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2023-03-31-accounts

Hospice UK Annual report and financial statements – 31 March 2023

Audited annual report and financial statements

For the year ended 31 March 2023

Charity registered in England and Wales No. 1014851 Charity registered in Scotland No. SC041112

Company No. 2751549

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Hospice UK

Annual report and financial statements – 31 March 2023

Contents

Page
Acknowledgements 3
Directors and strategic report 4
Structure, governance and management 24
Reference and administrative information 26
Independent auditor’s report 30
Consolidated statement of financial activities 34
Statement of financial activities – The charity 35
Balance sheets 36
Consolidated statement of cash flows 37
Notes to the financial statements 38

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Hospice UK

Annual report and financial statements – 31 March 2023

Acknowledgements

The Trustees sincerely thank Hospice UK’s partners, supporters and donors for their ongoing support.

Members of the public who donate and raise funds for Hospice UK, whether through taking on fundraising challenges, leaving a gift in their will or by donating directly, provide a vital source of income for our work for which we are truly grateful.

We are most grateful to our corporate partners, in particular 4G Textiles, Barclays, Becton Dickinson, Blue Stream Academy, Dignity, Dreamscape Solutions Limited, haysmacintyre, JDDK Architects, Legacy of Lives, Life Ledger, Local Hospice Lottery, Lottoland, National Garden Scheme, New Look Retailers Limited, Peridot Partners, PIB Insurance Brokers, St James’s Place Wealth Management, The Co-operative Bank, The PwC Foundation, Towergate and Tyl by NatWest.

We would like to thank all the Trusts and Foundations whose ongoing support has been invaluable, in particular: the Masonic Charitable Foundation, Kirby Laing Foundation, St. James’s Place Charitable Foundation, Wolfson Foundation, Rank Foundation and Linder Foundation.

We thank our Vice-Presidents, Ambassadors, the Development Board and the London Events Committee for their ongoing commitment to Hospice UK and to hospice care more widely. These dedicated, passionate individuals make a significant difference to our work.

We are grateful to the staff and trustees of member hospices who give their time, expertise and wisdom to inform our work.

Finally, we thank our staff and volunteers who continue to go above and beyond to contribute to ensuring as many people as possible get the high quality end of life care that they deserve.

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Hospice UK

Annual report and financial statements – 31 March 2023

Strategic report

Who we are

Hospice UK is the national charity for hospice and end of life care. We work to ensure everyone affected by death, dying and bereavement gets the care and support they need, when they need it.

Our vision

We believe that everyone, no matter who they are, where they are or why there are ill, should receive the best possible care at the end of their life. No one should die in avoidable pain or suffering.

Our mission

Our mission is to transform the way society cares for the dying and those around them. To empower individuals, communities and populations to embrace the ethos of hospice care and extend its breadth and reach to improve everyone’s experience of death, dying and bereavement.

Strategic priorities

Hospice UK’s five-year strategy, developed in 2017 and extended by one year to 2023, sets out four strategic goals which have guided our work even through the disruptions of the pandemic.

Our four existing strategic goals are:

  1. Extend our reach and enable hospice quality care to be delivered in any setting.

  2. Tackle inequality and widen access to hospice care.

  3. Work with communities to build capacity and resilience to care for those at the end of life.

  4. Empower a strong, dynamic and responsive hospice sector.

A strategy which sets out how these priorities translate into the children’s hospice sector is available on our website.

With our existing strategy expiring this year, we have begun the process of creating a bridging strategy and business plan to continue our work over the next year. We are also embarking on a member-led scoping exercise for our new longer term strategy to help secure the future of hospice and end of life care.

The trustees have subsequently agreed a one year bridging strategy for 2023-24 and will be consulting widely prior to the launch of a new long term strategy in 2024. (see Future Plans section for more details)

Public benefit

We have referred to the Charity Commission’s general guidance on public benefit when reviewing our aims and objectives and in planning our future activities. In particular, we consider how our planned activities will contribute to the aims and objectives we have set.

We are here to support the hospice and palliative and end of life care sector improve people’s end of life experience in the UK. Hospice care is free for however long it is needed, and whether provided in someone’s home, at the hospice or elsewhere in the community.

The following sections give an overview of our activities undertaken this year to meet our charitable objectives.

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Hospice UK Annual report and financial statements – 31 March 2023

Activities, achievements and performance

While this year some of the immediate pressures of the COVID-19 pandemic began to recede, the end of life care sector continues to operate in a changing and turbulent climate, full of challenges, but with opportunities to seize too. This context has shaped the work of Hospice UK over the past 12 months. Our focus has been to help to stabilise and secure the hospice sector, providing both immediate support with present challenges, and strategic guidance on how end of life care is securely funded, well staffed, and available for all who need it in the future.

The healthcare system in the UK remains under significant strain, and this is certainly the case for the charitable hospice sector, which provides care for around 300,000 patients and family members a year. The economic outlook has been a cause for concern, with soaring costs and pressure on income leading many hospices facing difficult financial decisions.

We have continued to work closely with governments across the UK to give the sector the support it needs. Guided by our Future Vision programme, we have focused on supporting local hospices to engage with the new local healthcare systems that have emerged across the nations, with the new Integrated Care Systems coming into existence in England in July 2022. In this context, our facilitation of learning and sharing opportunities - through our ECHO networks, communities of practice and conferences - has been vital for the sector this year. This has been complemented by significant ongoing practical support for hospices through our grants programme, training and professional development opportunities for hospices and hospice staff. Our wider work to help shift public attitudes to death and grief through Dying Matters and Compassionate Employers has grown this year.

It has been a year of evolution for Hospice UK internally. We have welcomed a new CEO, Toby Porter, after an interim period led by Chief Operating Officer Craig Duncan. We have continued to improve our digital infrastructure, with a new ‘Innovation Hub’ launched online for hospice professionals to share guidance and practical support and have put in place some major business system improvements.

The sections that follow look in detail at our projects and activities under our four strategic priorities to improve and strengthen end of life care for the future.

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Hospice UK Annual report and financial statements – 31 March 2023

Strategic priority 1: extend our reach and enable hospice quality care to be delivered in any setting

Influencing the policy agenda

One of Hospice UK’s primary roles is to represent the hospice sector in policymaking discussions across the UK. We continue to shape the way in which UK governments and health services make decisions relating to hospices. As the peak of the pandemic subsided, new challenges emerged for the sector with hospice funding, the cost of living crisis and the ever evolving agenda around integrated working, creating huge pressures for our membership and the people they support. A visible measure of success has been the regularity with which Hospice UK has been called upon by parliamentarians and key NHS figures to provide information, advice and to act as a conduit to hospices. We had engagement, often in person but also written, with seven Ministers and Secretaries of State across the UK, and support from more than a hundred other parliamentarians for our work. This enables us to regularly champion the sector and provide insight and detail to decision makers that can help them to navigate complex and fast moving areas of policy.

Key to our ability to influence and inform has been three factors – supportive and invaluable input from hospice members and their staff, including data; our leading role on a range of alliances, networks and working groups to bring stakeholders together; and our increased focus on platforming patient and family voice across our influencing, campaigning and communications functions.

Responding to cost pressures

The challenging economic climate facing the UK, and in particular, the elevated rates of inflation have placed significant pressures on hospice finances this year. All hospices are in different positions, with some facing more difficult choices than others – but the overall picture facing the sector has been worrying. In response, Hospice UK’s policy, advocacy and communications teams have mobilised to highlight these challenges to decision makers.

Using data provided by hospices on the impact cost pressures were having on their ability to provide care, we were able to secure significant national media coverage, with the BBC, Sunday Times , The Guardian , PA media and others publishing stories supportive of the sector. At the same time, we mobilised our public supporters to write to their MP to raise the challenges being faced by hospices, with more than 4,000 people doing so. In parallel, we worked with hospices to contact their MPs. This work enabled us to build a strong coalition of more than 100 informed MPs and Peers who were supportive of our ask for additional government support for the sector. More than 50 wrote to relevant Ministers, while ten raised the challenge of hospice finances in the House of Commons. Every political party took part in a Westminster Hall debate on fiscal support to the hospice sector. The work was co-ordinated with a number of other charities and voluntary sector coalitions, including working closely with Hospices Cymru and the Scottish Hospices Leadership Group to push the agenda at a devolved national level.

Negotiations with governments are ongoing. Our work secured a Ministerial meeting with the UK Exchequer Secretary to the Treasury to discuss the impact of the cost of living crisis on UK hospices, along with meetings with the Department for Energy and Net Zero and the Department for Health and Social Care. We have successfully secured commitments from the Welsh Government to take steps to address increasing hospice staffing costs, inflationary uplifts to Service Level Agreements and longer contracts in the next funding review being carried out this year. A commitment from the previous Cabinet Secretary for Health and Social Care in the Scottish Government to a new national funding

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framework for hospice care was also secured. Ministers in Scotland could not commit to short-term funding to cover the NHS pay award at that time, but they said they would explore what support might be possible to help hospices to cover the NHS pay award.

Influencing in England

In England we were proud to be a partner organisation, alongside Marie Curie, Together for Short Lives and Sue Ryder, in successfully securing an amendment to the Health and Care Act 2022. The amendment, spearheaded by the All Party Parliamentary Group co-chair Baroness Finlay, places palliative care on a statutory footing in England for the first time. It means that the Integrated Care Systems that came into being in July 2022 will be expected by law to consider the local need for end of life care. Our input into the development of statutory guidance to support implementation of the amendment resulted in inclusion of many of our reports and tools, such as our online Population Needs Assessment Tool (PopNAT).

Alongside our cost of living work, we have helped to inform different Westminster government departments and committees on a range of issues. This includes: the Health and Social Care Committee’s inquiries into Assisted Dying, accountability of Integrated Care Systems and Government commitments around workforce; the Department of Health and Social Care’s planned ten year plans on cancer and mental health as well as their vision for a Major Conditions Strategy and changes to the Mental Capacity Act; and the independent Hewitt review of Integrated Care Systems. Over the course of the year we consulted hospices from across the country to inform our submissions and to connect frontline experience with national policy. We are pleased to have seen regular reflection of our input in how those areas of policy have developed, such as a marked increase in focus on end of life within plans to tackle cancer.

Sharing the frontline experience of hospices, their staff and patients is core to our mission. A national collection of hospice data and resulting report, in partnership with The Nuffield Trust, revealed the true scale of hospice care provision across the UK and has been used in government and sector publications.

Our PopNAT tool enables users to work with regularly updated population data relevant to end of life, and has been used as part of hospice strategic planning as well as Welsh Government’s programme on end of life care. The updated tool has been used more than six thousand times in the first nine months after being refreshed this year.

Hospice UK plays a significant role in bringing professional, regulatory, government and charity sector partners together. Two such examples being our position as steering group members of the Ambitions for Palliative and End of Life Care partnership, and as lead co-ordinators of the Palliative and End of Life Care Consortium within the Health and Wellbeing Alliance (HWA).

The second of a three year cycle of the HWA continued to give consortium members exposure to key policy while at a developmental stage. Through the Alliance we championed end of life care and fed in case studies for government policy development around the role of the voluntary sector in Integrated Care Partnerships, virtual wards, intermediate care and in battling winter pressures. Together we informed NHS England and Department of Health and Social Care policy leads on intersecting inequalities when accessing care, approaches to digital inclusion within the sector and opportunities around the collection of patient characteristic data to tackle unmet need.

Through our secretariat role with the All Party Parliamentary Group (APPG) on Hospice and End of Life Care we have provided a platform for parliamentarians and public to hear about the impact of the pandemic on end of life for people and professionals. The APPG published a detailed report on a review of the lasting impact of COVID-19, based on more than 100 pieces of submitted evidence.

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Hospice UK Annual report and financial statements – 31 March 2023

The review found that the significant rise in deaths, including in people’s own homes, during the COVID-19 pandemic placed huge pressure on the health and care system and led to incidences of poor care. The sheer volume of death, alongside measures to reduce the spread of infection, resulted in extreme pressure on exhausted health and care workers and unpaid carers. The report makes recommendations to Government, NHS England, ICBs, end of life care services and others to harness what the sector has learned over the past three years to improve palliative and end of life care for all.

