Charity Registration No. 1002973 Company Registration No. 2609219 (England and Wales)
Bliss – The National Charity for the Newborn (A Company Limited by Guarantee and having no Share Capital) Trustees’ Report and Accounts For the Year Ended 31 March 2021
Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Reference and Administrative Information
| Company Number | 2609219 (England and Wales) |
|---|---|
| Charity Number | 1002973 (England and Wales) |
| SC040878 (Scotland) | |
| Legal Status | The organisation is a charitable company limited by guarantee and as |
| such is governed by its Memorandum and Articles of Association. | |
| Board of Trustees | Jason Parker (Chair) |
| Verity Baldry (Vice-Chair) | |
| Calvin Sellers (Treasurer) | |
| Alexander Burrows (appointed 9 December 2020) | |
| John Calder | |
| Caroline Farrar | |
| Neil James (appointed 9 December 2020) | |
| Sarah Mullen (resigned 3 June 2020) | |
| Amy Overend | |
| Fauzia Paize | |
| Tania Seale | |
| Mala Shah-Coulon | |
| Charlotte Witteridge (appointed 9 December 2020) | |
| Chief Executive | Caroline Lee-Davey |
| Company Secretary | Kay D’Cruz |
| Registered Office | 4thFloor, Maya House |
| 134-138 Borough High St | |
| London | |
| SE1 1LB | |
| Auditor | Sayer Vincent LLP |
| Invicta House | |
| 108-114 Golden Lane | |
| London | |
| EC1Y 0TL | |
| Bankers | Lloyds Bank PLC |
| 3 St George’s Road | |
| London | |
| SW19 4DR | |
| Solicitors | Mishcon de Reya LLP |
| Africa House | |
| 70 Kingsway | |
| London | |
| WC2B 6AH |
Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
Contents
| Page | ||
|---|---|---|
| Trustees’ Report | 1 | |
| Statement of Trustees’ Responsibilities | 19 | |
| Independent Auditor’s Report | 20 | |
| Group Consolidated Statement of Financial Activities | 24 | |
| Balance Sheet | 25 | |
| Statement of Cash Flows | 26 | |
| Notes to the Accounts | 27 |
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
Trustees’ Report for the Year Ended 31 March 2021
Introduction from the Chair and Chief Executive
2020-21 has been a year like no other, in which every aspect of life has been affected in some way by the Covid-19 pandemic. Neonatal care, and the work of Bliss, have been no exception.
Most critically, neonatal services have been significantly disrupted through the introduction of stringent access restrictions for parents from the start of the first lockdown in March 2020 onwards. This was a dramatic change from the typical 24/7 access that parents have to their babies on units, which usually enables high levels of hands-on involvement for parents in their babies’ care and decision-making. This has had a devastating effect on parents, who have been hugely distressed by not being able to be at their baby’s cotside; and will also have had a significant effect on babies, denied the comfort and support of their parents throughout their first days and weeks of life.
It has therefore been a significant focus of the charity all year to highlight the importance of facilitating parent access and involvement in their babies’ care, alongside providing intensive support to parents through this challenging time. Bliss played a key role in pushing for the introduction of new NHS England guidance on parent access through our #ParentsArentVisitors campaign, and we also built our relationships with professional bodies to provide clear and evidence-based guidance and support directly to neonatal health professionals, who have also found this challenging to manage.
We were able to pivot our services to accommodate working in new and different ways, including the rapid introduction of a new virtual support service delivered by our Bliss Champion volunteers, who were no longer allowed onto units to provide face-to-face support; as well as the development of a comprehensive suite of information on Covid-19 and premature and sick babies, to meet the increased demand we faced from families for clear and accessible information relevant to them.
Internally, Bliss’ staff have been working fully remotely all year, necessitating a significant shift in ways of working both as a team and with our external stakeholders, to ensure the continued smooth operation of our vital work. We are so proud of the way our staff and volunteers have responded to this, pulling together to ensure we put in place new ways of communicating to ensure the focus on our mission was not lost; as well as implementing a series of infrastructure projects to facilitate more effective working, including the transition to a new database and migrating all of our IT to a new cloud-based system.
Our Fundraising Team has also faced some significant challenges, with lockdown and social distancing restrictions severely limiting our ability to raise income through community and mass participation events, but the team has responded to this well by developing new virtual events and challenges instead. We have also been hugely grateful for the support we have received from many of our corporate, trust and statutory partners, who were quick to step in and offer their support to ensure our work could continue, particularly in the early days of the pandemic. Bliss also received a significant major gift this year, and we are humbled by and grateful to the donor who was able to make this gift to support our work at this exceptionally challenging time. More broadly, we maintained our efforts this year to strengthen our financial resilience by continuing to fully right-size our business model. This focus, together with ongoing careful cost control, meant we were able to reduce total expenditure significantly and achieve a significant positive surplus.
It has been an extraordinary year in so many ways, but through it all we have continued to be inspired by the babies born premature or sick that we are here to serve, to do everything we can to give them the best possible chance of survival and quality of life.
Caroline Lee-Davey Chief Executive
Jason Parker Chair of Trustees
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
The Directors of the Charity (who are the Trustees of the Charity for charity law purposes) present their report and the audited financial statements for the year ended 31 March 2021.
The Trustees confirm that the annual report and financial statements have been prepared in accordance with the Companies Act 2006, the Charities Act 2011 and the requirements of Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) .
Structure, governance and management
Governing document
Bliss - the National Charity for the Newborn is a company limited by guarantee, incorporated on 9th May 1991 and governed by its Memorandum and Articles of Association, last updated on 26th January 2011. It is also registered as a charity with the Charity Commission, date of registration 20[th] May 1991.
Members of the charity are limited to the serving members of the volunteer Board of Trustees at any given time, who are limited to a guarantee of £1 each in the event of the charity being wound up.
Bliss has two wholly owned subsidiaries: Bliss Sales Limited, the principal activity of which is trading operations that enhance the aims and objectives of Bliss, with available profits gift aided back to Bliss; and Bliss Scotland (Charity) Limited, which is a company limited by guarantee in Scotland and a registered charity in Scotland, the principal activity of which is to carry out Bliss’ aims and activities in Scotland.
Appointment of Trustees
As set out in the Articles of Association, the Chair of the Board of Trustees is elected by the members of the Board. When Trustee vacancies arise on the Board these are openly advertised, and the appointment of new Trustees is made following an application process including interview by members of the Nominations Committee, and approval by the whole Board. When considering appointments, the Nominations Committee consider the diversity of the current board of Trustees in terms of skills and experience, geographic representation, age and ethnic background; and we continually aim to increase the board’s diversity.
Trustee induction, training and evaluation
New Trustees have a comprehensive induction coordinated by senior staff and fellow Trustees; this includes, for example, time spent with staff to find out about the work of the Charity, a visit to a neonatal unit (deferred for Trustees joining the charity this year), and buddying with an experienced Trustee. All Trustees are offered ongoing training as required, as well as regular opportunities to engage with the Charity’s beneficiaries, stakeholders and supporters.
Each Trustee has an annual review conducted by the Chair. The Vice-Chair undertakes a regular review of the Chair, incorporating input from all Trustees and the Senior Management Team (SMT). Once every three years, there is an externally facilitated board evaluation, most recently held in 2019-20. This year, our annual Trustee away day spent time reviewing individual and collective strengths and ways of working.
Organisation
The volunteer Board of Trustees is responsible for the overall governance and direction of the charity. The Senior Management Team meets regularly and reports to the Board through the Chief Executive.
During the year the Board comprised 13 Trustees overall, including a Chair, Vice Chair, and Treasurer. Trustees are all members of the Board and at least one sub-committee. The Board met six times during the year; our two primary sub-committees are the Finance, Risk & Fundraising Committee, which met six times during the year; and the Impact & Delivery Committee, which met once. The Board also held a series of longer ‘away day’ style
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
sessions to inform future planning. Due to Covid-19, all of these meetings were conducted by videoconference. The Chief Executive and SMT attend meetings of the Board and its sub-committees. Bliss Scotland and Bliss Sales Ltd have separate Boards; the Directors of Bliss Sales are also Trustees of Bliss, and the Trustees of Bliss Scotland during the year comprised three Trustees who are also Trustees of Bliss, and one independent Trustee. Trustee attendance at Board meetings was 90 per cent this year (2020: 80 per cent).
All Trustees are on fixed terms of office of four years and typically serve up to two terms. The following served as Trustees during the period 1 April 2020 to 31 March 2021:
Verity Baldry (Vice Chair) Alexander Burrows (appointed 9 December 2020) John Calder Caroline Farrar Neil James (appointed 9 December 2020) Sarah Mullen (resigned 3 June 2020) Amy Overend Fauzia Paize Jason Parker (Chair) Tania Seale Calvin Sellers (Treasurer) Mala Shah-Coulon Charlotte Witteridge (appointed 9 December 2020)
Related parties and co-operation with other organisations
None of the Trustees has any beneficial interest in the company. As members, they each have a potential individual liability of £1. There are no Trustees’ interests to be disclosed.
See notes 9 and 20 to the accounts for further information.
Charity Governance Code
Bliss continues to apply the Charity Governance Code. A full external governance review was undertaken in 2019-20, which included a review against each element of the Code’s principles. A programme of actions followed that review, and the Board discussed progress against these at its away day in November 2020.
Risk management
The Trustees review the major risks facing the Charity on a regular basis, monitoring reserves and reviewing key financial systems to ensure sufficient resources are available to meet our obligations in the event of adverse conditions. The Trustees have also examined other operational and business risks faced by the Charity and confirm that they have established systems to manage significant risks.
Key risks to the Charity include:
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The impact of the Covid-19 pandemic on the ability of the charity to deliver its operations; given the ongoing high levels of uncertainty about how the pandemic will continue to affect neonatal care and wider society over the medium term
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The impact of the Covid-19 pandemic on the ability of the charity to fundraise, in particular through community and events fundraising in the light of social distancing restrictions; and thus on income levels for this financial year and beyond
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The impact on staff wellbeing of extended remote working, and on senior management of ongoing high workload while operating remotely and an in a context of significant external uncertainty.
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
The systems of control and activities to minimise risk include:
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Periodic review of progress against the agreed strategy
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An annual operational plan approved by Trustees
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An annual budget approved by Trustees and their regular monitoring against this budget
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Monthly reviews of financial results, for both income and expenditure, against budgets
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Additional monitoring of cashflow and other activity to reduce cash outlay as required
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Regular review of a risk register by the Finance, Risk & Fundraising sub-committee, at meetings of the full volunteer Board of Trustees, and on a monthly basis by the SMT
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Delegated authorities to spend within defined limits
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Legal, HR and finance input from expert advisers.
The Trustees ensure that the management of risk is ongoing and embedded in management and operational procedures.
