2025-03-31-accounts - Milton Keynes Hospital NHS Foundation Trust

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Funds Held on Trust

Trustees Annual Report 2024-25

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) (Left April 2024) Heidi Travis (Chair) (Appointed Chair April 2024) Professor Joe Harrison (Chief Executive) John Blakesley Sarah Whiteman (Appointed May 2024) Piers Ricketts (Appointed December 2024) Haider Husain Kate Jarman Fiona Hoskins (Appointed July 2024) Helen Beck (Appointed May 2024) Steven Beaumont (Appointed interim April 2024 – July 2024) Louise Clayton (Appointed interim August 2024 – September 2024) Catherine Wills (Appointed October 2024) Fay Gordon (Appointed September 2024) Emma Livesley (Secondment September 2024) Danielle Petch (Left August 2024) Dr Ian Reckless Yvonne Christley (Left April 2024) Gary Marven Dr Dev Ahuja (Left December 2024) Mark Versallion Jason Sinclair (Left August 2024) Ganesh Baliah Precious Zumbika-Lwanga Jonathan Dunk

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

Name and Address of Independent Examiners

Name and Address of Solicitors

Mercer & Hole LLP Chartered Accountants The Pinnacle 170 Midsummer Blvd Milton Keynes MK9 1BP Foinette Quinn 123-131 Queensway Bletchley Milton Keynes MK2 2DH

Charity Annual Report and Accounts For the year ended 31 March 2025

Trustees Report

Charity Objectives and Organisation

Welcome to the 2024-25 Milton Keynes Hospital Charity Annual Report.

We’re so grateful, to you, our incredible donors and fundraisers, who have rallied around us during these challenging times. From individuals, community groups, schools, other charities and local businesses across Milton Keynes, your unwavering support has been nothing short of remarkable.

In the face of the ongoing cost-of-living crisis and the added pressures it has brought to everyone, your generosity has given us hope – and your contributions have allowed us to keep helping patients, families and hospital staff during these tough times. As you can see later in the report it has been a tough year in terms of the overall funds raised, with a substantial 40% decrease in donation, which is an obvious reflection of the times we all find ourselves in.

However - we continue to make an impact in many, special ways and amidst the pressures, our charity has drawn closer to the community; forging new bonds and partnerships that have added significantly to our ability to support Milton Keynes University Hospital.

Together, you have helped to fund numerous impactful projects, such as new furniture for our neonatal unit family room, ear plugs for critical care patients and reclining sleeper chairs for relatives of our patients at the end of their life. None of these would have happened without your ongoing commitment to our cause.

As we continue to navigate through these uncertain times, your donations and support remain the cornerstone of our achievements. Your dedication is what empowers us to continue making a difference. So once again, thank you for being truly exceptional and for helping us uplift lives within our community.

Review of the year

“Our mission is to support patients, their families and the staff who care for them.”

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 have made tangible impacts. These efforts have enabled significant improvements throughout the hospital, providing resources that directly benefit patients' well-being 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.

Charity Annual Report and Accounts For the year ended 31 March 2025

Trustees Report (continued)

As you can see 2024-25 has been a tough year in fundraising terms for the Milton Keynes Hospital Charity and we aren’t alone. A survey at the beginning of the year showed that 14% of the public asked plan to cut back on charity donations in the coming year. Overlay this narrative with the cost-of-living crisis and you can see why 58% of charity leaders said that generating income and finding financial stability is one of their top challenges in 2023 and beyond (source: Charities Aid Foundation Survey March 2023).

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. Now funds are raised, we are busy creating the space, ready to open early 2026.

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 celebrate the opening of the transformed cardiology reception area – fully funded through a successful fundraising appeal. Feedback from the final results of the project has already been significant.

The charity’s Gala Ball in May 2024 was a highlight of our fundraising year, raising an impressive £56,000. We rely very much on the superb organising committee to ensure the event’s success, as well as our sponsors, donors and supporters who keep coming back to support our events. We are truly grateful.

Fundraising appeals and activities

Whilst we have found the fundraising landscape challenging, we have also enjoyed some successes.

We increased our online engagement by 25%
We increased our corporate and community fundraising income by 21%
We held our third major Gala ball, raising £56,000
We closed our radiotherapy wellbeing space appeal, with the hub due to open early 2026.

We measure success by the impact on patients, visitors, and staff, using their feedback as a guide. Their voices, whether spoken, written, or seen in images, steer our projects.