Influencing in Wales

In Wales, our policy and advocacy work has helped prioritise inequalities, out-of-hours care and public voices in the Welsh Government’s new National Programme for Palliative and End of Life Care. It has also informed a recent Government funding review resulting in potentially more than £2 million (2022 £2.2M) in additional funding for District Nurses and Clinical Nurse Specialists providing end of life care out-of-hours services.

We continued to support our Welsh member hospices through Hospices Cymru who we helped secure commitments from Welsh Government to improve the regulatory regime for hospices in Wales and develop more sustainable funding arrangements for charitable hospices as part of the next funding review.

We also worked collaboratively to strengthen public voices through the development our What Matters Most visual storytelling project aimed at better understanding, involving and communicating the lived experiences of those receiving and delivering end of life care.

Hospice UK continued to provide secretariat to the Senedd Cross Party Group on Hospice and Palliative Care, which published an important inquiry into experiences of palliative and end of life care in the community during the pandemic. This resulted in a full Senedd debate which secured cross-party support for the inquiry and the Welsh Government accepting all its key recommendations.

We also ensured palliative and end of life was visible to civil servants through responses to Government consultations on the development of the NHS Executive in Wales, improving respite and short break provision for children, changes to legislation on social care and continuing health care, and changes to liberty protection safeguards.

Influencing in Scotland

In Scotland, we increased our parliamentary engagement over the past year to raise the profile of Hospice UK, hospices and the needs of people at the end of life. We have seen an increase in hospices and Hospice UK being mentioned in parliamentary questions and debates and have strengthened relationships with key MSPs.

Scottish Government began work on the development of a new palliative care strategy at the end of 2022 and Hospice UK has sought a variety of ways to actively engage with the strategy development to ensure it reflects key priorities, including around inequalities, data, workforce and the contribution of the hospice sector. We are represented on the stakeholder reference group for the strategy, liaised with hospice colleagues who have a seat on the strategy steering group and worked collaboratively on common aims through the Scottish Partnership for Palliative Care’s National Charities Group.

We worked closely with the Scottish Hospice Leadership Group to develop two key asks in relation to hospice funding that have formed the basis of our advocacy and influencing with Scottish

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Hospice UK Annual report and financial statements – 31 March 2023

Government and with MSPs. Firstly, an urgent call for short-term funding to help hospices mitigate the impact of the NHS pay award and secondly, a longer-term call for a new national framework for hospice funding.

We secured a meeting with the then Cabinet Secretary for Health and Social Care, Humza Yousaf MSP, and then Minister for Women’s Health, Public Health and Sport, Maree Todd MSP, in midMarch 2023. Ministers valued the contribution of the hospice sector and recognised the pressures facing the sector. They agreed to the need for a national funding framework for the hospice sector to address current inequities in funding arrangements and put hospices on a sustainable footing and we will continue to work with officials and hospices to progress this. Ministers recognised the impact the NHS pay award was having on the hospice sector though were upfront about how tight budgets are.

Despite the ongoing uncertainties of the National Care Service (NCS) Bill, we began initial engagement with Scottish Government, hospices and wider partners to start to understand the implications and opportunities for hospices and palliative care of the NCS Bill. We started work with partners in Scotland to identify common priorities in relation to palliative care that we can focus on next year if the Bill progresses.

We also continued to engage with stakeholders to disseminate our major report on the Future of Hospice Care in Scotland, produced in collaboration with Scottish hospices last year and kept a watching brief on other key policy developments in Scotland, including the upcoming private members bill on assisted dying. We met with Liam McArthur MSP who is introducing the bill to better understand the likely provisions within it, the implications for hospices and palliative care, and how Hospice UK may wish to engage in the coming year.

Sharing knowledge through Project ECHO

Sharing specialist knowledge, skills, trends and best practice in the hospice sector is central to Hospice UK’s purpose. Project ECHO (Extension of Community Healthcare Outcomes) is a worldwide movement providing an online learning and support methodology for people working in healthcare. The ECHO methodology promotes effective virtual learning with healthcare professionals through an emphasis on co-production and co-design. This year Hospice UK supported 10 ECHO Networks, delivered 57 ECHO Sessions with 2,482 (2022: 2,000) attendances, an increase on last year. Themes include the use of data; clinical best practice; infection prevention and control; and end of life care for people with particular needs including patients with frailty, with dementia, and who are in prison.

Our networks continue to support the recovery and the rebuilding of services post-pandemic, amid economic pressures, evolving healthcare systems and ever increasing demand for services from patients with more complex needs. The sessions provide a safe online space for healthcare chief executives, trustees and managers from across the UK to share, discuss challenges and agree on collective solutions, with the agility to quickly pivot and adapt to meet the learning needs of their participants.

96% of participants from the Innovation ECHO Network agreed that taking part increased their knowledge of initiatives and innovations across the health sector. Nearly two-thirds (62%) changed policy, practice or processes within the workplace because of learning through the ECHO Network.

We continue to work with our ‘superhub’ partners in Sheffield and Inverness, and this year we trained hospices and not-for-profit organisations within the UK and Ireland to become ECHO hubs. Fourteen people from seven organisations completed Partner Launch Training.

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Annual report and financial statements – 31 March 2023

Project ECHO in Northern Ireland

In Northern Ireland, our contract with the Strategic Planning & Performance Group at the Department of Health (formerly the Health and Social Care Board) continues to meet the demands of the health and social care sector delivering its services. At the end of a successful five-year contract period, we were delighted to secure it again after a successful tendering process.

The ECHO Network participants continue to collectively and collaboratively learn from each other, cascade and share new guidance, solve problems and importantly build relationships within a health system framework as the sector continues to rebuild post-pandemic.

Throughout the year our Project ECHO team in Belfast provided extensive support and training to health and social care partners across the UK and Ireland. In total the ECHO team supported more than 30 ECHO Networks, delivered 224 (2022: 224) ECHO Sessions with more than 6,500 (2022: 8,500) attendances.

Our Clinical Communities of Practice

Alongside our ECHO networks, our clinical communities of practice continue to meet virtually. This year we ran 27 (2022: 20) webinars across our communities of practice that cover:

Once again, more than 1,700 (2022: 1,700) participants took part from across the UK, sharing best practice and latest trends in palliative and end of life care. Areas of focus included sharing and discussing revised definitions for patient safety incidents and preparing for implementation of the National Patient Safety Incident Response Framework, regulatory inspections, safer staffing, tools and refreshing our online resources to support clinical audit. A highlight from our community of practice focusing on improving the experience of transition from children to adult services was to hear from people with lived experience who presented at the Hospice UK conference in November 2022.

Building on our communities of practice, we also ran two learning events on the latest developments for the Care Quality Commission and Making Data Count. We also held a face to face conference for Executive Clinical Leads in Hospice and Palliative Care and Strategic HR and Workforce Leads, addressing workforce recruitment and retention and clinical career pathways.

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Annual report and financial statements – 31 March 2023

Extending frailty care programme

In recognition of the increase of frailty as a recognised condition affecting older people, our Extending Frailty Care programme invites hospices to think differently and creatively to support high quality care.

The programme commenced in April 2022 and will run through to March 2025. As part of the programme, we are partnering with eleven hospices to develop and deliver innovative models of frailty care. The lessons from these programmes will inform future ways of caring for and working with people aged 65 and older who have advancing frailty. Learning will be shared via a dedicated ECHO network, and more widely across the sector as the programme develops in the coming years.

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Hospice UK Annual report and financial statements – 31 March 2023

Strategic priority 2: tackle inequality and widen access to hospice care

Trans and gender diverse communities’ experiences of end of life care

Hospice UK’s Challenges and Change report, published in 2021, highlighted inequity in palliative and end of life care and is one of a series of ‘deep dive’ research projects examining the experiences of different groups.

Hospice UK worked closely with the Gender Identity Research and Education Society (GIRES) and throughout this year have been working in collaboration on their Being Ready project. This project intends to understand and address the needs of trans and gender diverse people during all stages of death, dying and bereavement. The initial stages of this project were also in collaboration with Stonewall.

Together with GIRES, Hospice UK developed public and professional surveys to understand trans and gender diverse communities perspectives and experiences of palliative and end of life care. These were produced in collaboration with trans and gender diverse people.

The findings of these surveys, as well as interviews with people with lived experience formed the basis of the report, ‘I just want to be me’ – Trans and gender diverse communities access to and experiences of palliative and end of life care, which was published in February 2023.

The report is focused on the lived experiences and perspectives of trans and gender diverse people. It makes recommendations to health and social care leaders, providers, national organisations and to government on how to ensure the care delivered to trans and gender diverse people is inclusive and of high quality. The report also includes practical tips for individuals working in palliative and end of life care

Following the release of the report, which was covered in various LGBTQ+ and health sector media, we are working on encouraging the implementation of these recommendations across the sector, while also delivering an accompanying programme of internal training for our own staff.

Support for people at end of life in prisons

Following the publication of Hospice UK’s Dying Behind Bars report in 2021, extensive consultation with stakeholders revealed a lack of knowledge, skills or prioritisation of palliative care by prison staff who don’t frequently care for people with palliative care needs. In parallel, we have discovered a lack of understanding of the prison environment among palliative care specialists, including hospices, working outside of secure settings.

To combat these challenges, in October 2022, we set up a pilot ECHO network where professionals who support people dying in prison can compare their experiences and share best practice, develop their knowledge and skills and make multi-disciplinary connections and build peer support networks.

Through the ECHO network, we have worked closely with HM Prison and Probation Service, NHS England, the UK Health Security Agency and specialist palliative care professionals working out of HMP Littlehey. The network is now regularly attended by around 40 professionals, with a wider membership of 200. This is a significant step forward in what was a little understood area.

To increase the number of hospices supporting people in prison we also had a focused session on end of life care in prisons at our national conference this year and launched a £75,000 grant programme. This supports projects that aim to improve nationally co-ordinated bereavement support in prisons and dispel myths and misconceptions about the needs of imprisoned people, and the services available to them.

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Annual report and financial statements – 31 March 2023

The surge in deaths at home and a shift of care into the community

The vast increase in deaths at home across the UK following the pandemic continued throughout the year, with nearly 4,000 people dying at home each week. Having helped put the issue on the political and news agenda last year, we continued our work to ensure people’s experiences were heard and some of the many questions around deaths at home could be answered.

Both the All Party Parliamentary Group and Cross Party Group Inquiries into the lasting impact of COVID-19 shone a light on the issue, providing an important platform for people to share their challenges with referrals, pain relief and out of hours care. The findings were a key strand behind our work informing the UK COVID-19 Inquiry, and also formed the basis of some of our activity through the Dying Matters campaign, as outlined on page 15.

The study with the Nuffield Trust built on the previously lacking evidence base in this area, identifying a clear shift in hospice provision into the community now being sustained well beyond the pandemic.

We continue our close partnership Nuffield on a project funded by NHS England to look at health services used by those dying at home, supporting them to ensure strong patient and public involvement. We provided similar support to the King’s Fund for a project funded by the Department of Health and Social Care to support health and care commissioners on this topic.

How best to respond to the shift in place of death also formed the main topic of a roundtable of key stakeholders from across the voluntary, health and policy sectors – helping to share evidence, concerns and examples of good practice. Much of this learning, and our understanding from nearly two years of looking at the issue, formed the basis of a talk given to the audience of Death Festival in Brighton.

Transitioning from children to adult services

Moving from children into adult services is a complex and sometimes stressful process for those receiving palliative care and hospice services. Our project aiming to improve this experience, which initially began in 2019 and was delayed by the pandemic, has now completed.

Despite the disruption, we published a suite of Hospice UK resources to support those caring for young people through transition, along with a report summarising the learnings from the programme. The programme has reinforced the importance of listening to the expert voice of people with lived experience as foundational for any attempt to improve care. We are pleased to listen to – and really hear – what young people are saying and are grateful to them for sharing their experiences.

Through the project we also contributed to other national resources including Together for Short Lives’ ‘Stepping Up Guide’. The Transitions coordinator network continues as a space for professionals to share and learn from each other to continue to improve care.

