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2023-03-31-accounts

The Epsom and St Helier NHS Trust Charitable Fund Charity Number 1049197

Annual Report and Accounts 2022/2023

The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

Foreword by the Trustee

As the trustee of the Charity, I’ve seen first-hand how generous donations have enhanced our ability to care for patients and improve the health and well-being of our workforce. Our achievements are accomplished through community support, generous donors, fundraisers, local businesses, and individuals.

Looking back, 2022/23 presented us with extraordinary challenges: unprecedented demand for NHS services and relentless strains on our front-line staff, while wider economic pressures tightened resources. Despite these challenges, we are pleased to report that we have distributed £472,000 in grants to our hospitals. This includes significant contributions toward supporting our Cardiac Teams with state-of-the-art equipment, allocating £175,000 for staff education and welfare, and assisting in the improvement of patient facilities. Additionally, we received £199,000 in donations and legacies.

A number of initiatives are planned for the next year: refreshing our ways of working, growing our visibility, and developing an ambitious fundraising strategy with the Trust's Charitable Funds Committee. We continue to strengthen our work through collaboration with NHS leaders from Epsom and St Helier Hospitals and executives across GESH.

This annual report reflects our commitment to the people we are so proud to support and gives an account of our progress to date and vision ahead.

Thank you for taking the time to read our annual report for 2022/2023; we look forward to your continued support of our hospitals.

With best wishes,

Jacqueline Totterdell

Group Chief Executive Officer St George’s, Epsom and St Helier University Hospitals and Health Group

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The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

Who we are

The Epsom and St Helier NHS Trust Charitable Fund is an independent registered charity (registered number 1049197). We exist to raise funds and receive donations for the benefit of the patients and staff of Epsom and St Helier University Hospitals NHS Trust. The Trust Board is the Corporate Trustee of the Charity. The Trust operates two busy general hospitals and runs a number of outreach clinics and community services, all of which are supported by the Charity. The main hospital sites are:

St George’s, Epsom and St Helier University Hospitals and Health Group

In August 2021, after years of collaboration and creating closer working ties, the Boards of Epsom and St Helier and St George’s agreed to form a hospital group. The two trusts remain separate legal entities but are now led by a single executive team and have put in place harmonised governance arrangements which enable and support closer collaborative working.

What we aim to do: our mission, objectives and activities

Our mission

Our mission is to use funds received to support our hospitals’ staff, patients, and carers.

Grants are made in accordance with charity law, our constitution and the wishes and directions of donors. In making grants, we reflect the wishes of patients and staff by directing funds towards areas that they tell us are most in need.

Our objectives

Our overarching objective is set out in the Charity’s governing documents. It is to spend money received for any charitable purpose and purposes relating to the National Health Service wholly or mainly for Epsom and St Helier University Hospitals NHS Trust. This translates into the below objectives which underpin our actual spend:

  1. To purchase equipment, services and facilities not normally provided by the NHS;

  2. To motivate staff, by improving staff facilities and by providing services that improve wellbeing;

  3. To support the development and learning of our staff by providing education over and above that normally provided by the Trust.

What we have achieved: highlights from activities undertaken in the year

Where ever possible the Charity continued to offer to fund improvements to staff welfare and wellbeing and investments to aid clinical outcomes.

Charity governance, structure and management arrangements

Epsom and St Helier University Hospitals NHS Trust is the Corporate Trustee of the Charity. The Executive Directors and Non-Executive Directors of our Trust Board share responsibility for ensuring that the NHS body fulfils its duties as Corporate Trustee in managing the Charitable Funds.

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The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

The Fundraising and Charitable Funds Steering Group reports to the Charitable Funds Committee which reports to the Board. The role of the Fundraising and Charitable Funds Steering Group is to oversee progress and developments from the Epsom and St Helier Hospitals Charity and the Trust’s fundraising activities.

The role of the Charitable Funds Committee is to discharge on behalf of the Board statutory responsibilities such as the approval of the Annual Report and Accounts and other reporting requirements.

Epsom and St Helier University Hospitals NHS Trust staff are responsible for the day to day administration of the Charity, for which the NHS Trust charged a fee of £42,000. Other staff who spend significant amounts of time on the Charity’s business are largely senior staff who provide their services in their own time.

How we funded our work, our achievements and performance

The following figures are taken from the full accounts. The full accounts are available from the Charity Commission’s website and expand on the information provided below: https://www.gov.uk/government/organisations/charity-commission.

Money received: sources of funds

The Charity employs a fund raising team. The team consists of two people, one manager and one administrator. They are employed by the Trust and recharged in full to the Charity.

The Trustee has an ambition to transform the Charity into an active fundraising operation to grow income for our staff and patients. This is because (in line with other NHS charitable foundations), the Trustee wish to raise funds and receive donations for projects which cannot be financed by government and normal NHS funding.

During the year the Charity continued to received donations, legacies, and investment income.

