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2023-03-31-accounts

Funds Held on Trust

Trustees Annual Report 2022-23

Introduction

This is the Annual Report of the Milton Keynes Hospital Charity (Milton Keynes Hospital NHS Foundation Trust Charity). Administrative details regarding the management of the charity are outlined below.

Charity Name Milton Keynes Hospital NHS Foundation Trust Charity (working name Milton Keynes Hospital Charity)

Governing Document/Constitution Statutory Instrument No. 2372, establishing the Trust from 1[st] April 1992 Charity Registration Number 1048297

The Charity has a corporate trustee: Milton Keynes University Hospital NHS Foundation Trust (The Trust). The directors of the Trust who served during the financial year were as follows:

Alison Davis (Chair) Professor Joe Harrison (Chief Executive) Andrew Blakeman (resigned April 2022) John Blakesley Nicola Burns-Muir (resigned August 2022) Jacqueline Collier (resigned July 2022) Haider Husain Dr Luke James (resigned September 2022) Kate Jarman Emma Livesley Danielle Petch Dr Ian Reckless Helen Smart (resigned July 2022) Professor James Tooley (resigned September 2022) Heidi Travis Terry Whittle Yvonne Christley (appointed September 2022) Gary Marven (appointed April 2022) Bev Messinger (appointed April 2022) Dr Dev Ahuja (appointed September 2022) Mark Versallion (appointed January 2023) Jason Sinclair (appointed September 2022) Ganesh Baliah (appointed January 2023) Precious Zumbika-Lwanga (appointed January 2023)

Address of Registered Office Milton Keynes University Hospital NHS Foundation Trust Standing Way, Eaglestone Milton Keynes MK6 5LD Name and Address of Bankers Royal Bank of Scotland plc 402 Lower Twelfth Street Central Milton Keynes MK9 3LF

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Name and Address of Independent Examiners Name and Address of Solicitors

Steve Robinson Mercer & Hole LLP Chartered Accountants Silbury Court 420 Silbury Boulevard Central Milton Keynes MK9 2AF Foinette Quinn 123-131 Queensway Bletchley Milton Keynes MK2 2DH

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Charity Annual Report and Accounts For the year ended 31 March 2023

Charity Objectives and Organisation

We believe that every patient deserves the best possible experience and care, whether that’s support through dementia, distraction for children and young people in hospital, care in an emergency, treatment for a long-term illness or kindness in final days.

Milton Keynes Hospital Charity is our local NHS charity, and we work alongside Milton Keynes University Hospital (MKUH) to enhance the care and wellbeing of patients, their families and the staff who care for them – we want everyone at MKUH to have the best experience possible.

This year, we received donations from patients who want to say thank you; from committed and enthusiastic fundraisers; many local companies; trusts and foundations and from families who give in memory of a loved one.

Donations and fundraising are our lifeblood – they enable us to make a difference to patient, family and staff experience here at Milton Keynes University Hospital, whether that is through funding pilot initiatives, special roles that support and enhance clinical care, state of the art medical equipment or transformation of spaces to create truly beautiful and engaging places for people to be.

This report introduces you to some of our work, and if you would like to find out more or get involved in some way, then please get in touch, or visit our website www.mkhcharity.org.uk.

We believe that every patient, visitor and member of staff deserves the highest quality experience, and it is only through your support that we make this happen.

Review of the year

The team at Milton Keynes Hospital Charity are proud to have supported MKUH as it works on the Covidrecovery plan and clearing the backlog of appointments and elective operations; supporting our patients and families as well as staff.

As always, we were humbled by the number of donations that were given to the hospital via the charity in 2022 and would like to start this review of the year with a very, very big thank you to everyone who helped in whatever capacity and with whatever amount. Every donation is so important to us.

Over 561,000 patients a year are cared for by our hospital’s 4,000+ staff. Charitable donations support that care, helping to fund the latest technology, environmental enhancements, staff development and extra comforts that make a difference to patients and families, day after day, above and beyond what the NHS alone can afford. Our supporters help ensure that the care provided is of the highest level and that patients and their families will benefit for years to come.

This year has been a challenging one for fundraising, as our charitable income saw a decrease in donations (6%) due to the cost-of-living crisis and changes in giving habits, too. We also received no legacy donations in this financial year. Overall we saw our income decrease by a little over a third, which we attribute mainly to a decline in income from charitable trusts and foundations (41%).

