2021-12-31-accounts

Lewisham and Greenwich NHS Trust Charitable Fund

Annual report and accounts Year ended 31 December 2021

Contents

4 Trustees’ report 13 Statement of the Trustees’ responsibilities 14 Independent examiner’s report 16 Statement of financial activities for the year 17 Balance sheet for the year 18 Statement of cash flows for the year 20 Notes to the accounts 29 Ways in which to support our charity

Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021

3

Report of the Trustees for the year ended 31 December 2021

The Trustees are pleased to present their annual report together with the financial statements of Lewisham and Greenwich NHS Trust Charitable Fund (”the Charity”) for the year ending 31 December 2021.

The financial statements comply with the Charities Act 2011 and Accounting and Reporting by Charities: Statement of Recommended Practice (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 1 January 2019).

Chair’s report

As Chair of the Lewisham and Greenwich NHS Trust, I am pleased to welcome you to the annual report and accounts for our charitable fund for the year ended 31 December 2021.

As the impact of the global Covid pandemic continued in 2021, our Charity continued to provide essential support by funding additional projects and activities to make a difference to staff, patients and carers. It is only thanks to the generosity of its supporters that our charity is able to fund projects that fall outside of standard NHS provision to make significant improvements at our hospitals and community sites. On behalf of the Trust, I am grateful to all those who have supported our Charity during such challenging times.

As the second Covid-19 wave unravelled at the beginning of 2021, Trust staff continued to work tirelessly to maintain the highest possible standards of patient care. Our Charity also stepped up by engaging with our local communities who once again generously supported our colleagues and patients. This support included generous donations of hot meals, essential food items as well toiletries. We were humbled by the Royal Borough of Greenwich setting up ”Project Hope”, which mobilised the community to support our staff. We are also grateful to those who, donated to our charity to say thank you for the care they, or a loved one, received. Thanks to everyone’s generosity and the support of grants from NHS Charities Together, we were able to raise £386,000 in 2021, funding a wide range or projects that improve the experience of our patients and staff.

One of my personal highlights in 2021 was attending the unveiling of the ”Enchanted Garden” at University Hospital Lewisham funded by our Charity. This

space, situated next to children’s outpatients department, was transformed from and neglected courtyard space into a magical viewing area, to inspire our younger patients’ imaginations and make their hospital visits as pleasant as possible. The garden was developed by Trust staff, who dedicated their spare time to work on this project and now maintain it. We are truly grateful to our generous supporters who make such imaginative and uplifting projects possible.

In addition, as part of our commitment to improve the patient experience of our younger patients, our charitable fund also

provided entertainment equipment such as activity packs to provide a fun distraction for children who are feeling unwell, wall decorations to make children’s areas more visually pleasing and other items such as a TV to keep our young patients entertained.

“Thanks to everyone’s generosity and the support of grants from NHS Charities Together, we were able to raise £368,000 in 2021, funding a wide range or projects that improve the experience of our patients and staff.”

Making a difference to our most vulnerable patients during these unprecedented times has also been a

4 Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021

priority for our Charity. The pandemic has further highlighted the importance of giving end-of-life patients the option to be comfortable at home, surrounded by loved ones whenever possible. With the support from NHS Charities Together, I’m pleased that our Charity has funded a new palliative care discharge nurse post. Based at Queen Elizabeth hospital Woolwich, this nurse is managed by Greenwich and Bexley Community hospice to provide important support for patients at the end of their lives – making a huge difference to them and to their loved ones.

We are extremely grateful to NHS Charities Together, the umbrella organisation for NHS charities, for awarding a number of grants for our own Charity. Since the beginning of the pandemic, these grants have helped us to fund significant projects and activities, such as the provision of dedicated staff psychologists, providing furniture and facilities for staff rest areas and setting up a new bike shelter for staff. A further grant awarded by NHS Charities Together at the end of 2021 will enable us to fund a dedicated Staff Wellbeing Practitioner. This practitioner will offer 1:1 ”health MOT” sessions for staff across our hospitals and community sites, as well as creating a calendar of wellbeing webinars. We believe this post will support the wellbeing of our staff and as a result, provide better care for our patients.

As the year progressed our charitable fund continued to support key Trust memorial events including our ”Forgetme-not” service to commemorate all children and babies who have died during pregnancy or after their birth, as well as the ”Forever and Always” service to remember colleagues and others we have lost in our community. These services are were particularly poignant as we also remembered those staff and patients lost due to the pandemic. In addition, to further commemorate lost colleagues and patients, our charity is shaping plans to fund memorials within our hospitals’ grounds.

Our Charity has also been the recipient of generous funds raised by the Lewisham and Greenwich NHS Trust Choir, thanks to their high profile collaborations with Justin Bieber on the single ”Holy”, and with Rag ‘n’ Bone Man and P!nk on the single ”Anywhere Away from Here”. The generous £26,000 raised was split between the charitable fund and NHS Charities Together.

During the course of the year our charity engaged with staff and supporters in fundraising and awareness activities. After a year like no other, through the Big Tea event in July, our charitable fund celebrated the NHS’s 73rd anniversary by offering colleagues across our hospitals and community sites refreshments thanks to the support from our Trust partners. We are also grateful to all the staff and supporters who fundraised for our cause by participating in events such as the Big Half marathon and the London Marathon.

“As we start 2022, the work of the Charity will continue to provide vital support to the Trust as colleagues continue to work hard to keep patients safe, cope with the high demand for our services and reduce long waits for treatment that have built up during Covid.”

