Dartford and Gravesham NHS Trust Charitable Fund Annual Report 2020-21
1. Introduction
The Trustees present their annual report and the accounts for the year ended 31 March 2021 which have been prepared in accordance with the Charities Act 2011, and the Statement of Recommended Practices, Accounting and Reporting by Charities (FRS 102) (SORP 2019).
Under the terms of the National Health Service Act 1977 and the National Health Service and Community Care Act 1990, a health service Trust is able to administer a Charitable Fund. This Fund is required to be registered and administered under the Charities Act 2011, and is now under single accountability requirements. The revised Accounting and Reporting by Charities Statement of Recommended Practice issued in October 2019 requires the NHS Trust to produce an annual report and accounts.
Dartford and Gravesham NHS Trust was legally established on 1 November 1993. A Charitable Fund was held and Charitable Trust records were maintained from 1 April 1994. Due to charitable legislation requirements, the Dartford and Gravesham NHS Trust Charitable Fund was formed on 20 October 1995 and registered with the Charity Commission by Declaration of Trust Deed.
In addition, the Trust also provides services in Gravesham Community Hospital in Gravesend, Queen Mary’s Hospital Sidcup and Erith & District Hospital as well as a number of community locations across our population.
The Trust offers a comprehensive range of acute services to around 400,000 people in North Kent and South East London. Darent Valley Hospital (DVH) opened in September 2000 and has a bed-base of c500.
In October 2013 the Trust took on a number of services at Queen Mary’s Hospital, Sidcup and Erith & District Hospital as part of the dissolution of the South London Healthcare Trust. As part of the transfer Dartford and Gravesham NHS Trust became responsible with effect from 7 July 2014 for the related Queen Mary’s and Erith charitable funds and the transition of those funds has been overseen by the Charitable Funds Committee. The services provided by the Trust at Queen Mary’s Hospital (QMH) include elective day and inpatient surgery and outpatient services in general surgery, urology, orthopaedics, gynaecology, medicine and paediatrics, in addition to diagnostics and therapies. Oxleas NHS Foundation Trust is responsible for the buildings at Queen Mary’s and Erith and District hospitals and the Trust works with it and other provider organisations operating from these sites.
1.1 Charitable status
The Charitable Fund held by the Dartford and Gravesham NHS Trust is registered under the following charity:
Name: The Dartford and Gravesham NHS Trust Charitable Fund
Registration number: 1050861
Registered address: Darent Valley Hospital, Darenth Wood Road, Dartford, Kent DA2 8DA
1.2 Trustees of the Charitable Fund
Dartford and Gravesham NHS Trust is the sole Corporate Trustee. However, its Board of Directors acts as the agent of the Trust. Board membership as at year-end 2020-21 is shown below, with inyear changes are detailed below.
| Name | Role |
|---|---|
| Louise Ashley (v) | Chief Executive |
| Julie Frake-Harris (v) | Chief Operating Officer/ Deputy Chief Executive |
| Steve Fenlon (v) | Medical Director |
| Siobhan Callanan (v) | Chief Nurse |
| Ian O’Connor (v) | Chief Finance Officer |
| Alexandra Bode-Tunji | Chief People Officer |
| Bas Sadiq | Director of Improvement |
| Jonathan Wade | Director of Operations |
| Peter Coles (v) | Trust Chair |
| Lynn Gladwell (v) | Non-Executive Director and Chair of the Charitable Funds Committee |
| Gill Jenner (v) | Non-Executive Director and Chair of the Workforce Committee |
| David Ahmad (v) | Non-Executive Director and Chair of the Audit Committee |
| Suzanne O’Brien (v) | Non-Executive Director and Chair of the Finance Committee |
| Steve Wilmshurst (v) | Non-Executive Director and Chair of the Quality and Safety Committee and Remuneration Committee |
(v) – donates a voting member of the Board
| Name | Change to the Board |
|---|---|
| David Stonehouse | Left the Trust as Interim Director of Finance on 30 April 2020 |
| Ian O’Connor | Joined as Chief Finance Officer on 1 May 2020 |
| Louise Lester | Left the Trust as Director of Human Resources on 18 September 2020 |
| Alexandra Bode-Tunji | Joined as Chief People Officer on 4 January 2021 |
| David Warwick | Left the Trust as Non-Executive Director on 18 June 2020 |
| Karen Taylor | Left the Trust as Non-Executive Director on 31 January 2021 |
| David Ahmad | Joined the Trust as Non-Executive Director 1 January 2021 |
| Suzanne O’Brien | Joined the Trust as Associate Non-Executive Director 1 January 2021 and became a Non-Executive Director 1 February 2021 |
All Directors and Non-Executive Directors signed a self-Declaration of Interest. The NHS Code of Accountability requires that all Board members declare any personal or business interest which may influence, or may be perceived to influence, their judgement. The declarations made also encompass any such interests held by any person connected to him/her, such as spouses/partners. These have been made available to the auditors.
