snb-annual-report-2008.pdf - all healthcare professionals

Annual R

eport 2008

Singapore Nursing Board

This page has been left intentionally blank.

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CCOONNTTEENNTTSS

Mission & Vision

4

Foreword 5

Our Board Members 7

Key Highlights 10

Registration 13

Education 16

Complaints 20

Financial Statements 22

Selected Characteristics of Nurses 38

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SINGAPORE NURSING BOARD ANNUAL REPORT for the year ended 31 March 2009

OORRGGAANNIISSAATTIIOONNAALL DDEETTAAIILLSS Board Secretary Ms Boon Juag Fong Address 16 College Road, #01-01

College of Medicine Building, Singapore 169854

Telephone 64785416 Fax 62211160

In the opinion of the directors, the annual report of the SINGAPORE NURSING BOARD NAME are drawn up so as to present fairly the state of affairs of the SINGAPORE NURSING BOARD NAME as at 31 March 2009. On behalf of the Board,

Mrs Nellie Tang Muay Kiah

Ms Pauline Tan Cheng Jee

Chairman Registrar 31 December 2009 31 December 2009

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OOUURR VVIISSIIOONN A Global Leader in Nursing Regulation OOUURR MMIISSSSIIOONN To Uphold Professional Standards and Honour the Public Trust

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FFOORREEWWOORRDD It has been an exciting year indeed for the Singapore Nursing Board. We had the privilege of hosting the 7th Western Pacific South East Asia Regional Conference in October 2008. This biennial meeting was a valuable platform for nursing regulators in the region to share their knowledge on current regulatory practices, learn from each other and design systems and processes to strengthen the development of nursing regulation for the region. Furthermore, the opening of new facilities and the expansion of services have created more opportunities in the nursing field, as reflected by the increasing number of nurses on our Register and Roll. With more people looking to practise nursing, the Board remains vigilant in requiring competency assessments to ensure that new registrants from both local and foreign backgrounds are able to practise safely without compromising quality and patient safety. To further support Singapore’s national nursing manpower needs, SNB has also approved a private educational institution, Parkway College, to offer diploma courses in nursing. This is to augment the existing training by NYP, NP and NUS. We have also started reviewing the Standards of Nursing Education and Standards of Nursing Practice for Nurses and Midwives to reflect current regulatory and professional expectations of the profession. By the end of 2008, the Board had certified 17 Advanced Practice Nurses (APN). The numbers of APNs will continue to grow to provide clinical leadership to the larger pool of nurses in the clinical areas. We consulted various healthcare stakeholders in the review of the APN certification framework. Overall, nursing is positioned to be more engaged in addressing the rising demands of healthcare, and we look forward to playing an even more active role in helping to meet Singapore’s healthcare needs.

Mrs Nellie Tang M K Chairman

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BBOOAARRDD MMEEMMBBEERRSS Position Name Designation

Chairman Mrs Nellie Tang Muay Kiah Chief Executive Officer

Parkway College

Registrar Ms Pauline Tan Cheng Jee Chief Nursing Officer Ministry of Health

Ex-officio Member Dr Lau Hong Choon Director Manpower Standards & Development Ministry of Health

Ex-officio Member Mdm Low Khah Gek Deputy Director (Sciences) Ministry of Education

Ms Ang Beng Choo Director Health Services Research (Nursing) Ministry of Health

Ms Ang Neo Kim Emily Deputy Director Nursing National University Hospital

Ms Chen Yee Chui Assistant Chief Nursing Officer Ministry of Health

Dr Choo Li Nah Ag Director Policy & Communications Department Agri-Food & Veterinary Authority of Singapore

Ms Gwee Mui Boon Course Manager School of Applied Health Sciences ITE College East

Ms Lee Heng Pheng Director Nursing KK Women’s and Children’s Hospital

A/Prof. Terry S H Kaan Lecturer Faculty of Law National University of Singapore

Members

Ms Lim Swee Hia Director Nursing Outram Campus Singapore General Hospital

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Position Name Designation

Ms Low Beng Hoi Director Nursing

Alexandra Hospital

Ms Pang Yann Lih Annie Director Hospital (Operations) Raffles Hospital

Ms Tan Wee King President Singapore Nurses Association

Ms Wong Luan Wah Director School of Health Sciences (Nursing) Nanyang Polytechnic

