Trustee’s Annual Report & Accounts
For the year to 31st March 2024
Wrightington, Wigan and Leigh Health Services Charity Registered Charity No. 1048659
Contents
| Chairman’s welcome.................................................................................................. 2 |
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| Your support, our appreciation................................................................................. 4 |
| Fundraiser Stories...................................................................................................... 4 |
| Future Plans.............................................................................................................. 14 |
| Objectives of the Charity......................................................................................... 15 |
| Structure, governance, and management............................................................. 15 |
| Reference and administrative details..................................................................... 17 |
| Risk management..................................................................................................... 18 |
| Reserve’s policy....................................................................................................... 19 |
| Investment policy..................................................................................................... 19 |
| Annual review of income and expenditure............................................................. 19 |
| Statement of Trustee’s Responsibilities................................................................ 20 |
| Independent examiners report to the Trustees of Wrightington, Wigan and Leigh |
| Health Services Charity........................................................................................... 22 |
| Statement of Financial Activities for the year ending 31st March 2024.............. 23 |
| Balance Sheet as at 31st March 2024.................................................................... 24 |
| Statement of Cash flows for the year ending 31st March 2024............................ 25 |
| Notes to the accounts.............................................................................................. 26 |
| 1 Accounting policies .................................................................................................................................. 26 |
| 3 Donations and legacies ............................................................................................................................ 29 |
| 4 Income from charitable activities .............................................................................................................. 29 |
| 5 Income from investments ......................................................................................................................... 29 |
| 6 Raising funds ........................................................................................................................................... 29 |
| 7 Analysis of grants .................................................................................................................................... 29 |
| 8 Analysis of staff costs .............................................................................................................................. 30 |
| 9 Analysis of charitable activities ................................................................................................................. 30 |
| 9.1 Support and Governance Costs ............................................................................................................... 31 |
| 10 Independent Examiners Remuneration .................................................................................................... 31 |
| 11 Analysis of debtors................................................................................................................................... 31 |
| 12 Analysis of cash ....................................................................................................................................... 31 |
| 13 Analysis of current liabilities ..................................................................................................................... 32 |
| 14 Reconciliation of net income/(expenditure) to net cash flow from operating activities ............................... 32 |
| 15 Contingent assets and liabilities ............................................................................................................... 32 |
| 16 Commitments .......................................................................................................................................... 32 |
| 17 Analysis of Material Funds ....................................................................................................................... 33 |
Chairman’s welcome
I am delighted to present the 2023/24 annual report for Wrightington, Wigan and Leigh Health Services Charity known to staff, patients, and supporters as Three Wishes.
This year we have once again, had the great pleasure of working with colleagues throughout the Foundation Trust who so generously gave up their time to take part in
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fundraising events and activities to support Three Wishes. Details of some of these events can found on pages 4 to 9.
On behalf of the Charitable Trust Committee, I would like to take this opportunity to thank all our supporters, fundraisers and volunteers for their hard work, commitment, and continued generosity throughout the year and for your most valuable contribution to the welfare and wellbeing of our patients, visitors, and staff.
Mark Jones, Chairman
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Your support, our appreciation
The mission of Wrightington, Wigan and Leigh Health Services Charity is to further improve the environment and experience of our patients through purchasing equipment and enhancing services across all sites. This is achieved by the incredible support the charity receives from fundraisers, volunteers, those donating in memory of a loved one, or in recognition of the great care and service they have received.
The motivation and commitment shown by our supporters, is heartwarming and inspiring. All donations received make a real difference to our patients.
We are immensely grateful to the many generous and committed members of our community who have helped to raise funds for our Charity. On behalf of our service users, carers, and staff we send our appreciation to everyone who has helped to make 2023-24 a successful year.
Fundraiser Stories
Whilst the Charity does not employ a dedicated fundraising manager, fundraising is encouraged throughout the Foundation Trust and we have been fortunate to have received suport from both the public and employees of the hospital in raising funds for the Charity this year.
The following highlights some of the fundraising events that took place this year.
Wear it Red
Our cardiology team “wore it red” for valentines day with the aim of raising awareness of heart and circulatory conditions and raising donations for our heart and lung fund.
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Rainbow Ward
In June Rainbow Ward team walked over 20 miles from Southport Pier to Wigan Pier to raise money for Babies and Children’s Fund. This event raised over £10,000
Volunteer Keith
One of WWLs wonderful volunteers Keith entertained staff and patients at Wrightington hospital whilst raising money for Three Wishes
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Cancer Care
Following their amazing fundraising efforts, a local family have made a substantial donation to Three Wishes Cancer Care Fund in memory of a beloved family member. Elle Smith, from Lowton, Wigan, alongside her family and friends, donated £5,600 in memory of her motherin-law, Jackie Kinsella who, at 61-years-old, was diagnosed with breast cancer. “Before Jackie passed, she told us she wanted the money that we raised to go to WWL’s Three Wishes Cancer Care Fund as she believed that this would help the comfort and treatments of patients, like herself,” said Elle. At Jackie’s funeral, the family asked for donations in lieu of flowers, as the family knew this meant more to her, and from this, raised a staggering £4,100. This amount was then bolstered by Elle’s completion of the Warrington Half Marathon, where an additional £1,500 was added to the pot.
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Paediatric A&E/Rainbow Ward
Local couple Dominique and Sarah (Harry’s Heroes) fundraised over ££2,700 by completing a 100-mile hike over 4 days followed by a 20 mile dragon boat paddle!
Uncle Joe’s
Uncle joes Mint ball unveiled a special “NHS Blue” mint call to be sold in WWL shops and outlets with the profits being donated to Three Wishes.
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Family legacy Provides Six Figure Donation
WWL's Three Wishes Charity received a substantial, six-figure donation to its Heart and Lung Fund, thanks to the family legacy of one of the Trust’s patients. Mrs Freda Grimshaw, of Pennington, Leigh, presented our Medical Director, Professor Sanjay Arya with the sizable sum of £100,000 to be used for improving cardiac services at the Trust.
Prof. Arya said: “On behalf of WWL, our Cardiology department and our Three Wishes Charity, I would like to say a huge thank you to Freda for this incredibly generous donation."
The Three Wishes Charity funds projects, equipment and services to improve the environment and experiences of patients across our hospital sites - from conception through to end of life.
Mrs Grimshaw said: “Prof. Arya and the cardiology team have been looking after me for years, so this is the least I can do. My mum, dad and sister all had heart problems and really, this money is from them.
Speaking of her family, the 88-year-old said it was her family, particularly her coal-miner father who inspired her to make the donation adding: “My dad had the lung disease, pneumoconiosis, from years of dust exposure from mining. He was the best dad ever, he was wonderful - as was my mother who was the power behind the throne.”
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Charity Bowling Competition
WWL Colleagues, Greenmount Projects and Wigan Warriors players took part in a Charity Bowling Competition on Thursday 7th September at Bellingham Bowling Club in Wigan
A total of £397 was raised which will fund projects, equipment and services to improve the environment and experience of patients across the Trust’s hospitals throughout every stage of life.
Raffles and collection tins
Various departments accross the trust have done Raffles and Tombolas over the year to raise in excess of £2,500. We would like to say WELL DONE to these departments and thank you for your continued support.
Wigan 10k
Daniel Meekin did the Wigan 10k raising over £1,500 for Patient Wish
Fundraising Heroes
Several successful Just Giving pages have been created over the year to raise funds for our Charity and we are extremely grateful to all of those who have chosen Three Wishes as their Charity of choice.
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We are constantly amazed by the generosity of our local community; the people of Wigan are constantly fundraising for Three Wishes, and we are extremely grateful for all support and help. Whilst we thank every one of you, we would like to say a special thank you to those who donated to the following Just Giving pages which have been set up in recognition of the sad loss of former colleagues of Wrightington Wigan and Leigh Teaching Hospitals NHS Foundation Trust:
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In memory of Andrew Foster, former Chief Exec, £3,050 was raised for Patient Wish
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In memory of Dr Desai, former consultant radiologist, £3,325 was raised for Specialist Services
And special thanks to James Baker, Deputy Chief People Officer of Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust who completed the London Marathon in aid of the Patient Wish Fund, raising an amazing £2,092.