In 2010, the Board of Directors of Dartford and Gravesham NHS Trust established and authorised a committee, the Charitable Funds Committee, to oversee the management of the Charitable Fund on its behalf. The Charitable Funds Committee met twice times during 2020-21 (June 2020 meeting cancelled due to Covid19, 3 November 2020 and 23 February 2021). The Chairman of the Charitable Funds Committee reports the minutes of each Charitable Funds Committee meeting to the Trust Board, highlighting any matters that require Board attention or action.
The Charitable Funds Committee members as at year-end 2020-21 were:
| Lynn Gladwell | Non-Executive Director (Chair) |
|---|---|
| Ian O’Connor | Chief Finance Officer |
| Jonathan Wade | Director of Operations |
| Sally George | Fundraising and Voluntary Services Manager |
| Kathy Peache | Finance Manager |
| Jane Burr | Trust Secretary |
| Steve Fenlon | Medical Director |
| Djafer Erdogan | Assistant Director of Finance |
In addition, the Charity Management Board, a sub-committee of the Charitable Funds Committee, met every two months during the year. The minutes of the Charity Management Board are received by the Charitable Funds Committee (and vice versa).
The Board of Directors, on behalf of the sole Corporate Trustee, employed the following professional advisers during the year:
Bankers: Co-operative Bank plc
London and South East Business Centre PO Box 2790 80 Cornhill London EC3V 3RD
NatWest Bank plc 3[rd] Floor 280 Bishopsgate London EC2M 4RB
15 Canada Square Canary Wharf London E14 5GL
1.3 Appointment and induction of Trustees
NHS Improvement (NHSI) appoints Non-Executive Directors of the Trust Board. Executive Directors of the Board are appointed via the Trust’s recruitment procedures. Members of the Trust Board and the Charitable Funds Committee are not individual trustees under Charity Law but act as agents on behalf of the Corporate Trustee. As part of their induction programme, new Executive and NonExecutive Directors of Dartford and Gravesham NHS Trust are made aware of their responsibilities as Board members of the corporate trustee of Dartford and Gravesham NHS Trust Charitable Fund.
The accounting records and the day-to-day administration of the funds are held by the Finance Directorate located at Darent Valley Hospital, Darenth Wood Road, Dartford DA2 8DA.
1.4 Strategic objectives and activities
The objectives of this fund empower Dartford and Gravesham NHS Trust, as the Sole Corporate Trustee, to hold the Charitable Fund upon trust to apply the income, and at their discretion, so far as may be permissible, the capital, for any charitable purpose or purposes relating to the National Health Service.
There have been no changes of policy during 2020-21, which affect these objectives, nor are there any plans to change these objectives. The Grants Policy was reviewed in November 2020.
The Charity is funded by donations and/or legacies received from patients, their relatives, and the general public, staff and other organisations.
Whilst respecting the wishes of the donors, the Corporate Trustee has ultimate discretion to apply the Charitable Fund, as the Fund is entirely unrestricted.
1.5 Governance and management
The Charitable Fund’s unrestricted fund status was established using the m odel declaration of trust and all funds held on trust as at the date of registration were either part of this unrestricted fund or registered as separate restricted funds under the main Charity. The funds registered separately have now been spent or dissolved with Charity Commission approval and all funds are unrestricted. Subsequent donations and gifts received by the Charitable Fund that are attributable to certain funds are added to those fund balances within the existing Charitable Fund. The Corporate Trustee fulfils its legal duty by ensuring that funds are spent in accordance with the objectives of each fund and the Trustee, wherever possible, respects the wishes of our generous donors to the benefit patient care and advance the good health and welfare of patients, carers and staff. If funds were received which had specific restrictions imposed by the donor, then a restricted fund would be registered.
All monies received are receipted using the Charity Commission model receipt therefore enabling all funds to be unrestricted. This includes a statement that the trustees have ultimate discretion to apply the charitable funds as all funds are unrestricted in nature.
The Board of Dartford and Gravesham NHS Trust, on behalf of the Corporate Trustee, has delegated the oversight of the management of the charitable funds to the Charitable Funds Committee, which is chaired by a Non-Executive Director. The Chief Finance Officer is responsible for the day-to-day management and control of the administration of the charitable funds and reports to the Charitable Funds Committee.
The Chief Finance Officer has particular responsibility to:
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ensure that spending is in accordance with the objects and priorities agreed by the Charitable Funds Committee and the Board
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that the criteria for spending charitable monies are fully met; that full accounting records are maintained
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that devolved decision-making or delegated arrangements are in accordance with the policies and procedures set out by the Board on behalf of the Corporate Trustee.
Fundraising for the charity is supported by the Head of Fundraising and Voluntary Services, a proportion of their costs are charged to the Charity.