Listening to the voices of people affected by death, dying and bereavement

Hospice UK aims to listen and respond to the voices of those that have been impacted by death, dying and bereavement, and seeks to understand how this can shape our work.

Along with ensuring our various research, reports, communications and campaigns projects are driven by lived experience, we work to support the wider hospice sector do the same. Our national conference featured a session titled Listening to communities not usually heard , which was well

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Annual report and financial statements – 31 March 2023

received. Hospice UK also spoke during NHSE Experiences of Care week, highlighting the ‘ I just want to be me’ – Trans and gender diverse communities access to and experiences of palliative and end of life care report and the perspectives of trans and gender diverse people within it.

We have focused on how to improve the way we engage with the public, particularly those sharing their experiences with us. A training needs assessment was carried out, to establish how confident staff feel and the areas where we need further training. The results of this assessment are being used to plan ongoing work in the coming year, and to develop resources to support public engagement.

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Hospice UK Annual report and financial statements – 31 March 2023

Strategic priority 3: work with communities to build capacity and resilience to care for those at the end of life

Driving public conversations about dying and grief

The Dying Matters campaign has continued to grow, with equality and inclusion at the heart of its approach. This year we have explored creative and community responses to death and grief, through a partnership with world-renowned photographer, Rankin, and the launch of a community grants programme for creative and arts organisations.

Building on the theme of excess deaths at home, May’s Dying Matters Awareness Week presented an opportunity to galvanise our audience and – for the first time – campaign publicly with them. Over 1,000 members of the public from across the UK wrote to their MP asking them to attend our parliamentary briefing, hosted by Sally-Ann Hart MP, on at-home support for people at the end of life. 19 parliamentarians attended the session.

People’s lived experiences are central to the campaign. Maureen, whose parents died at home without adequate support from health and care services, generously gave her time and energy, attending the briefing with MPs personally. A film featuring Maureen was viewed over 43,000 times, and we saw a significant growth in Dying Matters supporters following this work.

Alongside our increased political campaigning, we supported community groups to hold their own events during the week, with around 240 (2022: 160) registered events, and involvement from 11 of our corporate partners. And to support these conversations, there were more than 11,400 (2022: 15,000) downloads of our resources.

Launched to coincide with November’s #IRemember campaign, we collaborated with world-famous photographer, Rankin, to produce a series of portraits reflecting on love, grief and memory. The resulting exhibition, displayed both digitally and physically in London (with the support of PwC) and Brighton, created a powerful display of images which was also featured in an exclusive with The Guardian newspaper.

As well as launching an online exhibition, #IRemember saw over 100 people share memories of their loved ones on social media and open about grief in their lives. We also saw 13 MPs join the conversation.

This year we also partnered with cultural influencer Jude Kelly’s inaugural Death Festival in Brighton, to programme a weekend of talks, workshops and performances exploring diverse and divergent viewpoints on death.

Following a pilot last year, we were pleased to finish the first round of the Dying Matters Community Grants Programme, funded by Dignity. The programme provided funding for community groups to hold creatively driven projects that spark conversation about death and grief. From Bradford-based community group WomenZone delivering poetry workshops to bereaved Muslim women, to BRiGHTBLACK’s the creation of a videogame world where young people could have conversations about death, the programme is led by the principle of ‘meeting people where they are’, and working with communities who are least likely to have access to existing models of support. We hope to extend the grants programme in future years.

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Annual report and financial statements – 31 March 2023

Providing information and support for the public

Every year, thousands of people turn to us for help in navigating end of life care and finding bereavement support for themselves, family members, friends and colleagues. Hospice UK is uniquely placed to offer advice, support and signposting.

As a source of reliable, high quality information about hospice and end of life care, our detailed, national knowledge of hospice support helps families experiencing dying and bereavement, and professionals working in this space. This year we have responded to more than 800 (2022: 800) enquiries on topics such as care options, support in coping with a caring role and advice on how to begin discussions with loved ones about what matters to them at the end of life.

Thousands more turn to our comprehensive online end of life care information hub. Along with advice on planning ahead and what to expect when people are in their last days and moments of life, this resource is complemented by our hugely popular hospice care finder – offering a quick and effortless way to find local hospice support, which was accessed more than 30,000 people this year. We have continued this year to refine and strengthen these online resources.

Working in partnership with companies

We are proud to receive unwavering support from our corporate partners, both existing and new. Through their generous donations and advocacy, we can raise awareness about death, dying and grief, and continue our vital work.

In 2022, we celebrated the 26[th] year of our partnership with the National Garden Scheme, who donated an additional £450,000 (2022 £500,000) to Hospice UK. Since 1996, they have remained our largest and longest standing supporter, having donated over £6.5 million in total. Together, we are collaborating on a project to provide sunflower seeds to all our hospice members to help spread the message about the wellbeing benefits of gardens and gardening. In Autumn 2022 we helped harvest the spectacular sunflower field at West Horsley Place, who have kindly donated the seeds and these were sent to hospices in spring 2023. We look forward to seeing them grow!

In the second year of our partnership with the PwC Foundation, they donated more than £177,000 (£140,000) to Hospice UK. PwC employees took on various challenges and got creative to raise funds, including Amal Larhlid, a newly qualified pilot, who flew a carefully planned and skilfully executed route to create a portrait of HM Queen Elizabeth II with her flight tracker, raising over £5,000 for Hospice UK. Amal’s incredible efforts generated significant publicity for Hospice UK and end of life care more widely. PwC employees have also made a huge contribution to our work through volunteering, including mentoring and supporting us at events.

The Co-operative Bank have supported Hospice UK since 2003, and we are delighted to be exploring innovative ways to collaborate and strengthen our valued and long-standing partnership. Through their Everyday Rewards account donations, we received £25,165 (2022 £55,000) this year, and the total amount donated through this initiative has now surpassed £275,000 since 2016. We were honoured to attend their 150[th] Anniversary celebration, during which they generously donated an additional £20,000 to Hospice UK from funds raised that evening.

Dignity remains one of the strongest advocates and supporters of our Dying Matters campaign, helping us to change conversations about death and dying. In the past year, they donated a total of £80,000, funding several significant projects, including our Dying Matters Community Grants initiative. This initiative provided funds to community groups, enabling them to encourage conversations and support about death and grief among marginalised groups.

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Hospice UK Annual report and financial statements – 31 March 2023

Thanks to Dignity's funding, we were also able to create the #IRemember exhibition in collaboration with Rankin, featuring a collection of real-life portraits that capture the emotions of loss and grief. This exhibition highlighted stories from those who are most likely to miss having their stories heard, including LGBTQ+ communities and people of colour. Overall, Dignity supported Hospice UK with a donation of £130,000 towards our work.

Tyl by NatWest support many organisations through their Giveback Community Fund, and we are grateful to have received almost £40,000 from them through this initiative last year.

Together with New Look, we relaunched the 'Donate, Feel Great' program, which encourages people to donate their unwanted items to hospice shops across the UK, supporting hospices during a time when shop donations were in need to raise much needed funds. We linked more than 240 hospice shops with their local New Look stores, and as part of this initiative, New Look donated £15,000 to Hospice UK.

A special thanks to Ruder Finn, who supported Hospice UK throughout the year with invaluable pro bono support. Ruder Finn have helped us to improve our il communications on several projects. They also demonstrated their commitment to our cause by participating in our first Dragon Boat Race.

Supporting workplaces through Compassionate Employers

Compassionate Employers is a workplace wellbeing programme delivered by Hospice UK, helping organisations support employees through grief, dying and caring. We offer organisations the opportunity to benchmark themselves against the market and evaluate their employee support offer, including their policies, employee networks and line manager support.

Compassionate Employers continues to grow, almost doubling its membership in 2022-2023. As well as welcoming new members such as Aviva, Phoenix Group and Vanquis Bank, every existing member renewed their membership for another year, demonstrating the value of being part of our programme. St Michael’s in St-Leonard’s-on-Sea also became the first hospice to become a Compassionate Employer, after we developed membership packages for organisations outside the private sector.

In partnership with PwC, we also created our first e-learning tool, designed to give our members’ employees the skills and confidence to have compassionate conversations with bereaved colleagues at work. The tool provides an innovative training solution for time-poor, and geographically diverse organisations in the post-pandemic hybrid environment. The tool, developed in collaboration with the PwC Learning Lab team, was shortlisted for the Best Digital Innovation Award at the Business Charity Awards 2023.

Our supporters

Alongside the companies that support us and engage with our work, thousands of members of the public get behind with Hospice UK’s mission, raising funds and in so doing, building their understanding of end of life care, death and dying. We delivered our usual events portfolio whilst also testing new ways to engage the public. Seven courageous teams took part in our inaugural Dragon Boat Race at Surrey Quays in London in June which was a roaring success. We also organised our first Christmas Fair which saw crowds of people join us at the Chelsea Town Hall with a variety of stallholders selling their beautiful wares to our visitors over a glass of bubbles. Whilst the London Marathon continues to recalibrate post pandemic, we had a remarkably successful year with 132 incredible people running for Hospice UK in October which helped us raise an incredible £440,000 (2022 £475,000)

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Strategic priority 4: empower a strong, dynamic and responsive hospice sector

Our Future vision programme: re-imagining a more sustainable future

The Future Vision programme aims to harnesses expertise and knowledge to build the capability and capacity of local care providers across the four nations to achieve long term sustainability within their healthcare system.

Following the identification of nine key principles of sustainability during the project’s first phase in 2020, phase two, launched at the end of 2021, brings together partners to share insight, intelligence, learning and experiences from across local, regional and national systems.

As part of the programme, in September 2022 we launched the Innovation Hub. This is a central online portal offering practical support, examples of best practice and opportunities (such as webinars, events and online discussion forums) for hospice and end of life care professionals to engage with their peers. It aims to help build the capability, capacity and confidence of hospices to explore potential solutions and initiatives to enact the change needed for their community.

A key aspect of the Innovation hub is the Examples of Innovation directory highlighting the innovative work of hospices across the UK through the sharing of experience, learning, tips and advice for anyone wishing to replicate the initiatives. One example, the ‘Local Influencing Toolkit’ aims to explain how to go about influencing locally – from deciding what to say and who needs to hear it, to making sure there is the right evidence and data in place to support the case being made.

The Innovation ECHO is one of Hospice UK’s largest ECHO networks, providing members with the opportunity to discuss examples of how the Nine Principles of Sustainability are being implemented across the UK, and to discuss and learn from peers. In the last year, sessions have been held on a range of topics including commercial income generation, influencing and negotiation, collaboration and using data to drive decision making.

From September 2022 to March 2023 we piloted online discussion groups using the Discord forum. These aim to connect hospice professionals, continuing discussions that started in a network meeting such as the Innovation ECHO, asking each other for advice. As the pilot ends, we will be evaluating the groups and deciding how best to continue facilitating online discussions between professionals spread across the UK.

As well as online facilitation, the Future Vision principles shape the content of our annual national conference and wider programme of conferences, webinars and networks. More than 600 (2022: 600) delegates from across hospice and end of life care attended our flagship national conference held in Glasgow in November 2022. Post-pandemic, the event represents a vital opportunity for inperson networking and sharing, made possible by our corporate partners and exhibitors, including our Gold sponsors Dreamscape, Towergate, Legacy of Lives and JDDK Architects. We saw a record attendance, supplemented by colleagues joining online too.

Our virtual Trustees Conference, sponsored by Barclays, took place in September 2022, with more than 280 participants, while our regular trustee network meetings are regularly attended by more 100 delegates from senior positions and boards, to share strategic challenges and opportunities facing the sector. In June 2022, we hosted our first ever in-person event focused on Fundraising Leaders, with Dreamscape as our headline sponsor.

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Mapping and supporting the workforce

Workforce issues remain a key focus for Hospice UK and the wider hospice sector, and we are developing plans for further research, policy development and influencing in this area over the next year.

Following Hospice UK’s ‘snapshot’ workforce survey conducted in 2021, the recruitment and retention of staff across the sector remains a challenge. The findings of the survey have informed the development of the work of the National Qualification in Speciality Stakeholder Group in England, which has been working nationally to develop a palliative and end of life care career pathway to futureproof our workforce. These critical issues are also discussed via our Education Network and Clinical Leaders Network, so that we have ‘real time’ feedback and mapping of workforce pressures and challenges.

