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2023-03-31-accounts

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Tynedale Hospice at Home

(A company limited by guarantee) Annual Report and Financial Statements for the Year Ended 31 March 2023

Charity Number: 1034170, Company Number: 02870776

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Tynedale Hospice at Home

Contents

Reference and Administrative Details 1
Trustees' Report 2 to 21
Independent Auditors' Report 22 to 24
Statement of Financial Activities 25
Statement of Financial Activities 26
Balance Sheet 27
Statement of Cash Flows 28
Notes to the Financial Statements 29 to 46

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Tynedale Hospice at Home

Reference and Administrative Details

Trustees K Fadden Dr L Carrie J J Harrison G Benjamin A Galbraith Prof J Shucksmith (resigned 31 October 2023 M G Urwin Dr B L Herdan P J Johnston G Jones S E Miller (resigned 18 August 2022) E C Hogg (resigned 30 May 2023) Registered Office 1 Legion House Beaufront Business Park Anick Road Hexham Northumberland NE46 4TU The charity is incorporated in England and Wales. Company Registration Number 02870776 Charity Registration Number 1034170 Bankers Barclays Bank plc Hexham Priestpopple Hexham NE46 1PE CAF Bank Limited Head Office Kings Hill West Malling Kent ME19 4TA Auditor Azets Audit Services Bulman House Regent Centre Gosforth Newcastle upon Tyne NE3 3LS Investment broker AYP Financial Planning Ltd 2b Tanners Yard Hexham Northumberland NE46 3NL

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Trustee Annual Report 2023

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 2023.

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), the Charities Act 2011, the Companies Act 2006 and UK Generally Accepted Accounting Practice.

OBJECTIVE AND ACTIVITIES

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 - Everyone in our community can die where they choose and all those affected by life limiting illness, or death, receive the support they need.

Our mission – Enable all those impacted by life limiting illness, or death, to live and die well.

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Trustee Annual Report 2023

CHARITABLE ACTIVITIES

Nursing Care

Our 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 nursing care in patients’ own homes or their care home.

Our nursing care team is made up of 18 registered nurses and 5 hospice support workers who deliver care 365 days per year, 7 days per week, day and night.

We work very closely with the GP Practices, Community NHS Nursing teams and other health providers within the West Northumberland area. Referrals are received from all healthcare professionals but also direct from individuals requiring support or their families/carers to ensure equity of provision.

Our aim is to respond to referrals within 24 hours of the request, and to carry out a first visit within 3 days.

Our services were inspected by the CQC in June of 2022 and we maintained “GOOD” across all of our services.

Clinical services provided by the Hospice support NHS community healthcare professionals ensuring the service is embedded in NHS referral pathways and encourage earlier referrals into the service for patients.

We continue to encourage twilight shifts, ie support between 5pm and 10pm, for those who decline overnight care.

New patients referred at weekends are now offered support immediately with systems in place to manage risks for staff and patients.

Staff recruitment has been positive within the Hospice, in comparison to recruitment within the health sector as a whole.

With the increasing number of staff, further governance systems have been implemented to facilitate the maintenance of high-quality care. These include:

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Trustee Annual Report 2023

Family Support

The Family Support Team (FST) provides bereavement support, following a diagnosis of a life-limiting illness, or death of a loved one. We provide support either through Active Listening techniques or with formal counselling. 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. We have a dedicated team of Family Therapists, Counsellors and Volunteers who provide support following bereavement to adults and children.

Referrals are made via the GP, community nurses, THH nurses, Macmillan services, living well co-ordinators 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.

We also provide sessions for teachers from local schools who have bereaved children in their classes. A Family Support Coordinator provides practical advice and a support session for the teachers to help them address some of the problems the children present with.

The continuation of Children in Need funding is invaluable to service delivery.

Transport

Our transport team provides a door-to-door service 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 vehicles to drive clients to hospital appointments for treatment to address their lifelimiting condition, which can include consultations, scans, radiotherapy and chemotherapy.

Developments in the service

Bereavement Cafe

An additional Bereavement Café opened in Ponteland. In addition to the Cafes in Hexham/ Ponteland and Prudhoe we anticipate opening a further café in Haltwhistle in 2023.

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 the Hospice’s services. Attendees can have a cup of tea or coffee and are able to speak with others who have had similar experiences to their own. The service is free of charge and a steady number of clients have attended.

The cafés also act as a bridge to other activities and friendships as well as an opportunity to move away from 1 to 1 support.

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Trustee Annual Report 2023

Creative Memories Group

This group is currently under review due to low numbers of attendees. We are aiming to enhance the services within creative memories to include a diverse range of activities for children and adults to remember loved ones.

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 and the aim is 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 (and 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 plans for similar activities for adults.

Transport

During the past year the Hospice has:

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.

DURING THE LAST 12 MONTHS THE HOSPICE HAS BEEN SUCCESSFUL IN DELIVERING KEY ELEMENTS OF ITS BUSINESS PLAN:

In 2022/23 we were able to establish two additional services as part of our Care Offering;

We have progressed one of the key elements of our strategy to bring care for people at End of Life closer to home. We have successfully negotiated a Wellbeing Hub within Corbridge working very closely with community leaders and Church circuits. We aim to establish a number of Wellbeing Hubs across West Northumberland to increase access to our services for people in remote areas.

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Trustee Annual Report 2023

We established Service Level Agreements with three Universities to enable Student Nurses and Medical Students to undertake clinical placements with our nurses and Family Support team. Our first student nurses will arrive on clinical placement in July of 2023, our first cohort of medical students will start in October 2023.

COMPLIANCE

The Hospice’s compliance with regulation/legislation governing its activities is kept under review by the Care Committee and the risk register is reviewed by Trustees on a regular basis.

PERFORMANCE OF OUR CARE SERVICES

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FAMILY SUPPORT 2022/23 2021/22
Number of new and re-referrals of children to Facility Support
services 72 37
Number of new and re-referrals of adults to Facility Support
services 120 77
REASONS FOR NEW and Re REFERRALS TO SERVICE
Post bereavement (Adult) 103 59
Pre-bereavement (Adult) 17 9
Post bereavement (Child) 63 39
Pre-bereavement (Child) 9 10
Bereavement café Prudhoe (visitors) 61 0
Bereavement café Hexham (visitors) 278 117
Bereavement café Ponteland started November 2022
(visitors) 48 4
----- End of picture text -----

TRANSPORT
2022/23		 TRANSPORT
2022/23		 **2021/2 **
Number of new referrals
33		 35
Number ofjourneys
388		 318
Numbers of
recommendations		 7 6

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Trustee Annual Report 2023

NURSING CARE NURSING CARE 2022/23 2021/22
Total number ofpatients supported bythe care service 248 215
Number of nights careprovided byRegistered Nurses(RN) 187 205
Number of nights careprovided byHospice Support Workers(HSWO 50 28
Number of respite shiftsprovided - RNs 100 31
Number of respite shiftsprovided - HSWs 84 19
Number of new referrals 169 144
Complementary Therapy Data from January 30th – March 31st 2023
COMPLEMENTARY THERAPY – JAN 30TH – MARCH 31ST
Patients/Clients 18patients/clients
Patient/Main Carer(couples) 6 couples
Bereaved Clients 3patients

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Trustee Annual Report 2023

Case Study 1.