Public benefit
Section 17 of the Charities Act 2011 contains a legal requirement that all charities’ aims are for public benefit. The Charity Commission in its “Charities and Public Benefit” guidance states that there are two key principles to be met in order to show that an organisation’s aims are for public benefit:
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There must be an identifiable benefit
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Benefit must be to the public or a section of the public.
Regular evaluation of Bliss’ work demonstrates the clear and positive benefit that we have on tens of thousands of babies, their families and the healthcare professionals who care for them. This is particularly through:
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The provision of free information and support to families of babies in neonatal care, which enables and empowers them to play a full role in their baby’s hands-on care, which has proven health and developmental benefits for babies
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The support for audit and improvement of practice in neonatal units, in particular to maximise the involvement of parents in their babies’ care
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Highlighting the challenges for neonatal care and supporting development of the solutions to address these through our policy and campaigning work; and
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Supporting public and patient involvement in research to maximise its patient benefit.
We aim to regularly evaluate the impact and effectiveness of our work through a process of measurement and evaluation led by SMT and managers, which is reviewed by Trustees at meetings of the Impact and Delivery Committee.
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
About Bliss
Bliss was founded in 1979 by a group of concerned parents who discovered that no hospital had all the equipment nor the trained staff it needed to safely care for premature and sick babies. Determined to do something, these volunteers formed a charity to give vulnerable babies the care they deserve. Over 40 years later, Bliss has grown into the UK’s leading charity for babies born premature or sick.
Our vision:
That every baby born premature or sick in the UK has the best chance of survival and quality of life.
Our mission:
Bliss champions the right for every baby born premature or sick to receive the best care. We achieve this by empowering families, influencing policy and practice, and enabling life-changing research.
Our values:
Trusted
We are entrusted to give voice to all babies born premature or sick. We believe that trust is earned and our actions must always be based on what is best for babies.
Supportive
We believe that developing supportive relationships is at the heart of what we do, and only by supporting others are we able to achieve our goals.
Ambitious
We always go the extra mile to deliver excellence and seek improvement in all we do.
Our strategy
This has been the second year of our 2019-2022 strategy, for which we undertook extensive consultation and information-gathering across staff, trustees, external stakeholders, and our beneficiaries during summer 2018.
Our strategic objectives are explicitly framed in relation to outcomes for babies. As the start of the Covid-19 pandemic coincided with the start of this financial year, our operational planning for the year was significantly affected, with new areas of work developed at pace to address new challenges in neonatal care raised by the pandemic. However, it is important to note that this affected how we have delivered our strategic objectives over this year, but not what those objectives were nor what we sought to achieve overall.
We have continued to strike a balance between the work that we are doing to improve outcomes for the babies born premature or sick and being cared for today; and the work to improve outcomes for babies in the future. We believe this is the right approach both to deliver tangible benefits and improvements to babies in neonatal care now, and to the quality of neonatal care over the longer-term.
Over the course of this strategy period we will continue to ensure that Bliss is the right size and shape to reflect our ability to raise income in the future, given the uncertain political and economic climate, and that our activities are sustainable for the longer term. We will also continue to focus on our financial resilience for the long-term.
Our three-year objectives and priority activities for this strategy period are as follows:
1. For more babies born premature or sick to survive:
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We will work in partnership with other charities to ensure the Government in England remains focused on delivering the policy changes needed to meet its target to halve neonatal deaths and stillbirths by 2025 – and that there is a sustained effort across Scotland, Wales and Northern Ireland to do the same.
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
- We will work alongside other charities and professional bodies to ensure that lessons are learned from every case of neonatal death and shared at a national level.
2. For babies born premature or sick to have well-supported parents playing an active role in their decisionmaking and care:
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We will develop information for parents on the subjects they tell us will most help them to be actively involved in their babies’ care.
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We will facilitate the provision of emotional support for parents through both our volunteer-delivered services and online peer communities.
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We will share good practice in how to involve families in their babies’ care with neonatal healthcare professionals through our Bliss Baby Charter programme and Bliss Excellence Network.
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We will continue to focus on reducing the barriers that prevent many parents from being actively involved in their baby’s care on the neonatal unit, including insufficient parent accommodation, facilities and support.
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We will work with partner charities to promote the delivery of high quality bereavement care, and support for parents in making decisions at the end of their baby’s life.
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We will develop parent information and promote it through channels that enable us to reach the most parents possible and, with additional funding, develop information in a variety of formats to make it as accessible as possible for parents.
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We will, with additional funding, work in partnership with communities of parents we currently do not reach effectively to pilot new information and support services such as webchat and text services.
3. For babies born premature or sick to be cared for in neonatal environments that best support their development:
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We will work with neonatal units to improve and increase the delivery of family-centred care, including hands-on parental involvement in care, through support with the Bliss Baby Charter.
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We will increase the number of health professionals trained in neonatal developmental care through the delivery of Family-Infant Neurodevelopmental Education (FINE) training.
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We will share knowledge and understanding of family-centred care through the Bliss Excellence Network, our online learning portal and peer-to-peer forum for neonatal healthcare professionals.
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We will fund and support research which increases evidence of how best to deliver developmental care and improve outcomes for babies.
4. For babies born premature or sick to benefit from neonatal research that can lead to practical improvements in their care:
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We will fund research projects which will improve outcomes for babies, in line with our research funding framework, and will share their key findings widely to encourage the recommendations to be put into practice.
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We will support UK-based neonatal research projects to ensure they include input from parents.
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We will share research findings with neonatal health professionals through our Bliss Excellence Network to embed practical improvements in care.
5. For babies born premature or sick to receive high-quality care within a neonatal health system which is appropriately funded, structured and staffed:
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We will work with politicians and decision-makers to ensure that resourcing and staffing of neonatal care is in line with evidence about what is best for babies.
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We will campaign for effective implementation of evidence-based neonatal quality standards.
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We will work with politicians and decision-makers to raise the profile and importance of neonatal care.
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
Review of 2020/21 activities
1. For more babies born premature or sick to survive
While the rate of neonatal mortality has decreased significantly in the 40 years since Bliss was founded, there is still work to do to bring the rate down further, to the level of countries with the lowest rates in the world.
This year we have continued to be the voice of babies needing neonatal care at the national level, inputting into and influencing policy to drive improvements in care and reduce the infant mortality rate. This has included continuing to play an active role on the Neonatal Implementation Board, which is responsible for overseeing a five-year programme of neonatal transformation in England; and influencing the recommendations of the forthcoming GIRFT [Getting It Right First Time – NHS quality improvement programme] report. We also continue to be represented on the NHS England Neonatal Critical Care Clinical Reference Group and on the British Association of Perinatal Medicine (BAPM) Executive Committee, among others.
We have continued to work closely with our partners in the Pregnancy & Baby Charities Network (PBCN), and in particular towards the end of the year supported the development of specific Scottish and Welsh manifestos for devolved nation elections, both of which include as one of the top four shared priorities: “Give all sick and premature babies the best chance of survival”. Bliss has led on the campaigning on behalf of the Pregnancy & Baby Charities Network to encourage Scottish MSP candidates to pledge to support the PBCN manifesto.
2. For babies born premature or sick to have well-supported parents playing an active role in their decision-making and care
Evidence is very clear that it is best for babies in neonatal care that they have their parents playing a hands-on role in their care from the moment they are born until they are discharged home. Parental involvement is essential both to support improved outcomes for babies born premature or sick, and also for attachment and bonding as a family.
However, the arrival of the Covid-19 pandemic prompted the introduction of tight restrictions on parent access to neonatal units. While parents would typically expect to be able to access their baby 24/7, policies changed such that in many cases parents were only able to spend a few hours a day at their baby’s cotside; or only one parent was able to be on the unit; or parents were only able to attend one at a time, meaning they never had the opportunity to be with their baby together. While these restrictions were at their tightest during the first few months of the pandemic and first lockdown in spring / early summer 2020, they have persisted in one form or another in most units all year, and have been the cause of significant distress and anguish to parents and families.
In this context, supporting parents to play an active role in their babies’ care and decision-making – which has always been central to Bliss’ work – became more important this year, with parents needing us more than ever. This was reflected in the increased demand we saw for our information throughout the year, with unique views of our core (non-Covid) information up by 16% compared to the previous year, and particularly significant increases in people accessing our information about mental health (36% up) and about going home from the neonatal unit (31% up), compared to the previous year.
Other information developments and highlights included:
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We developed and updated throughout the year a new and comprehensive information resource on all aspects of Covid-19 guidance relevant to our service users, including targeted shielding information for parents of children who had been born premature or sick – this content was viewed over 60,000 times during the course of the year
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
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We completed a major review of our information on feeding, producing comprehensive updated information on all aspects of neonatal nutrition to support parents in a clear and non-judgmental way in their decisions on this important topic
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We also completed a review of our suite of information about specific medical conditions often experienced by babies born premature or sick, including Chronic Lung Disease (CLD) and Hypoxicischaemic encephalopathy (HIE)
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We developed a new printed information resource about Going Home from the neonatal unit; this became more important than ever as much of the statutory and voluntary sector community support typically available to new parents was withdrawn during the pandemic
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We secured funding to print and distribute bulk copies of our two key printed resources – About Neonatal Care (32,000 copies distributed) and Going Home (23,000 copies distributed) – free of charge to all neonatal units across the UK
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We produced a new animation about how parents can get involved in their baby’s care on the neonatal unit, sponsored by Pampers, and distributed on the vCreate digital platform used in most neonatal units, as well as across Bliss’ online channels.
The access restrictions in place on neonatal units also meant that parents needed emotional support more than ever; however, Bliss’ primary channel for supporting parents in this way – through face-to-face support on neonatal units from our Bliss Champion volunteers – could not be delivered as volunteers were also not able to attend neonatal units in person, in the context of broader access and health and safety restrictions.
We therefore rapidly developed and/or expanded a series of alternative channels through which parents could access this much-needed emotional support:
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We created a new remote emotional support service, delivered over Zoom, through which some of our trained Bliss Champion volunteers could provide support via video call both for families with babies on the unit and those in the first few months after discharge home; this service was launched in April 2020 and was accessed by over 140 families during the year, in some cases for multiple support calls
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We expanded our capacity to provide personalised email support by our Support Officers, through which we supported 667 families during the year
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We also significantly developed the support content we put out through our social media channels – in particular Facebook – which had increased engagement and follow-up of parents linking through to further information on our website throughout the year.