In addition, the pandemic, along with the ongoing issues faced in the sector have demonstrated the critical importance of staff wellbeing and resilience. Our resilience based clinical supervision programme, run in partnership with the Foundation of Nursing Studies, develops ‘champions’ and facilitators across the sector over an 18-month period. This group goes on to work with others in their organisation to develop and cascade the resilience-based clinical supervision model, and to embed a compassionate culture in the workplace.

We are currently working with 33 hospices, with an additional seven joining us as part of the cascade phase of the programme. Members are supported with regular meetings using ECHO methodology, allowing for peer-to-peer learning and practice. Informal ‘drop in’ support is also available, along with online resources that we have developed. Our aim is for colleagues across the sector to feel supported to prioritise their wellbeing at work.

Improving care through our grant programmes

Our grants programme grew significantly in scale this year, with several major projects designed to both improve the quality of hospice care, and to increase access for marginalised groups. This year we awarded 336 (2022: 239) grants worth £1.6 million (2022: £352,000)

With generous support from the Masonic Charitable Foundation (MCF), we have awarded 12 project grants to hospices within England and Wales totalling £300,000. MCF also funded a new programme of Bursaries aimed at supporting the education and training of hospice staff. This programme began halfway through 2022 and continues to be rolled out at the time of writing.

We were able to develop a new grant programme this year with substantial support from the Kirby Laing Foundation. A total of £480,757 was allocated to 11 projects to support hospice enabled frailty care across the UK – models that will demonstrate and share effective ways of caring for, and working with, older people with frailty. This grant programme is part of a wider extending frailty care project (see page 11) and will be externally evaluated.

St. James’s Place Charitable Foundation continues to support hospices through a generously funded programme which this year was focused on rural and remote Communities in the UK. A total of 14 grants were awarded allocating £500,000.

We are grateful for the Wolfson Foundation’s fantastic support for hospice staff with professional development grants awarded by Hospice UK. This year 183 (2022: 229) staff were awarded a Wolfson grant, with a total value of more than £130,000 (2022: £208,000).

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Rank Foundation again supported hospices with a programme of capital grants, this year focussing on improving the hospice environment at seven sites. The programme was worth almost £100,000.

We began a new relationship with the Linder Foundation in 2022. The Foundation generously supported six hospices with a grant to develop end of life care in prisons. A total of £75,000 was allocated (see further details on page 12).

Celebrating Hospice Care Week 2022

This year Hospice Care Week set out to create a nationally co-ordinated moment to celebrate the brilliant work that hospices do with their local communities. The theme was ‘Promoting equality across hospice care’ which looked at addressing the inequality that persists in who receives hospice and end of life care.

Our Hospice Care Week pack was downloaded 565 times by hospice colleagues, and the week saw 45 pieces of news coverage across print, online and broadcast media.

Financial review

Overall Financial Performance

Our net movement on funds, before investment gains, was a surplus of £0.8M (2021/22: surplus £4M).

The key indicator by which the trustees measure our financial performance is the surplus or deficit on unrestricted general funds, before any investment gains / losses. We recorded a surplus on unrestricted general funds of £1.2M (2021/22: £3.6M) before investments gains. The trustees were satisfied with the financial performance.

Our total income for 2022/23 was £8.6M compared to £109M in the previous year. The reduction compared to the prior year was due to a reduction in the level of emergency COVID-19 support provided by NHSE.

Total expenditure fell from £105M in the previous year to £7.8M for similar reasons. We spent over 80% of our expenditure on charitable activities.

Our trading subsidiary Help the Hospices Trading made a profit of £178k (2022-23: £63k), which was donated to the charity under Deed of Covenant. As well as advertising income, the trading subsidiary runs education and training events, and carries out some fundraising activities, all under the control of and for the benefit of the charity. The improved financial performance was primarily due to a very successful annual conference.

Investment policy and performance Our investment performance and holdings are regularly reviewed by the Finance Committee against a benchmark of similar investments. Our investments are held in line with our investment policy, which lays out guidelines for risk and asset mix, as well as ensuring there are appropriate ethical policies in place.

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Hospice UK Annual report and financial statements – 31 March 2023

In the financial year under review, our investments decreased in value by £220,000 (2021/22: £99,000 increase). The trustees will be carrying out a detailed review of our investment strategy in the new financial year (this is in line with best practice guidance to take regular external advice and not as a specific result of the performance in the year, which was caused by general market conditions)

Principal Funding Sources and Fundraising Strategy

Most of the the charity’s income comes from fundraising income (excluding one off emergency Covid-19 income that was received from NHSE during the last year). More than half of this income is non-recurring, and therefore significant new fundraising income needs to be generated each year. The biggest sources of fundraising income are income from corporate partnerships and charitable trusts. Legacies, payroll giving and fundraising events are also important sources. Our fundraising strategy focussed on maximising donations from existing income sources, while developing new income streams. To that end, we hope to grow our donations from corporate partners, commercial sponsors, major donors and individuals in future years.

Reserves policy

The trustees have reviewed the reliability of income streams, our commitment to future expenditure and the risks we face as a charity. We are dependent on some volatile forms of fundraising income and much of our income is only committed for one year. However, we do have some forms of more reliable income, and our income streams are becoming more diverse as we seek to reduce our risk.

Based on an analysis of our commitments, and the risks associated with various income streams, the trustees have determined that we should aim to hold free reserves (defined as unrestricted general funds) of at least £4.3M This is to ensure that we can meet our commitments to member hospices, our staff and other stakeholders, should our annual income not meet our expectations. Should our free reserves significantly exceed the levels set out in this policy, we will review our activities appropriately, and authorise additional expenditure on specific projects.

At 31 March 2023, the charity had total funds of £12.2M (2022 £11.6M). Of these, £4.6M (2022 £3.6M) represent free reserves and therefore we are holding funds in line with our reserves policy.

Grant making policy

Hospice UK aims to make a real, practical difference in everything we do. Our grant programmes demonstrate this commitment with a range of grants to hospices, including supporting their staff.

Our grant programmes are funded by the generous donations received from external sources, including trusts and foundations. We are grateful for their support. The criteria for each programme are agreed by the Hospice UK Governance Committee and each respective funder, considering any restrictions that funders wish to be included.

Applications for funding for individuals, e.g. through the Professional Development Grants programme, are considered and approved by the Head of Grants.

Applications for funding from major grant programmes are considered by the Major Grants Committee, which makes recommendations for approval as follows:

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Hospice UK Annual report and financial statements – 31 March 2023

Risk assessment

The Trustees, together with the Senior Leadership Team, regularly identify and monitor risks to which Hospice UK is exposed and ensure that appropriate systems and controls are in place to manage significant risks.

During the year, the trustees and senior management devoted several meetings (at full Board, Governance Committee and senior leadership team) to carrying out a full review of the risks facing the charity and the mitigations that are in place to address them.

This led to the development of a new risk register, which was subsequently approved by the Board in July 2023, and will be reviewed by the Board biannually going forward.

The revised risk register has identified key risks in seven categories:

Membership engagement – mitigated by regular communication and feedback mechanisms, including through our Advisory Council, consultations and surveys.

The impact of our programmes – mitigated strategic leadership to ensure the sector is fit for the future, sharing best practice and regular evaluation of our impact.

Our brand and reputation – mitigated by proactive comms work.

Workforce – mitigated by regular feedback mechanisms, including new pulse surveys, staff forum and monitoring by the People Committee.

Financial – mitigated by regular monitoring by the finance committee, management accounts and dual authorisation / separation of responsibility.

IT & Data – mitigated by an IT transformation programme which is overseen by a programme board.

Governance – mitigated by overview from the Governance Committee, and an internal review of our governance arrangements in the year.

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Hospice UK Annual report and financial statements – 31 March 2023

Compliance with Fundraising Standards

Staff employed by Hospice UK carry out most of our fundraising activities. For some activities, we work with other organisations or individuals to assist with our fundraising. For example, we work with payroll giving agencies to sign up supporters to our payroll giving schemes and specialist organisations to organise charity challenge events. All arrangements are governed by written agreements that cover the responsibilities of both parties and ensure that anyone working on our behalf adheres to our strict ethical standards, and we take all recent steps to protect vulnerable people.

Hospice UK is registered with the Fundraising Regulator and complies with the Code of Fundraising Practice and the Fundraising Promise. No instances of non-compliance with any relevant regulations or guidelines have been identified, and nor have we received any complaints about our fundraising activities.

Much of our income is generated from companies or trusts. When seeking to raise money from the public, we only send marketing material to those who have previously said they are happy to be contacted by us (and individuals are free to change their minds at any time). We take great care to ensure that our level of communication with our supporters is proportional and appropriate. In the past year we have not engaged in telephone marketing or in raising money from door to door or street collections

Plans for Future Periods

We have identified five key priorities for 2022-23 as part our bridging strategy:

During the year, we will consult on a new long term strategy to be in place by early 2024.

This concludes the strategic report.

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Hospice UK Annual report and financial statements – 31 March 2023

Structure, governance and management

Objectives

The objectives of the charity are:

Governance documents and constitution

Hospice UK is a charitable company limited by guarantee constituted on 29 September 1992 and governed by articles and memorandum of association. The trustees are also directors of the charity for the purposes of the Companies Act. No specific restrictions are imposed by the governing documents.

The charity has a wholly owned trading subsidiary, Help the Hospices (Trading) Ltd, (company number 2000660), which is used as a vehicle for fundraising.

The Board of Trustees

The charity has a membership for organisations whose primary purpose is to provide and / or support hospice care. Each member can nominate individuals to stand for election as trustees of the charity. Nominations are based on the skills, experience and competencies needed to ensure a representative balance of professional expertise on the Board of Trustees and voted on by all members.

Hospice UK trustees are detailed on page 26. Two thirds of trustees are elected for a four-year term and can then be re-elected for a further four years. Trustees can co-opt any duly qualified person to serve as a trustee, providing the number of co-opted trustees does not exceed one-third of the total number of trustees. The full Board met eight times during the year.

New trustees receive a wide-ranging induction information pack and complete conflict of interest and eligibility statements on joining the charity. Trustees are welcomed with at least one familiarisation day visit to Hospice House, to meet with staff and other trustees. Further induction information is supplied as new trustees join Board committees and become involved in the charity’s activities.

Several trustees serve on Board committees or advisory panels, and the Chair of the Board is an exofficio member of each. The Board monitors and controls the programme of the charity through at least four Board meetings each year and through a number of Board committees.

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� Governance Committee

Responsibilities are to oversee the governance of the organisation including Board composition, associated trustee appointments, election processes, and reviewing Board performance and succession planning. The committee is responsible for overseeing all grant programmes including setting the eligibility criteria for each grant programme, the basis for making awards, and ensuring compliance with these criteria. The committee met two times during the year.

Sets the broad framework for remuneration packages of the leadership team, oversees the HR strategy of the organisation and approves key HR policies. The committee is also responsible for making sure our remunerations policy is appropriate and ensures that we have a consistent, objective and clear process across the charity for how we set individual salaries. The aim is to ensure that the salaries are realistic, sustainable but competitive against the external market and correctly aligned when the role is broken down and evaluated against others in the charity; to help ensure this a service provided by Croner Consulting, which compares salaries with comparative roles in the charity sector, is used. The People Committee approve the Senior Management Team salaries, and salaries of other staff proposed by the Chief Executive Officer. The committee met two times during the year.

� Finance Committee

Responsibilities include advising and monitoring budgets, financial controls and financial reporting, overseeing audit matters and ensuring adequate risk management and compliance. The committee met three times in the year, and the key activity during the year was the setting of the charity’s budget and regular monitoring of performance against it.

Day-to-day management of the charity is delegated to the Chief Executive Officer and then across the organisation through a regularly reviewed schedule of delegation.

Membership

The membership structure of Hospice UK came into being in April 2007. On 31st March 2023, there were 208 members (31 March 2022: 210)

Members of Hospice UK engage to shape our future programmes and priorities by:

In the event of winding-up, each member is liable to pay a maximum of £1.