Members

Mr Yong Keng Kwang Deputy Director Nursing Tan Tock Seng Hospital

KKEEYY MMAANNAAGGEEMMEENNTT PPEERRSSOONNNNEELL Name Designation

Ms Pauline Tan Cheng Jee Registrar

Ms Boon Juag Fong Executive Secretary

Mrs Esther Lim Assistant Executive Secretary

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KKEEYY HHIIGGHHLLIIGGHHTTSS Study Visit to India A delegation lead by Chairman, Singapore Nursing Board visited the Indian states of Kerala and Tamil Nadu from 19 to 26 April 2008. The focus was to dialogue with the key nursing leaders on their nursing education system with the view of recommending top nursing schools for a mutual recognition agreement with the Indian Nursing Council. 7th Meeting of Nursing and Midwifery Regulatory Authorities of the Western Pacific and South East Asian Regions (WP/SEAR) The Singapore Nursing Board hosted the 7th WP/SEAR meeting on 30-31 Oct 2008. The theme of the meeting was “Supporting and Managing Change”, which attracted 70 delegates from 21 countries. The meeting shared key takeaways from the Triad meetings in Geneva and other international meetings. Delegates updated on their country experiences and how they evolve their regulatory practices. Other highlights included reports on mentoring experiences by mentor and mentee countries and a workshop on implementing the WP/SEAR competencies. The meeting concluded with a communiqué to set new direction for the next meeting in 2010.

SMS Services for Renewal of Practising Certificate With the success of the eRenewal of Practising Certificate in 2007, the Singapore Nursing Board initiated another enhancement using the sms alert service. This technology pushes messages to hand phones to alert nurses to renew their practising certificates.

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Delegates at the 7th Meeting of Nursing and Midwifery Regulatory Authorities of the Western Pacific and South East Asian Regions (WP/SEAR).

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RREEGGIISSTTRRAATTIIOONN The Register and Roll increased by 8.4% over the preceding year. The number of Nurses and Midwives recorded end 2008 was 24,209.

In 2008, a total of 3,768 new nurses/midwives were registered. This is a significant increase of 64.8% over that of 2286 in the preceding year.

No. of New Registrants

Singaporeans* Foreign Total

Registered Nurses 1171 1086 2257

Enrolled Nurses 495 1011 1506

Registered Midwives 0 5 5

Total Nurses 1666 2102 3768 * Singaporeans and PRs

No. of Nurses & Midwives

15452 16504 17881

5163 5,604 6006312

322224

0 5000

10000 15000 20000 25000 30000

2006 2007 2008

Year

Nos. MWs ENs RNs

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AADDVVAANNCCEEDD PPRRAACCTTIICCEE NNUURRSSEE ((AAPPNN)) CCEERRTTIIFFIICCAATTIIOONN At end 2008, there were 17 fully certified APNs under the 4 specialties namely Acute Care, Community, Medical/Surgical and Mental Health.

Specialty Nos. as at 31.12.2008

Acute Care 3

Community 2

Medical/Surgical 8

Mental Health 4

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EEDDUUCCAATTIIOONN The Education Committee had a busy year reviewing and accrediting a total of 25 courses during the year.

0

10

20

30

Courses Accredited in Years 2006-2008

No. of Short Courses 3 8 7

No. of FormalCourses

5 5 18

Total No.of courses 8 13 25

2006 2007 2008

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CCOOUURRSSEESS AACCCCRREEDDIITTEEDD IINN 22000088

Course Title Type of

Course Accredited till Institution

1

Bachelor of Nursing (Honours)

Post-registration

13 January 2011 University of Sydney and Singapore Institute of Management

2

Advanced Diploma in Nursing (Perianaesthesia)

Advanced Diploma

13 April 2011 Nanyang Polytechnic

3 Advanced Diploma in Critical Care Nursing

Advanced Diploma

20 April 2011 Ngee Ann Polytechnic

4 Advanced Diploma in Nursing (Critical Care)

Advanced Diploma

Re-accredited till 13 April 2011

Nanyang Polytechnic

5

Advanced Diploma in Nursing (Community Care)

