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2022-03-31-accounts

Charitable funds annual report 2021/22

Supporting excellence in treatment, research and care

In support of:

North Manchester General Hospital Manchester Royal Infirmary Wythenshawe Hospital Royal Manchester Children’s Hospital 1 Manchester Royal Eye Hospital

Saint Mary’s Hospital University Dental Hospital of Manchester Withington Community Hospital Trafford General Hospital Altrincham Hospital

Contents

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Chairman's welcome 3
Our aims 4
Celebrating your support 6
Working together to make a difference 10
How to support us 11
Investing in treatment, research and care 12
Structure, governance and management 18
Financial review 22
Contact details for the Charity, Trustee and Advisers 47
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Chairman’s welcome

I am delighted to welcome you to this annual review, and to highlight the inspiring support given to our Manchester Foundation Trust Charity over the past 12 months. During the ongoing Covid-19 pandemic, the Charity continued to make a huge contribution to our hospitals, patients and staff.

We simply could not have done this without the contributions of so many individuals, families, groups, companies and charitable trusts. Our heartfelt thanks to you all for enabling us to continue supporting the outstanding treatment, research and care that our hospitals and community services provide.

The Charity’s income from fundraising and investment returns was £5.19m, and we spent £4.03m on making a difference to the lives of patients and their families and our staff during 2021/22. We are grateful to our Charity team and to our fundraising board for working tirelessly to help raise this money and put it to good use. As I noted in last year’s annual review, we were all immensely saddened by the death of Maurice Watkins CBE, who had chaired our fundraising board with such skill and dedication for many years.

I would also like to commend the continuing dedication of our 28,000 staff at MFT. Over the past two years, caring for all our patients with skill and compassion has remained their top priority. I am so proud of them, and pleased that the Charity has helped us to care for them in turn. To do this, the Charity has supported investment in a wide range of mental and physical wellbeing resources for our staff, from training wellbeing advocates and upgrading staff gyms, to running art and craft workshops.

Money raised by our Charity has also been spent on equipment, activities, training and events to help patients and their families. From purchasing a surgical robot, wearable technology to monitor health and other specialist medical equipment, to providing play therapy and refurbishing patient facilities and garden areas – your support has made a real difference.

Alongside funding state-of-the art equipment and facilities, our Charity has provided support for our Research and Innovation team. Investing in projects to develop new diagnostic tests and treatments means patients across Greater Manchester and beyond can benefit from the latest scientific discoveries.

A special highlight for 2021/22 was the visit by HRH The Princess Royal in March. Princess Anne officially opened the helipad at our Oxford Road site, which serves Manchester Royal Infirmary, Royal Manchester Children’s Hospital and Saint Mary’s Hospital. It was a privilege to introduce her to the many colleagues who made our helipad appeal such a success.

In October, we partnered with Prevent Breast Cancer to launch the Build to Beat Breast Cancer Appeal. Together, we aim to fundraise to build a national training academy at our Wythenshawe Hospital site, to train breast cancer professionals and help to save lives.

With plans for some fundraising events during the year affected by ongoing coronavirus restrictions, our Charity team launched a series of innovative campaigns to engage our supporters. The 30 Miles My Way event saw keen fundraisers rise to the outdoor challenge of clocking up 30 miles in a month – supporting our hospitals and boosting their own wellbeing in the process. From bike rides and bake sales to sponsored skydives and swims, our dedicated supporters did a fantastic job and helped us to raise £4.21m during another challenging year.

We are so very grateful to all our many supporters – together you make a huge difference to the 2.5 million children and adults who use our services. Your generosity means we can continue to make our hospitals and community services the best place for treatment, research and care. Thank you from our patients, their families and our staff for everything you do.

Kathy Cowell OBE DL | Group Chairman

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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, 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.

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 of our hospitals and clinical services and has three main areas of work. It provides state-of-the-art equipment for diagnosis and treatment, supports research projects to improve our understanding of illnesses, and helps to create an environment that’s more friendly and welcoming to our patients, their families and visitors.

The Charity also raises funds to support the wellbeing of the Trust’s 28,000 strong workforce, ensuring our staff can continue to care for our patients and their families.

In 2021/22 a key focus of our activity was the launch of an appeal to raise £3.2m to build a national training academy for breast cancer professionals. The appeal, run in partnership with Prevent Breast Cancer, is raising funds for a new National Breast Imaging Academy training facility to be built on our Wythenshawe Hospital site, to tackle the challenges currently facing the breast screening workforce.

The new building will play a key role in tackling staff shortages across the national breast imaging workforce, providing access to specialist training programmes for the additional mammographers, radiographers and breast clinicians needed to deliver sustainable breast screening and care services across the country.

The new building will provide bespoke workforce training facilities, enable an extra 13,000 patients to be seen by our clinical teams each year, and offer additional capacity for research into breast cancer diagnosis and treatment. It will also help to level up health inequalities and create muchneeded job opportunities for the local community.

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 18 to 21.

Core activities

The Charity’s expenditure in 2021/22 was allocated in the following ways:

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28% 14%
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Research

Patient related expenditure

28% towards research programmes and research 14% helped to deliver salary costs. improvements to the patient experience.

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11% 47%
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Staff related expenditure

Contributions to hospital capital expenditure

11% was contributed, with a significant proportion spent on training and education.

47% of total expenditure – 17% was spent on the purchase of medical and IT equipment, and contributions to Trust-wide refurbishments were 30%. The capital expenditure was all spent on improving equipment and the patient environment.

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Celebrating your support

April 2021

June 2021

In June, 10-year-old Will Tyler took on eight fundraising challenges inspired by the eight days he spent in Royal Manchester Children’s Hospital, receiving specialist care for severe burns from a shock barbecue accident. His challenges ranged from an 8km walk to eight random acts of kindness, raising £8,191 which will support young burns patients cared for in our hospital.

The year started with the launch of our 30 Miles My Way event, in which we asked our supporters to get out in the fresh air and clock up 30 miles throughout the month, in any physically active way they liked, in support of our family of hospitals.

£28,000 was raised by participants in the month-long initiative, including three-year-old Quinn, who walked a mile a day in support of our children’s hospital, as part of her own physiotherapy programme and to improve her confidence in walking with her prosthetic leg.

Also in June, our most daring supporters took part in our Humphrey’s Heroes Abseil. The 19-storey abseil at the Hyatt Regency Hotel was scaled by six daring drag queens, alongside an army of fundraisers, celebrity supporters and a team of staff from our corporate partner, Peninsula Group, who also generously agreed to match fund the event.

