Trustee Annual Report
Great Western Hospitals NHS Foundation Trust Charitable Fund
Year ending 31 March 2022
1 Foreword
The Corporate Trustee presents the Charitable Funds Annual Report together with the audited financial statements for the year ended 31 March 2022.
The Charity’s Annual Report and Accounts for the year ended 31 March 2022 have been prepared by the Corporate Trustee in accordance with the Charities Act 2011, and the Charities (Accounts and Reports) Regulations 2005. The Charity’s Accounts and Report include all the separately established funds from which The Great Western Hospitals NHS Foundation Trust and Wiltshire Health and Care are the beneficiaries.
The Charitable Funds are registered with the Charity Commission (registration number 1050892) in accordance with the Charities Act 2011.
1.1 Reference and Administrative Details
The group Charity ‘The Great Western Hospitals NHS Foundation Trust Charitable Fund’, registered charity number 1050892, was entered on the Central Register of Charities on 22 November 1995. The group Charity has nine active charities linked to it as detailed in note 13 to the accounts (2020/21: nine); all the linked Charities were formed by registering a Special Trust Deed.
Charitable Funds received by the Charity are accepted, held and administered as funds and property held on trust for purposes relating to the Health Service in accordance with the National Health Service Act 1977 and the National Health Service and Community Care Act 1990, and these funds are held on trust by the Corporate Body.
1.2 Trustee
The Great Western Hospitals NHS Foundation Trust is the Corporate Trustee of the Charitable Funds governed by the law applicable to Trusts, principally the Trustee Act 2000, and the Charities Act 2011.
The NHS Foundation Trust Board devolved responsibility for the on-going management of funds to the Charitable Funds Committee. Minutes of the Charitable Funds Committee are presented to the full Trust Board in order to keep them informed of the decisions being made on their behalf.
The names of those who served as agents to the Corporate Trustee by being members of the Charitable Funds Committee during the financial year were:
Paul Lewis Non-Executive Director & Chair Andy Copestake Non-Executive Director Peter Hill Non-Executive Director Simon Wade Director of Finance & Strategy Claire Thompson Director of Improvement & Partnership
1.3 Charitable Funds Advice to the Board
The Trust Board are advised by the Charitable Funds Committee on all matters relating to Charitable Funds. The Committee must approve all proposed expenditure over £5,000.
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Anne-Marie Howroyd [Assistant Director of Finance] acted as the Principal Officer overseeing the day-to-day financial management and accounting for Charitable Funds during the year.
1.4 Principal Office
Great Western Hospitals NHS Foundation Trust Trust Management The Great Western Hospital Marlborough Road Swindon Wiltshire SN3 6BB
1.5 Principal Professional Advisers
Bankers The Royal Bank of Scotland PLC National Westminster Bank Government Banking Service Branch PO Box 2027, Parklands De Havilland Way Horwich, Bolton BL6 4YU
Independent Examiners Deloitte LLP 3 Rivergate Temple Quay Bristol BS1 6GD
Solicitors Bevan Brittan LLP Kings Orchard 1 Queens Street Bristol BS2 0HQ
2 Structure, Governance and Management
The Charity’s unrestricted fund was established using the model declaration of trust. The restricted funds were separately registered and linked under the parent group Charity. All funds held at the date of registration either formed part of the unrestricted or restricted funds. Subsequent donations and gifts received by the Charity that are attributable to the original funds have been added to those fund balances within the existing charity.
The Corporate Trustee fulfils its legal duty by ensuring that funds 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 staff. The charitable funds available for spending are held within the nine registered charities described in note 13 of the accounts. This includes funds managed on behalf of Wiltshire Health and Care LLP.
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Non-Executive Members of the NHS Foundation Trust 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-Executive Director appointed by the Trust Board; and the Director of Finance & Strategy. 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.
The Trust undertakes induction training for newly appointed members of the Trust Board and Charitable Funds Committee. The induction involves a presentation and a pack of information 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 the Charitable Funds. The Committee is required to:
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a Support the Board in its duty to ensure the Trust has the systems to effectively manage Charitable Funds.
