Plymouth Hospitals Charity Annual Report 2022-2023
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Contents
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4 Introduction and welcome
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13 Looking back over the year
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5 Our aims and purpose
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7 Our year’s performance and achievements
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9 How we raise and spend funds
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15 Highlight – The Secret Garden 17 Finance Review
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30 Financial report
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34 Notes to financial statments
Official charity of University Hospitals Plymouth NHS Trust
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Introduction and welcome
Welcome from the Chair of the Charity Strategic Committee
Welcome to our Annual Report for 2022/23, we really hope you find it insigh�ul. We are a charity that works for the benefit of NHS pa�ents and their families across the footprint of University Hospitals Plymouth (UHP) and the surrounding area.
Since the Covid-19 pandemic, more people are now aware of the work done by NHS Chari�es in the UK, and our own NHS Charity has con�nued to expand and change to become more relevant and suppor�ve, whilst con�nuing to make a real difference for pa�ents, their families, and the NHS professionals who care for them.
The Charity has been working on its four key aims this year:
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to partner strategically with University Hospitals Plymouth NHS Trust,
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increase fundraising income
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deliver on its spending priori�es.
The year has presented some challenges, but it has also been one of hope, posi�vity, growth, and change.
Over the year we were able to award £950,000 in grants to the Trust , which made an incredible difference to a lot of people. This is due to the generosity of donors and fundraisers to whom we are enormously grateful.
Following the unpredictability of the last three years, the Charity recognises that, despite increasing pressures within their jobs, when it comes to working with the Charity everyone is welcome. Plymouth Hospitals Charity is proud to be part of this one big team. In the future, we hope to build on our learning while being accessible and relevant to all University Hospitals Plymouth NHS Trust employees.
This year we said goodbye to Kevin Baber, Director of Strategy and the Execu�ve Lead for the Charity, who re�red in December 2022. We want to say huge thank you to Mr Baber for all he brought to the Charity, and we wish him the best in the new ventures that await him.
Dr. Stuart Windsor, Future Hospitals Director for UHP, has now become Execu�ve Lead, with the Charity si�ng within the Site Services Team. This is a very posi�ve move for the Charity, and we look forward to working with Dr. Windsor and the wider team to con�nue to build the Charity’s profile and reputa�on to further increase the impact we can have across the Trust.
It is a pleasure to work with such a dedicated team of staff at the Charity and, equally, all of our supporters, fundraisers, donors, volunteers, and partners who make our work possible. It has been a privilege to work with the members of the Charity’s Strategic Commitee, whose insigh�ul and skilled senior leadership always acts in the best interest of the Charity. To everyone who has been part of all we’ve achieved, thank you, we’ve made a big difference to UHP and none of these achievements would have been possible without you.
If you would like to get involved, details about how to do this are at the end of this report. With your support Plymouth Hospital Charity can make a real difference to pa�ents, their families and the staff that treat them!
Thank you.
Elizabeth Kay
Non-Execu�ve Director Chair
Charity Strategic Commitee
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Our Aims and Pur ose p
University Hospitals Plymouth NHS Trust is a centre of excellence for healthcare and is our key strategic partner in fulfilling our charitable aims.
The Charity works with the NHS and assist pa�ents from every walk of life.
To deliver on our objec�ves we run a Grant Awarding Programme that:
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helps create a more pa�ent-friendly environment;
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awards grants for diagnos�c and specialist equipment;
Our Governance Structure
Governed by the Corporate Trustee, the Charity has a devolved commitee structure where both charity commitees and groups act in the best interests of, represent and support the Charity to achieve its strategic goals.
Reporting structure
- funds small scale research.
good place to move forward and con�nue to develop.
Our Vision
To become a trusted, recognisable NHS Charity able to make a big difference to pa�ents and help staff to reach their full poten�al.
Our Mission
To support the work of UHP in providing the best possible care to pa�ents and to support the work of NHS staff to raise standards above the level that NHS funding alone enables.
Our Grants
Grants are made in accordance with charity law, our cons�tu�on and the wishes and direc�ons of donors. In making grants, we endeavour to reflect the wishes of pa�ents and staff by direc�ng funds towards areas they tell us are most in need. During the year 2022/23, grants totalling £950,000 were made . When considering where to focus our aten�on our Corporate Trustee’s Board and, par�cularly, the members of the Charity’s Strategic Commitee have regard to the Charity Commission for England and Wales’s guidance on public benefit and what this means for Plymouth Hospitals Charity.
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Our Values
Our Values
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Put people first
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Listen, learn, improve
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Respect others
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Be positive
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Take ownership
Plymouth Hospitals Charity mirrors the values of University Hospitals Plymouth and these principles underpin everything we do and are reflected in our decision-making behaviour.
pa�ent care and improving working environments for our colleagues
we spend your contribu�ons. We were able to bring together a request from staff in the Imaging Department for a state-of-the-art piece of equipment, with a grant to match-fund the difference from our Priority Fund (our unrestricted funds that can be spent where the needs are greatest) with a large gi� in memoriam by working with a donor who expressly wanted to make a las�ng gi� in memory of family members he loved.
Honouring the life and memory of loved ones
“I wanted to support the hospital and to do some good in memory of my aunt and uncle, Barbara and John Whitaker, after the teams at Derriford Hospital looked after them with such great care and skill before they died.
“The MRI entertainment system is a great way to support the staff at the hospital and to help lots of patients in the future.” explains Phil Sanders.
An MRI can last up to 60 minutes, so this is a truly welcome distraction and has such potential to assist radiographers in delivering the best patient care.
This substantial memoriam donation along with generous charitable funds from our priority fund has allowed for the funding of the Siemens Nordic Comfort Solution Media System for our MRI department.
This advanced media system has enhanced patient experience during MRI scans, whilst also making for a calmer working environment for our colleagues.
The immersive media system provides a screen of personalised viewing for the patient during their scan, where they can watch anything from a calming meditation video to a programme/film of choice from various applications.
Our ear’s erformance and achievements y p
Together we have been able to expand and enhance our processes, infrastructure, and governance programme throughout the year, and we are future proofing the Charity against enduring social and economic upheaval.
to secure £934,000 in income and spend £950,000 in grants across UHP.
Reflecting on the year our ke hi hli hts: y g g
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Working in collabora�on with UHP and NHS Chari�es Together we were able to award significant grants of £291,000 towards the building of the Intensive Care Secret Garden ward and outdoor garden space.
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We have con�nued to work with eight fantastic voluntary sector projects across the county as the lead NHS Charity for Community Partnerships on behalf of NHS Chari�es Together.
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We have reviewed our three-year strategic plan (2021-2024) as we move into our third year and final year, to be clear that we are delivering well on our objec�ves.
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We have funded over 700 small grant awards and con�nued to be there for our NHS workforce, funding equipment, small scale research projects, improving the environment and suppor�ng our colleagues with well-being and development opportuni�es.
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We received a Development Grant from NHS Charities Together to enable us to build a Grants Programme that will deliver insights into the impact of dona�ons and fundraising gi�s. This is paramount to helping us grow our profile and share the difference we can achieve.
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We recruited to two posi�ons to support the work to look a�er our donors and supporters, and this in turn has helped us reputa�onally, as we can be more responsive to all enquiries both internally and externally.
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Lookin Ahead g
Our Finance Subcommitee and Charity Opera�onal Group would greatly benefit from input from pa�ent representa�ves. To this end, we intend to
collaborate with Patient Services to recruit lay members to these panels and amplify the voice of UHP pa�ents in determining how the Charity can best serve them.
communica�on regarding Charity processes, grant awards, and the impact of the Charity. This is a top priority for 23/24, and there are important milestones to achieve in terms of raising awareness and donor stewardship.
The governance structure of the charity will be enhanced as part of a one-year programme to ensure full legal and regulatory compliance.
In 2022/23, we began a new programme of work to develop a Grants Programme to measure and evaluate the impact of our ac�vi�es and projects that we fund. This will allow us to make more strategic decisions about how and where we u�lise our funds in the medium to long term.
The Charity is committed to raising its profile significantly, to build its supporter base and generate income so that it will be able to award grants across all Trust areas in the future.
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Overview of our finances
The net assets of the charitable funds as of 31 March 2023 were £3,948,000.
There was a deficit of income over expenditure totalling £500,000. With a decrease in the value of investments of £584,000, there was a decrease in our net assets of £889,000.
Together in 2020 and 2021. Some of these grants have been in effect for 24 months and will end in 2022/23. Some will carry over into the following fiscal year. These grant awards have, for instance, supported The Well-being Project for all employees and a development grant for the Charity's infrastructure. Plymouth Hospitals Charity collaborated with and supported the delivery of projects by eight community voluntary organisa�ons across the county, thanks to a sizable grant from NHS Chari�es Together for community partnerships. This was restricted funding from a na�onal charity that we distributed in the region, benefi�ng thousands of individuals with various health condi�ons.
Overall, total income resources decreased by £213,000 to £934,000 in 2022/23 due to the tapering of the COVID-19 emergency grants, compared to £1,147,000 in 2021/22.
so we con�nue to evaluate our opera�ng model as part of the ongoing development of our strategy.
The Charity continues to rely on donations and legacies as the main sources of income.
We are grateful to each and every person who kept the NHS, Derriford hospital, and all of the other hospitals, walk-in centres, and community projects in their thoughts. Your contributions have already made a big difference, and they will continue to do so in the future.
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How we raise and s end funds p
How We Fundraise
communica�ng with supporters, donors, funders, and individuals who share our goals and wish to help raise funds for us and their hospital.
To assist and engage supporters, we choose rela�onship-focussed fundraising approaches and create our own fundraising materials. We also provide numerous ways for individuals to get involved and help us. Bequests, collec�ons, involvement in sponsored events, and some incredible contribu�ons are examples of these. We choose to widen our digital fundraising opera�ons in order to make the procedures more accessible for our supporters, and we have worked with people, organisa�ons, and businesses who have generously contributed to our ongoing revenue genera�on and other aspects of our work. Will bequests and contribu�ons in memory of a loved one make for a significant amount of our revenue. We are very sympathe�c to receiving such gi�s at such a difficult �me and look to support the family as much as we can. The Charity has not contracted external professional fundraisers during the year.
and our strategy has been to provide donors with op�ons, to invest in the supporter experience to maintain donor loyalty and strive to make fundraising as adaptable as possible.
Fundraisin Re ulator g g
We are commited to fundraising in an ethical and responsible manner. We are registered with the Fundraising Regulator, and our fundraising promise outlines our commitment to fundraise in an honest, respec�ul, and fair manner, in accordance with the highest standards in the charity sector.
measure our fundraising efforts from both a performance and compliance perspec�ve. Our compliance is based on the Code of Fundraising Prac�ce, and we monitor the
compliance with the code.