As 2021 came to a close, we ended another unprecedented year by launching a Winter Appeal to help provide Christmas gifts for young patients having to spend Christmas in our hospitals. The contributions made on this appeal ensured every child spending Christmas in one of our hospitals had a special gift to open on Christmas Day. The contributions also enabled us to provide our most vulnerable patients with fleeces and trousers when they are discharged from our hospitals without appropriate warm clothing.

As we start 2022, the work of the Charity will continue to provide vital support to the Trust as colleagues continue to work hard to keep patients safe, cope with the high demand for our services and reduce long waits for treatment that have built up during Covid. We are committed to continue funding staff wellbeing projects including further fund and appliances in staff rest areas as well as funding projects to improve patient experience, such a providing ”gaming carts” for our young patients. The Charity’s Trustees are committed to the development of a range of exciting projects to improve staff and patient areas across the Trust’s sites.

I would like to take this opportunity to thank those individuals who have served on the Charity’s Charitable Funds Committee during the course of 2021, and on behalf of all Trustees, I would like to express our appreciation to the staff of the Trust for their dedication in caring for the members of our community.

Finally, and on behalf of the many patients and staff who have benefitted from the generosity of those that have supported the Charity, thank you for your support in helping the Trust’s charitable fund make such a difference for the benefit of patients, staff and their carers.

Val Davison

Trustee of the Charity and Chair of Lewisham and Greenwich NHS Trust

Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021 5

Our purpose and activities

Lewisham and Greenwich NHS Trust Charitable Fund (the Charity) is an independent registered charity (registered number 1050522). The Charity was established on 1 October 2013 under the Statutory Instrument Act 2013 No.2376.

The purpose of the Charity is to provide equipment and facilities, enhance the level of staff training and to promote research. It also aims to improve the environment of both patients and staff and to provide for expenditure on other charitable purposes that the Trust would otherwise be unable to provide from exchequer funds. By working with the Trust, the Charity assists patients from every walk of life. The Charity works with the Trust to enhance the experience of patients, carers, their families and also our Trust staff.

In setting the Charity’s key aims, the Charity has regard to the Charity Commission’s general guidance on public benefits. The Trustees always ensure that its key aims are in line with its charitable objectives.

In administering the Lewisham and Greenwich NHS Trust Charitable Fund, The Trustees are responsible for ensuring compliance with the requirements of the Charities Act 2011.

By working with the Trust, the Charity enhances the experience of patients, carers, their families and also Trust staff for the public benefit.

Achievements and performance in 2021

The surge in support to our Charity since the beginning of the Covid-19 pandemic has enabled the Charity to fund significant projects and initiatives to benefit staff and patients. Donations to the Charity totalled £232,000 over 2021. This figure does not include the extraordinary number of in-kind gifts received from the community, ranging from hot meals, baked goods, toiletries as well as a mobile screen to enhance a staff wellbeing hub. In addition, the Charity was awarded a total of £154,000 in grants by NHS Charities Together.

Donations from local organisations including Friends of University Hospital Lewisham, League of Friends at Queen Elizabeth Hospital as well as generous donations from corporate supporters such as Housebuilder Berkeley East Thames have also been instrumental in helping make a difference to our staff and patients. Our charity was also the beneficiary of generous legacies totalling £58,000.

In addition, our Charity, working with Guy’s & St Thomas’ Charity, King’s College London charity, Maudsley charity and Oxleas charity, successfully developed joint bids for funding from NHS Charities Together for the following initiatives:

• £580,000 to set up a south-east London longCOVID programme. This programme is a flagship UK initiative, designed to speed-up the recovery of people living with long-COVID in South-East London; and

• £352,000 to fund a mental health project to support patients living in south east London communities.

Funding for both these grants has been allocated to Guy’s & St Thomas’ Charity, which is taking the lead in planning these initiatives to benefit people in south east London, including our local communities in Bexley, Greenwich and Lewisham. We look forward to working in partnership with these NHS Charities across our South East London Integrated Care System to deliver these transformative projects in 2022 and beyond.

“The surge in support to our Charity since the beginning of the Covid-19 pandemic has enabled the Charity to fund significant projects and initiatives to benefit staff and patients.”

6 Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021

In 2021, the Charity spent a total of £313,000 on charitable activities in four main areas:

1 Enhancing patient experience with new equipment:

Lewisham and Greenwich NHS Trust has a programme to ensure provision of medical equipment for patients. With advances in technology the Charity can make a real difference in purchasing additional items to enhance patient experience. In 2021, the Charity purchased £47,000 of additional equipment including entertaining materials for our young patients, a TV and furniture for waiting areas, a special cold cot for patients affected by a stillbirth to enable them to create memories with their babies. In addition, it purchased breast pumps for neo-natal wards, standalone resuscitator units suitable for neo-natal units as well as a ‘memories doll’ to aid training for paediatric nurses.

2 Improving patient education and welfare:

We spent £121,000 in 2021 on supporting patients’ education and welfare. This included funding a new palliative care discharge nurse post at Queen Elizabeth Hospital for a period of two years, starting in spring 2021 toys for the paediatrics department, warm clothes for patients leaving the hospitals. We also purchased gaming carts to help provide entertainment to our young in-patients, which will be delivered in early 2022.

3 Staff, support and governance costs:

We spent £40,000 on support and governance costs.