John

John came for support following the death in October 2022 of his wife, Mary, to whom he had been married for over 30 years. They had three children and one grandchild. Mary died suddenly from a heart attack while at work. She had an undiagnosed heart condition and John later found out that nothing would have saved her. John is struggling with his grief and, after speaking to his family, decided to seek support.

John arrived for the first session anxious and was unsure what would happen. I explained that during the first session I carry out an initial assessment: this enables me to find out about John and his story. I need to build the therapeutic relationship and develop a sense of who John is, including a theoretical assessment of psychosocial development, intersectionality, personality adaptation and attachment style. The assessment takes place as we build the relationship, and what I learn here will inform my practice and enable me to look at what I feel John needs, and to understand how he thinks, feels and reacts.

During the first session John told me his story. Mary had gone to work as normal but had complained of feeling tired. John received a phone call from one of Mary’s colleague to say that she had collapsed and that an ambulance had been called. He arrived as she was being put into the ambulance and had to follow, only to be informed when arriving at the hospital that she had already died.

John felt guilty that she died without him there and was angry that he was unable to say goodbye. This formed our first few sessions: John described sitting at home feeling numb while the children helped organise the funeral. John and Mary weren’t religious, but he did want Mary to have a church service and he hoped that Mary was waiting for him. This gave John comfort.

John was able to say how he was feeling. He felt angry at the world and guilty at not knowing how ill Mary felt. He questioned why she didn’t say anything but then felt guilty for blaming her. He wanted to talk about his grief: the impact of the loss of Mary, the effect it had on his life, and what he expected his life to look like in the future.

During our sessions John told his story and I learnt about his and Mary’s relationship. It felt important to be able to share Mary with me. I use various models of grief but the one I chose to use with John was the dual process model which gave him an understanding of how the grief process can develop and move between loss and restorative. John spoke about going home to an empty house and talking to Mary: for him the hardest time was going to bed where he would let his emotions out and cry.

John found family and friends very supportive and found joy in his grandchild but would feel that Mary should be there to share that joy. As the sessions progressed John began to understand his grief and how, at times, it might be overwhelming but at other times it would be in the distance. Grief is an individual journey and no two people grieve in the same way. John has the support of his family and friends, and this has helped.

(Names have been changed to protect the individuals)

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Trustee Annual Report 2023

Case Study 2.

No child should feel isolated and bewildered when someone they love dies – and, in an ideal world, grieving children should feel supported at home, in school and in their local communities.

But we don’t live in an ideal world – and the harsh reality is that for many bereaved children the world can be a frightening and lonely place when you’re struggling to understand what has happened and there is no-one to talk to about how you feel.

When we take a new child referral at Tynedale Hospice at Home we know that our very best outcomes depend on the strength of the surviving parent and how engaged they are in our work. Helping families to open up to each other and brave difficult and often painful conversations around death and dying can make all the difference to a bewildered child, giving them a secure platform from which to explore their feelings.

But, understandably, many grieving parents are simply not resilient enough to engage with our work for a whole variety of reasons. Many live in isolated, rural communities and many don’t drive so asking them to come to our Rainbow Room on the edge of Hexham, where rural transport links are sparse and unreliable, is just not practical. For some, unhealthy coping strategies including drinking and drugs have started to consume them, meaning they can barely look after themselves properly, let alone their children.

Here at Tynedale Hospice at Home we are passionate about ensuring that the most vulnerable children are given support against all the odds – and we are building partnerships with local schools in our most remote rural areas to support families in their local communities.

A recent collaboration with a local school has led to regular support sessions for 3 young boys bereaved by suicide, alcohol related issues and covid.

Family Support Practitioners are working closely with Head Teacher and her team to run fortnightly sessions for the boys and their mothers – with back up provided to staff as and when needed.

“We recognise that these mothers would struggle to bring their boys to us, so we are taking our service to their doorstep, to a place where they feel safe and where we can build a better understanding of their needs.

“Last week one of the boys wasn’t in school when I turned up so the Head Teacher ran to his house just a few minutes down the road. It’s not unusual for this boy to be off school – and his mother rarely answers the phone. The Head Teacher found him and he came back with her. His mother wasn’t well enough to join us, but she had helped her son to start work on his memory box, finding photographs of his Dad, a bottle of his favourite aftershave and some of his tools. It was moving to see just how excited the boy was to show me his treasures and to talk about Dad.”

Working closely with TAs in the school means that, even if parents are unable to turn up to sessions, work can continue with support ongoing for these boys so they don’t miss out.

On her first visit, our practitioner took the school a support pack which included various books and resources to be used in school. The TA photocopied pages from the Muddles, Puddles and Sunshine workbook for each of the 3 boys – and has started making feeling volcanoes as a fun, creative way of opening up conversations around the death of their loved ones.

“One little boy was so eager to fill in the All About Me page in his Muddles, Puddles book he spent his pocket money on a tape measure so he could measure and write in his height,”.

“It was so touching to see how excited he was about getting involved with the work.

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Trustee Annual Report 2023

“Sometimes the boys find it really hard to engage in our sessions. One boy paced up and down the room, unable to sit, make eye contact or focus. He was upset that his mother, who had promised to be there, hadn’t turned up. In a previous session this same boy had cuddled up to mum as she talked about how dad died.

“We understand that it’s going to take time with these boys and we are patient and understanding. We are not giving up on them – or their families.

“In his first session, another boy hung his head and fiddled nervously with the sleeve of his jumper as we started gently to explore what had happened on the day that his grandmother died. It took another 3 sessions for him to lift his head and make eye contact.

“We have kept his memory box at school as we know that it may get lost at home – and he is determined to keep it safe.”

Over time, we work through child friendly versions of established grief models to help children not only explore the truth of what has happened and how they feel, but to find a way to manage their grief.

“We use a ping pong ball and a series of stacking bowls to help explore a child-friendly version of Dr Lois Tonkin’s Growing with Grief model,” The ball represents the raw, painful feelings around the death of a loved one. The bowls are a powerful visual tool to help explain the principle that life moves forward, growing around the grief. The grief doesn’t shrink, it doesn’t disappear – it stays with you but, over time, we learn to manage and live with it.

“Life, in those first frightening few weeks after a death, can feel consumed by grief. There is just no space for hope, peace or moments of joy and happiness. But, as time goes on, there is more space to live, to breathe, to adjust to who you are now without your loved one.

“An anniversary, song on the radio or even a whiff of a favourite perfume or aftershave can take you right back to that first small stacking bowl with barely any space around the grief. But you begin to understand that those intense moments don’t last forever. You find a way out of them – and as you do, the heat and panic dissipate, allowing you to accept those painful moments as part of the process.”

Dancing mats that change colour help our practitioner explore the principle of puddle hopping with children, as they leap from one feeling to the next, sometimes with rapid speed, sometimes at a gentler pace.

Other older children create their own versions of Stroebe and Schut’s Dual Process Model as they list their raw, instinctive feelings of “loss” while exploring the routines of their daily lives at school and home alongside things to look forward to in “restoration”.

