TYNEDALE HQSPICE AT HQME Tynedale Hospice at Home Trustees Annual Report 2022 Charity Number: 1034170, Company Number.. 02870776 Tynedale Hospice at Home Contents Trustees. Report 1to23 Reltsrence antl Administrative Details 24 Independent Auditors, Report 25to27 Sialemenl of Financial ActNities 28 Stalernent of Financial Activities 29 Balance Sheet 30 ststement of Cash Flows 31 Notes (o the Financial Statements 32to52 Trustees AnnuaL Report 2022 TYNEDALE HQSPICE AT HQME The trustees, who act as directors for the purposes of company law, are pleased to present their annual report together with the audited financial statements for the year ended 31 March 2022. 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 1021, the Charities Act 2011, the Companies Act 2006 and UK Generally Accepted Accounting Practice. OBJECTIVE AND AcfiviTIES Tynedale Hospice at Home's {THH) objective is'the relief of sickness, in particular end of life care and associated services in Tynedale, West Northumberland and Ponteland" Our vision- Tynedale Hospice at Home will ensure that everyone in our community has access to the resources and care they need to reduce the distress caused by life-limiting illnesses or sudden death. Our services- will be maintained at an outstanding level and funded by a combination of community support and statutory funding. Our mission- Easing the end-of-life journey for people in our community. Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME MAIN ACTIVITIES Nursing Care OLJr nursing team is available to all patients over 18 who are registered with GPS in West Northumberland and who are on the palliative care register. We provide care in patients. own homes including residential care homes. Our nursing care team is made up of 15 registered nurses and 5 hospice support workers, who are overseen by a Deputy Head of Care and Head of Care. To identify needs in the Community we work closely with the GP Practices. Community NHS Nursing teams and other providers within the area. Referrals are received from these healthcare professionals but also direct from individuals requiring support or their familiesltarers to ensure equity of provision. Familysupport The Family Support Team IFSTI provides support, following a diagnosis of a life-limiting illne55, or death of a loved one. We aim to help those left behind to cope and adapt in their new situation through an active listening service as opposed to formal counselling. but comply with the $3me guidelines, policies and safeguarding. The service provides pre and post bereavement support to adults and children who are a resident in West Northumberland and registered with a GP in our area. Referra15 can be made via the GP, community nurses, THH nurses. Macmillan services, living well co- ordinator5 and mental health practitioners. Individuals may also self-refer. The team consists of three practitioners. two of whom are qualified to support children and families, and 17 trained volunteers. Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME MAIN ACTIVITIES {CONTINUED) Transport Our transport team provides a door-to-door se￿iCe taking patients from their home to appointments, which for some people in rural areas can often be difficult due to the distance to treatment centres. The transport service is managed by the Transport co-ordinator and operated by a team of volunteer drivers, who use their own vehicle5 to drive clients to hospital appointments for treatment to address their life-limiting condition, which can include consultations, sc3r15, radiotherapy and chemotherapy. Public Benefit The trustees have followed Charity Commission Guidance on public benefit as stated in the Charities Act 2011 and believe that the objectives and activities described throughout this report demonstrate this compliance. PARTNERSHIP WORKING A zoom presentation was developed on Grief and Loss and delivered in November, in partnership with the Northumberland Recovery College. The session was evaluated positivelyi and the College will maintain links with THH. We provided a se55ion with teachers from a local school who had two bereaved children in their classes. A Family Support Coordinator provided practical advice and a support session for the teachers to help them address some of the problems the children presented with. The team secured funding from Children in Need this year which will enable the team to provide and update resources in our "Rainbow Room" used for child and family sessions, as well as funding one practitioner for children's bereavement support. Trustees Annual Report 2022 TYNEDALE HQSPICE ATHQME ACHIEVEMENTS Our three-year strategic plan12019-20221 ended in March 2022 and was developed to progress the hospice to towards Its vision= 'Tynedale H05pice at Home will ensure that everyone in our community has access to the resources and care they need to reduce the distress caused by life limiting illness and sudden death. Our service5 will be maintained at an outstanding level andfunded by a combin£7tion of community support and 5tatutoryfunding The strategic plan identified goals, objectives and milestones from April 2019 until March 2022. The plan was developed through consultation with staff. volunteers, stakeholders and partners who contributed to goals and objectives that were approved by Trustees. It was separated into four key areas.. People at our core.- patients, clients, supporter5 and staff. Outstanding services.. provide an outstanding experience in all that we do. Provide more support to more people- provide the most holistic service possible. Grow our reputation= ensure everyone in our community knows who we are and what we do. The plan was delivered successfully achieving increases in beneficiaries supported, increased income and improved quality of services, evidenced by the return of the "Friends and Family Test" feedback forms. Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME DURING THE LAST 12 MONTHS THE HOSPICE HAS BEEN SUCCESSFUL IN DELIVERING KEY ELEMENTS OF ITS STRATEGY: Care Services Recruited a new Head of Care, alongside a Hospice Support Worker and 6 Registered Nurses, one of whom is on contracted hours. Underwent an Interim Monitoring Assessment by the CQC in June 2022, resulting in the Engagement Officer being satisfied that THH was operating effectively. Expanded our referral pathways to enable individuals to self-refer. Introduction of referrals at weekends. Provision of "twilight shifts" which provide support to patients after the completion of the Community NHS shifts at 5pm and enable patients to be comfortable at night, thus replacing the patient's need for overnight care. Wider communication with Community Nursing teams, Gps. Specialist Nurses. secondary care and social care in the locality raising the profile of THH to embed referral pathways. Increased use of digitisation by the Nursing team. Seamless provision of care throughout the COVID-19 pandemit. Opened two Bereavement Support cafés, in Hexham and Prudhoe. Income generation FundraisinE pfoErammes were succe55fully delivered including the return of many challenge and community events to exceed income expectations. £97,000 grant funding was secured over three years from Children in Need to support Family Support Services from 2022123. Shops re-opened in April 2021 following a third national lockdown and have exceeded income expectations for 2021122. A fifth shop was opened, selling pre-loved furniture and homewares on the outskirt5 of Hexham, Northumberland. Further investment was made in THH'S digital fundraising activity to increase efficiencies and maximise donor engagement. To reflect the increasing importance of data analysis, a Systems Adrninistrator wa5 recruited to ensure maximisation of our CRM system. Restructure of the Retail Management Team took place, due to increased pressure, as a result of opening another store. Trustees Annual Report 2022 TYNEDALE HQSPICE ATHQME Good governance Trustees and the Executive Management Team were buoyed by the recruitment of 3 new Trustees who came from varied backgrounds and have added significant depth in experience and skills to the existing group of Trustees. The Board and Committees continued to meet. remotely via video conferencing and in person to receive reports from the Executive Team, ensuring the hospice continued to operate effectively throughout the period. THH'S compliance with regulation/legislation governing its activities is kept under review by the Committees on a rolling basis. Staff ing and volunteering The Head of Care resigned in August 2021. Two Deputy Heads of Care and the CEO covered the position until a replacement was recruited in February 2022. THH introduced a wellbeing strategy and inaugurated a staff wellbeing group. involving staff, who represent each department within THH_ A staff survey was conducted at the end of 2021. Three volunteers received the High Sherriff of Northumberland Award in 2021122. During the year. THH was supported by 230 volunteers, across all of our Services and activities, after successful recruitment drives increased our complement by 47. Volunteer5 provided over 22,000 hours of support during the year. Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME PERFORMANCE OF CARE SERVICES Nursing As lockdowns for COVID-19 ended the nursing team continued to provide the highest quality of care to patients, as it had throughout the pandemic. The team ensures the utmost safety of all of patients by using the requisite Personal Protective Equipment every time caie 15 provided. 