The following funds were designated in the year:
| Overseen by the Charitable Funds Committee | Overseen by the Charitable Funds Committee |
|---|---|
| ‘Directorate-based’ fund | ‘Separate’ funds: |
| Accident and Emergency Unit Cancer Children’s Fund (incorporating Paediatrics and NICU) Diagnostics Gynaecology Maternity Medicine Outpatients |
ALSO course fund Anaesthesia Study Fund Breast Care Library Trust Fund Cardiology Training Fund Diabetes Centre Education Fund Haematology study Fund Intensive Therapy Unit Education and Training Fund Microbiology Education Fund |
| Overseen by the Charitable Funds Committee | Overseen by the Charitable Funds Committee |
|---|---|
| ‘Directorate-based’ fund | ‘Separate’ funds: |
| Surgery |
Neurology Trust Fund Pharmacy Fund Physiotherapy Department Training Fund Resuscitation Fund Surgical Speciality Education Fund Training Income for Dieticians Urology Education Fund Valley Fund Staff Well-Being Fund |
‘Special Funds’ (overseen by the Charity Management Board) :
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Friends Fund (general)
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Brick Path Fund
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Lottery Fund
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Heartbeat Fund
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Little Buds Fund (for special care babies)
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The Cancer Fighting Fund
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The Lollipop Fund (for sick children from babies to teens)
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The Silver Birch Fund (for older adults at times of ill health)
In 2020-21, following the fund raising efforts of Sir Tom Moore, and NHS Charities together and through public donations, the Charity established a Staff Welfare Fund.
In 2020-21 the Charitable Funds Committee continued to review the agreed Investment and Disbursement Strategy, and associated monitoring framework, for the Charitable Fund. The Strategy was reviewed in June 2021. The Charitable Funds Committee at each meeting reviews the overall position of all funds and undertakes more detailed scrutiny of selected funds, inviting the Fund Manager to attend and present an account of the fund activities, expenditure and future plans.
1.6 Public benefit
The Board of Dartford and Gravesham NHS Trust, acting as agents for the corporate Trustee, confirms compliance with the duty in section 4 of the Charities Act 2006 (i.e. to have due regard to public benefit guidance published by the Commission). The Board confirms that the Dartford and Gravesham NHS Trust Charitable Fund has expressed aims which are for the public benefit, and that the charity is administered for the public benefit. This can be demonstrated from the items and equipment purchased from the expenditure of the Fund during 2020-21, which are described in the “Significant developments regarding the ‘Special Funds’” section below, and which are freely available to the public at large (dependent on clinical need).
1.7 Risk management and internal control
Aligned with the Trust’s own risk management procedures, all areas of spend and commitments are reviewed regularly. There are procedures in place to review the investment policy and to ensure that both spending and firm financial commitments remain in line with income.
Guidance is provided to Fund Managers to support reporting on their funds to the Charitable Funds Committee (which includes a declaration of compliance with the guidance).
1.8 Investment policy and performance
During 2020-21 funds were held with the Co- operative Bank Plc and NatWest Bank Plc. The performance of the funds held with these banks was in line with expectations. For investment
purposes the balances of the charity are pooled in order to gain maximum benefit from the investment. The Charity Commission has been notified of this scheme.
1.9 Reserves policy
The Charity does not currently enter into future commitments and so has not created any formal reserves; however, it does have enough within its funds to continue to pay a proportion of the costs of the Head of Fundraising and Voluntary Services. There is enough money held on account within the funds to ensure that other costs, such as audit fees, are covered. Other spending activities are only authorised when full funding is available.
‘Special Funds’ – significant developments and future plans
1.10 Significant developments
Cancer Fighting Fund
Received £46,681. We managed to deliver a virtual Stride4Life Walk which was supported by some long standing supporters of Stride4Life who did their own socially distanced walks and raised sponsorship. A virtual Family Fun Day was organised by Jane Mitchell of diddi dance Bexley & Dartford and her contacts and hosted over Facebook Live. We received £560 in memory of Barry Thomas, a £600 donation from Bexley and Sidcup Lions for Breast Cancer, and £1,000 for Stride4Life, £400 from the 8[th] Dartford Brownies for Stride4Life.
Approved purchases: £38,909 was spent on an Artificial Intelligence pilot, one of the first Trusts in the country to trial AI reading check x-ray to detect lung cancer, £724 to buy 360 degree toothbrushes for personalised mouth care.
Little Buds Fund
Received £90,898. The Fund received a large £30,000 donation from Lloyd of London’s Covid-19 Charitable Campaign after being nominated by employee Gwen Armstrong. A generous Legacy of £35,500 was received from the estate of Harry Frederick English, £3,693 was raised from Amy Morgan and partner through the virtual Virgin Money London Marathon and £1,257 was raised by Pedham Place Golf Club Ladies Section.
Approved purchases: 3 x Breast pumps £4,006, 11 x Paediatric Electronic Thermometer £3,246, Astodia Paediatric Vein illuminator £1,000, 5,000 x New Baby Advice booklets £2,579, Digital camera £88, 3 x backpacks to transport baby scales by community midwives £126,
The Lollipop Fund
Received £21,997. With donations from Bellways Homes Limited, Mr A. Upton, Mr E.R Gager, Hawley & Sutton at Hone Active Retirement Association and Kiara’s 7[th] Birthday.
Approved purchases: Sickle Cell Parent Support Group promotional material £923, 500 x Paediatric Day Surgery Booklet £249, 5,000 brave children stickers £400, 1 Years White Rose subscription for children missing education due to ill health £249, 10 x Laptops to support children out of school due to chronic health conditions £2,500.