4 Supporting staff to deliver the best possible care:

As demand for the Trust’s services continued to be high as the pandemic continued, the Charity focussed its efforts on staff wellbeing initiatives, spending £97,000 in this area during 2021. Working with colleagues in the Trust’s Wellbeing Team, the charity continued to fund key initiatives such as dedicated staff psychologists to provide 1:1 sessions as well a team workshops on themes such as resilience and work-life balance. The Charity also continued to focus on the provision of improved facilities for staff rest areas by purchasing key items such as comfortable seating plus kettles, crockery and cutlery. In addition, the Charity also funded a bicycle shelter for staff, reusable water bottles for all members of staff and offered a lunch for those staff working on Christmas day. Staff Wellbeing will continue to be at the forefront of the Charity’s work and is reflected in the range of ongoing projects it is supporting.

Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021 7

Financial review

As a charity, our aim is to make sure that every penny of your donation is spent to make the best possible impact to Trust staff and patients. Applications for General Fund grants are encouraged from staff. It is only thanks to the generosity of the Charity’s supporters that we are able to support the work to enhance the experience of staff, patients and the carers of patients at Lewisham and Greenwich NHS Trust. The majority of the Charity’s income comes from public donations, grants and legacies, usually from patients and their families who have used the Trust’s services.

The following figures are taken from the Charity’s accounts detailed within this annual report.

This part of the Trustees’ Annual Report comments on key elements of the accounts.

In 2021 we received income of £386,000 and spent £313,000 on charitable activities. In 2021 the Charity continued to focus expenditure on purchasing new equipment, patient education & welfare, and staff education and welfare. Due to the pandemic, funding was also allocated to the Wellbeing Hubs for staff working during these unprecedented times.

“It is only thanks to the generosity of the Charity’s supporters that we are able to support the work to enhance the experience of staff, patients and the carers of patients at Lewisham and Greenwich NHS Trust”

8 Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021

Money spent

----- Start of picture text -----
Money spent
Support and governance costs,
Choir Donation to NHS
£40k, 13%
Charites Together,
£8k, 2%
Improving patient
education and welfare,
£121k, 39%
Enhancing patient
experience with
new equipment, Supporting staff
£47k, 15% to deliver the best
possible care,
£97k, 31%
----- End of picture text -----

As shown in the diagram below, the majority of the Charity’s income is provided by donations from members of the public.

Money we received: sources of funding

----- Start of picture text -----
Legacies,
£58k, 15%
Other income-grants,
£154k, 40%
Donations,
£174k, 45%
----- End of picture text -----

Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021

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How we manage your donations

The Charity makes grants from both its unrestricted and restricted funds to the Trust to enhance the patient and staff experience.

Unrestricted funds: these funds are received by the Charity with no specific preference expressed by donors on how these monies should be spent. Staff are encouraged to apply for funding from this fund for projects in areas of the Trust that do not have a designated fund to help them. The application must be supported by the relevant Divisional Director of Operations and authorised by a Trustee.

Restricted funds: these funds are set up for a particular part of the Trust or activity nominated for support by the donor. They are overseen by fund advisors who can make recommendations on how to spend the money within donor’s wishes. Fund advisors’ recommendations are generally accepted, and these funds can be spent at any time. Spending plans are requested from fund advisors with the aim to spend funds within a reasonable time period.

Our plans for 2022

As the pandemic continues in 2022, we will continue to work with the Trust to ensure that donations make the biggest possible impact enhancing patient care over and above the core services and facilities funded by the NHS.

Following the development and agreement of the Charity’s ambitious strategic plan in 2021, in 2022 we will continue to build on these foundations to further develop the Charity and increase its visibility both on our Trust sites and through digital platforms. This includes developing and launching a dedicated website and continuing to develop engaging activities and communications for staff, supporters and our community.

Donations received will enable us to fund a number of substantial and long-term projects to benefit the Trust’s staff and patients. Projects already agreed include; creating further wellbeing hubs for staff, funding of a dedicated staff wellbeing nurse, funding gaming carts for patients and developing commemorative spaces in our communal gardens and outside spaces for both patients and staff.

Your support makes these plans possible, to help us please do consider making a donation. Further details as to how you can do this are provided on page 29.

Reserves policy

The Charity has an established reserve policy as part of its plan to provide long-term support to the Trust.

The Trustees review the level of reserves on an annual basis. In July 2019, based on the Charity’s current level of activity, the Trustees agreed that the minimum level of unrestricted reserves held should be £75,000.

Throughout the period ended 31 December 2021 the level of reserves held by the Charity was significantly above the minimum level agreed by the Trustees.

Raising the profile of our Charity and its work will enable us to further enhance the experience of both patients and staff in delivering and receiving the services provided by Lewisham and Greenwich NHS Trust.

Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021

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Investments policy

Given the high costs of running an investment portfolio, the Trustees decided that the Charity would not invest its funds in an investment portfolio either in the short or long-term foreseeable future, therefore the Charity does not hold an investment portfolio.

How we organise ourselves: reference and administrative details

Charity number and address Our registered charity number is 1050522.

The charity is located at: Lewisham and Greenwich NHS Trust University Hospital Lewisham Lewisham High Street London SE13 6LH

Our advisers

Independent examiner

Grant Thornton UK LLP 30 Finsbury Square London EC2A 1AG

Bankers

Co-operative Bank PLC Services Team PO Box 250 Skelmersdale WN8 6WT

The Royal Bank of Scotland

Government Banking CST 2[nd] Floor 280 Bishopsgate London, EC2M 4RB

Our Trustees

The Trustee of the Charitable Fund is the corporate body of Lewisham and Greenwich NHS Trust.