In April we launched our innovative partnership with Manchester City Football Club, which saw football shirts transformed into custom-made, medical grade hospital gowns for young patients at Royal Manchester Children’s Hospital.

Also in April, Peninsula Group reached a milestone £1m, towards their overall fundraising pledge of £2m for Royal Manchester Children’s Hospital. The global employment law consultancy firm raised the money through various ambitious fundraising activities such as the Great Manchester Run, abseiling a 200ft building and

July 2021

even a trek up Mount Kilimanjaro. Funds were also raised through the company’s charitable payroll deduction scheme, which were then matched pound for pound by Peninsula.

The family and friends of much-loved teenager Mia Strothers took on a charity skydive in her memory in July. The group took to the skies on what would have been Mia’s 15th birthday, raising £8,983 for Royal Manchester Children’s Hospital, to say thank you for the care Mia had received there before she passed away.

July also saw five midwives from Saint Mary’s Hospital take on the mammoth Manchester to Blackpool Bike Ride. The team of cyclists started their route at Media City and ended on the South Promenade in Blackpool, covering a staggering 60 miles. In total the group, which also included the husband of one of the midwives, raised £2,368, which will support the Delivery Unit at the hospital, ensuring women and their birthing partners are as comfortable as possible during their stay.

May 2021

is treated for a painful growth condition called Patella Femoral Dysfunction. Her condition means she frequently needs crutches to walk, and she can suffer acute pain in her knees. Ellia’s epic achievement raised an impressive £2,266.

In May, corporate partner EG Group completed their year-long fundraising with a total of £84,000 to support the Bone Marrow Transplant Unit at Royal Manchester Children’s Hospital. Their activities included Christmas Jumper Day, raffles, and a gruelling challenge to walk, cycle and run 40,075 km in 80 days, taken on by their Subway stores teams as well as the support by members of the public who also donated.

The new life-saving helipad on Oxford Road Campus opened in May. The state-of-the-art helicopter landing pad, which is situated on the roof of Grafton Street car park, enables critically ill or injured babies, children and adults to be airlifted straight to our hospitals in Manchester city centre. The helipad was funded by our Times Saves Lives Appeal.

May saw 16-year-old Ellia Rhodes set sail on her dinghy in a mammoth solo sailing challenge for 10 hours to raise money for Royal Manchester Children’s Hospital, where she

August 2021

In August, fundraiser Tom Finkill completed a 48-hour online quiz stream for Royal Manchester Children’s Hospital, earning himself a Guinness World Record in the process! Tom, who started his online quiz, Never Gonna Quiz You Up, in the first lockdown of 2020, has now raised an amazing £13,721 from all his online quizzes, in recognition of the care provided to his sixyear-old daughter Sofia.

Also in August, £1,972 was raised by donations made to Royal Manchester Children’s Hospital at the annual VW Car Show at Tatton Park.

This month, nine-year-old Madison, who has been a patient at Royal Manchester Children’s Hospital her whole life, organised her bake sale with the help of family and friends, raising a wonderful £1,382.

September 2021

September was a busy month with the return of a number of our sporting events, following a year’s hiatus due to the pandemic. The month started with the Royal Manchester Children’s Hospital Charity 10k, which was organised by The Running Bee Foundation, with supporters raising £2,121. This was followed quickly by the return of the iconic Great Manchester Run 10k and half marathon events, with our team of supporters raising a collective £15,687.

The Tour de Manc also returned in September, with riders tackling one of four grueling routes spanning the whole of Greater Manchester. The 2021 cycling sportive raised £12,884, which included funds raised from the cancelled 2020 event.

A total of 32 nurseries and children’s groups from across the North West took part in our Teddy Toddle event in September, raising money for Royal Manchester Children’s Hospital. As part of the event’s free prize draw, children’s TV presenter Olivia Birchenough, and our mascot Humphrey, visited one of the participating nurseries, to read the classic book ‘We’re Going on a Bear Hunt’ to the children before leading their sponsored walk.

As part of Childhood Cancer Awareness Month in September, our supporters at Amazon took part in their annual Amazon Goes Gold campaign to support Royal Manchester Children’s Hospital. The teams at Amazon’s Manchester Airport fulfilment centre MAN1, and MAN3 in Bolton, organised a variety of fundraising activities including a 48-hour PJammin’ party, raising a combined total of £2,000 to support our young cancer patients. 7

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Celebrating your support

October 2021

November 2021

Four years after he was treated at our hospitals, Alan Day took part in the Virtual London Marathon in October to show his appreciation for the lifesaving care he received at both Manchester Royal Infirmary and Wythenshawe Hospital.

In November, young fundraisers Hughie and Freddie took home the Young Fundraiser of the Year award at the 2021 national Pride of Britain awards ceremony, following an incredible 12 months of fundraising for Royal Manchester Children’s Hospital.

The pair began fundraising in 2020 following Hughie’s Acute Lymphoblastic Leukaemia diagnosis, with their unique friendship and mammoth efforts leading to a fundraising total of over £220,000!

Alan’s impressive marathon took him from his home in Manchester to near his parents’ house near Halifax, West Yorkshire, and raised a brilliant £3,031!

December 2021

Steve McCourt completed a rooftop 10k run, 150 feet above the Manchester traffic, to raise money for our family of hospitals. Steve took to the purpose-built running track, on the roof of a residential apartment tower block, to thank staff for the expert care both he and his brother-in-law have separately received in our hospitals. Despite previously breaking his back and being told he may never walk again, Steve completed his challenge, and with the support of his employer Aemon, raised almost £3,000.

We were delighted to partner with Manchester-based Happy Linen Company once again in December, with the bedding and home accessories company donating 100% of the profits from each purchase of a speciallycreated festive bedding set.

December saw ten-year-old Taylor Dignan complete an impressive 11 one-mile runs to raise money for both Royal Manchester Children’s Hospital and Manchester Royal Eye Hospital, where he is a patient. Taylor has a rare condition known as Anterior Segment Dygenesis (ASD) which is a spectrum of disorders that affect the development of the front of the eye, and which has left him blind in one eye. Taylor raised over £2,500 for medical research projects at both hospitals.

December also saw the return of our virtual Carols in the City event, which was hosted by Hits Radio’s Mike Toolan from the beautiful surroundings of Manchester Cathedral. Thanks to the support of event partner Peninsula Group, and guests who joined the event, the carol concert raised more than £19,000.