Fundraising Complaints
The Charity has received no fundraising complaints in 2022-23
Protecting individuals and their data
We take our responsibility to manage the informa�on of our supporters seriously. We take ac�ve measures to respect people's privacy and communica�on preferences, invest in our technological infrastructure, and have data governance procedures in place to assist us.
In accordance with the requirements of the General Data Protec�on Regula�on (GDPR), we publish our privacy no�ce. This no�ce describes our data management prac�ces.
The Charity manages interac�ons with fundraisers using a sophis�cated customer rela�onship management database, and in accordance with the General Data Protec�on Regula�ons and the Data Protec�on Act of 2018, it maintains accounts of discussions and stewardship evidence. A�er choosing to receive more communica�ons, people can unsubscribe at any �me by following simple procedures. They can also use the complaints process and procedure if they have any cause for concern. We do not trade, sell, or share our donors' informa�on for marke�ng objec�ves with other chari�es or organisa�ons.
In accordance with the code of fundraising prac�ce, we are keenly aware of the risks posed to vulnerable people and other members of the public by fundraising tac�cs that invade people's privacy, are excessively persistent, or exert undue pressure on a person to donate money or other property.
To address these risks, we've included a safeguarding component to our Fundraising Standards guidelines supported by the Trust's overarching Safeguarding Policy and procedures. The Charity always strives to establish that partner groups have their own safeguarding policies in place before engaging with them. As a mater of law, any significant
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safeguarding occurrences involving the Charity will be no�fied to the Charity Commission. There have been no occurrences in the year.
The Charity has procedures on how to assist those who are vulnerable as part of its Fundraising Standards. If a person lacks the mental capacity to decide to donate or is in a vulnerable situa�on that makes it likely they won't be able to make an educated decision, the Charity is unlikely to accept a dona�on from them. Whether they are conducted on our behalf or in support of a charity, the Charity monitors to the best of its ability third-party fundraising opera�ons to ensure that they comply with the Fundraising Regulator's Code of Prac�ce.
All employees of the Charity are required to complete UHP's comprehensive safeguarding training.
Fundraisin Performance g
Through NHS Chari�es Together, we compare our fundraising ac�vity to that of our peers and monitor the compara�ve success of campaigns and overall fundraising cost-to-revenue ra�os. We are atemp�ng to increase the visibility of the Charity in order to reach more people and raise awareness of the impact of dona�ons. The objec�ve will be to increase revenue in accordance with similarly sized NHS Chari�es and their parent trusts.
Performance against objectives this year
Reviewing the three-year strategy revealed evidence that, with the excep�on of a small number of targets, the Charity operated in accordance with its aims and objec�ves.
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The four strategic priori�es highlighted in 2021 have remained key goals for Plymouth Hospitals Charity development, focus and opera�ons.
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There is recogni�on that there have been significant external pressures and the Charity has done its best to adapt to these, but there are some key areas that require further investment of �me and resources.
Our future strategy
Being a strategic partner with the Trust and a member of NHS Chari�es Together is essen�al for the next phase of our journey.
During 23/24, we will seek feedback from the public and staff on how we can be more relevant to them, and we will evaluate the significance of each of our four primary objec�ves to determine our priori�es for the next three years. We know that we want to expand our fundraising efforts and that we wish to promote the well-being of our NHS Staff; however, what else we can do and how we should shape this and the impact we can have, is something we should all discuss.
Review performance of material fundraising activities
To spread the word about our presence and assist anyone who wished to express their gra�tude for the treatment they or a special someone received, we have created a five-year income genera�on plan. The goal was to raise £1,000,000 in revenue in year 1 and add £43,000 in personnel resources to the Charity Team in order to create a founda�on that can expand to serve more people while providing our donors and supporters with the highest level of care and apprecia�on for their generosity. Achieving £934,000 in income is a success in light of the global economic climate throughout the year.
No material expenditure was incurred to raise income other than purchase of several costumes, offset by the entry charge to the event they were used for.
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Fundraisin A eals g pp
Fundraisin Events g
Keep Me Close (KMC)
KMC has con�nued its appeal to raise funds for parental accommoda�on for families who have babies receiving care in the Neonatal Intensive Care Unit. The appeal was successful in raising £74,100 , and we now offer four bespoke, ensuite bedrooms every night offered to families who need the comfort of a bed in nearby accommoda�on. Many thanks to everyone who contributes to the Neonatal Intensive Care Unit in the hope that it will one day be able to help other parents who may find themselves going through the same difficult situa�on. Raising funds to keep the facili�es free for parents during such a stressful �me is so generous.
Snowdrop
The Snowdrop suite has been built with
dona�ons to the Charity’s Snowdrop Fund. This is a calm home from home space where parents, who are experiencing a baby bereavement, can spend �me together with their baby for as long as they need to. The atmosphere and the facili�es are extremely important. All the many people who have helped this cause for so long have our deepest apprecia�on.
Keep Me Close held a fabulous autumnal Ball for their appeal.
The Charity organised a Santa Zip Wire Challenge to raise funds for the Childrens Wards at Christmas. It was so successful we are going to do this every December!
A wide variety of wards and departments have come together to form fundraising groups , and we are providing them with an enormous number of techniques, resources, and ideas for fundraising.
Remembering our loved ones
Dona�ons have increased this year to £345,000 in 2022/23 compared with £304,000 in 2021/22.
Leaving a lasting gift in your will
Legacies have reduced slightly to £93,000 in 2022/23 compared with £97,000 in 2021/22.
Improving Working Lives Staff Lotter y
Income from the sale of lottery tickets to staff has been consistent and £32,683 over the year has been raised. This fund awards grants for improving working conditions and environments for staff.
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How we s end funds p
Improving Services for Patients
We have con�nued to honour our commitment to support pa�ents in any way that we can and are delighted to say that our spending on patient services has increased by £303,000 to £411,000 in 2022/23 (£108,000 in 2021/22). This increase is in large part due to the comple�on of the ICU Secret Garden, to which the Charity contributed £291,000 in charitable funds.
The Charity awarded grants to the value of £90,782 for the purchase of equipment.
Supporting the voluntary sector
Plymouth Hospitals Charity has acted as a conduit for NHS Chari�es Together, distributing £500,000 over a two-year period to voluntary sector organisa�ons to provide services that may relieve some of the pressure on NHS services. This opportunity has been significant for the Charity in working with some incredible chari�es across the County. The final report will be published on our website next year.
Caring for our Staff
The Charity has been able to support our colleagues across the Trust, con�nuing to provide funds for staff wellbeing . Expenditure on staff wellbeing has
increased by £108,000 to £238,000 (£130,000 in 2021/22), bolstered by the comple�on of the PGMC Garden. This grant of £57,000 for the garden was only made possible by generous dona�ons to the Charity.
Grants from NHS Charities Together.
NHS Chari�es Together (NHSCT) grants have reduced this year. This is due to the NHSCT partnership grant coming to an end in 2023 and the weigh�ng of the award showing in 2022 i.e., last year we received £359,000 and this year we received the balancing payment of £229,000.
We have been awarded a grant of £29,410 specifically for internal charity development, which will be used to fund the new Grants Programme to improve equity of opportunity, accessibility, ensuring that all areas of the Trust are aware of the Charity grants and assis�ng individuals in applying for them. We want to ensure that all UHP employees have the resources they need to turn their ideas into applica�ons, as well as the knowledge they need to
Working with NHS Charities Together
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£198,000 in Year 1 (2021/22).
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£29,410 Grant for Charity Development (infrastructure) awarded December 2022.
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Looking back over the year
We have been able to do so much this year because of you, the public, former patients, relatives, carers, individuals, and businesses who wished to express their gratitude to the professionals who treated you or your loved ones.
The Charity is a public benefit entity. Expenditure is approved to ensure it complies with Charity Commission guidance on public benefit.
We have worked with some amazing fundraisers over the year, who have done all sorts of incredible things, from head shaves, to marathons, to abseiling and even ballroom dancing, helping us to raise over £345,000 in donations.
Here is a selection of a few of the initiatives you helped fund:
MRI Media System
Inpatient Lumbar Drain test
We purchased an advanced media system for patients undergoing MRI scans using a sizeable memoriam dona�on of £35,000 allowing pa�ents to watch everything from films to relaxing medita�on videos during this frequently protracted opera�on. The individualised viewing that this equipment provides has significantly improved the pa�ent experience by lowering mo�on artefact, claustrophobic fears, and the requirement for seda�on. Addi�onally, it has helped to enhance the working environment for employees by fostering a calmer, more laid-back atmosphere and enabling radiologists to provide even higher standards of care.
Accuvein finder
To help patients with System Lupus
Erythematosus , we helped fund the Rheumatology Department to obtain new vein finders to assist in difficult procedures.
experience, reducing mul�ple and poten�ally uncomfortable atempts to re-cannulate during procedures and helping to lessen delays for cri�cal infusions.
Addi�onally, we contributed money towards the Neurosurgery Unit's acquisition of a
LiquoGuard Inpa�ent Lumbar Drain Test. Through its dual pressure sensors, redundant micro controllers, and advanced alarm concept, this device greatly lowers the dangers of intercranial haemorrhage and improves pa�ent mobility. It also provides automa�c regula�on of cerebrospinal fluid drainage volume.
Warm Cot
The Children's High Dependency Unit at University Hospitals Plymouth NHS Trust will
get a Panda Warmer Hot Cot thanks to a £2,000 dona�on from the Lions Club of Plymouth CIO. The Lions conducted collec�ons at numerous supermarkets in Plymouth. We are really grateful and a huge thank you to the Lions for their generosity.
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Thera Trainer
Following the successful acquisi�on of a Thera Trainer bike to aid stroke pa�ents on the Wembury Ward, we con�nued to support this project by contribu�ng to the purchase of an addi�onal bike for the stroke rehabilita�on clinic.
The Thera-trainer bike enables pa�ents to exercise their arms or legs while seated and growing strength against resistance. If a pa�ent has weakness in a par�cular muscle, it can also help the pa�ent move by helping them. It has a variety of uses that may be tailored to the demands of the pa�ent and is a good s�mulant for pa�ents, enabling them to exercise without the direct supervision of a therapist. It has fi�ngs that allow it to adjust to the pa�ent's needs, and it has wheels and brakes to make it transportable. We're pleased to have contributed to the provision of addi�onal equipment for the rehabilita�on clinic. The Thera-trainer has been and con�nues to be a major success in assis�ng to decrease the amount of decondi�oning/immobility among stroke pa�ents at the hospital.
Staff and Volunteer welfare
We have also continued to support the staff and volunteers at Derriford , and their welfare remains a key priority for us. Following on from last year’s provision of fleeces and winter clothing for volunteers raising funds outside in difficult winter condi�ons, we con�nued to invest in this scheme – spending a further £1,300 on cold weather clothes for our dedicated volunteers. To say a further thank you to our amazing volunteers, we hosted several events across the year.
