2021-03-31-accounts - Great Western Hospital NHS Foundation Trust Charitable Fund And Other Related Charities

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Trustee Annual Report for The Great Western Hospitals NHS Foundation Trust Charitable Fund for the year ending 31 March 2021 Foreivord The coOrat¢ Truste¢ presents the Charitable Funds Annual Report together with the audited financial statements for the year ended 31 March 2021. The Charity's Annual Report and Awounts for the year ended 31 March 2021 have been prepared by Ihe Corporate Trustee in accordance with the Chariti¢s Act 2011, and the Charities (Accounts and Reports) Regulations 2005. Th¢ Charity's Accounts and Report include all the separately estsblished funds from which The Great Western Hospitals NHS Foundation Trust and Wiltshire Health and Care are the benefi¢iaries. The Ch8ritsble Funds are registered with the Charity Commission (registration number1050892) in accordan¢¢ with the Chariti¢s Act 2011. Referen¢e gnd Administrative Detai15 The group Charity 'The Great Western Hospitals NHS Foundation TnJ5t Charitable Fund,. registered charity number 1050892, was en*red on the Central R¢gi5ter of Charities on 22 November 1995. The group Charity has nine active charities linked to it as detailed in note 14 to the accounts (2019120: nine); all the link¢d Charities were fornied by registering a Special Trust Deed. Charitable Funds received by the Charity are accepted, held and administered as fvnds and property held on trnst for purposes relating to the Health Service in accordance with the National Health Service Act 1977 and the Nalional Health Service and Community Care Act 1990. and thes¢ funds are held on trust by the Corporate Body. Trustee The Great Western Hospitsls NHS Foundation Trust is the Coryx)rate Trustee of the Charitable Funds govemed by the law applicable to Trusts, principally the Ttee Act 2000, and th¢ Charities Act 2011. The NHS Foundation Trust Board devolv¢d responsibility for the on-going management of funds to ihe Charitabl¢ Funds Committee. Minutes of the Charitable Funds Committee presented to the full Trust Board in order to keep them informed of the d¢ci5ions being made on th¢ir behalf. Th¢ names of those who served as agents to the Corporale Trustee by being members of the Charitable Funds Committee during the financial year were: J¢minia Milton Andy Copestake Kevin McNamara Non-Executive Director & Chair Non-Executive Director Chief Executive IJ Charitable Funds Advice to the Board The Trust Board are advised by the Charitsble Funds Committee on all matters relating to Ch8ritable Funds. The Committee must approve all propos¢d expenditure over £5.000.

Anne-marie Howmyd [Deputy Director of Finance] acted as the Principal 01Ccr overseeing the day-to-day financial managem¢nt and ac¢ounting for Charitable Funds during the year. 1.4 Principal Office Great Western Hospitals NHS Foundation Trust Trust Management The Great We5t¢rn Hospital Marlborough Road Swindon Wiltshire SN3 6BB 1.5 Principal Professional Advisers B¥nkers The Royal Bank of Scotland PLC National Westminster Bank Governrnent Banking Service Brdn¢h PO Box 2027. Parklands De Havilland Way Honvich, Bolton BL6 4YU Bankers Lloyds TSB Bank PLC St William House Tresillian Terrace Cardiff CFIO 5BH Auditors UHY Ross Brooke Suite I Windrush Court Abingdon Business Park Abingdon OX14 ISY Solicitors Bevan Brittan LLP Kings Orchard l Queens Street Bristol BS2 OHQ Structure, Governance and Management Th¢ Charity's unreslricted fund was established using the model declaration of trust. The restricted thnds wete separately registered under the group Charity. All funds held at the dat¢ of registration either forned part of the unrestricted or restricted funds. Subsequent donations and gifts r¢ceiv¢d by th¢ Charity that are attributable to the original funds have been added to those nd balances within the existing charity. The Corporate Trustee fijlfils its legal dury by ensuryng that fijnds are spent in accordance with the objects of each fund and by designating funds, in this way the Trustee is able to respect the wishes of the donors, to benefit patient care and advance the good health and welfare of patients and sthff. The charitable funds available for sp¢nding are held within the nine registered charities described in note 14 of the accounts. This includes fvnds managed on behalf of Wilishir¢ Health and Care LLP. Non-Executive Members of the NHS Foundation Trnst Board are appointed by the Governors, and Executive members of the Board are subject to recruitment by the NHS Foundation Trust Board. Core membership of the Charitable Funds Committee consists of the Trustee Chair. a Non-ExeGutive Director appointed by ihe Trust Board; and the Chief Executive. Members of the TnLSt Board and the Charitsble Funds Committee are not individual Trustees under Charity Law. but act &$ agentg on behalf of the Coor14t¢ Trustee.

The Trust undertakes indurtion tralning for newly appointed members of the Trust Board and ChaTitsbl¢ Funds Committee. The induction involve5 a presentation and a pack of infomiation which includes: copies of the governing documents of the charities; a copy of the latest Annual Report and Accounts. Policies and Procedures, and; the Charity Commission document 'The Essential Trustee: What you need to know,. The Charitable Funds Committee is responsible for the overall management of th¢ Charitsble Funds. Th¢ Committee is required to.. Support the Board in its duty to ensure th¢ Trust has the systems to effectively manage Charitable Funds. Ensure the audii processes perforn]ed by both external and inlemal audit in the area of Charitable Funds effe¢tiv¢ly deal with the traditional requirements of.. True and accurate accounting records. Safeguarding of assets. Compliance with appropriate accounting poliri¢s, stsndards and Charity Law. Detection of fraud and irregularities. Recommend additional policies and pro¢¢dures to the Board to comply with statutory changes. Review annual financial statements and trustee report prior to submission to th¢ Board. Consider any other matters relating to charitable funds refeed to it by the Board. Receive advice from rePrentatIveS of the other ben¢fi¢iaries as to how th¢ir fimds should be expended. The accounting records and the day-to-day administralion of the funds are dealt with by the Finance D¢partment located at The Great Western Hospitals NHS Foundation Trust, The Orbital, I" Floor, North Swindon District Centre, Thamesdown Drive, Swindon, SN25 4AN. Risk Manxgement Major risks to which the Charity is exposed have been identified and assessed, with systems being put in place to mitigat¢ those risks. Any risks associated with the Charity are included within the Trust's risk register. One of the signifI¢ant risks of the Charity was the risk of a fall in the value of investni¢nts, especially equiti¢5. The Charitable Funds Cornmittee has now dispoKd of 811 investments. Expenditure is closely monitored. no fund manager is able to expend funds without the request first being checked by the Finance Department who ensur¢ that funds are available. Fund Managers are authorised by the committ¢e to oversee the day-104lay management of such funds within clearly defined spending limits. Income is also monitored to check whether the levels of in¢ome are as exp¢cted and if not, then spending plans are amended accordingly. tn terms of th¢ coronavirus pandemic, new research published by NCVO shows that the impact on charitable organisations has eft "uneven and unpredictable" and warns of projerted declines in tunding from all income sources in the next financial year. The research also underlines ihat while the pandemic has put the sector under immense pressure, individual charities. experiences vary widely- nearly a third (310/) of respondents have reported an increase in total income since last year. while 47 /0 said income had dropped. And while 33 /0 of respondents say their financial position had deteriorated over the past monih, nearly half (48 /0) said it wa5 unchanged, and 18Y report an improvement.