Advanced Diploma


Nanyang Polytechnic

6 Advanced Diploma in Nursing (Medical-Surgical)

Advanced Diploma


Nanyang Polytechnic

7 Advanced Diploma in Nursing (Midwifery)

Advanced Diploma


Nanyang Polytechnic

8

Advanced Diploma in Nursing (Emergency)

Advanced Diploma


Nanyang Polytechnic

9

Advanced Diploma in Nursing (Gerontology)

Advanced Diploma


Nanyang Polytechnic

10 Advanced Diploma in Nursing (Neuroscience)

Advanced Diploma


Nanyang Polytechnic

11 Advanced Diploma in Nursing (Ophthalmic)

Advanced Diploma


Nanyang Polytechnic

12

Advanced Diploma in Nursing (Oncology)

Advanced Diploma


Nanyang Polytechnic

13

Advanced Diploma in Nursing (Orthopaedics)

Advanced Diploma


Nanyang Polytechnic

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Course Title Type of Course

Accredited till Institution

14 Advanced Diploma in Nursing (Paediatric)

Advanced Diploma


Nanyang Polytechnic

15 Advanced Diploma in Nursing (Perioperative)

Advanced Diploma


Nanyang Polytechnic

16

Advanced Diploma in Nursing (Mental Health)

Advanced Diploma


Nanyang Polytechnic

17 Advanced Diploma in Nursing (Nephro-Urology)

Advanced Diploma


Nanyang Polytechnic

18

Advanced Diploma in Nursing (Management)

Advanced Diploma


Nanyang Polytechnic

19

Specialist Certificate in Clinical Perioperative Nursing

Short Course

Not applicable Raffles Hospital

20 NUH Paediatric Critical Care Nursing

Short Course

Not applicable National University Hospital

21 SingHealth Oncology Nursing

Short Course

Not applicable National Cancer Centre

22 Nurse Clinician Course for IMH Nurses

Short Course

Not applicable Institute of Mental Health

23 Basic Perioperative Nursing Care

Short Course


24 Advanced Emergency Nursing

Short Course


25 TCI Oncology Nursing Short Course

Not applicable The Cancer Institute

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CCOOMMPPLLAAIINNTTSS During the year the Board investigated 3 complaints. • Case 1 A Complaints Committee convened a hearing to decide whether an Enrolled Nurse was fit to practice following a complaint by a public psychiatric hospital that he had physically assaulted a patient resulting in face injury. The nurse did not respond to all correspondences from the Board nor did he attend the hearing after due notice was served. Reviewing the facts in the presented documents, the Committee concurred that the nurse had physically assaulted the patient resulting in injury. The Board approved to cancel his registration. • Case 2 An Enrolled Nurse was charged and sentenced in the court of law for two offences of theft. A Complaints Committee hearing found that she had committed the offences in her workplace. The nurse pleaded for leniency and stated that she stole to alleviate her family’s financial difficulties. A six months suspension was approved by the Board. • Case 3 An Enrolled Nurse admitted to theft of a video camera while on duty. She pleaded for leniency stating reasons as peer pressure, family problems and work frustrations. The severity of her offence did not impact her until she was dismissed from work. She was censured by the Board for misconduct.

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FFIINNAANNCCIIAALL SSTTAATTEEMMEENNTTSS

Statement by The Board’s Management

In our opinion, the financial statements set out on pages 24 to 37 are properly drawn up so as to give a true and fair view of the state of affairs of Singapore Nursing Board as at 31 March 2009 and of the results, changes in accumulated surplus and cash flows of the Board for the year then ended and there are reasonable grounds to believe that the Board will be able to pay its debts as and when they fall due. The Board’s management has, on the date of this statement, authorised these financial statements for issue.