Campaigns
In Pink
During the year the Charity’s In Pink campaign achieved its goal of raising £44,000 in aid of purchasing equipment to support the breast screening service screen more women faster. The campaign which also aimed to highlight the importance of breast screening appointments and to encourage all women to attend an appointment if they are invited, was closed at the end of 2023 following successful purchase of a new ultrasound suite.
This will enable the Trust’s Breast Consultants to diagnose patients more effectively and efficiently and will make a positive impact on reducing the waiting list for patients waiting for an ultrasound examination. It will also mean the Trust can take part in new and innovative research trials and futureproof the service to be able to bring in new technology, such as artificial intelligence.
Dr Amruta Talwalkar, Director of South Lancashire Breast Screening Service and Consultant Radiologist at WWL commented: “The South Lancashire Breast Screening Service and the breast team are very grateful and would like to express our heartfelt thanks to everyone who has so generously contributed to the ‘In Pink’ campaign.
“This extra ultrasound machine will make a significant positive impact for women awaiting a potential cancer diagnosis and for our consultants and practitioners in terms of efficiency.
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We would like to take this opportunity to thank all those that have supported us during the year.
The difference we make to our patients.
During the year, the Charity spent £162k on equipment and patient comforts aimed at enhancing the patient experience when visiting hospital.
Some of our key purchases and how these have made a difference to our patients are detailed below.
In Pink Coil Breast bundle
This will enable the Trust’s Breast Consultants to diagnose patients more effectively and efficiently and will make a positive impact on reducing the waiting list for patients waiting for an ultrasound examination. It will also mean the Trust can take part in new and innovative research trials and futureproof the service to be able to bring in new technology, such as artificial intelligence.
RITA system from My Dementia Improvement Network
The Charity has been extremely pleased to support the purchase of a RITA system. RITA stands for Reminiscence/Rehabilitation & Interactive Therapy Activities and is an all-in-one touch screen system offering digital reminiscence therapy. A relatively new tool in the fields of nursing and healthcare, RITA utilises user-friendly interactive screens and tablets to blend entertainment with therapy. Patients experiencing memory loss or impairment in recalling and sharing events from their past are able to reconnect and engage with aspects of their life and times by listening to music, watching news reports of significant historical events, hearing famous speeches, playing games, taking part in karaoke and watching films.
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Physio Biodex Machine
The Orthopaedic Consultant team at Wrightington hospital refer a large number of their patients to physiotherapy. Many of these patients require: long-term rehabilitation following surgery; prehabilitation in order to undergo surgery; or rehabilitation after an injury. The purchase of a Physio Biodex machines has supported the orthopaedic team by allowing patient milestone progressions to be shared collaboratively between physiotherapist and orthopaedic consultant teams. This supports the provision of the highest quality of care for patients by increasing joint range of motion, muscle strength and hypertrophy.
Throughout the year we have also purchased waiting room chairs, bladder scanners, gym equipment, patient folders, therapy beds, and undertaken several upgrades to patient areas.
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Future Plans
At the time of preparing the Annual Report and Accounts for 2023/24 the Charity has commissioned a piece of work to develop a 5-year strategy to support the long-term growth and resilience of the Charity.
Working with a local fundraising professional and engaging with our key stakeholders this piece of work will look at the potential options available for immediate and long-term fundraising capabilities within the constraints of the resource we have available.
Raising funds is challenging; the cost of living is placing extra burdens on households and there are a number of charitable organisations competing for extra resources in our area.
We aim to address this by undertaking a stepped approach to addressing these challenges from quick wins in the short term, to consolidating donations from significant and longer-term sources, with targeted and sustainable growth being the final aim.
We are excited about where this journey will take us and look forward to supporting the hospital we serve in achieving their vision of providing the best possible healthcare for the local population of the Wigan Borough and surrounding areas through the funds that we generate.
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Objectives of the Charity
Statute
The Charity is committed to spend in line with the statutory public interest benefit criteria. It is additionally guided by its specific objects and mission statement, below.
The principal objectives and purposes of Wrightington, Wigan and Leigh Health Services Charity, as set out in the trust deed, are as follows.
“To provide for any charitable purposes relating to the National Health Service”.
The Charity works alongside the Foundation Trust to ensure that the advancement of healthcare is achieved daily. The Charity’s approved mission statement is as follows.
“The mission of Wrightington, Wigan and Leigh Health Services Charity is to further improve the quality of patient care, through staff training, purchasing medical equipment and enhancing the patient environment and experience. This is achieved through the generosity of the public and by fundraising activities, events and appeals.”
Structure, governance, and management
Corporate Trustee
The sole corporate trustee of the charity is Wrightington, Wigan and Leigh NHS Teaching Hospitals Foundation Trust. The Charity was established in accordance the National Health Services (Consequential Provision) Act 2006.
The Corporate Trustee is managed by its Board of Directors which consists of executive and non-executive directors. It has responsibility for ensuring that the NHS body fulfils its duties in managing the charitable funds. Members of the Foundation Trust Board are not individual trustees under Charity Law, but act as agents on behalf of the Corporate Trustee. They fulfil the Trustee’s legal duty by ensuring that funds are spent in accordance with the objects of each fund in pursuit of public/patient benefit, and independently determine the Charity’s strategy through meetings of the Charitable Trust Committee.
The Charity adopted the working name ‘Three Wishes’ in 2012. The full current name of the Charity is Wrightington, Wigan and Leigh Health Services Charity.
Charitable Trust Committee
The Foundation Trust is the sole trustee of the Wrightington, Wigan and Leigh Health Services Charity, registered charity number 1048659, (“the Charity”) in its corporate capacity.
The corporate trustee has powers under section 11 of the Trustee Act 2000 to appoint and delegate to agents. This power includes appointing a committee, membership of which is not necessarily restricted to its directors.
The corporate trustee also has powers under the Inheritance and Trustees’ Powers Act 2014 power of advancement as set out in Chapter 16, Section 9.
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The Foundation Trust has duly established and appointed the Charitable Trust Committee as a committee to administer the charitable funds. Members of the Charitable Trust Committee act as agents of the Foundation Trust.
Independence
To retain independence and balance in its decision making the Charitable Trust Committee membership comprises of:
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Three (3) Non-Executive Directors, one of whom shall be Chair.
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Chief Finance Officer
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Chief Nurse
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Deputy Chief Executive
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Director of Communications and Stakeholder Engagement
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Director of Strategy and Planning
The members of the Charitable Trust Committee who served during the year were drawn from those Corporate Trustee Board members listed above.
All executive and non-executive directors of the Foundation Trust are members of the Charitable Trust Committee and are entitled to attend and vote at any meeting .
Corporate Trustee’s appointments
The methods of appointment to the key governance roles within the Board of Directors and Council of Governors of the Corporate Trustee are reported in the Corporate Trustee’s Annual Report and Accounts 2023/24 and contained within the Corporate Trustee’s Constitution. Copies of these documents can be obtained by contacting the Foundation Trust (see Reference and administrative details), and the Annual Report can be viewed on the Foundation Trust website.
Public interest benefit
The Corporate Trustee ensures that the public benefit criteria, as detailed in the Charities Act 2011, are met by demanding that each funding application is critically assessed against those criteria via the Charity’s internal expenditure guidance. Applications are prioritised and rejected or approved based on the availability of funds and compliance with the policy.
Funds are used to provide benefit to a wide range of patients, and any funds used for staff enablement are only allocated to projects that will directly benefit patients.
Management and delegation
The day-to-day management of the Charity’s funds is delegated to individual fund committees made up of a variety of staff members and independent governors. Each divisional committee has approved terms of reference and the following remit.
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Monitor spending throughout the financial year.
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Review, consider and, when appropriate, approve applications for charitable expenditure in their area.
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Ensure that the funds are used effectively within their remit, in line with donors’ wishes.
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• Continually review financial controls and Standing Financial Instructions confirming that all expenditure is totally consistent with their fund’s objectives and the Charity’s Expenditure Guidance policy.
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The Foundation Trust’s Financial Services department is responsible for the financial administration of the Charity and ensures that all expenditure is compliant with internal policy and charity law.
Reference and administrative details
Principal office
The principal office for the Charity is.
Wrightington, Wigan and Leigh NHS Teaching Hospitals Foundation Trust Trust Headquarters The Elms Royal Albert Edward Infirmary Wigan Lane Wigan WN1 2NN
Administration and records
The accounting records and day-to-day administration of the funds are undertaken by Finance located at Buckingham Row, Brick Kiln Lane, Wigan WN1 1XX.