At first, it’s normal and healthy to swing (puddle hop) from loss to restoration at rapid speed as you struggle to come to terms with the enormity of what has happened. It’s not unusual for people to feel they are going “crazy with grief” in those early few weeks and months. But, over time, you tend to spend more time in restoration, dipping in to the raw pain of loss just now and then as you adjust to life without your loved one. An increased awareness and understanding of the grief process helps to take the fear and intensity out of the experience, helping people to live with grief, build resilience and confidence and find hope for the future.

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Trustee Annual Report 2023

ACHIEVEMENTS

During the reporting year the Hospice operated a 1-year Business Plan, in order to consolidate the Hospice’s position and gain understanding of the operating environment, which would inform the development of a new strategy for the period 2023-28.

The Business Plan continued to focus on the goals from the previous strategic plan (20192022):

The plan was delivered successfully achieving increases in beneficiaries

supported, increased income and improved quality of services, evidenced by the return of the CQC Inspection Report awarding the Hospice an overall rating of “Good”.

IN ADDITION THE HOSPICE HAS BEEN SUCCESSFUL IN DELIVERING KEY ELEMENTS OF ITS BUSINESS PLAN:

Care Services

Income generation

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Trustee Annual Report 2023

Good governance

THH’s compliance with regulation/legislation governing its activities is kept under review by Committees, with delegated authority from the Board, on a rolling basis.

Staffing and volunteering

Sustainability

During the year the CEO and Executive Assistant to the Board inaugurated a Sustainability Group, involving staff members who had an interest in environmental sustainability. Immediate actions included identifying actions that were already in place to support sustainability; identify appropriate training to improve the knowledge of the staff group around this topic; start to consider actions that could contribute to a sustainability strategy, to be embedded in the new Hospice strategy 2023-28.

INCOME GENERATION

Fundraising and Publicity

2022/23 continued the return to pre-COVID times with a growing calendar of challenge and community-led events. We continue to maintain a high profile in the community with strong PR and social media

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Trustee Annual Report 2023

coverage. We are seeing the beginning of the effects of the cost of living crisis and are working hard to minimise the effects on fundraising income.

Our annual Light up a Life campaign was live streamed and the event itself was very well attended. A further re-designed online dedication page complemented the campaign, offering supporters a different way to support the charity and continue the developments of our digital giving offer.

The Open Garden at The Riding, owned by our Patron Charles Enderby with food provided by Saathi Indian Restaurant, once again sold out and will take place again for 2023. Charles Enderby also talked about his time as a bodyguard to the Queen and about Bird Ringing at Lunch events at The Beaumont - both events sold out.

Our first Disco in March 2022 was a great success and also sold out.

We continue to maintain excellent corporate partnerships with Gibson & Co as well as Sage Wealth Management (Hexham), MKM (Hexham), Dodds of Hexham to name but a few.

Our Fundraising and Events Officer (appointed March 2022) has begun formal Level 3 Corndel Diploma in Fundraising and this will complete in November 2023.

In February 2023 we appointed a Fundraising and Events Coordinator to offer support to the team as activity grows.

We also appointed a Digital Communications Manager who is tasked with social media, website, marketing and promotion of the charity.

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Income Total £ Income 22/23
900000.00
800000.00
700000.00
600000.00 Fundraising
39%
500000.00
400000.00 Retail
300000.00 52%
200000.00
100000.00
0.00
Grants
19/20 20/21 21/22 22/23
9%
Retail Grants Fundraising Retail Grants Fundraising
----- End of picture text -----

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Trustee Annual Report 2023

The first chart above shows a steady increase in income from Fundraising and a significant increase from Retail activities during the past 3 years. Trust/Grant income remains almost constant at circa £100,000 per annum but reduces as a proportion of overall income. A goal that the Hospice has pursued during the past 5 years due to the unpredictability of this income stream.

The second chart above shows income from each stream as a proportion of overall income. Retail income now contributes over 50% of the annual return for the Hospice and double its total contribution from pre-COVID 19.

Retail

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22/23 Retail Income
£250,000
£200,000
£150,000
£100,000
£50,000
£-
20 21 22 23 24 25 26 29
Income Budget Income Actual
christmas hexham bookshop ponteland ecommerce gift aid furniture prudhoe
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Income has been strong across the board in retail this year. We have really focused on processes and procedures to make our shops more profitable and make sure we are raising as much money as possible from donations.

Ponteland has experienced the highest increase on budget as well as the best return on investment. As this is a small shop, we have analysed the departments and this year we have removed some items that generate low income but occupy a lot of space, eg. household & electricals, which has created more space for higher selling products, such as ladieswear.

All of our shops are now seeing the benefits of the improvement works that were carried out during the closures enforced by the COVID-19 pandemic. Ponteland, Hexham and the bookshop are now all much brighter and airier and easier to shop. This is resulting in more transactions per day and a higher average transaction value across the board.

Gift Aid has been a real success for us this year; we have achieved our aim of converting 30% of our sales to Gift Aid, which is a nationwide goal. With a total this year of £56,000 Gift Aid is now bringing in more than the bookshop in its own right. This is a huge achievement and is the result of training and the proactive mindset of both staff and volunteers. Gift Aid is now an integral part of our operation of which everyone in the retail department plays their part.

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Trustee Annual Report 2023

The main leap forward we have taken this year has been the acquisition of our first ever van for furniture deliveries and collections – previously our logistics were outsourced. This has been very successful so far as we are able to move furniture inhouse faster, which helps donors and buyers and means that we have a greater turnover in stock resulting in higher sales and income.

Early 2023 saw an increase in our staffing, including a full-time van driver/furniture store supervisor.

Our Relief Shop Supervisor was successful in applying to be the Hexham Shop Manager and a former volunteer obtained her vacated post. Both members of staff work 4 days each to enable the Hexham shop to be open 7 days/week.

In January we also started to sell brand new white goods from Whirlpool direct. This was a very big leap as this was an area new to us. Until this point, we had received requests for white goods, but we were cautious to accept donated items, as normally these are only replaced when faulty in some way. We believe our new partnership with Whirlpool is the perfect solution, consequently we now offer almost everything you need for the home in one place.

We have been able to introduce effective stock rotation across all of our shops, as a result of our new van. Moving stock that is saleable to another location, after it hasn’t sold in the shop that received the donation, is an additional way of generating greater income for the hospice. Previously, if an item had been on sale for a month it was sent to our Rag Merchant, who would pay a fixed small sum per kilo of unsold items.

Central Support

The team have gone through a period of change over the financial year with changes in staff members, processes and procedures. The team has been extremely resilient and has embraced new processes and procedures that have resulted in greater efficiencies in the way we process and review the financials.

Partnership Working

During the year the CEO and Head of Care split their time between the Hospice and Hospice Care North Northumberland (HCNN) – another Hospice at Home service, operating in an adjacent area – via a Service Level Agreement that reimbursed Tynedale Hospice at Home (THH) for their staff’s time. HCNN’s CEO and Care Services Manager both departed at the same time and the Trustees approached THH to request interim leadership support. The CEO and Head of Care supported HCNN for two days per week, with other staff at THH taking on operational responsibilities as appropriate to release their time.

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Trustee Annual Report 2023

This work proved successful and enabled both Hospices to share experiences, learning and ultimately improved ways of working to improve efficiencies and increase effectiveness, which ensured better economies at both hospices.