2021122 2020/21 New patient referrals 144 153 Hours of care provision 2,861 2,068 Deaths at home 42% 58% Above with nurse present 26% 33% Recommendations 40 41 Episodes of care provided 410 Not available The table shows reAerro15 at 95% of the levels of the previous yeor but the hours of care provided increosed. This is due to potients being referred to THH eorlier ond enabling the teom to carefor patients longer at the end of their lives. The toble shows that the service received a significant number of 'recommendutions" evidencing the hi9h-quolity care provided by the Nursing teom ond that we were able to provide over 400 episodes ol core. during day ond night. Trustees AnnuaL Report 202 2 TYNEDALE HQSPICE AT HQME Development5 in the service New systems have been implemented to capture the number of 5hift5 provided for patients rather than hours which will help produce a clearer picture of care provided in coming years. We have promoted the services provided by THH by visiting healthcare professionals to embed the referral pathways into the different services and encourage earlier referrals. We continue to encourage twilight shifts for those who decline overnight care. New patients referred at weekends are now being accepted with systems in place to manage risks for staff and patients. Staff recruitment and retention over the last year has been problematic in many healthcare settings. Earlier in the year we held an open day inviting anyone with an interest in THH to come and gain insight into hospice work. This generated some interest and over the last yeai we have recruited a further 6 Registered Nurses IRNI and l Hospice Support Worker IHSWI to the nursing team, although some of these were offset by other staff resignation5. We appointed a new Head of Care in February 2022 who is the Registered Manager with CQC. Prior to her appointment the CEO and Deputy Head of Care - Nursing, maintained regular communication with the CQC Engagement Officer who was satisfied with the quality of care. With the increasing number of staff, further governance systems have been implemented to facilitate the m3intenance of high-quality care. These include.. additional end of life training for all nurses a buddy shift document which must be completed during the probationary period before any unsupervised care is given greater use of tablets incorporating policies. SOPS and patient handover documents computerised referrals. to improve communication between care co-ordinators and nurses. Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME TRANSPORT SERVICES At the beginning of the pandemic the number of appointments dropped significantly with fewer requests for drive5. This year has seen us return to normality and we have experienced a steady increase in the number of appointments and new referrals. Developments in the service Introduction of drives at weekends Improved communication with the Community NHS teams. Increasing number of referrals from a wider range of professiona15 who are now aware of the service Increased flexibility of provision. due to an increase in urgent requests, apparent since COVIDI9. 2021122 2020121 New referrals 56 17 Return journeys 318 224 Miles covered 16,126 8,795 Volunteers 18 13 Hours 922 408 io Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME FAMILY SUPPORT TEAM Despite the challenges COVID-19 posed for the service, staff and volunteers were able to provide Sltpport sessions via telephone and video platforms. As restrictions have lifted we have been able to introduce more face-to-face support in line with government guidelines. The new Head of Care has had a positive impact on the support we provide, enabling the team to develop the service and create new networks. This ha5 raised the service's profile. and enabled us to respond to the changing need5 of the local population. 2021122 2020/21 Adult referrals 71 63 Child referrals 49 29 Client Contact house 1,055 1,102 li Trustees AnnuaL Report 2022 TYNEDALE HQSPICE AT HQME Developments in the service Two Bereavement cafes opened - one in Hexham and one in Prudhoe. The purpose of the cafés is to provide a safe, welcoming environment for those people who have been bereaved, either recently or some time ago. Anyone can attend the cafés regardless of whether a person has previously benefitted from THH'S services. Attendee5 can have a cup of tea or coffee and are able to speak with other5 who have had similar experiences to their own. The service is free of charge and a steady number of clients have attended. The cafes also act as a bridge to other activities and friendships as well as an opportunity to move away from I to I support. This allow5 the client to still feel supported and not cast adrift once individual sessions are ended. Clients from the cafés have formed strong friendships, eg. a Eroup of women meeting for coffee and lunch regularly, whilst two of the male clients meet for breakfast once a week. One of our male clients attended the Christmas Day lunch at the Community Centre as he did not want to choose between his two daughters as to who to spend the day with. Research h35 shown that the surviving spouse can experience intense feelings of loneliness and find it difficult to go out and forge new friendships and this has a negative impact on their mental health. The cafés can help individuals to re-integrate into social groups again. Adult Support GroL)P A group took place for the first time since COVID-19 lockdowns were initiated. These groups have a similar aim to the bereavement cafes. but in smaller numbers 6-8 clients per group. They are intended to address the isolation of grief, bringing people together who have shared experiences. The groups run on a weekly basis for 6 weeks and there is a thematic programme, with the content mainly driven by the participants themselves. Creative Memories Group This group has continued throughout COVID-19 over zoom with a small core of participants. This Eroup will develop further during the coming year, by expanding the range of artivities to appeal to a wider audience. Forest school for children Families were invited to take part in weekly activities over a four week period. The activities take place in a designated area in a local wood arbd the aim 15 to bring children and their families together to reduce the feeling of isolation in their grief. The forest school helps to build confidence and resilience in the children. Our experience and research show that bereavement can shatter self-esteem in young land old) people so any activity to help to create personal connections. find a voice and share their Stories is hugely beneficial. Feedback from parents following this event has been very positive. which has led to plan5 for similar artivities for adults. 12 Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME COPING WITH GRIEF DURING THE PANDEMIC- Case Studv Haydon Bridge school girl given vital support by Tynedale Hospice at Home after the death of 3 family members within days of each other during the pandemic. 'Working with Family Support Practitioner Emma Andrews, Darcy. her mother and close family friend Margaret made a "Darcy First Aid kit" with everyone writing down ideas of what helps when you are struggling from running up a hill and screaming to sharing, talking and cooking. Darcy also made a memory box which she treasures., The death of three family members within days of each other in the pandemic was devastating for 11- year old Darcy Skene 'Darcy is much more confident no￿, say her teachers, and has "found her voice.. She will ask questions and answer, even when she's not sure of the answer. which 15 hugely signif icant. "The support from Tynedale Hospice at Home gave us our daughter back," said Mum Alison,"and we could not be more proud of Darcy and what she has achieved. She is a star." Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME INCOME GENERATION Fundraising and Publicitv 2021122 Saw the return of many events, established prior to COVID-19 lockdowns, including challenge and community-led events. We continue to maintain 3 high profile in the community with strong PR and social media coverage. Evidence of this has been via the up take in many challenge events and fundraising activity1ed by THH. The team still had to operate within new COVID-19 regulations/protocols to deliver some fundraising activity. Our annual Light up a Life campaign was live streamed to ensure we could maximi5e community engagement and participation. A re-designed online dedication page complemented the virtual service, further adding to developments of our digital giving offer. We engaged in a partnership with Team Marvel to improve our website and digital giving. This included a.. website upgrade to ensure our IT infrastructure can support growing digital fundraising search engine optimisation ISEOI campaign to increase our online presence and drive traffic to our website. We recruited a Digital Fundraiser role to increase opportunitie5 for digital giving, maximise social media engagement and further increase efficiencies. We continue to maintain excellent corporate partnerships with sponsorships in place for Clarty 8airns. Great North Run, Annual Raffle, Light up a Life and a Will Writing Service during 2021122. A vacant Community Fundraiser post was re-titled to a Fundraising and Events Officer position to further develop our hospice-led and community income streams. An appointment was made to this post in March 2022. The team supported the inauguration of a furniture shop including management of PR, volunteer recruitment, securing £12,000 in capital funding and support in-kind via discounted goods and services. 14 Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME Income generation statistics 2021/22 Income- Total £ -JJiJ 2018119 2019120 2020121 2011121 Sranl iffl<&¢ted instances of non-compliance tsAth taws and regulations and fraLtd', Revlewing boar(1 minutes.. Challenging a5sumplion5 and judgements made by management in their significant accounting estimates.. and Auditing the risk of management Override of controls. induding through tesknng joumal entries and other adjuslrnenls for approprialeness. Because of the field in which the dient operates, we idenblied the followTng are85 as those most likely lo have a fnalerial impact on the financial statements-. Health and Safety.. employment laws., compliance wilh the Care Quality Commission." and compliance wilh ihe UK Companies Act and Charities Act. Owing to the inherent limitats.ons of an audrt. there is an unavoidable risk that some material misstalements in ihe financial siatements may fiot be delecled. even Ihough the audit is properly planned and performed in accordan￿ ￿{h ISAS IUKI_ For instance, the further removed non-compliance is from the event and iransac(ions reflected in the financial stslements. the less likely the auditor is lo become aware of it or to recognise the non-compliance. A further description of our responsibilrties is available on the Financial Reporting Council's website at.. www.frc.org.ukJauditorsresponsibilities. This desCript￿n forms part of our auditor's ￿pOrt. Use of our report This report is made solely to the charrtable cornpanys trustees. as a body, in accotdance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charity's trustees those matter5 we are required lo slate to them In an 8uditor's report and lor no other purpose. To the lullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and ils trustees as a body, for our audit work, for this rep)rt, or for the opinK)ns we have fomied. Simon Brown BA ACA OChA (Senior Slatutory Auditor} For and on behalf of Azels Audit SeNces Chartered Accovntanls Statutory Auditor Bulman Housè Regent Centre Gosforth Newcastle upon Tyne NE3 3LS Dale.. Azets Audit Semces is 8 tradirbg name of Azets Audit Services Limited 27 Tynedale Hospice at Home Statement of Financial Activities for the Year Ended 31 March 2022 {Including Income and Expenditure Account and Statement of Total Recognised Gains and Losses) Total 2022 Total 2021 Unrèstri¢ted Restricted Note Income and Endowments from.. Donations and legacies Charitable activities Other trading aclivilies Investment income Other income 312.550 53,854 68,137 366.404 68.137 665.510 2.960 203.965 364,498 97,471 273,940 3,053 277,844 665.510 170,601 33.364 Total Income 1,151,621 155.355 1,306,976 1,016.806 Expenditure on.. R8ising funds Charitable activities 1680.7701 276,343 {680.7701 431,698 1518,9881 411,843 155.355 Total Expenditure Gainsllosses on investment assets 1957.1131 1155,3551 {1.112,4681 1930.8311 (20,6861 120,6861 Net income Transfers bètwaen funds 173.822 15.195 173,822 85,975 115.1951 Net Tnovernenl in funds 189,017 {15.195) 173,822 85.975 Reconciliation of funds Total funds brought fonward 931.501 15,195 946,696 860,721 Total funds carrièd forward 23 1,120.518 1,120,518 946,696 AJI of the charity's a¢tivities derive from continuing operations during the above hvo periods. The funds bièakdovm for 2021 is shown in note 23. 