Donations and fundraising enquiries and assistance
Email: ThreeWishesCharity@wwl.nhs.uk
Board of Directors
Mark Jones Chairman Silas Nicholls (to 7 Jan 24) Chief Executive Mary Fleming (from 8 Jan 24) Chief Executive Sanjay Arya Medical Director Juliet Tait (from 14 Aug 23) Chief People Officer Tracy Boustead (to 31 Jul 23) Chief People Officer Mary Fleming (to 7 Jan 24) Chief Operating Officer Claire Wannell (from 8 Jan 24) Chief Operating Officer Tabitha Gardner Chief Finance Officer Richard Mundon Director of Strategy & Planning Rabina Tindale (to 31 Dec 23) Chief Nurse Kevin Parker-Evans (from 8 Jan 24) Chief Nurse Paul Howard Director of Corporate Affairs Anne-Marie Miller Director of Communications Clare Austin Non-Executive Director Rhona Bradley Non-Executive Director Steven Elliot (to 30 Apr 23) Non-Executive Director Ian Haythornthwaite Non-Executive Director Lynne Lobley Non-Executive Director Francine Thorpe Non-Executive Director Julie Gill (from 18 Apr 23) Non-Executive Director
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Terence Hanlin (from 1 Jul 23 to 30 Nov 23) Non-Executive Director Mary Moore (from 1 Dec 23) Non-Executive Director
*All of the members were in post for the 12-month period to 31[st] March 2024 except where indicated.
The Trustees have access to qualified and dedicated internal resources including Trust secretary and the Finance team. They also can seek external advice when required. The professionals concerned maintain CPD as part of their professional development.
Advisors
The following services were retained by the Charity during 2023/24
| Bank | Independent Examiners |
|---|---|
| National Westminster Bank PLC | Voisey & Co LLP |
| Sovereign Business Park | 8 Winmarleigh Street |
| Kingscroft Court | Warrington |
| Wigan | Cheshire |
| WN1 3AP | WA1 1JW |
Registered administrative details and overview are also available on the Charity Commission website: www.charitycommission.gov.uk.
Risk management
The Charity’s key systems are designed and implemented by Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust, the Charity therefore benefits from the Foundation Trust’s robust internal control and risk management framework.
The major risks to which the Charity is exposed are identified and mitigating actions considered in meetings of the Charitable Trust Committee.
The main risk to which the Charity is currently exposed is competition from other charities resulting in reduced public profile and associated decline in income streams. Several mitigations are in place and the risk is monitored through Charitable Trust Committee.
Income and expenditure are monitored at Charitable Trust Committee as part of the risk management process to avoid unforeseen calls on reserves and to ensure that the Charity is well-positioned to meet its objectives throughout the year.
The Trust’s Audit Committee sets aside dedicated time to discuss the audit of the charity accounts and risk related matters.
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Financial review
Reserve’s policy
The Charity is not at risk of incurring expenditure on unforeseen emergency or operational costs and is not reliant on regular income streams. Divisional fund expenditure is regularly monitored against fund balances and can be readily controlled, overspending risk is therefore mitigated and there is no risk to short-term deficits in its cash budgets.
The total funds held by the Charity on 31[st] March 2024 was unrestricted £1,211k (£1,000k, 2022/23) and restricted £19k (£203k, 2022/23).
To meet the administrative fee and pre-approved commitments during the year the Corporate Trustee set a target reserve of £24k for 2023/24 (£18k, 2022/23).
Investment policy
Background
By law, the Charity must ensure it spends any income received within a ‘reasonable period of receipt’. Charities should not hold substantial unspent reserves as a matter of course. However, where NHS charitable funds have surplus monies not needed to fund immediate charitable activities, trustees may elect to invest some or all this surplus to generate additional income to fund future activities.
All investment decisions
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must comply with the Trustee Act 2000 and have regard to the Act’s standard investment criteria; and
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must be informed by proper professional investment advice.
The investment policy of the Corporate Trustee is to deposit fund balances in short-term interest-bearing accounts. This decision is based upon the intention in the short term to spend the funds, such that long-term investment would not be appropriate.
Annual review of income and expenditure
Incoming resources
The Charity relies upon donations and legacies as its main source of income.
Total income for 2023/24 as per the graph below, was £389k (£95k, 2022/23) of which legacy income totalled £79k (£8k, 2022/23)
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Resources Expended
Total expenditure for the year was £362k (£200k, 2022/23) broken down as per the graph below:
----- Start of picture text -----
Expenditure as at 31 March 2024
Patient comforts and welfare Lt] Medical equipment L Staff Enablement Ll Support Costs
----- End of picture text -----
Statement of Trustee’s Responsibilities
The Corporate Trustee is responsible for preparing the Trustee Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).
The law applicable to charities in England and Wales requires the Trustee to prepare financial statements for each financial year which give a true and fair view of the Charity’s financial
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activities during the year, and of its financial position at the end of the year. In preparing financial statements that give a true and fair view, the Trustee should follow best practice and:
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Select suitable accounting policies and then apply them consistently.
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Make judgements and estimates that are reasonable and prudent.
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State whether applicable accounting standards and statements of recommended practice have been followed, subject to any departures disclosed and explained in the financial statements.
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Prepare the financial statements on the going concern basis unless it is inappropriate to presume that the Charity will continue in operation; keep proper accounting records, which disclose with reasonable accuracy at any time the financial position of the Charity, and which enables the Trustee to ensure that the financial statements comply with the requirements in the Charities Act 2011, the applicable Charities (accounts and Reports) regulations, and the provisions of the trust deed.
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Safeguard the assets of the Charity, therefore taking reasonable steps in the prevention and detection of fraud and other irregularities.
The Corporate Trustee confirms that it has met the responsibilities set out above and complied with the requirements for preparing the accounts. The financial statements set out on pages 23 to 33 attached have been compiled from, and are in accordance with, the financial records maintained by the Corporate Trustee.
The Corporate Trustee is responsible for the maintenance and integrity of the Charity and financial information included on the Charity's website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.
By delegated authority on behalf of the Corporate Trustee
| M Jones | ||||
|---|---|---|---|---|
| Chairman* …………………………… Date: M Jones |
…………………………… Date: | …………………………… Date: - |
…………………………… Date: | 27 November 2024 |
| Chairman* | vccucueueucecuuueuuesuueuueeuuees | Date: | 2? November 2024 | |
| Trust Board Director ….………………….……… Date: | Trust Board Director ….………………….……… Date: | Trust Board Director ….………………….……… Date: | 27 November 2024 |
* T he Board may authorise another Board member to sign in place of the Chairman.
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Independent examiners reportto the Trustees of Wrightington, Wigan and Leigh Health Services Charity I report to the charity trustees on my examination of the accounts of the Charity for the year ended 31 March 2024. Responsibilities and basis of report As the charity's trustees of the Charity you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 ('the 2011 Act,). Having satisfied myself that the accounts of the Charity are not required to be audited under Part 16 of the 2011 Act and are eligible for independent examination, I report in respect of my examination of your charity's accounts as carried out under Section 145 of the Charities Act 2011 ('the 2011 Act,). In carrying out my examination I have followed the Directions given by the Charity Commission under Section 14515) (b) of the 2011 Act. Independent examiner's statement I have completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe.. 1. accounting records were not kept in respect of the Charity as required by Section 386 of the 2006 Act., or 2. the accounts do not accord with those records., or 3. the accounts do not comply with the accounting requirements of Section 396 of the 2006 Act other than any requirement that the accounts give a true and fair view which is not a matter considered as part of an independent exarnination., or 4. the accounts have not been prepared in accordance with the methods and principles of the statement of Recommended Practice for accounting and reporting by charities (applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102)). 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. Jonathan Urmston BA ACA Voisey & Co LLP, Chartered Accountants 8 Winmarleigh Street Warrington, Cheshire WA1 1JW 2024
Statement of Financial Activities for the year ending 31st March 2024
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Balance Sheet as at 31st March 2024
The notes on pages 21 to 28 form part of these accounts.
Approved by the Corporate Trustee and signed on its behalf:
M Jones Chairman* Date: 27 November 2024
Trust Board Director
Date: 27 November 2024
* T he Board may authorise another Board member to sign in place of the Chairman.
