Charitable funds annual report 2020/21
Supporting excellence in treatment, research and care
In support of:
Saint Mary’s Hospital University Dental Hospital of Manchester Withington Community Hospital Trafford General Hospital Altrincham Hospital
North Manchester General Hospital Manchester Royal Infirmary Wythenshawe Hospital Royal Manchester Children’s Hospital 1 Manchester Royal Eye Hospital
Contents
----- Start of picture text -----
Chairman's welcome 3
Our aims 4
Celebrating your support 6
Working together to make a difference 12
How to support us 13
Investing in treatment, research and care 14
Structure, governance and management 22
Financial review 26
Contact details for the Charity, Trustee and Advisers 52
----- End of picture text -----
Maurice Watkins CBE, 1941–2021
“We were saddened to receive news of the death of our Charitable Fundraising Board Chairman Maurice Watkins CBE on 16th August 2021.
“Maurice was a valued and much-respected Chairman of the MFT Charity Fundraising Board. He will be greatly missed by all colleagues and Charity partners who shared his vision and passion for MFT, and enjoyed working with him on many projects over his long and distinguished leadership of the Fundraising Board.
“Maurice took up the position of Chairman in 2005 and since that time has led the Charity in raising more than £70m, including £20m for the ‘New Children’s Hospital Appeal’ for the building of Royal Manchester Children’s Hospital in 2009.
“Without Maurice’s vision, passion, energy and leadership, our MFT Charity simply wouldn’t be in the strong position it’s in today. As well as being a respected legal figure, Maurice was also a staunch and committed advocate of the NHS and believed passionately that charities like ours can make a huge difference to people’s lives.
“Maurice’s hard work and dedication were admired by the whole team at MFT and our supporters. We were delighted when he was recognised publicly with a national honour: the CBE in the Queen’s Birthday Honours in 2012 for services to charities in the North West.
“I feel privileged and honoured to have known Maurice, and he will be greatly missed by the whole team. On behalf of MFT, I have extended our deepest condolences to Maurice’s family and friends.”
“He enjoyed seeing for himself how the money raised made such a difference to the lives and outcomes for our patients. From transforming care through research and new treatments to enhanced care projects, our hospitals benefited significantly from the focus Maurice brought to our fundraising appeals. Most recently, this included the celebration of the launch of the Trust’s new Helipad, for which the Charity raised £3.9m.
Kathy Cowell OBE DL | Group Chairman
Chairman’s welcome
Welcome to this annual review, as we reflect on a challenging but inspiring year for Manchester Foundation Trust Charity. I am so proud of the outstanding contribution the Charity has made to our hospitals, patients and staff during the COVID-19 pandemic.
I want to begin with a heartfelt thank you to every individual, family, group, company and charitable trust that supports our hospitals. You have enabled us to continue supporting the outstanding treatment, care and research that our hospitals and community services provide.
We are also grateful to our Charity team and to our fundraising board – led by Maurice Watkins CBE, who sadly died in August 2021 – for working tirelessly to help raise money and put it to good use.
The Charity’s income from fundraising and investment returns was £9.81m, and we spent £8.99m on making a difference to the lives of patients and their families and our staff during 2020/21.
Alongside financial donations, we also received more than £1.9 million-worth of food, drinks, snacks and clothing during the year, which helped our hardworking staff during their shifts and supported those who were staying away from home to protect their families. This amazing generosity boosted staff morale and made a massive difference to staff wellbeing.
I would also like to commend the outstanding dedication of all our staff at MFT as the pandemic has continued. Caring for all our patients with skill and compassion has remained their top priority, and the Charity has helped us to care for them in turn.
We have invested in a range of mental and physical wellbeing resources for our staff, from refurbishing staff break rooms and creating quiet spaces for reflection to developing a new Arts and Wellbeing Centre. This will put MFT at the forefront of supporting NHS staff wellbeing in direct response to COVID-19 and represents a groundbreaking global first.
Money raised by our Charity has also been spent on a wide range of equipment, activities, training and events to help patients and their families. From purchasing specialist wheelchairs, monitoring and other medical equipment to providing arts therapy, music and extra resources for dementia patients, your support has made a real difference.
This year we have seen the culmination of a major fundraising campaign, with the completion of the helipad at our Oxford Road site, serving Manchester Royal Infirmary, Royal Manchester Children’s Hospital and Saint Mary’s. I was privileged to see its first day of operation in May 2021, and it is already saving lives. Another major capital project completed during 2020/21 was the installation of a new £2.5m MRi cardiac scanner at Wythenshawe Hospital.
Alongside funding state of the art equipment and facilities, our Charity provided £1.03m (as part of £4.1m allocated over five years from 2016/17 to 2020/21) to support research and innovation. This included investing in research to find new and better ways of preventing illness and delivering care, and transforming scientific discoveries into new diagnostic tests and treatments. The Charity also supported activity to make MFT the healthcare innovation partner of choice for industry.
The ongoing coronavirus restrictions significantly affected our plans for fundraising events, but virtual activities and new campaigns were taken up very enthusiastically. These included the £72 for72 campaign to celebrate 72 years since the NHS was founded in 1948. We are looking forward to resuming sporting, social and other fundraising events as the pandemic restrictions start to ease. It is a testament to the commitment of all our supporters that the Charity was still able to raise £7.831m in such a very challenging year.
Thank you again to all our many supporters - together you make a huge difference to the 2.5 million children and adults who use our services. We are proud that with your help we can continue to make our hospitals and community services the best place for treatment, research and care.
Kathy Cowell OBE DL | Group Chairman
3
Our aims
The section of the public which benefits from our work is mainly the patients, service users, staff and visitors in our hospitals and community services but further public benefit can be demonstrated from the results of research undertaken and supported by the Charity. Education for staff and patients is regularly funded through the Charity and is another example of resources spent for the ultimate benefit of a significant section of the general public.
The role of the Manchester University NHS Foundation Trust Charity is summed up in its governing document: funds are used “for any charitable purpose or purposes relating to hospital services (including research) or to any part of the National Health Service associated with any hospital.”
The main priority for the Charity is to enhance what is already provided by the NHS, ensuring continued excellence in treatment, research and care by supporting:
The principal purpose of the NHS is to deliver services to patients, and so use of the charitable funds is focused on enhancing the experience over and above what the NHS would normally provide to patients, their families and friends and the wider community. The Trust’s aim is to provide all patients, visitors and staff with a quality service that meets the highest professional standards, while also respecting and responding to their individual needs. We want to be innovative in the treatment we provide and the environment we create.
-
State-of-the-art equipment for better diagnosis and treatment.
-
Innovative research to improve our understanding of illness.
-
The creation of less clinical and more patient friendly environments across our hospitals.
The Charity makes grants which benefit the hospitals, community services, patients, visitors and staff of the Trust. The hospitals are Manchester Royal Infirmary, Wythenshawe Hospital, Royal Manchester Children’s Hospital, Manchester Royal Eye Hospital, Saint Mary’s Hospital, University Dental Hospital of Manchester, Withington Community Hospital, Trafford General Hospital and Altrincham Hospital. The Trust also managed North Manchester General Hospital under an interim management agreement, ahead of formally acquiring it on 1st April 2021. The Trustee has invested money with the aim of enhancing the environment including supporting art projects throughout the hospitals.
By working in close partnership with the Trust, the Charity can prioritise and ensure funding is allocated to areas where it can make a real difference to the care and treatment of patients across our family of ten hospitals.
Setting and achieving our fundraising objectives
The Charity supports all our hospitals and community services by raising funds for projects put forward each year by various departments and wards. The Charity receives information on the projects via a Charity application form. The application is signed off by the Divisional Director of the hospital, confirming that it is a divisional priority. It is then forwarded to the Charity team for consideration, together with Finance, Procurement and Estates teams.
Dependent on the value of funding requested, the Charity applies an agreed set of criteria when shortlisting applications. The final outcome is a list of projects that the Charity will fundraise for in a given financial year, the 12-month period between April and the following March.
In 2020/21 the Charity received a total of 45 project requests for fundraising support, from across the Trust’s family of hospitals, contributing to the overall objectives of the Charity outlined above. Examples of these projects include:
-
Installation of a carefully created, wall-mounted infographic in our Paediatric Critical Care Unit designed to reduce parent anxiety and improve the experience for families of critically ill or injured children.
-
Provision of a state-of-the-art 3D dental scanner, 3D printer and a high specification computer with design software for fixed and removable prostheses for our Restorative Dentistry Team at the University Dental Hospital of Manchester.
-
Provision of specialist incubators for the Neonatal Intensive Care Unit at Saint Mary’s Hospital, allowing parents to maintain close contact with their babies.
-
Provision of a Lifetime Radio service to support the psychological and occupational needs of dementia patients cared for at Manchester Royal Infirmary.
-
Provision of specialist children’s entertainers for patients at Royal Manchester Children’s Hospital.
Grant making policy
The Trust Board approves the scheme of delegation against which the managers and officers of the Trust may approve grants. All grants in excess of £100,000 are approved directly by the Charitable Funds Committee. Governance arrangements are covered in more detail on pages 22 to 25.
Core activities
The Charity’s expenditure in 2020/2021 was allocated in the following ways:
----- Start of picture text -----
4% 9%
----- End of picture text -----
Research
Patient related expenditure
4% towards research programmes and research salary costs.
- 9% helped to deliver improvements to the patient experience.
----- Start of picture text -----
61%
----- End of picture text -----
----- Start of picture text -----
26%
----- End of picture text -----
Staff related Contributions to expenditure hospital capital expenditure
26% was contributed, with a significant proportion spent on training and education.
amounted to 61% of total expenditure – 35% was spent on the purchase of medical and IT equipment, and contributions to Trust-wide refurbishments were 26%. The capital expenditure was all spent on improving equipment and the patient environment.
4
5
Celebrating your support
April 2020
When lockdown began and our hospital staff were treating COVID-19 patients, many businesses felt they wanted to say a special thank you to NHS workers for all their hard work.
We were inundated with offers of food, drinks, snacks and clothing which helped see our staff through their shifts and provide a few home comforts to those who were staying away from home in order to protect their families. Altogether we received more than £1.5 million-worth of items. We were also fortunate enough to receive monetary donations from individuals and businesses during this time too, to support the wellbeing of our frontline NHS staff.
A fantastic range of charity T-shirts and hoodies in support of the NHS was also launched by Manchester-based boohoo Group. The fashion retailer created the range to show their support during the COVID-19 pandemic. The proceeds from the bespoke line of clothing, which launched across all brands in the boohoo group, were very generously donated to Manchester Foundation Trust Charity.
April also saw Peninsula Group announce they were doubling their original pledge to Royal Manchester Children’s Hospital, committing to raise a staggering £2 million over four years. We can’t thank Peninsula enough for their support to date and this extremely generous pledge.
May 2020
In May, the University of Manchester Rugby Club set themselves a team fitness challenge for all their members to take part in. The aim of the challenge was to collectively cover the distance between the countries which should have been participating in the Six Nations Rugby Tournament, whilst raising funds for Manchester Royal Infirmary. For the week-long challenge, the 70+ team members took on a variety of strenuous activities including running, cycling and walking a combined distance of 3,203 miles and raised an incredible £2,719.
April and May saw the teenage sons of Covid patient Daimon Keith taking part in their own cycling challenge to raise money for Wythenshawe Hospital Charity. Daimon was admitted to hospital in March and had to be put on the ECMO machine – a life support machine which took over some of his organ functions to allow his body to recover. For every day he was in hospital, 69 days in total, his sons Charlie and Henry cycled a 10km loop near their home. In mid-May Daimon awoke from his ECMO treatment on Wythenshawe’s respiratory ward and later was allowed home to continue his recovery. In total the family raised more than £9,000.
Also in May, two-year-old Iris Travis took part in our virtual Teddy Toddle walk in support of Ward 78 at Royal Manchester Children’s Hospital. Iris has Spina Bifida and has endured many operations from just two days old. Iris’s parents feared they would never see her crawl - but they were so proud to see her taking brave steps to complete her walk. Surrounded by all her favourite teddies and with the help of her dad, Iris completed her walk and raised an incredible £1,690. What an amazing achievement!
July 2020
June 2020
Excited children of MFT staff were able to take home a special present from the Trust nursery in June, thanks to a kind donation from Fairy Bricks, a national organisation which donates Lego and Duplo sets to children’s hospitals and hospices. The company gifted sets to our Charity to give out to the children of NHS staff, who worked so hard during the pandemic, as a thank you to the children for being so good while their parents and carers worked hard keeping the population safe and well.
In July, we launched our £72for72 challenge, encouraging supporters to take part in their own 72-themed challenge in recognition of 72 years of the NHS. We were overwhelmed by the support our fundraisers showed in rising to the challenge and the enthusiasm and creativity of some of their individual challenges, particularly given the local Covid restrictions faced at the time.
The Daddies Escape running team took on their own unique £72for72challenge in July. Two members of the team took on 72 separate 10K runs each throughout the month. This equated to the team running two 10Ks on most days, but for 10 days of the month they needed to run three! Equally impressive was the group’s relay team, with every member of the team completing eight 10Ks each, to take the team up to the magic number 72. The team raised £1,190 in total, donating 50% to Royal Manchester Children’s Hospital.
Ingrid and Andy Platt-Chance, together with 20 of their friends and family, took on the Yorkshire 3 Peaks challenge to raise money for the Neonatal Intensive Care Unit (NICU) at Saint Mary’s Hospital in memory of their son Freddie. Sadly, Freddie lost his life in 2017 at just 25 days old, following a range of serious health problems. The ‘Freddie’s Legacy Team’ raised a grand total of £6,657 from the challenge bringing their total raised in Freddie’s name to an incredible £32,483.
Also in July, and also linked to the NHS birthday, was our first ever virtual quiz. Our quiz master Gavin Inskip was joined by famous faces including Hollyoaks actors Ashley Taylor-Dawson and Sarah-Jayne Dunn, Manchester actor John Thomson, city Mayor Andy Burnham, and Coronation Street’s David Neilson. We’re so thankful to everyone who joined us on the night to celebrate and raise money for the Charity, along with ANS Group who supported the event by matching funds raised on the night pound for pound.
In June, 11 children living on Wingate Drive in Bury set themselves the challenge of cycling 100km up and down their road to raise funds for Royal Manchester Children’s Hospital during lockdown. This was a huge challenge for the children but working as a team they managed to smash their target, raising £2,056 in the process! Thank you also to Yvonne Roberts, one of the mums on the street, for helping to organise this fun challenge.