In addition to supporting parents directly throughout the pandemic, we lead on significant policy and campaigning activity to advocate for babies born premature or sick and ensure that their parents were able to play an active and hands-on role in their neonatal care. Highlights of this activity included:
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Producing and regularly updating a Bliss Position Statement on Parent Access and Involvement, first published in April 2020, which has helped to influence national policy development, as well as informing some network policies, and supporting some units to deliver change locally
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Tangibly influencing and improving national policy throughout the year, including the publication of NHS England guidance in December 2020 Supporting pregnant women using maternity services during the coronavirus pandemic: Actions for NHS providers
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Gaining over 5,300 signatures on our Parents Aren’t Visitors petition – Bliss’ most successful campaign action, in terms of supporter engagement, ever – and securing national media coverage for the campaign, including The Guardian, Mail on Sunday, BBC online and regional BBC broadcast coverage
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Working closely with the British Association of Perinatal Medicine to amend their guidance throughout the year, ensuring that key recommendations – including that parents of critically ill babies should be supported to be with their baby, even if Covid-positive, and that parents should be able to remove their face-coverings when cot-side – were included
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
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Surveying parents and NHS Trusts to understand the impact of Covid-19 on families (report to be published early in 2021-22), with results showing a clear link between the severity of parent access restrictions and a decline in mental health and well-being
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Working closely with the All-Party Parliamentary Group (APPG) for Premature and Sick Babies, House of Commons Petitions Committee, other supportive MPs – as well as parliamentarians in the devolved nations – to secure significant engagement with the Parents Aren’t Visitors campaign. Highlights included the Prime Minister giving his support to parents not being visitors on neonatal units during Prime Minister’s Questions and several meetings with Ministers from the Department of Health and Social Care
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- Our work championing Parents Aren’t Visitors and Bliss’ position statement have been recognised and cited in a number of academic articles and opinion pieces, including in BMJ Opinion, BMJ Paediatrics, and Infant Journal.
3. For babies born premature or sick to be cared for in neonatal environments that best support their development
In order to deliver the best outcomes for babies, it is important that neonatal units follow best practice in both parental involvement and developmental care. Bliss’ flagship Baby Charter audit and accreditation scheme provides a comprehensive framework for units to assess and improve their practice against seven core principles, and is a nationally-recognised means of delivering tangible improvements in care.
As with many other areas of our work, our Bliss Baby Charter activity was affected by the pandemic, particularly in the first half of the year, as neonatal units were put on crisis footing and unable to undertake additional quality improvement work of this kind; nor were Bliss staff able to visit units in person to carry out assessments of their progress.
During this period, however, we were able to complete significant review and development work to ensure that the Baby Charter is fit for the future, comprising:
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Completion of a refresh process which has involved a comprehensive review and updating of Baby Charter content, to ensure it is in line with latest evidence and best practice
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Delivery of a new online audit tool, through which units can more easily self-assess and upload evidence, significantly reducing the administrative burden both for units and for Bliss
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Recalibration of the journey through the Baby Charter that units go on, moving to a bronze / silver / gold accreditation model which more clearly recognises progress made towards full accreditation, giving enhanced motivation and incentives for units to progress
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Development of a paid-for charging model for units progressing past the initial self-assessment stage; this introduces a modest fee structure to pay for some of Bliss’ costs in administering audit review and accreditation, giving the programme long-term sustainability.
In the latter half of the year, more neonatal units were able to pick up their Bliss Baby Charter activity again, and although we have not been able to carry out any gold accreditation assessments this year due to access restrictions on units, this year we have seen progress highlights as follows:
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93 per cent of all neonatal units across the UK are working towards the Bliss Baby Charter
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We received 65 audits during the year – only five less than our original (pre-pandemic) target of 70 audits – demonstrating the clear value placed on the Baby Charter by neonatal health professionals, even in a challenging year
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From these audits we recorded 116 changes made across 56 units as a direct result of the Baby Charter, including 20 changes made to improve psychosocial support, highlighting the significant impact that the programme has on quality of care directly for babies and families.
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
In addition to our work on the Baby Charter, this year we have also continued to support health professionals in a number of different ways, including:
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For the first half of the year we increased the frequency of our health professional newsletter, the Bliss Journal, from every other month to fortnightly, to provide the latest updates, guidance and evidence to health professionals about all aspects of neonatal care and Covid-19
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We supported individual units to improve their parent access policies, through the provision of tailored letters to NHS Trust Chief Executives and additional evidence to support the case for change
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77 delegates attended our first ever online training event, a study day on neonatal discharge planning, in March 2021.
4. For babies born premature or sick to benefit from neonatal research that can lead to practical improvements in their care
This year, the Oxford University research project funded by Bliss – looking at the measurement and management of pain in premature babies – continued, and completed its first phase despite some challenges faced due to the Covid-19 pandemic. This vital study is already shedding new light on the important but underresearched area of neonatal pain, including its first publication (accepted by Nature Communications and published in April 2021) by Baxter et al., titled "Functional and diffusion MRI reveal the neurophysiological basis of neonates’ noxious-stimulus evoked brain activity".
We are delighted that this important project has been able to continue despite some of the challenges posed by the pandemic over the last year; and in particular look forward to continuing to work with the research team over the coming year on the next phase of the project, a randomised controlled trial looking at the impact of parental touch on the management of pain in babies, which started in June 2021.
In addition, Bliss continues to support a number of other research projects with parental involvement, ensuring that parents’ views and experiences are at the heart of neonatal research to ensure they best reflect and meet the needs of current and future generations of babies. These include the Optiprem study, looking at the most appropriate place of birth for babies born between 27 and 31 weeks); and a study exploring the link between neonatal admission and early childhood paediatric admission which aims to provide more comprehensive information and support to families being discharged from the neonatal unit about what the future may bring.
We have also supported a number of projects started at short notice to understand more about the impact of Covid-19 on babies, including the influential British Paediatric Surveillance Unit (BPSU) rapid surveillance project on the neonatal complications of coronavirus disease.
5. For babies born premature or sick to receive high-quality care within a neonatal health system which is appropriately funded, structured and staffed
Despite a significant policy and campaigning focus during this year on supporting parent access in the context of neonatal unit restrictions, we have still been able to progress a number of other campaigning objectives to ensure that babies are cared for in well-equipped neonatal services, and that families receive the support they need to be partners in delivering their baby’s care.
Policy activity undertaken and areas progressed this year included:
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School admissions:
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➢ New documents were published by the Department for Education – one for admission authorities and one for parents of summer born children – to support the making of decisions which are in the child’s best interests. Both documents speak explicitly about the needs of children who were born premature and the parent document contains a number of positive text changes following comprehensive feedback provided by Bliss
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
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➢ Bliss, alongside the APPG for Premature and Sick Babies, met with the Secretary of State for Education to discuss progress towards amending the Summer Born Admissions Code, following which he committed to writing to admission authorities to set out the Government’s expectations
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- Neonatal Leave and Pay:
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➢ Bliss attended a meeting with the Minister for Small Business, alongside the APPG for Premature and Sick Babies, to discuss the Department’s commitment to introducing legislation, and also worked with a number of MPs to maintain parliamentary and media profile on this policy
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Bereavement
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➢ Parental Bereavement Leave and Pay, legislation on which Bliss has campaigned over a number of years with a range of charity partners, came into effect on 6 April 2020, meaning that parents who have lost a baby are now entitled to two weeks of paid bereavement leave
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➢ Bliss also submitted a substantial consultation response to the Department of Economy in Northern Ireland to inform the development of Parental Bereavement Leave and Pay legislation there
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➢ Bliss and Tinylife met with a Sinn Fein policy advisor to inform their party’s position on Parental Bereavement Leave and Pay, securing support for a more flexible approach
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➢ We were invited to attend the Wales Bereavement Working Group which will develop a Framework for providing better bereavement support in Wales. While general in nature, there is an opportunity for us and other baby charities on the group to push for specific recognition of support needs for families whose baby dies during pregnancy or during or after birth
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➢ Bliss again partnered with a number of other charities to undertake activities to mark Baby Loss Awareness Week in October 2020.
We also responded to a series of consultations and inquiries covering a broad range of topics including: the BAPM Antenatal Optimisation & Breastmilk Feeding Toolkits; the Health Select Committee Workforce Burnout inquiry; the MBRRACE-UK Signs of Life consultation; and the NICE Antenatal Care Guideline.
During the latter part of the year we have been able to take forward our strategic priority of seeking to increase the reach of our work to a broader group of parents and families. Significantly, in February 2021 we were pleased to launch the first awareness month for babies born at term but sick, under the campaign strapline #HiddenNeonatalJourneys. This work was informed by a survey of over 500 parents of full term babies admitted to neonatal care, generated significant regional media coverage and social media engagement, and will become an annual event. In addition, we have been able to start two new pieces of beneficiary research – focusing respectively on young parents, and on South Asian parents – which will explore the experiences and needs of these groups. Both of these pieces of research will report in 21/22, in time to inform work in-year as well as our future strategy.
More broadly, we have continued to work hard this year to raise awareness of Bliss’ work across digital channels and the media, which resulted in an overall increase of 29 per cent in our website users – to over 675,000 users – as well as increased engagement through our social channels leading on to people accessing our website, with an 11.9 per cent increase of social referrals to our website, at over 79,000. We had sustained engagement with a wide range of activity over World Prematurity Day (17 November) this year, which included: a social campaign around the theme of #IWishIdKnown, with the main Facebook post reaching more than 80,000 people; a partnership with Pampers including a new animation, a TV ad which premiered during the Great British Bake Off, and extensive media coverage; a partnership with WaterWipes including an Instagram video with Newsround presenters Ricky and Leah Boleto; and further work with Bliss’ Ambassador Lady Sarra Hoy, including an appearance on BBC1’s Morning Live with her husband Chris.
Internally, like so many others we had to transition to a fully remote working model very quickly in March 2020, which has remained in place all year. In addition to some immediate changes in ways of working, this year we have also been able to progress planned infrastructure projects which have helped to facilitate more
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
effective remote working, including the transition to a new database and migrating all of our IT to a new cloudbased system.
Plans for the future
While there remains significant external uncertainty relating to the progression of the Covid-19 pandemic and roadmap out of it, as we start the 21/22 financial year we have been able to refocus our attention principally on the delivery of the third and final year of our 2019-2022 strategy. As it stands, therefore, our main priorities for the year include:
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Supporting more parents to play a hands-on role in their babies’ care and decision-making on the neonatal unit, through: continuing to advocate for a full return to unrestricted parent access; developing new digital support services informed by our experiences over the last year; and using insight from beneficiary research to inform the development of new marketing and communications to reach a wider range of parents and communities with our information and support.
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Facilitating improvements in family-centred care on neonatal units through the delivery of high-quality support and assessment of units’ progress through the Bliss Baby Charter audit process.
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Implementing a series of test and learn innovations in fundraising, to drive greater sustainability in our income generation over the medium to long term.
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Working with our staff team to deliver a safe transition to office working, in line with government guidance.