For Brighier Futures the biggest impact was on its event programme with the cancellation of planned events in 2020121 equating to a loss of approximately £80.000. However, this loss of income was mitigated by the volume of donations made to the COVID-19 Support Appeal. Th¢ COVID-19 Support Appeal raised £138.200 from public donations and £216.800 from successthl grant applications from NHS Charities Together. Partnership Working Th¢ Great Western Hospitals NHS Foundation Trust is the main beneficiary of the Charity and is a related party by virtue of being the Corporate Truslee. By WOTking in partnership with the Trust and the other beneficiaries, namely Wiltshire Health and Care LLP. the Charitable Funds are used to best effect. When deciding upon the best use ot the Charitable Funds, the CorrKtrrate Trustee takes into consideration th¢ main activities, objectives, strategies and plans of the proposed beneficiary. The funds held on behalf of Wiltshire Health & Care LLP are managed with their own approval process which is then ratified by the Great Western Hospitals Charity Committee. subject to funds being available. The charity is currently holding £2.5m raised for Radiotherapy equipment on behalf of Oxford University Hospitals Foundation Trust (OUH). The money raised will purchase k¢y Clinical equipment in the Radiotherapy Centre. The funds will be transferred to OUH at an appropriale poinl in the future, but this has not yet been agreed between th¢ parties. The majority of this will be used to purchase a LINAC machine. The remainder will be transferred to Oxford University Hospitals NHS Foundation Trust when appropriate. Objeetiv&¥ Strategy for the Public BeDefit The Charity's group fund has NHS aligned objectives As follows.. The Trustee shall hold the trust fund upon trust to apply the income, and at their discretion, so far as may b¢ pennissible. the capital, for any charitable purpose or pury)oses relating to the National Health S¢rvi¢e (hcreinafter referred to ag "the objecls"). The Charitable Funds Committee has agreed th¢ following Strategic Aims: To enhance the environmeni for staff and patients, in which health services can be delivered effectively. To enable staff and carers caring for patients to benefit from education and facilities not nonnally available within the NHS resource envelope. To donate additional equipment and staffing to the Trust and other beneficiaries over and above the NHS r¢50UTce envelope. To spend funds in accordance with Charity Commission best practice and in support of the Trust's and other beneficiaries, stated values and fIve-year vision. These aims are used by the Charitable Funds Committee wthen deciding on the suitability of a proposed project and their fulfilment would not be possible without the supwrt of patieT]ts. carers. Staff, the local community, voluntsry organisations, and local businesses of the Tnjst and Wiltshire Health and Care.

The trustee has referred to the guidance contaTned in the Charity Commission's general guidance on public benefit when reviewing the Trust's aims and objectives and in planning future tivities. All Charities ar¢ also required by the Charity Commission to demonslrate how they pass the 'public benefit test.. There must be an identifiable benefit. Th¢ benefit must be to the public or a section of the public. The Charity's objects and activiti¢s are considered when cases are made for expenditure or when fundraising, to ensure that the patients, relatives and stsff of the NHS Twst are benefited either dir¢¢tly or IndiCl1Y b}, the work of the Charity. In general. spending directly benefits patients with Ihe provision of new equipment, facilitles and a better train¢d workforce, all of which contribute to enhanced care. Staff or relatives benefit from improved ski115 and facilities also enabling the delivery of better care. Annual Review: Our Aetivltl£s Every year we are astounded by the generosity of our patients and their relatives. staff and members of the public who devote their time and ¢ffort ¢0 fundraise for our Hospital and Community Health Servi¢¢. That generosity has helped to purchase new equipment and improve fllItIeS benefitting boih our patients and staff and enabled nursing, medical and support stsff to attend courses and share n¢w id¢as. The purchases were varled, were of a kind that the NHS would not be able to fund all enhanced patient ca. Donations that come into the Hospital are placed into a Tange of funds which are designated for specific areas of work or wards within the TrusL with some donations held in a Gen¢ral Fund. The Great Weslern Hospitsl General Fund is for the general benefit of patients and staff at the Great Western Hospital and as such has funded vArious initiatives and equipment purchases to support new service developtnents leading to improved practices and enhanced patient care. The Charity benefits from a dedicated fundraising team to generate additional income across all funds, lead major fundraising appeals and meet the growing demands for funding. During the financial year 2020121 the charity has raised £138,200 from public donations and a further £216,800 from grdnts from NHS Charities Together to the COVID-19 Support Appeal. £13,000 was raised as part of the Better Births Appeal helping to purchase 18 adjustable height cots for the Maternity Unit and £4.300 was raised by the Demenlia Appeal to support the PUT¢has¢ of Dementia ¢lo¢ks and a RITA (Reminiscent Interactive Therapeutic Activity) machine. Following the stsrt of the Radiother4py Centre build two significant pledges were realised with £40.000 from The Thomas Freke and Lady Norton Charity and £22,5C) from Greenham Trust - the first in5talment to be given from a total £63,000 pledge via the Good Exchange (with th¢ remaining £40,500 due to be paid in two lump sums during 202112022 fmancial year). A further £208.000 was released directly to Oxford University Hospitals NHS Foundation Trust from an International Rotary Global Grant which matched money raAs¢d by the Rolary Clubs of Swindon. A number of Income str¢ams have been used to generate funds including corporate fundraising, applications lo other Charitsble Trusls and Foundations, virtual events and sponsorship, supporting community fundraisers, mailing appeals and promoting legleS or donations in memory of a loved one or in celebration of an o¢¢asAon. Specific fundraising ¢vents organiscd during 2020121 includ¢d a staff team fitness competition , a virtual Christmas themed fun-nm. and a Christmas raffle. These initiatives have ¢ffectively raised the profile of the Charity and significanily contributed to the total incoming resourc¢s to 31 March 2021.