Money spent: what we spent the money on

Our charitable work was made up of three core areas:

  1. New equipment. The NHS buys its own equipment for day to day use and has its own capital programme, but with limited resources, expenditure on non-essential items is restricted. The Charity makes a real difference by purchasing items that the Trust does

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The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

not believe are core to its requirements but improve the patient experience. Individual purchases during the year over £5,000 were:

£ 135,000 Cardiac Catheterisation Laboratory at Epsom Hospital 90,000 Cardiac Recording machine at Epsom Hospital 30,000 Dementia Friendly signage for all sites 9,000 Massage Chairs for staff use

  1. Staff education and welfare . We spent £175,000 on initiatives to support those who work in our hospitals. By helping to ensure staff are well trained and supported we improve the quality of care they can deliver to patients;

  2. Patients’ welfare and amenities. We spent £4,000 on providing better facilities for patients and carers when they visit the hospital. This continues to be much lower than usual due to the ongoing effects of the pandemic.

The Charity’s income and expenditure for the year can be seen as follows:

----- Start of picture text -----
Income 2022/2023 £199k Expenditure 2022/2023 £515k
Investment Management Costs
Fundraising Costs
Donations
Legacies Patients Welfare & Amenities
Investment Income Staff Welfare & Amenities
Fundraising Income Donations of equipment and services to the
Gift Aid Trust
Volunteers expenses
----- End of picture text -----

Plans for the future

We remain committed to our mission of supporting patients, families and staff at Epsom and St Helier University NHS Trust.

We are pleased to announce the recent appointment of a new Head of Charity and Fundraising. We look forward to seeing the positive contributions this role will make to our organisation's future.

Our priority remains to support our hospitals through grant giving, with a strong emphasis on addressing the needs of our staff. To achieve this, we aim to enhance our processes, strengthen our infrastructure, raise our profile and streamline the application process for staff seeking funds.

Our main ambition is to evolve the Charity into an active fundraising operation, expanding our income to provide grants for the benefit of our staff, patients, and their families. We are committed to increasing donations and fundraising efforts through better visibility within and around our hospitals.

We plan to develop and begin to embed a new fundraising strategy in partnership with our Charitable Funds Committee. The strategy will focus on strengthening our foundations and enhancing the growth of our annual income through:

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The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

In the meantime, we have already launched a brand-new calendar of fundraising events for people to get involved in and fundraise for our hospitals. You can find out more at https://www.esthcharity.org.uk/get-involved/events/

A promising year lies ahead for Epsom and St Helier NHS Charitable Fund.

Our grant making policy

The Charity makes grants. Grants are made from general funds and designated (earmarked) funds.

Our reserves policy

The Trustee intends that designated funds are spent within a reasonable period of receipt.

The Trustee reviews the balances held in designated funds, in accordance with the provisions of legislation relating to charitable funds, to determine whether these funds are likely to be committed in the near future and the extent to which there is a continuing need identified for any particular designated fund. The Trustee review designated funds to ensure that they are all active. Any inactive funds will be closed and the funds transferred to reserves.

Our financial health

The Charity remains solvent. At the end of March 2023 the Charity had £87,000 of cash, net assets of £2,806,000, and, as the Charity does not enter into long term commitments, future payables and commitments of only £313,000.

About our investments

The investments of the Charity are managed by Cazenove Capital, with the objective to protect the investments from inflation, ensure maximum investment returns with medium risk. The governing documents allow the Trustee to invest in a wide range of shares and investments, provided they are not speculative or include companies involved in distilling, boxing or arms. In addition, the Trustee has decided not to invest in tobacco securities because of the proven link between smoking and poor health which would make such investments contrary to our charitable aims.

The portfolio is structured to permit a range of investments intended to yield a competitive rate of return in difficult market conditions. Investment performance is monitored by the Charitable Funds Committee.

How we organise our affairs: reference and administrative details

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The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

The Charity is registered with the Charity Commission under the single Registered Number 1094197. Its objects are ‘for any charitable purpose or purposes relating to the National Health Service .’

The Charitable Funds held by Epsom and St Helier NHS Trust, and known as “Epsom and St Helier NHS Trust Charitable Fund” (Registration No. 1049197), are governed by a Declaration of Trust made on 6 November 1995 and subsequently amended on 6 December 1999. The Charity’s Trustee is the Epsom and St Helier University Hospitals NHS Trust as a corporate entity.