As a result of the success of this initiative, it has been agreed by Trustees that the CEO and Head of Care will continue to operate across both Hospices for the long term – ratified by a formal partnership agreement between the Hospices. At the same time, both Hospices will seek to further embed the partnership via development of strategic projects/activities that will be considered by a Joint Steering Committee involving several Trustees from each organisation.

Both hospices remain independent, ensuring that all income generated is deployed to provide services to individuals residing in the community supported by the respective hospice.

PLANS FOR THE FUTURE

As previously referenced, during the year the Hospice adopted a 1-year Business Plan in order to take time to reflect on the impact of COVID-19 on the community served, the economy and partner organisations of the Hospice to ensure a new strategy would be well-informed and realistic with its goals.

During the year Trustees, working with the Senior Management Team, consulted with stakeholders, beneficiaries, partners, staff and volunteers to develop a new strategy for the period 2023-28. The review also included a reflection on the Hospice’s Vision, Mission and Values.

The outcome of this work has produced new Vision, Mission and Values and expanded the previous strategic goals for the Hospice. These have been expanded into a 3-year Business Plan incorporating benefits realisation, workforce planning linked to expenditure/income plans and effective risk management.

Our vision: Everyone in our community can die where they choose and all those affected by life limiting illness, or death, receive the support they need

Our mission: Enable all those impacted by life limiting illness, or death, to live and die well.

Values:

Caring and Compassionate Collaborative and Innovative Inclusive and Community Focussed Accountable and Trustworthy Positive and Can Do

Strategic Objectives:

Everyone Matters – people are at our core Provide more support to more people Deliver exemplar services

We are the charity and provider of choice across our community

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Trustee Annual Report 2023

FINANCIAL REVIEW

THH has had another positive year seeing an increase in income to £1.66m (2022 - £1.3m) and an overall surplus of £285k (2022 - £195k).

The surplus was generated as a result of:

In the last 5 years significant progress has been made within our retail operation going from strength to strength. The income generated is 52% of the total income.

Trusts and Grants now represent 9% of the total income, a fall of 3% on previous year, falling as the proportion of Retail income increases.

Awarded in the year was a Grant of £40K from St James Place Charitable Foundation, via Hospice UK, to enable us to offer holistic care to our clients via the development of Rural Psychotherapeutic Services. We also received grants from The Barbour Foundation and JGW Patterson Foundation of £20K each.

Other income has been generated from recharging staff time for working with HCNN in Alnwick.

We are extremely grateful to our community who continue to support the work of THH. This has been evident in donor engagement in 2022/23 in many events and activities. We received two legacies totalling over £322K accounting for the positive budget variance in Legacy income.

We continue to receive support from Trusts and Foundations regionally and nationally to support our work, receiving £137K in the year.

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Trustee Annual Report 2023

Going concern

After making appropriate enquiries, the Trustees have a reasonable expectation that the charity has adequate resources to continue in operational existence for the foreseeable future. For this reason, they continue to adopt the going concern basis in preparing the financial statements. Further details regarding the adoption of the going concern basis can be found in the Accounting Policies.

Reserves policy

The Board of Trustees has considered the financial position of the charity. It recognises that it is critically dependent on the support of the local community. The Trustees regularly review the financial risks of the charity to ensure there are sufficient reserves to meet any risks that may occur. The Trustees consider the key risks to the financial stability of the charity to be a significant reduction of income. The Trustees consider the minimum level of free reserves to be 3 months of operational costs and to ensure continuity of service, at least 6 months’ operational costs should be maintained. At the 31 March 2023, free reserves were £639,536 and unrestricted reserves of £1,405,734 were held which is 86% of planned 2023/24 operational costs.

----- Start of picture text -----
Return on Investment Reserves % of Operating Income & Expenditure
Costs 1800000
£4.00 1600000
140%
1400000
£3.50
1200000
120%
£3.00 1000000
800000
£2.50 100% 600000
400000
£2.00 80% 200000
£1.50 0
60% 2019/20 2020/21 2021/22 2022-23
£1.00 Month
£0.50 40% 12 Proj
£- 20% Expenditure Actual
2019/20 2020/21 2021/22 2022-23 IncomeActual
0%
Month
F'raising 2019/20 2020/21 2021/22 2022-23 Expenditure Budget
Retail 12 Proj Month
12 Proj Income Budget
----- End of picture text -----

From the charts above it can be seen that the “return on investment” from the two income generating departments continues to improve, albeit that Retail has only increased moderately. Reserves continue to increase, thanks to the work of all departments in maximising income and controlling expenditure, which can be seen in the final chart. However, because of the continued growth of our services, reserves reduce as a proportion of our overall costs.

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Trustee Annual Report 2023

STRUCTURE, GOVERNANCE AND MANAGEMENT

Constitution

Tynedale Hospice at Home is a company limited by guarantee, and a registered charity governed by its Memorandum and Articles of Association dated 10th November 1993 and amended by special resolution dated November 2021. In the event of the company being wound up members are required to contribute an amount not exceeding £1.

Method of appointment or election of trustees

The directors of the company are also charity trustees for the purposes of charity law, and under the company's Articles are known as members of the Management Committee, and/or the Board of Trustees. Under the requirements of the Memorandum and Articles of Association, the members of the Management Committee are elected to serve for a period of three years after which they must be re-elected at the next Annual General Meeting.

The Management Committee membership comprises a mix of traditional business, professional and medical skills.

Organisational structure and decision making

The Board of Trustees meets bi-monthly and is responsible for governance and oversight of charity operations. There are four committees with clear terms of reference and delegated powers:

The Chief Executive Officer and/or relevant Head of Department attend all meetings and are responsible for ensuring that decisions made by the Board and Committees are carried out.

Policies adopted for the induction and training of trustees

Trustee induction and training were updated at the last recruitment drive in March 2021. These included a copy of the THH service user guide together with the Statement of Purpose and set of the latest published accounts. New trustees were invited to attend a series of induction meetings, led by the Chair of the Management Committee. The meetings delivered operational information via presentations by senior staff and the Chief Executive Officer. Further guidance was provided by various documents published by the Charity Commission and Trustee training provided by Hempsons Solicitors.

Risk management

The Trustees review a strategic register of the main risks which the charity faces, maintained by the CEO. The risk register is regularly reviewed in meetings between the CEO and Department Heads, Committees and at Board level. The charity purchased, as it is within its remit through powers granted by the Charity Act, insurance for the Board of Trustees and employees during the year. This included an amount to indemnify them against liabilities arising in the course of the performance of their duties provided the liability does not arise from fraud, wrong doing or wilful neglect or default on the part of the Board of Trustees and employees.

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Trustee Annual Report 2023

Pay Setting Arrangements

The pay of the key management personnel is reviewed annually and normally increased in accordance with average earnings. The trustees benchmark against pay levels of other charities and similar

organisations within the sector and the region. Pay levels are set using this information together with the budget and forecast information, ensuring that the charity can afford any proposed increases. The board then agree any uplift to remuneration.