Grant Making Poli¢y Grants are awarded on a case by case basis judged on how well they support ih¢ strat¢gic aims of the Charity tn accordance with donor restri¢tions. The intended use of th¢ grant must be cost effective and enhance the service or facilities provided for stsff and patient5, beyond that which 15 nornially provided, in order to improve standard5 of care and patient ¢xp¢rienGe. The Corporate Trustee operates a scheme of delegation thmugh which all grants only be awarded by those members with the necessary authority to do so. In cases where the gr4nt is intended for employing slatf or is above the predefined limit of five thousand pounds the dward decision must be taken by the Charitable Funds Commtttee. In all other cases Outside of these limits, the Fund Managers have delegated responsibility for the disbursements of funds. The majority of grants are made from the Charity's Restricted Funds. These comprise of two elemenls.. a) The Registered ReslTiCted General Funds of the Great Western Hospital and the Swindon & Wiltshire Community Areas: These contain gifts and donations, where the restriction is that the funds rnay be used principally for the benefit of patients and staff at the Great W¢st¢rn Hospital and within th¢ wider Wiltshire community areas. b) Other Registered RestrA¢ted Funds: These fijnds have been donated to a particular speciality, ward or pu08e. The medical services fund is an example of such a fund. Fund managers that have been authorised by the committe¢. oversee the daY-tdaY rnanag¢m¢nt of such funds. within ¢l¢arly d¢fined spending limits. All grdnt¥ with the exception of those related to Wiltshire Health & Care Charitsble Funds. are made to Great Western Hospitals NHS Foundation TrusL with the Funds being administered by The Great Westem Hospitals NHS Foundation Trust Charitable Fund. Grants relating to Wiltshir¢ Health & Care Charitable Funds are administered by a committee within Wiltshire Health & Care and subsequently ratified by the Trust Charitable Funds Committee. Reserves Policy Free reserve4 are that part of the Charity's UTJrestricted funds as defined by the TnLSte¢, and are those that are available to utilise on acttvities for the benefit of the public in furtherance ot the Charity's objectives but which are not yet designated for a specific purw)se. The total free reserves as at 31 March 2021 was £166,000 compattd with £149.000 for the year ending 31 March 2020 and there are no material commitments. The Trustee believes reserves should be maintained at a minimum level around £70,000 based on an average of four months norni&l expendire and the available cash balance. Thts is considered to b¢ an appropriate timeframe in which to source alternative funding streams and the policy is reviewed regularly in light of any new opportunities. Thiq level of reserves meets the needs of the Charity and enabl¢s the Trustee to consider application5 for funding as and when they arise. Free reserves are higher than the identified required l¢v¢l but the Charity has approved funding forvarious longer-terni projects during the year which are designated but not spent as at 31 March 2021. The Corpyfrrate Trustee is aware that funds should be spent on charitable activities within 2 reasonable period of time and, through the Charitable Funds Committee, ensures that funds are

spent and not savd unless a fund manager has a specific pury)ose for which they wish to save and have received pennission from the Committe¢ to do so. Future Plans In 2019 the Great West¢Tn NHS Foundation Trust launched ils refreshed strategy "Our Strategy 2019 - 2024" a coming together and sharing of thoughts and ideas for how our local health service will meet future challenges. The uliimate goal is to join up care for patients to improve their outcornes, keep people well for longer and do it with care and ¢ompassion. ensuring that by working together the local NHS is greater than the sum of its parts. The charity enables the Greht Western NHS Foundation Trust to realisc patient benefit much sooner by: enhancing the environment for patients and stsff in which health services can be delivered- enabling carcrs and staff caring for patients to beneffftt from education and facilities not nornially available within the NHS funding, and. providing additional equipment and staffing to the Trust above the NHS funding envelope. Over the next three years the charity will continue to support the Great Western Hospitals NHS Foundation Trust by focusing on five key strategic priorities l) Innovation. 2) Cancer Service Development. 3) Elderly Care, 4) Better births and 5) Wellbeing. During the financial year 202112022 the charity will continue to rn1s¢ rnoney to purchase four new wireless foetal heart monitor5 and a birthing bed for our Matemity Unlt. Planned fundraising will continue on the Dementia Appeal to purchase Dementia clocks. a RITA machine and inpatient activity kits. In addition. monies will be secured through approaches to private donors to support the purchase of a CT S¢iumer for the n¢w Radiotherapy C¢ntre. Covid-19 has presented rhallenges never experienced before, but it has also provided a chance to be l)old and seize on new opportunities. W¢ have adapted to meeting the n¢¢ds of our hospital, its pati¢nts and its staff while changing how we work by doing more virtual actives and working mor¢ fl¢xibly. Overih¢ coming 12 months we will continue to r¢spond and supp)rt the hospilal's needs, our events programme will flex to ofter virtual and physical ¢ven£5 and we will seek out opportunities for our supporters to donate to projects that help support our staff and patients during the pandemic with a focus on health and wellbeing. Although for many charities COIVID-19 has had a negative impact, for the NHS the country has seen an outpouring of support and a greater appreciation of the service our health care workers provide the nation. For Brighter Futures it has help¢d improve our brand awareness locally moving us away from the misperception that we w¢r¢ a cancer charity raising money just for the radiotherapy appeal to a local health eare charity 5UPPOrting the NHS and community h¢alth care teams in Swindon and the surrounding areas. io A Review of our Finances, Aehievements and Performance The total net assets of the Charitable Funds as at 31 March 2021 were £3,632,(K)O compared with £3,469,000 as at 31 March 2020. Overall net assets increased by £163.000 due to overall nel incoming resources of £163.000. The Charity continues to r¢ly on donation5, legacies and invesknient income as its main source5 of income. representing 96.(W/o of total income in 2020121 ¢ompared with 85.0 % in 2019120.

Of thc £574,000 totsl expenditure in 2020121, compared wlih £630,000 in 2019120, ¢haritable expendllure on direct charitable activity {includin¥ support cosls) was £353,000 compared wtth £399.000 in 2019120 And this was dlstributed over a number of categories of expenditure. li Purchase of New Equipment The total donated ¢xpenditure on n¢w equipment for the beneficiaries excluding support costs w&s £131,000; this represents a considerable contribution to enhancing patient car¢. Donated Expendlture on New Equlpment Filxoscan IHepato108yI Carers day bedslrecliners Neonatal adjustable heitht cots Bladder Scanner IUrolo8yI Ipads for End of Lrfe patlents Rehabilitation exercise bike Time Lapse Photography Heart machine softwa Furniture items incl tables & 5eatin4 Electric81 appliances for Staff rest areas IT equipment Other smaller Item5 TOTAL 47 17 li io io 131 12 Patients Welfare The total donated expenditure excluding support costs on patients, welfare was £29,000. Donated ExpendItU on Paents Therapeutic items & activltles Artwork loan Secure vldeo messaging setvice Cardiac rehabilitatlon programme Christmas Bifts and decorations Other smaller items TOTAL 13 Staff Edu¢4tion and Welfare The total donated expenditure on staff educalion and welfare excluding support ¢osts was £135,000.