Improving Spaces
We also invested funds in helping to improve spaces for staff across the hospital, helping to purchase several picnic tables as well as kitchen equipment for staff, so they can enjoy beter rest spaces in between busy shi�s.
Collaboration with linked charities
Making rela�onships with other independent chari�es that assist pa�ents and the efforts of UHP has long been a goal for our organisa�on.
We have begun working on some important collabora�ons this year that we intend to strengthen as part of our new strategic plan for the following three years.
We began working with several wonderful
charities this year and intend to strengthen our links as part of our new three-year strategic plan, which we hope to extend out to other linked organisa�ons in the area. Collabora�on can result in greater benefits for people in and out of hospitals as communica�on and knowledge for everybody improves.
We are in awe of our courageous fundraisers who abseiled down the wall of the 114-foot Innova�on building at City College Plymouth in June as one of the benefits of partnership work. As the College's Chari�es of the Year, Plymouth Hospitals Charity and Friends and Families Charity were selected.
We remain indebted to the volunteers of the Derriford Hospital League of Friends and Royal Eye Infirmary League of Friends, who raise thousands of pounds of funds each year through a wide range of fundraising ac�vi�es. Many affiliated chari�es support other clinical areas and we are so thankful to The Primrose Founda�on, The Chestnut Appeal and The Phoebe Hoskin Trust, Hearts Together and District Leukaemia Fund, to name but a few, for their consistent and dedicated support to improve equipment and environments for pa�ents across the Trust.
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The ICU Garden S ace p
The much loved 'Secret Garden' based in the Intensive Care Unit (ICU) at Derriford Hospital has undergone a huge transforma�on.
The Secret Garden is a private space that pa�ents and their loved ones can use at every stage of their cri�cal illness. The Intensive Care Garden ward opened in 2023 and is used as a space for staff, pa�ents, their families, and their pets.
Plymouth Hospitals Charity, University Hospitals Plymouth NHS Trust, and NHS Chari�es Together have funded the transforma�on of the garden into one the UK's bespoke outdoor rehabilita�on spaces. Generous dona�ons from the local community allowed Plymouth Hospitals Charity to fund £250,000 towards this incredible space and dona�ons to NHS Chari�es Together through the pandemic resulted in a grant award of £50,000 to PHC to use for this purpose also. The new rehabilita�on garden room has piped oxygen, power, skylights, glass walls, and the feeling of bringing the outside in. Wide, smooth paths, benches, screens, and raised flower beds provide a sensory space, while the skylights and glass walls allow very unwell pa�ents
to be exposed to nature. They can feel the sun on their face and reconnect with the world outside, aiding their recovery and giving back their sense of self.
Kate Tantam, a specialist sister in ICU, inspired by her pa�ents was passionate about the impact this space could have. Kate told us that taking people outside may seem like a small interven�on, but it has a significant impact on their mood and quality of life. When confined to a hospital, nothing beats the feeling of fresh air outdoors. By taking people outside, you restore their sense of self. The objec�ve is to improve rehabilita�on for every pa�ent by providing a space with access to fresh air. Rehabilita�on is important, and everyone has the right to it.
This garden also allows us to provide care outside for pa�ents at all stages of life, including end-of-life care, and it is currently used not only for pa�ent rehabilita�on, but also for birthdays, weddings, and staff well-being.
Up to 3,000 pa�ents and 6,000 family members pass through the doors of the Intensive Care Unit each year. The project build was begun in 2022 and was completed in March 2023.
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From this…
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Through this
To this – the Secret Garden
Thanks to our
donors, volunteers,
and supporters…
and
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FINANCE REVIEW
pandemic. The immediate impact of the pandemic is no longer reflected in the prior period compara�ves and the accounts reflect the post-pandemic reality.
Goin Concern g
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The Corporate Trustee has assessed the appropriateness of applying the Going Concern principle in the prepara�on of the Charity’s accounts and is sa�sfied, that there are no material uncertain�es, no�ng that the Charity is primarily a grant awarding body.
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Total net assets at year-end were £3,948k.
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Year-end cash balances totalled £230k, with current liabili�es of £165k.
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Ongoing commitments related to running costs of the Charity are being managed against income raised on an annual basis.
Risk Framework
Ul�mately, the Corporate Trustee is responsible for risk management. It is accountable for ensuring that adequate internal control and risk management systems are in place. The Corporate Trustee has requested that the Charity provide a more robust assurance framework, which includes internal and
hazards to its charitable objec�ves to the Charity Strategic Commitee.
Our main risks and mi�ga�on strategies are as follows:
Financial performance
an uncertain external economic environment, there is a possibility that we will not meet our objec�ves, which could have a nega�ve impact on our ability to operate.
Our approach to mitigating this risk is outlined in our investment approach, which focuses on raising awareness of the Charity to generate new income streams while we continue to invest in its systems and personnel throughout 2023 and into 2024, whilst looking into potential collaborations and new funding sources.
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Reputational dangers
nega�ve media coverage in other areas of the NHS or charitable sectors. Reputa�onal risks may also arise from our own fundraising and grant-giving endeavours.
financial guidelines, and all proposals are subject to review and scru�ny to ensure that they align with our charitable mission. Addi�onally, we are registered with the Fundraising Regulator and abide by its code of conduct.
Reserves
The Charity's Reserves Policy takes account of both expendable endowment, which is available to be spent at the discre�on of the Corporate Trustee, and unrestricted income funds including designated funds. By taking a broad defini�on, the requirement for wholly restricted reserve balances is minimised. By this measure the total reserves of the Charity decreased by £740,000 to £2,760,000. The value of restricted and endowment funds amount to £1,188,000. Having carefully considered the best interests of the Charity and its beneficiaries, the Corporate Trustee believes it appropriate to aim to hold £1,250,000 in reserves. £368,000 is required for a year’s running costs, £590,000 for expenditure in the form of grants made but not yet taken up, and £292,000 is the amount the Corporate Trustee considers appropriate to be held for poten�al future but yet unknown opportuni�es.
The Corporate Trustee intends to reduce the total funds invested by increasing the rate of charitable expenditure. However, it will be undertaken prudently to ensure that the Charity maintains a level of reserves in accordance with its Reserves Policy, which was updated during the course of the year. Maintaining a level of reserves will help to mi�gate significant fluctua�ons in the level of dona�ons and legacies thereby underpinning the ongoing programmes of support to the Trust. Income and expenditure are being monitored in total and are reviewed on a quarterly basis to detect trends as part of the risk management process to avoid unforeseen calls on reserves.
Investments
The Charity's investments are managed by Sarasin & Partners LLP, on a discretionary basis. The investment objective of the Charity is to protect the real value of the portfolio over time whilst generating a reasonable level of income. The investments are split between the Alpha Common Investment Fund for Income and Reserves and the Long-Term Fund (Endowment), generating a total return that at minimum preserves the real value of the funds, after deducting investment management fees and transaction costs. The investment objective of the Long-Term Fund is to achieve long-term capital and income growth (long term is classified as 5 plus years), to provide sufficient income to support today’s beneficiaries whilst seeking real growth in capital to meet the future needs of the Charity.
produc�on or sale of tobacco products.
18
Investment Performance
compared to losses of £39,000 the year before.
The unrealised losses presented an unexpected challenge to communicate to Fund Advisors. However, this makes litle difference to the day to day running of the charity, un�l the point that we have to sale the investments and realise the gain or loss.
The Corporate Trustee met with Sarasin & Partners LLP to evaluate the Charity's Investment policy in terms of managing risk. They advised that 2023 will likely con�nue to be uncertain. The Charity will closely monitor the situa�on.
The Charity drawdown £200,000 this year to fund the ICU Secret Garden and other large projects which were completed in 2022/23.
The value of investments on 31 March 2023 was £3,766,000 and of 30th June 2023 saw a reduction of £51,000 from £3,766,000 to £3,715,000.
GOVERNANCE & MANAGEMENT
Plymouth Hospitals General Charity (PHC) is registered as a charity in England with the charity number 1048679. We are cons�tuted as a Corporate Trustee. This model is commonly used by many of the 230 NHS chari�es, and we must operate within the legal and regulatory framework laid down in the Chari�es Act and in direc�ons issued by the Secretary of State, as well as complying with Charity Commission regula�ons and guidance.
The University Hospitals Plymouth NHS Trust Board acts as Corporate Trustee for the administra�on of the charity funds, although individual members are not themselves Trustees of the charity. The Director of Finance, by virtue of holding that office, is the Treasurer of the Trust’s Charitable Funds.
By working in partnership with the Trust, the Charity uses its funds to best effect. The Corporate Trustee fulfils its legal duty by ensuring that funds are spent in accordance with the objects of each fund. By designating funds, the Corporate Trustee respects the wishes of our generous donors to benefit patient care and advance the good health and welfare of patients, carers and staff.
The Charity's unrestricted fund was established using the model declaration of trust and all funds held on trust as at the date of registration were either part of this fund or registered as separate restricted funds under the main charity. Subsequent donations and gifts received by the Charity that are attributable to the original funds are added to those fund balances within the existing charity. Where funds that have specific restrictions set by the donor have been received, new restricted funds have been established.
The main charity, Plymouth Hospitals General Charity, was entered on the Central Register of Chari�es on 15[th] August 1995. This is the umbrella charity under which 3 Special Purposes funds are registered.
19
There were 198 earmarked funds as of 31st March 2023. The notes to the accounts dis�nguish the types of fund held and disclose separately all material funds.
Charity Objects
The purpose of the Charity as set out in our governing documents is for the advancement of health or saving of lives and it does this by awarding grants for charitable purpose or purposes rela�ng to the Na�onal Health Service, wholly or mainly for the services provided by University Hospitals Plymouth NHS Trust and Livewell Southwest CIC.
Statement of Public Benefit
We contribute to the public good by enhancing the care and experience of University Hospital Plymouth NHS Trust's pa�ents, families, and staff. In reviewing our aims and objec�ves and planning future ac�vi�es, our Corporate Trustee has considered the Charity Commission's general guidance on public benefit and will always ensure that our ac�vi�es adhere to our charitable mission and objec�ves by making grants to University Hospitals Plymouth NHS Trust and the other organisa�ons it collaborates with to serve the popula�on of Plymouth and its surrounding areas. Grants will fund facili�es, equipment, staff well-being and development, and small-scale research projects, as well as support complementary healthcare services for NHS pa�ents in the region.
The Cor orate Trustee p
The University Hospitals Plymouth NHS Trust Board acts as Corporate Trustee for the administra�on of the charity funds, although individual members are not themselves Trustees of the charity.
The Corporate Trustee currently meets separately from the Trust’s Board of Director mee�ngs and discuss maters concerning the Charity. They report, as one, to the Charity Commission and to the Department of Health. Their duty, when ac�ng as the Corporate Trustee, is to act solely in the interests of the charity.