Ashley Taylor-Dawson, along with pal Jay, also took on an incredible 50km run for us in July. Ashley’s Hollyoaks character, Darren Osborne, had an ongoing storyline in which he was suffering from depression, which led to fans of the show contacting Ashley to share their own struggles with mental health. Ashley and Jay decided to take on the Ultramarathon challenge to raise money for Galaxy House, the children’s and adolescent mental health (CAMHS) inpatient unit at Royal Manchester Children’s Hospital. In total, Ashley and Jay raised a staggering £3,673.
Quizzes were clearly popular in July as supporter Tom Finkill held an online quiz for Royal Manchester Children’s Hospital Charity. Family and friends were keen to join in the quiz and support the children’s hospital after Tom’s daughter Sofia was treated there after being diagnosed with Development Dislocation of the Hip (DDH). Never Gonna Quiz You Up raised more than £2,000.
6
7
Celebrating your support
August 2020
Architect and sports enthusiast David Resnik raised a large amount with a tiny project in August. David, who lives in America, has a passion for building miniature stadiums and created an Old Trafford replica to raffle and raise money for the play therapy service at Royal Manchester Children’s Hospital. We were blown away by his expertise building this stadium which raised a fantastic £1,624.
We were also extremely grateful to ISAWITFIRST.com who donated £135,000 in August. The money was raised from a bespoke ‘lockdown’ collection of 24 charity t-shirts, four of which were designed by The Only Way Is Essex stars Saffron Lempriere and Bobby Norris, with 50% of the proceeds from the collection being donated to our Charity. In addition the online fashion company had also created a ‘blue edit’ section on their website, asking their customers to make a £1 donation at checkout.
We would like to thank all our Tour de Manc riders who raised a wonderful £7,457 for Royal Manchester Children’s Hospital in August. The money was raised from sign-ups for the 2020 cycling event that was cancelled and due to return in 2021, as well as the riders that took part in a virtual Tour de Manc that they completed in their chosen location.
The money raised will help to purchase two new stateof-the-art gantry hoists for the rehabilitation ward and the Therapy Dietetics department at Royal Manchester Children’s Hospital. The two gantry hoists will directly benefit over 1,300 children with complex needs, helping patients regain their confidence in movement and walking.
August also saw the family of five-year-old Rafe Lyon come together to run, walk and cycle a combined distance of 169km to support Royal Manchester Children’s Hospital’s Bone Marrow Transplant Unit. The unit cared for Rafe whilst he underwent two bone marrow transplants to correct a genetic disorder. The ‘Running for Rafe’ challenge raised £8,311 which will be used to fund essential research into the treatment of leukaemia and other haematological and immunological conditions.
In a bid to raise money for their department at Royal Manchester Children’s Hospital, the staff at the Paediatric Emergency Department set themselves challenges themed around the number 72 to complete throughout August for the £72for72 campaign. While some staff ran or cycled 72 miles or kilometres over the course of the month, others set themselves daily challenges such as 72 squats or 72 sit ups. The team raised an amazing £9,434 in total.
September 2020
In September, the Trust’s Human Resources Business Partner team for WTWA (Wythenshawe, Trafford, Withington and Altrincham hospitals) also took on our £72for72 challenge. The team of nine staff members raised a grand total of £700 to support projects at Wythenshawe Hospital and each took on the challenge of running, jogging, walking or cycling 7.2km.
Also in September, friends Karl and Justin raised more than £5,000 for Wythenshawe Hospital by cycling coast to coast from Morecambe to Bridlington to say ‘thank you’ to staff on F6, one of the hospital’s cardiac wards, after they treated Karl. As well as raising funds, Karl also wanted to use the ride to remember cardiologist Dr Neil Davidson.
September also saw staff and volunteers at Amazon donate £3,000 to Royal Manchester Children’s Hospital. Amazon Goes Gold is the company’s annual campaign to raise awareness and funds during Childhood Cancer Awareness Month. In addition to partnering with hospitals and research organisations around the world, Amazon also wraps a selection of its delivery fleet in gold ribbons during the month to further increase the awareness across its network.
October 2020
November 2020
In October we asked supporters to go green for Royal Manchester Children’s Hospital, be blue for the NHS, or even combine the two, and make a small donation for taking part!
In November, the Charity received an extremely generous donation of £100,000 from Deliveroo as part of their Supporting the NHS campaign. Thanks to the generosity of their customers, the company made their donation to recognise the work of frontline NHS staff during the COVID-19 pandemic. This kind donation will support the Charity’s staff wellbeing fund.
Thank you to everyone who got involved, especially the schools that made their Be Seen in Green days such a success whilst still following the appropriate Covid-secure measures. Overall, we raised almost £10,000 following everyone’s green or blue based activities!
In November, staff on Ward 85 at the children’s hospital set themselves a challenge of running 100km throughout the month to help fund vital entertainment equipment for their teenage patients. The staff set themselves the challenge so that they would be able to buy something for the older children to enjoy, such as games consoles and a screen projector which would make a real difference to these patients. In total, the staff group raised an incredible £7,507.
October also saw the family of Gracie Jones take on a gruelling challenge of walking more than 120 miles in honour of their daughter, who sadly passed away from a rare and aggressive form of cancer. ‘The Road to Ace Grace Place’ was a challenging hike from Worsley to Filey to raise funds for Royal Manchester Children’s Hospital. The walk not only raised more than £11,000 for the hospital’s oncology unit, Ward 84, it was also an opportunity to raise awareness of a house Gracie’s parents, John and Caroline, have purchased and which is aptly named ‘Ace Grace Place’. The house in Filey can be used by Ward 84 children and their families for respite and relaxation by the coast.
Susan Shah raised £2,054 with an online raffle in October, with the money funding the purchase of an electric breast pump for mothers whose babies are being cared for on the Neonatal Intensive Care Unit at Saint Mary’s Hospital. Susan raised the money to say thank you for the care her now 12-year-old son received on the unit when he was born.
8
9
Celebrating your support
December 2020
January 2021
Despite Covid restrictions in place in December, we were able to go ahead with our annual Christmas Carols in the City and Sparkle in the City events in a virtual format, with the events raising £17,350. This was then generously match funded by corporate supporter Peninsula Group, taking the grand total raised to £34,700.
In January 87-year-old Joan Davenport raised £1,000 for Royal Manchester Children’s Hospital’s ward 78 by walking circuits of the block of flats she lives in.
January also saw the launch of two face masks by corporate supporter Brilliant Masks, with profits from each sale being donated to our charity. The Manchester-made masks were designed by doctors and tested to the highest industry and infection control standards and feature our charity logos. They are available in two designs – a Manchester Foundation Trust Charity logo design and a green and white mask featuring the children’s hospital mascot Humphrey Bear. Our longstanding Charity patron John Thomson also tweeted a picture of himself wearing one of the masks.
We would also like to thank everyone that contributed to our Christmas appeal in December. From the sales of raffle tickets and individual postal donations we raised over £19,000 in support of our family of hospitals.
We were also happy to see hundreds of people from across the North West flaunting their festive fashion for our Christmas Jumper Day!
Unable to visit in person this year, both Manchester City and Manchester United Football Clubs worked closely with us to deliver virtual alternatives, providing special video messages for our patients.
In December, we also shared a unique Christmas video message for all our staff across Manchester University NHS Foundation Trust. The video recognised the hard work of all NHS staff throughout the pandemic, capturing some heartwarming messages of thanks from celebrities.
Also in December, members of a Buxton gym recorded their own version of the famous Proclaimers song I’m Gonna Be (500 Miles) to raise money for Royal Manchester Children’s Hospital. Over 40 fitness fans from the New Bodies Gym each recorded a line from the classic feel good tune whilst dressed in some very festive attire. New Bodies owner Andrew Lomax and wife Emma enlisted their close friend George Derbyshire to edit the video and wrote their own lyrics to the hit song which were all linked into the gym and keeping fit. In total, the gym raised an amazing £2,735.
The close of 2020 also marked the start of a fantastic longterm partnership with EG Group, with the independent convenience retailer pledging support for the Bone Marrow Transplant Unit at Royal Manchester Children’s Hospital.
February 2021
March 2021
In February we were delighted to announce sales of an adorable rainbow baby sleepsuit by JoJo Maman Bébé had raised almost £10,000 for Manchester Foundation Trust Charity. The sleepsuits proved to be so popular, the company even had to do a restock as it had sold out in 2020.
March saw TMT Commercial Contractors Ltd donate £17,470 to Royal Manchester Children’s Hospital, in gratitude for the care provided to the children of Peter Bircher, a member of their staff. Peter’s sons Archie and Charlie were both born with a very rare genetic condition called Cleidocranial Dysplasia, which affects only one in a million people in the UK.
This was the month we also launched our new contactless donation tins. The tins can be displayed in public spaces including cafés, shops and businesses and allow supporters to make a donation without the need for cash. Many people prefer to make donations this way so it was important to us to make giving a charitable donation as quick and convenient as possible. The tins are available for many of our hospital charities and also our parent charity, Manchester Foundation Trust Charity.
Manchester based Happy Linen Company donated £2,558 in March. The money was raised by their Giving Back campaign, in which 25p from every product sold between January and March was donated to local charities. 50% of the total amount raised was donated to our Charity.
March also saw young supporters Hughie and Freddie hit the milestone of £200,000 raised for Royal Manchester Children’s Hospital – an incredible sum of money made even more spectacular by the fact they only came to know the Charity in Autumn 2020. 10-year-old Hughie was diagnosed with acute lymphoblastic leukaemia in September 2020 and in October his family and friends took part in Humphrey’s Lantern Walk. His best friend Freddie was inspired to do something too and set himself a challenge of running 2km every day in the 50 days leading up to Christmas Day.
Their story of fundraising and friendship resonated with so many people, the story ended up receiving local and national media coverage, with BBC Breakfast broadcasting Freddie’s last run live on Christmas Day. The best friends have continued to tell their story and be fantastic ambassadors for Royal Manchester Children’s Hospital Charity so hitting the £200,000 mark was the perfect way to end this financial year.
The list of things the boys have enabled the children’s hospital to buy include vital life-saving equipment, a supply of fresh fruit for Hughie’s ward as well as a stock of new slushie pouches to soothe the throats of young cancer patients undergoing chemotherapy. Hughie was so excited to be able to make that first slushie delivery in March, giving out the first batch to some of his Ward 84 friends!
10
11
Working together to make a difference
Charitable Trust activity over the last 12 months
Manchester Foundation Trust Charity has been very fortunate to receive support from charitable trusts across the country over the last 12 months. Some of the incredible support we have received includes:
-
The CRH Charitable Trust donated £5,000 towards a music and creativity project to support young mental health patients at Royal Manchester Children’s Hospital.
-
Barclays UK donated £250,000 from their Community Aid Package set up to support charities and communities impacted by COVID-19. The funds will support staff wellbeing projects including a state-ofthe-art arts and wellbeing centre. The creative centre will put Manchester University NHS Foundation Trust at the forefront of supporting NHS staff wellbeing in direct response to COVID-19, and presents a groundbreaking global first.
-
The Zochonis Charitable Trust continued to support the Sexual Assault and Referral Centre at Saint Mary’s Hospital with a donation of £30,000.
-
The Fence Club kindly supported play therapy and resources at Royal Manchester Children’s Hospital with a donation of £3,000.
-
NHS Charities Together donated over £397,000 to support staff wellbeing and recovery during COVID-19. Some of the funds have been used to train Mental Health First Aiders and for an anti-stigma mental health campaign to encourage staff to talk about their mental health.
-
The Grace Trust donated £3,000 to help premature babies by supporting a piece of equipment known as a Lifestart Trolley which will enable deferred clamping of the umbilical cord.
Volunteers
We are always grateful to those who kindly give up their own time to help us – the hours donated by volunteers help us to make a huge difference to the services that we provide and the funds that we raise each year.
However, in the past year, in line with both local and national Covid restrictions, many of our events have been cancelled and much of our fundraising activity has taken place virtually. As such, all volunteering on behalf of the Charity was paused. We look forward to welcoming back our volunteer supporters – existing and new – when it is safe to do so again.
Celebrity support
This year, despite the pandemic impacting on so much of our usual activity, we feel privileged to have received the support of many celebrities who have supported our virtual events or lent a hand to raise awareness of our cause.
This year, our thanks go to Coronation Street stars Faye Brookes, Antony Cotton, Simon Gregson, Samia Longchambon, Jennie McAlpine, David Neilson, Tina O’Brien, Colson Smith, Catherine Tyldesley and Brooke Vincent.
Thanks also go to Manchester radio presenter Mike Toolan, dancer George Sampson, Good Morning Britain presenters Piers Morgan and Susanna Reid, Manchester poet Tony Walsh and TOWIE stars Saffron Lempriere and Bobby Norris.
We’d also like to thank actors Chris Bisson, James Corden, Ian Puleston-Davies, Tom Davis, Ashley Taylor Dawson, Jason Done, Sarah Jayne Dunn, Joe Gill, Sam Kane, Linda Lusardi, Romesh Ranganathan and John Thomson, and music stars Clint Boon, Max and Harvey, Max George and Ariana Grande. Thanks also to Mayor of Greater Manchester Andy Burnham, Top Gear presenters Freddie Flintoff, Chris Harris and Paddy McGuiness, children’s television presenter Olivia Birchenough, singer Cole Page and our very own Pets as Therapy dog Alfie the Pug.
Thank you also goes to TV presenter and former footballer Jamie Redknapp, BBC Sport presenter Hugh Ferris, English cricketers Jos Buttler, Joe Root and Michael Vaughan, footballer Patrice Evra, British racing driver Andy Meyrick and former England professional footballer Wes Brown.
The Charity has also been fortunate enough to enjoy the support of both the men’s and women’s teams at Manchester City and Manchester United Football Clubs, who this year have supported our patients virtually, offering video calls to some of our poorliest patients.
How to support us
There are many ways in which people can support any one of our family of hospitals and community services, by giving their money, time or talent.
Gift Aid
Making a donation
To make a donation please visit mftcharity.org.uk/donate or call the fundraising team on 0161 276 4522.
Last year we claimed thousands of pounds in Gift Aid. If you are a UK tax payer and make a simple declaration, for every £1 donated the Charity receives 25p of Gift Aid. In 2020/21 we were able to claim £439,000 in Gift Aid (£512,000 in 2019/20).
Gifts in memory
Many thousands of pounds are donated each year to our hospitals in memory of patients who have died. The funds are used to improve facilities or buy equipment that will benefit our patients, so creating something very positive out of a sad personal loss.
For information about Gift Aid, legacy donations and the many other ways you could support the hospitals, please call the Charity Office on 0161 276 4522.