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b Ensure the audit processes performed by both external and internal audit in the area of Charitable Funds effectively deal with the traditional requirements of:
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! True and accurate accounting records;
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! Safeguarding of assets;
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! Compliance with appropriate accounting policies, standards and Charity Law;
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! Detection of fraud and irregularities.
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c Recommend additional policies and procedures to the Board to comply with statutory changes.
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d Review annual financial statements and trustee report prior to submission to the Board.
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e Consider any other matters relating to charitable funds referred to it by the Board.
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f Receive advice from representatives of the other beneficiaries as to how their funds should be expended.
The accounting records and the day-to-day administration of the funds are dealt with by the Finance Department located at The Great Western Hospitals NHS Foundation Trust, The Pierre Simonet Building, V Park Gateway North, Latham Road, Swindon, SN25 4DL.
3 Risk Management
Major risks to which the Charity is exposed have been identified and assessed, with systems being put in place to mitigate those risks. Any risks associated with the Charity are included within the Trust’s risk register. One of the significant risks of the Charity was the risk of a fall in the value of investments, especially equities. The Charitable Funds Committee has since disposed of all investments.
Expenditure is closely monitored; no fund manager is able to expend funds without the request first being checked by the Finance Department who ensure that funds are available. Fund Managers are authorised by the committee to oversee the day-to-day management of such funds within clearly defined spending limits. Income is also monitored to check whether the levels of income are as expected and if not, then spending plans are amended accordingly. In terms of the risks associated with fundraising, it’s now two years on from the start of the coronavirus pandemic and our new normal is establishing itself. Covid-19 has presented challenges never experienced before, but it has also provided a chance to be bold and seize on new opportunities. The fundraising sector as a whole has adapted to meeting the needs of its
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users while changing how it works. Charities have evolved by adapting the way they operate, including doing more virtual activities and working more flexibly.
More recently, government instability, rising inflation, the cost-of-living crisis and the threat of global recession are expected to lead to declines in funding from all income sources in the next financial year. In April 2022 the Charities Aid Foundation surveyed 547 UK Charities to identify concerns, as well as polled members of the public via CAF Bank and an online survey by YouGov. Summary findings included the following:
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! 58% of charity leaders stated that generating income and finding financial stability was one of their three top challenges
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! 86% of charitable organisations are concerned about the effect cost-of-living increases will have on those that depend on their services
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! 59% are concerned that people will not begin or continue to donate to their cause because of the cost-of-living crisis
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! 1.6million less people gave to charity in 2021 than in 2020
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! 14% of people plan to cut back on charity donations in the coming year
However, whilst individual giving may be adversely affected by the cost-of-living crisis, legacy giving is increasing. More people are adding charities to their wills and forecasting models predict that this growth will continue and potentially even accelerate despite perennial world and domestic challenges.
According to Smee & Ford, last year, over 10,500 charities benefitted from gifts in wills – the highest number for a decade. People who are dying now are people who grew up during WWII. The sector is turning its focus on to the baby boomers born who are now in their mid to late 60s with this group representing a key audience for legacy fundraisers. They are significantly more affluent compared to previous generations and have a strong sense of purpose caring about social issues and the future. The opportunity is huge with baby boomers now representing one fifth of the UK population and half of its wealth. Legacy Foresight research suggests a higher propensity to leave a legacy – 14% of core boomers claim to have done so already with 40% open to the idea.
For Brighter Futures we will prioritise activities that have the biggest impact using data to support those decisions. We will also focus more of our communications on how donations are being spent and the positive impact they create.
4 Partnership Working
The Great Western Hospitals NHS Foundation Trust is the main beneficiary of the Charity and is a related party by virtue of being the Corporate Trustee. By working 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 of the Charitable Funds, the Corporate Trustee takes into consideration the 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.