On Boxing Day, Thomas Williams took on a sponsored swim to raise money for the gastroenterology department at Royal Manchester Children’s Hospital, where he has been treated since he was born, raising £710.

Alan Deary took on a 100-mile cycling challenge to raise money for Wythenshawe Hospital, after he was diagnosed with the life-limiting lung condition, idiopathic pulmonary fibrosis. Alan completed the challenge, raising £2,497 for the hospital’s specialist Interstitial Lung Disease Unit.

Also in October, we partnered with Prevent Breast Cancer to launch the Build to Beat Breast Cancer Appeal to raise £3.2m to build a national training academy for breast cancer professionals and to help save lives. The innovative purpose-built National Breast Imaging Academy will be built on our Wythenshawe Hospital site, to tackle the challenges currently facing the breast imaging workforce.

January 2022

In January, JoJo Maman Bébé launched their new rainbow baby sleepsuit which saw 100% of the profits donated to our Charity. The colourful sleepsuit was available to purchase online following the success of their first charity sleepsuit and has raised £2,392 to date.

Also in January, we were awarded over £99,000 of matched funding from NHS Charities Together and the Department for Digital, Culture, Media and Sport as part of the Volunteering Futures Fund. The funds will be used to support a project to grow youth volunteering and diversify roles, specifically engaging with harder to reach communities, benefitting all of our 10 hospitals.

February 2022

In February, First Bramhall Scouts took on an epic 24hour TV game show marathon in support of Royal Manchester Children’s Hospital.

The group took turns to answer questions and play host, raising £487.

March 2022

In March, we were visited by HRH The Princess Royal as she officially opened our charitably funded helipad on our Oxford Road Campus. As part of her visit, The Princess Royal met with some of those involved in the helipad appeal as well as our NHS colleagues who work onsite at the helipad and within our hospitals.

March also saw Brookside Miniature Railway hosting a fundraising event in support of Royal Manchester Children’s Hospital. The fun day had originally been booked to take place in March 2019 but over the course of the last three years the railway has been beset by floods, break-ins, and lockdowns, meaning that the event has been repeatedly postponed.

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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:

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.

In the past year, volunteers have helped us at many of our live events. We’d also like to thank our volunteer fundraisers who donate their time and their skills to help us make a difference by raising funds for our family of hospitals.

Celebrity support

The Charity feels very privileged to receive the support of many celebrities who lend a hand by getting involved in events and campaigns, and help us to raise awareness of our cause.

This year, our thanks go to Coronation Street stars Antony Cotton, Joe Duttine, Simon Gregson, Jennie McAlpine and Hollyoaks stars David Tag and Jazmine Franks. Thanks also go to Manchester radio presenter Mike Toolan and actors Ian Puleston-Davies and John Thomson, as well as music stars Max and Harvey and Ariana Grande.

Thanks also to children’s television presenter Olivia Birchenough, drag queens Misty Chance, Coco, Divina De Campo, Rosie D Vine, Xander Helsby, Cheddar Gorgeous and Belinda Scandal.

Thank you also goes to Her Royal Highness The Princess Royal, BBC Sport presenter Hugh Ferris and Manchester United footballer Juan Mata.

The Charity has also been fortunate enough to enjoy the support of the 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.

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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 2021/22 we were able to claim £57,000 in Gift Aid (£87,000 in 2020/21).

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 £576,000 in legacy gifts (£593,000 in 2020/21).

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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 and their families, and to support our staff.

MFT is committed to pioneering new diagnostic and treatment services for patients. Thanks to the Charity’s investment of £94,000, a new Rare Disease Centre is being set up at Saint Mary’s Hospital. Manchester Royal Infirmary patients are benefiting from the £300,000 purchase of a surgical robot, while Clinical and Scientific Services are providing wearable technology to monitor patients at home supported by £43,000 of Charity funding.

Here are just a few examples of how the money has been allocated in 2021/22.

The Charity has played a key role in caring for our MFT staff as they have cared for others since the start of the pandemic. The focus over the past year has been on supporting staff resilience, through maintaining good mental, physical and emotional health. The Charity is contributing £238,000 to establishing wellbeing advocates across the Trust, upgrading staff gyms and other facilities and making a staff recognition film. The Lime Art staff wellbeing programme also received £56,000 to develop and run staff art and print workshops plus the Create, Connect, Unwind Festival.

The Royal Manchester Children’s Hospital has received £132,000 to help provide specialised play therapy and refurbish the Teen Zone for older patients, plus almost £16,000 to support the annual Burns Camps for children. The Charity also allocated RMCH a further £221,000 towards the cost of specialist equipment for diagnosis, treatment and training, including key hole procedure and airway management equipment and a human simulator.

At Manchester Royal Eye Hospital, patients will be able to maintain their mental health and fitness with access to videos purchased with Charity support of £1,200.

To help to improve the hospital environment for patients, their families and staff, the Charity has provided £638,000. The funding covers extensive work at Royal Manchester Children’s Hospital (RMCH) and refurbishment of Trust gardens. The Charity is also contributing to the running costs of the new helipad at Oxford Road (£305,000).

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 Heath 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 and Care 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 (CRN GM).

Investment from the Charity has enabled R&I to establish new research projects, structures and careers to benefit our patients. Following a five-year Charity funding cycle, Research and Innovation are now embarking on a new approach to dedicated fundraising projects, including:

MFT Research Van

MFT has built a new research van, equipped with a mobile pharmacy including -80ºC freezer capacity, which will enable us to deliver a range of clinical trials and other types of research direct to communities.

Rather than requiring people to always come to hospitals for clinical research, we will be able to go to underserved communities and widen the diversity of participation, thereby helping us to better address health inequalities in Greater Manchester. The cost of the van build was met by funding from the UK Government’s Vaccine Task Force, and the van will operate as a self-sustaining asset. The Charity’s support for staffing is enabling the van to operate in its initial set-up.

The NIHR Centre for Precision Approaches to Combatting Antimicrobial Resistance

The NIHR awarded £4.4m to MFT for the development

of the NIHR Centre for Precision Approaches to Combatting Antimicrobial Resistance.

The Centre is dedicated to exploring antimicrobial resistance, the threat to health posed by the constant evolution of bacteria to overcome our antibiotic medications. Finding new medications will be increasingly important in the near-future and this laboratory will be able to spearhead much of that work.

The Centre will quickly become self-sustaining from academic grants and collaborations with commercial organisations, but the Charity’s pump-priming will enable the minimum essential staffing required to begin this process.

Health Foundation Adoption Hub

Through support of the Charity, the Innovation Team successfully bid for Health Foundation Adoption Hub status.