A big thank you
Legacy support
On behalf of the patients, their families and the staff who have benefited from the improved services and environment provided from donations and legacies, the Charity would like to thank patients, friends and relatives, staff, companies and other organisations that have supported us. You really have made a difference to our family of hospitals and community services.
Legacy gifts provide the Charity with a valuable income source that can allow us to plan for the future and benefit as many patients as possible. A legacy can be left to a specialist area of work in accordance with the donor’s wishes – even the smallest legacy can have a lasting impact on our work across our family of hospitals and community services.
Gifts left to the Charity in a Will help us to fund vital work at our hospitals to ensure that we are continuing to make a difference and supporting excellence in treatment, research and care.
As a Charity we are dedicated to making things better and giving our patients the best experience possible; gifts in Wills allow us to take great strides towards achieving this.
In the 2020/21 financial year we received £593,000 in legacy gifts (£1.865m in 2019/20).
12
13
Investing in treatment, research and care
The latest equipment and facilities
Charity funds have been spent on a wide range of equipment, activities, training and events to help patients, their families and to support staff. During the year, a key priority has been to put extra resources into staff and patient wellbeing and mental health, in response to the pandemic.
Here are just a few examples of how the money has been used in 2020/21.
The Charity played a key role in caring for our MFT staff as they cared for others during the pandemic. The team coordinated gifts and donations from the public, businesses and other organisations, providing meals, beverages and many other amenities for our hard-working staff. Almost £1.9m was provided to support the wellbeing of all staff across MFT, whatever their role.
Maintaining good mental and emotional health is another important ongoing focus for MFT. The Charity contributed £247,000 to fund the Lime Arts wellbeing programme and awarded £44,000 to the Trust-wide Employee Wellbeing Mental Health Programme.
The Charity contributed £1.13m to a number of capital projects that will make a difference to patients, staff and visitors both now and in the future. These included the new Helipad at Oxford Road Campus (£600,000), refurbishment of patient areas (£131,000) and of staff break rooms (£97,000). To ensure effective communication with patients and staff, MFT has created a new staff app and is replacing outdated information screens across all ward and outpatient areas. The Charity has provided £880,000 for investment in developing and installing this new technology.
The Royal Manchester Children’s Hospital (RMCH) received £163,000 to help provide play therapy and entertainment resources for young patients, plus £46,000 to support the annual Burns Camp for children. The Charity also gave a further £336,000 towards the cost of installing specialist Progressa beds at RMCH to enhance care for the most severely ill patients.
At Trafford Hospital, the care of dementia patients was boosted by additional funding of £23,000 from the Charity. Music plays an important part in creating a calming environment for patients and staff, and the Charity awarded £21,000 to continue the popular Concert Series at Manchester Royal Eye Hospital.
With support from the British Heart Foundation, the Charity
provided a combined total of £2.51m to purchase, install and operate a new MRi cardiac scanner at Wythenshawe Hospital. And thanks to funding of £338,000 from the Charity, clinical teams across MFT were able to buy additional specialist equipment to diagnose and treat patients. This ranged from endoscopes, blood infusers and jaundice meters to specialist wheelchairs and neonatal monitors for Royal Manchester Children’s Hospital, Saint Mary’s, Withington and Wythenshawe Hospitals.
Charitable support of £27,000 also enabled Manchester Royal Infirmary and MREH nurses, doctors and other clinical staff to attend virtual conferences and study days to continue developing their specialist skills and knowledge.
At the forefront of research and innovation
MFT’s vision includes being at the forefront of Research and Innovation (R&I) in healthcare and life sciences – to lead in clinical improvements for patient care, stimulate major economic growth and prosperity for our local and regional community, and play a major role internationally in shaping the strategic future of R&I.
Working with our partners across Greater Manchester, including The University of Manchester, Health Innovation Manchester (HInM) and the Greater Manchester Health and Social Care Partnership (GMHSCP), we are proud to be part of, and continue to strengthen and grow the ’One Manchester’ vision.
This includes hosting one of the largest National Institute for Health Research (NIHR) portfolios in the country, including the NIHR Manchester Biomedical Research Centre (BRC), NIHR Manchester Clinical Research Facility (CRF) and the Clinical Research Network Greater Manchester.
Funding from the Charity is essential in enabling R&I to have the speed and flexibility required to support our diverse programme of work. 2020/21 was the final year of our five-year, £4.11 million charity funding cycle. During the year R&I at MFT spent or made commitments to projects totalling £569,397 of Charity funding.
Funding from the Charity supports and underpins our research and innovation across four key areas:
1. Providing strategic funding for research activity.
2. Building and funding research capacity.
3. Providing research training for clinical staff.
4. Encouraging the spread of innovation.
All of these activities are essential parts of developing the capability of MFT to shape as well as adapt to the healthcare systems of the future. Our partnership working with the Charity, coupled with our ethos of cost-effective pump-priming in the absence of other funds being forthcoming for infrastructure, has proved to be a very successful model.
Due to the COVID-19 pandemic, several of our proposed schemes and activities were suspended during 2020/21.
14
15
Investing in treatment, research and care
1. Strategic awards
As part of our ongoing commitment, with partners, to the NIHR Applied Research Collaboration Greater Manchester (ARC GM), we contributed £50,000 matched funding for Year Two of its cycle.
ARC GM’s research activity is pivotal in finding new and better ways of preventing illness and delivering care, ensuring that Greater Manchester continues to be at the leading edge of health innovation, care and treatment.
2. Research capacity building
During the five-year funding cycle, our strategic focus has been concentrated into key work streams:
The Diagnostics Technology Accelerator (DiTA)
-
DiTA’s cost recovery and additional funding sources including a £1.4m NIHR grant as part of the COVID-19 MFT-led CONDOR national testing programme. This programme validated over 30 diagnostic tests for COVID-19, including the Innova lateral flow test that’s widely used for NHS and mass population testing and the LumiraDx portable device that’s now used in many hospital Emergency Departments.
-
An additional research grant was sourced from the NIHR i4i scheme (PALOH study, £900,000) - a collaboration between Prof Bill Newman and his team with Manchester-based SME GeneDrive. Every year, around 90,000 newborn babies in the UK receive a commonly used antibiotic. However, one in 500 have a genetic predisposition to profound and irreversible hearing loss if given this treatment. The PALOH study validated a point of care test for a genetic abnormality to the antibiotic and has now determined the accuracy of the test. If rolled out across the country, the new test could prevent 180 babies from developing hearing loss each year, with potential NHS savings of £5 million in treatment costs.
-
Helped to generate a £350,000 research grant from the NIHR for the Pre-hospital Evaluation of Sensitive Troponin (PRESTO) study, which has now been completed. The study evaluated the accuracy of new, portable, point of care tests that can detect signs of a heart attack within minutes. If successfully rolled out across the NHS, this technology could allow many patients who have called 999 with chest pain to receive earlier reassurance without unnecessary transport to hospital. Meanwhile, those with heart attacks could be taken directly to specialist centres, expediting their care.
-
Generated a research grant from US company
Singulex. The Manchester Coronary Artery Disease (MCAD) study has now completed recruitment and follow-up. It will evaluate whether a commonly used test that detects heart attacks (troponin) could be used to determine whether patients who have had less severe episodes of chest pain in the community may have coronary artery disease (narrowing of the arteries that provide the heart muscle with blood). While the original funder (Singulex) has now been dissolved as a company, DiTA has continued to support this research, which will evaluate two alternative troponin tests.
-
Generated additional income through consultancy projects with Roche and LumiraDx to help identify existing research for novel diagnostic tests, to provide expert interpretation of that evidence, and to provide guidance on important future areas for research and the best future directions to improve patient care in the NHS.
-
A new Director for DiTA, Dr Tim Felton, and a new Operations Manager have been appointed following the departures of Professor Rick Body and Dr Katherine Boylan to the roles of MFT Group Director of R&I and Head of Innovation respectively.
-
Early planning is ongoing to ensure optimal positioning, via DiTA, for MFT to lead an NIHR Medtech and In vitro diagnostic Cooperative (MIC) infrastructure funding bid (the call for bids is expected to open in late 2021/early 2022).
Data-Driven Diagnostics and Treatment Workshops and pilot funds
- Previously funded programmes continued to progress during 2020/21.
Rare Diseases
- We continued to support a Rare Diseases Project Manager for 2020/21.
NIHR Grant Writing Workshops (partnering with Research Design Service North West)
- We continued to deliver the sessions virtually to assist in upskilling clinicians, increasing grant income and offsetting income losses from altered national policy.
3. Career Development and Training
Due to the COVID-19 pandemic, several career development and training programmes were suspended during 2020/21, because of the set-up and support for running NIHR COVID-19 Urgent Public Health (UPH studies) and the re-deployment of staff to frontline services.
In 2020 we introduced the R&I Practice Based Educator (part-time Band 7) into our Clinical Research Delivery Team. This role was crucial in the transition of R&I staff from North Manchester General Hospital (NMGH) into the MFT R&I team, ensuring consistency and familiarity with new processes and systems.
4. Innovation
The R&I Innovation Team has continued, through a series of projects, to adapt to a cost-recovery model – most notably being awarded a Health Foundation Adopting Innovation grant worth £475,000 amount over 2½ years. This grant will help establish the Innovation Team’s vision to position MFT as the leading NHS Trust for innovation and the healthcare innovation partner of choice for industry.
Funding bids to the British Heart Foundation and Heart Research UK are directly attributable to the Charity’s support for early Proof of Concept work, and work is ongoing to leverage further grant applications from this support.
Rigorous processes, procedures and guidance around innovation, intellectual property and commercialisation are being implemented. These will ensure invention capture is optimised, and commercial engagement delivers value, further facilitating the innovation cost-recovery model.
During 2020/21, MFT developed and executed a Memorandum of Understanding with The University of Manchester regarding intellectual property which spans both organisations. This has greatly improved relationship management with MFT’s closest innovation partner and is delivering benefits for key R&I infrastructure, including the NIHR Manchester Biomedical Research Centre (BRC) and NIHR Manchester Clinical Research Facility (CRF).
16
17
Investing in treatment, research and care
Creating a caring environment
Over the course of almost 50 years, internationally acclaimed and multi-award winning arts and health organisation Lime has developed expertise in delivering high quality arts interventions in healthcare settings across MFT for both patients and staff.
Lime’s programme is underpinned by a belief that access to arts and culture should be embedded within healthcare settings and there is a growing body of evidence supporting the positive impact of the arts on health, mental health and wellbeing.
The Charity has supported Lime’s programme for several years, in recognition of the important work being provided. The programme can demonstrate that the changes made to the patient environment have led to improvements in outcomes, increased throughput and increased staff morale. Lime projects provide opportunities for social interaction, stimulation, relief from anxiety, pain and stress, and promote non-verbal communication. Creative interactions also increase confidence, self-esteem and empower patients. Benefits are in line with the MFT Charity’s objectives and evidenced in Lime’s Participatory Art Pilot Programme Evaluation Report 2019 and more recently in the MFT Employee Arts + Wellbeing Evaluation Report, January 2021.
Lime’s arts and wellbeing programme for MFT includes:
-
Ward-based residencies for visual artists and musicians.
-
Art and music activities for MFT staff.
-
Site specific arts commissioning that transform healthcare environments.
-
Live public concerts and performances.
Lime also delivers accredited training programmes for healthcare professionals including Therapeutic Activity Coordinators as well as medical students, artists and musicians at The University of Manchester Medical School, The Manchester School of Art and The Royal Northern College of Music.
Prior to the first COVID-19 national lockdown in March 2020, Lime was delivering a vibrant multi-strand programme of creative activity for staff and patients across MFT. After suspending all activity, Lime received emergency funding from Arts Council England and focused its efforts on supporting the wellbeing of NHS staff during the pandemic.
An overview of programme activity during 2020/21:
Lime Arts and Wellbeing Centre
The MFT Charity secured a generous donation from Barclays to develop a new creative wellbeing space at the Peter Mount Building on the Oxford Road Campus. The vision is to create a hospital based Arts and Wellbeing Centre to support and care for MFT staff in direct response to the COVID-19 pandemic. Due to open in August 2021, the centre will provide a valuable resource and cultural access point for healthcare professionals, students and trainees, where the world-class cultural life of the hospitals is created and celebrated. This level of innovation, housed in a custom-built creative space, will put MFT at the forefront of supporting NHS staff wellbeing in direct response to COVID-19 and present a groundbreaking global first.
Hospital Arts Social Club
In July 2020 Lime set up the Hospital Arts Social Club, delivering a series of online creative workshops for MFT staff, and also began the development of the new Lime Arts Portal, to allow MFT staff access to high quality online creative workshops and resources via a Lime arts membership. In partnership with the MFT Employee Health and Wellbeing (EHW) Service, Lime went on to explore new creative ways in which the arts could support campaigns to address stress and anxiety across the NHS workforce in relation to COVID-19.
- 82% agreed that they have a more positive view of their employer.
Additional funding was secured via NHS Charities Together to deliver further online creative workshops between July 2020 and March 2021. During this pilot phase, Lime’s artists delivered 25 online creative workshops which enabled 168 NHS staff to access the arts. Workshops were evaluated using online questionnaires, with overwhelmingly positive results:
- 100% of respondents rated their likelihood to attend future workshops and also promote to colleagues as positive.
“Each time I attend a Lime Workshop, I come away with a new and lasting creative idea or skill that I use time and time again.”
-
94% of respondents felt a great deal of benefit from having the opportunity to be creative.
-
(MFT staff Feedback Freewriting workshop)
-
88% of respondents agreed that they felt less stressed after attending.
Create.Connect.Unwind
Delivered online and face to face from the new Lime Arts and Wellbeing Centre, Create, Connect, Unwind is a groundbreaking creative wellbeing project for MFT staff. Building on the success of the Hospital Arts Social Club, Lime continued to work closely during 2020/21 with MFT’s EHW Service to support a new campaign to challenge the stigma around mental illness within the NHS workforce and to support staff wellbeing and mental health during and beyond the pandemic. This has resulted in a new Employee Health and Wellbeing Arts Programme - CREATE.CONNECT. UNWIND that will be delivered during 2021/22.
“I was having a really rubbish week at work and this activity took all of my focus and really helped to de-stress and concentrate on the task in hand.”(MFT staff Feedback from Coil Pots workshop)
Lime held several stakeholder sessions in January 2021, identifying key staff groups for priority access to the programme, including groups who have been most significantly impacted by the pandemic and those that are hard to reach.
These strategic and targeted stakeholder sessions have resulted in a growing awareness and understanding across the Trust that accessing the arts helps us to, “switch off from work stress” and “refresh the brain” (Karen Vaughan, Head of Nursing, RMCH).
Over the course of the programme from May 2021- March 2022, Lime will:
-
Deliver 92 creative workshops for NHS staff.