Donated Expendlturn on Staff EmF4oyee a55istsnce program Other trainlng and stsff 5UPPOrt Meals & refreshments on covid wardslwobble rooms InclLt5ion, diversity and equality lead Awards, thank you gifts & voucher5 Care packages for shielding stsff Educational materla15 Other smaller items TOTAL 34 33 32 13 li 135 14 Research Grants The Trust's Ethics Committee Sanctions all expenditure on research and patient studies. The Charity also s¢eks advice from the Trust's Research and Development tkpartment before any grants are made for these purposes. The totsl donated expenditure on Research was nil. 15 Performanee Management The Charity does not employ any staff bui Great Westem H05pits15 NHS Foundation Trust provides accounting and administration services. From 2012 the Trust has employed an Associate Director of Fundraising who 15 r¢sponsible for raising the profile of th¢ Charity and for identifying new revenue streams, as well as working with fund managers and other staff in the Trust on specific fundraising projects. The Associate Director of Fundraising reports to the Charitable Funds Committee on a quarterly basis. The Trust has also recruited additional fundraising staff to support the proposed additional fundraising required going fonvard. The Charity reqUIS Fund Managers to supply the Charitsble Funds Committ¢e with spending plans and, at each committee meeting, the Committe¢ receive updaies on indlvidual fund balances which they scrutinise closely. The Committe¢ will call before them any Fund Manager who they believe is not spending their funds in an appropriate manner and have the right to remove any Fund Manager they believe is not acting in the best interest of the Charity. In Cases where Fund Manag¢rs have requested pem)ission to save funds for a specific projecL the Committee requires them to produce progress updates where appropriat¢. 16 Jnvestment Policy The Corporate Trustee has delennined the investm¢nt policy, in 50 far is reasonable, to avoid undue risk to the r¢al value of ihe capital and income of the portfolio after allowing for inflation. Due lo the on-going economic uncertainty and very low interest rates the Cory)orate Trustee has prioritised securing funds over investing for returns. All remaining investments have been converted into cash as it 15 ¢xpected that £2.8m will be transferred to Oxford Univ¢tsity Hospitals NHS Foundation Tnjst at an appropriate point in the future in relation to funds raised for radioth¢rapy equipment. In addition, the Trust has opened a GBS bank account to ensure maximum protection. When ¢conomic un¢ert&inty reduces adequately, funds may be invested short-terni in a five-5tar Charity Account or longer temi in equities and bonds. The perfonnance of all investments ar¢ monitored and rewrted on a quarterly basis to the Charitable Funds Committee. Plc&se see Note io to the accounts for d¢tails of the other investments.

On behalf of staff and patients who have benefited from improved services due to the receipt of donations and legacies, the CoryK)rate Trnstee would lik¢ to thank all of those who hav¢ mad¢ charitable donations. Approved on behalf of the Coryjorate Trustee Chair of the Charitable Funds Committee Date: 17 January 2022 10

Statement of Tru5t¢e r¢sponsibilities in respect of the Trustee annual report and the fin*neial statements Under the trnst deed and rules of the charity and chaTity law, the trustee is responsible for preparing the Trustee Annual Report and ihe financial statements in CordanCe with applicable law and regulations. The trustee has elected to prepare the financial statements in accordance with UK Accounting Standards. including FRS 102 The Financial Reporting Siandardapplicable in ihe UKand Republic ofIreluMI The financial statements are required by law to give a true and fair view of the state of affairs of th¢ charity and of the excess of expenditure over income for that period. In preparing these financial statements, 8enerally accepted accounting ptice entails that the ttustee: select suitable accounting policies and then apply them nSIstentlY. make judgements and estimates that are reasonable and prudent. state whether applicable UK AccouTJling Standards and the Statement of Recommended Practice have been followed. subject to any material departures disclosed and explained in the financial stst¢ments; state whether the financial statements comply with the trust deed and rules, subject to any materihl departures disclosed and explained in the financial statements. and assess the charity's ability to continue as a going concern, disclosin8. as applicable, matters related to going concern. and use the going concern basis of accounting unless they either intend to liquidat¢ the charity or to cease operdtions, or have no realistic altemativ¢ but to do so. The trustee is required to act in accordance with the I$t deed and the rules of the charity, within the frdTnework of trust law. They are responsible for keeping proper accounting records, sufficient to disclose at any time, with reasonable accuracy. the financial position of the charity at that time, and to enable the tTUSt¢¢ to ensure that. wh¢re any statements of accounts are prepared by them under section 132(1) of the Charities Act 2011. those slatements of accounts comply with the r¢quir¢ments of regulations under that provision. They are responsible for such internal control as they deterniine is necessary to enable the preparation of financial st2t¢ments that are free from mat¢rial 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 PT¢vent and detect fraud and other irregularities. The trustee is responsibl¢ for the maintenance and integrity of the financial other infom]ation includ¢d on the charity's website. Legislation in the UK governing the preparation and dissemination of financial slat¢ments may differ from legislation in other jurisdlctions. By Order of th¢ Trnstee Chairperson Date 17 January 2022 Charity Committee member Date 17 January 2022

Independent auditor's report to the Trustee of Grelt Western Hospitals NHS Foundation Trust Charitable Fund OpiDIOII We have audited the financial statements of Great Western Hospitals NHS Foundation Trust Charitable Fund ('the charity,) for the year ended 31 March 2021 whtch comprise the Statement of Flnanctal Activities, Balance Sheet, Statement of Cash Flows and notes lo the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparalion is applicable law and United Kingdom Accounting Siandards, including Financial Reporting Standard 102 The Finuncial Reporling Siandard applicable in ihe UK andRepublic ofIreland (United Kingdom Generally Accepted Accounting Practice). In our opinion the financial statements: give a true and fair view of the state of the charity's affairs as at 31 March 2021 and of its incoming resources and application of resources, including its income and expenditure, for th¢ year then have been properly prepared in accordance with United Kingdom Generally Awepted Accounting Practice. and have been prepared in accordance with the requirements of the Charities Act 2011. Basis for opinion We conducted our audit in accordan¢e with IDternatiQDal Standards on Auditing (UK) (ISAS (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor's responsibilities for the audit ot the tinancial statements section of our rew)rt. We are ind¢pendent of the charity in accordance with the ethical requirements that are relevant to our audit of the fmancial slatements in the UK, including the FRC'S Ethical Stsndard, and we have fulfilled our otheT ethical responsibilities in accordance with these requirements. We believe that the audit evidence we hav¢ obtained is sutTicient and appropriate to provide a basis for our opinion. Conclusions relating to going ncern In auditing th¢ financial stslements. we have concluded that the trustee's use of the going concern basis of accounting in the preparation of the fJnanGial slatements is appropriate. Based on the work we have perfomed, we have not identified any material uncertainties relating to events or ¢onditions that, individually or ¢olltiVely. May cast significant doubt on Ihe charity's ability to continue as a going concern for a period of at l¢ast twelve months from when the financial statements are authorised for issue. Our responsibilities and the responsibilities of the trustee with respect to going concern are d¢s¢rib¢d in the relevant Sections of this rq)ort. Other information The other infonnation comprises the infonnation included in the trustee's annu&l report, oth¢r than the financial statem¢Dts and our auditor's report thereon. The trustee is responsible for th¢ other inforniation contained within the annual report. Our opinion on the financial stalements does not cover the other inforn)ation and, except to the extent othenvise explicitly st&ted in our report, we do not express any foTm of assurance Conclusion thereon. Our responsibility is to read the other inforniation and. in doing so. consider whether the other infom]ation is materially inconsistent with the financial statements or our knowledge obtained in th¢ ourse of the audit or otherwise appears to be materially misstated. If we identify such mat¢rial inconsistencies or apparent material misstatements, we are required to detemilne whether this gives rise to a material misstatement in the financial ststements themselves. If, based on the work we have perfomed. we conclude that there is a material mi551atement of this other inforn]ation, we ar¢ required to report that fact. We have nothing to r¢pN)rt in this regard. 12