28 Tynedale Hospice at Home Comparative Statement of Financial Activities for the Year Ended 31 March 2021 (Including Income and Expenditure Account and Statement of Total Recognised Gains and Losses) Total 2021 Unrèstricted Restricted Note In¢ome and Endowments from.. Donations and legacies Charitable activities Other trading activities Investment income Other income 289.249 75,249 97.471 364,498 97,471 273,940 3,053 277.844 273,940 3.053 95.648 182,196 Total income 661,890 354,916 7,016,806 Expenditure on-. Raising funds Charitable activities 1518.9881 169.667 1518.9881 411.843 1342,1761 Total expendilure 1588,655 342.176 930,8311 Nel in¢ome 73,235 12,740 85,975 Nel movement in funds 73.235 12,740 85,975 Reconciliation of funds Totsl funils brought forward 858,266 2,455 860.721 Total funds carried fon¥ard 23 931,501 15,195 946,696 29 Tynedale Hospice at Home (Registration number: 02870776) Balance Sheet as at 31 March 2022 2022 2021 Not• Flxèd as$èt$ Intangible assets Tangible assets Investments 16 17 18 21,539 379.314 18,534 400.853 18,534 Current assets Debtors Cash at bank and in hand 19 163,174 662,602 52.616 947.280 825.776 999,896 Creditors.. Amounts falling due within one year Net current assets 1106,1111 171,7341 719,665 928,162 Net a55et5 1.120.518 946,696 Funds of the charlty: Restricted incorne funds Restricted funds 23 15,195 Unrestricted income funds Unrestricted funds 1.120.518 931,501 Total funds 23 1,120,518 946,696 The financial statements on pages 28 to 52 were approved by the trustees. and authori5ed for issue l.o-W... and signed on their behalf by: rrison ee Trus Tynedale Hospice at Home Statement of Cash Flows for the Year Ended 31 March 2022 2022 2021 Note Cash flow$ from operatlng a¢tivitie$ Net cash income 173,822 85,975 Adjustmants to cash flows from nonsits, anil other short-term highly liquid Investments that are readily convertible to a known amount ol ¢ash and afe subject to an insignificant risk of change in value. Trade creditors Trade creditors are o￿l93t10n$ to pay for goods or services that have been acquired in the ordinary course of business frixn suppliers. Accounis payable are dassiflèd as current liabilities il the charity does not have an uncondibonal right, at the end of the repo￿ng pertod. to defer settlernent of the creditor lor at lea51 twelve months after Ihe reportin9 dale. 11 there is an unconditional right to defer settlement for at least twelve monlhs after the reporting dale. they are presented as non-current Trade creditors a￿ recognised initialty at thè transaction wice and subsequenlly measured al amortised cost using the effective Inte￿St method. Fund structure Unrestricted inwme funds are general funds that are available for use at the trustee5 discretion in furtherance of the objectives of the ch8TIty. Designated funds are unreslricted lunds set aside for specific purposes at the discretion of the Iruslees. Restricted income funds are those donated lor use in a particular area or for specific purposes, the use of which is restricted lo that area or purpose. Hlr* purchase and finance leases Assèts held for use in operating leases are included as a separale category in fixed assets al cost and d&prècial8d over their useful lrfe. Rental income from operats.ng leases is recognised on a straight line basis ovèr the term of the lease. 35 Tynedale Hospice at Home Notes to the Financlal Statements for the Year Ended 31 March 2022 Pensions and other post retirement obligatlons The charity operates a defined contribuh.on pension Scheme which is a pension plan under which fixed contributions are paid into a pensitin fun¢J and the charrty has no legal Of constructs've obligation to pay further contrib¢Jtsons even if the fund does not hold suffi¢ienl assets lo pay all employees the benefits relating lo employee service in the cuirent and prior peftods. Contributions to defined contribution plans are iecognised in the Statement of Financial Activities when they are due. If contribution payTnenls exceed the contribution due for service. the excess is recognisèd as a prepaymenl. Financial instruments Classlflcatlon The company only has financial assets and financial liabililies of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transa¢t4on value and subsequently measured al their settlement value with Ihe exception of bank loans which are subsequently measured at amort15ed cost using the effective interest method. 3 Incom• from donatlon$ and lega¢l¢s Unrestricted funds General Restricted funds Total 2022 Total 2021 Donations and legacies.. Donations and gifts in kind Legacies Grants, Including capttal grants". Giants 283.923 283,923 216,305 14,077 28,627 53.854 82,481 734.116 312,550 53,854 366,404 364,498 Total for 2021 289.249 75,249 364,498 In 2022 grants above £5k ￿re genetously received from the lollowing funders.. Hexharn Council Nel Community Foundation Sir Jules Thom Charitable Trust - Ray Wind Fam In 2021 we also received similar grants from Net Community Foundation February Foundation Barbour Foundation New¢astle Building Society The Albert Hunt Trust Forsters Belford Trusl 36 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 4 In¢ome from charitable activities Unrestricted funds General Restrict•d funds Total 2022 Total 2021 Nursing Care- Northumberland Care Trust Family Support 68.137 68.137 68,001 29,470 68.137 68,137 97,471 Total for 2021 97.471 97,471 5 Income from other trading activities Unr•strict•d funds General Rèstrictèd funds Total funds Total 2021 Trading inc0￿e.. Shop Income Fundraising events 563.213 102,297 563,213 102,297 210.367 63,573 665.510 665,510 273.940 Total lor 2021 273,940 273.940 6 Invèstment Ineomè Unrestricted funds General Restricted funds Total 2022 Total 2021 Interest receivable and similar income., Interest receivable on bank deposits Other investment income 2,960 2.865 188 2.960 3,053 Total lor 2021 3,053 3.053 37 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 7 Other Income Unrestricted funds General Restricted funds Total 2022 Total 2021 Other income 170,601 33.364 203,965 277,844 Total for 2021 95,648 182.196 277.844 Other income is made up of NHSEIHospice UK income of £33,364, 12021 £182.1961. COVID-19 CJRS income of 1884 12021- £51.8061. COVID-19 Business Support of £11.387 12021 £43,507). insurance claims of £158,33012021 - £nill and sundry income ol £nil12021- £335}. 8 Expènditur¢ on raising funds Total 2022 Total 2021 Direct costs Costs of raising funds 680,770 680.770 518,988 Total lor 2022 680.770 680,770 518,988 Total for 2021 518.988 518.988 38 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 9 Exp8ndltur8 on ¢harltable a¢tlvitie$ Unrestricted funds General Restricted funds Total 2022 Nursing Care Family Support Patient Transport 143.654 105,486 27,203 134,760 20.595 278,414 126,081 27.203 276.343 155,355 431,698 Unrestricted funds General Restri¢ted funds Total 2021 Nursing Carè Family Sup5)0rt Patient Transport 13.9511 48.817 24.791 272.646 68.030 1,500 268.695 116,847 26,291 69,657 342,176 411,833 Activity undertakèn dlre¢tly Activity support osts 2022 Nursing Carè FamTly Support Palienl Transport 182.363 81.891 20.739 96.051 44.190 6.464 2T8.414 126,081 27.203 284,993 Activity undertakèn dlr•ctly 146,705 Activity 5UPPOrt ¢0Sts 431,698 2021 Nursing Care Family Support Patient Transport 167,635 72.374 17,701 101.059 44,473 8.591 268,694 116.847 26,292 257,710 154.123 411.833 39 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 10 AnalysSs of governance and support costs Support costs allocated to charitable activbties Prèmis•s costs including depfec5ation Other $upport co$t$ Total 2022 Staff costs Nursing Care Family Support Patient Tran5POrt 51.762 24,252 3.661 1.553 653 82 42.736 19.285 2.721 96,051 44,190 6,464 79,675 2.288 Premisès costs Including depreciation 64.742 146,705 Other support costs Total 2021 Staff costs Nursing Care Family Support Patient Transport 63,849 44,473 8,591 1.934 35.276 101,059 44,473 8.591 116.913 1,934 35.276 154,123 11 Net incomingloutgoing resourcts N81 incoming resources lor the year indude.. 2022 2021 Audil fees Other non-audit servicès Depreciation of fixed assels 5,250 1,500 6.385 5,280 1.930 8,201 12 Trustees remuneration and expense5 No Iru51ees, nor any persons connected them, have received any remuneration from th6 ¢h8rlly during the year. No trustees have received any rèimbursed ex￿￿se5 or any other benefits from Ihe charity during the year. 40 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 13 Staff costs The aggregate payroll Gosls were as follows.. 2022 2021 Staff costs during the year w•r•= Wages and salaries Social security costs Pension costs 655.841 44.914 10,941 565,301 37,987 9.642 711,696 612,930 The monthly average number ol persons {including sen•)r managemenl I leadership leaml employed by the charity during the year was as follows". 2022 No 2021 No Retail, fundraising and administrative stsff Family support staff Nursing staff 21 17 20 41 39 The number of employees whose emoluments fell within the follo￿n9 bands was.. 2022 No 2021 £60.001 £70.000 The toial employee benefits of the key management personnel ol the charity were £122.76512021 £98,373). 14 Au(Iltors' rèmuneration 2022 2021 Audit ol the fin8nCI81 statements 5.250 5.28Q Other fees to auditors The auditing of accounts of any associate of Ihe charity Taxation compliance services All other non-audit serwces 5,250 5.280 385 1,345 1.500 6.750 7,010 41 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 15 Taxation The charity is exempt from laxalion in respect of income or capilal gains received wlhin categories covered by Chapter 3 Part 11 01 the corporab.on Tax Act 2010 or Section 256 of the Taxation of Chargeable Gains Acl 1992. to the extent that such income or gains a￿ applied exclusively lo charitable purposes. 