From 2022, this £500,000 award will create a function to effectively enable the adoption of new, proven technologies into clinical practice across the Greater Manchester health ecosystem to drive patient benefit and cost efficiency.

Without the sustained support from the Charity, we would not have the expertise, capacity and connections already in place to plan, submit and deliver the proposal for such a Hub in Manchester.

Flexibility

It is imperative that R&I is able to act on strategic or urgent needs as circumstances dictate, as exemplified by the whole NHS response to the pandemic.

Working at the cutting edge, R&I must respond quickly to, or ideally pre-empt, events more often than many other areas of the NHS. Instant access to a flexible fund raised by the Charity has provided a vital capability for this Trust to keep on the front foot in R&I, exactly where the largest Trust in the NHS ought to be.

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Investing in treatment, research and care

Creating a caring environment

Staff wellbeing has remained a key priority for the Trust, caring for colleagues as they care for others. Through a successful £20,000 bid to NHS Charities Together, our Charity has secured funding to refurbish the garden area on Acute Intensive Care Unit at Wythenshawe Hospital. When complete, the garden will provide a safe and quality relaxation area to support rest and recovery for critical care staff.

In addition to supporting staff recovery, this garden area will benefit patients and their families. Recovering patients would be able to access it and the garden also provides a space for families to connect with their loved ones or unfortunately, receive bad news.

The Charity has also awarded funding of £3,000 to North Manchester General Hospital to support a pilot wellbeing project for staff. A trained practitioner provides free 20 minute reiki or Indian head massage sessions to staff, helping them to switch off for a short time and manage the pressures of work. The pilot is focusing initially on the Emergency Department, helping to boost staff wellbeing and morale and enable them to better focus on patient care.

Other projects to improve the care environment for patients, their families and staff include the refurbishment of a playroom on Ward 86 at Royal Manchester Children’s Hospital.

The Charity has also supported Lime Art for several years, in recognition of its innovative work in arts and healthcare. Founded in 1973, Lime is the Trust’s multi award-winning Arts and Health organisation with global recognition for excellence in the delivery of art and wellbeing projects in hospital and community healthcare settings. Lime has consistently demonstrated, through its art-based interventions, an evidence-based impact on:

Its work involves exciting collaborations with a diverse range of healthcare organisations, research institutes, specialist medical units, universities, distinguished performing arts and music schools, creative institutions, theatre companies, and public institutions such as the BBC.

Lime programme highlights – staff wellbeing

The new Lime Arts and Wellbeing Centre opened in 2021 and provides 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 innovative programme has placed MFT at the forefront of supporting NHS staff wellbeing, and presents a ground-breaking global first.

“The new arts centre is a really relaxing space. It is so important to make the distinction between the hospital and Lime so you can switch off from work. Thanks to all the team for making it such a welcoming place!” Counselling Co-ordinator, Macmillan

Create Connect Unwind (CCU) is a creative staff wellbeing offer for the MFT workforce. The project was delivered in partnership with MFT’s Employee Health and Wellbeing Service, to create new ways of relieving stress and anxiety for colleagues during the Covid-19 pandemic.

The project aims to:

Since June 2020, Lime has delivered 136 workshops, engaged over 800 MFT staff participants in the co-creation of new artworks, and employed over 20 professional artists to facilitate the workshops. Workshops have included creative writing, visual art, performance art and music, and the programme was celebrated in May 2022 with a three day festival and inaugural symposium at the Oxford Road Campus (ORC).

Programme evaluation showed how 93% of MFT staff participants agreed the workshops gave them a greater sense of wellbeing, with 92% agreeing their workshop helped them to relax. 95% agreed being able to access arts activity at work is important and 84% had a more positive view of their employer. 100% responded that their likelihood of attending future workshops was either 4 or 5 out of 5.

“Thank you for another great opportunity and session. 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.” Staff member

Lime’s two Hospital Art Galleries located at ORC display a unique collection of artworks co-created by MFT staff and Lime artists during the CCU workshop programme. February 2022 also saw the launch of the Lime Arts Portal, an innovative online membership space for MFT staff to create, learn and share. It enables Lime to widen audience reach, resulting in more NHS staff than ever before being able to access the creative wellbeing programme.

Force Behind the Scenes is a creative wellbeing project for Sodexo staff at MFT. In October 2021 Lime delivered this project with internationally acclaimed artists The Singh Twins to acknowledge the efforts and contributions of the Sodexo workforce during the pandemic. This resulted in a unique collection of self-portraits that are exhibited at ORC and Wythenshawe Hospital.

In addition, Lime supports healthcare practitioners at MFT who apply arts and creativity within their clinical practice. Recent collaborators include MFT Practice Education Facilitator Chris Seymour who delivers a unique education programme for trainee nurses, ‘Creative Reflection, Poetry and Nursing.’

Future plans for the programme include ward-based artist residencies, an ‘Arts on Prescription’ referral service and a three-day arts and wellbeing festival marking Lime’s 50th anniversary in 2023.

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Investing in treatment, research and care

Lime programme highlights – patient experience

With the Charity’s support, Lime continues to work on projects to improve the hospital environment, using visual art and interior design to make spaces less clinical and reduce the stress often associated with a hospital visit.

Royal Manchester Children’s Hospital (RMCH), Cleft Lip and Palate Unit

Nearing completion is a new art and design scheme for the Cleft Lip and Palate Unit at RMCH. The new artwork has been created by acclaimed visual artist Lucy Casson in close consultation with staff and patients. It uses art to support the work of speech and language therapists working within the unit.

The Hub, RMCH

Youth Forum, RMCH

Also at RMCH, Lime has recently commissioned awardwinning illustrator Chiara Vercesi to create a bespoke art and design scheme for The Hub. This purpose-built space will provide a one-stop shop for young people to access information and services to support all areas of their mental and physical health. The new scheme will play a vital role in creating a space that feels comfortable, fun, relaxing and safe.

Lime continues to develop links with the RMCH Youth Forum, firmly believing that young people’s voices should be represented in decision-making processes regarding the hospital environment. Lime is also working closely with the Youth Forum, Youth Workers and Specialised Therapeutic Play Teams at RMCH to develop a cohesive art and design scheme for the atrium and outpatients department, to create a more child-friendly environment throughout the hospital.

Artwork will be developed in consultation with Youth Forum members, RMCH in-patients and staff, with consultations beginning in August 2022.