Matters on whieh we are reqnired to report by exception We have nothing to report in respect of the following matters in r¢lation to which the Charities (Accounts and Reports) Regulations 2008 requir¢ us to report to you if, in our opinion: the inforniation given in the fman¢ial statements is inconsislent in any material respect with th¢ trustee's report. or the charity has noi kept ad¢quate accounting records. or the financial stalements are not in agreement with the accounting r¢¢ords and returns. or we have not received all the infonnation and explanations w¢ require for our audiL Responsibilities of the trustee As explain¢d more fully in the trustee's responsibilities statement set out on page I l. the trustee is responsible for the preparation of the financial statements and for being satisfied that they give a true and fair vi¢w, and for such internal control as the twstee deterniines is necessary to enable the preparation of financial sts¢ements that are free from matcrial misststement, whether due to fraud or ¢rror. In preparing the financial statements, the Inistee is responsible for assessing the charity's ability to conlinue as a going concern, disclosing. as applicable, matters relaled to gofftng concern and using the going wn¢ern basis of accounting unless ihe trnstee either int¢nds to liquidate the charity OT to cease operations. or have no realistic alternative but to do so. Audltor's responsibilities for the gudit of the fin8n¢ial statsments We have been appointed as auditor under section 144 of the Charities Act 2011 and report in accordan¢¢ with regulations made under section 154 of thai Act. Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement. whether du¢ to fraud or eor. and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAS {UK) will always detect a material misstatement when it exists. Misslatements can arise from fraud or ¢Tror and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements. Irregularities. including fraud. ar¢ instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities. including fraud. The specifJ¢ pro¢edures for this engagement and the extent to which these are capable of dettIng trregularitles, including fraud is detailed below: We have considered: the nature of the charity and Sector, control environment and operating perfomiance. the charity's own assessmenL including assessments made by key management, of the risks that irregularities may occur either as a result of fraud or em)r; any matters we identified having reviewed th¢ charity's policies and procedures relating to: o identifying. evaluating and complying with laws and regulations and whether they were aware of any instances of non-compliance. det¢Gting and responding to the risks of fraud and whether they have knowledge of any actual, suspected or alleg¢d fraud. and o ihe internal controls established to mitigate risks of frdud or nOnoP11ancc with laws and regulaÉion5- the matters discussed amongst the audit engagement team. As a result of these procedur¢s. we considered the optK)rtunittes and incentiv¢s that may exisl within the organisation for fraud and identified the greatest potential for fraud in the areas in which management is required to ¢xercise significant judgement, such as recognition of income. In common 13

with all audits under ISAS (UK), we are a150 required to perfonn specific procedures to respond to the risk ofmanagement overrid¢. We also obtaiT]ed an understanding of the legal and regulatory framework that the charity operates in. focusing on provisions of ihose laws and regulations that had a direct effect on the deterniination of material amounts and disclosures in the financial statements. The key law and regulation we considered in this Gont¢xl was the Charities Act. Because of the inherent limitations of an audit, there is a risk that we will not detect all itr¢gularitie4 including those leading to a material misstafrrnent in the financial ststements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is reTnoved from the events and transactions reflected in the financial statements. as we will be less likely to become aware of instarjces of non-compliance. The risk 15 also greater regarding IegularitICS occurring due to fraud rather ihan error, as fraud involves intentlonal concealment, forgery, Gollusion, omission or misreptesentation. A further description of our responsibilities is available on the Financial Reporting Council's website at: httPS:l/www.frc.org.uklOur-Work/Audit/Audit-and-assuran¢¢lStandards-and-guidancelStandards- and-guidance-for-auditors/Auditor8-reqpon8ibilitie8-for-auditlDescription-of-auditors-responsibilities- for-audit.aspx. This description fornis part of our auditor's report. Use of our report This rewtrrt is made solely to th¢ Charity's trustee. in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008. Our audit work has been undertaken so that we might state to th¢ charity's trustee those matters we are required to state to them in an auditor's report and for no oiher purpose. To the fullest extent perniltted by law, we do not accept or assume resw>nsibilAty to anyone oth¢r than the charity and the charity's trustee, for our audit work, for this repo¢ or for the opinions we have fornied. UHY Ros9 Brookes Statutory Auditor Suite I Windrush Court Blacklands Way Abingdon Business Park Abingdon Oxfordshire OX14 ISY Date". Signathre:.. . .. . UHYRoss Brooke is eligible lo act an authtor in t¢Ym¥ ofsection 1212 ofihe Companies Act 2006 14

The Great W¢stern Hospitalg NHS Found¥tion Trust Charil*ble Fumd Statement of Financial Activities for the Year Ended 31 Mar¢h 2021 Note Unrestrlcted Restricted Funds Funds Total Funds 2021 £000 Tolal Funds 2020 £000 £000 IDwme from Donations and Legacies Other Trading activities Incom¢ frorn Investhients Income from Charitable activities 3&4 75 598 673 489 19 28 12 32 29 17 67 Totsl Income 638 737 583 Expenditure on Raising funds Expenditure on Charitable activities Total EIpenditure (39) (43) (82) (182) (310) (492} (22]) (353) (574) (231) (399) (630) 5&6 Net expenditure before investments & transfers 17 146 163 (47) Net gains on investments io Net Movement in Funds 17 146 163 (47) Reconciliation of Funds Total Funds Brought Fonvard 149 3.320 3,469 3,516 Total Funds carried forward 14 166 3.466 3,469 Please r¢fer to note 15 for detailed fund analysis with prior year comparative. Notes on pages 16 10 26 forn] part of th¢se accounts 15

The Great Western Hospitals NHS Foundation Trust Charitable Fund Balance She¢t as at 31 March 2021 Note Unrestricted Reslricted Funds Funds Total Funds 2021 £000 Total Funds 2020 £000 £000 Fixed kn$et$ Investments Total Fixed knets io Curreot Assets Prepayments and debtors Cash and cash equivalents 19 195 108 3,393 127 3.588 136 3.465 12 Total Current Assets 214 3.501 3.715 3.601 Creditors falling due within OT]e year 13 (48) (35) {83) (132) Net Current kn¢ts 166 3,466 3,632 3,469 Totsl Net Assets 166 3,466 3.469 Funds ofthe Charity Unrestricted Income Funds Restricted Income Funds 14 166 166 149 14 3,466 3,466 3,320 Total Funds 166 3,632 Note5 on pages 15 to 26 fonn part of these accounts Signed: Name: Paul Lewis Date: 17 January 2022 16