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Statement of Cash flows for the year ending 31st March 2024
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Notes to the accounts
1 Accounting policies
1.1 Basis of preparation
The financial statements have been prepared under the going concern basis and have been prepared under the historical cost convention.
The accounts (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 2011 and UK Generally Accepted Practice as it applies from 1 January 2019.
1.2 Going Concern
The trustee considers that there are no material uncertainties about the Charity’s ability to continue as a going concern. The COVID pandemic has had an impact on the charity’s fundraising income for unrestricted funds although this is partially offset by the generous donations made by members of the public.
The key risks to the Charity’s continuing going concern status are a fall in income from donations or investment income but the trustee has arrangements in place to mitigate those risks (see the risk management and reserves sections of the annual report for more information).
1.3 Funds structure
The Charity holds two types of funds. Unrestricted and restricted.
Unrestricted funds comprise of those funds which the Corporate Trustee is free to use for any purpose in furtherance of the charitable objectives. Designated sub-funds are created to attempt to honour donors’ (unbinding) wishes by keeping the benefit within the donors chosen division with spending decisions being delegated to those divisions.
Designated funds could be used by the Corporate Trustee at its discretion to earmark funds for specific future purposes. Any funds held within a designated sub-fund can be merged or transferred within the general purposes fund at any time, at the discretion of the Trustee, in accordance with the Health Service Act 1977.
Restricted funds are to be used in accordance with the specific restrictions imposed by the donor.
The major funds held in each of these categories are disclosed in note 18.
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1.4 Incoming resources
All incoming resources are recognised once the Charity has entitlement to the resources, it is probable that the resources will be received, and the monetary value can be measured with sufficient reliability.
Where there are terms or conditions attached to incoming resources, particularly grants, then these terms or conditions must be met before the income is recognised as the entitlement condition will not be satisfied until that point. Where terms or conditions have not been met or uncertainty exists as to whether they can be met then the relevant income is not recognised in the year but deferred and shown on the balance sheet as deferred income.
1.5 Incoming resources Gifts in Kind
Gifts in kind, such as food and care packages are not accounted for when they are accepted and immediately distributed unless a single donation is material.
Where gifts in kind are held before being distributed to beneficiaries, they are recognised at fair value as stock until they are distributed.
1.6 Incoming resources from legacies
Legacies are accounted for as incoming resources upon receipt or where the receipt of the legacy is probable.
Receipt is probable when:
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Confirmation has been received from the representatives of the estate(s) that probate has been granted.
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The executors have established that there are sufficient assets in the estate to pay the legacy and
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All conditions attached to the legacy have been fulfilled or are within the charity’s control.
If there is uncertainty as to the amount of the legacy and it cannot be reliably estimated, then the legacy is shown as a contingent asset until all the conditions for income recognition are met.
1.7 Resources expended
All expenditure is accounted for on an accrual basis and is recognised once there is a legal or constructive obligation committing the Charity to the expenditure. Contractual obligations are recognised as goods or services are supplied to either the Foundation Trust or the Charity.
The Charity does not make grants to third parties.
1.8 Irrecoverable VAT
Irrecoverable VAT is charged against the same category of resources expended as the underlying purchases.
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1.9 Charitable activities
The costs of charitable activities include all costs incurred in the pursuit of the charitable objects of the Charity. These costs comprise the direct costs of charitable purchases, and an apportionment of overhead and support costs as shown in note 9.
1.10 Tangible fixed assets
The Charity’s sole asset is a finance and fundraising piece of software that is held at historic cost.
1.11 Financial instruments
Financial assets and financial liabilities are recognised when the Charity becomes a party to the contractual provisions of the instrument. All financial assets and liabilities are initially measured at transaction price (including transaction costs). The Charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value.
1.12 Critical accounting judgements and key sources of estimation uncertainty
In the application of the Charity’s accounting policies, which are described above, the Corporate Trustee is required to make judgements, estimates and assumptions about carrying amounts of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates.
The Corporate Trustee does not consider there are any critical judgements or sources of estimation uncertainty requiring disclosure beyond the accounting policies listed above.
2 Related party
Wrightington, Wigan and Leigh NHS Foundation Trust is the Corporate Trustee of the Charity.
During the year, none of the members of the Trust Board, Charitable Trust Committee or senior Trust staff, or parties related to them, were beneficiaries of the Charity, and none of these individuals have undertaken any material transactions with the Charity or received honoraria, emoluments, or expenses in the year.
Board members, and other senior staff, take decisions on both Charity and exchequer matters, but endeavour to keep the interests of each discrete, and do not seek to benefit personally from such decisions. Declarations of personal interest have been made in both capacities and are available to be inspected by the public. The Corporate Trustee has purchased Directors and Officers liability insurance.
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3 Donations and legacies
4 Income from charitable activities
5 Income from investments
6 Raising funds
7 Analysis of grants
The Charity does not make grants to individuals and did not receive any grant income during the year.
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8 Analysis of staff costs
The Charity does not directly employ any members of staff.
9 Analysis of charitable activities
- The Charity made payments to Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust for the purchase of fixed assets during the financial year.
**Governance and support costs are apportioned on a pro rata basis of 50% on income received during the period and 50% on the closing fund balances at the end of the reporting period.
Prior year comparatives are detailed below:
| Patient | comforts and welfare | 11 | 0 | 17 | 0 | 9 | 0 | 37 |
|---|---|---|---|---|---|---|---|---|
| Medical | equipment | 78 | 0 | 75 | 0 | 9 | 0 | 162 |
- The Charity made payments to Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust for the purchase of fixed assets during the financial year.
**Governance and support costs are apportioned on a pro rata basis of 50% on income received during the period and 50% on the closing fund balances at the end of the reporting period.
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9.1 Support and Governance Costs
10 Independent Examiners Remuneration
The estimated Independent Examiners' remuneration of £1,800 and which is inclusive of VAT (£1,800 2022/23) relates solely to the independent examination of these accounts in accordance with the Charities Act 2011.
11 Analysis of debtors
12 Analysis of cash
All cash balances are held in a NatWest current account.
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13 Analysis of current liabilities
14 Reconciliation of net income/(expenditure) to net cash flow from operating activities
15 Contingent assets and liabilities
The Charity has no contingent assets or liabilities.
16 Commitments
The Charity has no commitments undisclosed in the Balance Sheet .
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17 Analysis of Material Funds
The objectives of material funds held on 31[st] March 2024 are detailed below:
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Cancer Care Appeal for the provision of facilities for the cancer care centre
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Wrightington Wish to support services at Wrightington Hospital
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The Heart and Lung Fund for the provision of cardiology and respiratory services.
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The Patient wish fund provides patient comforts across all sites.
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The Cancer Care Fund supports cancer services and Cancer Care Centre at the Royal Albert Edward Infirmary. The Cancer care appeal was moved from restricted to unrestricted in year as agreed by the Charitable Trust Committee in year. This was due to the donation being made to enhance cancer patients experience in hospital and this is what the cancer care fund was set up to achieve.
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The Babies and Children’s Fund Supports the Rainbow Ward and Neonatal Unit.