Day-to-day control of opera�ons is delegated by the Trustee to a Senior Management Team who make up the Charity’s Strategic Commitee along with the Head of Charity. Collec�vely they are responsible for the management of the Charity and ensuring that the trustees’ strategies and policies are followed. The Corporate Trustee oversees the performance of the Charity through reports and briefings presented by them at Board and Commitee mee�ngs, as well as other interac�ons as required. The Charity makes all appointments in line with the Trust’s equality, diversity and inclusivity framework.
Charity Strategic Committee (CSC)
The Charity Strategic Commitee is a devolved Commitee from the Corporate Trustee and it assigns all Commitee members to develop our strategy and objec�ves, oversee the implementa�on of an infrastructure appropriate to its efficient and effec�ve running, oversee the expenditure and investment plans, and monitor the performance of our ac�vi�es ensuring we adhere to the principles of good governance and comply with all relevant legal requirements.
20
The CSC has a nominated Non-Execu�ve Director to chair the commitee and a membership of senior staff with skills and experience that will allow the commitee to effec�vely discharge its responsibili�es. The CSC meets six �mes a year and has its own terms of Reference.
The Charity Strategic Committee is required to:
-
Control, manage and monitor the use of the fund's resources;
-
Ensure that best practice is followed in the conduct of its affairs fulfilling all of its legal responsibilities;
-
Ensure that the investment policy approved by the Corporate Trustee is adhered to and that performance is continually reviewed while being aware of ethical considerations;
-
Keep the Corporate Trustee fully informed on the activity, performance and risks of the Charity.
Authority to spend is delegated to individual fund advisors and the Charity Operational Group. Expenditure is reviewed on a regular basis by the Charity Strategic Committee to ensure compliance.
The Terms of Reference for the Charity Strategic Committee are reviewed every two years.
Charity Finance Sub-Committee (CFSC)
The CFSC oversees that the charity works within an agreed budget, prepares realis�c es�mates of income and expenditure, determines a Reserves Policy for approval and has oversight of Investment Policy approved by the Corporate Trustee.
CFSC meets four �mes a year and has its own terms of Reference.
Charity Operational Group (COG)
COG acts as a Grant Awarding Panel for all unrestricted funds. The group approves applica�ons from the Priority Fund. Membership is open to any UHP staff member upon applica�on to PHC. The group is chair by an independent voluntary charity advisor and meets six �mes a year.
Specialist Grant Awarding Panels (GAPs)
amalgamate funds, for example to focus fundraising ac�vi�es, to create a sufficiently large balance to make a strategic purchase and to review grant applica�ons. The Charity supports all elements of each of the GAP roles. GAPs report into the Finance Sub-commitee and provide specialist knowledge and experience when approving funding.
Fund Advisors
Fund Advisors are stewards of the designated funds and act as a custodian for the fund they steward. The Corporate Trustee is legally accountable for the funds and have approved these procedures, retaining overall responsibility for fund management.
21
Fund Advisors act as a point of reference for their area of work, if anyone has ques�ons concerning dona�ng, raising or spending charitable funds.
-
Ensures monies raised credit the fund.
-
Ensure team are aware of the dona�on/cash handling procedures.
-
Promote engagement from their teams, with regards to fundraising and expenditure.
-
Comple�ng an Annual Return Form (Wish List/Spending Plan)
-
Commit to spending the monies held in the fund.
Membership
The Charity is also a member of NHS Chari�es Together (formerly the Associa�on of NHS Chari�es), a na�onal umbrella organisa�on that provides a forum for NHS Chari�es to discuss maters of mutual interest.
Our Supporters
donors, staff, volunteers and fundraisers. They contribute in a variety of ways, ranging from financial support and introduc�ons to volunteering their �me, offering advice, and impar�ng knowledge. The Charity is extremely grateful to all our donors for not only assis�ng us in achieving our charitable goals, but also for posi�vely impac�ng the lives of individuals.
Remuneration
Remunera�on and other terms and condi�ons are determined by pay band within the NHS’s Agenda for Change na�onal pay framework, which also includes an objec�ve job evalua�on system to ensure that posts are placed into appropriate pay bands. The employment costs of the staff are reimbursed to UHP out of the Charity’s funds.
Grants Programme
The Charity awards grants from both its unrestricted and restricted funds. The grants from restricted funds must be used in accordance with the condi�ons atached to the dona�on.
Priority funds (unrestricted)
opera�ons without being subject to commitments, planned expenditures, or other restric�ons. Therefore, unrestricted funds do not include endowment funds, restricted funds, or designated funds that are earmarked or designated for future essen�al expenditures.
22
Designated funds (unrestricted but allocated to specific areas)
Designated funds enable the Corporate Trustee to ensure that the funds are used in accordance with the donor's wishes and are administered by Fund Advisors in accordance with the Charity's and UHP policies and procedures.
Restricted funds
restric�ons on their use.
In Development
In 2023/24, the Charity will be developing a new Grants Programme framework with the inten�on of improving its grant making processes, increasing equity and opportunity, and ensuring that the impact of all the grants awarded can be measured.
Corporate Trustee Arrangements
University Hospitals Trust is the sole Corporate Trustee of the Charity. The Corporate Trustee’s responsibili�es are therefore carried out by UHP’s Board of Directors. The Board is appointed in accordance with the Trust’s cons�tu�on. Details of UHP Board membership can be found in its annual report and accounts and on its website.
As PHC has a Corporate Trustee it is, in accoun�ng terms, controlled by UHP and is therefore its subsidiary. Financially, the Charity is not material to UHP, so it is not consolidated into the Trust’s accounts.
UHP’s Board meet once a year as Corporate Trustee to:
-
review and approve PHC strategic plan
-
re-appoint or appoint members of the Charity Strategic Commitee
-
approve the Trustee’s annual report and accounts for the year.
The Corporate Trustee meets a further two �mes to receive update reports from the Charity Strategic Commitee to whom they delegate responsibility for the day-to day management of PHC in accordance with the scheme of delega�on.
University Hospitals Plymouth NHS Trust is the Corporate Trustee of the charitable funds. It is governed by the law applicable to trusts, principally the Trustee Act 2000 and also the law applicable to charities governed by the Charities Act 2022. The Board devolved responsibility for the on-going management of funds to the Charity Strategic Committee.
Non-Executive members of the Trust Board are appointed by the National Health Service England (NHSE) and executive members are subject to recruitment by the Trust Board.
23
All members are subject to the induction and training processes of the Trust. The NHS Trust, as Corporate Trustee, appoints a Charity Strategic Committee to manage the charitable funds under delegated authority.
The members of the NHS Trust Board who served during the financial year and up to the date of approval of the financial statements were as follows:
Cor orate Trustee p
| orporate Trustee | ||
|---|---|---|
| Name and Role | Changes since 01/04/2022 | Charity Strategic Committee Membership |
| Richard Crompton – Chair (Outgoing) | Left the Trust 31 July 2022 | |
| James Brent – Chair (Incoming) | Joined the Trust 1 August 2022 | |
| Valerie Lee Associate – Associate Non- Executive Director |
||
| Elizabeth Kay – Non-Executive Director | Chair | |
| Graham Raikes – Non-Executive Director | Left the Trust 24 September 2022 |
|
| Jacky Hayden – Non-Executive Director | ||
| Helen Teague – Non-Executive Director | ||
| Alastair Camp – Non-Executive Director | ||
| Laura Bowater – Non-Executive Director | Joined the Trust in October 2022 | |
| Nick Ball – Non- Executive Director | Joined the Trust in January 2023 | |
| Dame Angela Pedder – Associate Non- Executive Director |
Joined the Trust in January 2023 | |
| Bill Boa – Associate Non-Executive Director | Left the Trust on 22 April 2022 | |
| Sally Taylor – Interim Associate Non- Executive Director |
Joined the Trust on 5 July 2022 and left the Trust on 1 January 2023 |
|
| Kevin Baber – Director of Strategy (Outgoing) |
Left the Trust 31 December 2022 |
Executive Lead |
| Stuart Windsor – Future Hospitals Director | Executive Lead | |
| Ann James – Chief Executive | ||
| Mark Hamilton – Medical Director | ||
| Sarah Brampton – Director of Finance | ||
| Steven Keith – Director of People | ||
| Jo Beer – Chief Operating Officer | ||
| Lenny Byrne – Chief Nurse outgoing |
24
Charit Strate ic Committee y g
The Charity Strategic Commitee (CSC) comprises one execu�ve member of the board and one nonexecu�ve member. Other members of CSC staff include members of senior leadership teams at UHP.
| Name and Role | Changes since 01/04/2022 | Charity Strategic Committee Membership |
|---|---|---|
| Brian Jones – Associate Director of Finance | CSC attendee | |
| Sally Wilson – Chief Financial Accountant | CSC attendee | |
| Peter Wright – Director of Healthcare, Science and Technology |
CSC attendee | |
| Pippa Jephcott – Interim Head of Learning & Organisational Development |
CSC attendee | |
| Amanda Nash – Head of UHP Communications |
CSC attendee | |
| Andrew Davies – Head of Estate Development & Site Management |
CSC attendee | |
| Sue Hobbs – Independent external advisor | CSC attendee | |
| Nick Hunt – Corporate Governance Manager |
CSC attendee | |
| Rebecca Ferguson – Chief Financial Account | Joined the Trust 1 February 2023 |
CSC attendee |
| Lisa Vogwill | Joined the CSC in June 2022 | Member |
Charit Finance Sub- Committee y
| Name and Role | Changes since 01/04/2022 | |
|---|---|---|
| Brian Jones – Associate Director of Finance | ||
| Sally Wilson Chief – Financial Accountant | ||
| Rebecca Ferguson – Chief Financial Account | ||
| Katherine Lyth – Capital Building Projects Manager |
||
| Amanda Palin – Charity Finance Department Manager |
||
| Corinne Bailey – Charity Development Manager |
||
| Patient Representative: Vacancy |
25
The Charit Team y
| Name | Role |
|---|---|
| Corinne Bailey | Charity Development Manager |
| Amanda Palin | Charity Finance Manager |
| Lily Yu | Finance and Procurement Assistant |
| Tracey Baker | Digital and Marketing Officer |
| Jamie Lee | Engagement Coordinator |
| Anna Connolly | Charity Administrator |
| Tracey Stacey | Keep Me Close Fundraiser |
Charit Address y
https://www.plymouthhospitals.nhs.uk/charity-home
Plymouth Hospitals Charity Level 5, Opp Pharmacy, Derriford Hospital, Plymouth PL6 8DH
(t) 01752 430332 (m) 07494 315141 phcharityteam@nhs.net Registered charity number: 1048679
Our legal advisors
Bevan Brittan, 35 Colston Avenue, Bristol, BS1 4TT
Our Bankers
Barclays Bank, Plymouth Group of Branches, Plymouth, PL1 2EU
Our Auditors
Bishop Fleming, Salt Quay House, 4 North East Quay, Plymouth, PL4 0BN
Our Investment Fund Manager
Sarasin & Partners LLP, Juxon House, 100 St Paul’s Churchyard, London, EC4M 8BU
26
Statement of trustee responsibilities in respect of the trustee annual report and the financial statements. For the ear ended 31 March 2023 y
Under charity law, the trustee is responsible for preparing the trustee’s annual report and accounts for each financial year which show a true and fair view of the state of affairs of the charity and of the excess of expenditure over income for that period.
trustee:
-
selects suitable accoun�ng policies and then apply them consistently
-
makes judgments and es�mates that are reasonable and prudent
-
states whether the recommenda�ons of the SORP FRS 102 have been followed, subject to any material departures disclosed and explained in the financial statements
-
departures disclosed and explained in the financial statements
-
presume that the charity will con�nue its ac�vi�es.