Friends Fund
Received £176,318. A few large donations of note were from Tokio Marine Kiln Group Ltd, Rodney Burton, NHS Charities Together. The Consultants organised a bike ride from DVH to Brighton and raised over £12,000 led by Dr Jonathan Kwan for our Stroke Unit, and the Haberdashers Crayford Academy and Rochester and Cobham Golf Club have picked Valley Hospital Charity as their Charity of the Year.
Approved purchases: Patient chairs of Physio department £3,347, Patient chairs and furniture ITU £2,529, Hospedia Bedside Entertainment over the Christmas period for all patients £2,539, Stone Prevent website development £13,692, items to create Keepsake Boxes for families of deceased
patients £1,200, foldable wheel chairs for patients us on Rowan Ward £196, 100 x plus and multi phone/tablet chargers for patients during limited visiting due to the pandemic £1,000.
The Heartbeat Fund
Received £8,758. A donation of £5,000 was received by Garfield Murray, £1,000 from the estate of the late Eric C. Smith as well as regular payments into Rupert Bunton Tribute Fund. A number of Regular Givers support this Fund.
Approved purchases: Nothing was purchased 2020-21.
The Silver Birch Fund
Received £1,155. A donation of £400 was received from Bronzeshield Lifting Ltd, as well as a number of smaller donations from individuals.
Approved purchases: Nothing was purchased 2020-21
Hospital Events
Virtual Stride4Life £3,022, Christmas Appeal and Draw £3,767
Fundraising Expenditure : Association of NHS Charities Membership £1,500, web support and online marketing £5,877, design, print, and advertising £2,582, Public Liability Insurance £170, Run for Charity membership fee £500, Harlequin Annual Fee £2,846, challenge event branded tops £2,591
Gift Aid
An amount of £21,854 was claimed through the Gift Aid Scheme. £596 of this was attributed to the Gift Aid small donations scheme (GASDS), which allows Gift Aid to be collected on cash donations of £20 or less. You don’t need a Gift Aid declaration to claim.
2. Future plans
We entered 2020-21 in national lockdown due to the Corona Virus pandemic. We had already taken the decision in March 2020 to cancel our inaugural Little Buds Ball planned for June 2020, and our Stride4Life event (walks and post walk NHS Big Tea reception to celebrate the NHS birthday of 5[th] July). We continued to push our Staff Wellbeing Appeal through our website and online platforms which raised £113,598, with an equivalent value being donated through gifts-in-kind such as food and refreshments to keep our NHS frontline staff going. Due to a number of high-profile NHS Charities Together fundraisers we were able to apply for a number of grants and benefited from over £235,000 to support our short-term and longer term Covid19 effort.
We are seeking a permanent presence in the front entrance of the Hospital. We are looking to establish a Fundraising Hub, which in the current climate is likely to be a contactless donation point and heavyweight coin donation money spinner. An application has gone into the Space Utilisation Group to see what options would allow the Fundraising and Voluntary Services Team to be based close to the entrance with increased branding. Due to continuing Covid19 restrictions we will be unable to reinstate our physical Stride4Life event this year, but plan to deliver a virtual option. We are awaiting the plans for the NHS Big Tea 2022 from NHS Charities Together who will provide the collateral for any campaign. We are promoting a number of third party events for 2021 and 2022, with some which have higher targets and require more training for 2022 through our website and social media channels using previous trusted tour operators. This includes the Royal Parks Half Marathon, an Inflatable 5, 10 or 15 km obstacle run locally at Brand Hatch Race Track and the Thames Path Challenge for 2021 and the Jurassic Coast Trek and cycle rides from Land’s End to John O’Groats in June, and London to Paris with a Tour de France finale in 2022. These are open challenges, which mean they are organised by the tour operator and supporters can sign up linked to our Charity, but there will be other participants taking part for other charities. This means we do not have the pressure of filling a particular number of places as we would with a bespoke ride like our previous Ride4Life events but it means ours is not the only charity messaging. The tour operator is liable for all risks of cancellation, visas etc. and we believe this cautious approach is the best way to proceed in what continues to be an uncertain time.
3. Financial Performance
The accounts comply with the Statement of Recommended Practice on accounting and reporting issued by the Charity Commission in January 2015.
Income
During the year, income totalling £795,000 was received (£425,000 in 2019-20). £788,000 was received in donations and legacies, compared with £364,000 in 2019-20.
Expenditure
Total expenditure was £358,000 in 2020/21 as compared to £445,000 in 2019/20
Financial position at year end
The total Fund Balances at the end of the year were £968,000 (£531,000 in 2019-20). As all the investments were realised during 2006/07 the cash is being held with the Co-operative Bank plc and Nat West.
4. Thank you
On behalf of the patients and staff who have benefited from improved services due to donations and legacies, the Corporate Trustee would like to thank all patients and relatives and staff who have made charitable donations, and all our fundraisers who have made such valuable contributions to the Charity in the last year.
Signed on behalf of the Corporate Trustee.
Peter Coles, Chairman Louise Ashley, CEO Dartford & Gravesham NHS Trust Dartford & Gravesham NHS Trust
The Annual Report was approved, with the Financial Statements, by the Trust Board on the 2 December 2021
DARTFORD AND GRAVESHAM NHS TRUST CHARITABLE FUND 2020/2021
Statement of Trustee's Responsibilities in respect of the Trustee's annual report and the financial statements
Under charity law, the trustees are responsible for preparing a Trustees' Annual Report and the financial statements in accordance with applicable law and regulations. The trustees are required to prepare the financial statements in accordance with UK Accounting Standards, including FRS 102 The Financial reporting Standard applicable in the UK and Republic of Ireland.