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Trustee’s Annual Report & Accounts
For the year to 31st March 2024
Wrightington, Wigan and Leigh Health Services Charity Registered Charity No. 1048659
Contents
| Chairman’s welcome.................................................................................................. 2 |
|---|
| Your support, our appreciation................................................................................. 4 |
| Fundraiser Stories...................................................................................................... 4 |
| Future Plans.............................................................................................................. 14 |
| Objectives of the Charity......................................................................................... 15 |
| Structure, governance, and management............................................................. 15 |
| Reference and administrative details..................................................................... 17 |
| Risk management..................................................................................................... 18 |
| Reserve’s policy....................................................................................................... 19 |
| Investment policy..................................................................................................... 19 |
| Annual review of income and expenditure............................................................. 19 |
| Statement of Trustee’s Responsibilities................................................................ 20 |
| Independent examiners report to the Trustees of Wrightington, Wigan and Leigh |
| Health Services Charity........................................................................................... 22 |
| Statement of Financial Activities for the year ending 31st March 2024.............. 23 |
| Balance Sheet as at 31st March 2024.................................................................... 24 |
| Statement of Cash flows for the year ending 31st March 2024............................ 25 |
| Notes to the accounts.............................................................................................. 26 |
| 1 Accounting policies .................................................................................................................................. 26 |
| 3 Donations and legacies ............................................................................................................................ 29 |
| 4 Income from charitable activities .............................................................................................................. 29 |
| 5 Income from investments ......................................................................................................................... 29 |
| 6 Raising funds ........................................................................................................................................... 29 |
| 7 Analysis of grants .................................................................................................................................... 29 |
| 8 Analysis of staff costs .............................................................................................................................. 30 |
| 9 Analysis of charitable activities ................................................................................................................. 30 |
| 9.1 Support and Governance Costs ............................................................................................................... 31 |
| 10 Independent Examiners Remuneration .................................................................................................... 31 |
| 11 Analysis of debtors................................................................................................................................... 31 |
| 12 Analysis of cash ....................................................................................................................................... 31 |
| 13 Analysis of current liabilities ..................................................................................................................... 32 |
| 14 Reconciliation of net income/(expenditure) to net cash flow from operating activities ............................... 32 |
| 15 Contingent assets and liabilities ............................................................................................................... 32 |
| 16 Commitments .......................................................................................................................................... 32 |
| 17 Analysis of Material Funds ....................................................................................................................... 33 |
Chairman’s welcome
I am delighted to present the 2023/24 annual report for Wrightington, Wigan and Leigh Health Services Charity known to staff, patients, and supporters as Three Wishes.
This year we have once again, had the great pleasure of working with colleagues throughout the Foundation Trust who so generously gave up their time to take part in
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fundraising events and activities to support Three Wishes. Details of some of these events can found on pages 4 to 9.
On behalf of the Charitable Trust Committee, I would like to take this opportunity to thank all our supporters, fundraisers and volunteers for their hard work, commitment, and continued generosity throughout the year and for your most valuable contribution to the welfare and wellbeing of our patients, visitors, and staff.
Mark Jones, Chairman
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Your support, our appreciation
The mission of Wrightington, Wigan and Leigh Health Services Charity is to further improve the environment and experience of our patients through purchasing equipment and enhancing services across all sites. This is achieved by the incredible support the charity receives from fundraisers, volunteers, those donating in memory of a loved one, or in recognition of the great care and service they have received.
The motivation and commitment shown by our supporters, is heartwarming and inspiring. All donations received make a real difference to our patients.
We are immensely grateful to the many generous and committed members of our community who have helped to raise funds for our Charity. On behalf of our service users, carers, and staff we send our appreciation to everyone who has helped to make 2023-24 a successful year.
Fundraiser Stories
Whilst the Charity does not employ a dedicated fundraising manager, fundraising is encouraged throughout the Foundation Trust and we have been fortunate to have received suport from both the public and employees of the hospital in raising funds for the Charity this year.
The following highlights some of the fundraising events that took place this year.
Wear it Red
Our cardiology team “wore it red” for valentines day with the aim of raising awareness of heart and circulatory conditions and raising donations for our heart and lung fund.
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Rainbow Ward
In June Rainbow Ward team walked over 20 miles from Southport Pier to Wigan Pier to raise money for Babies and Children’s Fund. This event raised over £10,000
Volunteer Keith
One of WWLs wonderful volunteers Keith entertained staff and patients at Wrightington hospital whilst raising money for Three Wishes
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Cancer Care
Following their amazing fundraising efforts, a local family have made a substantial donation to Three Wishes Cancer Care Fund in memory of a beloved family member. Elle Smith, from Lowton, Wigan, alongside her family and friends, donated £5,600 in memory of her motherin-law, Jackie Kinsella who, at 61-years-old, was diagnosed with breast cancer. “Before Jackie passed, she told us she wanted the money that we raised to go to WWL’s Three Wishes Cancer Care Fund as she believed that this would help the comfort and treatments of patients, like herself,” said Elle. At Jackie’s funeral, the family asked for donations in lieu of flowers, as the family knew this meant more to her, and from this, raised a staggering £4,100. This amount was then bolstered by Elle’s completion of the Warrington Half Marathon, where an additional £1,500 was added to the pot.
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Paediatric A&E/Rainbow Ward
Local couple Dominique and Sarah (Harry’s Heroes) fundraised over ££2,700 by completing a 100-mile hike over 4 days followed by a 20 mile dragon boat paddle!
Uncle Joe’s
Uncle joes Mint ball unveiled a special “NHS Blue” mint call to be sold in WWL shops and outlets with the profits being donated to Three Wishes.
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Family legacy Provides Six Figure Donation
WWL's Three Wishes Charity received a substantial, six-figure donation to its Heart and Lung Fund, thanks to the family legacy of one of the Trust’s patients. Mrs Freda Grimshaw, of Pennington, Leigh, presented our Medical Director, Professor Sanjay Arya with the sizable sum of £100,000 to be used for improving cardiac services at the Trust.
Prof. Arya said: “On behalf of WWL, our Cardiology department and our Three Wishes Charity, I would like to say a huge thank you to Freda for this incredibly generous donation."
The Three Wishes Charity funds projects, equipment and services to improve the environment and experiences of patients across our hospital sites - from conception through to end of life.
Mrs Grimshaw said: “Prof. Arya and the cardiology team have been looking after me for years, so this is the least I can do. My mum, dad and sister all had heart problems and really, this money is from them.
Speaking of her family, the 88-year-old said it was her family, particularly her coal-miner father who inspired her to make the donation adding: “My dad had the lung disease, pneumoconiosis, from years of dust exposure from mining. He was the best dad ever, he was wonderful - as was my mother who was the power behind the throne.”
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Charity Bowling Competition
WWL Colleagues, Greenmount Projects and Wigan Warriors players took part in a Charity Bowling Competition on Thursday 7th September at Bellingham Bowling Club in Wigan
A total of £397 was raised which will fund projects, equipment and services to improve the environment and experience of patients across the Trust’s hospitals throughout every stage of life.
Raffles and collection tins
Various departments accross the trust have done Raffles and Tombolas over the year to raise in excess of £2,500. We would like to say WELL DONE to these departments and thank you for your continued support.
Wigan 10k
Daniel Meekin did the Wigan 10k raising over £1,500 for Patient Wish
Fundraising Heroes
Several successful Just Giving pages have been created over the year to raise funds for our Charity and we are extremely grateful to all of those who have chosen Three Wishes as their Charity of choice.
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We are constantly amazed by the generosity of our local community; the people of Wigan are constantly fundraising for Three Wishes, and we are extremely grateful for all support and help. Whilst we thank every one of you, we would like to say a special thank you to those who donated to the following Just Giving pages which have been set up in recognition of the sad loss of former colleagues of Wrightington Wigan and Leigh Teaching Hospitals NHS Foundation Trust:
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In memory of Andrew Foster, former Chief Exec, £3,050 was raised for Patient Wish
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In memory of Dr Desai, former consultant radiologist, £3,325 was raised for Specialist Services
And special thanks to James Baker, Deputy Chief People Officer of Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust who completed the London Marathon in aid of the Patient Wish Fund, raising an amazing £2,092.
Campaigns
In Pink
During the year the Charity’s In Pink campaign achieved its goal of raising £44,000 in aid of purchasing equipment to support the breast screening service screen more women faster. The campaign which also aimed to highlight the importance of breast screening appointments and to encourage all women to attend an appointment if they are invited, was closed at the end of 2023 following successful purchase of a new ultrasound suite.
This will enable the Trust’s Breast Consultants to diagnose patients more effectively and efficiently and will make a positive impact on reducing the waiting list for patients waiting for an ultrasound examination. It will also mean the Trust can take part in new and innovative research trials and futureproof the service to be able to bring in new technology, such as artificial intelligence.
Dr Amruta Talwalkar, Director of South Lancashire Breast Screening Service and Consultant Radiologist at WWL commented: “The South Lancashire Breast Screening Service and the breast team are very grateful and would like to express our heartfelt thanks to everyone who has so generously contributed to the ‘In Pink’ campaign.
“This extra ultrasound machine will make a significant positive impact for women awaiting a potential cancer diagnosis and for our consultants and practitioners in terms of efficiency.
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We would like to take this opportunity to thank all those that have supported us during the year.
The difference we make to our patients.
During the year, the Charity spent £162k on equipment and patient comforts aimed at enhancing the patient experience when visiting hospital.
Some of our key purchases and how these have made a difference to our patients are detailed below.