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The Advisory Council and the Forum of Chairs

The Advisory Council plays a key role in Hospice UK and is the forum through which members formally communicate with Hospice UK. Member hospices, via elected representatives, advise our Board and Senior Leadership Team on key issues and priorities relating to hospice philosophy, policy, practice and professional development. Hospice UK communicates the work of the charity back to the members and seeks views.

The Forum of Hospice Chairs, formerly the Forum of Chairmen of Independent Hospices, is a national network that promotes the role of hospice chairs and trustees and feeds back to Hospice UK issues relating to the governance of hospices in order to help shape our governance support programmes.

The Chairs of the Advisory Council (Tony Collins) and the Forum of Chairs (Ros Keeton) each hold a place on the Board of Hospice UK.

Reference and administrative information

Trustees

Paul Jennings[#] Chloe Chik[#,3]

Tony Collins[* 2]

Emma Reynolds[#,] Kate Tompkins[*,1]

Stephen Roberts[*1]

Dr Mike Miller*[1,2]

Michelle Rollinson*[2,3]

David Smith[3] Rhian Edwards Terry O’Leary Sharon Allen*[1,2 ] Ros Keeton

Chair Appointed November 2020 Appointed September 2021 Deputy Chair Reappointed May 2023 Reappointed July 2020 Appointed in February 2017 Retired 5 July 2022 Appointed July 2017 Reappointed Sept 2021 Appointed May 2018 Reappointed May 2022 Appointed May 2019 Reappointed May 2023 Appointed November 2019 Appointed June 2022 Appointed July 2022 Retired January 2023 Appointed Sept 2021 Appointed March 2023

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Annual report and financial statements – 31 March 2023

Membership of Board committees as of 31 March 2023

Founder

Anne, Duchess of Norfolk CBE

Vice-Presidents

Baroness Finlay of Llandaff Martyn Lewis CBE Prof. David Clark Lord Howard of Lympne Robert Peston

Senior Leadership Team (as at date of approval)

Toby Porter Chief Executive Craig Duncan Chief Operating Officer Jonathan Ellis Director of Policy, Advocacy and Clinical Programmes Catherine Bosworth Director of Income Generation and Grants Rowena Lovell Director of Member Engagement and Support Sarah West Director of Campaigns and Communications Steve Thorlby-Coy Director of IT and Digital Services Paul Schofield Director of People and Culture

Registered office

34-44 Britannia Street London WC1X 9JG

Charity and company registration

Registered charity in England and Wales: 1014851 Registered charity in Scotland: SC041112 Company limited by guarantee: 2751549

Solicitor

Auditors

Bates, Wells and Braithwaite 2-6 Cannon Street London EC4M 6YH

Price Bailey LLP 1 Dane Street Bishop’s Stortford Hertfordshire, CM23 3BT

Bank

Coutts and Co. 440 Strand London WC2 0QS

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Hospice UK Annual report and financial statements – 31 March 2023

Statement of trustees’ responsibilities

The trustees (who are also directors of Hospice UK for the purposes of company law) are responsible for preparing the report of the trustees and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

Company law requires the directors to prepare financial statements for each financial year. Under that law the directors have elected to prepare the financial statements in accordance with United Kingdom Generally Accepted Accounting Practice (United Kingdom Accounting Standards and applicable law). Under company law the directors must not approve the financial statements unless they are satisfied that they give a true and fair view of the situation 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 period. In preparing these financial statements, the directors are required to:

The trustees are responsible for ensuring proper accounting records are kept that disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006, the Charities and Trustee Investment (Scotland) Act 2005 and the Charities Accounts (Scotland) Regulations 2006 (as amended). They are also responsible for safeguarding the assets of the charitable company and the group and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

As far as trustees are aware:

The trustees are responsible for ensuring 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.

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Auditors

Price Bailey LLP have expressed their willingness to continue as the charitable company’s auditors, and a resolution to this effect will be proposed at the AGM.

Approved by the Trustees on 14 September 2023 and signed on their behalf by

Paul Jennings

Chair of Trustees

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Hospice UK Annual report and financial statements – 31 March 2023

Independent Auditor’s Report to the Trustees and Members of Hospice UK

Opinion

We have audited the financial statements of Hospice UK (the ‘parent charitable company’) and its subsidiaries (the 'group') for the year ended 31 March 2023 which comprise of the Group Statement of Financial Activities, the Group and Parent Charitable Company Balance Sheet, the Group Cash Flow Statement and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 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:

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 responsibilities for the audit of the 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 the group and parent charitable company’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.

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Hospice UK Annual report and financial statements – 31 March 2023

Other information

The other information comprises the information included in the trustee's annual report, other than the 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 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 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 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.

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:

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the group and parent charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the strategic report and the directors’ report.

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 and the Charities and Trustees Investment (Scotland) Act 2005 and Charities Accounts (Scotland) Regulations 2006 requires us to report to you if, in our opinion:

Responsibilities of trustees

As explained more fully in the trustees’ responsibilities statement, 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 and 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

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Hospice UK Annual report and financial statements – 31 March 2023

intend to liquidate the group or parent charitable company or to cease operations, or have no realistic alternative but to do so.

Auditor responsibilities for the audit of the financial statements

We have been appointed auditor under section 44(1)(c) of the Charities and Trustee Investment (Scotland) Act 2005 and under the Companies Act 2006 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.

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 is detailed below:

We gained an understanding of the legal and regulatory framework applicable to the Charitable Group and the sector in which it operates and considered the risk of the Charitable Group not complying with the applicable laws and regulations including fraud in particular those that could have a material impact on the financial statements. This included those regulations related to the financial statements, including financial reporting, and tax legislation. In relation to the operations of the Charitable Group this included compliance with the Charities Act 2011 and Companies Act 2006.

The risks were discussed with the audit team, and we remained alert to any indications of non compliance throughout the audit. We carried out specific procedures to address the risks identified. These included the following:

Reviewing minutes of Board meetings, reviewing any correspondence with the Charity Commission, agreeing the financial statement disclosures to underlying supporting documentation, and enquiries of management and officers of the Charitable Group. We have also reviewed the procedures in place for the reporting of any incidents to the Trustee Board including serious incident reporting of these matters as necessary with the Charity Commission.

Management override: To address the risk of management override of controls, we carried out testing of journal entries and other adjustments for appropriateness. We also assessed management bias in relation to the accounting policies adopted and in determining significant accounting estimates, including treatment of legacies and grant income, and the valuation of investments.

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.

32

Hospice UK

Annual report and financial statements – 31 March 2023

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 to the charitable company’s trustees, as a body, in accordance with Regulation 10 of the Charities Accounts (Scotland) Regulations 2006. Our audit work has been undertaken so that we might state to the charitable company’s members and its trustees 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 and the charitable company’s trustees as a body, for our audit work, for this report, or for the opinions we have formed.

Helena Wilkinson BSc FCA DChA (Senior Statutory Auditor)

For and on behalf of

Price Bailey LLP

Chartered Accountants

Statutory Auditors

3rd Floor,

24 Old Bond St,

Mayfair,

London

W1S 4AP

Date: 14 September 2023

33

Hospice UK

Annual report and financial statements – 31 March 2023

Consolidated statement of financial activities

(Incorporating an income and expenditure account) For the year ended 31 March 2023

Note
Income
Donations and legacies:
2
Funds raised for Hospice UK
Government grants to support COVID response
Funds raised for independent hospices
Income from other trading activities
The Coronavirus Job Retention Scheme Income
Investment income
Income from charitable activities:
Supporting those providing end of life care
Total income
Expenditure
Expenditure on charitable activities:
3
Extend our Reach
Tackle Inequality
Work with Communities
Empower a Strong Hospice Sector
COVID-19 response in England
Costs of raising funds
3
Total expenditure
Realised gains on investments
Unrealised (losses)/gains
10
Net income/(expenditure) for the year
5
Transfer between funds
15
Net movement in funds
Reconciliation of funds
Total funds brought forward
1
Total funds carried forward
15
Net income/(expenditure) before
gains/(losses) on investments		 Unrestricted Funds Unrestricted Funds Restricted
Funds
£'000

2,504

96

135

-

-

-

9		 2023
2022
Total
Total
£'000
£'000
7,276
8,799
96
98,859
135
153

86
288

-
43

145
56
840
933
General
£'000
4,772
-
-
86
-
145
831		 Designated
£'000
-

-

-
-

-
-
-
5,834
639
621
739
1,072
222
1,378		 -
36
36
36
126
36
94
2,744
1,061
112
487
876
211
-		 8,578
109,132
1,736
1,105
769
697
1,262
929
2,074
1,490
469
99,277

1,472
1,646
4,671 364 2,747 7,782
105,145
1,163
-
(220)		 (364)

-
-		 (3)

-

-		 796
3,987

-
(20)

(220)
99
943
-		 (364)

-		 (3)

-		 576
4,066

-
-
943 (364) (3) 576
4,066
3,618 6,489 1,523 11,630
7,564
4,561 6,125 1,520 12,206
11,630

34

Hospice UK

Annual report and financial statements – 31 March 2023

Statement of financial activities - The charity (Incorporating an income and expenditure account) For the year ended 31 March 2023

Note
Income
Donations and legacies:
2
Funds raised for Hospice UK
Government grants to support COVID response
Funds raised for independent hospices
Income from other trading activities
The Coronavirus Job Retention Scheme Income
Investment income
Income from charitable activities:
Supporting those providing end of life care
Total income
Expenditure
Expenditure on charitable activities:
3
Extend our Reach
Tackle Inequality
Work with Communities
Empower a Strong Hospice Sector
COVID-19 response in England
Costs of raising funds
3
Total expenditure
Realised gains on investments
Unrealised (losses)/gains
10
Net income/(expenditure) for the year
5
Transfer between funds
15
Net movement in funds
Reconciliation of funds
Total funds brought forward
1
Total funds carried forward
15
Net income/(expenditure) before
gains/(losses) on investments		 Unrestricted Funds Unrestricted Funds Restricted
Funds
£'000

2,504

96

135

-

-

-

9		 2023
2022
Total
Total
£'000
£'000
7,276
8,694
96
98,859
135
153

-
-

-
43

145
56
277
448
General
£'000
4,772
-
-
-
-
145
268		 Designated
£'000
-

-

-

-

-
-
-
5,185
639
621
739
423
222
1,378		 -
36
36
36
126
36
94
2,744
1,061
112
487
876
211
-		 7,929
108,254
1,736
879
769
697
1,262
929
1,425
717
469
99,277

1,472
1,646
4,022 364 2,747 7,133
104,146
1,163
-
(220)		 (364)

-
-		 (3)

-

-		 796
4,108

-
(20)

(220)
99
943
-		 (364)

-		 (3)

-		 576
4,187

-
-
943 (364) (3) 576
4,187
3,600 6,489 1,523 11,612
7,425
4,543 6,125 1,520 12,188
11,612

35

Hospice UK

Annual report and financial statements – 31 March 2023

Balance sheet

As at 31 March 2023

Note
Fixed assets
Tangible fixed assets
9
Investments
10
Current assets
Debtors
13
Cash at bank and in hand
Creditors
14
Net current assets
Total net assets
12
Funds
15
Restricted funds
Unrestricted funds
General funds
Designated funds
Building Repairs Fund
Web & Digital
Fixed assets
2017-2022 Strategy
Digital/technology
Fundraising Innovation
Training and development
Future Vision
Transformation
Total funds
Amounts due within one year		 Thegroup The charity
2023
£'000
1,167
3,318		 2022
£'000
1,069
3,538		 2023
2022
£'000
£'000
1,167
1,069
3,318
3,538
4,485
4,607
892
58,265
10,112
34,687
11,004
92,952
3,301
85,946
7,703
7,005
12,188
11,612
1,520
1,523
4,543
3,600
490
500
55
169
1,105
1,070
3,250
3,250
525
700
250
250
100
100
200
200
150
250
12,188
11,612
4,485
918
10,305		 4,607
58,316
34,935
11,223
3,502		 93,251
86,228
7,721 7,023
12,206 11,630
1,520
4,561
490
55
1,105
3,250
525
250
100
200
150		 1,523
3,618
500
169
1,070
3,250
700
250
100
200
250
12,206 11,630

The notes on pages 38 to 59 form part of these financial statements.