On behalf of the Board, Nellie Tang Muay Kiah (Mrs) Chairman Pauline Tan Cheng Jee Registrar

Singapore, 13 July 2009

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INDEPENDENT AUDITORS’ REPORT TO THE MEMBERS OF

SINGAPORE NURSING BOARD We have audited the accompanying financial statements of the Board set out on pages 24 to 37, which comprise the balance sheet as at 31 March 2009 and the statement of income and expenditure, statement of changes in accumulated surplus and cash flow statement for the year then ended, and a summary of significant accounting policies and other explanatory notes. Management’s Responsibility for the Financial Statements Management is responsible for the preparation and fair presentation of these financial statements in accordance with the Singapore Nurses and Midwives Act (Chapter 209)(the “Act”) and Singapore Statutory Board Financial Reporting Standards prescribed by the Accountant-General. This responsibility includes:

(a) devising and maintaining a system of internal accounting controls sufficient to provide a reasonable assurance that assets are safeguarded against loss from unauthorized use or disposition; and transactions are properly authorized and that they are recorded as necessary to permit the preparation of true and fair profit and loss accounts and balance sheets and to maintain accountability of assets;

(b) selecting and applying appropriate accounting policies; and

(c) making accounting estimates that are reasonable in the circumstances.

Auditor’s Responsibility Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with Singapore Standards on Auditing. Those standards require that we comply with ethical requirements and plan and perform the audit to obtain reasonable assurance whether the financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor’s judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal controls relevant to the entity’s preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal controls. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of accounting estimates made by the Board’s Management, as well as evaluating the overall presentation of the financial statements. We believe that the audit evidence we have obtained is sufficient and appropriated to provide a basis for our audit opinion.

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INDEPENDENT AUDITORS’ REPORT TO THE MEMBERS OF

SINGAPORE NURSING BOARD

(continued) Opinion In our opinion,

(a) the financial statements are properly drawn up in accordance with the Act and the Singapore Statutory Board Financial Reporting Standards so as to give a true and fair view of the state of affairs of the Board as at 31 March 2009 and the results, changes in accumulated surplus and cash flows of the Board for the year ended on that date; and

(b) the accounting and other records required by the Act to be kept by the Board

have been properly kept in accordance with provisions of the Act.

LO HOCK LING & CO PUBLIC ACCOUNTANTS AND

CERTIFIED PUBLIC ACCOUNTANTS Singapore, 13 July 2009

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Balance Sheet as at 31 March 2009

Notes 2009 2008 $ $ ACCUMULATED SURPLUS 2,544,813 2,284,034 REPRESENTED BY NON-CURRENT ASSETS Property, plant and equipment 4 616 1,170 616 1,170 CURRENT ASSETS Fees receivable 21,320 17,890 Other receivables 6 42,810 49,391 Fixed deposit with financial institution 5 2,000,000 740,000 Cash and bank balances 1,382,453 2,244,628 3,446,583 3,051,909 LESS CURRENT LIABILITIES Payables 7 129,855 43,833 Advance practising certificate fees Received 719,119 647,978 Provision for contribution to consolidated Fund 53,412 77,234 902,386 769,045 Net current assets 2,544,197 2,282,864

Total net assets 2,544,813 2,284,034

The accompanying notes form an integral part of these financial statements.

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Statement of Income and Expenditure for the year ended 31 March 2009

Notes 2009 2008 $ $ INCOME Application fees 122,710 118,020Registration fees 69,810 74,690Enrolment income 29,880 21,880Practising certificate fees 931,399 850,673Re-registration fees 180 400Replacement charges 9,400 6,450Service charges 90,076 83,747Interest income - 1,403Interest on fixed deposit 30,682 22,260Late charges 18,540 15,960Gain on disposal of property, plant and equipment - 38Other income 5,300 243 1,307,977 1,195,764LESS EXPENDITURE Audit fee 3,500 5,610Central provident fund contributions 37,368 31,523Committee expenses 236 279Computer operation & maintenance 168,549 83,801Depreciation on property, plant and equipment 4 554 1,708Legal expenses 20,336 6,534Medical fees 589 638Miscellaneous 51,931 12,528Office equipment maintenance 3,642 3,699Postages 19,605 16,632Printing & stationery 32,609 29,369Refreshments 127 167Rental of premises 59,203 38,553Salaries 567,795 508,643Staff Training 12,329 12,331Staff welfare 2,500 2,236Transport expenses 1,858 1,272Utilities 11,055 11,164 993,786 766,687 Surplus before contribution to consolidated fund 314,191 429,077 Contribution to consolidated fund 8 (53,412) (77,234) Surplus for the year 260,779 351,843

The accompanying notes form an integral part of these financial statements.