In Pink Coil Breast bundle
This will enable the Trust’s Breast Consultants to diagnose patients more effectively and efficiently and will make a positive impact on reducing the waiting list for patients waiting for an ultrasound examination. It will also mean the Trust can take part in new and innovative research trials and futureproof the service to be able to bring in new technology, such as artificial intelligence.
RITA system from My Dementia Improvement Network
The Charity has been extremely pleased to support the purchase of a RITA system. RITA stands for Reminiscence/Rehabilitation & Interactive Therapy Activities and is an all-in-one touch screen system offering digital reminiscence therapy. A relatively new tool in the fields of nursing and healthcare, RITA utilises user-friendly interactive screens and tablets to blend entertainment with therapy. Patients experiencing memory loss or impairment in recalling and sharing events from their past are able to reconnect and engage with aspects of their life and times by listening to music, watching news reports of significant historical events, hearing famous speeches, playing games, taking part in karaoke and watching films.
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Physio Biodex Machine
The Orthopaedic Consultant team at Wrightington hospital refer a large number of their patients to physiotherapy. Many of these patients require: long-term rehabilitation following surgery; prehabilitation in order to undergo surgery; or rehabilitation after an injury. The purchase of a Physio Biodex machines has supported the orthopaedic team by allowing patient milestone progressions to be shared collaboratively between physiotherapist and orthopaedic consultant teams. This supports the provision of the highest quality of care for patients by increasing joint range of motion, muscle strength and hypertrophy.
Throughout the year we have also purchased waiting room chairs, bladder scanners, gym equipment, patient folders, therapy beds, and undertaken several upgrades to patient areas.
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Future Plans
At the time of preparing the Annual Report and Accounts for 2023/24 the Charity has commissioned a piece of work to develop a 5-year strategy to support the long-term growth and resilience of the Charity.
Working with a local fundraising professional and engaging with our key stakeholders this piece of work will look at the potential options available for immediate and long-term fundraising capabilities within the constraints of the resource we have available.
Raising funds is challenging; the cost of living is placing extra burdens on households and there are a number of charitable organisations competing for extra resources in our area.
We aim to address this by undertaking a stepped approach to addressing these challenges from quick wins in the short term, to consolidating donations from significant and longer-term sources, with targeted and sustainable growth being the final aim.
We are excited about where this journey will take us and look forward to supporting the hospital we serve in achieving their vision of providing the best possible healthcare for the local population of the Wigan Borough and surrounding areas through the funds that we generate.
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Objectives of the Charity
Statute
The Charity is committed to spend in line with the statutory public interest benefit criteria. It is additionally guided by its specific objects and mission statement, below.
The principal objectives and purposes of Wrightington, Wigan and Leigh Health Services Charity, as set out in the trust deed, are as follows.
“To provide for any charitable purposes relating to the National Health Service”.
The Charity works alongside the Foundation Trust to ensure that the advancement of healthcare is achieved daily. The Charity’s approved mission statement is as follows.
“The mission of Wrightington, Wigan and Leigh Health Services Charity is to further improve the quality of patient care, through staff training, purchasing medical equipment and enhancing the patient environment and experience. This is achieved through the generosity of the public and by fundraising activities, events and appeals.”
Structure, governance, and management
Corporate Trustee
The sole corporate trustee of the charity is Wrightington, Wigan and Leigh NHS Teaching Hospitals Foundation Trust. The Charity was established in accordance the National Health Services (Consequential Provision) Act 2006.
The Corporate Trustee is managed by its Board of Directors which consists of executive and non-executive directors. It has responsibility for ensuring that the NHS body fulfils its duties in managing the charitable funds. Members of the Foundation Trust Board are not individual trustees under Charity Law, but act as agents on behalf of the Corporate Trustee. They fulfil the Trustee’s legal duty by ensuring that funds are spent in accordance with the objects of each fund in pursuit of public/patient benefit, and independently determine the Charity’s strategy through meetings of the Charitable Trust Committee.
The Charity adopted the working name ‘Three Wishes’ in 2012. The full current name of the Charity is Wrightington, Wigan and Leigh Health Services Charity.
Charitable Trust Committee
The Foundation Trust is the sole trustee of the Wrightington, Wigan and Leigh Health Services Charity, registered charity number 1048659, (“the Charity”) in its corporate capacity.
The corporate trustee has powers under section 11 of the Trustee Act 2000 to appoint and delegate to agents. This power includes appointing a committee, membership of which is not necessarily restricted to its directors.
The corporate trustee also has powers under the Inheritance and Trustees’ Powers Act 2014 power of advancement as set out in Chapter 16, Section 9.
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The Foundation Trust has duly established and appointed the Charitable Trust Committee as a committee to administer the charitable funds. Members of the Charitable Trust Committee act as agents of the Foundation Trust.
Independence
To retain independence and balance in its decision making the Charitable Trust Committee membership comprises of:
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Three (3) Non-Executive Directors, one of whom shall be Chair.
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Chief Finance Officer
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Chief Nurse
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Deputy Chief Executive
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Director of Communications and Stakeholder Engagement
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Director of Strategy and Planning
The members of the Charitable Trust Committee who served during the year were drawn from those Corporate Trustee Board members listed above.
All executive and non-executive directors of the Foundation Trust are members of the Charitable Trust Committee and are entitled to attend and vote at any meeting .
Corporate Trustee’s appointments
The methods of appointment to the key governance roles within the Board of Directors and Council of Governors of the Corporate Trustee are reported in the Corporate Trustee’s Annual Report and Accounts 2023/24 and contained within the Corporate Trustee’s Constitution. Copies of these documents can be obtained by contacting the Foundation Trust (see Reference and administrative details), and the Annual Report can be viewed on the Foundation Trust website.
Public interest benefit
The Corporate Trustee ensures that the public benefit criteria, as detailed in the Charities Act 2011, are met by demanding that each funding application is critically assessed against those criteria via the Charity’s internal expenditure guidance. Applications are prioritised and rejected or approved based on the availability of funds and compliance with the policy.
Funds are used to provide benefit to a wide range of patients, and any funds used for staff enablement are only allocated to projects that will directly benefit patients.
Management and delegation
The day-to-day management of the Charity’s funds is delegated to individual fund committees made up of a variety of staff members and independent governors. Each divisional committee has approved terms of reference and the following remit.
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Monitor spending throughout the financial year.
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Review, consider and, when appropriate, approve applications for charitable expenditure in their area.
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Ensure that the funds are used effectively within their remit, in line with donors’ wishes.
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• Continually review financial controls and Standing Financial Instructions confirming that all expenditure is totally consistent with their fund’s objectives and the Charity’s Expenditure Guidance policy.
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The Foundation Trust’s Financial Services department is responsible for the financial administration of the Charity and ensures that all expenditure is compliant with internal policy and charity law.
Reference and administrative details
Principal office
The principal office for the Charity is.
Wrightington, Wigan and Leigh NHS Teaching Hospitals Foundation Trust Trust Headquarters The Elms Royal Albert Edward Infirmary Wigan Lane Wigan WN1 2NN
Administration and records
The accounting records and day-to-day administration of the funds are undertaken by Finance located at Buckingham Row, Brick Kiln Lane, Wigan WN1 1XX.
Donations and fundraising enquiries and assistance
Email: ThreeWishesCharity@wwl.nhs.uk
Board of Directors
Mark Jones Chairman Silas Nicholls (to 7 Jan 24) Chief Executive Mary Fleming (from 8 Jan 24) Chief Executive Sanjay Arya Medical Director Juliet Tait (from 14 Aug 23) Chief People Officer Tracy Boustead (to 31 Jul 23) Chief People Officer Mary Fleming (to 7 Jan 24) Chief Operating Officer Claire Wannell (from 8 Jan 24) Chief Operating Officer Tabitha Gardner Chief Finance Officer Richard Mundon Director of Strategy & Planning Rabina Tindale (to 31 Dec 23) Chief Nurse Kevin Parker-Evans (from 8 Jan 24) Chief Nurse Paul Howard Director of Corporate Affairs Anne-Marie Miller Director of Communications Clare Austin Non-Executive Director Rhona Bradley Non-Executive Director Steven Elliot (to 30 Apr 23) Non-Executive Director Ian Haythornthwaite Non-Executive Director Lynne Lobley Non-Executive Director Francine Thorpe Non-Executive Director Julie Gill (from 18 Apr 23) Non-Executive Director
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Terence Hanlin (from 1 Jul 23 to 30 Nov 23) Non-Executive Director Mary Moore (from 1 Dec 23) Non-Executive Director
*All of the members were in post for the 12-month period to 31[st] March 2024 except where indicated.