-
Engage up to 400 NHS staff in the co-creation of new artwork.
-
Employ over 20 new artists.
-
Reach an estimated audience of 17,000 healthcare professionals.
-
Deliver activities which support staff mental health and wellbeing through engagement with arts and creativity and issues-based commissions, working with staff to directly address the stigma around mental illness.
-
Produce a new body of artworks co-created with MFT staff and collaborating artists addressing mental health and stigma. Artworks will include printed/visual and written works, theatre, performance art, dance and music.
-
Curate an MFT Arts + Wellbeing Festival in spring 2022.
18
19
Investing in treatment, research and care
Adult arts programme (MRI)
In March 2020, the adult arts programme funded by the MFT Charity was paused due to the pandemic. Review meetings were held across the following months to establish a framework and timeline for artists and musicians to safely return to work on the wards. The adult participatory arts programme is due to relaunch in July 2021 and will be delivered on Wards 30 and 31 in phase 1, with induction support from Dementia Lead Emily Robertson and input from therapeutic activity coordinators to shape the creative framework. Project activity will combine creative writing, visual art and music with exciting new collaborations with film and video, photography and sound artists.
RMCH Cleft Lip Palate Service and Dental Health Unit art and design project
The Cleft Lip and Palate Service at RMCH is the hub of the North West, North Wales and Isle of Man cleft lip and palate Network. The Network provides multidisciplinary specialised management for at least the first 20 years of life to produce the best outcomes for cleft patients.
The Dental Health Unit, part of the Regional Paediatric Dentistry Service, provides specialist dental care for children with complex medical problems who are unable to co-operate for routine dentistry. In early 2020, Lime commenced work on a project to transform the environment of the Unit. The aim is to make the spaces within the unit less clinical, more child and familyfriendly, whilst taking into account that patient journeys can last from infancy through to adulthood. Lime had commissioned visual artist Lucy Casson to create the new art work for the department.
Activity was suspended throughout 2020, and Lime is currently in the consultation phase of the design process, working with both patients and staff to develop ideas for the artwork and to identify requirements for each of the spaces. Following this consultation, the artist will begin to develop designs for the artwork, which is due to be installed in spring 2022.
Creating a caring environment
Organ donor recognition artwork
A new sculptural artwork will be created within the grounds of Manchester Royal Infirmary, which recognises the vital and important role of organ donation and honours the experience of organ donors and their families. This project will provide a formal physical focus for remembrance and reflection for donor families.
Lime had commissioned artist Stephen Raw to create the new artwork and over summer 2021 the consultation process will restart with donor families, organ donation ambassadors and recipient families, plus members of the MFT Organ Donation and Transplantation teams. The new artwork is scheduled to be installed in spring 2022.
Our future plans
The Charity’s key objective for 2021/22 is to fund a variety of projects across our family of hospitals and community services that will enhance the experience we provide for our patients and their families. These include the provision of cutting edge equipment, enhancing the hospital environment for the 2.5 million patients cared for each year, and enabling life-changing clinical research to help shape the future of healthcare for patients across the North West and beyond. We will also fund projects to support the wellbeing of our 28,000 staff, ensuring our hospital family can continue to care for our patients and their families.
20
21
Structure, governance and management
Manchester Foundation Trust Charity objectives and priorities
The charitable fund was created under Trust deed executed on 26th July 1995 and constituted with a sole Corporate Trustee, which is now the Board of Directors of Manchester University NHS Foundation Trust (MFT).
The object of the Charity is “for any charitable purpose or purposes relating to hospital services (including research) or to any other part of the National Health Service associated with any hospital.”
The main priority for the Charity is to enhance what is provided by the NHS, ensuring continued excellence in treatment, care and research by supporting:
-
State-of-the-art equipment for better diagnosis and treatment.
-
The creation of less clinical and more patient friendly environments across our hospitals
-
Innovative research to improve our understanding of illness.
Organisation structure
The overall management and decision-making of the Charity is the responsibility of the Charitable Funds Committee. The Committee has specific terms of reference and no business may be transacted at a meeting unless two Group Non-Executive Directors and one Group Executive Director, who must be the Group Chief Finance Officer (or nominated deputy), are present. The chairman of the volunteer Charity Fundraising Board, which supports the Trustee in terms of fundraising development and income generation, also attends the Committee as an independent member. The Group Chief Finance Officer is the Group Executive Director nominated by the Board to have prime responsibility for the administration of the Charity’s finances.
The Charity has a Charitable Funds Guide which is distributed to all fundholders. The guide ensures that the expenditure from the Charity is compliant with the Charity Commission’s Public Benefit guidance.
The Charity is registered with the Charities Commission and has a number of unrestricted and restricted funds. The unrestricted funds have no limitations on how the money is spent, other than the Charity’s governing document and any specific requests by donors. The money in the restricted funds has to be spent in accordance with the relevant restrictions.
The Corporate Trustee will always try to fulfil the wishes of donors when allocating funding.
All other funds are classed as designations which enable each fund to be managed by fund advisers at an appropriate level within the organisation, and any expenditure charged to the fund must be appropriately approved in line with the scheme of delegation below. The designated fund advisers are appointed by the NHS Trust’s management team in accordance with the Scheme of Delegation approved by the Board.
Scheme of delegation for Manchester University NHS Foundation Trust Charity
----- Start of picture text -----
Value of
Authorisation required by
expenditure (£)
0–4,999 Fund Advisor
Fund Advisor and Divisional
5,000–9,999
Director
Fund Advisor, Divisional Director
10,000–49,999 and Hospital/MCS Chief
Executive or Medical Director
Fund Advisor, Divisional Director,
Hospital/MCS Chief Executive
50,000–99,999
or Medical Director and Group
Executive Director
Above 100,000 Charitable Funds Committee
----- End of picture text -----
Appointments to Corporate Trustee
The Board of Directors currently comprises the Group Chairman, eight Group Non-Executive Directors and nine Group Executive Directors, including the Group Chief Executive. The Group Chairman and Group Non-Executive Directors are appointed through a selection process and have the skills and attributes to act as advocates for their communities and provide leadership for the NHS. The Council of Governors approves these appointments. Regular briefings and workshops are provided for the Corporate Trustee as required.
The Group Chief Executive is appointed by the Group Chairman and Group Non-Executive Directors with approval from the Council of Governors. A committee consisting of the Group Chairman, the Group Chief Executive and the other Group Non-Executive Directors appoints Executive Directors.
Corporate Trustee remuneration
The individuals comprising the sole Corporate Trustee are the Group Executive and Group Non-Executive members of the Board of Directors of the Manchester University NHS Foundation Trust.
The individuals do not receive any remuneration from the Charity in their capacity as Trustee; they are, however, remunerated by the NHS Trust in their capacity as a Board member. The Charity’s support costs include a small administration charge from the NHS Trust in relation to their time devoted to the Charity.
Related party relationships
The Charity works closely with, and provides the majority of its grants, to Manchester University NHS Foundation Trust. The Charity Trustee constitutes the members of the Trust Board. During the financial year, the Charity paid grants totalling £2.86m (£4.27m in 2019/20) to MFT in furtherance of its objectives.
The Charity leased property from Bruntwood 2000 Holdings Limited and paid £139,000 (£123,000, 2019/20). One Executive Director member of the MFT Trust Board is MFT’s nominated Director for Manchester Science Partnerships Limited.
Charitable Fundraising Board
Central to the growth of the Charity’s income is the Charitable Fundraising Board. The Chairman and members are responsible for the leadership and engagement of key individuals able to play a critical role in the growth of the fundraised income of the Manchester Foundation Trust Charity.
A voluntary body, the Charitable Fundraising Board plays a key role in assisting the Charity to achieve its fundraising objectives by:
-
helping to shape the evolving fundraising vision for the Charity;
-
advising on fundraising plans;
-
using its influence and contacts to cultivate and solicit individuals and organisational representatives that the fundraising team might not otherwise be able to engage.
Under the leadership of the Chairman, the role of the Charitable Fundraising Board is to direct, advise and support the efforts of the Charity Fundraising Team to identify and solicit gifts for the Charity from individuals, companies, and charitable trusts.
In addition, members of the Charitable Fundraising Board serve as ambassadors for the Charity, promoting its cause and mission where appropriate and identifying opportunities for fundraising and awareness-raising.
Fundraising standards
Our Charity is constantly reviewing the way it engages with our supporters and the public. We have robust contracts in place with external organisations, which specify that individuals who carry out fundraising activities should be trained to adhere to applicable laws and codes, such as the Fundraising Regulator’s Code of Fundraising Practice and data protection laws. Up to 31st March 2021 the Charity worked with seventeen commercial participators.
Our Charity voluntarily subscribes to the Fundraising Regulator and its Code of Fundraising Practice and the Institute of Fundraising. The Regulator is responsible for regulating fundraising and investigates and takes appropriate action on cases of public concern.
22
23
Structure, governance and management
Working with third party fundraisers
Monitoring and control of fundraising activities, including the work done by external organisations, is vital to ensure that our supporters have a great experience and are treated fairly. If we find cause for concern, we investigate as a matter of urgency and take appropriate action. We have robust contracts in place with external organisations, which specify that individuals who carry out these activities should be trained to adhere to applicable laws and codes, such as the Fundraising Regulator’s Code of Fundraising Practice and data protection laws. We also expect these organisations to reflect our values when talking to supporters.
Protecting vulnerable people
As a Charity we are especially careful and sensitive when engaging with vulnerable people. Our practices reflect this, for example through our guidance and training, and we strive to ensure our staff and third-party fundraisers follow these too. As an NHS Corporate Trustee Charity we adhere to NHS safeguarding policy and procedures.
Supporter data
Responsible use of personal data is at the heart of our fundraising practice. In accordance with electronic marketing legislation, we have an ‘opt-in’ approach to all of the e-marketing that we undertake, meaning that we only contact supporters with marketing and fundraising communications by electronic means if they have given the Charity unambiguous and explicit permission to do so. With regards to direct postal marketing, the Charity will rely on the basis of legitimate interests to ensure that we comply with laws and industry standards, and we will be able to demonstrate how our decision to process personal data for direct marketing purposes passes the necessary balancing tests. All recipients of marketing will be able to opt-out from receiving it, and in doing so will be removed from the relevant distribution list.
Complaints
We try to make sure that supporting Manchester Foundation Trust Charity is a great experience. However, we do also want to learn lessons if things don’t go well, so we provide a fair complaints procedure which is clear, easy to use and published on our website. Although some complaints are complex and take time to resolve, our Charity endeavours to respond quickly and efficiently. As a Charity we enjoy interacting with our supporters at our many events, on the telephone, by email, in the press, through social media and on our website. In the year to 31st March 2021, we received six complaints, of which only one directly related to our fundraising.
Investments
The Charitable Funds Committee has responsibility for the management and monitoring of the investments of the Charity, as delegated by the Corporate Trustee. The Charity conforms to the investment powers given within the Charity Commission Order for an NHS umbrella charity and the Trustee Act 2000. The Charity uses two investments advisors who manage the investment portfolio as directed by the Charity Trustees.
Employees
The Charity does not directly employ any staff. The Charity funds staffing costs, including clinical and support staff, who undertake research and other charitable activities, as well as fundraising and administrative staff who run and support the Charity. These members of staff are employed by Manchester University NHS Foundation Trust, which then makes a recharge to the Charity for the costs incurred solely in relation to the work they do for the Charity.
Risks and internal control
The Charitable Fund Committee has undertaken a full review of the major risks to which the Charity may be exposed, based upon the guidance issued by the Charity Commission ‘Charities and Risk Management’. The review covers the risks associated with:
-
Governance and Management.
-
Operational Risk.
-
Financial Risks.
-
Environmental/External Factors.
-
Compliance Risk (law and regulation).
The Trustee appoints an External Auditor, Mazars, which ensures the Charity’s published accounts truly represent the financial standing as at the reporting date of 31st March 2021 and has the power to report to the Charities Commission if it has any concerns. The External Auditor’s report is given on page 30.
In addition to this, the Charity benefits from the internal audit of Trust processes and controls, a service provided by KPMG. The Operational Finance Director, on behalf of the Trustee, is responsible for ensuring any action points raised by both Mazars and KPMG are applied and monitored.
Principal risks and uncertainty facing the Charity
The Charity is a subsidiary of MFT and is supported by the overarching control environment within the Group.
The Charity’s overall reserves and investment policy have been set to ensure that no undue or unnecessary risks are taken and the Charity’s investments continue to meet the organisation’s strategic objectives, while preserving the capital over the long term against the effects of inflation.
The Charity has invested in a diversified portfolio with sufficient risk to meet the agreed long term objectives of the invested capital, deemed to have an overall risk level of low to medium. The Trustees receive regular updates relating to the performance of the investments and the risks relating to these investments.
Governance and usage of funds, where delegated authority has been granted, poses a risk, in relation to ensuring funds are used in line with the aims and objects of the Charity as set out by its governing document and the Trustee. In addition to the approved scheme of delegation, there is a robust system of control when processing expenditure requests.
The level of incoming resources poses a risk to the achievements of the objectives of the Charity. The approach the Fundraising Team takes to maximise the income generated, supported by the Charity Fundraising Board and the Charitable Funds Committee, seeks to minimise this risk.
The Charity anticipates a continued loss of fundraised cash income in 2021/22 as an ongoing result of the COVID-19 global pandemic. This is due to the continued cancellation of mass participant events and community third party fundraising events due to government guidance. This type of fundraising activity typically forms approximately one third of the Charity’s fundraised income. The Charity also anticipates that it will continue to be adversely impacted by an ongoing reduction in corporate events during 2021/22.
Going concern
The Trustee has a reasonable expectation that the Charity has adequate resources to continue as a going concern. Expenditure is discretionary and balanced against the reserves policy requirements. Accounting for income and expenditure is on an accruals basis to ensure all committed expenditure is reflected in the reporting process, and the Charity has sufficient resources to meet its committed expenditure for 12 months from the date that the financial statements were approved by the Charitable Funds Committee.
Indemnity insurance
The NHS Trust has Directors’ indemnity insurance, which also covers their responsibilities as Trustee of the charitable fund.
24
25
Financial review
The financial statements are prepared under the historical cost convention, in accordance with the Statement of Recommended Practice ’Accounting and Reporting by Charities’ (SORP) applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102), effective 1st January 2016 and the Charities Act 2011.