While Lime’s focus during 2021/22 was very much on supporting the wellbeing of MFT staff during the Covid-19 pandemic, the Adult Patients Art Programme at MRI is now resuming. The team of musicians has recently returned to the wards, with more artists and musicians set to visit during 2022, alongside new and exciting collaborations.

Organ donor recognition artwork, Manchester Royal Infirmary (MRI)

Work continues to develop a new piece of public art to recognise and honour the experiences of organ donors and their families and the extraordinary and vital gift that they have made.

Our future plans

Consultation is underway with donor families to ensure that the artwork provides an appropriate place for reflection and remembrance, with families having the opportunity to meet visual artists Stephen Raw and Liam Curtin, and poet Professor John McAuliffe at the new Lime Arts and Wellbeing Centre.

The Charity’s key objective for 2022/23 is to continue our support of our family of hospitals and clinical services, focusing our fundraising efforts on the three key areas of treatment, research and care, to enhance the services we provide and the care that we give to over 2.5 million patients who use our hospitals every year.

16

17

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, research and care by supporting:

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 £3.47m (£2.86m in 2020/21) to MFT in furtherance of its objectives.

The Charity leased property from Bruntwood 2000 Holdings Limited and paid £138,000 (£139,000, 2020/21). One Executive Director member of the MFT Trust Board is MFT’s nominated Director for Manchester Science Partnerships Limited.

Future plans

The Charitable Funds Committee is currently considering plans to develop the network of high-level volunteers who share a commitment to the Charity.

As ambassadors and advocates, these key individuals will help the Charity to achieve its long-term vision.

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 2022 the Charity worked with 25 commercial participators.

Our Charity voluntarily subscribes to the Fundraising Regulator and its Code of Fundraising Practice and Institute of Fundraising. The Regulator is responsible for regulating fundraising and investigates and takes appropriate action on cases of public concern.

18

19

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, not everyone will agree with the way we promote and manage our campaigns, 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 2022, we received two complaints, of which 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:

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 2022 and has the power to report to the Charities Commission if it has any concerns. The External Auditor’s report is given on pages 26-27.

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 achievement of the objectives of the Charity. The approach the Fundraising Team takes to maximise the income generated, supported by the Charitable Funds Committee, seeks to minimise this risk.

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.

20

21

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 2019)’ 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 -----
2021/22 2020/21
Income Stream £k % £k %
Donations 764 15 3,346 34
Income from fundraising events 1,295 25 5,191 53
Legacies 576 11 593 6
Investments 527 10 537 5
Grants receivable 44 1 138 2
Transfer from Pennine Care NHS FT Charitable Fund 1,982 38 0 0
Total 5,188 100 9,805 100
----- End of picture text -----

Financial highlights – income and expenditure

Income for the year ending 31st March 2022 totalled £5.19m (£9.81m in 2020/21).

Expenditure on charitable activities during the year was £4.03m (£8.99m in 2020/21).

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 for Manchester and Trafford.

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:

In arriving at the appropriate level of reserves, the Trustee has considered the following:

The policy requires the Charity to maintain a reserve of circa £1.82m, which has been achieved throughout the financial year via cash available in the bank account and access to liquid investments:

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 2022 are a small number of individual funds which have negative balances. During 2021/22, the Trustees have been implementing their 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.

22

23

Financial review

Investments

Investment powers

The Charity conforms to the investment powers given by the Charity Commission Order for an 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:

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 2022 is shown below.

----- Start of picture text -----
Bank name Market Value at
31/03/2022 £k
Brewin Dolphin 17,772
Sarasin 6,777
----- 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:

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: 26th August 2022

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25

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 31st March 2022 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:

We have nothing to report in this regard.

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:

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.

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 25, 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:

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: 5th September 2022

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.

26

27

2020/21
2019/20
Note
Unrestricted funds
Restricted funds
Total funds
Unrestricted funds
Restricted funds
Total funds
£000
£000
£000
£000
£000
£000		 Balance sheet as at 31st March 2022
Note
Total at
31st March 2022
Total at
31st March 2021
£000
£000
Non-current assets
Tangible assets
4
58
65
Investments
5 and 5.1
24,546
22,303
Investment property
5 and 5.1
3
3
Total non-current assets
24,607
22,371
Current assets
Debtors
6
200
501
Cash and cash equivalents
7
4,207
6,220
Total current assets
4,407
6,721
Creditors: Amounts falling due within one year
8
(3,404)
(1,887)
Commitments: Amounts falling due within one year
8
(6,187)
(6,914)
Net current (Liabilities)/assets
(5,184)
(2,080)
Creditors: Amounts falling due after more than one year
Commitments
8.1
(374)
(679)
Total net assets
19,049
19,612
The funds of the Charity:
Restricted income funds
10,001
9,872
Unrestricted funds
689
3,624
Investment revaluation reserve
5.2
8,359
6,116
Total Charity funds
9
19,049
19,612
Income from:
Donations and legacies
2
1,320
64
1,384
3,752
325
4,077
Other trading activities – Income from
fundraising events
2.1
2,518
(1,223)
1,295
4,896
295
5,191
Other Donation – Transfer from Pennine Care
NHS Foundation Trust Charity
2.2
665
1,317
1,982
0
0
0
Investments
2.3
441
86
527
300
237
537
Total
4,944
244
5,188
8,948
857
9,805
Expenditure on:
Raising funds
3
2,116
42
2,158
1,817
179
1,996
Charitable activities
3.1
3,960
73
4,033
8,699
293
8,992
Total
3.2
6,076
115
6,191
10,516
472
10,988
Net gain (loss) on investments
5
440
0
440
3,859
0
3,859
Net income/(expenditure)
(692)
129
(563)
2,291
385
2,676
Net movement in funds
(692)
129
(563)
2,291
385
2,676
Reconciliation of funds:
Total funds brought forward as previously
reported
9
9,740
9,872
19,612
8,613
8,323
16,936
Net movement in funds for the year
(692)
129
(563)
1,127
1,549
2,676
Total funds carried forward
9
9,048
10,001
19,049
9,740
9,872
19,612
2020/2021 fgures are re-presented to refect how the Charity is managed and the review of the composition of the funds, as set out in note 1.5
On 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. This resulted in the Charity taking on funds transferred as £1,802k in investments and £180k as a cash transfer.
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 30 to 47 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.
2020/2021 fgures are re-presented to refect how the Charity is managed and the review of the composition of the funds, as set out in note 1.5.

