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2024-03-31-accounts

Funds Held on Trust

Trustees Annual Report 2023-24

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) John Blakesley Haider Husain Kate Jarman Emma Livesley Danielle Petch Dr Ian Reckless Heidi Travis Terry Whittle (Resigned November 2023) Yvonne Christley Gary Marven Bev Messinger Dr Dev Ahuja Mark Versallion Jason Sinclair Ganesh Baliah Precious Zumbika-Lwanga Jonathan Dunk (Appointed February 2024)

Address of Registered Office

Name and Address of Bankers

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

Name and Address of Independent Examiners

Mercer & Hole LLP Chartered Accountants

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Name and Address of Solicitors

The Pinnacle 170 Midsummer Blvd Milton Keynes MK9 1BP 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 2024

Charity Objectives and Organisation

Milton Keynes Hospital Charity is here for everybody at our local hospital – and our mission is to deliver support and raise vital funds that touch the lives of patients, their families and staff across all wards and departments.

If we go in some small way to enhancing patient and family experience, making a hospital stay as comfortable, positive, and reassuring as possible, then we are truly delivering against our core reason to exist.

Through the generosity of our donors and at times superhuman community spirit, our fundraising efforts make tangible impacts. These efforts enable significant improvements throughout the hospital, providing resources that directly benefit patient wellbeing and therefore recovery.

Every donation, every act of generosity, amplifies our ability to uplift patient care; creating a healing environment where compassion, comfort and healing thrive. Together, we continue to make profound differences in the lives of those who rely on the care and support provided by Milton Keynes University Hospital.

Review of the year

Our primary goal this year has been to galvanise support for all areas of the hospital through a compelling and impactful call to action, in addition to launching a fundraising appeal for a wellbeing lounge situated on our radiotherapy centre site. Once funds are raised, this will be a space where patients and families can receive emotional support and respite.

Moreover, an expansion of collaborative efforts with community partners – businesses, individuals and groups – has been part of a proactive strategy to deliver robust, impactful projects across the hospital – from birth to end of life, we’ve been there to support patients and families.

We were very pleased to close a successful fundraising appeal for the cardiology department, showcasing a collaborative approach by involving the cardiology team and securing a substantial donation from the Milton Keynes Community Foundation. Funds earmarked for enhancing the waiting area demonstrated a tangible commitment to channelling donations toward immediate and meaningful improvements within the hospital. Feedback from the final results of the project has already been significant.

The charity’s Golf Day in October 2023 was a highlight of our fundraising year. It raised an impressive £54,000, and we were delighted to see 80% of our golfers from our inaugural golf day return. We rely very much on the superb organising committee to ensure the event’s success, as well as a range of sponsors, donors and the wonderful team at Woburn Golf Club.

In the face of the ongoing cost-of-living crisis and the added pressures it has brought to everyone, generosity from individuals, groups, companies and our supporters has given us hope. Contributions have allowed us to keep helping patients, families, and hospital staff during these difficult times.

Despite our many successes, it has been another tough year in terms of the overall funds raised, an obvious reflection of the times we all find ourselves in, but we continue to make an impact in many special ways.

Fundraising appeals and activities

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Over this past year, we have been increasing activities and branding on the hospital site and building up excellent relationships with colleagues, including those in the cancer centre, neonatal unit, children’s wards, cardiology and intensive care unit. Building these meaningful relationships with wards means we can achieve a better understanding of where to focus charitable funding –it also helps inspire new fundraisers and supporters too.

This year we held the official opening event for the charity-funded MDT (multi-disciplinary team) room within the cancer centre, which is now making a huge difference to the patient journey. Health professionals from across the unit (consultants, nurses, dieticians etc) will meet to discuss the right treatment journey, treating the person holistically. This was funded through the 2021 Golf Day at Woburn Golf Club and we were delighted to have George Anson and Julia Gallagher from the committee open the room.

The charity also agreed to fund the Meaningful Activities Facilitator role for a third and final year. The role ensured greater patient engagement, reduced loneliness and continued mobility, as well as helped promote faster recovery in patients.

Other items the charity has funded include:

As always none of these projects and items would have been possible without donations and fundraising for the charity, and for that we are immensely grateful.

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Financial review

The full financial reports and notes are reflected in pages 10 onwards. During 2023-24:

The charity continues to hold a £303k 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 2023/24 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.

Charitable Funds Committee

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

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reflects donors’ wishes and that funds are maximised.

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 2023/24.

Future plans

Milton Keynes Hospital Charity is constantly looking to evolve to ensure our goals align perfectly with the needs of the community we serve.

This financial year saw us delivering the third year of our three-year strategy, and although we have achieved most of our objectives, our income has declined largely due to an increase in competition/changing priorities for grant-makers as well as the cost of living crisis affecting donations.