Approved by the trustees 14 September 2023 and signed on their behalf by

Paul Jennings CHAIR OF TRUSTEES Company number 2751549

36

Hospice UK

Annual report and financial statements – 31 March 2023

Statement of cashflows For the year ended 31 March 2023

Net cash generated by operating activities
Capital expenditure & financial investment		 The group The group The charity
2023
£'000
(24,475)		 2022
£'000
28,835		 2023
2022
£'000
£'000
(24,420)
28,726
Payments to acquire tangible fixed assets (155) - (155)
-
Receipts on the disposal of investments (GSF) - 351 -
351
Payments to acquire investments - (264) -
(264)
Change in cash and cash equivalents in the reporting period
(24,630)
Reconciliation of net movement in funds to net cash flow from operating activities
2023
£'000
Net movement in funds for the year
576
Non-operating cashflows eliminated
Depreciation
57
Losses/(gains) on investments
220
Decrease/(increase) in debtors
57,398
(Decrease)/increase in creditors
(82,726)
Net cash generated by operating activities
(24,475)
Cash and cash equivalents at 01 April 2022
34,935
Cash and cash equivalents at 31 March 2023
10,305
Analysis of cash and cash equivalents
2023
£'000
Cash in hand at the beginning of the year
34,935
Increase in cash in hand
(24,630)
Cash in hand at the end of the year
10,305
Analysis of changes in net debt
Cash and cash equivalents 01 April 2022
34,935
Cash flows
(24,630)
Other non cash changes
Cash and Cash equivalents 31 March 2023
10,305
(24,630) 28,921 (24,574)
28,813
2023
2022
£'000
£'000
576
3,837
57
49
220
(99)
57,373
(17,178)
(82,645)
42,118
2022
£'000
4,066
49
(99)
(15,931)
40,751
(24,475) 28,835 (24,420)
28,726
34,687
5,874
10,112
34,687
2023
2022
£'000
£'000
34,687
5,874
(24,574)
28,813
34,935
10,305		 6,014
34,935
2023
£'000
34,935
(24,630)		 2022
£'000
6,014
28,921
10,305 34,935 10,112
34,687
34,687
5,874
(24,574)
28,813
34,935
(24,630)		 6,014
28,921
10,305 34,935 10,112
34,687

37

Hospice UK

Annual report and financial statements – 31 March 2023

Notes to the financial statements

1. Accounting policies

The principal accounting policies adopted, judgements and key sources of estimation uncertainty in the preparation of the Financial Statements are shown below.

a. 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) (effective 1 January 2019) - Charities SORP (FRS 102), and the Companies Act 2006.

The charity meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy.

The financial statements are presented in sterling which is the functional currency of the charity and rounded to the nearest £1000.

b. Legal status of the charity

Hopsice UK is a charitable company limited by guarantee incorporated in England, Wales and Scotland and has no share capital. In the event of the charity being wound up, the liability in respect of the guarantee is limited to £1 per member of the charity. The address of the registered office is 34-44 Britannia Street, London, WC1X 9JG. The principal activity of the charity is to support those providing end of life care.

c. Going concern

At the balance sheet date the Trustees consider that there are no material uncertainties about the charitable company’s ability to continue as a going concern. Future cash flows forecasts and budgets indicate that the charity can continue to operate upto 2025.

With regard to the following year, the most significant area of uncertainty is the level of donations which need to be raised each year. This is covered in more detail in the performance and risk sections of the trustees’ annual report. The trustees however believe the charitable company remains a going concern due to the ability of the organisation to settle liabilities as they fall due for a period of at least 12 months from the date of this report.

d. Group financial statements

These financial statements consolidate the results of the charitable company, Hospice UK and its wholly-owned subsidiariy, Help the Hospices (Trading) Limited.

38

Hospice UK

Annual report and financial statements – 31 March 2023

1. Accounting policies (continued)

e. Income

Income is included in the Statement of Financial Activities (SoFA) when:

Where income has related expenditure (as with fundraising or contract income) the income and related expenditure are reported gross in the SoFA.

During the period all income arose from within the UK.

Grants and donations

Donations, grants and gifts are recognised when receivable.

In the event that a donation is subject to conditions before the charity is entitled to the funds, the income is deferred and not recognised until it is probable that those conditions will be fulfilled in the reporting period.

Sponsorship from events and events registration fees are recognised when the event takes place.

Revenue grants are recognised when received or receivable whichever is earlier.

Where unconditional entitlement to grants receivable is dependent upon fulfilment of conditions within the charity's control, the income is recognised when there is sufficient evidence that conditions will be met. Where there is uncertainty as to whether the charity can meet such conditions the grant income is deferred.

Legacy income

Pecuniary legacies are recognised on notification. For residuary legacies, entitlement is taken on a case by case basis as the earlier of the date when the charity is aware that probate has been granted, and either:

Receipt of a legacy is only considered probable when the amount can be measured reliably.

Investment income

Investment income represents interest receivable from UK bank deposits and investments. This is included in the accounts when receivable.

Investment gains and losses includes any gain or loss resulting from change in market value at the end of the year and any gain or loss on the sale of investments.

39

Hospice UK

Annual report and financial statements – 31 March 2023

1. Accounting policies (continued)

f. Expenditure

Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required and the amount of the obligation can be measured reliably. All expenditure is accounted for on an accruals basis under the following headings:

Costs of raising funds

Costs of raising funds comprises fundraising costs incurred in seeking donations, grants and legacies; costs of fundraising activities including commercial trading; and their associated support costs. Fundraising costs do not include the costs of disseminating information in support of the charitable activities.

Expenditure on charitable activities

Expenditure on charitable activities is analysed by the charity's key charitable objectives as identified in the charity's current strategy.

Expenditure on charitable activities comprises the costs of activities undertaken to further the purposes of the charity and their associated support costs.

Support and governance costs

Support costs comprise those costs which are incurred directly in support of expenditure on the objectives of the charity and include governance cost, finance, and office costs.

Support costs include irrecoverable VAT.

Support costs are allocated to each of the activities on the basis of estimated average headcount deployed supporting each objective in the year.

g. Grants

Grants payable are recognised on approval of the grant by the Grants Committee and notification to its recipient.

h. Taxation

Hospice UK meets the definition of a charitable company for UK corporation tax purposes.

Accordingly, the company is potentially exempt from taxation in respect of income or capital gains received within categories covered by Chapter 3 Part 11 of the Corporation Tax Act 2010 or Section 256 of the Taxation of Chargeable Gains Act 1992, to the extent that such income or gains are applied exclusively for charitable purposes.

40

Hospice UK

Annual report and financial statements – 31 March 2023

1. Accounting policies (continued)

i. Pension

Hospice UK contributes towards defined contribution pension plans for employees. Pension costs are recognised when they fall due.

The costs of the defined contribution scheme are included with the associated staff costs and allocated to raising funds, charitable activities, support and governance costs and charged to the unrestricted funds of the charity.

The charity has no liability beyond making its contributions and paying across the deductions for employees' contributions.

j. Fixed Assets

All assets costing more than £1,500 are capitalised at their historical cost when purchased. Assets are reviewed for impairment if circumstances indicate their value in the accounts may exceed their net realisable value and value in use.

Depreciation is incurred at rates calculated to write down the cost of each asset to its estimated residual value over its expected useful life. The annual depreciation rates in use are as follows:

Freehold land nil % Building and improvements 2% of cost Furniture and office equipment 25% of net book value IT equipment and software 33% of cost

k. Investments

Investments are initially recognised at their transaction value and subsequently measured at their fair value as at the balance sheet date using the closing bid market price, except for the shares in the trading subsidiary which are carried at cost.

The SOFA includes the net gains and losses arising on revaluation and disposals throughout the year.

l. Debtors

Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due. Accrued income and tax recoverable is included at the best estimate of the amounts receivable at the balance sheet date.

m. Cash at bank and in hand

Cash at bank and in hand includes cash and short term highly liquid investments with a maturity of three months or less from the date of acquisition or opening of the deposit or similar account.

41

Hospice UK

Annual report and financial statements – 31 March 2023

1. Accounting policies (continued)

n. Creditors

Creditors are recognised where the charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors are normally recognised at their settlement amount after allowing for any trade discounts due.

o. Fund accounting

Restricted funds are to be used for specified purposes as laid down by the donor. Expenditure which meets these criteria is identified to the fund, together with an agreed allocation of management and support costs.

Unrestricted funds are donations and other incoming resources received or generated to further any of the charitable purposes of Hospice UK.

Designated funds are unrestricted funds which the trustees have decided at their discretion to set aside to use for a specific purpose.

The aim and use of each material designated and restricted fund is set out in the notes to the financial statements.

p. Operating Leases

Operating leases are recognised over the period of which the lease falls due.

q. Judgements and key sources of uncertainty

No judgements (apart from those involving estimates) have been made in the process of applying the above accounting policies.

The key assumptions concerning the future and key sources of estimation uncertainty at the key reporting date that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial year include:

r. Foreign currencies

Monetary assets and liabilities denominated in foreign currencies are translated into sterling at rates of exchange ruling at the balance sheet date.

Transactions in foreign currencies are translated into sterling at the rate ruling on the date of the transaction.

Exchange gains and losses are recognised in the SoFA.

42

Hospice UK Annual report and financial statements – 31 March 2023

1. Accounting policies (continued)

s. Financial instruments

The charity only has financial assets and liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their fair value as at the balance sheet date. All financial instruments of the charity are measured at cost with the exception of investments in the charity’s portfolio, which are measured at fair value as at the balance sheet date using the closing bid market value with all realised and unrealised gains included in the statement of financial activities. The value of investments as well as their original cost is stated in note 10. Financial assets include investments in the portfolio, the bank balances, trade debtors, accrued income and other debtors but exclude prepayments and taxation. Financial liabilities include trade creditors, other creditors, accruals and deferred income but exclude social security and other taxes due.

43

Hospice UK

Annual report and financial statements – 31 March 2023

2. Donations and Legacies - Group

. Donations and Legacies - Group
Unrestricted
£'000
Corporate donations
406
Trusts and other charities
200
Payroll giving
216
Challenge events
546
Campaigns and special events
12
National Garden Scheme
475
Legacies
2,814
Individual donors
98
Government and statutory income
5
COVID-19 response in England
-
Other voluntary income
-
Total Donations and Legacies
4,772
Donation and legacy income can be analysed as follows:
Income for Hospice UK
4,772
Government grants to support COVID response
-
Income for Hospices
-
4,772		 Unrestricted
£'000
406
200
216
546
12
475
2,814
98
5
-
-		 Restricted
£'000
30
2,022
135
0
45
-
-
0
406
96
-		 2023
Total
£'000
436
2,222
351
546
57
475
2,814
98
411
96
-		 Unrestricted
£'000
1,862
158
269
685
115
500
3,414
68
0
0
45		 Restricted
£'000
40
1,225
153
-
-
-
-
-
461
98,859
-		 2022
Total
£'000
1,902
1,383
422
685
115
500
3,414
68
461
98,859
45
4,772 2,734 7,506 7,116 100,739 107,855
2,503
96
135		 7,275
96
135		 7,116
-
-		 1,727
98,859
153		 8,843
98,859
153
4,772 2,734 7,506 7,116 100,739 107,855

44

Hospice UK

Annual report and financial statements – 31 March 2023

3. Analysis of expenditure - Group
a) 2023
£'000
Staff costs (Note 7)
841
Grants payable (Note 4)
481
Local hospices donations
-
Other expenditure
252
1,574
Support and governance
163
Total expenditure 2023
1,737
b) 2022
£'000
Staff costs (Note 7)
786
Grants payable (Note 3)
(2)
Local hospices donations
-
Other expenditure
158
942
Support and governance
163
Total expenditure 2022
1,105
Reach
Reach		 3. Analysis of expenditure - Group
a) 2023
£'000
Staff costs (Note 7)
841
Grants payable (Note 4)
481
Local hospices donations
-
Other expenditure
252
1,574
Support and governance
163
Total expenditure 2023
1,737
b) 2022
£'000
Staff costs (Note 7)
786
Grants payable (Note 3)
(2)
Local hospices donations
-
Other expenditure
158
942
Support and governance
163
Total expenditure 2022
1,105
Reach
Reach		 Direct Costs: Cha ritable activities £'000
832
-
-
214
Cost of Raising
Funds		 2023
£'000
£'000
864
3,984
-
1,571
-
135
782
2,092
Support and
governance
£'000
841
481
-
252
Reach
£'000
394
133
-
79
Inequality		 £'000
394
528
-
177
Communities		 £'000
659
333
135
378
Strong Hospice
Sector		 £'000
-
96
-
210
COVID-19 response in England
1,574
163		 606
163		 1,099
163		 1,505
569		 306
163		 1,046
425		 1,646
7,782
(1,646)
-
1,737 769 1,262 2,074 469 1,471 -
7,782
Direct Costs: C haritable activities £'000
796
-
-
415
Cost of Raising
Funds		 2022
£'000
£'000
679
3,746
-
99,068
-
153
789
2,178
Support and
governance
£'000
786
(2)
-
158
Reach		 £'000
343
96
-
94
Inequality		 £'000
343
-
-
423
Communities		 £'000
505
242
153
210
Strong Hospice
Sector		 £'000
293
98,732
-
89
COVID-19 response in England
942
163		 533
163		 766
163		 1,110
381		 99,114
163		 1,211
435		 1,468
105,145
(1,468)
-
1,105 697 929 1,490 99,277 1,646 -
105,145

45

Hospice UK

Annual report and financial statements – 31 March 2023

3. Analysis of expenditure - Group (continued)

Support costs are not attributable to a single activity and have been apportioned on the basis of the number of people employed within an activity.