The financial statements are required by law to give a true an fair view of the state of affairs of the charity and of the incoming resources and application of resources for that period.
In preparing these financial statements, generally accepted accounting practice entails that the trustee:
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Selects suitable account policies and then apply them consistently;
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makes judgements and estimates that are reasonable and prudent;
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state whether applicable UK Accounting Standards and the Statement of Recommended Practice have been followed, subject to any material departures disclosed and explained in the financial statements;
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states whether the financial statements comply with the trust deed, subject to any material
departures disclosed and explained in the financial statements;
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assesses the charity's ability to continue as a going concern, disclosing, as applicable, matters related to going concern ; and
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uses the going concern basis of accounting unless they either intend to liquidate the charity or to cease operations, or have no realistic alternative to do so.
The trustees are required to act in accordance with the trust deed of the charity, within the framework of trust law. They are responsible for keeping accounting records which are sufficient to show and explain the charity's transactions and disclose at any time, with reasonable accuracy, the financial position of the charity at that time, and to enable the trustees to ensure that, where any statements of accounts are prepared by them under sections 132(1) of the Charities Act 2011, those statements of accounts comply with the requirements of regulations under that provision. They are responsible for such internal control as they determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error, and have general responsibility for taking such steps as are reasonably open to them to safeguard the assets of the charity and to prevent and detect fraud and other irregularities.
The trustees are responsible for the maintenance and integrity of the financial and other information included on the charity's website. Legislation in the UK governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.
By Order of the Trustees
Chairman………………………………………………………………………D 02 December 2021 Trustee………………………………………………………………………… 02 December 2021
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DARTFORD AND GRAVESHAM NHS TRUST CHARITABLE FUND 2020/2021
Independent auditor's report to the Trustees of Dartford and Gravesham NHS Trust Charitable Fund
Opinion
We have audited the financial statements of Dartford and Gravesham NHS Trust Charitable Fund ("the charity") for the year ended 31 March 2021 which comprise the Statement of Financial Activities, Balance Sheet and related notes, including the accounting policies in note 1.
in our opinion the financial statements:
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give a true and fair view of the state of the charity's affairs as at 31 March 2021 and of its incoming resources and application of resources for the year then ended;
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have been properly prepared in accordance with UK accounting standards including FRS 102, The Financial Reporting Standard applicable in the UK and Republic of Ireland; and
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have been prepared in accordance with the requirements of the Charities Act 2011.
Basis for opinion
We have been appointed as auditor under section 149 of the Charities Act 2011 (or its predecessors) and report in accordance with regulations made under section 154 of that Act.
We conducted our audit in accordance with International Standards on Auditing (UK) ("ISAs(UK)") and applicable law. Our responsibilities are described below. We have fulfilled our ethical responsibilities under, and are independent of the charity in accordance with, UK ethical requirements including the FRC Ethical Standard. We believe that the audit evidence we have obtained is a sufficient and appropriate basis for our opinion.
Going concern
The trustees have prepared the financial statements on the going concern basis as they do not intend to liquidate the
is realistic. They have also concluded that there are no material uncertainties that could have cast significant doubt over its ability to continue as a going concern for at least a year from the date of approval of the financial statements ("the going concern period")
In our evaluation of the trustees' conclusions, we considered the inherent risks to the charity's business model and analyse how those risks might affect the charity's financial resources or ability to continue operations over the going concern perio
Our conclusions based on this work:
▪ we consider that the trustees' use of the going concern basis of accounting in the preparation of the financial statements is appropriate:
▪ we have not identified, and concur with the trustees' assessment that there is not, a material uncertainty related to events or conditions that, individually or collectively, may cast significant doubt on the charity's ability to continue as a going concern for the going concern period.
However, as we cannot predict all future events or conditions and as subsequent events may result in outcomes that are inconsistent with judgements that were reasonable at the time they were made, the above conclusions are not a guarantee that the charity will continue in operation.
Fraud and breaches of laws and regulations – ability to detect
Identifying and responding to risks of material misstatement due to fraud
To identify risks of material misstatement due to fraud (“fraud risks”) we assessed events or conditions that could indicate an incentive or pressure to commit fraud or provide an opportunity to commit fraud. Our risk assessment procedures included:
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Enquiring of management and the Charitable Fund Committee as to the Charity’s high-level policies and procedures to prevent and detect fraud, and the Charity’s channel for “whistleblowing”, as well as whether they have knowledge of any actual, suspected or alleged fraud.
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Reading Charitable Fund Committee minutes
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Using analytical procedures to identify any unusual or unexpected relationships.
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Reviewing the Trust’s accounting policies.
We communicated identified fraud risks throughout the audit team and remained alert to any indications of fraud throughout the audit.