Statement of Trustee’s responsibilities

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

Under company law, the Trustees must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the charity and of its incoming resources and application of resources, including its income and expenditure, for that period. In preparing these financial statements, the Trustees are required to:

The Trustees are responsible for keeping adequate accounting records that are sufficient to show and explain the charity's transactions and disclose with reasonable accuracy at any time the financial position of the charity and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

Disclosure of information to auditors

Each of the persons who are Trustees at the time when this Trustees' report is approved has confirmed that:

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Trustee Annual Report 2023

Reappointment of Auditor

In accordance with section 485 of the Companies Act 2006, a resolution for the re-appointment of Azets Audit Services as auditors of the charity is to be proposed at the forthcoming Annual General Meeting.

The Annual report was approved by the trustees of the charity on …………………………. and signed on its 29/11/2023 behalf by:

…………………………………… John Harrison 29 Nov 2023 23:32:22 GMT (UTC +0)

J J Harrison

Trustee

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Tynedale Hospice at Home

Independent Auditor's Report to the Members of Tynedale Hospice at Home

Opinion

We have audited the financial statements of Tynedale Hospice at Home (the 'charity') for the year ended 31 March 2023, which comprise the Statement of Financial Activities, Balance Sheet, Statement of Cash Flows, and Notes to the Financial Statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is United Kingdom Accounting Standards, comprising Charities SORP - FRS 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' and applicable law (United Kingdom Generally Accepted Accounting Practice).

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 charity 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 the provisions available for small entities, in the circumstances set out in note to the financial statements, 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 charity's ability to continue as a going concern for a period of at least twelve months from when the financial statements were authorised for issue.

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

Other information

The trustees are responsible for the other information. The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report thereon. 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.

In connection with our audit of the financial statements, 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 audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

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Tynedale Hospice at Home

Independent Auditor's Report to the Members of Tynedale Hospice at Home

We have nothing to report in this regard.

Opinion 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 our knowledge and understanding of the charity and its environment obtained in the course of the audit, we have not identified material misstatements in the Trustees' Report.

We have nothing to report in respect of the following matters where the Companies Act 2006 requires us to report to you if, in our opinion:

Responsibilities of trustees

As explained more fully in the Statement of Trustees' Responsibilities (set out on page 20 and 21), the trustees 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 charity's ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so.

Auditor responsibilities for the audit of the financial statements

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:

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Tynedale Hospice at Home

Independent Auditor's Report to the Members of Tynedale Hospice at Home

Because of the field in which the client operates, we identified the following areas as those most likely to have a material impact on the financial statements: Health and Safety; employment laws; compliance with the Care Quality Commission; and compliance with the UK Companies Act and Charities Act.

Owing to the inherent limitations of an audit, there is an unavoidable risk that some material misstatements in the financial statements may not be detected, even though the audit is properly planned and performed in accordance with ISAs (UK). For instance, the further removed non-compliance is from the event and transactions reflected in the financial statements, the less likely the auditor is to become aware of it or to recognise the non-compliance.

A further description of our responsibilities is available on the Financial Reporting Council’s website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.

Use of our report

This report is made solely to the charitable company's trustees, as a body, in accordance 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 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 its trustees as a body, for our audit work, for this report, or for the opinions we have formed.

Simon Brown 30 Nov 2023 10:06:49 GMT (UTC +0)

...................................... Simon Brown BA ACA DChA (Senior Statutory Auditor) For and on behalf of Azets Audit Services Chartered Accountants Statutory Auditor Bulman House Regent Centre Gosforth Newcastle upon Tyne NE3 3LS

Date:.............................30 November 2023

Azets Audit Services is a trading name of Azets Audit Services Limited

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Tynedale Hospice at Home

Statement of Financial Activities for the Year Ended 31 March 2023 (Including Income and Expenditure Account and Statement of Total Recognised Gains and Losses)

Note
Income and Endowments from:
Donations and legacies
3
Charitable activities
4
Other trading activities
5
Investment income
6
Other income
7
Total Income
Expenditure on:
Raising funds
8
Charitable activities
9
Total Expenditure
Gains/losses on investment
assets
Net income
Net movement in funds
Reconciliation of funds
Total funds brought forward
Total funds carried forward
24		 Unrestricted
£
515,482
-
912,554
5,738
67,858
1,501,632
(856,946)
(331,104)
(1,188,050)
(28,366)
285,216
285,216
1,120,518
1,405,734		 Restricted
£
103,431
64,014
-
-
-
167,445
-
(167,445)
(167,445)
-
-
-
-
-		 Total
2023
£
618,913
64,014
912,554
5,738
67,858
1,669,077
(856,946)
(498,549)
(1,355,495)
(28,366)
285,216
285,216
1,120,518
1,405,734		 Total
2022
£
366,404
68,137
665,510
2,960
203,965
1,306,976
(680,770)
(431,698)
(1,112,468)
(20,686)
173,822
173,822
946,696
1,120,518

All of the charity's activities derive from continuing operations during the above two periods.

The funds breakdown for 2022 is shown in note 24.

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Tynedale Hospice at Home

Comparative Statement of Financial Activities for the Year Ended 31 March 2022 (Including Income and Expenditure Account and Statement of Total Recognised Gains and Losses)

Note
Income and Endowments from:
Donations and legacies
3
Charitable activities
4
Other trading activities
5
Investment income
6
Other income
7
Total income
Expenditure on:
Raising funds
8
Charitable activities
9
Total expenditure
Gains/losses on investment assets
Net income
Transfers between funds
Net movement in funds
Reconciliation of funds
Total funds brought forward
Total funds carried forward
24		 Unrestricted
£
312,550
-
665,510
2,960
170,601
1,151,621
(680,770)
(276,343)
(957,113)
(20,686)
173,822
15,195
189,017
931,501
1,120,518		 Restricted
£
53,854
68,137
-
-
33,364
155,355
-
(155,355)
(155,355)
-
-
(15,195)
(15,195)
15,195
-		 Total
2022
£
366,404
68,137
665,510
2,960
203,965
1,306,976
(680,770)
(431,698)
(1,112,468)
(20,686)
173,822
-
173,822
946,696
1,120,518

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Tynedale Hospice at Home

(Registration number: 02870776) Balance Sheet as at 31 March 2023

Note
Fixed assets
Intangible assets
16
Tangible assets
17
Investments
18
Current assets
Debtors
19
Investments
20
Cash at bank and in hand
Creditors: Amounts falling due within one year
21
Net current assets
Net assets
Funds of the charity:
Unrestricted income funds
Unrestricted funds
Total funds
24		 2023
£
-
44,042
448,156
492,198
129,269
183,000
744,153
1,056,422
(142,886)
913,536
1,405,734
1,405,734
1,405,734		 2022
£
-
21,539
379,314
400,853
163,174
-
662,602
825,776
(106,111)
719,665
1,120,518
1,120,518
1,120,518

The financial statements on pages 25 to 46 were approved by the trustees, and authorised for issue on ....................29/11/2023 and signed on their behalf by:

John Harrison 29 Nov 2023 23:32:22 GMT (UTC +0) ......................................... J J Harrison Trustee

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Tynedale Hospice at Home

Statement of Cash Flows for the Year Ended 31 March 2023

Note
Cash flows from operating activities
Net cash income
Adjustments to cash flows from non-cash items
Depreciation
8
Investment income
6
Revaluation of investments
Working capital adjustments
Decrease/(increase) in debtors
19
Increase in creditors
21
Net cash flows from operating activities
Cash flows from investing activities
Interest receivable and similar income
6
Purchase of tangible fixed assets
17
Purchase of investments
18
Sale of investments
Cash placed into fixed term deposits
18
Net cash flows from investing activities
Net increase/(decrease) in cash and cash equivalents
Cash and cash equivalents at 1 April
Cash and cash equivalents at 31 March		 2023
£
285,216
7,118
(5,738)
18,206
304,802
33,905
36,775
375,482
5,738
(29,621)
(170,291)
83,243
(183,000)
(293,931)
81,551
662,602
744,153		 2022
£
173,822
6,385
(2,960)
20,686
197,933
(110,558)
34,377
121,752
2,960
(9,390)
(400,000)
-
-
(406,430)
(284,678)
947,280
662,602

All of the cash flows are derived from continuing operations during the above two periods.