How to contact us

The Epsom and St Helier NHS Trust Charitable Fund, Finance Department East Wing Epsom Gateway Ashley Avenue Epsom Surrey KT18 5BS

Our Trustee

The Charity has a corporate Trustee. The names of the directors of the body corporate are as shown in the table below:

From: To:
Gillian Norton Chairman 01/04/2022 31/03/2023
Peter Kane Non-Executive Director 01/04/2022 31/03/2023
Martin Kirke Non-Executive Director and Vice Chair 01/04/2022 31/03/2023
Professor Derek Macallan Non-Executive Director 01/04/2022 31/03/2023
Phillip Wilbraham Non-Executive Director 01/04/2022 31/03/2023
Ann Beasley Non-Executive Director 01/04/2022 31/03/2023
Aruna Mehta Non-Executive Director 01/04/2022 31/03/2023
Chris Elliot Associate Non Executive Director 01/04/2022 31/03/2023
Jacqueline Totterdell Chief Executive 01/04/2022 31/03/2023
Andrew Grimshaw Group Chief Finance Officer 01/04/2022 31/03/2023
Dr James Marsh Group Deputy Chief Executive Officer 01/04/2022 31/03/2023
Dr Richard Jennings Group Chief Medical Officer 01/04/2022 31/03/2023
James Blythe Managing Director 01/04/2022 31/03/2023
Arlene Wellman Group Chief Nurse 01/04/2022 31/03/2023
Paul da Gama Group Chief People Officer 01/04/2022 31/03/2023
Andrew Asbury Group Chief Infrastructure, Facilities and Environment Officer 01/04/2022 31/03/2023
Stephen Jones Chief Corporate Affairs Officer 01/04/2022 31/03/2023
Thirza Sawtell Director of Integrated Care 01/04/2022 31/03/2023

Our Trust Board comprises the Chairman, five voting non-executive directors, two on-voting associate non-executive directors, four voting executive directors and five non-voting directors. Executive directors are full-time employees of the Trust, with a notice period of three months. Non-Executive Directors are appointed by the NHS England and NHS Improvement on behalf of the Secretary of State for Health and Social Care. With the establishment of the new hospital group with St George’s University Hospitals NHS Foundation Trust, a new group executive team was appointed to lead both Epsom and St Helier University Hospitals NHS Trust and St George’s University Hospitals NHS Foundation and this arrangement commenced on 1 February 2022.

Our advisors

Investment Auditors: Internal auditors: Bankers: managers: Cazenove Charities Grant Thornton BDO LLP The Royal Bank of 12 Moorgate 30 Finsbury Square Arcadia House Scotland

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The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

London London Ocean Village Government EC2R 6DA EC28 1RR Southampton, Banking CST, SO14 3TL Brampton Road, Newcastle Under Lyme, Staffordshire, ST5 0QX

Trustee recruitment, appointment and induction

Non-Executive Directors are appointed by the NHS England on behalf of the Secretary of State for Health and Social Care and executive members of the Board are subject to recruitment by the NHS Trust Board. Members of the Trust Board and Charitable Funds Committee are not individual Trustees but act as agents on behalf of the Corporate Trustee.

All new executive and non-executive directors have an induction programme to familiarise them with their key contacts and responsibilities, which will include Charitable Fund issues if appropriate.

Key management personnel remuneration

The Trustee has given their time freely and no Trustee remuneration was paid in the year.

The Trustee is required to disclose all relevant interests and register them with the Head of Corporate Governance and withdraw from decisions where a conflict of interest arises. No director has informed the Charity of any conflicts of interest.

Risk analysis

As part of their business planning exercises, the Trustee considers the major risks to which the Charity is exposed. They have reviewed the processes and systems that are in place to mitigate the likelihood and potential impact of these risks (should they crystallise) and have concluded that they are reasonable for the Charity’s size and complexity.

The major risks have been identified are as follows:

The Charity is reliant on donations to allow it to make payments. If income falls then the Charity may not be able to settle future obligations. This risk is mitigated by the Charity never entering into future commitments which are not wholly covered by existing liquid resources (which also avoids the liquidity risk of movements in investment values meaning that what is affordable becomes unaffordable in the future).

The Charity generates additional income from investing its cash balances. The Trustee considers the loss of investment income to be a major financial risk. The risk is mitigated by retaining expert investment managers, having a diversified investment portfolio and regularly reviewing that portfolio. The Trustee make use of benchmarking information when reviewing the portfolio.

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The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

The NHS is subject to national changes in government policy as well as politically driven decisions locally. There is a risk that these decisions could make it more difficult for the Charity to meet its objectives. This risk is mitigated through the Trustee taking proactive steps, as part of their professional work, to be aware of the trust’s direction of travel and then feeding that knowledge into the Charity’s decision making and planning processes.

Related parties

The Charity works closely with, and provides the majority of its grants to, Epsom and St Helier University Hospitals NHS Trust, which operates the local hospitals.

Related parties are where the Charitable Fund has transactions with organisations that are controlled by the Fund’s Trustee. The Charitable Fund requires Trustee’s to make declarations of interest on an annual basis which are held on the Trust’s register of interests. Declared interests are managed in line with the Trust’s governance procedures, and transactions with related parties are disclosed in the financial statements.