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DARTFORD AND GRAVESHAM NHS TRUST CHARITABLE FUND 2020/2021
As required by auditing standards, we performed procedures to address the risk of management override of controls and the risk of fraudulent revenue recognition, in particular the risk that cash has not yet been received, for example relating to legacies or gifts that have been pledged and are awaiting receipt, as this does not commit parties to providing the pledge.
We did not identify any additional fraud risks.
We performed procedures including:
• Identifying journal entries to test based on risk criteria and comparing the identified entries to supporting documentation. These included journals posted with no description, journals posted on weekends, journals with unusual accounts combination, journals with specific description and material post close journals.
• Assessing the completeness of disclosed related party transactions and verifying they had been accurately recorded within the financial statements.
• Identified income invoices recognised in the period 1 March 2021 to 30 April 2021, to determine whether the income and expenditure is recognised in the correct accounting period, in accordance with the amounts billed to the corresponding parties.
Other information
The trustees are responsible for the other information, which comprises the Trustee's Annual Report. Our opinion on the financial statements does not cover the other information and, accordingly, we do not express an audit opinion or, except as explicitly stated below, any form of assurance conclusion thereon.
Our responsibility is to read the other information and, in doing so, consider whether, based on our financial statements audit work, the information therein is materially misstated or inconsistent with the financial statements or our audit knowledge. We are required to report to you if:
■ based solely on that work, we have identified material misstatements in the other information; or ■ in our opinion, the information given in the Trustee's Annual Report is inconsistent in any material respect with the financial statements
We have nothing to report in these respects.
Matters on which we are required to report by exception
Under the Charities Act 2011 we are required to report to you if, in our opinion:
■ the charity has not kept sufficient accounting records; or
■ the financial statements are not in agreement with the accounting records; or
■ we have not received all the information and explanations we require for our audit.
We have nothing to report in these respects.
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DARTFORD AND GRAVESHAM NHS TRUST CHARITABLE FUND 2020/2021
The accounts of the Dartford and Gravesham NHS Trust Charitable Fund.
FOREWORD
These Charitable Fund accounts have been prepared by the Trustees under the Charities Act 2011.
The NHS Trust is the corporate trustee of the Charitable Fund under paragraph 16c of Schedule 2 of the NHS and Community Care Act 1990.
The Dartford and Gravesham NHS Trust Charitable Funds is registered with the Charity Commission and includes funds in respect of Dartford and Gravesham NHS Trust's Hospital.
MAIN PURPOSE OF THE FUNDS HELD ON TRUST
The main purpose of the Charitable Fund held on trust is to apply income for any charitable purpose relating to the National Health Service wholly or mainly for the services provided by the Dartford and Gravesham NHS Trust.
Chairman………………………………………….……… Date 2 December 2021
Trustee……………………………………………………. Date 2 December 2021
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DARTFORD AND GRAVESHAM NHS TRUST CHARITABLE FUND 2020/2021
Statement of Financial Activities for the year ended 31 March 2021
| Note Income and endowments from: Donations and legacies 3 Other trading activities 4 Dividends & bank interest Total incoming resources Expenditure on: Raising funds Charitable activities: Purchase of New Equipment 5 Staff Education and Welfare 5 Patient Education and Welfare 5 Other Total resources expended Net movement in funds Reconciliation of Funds Total funds brought forward Total Funds carried forward |
Unrestricted Funds 788 7 0 795 64 29 246 19 0 358 437 531 968 |
Restricted Funds 0 0 0 0 0 0 0 0 0 0 0 0 0 |
2020-21 Total Funds £000 788 7 0 795 64 29 246 19 0 358 437 531 968 |
2019-20 Total Funds £000 364 58 3 |
|---|---|---|---|---|
| 425 | ||||
| 73 169 95 108 0 |
||||
| 445 | ||||
| (20) 551 |
||||
| 531 |
The notes at pages 17 to 21 form part of these accounts.
There have been no transfers and no gains/losses on investment assets.
All incoming resources and resources expended are derived from continuing operations and are unrestricted.
Page 14
DARTFORD AND GRAVESHAM NHS TRUST CHARITABLE FUND 2020/2021
Balance Sheet as at 31 March 2021
| Balance Sheet as at 31 March 2021 | |||
|---|---|---|---|
| Notes Current Assets Receivables 9 Prepayments 9 Cash and cash equivalents 9 Total Current Assets Current Liabilities payables: Amounts falling due within one year 10 Net Current Assets Total Assets less Current Liabilities Funds of the Charity Income Funds: Unrestricted 11 Total Funds |
Unrestricted £000 22 20 1,001 1,043 75 968 968 968 968 |
Total at 31 March 2021 £000 22 20 1,001 1,043 75 968 968 968 968 |
Total at 31 March 2020 £000 19 0 532 |
| 551 | |||
| 20 | |||
| 531 | |||
| 531 | |||
| 531 | |||
| 531 |
The notes at pages 17 to 21 form part of this account.