28

29

Annual accounts 2021/22

Cash flow statement year ending 31st March 2022

Cash fow statement
year ending 31st March 2022
Note Total
31st March
2021
£000		 Total
31st March
2020
£000
Cash fows from operating activities
Net (expenditure)/income
SOFA
Net gain on investments
SOFA
Investments received from North Manchester
Hospital transfer		 (563)
(440)
(1,803)		 2,676
(3,859)
0
Operating defcit
Interest received
Dividends received
Depreciation and amortisation
4
Decrease in trade and other receivables
6
Increase/(decrease) in Trade and Other Payables
8
Net cash generated from operating activities
Cash fows from investing activities
Interest received
Dividends received
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		 (2,806)
(5)
(522)
7
301
485
(2,540)
5
522
527
(2,013)
6,220
4,207		 (1,183)
(2)
(535)
7
292
(455)
(1,876)
2
535
537
(1,339)
7,559
6,220

The net income/expenditure includes £179k income received as part of the North Manchester Hospital transfer. Comparative figures for 2020/2021 have been re-presented to provide the analysis of the operating deficit.

Notes to the Financial Statements

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 49.

On 1st October 2017, the Charities 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 (MFT).

On this date, the Charity Commission linked the charities as part of the Manchester University NHS Foundation Trust Charity.

On 1st April 2021, the Charites Corporate Trustee, Manchester University NHS Foundation Trust acquired the North Manchester General Hospital site. At this date the charitable funds related to North Manchester General Hospital were transferred to Manchester University NHS Foundation Trust Charity from Pennine Acute NHS Foundation Charity.

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 1 January 2019.

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;

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.

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Annual accounts 2021/22

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. During the year all costs associated with generating income were borne centrally through the Charity’s general purpose fund and not charged to individual designations. The Charity Trustees have taken the decision to alter this policy in 2022/23.

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.

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.

The Charity no longer differentiates between Oxford Road Campus (ORC) and Wythenshawe and operates as a single Manchester Foundation Trust Charity and the presentation of the accounts reflects this. Following a review of all fund restrictions applied to Wythenshawe funds, those funds with the definition of being designated have been moved to unrestricted. 2020/2021 comparative figures have been represented to reflect the results of this review.

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 2022.

1.8 Tangible fixed assets

Recognition

Property, plant and equipment is capitalised if:-

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 are made up of 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 2022 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.

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Annual accounts 2021/22

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

2.2 Other donation

Unrestricted
funds
2021/22
£000		 Restricted
funds 2021/22
£000		 Total
2020/22
£000		 Unrestricted
funds
Re-presented
2019/21
£000		 Restricted
funds
Re-presented
2019/21
£000		 Total
Re-presented
2019/21
£000
Transfer from Pennine Acute NHS FT
Total Investment Income		 665 1,317 1,982 0 0 0
665 1,317 1,982 0 0 0

On 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. This resulted in the Charity taking on funds transferred as £1,803k in investments and £179k as a cash transfer.

2.3 Investment Income

Unrestricted
funds
2021/22
£000		 Restricted
funds 2021/22
£000		 Total
2020/22
£000		 Unrestricted
funds
Re-presented
2019/21
£000		 Restricted
funds
Re-presented
2019/21
£000		 Total
Re-presented
2019/21
£000
Donations
Legacies
Grants receivable
Total income from donations and legacies		 764
512
44		 0
64
0		 764
576
44		 3,266
385
101		 80
208
37		 3,346
593
138
1,320 64 1,384 3,752 325 4,077

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.

Unrestricted
funds
2021/22
£000		 Restricted
funds 2021/22
£000		 Total
2020/22
£000		 Unrestricted
funds
Re-presented
2019/21
£000		 Restricted
funds
Re-presented
2019/21
£000		 Total
Re-presented
2019/21
£000
Dividend income
Bank account interest
Total investment income		 436
5		 86
0		 522
5		 298
2		 237
0		 535
2
441 86 527 300 237 537

The re-presentation of 2020/2021 comparative values is explained in note 1.5.

The Charity recognises gifts in kind in the Statement of Financial Activities if the recognition criteria in 1.3a and 1.3c of the Accounting Policies are met. In 2021/2022, the Charity received £131k (£2,106k in 2020/2021) worth of gifts, which are included in the category ‘Donations’. The Charity has received no donated services or facilities in 2021/2022 or 2020/2021.

The re-presentation of 2020/2021 comparative values is explained in note 1.5.

2.1 Income from fundraising activities

Unrestricted
funds
2021/22
£000		 Restricted
funds 2021/22
£000		 Total
2020/22
£000		 Unrestricted
funds
Re-presented
2019/21
£000		 Restricted
funds
Re-presented
2019/21
£000		 Total
Re-presented
2019/21
£000
Special project events
Sporting events
Corporate
Community events
Christmas
Schools
Merchandise
Miscellaneous sales
Repayment of donation
Total income from fundraising activities		 0
207
936
335
11
36
0
993
0		 0
0
7
7
0
0
0
13
(1,250)		 0
207
943
342
11
36
0
1,006
(1,250)		 0
74
1,204
960
19
27
1
2,611
0		 0
7
84
91
0
1
0
112
0		 0
81
1,288
1,051
19
28
1
2,723
0
2,518 (1,223) 1,295 4,896 295 5,191

As a result of a delay in a project and following a specific request from a donor, a repayment of £1,250k has been made in the expectation that the donation will be remade once the project is going ahead.

The re-presentation of 2020/2021 comparative values is explained in note 1.5.

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Annual accounts 2021/22

3. Analysis of expenditure on raising funds

Unrestricted
funds
2021/22
£000		 Restricted
funds 2021/22
£000		 Total
2020/22
£000		 Unrestricted
funds
Re-presented
2019/21
£000		 Restricted
funds
Re-presented
2019/21
£000		 Total
Re-presented
2019/21
£000
Fundraising activities
Advertising/marketing
Accommodation and administration costs
Subscriptions
Other
Fundraising team
Investment management fees
Total
Support costs
Total		 83
338
166
1
0
1,025
65		 0
0
0
0
0
0
42		 83
338
166
1
0
1,025
107		 121
209
176
5
0
954
49		 0
0
0
0
0
0
40		 121
209
176
5
0
954
89
1,678 42 1,720 1,514 40 1,554
438 0 438 303 139 442
2,116 42 2,158 1,817 179 1,996

The re-presentation of 2020/2021 comparative values is explained in note 1.5.