The Trustees have access to qualified and dedicated internal resources including Trust secretary and the Finance team. They also can seek external advice when required. The professionals concerned maintain CPD as part of their professional development.
Advisors
The following services were retained by the Charity during 2023/24
| Bank | Independent Examiners |
|---|---|
| National Westminster Bank PLC | Voisey & Co LLP |
| Sovereign Business Park | 8 Winmarleigh Street |
| Kingscroft Court | Warrington |
| Wigan | Cheshire |
| WN1 3AP | WA1 1JW |
Registered administrative details and overview are also available on the Charity Commission website: www.charitycommission.gov.uk.
Risk management
The Charity’s key systems are designed and implemented by Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust, the Charity therefore benefits from the Foundation Trust’s robust internal control and risk management framework.
The major risks to which the Charity is exposed are identified and mitigating actions considered in meetings of the Charitable Trust Committee.
The main risk to which the Charity is currently exposed is competition from other charities resulting in reduced public profile and associated decline in income streams. Several mitigations are in place and the risk is monitored through Charitable Trust Committee.
Income and expenditure are monitored at Charitable Trust Committee as part of the risk management process to avoid unforeseen calls on reserves and to ensure that the Charity is well-positioned to meet its objectives throughout the year.
The Trust’s Audit Committee sets aside dedicated time to discuss the audit of the charity accounts and risk related matters.
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Financial review
Reserve’s policy
The Charity is not at risk of incurring expenditure on unforeseen emergency or operational costs and is not reliant on regular income streams. Divisional fund expenditure is regularly monitored against fund balances and can be readily controlled, overspending risk is therefore mitigated and there is no risk to short-term deficits in its cash budgets.
The total funds held by the Charity on 31[st] March 2024 was unrestricted £1,211k (£1,000k, 2022/23) and restricted £19k (£203k, 2022/23).
To meet the administrative fee and pre-approved commitments during the year the Corporate Trustee set a target reserve of £24k for 2023/24 (£18k, 2022/23).
Investment policy
Background
By law, the Charity must ensure it spends any income received within a ‘reasonable period of receipt’. Charities should not hold substantial unspent reserves as a matter of course. However, where NHS charitable funds have surplus monies not needed to fund immediate charitable activities, trustees may elect to invest some or all this surplus to generate additional income to fund future activities.
All investment decisions
-
must comply with the Trustee Act 2000 and have regard to the Act’s standard investment criteria; and
-
must be informed by proper professional investment advice.
The investment policy of the Corporate Trustee is to deposit fund balances in short-term interest-bearing accounts. This decision is based upon the intention in the short term to spend the funds, such that long-term investment would not be appropriate.
Annual review of income and expenditure
Incoming resources
The Charity relies upon donations and legacies as its main source of income.
Total income for 2023/24 as per the graph below, was £389k (£95k, 2022/23) of which legacy income totalled £79k (£8k, 2022/23)
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Resources Expended
Total expenditure for the year was £362k (£200k, 2022/23) broken down as per the graph below:
----- Start of picture text -----
Expenditure as at 31 March 2024
Patient comforts and welfare Lt] Medical equipment L Staff Enablement Ll Support Costs
----- End of picture text -----
Statement of Trustee’s Responsibilities
The Corporate Trustee is responsible for preparing the Trustee Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).
The law applicable to charities in England and Wales requires the Trustee to prepare financial statements for each financial year which give a true and fair view of the Charity’s financial
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activities during the year, and of its financial position at the end of the year. In preparing financial statements that give a true and fair view, the Trustee should follow best practice and:
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Select suitable accounting policies and then apply them consistently.
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Make judgements and estimates that are reasonable and prudent.
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State whether applicable accounting standards and statements of recommended practice have been followed, subject to any departures disclosed and explained in the financial statements.
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Prepare the financial statements on the going concern basis unless it is inappropriate to presume that the Charity will continue in operation; keep proper accounting records, which disclose with reasonable accuracy at any time the financial position of the Charity, and which enables the Trustee to ensure that the financial statements comply with the requirements in the Charities Act 2011, the applicable Charities (accounts and Reports) regulations, and the provisions of the trust deed.
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Safeguard the assets of the Charity, therefore taking reasonable steps in the prevention and detection of fraud and other irregularities.
The Corporate Trustee confirms that it has met the responsibilities set out above and complied with the requirements for preparing the accounts. The financial statements set out on pages 23 to 33 attached have been compiled from, and are in accordance with, the financial records maintained by the Corporate Trustee.
The Corporate Trustee is responsible for the maintenance and integrity of the Charity and financial information included on the Charity's website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.
By delegated authority on behalf of the Corporate Trustee
| M Jones | ||||
|---|---|---|---|---|
| Chairman* …………………………… Date: M Jones |
…………………………… Date: | …………………………… Date: - |
…………………………… Date: | 27 November 2024 |
| Chairman* | vccucueueucecuuueuuesuueuueeuuees | Date: | 2? November 2024 | |
| Trust Board Director ….………………….……… Date: | Trust Board Director ….………………….……… Date: | Trust Board Director ….………………….……… Date: | 27 November 2024 |
* T he Board may authorise another Board member to sign in place of the Chairman.
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Independent examiners reportto the Trustees of Wrightington, Wigan and Leigh Health Services Charity I report to the charity trustees on my examination of the accounts of the Charity for the year ended 31 March 2024. Responsibilities and basis of report As the charity's trustees of the Charity you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 ('the 2011 Act,). Having satisfied myself that the accounts of the Charity are not required to be audited under Part 16 of the 2011 Act and are eligible for independent examination, I report in respect of my examination of your charity's accounts as carried out under Section 145 of the Charities Act 2011 ('the 2011 Act,). In carrying out my examination I have followed the Directions given by the Charity Commission under Section 14515) (b) of the 2011 Act. Independent examiner's statement I have completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe.. 1. accounting records were not kept in respect of the Charity as required by Section 386 of the 2006 Act., or 2. the accounts do not accord with those records., or 3. the accounts do not comply with the accounting requirements of Section 396 of the 2006 Act other than any requirement that the accounts give a true and fair view which is not a matter considered as part of an independent exarnination., or 4. the accounts have not been prepared in accordance with the methods and principles of the statement of Recommended Practice for accounting and reporting by charities (applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102)). 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. Jonathan Urmston BA ACA Voisey & Co LLP, Chartered Accountants 8 Winmarleigh Street Warrington, Cheshire WA1 1JW 2024
Statement of Financial Activities for the year ending 31st March 2024
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Balance Sheet as at 31st March 2024
The notes on pages 21 to 28 form part of these accounts.
Approved by the Corporate Trustee and signed on its behalf:
M Jones Chairman* Date: 27 November 2024
Trust Board Director
Date: 27 November 2024
* T he Board may authorise another Board member to sign in place of the Chairman.
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Statement of Cash flows for the year ending 31st March 2024
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Notes to the accounts
1 Accounting policies
1.1 Basis of preparation
The financial statements have been prepared under the going concern basis and have been prepared under the historical cost convention.
The accounts (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 2011 and UK Generally Accepted Practice as it applies from 1 January 2019.
1.2 Going Concern
The trustee considers that there are no material uncertainties about the Charity’s ability to continue as a going concern. The COVID pandemic has had an impact on the charity’s fundraising income for unrestricted funds although this is partially offset by the generous donations made by members of the public.
The key risks to the Charity’s continuing going concern status are a fall in income from donations or investment income but the trustee has arrangements in place to mitigate those risks (see the risk management and reserves sections of the annual report for more information).
1.3 Funds structure
The Charity holds two types of funds. Unrestricted and restricted.
Unrestricted funds comprise of those funds which the Corporate Trustee is free to use for any purpose in furtherance of the charitable objectives. Designated sub-funds are created to attempt to honour donors’ (unbinding) wishes by keeping the benefit within the donors chosen division with spending decisions being delegated to those divisions.
