Financial Accounts

Here we present Bromley Healthcare’s Financial Account for the financial year 2022-23:

Bromley Healthcare Accounts 2022-23

Excerpt from the directors’ Strategic Report for the year ended 31 March 2023:

“Bromley Healthcare is an employee-owned social enterprise that commenced trading on the 1st April 2011. All profits of the company are reinvested into our services for the benefit of the community. Since inception, Bromley Healthcare has invested in its technology and services as well as donated funds to the Bromley Healthcare Charity to enable people to learn new skills and build their confidence.

The company’s primary activities, during the year, continued to be the provision of community health and social care in South East London with contracts in Bexley, Bromley, Greenwich and Lewisham. Our health and care services provide a lifetime of care in people’s homes and their communities. Community services play a vitally important role, working in tandem with our health and care partners, in keeping people well and safe in their home and community. Bromley Healthcare provides over 45 services covering Adults, Children and Urgent Community Response as well as more specialist services including Talk Together Bromley and Diabetes. Bromley Healthcare Care at Home is the trading name of the domiciliary care agency which predominantly provides home care of around 900 hours per week in defined areas in Bexley and Orpington. Domiciliary care is a complementary service to our existing adult services portfolio and supports our strategic vision ‘empowering people to live their fullest lives in the heart of their communities’. The intention is to expand our service reach and offer continuing to provide care for both private and social care clients.

Bromley Healthcare continues to operate in a challenging financial health and social care system. The financial penalties attributable to our Key Performance Indicators and Outcomes have been suspended since the start of the Covid 19 pandemic. However, internally a focus has still been maintained on all contractual Key Performance Indicators (including appraisals reported at 92.2% and mandatory training reported at 94.7% above 85% target). The pandemic has resulted in some services reporting increased waiting times. The latest waiting times are published on our web-site and are closely monitored through the Executive Scrutiny Committee.

Despite the financial challenges, Bromley Healthcare delivered all of its productivity programme and was on target to achieve a small pre-tax profit in line with the financial plan. However, in May 2023, guidance was issued setting out the Agenda for Change pay award and it transpired that Bromley Healthcare had not been funded for the non-consolidated element of the pay award relating to 2022/23. The non-consolidated element of the pay award is in effect a bonus for working through the pandemic and supporting the recovery. All of our staff (except Medical and Dental) are on dynamic agenda for change contracts and worked tirelessly throughout the pandemic and therefore, following an Extraordinary Board meeting on the 23rd May 2023 a decision was taken to make a payment which has resulted in a loss of £1.16m. This has been reported in the accounts as an exceptional item.

Our patient centric Care Coordination Centre has continued to play a significant supporting role in ensuring continuity and consistency of patient care. The centre is the first point of contact for our services; a single 24/7 number for patient, families and health care professionals. The recent digital advancements in the Care Coordination Centre are in preparation of a more proactive role supporting patients and families to navigate services. There has been continued evolution focusing on adherence to best practice pathways and quality assurance facilitated by the use of our ‘near live’ safety dashboards to proactively promote safety and improve outcomes for families and patients.”