3.2 Analysis of total expenditure

2021/22

Direct costs
£000		 Grant funding
of Activities
£000		 Governance
£000		 Finance
£000		 Sub-total
£000
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		 1,720
0
0
0
0
0
0
0		 0
1,110
568
459
781
609
92
414		 34
0
0
0
0
0
0
0		 404
0
0
0
0
0
0
0		 2,158 0
1,110
568
459
781
609
92
414
0 4,033 0 0 4,033
1,720 4,033 34 404 6,191

3.1 Analysis of expenditure on charitable activities

Unrestricted
funds
2021/22
£000		 Restricted
funds 2021/22
£000		 Total
2020/22
£000		 Unrestricted
funds
Re-presented
2019/21
£000		 Restricted
funds
Re-presented
2019/21
£000		 Total
Re-presented
2019/21
£000
1,064
567
444
781
605
90
409		 46
1
15
0
4
2
5		 1,110
568
459
781
609
92
414		 263
814
2,303
1,186
2,793
228
1,112		 76
16
50
4
95
47
5		 339
830
2,353
1,190
2,888
275
1,117

The re-presentation of 2020/2021 comparative values is explained in note 1.5.

2020/21

Direct costs
£000
Re-presented		 Grant funding
of Activities
£000
Re-presented		 Governance
£000
Re-presented		 Finance
£000
Re-presented		 Sub-total
£000
Re-presented
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		 1,549
0
0
0
0
0
0
0		 0
339
830
2,353
1,190
2,888
275
1,117		 41
0
0
0
0
0
0
0		 406
0
0
0
0
0
0
0		 1,996
339
830
2,353
1,190
2,888
275
1,117
0 8,992 0 0 8,992
1,549 8,992 41 406 10,988

The re-presentation of 2020/2021 comparative values is explained in note 1.5.

The charity accounted for £10.8k for audit fees in 2021/2022 inclusive of VAT (2020/2021 £10.8k), payable to Mazars LLP. No other services were received from Mazars LLP. Net expenditure of £2,158k on raising funds (expenditure of £1,996k in 2020/2021) as reported in the SOFA includes the charge for audit fees. The audit fee is included within Governance Costs in both 2021/2022 and 2020/2021.

Grants were made to Manchester University NHS Foundation Trust (MFT). No grants were made to individuals.

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Annual accounts 2021/22

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 2022, 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 (2020/2021: £nil).

4. Tangible assets

4. Tangible assets
31st March
2022
£000		 31st March
2021
£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
(62)
(7)
(69)
65
58		 127
127
(55)
(7)
(62)
72
65

The closing net book value is made up of fixtures and fittings (£58k) used for the purpose of generating funds for the charity. The tangible assets are held at the Oxford Road Campus.

5. Fixed asset investments: Movements in funds

5. Fixed asset investments: Movements in funds
Total 2021/2022
£000		 Total 2021/2022
Re-presented
£000
Market value at 1st April 2020
Transfer from Pennine Acute NHS Foundation Trust 1st April 2021
Add:additions to investments at cost
Less:disposals at carrying value
Net gain / (loss) on revaluation
Market Value at 31st March 2022		 22,306
1,803
5,783
(5,774)
431
24,549		 18,447
0
2,927
(3,254)
4,186
22,306

The valuations of the Charity’s investments at 31st March 2022 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.

On 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. This resulted in the Charity taking on funds transferred as £1,803k in investments and £179k as a cash transfer.

The re-presentation of 2020/2021 comparative values is explained in note 1.5. and to reflect additions and disposals previously included as a narrative.

5.1 Fixed assets at 31st March 2022

5.1 Fixed assets at 31st March 2022
Total 2021/2022
£000		 Total 2021/2022
Re-presented
£000
UK equities
Fixed income
UK bonds
Overseas bonds
Global equities
Property
Alternative investments
Liquid assets
Commodities
Leasehold		 8,035
463
2,616
1,193
6,867
1,142
2,406
874
950
3
24,549		 7,689
740
3,163
269
6,246
641
1,930
899
726
3
22,306

The re-presentation of 2020/2021 comparative values is explained in note 1.5.

5.2 Historic cost of listed investments and movement in revaluation reserve

Total 2021/2022
£000		 Total 2021/2022
Re-presented
£000
Historic cost
Market value of investments at 31st March 2022
Balance of Revaluation Reserve		 16,190
24,549
8,359		 16,190
22,306
6,116

The re-presentation of 2020/2021 comparative values is explained in note 1.5.

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Annual accounts 2021/22

6. Analysis of debtors

6. Analysis of debtors
Amounts falling due within one year: Total 31st
March 2022
£000		 Total 31st March
2021 Re-presented
£000
Trade debtors
Transfer from Pennine Acute NHS Foundation Trust 1st April 2021
Add:additions to investments at cost
Less:disposals at carrying value
Net gain / (loss) on revaluation
Total debtors falling due within one year		 0
0
16
184
0
200		 0
0
52
49
400
501

Debtors are amounts due to the Charity. They are measured on the basis of their recoverable amount.

The re-presentation of 2020/2021 comparative values is explained in note 1.5.

7. Analysis of cash and cash equivalents

Total 31st Total 31st March
March 2022 2021 Re-presented
£000 £000
Cash and cash equivalents 4,207 6,220

8. Analysis of creditors

Current
Notes		 Total 31st
March 2022
£000		 Total 31st March
2021 Re-presented
£000
Amounts falling due within one year:
Trade creditors
Accruals
Deferred income
Accruals for commitments
8.1
Total creditors falling due within one year
Non-current
Notes		 3,327
77
0
6,187
9,591
Total 31st
March 2022
£000		 1,694
193
0
6,914
8,801
Total 31st March
2021 Re-presented
£000
Amounts falling due after one year:
Accruals for commitments
8.1
Total creditors falling due within one year		 374
374		 679
679

Comparative 2020/2021 figures are re-presented to reflect how the Charity is managed, see note 1.5.

The re-presentation of 2020/2021 comparative values is explained in note 1.5.

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41

Annual accounts 2021/22

8.1 Accruals for commitments payable

Total 31st
March 2022
£000		 Total 31st March
2021 Re-presented
£000
Opening balance
Committed in year
Paid in year
Closing balance		 7,593
2,616
(3,648)
6,561		 7,331
3,467
(3,205)
7,593

Expected timing of cash flows in relation to commitments

Total 31st
March 2022
£000		 Total 31st March
2021 Re-presented
£000
Not later than one year
Later than one year and not later than fve years
Total accruals for grants payable		 6,187
374
6,561		 6,914
679
7,593

Comparative 2020/2021 figures are re-presented to reflect how the Charity is managed, see note 1.5.