The Great Western H05pilal$ NHS Foundation Trust Charitable Fund Statement of Cash FloTrvs for ye4r ended 31 March 2021 Total Funds 2021 £000 Total Funds 2020 £000 Cash flows from operating activities: Net cash provided by operating activities 91 (156) Cash flows from investing activities: Dividends and interest from investments Proceeds from the Sale of investments Change in cash and cash equivalents 32 20 (128) 123 Cash and Ch equivalents at l April Cash and cash equiv21ents at 31 March 3.593 3.465 Recon¢iliation of net income to Det cash tlow from operating activities Net income for the reporting period (as per the statement of financial activi¢i¢s) 163 (47) Adjusthients for: Dividends and interest from investments Increase in debtors Increase in creditors (32} (8) (121) 20 (49) 91 Net 5h provided by operating a¢tivili¢s (156) Anatysi5 of cAsh and cash equivalents Cash in hand 3,465 3,593 Tolal ¢Ash and cash ¢quivalents 3,588 3.465 Notes on pag¢s 15 to 26 forni part of these accounts 17

A¢¢ounting Policies Basi8 of preparatio The accounts have been prepared under the historical cost convention, with the exception of investments which are included at their fair value, and the accounting policies have been consistently applied. The financial statements have been prepared in accordance with ihe Statement of Recommended Practtce: Accounting and Reporting by Charilics preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK (FRS102) effective from l January 2015, and applicable UK Accounting Standards (FRS102) and the Charities Act 2011. Th¢ major ndS held in each of these categori¢s are disclosed in nole 14. The Truslee conslders that the are no material uncertainties about the Charity's ability to continue as a going concern. This is due to fact that the majority of expenditure is driven by income, and having cash Teserves of £3,588k at year•end. As at Sep-21, cash levels have remained similar with a decrease of £58k. Excluding funds to b¢ transferred to Oxford University Hospital, the Gash reserves at Sep21 are £984k. There no material un¢ertainti¢8 affecting the current year's financial statements. There are no changes in accounting policy which affect the total retained funds at 31 March 2020 or 2021 or nel expenditure for 2020121. Funds stru¢ture Restricted Funds ar¢ funds. which are to be used in accordance wlth speciftc restri¢tions imposed by the donor. Unrestricted Funds comprise those funds, which the Trustee is free to use for any purpose in furtherance of the charitable objects. The Charity has one Unrestricted Fund being The Great W¢slern Hospitals NHS Foundation Trust Charitsble Fund. All of the major funds are disclosed in note 14. Incoming resources All incoming resources are recognised once the Charity has entitlement to the resources, it Is certain that resources will be received and, the monetary value of in¢oming resources an be Measlld with sufficient reliability. Voluntary Income: incoming resources generated from gifts, donations and any related gift aid. legacies given by the found¢r5. patrons, supporters, th¢ general public and businesses as well as gifts in kind and donated s¢rvices and facilities. Inveslment Income: incoming resources from investment assets, including dividends and interest but excluding realised and unrealised investment gain5 and losses. Incoming resources from legaeies Legacies are accounted for as incoming resources either upon receipt or when receipt is probable. this will be once there h&8 been a grant of probate, the executors have confirnied Ihat there are sufficient assets in the estate after settling liabilities to pay the legacy and 18

all conditions attached to the legacy are within the control of the Charity or have been met. Resources expettded Expenditure is reco8nised when a liability is incued. Grant commitments are recognised when a ¢onstructive obligation arises whi¢h results in 8 payment being unavoidable. Grants are only made to related or third paty NHS Bodies and non-NHS Bodies in furtherance of the Charitable objects of the Funds. A liability for such grants is recognised when approval has been given by the Corporate Trustee. The NHS Bodies have full knowledge of the plans of the Trnstee, therefore a grant approval is taken to ¢ons¢itute a firm intention of paymenL which has been Communicated to the NHS Bodies, and so a liability is recognised. Contra¢tual aSements are recognis¢d as goods and services supplied. Irre¢overable VAT Irrecoverable VAT is charged against ihe category of resources expended for which it was Incurred. Allocalw)D of administrative support and overhead tosts Charges includ¢d wlthin goveman¢¢, administrative support and ov¢rh¢8d costs have been allocated on either.. a dtr¢ct basis and include banking fees and IT software maintenance charges. or: appropriately apportioned based on an estitnate of recharged stsff tim¢ (please see note 5). Following allocation or apportionment. these costs ar¢ th¢Tr divided across the different categories of Charitsble activities iti proportion to totAI spend (as shown ITJ note 6). Expenditure on raising funds Expenditure on raising funds includes all costs Incued by the Charity in order to raise funds for its charitable purposes. This comprises th¢ Costs of all fundraising activities and investment management f¢e5. Fundraising activities include: recharged departmental staff pay costs and expenses incurred in seeking donation5, grants and legacies. organising fundraising evenls" inclusion ITJ charity membership schemes. operdting lotteries and raffles, and. advertising and marketing costs including thoK aswiated with dtrecl mailing appeals. Expenditure on charltable activities Costs of charitable activities comprise all costs incuTrcd in the pursuit of th¢ charitable objects of the Charity. These costs comprise an Apportionment of governance, administrative support and overhead costs as shown in note 5. 19

Governance ¢08ts Govemance costs comprise all ¢osts incurred in the governance of the Charity. These costs include audit charges, legal advice and an apportionment of Committee members recharged pay costs. GoveTnanc¢ costs are included wiihin administrative support and overhead costs and ar¢ apportioned across the different categories of charitable activities in proportion to total spend (see note 5 & 6). Fixed amets investments Inveslments are stated at market valu¢ as at the balance sheet date. The statement of financial activities includes the net gains and losses arising on revaluations and disposals during the year. Realised gains and losses All gains and losses tsken to the Statement of Financial Activities as they arise. R¢altscd gains and losses on investments are calculated #S the difterence between sales proceeds and open market value (purchase date if later). Unr¢alised gains and losses are calculated as the difference between the market value al the year end and the opening market value (or purchase d2t¢ if later). Tax position The Great Western Hospitals NHS Foundation Trust Charilable Fund is considered to pass the lests set out in Paragraph I Schedule 6 Finance Act 2010 and therefore it meets th¢ definition of a charitable trust for UK income tax purposes. Accordingly, the charity is potentially exempt from taxation in re$ct of income or capital gain5 r¢c¢iv¢d within afrgories covered by Part l O Income Tax Act 2007 or Section 256 of the Taxation of Chargeable Gains Act 1992, to the extent that such income or gains are applied exclusively to charitable purposes. Cash flow Statemettt The Charity has prepared the Financial Statevnents vnder FRS 102 and provided a slatement of cash flow. Related Party Transactions The Great Western Hospitals NHS Foundation Twst and Wiltshire Health and Care are the ben¢fi¢iaries of the Charity. The Charity a150 providd fijnding to these bodies for approved expenditure made on behalf of the Charity. This funding amounted to £354,000 (£399.000 2019120) as detail in rAOt¢ 7. Durlng the year none of the members of the bodies Boards of Directors or key management staff or person(s) related to them have und¢rtaken any material transactions with or been beneficiaries of the Charity. Neither the Corporate Trustee nor any members of these organislltions have received honoraria, emoluments or expenses. and have not purchased Trust¢e indemnity insurance. 20