The trustee is required to act in accordance with the trust deed and the rules of the charity, within the framework of trust law. The trustee is responsible for keeping proper accoun�ng records, sufficient to disclose at any �me, with reasonable accuracy, the financial posi�on of the charity at that �me, and to enable the trustee to ensure that, where any statements of accounts are prepared by the trustee under sec�on 132(1) of the Chari�es Act 2011, those statements of accounts comply with the requirements of regula�ons under that provision. The trustee has general responsibility for taking such steps as are reasonably open to the trustee to safeguard the assets of the charity and to prevent and detect fraud and other irregulari�es.
Signed on behalf of the trustee:
Name: James Brent
Date: 10/11/2023
Signed on behalf of the trustee:
Name: Sarah Brampton
Date: 10/11/2023
27
Independent Auditor’s Report to the Trustees of Plymouth Hospitals General Charity and Other Related Charities
Opinion
Other Related Chari�es (the ‘charity’) for the year ended 31 March 2023 which comprise the Statement of Financial Ac�vi�es, the Balance Sheet, the Statement of Cash Flows, the Analysis of Changes in Net Debt and notes to the financial statements, including significant accoun�ng policies. The financial repor�ng framework that has been applied in their prepara�on is applicable law and United Kingdom Accoun�ng Standards, including Financial Repor�ng Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accoun�ng Prac�ce).
-
and of its incoming resources and applica�on of resources, including its income and expenditure, for the year then ended;
-
have been properly prepared in accordance with United Kingdom Generally Accepted Accoun�ng Prac�ce; and
-
have been prepared in accordance with the requirements of the Chari�es Act 2011.
Basis for opinion
We conducted our audit in accordance with Interna�onal Standards on Audi�ng (UK) (ISAs (UK)) and applicable law. Our responsibili�es under those standards are further described in the auditor responsibili�es for the audit of the financial statements sec�on of our report. We are independent of the charity in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibili�es in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.
28
Conclusions rela�ng to going concern
the going concern basis of accoun�ng in the prepara�on of the financial statements is appropriate.
rela�ng to events or condi�ons that, individually or collec�vely, may cast significant doubt on the charity's ability to con�nue as a going concern for a period of at least
Our responsibili�es and the responsibili�es of the trustees with respect to going concern are described in the relevant sec�ons of this report.
Other informa�on
The other informa�on comprises the informa�on included in the Annual Report, other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other informa�on contained within the Annual Report. Our opinion on the financial statements does not cover the other informa�on and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.
Our responsibility is to read the other informa�on and, in doing so, consider whether the other informa�on is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit or otherwise appears to be materially misstated. If we iden�fy such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other informa�on, we are required to report that fact.
We have nothing to report in this regard.
Maters on which we are required to report by excep�on
We have nothing to report in respect of the following maters in rela�on to which the Chari�es (Accounts and Reports) Regula�ons 2008 require us to report to you if, in our opinion:
-
respect with the trustees’ report; or
-
the charity has not kept adequate accoun�ng records; or
-
returns; or
-
we have not received all the informa�on and explana�ons we require for our audit.
29
Responsibili�es of trustees
As explained more fully in the Statement of trustee responsibili�es, the trustees are responsible for the prepara�on of the financial statements and for being sa�sfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the prepara�on of financial statements that are free from material misstatement, whether due to fraud or error.
charity’s ability to con�nue as a going concern, disclosing, as applicable, maters related to going concern and using the going concern basis of accoun�ng unless the trustees either intend to liquidate the charity or to cease opera�ons, or have no realis�c alterna�ve but to do so.
Auditor responsibili�es for the audit of the fnancial statements
We have been appointed as auditor under sec�on 144 of the Chari�es Act 2011 and report in accordance with regula�ons made under sec�on 154 of that Act.
statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of
Irregulari�es, including fraud, are instances of non-compliance with laws and regula�ons. We design procedures in line with our responsibili�es, outlined above, to detect material misstatements in respect of irregulari�es, including fraud.
The procedures undertaken in order to iden�fy and assess risks of material misstatement in respect of irregulari�es, including fraud and non-compliance with laws and regula�ons, are as follows:
-
we have considered the nature of the industry and sector, control environment and business performance;
-
we have considered the results of our enquiries of management and those charged with governance about their own iden�fica�on and assessment of the risk of irregulari�es;
-
documenta�on of their policies and procedures rela�ng to:
-
iden�fying, evalua�ng and complying with laws and regula�ons and whether they were aware of any instances of non-compliance;
-
detec�ng and responding to the risk of fraud and whether they have knowledge
30
of actual, suspected or alleged fraud; and
- the internal controls established to mi�gate the risks of fraud or non-compliance with laws and regula�ons.
we have considered the maters discussed among the audit engagement team regarding how and where fraud might occur in the financial statements and poten�al indicators of fraud.
As a result of these procedures, we have considered the opportuni�es and incen�ves that may exist within the organisa�on for fraud and iden�fied the highest area of risk to be in rela�on to income recogni�on, with a par�cular risk in rela�on to year-end cut off. In common with all audits under ISAs (UK) we are also required to perform specific procedures to respond to the risk of management override.
We also obtained an understanding of the legal and regulatory frameworks that the charity operates in, focusing on provisions of those laws and regula�ons that had a direct effect on the determina�on of material amounts and disclosures in the financial statements. The key laws and regula�ons we considered in this context included the Chari�es SORP (FRS 102) – Accoun�ng and Repor�ng by Chari�es and the Financial Repor�ng Standard applicable in the UK and Republic of Ireland (FRS 102). In addi�on, we have considered provisions of other laws and regula�ons that do not have a direct effect on the financial statements, but compliance with which may be fundamental to the charity’s ability to operate or to avoid a material penalty. These include data protec�on regula�ons, health and safety regula�ons, licensing acts and employment legisla�on.
as a key audit mater related to the poten�al risk of fraud. Our procedures to respond to the risks iden�fied included the following:
-
documen�ng and valida�ng the control environment for income and debtors and carrying out walkthrough tes�ng;
-
undertaking substan�ve sample-based tes�ng or proof in total calcula�ons on all material revenue streams to ensure revenue has been recognised appropriately and accurately;
-
considering manual income journals as part of our work on fraud risks documented above;
-
documenta�on;
-
enquiring of management concerning actual and poten�al li�ga�on claims;
-
performing analy�cal procedures to iden�fy any unusual or unexpected rela�onships that that may indicate risks of material misstatement;
-
reading minutes of mee�ngs of those charged with governance; and
31
- in addressing the risk of fraud through management override of controls, tes�ng the appropriateness of journal entries and other adjustments; assessing whether the judgements made in making accoun�ng es�mates are indica�ve of a poten�al bias and evalua�ng the business ra�onale of any significant transac�ons that are unusual or outside the normal course of business.
We also communicated relevant laws and regula�ons and poten�al fraud risks to all engagement team members and remained alert to any indicators of fraud or noncompliance with laws and regula�ons throughout the audit.
Because of the inherent limita�ons of an audit, there is a risk that we will not detect all irregulari�es, including those leading to a material misstatement in the financial statements or non-compliance with regula�on. This risk increases the more that compliance with a law or regula�on is removed from the events and transac�ons reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregulari�es occurring due to fraud rather than error, as fraud involves inten�onal concealment, forgery, collusion, omission or misrepresenta�on.
A further descrip�on of our responsibili�es is available on the FRC's website at: htps://www.frc.org.uk/auditors/audit-assurance/auditor-s-responsibili�es-for-the-auditof-the-f/descrip�on-of-the-auditor%E2%80%99s-responsibili�es-for .
This descrip�on forms part of our auditor’s report.
Use of our report
This report is made solely to the charity’s trustees, as a body, in accordance with Part 4 of the Chari�es (Accounts and Reports) Regula�ons 2008. Our audit work has been undertaken so that we might state to the charity’s trustees those maters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permited by law, we do not accept or assume responsibility to anyone other than the charity and the charity’s trustees as a body, for our audit work, for this report, or for the opinions we have formed.
Craig Sullivan (Senior Statutory Auditor) for and on behalf of Bishop Fleming LLP Salt Quay House, 4 North East Quay, Suton Harbour, Plymouth, Devon, PL4 0BN
Date: 4[th] December 2023
32
Financial Report
Statement of Financial Ac�vi�es
(Incorpora�ng Income and Expenditure Account for the year ended 31 March 2023)
| Notes Income and endowments from: Dona�ons and legacies 2 Charitable ac�vi�es 3 Investment income 6 Other grants receivable Grants receivable other NHS Chari�es Total incoming resources Expenditure on: Raising funds 4 Charitable ac�vi�es -Pa�ent welfare & ameni�es -Staf educa�on & ameni�es -Research -Equipment -General support to the NHS -Grants to other bodies suppor�ng the NHS Sub-total charitable ac�vi�es Other Expenditure Total expenditure Net gains / (losses) on investments Net income Transfer between funds Net movement in funds Reconcilia�on of Funds: Total funds brought forward Total funds carried forward 10 |
` Unrestricted Funds £'000 326 43 130 48 - 547 (239) (337) (212) (47) (88) (46) (2) (732) (16) (987) (300) (740) - (740) 3,500 2,760 |
Restricted Funds £'000 112 17 - 29 229 387 (21) (74) (26) (1) (3) (107) (202) (413) (13) (447) (74) (134) - (134) 1,084 950 |
Endowment Funds £'000 - - - - - - - - - - - - - - - (15) (15) - (15) 253 238 |
Total Funds 2022/23 £'000 438 60 130 77 229 934 (260) (411) (238) (48) (91) (153) (204) (1145) (29) (1434) (389) (889) - (889) 4,837 3,948 |
Total Funds 2021/22 £'000 596 64 128 - 359 |
|---|---|---|---|---|---|
| 1,147 (196) (108) (130) (9) (112) (131) (306) |
|||||
| (796) (45) |
|||||
| (1,037) | |||||
| (39) 71 - |
|||||
| 71 | |||||
| 4,766 | |||||
| 4,837 |
All incoming resources and resources expended are derived from con�nuing ac�vi�es.
The notes on page 36 to 56 form part of these accounts.