The financial statements on pages 14 to 21 were approved by the Trustee on 4th November 2021 and signed by:
Signed: Chairman Signed: Trustee Date: 02 December 2021
Page 15
DARTFORD AND GRAVESHAM NHS TRUST CHARITABLE FUND 2020/2021
Statement of Cashflow for the year ended 31 March 2021
| Cash Flows from Operating Activities Net movement in funds Income from investments (Increase)/Decrease in Trade and Other Receivables (Decrease)/Increase in Trade and Other Payables Net cash (used in) by Operating Activities Cash Flows from Investing Activities Investment Income from investments Net Cash provided by Investing Activities Change in cash and cash equivalentsin the reporting period NET INCREASE IN CASH AND CASH EQUIVALENTS Cash and Cash Equivalents at Beginning of the Period Cash and Cash Equivalents at year end |
2020-21 Total Funds £000 437 0 (23) 55 469 0 0 469 469 532 1,001 |
2019-20 Total Funds £000 (20) (3) 44 15 |
|---|---|---|
| 36 3 |
||
| 3 | ||
| 39 | ||
| 39 493 |
||
| 532 |
Page 16
DARTFORD AND GRAVESHAM NHS TRUST CHARITABLE FUND 2020/2021
Notes to the Accounts
Note 1 Principal Accounting Policies
(a) Basis of preparation
The accounts (financial statements) have been prepared under the historical cost convention with items recognised at cost or transaction value unless otherwise stated in the relevant note(s) to these accounts. The financial statements have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued on 16 July 2014 and the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102) and the Charities Act 2011 and UK Generally Accepted Practice as it applies from 1 January 2015.
The Trust constitutes a public benefit entity as defined in FRS 102.
The trustees consider there are no material uncertainties about the Trust's ability to continue as a going concern.
The financial statements have been prepared on a going concern basis which the Trustees consider to be appropriate for the following reasons.
The business model of the charity is such that its charitable activities are limited to those which it has sufficient funds to support from the excess of funding received over the costs of administering the charity. The charity therefore has no specific commitments and no committed costs beyond its fixed costs of operation which are detailed in note 5.
The Trustees have reviewed the cash flow forecasts for a period of 12 months from the date of approval of these financial statements which indicate that the charity will have sufficient funds to meet its liabilities as they fall due for that period. The Trustees have also considered the implication of COVID-19 on these cash flow forecasts and consider that as a result of its operating model explained above, even if no further funding is received in the 12 month period, the charity has sufficien cash reserves to pay all committed costs.
Consequently, the Trustees are confident that the charity will have sufficient funds to continue to meet its liabilities as they fa due for at least 12 months from the date of approval of the financial statements.
The charity has taken advantage of the exemptions in FRS 102 in respect of the following disclosure: The requirement to present a statement of cash flows and related notes;
(b) Structure of funds
Unrestricted funds comprise those funds which the Trustee is free to use for any purpose in furtherance of the charitable objects. Unrestricted funds include designated funds, where the donor has made known their non binding wishes or where the Trustees, at their discretion, have created a fund for a specific purpose. Restricted funds are funds which are to be used in accordance with specific restrictions imposed by the donor.
(c) Income
All income is recognised once the charity has entitlement to the income, it is probable that the income will be received and the amount of income receivable can be measured reliably.
Donations, are recognised when the Charity has been notified in writing of both the amount and settlement date. In the event that a donation is subject to conditions that require a level of performance before the charity is entitled to the funds, the income is deferred and not recognised until either those conditions are fully met, or the fulfilment of those conditions is wholly within the control of the charity and it is probable that those conditions will be fulfilled in the reporting period. Gifts in kind are valued at estimated fair market value at the time of receipt.
Legacy gifts are recognised on a case by case basis following the granting of probate when the administrator/ executor for the estate has communicated in writing both the amount and settlement date. In the event that the gift is in the form of an asset other than cash or a financial asset traded on a recognisable stock exchange, recognition is subject to the value of the gift being reliably measureable with a degree of reasonable accuracy and the title to the asset having been transferred to the charity.
Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the charity; this is normally upon notification of the interest paid or payable by the bank.
(d) Resources expended
Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to that expenditure, it is probable that settlement will be required and the amount of the obligation can be measured reliably.
The charity accounts are prepared in accordance with the accruals concept. All expenses including support cost and governance costs are allocated or apportioned to the applicable expenditure headings. For more information on this attribution refer to note 7.
(e) Irrecoverable VAT
Irrecoverable VAT is charged against the category of resources expended for which it was incurred.
Page 17
DARTFORD AND GRAVESHAM NHS TRUST CHARITABLE FUND 2020/2021
(f) Allocation of support and governance costs
Support costs have been allocated between governance costs and other support costs. Governance costs comprise all costs involving the public accountability of the charity and its compliance with regulation and good practice. These costs include costs related to statutory audit and legal fees.
Governance costs and support costs relating to charitable activities have been apportioned based on percentage of total expenditure for each category for the year.
(g) Expenditure on raising funds
The costs of generating funds consist of investment management costs and certain legal fees.
(h) Expenditure on charitable activities
Costs of charitable activities comprise all costs incurred in the pursuit of the charitable objects of the charity. These costs comprise direct costs and an apportionment of overhead and support costs as shown in note 8.
(i) Donated services and gifts in kind
The value of donated services and gifts in kind provided to the charity is recognised in the statement of financial activities at their value to the charity as determined by the trustee, in the period in which they are receivable, and where the benefit is both quantifiable and material.