Success isn't just about direct benefits; it's about efficiently integrating projects into hospital operations while maximizing value for every raised pound.

Our contributions have sparked significant changes both inside and outside the hospital, detailed in this report. Some impacts are easily measurable, like the effect of new equipment on patient care. Others, like healing spaces or family rooms, are harder to quantify but equally important.

Each initiative reflects our dedication to improving the hospital environment and the wellbeing of everyone inside. We're proud of these achievements, made possible by the generosity of our donors, volunteers, and supporters who bring our mission to life. These include:

Charity Annual Report and Accounts For the year ended 31 March 2025

Trustees Report (continued)

Clothing for patients being discharged from hospital. We’ve used charitable funding and donations to build up a clothing bank, so that patients leaving MKUH aren’t doing so in hospital gowns. It’s really made an impact on patient dignity.
Mental Health packs for young patients. We’ve used funding to provide packs for young people coming into hospital with mental health challenges, the packs contain items ranging from stress balls to notepads and practical information leaflets.
A video for parents using the neonatal unit, providing information and reassuring through the stories of parents who have been there too.
A sleeper chair for families with loved ones at end of life. When we found out relatives were sleeping on the floor next to their loved ones, we worked with the ward manager to come up with a solution and funded a comfortable sleeper chair so that everyone was more comfortable.
A transformation of the neonatal unit family room, which now provides a safe and comfortable space for parents – who can be on the ward for weeks, sometimes months – to take comfort, talk, make themselves a snack or even just sit and watch television. A highlight was having a former neonatal unit patient, Oscar, officially open the family room in 2025.
A patient trolley – ‘Buddy’ – which is taken around the wards by volunteers. All items on Buddy are funded by the charity, so are free for patients. Items include everything from hand cream and dry shampoo to crossword books and headphones.
Boxes stocked full of items our staff can use and give to people at the end of their lives. The items range from toothbrushes, to socks, to books people can read to them. The boxes perfectly complement the Butterfly volunteers we have on site, who, as part of the charity team, spend time with patients at the end of their life bringing comfort to people.
Special, additional training to upskill nurses in order to better support patients undergoing cancer investigations. This is particularly focussed on creating a nurse-led one stop diagnostic hysteroscopy service – so we can see more people and reduce waiting times.
The Beyond the C choir, which is supported by the charity every year. We fund the costs of room hire to make their meetings possible.

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.

Financial review

The full financial reports and notes are reflected in pages 10 onwards. During 2024-25:

Overall charitable income saw a 40% decrease, reflective of the challenges faced by our fundraising team.
We secured Gifts in Kind to the value of £116k, including donations of items and services made to the hospital.
However, our direct charitable expenditure increased by a third, mainly due to accumulated funds being spent. Our fundraising costs also decreased by 36%,
The charity received £0 income from grants in the financial year, due to a loss of resource in this area as we refocussed on other, more lucrative income streams.

The charity continues to hold a £205k 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.

Charity Annual Report and Accounts For the year ended 31 March 2025

Trustees Report (continued)

In keeping with the Charity Commission regulations and general accounting best practices, the financial statements for 2024-25 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:

cover salary costs for all substantive posts for the minimum notice period stated in the relevant contracts of employment
cover administration costs for the period of six months
cover audit fees for six months
cover planned (committed) expenditure for a minimum period of 3 months to allow ongoing projects to be completed

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:

Ensure there are robust processes in place to manage resources and to ensure these processes are implemented.
Monitor the deployment of resources to ensure funds held on Trust are used in a way which reflects donors’ wishes and that funds are maximised.
Promote greater awareness of our charity to encourage donations, particularly through demonstrating their impact on patient care and staff wellbeing.
Proactively fundraise for Milton Keynes Hospital Charity to support charitable activities and purposes across our three great hospitals.

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.

Charity Annual Report and Accounts For the year ended 31 March 2025

Trustees Report (continued)

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 2024-25.

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 deliver year one of a new three-year strategy, focused on the themes “building on better”, “harnessing patient gratitude” and “growing our unrestricted income base”. It includes the following objectives:

To build a portfolio of projects and wish lists to take out to funders rather than sole focus on one, major appeal.
To build on new, consistent branding, promote the charity much more on-site, reflecting that 70% of all our donors and supporters are grateful patients or family members.
To build on better relationships with #TeamMKUH to enhance fundraising but also ensure the impact we make is given the appropriate airtime.
Grow our work with charity partners, continue to collaborate with charities on site, and those who support our patients, families and staff.
Continue to deliver excellent donor stewardship, extend our reach, engagement and demonstrate impact through use of digital and marketing.
Strengthen and continue to grow the charity profile within the community through fundraising/engagement events, increasing our use of volunteers recruited in previous years.
Refocus grant-making; build relationships with a small portfolio of grant funders and focus on quality over quantity to support the hospital and achieve results.
Expand on the success of multi-year, corporate partners by reaching out to larger companies in MK.

