Russell Viner

North East Thames

Dr Ruby Schwartz

North West Thames

Dr Javed Iqbal

North Western

Dr Nicholas Mann

Oxford

Dr John Trounce

South East Thames

Dr Ruth Charlton

South West Thames

Dr Michael Webb

South Western

Dr Peter Macfarlane

Trent

Dr Robert Scott-Jupp

Wessex

Dr Steve Bennett Britton

West Midlands

Dr Adrian Minford

Yorkshire

Scotland

Dr Justin Warner

Wales

Dr Jim Beattie

Dr Donald Macgregor

N, NE, E Scotland

Wales

Dr Sepideh Taheri

South Eastern Scotland

Dr Iolo Doull

Dr Katherine Mckay

Western Scotland

Dr Barbara Bell

Northern Ireland

Ireland Dr Moira Stewart

Examinations Dr Simon Newell

Vacant

Republic of Ireland

Dr Damian Roland and Dr Sarah Haden

Trainees

Vacant

Associate Member

Professor Richard Olver

Association of Clinical Professors of Paediatrics

David Baum Fellow (International Affairs)

Dr Keith Dodd

Senior Members

Dr Steve Greene

Dr Jeremy Kirk and Dr Anton Mayer

Paediatric Specialities

Assessment Dr Andrew Long

Child Protection Dr Rosalyn Proops

Policy Dr Geoff Lawson

Training Dr Ian Doughty

Continuing Professional Development Dr Rollo Clifford

Workforce Planning Dr Carol Ewing

TREASURER’S REPORT The College achieved an overall surplus of £753,000. This was mainly due to another successful year for obtaining grants and similar funding of which £578,000 was received ahead of its related expenditure.

As Figure 2 shows, total income increased by 10.2% over the previous year to a total of £9,836,000. The College’s general income available for its general purposes increased by a healthy 4.2%. The College’s designated income is a relatively small amount. For the third year in succession income from grants and similar external, restricted sources increased this year, by a remarkable 45.6%.

The surplus on general income available for the College’s general purposes was £145,000. This exceeded the target to break even and was a welcome result in the first full year following the move to 5 Theobalds Road in March 2008.

Total expenditure increased by 5.2% over the previous year to a total of £9,083,000 (this is the underlying increase after excluding the oneoff costs of £208,000 in 2008 associated with the move to 5 Theobalds Road). The increase reflects a significant expansion of work across the College, particularly in Training and Education activities. Expenditure has been kept to a minimum by continuing to monitor and control costs. This included an annual “Budget Scrutiny Day” where Financial Governance & Audit Committee members and senior management thoroughly review draft budgets.

The remaining £30,000 of the surplus arises from general income designated for particular purposes and includes initiatives in Research and Education and interest earned by funds such as the Everley Jones fund. The College has grown annually since its formation and this year was no exception. The income, expenditure, surplus and accumulated balance of general funds for the last five years are shown in Figure 1. The move to 5 Theobalds Road has enhanced the recent growth and makes further expansion possible.

2009

2008

Increase or Decrease

7,811

7,494

317

4.2

100

1,943

1,334

609 45.6

8,928

908 10.2

Income Type General (available for general purposes)

Designated (general income earmarked for particular activities)

Restricted

(grants and similar income, received and used for a specific purpose)

Total income

9,836

Figure 2: Income 2009 compared with 2008

Figures 3 and 4 display the total income and total expenditure for the year as pie charts.