The charity’s team remains small but with this comes an agility in planning and delivery – we have pushed through several changes in our fundraising techniques, including employing our first Individual Giving and Marketing lead, who started in January 2023 and is funded by a development grant through NHS Charities Together. This role will greatly enhance the experience people get when they give to us – as well as

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Charity Annual Report and Accounts For the year ended 31 March 2023

helping us increase our brand awareness on site. We are in such a fortunate position with so many of our potential donors being grateful patients or relatives, it makes sense for us to quickly invest in this area.

We are hoping that with a clear call to action in 2023, tied to the launch of our radiotherapy fundraising appeal, that levels of donations will increase. We are also planning increased collaboration with community partners and other charities to formulate strong, meaningful projects for trusts and foundations to support.

Fundraising appeals and activities

This year we organised one fundraising appeal for the cardiology department – enhancing the current waiting area for patients, families and staff. This included much input from the cardiology team themselves as well as a donation of £10,000 from the Milton Keynes Community Foundation. We will be spending the funds raised during the 2023/24 financial year.

As well as our fundraising appeal, we also organised a Gala Ball held in June 2022, which raised £51,000 for the cancer centre, to be spent on artwork and other items that benefit patients and families. The Gala was a glittering success, and through the event we were able to further engage with the Milton Keynes business community.

Over this financial year, we had significant focus on spending funds awarded to us by grant-making trusts. To this end, we completed works on

The charity also agreed to fund the Meaningful Activities Facilitator role for another year, to measure impact post-Covid. The role has resulted in a 50% reduction in the length of stay for patients and continues to ensure greater patient engagement, reduced loneliness and continued mobility, as well as preventing decline and faster recovery.

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Charity Annual Report and Accounts For the year ended 31 March 2023

Financial review

The full financial reports and notes are reflected in pages 10 onwards. During 2022-23:

The charity continues to hold a £301k cash investment portfolio with The Bank of Scotland. The investment is held in an Investment Money Market Account with a short call back period.

The charity holds no other assets other than cash resources that are held in the Trust bank accounts.

In keeping with the Charity Commission regulations and general accounting best practices, the financial statements for 2022/23 were reviewed by independent examiners, Mercer & Hole LLP Chartered Accountants.

Governance

The charity does not employ any staff, but Milton Keynes University Hospital NHS Foundation Trust provides accounting and administration services.

The charity has a single corporate trustee, Milton Keynes University Hospital NHS Foundation Trust. The NHS Trust Board, representing the corporate trustee, delegates responsibility to a charitable funds committee. This committee meets at least four times a year and the Chair of the committee reports to the NHS Trust Board, as corporate trustee, following each meeting.

Reserves Policy

The Trustee believes that the majority of donations to the charity are given on the understanding that the income will be spent in a timely and responsible manner and reserves should therefore be kept to the minimum possible; Reserves are required to:

Based on the above, the maximum desired reserves of the charity is equivalent to six months of operating costs, based on current financial forecasts, honouring of existing financial commitments and/or the length of time it would take to recover income levels. This gives us a suggested, target reserves level of £200k.

The Trustee shall review any balances held in excess of the target reserves level and consider longer term investments where funds cannot reasonably spent in the short term. Advice will be sought prior to any such long-term investment. Our Reserves Policy sets the framework within which the Trustee Board will fulfil its responsibilities.

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Charity Annual Report and Accounts For the year ended 31 March 2023

Charitable Funds Committee

Acting for the corporate trustee, the purpose of the Charitable Funds Committee is to:

GDPR and Regulation

We work hard to meet our responsibilities under the General Data Protection Regulations (GDPR). Our privacy notice is available on our website and explains what supporters and others can expect from us and how we collect and manage information about them.

Any adverse matters relating to GPDR compliance are reported to the Charity Committee and to our regulators as required. There were no such matters to report this year. We are registered with the Fundraising Regulator to demonstrate our commitment to transparency. Our fundraising promise is published on our website and explains what supporters can expect from us, and what to do if they have any concerns.

No complaints were received regarding the charity or its fundraising practices in 2022/23.

Future plans

The corporate trustee has recently reviewed the objects of the charity and is confident that at present they are appropriate but we will continue to keep them under regular review.

The charity is in currently in year 3 of our fundraising strategy, which we continue to review and refocus alongside external challenges (cost of living crisis, increased competition when applying to grant-making trusts and a generally crowded local fundraising market). With this in mind, our priorities for the coming year include:

Impact – measuring our success

We exist to enhance the hospital experience for patients, visitors and staff, so it is right that these groups of people will be a key measure of how successful a project has been. On a project-by-project basis we will use the most appropriate medium to actively seek their feedback before, during and after the project - whether in written format, conversation, photographs or video.