Funding summary
Source of income
The income streams of the Charity are:
----- Start of picture text -----
2020/21 2019/20
Income Stream £k % £k %
Donations 3,346 34 389 5
Income from fundraising events 5,191 53 5,018 60
Legacies 593 6 1,865 22
Investments 537 5 594 7
Grants receivable 138 2 323 4
Transfer from Pennine Care NHS FT Charitable Fund 0 0 177 2
Total 9,805 100 8,366 100
----- End of picture text -----
Financial highlights – income and expenditure
Income for the year ending 31st March 2021 totalled £9.81m (£8.37m in 2019/20). Expenditure on charitable activities during the year was £8.99m (£6.33m in 2019/20).
Reserves policy
The Charity is able to hold and administer funds for any purpose relating to hospital services, including research. The Trust comprises ten hospitals, and also provides Community Services:
-
Altrincham Hospital.
-
Manchester Royal Eye Hospital.
-
Manchester Royal Infirmary (MRI).
-
Royal Manchester Children’s Hospital.
-
Saint Mary’s Hospital.
-
Trafford General Hospital.
-
University Dental Hospital of Manchester.
-
Withington Community Hospital.
-
Wythenshawe Hospital.
-
Community Services across Manchester.
-
North Manchester General Hospital (managed by MFT under an interim management agreement ahead of being formally acquired).
The diverse and specialist nature of the services provided from these hospitals encourages a similarly diverse donor base.
In order to ensure that donations are used in accordance with the donors’ wishes, but without creating a separate trust, the Trustee operates a number of designated funds.
These designations allow the Trustee to ensure that the funds are applied in harmony with donor wishes and are administered by operational managers through the policies and procedures set by the Trustee.
Reserves are defined as the part of a charity’s funds that are freely available to fund its general operations and so are not subject to commitments, planned expenditure or other restrictions. Consequently, reserves do not include endowment funds, restricted funds and designated funds if they are earmarked or designated for essential future spending. The Trustee has a requirement for freely available funds in order to fund the following:
-
Six months’ operating expenditure.
-
Estimated risks of unplanned closure.
In arriving at the appropriate level of reserves, the Trustee has considered the following;
-
The financial risks facing the Charity.
-
The level of existing funds and reserves.
-
Likely future expenditure.
-
Past operational and other trends.
-
Liabilities arising from unplanned closure.
The policy requires the Charity to maintain a reserve of circa £2m, which has been achieved throughout the financial year via cash available in the bank account and access to liquid investments:
-
Six months’ operating expenditure – this relates to the running and administration costs of the Charity. The full year cost of running the Charity is circa £2m and therefore the amount held should equal £1m in order to meet the requirement of the Reserves Policy.
-
Estimated risks of unplanned closure – this is the potential cost associated with the risk of unplanned closure relating to unavoidable future commitments that the Charity would be required to pay. The only potential cost currently that the Charity is committed to is a long term lease until July 2024, for the occupation of the ground floor of the Maurice Watkins Building at a value of £0.43m.
During the year, movements in investments and fund balances have resulted in a deficit balance within the unrestricted element of the Corporate/Trustwide fund balance, although the fund overall is in surplus. To recover this deficit the Charity will allocate funds received, monitor expenditures and reflect future market improvements in investments.
Included within the overall unrestricted balances available for spending as at 31st March 2021 are a small number of individual funds which have negative balances. During 2020/21, the Trustees have approved a plan to prevent these negative balances from increasing further and to reduce and eliminate these negative balances.
The level of reserves is continually monitored by the Trustee and the policy will be reviewed every three years.
26
27
Financial review
Investments
Investment powers
The Charity conforms to the investment powers given by the Charity Commission Order for a NHS umbrella charity and the Trustee Act 2000.
Investment policy
The Charity’s investment policy is based upon the powers within the Trust deed, which forms the basis of a formal investment management agreement with the Investment Managers. The main aims of the policy are that:
-
There should be a balanced portfolio.
-
The investment preference is to be conservative.
-
The Trustee monitors performance against the WM2000 weighted average.
-
The Investment Managers refrain from the direct investment in companies which have substantial activities in tobacco manufacture.
-
There is no direct investment exposure to overseas shares. Overseas equity exposure should be taken through UK quoted trusts. Overseas exposure should not exceed 20% of the total fund.
The Trustee has elected to invest surplus funds in COIF investments. The achieved objective of this is to provide a low risk investment vehicle with instant access which generates a higher rate of return when compared to other alternatives.
Ethical investment policy
The Trustee has considered and agreed a policy for ethical investments, which forms part of the investment policy agreed with the Investment Managers. The policy says: “The Investment Manager should not invest directly in a company which has substantial activities in tobacco manufacture, as this would conflict directly with the aims of a healthcare charity.”
Investment portfolio
The Charity has two investment portfolios which are managed through Brewin Dolphin and Sarasin. Both investment portfolios are compliant with its investment policy. The market value of the investments at 31st March 2021 is shown below.
----- Start of picture text -----
Bank name Market Value at
31/03/2021 £k
Brewin Dolphin 15,681
Sarasin 6,625
----- End of picture text -----
Corporate Trustee responsibilities statement
The Corporate Trustee is responsible for preparing the Trustee Annual Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice), including FRS 102 ‘The Financial Reporting Standard applicable in the UK and Republic of Ireland’.
The law applicable to charities in England & Wales requires the Corporate Trustee to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the Charity and of the incoming resources and the application of resources of the entity for that period. The Trustee has elected to prepare the financial statement in accordance with the law and United Kingdom Accounting Standards, including FRS 102. In preparing these financial statements, the Corporate Trustee is required to:
-
Select suitable accounting policies and then apply them consistently;
-
Observe the methods and principles in the Charities SORP;
-
Make judgments and estimates that are reasonable and prudent;
-
State whether applicable accounting standards have been followed; and
-
Prepare the financial statements on a going concern basis unless it is inappropriate to presume that the Charity will continue in operation.
The Corporate Trustee is responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the Charity and enable it to ensure that the financial statements comply with the Charities Act 2011, the Charity (Accounts and Reports) Regulations 2008 and the provisions of the Trust deed. It is also responsible for safeguarding the assets of the Charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
The Corporate Trustee is responsible for the maintenance and integrity of the Charity and financial information included on the Charity’s website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.
By order of the Corporate Trustee.
Kathy Cowell OBE DL Group Chairman of the Trust and Trustee
Sir Michael Deegan CBE Group Chief Executive of the Trust and Trustee
Dated: 28th July 2021
28
29
Independent auditor’s report to the Corporate Trustee of Manchester University NHS Foundation Trust Charity
Other information
Opinion
We have audited the financial statements of Manchester University NHS Foundation Trust Charity (the ‘charity’) for the year ended 31 March 2021 which comprise the Statement of Financial Activities, Balance Sheet, Cash Flow Statement and notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including FRS 102 “The Financial Reporting Standard applicable in the UK and Republic of Ireland” (United Kingdom Generally Accepted Accounting Practice).
The other information comprises the information included in the Charitable Funds Annual Report, other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information. Our opinion on the financial statements does not cover the other information and we do not express any form of assurance conclusion thereon. In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information 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 identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.
In our opinion, the financial statements:
-
Give a true and fair view of the state of the charity’s affairs as at 31 March 2021 and of its income and expenditure for the year then ended;
-
Have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and
We have nothing to report in this regard.
- Have been prepared in accordance with the requirements of the Charities Act 2011.
Matters on which we are required to report by exception
Basis for opinion
In light of the knowledge and understanding of the charity and its environment obtained in the course of the audit, we have not identified material misstatements in the Charitable Funds Annual Report.
We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section 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 responsibilities 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.
We have nothing to report in respect of the following matters in relation to which the Charities (Accounts and Reports) Regulations 2008 requires us to report to you if, in our opinion:
-
The information given in the financial statements is inconsistent in any material respect with the Charitable Funds Annual Report; or
-
Sufficient accounting records have not been kept; or
-
The financial statements are not in agreement with the accounting records; or
Conclusions relating to going concern
In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.
- We have not received all the information and explanations we require for our audit.
Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charity’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue. Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.
Responsibilities of Trustee
As explained more fully in the trustees’ responsibilities statement set out on page 29, the trustees are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.
In preparing the financial statements, the trustees are responsible for assessing the charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so.
Auditor’s responsibilities for the audit of the financial statements
We have been appointed as auditor under section 144 of the Charities Act 2011 and report in accordance with the Act and relevant regulations made or having effect thereunder.
Our objectives are to obtain reasonable assurance about whether the financial 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 users taken on the basis of the financial statements.
Irregularities, including fraud, are instances of noncompliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. Based on our understanding of the charity and its activities, we identified that the principal risks of non-compliance with laws and regulations related to corruption and fraud, and we considered the extent to which non-compliance might have a material effect on the financial statements. We also considered those laws and regulations that have a direct impact on the preparation of the financial statements, such as the Charities Act 2011.
We evaluated the trustees’ and management’s incentives and opportunities for fraudulent manipulation of the financial statements (including the risk of override of controls) and determined that the principal risks were related to posting manual journal entries to manipulate financial performance, management bias through judgements and assumptions in significant accounting estimates, in particular in relation to fund accounting, and significant one-off or unusual transactions.
Our audit procedures were designed to respond to those identified risks, including non-compliance with laws and regulations (irregularities) and fraud that are material to the financial statements. Our audit procedures included but were not limited to:
-
Discussing with the trustees and management their policies and procedures regarding compliance with laws and regulations;
-
Communicating identified laws and regulations throughout our engagement team and remaining alert to any indications of non-compliance throughout our audit; and
-
Considering the risk of acts by the charity which were contrary to applicable laws and regulations, including fraud.
-
Our audit procedures in relation to fraud included but were not limited to:
-
Making enquiries of the trustees and management on whether they had knowledge of any actual, suspected or alleged fraud;
-
Gaining an understanding of the internal controls established to mitigate risks related to fraud
-
Discussing amongst the engagement team the risks of fraud; and
-
Addressing the risks of fraud through management override of controls by performing journal entry testing.
There are inherent limitations in the audit procedures described above and the primary responsibility for the prevention and detection of irregularities including fraud rests with management. As with any audit, there remained a risk of non-detection of irregularities, as these may involve collusion, forgery, intentional omissions, misrepresentations or the override of internal controls.
A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.
Use of the audit report
This report is made solely to the charity’s trustees, as a body, in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008. Our audit work has been undertaken so that we might state to the charity’s trustees those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted 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.
Signed:
Mazars LLP Chartered Accountants and Statutory Auditor One St Peter’s Square Manchester M2 3DE
Date:
Mazars LLP is eligible for appointment as auditor of the charity by virtue of its eligibility for appointment as auditor of a company under section 1212 of the Companies Act 2006.
30
31
| 2020/21 2019/20 |
Wythenshawe Wythenshawe Wythenshawe Wythenshawe |
ORC ORC Hospital Hospital Total Total ORC ORC Hospital Hospital Total Total |
unrestricted restricted unrestricted restricted unrestricted restricted Total unrestricted restricted unrestricted restricted unrestricted restricted Total |
Note funds funds funds funds funds funds funds funds funds funds funds funds funds funds |
£000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 |
Income from: | Donations and legacies 2 3,751 24 1 301 3,752 325 4,077 1,896 67 0 614 1,896 681 2,577 |
Other trading activities – Income from fundraising events 2.1 4,889 6 7 289 4,896 295 5,191 2,759 2,109 0 150 2,759 2,259 5,018 |
Other Donation – Transfer from Pennine Care NHS Foundation Trust Charity 2.2 0 0 0 0 0 0 0 177 0 0 0 177 0 177 |
Investments 2.3 300 0 0 237 300 237 537 397 0 0 197 397 197 594 |
Total 8,940 30 8 827 8,948 857 9,805 5,229 2,176 0 961 5,229 3,137 8,366 |
Expenditure on: | Raising funds 3 1,817 0 0 179 1,817 179 1,996 1,975 0 0 151 1,975 151 2,126 |
Charitable activities 3.1 8,696 17 3 276 8,699 293 8,992 4,803 563 0 963 4,803 1,526 6,329 |
Total 3.2 10,513 17 3 455 10,516 472 10,988 6,778 563 0 1,114 6,778 1,677 8,455 |
Net gain (loss) on investments 5 (2,695) 0 0 (1,164) (2,695) (1,164) (3,859) (831) 0 0 (238) (831) (238) (1,069) |
Net income/(expenditure) (1,122) 13 5 (1,536) (1,127) 1,549 (2,676) (2,380) 1,613 0 (391) (2,380) 1,222 (1,158) |
Net movement in funds (1,122) 13 5 (1,536) (1,127) 1,549 (2,676) (2,380) 1,613 0 (391) (2,380) 1,222 (1,158) |
Reconciliation of funds: | Total funds brought forward as previously reported 9 6,423 4,239 0 6,274 6,423 10,513 16,936 8,803 2,626 0 6,665 8,803 9,291 18,094 |
Net movement in funds for the year 1,122 13 5 1,536 1,127 1,549 2,676 (2,380) 1,613 0 (391) (2,380) 1,222 (1,158) |
Total funds carried forward 9 7,545 4,252 5 7,810 7,550 12,062 19,612 6,423 4,239 0 6,274 6,423 10,513 16,936 |
All fgures reported in the Statement of Financial Activities (SOFA) are from continuing operations and there are no other recognised gains and losses to disclose. | The notes on pages 34 to 51 form part of these fnancial statements. | In line with the charities SORP, the linked charities’ activities have been aggregated into the SOFA with further analysis included in the notes to the accounts, differentiating the activities and funds | held by each linked charity. The income, expenditure, assets and liabilities relating to the former Central Manchester University Hospitals NHS Foundation Trust Charity have the heading of Oxford | Road Campus (ORC), and those relating to University Hospitals of South Manchester Charity have the heading of Wythenshawe Hospital. | Balance sheet as at 31st March 2021 | Wythenshawe Wythenshawe Total Wythenshawe Wythenshawe Total |
ORC ORC Hospital Hospital Total Total at 31st ORC ORC Hospital Hospital Total Total at 31st |
unrestricted restricted unrestricted restricted unrestricted restricted March unrestricted restricted unrestricted restricted unrestricted restricted March |
Note funds funds funds funds funds funds 2021 funds funds funds funds funds funds 2020 |
£000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 |
Non-current assets | Tangible assets 4 65 0 0 0 65 0 65 72 0 0 0 72 0 72 |
Investments 5 and 5.1 12,752 2,925 0 6,626 12,752 9,551 22,303 10,057 2,925 0 5,462 10,057 8,387 18,444 |
Investment property 5 and 5.1 3 0 0 0 3 0 3 3 0 0 0 3 0 3 |
Total non-current assets 12,820 2,925 0 6,626 12,820 9,551 22,371 10,132 2,925 0 5,462 10,132 8,387 18,519 |
Current assets | Debtors 6 223 250 0 28 223 278 501 458 250 0 85 458 335 793 |
Cash and cash equivalents 7 2,061 2,599 5 1,555 2,066 4,154 6,220 3,527 2,586 0 1,446 3,527 4,032 7,559 |
Total current assets 2,284 2,849 5 1,583 2,289 4,432 6,721 3,985 2,836 0 1,531 3,985 4,367 8,352 |
Creditors: Amounts falling due within one year 8 (1,876) 0 0 (11) (1,876) (11) (1,887) (2,553) 0 0 (51) (2,553) (51) (2,604) |
Commitments: Amounts falling due within one year 8 (5,004) (1,522) 0 (388) (5,004) (1,910) (6,914) (4,928) (1,522) 0 (668) (4,928) (2,190) (7,118) |
Net current (Liabilities)/assets (4,596) 1,327 5 1,184 (4,591) 2,511 (2,080) (3,496) 1,314 0 812 (3,496) 2,126 (1,370) |
Creditors: Amounts falling due after | more than one year | Commitments 8.1 (679) 0 0 0 (679) 0 (679) (213) 0 0 0 (213) 0 (213) |
Total net assets 7,545 4,252 5 7,810 7,550 12,062 19,612 6,423 4,239 0 6,274 6,423 10,513 16,936 |
The funds of the Charity: | Restricted income funds 0 4,252 0 5,922 0 10,174 10,174 0 4,239 0 5,549 0 9,788 9,788 |
Unrestricted funds 3,317 0 0 0 3,322 0 3,322 4,891 0 0 0 4,891 0 4,891 |
Investment revaluation reserve 5.2 4,228 0 0 1,888 4,228 1,888 6,116 1,532 0 0 725 1,532 725 2,257 |
Total Charity funds 9 7,545 4,252 5 7,810 7,550 12,062 19,612 6,423 4,239 0 6,274 6,423 10,513 16,936 |
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
32
33
Annual accounts 2020/21
Cash flow statement year ending 31st March 2021
| Note Cash fows from operating activities Operating defcit Interest received Dividends received Depreciation and amortisation 4 Decrease in trade and other receivables 6 (Decrease)/Increase in trade and other payables 8 Net cash generated from operating activities Cash fows from investing activities Interest received Dividends received Reduction in value of investment (portfolio management fee) Net cash generated from 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 7 |
Total 31st March 2021 £000 (1,183) (2) (535) 7 292 (455) (1,876) 2 535 0 537 (1,339) 7,559 6,220 |
Re-presented Total 31st March 2020 £000 (88) (29) (565) 11 164 1,884 |
|---|---|---|
| 1,377 | ||
| 29 565 38 |
||
| 632 | ||
| 2,009 5,550 |
||
| 7,559 |
Comparatives for 2019/2020 have been re-presented. Value previously shown as Interest Received is now shown as Dividends Received and value previously shown as Dividends Received is now shown as Interest Received.