In addition, we will undertake a process of strategy review to inform the development of our new 2022-2025 strategy, including engagement with our beneficiaries and stakeholders, as well as extensive review of the achievements and challenges of our current strategy, and a thorough process of external horizon-scanning.
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
Thanks and acknowledgements
We would like to extend our thanks to the following organisations who have supported our work this year:
Abbvie Ltd Fresh Perspective Rotheras Solicitors Adint Charitable Trust Fundraise Together Limited Roxell UK Motors Ltd: Alltruck PLC GAP Giving Saatchi & Saatchi Angelcare Ltd Getinge AB Sainsburys Aurum Research Ltd Goldman Sachs Gives Scottish Goverment Babcock International Group Golin Smart Training & Recruitment Benevity (CG control account) Hallmark Cards PLC Solus Medical BP Garages Honda St James's Place Foundation Braitch Solictors Hudson Charitable Trust St. Modwen Properties Plc Bryan Cave Leighton Paisner LLP HW Coates Ltd The Adrienne and Leslie Sussman Charitable Trust Bullion Vault John James Bristol Foundation The Audience Club Buxted Construction JTH Charitable Trust The Edward Gostling Foundation Cambridge Healthcare Research Laxmi Financial Solutions Ltd The Elsie Lawrence Trust Campion Willcocks Compliance Llp Liberty Retail The Gilbert & Eileen Edgar Foundation Celtic Technologies Ltd Mallory Grant Ltd The Grace Trust Cepha Controls Limited Maynard & Harris The J P Jacobs Charitable Trust Chiesi Ltd Mazars Charitable Trust The Lambs Hill Trust Cisco Systems Foundation Medela The Linden Charitable Trust Close Parent Mochaberry The Lord Cozens-Hardy Trust Cotton & Son Funeral Directors Mothercare Foundation The Lovely Keepsake Company Limited Countryside Properties My 1st Years The Meikle Foundation Dandia Charitable Trust National Lottery Community Fund The P F Charitable Trust Department of Health Novo Nordisk Ltd The Ronald Miller Foundation E F and M G Hall Charitable Trust Orbis Investments The W E Dunn Trust Ecclesiastical Insurance P2G LLP Thomas J Horne Memorial Trust Enstar Group Park Circus Thrift plus Equin Limited Penguin Random House UK Transport For London Ergo Real Estate LLP Procter & Gamble UK Urovia Management Eve & Philip Morrison Family Trust R S Brownless Charitable Trust Varde Partners Europe Ltd Family Album Raffolux Vitabiotics Fidelity International Redburn WaterWipes Fitch Ratings Ltd Webmart
We also want to express our heartfelt thanks and appreciation for the £1m individual donation we received during the year.
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
We would like to pay a huge tribute of thanks to all of Bliss’ amazing supporters who have supported Bliss over the last year, during a very challenging time due to the pandemic. Many of our community and fundraising events were unable to take place due to Covid restrictions. However, despite this setback, we diversified and innovated our fundraising programme. It is thanks to the incredible dedication, commitment and support of our individual supporters, families, community groups, companies and trusts that we have been able to continue to deliver our work to improve the lives of babies born premature or sick at this difficult time, so a huge thank you to every single one of supporters – your commitment to our work means so much.
Through our fundraising, we aim to improve the financial resilience and sustainability of Bliss so that we can help as many of the 100,000 babies who need neonatal care each year as possible. Our supporters are vital to us reaching our goal of helping every single one. Our fundraising approach to achieving this is to ensure:
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Our supporters are at the heart of everything we do
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We listen to our supporters and communicate with them in the most appropriate way
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We protect our supporters’ information and privacy
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We diversify and innovate our fundraising to ensure a sustainable future
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We use data and insight to inform our fundraising planning.
We are incredibly grateful for the continued support of our many volunteers, whose contribution has made such a difference over the last challenging year; whether that was through supporting families, sharing their stories in the media, campaigning, or raising awareness of Bliss. We would also like to thank our dedicated Board of volunteer Trustees, who between them have given over 300 hours of their time to support Bliss over the last year; as well as our fantastic staff team, who have been simply incredible over the last year.
Finally, we would like to offer our sincere thanks to the following organisations that have supported our work over the past year, as well as the many hundreds of families, doctors, nurses and other individuals who continue to make such a difference to our work:
British Association of Perinatal Medicine Department of Health and Social Care EFCNI The FINE Faculty National Neonatal Audit Programme National Perinatal Epidemiology Unit Neonatal Data Analysis Unit Neonatal Nurses Association Netmums NHS England NIDCAP Training Centre Pregnancy and Baby Charities Network Public Health England Royal College of Midwives Royal College of Nursing Royal College of Obstetricians and Gynaecologists Royal College of Paediatrics and Child Health Sands Twins Trust The Lullaby Trust TinyLife
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
Financial Review
During 20/21 we were fortunate to receive a significant donation, at a time when our community and events fundraising was significantly disrupted by the restrictions arising from Covid-19. This meant that although income from trading activities (which largely comprises sporting and community activities) dropped from £1m to £517k in the year, total income increased from £2,281k to £2,690k.
Expenditure had been planned to reduce again in 20/21, as the Board of Trustees and Senior Management Team maintained efforts to focus on further building our financial resilience by continuing to fully right-size our business model. With the uncertainty in the external environment persisting all year, we undertook additional cost cutting measures, for example by making use of the Government furlough scheme and maintaining staff gaps. Average FTE during the year decreased from 34 to 29. This careful cost control meant that total expenditure was reduced significantly from £2,060k to £1,826k.
Overall, this means that we have been able to achieve a positive surplus of £857k, compared to a positive surplus in 19/20 of £221k (which was itself the first positive surplus in 4 years). Total funds carried forward are now £1,211k, compared to £354k at the beginning of the year.
The Trustees are pleased with the solid position the Charity is now in, with the strong reserves position providing a high level of assurance that the charity can mitigate risks that face it, and – through the provision of regular, detailed financial information – recognise any changes in the internal or external environment that may arise.
The bank continued to provide support through the year via an overdraft facility, but this overdraft was not utilised during 20/21, and we end the year with a significantly improved bank and short term deposits balance of £885k, compared to £286k at the same point in the previous year. This means we have chosen not to apply for an overdraft facility for the 21/22 financial year.
During the year, we were able to deliver the second year of our strategy period, supported in part by some significant grant funding. Our support services benefitted from the final tranche of LIBOR funding from the UK Government and continued support from the Scottish Government, as well as specific Department of Health and National Lottery Coronavirus restricted funds, which meant that in total our support and information services received £167k of restricted income (19/20: £333k). The Scottish Government also supported our work to drive quality improvement on neonatal units through our Baby Charter audit and accreditation scheme, with a grant of £33k (19/20: £36k). Furthermore, Fidelity International awarded a grant of £56k to digitise the Baby Charter audit tool, which meant that this strand of our strategy benefitted from a total of £89k of restricted income (19/20: £46k).
As already noted, our unrestricted income saw a significant decrease this year, with fundraising from restricted and unrestricted trading activities, including sporting events, community events and corporate trading activities, decreasing to £533k (19/20: £1,050k). Within this however, our income from Bliss Sales increased in the year (from £114k to £165k), as we were able to generate additional income from the sponsorship of our information, and the use of our brand. Similarly, donations from corporate fundraising performed strongly again, increasing by £51k (following an increase in the prior year of £78k) due to excellent relationship building with several corporate supporters.
Support costs overall decreased slightly by £21k to £572k. The cost of raising funds also decreased, by £78k to £728k, largely due to the savings made on the operational costs of running events, although this was offset partly by work we have carried out during the year to develop our new CRM database (Raiser’s Edge), which will facilitate better fundraising operations in the future.
Our fundraising ratio has improved again, from 35p in every £1 raised to 27p in every £1 raised, although this is largely due to the exceptional donation in the year. Overall, Bliss’ charitable spend remained at 61p in every £1 spent on charitable activities. We are pleased with these figures but will continue to review our overall business model and central costs in order to make further improvements over time. We need to balance the requirement to manage our overhead costs with the need to invest in our capacity to provide professional, high quality and safe services and activities, and to ensure the charity remains sustainable in the long-term.
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
Overall, we feel proud that we have been able to continue our work improving our business model this year, against the backdrop of an extremely challenging external environment, whilst also continuing to provide and develop the vital services we offer to improve outcomes for babies born premature or sick
Bliss Scotland (Charity)
Bliss Scotland offers a wide range of support and information to Scottish families and neonatal units. This year the cost of Bliss Scotland’s charitable activities was £74k (19/20: £85k), with total expenditure amounting to £95k (19/20: £126k). This was financed through grant income of £52k (19/20: £59k), £14k from trading activities (19/20: £64k), and £25k from donations (19/20: £5k). No donation (2019: £0k) was made this year from Bliss to Bliss Scotland. As its parent company, Bliss continues to provide administrative, logistical and fundraising support to Bliss Scotland, and a charge for this is made to Bliss Scotland.
Bliss Sales
Bliss Sales Limited is the trading arm of Bliss, selling goods, brand licensing and sponsorship opportunities to individuals and corporate entities. Bliss Sales Limited produced turnover of £165k (19/20: £114k) and a profit on ordinary activities before corporate gift aid of £132k (19/20: £92k). £132k (19/20: £92k) has been gifted to Bliss (Charity) through the corporate Gift Aid scheme.
Reporting
In order to be able to compare our income and expenditure from the previous years’ strategy period to this strategy period, and in order to show most clearly how our income and expenditure is generated and spent across the organisation, we use the following four key areas of work throughout our Annual Accounts.
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Supporting parents and carers
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Engaging with neonatal health professionals
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Campaigning for change
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Supporting research
Reserves policy and going concern
Reserves are needed to ensure that there remains enough liquidity to pay our staff and suppliers during times when cash flow fluctuates, to cover the value of our illiquid assets, to mitigate the financial risks we face such as unforeseen interruptions to our operations, to cover possible shortfalls in budgeted income, and to ensure that we can meet our planned spending commitments during the years ahead.
During the year, a new Reserves Policy was approved by the Trustees, which assessed the level of risk inherent within Bliss operations, and set out a calculation for determining the target level of reserves needed to mitigate that risk. This policy enables Bliss to determine whether currently held reserves are significantly above or below that target level. Where reserves vary from the target, plans will be made to bring reserves back in line with the target.
At the balance sheet date, total unrestricted funds are £1,208k (19/20: £324k). Free reserves are £707k above the calculated target of £389k (2019: £180k below target of £344k). This high level of above-target reserves has arisen mainly from the significant donation received during the year. Trustees and SMT have been through a rigorous process to prioritise spending of this donation over the next financial year – both on supporting core work and also on investing in capacity-building and direct service delivery – but this will still result in reserves being higher than target. As such, additional activity will be planned for the 22/23 financial year, to bring the actual level of reserves closer to the target level.