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Charity Annual Report and Accounts For the year ended 31 March 2023

In addition to user feedback, the success of projects will also be measured by receiving positive answers to the questions; “Does it provide the expected good value for money” and “Was the project completed within the agreed timescales and with the minimum of disruption to the smooth running of the ward or department”. Yes, impact is about the direct benefit to patients, families and staff – but we must also factor in these questions to measure the overall effectiveness, too.

Some of the items we have funded over the past year include:

We’re proud of what we’ve achieved over this past financial year and could not have achieved any of this without the generosity – in time as well as money – of our donors, volunteers, and supporters, so thank you.

Relationships with Other Organisations

As an NHS Charity, the Board of Trustees are the same as the Trust Board at Milton Keynes University Hospital NHS Foundation Trust.

One of our key values and themes for our charity strategy is collaboration, and we are very pleased to have established good relationships with our “charity partners” – organisations working towards improving patient experience too. These include the Friends of Milton Keynes Hospital and Community, Henry Allen Trust, Al’s Pals and Emily’s Star.

Risk Statement

The Trustees have identified that placing short term Money Market Investments with highly rated Banking Institutions minimises any risk of loss. All investments placed are monitored for their performance quarterly and reported through the Charitable Funds Committee.

Remuneration

Neither the Trustees nor any persons connected with them received any remuneration for their work for the charity.

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Charity Annual Report and Accounts For the year ended 31 March 2023

Financial Review

By order of the Trustees

Signed: Name: Haider Husain

Date: 10/10/2023 Trustee

Signed: Date: 10/10/2023 Name: Terry Whittle Trustee

FINANCIAL STATEMENTS for 2022-23

The accounts of the funds held by Milton Keynes University Hospital NHS Foundation Trust Charity.

FOREWORD

These accounts for the year ended 31 March 2023 have been prepared by the Trustees in accordance with Section 132 of the Charities Act 2022 and have regard to the Statement of Recommended Practice (SORP), 'Accounting and Reporting by Charities' issued in 2019 by the Charity Commissioner for England and Wales.

The Financial Statements have been prepared under FRS 102.

STATUTORY BACKGROUND

The Trustees have been appointed under s11 of the NHS and Community Care Act 1990.

The Milton Keynes University Hospital NHS Foundation Trust charitable funds held on trust are registered with the Charity Commission and include funds in respect of Milton Keynes University Hospital.

MAIN PURPOSE OF THE FUNDS HELD ON TRUST

The main purpose of the charitable funds held on trust is to apply income for any charitable purpose relating to the NHS wholly or mainly for the services provided by Milton Keynes University Hospital NHS Foundation Trust.

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Charity Annual Report and Accounts For the year ended 31 March 2023

Statement of trustees' responsibilities

The Trustees are responsible for:

The Trustees are required under the Charities Act 2011 to prepare accounts for each financial year. The Secretary of State, with the approval of the Treasury, and the Charities Commission direct that these accounts give a true and fair view of the financial position of the funds held on trust, in accordance with the Charities Act 2011. In preparing those accounts, the trustees are required to:

The Financial Statements have been prepared on a going concern basis, as the Trustees believe that the charity is able to discharge its liabilities and commitments as they fall due in the foreseeable future.

The Trustees confirm that they have met the responsibilities set out above and complied with the requirements for preparing the financial statements. The financial statements set out on pages 10 to 21 below have been compiled from and are in accordance with the financial records maintained by the Trustees. These financial records are open to view by any stakeholders seeking to review such details at the charity’s registered offices listed above.

By Order of the Trustees

Signed:

Trustee: Haider Husain Date:10/10/2023

Signed: Date: 10/10/2023 Trustee: Terry Whittle

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Independent Examiner's Report to the Trustees of Milton Keynes University Hospital NHS Foundation Trust Charity

I report to the charity trustees on my examination of the accounts of the charity for the year ended 31 March 2023 which are set out on pages 1 to 21.

Responsibilities and basis of report

As the charity’s trustees you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (‘the Act’).

I report in respect of my examination of the charity’s accounts carried out under section 145 of the Act and in carrying out my examination I have followed all the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act.

Independent examiner's statement

Since the charity’s gross income exceeded £250,000 your examiner must be a member of a body listed in section 145 of the Act. I confirm that I am qualified to undertake the examination because I am a member of ICAEW, which is one of the listed bodies.

I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:

  1. accounting records were not kept in respect of the charity as required by section 130 of the Act; or 2. the accounts do not accord with those records; or

  2. the accounts do not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a ‘true and fair view’ which is not a matter considered as part of an independent examination.

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.