While we achieved most of our year-one objectives, overall income declined due to increased competition for grants, shifting funder priorities, the cost-of-living crisis, and reduced fundraising investment. With a refreshed strategy, renewed focus on our core goals, and a commitment to targeted investment, we are confident in our ability to overcome future challenges and continue delivering community-wide impact throughout 2025–26..

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.

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.

Charity Annual Report and Accounts For the year ended 31 March 2025

Trustees Report (continued)

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.

By order of the Trustees

Signed: Date: 23rd October 2025 Name: Haider Husain Trustee Signed: Date: 23[rd] October 2025 Name: Jonathan Dunk Trustee

FINANCIAL STATEMENTS for 2024-25

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

FOREWORD

These accounts for the year ended 31 March 2025 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.

Charity Annual Report and Accounts For the year ended 31 March 2025

Statement of trustees' responsibilities

The Trustees are responsible for:

Ensuring that proper accounting records are maintained for the charity - disclosing with reasonable accuracy at any time the financial position of the funds held on trust to enable them to ensure that the accounts comply with requirements of the Charities Act 2011 and directions issued by the Secretary of State in respect of the management of Foundation Trusts;
Establishing and monitoring a system of internal controls and checks to mitigate risk exposure for the funds managed; and
Establishing arrangements for the prevention and detection of fraud and corruption.

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:

Apply on a consistent basis accounting policies laid down by the Secretary of State with the approval of the Treasury;
Make judgements and estimates which are reasonable and prudent,
State whether applicable accounting standards have been followed. Material departures should be disclosed and explained as part of the notes to the accounts.
Present financial statements for publication in line with the requirements and standards set by the Charity Commission.

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: 23[rd] October 2025

Signed: Date: 23[rd] October 2025

Trustee: Jonathan Dunk

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 2025 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:

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
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.

Co Steve Robinson FCA Mercer & Hole Chartered Accountants The Pinnacle 170 Midsummer Blvd Milton Keynes MK9 1BP

Date: 3 November 2025

Charity Annual Report and Accounts For the year ended 31 March 2025

Statement of Financial Activities for the year ended 31 March 2025

				2024-25			2023-24
	Note	Unrestricted	Restricted	Total	Unrestricted	Restricted	Total
		Funds	Funds	Funds	Funds	Funds	Funds
		£000	£000	£000	£000	£000	£000
Income	2
Donations, Legacies and similar resources
Donations	2.1	174	36	210	169	181	350
Legacies	2.1	22	0	22	26	0	26
Grants receivable:	2.1
From other NHS bodies		0	0	0	0	0	0
Other grants receivable		0	9	9	4	1	5
Donations in Kind		115	0	115	68	0	68
Total Donations and Legacies		311	45	356	267	182	449
Operating Activities
Investment income	2.2	3	0	3	3	0	3
Other incoming resources	2.3	10	0	10	20	0	20
Total Income		324	45	369	290	182	472
Expenditure
Costs of generating funds	4.1	(99)	(27)	(126)	(95)	(74)	(169)
Charitable expenditure
Activities in furtherance of charity's objectives	3.1	(226)	(47)	(273)	(170)	(40)	(210)
Governance Costs	3.2	(38)	(5)	(43)	(35)	0	(35)
Total Expenditure		(363)	(79)	(442)	(300)	(114)	(414)

		(39)	(34)	(73)	(10)	68	58
Net movement in funds	5	(39)	(34)	(73)	(10)	68	58
Fund balances brought forward at
31 March 2024		88	185	273	98	117	215
Fund balances carried
forward at 31 March 2025		49	151	200	88	185	273

Charity Annual Report and Accounts For the year ended 31 March 2025

Balance Sheet as at 31 March 2025

	Notes	Unrestricted	Restricted	Total at 31	Total at 31
		Funds	Funds	March 2025	March 2024
		£000	£000	£000	£000
Fixed Assets
Investments	6.2	68	137	205	303
Total Fixed Assets		68	137	205	303
Current Assets
Debtors	7.1	0	0	0	0
Cash at bank and in hand		21	0	21	50
Total Current Assets		21	0	21	50
Creditors: Amounts falling due
within one year	8.1	5	21	26	80
Net Current Assets/(Liabilities)		16	(21)	(5)	(30)