The Trustees have closely reviewed the going concern position prior to signing this report and are of the view that Bliss remains a going concern for the next 12 months, from the date this report was signed; and that there are no material uncertainties related to this.
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
Investment powers and policy
During the year a new Investment Policy was approved by the Trustees, which supported in the assessment of appropriate institutions for holding cash, taking into consideration risk, liquidity and our ethical policy.
Most cash balances were held in easily accessible current accounts, with £300k held in a 1-year bond with Metro Bank. During the year £300k was invested in a COIF fund, in line with the new Investment Policy. This is shown within current asset investments.
Fundraising regulations
Bliss is registered with the Fundraising Regulator, and all fundraising activities are aligned with the Code of Fundraising Practice to ensure that they are legal, open, honest and respectful. Our values state that in all of our work we aim to be trusted, supportive and ambitious, and these values are enshrined in all fundraising activities and campaigns that the charity undertakes. To reinforce this commitment, Bliss has a number of policies and procedures that underpin its fundraising activities:
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The Bliss Supporter Promise - Complaints Policy
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- Ethical Policy - Equality and Diversity Policy - Privacy Policy - Whistleblowing Policy - Safeguarding Policy
On occasion Bliss works with professional fundraisers or commercial participators to raise funds. When doing so, Bliss undertakes a thorough vetting and compliance process to ensure that all relationships and activities align with the relevant laws and regulations, and with the Bliss policies described above. Contracts and data sharing agreements are signed by all parties in line with current data protection legislation, and strict account management and monitoring processes are in place for all such relationships.
Any individual undertaking to fundraise on behalf of Bliss is given clear guidance on how to fundraise within the law to adhere to the Code of Fundraising Practice, and fundraising activities carried out on behalf of Bliss by third parties are regularly reviewed through dedicated account management, regular communications with supporters and monitoring of social media activity.
Bliss takes all complaints about its fundraising activities very seriously. A clear process for submitting complaints is displayed on our website, and all complaints are centrally stored and reviewed regularly throughout the year by the senior management team. A summary of all complaints received is also discussed and reviewed annually at the Board. In the 2020-21 financial year, Bliss received 22 complaints in relation to its fundraising activities, all of which were responded to and resolved to the satisfaction of the complainants.
Many donors and supporters of Bliss have a strong personal connection to neonatal care that may have come from a difficult personal experience, and as such all employees and third-party fundraisers are trained in how to deal with potentially vulnerable supporters. The Bliss Safeguarding Policy outlines the steps needed to report any safeguarding concerns should they arise.
Pay policy for senior staff
The directors consider the Board of Directors, who are the charity’s Trustees, and the senior management team, to comprise the key management personnel of the charity. They are charged with directing, controlling, running and operating the charity on a day-to-day basis.
The Trustees are not remunerated. The pay of the SMT is benchmarked against pay of similar positions in charities of a similar size, and is reviewed annually. The pay policy for senior staff is in line with the pay policy applied to Bliss’ staff, and for the Chief Executive is administered by the Nominations Committee of the Board (comprising the Chair, Vice-Chair and one other Trustee), in consultation with the Treasurer.
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
Trustees’ Report for the Year Ended 31 March 2021
Related parties
Details of related party transactions are in note 20.
Disclosure of information to auditors
Each Trustee has confirmed that there is no information of which they are aware which is relevant to the audit, but of which the auditor is unaware. They have further confirmed that they have taken appropriate steps to identify such relevant information and to establish that the auditors are aware of such information.
Auditors
In accordance with section 485 of the Companies Act 2006, Sayer Vincent LLP were appointed as auditors of the company in 2017 and have continued to be appointed for the year ended 31 March 2021.
On behalf of the Board of Trustees.
Jason Parker Chair of Trustees
Date: 29 July 2021
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
STATEMENT OF TRUSTEES’ RESPONSIBILITIES
The Trustees, who are also the directors of Bliss for the purpose of company law, are responsible for preparing the Trustees' Report and the accounts in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).
Company Law requires the Trustees to prepare accounts for each financial year which give a true and fair view of the state of affairs of the charitable company and group and of the incoming resources and application of resources, including the income and expenditure, of the charitable company and group for that year.
In preparing these accounts, the Trustees are required to:
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Select suitable accounting policies and then apply them consistently;
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Observe the methods and principles in the Charities SORP;
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Make judgements and estimates that are reasonable and prudent;
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State whether applicable UK Accounting Standards have been followed, subject to any material departures disclosed and explained in the accounts; and
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Prepare the accounts on the going concern basis unless it is inappropriate to presume that the charitable company will continue in operation.
The Trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the Charity and enable them to ensure that the accounts comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the Charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
In so far as the Trustees are aware:
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There is no relevant audit information of which the charitable company’s auditor is unaware
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The Trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditor is aware of that information.
The Trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company's website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.
Members of the charitable company guarantee to contribute an amount not exceeding £1 to the assets of the charitable company in the event of winding up. The total number of such guarantees at 31 March 2021 was 12 (2020: 15). The Trustees are members of the charitable company but this entitles them only to voting rights. The Trustees have no beneficial interest in the charitable company.
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
INDEPENDENT AUDITOR’S REPORT
Opinion
We have audited the financial statements of Bliss – The National Charity for the Newborn (the ‘parent charitable company’) and its subsidiaries (the ‘group’) for the year ended 31 March 2021 which comprise the consolidated statement of financial activities, the group and parent charitable company balance sheets, the consolidated statement of cash flows and the notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).
In our opinion, the financial statements:
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Give a true and fair view of the state of the group’s and of the parent charitable company’s affairs as at 31 March 2021 and of the group’s incoming resources and application of resources, including its income and expenditure, for the year then ended.
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Have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice.
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Have been prepared in accordance with the requirements of the Companies Act 2006 and the Charities Act 2011.
Basis for opinion
We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the group financial statements section of our report. We are independent of the group and parent charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.
Conclusions relating to going concern
In auditing the financial statements, we have concluded that the trustees' use of the going concern basis of accounting in the preparation of the financial statements is appropriate.
Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on Bliss – The National Charity for the Newborn's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.
Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.
Other information
The other information comprises the information included in the trustees’ annual report other than the group financial statements and our auditor’s report thereon. The trustees are responsible for the other information contained within the annual report. Our opinion on the group financial statements does not cover the other information, and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the group financial statements or our knowledge obtained in the course of the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the group financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
INDEPENDENT AUDITOR’S REPORT
We have nothing to report in this regard.
Opinions on other matters prescribed by the Companies Act 2006
In our opinion, based on the work undertaken in the course of the audit:
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The information given in the trustees’ annual report for the financial year for which the financial statements are prepared is consistent with the financial statements
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The trustees’ annual report has been prepared in accordance with applicable legal requirements
Matters on which we are required to report by exception
In the light of the knowledge and understanding of the group and the parent charitable company and their environment obtained in the course of the audit, we have not identified material misstatements in the trustees’ annual report.
We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 and Charities Act 2011 requires us to report to you if, in our opinion:
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Adequate accounting records have not been kept by the parent charitable company, or returns adequate for our audit have not been received from branches not visited by us; or
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The parent charitable company financial statements are not in agreement with the accounting records and returns; or
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Certain disclosures of trustees’ remuneration specified by law are not made; or
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We have not received all the information and explanations we require for our audit; or
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The trustees were not entitled to prepare the financial statements in accordance with the small companies regime and take advantage of the small companies’ exemptions in preparing the trustees’ annual report and from the requirement to prepare a strategic report.
Responsibilities of trustees
As explained more fully in the statement of trustees’ responsibilities set out in the trustees’ annual report, the trustees (who are also the directors of the parent charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.
In preparing the financial statements, the trustees are responsible for assessing the group’s and the parent charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the group or the parent charitable company or to cease operations, or have no realistic alternative but to do so.
Auditor’s responsibilities for the audit of the financial statements
We have been appointed auditor under the Companies Act 2006 and section 151 of the Charites Act 2011 and report in accordance with those Acts.
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
INDEPENDENT AUDITOR’S REPORT
Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud are set out below.
Capability of the audit in detecting irregularities
In identifying and assessing risks of material misstatement in respect of irregularities, including fraud and noncompliance with laws and regulations, our procedures included the following:
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We enquired of management, which included obtaining and reviewing supporting documentation, concerning the charity’s/ group’s policies and procedures relating to:
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Identifying, evaluating, and complying with laws and regulations and whether they were aware of any instances of non-compliance;
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Detecting and responding to the risks of fraud and whether they have knowledge of any actual, suspected, or alleged fraud;
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The internal controls established to mitigate risks related to fraud or non-compliance with laws and regulations.
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We inspected the minutes of meetings of those charged with governance.
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We obtained an understanding of the legal and regulatory framework that the charity/ group operates in, focusing on those laws and regulations that had a material effect on the financial statements or that had a fundamental effect on the operations of the charity/group from our professional and sector experience.
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We communicated applicable laws and regulations throughout the audit team and remained alert to any indications of non-compliance throughout the audit.
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We reviewed any reports made to regulators.
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We reviewed the financial statement disclosures and tested these to supporting documentation to assess compliance with applicable laws and regulations.
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We performed analytical procedures to identify any unusual or unexpected relationships that may indicate risks of material misstatement due to fraud.
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In addressing the risk of fraud through management override of controls, we tested the appropriateness of journal entries and other adjustments, assessed whether the judgements made in making accounting estimates are indicative of a potential bias and tested significant transactions that are unusual or those outside the normal course of business.
Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.
A further description of our responsibilities is available on the Financial Reporting Council’s website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.
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Bliss – The National Charity for the Newborn (A Company Limited by Guarantee)
INDEPENDENT AUDITOR’S REPORT
Use of our report
This report is made solely to the charitable company's members as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006 and section 144 of the Charities Act 2011 and regulations made under section 154 of that Act. Our audit work has been undertaken so that we might state to the charitable company's members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company's members as a body, for our audit work, for this report, or for the opinions we have formed.