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Statement of Changes in Accumulated Surplus for the year ended 31 March 2009

Accumulated surplus

$ Balance as at 1 April 2006 1,932,191 Surplus for the year 351,843 Balance as at 31 March 2007 2,284,034 Surplus for the year 260,779 Balance as at 31 March 2008 2,284,034

The accompanying notes form an integral part of these financial statements

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Cash Flow Statement for the year ended 31 March 2009

Note 2009

$ 2008

$ CASHFLOWS FROM OPERATING ACTIVITIES Surplus before contribution to consolidated fund Adjustments for:

Depreciation on property, plant and equipment Interest income Gain on disposal of property, plant and equipment

Operating profit before working capital changes

(Increase)/decrease in receivables (Decrease)/increase in payables Increase in advance practising certificate fees received

Changes in working capital Cash generated from operations

Contribution to consolidated fund Net cash from operating activities CASHFLOWS FROM INVESTING ACTIVITIES

Interest received Proceeds from disposal of property, plant and equipment

Net cash from/(used in) investing activities Net increase in cash and cash equivalents Cash and cash equivalents at beginning of the year Cash and cash equivalents at end of the year

4

9

314,191

( 30,128)

284,063

176,135

460,198

( 77,234)

382,964

14,861 __________

397,825

2,984,628

3,382,453 =========

429,077

( 21,993)

407,084

43,678

450,762

( 50,505)

400,257

1,441_________

401,698

2,582,930

2,984,628 ========

The accompanying notes form an integral part of these financial statements

1,708 ( 23,663)( 38)

554 ( 30,682)

-

( 24,435)( 1,554)

69,667

18,972 86,022 71,141

1,40338

14,861 -

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NOTES TO THE FINANCIAL STATEMENTS – 31 March 2009 The following notes form an integral part of the financial statements. 1. GENERAL INFORMATION

The Singapore Nursing Board (the “Board”) is domiciled and set up in the Republic of Singapore under the Nurses and Midwives Act (Chapter 209). Its registered office was located at 16, College Road, #01-01 College of Medicine Building, Singapore 169854 and has been relocated to 81 Kim Keat Road, #08-00, Singapore 328836 with effect from 1 June 2009.

2. SIGNIFICANT ACCOUNTING POLICIES

(a) Basis of Preparation

The Board presents its financial statements in Singapore dollars, which is also its functional currency. These financial statements are prepared in accordance with the historical cost convention, except as disclosed in the accounting policies below, and comply with the Statutory Board Financial Reporting Standards (“SB-FRS”), including related Interpretations promulgated by the Accountant-General and the Nurses and Midwives Act (Chapter 209). During the financial year, the Board adopted all the applicable new/revised SB-FRSs which are effective on or before 1 April 2008. The adoption of these new/revised SB-FRSs did not have any material effect on the Board’s financial statements and did not result in substantial changes to the Board’s accounting policies.

(b) Accounting Estimates and Judgements The preparation of financial statements in conformity with SB-FRSs requires management to make judgements, estimates and assumptions that affect the application of policies and reported amounts of assets, liabilities, income and expenses. The estimates and associated assumptions are based on historical circumstances, the results of which form the basis of making judgements about carrying amounts of assets and liabilities that are not readily apparent from other sources.

The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised, if the revision only affects that period, or in the period of the revision and future periods, if the revision affects both current and future periods.

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(c) SB-FRS and INT SB-FRS not yet effective

The Board has not applied any new SB-FRS or INT SB-FRS (Interpretations of Statutory Board Financial Reporting Standards) that has been issued as at the balance sheet date but is not yet effective. The management does not anticipate the adoption of the new SB-FRS and INT SD-FRS in future financial periods to have any material impact on the Board’s financial statements in the period of initial application.