Anatysts of Donations Unrestricted Funds £OOO's Restricted Funds £OOO's 2021 Tot21 £OOO'$ 2020 Total £OOO's Donations from Individuals Voluntary Organisations CoryK)fdte Donations Charitsble Trusts Totsl 37 126 83 19 254 482 163 94 27 258 542 124 134 21 74 353 60 Anatysis of Lega¢ies Unrestricted Restricted Funds Funds 2021 2021 £OOO's £OOO's Total Benefit Are Funds 2021 £OOO's An Individual An Individual An Individual An Individual An Individual An Individual 75 37 75 37 15 Ophthalmology Account Cancer Services Account Great Westem H05Pltal General Haematology Clinical Account Intensive Care General Account Great Western Hospital General 15 Totsl 15 116 131 Unrestricted Restricted Funds Funds 2020 2020 £OOO's £OOO's Total Funds 2020 £OOO's Benefit Area An Individual An Individual An Individual An Individual An Individual An Jndlvidual An Individual An Individual An Individual 70 50 70 50 Wiltshire Community Patients Cardiology Account (Medical) Wiltshir¢ Community Patients Cardiology ArGount (Medical) Great Western Hospltal General Cardlology Account (Medical) Cancer Servlces Account Wiltshire Community Patients Wiltshire Community Patients Total 135 136 In addition, notifications have been received for a further four l¢ga¢ies with a total estimated value of £2.220,000. These have not been included in the legacy income balance at the year- end as Ihey were not deemed measurable or probable. Radiotherapy Capital Appeal is part of the Great Western Hospital Gen¢ral Fund. 21

Allocation ofGovernan¢e, Administrative Support and Overheads Purchase of new Equipment 2021 £OOO's 17 Patients Welfare Staff Research Education & Grants Welfare 2021 £OOO's 17 Total Allocated 2021 £OOO's 2021 £OOO's 2021 £OOO's 38 18 Financial Services Governance Costs IT and other costs Total 26 26 58 Purchase of new equipment 2020 £OOO's 27 12 Patients Welfare Staff Research Education & Grants Welfare 2020 £OOO's Total Allocated 2020 £OOO's 2020 £OOO's 2020 £OOO's 39 17 Financial services Governance costs IT and other costs Total 40 io 57 Expenditure on Charitable Activities The Charity made grants to Great Western Hospttals NHS Foundation Trust and Wiltshire Health and Care in support of a range of charitable activities. Unr¢slricted Funds £OOO's Restricted Funds £OOO's 2021 Total £OOO's 2020 Tolal £OOO's Purchase of new equipment Patients Welfare StatT Education & Welfare Research Grants Governance & Support costs Total 128 21 131 29 135 243 34 61 23 49 310 58 353 57 399 43 Grant Funded Governance & Activity Support costs £OOO's £OOO's 2021 Ttstal £IIOO's 2020 Total £OOO's Purchase of new equipment Patients Welfare Staff Education & Welfa Research Grants 131 29 135 26 157 35 161 283 40 71 26 Totsl 295 58 353 399 22

Analysis of Grants All grants w¢r¢ made to Great Western Hospitals NHS Foundation T$t and Wiltshire Health and Care with the Funds being administered by The Great Western Hospitals NHS Foundation Trust Charitable Fund on behalf of others. Purchase of new equipment 2021 £OOO's Patients W¢lfare Staff Education & Welfare 2021 £OOO's Research Total Grants 2021 £000'5 2021 £OOO's 2021 £OOO's Great Western Hospitals NHS Foundation Trust Wiltshire Health and Care Governan¢¢ & Supp)rt costs Total 131 25 135 291 26 26 157 35 161 353 Purchase of new equipment 2020 £OOO's Patients Welfare Stsff Education & Welfare 2020 Research Total Grants 2020 £OOO's 2020 £OOO's 2020 £OOO's Great Westem Hospitals NHS Foundation Trust Wiltshire Health and Care Governance & Support Costs Total 243 15 l9 61 323 19 57 io 283 40 399 The CoryK)rate Trustee operates a scheme of delegation through which all grant-funded activity is managed by Fund ManageTS, responsible for the day-to-day disbursements of those funds. The total cost of making grants is disclosed in the activity analysis on the face of the Statement of Financial A¢tivities. AD*tysis of Stsff Costs 2021 Total £OOO's 2020 Total £OOO's Salaries & wages Social security costs Pension costs 177 li 15 166 io 13 Total emoluments of stsff 203 189 Number of staff Contracted in year 3.85 3.83 The analysis above represents amounts Charged to ihe Charity for staff employed by the NHS Foundation Trust and work solely on behalf of the Charity. All staff are on standard NHS ternis and condltions and are contracted to work with the Great Westem Hospita15 NHS Foundation Trust. 23

Auditor's Remuneration The Auditor's remuneration was £3.000 in 2020/21 (£3,175 in 2019120} and related solely to th¢ Audit in each financial year, no other work was undertaken. io Fixed Asset Investments Movement in Fixed knet Investment Unrestr1Cd Restricted Funds Funds £OOO's £OOO's 2021 Total £OOO's 2020 Toial £OOO's 20 {20) Market Value Brought Forward L¢ss.' Disposals at carry value Add: Net gain on revaluation Market Value at the 31 Mar¢h li Tot&1 Gross In¢ome from Invlments and Cash on Deposit 2021 Held ID UK Total £OOO's 2020 Held in UK Total £OOO's Quoted Investments: Fix¢d Asset Investments Quoted Investments.. Managed Investment Funds Quoted Investments: COIF Fixed Asset Investments Cash on Deposil: Lloyds Bank Interest Total 32 32 12 Anatysifj of cash and cash equivalents 2021 Totsl 2020 Total £OOO's Natwesi Bank Lloyds Bank Hargreav¢s Lansdown Total 3J66 222 3,465 3,588 3,465 24

13 ADalysis of Current Liabilities Creditor&: Amounts falling due within one year 2021 Total £OOO's 83 2020 Total £OOO's 132 Awruals Total 83 132 Other Creditors and the a¢¢Tu&ls represents monies owed at the year-end by the Charity to a related party Great Westem Hospitsls NHS Foundatlon Trust, for eosts incurred by the NHS Trust on behalf of the Charity in the furth¢rance of ihe Chdrity's objects. 14 Anatysis of Charitable Funds Adjusted In¢oming Resources Transfers Gains Balance as Resources Expended b¢tween C*fwd at 31103120 (inc trnso (inc trnst) funds Losses 31103121 £OOO's £OOO's £O(Kl's £Ol)O's £O(IO's £OOO' 1050892-1 Gen¢rnl Unrestricted 149 99 {82) 166 1050892-2 Medical Seryices 151 31 {35) 147 1050892-3 Surgical Seryices 70 92 (37) 125 10508924 Women & Children's 35 (25) 109 1050892-7 Diagnosli¢ Services 72 57 (36) 93 1050892-8 Re5¢arch 103 (68) 41 1050892-9 Great Western General 2,426 402 (188) 2,640 1050892-13 Swindon Community 12 {10) 1050892-14 & 15 WCHS 387 13 {93) 307 Total 3,469 737 (574) 3,632 25