Judith Miller (Senior statutory auditor)
Date: 14 September 2021
for and on behalf of Sayer Vincent LLP, Statutory Auditor Invicta House, 108-114 Golden Lane, LONDON, EC1Y 0TL
Sayer Vincent LLP is eligible to act as auditor in terms of section 1212 of the Companies Act 2006
- 23 -
Bliss - The National Charity for the Newborn (A Company Limited by Guarantee)
Group Consolidated Statement of Financial Activities, including Income and Expenditure Account For the year ended 31 March 2021
| Notes Income Donations and legacies 2 Charitable activities 3 Supporting parents and carers Engaging with neonatal health professionals Supporting research Other trading activities 4 Investment income Total income Expenditure Costs of raising funds 6 Charitable activities 7 Supporting parents and carers Engaging with neonatal health professionals Campaigning for change Supporting research Total expenditure Net income / (expenditure) before transfers Net gains / (losses) on investments 15 Transfers between funds Net income / (expenditure) for the year and net movement in funds Fund balances brought forward Fund balances carried forward 18 |
Unrestricted funds £ Restricted Funds £ Total 2021 £ Total 2020 £ 1,900,452 - 1,900,452 850,126 - 166,865 166,865 332,900 5,116 89,222 94,338 76,166 10,951 - 10,951 15,246 517,302 - 517,302 1,006,430 519 - 519 70 |
|---|---|
| 2,434,340 256,087 2,690,427 2,280,938 |
|
| 728,450 - 728,450 806,223 314,941 193,892 508,833 557,172 260,759 89,222 349,981 425,511 200,044 - 200,044 176,600 38,623 - 38,623 94,280 |
|
| 1,542,817 283,114 1,825,931 2,059,786 |
|
| 891,523 (27,027) 864,496 221,152 (7,115) - (7,115) - - - - - |
|
| 884,408 (27,027) 857,381 221,152 323,613 30,000 353,613 132,461 |
|
| 1,208,021 2,973 1,210,994 353,613 |
The statement of financial activities includes all gains and losses recognised during the year. All income and expenditure derive from continuing activities.
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Balance Sheets As at 31 March 2021
Company no. 02609219
Bliss - The National Charity for the Newborn (A Company Limited by Guarantee)
| Notes Fixed Assets Tangible assets 11 Investments 12 Current Assets Debtors 14 Current asset investment 15 Short term deposits Cash at bank and in hand Creditors; amounts falling due within one year 16 Net current assets Total assets less current liabilities Funds Restricted funds 18 Unrestricted funds General Funds Total funds |
2021 £ 2020 £ 2021 £ 2020 £ 112,354 159,432 112,354 159,432 - - 1 1 Group Charity |
|---|---|
| 112,354 159,432 112,355 159,433 |
|
| 163,045 149,491 151,644 135,044 292,885 - 292,885 - 300,000 - 300,000 - 585,281 286,235 585,065 284,107 |
|
| 1,341,211 435,726 1,329,594 419,151 (242,571) (241,545) (231,349) (229,501) |
|
| 1,098,640 194,181 1,098,245 189,650 |
|
| 1,210,994 353,613 1,210,600 349,083 |
|
| 2,973 30,000 2,973 30,000 1,208,021 323,613 1,207,627 319,083 |
|
| 1,210,994 353,613 1,210,600 349,083 |
The trustees have prepared group accounts in accordance with section 398 of the Companies Act 2006 and section 138 of the Charities Act 2011.
The accounts were approved by the Board of Trustees on:
Jason Parker Chair of Trustees Date: 29 July 2021
25
Bliss - The National Charity for the Newborn (A Company Limited by Guarantee)
Statement of Cash Flows For the year ended 31 March 2021
| Notes Cash generated from / (used in) operating activities 21 Cash flows from investment activities Dividends and interest income Purchase of current asset investment Purchase of tangible fixed assets Cash provided by / (used in) investing activities Cash used in financing activities Increase / (decrease) in cash and cash equivalents during the year Cash and cash equivalents at the beginning of the year Cash and cash equivalents at the end of the year Cash and cash equivalents consist of: Cash at bank and in hand Short term deposits |
2021 £ 916,305 519 (300,000) (17,778) (317,259) - 599,046 286,235 885,281 585,281 300,000 885,281 |
2020 £ 272,668 |
|---|---|---|
| 70 - (3,922) |
||
| (3,852) | ||
| - | ||
| 268,816 17,419 |
||
| 286,235 | ||
| 286,235 - |
||
| 286,235 |
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Bliss - The National Charity for the Newborn (A Company Limited by Guarantee)
Notes to the Accounts For the year ended 31 March 2021
1 Accounting Policies The important information, principal accounting policies adopted, judgements and key sources of estimation and uncertainty in the preparation of the financial statements are as follows: 1.1 Statutory information Bliss - the National Charity for the Newborn is a charitable company limited by guarantee and is incorporated in England and Wales. The registered office address is Maya House, 134-138 Borough High Street, London, SE1 1LB. 1.2 Basis of preparation The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) - (Charities SORP FRS 102), The Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006/Charities Act 2011.
- The accounts are prepared in sterling, which is the functional currency of the charity. Monetary amounts in these financial statements are rounded to the nearest £1.
Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy or note.
In applying the financial reporting framework, the trustees have made a number of subjective judgements, for example in respect of significant accounting estimates. Estimates and judgements are continually evaluated and are based on historical experience and other factors, including expectations of future events that are believed to be reasonable under the circumstances. The nature of the estimation means the actual outcomes could differ from those estimates. Any significant estimates and judgements affecting these financial statements are detailed within the relevant accounting policy below. 1.3 Public benefit entity The charitable company meets the definition of a public benefit entity under FRS 102. 1.4 Preparation of the accounts on a going concern basis After reviewing the group's forecasts and projections, and following the significant donation in the year, the Trustees have a reasonable expectation that the group has adequate resources to continue in operational existence for the foreseeable future. The group therefore continues to adopt the going concern basis in preparing its consolidated financial statements. 1.5 Group financial statements The financial statements consolidate the results of the Charity, its wholly owned subsidiary Bliss Sales Limited and with Bliss Scotland (Charity) Limited on a lineby-line basis. Bliss Scotland (Charity) Limited has been consolidated given that it has trustees in common with the main charity and is subject to common governance processes. A separate Statement of Financial Activities and Income and Expenditure Account for the charity has not been presented because the charity has taken advantage of the exemption afforded by section 408 of the Companies Act 2006. 1.6 Income Income is recognised when the charity has entitlement to the funds, when any performance conditions attached to the items of income have been met and where it is probable that income will be received and quantified with reasonable accuracy.
Grants receivable in respect of expenditure charged to the Statement of Financial Activities during the year have been included in the Statement of Financial Activities. Income from government and other grants, whether 'capital' or 'revenue' grants, is recognised when the charity has entitlement to the funds. Where conditions to receiving the grant need to be met, income is recognised where it is probable that it will be received and measured with reasonable accuracy.
For legacies, entitlement is taken as the earlier of the date on which either the charity is aware that probate has been granted, the estate has been finalised and notification has been made by the executors that a distribution will be made, or when distribution is received from the estate. Receipt of a legacy, in whole or in part, is only considered probable when the amount can be measured reliably and the charity has been notified of the executors' intention to make a distribution. Where legacies have been notified to the charity or the charity is aware of the granting of probate and the criteria for income recognition have not been met, the legacy is treated as a contingent asset and disclosed if material.
1.7 Donated services Donated professional services are recognised when the service is given and is valued as either the economic benefit of the service to the charity or the cost to the donor.
1.8 Investments Fixed asset investments represent the investment held in the subsidiary company Bliss Sales Limited by the Charity. As these shares are unlisted, the trustees consider the appropriate market value of the investment to be the equivalent to the original cost.
Current asset investments are stated at market value. Unrealised gains and losses on the revaluation at the balance sheet date are included in the Statement of Financial Activities.
27
Bliss - The National Charity for the Newborn (A Company Limited by Guarantee)
Notes to the Accounts (Continued) For the year ended 31 March 2021
1.9 Cash and cash equivalents Cash and cash equivalents include cash in hand, deposits held at call with banks, other short-term liquid investments with original maturities of three months or less, and bank overdrafts. Bank overdrafts are shown within borrowings in current liabilities. Short term deposits are held in an interest bearing 1 year fixed interest bond with Metro Bank PLC. Cash at bank is held in a business account at Lloyds Bank PLC, and in a 1 month notice account also with Lloyds.
1.10 Financial Instruments The charity has elected to apply the provisions of Section 11 ‘Basic Financial Instruments’ and Section 12 ‘Other Financial Instruments Issues’ of FRS 102 to all of its financial instruments.
Financial instruments are recognised in the charity's balance sheet when the charity becomes party to the contractual provisions of the instrument.
Financial assets and liabilities are offset, with the net amounts presented in the financial statements, when there is a legally enforceable right to set off the recognised amounts and there is an intention to settle on a net basis or to realise the asset and settle the liability simultaneously.
Basic financial assets, which include debtors and cash and bank balances, are initially measured at transaction price including transaction costs and are subsequently carried at amortised cost using the effective interest method unless the arrangement constitutes a financing transaction, where the transaction is measured at the present value of the future receipts discounted at a market rate of interest. Financial assets classified as receivable within one year are not amortised.
Basic financial liabilities, including creditors and bank loans are initially recognised at transaction price unless the arrangement constitutes a financing transaction, where the debt instrument is measured at the present value of the future receipts discounted at a market rate of interest. Financial liabilities classified as payable within one year are not amortised.
Debt instruments are subsequently carried at amortised cost, using the effective interest rate method.
Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course of operations from suppliers. Amounts payable are classified as current liabilities if payment is due within one year or less. If not, they are presented as non-current liabilities. Trade creditors are recognised initially at transaction price and subsequently measured at amortised cost using the effective interest method.
1.11 Provisions Provisions are recognised when the charity has a legal or constructive present obligation as a result of a past event, it is probable that the charity will be required to settle that obligation and a reliable estimate can be made of the amount of the obligation. The amount recognised as a provision is the best estimate of the consideration required to settle the present obligation at the reporting end date, taking into account the risks and uncertainties surrounding the obligation. Where the effect of the time value of money is material, the amount expected to be required to settle the obligation is recognised at present value. When a provision in measured at present value the unwinding of the discount is recognised as a finance cost in net income/(expenditure) in the period it arises.
1.12 Tangible fixed assets and depreciation Tangible fixed assets costing more than £500 are capitalised and included at cost. Depreciation is provided on all tangible fixed assets at rates calculated to write off the cost, less estimated residual value of each asset over its expected useful life, as follows:
Fixtures and fittings over 3 years Office and computer equipment over 3-5 years Leasehold property length of lease
1.13 Fund accounting
Unrestricted funds are available for use at the discretion of the trustees in the furtherance of the general objectives of the charity. Designated funds are unrestricted funds, which are reserved for a specific purpose and available for use at the discretion of the trustees in the furtherance of the general objectives of the charity.
The purpose and use of restricted funds are imposed by donors or by specific terms of charity appeals.
1.14 Expenditure
Expenditure is recognised once there is legal or constructive obligations to make payment to a third party, it is probable that settlement will be required and the amount of the obligation can be measured reliably. Expenditure is classified as either the costs of raising funds, charitable expenditure or other expenditure that does not fall into the first two categories.
Irrecoverable VAT is charged as a cost against the activity for which the expenditure was incurred.