(d) Property, Plant and Equipment

All items of property, plant and equipment are initially recorded at cost. The cost of an item of property, plant and equipment is recognised as an asset if, and only if, it is probable that future economic benefits associated with the item will flow to the Board and the cost of the item can be measured reliably. Property, plant and equipment are stated at cost less accumulated depreciation and impairment loss, if any. Depreciation is calculated on the straight line basis so as to write off the cost, less the residual value, of the assets over their estimated useful lives. The estimated useful lives are as follows:

Office equipment 5 and 8 years Computer systems 3 years

Fully depreciated assets are retained in the financial statements until they are no longer in use. The residual values, useful lives and depreciation methods of property, plant and equipment are reviewed and adjusted as appropriate, at each financial year-end. An item of property, plant and equipment is derecognised upon disposal or when no future economic benefits are expected from its use or disposal. Any gain or loss arising on derecognition of the assets is included in the income and expenditure statement in the year the asset is derecognised.

(e) Receivables

Receivables are initially recognised at fair value and subsequently measured at amortised cost using the effective interest method, less allowance for impairment. Receivables with a short duration are not discounted. When there is objective evidence that the Board will not be able to collect all amounts due according to the original terms of the receivables, an impairment loss is recognised. The amount of the impairment loss is measured as the difference between the carrying value of the receivable and the present value of the estimated future cash flows discounted at the original effective interest rate. The carrying amount of the receivable is reduced directly or through the use of an allowance account. The amount of the loss is recognised in the income and expenditure statement.

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2. SIGNIFICANT ACCOUNTING POLICIES (continued) If, in a subsequent period, the amount of the impairment loss decreases and the decrease can be related objectively to an event occurring after the impairment was recognised, the previously recognised impairment loss shall be reversed either directly or by adjusting an allowance account. The amount of the reversal shall be recognised in the income and expenditure statement.

(f) Cash and Cash Equivalents

Cash and cash equivalents comprise cash in hand, cash at bank and bank deposits which are subject to insignificant risks of changes in value. Cash equivalents are stated at amounts at which they are convertible into cash.

(g) Payables

Payables are recognised initially at fair value and subsequently measured at amortised cost using the effective interest method.

(h) Income Tax

The income of the Board is exempted from income tax under Section 13(1)(e) of the Singapore Income Tax Act.

(i) Revenue Recognition

(i) Revenue

Revenue from practising fees, which is levied yearly on nurses and midwives is recognised in the financial statements on the accrual basis. Other types of income are recognised on the cash basis.

(ii) Interest Income

Interest income is recognised on a time-proportion basis, using the effective interest method, unless collectibility is in doubt.

(j) Employee Benefits

(i) Defined Contribution Plans

The Board makes contributions to the state provident fund (Central Provident Fund). Such contributions are recognised as compensation expenses in the same period as the employment that gave rise to the contributions.

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2. SIGNIFICANT ACCOUNTING POLICIES (continued)

(ii) Short-term Compensated Absences

Employee entitlements to annual leave are recognised when they accrue to employees. A provision is made for the estimated liability for employee entitlements to annual leave as a result of services rendered by employees up to the balance sheet date.

(k) Impairment of Non-Financial Assets

The carrying amounts of the Board’s assets subject to impairment are reviewed at each balance sheet date to determine whether there is any indication of impairment. If such indication exists, the asset’s recoverable amount is estimated. An impairment loss is recognised whenever the carrying amount of an asset exceeds its recoverable amount. The recoverable amount is the greater of the asset’s net selling price and its value in use. The value in use is the present value of estimated future cash flows expected to arise from the continuing use of the asset and from its disposal at the end of its useful life. An Impairment loss is charged to the income and expenditure statement. An impairment loss is reversed if there has been a change in the estimates used to determine the recoverable amount or when there is an indication that the impairment loss recognised for the asset no longer exists or decreases. An impairment loss is reversed only to the extent that the asset’s carrying amount does not exceed the carrying amount that would have been determined if no impairment loss has been recognised.

(l) Operating Leases

Leases whereby the lessor effectively retains substantially all the risks and benefits of ownership of the leased item are classified as operating leases. Operating lease payments are recognised as an expense in the income and expenditure statement on a straight line basis over the lease term.