Adjusted Inwming Resources Transfers Gains BanCe as Resouwes Expended between and C'fwd 31103119 {inc tmso (Tnc trnsfj funds Losse$ 31103120 £OOO's £OOO's £OOO's £OOO's £OOO's £OOO's 1050892-1 General Unrestricted 116 144 (iii) 149 1050892-2 Medical Services 102 82 (33} 151 1050892-3 Surgical Services 53 (29) 70 10508924 Women & Childr¢n's 303 80 (284) 99 1050892-7 Diagnostic Seryices 81 24 (33) 72 1050892-8 Research 76 46 (19) 103 1050892-9 Gteat Western General 2,380 60 (14) 2,426 1050892-13 Swindon Community 12 (5) 12 1050892-14 & 15 WCHS 400 89 (102) 387 Total 3J16 583 (630) 3,469 26

IS. Comparative Figures for the Statement of Financial Activities Tbe Great wter Hospitals NHS Foundatlon Trnst Charitable Fund Statement of Financial Activities for the Year End¢d 31 Mgrch 2020 Not¢ Unreslri¢ted Restrlcted Funds Funds Total Funds 2020 £OlbO's £OOO's £OOO's Income from Donations and Legacies Other Irading activilies Income from Investments Income from Charitable activities 3&4 90 io 399 489 19 43 24 67 Total in¢ome and endowments 144 439 583 Expenditure on Raising funds Expenditure on Charitsbl¢ activities (54) (57) (177) (342) (231) (399) Total Expenditure (iii) (519) (630) Net Income before Investments 33 {80) (47) Net gain on investments io Net Mov¢ment in Funds 33 80 47 Reconcilialion of Funds Total Funds Brought Foard 14 116 3,400 3,516 Total Funds carried forward 149 3,320 3,469 27

Name o(Fund Description, Nature and Purpose of Fund Gr¢at Western Hospitals NHS Foundation Trust Charitable Fund Unrestricted Fund. its purpose being any Charitable purpose(s) relating to the National Health SerYAce. Great Westen) Hospitals NHS Foundation Trust Medical Services Charity Restricted Fund, its purpose being to support services such as Emergency, Cardiology, Care for the Elderly, Respirntory and Stroke Care. Great Western Hospitsls NHS Foundation Trusi Surgical Services Charity, Audiology, Ophthalmology and Urology Restricted Fund, its purpose being to support services such as Trauma and Orthopaedics, Theatre Recovery. Intensive Car¢. Anaesthetics, Pain Relief. Audiology, Ophthalmology and Urology. Great West¢rn Hospitals NHS Foundation Trust Women and Children's Seryices Charity Restricted Fund, its purp(vse being to support services such as Obstetrics, Gynaecology, Paediatrics. and the Special Care Baby Unit. Great Western Hospitals NHS Restricted Fund, its purpos¢ being to support Foundation Trust. Diagnosti¢ Services services such as Phannacy. Haematology, Charity Pathology, Outpatient Clinics and Radiology, which includes th¢ Computerised Axial Tornography Scanner (CD. Bone Densitometer Scanner, Magnetic Resonance Imaging Scanner (MRI). Breast Screening and General X-Ray. Great Westem Hospitals NHS Foundation TrusL Research Charity Restri¢t¢d Fund, its purpose being lo support resear¢h into Gastro Inteslinal, Orthopaedics, Vascular Surgery, Cardiology. ENT and Diabetes. Great Western Hospitals NHS Foundation Trust, General Hospital Charity Restricted Fund, its purpose being for any Charitable Purpose(s) relating to the Great Western Hospitals NHS Foundatffton Trusty principally but not exclusively for the Great Western Hospital General Purpses. Great Western Hospitals NHS Foundation Trust Swindon Community Charitable Fund Restricted FuT]d, its purpose being to support the Health SerYic¢ wholly or mainly for the Services provided within the Swindon Community area. Great Westem Hospitals NHS Foundation Trust Wilishire Commur]ity Health Services Charitable Fund Restrict¢d Fund. ils purpose being to support the Health Service wholly or matnly for the Services provided within the wider Wiltshire Community 28

PRIVATE AND CONFIDENTIAL

The Trustees The Great Western Hospitals NHS Foundation Trust Charitable Fund The Great Western Marlborough Road Swindon Wiltshire SN3 6BB

Our ref: G036A/CW

21 January 2022

Dear Trustees

REPORT TO MANAGEMENT

During the course of our audit for the year ended 31 March 2021, matters arose which we consider should be brought to your attention.

Our tests may not necessarily disclose all errors or irregularities and should not be relied upon to do so. However, if any irregularity did come to our attention during our audit tests, we would, of course, inform you immediately.

We would be grateful if you could enter management’s comments against each point under the "management response" column of the memorandum and return it to us in due course.

We have complied with the Ethical Standards for Auditors and all threats to our independence, as identified to you in our planning communication letter dated 9 October 2021 have been properly addressed through appropriate safeguards. No additional facts or matters have arisen during the course of the audit that we wish to draw to your attention and we confirm that we are independent and able to express an objective opinion on the financial statements.

This report has been prepared for the sole use of the Trustees of The Great Western Hospitals NHS Foundation Trust Charitable Fund and must not be shown to third parties without our prior consent. No responsibilities are accepted by UHY Ross Brooke towards any party acting or refraining from action as a result of this report.

Finally, we would like to express our thanks to all members of the charity's staff who assisted us in carrying out our work.

Yours faithfully

UHY Ross Brooke

SIGNIFICANT MATTERS RELEVANT TO OUR AUDIT FOR THE YEAR ENDED 31 March 2021

Audit approach

There were no changes to our audit approach.

Summary of significant audit findings

Significant risk area identified at planning	Findings and recommendations	Management response
Revenue recognition/Income cut- off	Income found to be allocated to correct periods.
Management override	Matters of judgement discussed with you and treatments agreed.
Going concern/ Covid-19	Budgets reviewed and evidence seen to support going concern assertion.
Opening balances	Opening balances verified to supporting documentation testing

Internal controls

The purpose of the audit was for us to express an opinion on the financial statements. The audit included consideration of internal controls relevant to the preparation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of internal control. Our audit is, therefore, not designed to identify all control weaknesses. No significant weaknesses were noted.

Letter of representation

We have also provided a letter of management representations required in connection with our audit.

Anticipated audit report

We intend to issue an unmodified audit report for the year ended 31 March 2021.

Yours faithfully

UHY Ross Brooke