Our relationship with the wider community

The ability of the Charity to continue its support for the Trust is dependent on its ability to maintain and increase donations from the general public. The Charity continues to forge strong relationships with members of staff of the hospitals without whose co-operation the ability to make an effective contribution would be much diminished. This co-operation will be enhanced with the formation of the Fundraising Department

Volunteers

The Trustee would like to pay tribute to our volunteers for their time, support, and commitment to the Trust and the members of staff who give of their time out of hours in support of the charity.

Having read about us, please consider supporting the work of The Epsom and St Helier NHS Trust Charitable Fund.

If you would like to make a donation or support any of our fundraising activities, please visit our website, (esthcharity.org.uk) or give us a call and speak to our fundraising team.

Signed:

Jacqueline Totterdell

Group Chief Executive - St. George’s, Epsom & St. Helier

1 February 2024

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The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2021/22

Statement of Trustees' responsibilities in respect of the Trustees' annual report and accounts

Under charity law, the Trustees are responsible for preparing the Trustees’ 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.

In preparing these financial statements, generally accepted accounting practice requires that the trustees:

The Trustees are required to act in accordance with the Trust deed and the rules of the Charity, within the framework of trust law. The Trustees are responsible for keeping proper accounting records, sufficient to disclose at any time, with reasonable accuracy, the financial position of the Charity at that time, and to enable the Trustees to ensure that, where any statements of accounts are prepared by the Trustees under section 132(1) of the Charities Act 2011, those statements of accounts comply with the requirements of regulations under that provision. The Trustees have general responsibility for taking such steps as are reasonably open to the Trustees to safeguard the assets of the Charity and to prevent and detect fraud and other irregularities.

Signed on behalf of the Trustees:

Jacqueline Totterdell

Group Chief Executive - St. George’s, Epsom & St. Helier

1 February 2024

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The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2021/22

Epsom and St Helier NHS Trust Charitable Funds

Statement of Financial Activities for the year ending 31 March 2023

Income from:
Donations
Note 3
Other trading activities
Note 3
Legacies
Note 3
Investment Income
Note 5
Total Income
Expenditure on:
Raising funds
Investment management costs
Fundraising Costs
Note 6
Expenditure on charitable
activities
Patients welfare and amenities
Note 7
Staff welfare and amenities
Note 7
Research Expenditure
Note 7
Donations of equipment and
services to the Trust
Note 7
Volunteers and miscellaneous
expenses
Note 7
Total Expenditure
Realised and Unrealised Gains
(losses) on Investment assets
Net Movement in Funds
Reconciliation of funds:
Fund balances at 1 April 2022
Fund balances at 1 April 2021
Total Funds carried forward
Note 16		 2022/2023
Unrestricted
Restricted
Total
Funds
Funds
Funds
£'000
£'000
£'000
102
0
102
4
0
4
3
0
3
83
7
90
192
7
199
(12)
(1)
(13)
(30)
0
(30)
(4)
0
(4)
(175)
0
(175)
(0)
0
(0)
(290)
(0)
(290)
(3)
0
(3)
(515)
(0)
(515)
(115)
(9)
(124)
(437)
(3)
(440)
3016
230
3,246
2,579
227
2,806		 2021/2022
Unrestricte
d
Restricte
d
Total
Funds
Funds
Funds
£'000
£'000
£'000
236
0
236
30
0
30
159
0
159
25
2
27
450
2
452
(25)
(5)
(30)
(86)
0
(86)
(1)
0
(1)
(179)
(5)
(179)
(1)
0
(1)
(543)
(31)
(574)
(1)
0
(1)
(836)
(36)
(872)
230
17
247
(156)
(17)
(173)
3,172
247
3419
3,016
230
3,246

All gains and losses are recognised in the period are included above. All activities relate to continuing operations.

The accompanying notes are an integral part of this Statement of Financial Activities.

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The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2021/22

Epsom and St Helier NHS Trust Charitable Fund Funds Balance Sheet as at 31 March 2023

Investments
Note 13
Total Fixed Assets
Receivables
Note 14
Stock
Cash at bank and in hand
Total Current Assets
Payables: falling due within
one year
Note 15
Net Current Assets /
(Liabilities)
Total net assets
Funds of the charity:
Restricted
Note 16
Unrestricted
Note 16
Total Charity Funds		 2022/2023
Unrestricted
Restricted
Total
Funds
Funds
Funds
£'000
£'000
£'000
2803
227
3030
2,803
227
3,030
1
0
1
1
0
1
87
0
87
89
0
89
(313)
0
(313)
(224)
0
(224)
2,579
227
2,806
227
227
2,579
2,579
2,579
227
2,806		 2021/2022
Unrestricted
Restricted
Total
Funds
Funds
Funds
£'000
£'000
£'000
2,985
230
3,215
2,985
230
3,215
15
0
15
1
0
1
142
0
142
158
0
158
(127)
0
(127)
31
0
31
3,016
230
3,246
230
230
3,016
3,016
3,016
230
3,246

The accompanying notes are an integral part of the charity’s balance sheet.