Steve Robinson FCA Mercer & Hole Chartered Accountants Silbury Court 420 Silbury Boulevard Central Milton Keynes MK9 2AF

Date: 12 October 2023

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Charity Annual Report and Accounts For the year ended 31 March 2023

Statement of Financial Activities for the year ended 31 March 2023

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Milton Keynes University Hospital NHS NH5 Foundation Tr CharityAnnual Report and Accounts Forthe year ended 31 March 2023 Balance Sheet As At 31 Mai'ch 2023 Notes Utjrestiicted Funds Restiicted Funds Totsl •t 31 Totsl ai 31 Mar¢h •03 March 0• Fixed Assets Ini'estments 62 137 301 301 Total Fixed As5et5 164 137 301 301 Current Assets Debtors Cash at bank" and in h￿a 28 o• Total Current Assets o• Creth'tors.. Amounts falling thje one ye4r 94 20 114 ioi Net Cllrrent A88etsllLiabilitte8) i•0) ioi Total Assets less Current Liabilitses 98 117 40• Total Net Assets 98 117 40: Funds ol the Chaiitr" Income Funds: Restricted Urffe5tiicted 117 117 98 4S 357 Total Funds 98 117 40• li

Charity Annual Report and Accounts For the year ended 31 March 2023

Cashflow for the year ended 31 March 2023

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Charity Annual Report and Accounts For the year ended 31 March 2023

NOTES TO FINANCIAL STATEMENTS

1. Accounting Policies

1.1 Accounting Convention

The accounts (financial statements) have been prepared under the historical cost convention with items recognised at cost or transaction value unless otherwise stated in the relevant note(s) to these accounts. The financial statements have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by 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 and the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102) and the Charities Act 2022. The Financial Statements have been prepared under FRS 102.

1.2 Going Concern

The trustees of the Charity have considered the financial position and prospects of the Charity and have concluded that the Charity has adequate resources to continue in existence for the foreseeable future. In reaching this conclusion, the trustees have considered the forward-looking prospects of the Charity, including cash flow forecasts to September 2024 and their relationship with Milton Keynes University Hospital NHS Foundation Trust.

The trustees have therefore prepared the financial statements on a going concern basis.

1.3 Income

Legacies are accounted for as income once the receipt of the legacy becomes normally probable. This will be once confirmation has been received from the representatives of the estates that payment of the legacy will be made, or property transferred and once all conditions attached to the legacy have been fulfilled.

1.4

Expenditure

The funds held on trust accounts are prepared in accordance with the accruals concept. All expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party.

a) Cost of generating funds :

The cost of generating funds are the costs associated with generating income for the funds held on trust. This will include the costs associated with generating voluntary income, fundraising and managing investments.

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Charity Annual Report and Accounts For the year ended 31 March 2023

b) Grants payable

Grants payable are payments made to third parties (including NHS bodies), in the furtherance of the funds held on trust's charitable objectives, to relieve those who are sick. They are accounted for on an accruals basis where the conditions for their payment have been met or where a third party has a reasonable expectation that they will receive the grant. This includes grants paid to NHS bodies.

c) Governance costs

These are accounted for on an accruals basis and are recharges of appropriate proportions of the following costs from Milton Keynes University Hospital NHS Foundation Trust and include the costs of governance arrangements which relate to the general running of the Charity, for example Management and Audit Fees.

d) Activities in furtherance of charity’s objectives

These are accounted for on an accruals basis and are recharges of appropriate proportions of the following costs from Milton Keynes University Hospital NHS Foundation Trust and includes fundraising and publicity, patient welfare, staff welfare, research, contribution to trust capital and other.

1.5 Structure of funds

Where there is a legal restriction on the purpose to which a fund may be put, the fund is classified in the accounts as a restricted fund. Funds where the capital is held to generate income for charitable purposes and cannot itself be spent are accounted for as endowment funds. Other funds are classified as unrestricted funds. Funds which are not legally restricted but which the Trustees have chosen to earmark for set purposes are classified funds. The major funds held within these categories are disclosed on notes 9.1 to 9.2.

1.6 Investment Fixed Assets

Investment fixed assets are shown at market value.

1.7 Realised gains and losses

All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and opening market value (or date of purchase if later). Unrealised gains and losses are calculated as the difference between market value at the year end and opening market value (or date of purchase if later).

1.8

Reserves

A Reserves Policy is in place to support the holding of funds within the Charity Accounts in order to monitor proposed expenditure against future objectives that have been set. The policy is reviewed on an annual basis by the Trust’s Charitable Funds Committee.

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Charity Annual Report and Accounts For the year ended 31 March 2023

2. Analysis of Income

Other incoming resources includes other sources of income that are not donations, legacies, grants, or investment income, including income from fundraising events.