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

1 Charity status

The charity is limited by guarantee, incorporated in England and Wales, and consequently does not have share capital. Each of the trustees is liable to contribute an amount not exceeding £1 towards the assets of the charity in the event of liquidation.

The address of its registered office is: 1 Legion House, Beaufront Business Park, Anick Road, Hexham, Northumberland, NE46 4TU

2 Accounting policies

Summary of significant accounting policies and key accounting estimates

The principal accounting policies applied in the preparation of these financial statements are set out below. These policies have been consistently applied to all the years presented, unless otherwise stated.

Statement of compliance

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)) (issued in October 2019) - (Charities SORP (FRS 102)), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006.

Basis of preparation

Tynedale Hospice at Home 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 notes.

Going concern

The trustees consider that there are no material uncertainties about the charity's ability to continue as a going concern nor any significant areas of uncertainty that affect the carrying value of assets held by the charity.

Estimation uncertainty and judgements

The preparation of the financial statements requires management to make judgements, estimates and assumptions that affect the amounts reported.

Income and endowments

All income is recognised once the charity has entitlement to the income, it is probable that the income will be received and the amount of the income receivable can be measured reliably.

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

Donations and legacies

Donations are recognised when the charity has been notified in writing of both the amount and settlement date. In the event that a donation is subject to conditions that require a level of performance by the charity before the charity is entitled to the funds, the income is deferred and not recognised until either those conditions are fully met, or the fulfilment of those conditions is wholly within the control of the charity and it is probable that these conditions will be fulfilled in the reporting period.

Legacy gifts are recognised on a case by case basis following the grant of probate when the administrator/executor for the estate has communicated in writing both the amount and settlement date. In the event that the gift is in the form of an asset other than cash or a financial asset traded on a recognised stock exchange, recognition is subject to the value of the gift being reliably measurable with a degree of reasonable accuracy and the title to the asset having been transferred to the charity.

Grants receivable

Grants are recognised when the charity has an entitlement to the funds and any conditions linked to the grants have been met. Where performance conditions are attached to the grant and are yet to be met, the income is recognised as a liability and included on the balance sheet as deferred income to be released.

Gifts in kind

Gifts in kind donated for distribution are included at valuation and recognised as income when they are distributed to the projects. Gifts donated for resale are included as income when they are sold.

Gift aid

Income tax recoverable in relation to donations received under Gift Aid or deeds of covenant is recognised at the time of the donation.

Other trading activities

Shop income is recognised at point of sale.

Investment income

Income tax recoverable in relation to investment income is recognised at the time the investment income is receivable.

Expenditure

All expenditure is recognised once there is a legal or constructive obligation to that expenditure, it is probable settlement is required and the amount can be measured reliably. All costs are allocated to the applicable expenditure heading that aggregate similar costs to that category. Where costs cannot be directly attributed to particular headings they have been allocated on a basis consistent with the use of resources, with central staff costs allocated on the basis of time spent, and depreciation charges allocated on the portion of the asset’s use. Other support costs are allocated based on the spread of staff costs.

All expenditure is inclusive of irrecoverable VAT.

Raising funds

These are costs incurred in attracting voluntary income, the management of investments and those incurred in trading activities that raise funds.

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

Governance costs

These include the costs attributable to the charity’s compliance with constitutional and statutory requirements, including audit, strategic management and trustees’s meetings and reimbursed expenses.

Government grants

Government grants relating to tangible fixed assets are treated as deferred income and released to the Statement of financial activities over the expected useful lives of the assets concerned. Other grants are credited to the Statement of financial activities as the related expenditure is incurred.

Taxation

The charity is considered to pass the tests set out in Paragraph 1 Schedule 6 of the Finance Act 2010 and therefore it meets the definition of a charitable company for UK corporation tax purposes. Accordingly, the charity 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 to charitable purposes.

Intangible assets

Intangible assets are capitalised and recognised when future economic benefits are probable and the cost or value of the asset can be measured reliably.

Intangible assets are intially recognised at cost and are subsequently measured at cost net of amortisation and any provision for impairment.

Amortisation

Amortisation is provided on intangible fixed assets so as to write off the cost, less any estimated residual value, over their expected useful economic life as follows:

Asset class Amortisation method and rate Computer software 20% straight line

Tangible fixed assets

Individual fixed assets are initially recorded at cost, less any subsequent accumulated depreciation and subsequent accumulated impairment losses.

Depreciation and amortisation

Depreciation is provided on tangible fixed assets so as to write off the cost or valuation, less any estimated residual value, over their expected useful economic life as follows:

Asset class Depreciation method and rate Leasehold property improvements 10% straight line Equipment 25% straight line Fixtures and fittings 15% straight line

Fixed asset investments

Fixed asset investments are a form of financial instrument and are initially recognised at their transaction cost and subsequently measured at fair value at the Balance sheet date, unless fair value cannot be measured reliably in which case it is measured at cost less impairment. Investment gains and losses, whether realised or unrealised, are combined and shown in the heading 'Gains/(losses) on investments' in the Statement of financial activities incorporating income and expenditure account.

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

Current asset investments

Current asset investments are cash balances that have been put into fixed term deposits of terms greater than 30 days.

Trade debtors

Trade debtors are amounts due from customers for merchandise sold or services performed in the ordinary course of business.

Trade debtors are recognised initially at the transaction price. They are subsequently measured at amortised cost using the effective interest method, less provision for impairment. A provision for the impairment of trade debtors is established when there is objective evidence that the charity will not be able to collect all amounts due according to the original terms of the receivables.

Cash and cash equivalents

Cash and cash equivalents comprise cash on hand and call deposits, and other short-term highly liquid investments that are readily convertible to a known amount of cash and are subject to an insignificant risk of change in value.

Trade creditors

Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course of business from suppliers. Accounts payable are classified as current liabilities if the charity does not have an unconditional right, at the end of the reporting period, to defer settlement of the creditor for at least twelve months after the reporting date. If there is an unconditional right to defer settlement for at least twelve months after the reporting date, they are presented as non-current liabilities.

Trade creditors are recognised initially at the transaction price and subsequently measured at amortised cost using the effective interest method.

Fund structure

Unrestricted income funds are general funds that are available for use at the trustees discretion in furtherance of the objectives of the charity.

Designated funds are unrestricted funds set aside for specific purposes at the discretion of the trustees.

Restricted income funds are those donated for use in a particular area or for specific purposes, the use of which is restricted to that area or purpose.