The Board of Lewisham and Greenwich NHS Trust, as the corporate body of Lewisham and Greenwich NHS Trust, act as Trustees of the Charity and are responsible for deciding policy and ensuring that it is implemented. Trustees of the Charity met once in 2021.

The Trustees during the year were as follows:

----- Start of picture text -----
Name Trust Job Title
Val Davison Chair
Ben Travis Chief Executive
Angela Helleur Chief Nurse
up to 24 [th] November 2021
Joanna Peck Acting Joint Chief Nurse
from 25 [th] October 2021
Belinda Regan Acting Joint Chief Nurse
from 25 [th] October 2021
Dr Elizabeth Aitken Chief Medical Officer
Meera Nair Chief People Officer
Spencer Prosser Chief Financial Officer
Binka Layton Non-Executive Director
Harry Bright Non-Executive Director
Dr Julia Mundy Non-Executive Director
Steve James Non-Executive Director
Sukhvinder Kaur-Stubbs Non-Executive Director
up to 7th December 2021
Edleen John Non-Executive Director
from 15 [th] March 2021
Professor Allan Young Non-Executive Director
from 1 [st] March 2021
----- End of picture text -----

Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021 11

Structure, governance and management

Governing document

Lewisham and Greenwich NHS Trust Charitable Fund (the Charity) is an independent registered charity (registered number 1050522). The Charity was established on 1 October 2013 under Statutory Instrument 2013 No.2376.

Governance and management

Lewisham and Greenwich NHS Trust Board act as Trustees for the Charity. The Trustees have agreed that as the Charity is small, there is no requirement to set up separate committees to scrutinise various aspects of the Charity’s business; instead, all of the Trustees contribute to how the Charity is managed through the Charitable Funds Committee.

The Trustees have delegated the oversight of the Charity to the Director or Corporate Affairs, with the Trust’s Chief Financial Officer responsible for financial control. The Head of Charity is responsible for the day-to-day management of the Charity. The Charitable Fund has adopted the internal controls of Lewisham and Greenwich NHS Trust.

The administration and control of the individual accounts which constitute the Charity are delegated to members of the Trust’s staff who are best placed to recognise needs (Charitable Fund Managers) and are in a relevant role (ie service managers, ward sisters/ managers, clinical directors or other specialists). Charitable Fund Managers are directly accountable to the Trustees.

The Charity’s accounting records are held on Ford & Wright (a specialised software package for the health service) designed to incorporate the latest requirements of the Charity Commission. The Charity is therefore not totally reliant on the facilities provided by Lewisham and Greenwich NHS Trust. Every effort is made to ensure that administrative costs are kept to a minimum, meaning that more funds can be used for the purpose for which they were donated.

Key management personnel remuneration

The Board of Trustees are the key management personnel of the Charity. The Trustees do not receive any pay, emoluments or other financial benefit from the Charity for their duties and they give their time freely. Trustees may claim travel expenses, although none were claimed in 2021.

In November 2020 the Charity appointed a Head of Charity to help manage and grow the charity’s income and profile. This role has being funded by the Charity. The Charity reimburses Lewisham and Greenwich NHS Trust for the Charitable Funds Manager salary which is recharged to the Charity by the Trust. The continued funding of these costs by the Charity is reviewed on an annual basis.

Risk management

The major risks to which the Charity is exposed have been identified and considered. They have been reviewed and systems established to mitigate those risks. The Trustees are confident that reliance can be placed on the management arrangements in place which include independent examination to minimise any risk to the Charity. The Charity has no investment assets so there is no associated risk with an investment portfolio. Procedures are in place to ensure that both spending and financial commitments remain in line with income. Governance of income and expenditure follows the Trust’s Standing Financial Instructions.

Related parties

None of our Trustees receive remuneration or other benefit from their work with the Charity. The Trustees are required to declare any potential conflict of interests. No conflicts of interest were declared by Trustees that impacted upon the Charity in 2021.

12 Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021

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

The Trustees are responsible for;

• Keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the Charity to enable them to ensure that the accounts comply with the Charities Act 2011;

• Establishing and monitoring a system of internal control; and

• Establishing arrangements for the prevention and detection of fraud and corruption.

The Trustees are required under the Charities Act 2011 to prepare accounts for each financial year which give a true and fair view of the financial position of the Charity. In preparing those accounts, the Trustees are required to:

Select suitable accounting policies and then apply them consistently;

• Observe the methods and principles in the Charities SORP;

• Make judgements and estimates which are reasonable and prudent;

• State whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the accounts; and

• Prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business.

The Trustees are responsible for keeping proper accounting records which 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 charitable fund procedures. 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 Trustee confirms to the best of its knowledge and belief it has complied with the above requirements in preparing the accounts.

By order of the Board of Trustees.

Ben Travis

Trustee

Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021 13

Independent examiner’s report to the Trustees of the Lewisham and Greenwich NHS Trust Charitable Fund

I report on the accounts of Lewisham and Greenwich NHS Trust Charitable Fund (the “charity”) for the year ended 31 December 2021, which are set out on pages 16 to 28.