Additionally, during the 2021-22 financial year, a £2.3m funding transfer was made to Oxford University Hospitals NHS Foundation Trust as agreed by both parties. This is part of the £2.5m Radiotherapy appeal monies successfully raised in previous years on behalf of OUH to purchase key clinical equipment for use in the new Radiotherapy Centre built on the Great
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Western Hospital site. A major proportion of this funding is to be used to purchase a Linear Accelerator (LINAC) machine used for radiation therapy in the treatment of cancer patients. The remaining appeal balance was transferred directly from the donor to OUH.
5 Objectives and Strategy for the Public Benefit
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 be permissible, the capital, for any charitable purpose or purposes relating to the National Health Service (hereinafter referred to as “the objects”).
The Charitable Funds Committee has agreed the following Strategic Aims:
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a To enhance the environment for staff and patients, in which health services can be delivered effectively.
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b To enable staff and carers caring for patients to benefit from education and facilities not normally available within the NHS resource envelope.
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c To donate additional equipment and staffing to the Trust and other beneficiaries over and above the NHS resource envelope.
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d 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 when deciding on the suitability of a proposed project and their fulfilment would not be possible without the support of patients, carers, staff, the local community, voluntary organisations, and local businesses of the Trust and Wiltshire Health and Care.
The trustee has referred to the guidance contained in the Charity Commission’s general guidance on public benefit when reviewing the Trust’s aims and objectives and in planning future activities. All Charities are also required by the Charity Commission to demonstrate how they pass the ‘public benefit test’.
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! There must be an identifiable benefit;
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! The benefit must be to the public or a section of the public.
The Charity’s objects and activities are considered when cases are made for expenditure or when fundraising, to ensure that the patients, relatives and staff of the NHS Trust are benefited either directly or indirectly by the work of the Charity.
In general, spending directly benefits patients with the provision of new equipment, facilities and a better trained workforce, all of which contribute to enhanced care. Staff or relatives benefit from improved skills and facilities also enabling the delivery of better care.
6 Annual Review: Our Activities
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 effort to fundraise for our Hospital and Community Health Service. This generosity has enabled the purchase of new equipment and enhanced facilities which have directly benefitted both our patients and staff. In addition, this has enabled nursing, medical and support staff to attend courses and share new ideas leading to improved care. Grant funded purchases were varied and provided quality enhancements not normally available within the NHS resource envelope.
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Donations that come into the Hospital are placed into a range of funds which are designated for specific areas of work or wards within the Trust, with some donations held in a General Fund. The Great Western Hospital 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 developments 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. Total Charity income generated for the financial year 2021/22 was £658,000 of which £195,000 was from grant funding. Notable restricted fundraising appeals include: £151,000 raised for the CT Scanner Appeal into the Cancer Service Development Fund; £28,000 raised for the Dementia Appeal; £27,000 for the Great Western Hospitals Wellbeing Garden Appeal, and; £73,000 to the Way Forward Appeal. With an additional £73,000 of unrestricted funds generated for the Great Western Hospitals General Fund.
A number of income streams have been used to generate funds including corporate fundraising, applications to other Charitable Trusts and Foundations, a mix of both physical and virtual sponsored events, support from community fundraisers, mailing appeals and promoting legacies or donations in memory of a loved one or in celebration of an occasion. Specific fundraising events organised during 2021/22 included a superhero fun-run, charity abseil, staff team fitness competition, a Christmas themed fun-run, and a Christmas raffle. These initiatives have effectively raised the profile of the Charity and significantly contributed to the total incoming resources to 31 March 2022.
7 Grant Making Policy
Grants are awarded on a case-by-case basis judged on how well they support the strategic aims of the Charity in accordance with donor restrictions. The intended use of the grant must be cost effective and enhance the service or facilities provided for staff and patients, beyond that which is normally provided, in order to improve standards of care and patient experience.
The Corporate Trustee operates a scheme of delegation through which all grants can only be awarded by those members with the necessary authority to do so. In cases where the grant is intended for employing staff or is above the predefined limit of five thousand pounds the award decision must be taken by the Charitable Funds Committee. 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 elements:
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a) The Registered Restricted 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 may be used principally for the benefit of patients and staff at the Great Western Hospital and within the wider Wiltshire community areas.
