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About us

Pre- acquisition What we spend and how we spend it

Information on this page containse information upto Jan 2015. The RNHRD was acquired by the RUH on February 1st, 2015.

Funding arrangements
The trust receives funding from the commissioners for services provided to patients, as well as research grants and other income (e.g., from catering). In addition it receives charitable gifts, donations and bequests made under relevant charities legislation to the RNHRD NHS foundation trust. These are known as charitable donations.

Details of income generated by the trust is contained within the Annual Report and Accounts.

Financial budgets and planning
Our director of finance has responsibility for the trust’s finances. Financial reporting in year takes the form of:

  • monthly finance reports which are submitted to the Finance and Activity Committee prior to their submission to the trust board;
  • financial monitoring returns which are submitted to the independent regulator on a quarterly basis;
  • The Financial Plan, including the capital programme, which forms part of the Service Plan submitted to the Independent Regulator each year;
  • Annual Accounts which are produced at the end of each financial year.

Annual information required by the independent regulator
Annual audited accounts are completed annually in accordance with the guidelines of the regulator. The trust is also required to lay these accounts before Parliament on an annual basis.

Annual information required by the Department of Health (DH)
Details of reference costs are required to be submitted to DH annually. Reference costs are the cost to the trust of providing a given service in each financial year. This enables the DH to assess the average cost to the NHS of providing all services.  The national tariff for payments by results is based on reference costs.

Further information regarding reference costs in the NHS can be found on the Department of Health's website.

The role of our internal auditors is to review systems and ensure that risks are properly managed. The internal auditors produce an Opinion on the Effectiveness of the Systems of Internal Control which is included in the Annual Accounts. Our internal auditors are:

Baker Tilly
Hartwell House
55-61 Victoria Street

Financial audit reports
The external auditors provide independent assurance and are responsible for auditing the Annual Accounts prior to submission to the regulator. They provide an independent opinion on the Annual Accounts and an Annual Management letter to the board. Our external auditors are:



PriceWaterhouseCoopers LLP
31 Great George Street

Standing financial instructions
The management of the trust's finances is regulated by its Standing Orders and Standing Financial Instructions.

Contracts, including procurement and tendering
All tenders are advertised in accordance with the trust’s Standing Orders.

Capital programme
Capital developments are summarised in the Annual Report and Accounts and Annual Plan, published each year.

Transparency – publication of spending over £25,000
The Government has recently committed to improving the transparency of how public funds are used. One specific commitment is to publish all government expenditure over £25,000. The RNHRD NHS FT is committed to openness and transparency and details of such payments made by our trust can be found below:



Current Financial Year

April 2014
May 2014
June 2014
July 2014
Aug 2014 
Sept 2014
Oct 2014
Nov 2014
Dec 2014
Jan 2015

Past Financial Year

April 2013
May 2013
June 2013
July 2013
Aug 2013
Sept 2013
Oct 2013
Nov 2013
Dec 2013
Jan 2014
Feb 2014
March 2014

Past Years
April 2011 - September 2011
October 2011 - March 2012
April 2012 -  March 2013
May 2012

This publication is in line with HM Government's commitment to transparency in public sector expenditure. More details are available at

Staff pay, grading and expenses
Most of our employees are on nationally agreed pay scales. All our non-medical and non-dental employees below director level are on the Agenda for Change pay scales. Hospital doctors are covered under a separate scheme which sets out the nationally agreed pay scales for medical and dental staff. Salaries and benefits for the chief executive and directors are determined by the remuneration committee, a subcommittee of the board.

Summary details of the salaries and expenses of the chairman, non-executive directors, executive directors and members of the Professional Executive Committee are contained in the Annual Report and Accounts published each year.

Charitable funds
The Royal National Hospital for Rheumatic Diseases NHS Foundation Trust has a charitable fund made up of money donated by patients and members of the public. Details of current balances and the headings under which charitable funds are spent are available from the finance Department. 


Bribery and Fraud
A full copy of the RNHRD Board's statement on commitment to preventing bribery can be found here.