33
| Notes Fixed Assets Investments 6 Total Fixed Assets Current Assets Debtors 7 Cash and cash equivalents 9 Total Current Assets Liabili�es Creditors falling due within one year 8 Net Current (Liabili�es) Assets Total Net Assets Funds of the Charity Endowment Funds Restricted Income Funds Unrestricted Income Funds Total Funds 10 |
` Unrestricted Funds £'000 3,159 3,159 116 (379) (263) (136) (399) 2,760 - - 2,760 2,760 |
Restricted Funds £'000 369 369 1 609 610 (29) 581 950 - 950 - 950 |
Endowment Funds £'000 238 238 - - - - - 238 238 - - 238 |
Total Funds 31 March 2023 £'000 3,766 3,766 117 230 347 (165) 182 3,948 238 950 2,760 3,948 |
Total Funds 31 March 2022 £'000 4,350 |
|---|---|---|---|---|---|
| 55 580 |
|||||
| 635 (148) |
|||||
| 487 | |||||
| 4,837 | |||||
| 253 1,084 3,500 |
|||||
| 4,837 |
The notes on pages 36 to 56 form part of these accounts
Signed
Sarah Brampton, Director of Finance
Dated: 10[th] November 2023
34
| Statement of cash fows | ||
|---|---|---|
| Cash fows from opera�ng ac�vi�es: Net cash provided by (used in) opera�ng ac�vi�es (Note 13) Cash fows from inves�ng ac�vi�es: Dividends and interest Purchase of investments Proceeds from the sale of investments Net cash used in inves�ng ac�vi�es Change in cash and cash equivalents in the repor�ng period Cash and cash equivalents at the beginning of the repor�ng period Cash and cash equivalents at the end of the repor�ng period |
2023 £000 (675) 130 (5) 200 326 (350) 580 230 |
2022 £000 (3) |
| 128 - - |
||
| 125 | ||
| 125 455 |
||
| 580 |
| ` Analysis of changes in net debt Cash TOTAL |
At start of year £’000 580 580 |
Cash flows £’000 (350) (350) |
At end of year £000 230 |
|---|---|---|---|
| 230 |
35
Notes to the Financial Statements
Accounting Policies
(a) Basis of prepara�on
of investments, which are included at market value. The financial statements have been prepared in accordance with the Statement of Recommended Prac�ce by Chari�es 2019 applicable to chari�es preparing their accounts in accordance with the Financial Repor�ng Standard applicable in the UK (FRS 102) and the Chari�es Act 2022 and UK Generally Accepted Prac�ce as it applies from 1 January 2019.
These accounts have been prepared on the basis that the charity is a going concern.
The Corporate Trustee has reviewed the going concern assessment and at this �me has no doubts that the charity holds sufficient funds to meet all its obliga�ons for the foreseeable future.
The trustee considers that there are no material uncertain�es about the Charity’s ability to con�nue as a going concern and that there are no material uncertain�es affec�ng the current year’s financial statements.
projec�ons and has determined that, the charity has sufficient cash reserves to pay all commited costs even if no addi�onal funding is received in the next 12 months. Consequently, the Trustee is confident that the Charity will have sufficient funds to con�nue to meet its liabili�es as they become ` due for at least 12 months following the date of approval of the financial statements.
Commission guidance on public benefit.
(b) Judgements and Key Sources of Es�ma�on Uncertainty
assump�ons that affect the amounts reported for assets and liabili�es as at the balance date and the amounts reported for revenue and expenses during the year. However, the nature of es�ma�on means that actual outcomes could differ from those es�mates. There were no significant judgements or es�mates made that will have a significant effect on amounts recognised in the financial statements.
(c) Presenta�on currency
rounded to the nearest £’000.
36
(d) Funds structure
either as an endowment fund, where the donor has expressly provided that only the income of the fund may be applied, or as a restricted income fund where the donor has provided for the dona�on to be spent in furtherance of a specified charitable purpose.
Endowment funds, where the capital is held to generate income for charitable purposes, are sub analysed between those where the Corporate Trustee have the discre�on to spend the capital, (expendable endowment), and those where there is no discre�on to expend the capital, (permanent endowment).
Unrestricted income funds are sub analysed between designated funds, where the Corporate Trustee have set aside amounts to be used for specific purposes o�en reflec�ng the non-binding wishes of the donors, and unrestricted funds, which are applicable for any purpose at the Corporate Trustee's unfetered discre�on.
(e) Incoming resources
All incoming resources are included in the Statement of Financial Ac�vi�es as soon as all three of the following factors are met:
`
-
i) En�tlement - arises when a par�cular resource is receivable, or the Charity's right becomes legally enforceable;
-
ii) Probability - when it is probable that the incoming resources will be received and the Charity is legally en�tled to the income; and
-
iii) Measurement — when the monetary value of the incoming resources can be measured with sufficient reliability.
(f) Incoming resources from legacies
Legacies are accounted for as incoming resources, either upon receipt or where the receipt of the legacy is probable; this will be once confirma�on has been received from the representa�ves of the estate(s) that payment of the legacy will be made or property transferred and once all condi�ons atached to the legacy have been fulfilled and the amount of incoming resources maybe reasonably es�mated.
37
Statement of Financial Ac�vi�es, are disclosed in a separate
note to the accounts with an es�mate of the amount receivable.
(g) Incoming resources from endowment funds
The incoming resources received from the investment of endowment funds are wholly unrestricted but have been earmarked in accordance with the donor's stated wishes.
(h) Resources expended and irrecoverable VAT
aggregate all costs related to the category. All expenditure is recognised once there is a legal or construc�ve obliga�on commi�ng the Charity to the expenditure. Irrecoverable VAT is charged against the category of resources expended for which it was incurred.
(i) Recogni�on of liabili�es for grants payable
Grants payable are payments made to related par�es or third-party NHS bodies and non-NHS bodies in furtherance of the charitable objec�ves of the funds held on trust, primarily for the relief of those ` who are sick. The grants are accounted for on an accrual’s basis where the condi�ons for their payment have been met or where the recipient has a reasonable expecta�on that they will receive a grant. Provisions are made where approval has been given by the Corporate Trustee, due to the approval represen�ng a firm inten�on, which is communicated to the recipient.
.
(j) Alloca�on of overhead and support costs
Overhead and support costs have been allocated between Charitable Ac�vi�es. Costs that are not wholly atributable to an expenditure category have been appor�oned. Where costs are shared by two or more charitable ac�vi�es, support costs have been appor�oned between categories, for example financial administra�on costs, based on the number of individual transac�ons within the accoun�ng period for each category of charitable ac�vity and this is analysed in Note 4.
(k) Costs of raising funds
The costs of raising funds are those costs directly atributable to genera�ng income for the Charity.
38
(l) Charitable ac�vi�es
the charitable objects of the Charity. These costs, where not wholly atributable, are appor�oned between the categories of charitable expenditure in addi�on to the direct costs. The total costs of each category of charitable expenditure therefore include support costs and an appor�onment of overheads, as shown in Note 4.
(m) Fixed asset investments
ac�vi�es includes the net gains and losses arising on revalua�ons and disposals throughout the year.
Quoted stocks and shares are included in the balance sheet at mid-market price, excluding dividend. The Corporate Trustee does not consider that any individual holding of securi�es would have a material effect on the quoted market price.
(n) Capitalisa�on of Fixed Assets
exceeds one year and they individually have a cost of at least £5,000. `
Valua�on:
amount. On ini�al recogni�on they are measured at cost (for leased assets, fair value) including any costs such as installa�on directly atributable to bringing them into working condi�on.
Deprecia�on, amor�sa�on and impairments:
Fixed assets are depreciated at rates calculated to write them down to es�mated residual value on a straight-line basis over their es�mated useful life. Equipment is depreciated evenly over the es�mated life of the asset.
39
(o) Realised gains and losses
All gains and losses are taken to the Statement of Financial Ac�vi�es as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and opening market value (purchase date if later). Unrealised gains and losses are calculated as the difference between the carrying value at the year end and opening market value (or purchase date if later).
Notes to the Financial Statements
Accoun�ng Policies (con�nued)
(p) Financial Instruments
Sarasin & Partners Alpha Common Investment Fund.
Cash is in the form of a bank current account and instant access deposit account.
Creditors are amounts owed by the Charity. They are measured at the amount that the Charity expects to have to pay to setle the debt.
Debtors are amounts owed to the Charity. They are measured on the basis of their recoverable amount.
`
(q) Prior Period Adjustment
There were no prior period adjustments.