Charitable activities

c. Analysis of support costs - 2023

c. Analysis of support costs - 2023
Finance
Facilities
Governance
Human Resources
Strategy & Legal
Irrecoverable VAT
IT & Business Systems
d. Analysis of support costs - 2022
Finance
Facilities
Governance
Human Resources
Communications
Strategy & Legal
Irrecoverable VAT
IT & Business Systems		 £'000
25
31
9
29
1
8
60
Reach		 £'000
25
31
9
29
1
8
60
Inequality		 £'000
25
31
9
29
1
8
60
Communities		 £'000
91
109
32
100
1
27
209
Strong Hospice
Sector		 £'000
25
31
9
29
1
8
60
COVID-19
response in
England		 2023
£'000
£'000
66
257
82
315
24
92
75
291
1
6
20
79
157
606
Cost of
Raising Funds
163 163 163 569 163 425
1,646
Charitable ac tivities 2022
£'000
£'000
111
376
85
293
23
80
90
299
2
6
5
17
16
59
99
339
Cost of
Raising Funds
£'000
42
33
9
33
1
2
7
38
Reach		 £'000
42
33
9
33
1
2
7
38
Inequality		 £'000
42
33
9
33
1
2
7
38
Communities		 £'000
97
76
21
77
1
4
15
88
Strong Hospice
Sector		 £'000
42
33
9
33
1
2
7
38
COVID-19
response in
England
165 165 165 380 165 431
1,468

46

Hospice UK

Annual report and financial statements – 31 March 2023

4. Grants payable - Group

Grants given comprise of:
Grants to support COVID-19 response in England
Grants for capital projects to enhance wellbeing
Professional development grants
SPOC (Single Point of Contact)
The Masonic Charitable Foundation - Bursaries
The Masonic Charitable Foundation - Re-imaging Day Hospice
The Masonic Charitable Foundation -Poverty & Deprivation		 2023
2022
£'000
£'000
96
94,639
-
131
-
208
-
4,093
49
-
300
-
-
-
St James’s Place Charitable Foundation grants 500
-
Extending Frailty Care Grants Programme 481
-
Wolfson professional development grants 141
-
Major Grant Programme Rank
Other grant programmes
Provision for grants which may not be claimed
Note 3		 97
-
184
13
1,848
99,085
(276)
(17)
1,572
99,068
A full list of grants awarded in the year is available from our website at
www.hospiceuk.org/grantsawarded.
336 (2022: 1200) grants were made to 134 (2022: 202) organisations.

5. Net income/(expenditure) for the year - Group

This is stated after charging / crediting:
Depreciation
Trustees' indemnity insurance
Auditors' remuneration:
Audit - Hospice UK
Audit - Help the Hospices (Trading) Ltd.
Other services
Operating leases
Note 17		 2023
2022
£'000
£'000
(58)
(49)
1
1
18
17
4
4
1
1
43
46

6. Taxation

The charity is exempt from corporation tax as all its income is charitable and is applied for charitable purposes. The charity's trading subsidiary Help the Hospices (Trading) Limited pays all its available profits to the charity under a deed of covenant. Its charge to corporation tax in the year was nil (2022: £nil).

47

Hospice UK

Annual report and financial statements – 31 March 2023

7. Analysis of staff costs - Group

a) Staff numbers

The average monthly head count was 83 (2022: 79). The average number of employees during the year was as follows:

Extend our Reach
Tackle Inequality
Work with Communities
Empower a Strong Hospice Sector
COVID-19 response in England
Raising Funds
Support and Governance
b) Staff costs
Salaries and wages
Social security costs
Pension contributions
Temporary and agency staff and recruitment		 2023
2022
No.
No.
7
7
7
7
7
7
22
17
7
19
17
7
16
15
83
79
2023
2022
£'000
£'000
3,239
3,178
389
337
248
231
108
-
3,984
3,746

The charity considers its key management personnel to be its trustees and the members of the Senior Leadership Team (SLT).

The charity's trustees were not paid and did not receive any benefits from employment with Hospice UK in the year (Prior year: £nil). They were reimbursed expenses during the year as stated in note 16.

The value of payments and other benefits, including pension contributions, to members of SLT in the year was £808k (2022: £834k).

48

Hospice UK

Annual report and financial statements – 31 March 2023

7. Analysis of staff costs - Group (continued)

The number of employees whose total employee benefits excluding pension contributions exceeded £60,000 was:

£60,000 - £70,000
£70,000 - £80,000
£80,000 - £90,000
£90,000 - £100,000
£100,000 - £110,000		 2023
2022
No.
No.
3
1
1
1
2
3
3
2
1
1

Pensions contributions for higher paid employees totalled £92k (2022: £92k).

8. Pension - Group

The charity operates a defined contribution pension plan for its employees. The amount recognised as an expense in the period was £248k (2022: £230k).There was £9k outstanding at the year end (2022: £34)

9. Tangible fixed assets - group and charity

Cost
At the start of the year
Additions
Disposals
At the end of the year
Depreciation
At the start of the year
Charge for the year
Disposal in year
At the end of the year
Net book value
At the end of the year
At the start of the year		 Freehold
land
£'000
163
-
-		 Building
£'000
1,595
-
-		 Furniture
and office
equipment
£'000
337
61
(8)		 IT
equipment
Total
£'000
£'000
154
2,249
93
154
(41)
(49)
206
2,354
154
1,179
10
58
(41)
(49)
123
1,188
83
1,166
-
1,070
163
-
-
-		 1,595
739
32
-		 390
286
16
(8)
- 771 294
163 824 96
163 856 51

49

Hospice UK

Annual report and financial statements – 31 March 2023

10. Investments - group and charity

a) Group

Market value at the start of the year
Donated Shares
Realised loss on disposal
Unrealised (loss)/gain
Market value at the end of the year
Historic cost at the year end
Investments comprise:
b) Charity
Market value at the start of the year
Donated Shares
Unrealised (loss)/gain
Market value at the end of the year
Historic cost at the year end
Investments comprise:
Unlisted investments
Unlisted investments
UK Common investment funds
UK Common investment funds		 2023
2022
£'000
£'000
3,538
3,523
-
264
-
(349)
(220)
99
3,318
3,538
2,361
2,361
2023
2022
£'000
£'000
3,054
3,273
264
264
2023
2022
£'000
£'000
3,538
3,175
-
264
(220)
99
3,318
3,538
2,361
2,361
2021
2020
£'000
£'000
3,054
3,274
264
264

50

Hospice UK

Annual report and financial statements – 31 March 2023

11.Subsidiary Undertaking

a) Trading

The charitable company controls one subsidiary. Help the Hospices (Trading) Limited - company number 02000660 is registered in England and Wales.

An investment of £100 is held by Hospice UK in Help the Hospices (Trading) Ltd. This represents the cost of acquiring the whole of the ordinary share capital of the company. Help the Hospices (Trading) Limited is used for non-primary purpose trading activities.

The results of Help the Hospices (Trading) Limited are shown below and have been consolidated on a line by line basis into group financial statements. Available profits are distributed to the charitable company by deed of covenant.

Turnover
Cost of sales
Gross profit
Administrative expenses
Profit on ordinary activities
Payment under Deed of Covenant
Net result
The aggregate of the assets, liabilities and funds was:
Assets
Liabilities
Funds		 2023
2022
£'000
£'000
649
773
(216)
(517)
433
257
(256)
(194)
177
63
(177)
(63)
-
-
2023
2022
£'000
£'000
328
406
(310)
(388)
18
18

51

Hospice UK

Annual report and financial statements – 31 March 2023

12. Analysis of net assets between funds - Group

a) 2023
Group
Tangible fixed assets
Investments
Net current assets
Charity
Tangible fixed assets
Investments
Net current assets
b) 2022
Group
Tangible fixed assets
Investments
Net current assets
Charity
Tangible fixed assets
Investments
Net current assets		 General
£'000
-
3,318
1,243		 Designated
£'000
1,166
-
4,959		 2023
Restricted
Total
£'000
£'000
-
1,166
-
3,318
1,520
7,722
1,520
12,206
2023
Restricted
Total
£'000
£'000
-
1,166
-
3,318
1,520
7,703
1,520
12,188
2022
Restricted
Total
£'000
£'000
-
1,069
-
3,538
1,523
7,023
1,523
11,630
2022
Restricted
Total
£'000
£'000
-
1,070
-
3,538
1,523
7,004
1,523
11,612
4,561 6,125
General
£'000
-
3,318
1,225		 Designated
£'000
1,166
-
4,959
4,543 6,125
General
£'000
-
3,538
80		 Designated
£'000
1,069
-
5,419
3,618 6,488
General
£'000
-
3,538
62		 Designated
£'000
1,070
-
5,419
3,600 6,489

52

Hospice UK

Annual report and financial statements – 31 March 2023

13. Debtors

Trade debtors
Tax and social security
Prepayments and accrued income
Amounts due from subsidiary		 The group The group The charity
2023
£'000
124
-
-
794		 2022
£'000
215
-
6
58,094		 2023
2022
£'000
£'000
35
185
110
106
-
6
747
57,967
892
58,265
918 58,316

Within prepayments and accrued income is £222k (2022: £168k) of prepayments relating to fundraising events which will be held after the year end.

14. Creditors: amounts due within one year a) Creditors

4. Creditors: amounts due within one
a) Creditors		 year year
Trade and other creditors
Tax and social security
Amounts due to subsidary HTH
Amounts due to independent hospices
Grants committed but not yet due
Accruals and deferred income		 The group The charity
2023
£'000
292
7
-
135
2,598
470		 2022
£'000
239
-
-
153
26,690
59,146		 2023
2022
£'000
£'000
250
77
7
-
-
-
135
153
2,598
26,690
311
59,027
3,301
85,946
3,502 86,228

Within accruals and deferred income is £146k (2022: £138k) of deferred income relating to fundraising events which will be held after the year end.