3. PRINCIPAL ACTIVITIES

The principal activities of the Board are as listed in Section 8 of The Nurses and Midwives Act (Chapter 209).

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4. PROPERTY, PLANT AND EQUIPMENT

Office

equipment Computer systems

Total $ $ $ Cost At 1 April 2007 23,283 59,571 82,854 Additions - - - Disposals (14,647) (2,167) (16,814) At 31 March 2008 and 1 April 2008 8,636 57,404 66,040 Written off - ( 378) ( 378)

At 31 March 2009 8,636 57,026 65,662

Accumulated depreciation At 1 April 2007 21,501 58,475 79,976 Charge for the year 612 1,096 1,708 Disposals (14,647) (2,167) (16,814) At 31 March 2008 and 1 April 2008 7,466 57,404 64,870 Charge for the year 554 - 554 Written off - ( 378) ( 378)

At 31 March 2009 8,020 57,026 65,046 Carrying amount

At 31 March 2009 616 - 616

At 31 March 2008 1,170 _- 1,170 5. OTHER RECEIVABLES

2009 2008 $ $ Sundry receivables 13,274 9,202 Interest receivable 15,821 29,660 Deposit 4,431 2,812 Prepayments 9,284 7,717

42,810 49,391

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6. FIXED DEPOSITS WITH FINANCIAL INSTITUTION All fixed deposit matures within one year and earn interest at rates from 1.075% to

1.325% (2008: 3%) per annum. 7. PAYABLES

2009 2008

$ $

Sundry payables 88,629 11,859 Accruals 41,226 31,974

129,855 43,833

Payables are unsecured, non-interest bearing and are normally settled within 30 days or on demand.

8. CONTRIBUTION TO CONSOLIDATED FUND

This represents the contribution to be made to the Consolidated Fund in accordance with the Statutory Corporations (Contributions to Consolidated Fund) Act (Chapter 319A). The contribution is based on 17% (2008:18%) of the net surplus of the Board.

9. CASH AND CASH EQUIVALENTS

Cash and cash equivalents in the cash flow statement comprise the following balance sheet amounts: 2009 2008 $ $ Fixed deposits (note 6) 2,000,000 740,000 Cash and bank balances 1,382,453 2,244,628 3,382,453 2,984,628

10. OPERATING LEASE EXPENSES AND COMMITMENTS

(a) Operating lease expenses incurred during the year amounted to $22,344 (2008 : $20,322).

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10. OPERATING LEASE EXPENSES AND COMMITMENTS (continued)

(b) As at the balance sheet date, the Board has the following commitments under non-cancellable operating leases where the Board is the lessee:

2009

2008

$ $ Payable within 1 year 28,059 68,394Payable after 1 year but not later than 5 years 6,471 118,406

34,530 186,800

The above operating lease commitments are based on known rates as at the date of this report and do not include any revision in rates which may be determined by the lessor.

11. FINANCIAL RISK MANAGEMENT

The Board is exposed to minimal financial risks arising from its operations and the use of financial instruments. The key financial risks are credit risk, liquidity risk and interest rate risk. The management reviews and agrees on policies for managing each of these risks and they are summarised below:

(i) Credit risk

Credit risk is the potential risk of financial loss resulting from the failure of counterparties to settle their financial and contractual obligations to the Board when they fall due. The Board’s main financial assets consist of cash and cash equivalents. Cash and bank deposits are placed with financial institutions which are regulated. Management regularly monitors the Board’s exposure to credit risks on an ongoing basis. Cash and cash equivalents are placed with a financial institution with good credit ratings. As at the balance sheet date, there was no significant concentration of credit risk. The maximum exposure to credit risk is represented by the carrying amount of each financial asset.

(ii) Liquidity risk Liquidity risk is the risk that the Board will encounter difficulty in meeting

financial obligations due to shortage of funds.

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11. FINANCIAL RISK MANAGEMENT (continued)

The Board monitors its liquidity risk and maintains a level of cash and cash equivalents deemed adequate to finance the Board’s operations and to mitigate the effects of fluctuations in cash flows. All financial liabilities of the company are repayable on demand, or mature within one year.