Independent examiner’s statement

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

• which gives me reasonable cause to believe that in any material respect, the requirements:

• to keep accounting records in accordance with section 130 of the Charities Act 2011;

• to prepare accounts which accord with the accounting records; and

• to comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008

have not been met, or

• to which, in my opinion, attention should be drawn in order to enable a proper understanding of the accounts to be reached.

Basis of independent examiner’s statement

My examination was carried out in accordance with the general Directions given by the Charity

Commission. An examination includes a comparison of the accounts with the accounting records kept by

the charity. It also includes consideration of any unusual items or disclosures in the accounts and

seeking explanations from you as corporate trustee concerning any such matters. The procedures

undertaken do not provide all the evidence that would be required in an audit, and consequently no

opinion is given as to whether the accounts present a ‘true and fair’ view and the report is limited to

those matters set out in the statement above.

Respective responsibilities of corporate trustee and examiner

The charity’s corporate trustee is responsible for the preparation of the accounts. The charity’s trustee

considers that an audit is not required for this year under section 149(2) of the Charities Act 2011 and

that an independent examination is needed.

It is my responsibility to:

• examine the accounts under section 149 of the Charities Act 2011;

• to follow the procedures laid down in the general Directions given by the Charity Commission under section 149(5)(b) of the Charities Act 2011; and

• to state whether particular matters have come to my attention.

Your attention is drawn to the fact that the charity’s trustee has prepared the charity’s accounts in accordance with the Statement of Recommended Practice ‘Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019) issued in October 2019 in preference to the Statement of Recommended Practice ‘Accounting and

14 Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021

Reporting by Charities: Statement of Recommended Practice (revised 2005)’ issued in April 2005 which is referred to in the Charities (Accounts and Reports) Regulations 2008 but has been withdrawn. I understand that the charity’s trustee has done this in order for the charity’s accounts to give a true and fair view in accordance with United Kingdom Generally Accepted Accounting Practice effective for reporting periods beginning on or after 1 January 2019.

Use of this report

This report is in respect of an examination carried out under section 149(3) of the Charities Act 2011. This report is made solely to the charity’s corporate trustee, as a body, in accordance with the regulations made under section 154 of the Charities Act 2011. My work has been undertaken so that I might state to the charity’s trustee those matters I am required to state to them in an independent examiner’s report and for no other purpose. To the fullest extent permitted by law, I do not accept or assume responsibility to anyone other than the charity and the charity’s trustee as a body, for my work, for this report or for the opinions I have formed.

Iain Murray

Iain Murray CPFA

Grant Thornton UK LLP Chartered Accountants London 25 July 2022

Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021 15

Statement of financial activities for the year ended 31 December 2021

----- Start of picture text -----
Note 2021 2021 2021 2020
Unrestricted funds Restricted funds Total funds Total funds
£000 £000 £000 £000
Income and
endowments from
Donations and legacies 2 80 152 232 329
Charitable activities 3 - 154 154 186
Bank interest 4 - - - 1
Total income 80 306 386 516
Expenditure on
- - - -
Raising funds
Charitable activities 5 (109) (204) (313) (301)
- - - -
Other expenditure
Total expenditure (109) (204) (313) (301)
Net gains/(losses) on investments - - - -
Net income/(expenditure) (29) 102 73 215
Transfers between funds 19
Net movement in funds (29) 102 73 215
Reconciliation
of funds
Total funds brought forward 21 348 458 806 591
Total funds
21 319 560 879 806
carried forward
----- End of picture text -----

The notes at pages 20 to 28 form part of these financial statements.

The Statement of Financial Activities includes all gains and losses recognised in the year. All income and expenditure is derived from continuing activities.

16 Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021

Balance sheet as at 31 December 2021

----- Start of picture text -----
Note 2021 2021 2021 2020
Unrestricted funds Restricted funds Total funds Total funds
£000 £000 £000 £000
Current assets
Debtors 12 2 100 102 12
Cash at bank and in hand 13 362 540 902 926
Total current assets 364 640 1,004 938
Liabilities
Creditors falling due within
14 (45) (80) (125) (132)
one year
Total current liabilities (45) (80) (125) (132)
Net current assets/
319 560 879 806
(liabilities)
Total net assets
20 319 560 879 806
or liabilities
The funds of the
charity
Restricted income funds - 560 560 458
Unrestricted income funds 319 - 319 348
Total charity funds 319 560 879 806
----- End of picture text -----

The notes at pages 20 to 28 form part of these accounts.

Approved and authorised for issue by the Trustees on 18 July 2022 and signed on behalf of the Charity.

Ben Travis

Trustee

Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021 17

Statement of cash flows for the year ending 31 December 2021

----- Start of picture text -----
Note 2021 2020
Total funds Total funds
£000 £000
Cash flows from operating activities:
Net cash provided by (used in)
22 (24) 299
operating activities
Cash flows from investing activities
Dividends, interest and rents from investments 4 - 1
Net cash provided by (used in) investing activities (24) 300
Change in cash and cash equivalents
(24) 300
in the reporting period
Cash and cash equivalent at the beginning of the year 926 626
Change in cash and cash equivalents due to exchange rate movements - -
Total cash and cash equivalents
13 902 926
at the end of the year
----- End of picture text -----

The notes at pages 20 to 28 form part of these accounts.

18 Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021

NERO Lewisharn and Greenwich NHS Trust tharitable Fund Annual report and account5 for the year ended 31 Decernber 2021 19

Notes to the accounts

1. Accounting policies

a) Basis of preparation

The financial statements have been prepared in compliance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019) (the Charities SORP) and Charities Act 2011.