Publications 10%

Purchase of 5 Theobalds Road

£10

Other 4%

Investment 1%

£9

Voluntary 2%

£8

Member Subscriptions 29%

Research 8%

£7 Millions

Training 6%

£6 £5

Education 10%

£4 Spring Meeting 4%

£3

Assessment 26%

£2 £1

Figure 3: Total income £9,836,000 ▲

2005

▲

2006

2007

▲ ▲

2008

Other 1%

2009

Total Income

Total Expenditure

▲

Total Surplus or Deficit

Assessment 23%

Professional & Standards 34%

Year ended 31 August General Funds

Spring Meeting 5%

Figure 1: Trends 2005 to 2009 Education 12% Research 12% Training 13%

Figure 4: Total expenditure £9,083,000

Other financial headlines include: ■

■

Membership subscription income of just under £3million, an increase of 6.6%. This reflects the growth in total membership by 4.3% from 10,774 to 11,236 members and the 4% increase to membership subscription rates on 1 January 2009. Further growth in Junior membership from 1,132 to 1,477 as paediatric trainees in the UK have to enrol with the College to have their training monitored and access the assessment tools. Assessment income from examinations of £2.5million, an increase of £229,000 or 10.1%. The adverse effect on candidate numbers experienced in recent years following the end of permit-free training appears to have ended. The purchase of new premises in the previous year meant the College held significantly lower levels of cash deposits. Combined with lower interest rates this meant investment income fell from £414,000 to £81,000. The average return on these deposits was 1.78% (2008 – 5.75%) which was again better than the Bank of England base rate for the year which averaged 1.74% (2008 – 5.34%). Successful publication in July 2009 of the 5th edition of the British National Formulary for Children (BNF-C) resulted in net Publications income of £169,000 (2008 – £197,000) Publications income includes £502,000 (2008 – £474,000) surplus due to the College from the joint venture to publish Archives of Disease in Childhood.

■

The 2009 Spring Meeting income was £59,000 lower than 2008 due to reduced attendance levels. There was a corresponding £16,000 reduction in expenditure. This was disappointing given the new format for the meeting introduced after careful consideration and planning. For the first time in 10 years the 2010 event has been relocated to the University of Warwick with a revamped programme in the hope of improved attendance. Fund-raising professionals have been engaged during both years to look at the feasibility of major fundraising initiatives, the results of which are reported in this annual report. The conclusion was that further work is required on the College's overall strategy before embarking on a costly major fund-raising campaign. The external Auditors gave the College’s financial statements a "Clean bill of Health" which were approved by Council 3 months earlier than in previous years.

At 31 August 2009 the College’s net assets amounted to £18.8million. Fixed assets of £19.5million are almost entirely made up of the freehold property 5-11 Theobalds Road. The £4million mortgage loan required to fund the property purchase is included within Creditors and from January 2010 mortgage payments began to include repayment of capital. Cash balances and net current assets are important; being £4.8million and £3.5million respectively.

Expectations for 2009-2010 and beyond The UK economy will hopefully have its emergence from recession confirmed during 2010. Although the College has grown throughout the recession, income for its general purposes remains finely balanced with costs. The College does expect to have sufficient cash balances for the foreseeable future and does have substantial assets. The financial stability of the College meant it was able to respond appropriately by not increasing subscriptions for 2010 as it recognised members’ households may be experiencing difficulties during the recession. However there is no cause for complacency, as for example the UK government is expected to reduce public expenditure which could well reduce the College’s levels of grant income. The task of rebuilding the balance on the General Fund is now underway as it is this fund which allows the College to respond appropriately to most eventualities. At 31 August 2009 the balance stood at £542,000 and the target balance is currently £1.2million. Income generation remains a priority for the College and is being pursued. The drive for improved efficiencies internally continues with new financial systems, better integration of systems, and plans to deliver improved services via the College’s website. Dr. Sue Hobbins, Honorary Treasurer

Further information The full financial statements are available on the College website. Transparency in general and particularly with finances is essential and encouraged by the College. If you have any queries about the finances of the College, please do not hesitate to contact me (shobbins@nhs.net) or Mike Poole (mike.poole@rcpch.ac.uk), Director of Internal Services at the College.

ACCOUNTS

Summarised financial statements for the year ended 31 August 2009.

INCOME & EXPENDITURE Consolidated statement of financial activities for the year ended 31 August 2009 Unrestricted Funds £

Restricted Funds £

Endowment Funds £

2009 Total £

2008 Total £

3,486 114,837 73,860

146,846 -

150,332 114,837 81,292

122,487 119,061 413,670

2,510,069 275,055 72,558 279,605 276,685 2,970,152 949,453 367,081

917,294 319,434 537,670 14,483

2,510,069 275,055 989,852 599,039 814,355 2,970,152 949,453 381,564

2,280,748 333,956 484,861 248,494 883,282 2,785,938 947,449 307,963

7,892,841

1,943,159

9,836,000

8,927,909

47,452

54,917

47,745

48,791

2,078,992 432,990 552,667 866,480 584,654

540,060 294,630 462,890

2,078,992 432,990 1,092,727 1,161,110 1,047,544

2,128,790 449,330 990,355 869,374 979,275

3,080,058 26,784 -

67,250 -

3,147,308 26,784 -

3,056,708 44,063 208,506

7,717,822

1,364,830

9,082,652

8,830,109

Net Incoming Resources before Transfers Transfer between funds

175,019 0

578,329 -

753,348 0

97,800 -

Net Incoming Resources before other Recognised Gains and Losses

175,019

578,329

753,348

97,800

Gains on revaluation of fixed assets Gains and losses on investment assets

20,712 9,195

175,019 16,728,453

578,329 1,286,079

14,855

753,348 18,029,387

127,707 17,901,680

16,903,472

1,864,408

14,855

18,782,735

18,029,387

INCOMING RESOURCES Incoming Resources from Generated Funds Voluntary income Activities for generating funds Investment income Incoming Resources from Charitable Activities Assessment Spring Meeting Education Training Research Members’ subscriptions Publications Other income Total Incoming Resources (see note 3)