Hire purchase and finance leases

Assets held for use in operating leases are included as a separate category in fixed assets at cost and depreciated over their useful life.

Rental income from operating leases is recognised on a straight line basis over the term of the lease.

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

Pensions and other post retirement obligations

The charity operates a defined contribution pension scheme which is a pension plan under which fixed contributions are paid into a pension fund and the charity has no legal or constructive obligation to pay further contributions even if the fund does not hold sufficient assets to pay all employees the benefits relating to employee service in the current and prior periods.

Contributions to defined contribution plans are recognised in the Statement of Financial Activities when they are due. If contribution payments exceed the contribution due for service, the excess is recognised as a prepayment.

Financial instruments

Classification

The company only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value with the exception of bank loans which are subsequently measured at amortised cost using the effective interest method.

3 Income from donations and legacies

Donations and legacies;
Donations and gifts in kind
Legacies
Grants, including capital grants;
Grants
Total for 2022		 Unrestricted
funds
General
£
139,221
322,617
53,644
515,482
312,550		 Restricted
funds
£
-
-
103,431
103,431
53,854		 Total
2023
£
139,221
322,617
157,075
618,913
366,404		 Total
2022
£
160,945
122,978
82,481
366,404

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

4 Income from charitable activities

Unrestricted
funds
General
£
Nursing Care -
Northumberland Care Trust
-
Total for 2022
-
5
Income from other trading activities
Unrestricted
funds
General
£
Trading income;
Shop income
788,623
Fundraising events
123,931
912,554
Total for 2022
665,510
6
Investment income
Unrestricted
funds
General
£
Interest receivable and similar
income;
Interest receivable on bank
deposits
1,673
Other investment income
4,065
5,738
Total for 2022
2,960		 Restricted
funds
£
64,014
68,137
Restricted
funds
£
-
-
-
-
Restricted
funds
£
-
-
-
-		 Total
2023
£
64,014
68,137
Total
funds
£
788,623
123,931
912,554
665,510
Total
2023
£
1,673
4,065
5,738
2,960		 Total
2022
£
68,137
Total
2022
£
563,213
102,297
665,510
Total
2022
£
2,960
-
2,960

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

7 Other income

Other income
Total for 2022		 Unrestricted
funds
General
£
67,858
170,601		 Restricted
funds
£
-
33,364		 Total
2023
£
67,858
203,965		 Total
2022
£
203,965

Other income is made up of NHSE/Hospice UK income of £7,118 (2022 - £33,364), insurance claims of £nil (2022 - £158,330), support services of £60,175 ( 2022 - £11,387) and sundry income of £525 (2022 - £nil).

8 Expenditure on raising funds

a) Investment management costs

Costs of raising funds
Investment management costs
Total for 2023		 Total
2023
£
854,264
2,682
856,946		 Total
2022
£
680,770
-
680,770

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

9 Expenditure on charitable activities

Nursing Care
Family Support
Patient Transport
Nursing Care
Family Support
Patient Transport
Nursing Care
Family Support
Patient Transport
Nursing Care
Family Support
Patient Transport		 Unrestricted
funds
General
£
238,446
63,621
29,037
331,104
Unrestricted
funds
General
£
143,654
105,486
27,203
276,343
Activity
undertaken
directly
£
237,780
110,382
24,344
372,506
Activity
undertaken
directly
£
182,363
81,891
20,739
284,993		 Restricted
funds
£
79,514
82,931
5,000
167,445
Restricted
funds
£
134,760
20,595
-
155,355
Activity
support
costs
£
80,180
36,170
9,693
126,043
Activity
support
costs
£
96,051
44,190
6,464
146,705		 Total
2023
£
317,960
146,552
34,037
498,549
Total
2022
£
278,414
126,081
27,203
431,698
2023
£
317,960
146,552
34,037
498,549
2022
£
278,414
126,081
27,203
431,698

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

10 Analysis of governance and support costs

Support costs allocated to charitable activities

Nursing Care
Family Support
Patient Transport
Nursing Care
Family Support
Patient Transport		 Staff costs
£
66,995
30,781
4,718
102,494
Staff costs
£
51,762
24,252
3,661
79,675		 Premises
costs
including
depreciation
£
320
89
-
409
Premises
costs
including
depreciation
£
1,553
653
82
2,288		 Other
support
costs
£
12,865
5,300
4,975
23,140
Other
support
costs
£
42,736
19,285
2,721
64,742		 Total
2023
£
80,180
36,170
9,693
126,043
Total
2022
£
96,051
44,190
6,464
146,705

11 Net incoming/outgoing resources

Net incoming resources for the year include:

Audit fees
Other non-audit services
Depreciation of fixed assets		 2023
£
6,000
1,600
7,117		 2022
£
5,250
1,500
6,385

12 Trustees remuneration and expenses

No trustees, nor any persons connected with them, have received any remuneration from the charity during the year.

No trustees have received any reimbursed expenses or any other benefits from the charity during the year.

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

13 Staff costs

The aggregate payroll costs were as follows:

Staff costs during the year were:
Wages and salaries
Social security costs
Pension costs		 2023
£
813,200
69,849
14,387
897,436		 2022
£
655,841
44,914
10,941
711,696

The monthly average number of persons (including senior management / leadership team) employed by the charity during the year was as follows:

Retail, fundraising and administrative staff
Family support staff
Nursing staff		 2023
No
21
4
22
47		 2022
No
21
3
17
41

The number of employees whose emoluments fell within the following bands was:

£60,001 - £70,000
£70,001 - £80,000		 2023
No
-
1		 2022
No
1
-

The total employee benefits of the key management personnel of the charity were £155,249 (2022 - £122,765).

14 Auditors' remuneration

14 Auditors' remuneration
Audit of the financial statements
Other fees to auditors
All other non-audit services		 2023
£
6,000
1,600		 2022
£
5,250
1,500

15 Taxation

The charity is 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 to charitable purposes.

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

16 Intangible fixed assets

16 Intangible fixed assets
Cost
At 1 April 2022
At 31 March 2023
Amortisation
At 1 April 2022
At 31 March 2023
Net book value
At 31 March 2023
At 31 March 2022		 Software
costs
£
7,050
7,050
7,050
7,050
-
-		 Total
£
7,050
7,050
7,050
7,050
-
-

The intangible assets relates to software purchased by the charity. The Trustees have deemed the useful life of this software to be 5 years, and as such this is the period of amortisation per the accounting policy.

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

17 Tangible fixed assets

Cost
At 1 April 2022
Additions
At 31 March 2023
Depreciation
At 1 April 2022
Charge for the year
At 31 March 2023
Net book value
At 31 March 2023
At 31 March 2022
18 Fixed asset investments
Other investments		 Furniture and
equipment
£
99,184
3,271
102,455
88,949
4,041
92,990
9,465
10,235		 Motor
vehicles
£
-
22,750
22,750
-
1,138
1,138
21,612
-		 Leasehold
property
improvements
£
32,714
3,600
36,314
21,410
1,939
23,349
12,965
11,304
2023
£
448,156		 Total
£
131,898
29,621
161,519
110,359
7,118
117,477
44,042
21,539
2022
£
379,314

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

Other investments

Other investments
Cost or Valuation
At 1 April 2022
Additions
Disposals
Revaluation
At 31 March 2023
Net book value
At 31 March 2023
At 31 March 2022		 Listed
investments
£
371,305
149,152
(83,243)
(18,207)
419,007
419,007
371,305		 Unlisted
investments
£
8,010
21,139
-
-
29,149
29,149
8,010		 Total
£
379,315
170,291
(83,243)
(18,207)
448,156
448,156
379,315

The cost value of the listed investments at 31 March 2023 was £486,502 (2022 - £400,000).