1.15 Support and governance costs
Support costs are costs that assist the work of the charity but do not directly undertake its activities. Governance costs are costs directly attributable to the running of the Board. Both these costs have been allocated between the cost of raising funds and charitable activities on the basis of the staff time spent on each activity.
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Bliss - The National Charity for the Newborn (A Company Limited by Guarantee)
Notes to the Accounts (Continued) For the year ended 31 March 2021
1.16 Operating leases
Rentals under operating leases are charged to the Statement of Financial Activities as incurred.
1.17 Tax status
The company is a registered charity and is not subject to corporation tax.
1.18 Value Added Tax
The charity is registered under a partial exemption scheme for VAT and as with many other charities, is unable to recover most of the VAT charged on its expenditure.
1.19 Pension scheme
The charitable company operates a defined contribution pension scheme. The assets of the scheme are held separately from those of the charitable company in an independently administered fund. The pension cost charge represents contributions payable under the scheme by the charitable company to the fund. The charitable company has no liability under the scheme other than for the payment of those contributions. No contributions were owing at the balance sheet date.
1.20 Grant giving policy
The charity occaisionally provides grants for projects that have the potential to improve outcomes for premature and sick babies. Grants are recognised in accordance with the applicable accounting standard.
1.21 Volunteers
The assistance received from volunteers has not been financially recognised.
| 2 Donations and legacies Unrestricted Trust funding Corporate funding Donated professional services Individual giving Furlough grants Payroll giving Legacies |
2021 £ 35,590 262,056 15,180 1,348,711 42,026 195,889 1,000 1,900,452 |
2020 £ 55,600 210,907 8,762 363,374 - 204,287 7,196 |
|---|---|---|
| 850,126 |
Donated professional services of £15,180 (2020: £8,762) relates to pro-bono legal work carried out on behalf of Bliss by Mishcon de Reya LLP which are recognised when the service is given and is valued as either the economic benefit of the service to the charity or the cost to the donor.
29
Bliss - The National Charity for the Newborn (A Company Limited by Guarantee)
Notes to the Accounts (Continued) For the year ended 31 March 2021
| 3 Income from charitable activities Restricted Supporting parents and carers Government grants Other grants Engaging with neonatal health professionals Government grants Other grants Supporting research Other grants Unrestricted Engaging with neonatal health professionals Fees and reimbursements Supporting research Researching Innovation Total |
2021 £ 104,530 62,335 166,865 33,110 56,112 89,222 - - 5,116 5,116 10,951 10,951 272,154 |
2020 £ 300,250 32,650 |
|---|---|---|
| 332,900 | ||
| 35,982 10,000 |
||
| 45,982 | ||
| 1,950 | ||
| 1,950 | ||
| 30,184 | ||
| 30,184 | ||
| 13,296 | ||
| 13,296 | ||
| 424,312 |
Restricted income from charitable activities represents grants received from government and trusts to further Bliss' charitable objectives, plus restricted grants or donations from corporate partners . Unrestricted income from charitable activities represents fees charged to receipients of the Family Infant Neurodevelopmental Education training courses and other training events for health professionals, and trading relationships for the provision of research support.
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Bliss - The National Charity for the Newborn (A Company Limited by Guarantee)
Notes to the Accounts (Continued) For the year ended 31 March 2021
| 4 Income from other trading activities Unrestricted Money raised through sporting and community activities Income from trading activities - Room Rental Income from trading activities - Bliss Sales Limited 5 Net income / (expenditure) for the year Net income / (expenditure) for the year is stated after charging: Operating lease - land and buildings Auditors' remuneration - audit Depreciation of fixed assets 6 Costs of raising funds Unrestricted Seeking donations, grants and legacies Staging sporting and community activities Costs of trading activities - Bliss Sales limited Support costs - staff (note 8) Support costs - other (note 8) 7 Charitable activities Analysis of expenditure on charitable activities by fund Supporting parents and carers Engaging with neonatal health professionals Campaigning for change Supporting research Total Analysis of expenditure on charitable activities by fund prior year Supporting parents and carers Engaging with neonatal health professionals Campaigning for change Supporting research Total |
2021 £ 351,536 1,050 164,716 517,302 2021 £ 107,712 12,750 64,856 2021 £ 284,754 174,348 30,270 68,683 170,394 728,449 Unrestricted 2021 £ Restricted 2021 £ 314,941 193,892 260,759 89,222 200,044 - 38,623 - |
2020 £ 889,709 2,814 113,907 |
|---|---|---|
| 1,006,430 | ||
| 2020 £ 102,204 12,500 64,937 |
||
| 2020 £ 257,303 321,759 19,444 58,009 149,708 |
||
| 806,223 | ||
| Total 2021 £ 508,833 349,981 200,044 38,623 |
||
| 814,367 283,114 |
1,097,481 |
|
| Unrestricted 2020 £ Restricted 2020 £ 254,272 302,900 379,529 45,982 176,600 - 92,330 1,950 |
Total 2020 £ 557,172 425,511 176,600 94,280 |
|
| 902,731 350,832 |
1,253,563 |
31
Bliss - The National Charity for the Newborn (A Company Limited by Guarantee)
Notes to the Accounts (Continued) For the year ended 31 March 2021
| Analysis of expenditure on charitable activities Supporting parents and carers Staff costs Direct costs Support costs Engaging with neonatal health professionals Staff costs Direct costs Support costs Campaigning for change Staff costs Direct Support costs Supporting research Staff costs Direct costs Research Grant Support costs Total |
Total 2021 £ 302,870 93,567 112,396 508,833 206,141 67,831 76,008 349,980 134,740 9,575 55,729 200,044 8,348 595 25,000 4,679 38,622 1,097,479 |
Total 2020 £ 381,891 44,396 130,885 |
|---|---|---|
| 557,172 | ||
| 283,949 42,085 99,477 |
||
| 425,511 | ||
| 121,629 7,495 47,476 |
||
| 176,600 | ||
| 49,393 1,962 25,000 17,924 |
||
| 94,279 | ||
| 1,253,562 |
During 19/20 Bliss began payments on a research grant to Oxford University. The grant had originally been awarded for a three-year period, with a start date of 1 October 2020, and a grant value of £146k over the full term of the grant. Due to the need to rebalance Bliss's financial position during 19/20, the terms were amended to award £25k in that financial year only. Following assessment of the performance of the grant, £25k was also awarded in 20/21. No commitment was confirmed for future years, so no additional liability has been recognised at the balance sheet date, however on the submission of a progress report from the grantee, Bliss will assess performance and award a further £50k in the 21/22 finanical year, and a further £25k in the 22/23 financial year, if it is satisfied the necessary outcomes have been achieved.
8 Support costs
| Staff costs Depreciation Telephone and IT costs Audit and other professional fees Trustee Expenses Office rent, rates and service charge Other office costs Other support costs |
Costs of raising funds £ Charitable Activities £ Total 2021 £ Total 2020 £ 68,683 83,622 152,305 146,948 25,294 39,562 64,856 64,936 43,323 52,559 95,882 89,988 7,008 10,962 17,970 27,374 - - - 1,133 66,795 104,474 171,269 172,940 9,121 14,080 23,201 41,695 18,854 27,176 46,030 47,405 |
|---|---|
| 239,078 332,435 571,513 592,419 |
Support costs are allocated to the particular activity where the cost relates directly to that activity. However, the cost of overall direction and administration of each activity, comprising the salary and overhead costs of the central function, is apportioned on the basis of estimated staff time attributable to each activity.
9 Trustees
No trustees or any persons connected with them received any remuneration during the year (2020: £nil).
0 trustees received reimbursements of travelling expenses (2020: 3 trustees received £1,085).
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Bliss - The National Charity for the Newborn (A Company Limited by Guarantee)
Notes to the Accounts (Continued) For the year ended 31 March 2021
10 Employees and employment costs
Number of employees
The average number of employees during the year was 30 (2020: 39).
The average number of full-time equivalent employees during the year was:
| Supporting parents and carers Engaging with neonatal health professionals Campaigning for change Supporting research Communications Fundraising Administration and CEO Scotland Employment costs Staff costs consist of: Wages and salaries Redundancy and termination Social Security Costs Pension contributions |
2021 4.7 2.7 1.6 0.2 5.2 8.7 4.1 2.3 29.4 2021 £ 911,118 10,779 88,902 52,733 1,063,532 |
2020 6.3 4.7 1.2 1.0 5.3 8.4 5.1 2.3 |
|---|---|---|
| 34.3 | ||
| 2020 £ 1,094,860 1,614 106,694 55,913 |
||
| 1,259,081 |
The highest paid employee was the Chief Executive, who earned £72,319 in pay (2020: Interim Chief Exectutive, £55,385). No other employee earned in excess of £60,000.
The Charity's trustees are not paid nor received any other benefits from employment with the Charity or its subsidiaries during the year (2020: £nil).
The key management personnel of the Group and Charity comprises of the Trustees, the Chief Executive, Director of Services, Director of Finance and Operations and Director of Fundraising. The total employee benefits of the key management personnel amounted to £192,871 in pay and pension contributions (2020: £229,858) and £20,995 was paid in employer's national insurance contributions (2020: £26,508).
Redundancy and termination payments are recognised in full upon the termination of employment. 2 employees received payments of this kind during the year (2020: 1).
A staff untaken leave accrual has not been included as being immaterial.
11 Tangible fixed assets Group and Charity
| Tangible fixed assets Group and Charity |
|
|---|---|
| Cost At 1 April 2020 Additions Disposals At 31 March 2021 Depreciation At 1 April 2020 Charge for the year On disposals At 31 March 2021 Net Book Value at 31 March 2021 Net Book Value at 31 March 2020 |
Leasehold property £ Office Equipment £ Computer Equipment £ Total £ 160,195 25,054 181,979 367,228 - - 17,778 17,778 - - (6,630) (6,630) |
| 160,195 25,054 193,127 378,376 |
|
| 68,439 19,434 119,923 207,796 35,987 2,489 26,380 64,856 - - (6,630) (6,630) |
|
| 104,426 21,923 139,672 266,021 |
|
| 55,769 3,131 53,454 112,354 |
|
| 91,756 5,620 62,056 159,432 |
33
Bliss - The National Charity for the Newborn (A Company Limited by Guarantee)
Notes to the Accounts (Continued) For the year ended 31 March 2021
| 12 | Fixed Asset Investments | Investment in | ||||
|---|---|---|---|---|---|---|
| subsidiary | ||||||
| Charity | ||||||
| Cost at 1 April 2020 and 31 March 2021 | 1 | |||||
| Historical cost | ||||||
| As at 31 March 2021 | 1 | |||||
| Holdings of more than 20% | ||||||
| The charitable company controls more than 20% of the following entities; | ||||||
| Company subsidiary undertakings | Country of registration or | |||||
| incorporation | Class | Shares held | Control | |||
| Bliss Sales Limited | England and Wales | Ordinary £1 | 1 | 100% | ||
| Bliss Scotland (Charity) Limited | Scotland | N/A | N/A | 100% |
The principal activity of Bliss Sales Limited is trading operations that enhance the aims and objectives of Bliss. All activities have been consolidated on a line by line basis in the statement of financial activities. Available profits are gift aided to the charitable company.