Designated funds could be used by the Corporate Trustee at its discretion to earmark funds for specific future purposes. Any funds held within a designated sub-fund can be merged or transferred within the general purposes fund at any time, at the discretion of the Trustee, in accordance with the Health Service Act 1977.
Restricted funds are to be used in accordance with the specific restrictions imposed by the donor.
The major funds held in each of these categories are disclosed in note 18.
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1.4 Incoming resources
All incoming resources are recognised once the Charity has entitlement to the resources, it is probable that the resources will be received, and the monetary value can be measured with sufficient reliability.
Where there are terms or conditions attached to incoming resources, particularly grants, then these terms or conditions must be met before the income is recognised as the entitlement condition will not be satisfied until that point. Where terms or conditions have not been met or uncertainty exists as to whether they can be met then the relevant income is not recognised in the year but deferred and shown on the balance sheet as deferred income.
1.5 Incoming resources Gifts in Kind
Gifts in kind, such as food and care packages are not accounted for when they are accepted and immediately distributed unless a single donation is material.
Where gifts in kind are held before being distributed to beneficiaries, they are recognised at fair value as stock until they are distributed.
1.6 Incoming resources from legacies
Legacies are accounted for as incoming resources upon receipt or where the receipt of the legacy is probable.
Receipt is probable when:
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Confirmation has been received from the representatives of the estate(s) that probate has been granted.
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The executors have established that there are sufficient assets in the estate to pay the legacy and
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All conditions attached to the legacy have been fulfilled or are within the charity’s control.
If there is uncertainty as to the amount of the legacy and it cannot be reliably estimated, then the legacy is shown as a contingent asset until all the conditions for income recognition are met.
1.7 Resources expended
All expenditure is accounted for on an accrual basis and is recognised once there is a legal or constructive obligation committing the Charity to the expenditure. Contractual obligations are recognised as goods or services are supplied to either the Foundation Trust or the Charity.
The Charity does not make grants to third parties.
1.8 Irrecoverable VAT
Irrecoverable VAT is charged against the same category of resources expended as the underlying purchases.
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1.9 Charitable activities
The costs of charitable activities include all costs incurred in the pursuit of the charitable objects of the Charity. These costs comprise the direct costs of charitable purchases, and an apportionment of overhead and support costs as shown in note 9.
1.10 Tangible fixed assets
The Charity’s sole asset is a finance and fundraising piece of software that is held at historic cost.
1.11 Financial instruments
Financial assets and financial liabilities are recognised when the Charity becomes a party to the contractual provisions of the instrument. All financial assets and liabilities are initially measured at transaction price (including transaction costs). The Charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value.
1.12 Critical accounting judgements and key sources of estimation uncertainty
In the application of the Charity’s accounting policies, which are described above, the Corporate Trustee is required to make judgements, estimates and assumptions about carrying amounts of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates.
The Corporate Trustee does not consider there are any critical judgements or sources of estimation uncertainty requiring disclosure beyond the accounting policies listed above.
2 Related party
Wrightington, Wigan and Leigh NHS Foundation Trust is the Corporate Trustee of the Charity.
During the year, none of the members of the Trust Board, Charitable Trust Committee or senior Trust staff, or parties related to them, were beneficiaries of the Charity, and none of these individuals have undertaken any material transactions with the Charity or received honoraria, emoluments, or expenses in the year.
Board members, and other senior staff, take decisions on both Charity and exchequer matters, but endeavour to keep the interests of each discrete, and do not seek to benefit personally from such decisions. Declarations of personal interest have been made in both capacities and are available to be inspected by the public. The Corporate Trustee has purchased Directors and Officers liability insurance.
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3 Donations and legacies
4 Income from charitable activities
5 Income from investments
6 Raising funds
7 Analysis of grants
The Charity does not make grants to individuals and did not receive any grant income during the year.
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8 Analysis of staff costs
The Charity does not directly employ any members of staff.
9 Analysis of charitable activities
- The Charity made payments to Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust for the purchase of fixed assets during the financial year.
**Governance and support costs are apportioned on a pro rata basis of 50% on income received during the period and 50% on the closing fund balances at the end of the reporting period.
Prior year comparatives are detailed below:
| Patient | comforts and welfare | 11 | 0 | 17 | 0 | 9 | 0 | 37 |
|---|---|---|---|---|---|---|---|---|
| Medical | equipment | 78 | 0 | 75 | 0 | 9 | 0 | 162 |
- The Charity made payments to Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust for the purchase of fixed assets during the financial year.
**Governance and support costs are apportioned on a pro rata basis of 50% on income received during the period and 50% on the closing fund balances at the end of the reporting period.
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9.1 Support and Governance Costs
10 Independent Examiners Remuneration
The estimated Independent Examiners' remuneration of £1,800 and which is inclusive of VAT (£1,800 2022/23) relates solely to the independent examination of these accounts in accordance with the Charities Act 2011.
11 Analysis of debtors
12 Analysis of cash
All cash balances are held in a NatWest current account.
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13 Analysis of current liabilities
14 Reconciliation of net income/(expenditure) to net cash flow from operating activities
15 Contingent assets and liabilities
The Charity has no contingent assets or liabilities.
16 Commitments
The Charity has no commitments undisclosed in the Balance Sheet .
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17 Analysis of Material Funds
The objectives of material funds held on 31[st] March 2024 are detailed below:
-
Cancer Care Appeal for the provision of facilities for the cancer care centre
-
Wrightington Wish to support services at Wrightington Hospital
-
The Heart and Lung Fund for the provision of cardiology and respiratory services.
-
The Patient wish fund provides patient comforts across all sites.
-
The Cancer Care Fund supports cancer services and Cancer Care Centre at the Royal Albert Edward Infirmary. The Cancer care appeal was moved from restricted to unrestricted in year as agreed by the Charitable Trust Committee in year. This was due to the donation being made to enhance cancer patients experience in hospital and this is what the cancer care fund was set up to achieve.
-
The Babies and Children’s Fund Supports the Rainbow Ward and Neonatal Unit.
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Your Ref votsey&co JU/PUIKEHrrH4207 Chartered Accountants Our Ref tsnathan 8 Wiiimarleigh Street Warrii)gtoii Cheshire WAI IJW Telephone.. 01925 (15070.3 Facsimilc.. 01925 415295 Web.. www.voisey.co.uk voise .co.uk Email PRIVATE & COYFIDENTIAL The Board of Trustees Three Wishes Wrighlington, Wigan & Leigh Health Services Charity Suite 02, Buckingham Row Brick Kiln Lane WIGAN Lancashire WNI IXX 5 November 2024 Dear Sirs THREE WISFIES IVRJCHTINGTON, WIGAN AND LEIGH HEALTH SERVICES CHARITY In accordance with our normal practice we are writing to draw your attention lo various matters, which arose during the course of our independent examination of the Charity's accounts for the year ended 3151 March 2024, Qiialilalive a.spect& of ihe enlity's accoun¢in¥ praclice3 andfinancial reporting We have no coninienls to make concerning the qualitative aspec15 of the entity's accounting practices and financial reporting. Leller of Repre.wentution A Letter of Representation is attached for approval and signature. unadju.sted mi,s.statement,I There al'e no unadjusted misslalemenls which have arisen during the course of our independent examination, other than those considered to be clearly trivial. Expected niodifiL'alion.s to the independent oYaminer'.s reporl There are no expected modifications to the independent examiner's report. We would like to take this opportunity of expressing our thanks to your staff for their assistance during the coiirse of our independent exam ination. Please note that this report has been prepared for the sole iise of Three Wishes Wrighiin&ylon, WigFan and Leigh Health Services Charity. It mLisI not be disclosed lo third parties, quoted or referred to, without prior written consent. No responsibility is assiimed by us lo any other person. If we can be of fiirther assistance, please contact Philip Urniston. Yours faithfiilly Members.. P. Urmsion F(A L.M. Warburroi) FCA .F.. B ardine ACA .P. Urmsion ACA VoJ5ey & Co Is the trading nAmc oFVoisey & Co LLP Ilegi5rered In England Jnd Wales Regisiered number.. OC.5004113 Regi51ered to carry on audit work in Ihe UK and rUltl.d for a rlSe ollnve5rtneni Business Acriviiies by Tht Insriruie oFCharrered Acci)untanrs iii England aiid Wales. ICAEW CHARTERED ACCOUNTANTS v&co