(r) Cash Flow Statements
40
Notes to Financial Statements
Note 1a
Unrestricted Funds - Statement of Financial Ac�vity for Year ended 31 March 2023
| Income and endowments from: Dona�ons and legacies Charitable ac�vi�es Grants receivable other NHS Chari�es Investment income Total incoming resources Expenditure on: Raising funds Charitable ac�vi�es: -Pa�ent welfare & ameni�es -Staf educa�on & welfare -Research -Equipment -General support to the NHS -Grants to other bodies suppor�ng the NHS Sub-total charitable ac�vi�es Other Expenditure Total expenditure Net gains/(losses) on investments Net Income Transfer between funds Net movement in funds Reconcilia�on of Funds: Total funds brought forward Total funds carried forward |
` 2023 £'000 326 43 48 130 547 (239) (337) (212) (47) (88) (46) (2) (732) (16) |
2022 £'000 335 64 - 128 |
|---|---|---|
| 527 | ||
| (185) (30) (108) (9) (97) (75) - |
||
| (504) (17) |
||
| (987) | (521) | |
| (300) (740) - (740) 3,500 2,760 |
(36) 30 60 |
|
| 30 | ||
| 3,470 3,500 |
41
Notes to Financial Statements
Note 1a
Unrestricted Funds
Balance Sheet as at 31 March 2023
| Investments Total Fixed Assets Current Assets Debtors Cash and cash equivalents Total Current Assets Liabili�es Creditors falling due within one year Net Current (Liabili�es) / Assets Total Assets less current liabili�es Unrestricted Funds Total Unrestricted Funds |
` 2023 £'000 3,159 3,159 116 (379) (263) (136) (136) 2,760 2,760 2,760 |
2022 £'000 3,611 |
|---|---|---|
| 3,611 54 (62) |
||
| (8) (103) |
||
| (111) | ||
| (103) | ||
| 3,500 | ||
| 3,500 |
42
Note 1b
Restricted Funds - Statement of Financial Ac�vity for Year ended 31 March 2023
| Income and endowments from: Dona�ons and legacies Charitable ac�vi�es Investment income Other grants receivable Grants Received from other NHS Chari�es Total incoming resources Expenditure on: Raising funds Charitable ac�vi�es -Pa�ent welfare & ameni�es -Staf educa�on & welfare -Research -Equipment -General support to the NHS -Grants to other bodies suppor�ng the NHS Sub-total charitable ac�vi�es Other expenditure Total expenditure Net gains/(losses) on investments Net income Transfer between funds Net movement in funds Reconcilia�on of Funds: Total funds brought forward Total funds carried forward |
` Funds 2023 £'000 112 17 - 29 229 387 (21) (74) (26) (1) (3) (107) (202) (413) (13) |
Funds 2022 £'000 261 - - - 359 |
|---|---|---|
| 620 | ||
| (11) (78) (22) - (15) (56) (306) |
||
| (477) (28) |
||
| (447) | (516) | |
| (74) (134) - (134) 1,084 950 |
(9) 35 (60) |
|
| 35 | ||
| 1,049 1,084 |
43
Notes to Financial Statements
Note 1b
Restricted Funds
Balance Sheet as at 31 March 2023
| Fixed Assets Investments Total Fixed Assets Current Assets Debtors Cash and cash equivalents Total Current Assets Liabili�es Creditors falling due within one year Net Current Assets Total Assets less current liabili�es Restricted Funds Total Restricted Funds |
` Funds 31 March 2023 £'000 369 369 1 609 610 (29) 581 950 950 950 |
Funds 31 March 2022 £'000 486 |
|---|---|---|
| 1 642 |
||
| 643 (45) |
||
| 598 | ||
| 1,084 | ||
| 1,084 | ||
| 1,084 |
44
Notes to Financial Statements Note 1c
Endowment Funds – Statement of Financial Ac�vity for the Year ended 31 March 2023
| Income and endowments from: Net gains/(losses) on investments Net income Net movement in funds Reconcilia�on of Funds: Total funds brought forward Total funds carried forward Notes to Financial Statements Note 1c Endowment Funds Balance Sheet as at 31 March 2023 Fixed Assets Investments Total Fixed Assets Total Assets less current liabili�es Endowment Funds Total Endowment Funds |
` Funds 2023 £'000 (15) (15) (15) 253 238 Funds 31 March 2023 £'000 238 238 238 238 |
Funds 2022 £'000 6 6 6 247 |
|---|---|---|
| 253 | ||
| Funds 31 March 2022 £'000 253 253 253 |
||
| 253 |
45
Notes to Financial Statements
2 Analysis of Voluntary Income
| Dona�ons Legacies Grants receivable other NHS Chari�es Other Grants Receivable (NHSCT) Total |
Unrestricted Funds £'000 263 63 - 48 374 |
Restricted Funds £'000 82 30 229 29 370 |
Endowment Funds £'000 - - - - - |
Total Funds 2023 £'000 345 93 229 77 744 |
Total Funds 2022 £'000 304 97 359 195 |
|---|---|---|---|---|---|
| 955 |
3. Charitable ac�vi�es
| Fundraising Income Course fee Income Total |
Unrestricted Funds £'000 36 7 43 |
Restricted Funds £'000 17 - 17 |
Endowment Funds £'000 - - - |
Total Funds 2023 £'000 53 7 60 |
Total Funds 2022 £'000 41 23 |
|---|---|---|---|---|---|
| 64 |
`
46
Notes to Financial Statements
5 Analysis of Charitable Expenditure
| Pa�ent welfare and ameni�es Staf educa�on and welfare Research Equipment Support to the NHS Grants to other bodies suppor�ng the NHS Other Expenditure Total |
Grant funded Ac�vity £000 410 237 48 91 130 204 - 1,120 |
Support costs £000 1 1 - - 23 - 29 54 |
Total 2023 £000 411 238 48 91 153 204 29 1,174 |
Total 2022 £000 108 115 8 112 147 306 45 |
|---|---|---|---|---|
| 841 |
| ` Pa�ent Welfare Staf Welfare Research Support to the NHS Educa�on and Training Support to the NHS Equipment Support to the NHS Other Grants to other bodies suppor�ng the NHS Other Expenditure (Audit fee, Bank charges and management & admin NHSCT) Total |
Grant Funded Ac�vity £000 410 131 48 106 91 130 204 - 1120 |
Support costs £000 1 0 0 1 0 23 - 29 54 |
Total 2023 £000 411 131 48 107 91 153 204 29 |
|---|---|---|---|
| 1,174 |
Support costs represent payment to University Hospitals Plymouth NHS Trust reimbursing the Trust for costs associated with administering and opera�ng the Charity amoun�ng to £13,546 (2022/21 £34,874) and £12,000 to provide a serviced communica�ons func�on (2021/22 £12,000). Prior to the adop�on of Chari�es SORP (FRS102) governance costs were separately analysed on the Statement of Financial Ac�vity (SOFA).
Support to the NHS Other consists of grants award to University Hospitals Plymouth NHS Trust which do not fall under any of the other categories listed in Note 4 and can range from high value grants improving facili�es associated with pa�ent care to low-cost items.
47
Other Expenditure
This includes costs related to statutory audit and relate solely to the audit with no other addi�onal work being undertaken. The cost for 2022/23 amounts to £13,200 (2021/22 £10,200).
Summary of Grants to Ins�tu�ons
The majority of grant support was given to University Hospitals Plymouth NHS Trust. The Trust was the only ins�tu�on in receipt of material grants.
6 Fixed Asset Investments
| Movement in fxed asset investments Market value brought forward Add: Addi�ons to investments at cost Less: Disposals at carrying value Add: Net gain (loss) on revalua�on Market valua�on as at 31 March |
2023 £000 4,350 4 (200) (388) 3,766 |
2022 £000 4,389 - - (39) |
|---|---|---|
| 4,350 |
| Investments listed on the Stock exchange |
Unrestricted 3,159 3,159 |
` Restricted 369 369 |
Endowment 238 238 |
Total value held in the UK 2023 £000 3,766 3,766 |
Total value held in the UK 2022 £000 4,350 |
|---|---|---|---|---|---|
| 4,350 |
Dividends are received from our investment managers net of their fees, which amounted to £127,000 (2021/22 £126,000). Sarasin management rebate fees of £1803 were also received (2021/22 £2223). Bank interest payments were £1204 (2021/22 £64)
48
| ` 7 Debtors Accrued income Total 8 Creditors falling due within one year Other creditors Accruals 9 Analysis of cash and cash equivalents Bank accounts Unrestricted Funds Total Restricted Funds |
2022/23 £000 117 117 2022/23 £000 130 35 165 2022/23 2022/23 £000 (379) 609 230 |
2021/22 £000 55 |
|---|---|---|
| 55 | ||
| 2021/22 £000 126 22 |
||
| 148 | ||
| 2021/22 2021/22 £000 (62) 642 |
||
| 580 |
Cash and cash equivalents consist only of cash held in banks.
49
| Endowment funds (see note 10a) CIP Dr Eric Angel Total Endowment funds Restricted Funds (see note 10b) Central Delivery Suite NICU Parental Accommoda�on Neurosurgery Deborah Eaton Legacy Equipment Fund COVID - NHSCT Mesothelioma Legacy Research Fund NHSCT (Stage 2) Community Partnership Grants Programme Brown Renal Research Fund Cancer Wards Val's Fund Postbridge Ward Radiotherapy Dept Bequest Equipment Fund Neurology Dept Bequest Equipment Fund Cancer Unit Oncology Equipment Other Funds 11 Total Restricted Funds |
Balance 31 March 2022 £'000 253 253 Balance 31 March 2022 £'000 168 198 150 200 77 25 53 33 31 - 27 25 23 74 1,084 |
` Incoming Resources £'000 - - Incoming Resources £'000 15 74 - 29 - 229 5 5 - 25 - - - 5 387 |
Resources Expended £'000 - - Resources Expended £'000 (1) (94) (1) (103) - (214) (18) (6) - - - - - (10) (447) |
Transfers £'000 - - Transfers £'000 - - - - - - - - - - - - - - |
Gains /losses £'000 (15) (15) Gains /losses £'000 (14) (16) (13) - (7) - (5) (3) (3) - (2) (2) (2) (7) (74) |
Balance 31 March 2023 £'000 238 |
|---|---|---|---|---|---|---|
| 238 | ||||||
| Balance 31 March 2023 £'000 168 162 136 126 70 40 35 29 28 25 25 23 21 62 |
||||||
| 950 |
50
| Unrestricted Funds (see note 10c) Derriford General Renal Research Fund Cancer Support Centre - Mustard Tree Cardiology Chemotherapy and Oncology Outpa�ents Kingsbridge Triangle Centre Staf Development Fund (formerly General Educa�on Fund) General Research Fund Primrose Breast Care Centre Dr Eric Angel Income Improving Working Lives (Grants) Radiotherapy Research Dfd Childrens Cancer Fund Ophthalmology General Neonatal Intensive Care CCrisp Derriford Children's Fund Haematology Research Renal General fund Birch / Bracken Wards (Formerly Haematology Ward) Cardiothoracic Research Molecular Tes�ng Project Sarkar Research and Training Hexworthy Ward Liskeard Triangle Centre Plymouth Adult Cys�c Fibrosis Trust Fund Clinical Skills Centre Cancer Services Other Funds 153 Total Unrestricted Funds |
Balance 31 March 2022 £'000 783 277 204 127 34 91 105 74 77 58 53 55 49 50 50 46 19 29 34 41 28 28 27 27 26 24 21 20 1043 3,500 |
` Incoming Resources £'000 211 1 53 2 57 1 - - - 7 33 - 9 3 13 6 30 18 4 15 - - 1 - 1 3 - - 79 547 |
Resources Expended £'000 (326) (3) (20) (2) (6) (6) (19) (1) (8) (4) (28) - (2) (3) (17) (8) (18) (10) (4) (22) - - - (1) (1) (4) - - (474) (987) |
Transfers £'000 - - - - - - - - - - - - (3) - - - 5 - - - - - - - - - - - (2) - |
Gains /losses £'000 (68) (23) (17) (11) (3) (7) (8) (6) (7) (5) (5) (5) (4) (4) (4) (4) (1) (2) (3) (4) (2) (3) (2) (2) (2) (2) (2) (2) (92) (300) |
Balance 31 March 2023 £'000 600 252 220 116 82 79 78 67 62 56 53 50 49 46 42 40 35 35 31 30 26 25 26 24 24 21 19 18 554 |
|---|---|---|---|---|---|---|
| 2760 |
There were 181 unrestricted funds, the majority of which are designated funds rela�ng to various wards and departments throughout the organisa�on, the analysis above reflec�ng the managerial structure of the Trust. Annually, Fund Advisors are requested to produce spending plans to ensure there is . sufficient funding available to meet the plans
There was a total of 24 restricted funds. All restric�ons have arisen because of terms of bequests and generally the restric�on s�pulates that the bequest should be spent on medical equipment. On an
51
annual basis Fund Advisors are requested to produce spending plans to ensure that proposed expenditure meets the restric�ons and that there is sufficient money available.