(iii) Interest rate risk

Interest rate risk is the risk that the fair value of future cash flows of the Board’s financial instruments will fluctuate because of changes in market interest rates. The Board does not have any interest-bearing financial liabilities. Its only exposure to changes in interest rates relates to interest-earning bank deposits. The Board has fixed deposits placed with a financial institution which generate interest income for the Board. The Board manages its interest rates risks by placing such balances over different maturity periods with optimal rates of return. The interest rates and terms of maturity of the financial assets of the Board are disclosed in note 6 to the financial statements.

12. FAIR VALUE OF FINANCIAL ASSETS AND LIABILITIES

The carrying amounts of cash and cash equivalents, receivables and payables approximate their fair values due to their short term nature.

13. RESERVE MANAGEMENT

The primary objective in the management of the Board’s reserve is to ensure that it maintains a strong and healthy accumulated surplus so as to enable and support the Board in carrying out its statutory duties under The Nurses and Midwives Act.

The Board monitors its cash flow and overall liquidity position on a continuous basis, taking into consideration the prevailing and projected operating income and expenditure, and other financial obligations, including projected capital expenditure. The Board is not subject to externally imposed reserve requirements and there were no changes to the Board’s approach to reserve management during the year.

14. AUTHORISATION OF FINANCIAL STATEMENTS

The financial statements of the Board for the year ended 31 March 2009 were authorised for issue in accordance with a Board members’ resolution dated 13 July 2009.

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SELECTED CHARACTERISTICS OF REGISTERED NURSES

Selected Characteristics 2006 2007 2008

TOTAL SEX Male Female ETHINIC GROUP Chinese Malay Indian Others ACTIVITY STATUS Working Full-time Working Part-time Not Working/Unknown Doing Non-nursing work EMPLOYMENT Public Sector Private Sector CITIZENSHIP Singaporean/Permanent Resident Malaysian Chinese (PRC) Filipino Indian Myanmar Others MARITAL STATUS Single Married Divorced/Widowed/Others AGE Under 30 yrs 30-39 yrs 40-49 yrs 50-59 yrs Above 60 yrs

15452

123114221

10402164815541848

12243818

1587804

84954566

1343733753974513682

176

63958697360

4891416526462832918

16504

1363 15141

11037 1833 1672 1962

12703 842

1894 1065

9068 4477

14380 582 591 578 108 93

172

7146 8981 377

4977 4651 2850 2718 1308

17881

145816423

11631201218842354

13910859

2224888

101134656

160383245056729774

171

80459440396

55795185289727541466

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SELECTED CHARACTERISTICS OF ENROLLED NURSES



5163

2744889

1661114311091250

4248192559164

29561484

41054378

49819420342

22262797140

17111670974398410

5604

325 5279

1741 1306 1175 1382

4462 207 633 302

3110 1559

4340 53

133 558 220 275 25

2570 2899 135

1910 1738 1077 441 438

6006

3725634

1814145912171516

4748228833197

34881488

458940

12073426923717

30582802146

248315351082457449

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SELECTED CHARACTERISTICS OF REGISTERED MIDWIVES



312

-312

25731159

15923

11812

12359

307401000

5224812

02

6564

181

224

- 224

170 22 14 18

157 35 28 4

116 76

210 4 0 9 0 0 1

33 184

7

5 8 6

92 113

322

-322

252271825

15436

12012

11080

311307001

5525017

4138

98199

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SELECTED CHARACTERISTICS OF ADVANCED PRACTICE NURSES

2008SEX Male 1Female 16 ETHINIC GROUP Chinese 13Malay 2Indian 1Others 1 ACTIVITY STATUS Working Full-time 17Working Part-time 0Not Working/Unknown 0Doing Non-nursing work 0 EMPLOYMENT Public Sector 15Private Sector 2 CITIZENSHIP Singaporean/Permanent Resident 16Others 1 MARITAL STATUS Single 7Married 9Divorced/Widowed/Others 1 AGE Under 30 yrs 030-39 yrs 740-49 yrs 850-59 yrs 2Above 60 yrs 0

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snb-annual-report-2008.pdf - all healthcare professionals

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