The investment balance comprises listed investments and Open Ended Investment Company (OEIC) funds.

The following investments accounted for more than 5% of the total:

19 Debtors

Trade debtors
Prepayments and accrued income
VAT recoverable		 2023
£
45,705
75,131
8,433
129,269		 2022
£
-
153,835
9,339
163,174

20 Current asset investments

Cash on long term deposit 2023
£
183,000		 2022
£
-

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

21 Creditors: amounts falling due within one year

Trade creditors
Other taxation and social security
Other creditors
Accruals
Deferred income at 1 April 2022
Resources deferred in the period
Amounts released from previous periods
Deferred income at year end		 2023
£
11,399
24,879
3,911
102,697
142,886
2023
£
5,066
6,665
(5,066)
6,665		 2022
£
8,310
13,737
2,258
81,806
106,111
2022
£
6,457
5,066
(6,457)
5,066

22 Obligations under leases and hire purchase contracts

Operating lease commitments

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

Land and buildings
Within one year
Between one and five years
After five years
Other
Within one year
Between one and five years		 2023
£
78,839
206,981
94,000
379,820
1,746
4,220
5,966		 2022
£
105,421
235,820
109,000
450,241
6,359
6,145
12,504

23 Pension and other schemes

Defined contribution pension scheme

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 to £14,387 (2022 - £10,941).

Contributions totalling £3,911 (2022 - £2,257) were payable to the scheme at the end of the year and are included in creditors.

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

24 Funds

Unrestricted funds
General
General fund
Designated
Dorothy Moore
Legacy
Retail and
Business Strategy
New Services
Expansion of core
services and
supported
infrastructure
Investment in
income generation
Capital Spend
Total unrestricted
funds
Restricted funds
Hexham Town
Council
NHS Palliative
Care
Family Support -
CINN
Wellsley Trust
Community
Foundation
Prudhoe Town
Council
JG Patterson
NVHL 2022
Community
Foundation
Newcastle City
Council
NEPACS		 Balance
at 1 April
2022
£
766,207
244,247
110,064
-
-
-
-
354,311
1,120,518
-
-
-
-
-
-
-
-
-		 Incoming
resources
£
Resources
expended
£
1,501,632
(1,188,050)
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,501,632
(1,188,050)
5,000
(5,000)
64,014
(64,014)
60,431
(60,431)
7,500
(7,500)
2,000
(2,000)
15,000
(15,000)
5,000
(5,000)
3,000
(3,000)
2,000
(2,000)		 Transfers
£
Other
recognised
gains/(losses)
£
Balance
at 31
March
2023
£
80,311
(28,366)
1,131,734
(244,247)
-
-
(110,064)
-
-
107,000
-
107,000
20,000
-
20,000
22,000
-
22,000
125,000
-
125,000
(80,311)
-
274,000
-
(28,366)
1,405,734
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-		 Transfers
£
Other
recognised
gains/(losses)
£
Balance
at 31
March
2023
£
80,311
(28,366)
1,131,734
(244,247)
-
-
(110,064)
-
-
107,000
-
107,000
20,000
-
20,000
22,000
-
22,000
125,000
-
125,000
(80,311)
-
274,000
-
(28,366)
1,405,734
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
274,000
1,405,734
-
-
-
-
-
-
-
-
-

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

The D Oyly Carte
Charitable Trust
Total restricted
funds
Total funds		 Balance
at 1 April
2022
£
-
-
1,120,518		 Incoming
resources
£
3,500
167,445
1,669,077
 Resources
expended
£
(3,500)
(167,445)
(1,355,495)		 Transfers
£
Other
recognised
gains/(losses)
£
Balance
at 31
March
2023
£
-
-
-
-
-
-
-
(28,366)
1,405,734		 Transfers
£
Other
recognised
gains/(losses)
£
Balance
at 31
March
2023
£
-
-
-
-
-
-
-
(28,366)
1,405,734
-
1,405,734

The specific purposes for which the funds are to be applied are as follows:

Designated funds

The Trustees have designated the assets received from the Dorothy Moore Legacy towards the future strategic developments of the charity. In the current year 23/24 some of the reserves will be expended to fund a planned retail expansion and the post of a Community Engagement Officer for an initial year. Also, the provision of Nursing care Fast Track services, Admiral Nursing and Link nurses and Complimentary therapy services.

Restricted funds

Children In need – a grant towards the family support services.

NHS Palliative Care – a grant towards our Nursing care services.

JGW Patterson – a grant to deliver holistic, clinical and emotional support to patients and towards the salaries of the registered nurses

Wellsley Trust Community Foundation – A grant for Children’s Services. For people aged between 4-18. Creating a safe, caring environment for families to share experiences. The families we support say that grief is not about forgetting but about remembering.

NEPACS – A grant for Children’s Bereavement Support for 60 children to give them a better understanding of what has happened and how they feel. Offering family groups, after School clubs and bereavement workshops, e.g. film club, forest school, dance therapy.

NVHL 2022 Community Foundation – A grant for Pre and post bereavement support for young people in West Northumberland

The D Oyly Carte Charitable Trust – A grant for Family Support Services. Core costs of pre and post bereavement sessions, events, and activities for young people.

Prudhoe Town Council – Grant for end of life care and pre and post bereavement services to local families in the Prudhoe area.

Hexham Town Council – A grant to support the increasing demand for end of life care and our holistic bereavement support to the wider family.

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

25 Analysis of net assets between funds

Tangible fixed assets
Fixed asset investments
Net current assets/(liabilities)
Total net assets
Tangible fixed assets
Fixed asset investments
Net current assets/(liabilities)
Total net assets
26 Analysis of net funds
Cash at bank and in hand
Current asset investments
Fixed asset investments
Net funds
Cash at bank and in hand
Current asset investments
Net funds		 Unrestricted
General
£
Designated
£
44,042
-
448,156
-
639,536
274,000
1,131,734
274,000
Unrestricted
General
£
Designated
£
21,539
-
379,314
-
365,354
354,311
766,207
354,311
At 1 April
2022
£
Cash flows
£
662,602
81,551
-
183,000
662,602
264,551
379,314
68,842
1,041,916
333,393
At 1 April
2021
£
Cash flows
£
947,280
(284,678)
-
379,314
947,280
94,636		 Total funds
£
44,042
448,156
913,536
1,405,734
Total funds
at 31 March
2022
£
21,539
379,314
719,665
1,120,518
At 31 March
2023
£
744,153
183,000
927,153
448,156
1,375,309
At 31 March
2022
£
662,602
379,314
1,041,916

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Tynedale Hospice at Home

Notes to the Financial Statements for the Year Ended 31 March 2023

27 Related party transactions

Trustees supported the charity through donations and participation in fundraising efforts totalling £3,618 (2022: £3,237) but no expenses were paid to the Trustees in the year.

46