| 10a Details of material Endowment funds | |||
|---|---|---|---|
| CIP Dr Eric Angel | Legacy from Dr Eric Angel all invested income to be | ||
| allocated to Dr Eric Angel Income Fund | |||
| 10b Details of material Restricted Funds | |||
| COVID – NHSCT | Restricted via NHS Chari�es Together - Ring fenced | ||
| restricted grants and allied expenditure | |||
| NICU Parental Accommoda�on | To provide support to fund the development of | ||
| parental accommoda�on whilst babies are cared for | |||
| on NICU | |||
| Central Delivery Suite | To improve bereavement services for women and | ||
| their families. | |||
| Neurosurgery Deborah Eaton Legacy Equipment | To purchase Neurosurgery equipment | ||
| Fund | |||
| Mesothelioma Legacy Research Fund | Legacy re Eunice Price to be used into research | ||
| rela�ng to Mesothelioma | |||
| Brown Renal Research Fund | Equipment & training for Research, & Educa�on | ||
| Cancer Wards | Unrestricted spending for the welfare of pa�ents & | ||
| staf | |||
| Val's Fund | To support research into Malignant Melanoma | ||
| Radiotherapy Dept Bequest Equipment Fund | Purchase lifesaving medical machinery and | ||
| equipment under terms Will late Winifred Hocking | |||
| NHSCT (Stage 2) Community Partnership Grants | ~~`~~ Restricted via NHS Chari�es Together - Ring fenced |
||
| Programme | for Partnership Grants Stage 2 | ||
| Postbridge Ward | For the welfare of pa�ents & staf | ||
| Neurology Dept Bequest Equipment Fund | Purchase lifesaving medical machinery and | ||
| equipment under terms Will late Winifred Hocking | |||
| Cancer Unit Oncology Equipment | To purchase equipment for use in the Cancer Unit as | ||
| per the bequest of William E Pocock | |||
| 10c Details of material Unrestricted Fund | |||
| Derriford General | For the welfare of pa�ents & staf | ||
| Renal Research Fund | For pa�ent care, equipment, educa�on, funding for | ||
| Transplant Games & staf welfare. | |||
| Cancer Support Centre - Mustard Tree | To support services in the Mustard Tree and its’ | ||
| outreach service across UHP footprint, to provide | |||
| services, support and equipment for service users, | |||
| and funds for staf welfare and educa�on. | |||
| Cardiology | For the beneft of pa�ents and staf |
52
| Staf Development Fund | Contribute to the con�nuing educa�on of all staf | ||
|---|---|---|---|
| groups | |||
| Kingsbridge Triangle Centre | To support services in the Mustard Tree and its’ | ||
| outreach service across UHP footprint, to provide | |||
| services, support and equipment for service users, | |||
| and funds for staf welfare and educa�on. | |||
| 10c Details of material Unrestricted Fund Con�nued | |||
| Derriford - COVID 19 | For the welfare of pa�ents & staf | ||
| Derriford Children’s Fund | For the beneft of pa�ents and staf throughout the | ||
| Child Health Directorate | |||
| Primrose Breast Care Centre | Funds to be used for the beneft of pa�ents and staf | ||
| working for or visi�ng the Primrose Breast Care | |||
| Centre | |||
| General Research Fund | To contribute to research projects | ||
| Dr Eric Angel Income | Income generated to be used to enhance the skills of | ||
| staf specialising in anaesthe�cs | |||
| Radiotherapy Research | For research, educa�on & staf welfare | ||
| Improving Working Lives (Grants) | For the beneft of staf | ||
| Neonatal Intensive Care | To purchase equipment & other relevant items to | ||
| improve the care and the environment for babies | |||
| their parents and staf. | |||
| Ophthalmology General | ` Funds unrestricted in their use other than for use by staf & pa�ents being treated in the ophthalmology |
||
| department | |||
| Dfd Children’s Cancer Fund | To support and improve the treatment of children | ||
| and young people with Cancer, Leukaemia and | |||
| related condi�ons and to relieve the burden of | |||
| illness on pa�ents and their families. | |||
| CCrisp | For research & educa�on | ||
| Birch / Bracken Wards (Formerly Haematology Ward) | For the beneft of Pa�ents and Staf | ||
| Cancer Service | To support cancer services department, staf and | ||
| cancer pa�ents. | |||
| Chemotherapy and Oncology Outpa�ents | For beneft pa�ents & staf | ||
| Renal General fund | For the beneft of Pa�ents & Staf within Renal | ||
| Services | |||
| Haematology Research | Research Educa�on Training Professional | ||
| development & Equipment | |||
| Cardiothoracic Research | For professional development in research & | ||
| educa�on |
53
| Molecular Tes�ng Project | To support development of Molecular Tes�ng and | ||
|---|---|---|---|
| purchase of allied equipment | |||
| Hexworthy Ward | For development & beneft of staf and for pa�ents | ||
| care and environment | |||
| Sarkar Research and Training | Promote academic research and educa�on in the | ||
| feld of Cardiology. Fund purchase of equipment | |||
| Liskeard Triangle Centre | To support green spaces to facilitate recovery | ||
| Plymouth Adult Cys�c Fibrosis Trust Fund | For the beneft of adult CF pa�ents and for CF teams | ||
| Educa�on | |||
| Clinical Skills Centre | To support and develop Clinical Skills at Derriford | ||
| Hospital, u�lising space within the Peninsula | |||
| Radiology Academy and courses currently | |||
| undertaken within the Postgraduate Medical centre |
11 Volunteers
The Charity acknowledges the support it receives from unpaid volunteers and community groups. There are many volunteers who ac�vely raise funds for the Charity.
In accordance with the SORP, due to the absence of any reliable measurement basis, the contribu�on of these volunteers is not recognised as income in the accounts.
12 Con�ngencies, liabili�es, and provisions
There were no con�ngent losses or gains, liabili�es, or provisions as of 31 March 2023 (2022 Nil) `
13 Related party transactions
related to them has undertaken any material transac�ons with the Plymouth Hospitals General Charity
The charitable trust has made revenue and capital payments to the University Hospital Plymouth NHS Trust where the Corporate Trustee are also members of the Trust Board, amoun�ng to £1,238,744.91 (2021/22 £729,00), represen�ng grants of £950,280.85 (2021/22 £499,000) and administra�on and communica�ons agreements of £26,000 (2021/22 £47,000). University Hospitals Plymouth NHS Trust also made payments to the Charity amoun�ng to £93,000 (2021/22 £49,000). As at the 31 March 2023 the Charity owed £117,000 (2021/22 £120,300) to the Trust, which is reflected within the stated expenditure for the year and within the creditors figure in note 7.
54
14 Staff and pension costs
| Analysis of staf costs Salaries and Wages Social Security Costs Other Pension Costs Total |
2023 £000 169 17 24 210 |
2022 £000 144 12 11 |
|---|---|---|
| 167 |
The average number of full-�me equivalent employees during the year was 5.8 (2021/22 - 4). No employees had emoluments in excess of £60,000 (2021/22 Nil). The salary costs are incorporated in expenditure on raising funds costs.
No director of the Corporate Trustee received remunera�on or reimbursement of expenses during the year (2021/22 Nil). There were no transac�ons with any trustee or connected person. No Corporate Trustee indemnity insurance was purchased.
Contracts of employment are held with University Hospitals Plymouth NHS Trust although the posts provide support to fundraising for the Charity.
`
Pension costs
Past and present employees are covered by the provisions of the two NHS Pension Schemes. Details of the benefits payable and rules of the Schemes can be found on the NHS Pensions website at www.nhsbsa.nhs.uk/pensions. Both are unfunded defined benefit schemes that cover NHS employers, GP prac�ces and other bodies, allowed under the direc�on of the Secretary of State in England and Wales. They are not designed to be run in a way that would enable NHS bodies to iden�fy their share of the underlying scheme assets and liabili�es. Therefore, each scheme is accounted for as if it were a defined contribu�on scheme: the cost to the NHS body of par�cipa�ng in each scheme is taken as equal to the contribu�ons payable to that scheme for the accoun�ng period.
from those that would be determined at the repor�ng date by a formal actuarial valua�on, the FReM requires that “the period between formal valua�ons shall be four years, with approximate assessments in intervening years”. An outline of these follows:
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a) Accoun�ng valua�on
A valua�on of scheme liability is carried out annually by the scheme actuary (currently the Government Actuary’s Department) as at the end of the repor�ng period. This u�lises an actuarial assessment for the previous accoun�ng period in conjunc�on with updated membership and financial data for the current repor�ng period and is accepted as providing suitably robust figures for financial repor�ng purposes.
The valua�on of scheme liability as at 31 March 2023, is based on valua�on data as 31 March 2022, updated to 31 March 2023 with summary global member and accoun�ng data. In undertaking this actuarial assessment, the methodology prescribed in IAS 19, relevant FReM interpreta�ons, and the discount rate prescribed by HM Treasury have also been used.
The latest assessment of the liabili�es of the scheme is contained in the report of the scheme actuary, which forms part of the annual NHS Pension Scheme Accounts. These accounts can be viewed on the NHS Pensions website and are published annually. Copies can also be obtained from The Sta�onery Office.
b) Full actuarial (funding) valua�on
schemes (taking into account their recent demographic experience), and to recommend contribu�on rates payable by employees and employers.
The latest actuarial valua�on undertaken for the NHS Pension Scheme was completed as at 31 March 2016. ` The results of his valua�on set the employer contribu�on rate payable from April 2019 at 20.6% of pensionable pay.
The 2016 funding valua�on was also expected to test the cost of the Scheme rela�ve to the employer cost cap set following the 2012 valua�on. There was ini�ally a pause to the cost control element of the 2016 valua�ons, due to the uncertainty around member benefits caused by the discrimina�on ruling to the McCloud case.
The actuarial valua�on undertaken as at 31 March 2020 is currently underway and will set the new employer contribu�on rate due to be implemented from April 2024.
Pension costs – other scheme
Under the terms of the Pensions Act 2008 the Trust is required to provide a pension scheme for employees who are not eligible for membership of the NHS Pension Scheme. Qualifying employees are enrolled in the Na�onal Employment Savings Trust (NEST) managed scheme. NEST is a defined contribu�on scheme managed by a third-party organisa�on. It carries no possibility of actuarial gain or loss to the Trust and there are no financial liabili�es other than payment of the employer’s contribu�on of qualifying earnings.
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Employer contribu�ons are charged directly to the Statement of Comprehensive Income and paid to NEST monthly. Further details of the scheme can be found at www.nestpensions.org.uk.
| Net income for the repor�ng period (as per the statement of fnancial ac�vi�es) Adjustments for: (Gains)/ losses on investments Dividends / Interest (Increase)/ decrease in debtors Increase/ (decrease) in creditors Net cash provided by (used in) opera�ng ac�vi�es |
2022/23 £000 (889) - 389 (130) (62) 17 (675) |
2021/22 £000 71 - 39 (128) (37) 52 |
|---|---|---|
| (3) |
`
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