The charitable funds committee has now approved our 2024-27 strategy for fundraising, which follows themes around “building on better”, “harnessing patient gratitude” and “growing our unrestricted income base”. It includes the following objectives:

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

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format, conversation, photographs or video.

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.

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 2024

By order of the Trustees

Signed: Date: 0 7 / 1 1 / 2 0 2 4 Name: Jonathan Dunk Trustee (iL o-— + Signed: Date: 0 7 / 1 1 / 2 0 2 4 Name: Haider Husain Trustee

Date: 0 7 / 1 1 / 2 0 2 4 Trustee

FINANCIAL STATEMENTS for 2023-24

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

FOREWORD

These accounts for the year ended 31 March 2024 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 2024

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: Lo LE Trustee: Jonathan Dunk Date: 07/11/2024

Signed: Date: 07/11/2024 Trustee: Haider Husain

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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 2024 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

  3. 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 The Pinnacle 170 Midsummer Blvd Milton Keynes MK9 1BP

Date: 12 November 2024

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Charity Annual Report and Accounts For the year ended 31 March 2024

Statement of Financial Activities for the year ended 31 March 2024

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Charity Annual Report and Accounts For the year ended 31 March 2024

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Charity Annual Report and Accounts For the year ended 31 March 2024

Cashflow for the year ended 31 March 2024

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Charity Annual Report and Accounts For the year ended 31 March 2024

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

a) All income is included in full on the Statement of Financial Activities as soon as the following three factors are met:

b) Legacies

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 2024

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 2024

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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Charity Annual Report and Accounts For the year ended 31 March 2024

3. Analysis of Expenditure

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Charity Annual Report and Accounts For the year ended 31 March 2024

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 - The change in staff costs for 2023-24 is due to the fundraising team having four fundraising assistants for the full year, rather than three. In the previous year one of the Fundraising roles was fully funded by a grant.

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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Charity Annual Report and Accounts For the year ended 31 March 2024

6. Analysis of Fixed Asset Investments

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Charity Annual Report and Accounts For the year ended 31 March 2024

7 Analysis of Debtors

8 Analysis of Creditors

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Charity Annual Report and Accounts For the year ended 31 March 2024

9 Analysis of funds Analysis of funds Analysis of funds
**9.1 ** Restricted Funds Balance Incoming Resources Transfers Gains and Balance
31 March Expended Losses 31 March
2023 2024
£000 £000 £000 £000 £000 £000
Material funds
(list individually)
Laptop donations 0 2 (1) 0 0 1
Paediatric Fund Ward 5 8 0 0 0 0 8
General Fund 11 0 0 0 0 11
Cardiology 20 0 (15) 0 0 5
NNU Family Room 3 0 (3) 0 0 0
NNU Equipment 20 0 0 0 0 20
Radiotherapy Appeal 2 180 (72) 0 0 110
Staff Costs
VCSE Wellbeing Fund
23
30
0
0
(23)
0
0
0
0
0
0
30
Total 117 182 (114) 0 0 185
Balance Incoming Resources Transfers Gains and Balance
Comparative year 31 March Expended Losses 31 March
2022 2023
£000 £000 £000 £000 £000 £000
Material funds
(list individually)
Paediatric Fund Ward 5 9 0 (1) 0 0 8
General Fund 15 0 (4) 0 0 11
Cancer Centre 15 5 (20) 0 0 0
Cardiology 4 16 0 0 0 20
NNU Family Room 0 3 0 0 0 3
NNU Equipment 0 20 0 0 0 20
Radiotherapy Appeal 0 2 0 0 0 2
Staff Costs 0 30 (7) 0 0 23
Staff Welfare fund (Staff R
VCSE Wellbeing Fund
2
0
44
0
(52)
30
6
0
0
0
0
30
Total 45 120 (54) 6 0 117
**9.2 ** Unrestricted Funds Balance
Incoming
Resources
Transfers
Gains and
Balance
31 March
Expended
Losses
31 March
2023
2024
£000
£000
£000
£000
£000
£000
Total 98
290
(300)
0
0
88
Comparative year Balance
Incoming
Resources
.
Gains and
Balance
31 March
Expended
Losses
31 March
2022
2023
£000
£000
£000
£000
£000
£000
Total 357
180
(433)
(6)
0
98
Name of fund £'000
Amount
A
Cancer Centre Fund
Cancer Centre Fund
40

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Charity Annual Report and Accounts For the year ended 31 March 2024

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 £278k (2022-23: £193k) with the host trust. At the balance sheet date, there was a debtor balance of £0k (2022-23: £0k) and a creditor balance due to the host trust of £80k (2022-23: £114k).

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

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