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b) Other Registered Restricted Funds: These funds have been donated to a particular speciality, ward or purpose. The surgical services fund is an example of such a fund. Fund managers that have been authorised by the committee, oversee the day-to-day management of such funds, within clearly defined spending limits.
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All grants, with the exception of those related to Wiltshire Health & Care Charitable Funds and the Radiotherapy Appeal funding transfer to Oxford University Hospitals Foundation Trust, are made to Great Western Hospitals NHS Foundation Trust, with the Funds being administered by The Great Western Hospitals NHS Foundation Trust Charitable Fund. Grants relating to Wiltshire Health & Care Charitable Funds are administered by a committee within Wiltshire Health & Care and subsequently ratified by the Trust Charitable Funds Committee.
8 Reserves Policy
Free reserves are that part of the Charity’s unrestricted funds as defined by the Trustee and are those that are available to utilise on activities for the benefit of the public in furtherance of the Charity’s objectives, but which are not yet designated for a specific purpose. The total free reserves as at 31 March 2022 was £130,000 compared with £166,000 for the year ending 31 March 2021 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 normal expenditure and the available cash balance. This is considered to be an appropriate timeframe in which to source alternative funding streams and the policy is reviewed regularly in light of any new opportunities. This level of reserves meets the needs of the Charity and enables the Trustee to consider applications for funding as and when they arise.
Free reserves are higher than the identified required level, but the Charity has approved funding for various longer-term projects during the year which are designated but not spent as at 31 March 2022.
The Corporate Trustee is aware that funds should be spent on charitable activities within a reasonable period of time and, through the Charitable Funds Committee, ensures that funds are spent and not saved unless a fund manager has a specific purpose for which they wish to save and have received permission from the Committee to do so.
9 Future Plans
In 2019 the Great Western NHS Foundation Trust launched its 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 ultimate goal is to join up care for patients to improve their outcomes, keep people well for longer and do it with care and compassion, ensuring that by working together the local NHS is greater than the sum of its parts.
The charity enables the Great Western NHS Foundation Trust to realise patient benefit much sooner by: enhancing the environment for patients and staff in which health services can be delivered; enabling carers and staff caring for patients to benefit from education and facilities not normally available within the NHS funding, and; providing additional equipment and staffing to the Trust above the NHS funding envelope.
In future years the charity will continue to support the Great Western Hospitals NHS Foundation Trust and focus on its key strategic priorities. The Way Forward Appeal will be the main fundraising priority for the next five years. It offers opportunities for the charity to fund facilities and equipment over and above the NHS funding envelope which will improve patient experience, including quality, safety and patient outcomes.
The Way Forward project will deliver key aspects of the Trust’s strategy, particularly using funding wisely to provide a stronger foundation to support sustainable improvements in the
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quality of patient care. The key message of the appeal will focus on how the planned hospital developments will build more integrated, streamlined and efficient models of care which will provide an effective balance of urgent and longer-term services to meet the needs of the rapidly growing and ageing local population across Swindon and North Wiltshire. The programme of work is split over three phases.
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! Phase 1: Urgent Treatment Centre – a new urgent treatment centre that boasts a single urgent and emergency care reception supported by a clinical navigator who signposts patients to the most appropriate service on arrival.
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! Phase 2: Integrated Front Door – a new modern environment which co locates an expanded emergency department, paediatrics and adults surgical and medical assessment units bringing expertise from every discipline across the urgent and emergency care services together to ensure every patient receives the best quality care.
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! Phase 3: Integrated Rehabilitation Facility – A centre of excellence providing dedicated and structured tailored rehabilitation plans in an environment made up of open plan spaces, large living areas, smaller bedrooms, communal dining areas and green outside spaces.
10 A Review of our Finances, Achievements and Performance
The total net assets of the Charitable Funds as at 31 March 2022 were £1,029,000 compared with £3,632,000 as at 31 March 2021. Overall net assets decreased by £2,603,000 due to overall net outgoing resources of £2,603,000.
The Charity continues to rely on donations, legacies and investment income as its main sources of income, representing 89.0% of total income in 2021/22 compared with 96.0% in 2020/21.