The Charity is part of a group VAT registration and therefore is potentially liable for VAT liabilities of its subsidaries. As at 31 March 2023 its subsidary trading company, Help the Hopsices had a creditor value relating to value added tax of £30k (2022 £11k)

b) Deferred income reconciliation

Balance brought forward
Amount recognised in year
Amount deferred in the year
Balance carried forward		 The group The group The charity
2023
£'000
192
(192)
299		 2022
£'000
1,009
(1,009)
192		 2023
2022
£'000
£'000
138
337
(138)
(337)
146
138
146
138
299 192

53

Hospice UK

Annual report and financial statements – 31 March 2023

15. Movements in funds

a) 2023
Restricted funds
Health & Wellbeing Alliance
NHS England
St Jame's place
Masonic Charitable Fund		 £'000
-
-
157
1
At 1 April 2022		 Income
£'000
112
138
550
600		 Expenditure
£'000
(112)
(113)
(439)
(298)		 £'000
-
-
-
-
Unrealised
gains/(losses)		 £'000
£'000
-
-
-
25
-
268
-
303
At 31 March
2023
Transfers between funds
The Kirby Laing Foundation
Health and Social Care Board old		 -
57		 488
224		 (481)
(281)		 -
-		 7
-
-
Other projects
Total restricted funds
Unrestricted funds
Designated funds:
Fixed assets
Building repairs
Strategy 2017-2022
New Website
Digital/technology
Fundraising Innovation
Training and development
Future Vision
Transformation
Total designated funds
General funds
Total unrestricted funds
Total funds
b) 2023
Charity
Restricted funds
Health & Wellbeing Alliance
NHS England
St Jame's place
Masonic Charitable Fund
The Kirby Laing Foundation
Health and Social Care Board
Other projects
Total restricted funds
Unrestricted funds
Designated funds:
Fixed assets
Building repairs
Strategy
New Website
Digital/technology
Fundraising Innovation
Training and development
Future Vision
Transformation
Total designated funds
TGeneral funds
Total funds		 1,308 632 (1,023) - -
917
1,523
1,070
500
3,250
169
700
250
100
200
250		 2,744
-
-
-
-
-
-
-
-
-		 (2,747)
(57)
(10)
-
(114)
(83)
-
-
-
(100)		 -
-
-
-
-
-
-
-
-
-		 -
1,520
93
1,106
-
490
-
3,250
-
55
(93)
524
-
250
-
100
-
200
-
150
6,489
3,618		 -
5,834		 (364)
(4,671)		 -
(220)		 -
6,125
-
4,561
10,107 5,834 (5,035) (220) -
10,686
11,630 8,578 (7,782) (220) -
12,206
£'000
£'000
-
-
-
25
-
268
-
303
-
8
-
-
-
916
Transfers between funds
At 31 March
2023
£'000
-
-
157
1
-
57
1,308
At 1 April 2022		 Income
£'000
112
138
550
600
488
224
632		 Expenditure
£'000
(112)
(113)
(439)
(298)
(481)
(281)
(1,024)		 £'000
-
-
-
-
-
-
-
Unrealised
gains/(losses)
1,523
1,070
500
3,250
169
700
250
100
200
250		 2,744
-
-
-
-
-
-
-
-
-		 (2,748)
(58)
(10)
-
(114)
(83)
-
-
-
(100)		 -
-
-
-
-
-
-
-
-
-		 -
1,520
93
1,105
-
490
-
3,250
-
55
(93)
524
-
250
-
100
-
200
-
150
6,489
3,600		 -
5,185		 (364)
(4,022)		 -
(220)		 -
6,125
-
4,543
10,089 5,185 (4,386) (220) -
10,668
11,612 7,929 (7,133) (220) -
12,188

54

Hospice UK

Annual report and financial statements – 31 March 2023

c) 2022
Group
Restricted funds
Health & Wellbeing Alliance
NHS England
Department of Health and Social Care
Other projects
Total restricted funds
Unrestricted funds
Designated funds:
Building repairs fund
Fixed assets
Website
Strategy
Digital/technology
Fundraising Innovation
Training and development
Future Vision
Transformation
Total designated funds
General funds
Total unrestricted funds
Total funds
d) 2022
Charity
Restricted funds
Health & Wellbeing Alliance
NHS England
Department of Health and Social Care
Other projects
Total restricted funds
Unrestricted funds
Designated funds:
Building repairs fund
Fixed assets
Web & Digital
Strategy
Digital/technology
Fundraising Innovation
Training and development
Future Vision
Transformation
Total designated funds
General funds
Total unrestricted funds
Total funds		 £'000
-
12
12
899
At 1 April 2021		 Income
£'000
90
98,859
-
2,018		 Expenditure
£'000
(90)
(98,871)
(12)
(1,394)		 £'000
-
-
-
-
Unrealised
gains/(losses)		 £'000
£'000
-
-
-
-
-
-
-
1,523
At March 2022
Transfers between funds
923
185
1,119
300
1,150
-
-
-
-
-		 100,967
-
-
-
-
-
-
-
-
-		 (100,368)
-
(50)
(131)
-
-
-
-
-
-		 -
-
-
-
-
-
-
-
-
-		 -
1,523
315
500
-
1,069
-
169
2,100
3,250
700
700
250
250
100
100
200
200
250
250
2,754
3,887		 -
8,165		 (181)
(4,617)		 -
99		 3,915
6,488
(3,915)
3,619
6,641 8,165 (4,798) 99 455.4
10,107
7,564 109,132 (105,166) 99 455.4
11,630
£'000
£'000
-
-
-
-
-
-
-
1,523
At March 2022
Transfers between funds
£'000
-
12
12
899
At 1 April 2021		 Income
£'000
90
98,859
-
2,018		 Expenditure
£'000
(90)
(98,871)
(12)
(1,394)		 £'000
-
-
-
-
Unrealised
gains/(losses)
923
185
1,119
300
1,150
-
-
-
-
-		 100,967
-
-
-
-
-
-
-
-
-		 (100,368)
(50)
(131)
-
-
-
-
-
-		 -
-
-
-
-
-
-
-
-
-		 -
1,523
315
500
0
1,069
0
169
2,100
3,250
700
700
250
250
100
100
200
200
250
250
2,754
3,749		 -
7,566		 (181)
(7,814)		 -
99		 3,915
6,489
(3,915)
3,600
6,503 7,566 (7,995) 99 -
10,089
7,427 108,533 (108,362) 99 -
11,612

55

Hospice UK

Annual report and financial statements – 31 March 2023

15. Movements in funds (continued)

e) Purposes of restricted funds

NHS England - provided funding to Hospice UK to enable it to support hospices in England to faciliate the provision of palliative care and Covid19 clinical services for the benefit of patients of all ages through both inpatient and community provision.

Health & Wellbeing Alliance - NHS England awarded £112,008 to a consoritum of charities (Hospice UK, Marie Curie, Together for Short Lives and National Bereavement Alliance) in relation to our membership of the Alliance. The Alliance is a partnership of voluntary organisations who work to bring the voice of the sector into policy-making. Hospice UK leads the partnership.

Other projects - represents restricted funds for a variety of programmes supporting hospice care in the UK.

f) Purposes of designated funds

Fixed assets - represents the value of our tangible fixed assets

Building repairs fund - to budget for major repairs to the freehold property. A new designation was made in 2022 to cover plannen rennovation work to happen over the next two years

Strategy - to cover additional expenditure needed to achieve our strategic goals over the next five years

Website - for the development of a new website

Digital/technology - to cover investment in our IT infrastrucure planned for the year

Fundraising Innovation - to allow us to invest in new approaches to income generation

Training and development - to cover training and development costs over the next three years

Future Vision - to complete our Future Vision programme

Transformation - to support our work to transform end of life care

56

Hospice UK

Annual report and financial statements – 31 March 2023

16. Related party transactions

a) Independent hospices and trustees

Over 80% of the Trustees are closely associated with independent charitable hospices and palliative care. As we have awarded 336 grants during the year to organisations working in palliative care, it is not unusual that some of these grants are to organisations with which our trustees are associated.

Trustees who sit on the awards committee withdraw from all decisions regarding grants to any organisation, or individual within the organisation, with which they are associated and so cannot influence these decisions in any way.

A summary of the grants awarded to organisations, or individuals within the organisation, associated with our trustees is given below. The total value of all grants awarded in the year is disclosed in note 4.

Hospice UK's member hospices also benefit from funding through our national corporate partnerships and our payroll giving scheme. The total value of all local hospice donations in the year is disclosed in note 3.

St Andrews
Hospice of the Good Shepherd
Dorothy House Hospice Care
Arthur Rank
Teeside
Saint Michael's Hospice (Harrogate)
North Devon Hospice
Naomi House and Jacksplace Hospices
St Catherine's Hospice
Compton Care
Total		 -
2
-
5
1
2
-
-
2
1
Number of
grants		 £'000
-
8
-
52
40
70
-
-
22
1
Value of
grants		 £'000
-
1
-
-
-
-
-
1
1
-
Hospice
Donations		 2022
2021
£'000
£'000
-
273
9
147
-
908
52
538
40
129
70
884
-
340
1
55
23
-
1
-
196
3,274
13 193 3

Hospice UK paid the cost of travel and expenses incurred by Trustees whilst fulfilling their duties to Hospice UK. This includes the reimbursement of expenses totalling £2.2k (2022: £1k) for trustees.

Following an open tender process, the group commissioned St Michaels Hospice Harrogate to provide a national telephone support line for NHS staff and other care workers. A trustee of Hospice UK is the Chief Executive of St Michaels Harrogate. £210k was paid to St Michaels Harrogate for providing this service during the year (2022: £168k)

57

Hospice UK

Annual report and financial statements – 31 March 2023

16. Related party transactions (continued)

b) Worldwide Hospice and Palliative Care Alliance (WHPCA)

The COO of Hospice UK, Craig Duncan, is a trustee of the Worldwide Hospice and Palliative Care Alliance (WHPCA), a charity registered in the UK.

Hospice UK provided various services to WHPCA, including financial and payroll processing, and financial management and reporting support, charged at £8k (2022: £9k).

At the end of the year Hospice UK owed £8k to WHPCA (2022: Hospice UK owed £8k to WHPCA).

The Trustees do not consider WHPCA to be a subsidiary or an associate and the results and net assets of WHPCA have not been included in the group accounts.

There were no other related party transactions in the year.

17. Operating lease commitments

Net income for the year for the Group are stated after charging operating lease payments on equipment of £43k (2022: £46k)

The total future minimum lease payments under non-cancellable operating leases are as follows:

2024 2023 2022
£'000 £'000 £'000
No later than one year 3 43 46
Later than one year and not later than five years 7 - 6

18. Ultimate controlling party

There is no overall controlling party.

19. Post balance sheet events

There were no post balance sheet events.

20. Contingent Assets

The charity has been notified of a number of potential legacies which do not meet the conditions for recognition as income at the balance sheet date. The value of these gifts is uncertain, but is esimated at £0.7M (2021/22: £1.3M) The charity is extremely grateful to all the generous donors who support it through gifts in wills.

58

Hospice UK

Annual report and financial statements – 31 March 2023

20. Consolidated statement of financial activities

(Incorporating an income and expenditure account) For the year ended 31 March 2022

Income
Donations and legacies:
Funds raised for Hospice UK
Government grants to support COVID response
Funds raised for independent hospices
Income from other trading activities
The Coronavirus Job Retention Scheme Income
Investment income
Income from charitable activities:
Supporting those providing end of life care
Total income
Expenditure
Expenditure on charitable activities:
Extend our Reach
Tackle Inequality
Work with Communities
Empower a Strong Hospice Sector
COVID-19 response in England
Costs of raising funds
Total expenditure
Realised gains on investments
Unrealised (losses)/gains
Net income/(expenditure) for the year
Transfer between funds
Net movement in funds
Reconciliation of funds
Total funds brought forward
Total funds carried forward
Net income/(expenditure) before
gains/(losses) on investments		 Unrestricted Funds Unrestricted Funds Restricted
2022
Funds
Total
£'000
£'000

1,727
8,799

98,859
98,859

153
153

228
288

-
43

-
56
-
933
100,967
109,132
517
1,105
219
697
30
929
730
1,490
98,871
99,277
-
1,646
100,368
105,145
599
3,987

-
(20)

-
99
599
4,066
-
-
599
4,066
923
7,564
1,523
11,630
General
£'000
7,073
-
-
59
43
56
933		 Designated
£'000
-

-

-
-
-
-
-
8,165
568
457
880
714
385
1,593		 20
20
20
47
20
53
4,597 180
3,567
(20)
99		 (180)
-
-
3,646
(3,915)		 (180)
3,915
(269) 3,735
3,887 2,753
3,618 6,489

59