Signed:

Jacqueline Totterdell

Group Chief Executive - St. George’s, Epsom & St. Helier 1 February 2024

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The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2021/22

Epsom and St Helier NHS Trust Charitable Fund Funds Statement of Cash Flows for the year ending 31 March 2023

Cash flows from operating activities:
Net cash provided by (used in) operating activities
Cash flows from investing activities:
Dividends, interest and rents from investments
Proceeds from sale of investments
Purchase of investments
Net cash provided by (used in) investing activities
Change in cash and cash equivalents in the reporting period
Cash and cash equivalents at the beginning of the reporting period
Cash and cash equivalents at the end of the reporting period
Reconciliation of net income/(expenditure) to net cash flow from operating activities
Net income/(expenditure) for the reporting period
Adjustments for:
(Gains)/losses on investments
Dividends, interest and rents from investments
(Increase)/decrease in stock
(Increase)/decrease in receivables
Increase/(decrease) in payables
Net cash provided by (used in) operating activities
Analysis of cash and cash equivalents
Cash at bank and in hand		 2022/2023
2021/2022
£'000
£'000
(196)
(597)
90
29
135
0
0
0
225
29
(55
(568)
142
710
87
142
(440)
(173)
(123)
(246)
(77)
(24)
0
0
13
0
185
(154)
(196)
(597)
87
142

The accompanying notes are an integral part of this cash flow statement.

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The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

Notes on the accounts

Note 1 Accounting Policies

Basis of preparation

The financial statements have been prepared on a going concern basis which the Trustee considers to be appropriate for the following reasons.

The business model of the charity is such that its charitable activities are limited to those which it has sufficient funds to support from the excess of funding received over the costs of administering the charity. The charity therefore has no specific commitments and no committed costs.

The Trustee has reviewed the cash flow forecasts for a period of 12 months from the date of approval of these financial statements which indicate that the charity will have sufficient funds to meet its liabilities as they fall due for that period. The Trustee has also considered the implications of COVID-19 on these cash flow forecasts and consider that as a result of its operating model explained above, even if no further funding is received in the 12 month period, the charity has sufficient cash reserves to pay all committed costs.

Consequently, the Trustee is confident that the charity will have sufficient funds to continue to meet its liabilities as they fall due for at least 12 months from the date of approval of the financial statements.

The Charity’s related Trust is – alongside the majority of the NHS – experiencing financial difficulties and did not breakeven during 2022/2023. These issues do not impact on the Charity which has no long-term commitments and has a substantial asset base which can readily be liquidated: any future donations will be carefully matched to expenditures, with adequate reserves retained to meet forecasted spend. For this reason, the going concern basis has been adopted in preparing these accounts.

The financial statements have been prepared under the historical cost convention with items recognised at cost or transaction value unless otherwise stated in the relevant note(s) to these accounts.

The financial statements have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS102 ) issued on 16 July 214 and the Financial Reporting Standard applicable in the United Kingdom and Republ9ic of Ireland (FRS 102) and the Charities Act 201.

The Trust constitutes a public benefit entity as defined by FRS 102.

Funds structure

Where there is a legal restriction on the purpose to which a fund may be put the fund is classified as a restricted fund. Restricted funds are those where the donor has provided for the donation to be spent in furtherance of a specified charitable purpose. The Charity has 2 restricted funds for Community use .

Those funds which are not restricted income funds are unrestricted income funds. These funds are subdivided between designated (earmarked) funds where the Trustee had set aside amounts to be used for specific purposes or which reflect the non-binding wishes of donors

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The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

and unrestricted funds which are used at the Trustees’ discretion, including the General Fund. The major funds held in each of these categories are disclosed in Note 16.

Incoming resources and revenue recognition

All incoming resources are recognised once the charity has entitlement to the resources, it is probable (more likely than not) that the resources will be received and the monetary value of incoming resources can be measured with sufficient reliability.

Where there are terms or conditions attached to incoming resources, then these terms or conditions must be met before the income is recognised as the entitlement condition will not be satisfied until that point. Where terms or conditions have not been met or uncertainty exists as to whether they can be met then the relevant income is not recognised in the year but deferred and shown on the balance sheet as deferred income.

Incoming resources from legacies

Legacies are accounted for as incoming resources either upon receipt or where the receipt of the legacy is probable. Receipt is probable when:

If there is uncertainty as to the amount of the legacy and it cannot be reliably estimated then the legacy is shown as a contingent asset until all of the conditions for income recognition are met.

Other trading activities

Income from other trading activities includes income earned from both trading activities to raise funds for the Charity and income from fundraising events.

Resources expended and irrecoverable VAT

All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category of expense shown in the Statement of Financial Activities.

Irrecoverable VAT is charged against the category of resources expended for which it was incurred.