2 Related party transactions
The charity has made revenue and capital payments to the Dartford and Gravesham NHS Trust, which is the Corporate Trustee of the charity, The Directors of the NHS Trust are responsible for managing the Charitable Funds and the names of the directors are listed on page 2 of the Annual Report
Neither the Corporate Trustee nor any member of the NHS Trust Board has received honoraria, emoluments or expenses in the year and the Corporate Trustee has not purchased trustee indemnity insurance.
Page 18
DARTFORD AND GRAVESHAM NHS TRUST CHARITABLE FUND 2020/2021
| 3 Donations and legacies Donations Legacies 4 Other trading activities Stride4Life Ride4Llife Sponsor A Brick Training Course income Xmas Draw |
2021 Total £000 730 58 788 2021 Total £000 3 0 0 0 4 7 |
2020 Total £000 267 97 |
|---|---|---|
| 364 | ||
| 2020 Total £000 21 28 0 2 7 |
||
| 58 |
5 Analysis of charitable expenditure
The charity undertook direct charitable activities and made available grant support to Dartford and Gravesham NHS Trust in support of a range of charitable activities.
| Purchase of new equipment Staff Education and Welfare Patient Education and Welfare Total |
Grant funded activity £000 27 222 17 266 |
Support costs £000 2 24 2 28 |
Total £000 29 246 19 |
|---|---|---|---|
| 294 |
This has been apportioned by calculating the percentages of total spend over the various expenditure headings.
6 Analysis of grants
All grants are made to the Dartford and Gravesham NHS Trust and the Corporate Trustee operates a scheme of delegation, through which all funded activity is managed by fund managers responsible for the day to day disbursements of their funds, in accordance with the directions set out by the trustees in charity standing orders and financial instructions. The charity does not make grants to individuals. The total cost of making grants is disclosed in the activity analysis on the face of the Statement of Financial Activities. The grants received by the beneficiaries for each category of charitable activity are disclosed in note 5.
Page 19
DARTFORD AND GRAVESHAM NHS TRUST CHARITABLE FUND 2020/2021
7 Transfers between funds
There have been no transfers between funds .
8 Audit costs
The auditors remuneration of £5k (2020: £2k) related solely to the audit with no other additional work being undertaken.
| 9 Analysis of current assets Receivables Prepayments Cash and cash equivalents |
2021 Total £000 22 20 1,001 |
2020 Total £000 19 0 532 |
|---|---|---|
Total
1,043 551
Receivables represents sums owed at the year end to the charity by a related party, Dartford & Gravesham NHS Trust for income received by the NHS Trust on behalf of the Charity.
10 Analysis of current liabilities
| Analysis of current liabilities | ||
|---|---|---|
| Accruals Payables Total |
2021 Total £000 5 70 75 |
2020 Total £000 2 18 |
| 20 |
Page20
DARTFORD AND GRAVESHAM NHS TRUST CHARITABLE FUND 2020/2021
11 Analysis of charitable funds
The Trust has analysed material designated fund balances as set out below:
| Fund Name Cancer Fighting Fund Cardiology Training Fund Diagnostics Fund Heart Beat Fund Friends Fund Little buds Lollipop Fund Lottery Fund Pharmacy Fund Silver Birch Fund Staff wellbeing Fund Urology Research Fund Valley Fund Other Funds Total designated Funds TOTAL FUNDS |
Fund Balance brought forward £ 139,162 23,102 13,937 24,180 142,895 23,378 39,155 29,180 13,025 252 599 23,067 11,273 47,662 530,867 530,867 |
Incoming Resources £ 46,681 0 0 8,758 176,318 90,898 21,997 7,346 3,959 1,155 433,222 4,650 1,545 14,694 811,223 811,223 |
Outgoing Resources £ 41,972 3,655 738 1,395 77,674 26,414 8,699 1,586 13,246 312 171,577 7,266 9,095 10,232 373,861 373,861 |
Fund Balances carried forward £ 143,871 19,447 13,199 31,543 241,539 87,862 52,453 34,940 3,738 1,095 262,244 20,451 3,723 52,124 968,229 968,229 |
|---|---|---|---|---|
Other funds are all less than £10k.
Cancer Fighting Fund - to benefit the diagnosis and treatment of cancer at Darent Valley Hospital Heart Beat Fund - to benefit the Heart Centre.
Microbiology Education - sponsorship for staff to attend courses not provided by Dartford and Gravesham NHS Trust.
Friends Fund - money held for wards, stroke or any other small appeals. Little Buds Fund - for the special care of babies from conception to birth. Lollipop Fund - to benefit the treatment and care of babies and young children. Lottery Fund - to benefit all staff and patients of DVH
Maternity Fund - to benefit all staff and patients from pregnancy to birth Pharmacy Fund - to enable staff members to attend seminars and courses and to provide equipment for the pharmacy department.
Silver Birch Fund - to benefit all elderly patients who attend DVH and all staff working in that area. Queen Marys restricted funds - This relates to Heartbeat Fund
Valley Hospital Fund - for all areas where there is no specific fund.
Staff wellbeing Fund - to benefit all staff during COVID
Page21