7,432

RESOURCES EXPENDED Costs of Generating Funds Costs of generating voluntary income Fundraising Trading: Costs of goods sold and other costs Charitable Activities Assessment Spring Meeting Education Training Research Other professional activities and standards Governance Costs Other Resources Expended Total Resources Expended (see note 1)

Net Movement in Funds Fund balances brought forward

Total Funds Carried Forward

All incoming resources and resources expended derive from continuing activities. There were no recognised gains and losses for the year other than those included in the Statement of Financial Activities. The notes on page 22 form part of these summarised financial statements.

BALANCE SHEET Consolidated balance sheet as at 31 August 2009 Group 2008 £

Group 2009 £

19,499,783 2

19,529,485 2

19,499,785

19,529,487

1,210,418 4,770,926

1,070,868 4,075,967

5,981,344

5,146,835

Creditors: Amounts falling due within one year

2,510,330

2,347,429

Net Current Assets

3,471,014

2,799,406

22,970,799

22,328,893

4,188,064

4,299,506

Net Assets

18,782,735

18,029,387

Represented by: Unrestricted Funds: Designated Funds Charitable Trading Subsidiary Fund General Funds

16,361,006 4 542,462

16,331,074 4 397,375

Total Unrestricted Funds Restricted Funds Permanent Endowments

16,903,472 1,864,408 14,855

16,728,453 1,286,079 14,855

18,782,735

18,029,387

Fixed Assets Tangible Assets Investments

Current Assets Debtors Cash at bank and in hand

Total assets less current liabilities Creditors: amounts falling due after more than one year

Total Funds of the College (see note 2) Independent Auditors’ statement to the Trustees of the Royal College of Paediatrics and Child Health We have examined the summarised financial statements of the Royal College of Paediatrics and Child Health for the year ended 31 August 2009.

Respective responsibilities of trustees and auditors The Trustees are responsible for preparing the summarised financial statements in accordance with applicable United Kingdom Law and the recommendations of the charities’ SORP 2005. Our responsibility is to report to you our opinion on the consistency of the summarised financial statements with the full annual financial statements and Trustees’ Annual Report.

We conducted our work in accordance with Bulletin 2008/3 issued by the Auditing Practices Board. Our report on the College’s full annual financial statements describes the basis of our opinion on those financial statements and on the Trustees’ Annual Report. We also read the other information contained in the Annual Report and consider the implications for our report if we become aware of any apparent misstatements or material inconsistencies with the summarised financial statements.

Opinion In our opinion the summarised financial statements are consistent with the full annual financial statements and the Trustees Annual Report of the Royal College of Paediatrics and Child Health for the year ended 31 August 2009. 18 November 2009

Kingston Smith LLP Chartered Accountants and Registered Auditors

NOTES TO FINANCIAL STATEMENTS 1. Total Resources Expended

Staff Costs £ Costs of generating voluntary income Fundraising trading: cost of goods sold and other costs Assessment Spring Meeting Education Training Research Other professional activities and standards Governance costs Other Resources Expended Total Resources Expended

Other Direct Other Allocated Costs Funds £ £

2009 Total £

2008 Total £

19,147

21,671

6,634

47,452

54,917

862,879 70,137 442,907 474,341 547,638

47,745 950,010 342,343 523,910 536,898 347,751

266,103 20,510 125,910 149,871 152,155

47,745 2,078,992 432,990 1,092,727 1,161,110 1,047,544

48,791 2,128,790 449,330 990,355 869,374 979,275

1,414,104 -

1,351,339 26,784 -

381,865 -

3,147,308 26,784 -

3,056,708 44,063 208,506

3,831,153

4,148,451

1,103,048

9,082,652

8,830,109

Other allocated costs in 2008-2009 can be further analysed as follows:

Premises and Facilities £

Human Resources £

Information Technology £

Total Other Finance Allocated Costs £ £

2,678

497

1,535

1,924

6,634

Costs of generating voluntary income Fundraising trading: cost of goods sold and other costs Assessment Spring Meeting Education Training Research Other professional activities and standards Governance costs Other Resources Expended