Total Assets less Current Liabilities		84	116	200	273

Total Net Assets		84	116	200	273
Funds of the Charity
Income Funds:
Restricted	9.1	0	151	151	185
Unrestricted	9.2	49	0	49	88
Total Funds		49	151	200	273

Charity Annual Report and Accounts For the year ended 31 March 2025

Cashflow for the year ended 31 March 2025

Statement of Cashflow		2025	2024
		Total	Total
		£000	£000
Net cash used in operating activities	12	(130)	21
(as per the statement of financial statement)
Cash flows from investing activities:
Transfer from investment account	6.2	98	(2)
Dividends, interest and rents from investments	2.2	3	3
Net Cash provided by investing activities		101	1
Changes in cash and cash equivalent in the reported period		(29)	22
Cash and Cash equivalents at the beginning of the period		50	28
Cash and Cash equivalents at the end of the period		21	50

Charity Annual Report and Accounts For the year ended 31 March 2025

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:
i. entitlement - arises when a particular resource is receivable or the charity's right becomes legally enforceable
ii. probable – it is more likely than not that the economic benefits associated with the transaction or gift will flow to the charity
iii. measurement - when the monetary value of the incoming resources can be measured with sufficient reliability

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.

Charity Annual Report and Accounts For the year ended 31 March 2025 NOTES TO FINANCIAL STATEMENTS (continued)

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.

a) There are no property assets held by the trust in respect of the Charitable Funds. b) Quoted Stocks and shares are included in the balance sheet at mid-market price excluding Dividend.
c) Other investment fixed assets are included at the Trustees' best estimate of 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.

Charity Annual Report and Accounts For the year ended 31 March 2025

NOTES TO FINANCIAL STATEMENTS (continued)

2. Analysis of Income

			Unrestricted	Restricted	Total	Total
			Funds	Funds	2025	2024
					Funds	Funds
			£000	£000	£000	£000
Donations, Legacies	2.1	Donations	174	36	210	350
and similar resources		Legacies	22	0	22	26
		Grants receivable	0	9	9	5
		Donations In Kind	116	0	116	68
			311	45	356	449
Investment income	2.2	Investment Income	3	0	3	3
			3	0	3	3
Other Incoming resources	2.3	Other	10	0	10	20
			10	0	10	20
		Total Income
	from charitable activities	from charitable activities	324	45	369	472

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

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

NOTES TO FINANCIAL STATEMENTS (continued)

3. Analysis of Expenditure

			Unrestricted	Restricted	Total	Total
Resources	3.1		Funds	Funds	2025	2024
Expended -					Funds	Funds
Other		Other:	£000	£000	£000	£000
		Patients welfare and amenities	108	24	132	94
		Staff welfare and amenities	0	0	0	3
		Contributions to Trust's Capital	0	0	0	0
		Miscellaneous	3	23	26	45
		Gift in Kind	115	0	115	68
			226	47	273	210
Analysis of	3.2		Unrestricted	Restricted	Total	Total
Governance			Funds	Funds	2025	2024
Costs					Funds	Funds
			£000	£000	£000	£000
		Independent Examiners Fees	7	0	7	4
		Management/Admin Fee	31	5	36	31
			38	5	43	35

Charity Annual Report and Accounts For the year ended 31 March 2025

NOTES TO FINANCIAL STATEMENTS (continued)

4. Analysis of total expenditure

	Costs of	Costs of	Governance	Total	Total
	Generating	Activities for	Costs	2025	2024
	Funds	Charitable
		Objectives
	£000	£000	£000	£000	£000
Staff	126	0	0	126	169
Auditors remuneration:
Independent examiners fee	0	0	7	7	4
Bought-in services from NHS	0	0	36	36	31
Other	0	273	0	273	209
	126	273	43	442	414

Analysis of staff costs

4.2

The Charitable Fund does not directly employ staff but incurred expenses relating to the Fundraising Manager, and two Fundraising Assistants - The change in staff costs for 2024-25 is due to the fundraising team having two fundraising assistants for most of the year, rather than three.