Allocation of support costs

Support costs are those costs which do not relate directly to a single activity. These include some staff costs, costs of administration, internal audit costs, and external audit fees. Support costs have been apportioned between fundraising costs and charitable activities based on the value of these activities compared to the cost base of the Charity. The analysis of support costs and the bases of apportionment applied are shown in Note 9.

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The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

Fundraising costs

The costs of generating funds are those costs attributable to generating income for the charity, other than those costs incurred in undertaking charitable activities or the costs incurred in undertaking trading activities in furtherance of the charity’s objects. The costs of generating funds represent fundraising costs together with investment management fees.

Charitable activities

Costs of charitable activities comprise all costs incurred in the pursuit of the charitable objects of the Charity. These costs, where not wholly attributable, are apportioned between the categories of charitable expenditure in addition to the direct costs. The total costs of each category of charitable expenditure include an apportionment of support costs as shown in Note 9.

Fixed asset investments

Investments are a form of basic financial instrument. Fixed asset investments are initially recognised at their transaction value and are subsequently measured at their fair value (market value) as at the balance sheet date. The Statement of Financial Activities includes the net gains and losses arising on revaluation and disposals throughout the year. Quoted stocks and shares are included in the Balance Sheet at the current market value quoted by the investment analyst, excluding dividend.

The main form of financial risk faced by the Charity is that of volatility in equity markets and investment markets due to wider economic conditions, the attitude of investors to investment risk, and changes in sentiment concerning equities and within particular sectors or sub sectors.

Receivables

Receivables are amounts owed to the Charity. They are measured on the basis of their recoverable amount.

Cash and cash equivalents

Cash at bank and in hand is held to meet the day to day running costs of the Charity as they fall due.

Stock

Stocks are held for sale as part of non-charitable trade and are measured at the lower of the cost and net realisable value.

Payables

Payables are amounts owed by the Charity. They are measured at the amount that the Charity expects to have to pay to settle the debt. Amounts which are owed in more than a year are shown as long term payables.

Realised gains and losses

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

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The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

the difference between the market value at the year end and opening carrying value (or purchase date if later).

Critical accounting judgments and sources of estimation uncertainty

In the application of the Charity’s accounting policies described above, the Trustee is required to make judgements, estimates and assumptions about the carrying amounts of assets and liabilities that are not readily apparent from other sources. These estimates, judgements and assumptions are made based on a combination of past experience, professional expert advice and other evidence that is relevant to the particular circumstance. The Trust has no material critical accounting judgments and sources of estimation uncertainty.

Note 2 Related party transactions

The Charity is a subsidiary of its corporate Trustee. The total contribution made by the Charity to its parent - Epsom and St Helier University Hospitals NHS Trust – was £161,854 for revenue (2021/2022: £172,000) and £94,000 for Capital projects (2021/2022: £350,000l).

The Trust makes a number of clerical services available to the Charity, by agreement with the Trustee. These include administrative services at a cost of £42,000 (£43,000 in 2021/2022). The cost of these services in disclosed in Note 9 below.

These related party transactions take place on an arm’s length basis.

Note 3 Income from donations and legacies

Voluntary Income:
Donations
Legacies
Trading Income
Total Voluntary Income:		 2022/2023
Unrestricted
Restricted
Total
Funds
Funds
Funds
£'000
£'000
£'000
102
0
102
3
0
3
4
0
4
109
0
109		 2021/2022
Total
Funds
£'000
236
159
30
425

Donations from individuals are gifts from members of the public, relatives of patients and staff. This income is collected through collection boxes around the hospitals, from postal donations or donations received via our own Trust Charity website, Virgin Money or Just Giving online web pages or from the contributions from the Fundraising Department.

Note 4 Role of volunteers

Volunteers are not used by the Charity to raise funds. The Charity has some volunteers, normally hospital staff, who administer grants made. When undertaking work for the Charity these volunteers are reimbursed for expenses incurred.

16

The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

Note 5 Gross Investment Income

Fixed asset equity and similar investments 2022/2023
Unrestricted
Restricted
Total
Funds
Funds
Funds
£'000
£'000
£'000
87
3
90
87
3
90		 2021/2022
Total
Funds
£'000
27
27

Note 6 Analysis of expenditure on raising funds

During the year, the Trust employed a Fundraising Team. Fund raising costs incurred in the 2022/2023 were £30,393, £29,544 of which was staff costs. There was one full time employee and one part time employee in the team during of the year, the full time employee left in August 2022. They are substantially employed by the Trust and recharged in full to the Charity. Of the £29,544 payroll cost, £3,327.20 was employer’s pension contributions, and £2,576.47 employer’s National Insurance Contribution. Both employees were members of the NHS Pension Scheme, which is a defined benefit scheme. However, as the schemes liabilities and assets cannot be attributed to each member the Trust (and the Charity) accounts for the scheme as if it was a defined contribution scheme, expensing contributions in the year they are incurred.