16 Intangible fixed assets Software costs Total Cost AI 1 April 2021 7.050 7.050 At 31 March 2022 7,050 7,050 Amortisation At 1 April 2021 7,050 7,050 At 31 March 2022 7.050 7.050 Net book value Al 31 March 2022 Al 31 March 2021 The intangible asseis ￿lateS to software purchased by the charily. The Trustees have deemed the Useful life of thi5 soflware to be 5 years. and as such this is the periLxI of amortisalK)n per the aGcounts'ng policy. 42 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 17 Tangible fixed a$5ets Leasehold property improvernents Furnlturo and equipment Total C95t Al 1 April 2021 Addit￿n$ 93,344 5,840 29.164 3,550 122,508 9,390 At 31 March 2022 99.184 32,714 131,898 Depreciation At 1 April 2021 Charge for the year 84.505 4.444 19,469 1,941 103,974 6,385 Al 31 March 2022 88,949 21.410 110,359 Net book value Al 31 March 2022 10,235 11,304 21,539 At 31 March 2021 8.839 9,695 18,534 18 Fixed asset inveslments 2022 2021 Other investmen15 379.314 43 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 other investmgnts Llsted Investment$ Total Cost or Valuation Additions Revaluation 400.000 20.6861 400.000 120,6861 Al 31 March 2022 379,314 379,314 Net book valuè At 31 March 2022 379.314 379,314 The cost value of the listed inveslmenis at 31 March 2022 was £400.000 {2021- £Nill. The investment balance comprises listed inveslmenls and Open Ended Investment Company IOEICI funds. The following investments accounled for more Ihan 5% 01 the total= 71M Sustainable Balance C IAccl £36,804 - ASI Ethical Corporale 8orKt Pl £34.700 AXA Framlington Health Z £19.202 ErtenTree Responsiblè and Sustainable Slerting Bd Cls 8 £37.223 Janus Henderson Global Résponsible hrtanagedl £19.643 Janus Henderson Global Sustainable Equity 1 £19,726 Jupiter Ecology Fund 1 £19.008 Legal & General MSCI Whl Socially Resp Inv £20,952 Premier Milon Responsible UK Equity Class C £34.774 Royal London Ethical Bond Fund 11 M £37.014 Schroder QEP Gk>bal Corel £21,230 19 Debtors 2022 2021 Prepayments and accrued income VAT recoverable 153.835 9.339 44,743 7,873 163.174 52,616 20 Creditors- amounts lalling due within one year 2022 2021 Trade creditors Other laxalion and social security Other cradstors Ac¢ruals 8,310 13,737 2,258 81.806 1,740 10,886 59,108 106,111 71,734 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 2022 2021 Deferred income al l April 2021 Resources deferred in the period Amounts released from previous periods Deferred income al year end 6,457 5.066 6,4571 5,066 17,244 6,457 17,2441 6.457 Dèf&rr8d in¢ome relate5 to evenis which have not yet laken place. 21 Obligations under leases and hlre purcha$e ¢ontra¢ts Operating lease commitments Total future minimum lease payrnents under non-cancellablg op8rab.ng teases are as follows.. 2022 2021 Land and buildings Within one yeaf Between Dne and fnie years After five years 105.421 235,820 109,000 79,839 173,106 19.226 450.241 272,171 Other Within one year Be￿een one and five years 6.359 6,145 12,504 7,142 9.788 16,930 22 Penslon and other schemes Defined ¢ontribution pension sch8me The charity operates a defined contribution pension scheme. The pension cost charge for the year represents contributions payable by the charity to the scheme and amounted lo £10.941 12021 £9,642). Contributions totalling £2.25712021 £Nill were payable to the scheme al the end of the year and arè included in ¢redrtors. 45 00 Or #￿000 (ryooo 000 r4000 000 Oosr (J V) J o) WLioouzzI>I oooooooroo Ooooooo￿O0 OffJNOoo￿￿￿O J *) o c4 IY) ooc>oooo 0000000 op)(NooOw￿￿o 'Iii t£Ittizi>tt(nz ooootrooooooo ooooo￿o00000 OW)U)OrPknOO￿OOts ooooooooots¢o ooooo￿O000￿c OLD￿00￿￿￿￿00O r￿00 ftroo 00 t trio O (o c w>IrL7LLL¥U)SLL7> O¢DO ry co oroo o) ro £II OL)ZZ Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 The specrfic purposes for which the fvnds are lo be applied are as follows". Designated funds The Trustees have designaled the assets recewed Irom the Dorothy Moore Legacy towards the future strategic developments of the charity. In the current year soffte of the reserves ￿11 be expended to fund a planned retail expansion and the post of a Community Engagement Officer for an inits'al year. The Trustees have designated £150,000 from the Legacy fijnd towards lulure retail and service provision opportunities. Reslricled funds The Rainbow Project - donations received in the year towards the Children's Berèavemgnl Service (Rainbow Projecll. EC Graham _ The Belfoid Trust- a donation lowards resources lo enhance the work of the Children's Ber8avemenl servi￿ (Rainbow Projecll. Wellesley Trust- a grnnt towards family SUPFK¥t. Hexham Town Council - a grant towards Itansport services. Jules Thom TTUSt- grants lowards nursing costs. Childrèn In Need - a grant towards our family support and bereavement services. J G W Patlinson - a donatiorh towards our family support service. Percy Hedley Foundation - a donalion towards nursing costs. Parish council donations- donal￿nS towards thè family supp(xt seTrice. Poslcode Lollery- a grant received towards our Children's Support service. Freemasons ol Notthufflberland - a grant towards nufsing costs. Souter Charitable Trust- a granl received towards our Chihlren's Support service. Masonic Trust- a granl iowards nursing costs. Freemasons Grand Charity- Ta grant towards lamity sUPPOrt. NHS Palliative Care - a grant towards OUT nursing care services. NHSEIHospice UK awarded fvnding to alk)w the Hospice to make available bed capacity and community support from April 2020 to July 2020 to provide support to people with complex needs in the context of the COVID-19 situation and to provide bed capacity and community support fri)m November 2020 to March 2022 for Ihe same purpose. 50 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 24 Analy$i$ of net assets between funds Unrestricted Total funds at 31 March 2022 General Designated Rèstricted Tangible fixed assets Fixed asset investments Net current assetsllliabilitiesl 21,539 379,314 365,354 21,539 379,314 719,665 354,311 Totsl nel assets 766.207 354,311 1,120.518 Unrestrictèd Total funds at 31 March 2021 General Deslgnatèd Restricted Tangible fixed assets Nel current assetsllliabilitiesl 18,264 518,990 270 14.925 18.534 928,162 394,247 Total net assets 537.254 394.247 15,195 946.696 25 Analysis of net funds At 1 April 2021 At 31 March 2022 Cash flows Cash at bank and in hand Current asset investrnenls 947.280 1284.6781 379.314 662,602 379,314 Nel fun¢Js 947,280 At 1 April 2020 94.636 1.041,916 At 31 Mar¢h 2021 Cash flows Cash at bank and in hand Current asset Investments 379.226 454.138 568,054 454,1381 947.280 Net funds 833,364 113.916 947,280 51 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 26 Rèlated party transactions Trustees supported the charity thiough donations and participation in fundraising efforts totalling £3,23712021'. £3,417) but no expenses were paid to Ihe Trustees in Ihe year. 52 TYNEDALE HQSPICE AT HQME Tynedale Hospice at Home Trustees Annual Report 2022 Charity Number: 1034170, Company Number.. 02870776 Tynedale Hospice at Home Contents Trustees. Report 1to23 Reltsrence antl Administrative Details 24 Independent Auditors, Report 25to27 Sialemenl of Financial ActNities 28 Stalernent of Financial Activities 29 Balance Sheet 30 ststement of Cash Flows 31 Notes (o the Financial Statements 32to52 Trustees AnnuaL Report 2022 TYNEDALE HQSPICE AT HQME The trustees, who act as directors for the purposes of company law, are pleased to present their annual report together with the audited financial statements for the year ended 31 March 2022. 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 1021, the Charities Act 2011, the Companies Act 2006 and UK Generally Accepted Accounting Practice. OBJECTIVE AND AcfiviTIES Tynedale Hospice at Home's {THH) objective is'the relief of sickness, in particular end of life care and associated services in Tynedale, West Northumberland and Ponteland" Our vision- Tynedale Hospice at Home will ensure that everyone in our community has access to the resources and care they need to reduce the distress caused by life-limiting illnesses or sudden death. Our services- will be maintained at an outstanding level and funded by a combination of community support and statutory funding. Our mission- Easing the end-of-life journey for people in our community. Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME MAIN ACTIVITIES Nursing Care OLJr nursing team is available to all patients over 18 who are registered with GPS in West Northumberland and who are on the palliative care register. We provide care in patients. own homes including residential care homes. Our nursing care team is made up of 15 registered nurses and 5 hospice support workers, who are overseen by a Deputy Head of Care and Head of Care. To identify needs in the Community we work closely with the GP Practices. Community NHS Nursing teams and other providers within the area. Referrals are received from these healthcare professionals but also direct from individuals requiring support or their familiesltarers to ensure equity of provision. Familysupport The Family Support Team IFSTI provides support, following a diagnosis of a life-limiting illne55, or death of a loved one. We aim to help those left behind to cope and adapt in their new situation through an active listening service as opposed to formal counselling. but comply with the $3me guidelines, policies and safeguarding. The service provides pre and post bereavement support to adults and children who are a resident in West Northumberland and registered with a GP in our area. Referra15 can be made via the GP, community nurses, THH nurses. Macmillan services, living well co- ordinator5 and mental health practitioners. Individuals may also self-refer. The team consists of three practitioners. two of whom are qualified to support children and families, and 17 trained volunteers. Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME MAIN ACTIVITIES {CONTINUED) Transport Our transport team provides a door-to-door se￿iCe taking patients from their home to appointments, which for some people in rural areas can often be difficult due to the distance to treatment centres. The transport service is managed by the Transport co-ordinator and operated by a team of volunteer drivers, who use their own vehicle5 to drive clients to hospital appointments for treatment to address their life-limiting condition, which can include consultations, sc3r15, radiotherapy and chemotherapy. Public Benefit The trustees have followed Charity Commission Guidance on public benefit as stated in the Charities Act 2011 and believe that the objectives and activities described throughout this report demonstrate this compliance. PARTNERSHIP WORKING A zoom presentation was developed on Grief and Loss and delivered in November, in partnership with the Northumberland Recovery College. The session was evaluated positivelyi and the College will maintain links with THH. We provided a se55ion with teachers from a local school who had two bereaved children in their classes. A Family Support Coordinator provided practical advice and a support session for the teachers to help them address some of the problems the children presented with. The team secured funding from Children in Need this year which will enable the team to provide and update resources in our "Rainbow Room" used for child and family sessions, as well as funding one practitioner for children's bereavement support. Trustees Annual Report 2022 TYNEDALE HQSPICE ATHQME ACHIEVEMENTS Our three-year strategic plan12019-20221 ended in March 2022 and was developed to progress the hospice to towards Its vision= 'Tynedale H05pice at Home will ensure that everyone in our community has access to the resources and care they need to reduce the distress caused by life limiting illness and sudden death. Our service5 will be maintained at an outstanding level andfunded by a combin£7tion of community support and 5tatutoryfunding The strategic plan identified goals, objectives and milestones from April 2019 until March 2022. The plan was developed through consultation with staff. volunteers, stakeholders and partners who contributed to goals and objectives that were approved by Trustees. It was separated into four key areas.. People at our core.- patients, clients, supporter5 and staff. Outstanding services.. provide an outstanding experience in all that we do. Provide more support to more people- provide the most holistic service possible. Grow our reputation= ensure everyone in our community knows who we are and what we do. The plan was delivered successfully achieving increases in beneficiaries supported, increased income and improved quality of services, evidenced by the return of the "Friends and Family Test" feedback forms. Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME DURING THE LAST 12 MONTHS THE HOSPICE HAS BEEN SUCCESSFUL IN DELIVERING KEY ELEMENTS OF ITS STRATEGY: Care Services Recruited a new Head of Care, alongside a Hospice Support Worker and 6 Registered Nurses, one of whom is on contracted hours. Underwent an Interim Monitoring Assessment by the CQC in June 2022, resulting in the Engagement Officer being satisfied that THH was operating effectively. Expanded our referral pathways to enable individuals to self-refer. Introduction of referrals at weekends. Provision of "twilight shifts" which provide support to patients after the completion of the Community NHS shifts at 5pm and enable patients to be comfortable at night, thus replacing the patient's need for overnight care. Wider communication with Community Nursing teams, Gps. Specialist Nurses. secondary care and social care in the locality raising the profile of THH to embed referral pathways. Increased use of digitisation by the Nursing team. Seamless provision of care throughout the COVID-19 pandemit. Opened two Bereavement Support cafés, in Hexham and Prudhoe. Income generation FundraisinE pfoErammes were succe55fully delivered including the return of many challenge and community events to exceed income expectations. £97,000 grant funding was secured over three years from Children in Need to support Family Support Services from 2022123. Shops re-opened in April 2021 following a third national lockdown and have exceeded income expectations for 2021122. A fifth shop was opened, selling pre-loved furniture and homewares on the outskirt5 of Hexham, Northumberland. Further investment was made in THH'S digital fundraising activity to increase efficiencies and maximise donor engagement. To reflect the increasing importance of data analysis, a Systems Adrninistrator wa5 recruited to ensure maximisation of our CRM system. Restructure of the Retail Management Team took place, due to increased pressure, as a result of opening another store. Trustees Annual Report 2022 TYNEDALE HQSPICE ATHQME Good governance Trustees and the Executive Management Team were buoyed by the recruitment of 3 new Trustees who came from varied backgrounds and have added significant depth in experience and skills to the existing group of Trustees. The Board and Committees continued to meet. remotely via video conferencing and in person to receive reports from the Executive Team, ensuring the hospice continued to operate effectively throughout the period. THH'S compliance with regulation/legislation governing its activities is kept under review by the Committees on a rolling basis. Staff ing and volunteering The Head of Care resigned in August 2021. Two Deputy Heads of Care and the CEO covered the position until a replacement was recruited in February 2022. THH introduced a wellbeing strategy and inaugurated a staff wellbeing group. involving staff, who represent each department within THH_ A staff survey was conducted at the end of 2021. Three volunteers received the High Sherriff of Northumberland Award in 2021122. During the year. THH was supported by 230 volunteers, across all of our Services and activities, after successful recruitment drives increased our complement by 47. Volunteer5 provided over 22,000 hours of support during the year. Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME PERFORMANCE OF CARE SERVICES Nursing As lockdowns for COVID-19 ended the nursing team continued to provide the highest quality of care to patients, as it had throughout the pandemic. The team ensures the utmost safety of all of patients by using the requisite Personal Protective Equipment every time caie 15 provided. 2021122 2020/21 New patient referrals 144 153 Hours of care provision 2,861 2,068 Deaths at home 42% 58% Above with nurse present 26% 33% Recommendations 40 41 Episodes of care provided 410 Not available The table shows reAerro15 at 95% of the levels of the previous yeor but the hours of care provided increosed. This is due to potients being referred to THH eorlier ond enabling the teom to carefor patients longer at the end of their lives. The toble shows that the service received a significant number of 'recommendutions" evidencing the hi9h-quolity care provided by the Nursing teom ond that we were able to provide over 400 episodes ol core. during day ond night. Trustees AnnuaL Report 202 2 TYNEDALE HQSPICE AT HQME Development5 in the service New systems have been implemented to capture the number of 5hift5 provided for patients rather than hours which will help produce a clearer picture of care provided in coming years. We have promoted the services provided by THH by visiting healthcare professionals to embed the referral pathways into the different services and encourage earlier referrals. We continue to encourage twilight shifts for those who decline overnight care. New patients referred at weekends are now being accepted with systems in place to manage risks for staff and patients. Staff recruitment and retention over the last year has been problematic in many healthcare settings. Earlier in the year we held an open day inviting anyone with an interest in THH to come and gain insight into hospice work. This generated some interest and over the last yeai we have recruited a further 6 Registered Nurses IRNI and l Hospice Support Worker IHSWI to the nursing team, although some of these were offset by other staff resignation5. We appointed a new Head of Care in February 2022 who is the Registered Manager with CQC. Prior to her appointment the CEO and Deputy Head of Care - Nursing, maintained regular communication with the CQC Engagement Officer who was satisfied with the quality of care. With the increasing number of staff, further governance systems have been implemented to facilitate the m3intenance of high-quality care. These include.. additional end of life training for all nurses a buddy shift document which must be completed during the probationary period before any unsupervised care is given greater use of tablets incorporating policies. SOPS and patient handover documents computerised referrals. to improve communication between care co-ordinators and nurses. Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME TRANSPORT SERVICES At the beginning of the pandemic the number of appointments dropped significantly with fewer requests for drive5. This year has seen us return to normality and we have experienced a steady increase in the number of appointments and new referrals. Developments in the service Introduction of drives at weekends Improved communication with the Community NHS teams. Increasing number of referrals from a wider range of professiona15 who are now aware of the service Increased flexibility of provision. due to an increase in urgent requests, apparent since COVIDI9. 2021122 2020121 New referrals 56 17 Return journeys 318 224 Miles covered 16,126 8,795 Volunteers 18 13 Hours 922 408 io Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME FAMILY SUPPORT TEAM Despite the challenges COVID-19 posed for the service, staff and volunteers were able to provide Sltpport sessions via telephone and video platforms. As restrictions have lifted we have been able to introduce more face-to-face support in line with government guidelines. The new Head of Care has had a positive impact on the support we provide, enabling the team to develop the service and create new networks. This ha5 raised the service's profile. and enabled us to respond to the changing need5 of the local population. 