107,425 8,280 50,830 60,502 61,424

19,951 1,538 9,440 11,237 11,408

61,566 4,745 29,131 34,675 35,203

77,161 5,947 36,509 43,457 44,120

266,103 20,510 125,910 149,871 152,155

154,158 -

28,631 -

88,349 -

110,727 -

381,865 -

Total Resources Expended

445,297

82,702

255,204

319,845

1,103,048

Costs of generating voluntary income are those incurred in seeking voluntary contributions and do not include the costs of disseminating information in support of the charitable activities. Costs of generating voluntary income do include the cost of engaging fund-raising professionals to establish the feasibility of major fund-raising initiatives. Governance costs include the costs associated with the meetings of the Council, Executive Committee and Financial Governance & Audit Committee and those incurred in connection with the statutory external audit. Other resources expended are non-recurring costs associated with the move to 5-11 Theobalds Road from the College's previous locations in London. All allocated costs have been allocated on the basis of the headcount.

2. Income from Commercial Companies Unrestricted funds: The General Funds represent the “free” funds of the College which are not designated for particular purposes or restricted in any way; they are essentially the College’s reserves. Such funds need to be held as reserves to permit a responsible reaction to uncertainties. The College reviews annually the level of reserves it requires. The current requirement is £1.2million and has been arrived at after performing a risk analysis of unrestricted income. In order to achieve this requirement, the College sets targets for the annual operating surplus of general income over general expenditure. In the year to 31 August 2009 the balance of general funds increased by £145,087 to £542,462 (2008 – £397,375). For the year to 31 August 2010 the College has set the annual operating surplus of general income over general expenditure at £200,000. Designated funds comprise unrestricted funds that have been set aside by the trustees for particular purposes. They include the Fixed Assets Fund £15,469,784 (2008 – £15,487,485) and the balance of the Everley Jones Bequest £416,900 (2008 – £424,775).

Restricted funds: Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the College for particular purposes and comprise funds for the WellChild Fellowships, David Baum International Foundation, Education, Research and Awards & Prizes. Permanent Endowments: Permanent Endowments are monies which have been given to the College in trust with the restriction that they are held as capital with the income generated from them to be used for specific awards.

3. Income from Commercial Companies A list of commercial companies who pay for a presence at the Spring Meeting and similar events organised by the College is available on request from the Director of Internal Services at the College. Any commercial companies who have made significant financial contributions to the College in the calendar year 2009 are included in the Fund-raising report within the Annual Report.

FUNDRAISING In February 2008, fund-raising consultants Brakeley Limited & Marion Allford Associates were appointed to carry out a fundraising feasibility planning study in two phases.

Details of total “Other voluntary income” are as follows:

■

Phase 1 – an internal assessment of the College’s readiness for fund-raising.

Legacy/gifts income

■

Phase 2 – to test the market and begin the process of involvement of potential donors who knew the College or had an interest in Child Health.

Levies collected from UK-resident members for visiting fellowships and College work overseas

In April 2009 the study concluded that the College was not yet ready to embark on a major fundraising campaign. The College is grateful to Dr Ben Ko for his commitment to this piece of work as Fundraising Lead which included chairing meetings of the fund-raising working group and reporting to Executive Committee and Council. The study provided valuable recommendations as well as an indication of initiatives that may prove successful in future. One of the recommendations which is being taken forward is to review communication of what the College stands for and its key priorities with a wider audience including potential funders. In June 2009 the University of Bristol forwarded to the College donations amounting to just over £49,000 for the David Baum International Foundation (DBIF). The University is responsible for administering the DBIF Memorial Appeal which is a joint appeal by both parties. The DBIF itself has a number of educational projects in developing countries in Africa as well as in Gaza and the West Bank.

A gift in your Will The College is a charity and a gift in a Will can help reduce the inheritance tax burden. Such gifts are often referred to as “legacies” or “bequests”. There is a standard codicil form (an appendix to a will) that can be downloaded from the College website at this link: www.rcpch.ac.uk/About-the-College/Fundraising/Legacies The College recommends that anyone considering such a gift obtains professional advice.

2008-9

2007-8

450

85,722

81,368

3,036

2,833

61,124

18,286

20,000

£150,332

£122,487

Donations from members to Foundation Appeal Other donations David Baum International Foundation Scottish Executive support for Training project in Malawi

Total

David Baum International Foundation Details of DBIF income are as follows:

2008-9

2007-8

49,089