Lewisham and Greenwich NHS Trust will not consolidate the results of these accounts over which it considers it has the power to exercise control in accordance with IFRS 10 Consolidated Financial Statements requirements as the Charity’s accounts are not deemed to be material.

b) Preparation of the accounts on a

going concern basis

The accounts have been prepared on a going concern basis as;

• There are no plans to dissolve the Charitable Fund;

• ■ The Charity has sufficient funds to carry out its objectives and anticipates that it will continue to receive donations from the public; and

• There are no material uncertainties about the Charitable Fund’s ability to continue as a going concern nor are there any material uncertainties affecting the current year’s accounts.

c) Income

All income is recognised once the Charitable Fund has entitlement to the funds, it is probable (more likely than not) that the income will be received and the monetary value of the income can be measured with sufficient reliability.

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

d) Income from legacies

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

Receipt is probable when;

• Confirmation has been received from the representatives of the estate that probate has been granted;

• The executors have established that there are sufficient assets in the estate to pay the legacy; and

• All conditions attached to the legacy have been fulfilled or are within the charitable fund’s control.

If there is uncertainty as to the amount of the legacy and it cannot be reliably estimated then the legacy is shown as a contingent asset until all of the conditions for income recognition are met. Legacies totalling £58,000 were received by the Charity in 2021.

e) Interest receivable

Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the Charitable Fund; this is normally upon notification of the interest paid or payable by the Bank.

f) Funds structure

Where there is a legal restriction on the purpose to which a fund may be put, the fund is classified either as:

• A restricted fund; or

• An endowment fund.

Restricted funds are those where the donor has provided for the donation to be spent in furtherance of a specified charitable purpose.

Endowment funds arise when the donor has expressly provided that the gift is to be invested and only the income of the fund may be spent. The Charitable Fund has no endowment funds.

Those funds which are neither endowment nor restricted income funds, are unrestricted income funds which are sub analysed between designated (earmarked) funds where the Trustees have set aside amounts to be used for specific purposes or which reflect the non-binding wishes of donors and unrestricted funds which are at the Trustees’ discretion, including the general fund. The major funds held in each of these categories are disclosed in Note 21.

20 Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021

g) Expenditure and irrecoverable VAT

Expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to each category of expense shown in the Statement of Financial Activities. Expenditure is recognised when the following criteria are met:

• There is a present legal or constructive obligation resulting from a past event;

• It is more likely than not that a transfer of benefits (usually a cash payment) will be required in settlement; and

• The amount of the obligation can be measured or estimated reliably.

Irrecoverable VAT is charged as a cost against the activity for which the expenditure was incurred.

h) Allocation of support costs

Support costs are those costs which do not relate directly to a single activity. These include costs of administration and internal and external audit costs. Support costs are allocated across the charitable activity on the basis proportionate to average fund balance. The analysis of support costs is shown in Note 6.

i) Charitable activities

Costs of charitable activities comprise all costs incurred in the pursuit of the charitable objects of the Charitable Fund (see note 3).

j) Fixed asset investments

The Charitable fund has no fixed asset investments.

k) Tangible fixed assets

The Charity has no fixed assets such as land and buildings.

l) Intangible fixed assets

The Charity has no intangible fixed assets.

m) Debtors

Trade and other debtors are recognised at the settlement amount due after any trade discount offered and are amounts owed to the Charity.

n) Cash at bank and in hand

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

o) Creditors

Creditors are recognised at their settlement amount after following for any trade discounts due and are amounts owed by the Charitable Fund.

Amounts which are owed in more than a year are shown as long-term creditors.

p) Financial instruments

The Charitable Fund has no 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.

q) Realised gains and losses

All gains and losses are taken to the Statement of Financial Activities as they arise.

r) Pensions

The employee of the Charitable Fund joined the NEST (National Employment Savings Trust,) pension scheme. Nest is an occupational pension scheme run on a notfor-profit basis.

The specific characteristics of NEST are as follows:

• Contributions to NEST are based on 4% for employees and 3% for employers.

• Retirement age within this scheme is set at 65.

• Pensions are based on investment and growth funds.

• Employees can pay into these funds directly to top up their pension.

• Pensions can be drawn from age 55.

• At retirement employees can choose how they receive their funds – based on pension pot value.

• Cash only – cash payment up to 25% value will be tax free.

• Retirement income.

• Cash and retirement income – cash payment up to 25% will be tax free.

• Transfer pension – open market.

• Survivor’s pensions are included as well as death benefits.

• Employees can choose to opt out of the scheme.

Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021 21

VIAM+ r 22 Lewi5harn and Greenwith NHS Trust Charttable Fund Annual report and accounts for the year ended 31 December 2021

2. Analysis of income from donations and legacies

----- Start of picture text -----
Unrestricted funds Restricted funds Total 2020 Total 2019
£000 £000 £000 £000
Donations 75 99 174 329
Legacies 5 53 58 -
Total 80 152 232 329
----- End of picture text -----

Donations from individuals are gifts from members of the public including patients, their relatives, friends and family as well as staff and members of our community. Corporate donations are from companies. Legacies are gifts left by donors in their will.