2021122 2020/21 Adult referrals 71 63 Child referrals 49 29 Client Contact house 1,055 1,102 li Trustees AnnuaL Report 2022 TYNEDALE HQSPICE AT HQME Developments in the service Two Bereavement cafes opened - one in Hexham and one in Prudhoe. The purpose of the cafés is to provide a safe, welcoming environment for those people who have been bereaved, either recently or some time ago. Anyone can attend the cafés regardless of whether a person has previously benefitted from THH'S services. Attendee5 can have a cup of tea or coffee and are able to speak with other5 who have had similar experiences to their own. The service is free of charge and a steady number of clients have attended. The cafes also act as a bridge to other activities and friendships as well as an opportunity to move away from I to I support. This allow5 the client to still feel supported and not cast adrift once individual sessions are ended. Clients from the cafés have formed strong friendships, eg. a Eroup of women meeting for coffee and lunch regularly, whilst two of the male clients meet for breakfast once a week. One of our male clients attended the Christmas Day lunch at the Community Centre as he did not want to choose between his two daughters as to who to spend the day with. Research h35 shown that the surviving spouse can experience intense feelings of loneliness and find it difficult to go out and forge new friendships and this has a negative impact on their mental health. The cafés can help individuals to re-integrate into social groups again. Adult Support GroL)P A group took place for the first time since COVID-19 lockdowns were initiated. These groups have a similar aim to the bereavement cafes. but in smaller numbers 6-8 clients per group. They are intended to address the isolation of grief, bringing people together who have shared experiences. The groups run on a weekly basis for 6 weeks and there is a thematic programme, with the content mainly driven by the participants themselves. Creative Memories Group This group has continued throughout COVID-19 over zoom with a small core of participants. This Eroup will develop further during the coming year, by expanding the range of artivities to appeal to a wider audience. Forest school for children Families were invited to take part in weekly activities over a four week period. The activities take place in a designated area in a local wood arbd the aim 15 to bring children and their families together to reduce the feeling of isolation in their grief. The forest school helps to build confidence and resilience in the children. Our experience and research show that bereavement can shatter self-esteem in young land old) people so any activity to help to create personal connections. find a voice and share their Stories is hugely beneficial. Feedback from parents following this event has been very positive. which has led to plan5 for similar artivities for adults. 12 Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME COPING WITH GRIEF DURING THE PANDEMIC- Case Studv Haydon Bridge school girl given vital support by Tynedale Hospice at Home after the death of 3 family members within days of each other during the pandemic. 'Working with Family Support Practitioner Emma Andrews, Darcy. her mother and close family friend Margaret made a "Darcy First Aid kit" with everyone writing down ideas of what helps when you are struggling from running up a hill and screaming to sharing, talking and cooking. Darcy also made a memory box which she treasures., The death of three family members within days of each other in the pandemic was devastating for 11- year old Darcy Skene 'Darcy is much more confident no￿, say her teachers, and has "found her voice.. She will ask questions and answer, even when she's not sure of the answer. which 15 hugely signif icant. "The support from Tynedale Hospice at Home gave us our daughter back," said Mum Alison,"and we could not be more proud of Darcy and what she has achieved. She is a star." Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME INCOME GENERATION Fundraising and Publicitv 2021122 Saw the return of many events, established prior to COVID-19 lockdowns, including challenge and community-led events. We continue to maintain 3 high profile in the community with strong PR and social media coverage. Evidence of this has been via the up take in many challenge events and fundraising activity1ed by THH. The team still had to operate within new COVID-19 regulations/protocols to deliver some fundraising activity. Our annual Light up a Life campaign was live streamed to ensure we could maximi5e community engagement and participation. A re-designed online dedication page complemented the virtual service, further adding to developments of our digital giving offer. We engaged in a partnership with Team Marvel to improve our website and digital giving. This included a.. website upgrade to ensure our IT infrastructure can support growing digital fundraising search engine optimisation ISEOI campaign to increase our online presence and drive traffic to our website. We recruited a Digital Fundraiser role to increase opportunitie5 for digital giving, maximise social media engagement and further increase efficiencies. We continue to maintain excellent corporate partnerships with sponsorships in place for Clarty 8airns. Great North Run, Annual Raffle, Light up a Life and a Will Writing Service during 2021122. A vacant Community Fundraiser post was re-titled to a Fundraising and Events Officer position to further develop our hospice-led and community income streams. An appointment was made to this post in March 2022. The team supported the inauguration of a furniture shop including management of PR, volunteer recruitment, securing £12,000 in capital funding and support in-kind via discounted goods and services. 14 Trustees Annual Report 2022 TYNEDALE HQSPICE AT HQME Income generation statistics 2021/22 Income- Total £ -JJiJ 2018119 2019120 2020121 2011121 Sranl iffl<&¢ted instances of non-compliance tsAth taws and regulations and fraLtd', Revlewing boar(1 minutes.. Challenging a5sumplion5 and judgements made by management in their significant accounting estimates.. and Auditing the risk of management Override of controls. induding through tesknng joumal entries and other adjuslrnenls for approprialeness. Because of the field in which the dient operates, we idenblied the followTng are85 as those most likely lo have a fnalerial impact on the financial statements-. Health and Safety.. employment laws., compliance wilh the Care Quality Commission." and compliance wilh ihe UK Companies Act and Charities Act. Owing to the inherent limitats.ons of an audrt. there is an unavoidable risk that some material misstalements in ihe financial siatements may fiot be delecled. even Ihough the audit is properly planned and performed in accordan￿ ￿{h ISAS IUKI_ For instance, the further removed non-compliance is from the event and iransac(ions reflected in the financial stslements. the less likely the auditor is lo become aware of it or to recognise the non-compliance. A further description of our responsibilrties is available on the Financial Reporting Council's website at.. www.frc.org.ukJauditorsresponsibilities. This desCript￿n forms part of our auditor's ￿pOrt. Use of our report This report is made solely to the charrtable cornpanys trustees. as a body, in accotdance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charity's trustees those matter5 we are required lo slate to them In an 8uditor's report and lor no other purpose. To the lullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and ils trustees as a body, for our audit work, for this rep)rt, or for the opinK)ns we have fomied. Simon Brown BA ACA OChA (Senior Slatutory Auditor} For and on behalf of Azels Audit SeNces Chartered Accovntanls Statutory Auditor Bulman Housè Regent Centre Gosforth Newcastle upon Tyne NE3 3LS Dale.. Azets Audit Semces is 8 tradirbg name of Azets Audit Services Limited 27 Tynedale Hospice at Home Statement of Financial Activities for the Year Ended 31 March 2022 {Including Income and Expenditure Account and Statement of Total Recognised Gains and Losses) Total 2022 Total 2021 Unrèstri¢ted Restricted Note Income and Endowments from.. Donations and legacies Charitable activities Other trading aclivilies Investment income Other income 312.550 53,854 68,137 366.404 68.137 665.510 2.960 203.965 364,498 97,471 273,940 3,053 277,844 665.510 170,601 33.364 Total Income 1,151,621 155.355 1,306,976 1,016.806 Expenditure on.. R8ising funds Charitable activities 1680.7701 276,343 {680.7701 431,698 1518,9881 411,843 155.355 Total Expenditure Gainsllosses on investment assets 1957.1131 1155,3551 {1.112,4681 1930.8311 (20,6861 120,6861 Net income Transfers bètwaen funds 173.822 15.195 173,822 85,975 115.1951 Net Tnovernenl in funds 189,017 {15.195) 173,822 85.975 Reconciliation of funds Total funds brought fonward 931.501 15,195 946,696 860,721 Total funds carrièd forward 23 1,120.518 1,120,518 946,696 AJI of the charity's a¢tivities derive from continuing operations during the above hvo periods. The funds bièakdovm for 2021 is shown in note 23. 28 Tynedale Hospice at Home Comparative Statement of Financial Activities for the Year Ended 31 March 2021 (Including Income and Expenditure Account and Statement of Total Recognised Gains and Losses) Total 2021 Unrèstricted Restricted Note In¢ome and Endowments from.. Donations and legacies Charitable activities Other trading activities Investment income Other income 289.249 75,249 97.471 364,498 97,471 273,940 3,053 277.844 273,940 3.053 95.648 182,196 Total income 661,890 354,916 7,016,806 Expenditure on-. Raising funds Charitable activities 1518.9881 169.667 1518.9881 411.843 1342,1761 Total expendilure 1588,655 342.176 930,8311 Nel in¢ome 73,235 12,740 85,975 Nel movement in funds 73.235 12,740 85,975 Reconciliation of funds Totsl funils brought forward 858,266 2,455 860.721 Total funds carried fon¥ard 23 931,501 15,195 946,696 29 Tynedale Hospice at Home (Registration number: 02870776) Balance Sheet as at 31 March 2022 2022 2021 Not• Flxèd as$èt$ Intangible assets Tangible assets Investments 16 17 18 21,539 379.314 18,534 400.853 18,534 Current assets Debtors Cash at bank and in hand 19 163,174 662,602 52.616 947.280 825.776 999,896 Creditors.. Amounts falling due within one year Net current assets 1106,1111 171,7341 719,665 928,162 Net a55et5 1.120.518 946,696 Funds of the charlty: Restricted incorne funds Restricted funds 23 15,195 Unrestricted income funds Unrestricted funds 1.120.518 931,501 Total funds 23 1,120,518 946,696 The financial statements on pages 28 to 52 were approved by the trustees. and authori5ed for issue l.o-W... and signed on their behalf by: rrison ee Trus Tynedale Hospice at Home Statement of Cash Flows for the Year Ended 31 March 2022 2022 2021 Note Cash flow$ from operatlng a¢tivitie$ Net cash income 173,822 85,975 Adjustmants to cash flows from nonsits, anil other short-term highly liquid Investments that are readily convertible to a known amount ol ¢ash and afe subject to an insignificant risk of change in value. Trade creditors Trade creditors are o￿l93t10n$ to pay for goods or services that have been acquired in the ordinary course of business frixn suppliers. Accounis payable are dassiflèd as current liabilities il the charity does not have an uncondibonal right, at the end of the repo￿ng pertod. to defer settlernent of the creditor lor at lea51 twelve months after Ihe reportin9 dale. 11 there is an unconditional right to defer settlement for at least twelve monlhs after the reporting dale. they are presented as non-current Trade creditors a￿ recognised initialty at thè transaction wice and subsequenlly measured al amortised cost using the effective Inte￿St method. Fund structure Unrestricted inwme funds are general funds that are available for use at the trustee5 discretion in furtherance of the objectives of the ch8TIty. Designated funds are unreslricted lunds set aside for specific purposes at the discretion of the Iruslees. Restricted income funds are those donated lor use in a particular area or for specific purposes, the use of which is restricted lo that area or purpose. Hlr* purchase and finance leases Assèts held for use in operating leases are included as a separale category in fixed assets al cost and d&prècial8d over their useful lrfe. Rental income from operats.ng leases is recognised on a straight line basis ovèr the term of the lease. 