Bliss Scotland (Charity) Limited is a company limited by guarantee in Scotland and a registered charity in Scotland. Its principal activity is to carry out Bliss' aims and objectives in Scotland. Control is exercised through the Chair and Treasurer of Bliss Scotland (Charity) Limited also being Trustees of Bliss. All activities have been consolidated on a line by line basis in the statement of financial activities.
The results of Bliss Sales Limited (a company registered in England and Wales, company number 03602721) for the year ended 31 March 2021 were as follows:
| follows: | ||
|---|---|---|
| Turnover Cost of Sales Gross profit Administration expenses Operating profit Gift aid payable to Bliss and Bliss Scotland Corporation tax Profit / (loss) for the year The aggregate of the assets, liabilities and funds was: Assets Liabilities Funds |
2021 £ 164,716 - 164,716 (32,953) 131,763 (131,763) - - 11,721 (11,720) 1 |
2020 £ 113,907 - |
| 113,907 (22,261) |
||
| 91,646 (91,646) - |
||
| - | ||
| 23,221 (23,220) |
||
| 1 |
At the balance sheet date £237 was owed by Bliss to Bliss Sales Ltd (2020: £7,905 owed by Bliss Sales Ltd to Bliss).
34
Bliss - The National Charity for the Newborn (A Company Limited by Guarantee)
Notes to the Accounts (Continued) As at 31 March 2021
13 Fixed Asset Investments (continued)
The results of Bliss Scotland (Charity) Limited (a company limited by guarantee, resistered in Scotland, company number SC365557 and a registered charity in Scotland, registration number SC040878) for the year ended 31 March 2021 were as follows:
| Income Donations Charitable activities: Supporting parents and carers Engaging with neonatal health professionals Supporting research Other trading income Total income Expenditure Costs of raising funds Charitable activities: Supporting parents and carers Engaging with neonatal health professionals Campaigning for change Supporting research Total expenditure Net movement in funds The aggregate of the assets, liabilities and funds was: Assets Liabilities Funds |
Unrestricted funds £ Restricted Funds £ Total 2021 £ Total 2020 £ 25,476 - 25,476 5,386 - 18,530 18,530 12,750 - 33,110 33,110 45,982 - - - - 13,882 - 13,882 63,843 |
|---|---|
| 39,358 51,640 90,998 127,961 |
|
| 20,719 - 20,719 41,188 8,405 18,530 26,935 26,726 5,779 33,110 38,889 46,138 8,327 - 8,327 10,443 262 - 262 1,263 - |
|
| 43,492 51,640 95,132 125,758 |
|
| (4,134) - (4,134) 2,203 |
|
| 47,749 47,749 5,129 (47,354) (47,354) (600) |
|
| 395 - 395 4,529 |
A management charge of £33,346 (2020: £54,868) was made by Bliss to Bliss Scotland (Charity) Ltd.
No donation (2020: £0) was made by Bliss to Bliss Scotland (Charity) Ltd.
At the balance sheet date, £47,220 (2020: £3,475) was owed by Bliss to Bliss Scotland (Charity) Ltd.
During the year, the parent charity received gross income of £2,630k (2020: £2,208k), and made a net profit of £862k (2020: £220k).
| Debtors Trade debtors Other debtors Amounts owed by group undertakings Prepayments and accrued income |
2021 £ 2020 £ 2021 £ 2020 £ 14,384 22,582 2,983 4,605 67,493 71,918 67,493 71,918 - - - 7,905 81,168 54,991 81,168 50,616 Group Charity |
|---|---|
| 163,045 149,491 151,644 135,044 |
14 Debtors
15 Current Asset Investments
Current asset investments related to funds invested by the Charity in a common investment fund which was independently managed by CCLA Investment Management Limited
| Fair value as at 1 April Additions Disposals Net unrealised gains (losses) to 31 March Fair value as at 31 March Historic cost as at 31 March |
2021 £ - 300,000 - (7,115) 292,885 300,000 |
2020 £ - - - - |
|---|---|---|
| - | ||
| - |
35
Bliss - The National Charity for the Newborn (A Company Limited by Guarantee)
Notes to the Accounts (Continued) For the year ended 31 March 2021
| 16 Creditors Trade creditors Tax and Social Security Costs VAT Other creditors Amounts owed to group undertakings Accruals Deferred Income |
2021 £ 2020 £ 2021 £ 2020 £ 76,528 82,770 76,528 82,770 21,241 24,751 21,241 24,751 7,601 4,320 - - 2,528 2,559 2,528 2,559 - - 47,458 3,476 77,294 94,421 76,094 93,221 57,379 32,724 7,500 22,724 Group Charity |
|---|---|
| 242,571 241,545 231,349 229,501 |
Deferred Income
Deferred income relates to funds received during the year, related to future periods
| Balance at the beginning of the year Amount released in the year Increase in provision in the year Balance at the end of the year 17 Commitments under operating leases Operating leases payable Less than one year Between one and five years 18 Analysis of charitable funds Current year Analysis of movements in unrestricted funds General fund Total Group and Charity Analysis of movements in restricted funds Supporting parents and carers LIBOR Fund Department of Health National Lottery Other Grants Engaging with neonatal health professionals Fidelity International Total Charity Supporting families and their babies in Scotland Supporting parents and carers Engaging with neonatal health professionals Total Bliss Scotland (Charity) Limited Total Group and Charity As at 31 March 2021, the Charity had commitments under non-cancellable |
2021 £ 2020 £ 2021 £ 2020 £ 32,724 32,724 22,724 22,724 (32,724) (32,724) (22,724) (22,724) 57,379 32,724 7,500 22,724 57,379 32,724 7,500 22,724 2021 £ 2020 £ 2021 £ 2020 £ 107,712 107,712 26,856 1,896 62,832 170,544 43,460 1,810 170,544 278,256 70,316 3,706 Balance 1 April 2020 £ Income £ Expenditure £ Transfers £ Funds 31 March 2021 £ 323,613 2,427,225 (1,542,817) - 1,208,021 operating leases. The total future minimum lease payments were as follows: Land and Buildings Plant & Machinery and IT Group Charity |
|---|---|
| 323,613 2,427,225 (1,542,817) - 1,208,021 |
|
| Balance 1 April 2020 £ Income £ Expenditure £ Transfers £ Funds 31 March 2021 £ 30,000 - (30,000) - - - 86,000 (86,000) - - - 39,841 (39,841) - - - 22,494 (19,521) - 2,973 - 56,112 (56,112) - - |
|
| 30,000 204,447 (231,474) - 2,973 |
|
| - 18,530 (18,530) - - - 33,110 (33,110) - - |
|
| - 51,640 (51,640) - - |
|
| 30,000 256,087 (283,114) - 2,973 |
36
Bliss - The National Charity for the Newborn (A Company Limited by Guarantee)
Notes to the Accounts (Continued) For the year ended 31 March 2021
18 Analysis of charitable funds (continued)
Supporting parents and carers
LIBOR Fund: this fund received from the Treasury Department was to support the growth of Bliss Champions. Total grant income from this fund amounted to £691,423 over the four years to 31st March 2021.
Department of Health: this grant was awarded to provide information and support for parents of babies in neonatal care during the Covid-19 response, during the period from April - Sept 2020
National Lottery: this grant was awarded under the Coronavirus Community Support Fund application process, to provide information and support for premature and sick babies and their families through the coronavirus crisis, during the period from Sept 2020 - Feb 2021.
Fidelity International: this grant was awarded to enable the development of the digital baby charter tool.
Supporting families and their babies in Scotland
These funds were received mainly from the Scottish Government, to support in the expansion of our work across Scotland.
| Analysis of charitable funds (prior year) Analysis of movements in unrestricted funds Designated fixed asset fund General fund Total Group and Charity |
Balance 1 April 2019 £ Income £ Expenditure £ Transfers £ Funds 31 March 2020 £ - - - - - 132,461 1,900,106 (1,708,954) - 323,613 |
|---|---|
| 132,461 1,900,106 (1,708,954) - 323,613 |
The designated fixed asset fund was used for fixed asset purchases. During the year Trustees decided not to designate funds in this way.
| Analysis of movements in restricted funds (prior year) Supporting parents and carers LIBOR Fund Other Grants Engaging with neonatal health professionals Other grants Supporting research Other grants Total Charity Supporting families and their babies in Scotland Supporting parents and carers Engaging with neonatal health professionals Supporting research Total Bliss Scotland (Charity) Limited Total Group and Charity |
Balance 1 April 2019 £ Income £ Expenditure £ Transfers £ Funds 31 March 2020 £ - 289,000 (259,000) - 30,000 - 19,400 (19,400) - - - 1,256 (1,256) - - - 950 (950) - - |
|---|---|
| - 310,606 (280,606) - 30,000 |
|
| - 24,500 (24,500) - - - 44,726 (44,726) - - - 1,000 (1,000) - - |
|
| - 70,226 (70,226) - - |
|
| - 380,832 (350,832) - 30,000 |
37
Bliss - The National Charity for the Newborn (A Company Limited by Guarantee)
Notes to the Accounts (Continued) For the year ended 31 March 2021
| 19 Analysis of net assets between funds Current year Tangible fixed assets Current assets Creditors, amounts falling due within one year Prior year Tangible fixed assets Current assets Creditors, amounts falling due within one year |
Unrestricted funds £ Restricted Funds £ Total 2021 £ 112,354 - 112,354 1,338,238 2,973 1,341,211 (242,571) - (242,571) |
|---|---|
| 1,208,021 2,973 1,210,994 |
|
| Unrestricted funds £ Restricted Funds £ Total 2020 £ 159,432 - 159,432 405,726 30,000 435,726 (241,545) - (241,545) |
|
| 323,613 30,000 353,613 |
20 Related parties
The aggregate donations from related parties amounted to £3,245 (2020: £2,276).
21 Reconciliation of the net movement in funds to the net cash flow from operating activities
| Net movement in funds Depreciation charge Dividend and interest income shown in investing activities Net (gains) / losses on investments Decrease / (increase) in debtors Increase / (decrease) in creditors Net cash generated from / (used in) operating activities |
2021 £ 857,381 64,856 (519) 7,115 (13,554) 1,026 916,305 |
2020 £ 221,152 64,937 (70) - 105,582 (118,933) |
|---|---|---|
| 272,668 |
38