9. Fund balances by hospital/area – 2021/22

----- Start of picture text -----
Total Funds
Hospital/ Funds at Transferred Transfers Total Funds Unrestricted Restricted
31st March in 1st April Gains and between at 31st funds at 31st funds at 31st Number of
area 2021 2021 Income Expenditure (Losses) funds March 2022 March 2022 March 2022 funds
£000 £000 £000 £000 £000 £000 £000 £000 £000 £000
Royal Manchester
2,011 4 353 (341) 0 19 2,046 2,026 20 66
Children's Hospital
Clinical & Scientific
610 11 60 (67) 0 210 824 817 7 63
Support
University Dental
Hospital of 60 0 4 0 0 (44) 20 20 0 2
Manchester
Manchester Royal
718 0 4 (16) 0 0 706 706 0 13
Eye Hospital
Manchester &
Trafford Local Care 225 0 32 (8) 0 18 267 267 0 14
Organisation
Manchester Royal
1,876 0 178 (468) 0 (609) 977 934 43 54
Infirmary
Research and
1,517 0 44 (204) 0 (868) 489 489 0 26
Innovation
St Mary's Hospital 1,136 68 383 (133) 0 (12) 1,442 1,411 31 43
Trafford General
241 0 3 (5) 0 (60) 179 179 0 12
Hospital
Corporate / Trust
3,506 0 1,525 (4,586) 176 2,716 3,337 (3,933) 7,270 49
Wide
Wythenshawe
7,712 0 622 (368) 152 (1,370) 6,748 5,431 1,317 154
Hospital
North Manchester
0 1,899 (2) 5 112 0 2,014 701 1,313 61
General Hospital
Total Funds 19,612 1,982 3,206 (6,191) 440 0 19,049 9,048 10,001 557
----- End of picture text -----

On 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. This resulted in the Charity taking on funds transferred as £1,803k in investments and £179k as a cash transfer.

Each hospital or area balance in the table above is made up of a large number of individual funds, a small number of which contain negative balances. There is a large negative balance on the Trustwide general purposes fund, which owing to expenditure from other funds in the corporate area is now becoming apparent in the above analysis. The Trustees have a plan in place to reduce the negative balances.

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43

Annual accounts 2021/22

9.1 Details of material funds

9. Fund balances by hospital/area – 2020/21

A fund is deemed material if the balance at 31st March 2022 is £750k or more and significant to the operation of the charity. This has changed from 31st March 2021 accounts which previously used a threshold of £250K. Funds over this threshold are detailed below:

----- Start of picture text -----
Hospital/ Total funds at Transfers Total funds at Unrestricted Restricted This has changed from 31st March 2021 accounts which previously used a threshold of £250K. Funds over this threshold are
31st March Gains and between 31st March funds at 31st funds at 31st Number of detailed below:
area 2020 Income Expenditure (losses) funds 2021 March 2021 March 2021 funds
Re-presented Re-presented
Royal Manchester 31st March 2022
2,377 392 (169) 0 (589) 2,011 2,011 0 64
Children's Hospital
Clinical & Scientific Total funds at Transfers Total funds Unrestricted Restricted
579 46 (33) 0 18 610 507 103 44 31st March Gains and between at 31st March funds at 31st funds at 31st
Services
Fund name 2021 Income Expenditure (losses) funds 2022 March 2022 March 2022
University Dental
Hospital of 61 0 (1) 0 0 60 60 0 2 iMRI Scanner - RMCH 3,825 (1,242) 0 0 1,784 4,367 0 4,367
Manchester
RMCH Fundraising 4,583 1,503 (1,586) 0 (2,196) 2,304 2,304 0
Manchester Royal
Eye Hospital 762 3 (47) 0 0 718 718 0 13 Specific Purpose Legacy 2,572 58 (40) 0 0 2,590 0 2,590
Manchester & Income
Trafford Local Care 221 12 (8) 0 0 225 225 0 11 Wythenshawe Hospital (248) 10 (21) 0 1,201 942 942 0
General Purposes
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 31st March 2021 (Re-presented)
Innovation
Total Funds Transfers Total funds Unrestricted Restricted
St Mary's Hospital 1,063 184 (82) 0 (29) 1,136 1,136 0 38 at 31st March Gains and between at 31st March funds at 31st funds at 31st
Trafford General Fund name 2020 Income Expenditure (losses) funds 2021 March 2021 March 2021
212 38 2 0 (11) 241 241 0 21
Hospital
iMRI Scanner - RMCH 3,825 0 0 0 0 3,825 0 3,825
Corporate / Trust
2,372 7,999 (9,866) 2,695 306 3,506 1,444 2,062 47
Wide RMCH Fundraising 3,819 1,692 (928) 0 0 4,583 4,583 0
Wythenshawe Hospital 6,274 811 (538) 1,164 1 7,712 5 7,707 195 Special Purpose Legacy Income 2,550 24 (2) 0 0 2,572 0 2,572
Total Funds 16,936 9,805 (10,988) 3,859 0 19,612 9,740 9,872 529
----- End of picture text -----

Comparative Fund balance information for 2020/2021 has been re-presented to reflect the management of the Charity, see note 1.5.

The re-presentation of 2020/2021 comparative values is explained in note 1.5.

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Contact details for the Charity, Trustee and Advisers

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 £2,616k (£3,467k in 2020/2021) to MFT in furtherance of its objectives. The Charity had an amount of £3,327k owed to MFT at 31st March 2021 (£1,674k at 31st March 2021).

The Charity leases property from Bruntwood 2000 Holdings Limited and paid £138k (£139k in 2020/2021). There were nil amounts owed to Bruntwood 2000 Holdings Ltd at 31st March 2022 (£nil at 31st March 2021).

11. Post balance sheet events

There were no 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:

2021/2022
£000		 2020/2021
£000
Within one year
Between one and fve years
After fve years		 141
151
0
292		 140
292
0
432

The Charity Fundraising Team occupy the ground floor of the Citylabs, Maurice Watkins building. The lease is for a duration of 15 years, starting from August 2014. It has a ‘Break in 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.

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 ........................................................... Ms Angela Adimora (from 20/12/21) Group Non-Executive Director ........................................................... Mr John Amaechi OBE (until 17/12/21) Group Non-Executive Director ........................................................... Professor Dame Sue Bailey OBE DBE Group Non-Executive Director ........................................................... Dr Ivan Benett (until 17/12/21) Group Non-Executive Director ........................................................... Mr Gaurav Batra (from 20/12/21) 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 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 Millie Stacey .........................................................................................................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

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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.