35 Tynedale Hospice at Home Notes to the Financlal Statements for the Year Ended 31 March 2022 Pensions and other post retirement obligatlons The charity operates a defined contribuh.on pension Scheme which is a pension plan under which fixed contributions are paid into a pensitin fun¢J and the charrty has no legal Of constructs've obligation to pay further contrib¢Jtsons even if the fund does not hold suffi¢ienl assets lo pay all employees the benefits relating lo employee service in the cuirent and prior peftods. Contributions to defined contribution plans are iecognised in the Statement of Financial Activities when they are due. If contribution payTnenls exceed the contribution due for service. the excess is recognisèd as a prepaymenl. Financial instruments Classlflcatlon The company only has financial assets and financial liabililies of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transa¢t4on value and subsequently measured al their settlement value with Ihe exception of bank loans which are subsequently measured at amort15ed cost using the effective interest method. 3 Incom• from donatlon$ and lega¢l¢s Unrestricted funds General Restricted funds Total 2022 Total 2021 Donations and legacies.. Donations and gifts in kind Legacies Grants, Including capttal grants". Giants 283.923 283,923 216,305 14,077 28,627 53.854 82,481 734.116 312,550 53,854 366,404 364,498 Total for 2021 289.249 75,249 364,498 In 2022 grants above £5k ￿re genetously received from the lollowing funders.. Hexharn Council Nel Community Foundation Sir Jules Thom Charitable Trust - Ray Wind Fam In 2021 we also received similar grants from Net Community Foundation February Foundation Barbour Foundation New¢astle Building Society The Albert Hunt Trust Forsters Belford Trusl 36 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 4 In¢ome from charitable activities Unrestricted funds General Restrict•d funds Total 2022 Total 2021 Nursing Care- Northumberland Care Trust Family Support 68.137 68.137 68,001 29,470 68.137 68,137 97,471 Total for 2021 97.471 97,471 5 Income from other trading activities Unr•strict•d funds General Rèstrictèd funds Total funds Total 2021 Trading inc0￿e.. Shop Income Fundraising events 563.213 102,297 563,213 102,297 210.367 63,573 665.510 665,510 273.940 Total lor 2021 273,940 273.940 6 Invèstment Ineomè Unrestricted funds General Restricted funds Total 2022 Total 2021 Interest receivable and similar income., Interest receivable on bank deposits Other investment income 2,960 2.865 188 2.960 3,053 Total lor 2021 3,053 3.053 37 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 7 Other Income Unrestricted funds General Restricted funds Total 2022 Total 2021 Other income 170,601 33.364 203,965 277,844 Total for 2021 95,648 182.196 277.844 Other income is made up of NHSEIHospice UK income of £33,364, 12021 £182.1961. COVID-19 CJRS income of 1884 12021- £51.8061. COVID-19 Business Support of £11.387 12021 £43,507). insurance claims of £158,33012021 - £nill and sundry income ol £nil12021- £335}. 8 Expènditur¢ on raising funds Total 2022 Total 2021 Direct costs Costs of raising funds 680,770 680.770 518,988 Total lor 2022 680.770 680,770 518,988 Total for 2021 518.988 518.988 38 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 9 Exp8ndltur8 on ¢harltable a¢tlvitie$ Unrestricted funds General Restricted funds Total 2022 Nursing Care Family Support Patient Transport 143.654 105,486 27,203 134,760 20.595 278,414 126,081 27.203 276.343 155,355 431,698 Unrestricted funds General Restri¢ted funds Total 2021 Nursing Carè Family Sup5)0rt Patient Transport 13.9511 48.817 24.791 272.646 68.030 1,500 268.695 116,847 26,291 69,657 342,176 411,833 Activity undertakèn dlre¢tly Activity support osts 2022 Nursing Carè FamTly Support Palienl Transport 182.363 81.891 20.739 96.051 44.190 6.464 2T8.414 126,081 27.203 284,993 Activity undertakèn dlr•ctly 146,705 Activity 5UPPOrt ¢0Sts 431,698 2021 Nursing Care Family Support Patient Transport 167,635 72.374 17,701 101.059 44,473 8.591 268,694 116.847 26,292 257,710 154.123 411.833 39 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 10 AnalysSs of governance and support costs Support costs allocated to charitable activbties Prèmis•s costs including depfec5ation Other $upport co$t$ Total 2022 Staff costs Nursing Care Family Support Patient Tran5POrt 51.762 24,252 3.661 1.553 653 82 42.736 19.285 2.721 96,051 44,190 6,464 79,675 2.288 Premisès costs Including depreciation 64.742 146,705 Other support costs Total 2021 Staff costs Nursing Care Family Support Patient Transport 63,849 44,473 8,591 1.934 35.276 101,059 44,473 8.591 116.913 1,934 35.276 154,123 11 Net incomingloutgoing resourcts N81 incoming resources lor the year indude.. 2022 2021 Audil fees Other non-audit servicès Depreciation of fixed assels 5,250 1,500 6.385 5,280 1.930 8,201 12 Trustees remuneration and expense5 No Iru51ees, nor any persons connected them, have received any remuneration from th6 ¢h8rlly during the year. No trustees have received any rèimbursed ex￿￿se5 or any other benefits from Ihe charity during the year. 40 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 13 Staff costs The aggregate payroll Gosls were as follows.. 2022 2021 Staff costs during the year w•r•= Wages and salaries Social security costs Pension costs 655.841 44.914 10,941 565,301 37,987 9.642 711,696 612,930 The monthly average number ol persons {including sen•)r managemenl I leadership leaml employed by the charity during the year was as follows". 2022 No 2021 No Retail, fundraising and administrative stsff Family support staff Nursing staff 21 17 20 41 39 The number of employees whose emoluments fell within the follo￿n9 bands was.. 2022 No 2021 £60.001 £70.000 The toial employee benefits of the key management personnel ol the charity were £122.76512021 £98,373). 14 Au(Iltors' rèmuneration 2022 2021 Audit ol the fin8nCI81 statements 5.250 5.28Q Other fees to auditors The auditing of accounts of any associate of Ihe charity Taxation compliance services All other non-audit serwces 5,250 5.280 385 1,345 1.500 6.750 7,010 41 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 15 Taxation The charity is exempt from laxalion in respect of income or capilal gains received wlhin categories covered by Chapter 3 Part 11 01 the corporab.on Tax Act 2010 or Section 256 of the Taxation of Chargeable Gains Acl 1992. to the extent that such income or gains a￿ applied exclusively lo charitable purposes. 16 Intangible fixed assets Software costs Total Cost AI 1 April 2021 7.050 7.050 At 31 March 2022 7,050 7,050 Amortisation At 1 April 2021 7,050 7,050 At 31 March 2022 7.050 7.050 Net book value Al 31 March 2022 Al 31 March 2021 The intangible asseis ￿lateS to software purchased by the charily. The Trustees have deemed the Useful life of thi5 soflware to be 5 years. and as such this is the periLxI of amortisalK)n per the aGcounts'ng policy. 42 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 17 Tangible fixed a$5ets Leasehold property improvernents Furnlturo and equipment Total C95t Al 1 April 2021 Addit￿n$ 93,344 5,840 29.164 3,550 122,508 9,390 At 31 March 2022 99.184 32,714 131,898 Depreciation At 1 April 2021 Charge for the year 84.505 4.444 19,469 1,941 103,974 6,385 Al 31 March 2022 88,949 21.410 110,359 Net book value Al 31 March 2022 10,235 11,304 21,539 At 31 March 2021 8.839 9,695 18,534 18 Fixed asset inveslments 2022 2021 Other investmen15 379.314 43 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 other investmgnts Llsted Investment$ Total Cost or Valuation Additions Revaluation 400.000 20.6861 400.000 120,6861 Al 31 March 2022 379,314 379,314 Net book valuè At 31 March 2022 379.314 379,314 The cost value of the listed inveslmenis at 31 March 2022 was £400.000 {2021- £Nill. The investment balance comprises listed inveslmenls and Open Ended Investment Company IOEICI funds. The following investments accounled for more Ihan 5% 01 the total= 71M Sustainable Balance C IAccl £36,804 - ASI Ethical Corporale 8orKt Pl £34.700 AXA Framlington Health Z £19.202 ErtenTree Responsiblè and Sustainable Slerting Bd Cls 8 £37.223 Janus Henderson Global Résponsible hrtanagedl £19.643 Janus Henderson Global Sustainable Equity 1 £19,726 Jupiter Ecology Fund 1 £19.008 Legal & General MSCI Whl Socially Resp Inv £20,952 Premier Milon Responsible UK Equity Class C £34.774 Royal London Ethical Bond Fund 11 M £37.014 Schroder QEP Gk>bal Corel £21,230 19 Debtors 2022 2021 Prepayments and accrued income VAT recoverable 153.835 9.339 44,743 7,873 163.174 52,616 20 Creditors- amounts lalling due within one year 2022 2021 Trade creditors Other laxalion and social security Other cradstors Ac¢ruals 8,310 13,737 2,258 81.806 1,740 10,886 59,108 106,111 71,734 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 2022 2021 Deferred income al l April 2021 Resources deferred in the period Amounts released from previous periods Deferred income al year end 6,457 5.066 6,4571 5,066 17,244 6,457 17,2441 6.457 Dèf&rr8d in¢ome relate5 to evenis which have not yet laken place. 21 Obligations under leases and hlre purcha$e ¢ontra¢ts Operating lease commitments Total future minimum lease payrnents under non-cancellablg op8rab.ng teases are as follows.. 2022 2021 Land and buildings Within one yeaf Between Dne and fnie years After five years 105.421 235,820 109,000 79,839 173,106 19.226 450.241 272,171 Other Within one year Be￿een one and five years 6.359 6,145 12,504 7,142 9.788 16,930 22 Penslon and other schemes Defined ¢ontribution pension sch8me The charity operates a defined contribution pension scheme. The pension cost charge for the year represents contributions payable by the charity to the scheme and amounted lo £10.941 12021 £9,642). Contributions totalling £2.25712021 £Nill were payable to the scheme al the end of the year and arè included in ¢redrtors. 