Note 7 Analysis of charitable expenditure

All of the charitable expenditure was in the form of grant funding, except for the expenses incurred by the Fundraising Department. Grants were approved to carry out activities that will benefit NHS patients and their families.

Patients welfare and amenities
Staff welfare and amenities
Research Expenditure
Donations of equipment and services to the Trust
Volunteers and miscellaneous expenses		 2022/2023
Grant
funded
activity
Support
costs
Total
Expenditure
£'000
£'000
£'000
4
0
4
156
20
176
0
0
0
256
33
289
3
0
3
419
53
472		 2021/2022
Total
Expenditure
£'000
1
179
1
574
1
**397 **

17

The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

Note 8 Analysis of grants

The total cost of making grants, including support costs, is disclosed on the face of the Statement of Financial Activities and the actual funds spent on each category of charitable activity.

The Trustee operate a scheme of delegation for the majority of the charitable funds, under which fund advisors manage the day to day disbursements on their projects in accordance with the directions set out by the Trustee in charity standing orders and financial instructions. Funds managed under the scheme of delegation represent ongoing activities and it is not possible to segment these activities into discrete individual grant awards

Patients welfare and
amenities
Staff welfare and amenities
Research Expenditure
Donations of equipment
and services to the Trust
Volunteers and other
expenses		 2022/2023
Paid to
Individuals
Paid to
Institutions
Grant
funded
activity
Support
costs
Total
Expenditure
£’000
£’000
£’000
£’000
£’000
2
2
4
0
4
58
98
156
20
176
0
0
0
0
0
4
252
256
33
289
3
0
3
0
3
67
352
418
53
472		 2021/2022
Total
Expenditure
£’000
1
179
1
574
1
756

Note 9 Allocation of support costs and overheads

Patients welfare
and amenities
Staff welfare and
amenities
Research
Expenditure
Donations of
equipment and
services to the
Trust
Volunteers and
miscellaneous
expenses		 2022/2023
Direct
expenditure
Support
costs
Total
Expenditure
£’000
£’000
£’000
4
0
4
156
20
176
0
0
0
256
33
289
3
0
3
419
53
472		 2021/2022
Direct
expenditure
Support
costs
Total
Expenditure
£’000
£’000
£’000
1
0
1
167
12
179
1
0
1
538
36
574
1
0
1
708
48
756

Support costs in 2022/2023 are as follows:

Support costs analysis
Staff recharge
Audit fees
Accounts Software
Total Costs		 £’000
42
10
1
53

Supports costs are apportioned to spend based on a simple ratio of that spend to the total charitable spend in the year.

18

The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

Note 10 Trustees’ remuneration, benefits and expenses

The Charity’s Trustee gives their time freely and receives no remuneration for the work that they undertake as Trustee.

Note 11 Analysis of staff costs and remuneration of key management personnel

The Charity does not directly employ staff but is recharged for work performed for the Charity by staff employed by Epsom and St Helier University Hospitals NHS Trust. These costs are disclosed in Note 9 above and total £42,000. An analysis of these costs is as follows:

Charitable Fund Accountant
Cashiers
Accounts assistant
Total Costs		 £’000
37
3
2
42

The average number of full time equivalent employees during the year was 1 (2021/2022 1) with all employees involved in providing support services to charitable activities or the governance of the Charity.

Note 12 Auditor’s remuneration

The Audit remuneration of £9,798 (2021/2022: £3,190) related solely to the audit with no other additional work being undertaken.

Note 13 Fixed asset investments

Reconciliation of movements in investments in the year:

Market value brought forward
Add: additions to investments at cost
Less: disposals at carrying value
Add net gain(loss) on revaluation/Other movements
Market value as at 31st March		 2022/2023
£’000
3,215
151
(119)
(217)
3,030		 2021/2022
£’000
2,973
325
(354)
271
3,215

Fixed asset investments by type:

Investments -
Fixed Interest
UK Equities
Overseas Equities
UK Bonds
Property/ Alternatives
Multi Asset fund
Total listed investments
Cash held as part of the investment portfolio		 2022/2023
£’000
0
182
1,038
144
209
1,343
2,916
114
3,030		 2021/2022
£’000
0
141
1,044
168
232
1,431
3,016
199
3,215

19

The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

All investments are shown at their market value.

The Charity does not make use of derivatives and similar complex financial instruments.

Note 14 Current receivables

Receivables due in less than a year:

Accrued income 2022/2023
£’000
1
1		 2021/2022
£’000
15
15

There are no receivables due in over a year.

Note 15 Liabilities

Liabilities due in less than a year:

Accruals for grants owed to NHS bodies
Other accruals		 2022/2023
£’000
303
10
313		 2021/2022
£’000
106
21
127

There are no liabilities due in over a year.

Note 16 Analysis of charitable funds

Analysis of restricted fund movements

The restricted fund is for use at the Trust’s Surrey Community healthcare premises.