Notes to the Financial Statements
1.2 Basis of preparation
The financial statements have been prepared in accordance with the historic cost basis, with the exception of investments which are included at revalued amounts.
The financial statements have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued in October 2019 and the Charities Act 2011 and UK Generally Accepted Practice as it applies from 1st January 2019.
The financial statements have been prepared to give a ‘true and fair’ view and have departed from the Charities (Accounts and Reports) Regulations 2008 only to the extent required to provide a ‘true and fair’ view. This departure has involved following Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued in October 2019 rather than the Accounting and Reporting by Charities: Statement of Recommended Practice effective from 1st April 2005 which has since been withdrawn.
The Trustee has a reasonable expectation that the Charity has adequate resources to continue as a going concern. The significant financial risk facing the Charity is that the value of its investments will decline due to market forces, which will adversely affect available funds. However, there are appropriate mitigations in place as defined in the Charity’s Investment Policy, and therefore the Trustee is confident that the funds will not be adversely affected in the long term by changes to investment markets. Expenditure is discretionary, and balanced against the reserves policy requirements. Accounting for income and expenditure is on an accruals basis to ensure all committed expenditure is reflected in the reporting process, and the Charity has sufficient resources to meet its committed expenditure for 12 months from the date that the financial statements were approved by the Corporate Trustee.
1.3 Income
Income is recognised when the Charity has entitlement to the funds, any performance conditions attached to the item(s) of income have been met, it is probable that the income will be received and the amount can be measured reliably.
Investment income reported in the SOFA and in note 2.3 includes dividend income and interest on bank accounts, but excludes unrealised gains. It is accounted for on an accruals basis.
Gifts in kind: assets given for use by the Charity are included in the SOFA as incoming resources when received. Gifts in kind are based on retail value and the amount the items could be sold for by the donor. For all gifts in kind, the amount recognised is either an estimate measured with sufficient reliability or the actual amount realised.
Donations and gift aid are disclosed under voluntary income in the SOFA, and recognised when receivable. Auctions and sponsorship income from fundraising events are disclosed under other trading activities.
Legacies are accounted for as income where the receipt of the legacy is probable. At the balance sheet date a legacy is accounted for if all the following criteria have been met;
-
There has been grant of probate;
-
The executors have established that there are sufficient assets in the estate, after settling any liabilities, to pay the legacy; and
-
Any conditions attached to the legacy are either within the control of the charity or have been met.
The Charity defers income where terms and conditions have not been met or uncertainty exists as to whether these terms or conditions can be met. The income is not recognised but deferred as a liability until it is probable that the terms or conditions imposed can be met.
1 Accounting policies
1.1 Charitable status
The Charity is a public benefit entity, a registered charity, and its registered office is given on page 53.
On 1st October 2017, the Charity’s Corporate Trustee, Central Manchester University Hospitals NHS Foundation Trust, merged with University Hospital of South Manchester NHS Foundation Trust to form Manchester University NHS Foundation Trust.
On this date, the Charity Commission linked the charities as part of the Manchester University NHS Foundation Trust Charity.
34
35
Annual accounts 2020/21
1.4 Expenditure
Expenditure is recognised when a liability is incurred, and where appropriate irrecoverable VAT is recorded under the relevant cost heading for the activity expensed. The Charity is only exempt from VAT when making purchases of medical equipment.
The costs of raising funds are those associated with generating income for funds held on trust. This will include costs associated with fundraising events and investment management. All costs associated with generating income are borne centrally through the Charity’s general purpose fund and not charged to individual designations.
Grants payable are payments made to bodies external to and within the boundary of the NHS in furtherance of the objects of the Charity. They are accounted for on an accruals basis where the conditions for their payment have been met or where a third party has reasonable expectation that they will receive the grant, and include grants paid to Manchester University NHS Foundation Trust (MFT).
At the end of the financial year, the Charity may have received goods and services which have not been invoiced at the balance sheet date. In these circumstances, an estimated value of the cost is included in the Charity’s reported financial results. In some cases, the estimated value is based on the quoted value provided by the supplier when the goods were ordered; in other cases, the charge may be estimated based on methods such as the last price paid for the same good or service.
Commitments for future expenditure are recognised if there is an expectation the funds will be used for a particular purpose. This will ordinarily take the form of an approval of the expenditure by the Trustee. They are recognised in expenditure and in the balance sheet under the heading ‘Commitments’, split between current and non-current categories.
Support costs are those functions that assist the work of the charity but do not directly undertake charitable activities. Support costs include back office costs, finance, payroll and governance costs which support the Charity. These costs have been allocated across the charitable activities. The basis on which support costs have been allocated are set out in note 3.2.
Governance costs are accounted for an accruals basis, they include Statutory Audit fees and a recharge from MFT for Trustee and management time devoted to the charity.
The Charity is exempt from direct taxation on its commercial activities as they are ancillary charitable trading and fall within the provisions of section 505 of the Income and Corporation Taxes Act 1988. Therefore, the Charity pays no tax on dividend and interest income it receives.
1.5 Structure of funds
In broad terms, a charity’s funds are either restricted or unrestricted.
a) Restricted Funds
Restricted income funds are funds that can only be applied for particular purposes within their objects – for example, where the donor has specified a donation should be spent in furthering a particular charitable purpose.
b) Unrestricted Funds
i) An unrestricted income fund includes funds which the Trustee is free to use for any purpose in furtherance of the charitable objects, known as the General Fund.
ii) Unrestricted funds also include designated funds, where the donor has made known their non-binding wishes or where the Trustee, at its discretion, has created a fund for a specific purpose. The Charity’s major designations are disclosed in note 9. The Trustees have the power to re-designate such funds within unrestricted funds.
The Charity has both a General Purpose fund and designated funds.
1.6 Transfers between funds
A transfer between funds is made only if it is appropriately approved (by the Fund holder or Charitable Funds Committee) and does not contravene the wishes of the donor.
1.7 Fixed assets investments
Investments are stated at market value as at the date of the
Balance Sheet; values have been provided by the respective Fund Managers. The statement of financial activities includes net gains and losses arising on the revaluation and disposals throughout the years.
The Charity has investment portfolio assets which are included in the Balance Sheet at the closing market value on 31st March 2021.
1.8 Tangible fixed assets
Recognition
Property, plant and equipment is capitalised if:-
-
It is held for use in delivering services or for administrative purposes;
-
It is probable that future economic benefits will flow to, or service potential will be supplied to, the Charity;
-
It is expected to be used for more than one financial year;
-
The cost of the item can be measured reliably; and
-
The item has a cost of at least £5,000; or
-
Collectively, a number of items have a cost of at least £5,000 and individually have a cost of more than £250, where the assets are functionally interdependent, they had broadly simultaneous purchase dates, are anticipated to have simultaneous disposal dates, and are under single managerial control; or
-
Items form part of the initial equipping and setting-up cost of a new building, unit, project or service, irrespective of their individual or collective cost.
Valuation
Equipment assets are carried at Depreciated Historic Cost, as this is not considered to be materially different from Fair Value. The Charity owns no land or buildings.
Depreciation
Depreciation is charged to write off the cost or valuation, less any residual value, of Property, Plant and Equipment over their estimated useful lives, in a manner which reflects the consumption of economic benefits or service potential of the assets.
The assets owned by the Charity include fixtures and fittings used in the course of business. These assets are included in a building leased by the Charity and as such have been depreciated over the life of the lease, i.e. 15 years. IT assets have been depreciated over a 5 year period.
1.9 Investment gains and losses
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 sale proceeds and opening market value.
Unrealised gains and losses are calculated as the difference between the market value as at 31st March 2021 and the opening market value, and are recognised in the Statement of Financial Activities. Unrealised losses are accounted for in the revaluation reserve, unless there is evidence the market value of the investments will continue to decline in the future (in which case the loss is realised in the Statement of Financial Activities).
1.10 Operating leases
Rentals under operating leases are charged on a straightline basis over the lease term, even if the payments are not made on such a basis. Benefits received and receivable as an incentive to sign an operating lease are similarly spread on a straight-line basis over the lease term.
1.11 Financial instruments
Financial assets and financial liabilities are recognised when the Charity becomes a party to the contractual provisions of the instrument. All financial assets and liabilities are initially measured at transaction price (including transaction costs), except for those financial assets classified at fair value through profit or loss, which are initially measured at fair value (which is normally the transaction price excluding transaction costs), unless the arrangement constitutes a financing transaction. In this case, the financial asset or financial liability is measured at the present value of the future payments discounted at a market rate of interest for a similar debt instrument.
The Charity only holds financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value, and subsequently measured at their settlement value.
Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due. Cash at bank and cash in hand includes cash and short term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account. Creditors and provisions are recognised where the Charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount after allowing for any trade discounts due.
1.12 Role of volunteers
Our general volunteers support the Charity at fundraising events, street collections and at mass participatory events. General volunteer time is not recognised in the accounts.
36
37
Annual accounts 2020/21
1.13 Critical accounting judgements and key sources of estimation uncertainty
In the application of the Charity’s accounting policies, which are described in notes 1.1 to 1.12, 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. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates.
The estimates and underlying assumptions are reviewed on an on-going basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised if the revision affects only that period, or in the period of the revision and future periods if the revision affects both current and future periods.
The Trustee does not consider there are any critical judgements or sources of estimation uncertainty requiring disclosure beyond the accounting policies listed above.
2. Income from donations and legacies
| ORC unrestricted funds total 2020/21 £000 |
ORC restricted funds total 2020/21 £000 |
Wythenshawe Hospital unrestricted funds total 2020/21 £000 |
Wythenshawe Hospital restricted funds total 2020/21 £000 |
Total 2020/21 £000 |
ORC unrestricted funds total 2019/20 £000 |
ORC restricted funds total 2019/20 £000 |
Wythenshawe Hospital restricted funds total 2019/20 £000 |
Total 2019/20 £000 |
|
|---|---|---|---|---|---|---|---|---|---|
| Donations Legacies Grants receivable Total income from donations and legacies |
3,265 385 101 |
0 24 0 |
1 0 0 |
80 184 37 |
3,346 593 138 |
320 1,440 136 1,896 |
0 67 0 67 |
69 358 187 |
389 1,865 323 |
| 3,751 | 24 | 1 | 301 | 4,077 | 614 | 2,577 |
There are no legacies excluded from the Statement of Financial of Activities because they have not met the criteria of recognition as set out in the SORP.
2.2 Other donation
| ORC unrestricted funds total 2020/2021 £000 |
Wythenshawe Hospital restricted funds total 2020/2021 £000 |
Total 2020/2021 £000 |
ORC unrestricted funds total 2019/20 £000 |
Wythenshawe Hospital restricted funds total 2019/20 £000 |
Total 2019/20 £000 |
|
|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 177 | 177 |
On 01/10/2019, Pennine Acute transferred the Trafford Local Care Organisation funds to the Manchester University NHS Foundation Trust Charity following the transfer of services to Manchester University Hospital NHS Foundation Trust on 01/10/2019.
2.3 Investment Income
| ORC unrestricted funds total 2020/2021 £000 |
Wythenshawe Hospital restricted funds total 2020/2021 £000 |
Total 2020/2021 £000 |
ORC unrestricted funds total 2019/20 £000 |
Wythenshawe Hospital restricted funds total 2019/20 £000 |
Total 2019/20 £000 |
|
|---|---|---|---|---|---|---|
| Dividend income Bank account interest Total investment income |
298 2 |
237 0 |
535 2 |
368 29 |
197 0 197 |
565 29 |
| 300 | 237 | 537 | 397 | 594 |
The Charity recognises gifts in kind in the Statement of Financial Activities if the recognition criteria in 1.3 of the Accounting Policies are met. In 2020/2021, the Charity received £2,106k (£267k in 2019/2020) worth of gifts, which are included in the category ‘Donations’. The Charity has received no donated services or facilities in 2020/2021 or 2019/2020.