Of the £3,261,000 total expenditure in 2021/22, compared with £574,000 in 2020/21, charitable expenditure on direct charitable activity (including support costs) was £2,685,000 compared with £353,000 in 2020/21 and this was distributed over a number of categories of expenditure.
11 Purchase of New Equipment
The total donated expenditure on new equipment for the beneficiaries excluding support costs was £2,382,000; this represents a considerable contribution to enhancing patient care.
| Donated Expenditure on New Equipment Radiotherapy Linear Accelerator (OUH) Staff room refurbishment Mensio Cardiac Imaging Software Furniture items incl tables & seating Premature baby warmer mattress Breast pumps & milk warmers Helivac Trolley IT equipment - tablets & phones Other smaller items of medical equipment Vyntus Walk Tablet for diagnostic testing Electrical appliances for rest areas TOTAL |
£'000 2,292 24 16 10 9 9 8 5 4 3 2 |
|---|---|
| 2,382 |
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12 Patients Welfare
The total donated expenditure excluding support costs on patients’ welfare was £42,000.
| Donated Expenditure on Patients Mother & Baby Courtyard Garden Therapy items & activities Little Journey Application Time Lapse Photography Christmas gifts & hospitality Educational materials Other smaller items TOTAL |
£'000 27 6 4 2 1 1 1 |
|---|---|
| 42 |
13 Staff Education and Welfare
The total donated expenditure on staff education and welfare excluding support costs was £204,000.
| Donated Expenditure on Staff Memorial Garden Inclusion, Diversity & Equality Lead Great West Fest - staff reward event Hospitality & refreshments Recognition awards & thank you gifts/vouchers Schwartz rounds - staff support Trauma Risk Management (TRiM) training Other training courses & conferences Educational materials & training aids Mental Health First Aid training Yoga & Pilates sessions Other smaller items TOTAL |
£'000 84 39 18 15 11 10 9 7 4 3 2 2 |
|---|---|
| 204 |
14 Research Grants
The Trust’s Ethics Committee sanctions all expenditure on research and patient studies. The Charity also seeks advice from the Trust’s Research and Development Department before any grants are made for these purposes. The total donated expenditure on Research was nil.
15 Performance Management
The Charity does not employ any staff but Great Western Hospitals NHS Foundation Trust provides accounting and administration services. From 2012 the Trust has employed an Associate Director of Fundraising who is responsible for raising the profile of the 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 forward.
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The Charity requires Fund Managers to supply the Charitable Funds Committee with spending plans and, at each committee meeting, the Committee receive updates on individual fund balances which they scrutinise closely. The Committee 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 Managers have requested permission to save funds for a specific project, the Committee requires them to produce progress updates where appropriate.
16 Investment Policy
The Corporate Trustee has determined the investment policy, in so far is reasonable, to avoid undue risk to the real value of the capital and income of the portfolio after allowing for inflation. Due to the on-going economic uncertainty and very low interest rates the Corporate Trustee has prioritised securing funds over investing for returns. All remaining investments were converted into cash in the prior financial year to facilitate the funding transfer to Oxford University Hospitals NHS Foundation Trust during 2021/22.
In addition, the Charity has a Government Banking Service (GBS) bank account to ensure the maximum level of safeguarding and balance protection.
When economic uncertainty reduces adequately, funds may be invested short-term in a fivestar Charity Account or longer term in equities and bonds. This position is regularly monitored with investment policy reviewed annually by the Charitable Funds Committee.
On behalf of staff and patients who have benefited from improved services due to the receipt of donations and legacies, the Corporate Trustee would like to thank all of those who have made charitable donations.
Approved on behalf of the Corporate Trustee
Chair of the Charitable Funds Committee…………………… Date: 31 January 2023
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Statement of Trustee responsibilities in respect of the Trustee annual report and the financial statements
Under the trust deed and rules of the charity and charity law, the trustee is responsible for preparing the Trustee Annual Report and the financial statements in accordance 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 Standard applicable in the UK and Republic of Ireland.