45 00 Or #￿000 (ryooo 000 r4000 000 Oosr (J V) J o) WLioouzzI>I oooooooroo Ooooooo￿O0 OffJNOoo￿￿￿O J *) o c4 IY) ooc>oooo 0000000 op)(NooOw￿￿o 'Iii t£Ittizi>tt(nz ooootrooooooo ooooo￿o00000 OW)U)OrPknOO￿OOts ooooooooots¢o ooooo￿O000￿c OLD￿00￿￿￿￿00O r￿00 ftroo 00 t trio O (o c w>IrL7LLL¥U)SLL7> O¢DO ry co oroo o) ro £II OL)ZZ Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 The specrfic purposes for which the fvnds are lo be applied are as follows". Designated funds The Trustees have designaled the assets recewed Irom the Dorothy Moore Legacy towards the future strategic developments of the charity. In the current year soffte of the reserves ￿11 be expended to fund a planned retail expansion and the post of a Community Engagement Officer for an inits'al year. The Trustees have designated £150,000 from the Legacy fijnd towards lulure retail and service provision opportunities. Reslricled funds The Rainbow Project - donations received in the year towards the Children's Berèavemgnl Service (Rainbow Projecll. EC Graham _ The Belfoid Trust- a donation lowards resources lo enhance the work of the Children's Ber8avemenl servi￿ (Rainbow Projecll. Wellesley Trust- a grnnt towards family SUPFK¥t. Hexham Town Council - a grant towards Itansport services. Jules Thom TTUSt- grants lowards nursing costs. Childrèn In Need - a grant towards our family support and bereavement services. J G W Patlinson - a donatiorh towards our family support service. Percy Hedley Foundation - a donalion towards nursing costs. Parish council donations- donal￿nS towards thè family supp(xt seTrice. Poslcode Lollery- a grant received towards our Children's Support service. Freemasons ol Notthufflberland - a grant towards nufsing costs. Souter Charitable Trust- a granl received towards our Chihlren's Support service. Masonic Trust- a granl iowards nursing costs. Freemasons Grand Charity- Ta grant towards lamity sUPPOrt. NHS Palliative Care - a grant towards OUT nursing care services. NHSEIHospice UK awarded fvnding to alk)w the Hospice to make available bed capacity and community support from April 2020 to July 2020 to provide support to people with complex needs in the context of the COVID-19 situation and to provide bed capacity and community support fri)m November 2020 to March 2022 for Ihe same purpose. 50 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 24 Analy$i$ of net assets between funds Unrestricted Total funds at 31 March 2022 General Designated Rèstricted Tangible fixed assets Fixed asset investments Net current assetsllliabilitiesl 21,539 379,314 365,354 21,539 379,314 719,665 354,311 Totsl nel assets 766.207 354,311 1,120.518 Unrestrictèd Total funds at 31 March 2021 General Deslgnatèd Restricted Tangible fixed assets Nel current assetsllliabilitiesl 18,264 518,990 270 14.925 18.534 928,162 394,247 Total net assets 537.254 394.247 15,195 946.696 25 Analysis of net funds At 1 April 2021 At 31 March 2022 Cash flows Cash at bank and in hand Current asset investrnenls 947.280 1284.6781 379.314 662,602 379,314 Nel fun¢Js 947,280 At 1 April 2020 94.636 1.041,916 At 31 Mar¢h 2021 Cash flows Cash at bank and in hand Current asset Investments 379.226 454.138 568,054 454,1381 947.280 Net funds 833,364 113.916 947,280 51 Tynedale Hospice at Home Notes to the Financial Statements for the Year Ended 31 March 2022 26 Rèlated party transactions Trustees supported the charity thiough donations and participation in fundraising efforts totalling £3,23712021'. £3,417) but no expenses were paid to Ihe Trustees in Ihe year. 52 Tynedale Hospice al Home 1 Legion House Beaufront Business park Anick Road Hexham Northumberland NE46 4TU Azels Audit Services Bulman House Regent Centre Gosforth Newcastle upon Tyne NE3 3LS Dale= 11 Nov8mber 2022 Dear Sirs This representation letter trs prowded in conneGtion wtth your audit of the finarF¢ial stslemenls of the charity lor the year ènd 31 March 2022. for the purpjse of expressing an opinion 8s to whether the financial statements are presented laiity, in all material 8spects. lor give a true and fair view) in accordance with applicable linancial reporting frarnework IFRS1021. Wè confirm that the lollowng represeniations are made on the basis of enquirses of the trustees. management and staff with relevant knowledge and experien￿ land, where appropriate. of inspection of supporttng documentation) sufficienl to satisfy ourselves that we can properly make each of the following representatk)ns to you.. We have fulfilled our responsibilities as truslees under the Compan￿5 Ad 2006 and Charities Act 2011 Iof preparing financial statements, in accoidance with the applicable financial reporting framework IFRS 102 and the FRS 102 Charrty SORPI. We confirrn that in our opinion the financial statements giv8 a true and lair view and in parti¢ul8r that where any additional infomatson must be disclosed in order to give a true and fair view that information has in fact been disclosed. We confirm that the selection an(J application of the 8ccounb.ng policies used in Ihe preparalion ol Ihe financial statemenis are approprfale. and we approve these accounts for the year ended 31 March 2022. 2. We confirm that all accounting records have baèn made avatlable to you for the purposè of your audit, in accordance ￿th your tèrrris of engagement. and that all the transactions undertaken by the charity have been property reflected and recorded in thè a¢¢ounting records. All Dlher records and related information, including minutes ol all rnanagement, Irustees. and members. meetings. have been madè available lo you_ We have given you uniestrict8d access to persons within the charity in ordeF lo obtain audit evidence and havè provided any addilional information thal you have requested lor the purposès of your audit. 3. We conlim the ¢harty ha5 satisfactory trile to all assets and there are no liens or encumbrances on the a55ets, ex￿p1 for those disclosed in the financial statements. 4. We confirm that significant assumptions Used by us in making accounting eslimales, including those measured al fair value, are reasonable. 5. We confirm that we have no plans or intenbons that may materialty 8ller the carrying value and, where relevant. the fair value Measu￿Ments or ¢lassrfication of assets and liabilities reflected in the financial statements. 6. We ¢onfirm that the ¢harty has no liabilities or wntingent liabililies other than those disdosed in the linancAal statements. Tynedale Hospice at Home. Company number.. 1034170 l Legion House. Beaufront Business Park. Anick Road, Hexham. Northvmberland. N£46 4TU We confirm that all known actual or possitAe litig8tion and claims whose effects 5houkl be considered when preparing the financial stslemenls have been dis¢losed to you and ac¢ounled for and disclosed in a¢￿IlyanCe with the appficable financial reporting framework. 7. We confirm thal there have been no evgnts since the balance sheet date which require disclosing or which would materially affect the amounts in the finan¢ial statements. other than those already disclosed or included in the financial siatements. 8. We confirm that we are aware of the definition of a relaled paty for the purpose of the accounting framework being applied in the preparalion of the aC￿nts. We ¢onlirm th81 the related paty relab"on5hips al￿ transacitons set ovl below are a complete list of such relationships and transactioris and that we are not aware of any further related parties or Iransaclions. Party Relationship Nature of transaction Trustees Trustees of charity Donations and fundraising Contribut￿￿$ of £3.237 9. Wè confiim that all related party relalKbnships and transactions have been accounted for and disclosed in accordancè with the applicable financial ￿porting framework. 10. We confirm that the charity neithec had, al any lime during the year. any arrangement. transaction or agreement to provide ¢re(lit facilitie5 {including advances and credits granted by the charity) for trustees. nor provKled guarantees ol any kind on behalf of the trustees. 11. We confirm that the charity has not contracted for any capilal expend¢ture othar than as disclosed in the financial statements. 12. We confirm that the charity has complied with all aspects of contractual agreements that ¢oiJld have a material effect on the financial statements rn the event of non-complianco. 13. We confirm that we are not aware of any possible or aclual instance of non-compliance with those laws and regulations whi¢h provide a legal framework within which the charity conducts its aclivilies and which are central to the charity's abilty to conduct rts a¢tNitie5. except as explained to you 8n¢J as disclosed in the financial statements. 14. We acknowledge our ￿￿X)nSibIlity lor Ihe deswJn. implementation and maintenance of intemal controls to prevent and detect fraud. We confirm that we have disc105ed to you the results of our risk assessment of the risk of frauij in the organisation_ There have been no deficiencies in intèmal ¢ffilrol of which we a￿ awa￿. 15. We confirm that there have been no aclual or suspected instsnces ol fraud involving trustees, managernent or employees who havè a signilicant role in internal Control or that could have a material effect on the financial statements. We also confirm that we are not awa￿ of any allegations of fraud by trustees. formef trustees, analysts, employees, lomer en7ployees, 16. We ¢onfirm that disclosures in note 2 to the finar*cial stalements are an accurale reflè¢tton of our plans and the reasons for our confiimalion ol the charity's ability to continue oparaling. 17. We confirm the unadjusted misstatements las per the Audit Highlights memo) and we confirffl that there are no adjusting items reported. 18. Wè confirm that we are not aware of any matters of malerial significance that should bé reported lo regulators. We confirm Ihal all correspondence wth the Charty Commission have been made available to you. Tynedale Hospice at Home. Company number.. 1034170 l Legion House, Beaufront Business Park. Anick Road. Hexham. Northumberland. NE46 4TU 19. We confirm that all grants, donations and other income. including those subject to special terms or conditions or received for restricted purposes. have been notified to you. There have been no breaches of terms or conditions durFfbg the period ￿gard[￿9 the application of such income. 20. We confirm ther8 was no specific representsb.orhs made to you durtng the course of your audit. 21. We acknowledge our legal responsibilib.es regarding disck)sure of inlomialion lo you as auditor5 and confirm that". so far as each trustee is aware, there is ￿ relevant audit information of which you as auditors are unaware.. and each trustee has taken all the steps that Ihey oughl lo have laken as a trustee to make themselves aware of any relevant audit infOrMat￿n and to establish that you are aware of that information. Yours f Signed on behalf ol the board of trustegs Dale.... Tynedale Hospi