2.1 Income from fundraising activities
| ORC unrestricted funds 2020/2021 £000 |
ORC restricted funds total 2020/2021 £000 |
Wythenshawe Hospital unrestricted funds total 2020/2021 £000 |
Wythenshawe Hospital restricted funds total 2020/2021 £000 |
Total 2020/2021 £000 |
ORC unrestricted funds total 2019/20 £000 |
ORC restricted funds total 2019/20 £000 |
Wythenshawe Hospital restricted funds total 2019/20 £000 |
Total 2019/20 £000 |
|
|---|---|---|---|---|---|---|---|---|---|
| Special project events Sporting events Corporate Community events Christmas Schools Merchandise Miscellaneous sales Total income from fundraising activities |
0 74 1,204 960 19 27 1 2,604 |
0 0 0 0 0 0 0 6 |
0 0 0 0 0 0 0 7 |
0 7 84 91 0 1 0 106 |
0 81 1,288 1,051 19 28 1 2,723 |
381 307 555 504 21 66 6 919 |
0 0 0 0 0 0 0 2,109 2,109 |
0 25 0 23 0 0 0 102 |
381 332 555 527 21 66 6 3,130 |
| 4,889 | 6 | 7 | 289 | 5,191 | 2,759 | 150 | 5,018 |
38
39
Annual accounts 2020/21
3. Analysis of expenditure on raising funds
| ORC unrestricted funds 2020/2021 £000 |
Wythenshawe Hospital restricted funds 2020/2021 £000 |
Total 2020/2021 £000 |
ORC unrestricted funds 2019/2020 £000 |
Wythenshawe Hospital restricted funds 2019/2020 £000 |
Total 2019/2020 £000 |
|
|---|---|---|---|---|---|---|
| Fundraising activities Advertising/marketing Accommodation and administration costs Subscriptions Other Fundraising team Investment management fees Support costs Total |
121 209 176 5 0 954 49 |
0 0 0 0 0 0 40 |
121 209 176 5 0 954 89 |
151 382 130 4 5 945 38 |
0 0 0 0 0 0 39 39 112 151 |
151 382 130 4 5 945 77 |
| 1,514 | 40 | 1,554 | 1,655 | 1,694 | ||
| 303 | 139 | 442 | 320 | 432 | ||
| 1,817 | 179 | 1,996 | 1,975 | 2,126 |
3.1 Analysis of expenditure on charitable activities
| ORC unrestricted funds total 2020/2021 £000 |
ORC restricted funds total 2020/2021 £000 |
Wythenshawe Hospital unrestricted funds total 2020/2021 £000 |
Wythenshawe Hospital restricted funds total 2020/2021 £000 |
Total 2020/2021 £000 |
ORC unrestricted funds total 2019/20 £000 |
ORC restricted funds total 2019/20 £000 |
Wythenshawe Hospital restricted fundtotal 2019/20 £000 |
Total 2019/20 £000 |
|
|---|---|---|---|---|---|---|---|---|---|
| 263 811 2,303 1,186 2,793 228 1,112 |
0 0 15 0 0 2 0 |
76 16 35 4 95 45 5 |
1,431 894 1,203 383 409 140 343 |
3 0 0 560 0 0 0 |
276 54 204 (16) 458 3 (16) |
1,710 948 1,407 927 867 143 327 |
3.2 Analysis of total expenditure
| Expenditure on raising funds Expenditure on charitable activities Clinical care and research posts Patient education, welfare & amenities Staff welfare, education & amenities New building & refurbishment Purchase of medical equipment Purchase of IT and computer equipment Purchase of new equipment Total expenditure on charitable activities Total expenditure |
ORC 2020/21 | ORC 2020/21 | ORC 2020/21 | Wythenshawe Hospital 2020/21 | Wythenshawe Hospital 2020/21 | Wythenshawe Hospital 2020/21 | Wythenshawe Hospital 2020/21 | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Direct costs £000 1,509 0 0 0 0 0 0 0 |
Grant funding of activities £000 0 263 811 2,318 1,186 2,793 230 1,112 |
Governance £000 41 0 0 0 0 0 0 0 |
Finance £000 267 0 0 0 0 0 0 0 0 267 |
Sub-Total £000 1,817 263 811 2,318 1,186 2,793 230 1,112 |
Direct costs £000 40 0 0 0 0 0 0 0 |
Grant funding of activities £000 0 76 19 35 4 96 45 5 |
Governance £000 0 0 0 0 0 0 0 0 |
Finance £000 139 0 0 0 0 0 0 0 |
Sub-Total £000 179 76 19 35 4 95 45 5 |
Total £000 1,996 339 830 2,353 1,190 2,888 275 1,117 |
|
| 0 | 8,713 | 0 | 8,713 | 0 | 280 | 0 | 0 | 279 | 8,992 | ||
| 1,509 | 8,713 | 41 | 10,530 | 40 | 280 | 0 | 139 | 458 | 10,988 |
ORC 2019/20 Wythenshawe Hospital 2019/20
| Expenditure on raising funds Expenditure on charitable activities Clinical care and research posts Patient education, welfare & amenities Staff welfare, education & amenities New building & refurbishment Purchase of medical equipment Purchase of IT and computer equipment Purchase of new equipment Total expenditure on charitable activities Total expenditure |
Direct costs £000 1,655 0 0 0 0 0 0 0 |
Grant funding of activities £000 0 1,434 894 1,203 943 409 140 343 |
Governance £000 46 0 0 0 0 0 0 0 |
Finance £000 274 0 0 0 0 0 0 0 0 274 |
Sub-Total £000 1,975 1,434 894 1,203 943 409 140 343 |
Direct costs £000 39 0 0 0 0 0 0 0 |
Grant funding of activities £000 0 276 54 204 (16) 458 3 (16) |
Governance £000 (4) 0 0 0 0 0 0 0 |
Finance £000 116 0 0 0 0 0 0 0 |
Sub-Total £000 151 276 54 204 (16) 458 3 (16) |
Total £000 2,126 1,710 948 1,407 927 867 143 327 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 5,366 | 0 | 5,366 | 0 | 963 | 0 | 0 | 963 | 6,329 | ||
| 1,655 | 5,366 | 46 | 7,341 | 39 | 963 | (4) | 116 | 1,114 | 8,455 |
40
41
Annual accounts 2020/21
Support costs, incorporating Finance and Governance, are apportioned across charitable activities on the basis of expenditure incurred in relation to each category.
The charity accounted for £10.8k for audit fees in 2020/2021 inclusive of VAT (2019/2020 £10.8k), payable to Mazars LLP. No other services were received from Mazars LLP. Net expenditure of £1,996k on raising funds (expenditure of £2,126k in 2019/2020) as reported in the SOFA includes the charge for audit fees. The audit fee is included within Governance Costs in both 2020/2021 and 2019/2020.
Grants were made to Manchester University NHS Foundation Trust (MFT). No grants were made to individuals.
3.3 Analysis of staff costs, Trustee remuneration and expenses, and the cost of key management personnel
Staff costs and cost of key management personnel
All staff engaged in the activities of the Charity are employed by Manchester University NHS Foundation Trust (MFT). The Charity therefore employs no staff, but is recharged for individuals time spent engaged in either charitable activities, raising funds or by providing support (e.g. back office functions) to the Charity.
Trustees’ Expenses and Remuneration
During the year ended 31st March 2021, neither the Trustees nor the key management staff, nor parties related to them, undertook any transactions with Manchester University NHS Foundation Trust Charity or received any benefit from the Charity or payment in kind (2019/2020: £nil).
4. Tangible assets
| 4. Tangible assets | ||
|---|---|---|
| 31st March 2021 £000 |
31st March 2020 £000 |
|
| Asset cost: Balance brought forward Balance carried forward Accumulated depreciation: Balance brought forward Charge for year Balance carried forward Net book value: Brought forward Carried forward |
127 127 (55) (7) (62) 72 65 |
127 |
| 127 | ||
| (44) (11) |
||
| (55) | ||
| 83 | ||
| 72 |
5. Fixed asset investments: Movements in funds
| ORC unrestricted funds 2020/2021 £000 |
ORC restricted funds 2020/2021 £000 |
Wythenshawe Hospital restricted funds 2020/2021 £000 |
Total 2020/2021 £000 |
ORC unrestricted funds 2019/2020 £000 |
ORC restricted funds 2019/2020 £000 |
Wythenshawe Hospital restricted funds 2019/2020 £000 |
Total 2019/2020 £000 |
|
|---|---|---|---|---|---|---|---|---|
| 10,060 0 2,695 |
2,925 0 0 |
5,462 0 1,164 |
18,447 0 3,859 |
10,891 0 (831) |
2,925 0 0 |
5,738 (38) (238) |
19,554 (38) (1,069) |
The valuations of the Charity’s investments at 31st March 2021 have been provided by the two investment companies used to manage the funds; Brewin Dolphin and Sarasin & Partners.
The charity has invested surplus funds for the purpose of generating a financial return. The entity has not invested in any external bodies which are involved in the activities of the Charity.
5.1 Fixed assets at 31st March 2021
| 5.1 Fixed assets at 31st March 2021 | ||||||
|---|---|---|---|---|---|---|
| ORC 2020/2021 £000 |
Wythenshawe Hospital restricted 2020/2021 £000 |
Total 2020/2021 £000 |
ORC 2019/2020 Restated £000 |
Wythenshawe Hospital restricted 2019/2020 Restated £000 |
Total 2019/2020 Restated £000 |
|
| 2,914 0 3,163 269 6,246 480 1,397 482 726 3 |
4,775 740 0 0 0 161 533 417 0 0 |
7,689 740 3,163 269 6,246 641 1,930 899 726 3 |
3,214 0 3,073 350 4,418 604 1,111 212 0 3 |
4,178 747 3,073 350 7,125 780 1,653 538 0 3 |
Shares have been managed throughout the year and there have been purchases of £2.9m and sales of £3.3m.
The closing net book value is made up of fixtures and fittings (£65k) used for the purpose of generating funds for the charity. The tangible assets relate to Oxford Road Campus only.
5.2 Historic cost of listed investments and movement in revaluation reserve
| ORC 2020/2021 £000 |
Wythenshawe Hospital restricted 2020/2021 £000 |
Total 2020/2021 £000 |
ORC 2019/2020 £000 |
Wythenshawe Hospital restricted 2019/2020 £000 |
Total 2019/2020 £000 |
|
|---|---|---|---|---|---|---|
| Historic cost Market value of investments at 31st March 2021 Balance of Revaluation Reserve |
11,453 15,681 |
4,737 6,625 |
16,190 22,306 |
11,453 12,985 |
4,737 5,462 725 |
16,190 18,447 |
| 4,228 | 1,888 | 6,116 | 1,532 | 2,257 |
42
43
Annual accounts 2020/21
6. Analysis of debtors
| Current | ORC 31st March 2021 £000 |
Wythenshawe Hospital 31st March 2021 £000 |
Total 31st March 2021 £000 |
ORC 31st March 2020 £000 |
Wythenshawe Hospital 31st March 2020 £000 |
Total 31st March 2020 £000 |
|---|---|---|---|---|---|---|
| Amounts falling due within one year: Trade debtors Provision for irrecoverable debts Prepayments Accrued income Other debtors Total debtors falling due within one year |
0 0 24 49 400 |
0 0 28 0 0 |
0 0 52 49 400 |
25 0 1 132 550 |
67 0 18 0 0 85 |
92 0 19 132 550 |
| 473 | 28 | 501 | 708 | 793 |
Debtors are amounts due to the Charity. They are measured on the basis of their recoverable amount.
7. Analysis of cash and cash equivalents
| ORC 31st March 2021 £000 |
Wythenshawe Hospital 31st March 2021 £000 |
Total 31st March 2021 £000 |
ORC 31st March 2020 £000 |
Wythenshawe Hospital 31st March 2020 £000 |
Total 31st March 2020 £000 |
|
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 1,446 | |||||
| 4,660 | 1,560 | 6,220 | 6,113 | 7,559 |
8. Analysis of creditors
| Current Note |
ORC 31st March 2021 £000 |
Wythenshawe Hospital 31st March 2021 £000 |
Total 31st March 2021 £000 |
ORC 31st March 2020 £000 |
Wythenshawe Hospital 31st March 2020 £000 |
Total 31st March 2020 £000 |
|---|---|---|---|---|---|---|
| 1,694 182 0 6,526 |
0 11 0 388 |
1,694 193 0 6,914 |
2,274 279 0 6,450 |
2,274 330 0 7,118 |
The figure disclosed above relates to costs due not yet paid for goods or services received on or before 31st March 2021.
| Non-current Note |
ORC 31st March 2021 £000 |
Wythenshawe Hospital 31st March 2021 £000 |
Total 31st March 2021 £000 |
ORC 31st March 2020 £000 |
Wythenshawe Hospital 31st March 2020 £000 |
Total 31st March 2020 £000 |
|---|---|---|---|---|---|---|
| 679 | 0 | 679 | 213 | 213 |
44
45
Annual accounts 2020/21
8.1 Accruals for commitments payable
| ORC 31st March 2021 £000 |
Wythenshawe Hospital 31st March 2021 £000 |
Total 31st March 2021 £000 |
ORC 31st March 2020 £000 |
Wythenshawe Hospital 31st March 2020 £000 |
Total 31st March 2020 £000 |
|
|---|---|---|---|---|---|---|
| Opening balance Committed in year Released in the year Paid in year Closing balance |
6,663 3,311 0 (2,769) |
668 156 0 (436) |
7,331 3,467 0 (3,205) |
6,436 4,232 (239) (3,766) |
1,159 37 (64) (464) 668 |
7,595 4,269 (303) (4,230) |
| 7,205 | 388 | 7,593 | 6,663 | 7,331 |
Expected timing of cash flows
| ORC 31st March 2021 £000 |
Wythenshawe Hospital 31st March 2021 £000 |
Total 31st March 2021 £000 |
ORC 31st March 2020 £000 |
Wythenshawe Hospital 31st March 2020 £000 |
Total 31st March 2020 £000 |
|
|---|---|---|---|---|---|---|
| Not later than one year Later than one year and not later than fve years Total accruals for grants payable |
6,526 679 |
388 0 |
6,914 679 |
6,450 213 |
668 0 668 |
7,118 213 |
| 7,205 | 388 | 7,593 | 6,663 | 7,331 |
9. Fund balances by hospital/area – 2020/21
----- Start of picture text -----
Hospital/ Total funds at Transfers Total funds at Unrestricted Restricted
31st March Gains and between 31st March funds at 31st funds at 31st Number of
area 2020 Income Expenditure (losses) funds 2021 March 2021 March 2021 funds
£000 £000 £000 £000 £000 £000 £000 £000 £000
Royal Manchester
2,377 392 (169) 0 (589) 2,011 2,011 0 64
Children's Hospital
Clinical & Scientific 579 46 (33) 0 18 610 507 103 44
Services
University Dental 61 0 (1) 0 0 60 60 0 2
Hospital of Manchester
Manchester Royal
762 3 (47) 0 0 718 718 0 13
Eye Hospital
Manchester & Trafford
221 12 (8) 0 0 225 225 0 11
Local Care Organisation
Manchester Royal
1,252 179 (144) 0 589 1,876 1,876 0 54
Infirmary
Research and
1,763 141 (102) 0 (285) 1,517 1,517 0 40
Innovation
Saint Mary's Hospital 1,063 184 (82) 0 (29) 1,136 1,136 0 38
Trafford General
212 38 2 0 (11) 241 241 0 21
Hospital
Corporate / Trust Wide 2,372 7,999 (9,866) 2,695 306 3,506 (746) 4,252 47
Wythenshawe Hospital 1,933 0 0 0 (1) 1,932 0 1,932 7
Centrally Held Funds
Wythenshawe Hospital
219 116 (7) 0 0 328 0 328 30
Clinical Support
Wythenshawe Hospital
1,072 335 (350) 1,164 (26) 2,195 0 2,195 18
Corporate
Wythenshawe Hospital 20 0 0 0 0 20 0 20 1
Education
Wythenshawe
Hospital Research and 81 5 0 0 28 114 5 109 4
Development
Wythenshawe Hospital 1,086 121 (68) 0 0 1,139 0 1,139 65
Scheduled Care
Wythenshawe Hospital
1,863 234 (113) 0 0 1,984 0 1,984 70
Unscheduled Care
Total Funds 16,936 9,805 (10,988) 3,859 0 19,612 7,550 12,062 529
----- End of picture text -----
The decrease in the total number of funds is due to the closure and merging of stagnant funds during the year.