Pension Contributions for 4.3 Senior employees

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

5. Net movement in fund

	Unrestricted	Restricted	Total	Total
			2025	2024
	Funds	Funds	Funds	Funds
	£000	£000	£000	£000
Net movement in funds for the year	(39)	(34)	(73)	58
for future activities	(39)	(34)	(73)	58

Charity Annual Report and Accounts For the year ended 31 March 2025

NOTES TO FINANCIAL STATEMENTS (continued)

6. Analysis of Fixed Asset Investments

Analysis of				2025	2024
Fixed Asset	6.1	Fixed Asset Investments:		£000	£000
Investments
		Market value at 31 March		205	303
	6.2	Market value at 31 March :	Held	2025	2024
			in UK	Total	Total
		All Investments are held in the UK.	£000	£000	£000
		Cash held as part of the
		investment portfolio	205	205	303
			205	205	303
Analysis of	6.3	Total gross income
gross income			Held	2024-25	2023-24
from			in UK
investments			£000	£000	£000
		Investments in a Common Deposit Fund
		or Common Investment Fund	3	3	3
			3	3	3

Charity Annual Report and Accounts For the year ended 31 March 2025 NOTES TO FINANCIAL STATEMENTS (continued)

7. Analysis of Debtors

Analysis of			31 March 2025	31 March 2024
Debtors	7.1	Amounts falling due within one year:	£000	£000
		Trade debtors	0	0
		Total debtors falling due within one year	0	0
	7.2	Amounts falling due over one year:
		Other debtors	0	0
		Total debtors falling due after more
		than one year	0	0
		Total debtors	0	0

8. Analysis of Creditors

Analysis of			31 March 2025	31 March 2024
Creditors	8.1	Amounts falling due within one year:	£000	£000
		Trade creditors	26	80
		Amounts due to subsidiary and
		associated undertakings	0	0
		Other creditors	0	0
			0	0
		Total creditors falling due within one year	26	80
	8.2	Amounts falling due after more than one year:
		Other creditors	0	0
		Total creditors falling due after more
		than one year	0	0
		Total creditors	26	80

Charity Annual Report and Accounts For the year ended 31 March 2025 NOTES TO FINANCIAL STATEMENTS (continued)

9. Analysis of funds

Restricted Funds	Balance	Incoming	Resources	Transfers	Gains and	Balance
	31 March		Expended		Losses	31 March
	2024					2025
	£000	£000	£000	£000	£000	£000
Material funds
(list individually)
Laptop donations	1	0	(1)	0	0	0
Paediatric Fund Ward 5	8	0	(3)	0	0	5
General Fund	11	0	(5)	0	0	6
Bladder Scanner	0	11	0	0	0	11
Milton Mouse Sensory Ite	0	3	(3)	0	0	0
MK Community Foundatio	0	9	0	0	0	9
Period Products	0	3	(1)	0	0	2
Holidng Hearts	0	2	(2)	0	0	0
Cardiology	5	0	(1)	0	0	4
NNU Equipment	20	0	0	(20)	0	0
Radiotherapy Appeal	110	37	(63)	0	0	84
VCSE Wellbeing Fund	30	0	0	0	0	30
Total	185	65	(79)	(20)	0	151
	Balance	Incoming	Resources	Transfers	Gains and	Balance
Comparative year	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	23	0	(23)	0	0	0
VCSE Wellbeing Fund	30	0	0	0	0	30
Total	117	182	(114)	0	0	185

	Unrestricted Funds	Unrestricted Funds	Balance	Incoming	Resources	Transfers	Gains and	Balance
			31 March		Expended		Losses	31 March
			2024					2025
			£000	£000	£000	£000	£000	£000
	Total		88	323	(363)	0	0	49
			Balance	Incoming	Resources	.	Gains and	Balance
	Comparative year		31 March		Expended		Losses	31 March
			2023					2024
			£000	£000	£000	£000	£000	£000
	Total		98	290	(300)	0	0	88
Details of		Name of fund						Amount
								£'000
Unrestricted	A	Cancer Centre Fund	Cancer Centre Fund	Cancer Centre Fund				23
funds greater
than £15k

Charity Annual Report and Accounts For the year ended 31 March 2025 NOTES TO FINANCIAL STATEMENTS (continued)

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 £261k (2023-24: £278k) with the host trust. At the balance sheet date, there was a debtor balance of £0k (2023-24: £0k) and a creditor balance due to the host trust of £21k (2023-24: £80k).

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

	2025	2024
	£'000	£'000
Net movement in funds	(73)	58
Deduct interest income shown in investing activities	(3)	(3)
(Increase)/decrease in debtors	0	0
(Decrease)/increase in creditors	(54)	(34)
Net cash used in operating activities	(130)	21