The financial statements are required by law to give a true and fair view of the state of affairs of the charity and of the excess of expenditure over income for that period.
In preparing these financial statements, generally accepted accounting practice entails that the trustee:
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! select suitable accounting policies and then apply them consistently;
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! make 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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! state whether the financial statements comply with the trust deed and rules, subject to any material departures disclosed and explained in the financial statements; and
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! assess the charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern; and
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! use the going concern basis of accounting unless they either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so.
The trustee is required to act in accordance with the trust deed and the rules of the charity, within the framework 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 trustee to ensure that, where any statements of accounts are prepared by them under section 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 trustee is 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 Trustee
Chairperson ......................................... Date: 31 January 2023 Charity Committee member ......................................... Date: 31 January 2023
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INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES OF THE GREAT WESTERN H05FITALS NHS FOUNDATION TRUST CHARITABLE FUND I report to the trustees on my examination of the accounts of The Great Western Hospital NHS Founclation Charitable Fund I'the Charity") for the year ended 31 March 2022 which comprise the income and expenditure account, the balance sheet and the related notes. This report is made solely to the charity's trustees, as a body, in accordance with section 145 of the Chartties Act 2011 and regulations made under section 154 of that Act. My work has been undertaken so that I might stale to the charity's trustees those matters l am required to state to them in an independent examiner's report and for no other purpose. To the fullest extent permitted by law, I do not accept or assume responsibility to anyone other than the charity and the charity's trustees as a body, for my work, for this report, or for the opinions I have formed. Responsibilities and basis of report As the charity's trugtees you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 20111"the 2011 Act"). You are satisfied that your charity is not required by charity law to be audited and have chosen instead to have an independent examination. I report in respect of my examination of your charity's accounts as carried out under section 145 of the 2011 Act. In carrying out my examination I have followed the applicable Directions given by the Charity Commission under section 14515llbl of the 2011 Act. Independent examiner's statement I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination giving me cause to believe that in any material respect.. accounting records were not kept in respect of the Trust as required by section 130 of the 2011 Act,. or the accounts do not accord with those records,. or the accounts do not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reportsl Regulations 2008 other than any requirement that the accounts give a 'true and fair view, which is not a matter considered as part of an independent examination I have no conrnS and have come across no other matters in connection with the eMinatIon to which attention should be drawn in this report in order to enable a protEr understanding of the accounts to be reached. Michelle Hopton, FCA for and on behalf of Deloitte LLP Bristol, United Kingdom 31 January 2023 12
The Great Western Hospitals NHS Foundation Trust Charitable Fund Statement of Financial Activities for the Year Ended 31 March 2022
| Note | Unrestricted | Restricted | Total | Unrestricted | Restricted | Total | |
|---|---|---|---|---|---|---|---|
| Funds | Funds | Funds | Funds | Funds | Funds | ||
| 2022 | 2022 | 2022 | 2021 | 2021 | 2021 | ||
| £000 | £000 | £000 | £000 | £000 | £000 | ||
| Income from | |||||||
| Donations and Legacies | 3 & 4 | 87 | 467 | 554 | 75 | 598 | 673 |
| Other Grants Receivable | - | 30 | 30 | - | - | - | |
| Other Trading activities | 8 | - | 8 | 3 | - | 3 | |
| Income from Investments | 10 | - | 1 | 1 | 4 | 28 | 32 |
| Income from Charitable | 31 | 34 | 65 | 17 | 12 | 29 | |
| activities | |||||||
| Total Income | 126 | 532 | 658 | 99 | 638 | 737 | |
| Expenditure on Raising | (34) | (186) | (220) | (39) | (182) | (221) | |
| funds | |||||||
| Expenditure on | 5 & 6 | (80) | (2,605) | (2,685) | (43) | (310) | (353) |
| Charitable activities | |||||||
| Other Grants Payable | - | (356) | (356) | - | - | - | |
| Total Expenditure | (114) | (3,147) | (3,261) | (82) | (492) | (574) | |
| Net expenditure before investments & transfers |
12 | (2,615) | (2,603) | 17 | 146 | 163 | |
| Net gains on investments | - | - | - | - | - | - | |
| Transfers between funds | (48) | 48 | - | - | - | - | |
| Net Movement in Funds | (36) | (2,567) | (2,603) | 17 | 146 | 163 | |
| Reconciliation of Funds | |||||||
| Total Funds Brought | |||||||
| Forward | 166 | 3,466 | 3,632 | 149 | 3,320 | 3,469 | |
| Total Funds carried | 13 | 130 | 899 | 1,029 | 166 | 3,466 | 3,632 |
| forward |
Please refer to note 13 for detailed fund analysis.