46
47
Annual accounts 2020/21
9. Fund balances by hospital/area – 2019/20
----- Start of picture text -----
Hospital/ Total funds at Transfers Total funds at Unrestricted Restricted
31st March Gains and between 31st March funds at 31st funds at 31st Number of
area 2019 Income Expenditure (losses) funds 2020 March 2020 March 2020 funds
£000 £000 £000 £000 £000 £000 £000 £000 £000
Royal Manchester
1,473 957 (463) 0 410 2,377 2,377 0 68
Children's Hospital
Clinical & Scientific 598 71 (175) 0 85 579 579 0 44
Services
University Dental 133 2 (4) 0 (70) 61 61 0 2
Hospital of Manchester
Manchester Royal 557 5 (117) 0 317 762 762 0 14
Eye Hospital
Manchester & Trafford
58 187 (24) 0 0 221 221 0 11
Local Care Organisation
Manchester Royal 913 146 (68) 0 261 1,252 1,252 0 42
Infirmary
Research and
1,874 127 (38) 0 (200) 1,763 1,763 0 46
Innovation
Saint Mary's Hospital 875 235 (314) 0 267 1,063 1,063 0 41
Trafford General
176 33 (8) 0 12 212 212 0 17
Hospital
Corporate / Trust Wide 4,773 5,642 (6,499) (831) (713) 2,372 (1,867) 4,239 51
Wythenshawe Hospital 149 0 20 0 1,764 1,933 0 1,933 7
Centrally Held Funds
Wythenshawe Hospital 242 23 12 0 (58) 219 0 219 27
Clinical Support
Wythenshawe Hospital
3,333 266 (400) (238) (1,889) 1,072 0 1,072 20
Corporate
Wythenshawe Hospital 20 0 0 0 0 20 0 20 1
Education
Wythenshawe
Hospital Research and 5 0 1 0 75 81 0 81 3
Development
Wythenshawe Hospital
1,195 350 (229) 0 (230) 1,086 0 1,086 62
Scheduled Care
Wythenshawe Hospital
1,721 322 (149) 0 (31) 1,863 0 1,863 70
Unscheduled Care
Total Funds 18,094 8,366 (8,455) (1,069) 0 16,936 6,423 10,513 526
----- End of picture text -----
9.1 Details of material funds
A fund is deemed material if the balance at 31st March 2021 is £250k or more. Funds over this threshold are detailed below:
----- Start of picture text -----
Total Total
funds at Transfers funds at Unrestricted Restricted
31st March Gains and between 31st March funds at 31st funds at 31st
Fund name 2020 Income Expenditure (losses) funds 2021 March 2021 March 2021
£000 £000 £000 £000 £000 £000 £000 £000
iMRI Scanner – RMCH 3,825 0 0 0 0 3,825 0 3,825
RMCH Fundraising 3,819 1,692 (928) 0 0 4,583 4,583 0
Specific Purpose Legacy 2,550 24 (2) 0 0 2,572 0 2,572
Income
ORC Funds realised gain 1,532 0 0 2,695 0 4,227 0 4,227
Wythenshawe Hospital
investment reserve – General 968 0 0 0 0 968 0 968
Purpose
Wythenshawe Hospital 742 0 0 0 0 742 0 742
investment reserve – Research
Manchester Royal Eye Hospital 642 17 (23) 0 0 636 636 0
Fundraising
Wythenshawe Hospital 444 147 (86) 720 0 1,225 0 1,225
unrealised gain
Ward 84 Children's Cancer
415 131 (60) 0 0 486 486 0
Priority Fund
MRI Surgical General Purposes 302 0 0 0 0 302 302 0
Manchester Royal Eye Hospital
298 0 (35) 0 0 263 263 0
General Purpose
RMCH 10th Anniversary 297 0 20 0 0 317 317 0
Wythenshawe Hospital Cystic
275 82 (19) 0 0 338 0 338
Fibrosis
MRI Main Renal Unit Fund 251 32 (2) 0 0 281 281 0
Helipad Appeal 250 0 0 0 0 250 0 250
Trustwide Fundraising 171 394 (37) 0 0 528 528 0
MFT Wellbeing Fund 0 2,924 (2,474) 0 0 450 450 0
Wythenshawe Hospital
237 73 (43) 358 0 625 0 625
unrealised gain – Research
----- End of picture text -----*
- The ‘specific purpose legacy’ fund contains legacy bequests for which a specific purpose has been identified in the will document and therefore the funds have been restricted.
Fund balance information for 2019/2020 has been re-presented to summarise balances by hospital/division.
48
49
Annual accounts 2020/21
9.1 Details of material funds
----- Start of picture text -----
Total Total
funds at Transfers funds at Unrestricted Restricted
31st March Gains and between 31st March funds at 31st funds at 31st
Fund name 2019 Income Expenditure (losses) funds 2020 March 2020 March 2020
£000 £000 £000 £000 £000 £000 £000 £000
iMRI Scanner – RMCH 1,716 2,109 0 0 0 3,825 0 3,825
RMCH Fundraising 1,870 2,504 0 0 (555) 3,819 3,819 0
Specific Purpose Legacy 2,577 (14) (13) 0 0 2,550 0 2,550
Income
ORC Funds realised gain 2,363 0 0 (831) 0 1,532 0 1,532
Wythenshawe Hospital
investment reserve – General 968 0 0 0 0 968 0 968
Purpose
Wythenshawe Hospital 742 0 0 0 0 742 0 742
investment reserve – Research
Manchester Royal Eye Hospital
778 164 0 0 (300) 642 642 0
Fundraising
Wythenshawe Hospital 558 121 (93) (142) 0 444 0 444
unrealised gain
Fundraising costs 363 13 (1,482) 0 1,491 385 385 0
Ward 84 Children's Cancer
256 220 0 0 (61) 415 415 0
Priority Fund
MRI Surgical General Purposes 347 0 (45) 0 0 302 302 0
Manchester Royal Eye Hospital
326 0 (28) 0 0 298 298 0
General Purpose
RMCH 10th Anniversary 0 403 (91) 0 (15) 297 297 0
Wythenshawe Hospital Cystic
265 44 (33) 0 (1) 275 0 275
Fibrosis
MRI Main Renal Unit Fund 255 1 (5) 0 0 251 251 0
Helipad Appeal 250 0 0 0 0 250 0 250
Wythenshawe Hospital
301 61 0 (80) (45) 237 0 237
unrealised gain – Research
----- End of picture text -----*
- The ‘specific purpose legacy’ fund contains legacy bequests for which a specific purpose has been identified in the will document and therefore the funds have been restricted.
10. Related party transactions
The Charity works closely with, and provides the majority of its grants, to the Manchester University NHS Foundation Trust (MFT). The Charity Trustee constitutes the members of the Trust Board. During the financial year, the Charity committed £3,467k (£4,269k in 2019/2020) to MFT in furtherance of its objectives. The Charity had an amount of £1,674k owed to MFT at 31st March 2021 (£2,274k at 31st March 2020).
The Charity leases property from Bruntwood 2000 Holdings Limited and paid £139k (£123k in 2019/2020). There were nil amounts owed to Bruntwood 2000 Holdings Ltd at 31st March 2021 (£nil at 31st March 2020). One Non-Executive Director member of the MFT Board is MFT’s nominated Director for Manchester Science Partnerships Limited which is majority owned by Bruntwood 2000 Holdings Ltd. The Non-Executive Director left as at 31 March 2020 so there is nothing to disclose for 2020/2021 as the relationship no longer exists.
11. Post balance sheet events
On the 1st April 2021, the Trust formally acquired North Manchester General Hospital and associated Charitable Funds from Pennine Acute NHS Foundation Trust, following the approval of the transaction business case by NHS England and NHS Improvement.
The financial impact of this acquisition on the charity is currently being finalised and therefore it is not disclosed in these accounts. It is expected the values will be material to the 2021/22 Annual Accounts.
There were no other events following the Statement of Financial Position date,either requiring disclosure, or resulting in a change to the financial statements of the charity.
12. Operating lease commitments
The total future minimum lease payments under non-cancellable operating leases:
| 2020/21 £000 |
2019/20 £000 |
|
|---|---|---|
| Within one year Between one and fve years After fve years |
140 292 0 432 |
139 432 0 |
| 571 |
The Charity Fundraising Team occupy the ground floor of the City labs, Maurice Watkins building. The lease is for a duration of 15 years, starting from August 2014.It has a ’Breakin Lease’ option in July 2024.
The lease allows for rents to be reviewed at five yearly intervals. A rent review that took place during 2019/2020 resulted in a rental increase effective from 11th July 2019.The effect of this rent review is included within this note.
50
51
Contact details for the Charity, Trustee and Advisers
As a sole corporate Trustee, the names of the directors are required to be disclosed:
Group Chairman ............................................................................... Mrs Kathy Cowell OBE DL Group Deputy Chairman ................................................................... Mr Barry Clare Group Non-Executive Director ........................................................... Mr John Amaechi OBE Group Non-Executive Director ........................................................... Professor Dame Sue Bailey OBE DBE Group Non-Executive Director ........................................................... Dr Ivan Benett Group Non-Executive Director ........................................................... Professor Luke Georghiou Group Non-Executive Director ........................................................... Mr Nicholas Gower Group Non-Executive Director ........................................................... Mrs Christine McLoughlin OBE Group Non-Executive Director ........................................................... Mr Trevor Rees Group Chief Executive ...................................................................... Sir Michael Deegan CBE Group Deputy Chief Executive .......................................................... Mrs Gill Heaton OBE Group Chief Operating Officer .......................................................... Mrs Julia Bridgewater MBE Group Chief Nurse ............................................................................ Professor Cheryl Lenney OBE Executive Director of Workforce and Corporate Business ........................ Mr Peter Blythin Joint Group Medical Directors .............................................................. Professor Jane Eddleston ......................................................................................................... Miss Toli Onon Group Chief Finance Officer................................................................. Ms Jenny Ehrhardt Group Director of Strategy ................................................................... Mr Darren Banks
Charity Fundraising Board members:
Chairman .......................................................................................... Mr Maurice Watkins CBE Deputy Chairman .............................................................................. Mr David Cain ......................................................................................................... Mrs Rachael Flintoff ......................................................................................................... Mr Paul Horrocks DL ......................................................................................................... Mrs Gail Jones ......................................................................................................... Prof Danny Keenan ......................................................................................................... Mr Pawan Koshla ......................................................................................................... Mr Akeel Malik ......................................................................................................... Mr Amit Ruia ......................................................................................................... Ms Carol Smith ......................................................................................................... Mr Rajiv Taneja
Registered Charity number and name ............................................... 1049274 ......................................................................................................... Manchester University NHS ......................................................................................................... Foundation Trust Charity Address of Registered Charity ...........................................................Cobbett House .........................................................................................................Manchester Royal Infirmary .........................................................................................................Oxford Road, Manchester M13 9WL .........................................................................................................Tel: 0161 276 4915 Director of Charities .......................................................................... Mrs Sarah Naismith (to October 2020) ......................................................................................................... Mrs Tanya Hamid .........................................................................................................(Acting Director October 2020 to March 2021) ......................................................................................................... Mrs Millie Stacey (from March 2021) .........................................................................................................Tel: 0161 276 4522 .........................................................................................................millie.stacey@mft.nhs.uk Operational Finance Director ............................................................. Mrs Rachel McIlwraith .........................................................................................................Tel: 0161 537 2455 .........................................................................................................rachel.mcilwraith@mft.nhs.uk Banker .............................................................................................. Barclays Bank plc .........................................................................................................Manchester City Office .........................................................................................................PO Box 357, 51 Mosley Street .........................................................................................................Manchester M60 2AU Solicitor .......................................................................................... Hempsons .........................................................................................................Portland Tower .........................................................................................................Portland Street .........................................................................................................Manchester M1 3LF External Auditor ................................................................................ Mazars .........................................................................................................One St Peter’s Square .........................................................................................................Manchester M2 3DE Internal Auditor ................................................................................ KPMG* .........................................................................................................One St Peter’s Square .........................................................................................................Manchester M2 3DE
- Legal advisors are appointed on a case by case basis
52
53
Notes Notes 54 55
mftcharity.org.uk
Manchester Foundation Trust Charity
In support of:
North Manchester General Hospital Manchester Royal Infirmary Wythenshawe Hospital Royal Manchester Children’s Hospital Manchester Royal Eye Hospital
@MFT_Charity @MFTCharity
Saint Mary’s Hospital University Dental Hospital of Manchester Withington Community Hospital Trafford General Hospital Altrincham Hospital
Manchester Foundation Trust Charity is registered with the Charity Commission as Manchester University NHS Foundation Trust Charity. Registered Charity 1049274.