3. Charitable activities

----- Start of picture text -----
Unrestricted funds Restricted funds Total 2020 Total 2019
£000 £000 £000 £000
Other income-grants - 154 154 186
Total - 154 154 186
----- End of picture text -----

All the grants received in 2021 were from NHS Charities together, in response of the 2021 Covid-19 pandemic.

4. Analysis of investment income

----- Start of picture text -----
Unrestricted funds Restricted funds Total 2020 Total 2019
£000 £000 £000 £000
Bank interest - - - 1
Total - - - 1
----- End of picture text -----

5. Analysis of expenditure on charitable activities

----- Start of picture text -----
2021 2020
£000 £000
Improving patient education and welfare 121 7
Supporting staff to deliver the best possible care 97 190
Enhancing patient experience with new equipment 47 56
Choir Donation to NHS Charities Together 8 -
Support costs (see note 6) 38 46
Governance costs (see note 6) 2 2
Total 313 301
----- End of picture text -----

Expenditure on charitable activities was £313k of which £109k was unrestricted and £204k was restricted (In 2020, the Charity spent £301k, of which £98k was unrestricted and £203k was restricted).

Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021 23

6. Analysis of governance and support costs

The Charitable Fund initially identifies the costs of its support functions. It then identifies those costs which relate to the governance function which relate to the strategic and day-to-day management of the Charity. Having identified its governance costs, the remaining support costs together with the governance costs are allocated across the charitable activity on the basis of proportionate to average fund. The charity does not pay overheads as these are paid for by the Trust.

----- Start of picture text -----
Charitable
Total 2021 Total 2020 Basis of apportionment
activities
£000 £000 £000 £000
Independent examination
2 2 2 Governance
fees
Governance total 2 2 2
Staff costs 35 35 9 Allocated on time
Services provided by Trust - - 35 Allocated on time
IT software support 1 1 1 Allocated on time
Other 2 2 1 Allocated on time
Support costs total 38 38 46
Total 40 40 48
Unrestricted
Restricted funds Total 2021 Total 2020
funds
£000 £000 £000 £000
Charitable activities 22 18 40 48
Total 22 18 40 48
----- End of picture text -----

7. Remuneration and benefits received by Trustees

The Charity’s Trustees give their time freely and receive no remuneration or benefits for the work that they undertake as Trustees. They may claim reasonable expenses, although no expenses were claimed in 2021 (2020: nil).

8. Services provided by Trust

Service costs relate to the Charitable Fund Manager employed by the Trust, of which the costs are charged to the charity. The Charitable Funds Manager left the Trust in the Autumn of 2021.

9. Analysis of staff costs

No employee had employee benefits in excess of £60,000 (2020: nil). In recognition of the work carried out by the Head of Charity on projects benefitting Trust staff and patients, a portion of their salary is recharged to the Trust. Charity staff costs reflect the portion funded by the charity. Costs are allocated to unrestricted funds.

----- Start of picture text -----
2021 2020
£000 £000
Salaries and wages 30 7
Social security costs 1 1
Employer’s pension
4 1
contribution
Total 35 9
----- End of picture text -----

24 Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021

10. Staff numbers

The Charity has one employee, the Head of Charity.

11. Independent examiner’s remuneration

The independent examiner’s remuneration of £2k (2020: £2k) related solely to the examination with no other additional work being undertaken.

12. Analysis of current debtors

----- Start of picture text -----
2021 2020
£000 £000
Debtors falling due
within one year
Trade debtors - -
Accrued income 102 12
Total 102 12
----- End of picture text -----

13. Analysis of cash and cash equivalents

----- Start of picture text -----
Unrestricted funds Restricted funds Total 2021 Total 2020
£000 £000 £000 £000
RBS 169 252 421 421
Co-op 193 288 481 505
Total cash and
362 540 902 926
cash equivalents
----- End of picture text -----

14. Analysis of liabilities

----- Start of picture text -----
2021 2020
£000 £000
Creditors falling due
within one year
Trade creditors 5 12
Accruals 120 120
Total 125 132
----- End of picture text -----

Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021 25

15. Related party transactions

The Charitable Fund spent £313k (2020: £301k) for the benefit of NHS patients and staff at Lewisham and Greenwich NHS Trust which provides healthcare services for the benefit of NHS patients.

Members of the Trust Board are also the Trustees of the Charitable Fund. None of the Trustees or parties related to them has undertaken any transactions with the Charitable Fund or received any benefit from the

Charity in payment or kind. The Trustees received no honoraria or emoluments in the year. No expenses were paid to Trustees.

During the year to 31 December 2021, following the restructure of the Charity team, the Charity was not charged (2020: £37k) for any financial services provided by Lewisham and Greenwich NHS Trust.

Lewisham and Greenwich NHS Trust prepares its accounts to 31 March every year and therefore at the time of reporting, the most recent audited figures for the Trust are for the year ended 31 March 2021.

----- Start of picture text -----
|||||| |---|---|---|---|---| |Lewisham and Greenwich|Net profit/|Net profit/| |Turnover of|Turnover of| |NHS Trust|is a provider of|(loss) for the|(loss) for the| |connected|connected| |healthcare services. Members of|connected|connected| |organisation|organisation| |the Trust Board are also Trustees|organisation|organisation| |of the Charitable Fund. There| |Year ended 31|Year ended 31|Year ended 31|Year ended 31| |were no audit qualifications that|March 2021|March 2021|March 2020|March 2020| |were relevant to this related party| |£000|£000|£000|£000| |relationship.| |714,043|(4,060)|626,423|(13,400)|

----- End of picture text -----

16. Endowment funds

The Charity does not have any endowment funds.