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Milton Keynes University Hospital NHS NH5 Foundation Tr CharityAnnual Report and Accounts Forthe year ended 31 March 2023 Analysis of Expenditure Unrtstiicted F￿]d5 Restiycted F￿dS Totsl ?0?3 Funds £000 Total 2022 F￿aS Patients ￿"elfare and ametiities Staff tkelfare and atnenitits contsub￿XonS to Tn￿￿S Caprtai Ntiscellaneous 252 15) 52 •47 *67 34 16 47 333 350 UntestiirtÈd E￿IdS Restiitted Funds Total ?022 ?0•3 Funds Funds Independent Eummer5 Fee5 m￿￿ge1￿ent.AdrrllnFee 32 34 30 34 16

Charity Annual Report and Accounts For the year ended 31 March 2023

4. Analysis of total expenditure

Analysis of staff costs 4.2

The Charitable Fund does not directly employ staff but incurred expenses relating to the Fundraising Manager, and three Fundraising Assistants` - two of which left and were replaced in M10, of £120k (2021-22 £128k). The change in staff costs for 2022-23 is due to the fundraising team having three fundraising assistants for the majority of the year, rather than two. This is then offset by a portion of salary relating to charitable activities being recognised as such in 2022-23.

Pension Contributions for 4.3 Senior employees

No pension costs were charged to the charity during the year.

5. Net movement in fund

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Milton Keynes University Hospital NHS NH5 Foundation Tr CharityAnnual Report and Accounts Forthe year ended 31 March 2023 6. Analysis of Fixed Asset Investments 013 2022 FixedAsset Ini'estments.. lat&"et i'alue at 31 Nfarch 301 301 f2xL"et i'alue at 31 Nlorch.. Held 90•3 Totsl 2022 Total All Ini'estments are held in the UL Cash held as part of the ini"estment portfoh'o 301 301 301 301 301 301 Totsl 8T055 income Held o•i-? Im'eslments in aCoromonDeposit Fund orCoJMionTni'eslJneni Fund 18

Charity Annual Report and Accounts For the year ended 31 March 2023

7 Analysis of Debtors

8 Analysis of Creditors

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Milton Keynes University Hospital NHS NH5 Foundation Tr CharityAnnual Report and Accounts Forthe year ended 31 March 2023 Analysis of funds 9.1 Re5tri¢tAFrynd5 Balance Incoming Resources Trdn5fers Gains and 31 hlBrch pended L05se5 2022 Balance 31 Ilarch •0?3 NlateJiaifillLd5 (hstindiii¢knlly) Paediathe FundV"ard 5 General Fwid CancLYCentre Cardiolo￿. Farth7Roorll EqUiP￿ent RÈdiotherap}_4ppeal Staff Costs St&TIVeJfare fund(Stsff 'CSE M'eljbe￿g Fund 15 141 Goi li 16 20 30 30 117 45 i?0 54 Balance In¢ollurtg ResQUtces Tttnsfers CAill5 and 31 NIarch Expended Losses 1021 ComparatiTtYe 31 Jlarch MAte￿alfi￿ds 'CSE M'ellbeins Fund StatTI¥'eJfate Fund CEncerCentre Fulld Paethathe Fulldll-afd 5 General Fund carth'olo8￿ DeparknentTr Total 75 1751 {421 15 pi 15 164 119 45 9 9 LthrtsirldtdFuttd$ Baknee In¢oTumg Res¢uT¢es Ttsnsfets Gal￿ and Expended L¢sses Bthet 31 2022 •03 Total 357 180 433 98 Gains and Bthee Losses 31 Mareh BaJ3nce tt)eomittg Resources ended CornpratkTeYear 2021 Totsl 461 391 tolf￿ LArn%trirted Ere•ttr .4 GeNer￿FUnd C Strok"e Reha￿tL￿onurrit D LitrleLTr'es Fund E Staffl4"eWareFund 17 20

Charity Annual Report and Accounts For the year ended 31 March 2023

10 Trustees and connected persons

The Trustees did not receive any remuneration or expenses in the year

11 Related party transactions

Milton Keynes University Hospital is the host Trust and Corporate Trustee of the Charity, providing administrative support to the Charity, and is its sole beneficiary.

During the year the charity incurred expenditure of £193k (2021-22: £165k) with the host trust. At the balance sheet date, there was a debtor balance of £0k (2021-22: £0k) and a creditor balance due to the host trust of £114k (2021-22: £101k).

12 Reconciliation of net movement in funds to net cash flow from operating activities.

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