Molesley Hospital and
Harrowlands		 Balance
brought
forward
Income
Expenditure
Transfers
Gains and
Losses
Fund carried
forward
£'000
£'000
£'000
£'000
£'000
£'000
230
0
(0)
0
(6)
224
230
0
(0)
0
(6)
224

Analysis of unrestricted and material designated fund movements

Epsom Cardiac Services
Epsom Butterfly Service
General
St Helier fund for Blood
Disorders
R&D Fundraising
St Helier A&E
St Helier Dermatology
SWL EOC
Others		 Balance
brought
forward
Income
Expenditure
Transfers
Gains and
Losses
Fund
carried
forward
£'000
£'000
£'000
£'000
£'000
£'000
378
0
(101)
(90)
(-2)
185

251
5
(11)
0
(-2)
244
306
28
(169)
(76)
(-1)
88
147
1
(6)
0
(-1)
141
137
0
(3)
(1)
133
128
1
(4)
(1)
123
100
0
(2)
(2)
(1)
97
195
0
(66)
(2)
128
1,373
76
(155)
166
(19)
1440
3,016
112
(517
0
(30)
2579

20

The Epsom and St Helier NHS Trust Charitable Fund Annual Report and Accounts 2022/2023

The Trustee set an opening or closing balance of £100,000 or above as the threshold for the separate reporting of material designated (earmarked) funds. In the interests of accountability and transparency a complete breakdown of all such funds is available upon written request .

The objects of each of the restricted and designated unrestricted funds are as follows:

Epsom Invasive Cardiac Services Designated to be spent on Cardiac Services at Epsom Hospital Butterfly Centre Designated to be spent by the Butterfly Centres at both Epsom and St Helier Hospitals Molesley Hospital Designated to be spent for Patients and /staff at Molesey Hospital General Fund The Charity’s general fund to be spent on its objectives St Helier Fund for Blood Disorders Designated to be spent within the Haematology Department at St Helier R&D Fundraising Designated to be spent by the R&D Department St Helier A&E Designated to be spent by the A&E Department at St Helier St Helier Dermatology Designated to be spent by the Dermatology Department at St Helier

The General Fund includes all donations for which a donor has not expressed any preference as to how the funds shall be spent and the unrestricted income accruing to the Charity. These funds are applied for any charitable purpose to the benefit of the patients of Epsom and St Helier University Hospital NHS Trust at the absolute discretion of the Trustee.

Note 17 Total return on investment

No investments are held on a total return basis.

Note 18 Transfers between funds

£76,000 was transferred between Unrestricted Funds and the General Fund during 2022/2023 (2021/2022 £86,000).

21

Commercial in confidence

Independent examiner's report to the corporate trustee of Epsom and St Helier University Hospitals NHS Trust Charitable Fund

I report on the accounts of Epsom and St Helier Hospitals Charity (the "charity") for the year ended 31 March 2023, which are set out on pages 10 to 21.

Independent examiner's statement

In connection with my examination, no matter has come to my attention:

have not been met, or

Basis of independent examiner's statement

My examination was carried out in accordance with the general Directions given by the Charity Commission. An examination includes a comparison of the accounts with the accounting records kept by the charity. It also includes consideration of any unusual items or disclosures in the accounts and seeking explanations from you as corporate trustee concerning any such matters. The procedures undertaken do not provide all the evidence that would be required in an audit, and consequently no opinion is given as to whether the accounts present a 'true and fair' view and the report is limited to those matters set out in the statement above.

Respective responsibilities of corporate trustee and examiner

The charity’s corporate trustee is responsible for the preparation of the accounts. The charity’s trustee considers that an audit is not required for this year under section 144(2) of the Charities Act 2011 and that an independent examination is needed.

It is my responsibility to:

Your attention is drawn to the fact that the charity's trustees have prepared the charity's accounts in accordance with the Statement of Recommended Practice 'Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019) issued in October 2019 in preference to the Statement of Recommended Practice 'Accounting and Reporting by Charities: Statement of Recommended Practice (revised 2005)' issued in April 2005 which is referred to in the Charities (Accounts and Reports) Regulations 2008 but has been withdrawn. I understand that the charity's trustee has done this in order for the charity's accounts to give a true and fair view in accordance with United Kingdom Generally Accepted Accounting Practice effective for reporting periods beginning on or after 1 January 2019.

Use of this report

This report is in respect of an examination carried out under section 145 of the Charities Act 2011. This report is made solely to the charity's corporate trustee, as a body, in accordance with the regulations made under section 154 of the Charities Act 2011. My work has been undertaken so that I might state to the charity's trustee those matters I am required to state to them in an independent examiner's report and for no other purpose. To the fullest extent permitted by law, I do not accept or assume responsibility to anyone other than the charity and the charity's trustee as a body, for my work, for this report, or for the opinions I have formed. Joanne Brown

Joanne Brown, CPFA

Grant Thornton UK LLP Chartered Accountants

London

01/02/2024