17. Provisions and contingencies

The Charity had no provisions, contingent liabilities or contingent assets.

18. Capital commitments

The Charity had no capital commitments at 31 December 2021 (2020: none).

19. Transfers between funds

The Charity made no transfers between funds.

20. Analysis of net assets between funds

----- Start of picture text -----
Unrestricted funds Restricted funds Total Funds
£000 £000 £000
Cash at bank and in hand 362 540 902
Other net current assets/liabilities (43) (20) (23)
Total 319 560 879
----- End of picture text -----

Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021

26

21. Analysis of charitable funds

(a) Analysis of movements in restricted funds

----- Start of picture text -----
Balance at 1 Incoming Resources Balance at 31
January 2021 resources expended December 2021
£000 £000 £000 £000
Cancer care - Trust wide 17 54 (3) 68
Lewisham & Greenwich NHS Choir 61 22 (19) 64
GIFT 53 - (2) 51
NHS Charities together - 49 (1) 48
Children’s Services 45 - (17) 28
ITU-Trust wide 31 2 (1) 32
Positive Outlook 39 - (8) 31
Hunnex 29 - (1) 28
Diabetic Study Fund 25 - (2) 23
Innovation LGT Sexual Health 5 15 (3) 17
Other (60) 153 164 (147) 170
Total restricted funds 458 306 (204) 560
----- End of picture text -----*

----- Start of picture text -----
Name of Fund Description of the nature and purpose of each fund
Lewisham and
To support funding for the choir and the purchase of equipment across the hospital
Greenwich NHS Choir
GIFT To support patients with fertility
Children's Services To support the department with funding for equipment and training as required
Positive Outlook To support the GUM department with funding for equipment and training as required
ITU-Trust wide To support the department with funding for equipment and training as required
To support research and treatment of disorders of blood coagulation, financial
Hunnex
assistance for the patients, any purpose relating to training and research in haematology
Diabetic Study Fund To support the department with funding for equipment and training as required
Cancer care – Trust
To support the department with funding for equipment and training as required
wide
Maternity fund To support the department with funding for equipment and training as required
P J Luce Fund To support research, training and educational activities of the department of medicine
----- End of picture text -----

*Resources expended includes governance costs.

Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021 27

(b) Analysis of movements in unrestricted funds

----- Start of picture text -----
Balance at 1 Incoming Resources Balance at 31
January 2021 resources expended December 2021
£000 £000 £000 £000
General Fund Lewisham and
101 78 (31) 148
Greenwich
Covid-19 143 - (2) 141
Covid-19 grants 104 - (74) 30
Surgical Directorate General - 2 (2) -
Total restricted funds 348 80 (109) 319
----- End of picture text -----*

Name of fund Description of the nature and purpose of each fund

----- Start of picture text -----
||| |---|---| |General Fund| |Lewisham and|Any charitable purpose or purposes relating to the NHS| |Greenwich| |Lewisham and| |To support the choir| |Greenwich Choir| |Covid-19|To support the Trust staff and patients during the COVID 19 pandemic| |Covid-19 grants|To support the Trust staff and patients during the COVID 19 pandemic|

----- End of picture text -----

*Resources expended includes governance costs.

22. Reconciliation of net movement in funds to net cash flow from operating activities

----- Start of picture text -----
2021 2020
£000 £000
Net movement in funds of financial activities 73 215
Adjustments for:
Deduction bank interest shown in investments - (1)
(Increase)/decrease in debtors (90) (8)
Increase/(decrease) in creditors (7) (93)
Total (24) 299
----- End of picture text -----

23. Post balance sheet events

There were no post balance sheet events.

28 Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021

There are many ways you can support our Charity. Donations can be made in the following ways

By a donation on our ‘Just Giving’ site

Gift Aid

Gift Aid is a simple, government initiative which allows us to increase the value of your donations at no extra cost to you. For every pound you give to us we can get an extra 25 pence from HM Revenue and Customs helping your donation go further to help patients and their families.

To qualify you must:

• Be a UK tax payer and have paid at least as much in Income Tax or Capital Gains Tax in that tax year as you want to claim in Gift Aid; and

• Make a Gift Aid declaration that gives your permission to claim it.

https://www.justgiving.com/lewishamandgreenwich

As well as making a donation, you can also create a page in celebration of or in memory of a loved one. If you are a group or an organisation who is interested in raising money on behalf of the Charity, we would love to hear from you too.

Direct into bank account

Bank: Co-operative Bank

Sort code: 08-90-29

Account number: 65033342

Account name: Lewisham and Greenwich NHS Trust Charitable Funds

By post

Cheque: Lewisham and Greenwich NHS Trust Charitable Funds

Please send to:

Lewisham and Greenwich Charitable fund c/o Finance 1st Floor, Waterloo Block University Hospital Lewisham Lewisham London SE13 6LH

For more information and for support if you are holding your own event, please contact:

Margarita Vidiella, Head of Charity, on [e-mail]

Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021 29

© 2022 Lewisham and Greenwich NHS Trust Charity Trust Headquarters University Hospital Lewisham Lewisham High Street London, SE13 6LH Charity registration number: 1050522

Tel: [phone] www.lewishamandgreenwich.nhs.uk

30 Lewisham and Greenwich NHS Trust Charitable Fund Annual report and accounts for the year ended 31 December 2021