Notes on pages 16 to 25 form part of these accounts
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The Great Western Hospitals NHS Foundation Trust Charitable Fund Balance Sheet as at 31 March 2022
| Note Fixed Assets Current Assets Prepayments and debtors Cash and cash equivalents 11 Total Current Assets Creditors falling due within one year 12 Net Current Assets Total Net Assets Funds of the Charity Unrestricted Income Funds Restricted Income Funds 13 Total Funds |
Unrestricted Funds £000 Restricted Funds £000 Total Funds 2022 £000 Unrestricted Funds 2021 £000 Restricted Funds 2021 £000 Total Funds 2021 £000 6 111 117 19 108 127 126 1,186 1,312 195 3,393 3,588 |
|---|---|
| 132 1,297 1,429 214 3501 3,715 (2) (398) (400) (48) (35) (83) |
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| 130 899 1,029 166 3,466 3,632 |
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| 130 899 1,029 166 3,466 3,632 |
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| 130 - 130 166 - 166 - 899 899 - 3,466 3,466 |
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| 130 899 1,029 166 3,466 3,632 |
Notes on pages 16 to 25 form part of these accounts
Signed:
Name: Paul Lewis
Date: 31 January 2023
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The Great Western Hospitals NHS Foundation Trust Charitable Fund Statement of Cash Flows for year ended 31 March 2022
| Cash flows from operating activities: Net cash provided by operating activities Cash flows from investing activities: Dividends and interest from investments Proceeds from the sale of investments Change in cash and cash equivalents Cash and cash equivalents at 1 April Cash and cash equivalents at 31 March Reconciliation of net income to net cash flow from operating activities Net income for the reporting period (as per the statement of financial activities) Adjustments for: Dividends and interest from investments Increase in debtors Increase in creditors Net cash provided by operating activities Analysis of cash and cash equivalents Cash in hand Total cash and cash equivalents |
Total Funds 2022 £000 Total Funds 2021 £000 (2,277) 91 1 - 32 - |
|---|---|
| (2,276) 123 3,588 3,465 |
|
| 1,312 3,588 |
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| (2,603) 163 (1) (32) 10 9 317 (49) |
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| (2,277) 91 1,312 3,588 |
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| 1,312 3,588 |
Notes on pages 16 to 25 form part of these accounts
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1 Accounting Policies
a Basis of preparation
The accounts have been prepared under the historical cost convention, with 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 the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK (FRS102) effective from 1 January 2015, and applicable UK Accounting Standards (FRS102) and the Charities Act 2011. The major funds held in each of these categories are disclosed in note 13.
The Trustee considers that there are no material uncertainties about the Charity’s ability to continue as a going concern. This is because the majority of expenditure is dependent on income and given that cash reserves were £1,312k at year-end. As at 30th November 2022, cash levels have remained broadly similar with an increase of £187,000.
There are no material uncertainties for at least 12 months from the date of signing the financial statements. There are no changes in accounting policy which affect the total retained funds at 31 March 2022 or 2021 or net expenditure for 2021/22.
b Funds structure
Restricted Funds are funds, which are to be used in accordance with specific restrictions 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 Western Hospitals NHS Foundation Trust Charitable Fund.
All of the major funds are disclosed in note 13.
c
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 incoming resources can be measured with sufficient reliability.
-
! Voluntary Income: incoming resources generated from gifts, donations and any related gift aid, legacies given by the founders, patrons, supporters, the general public and businesses as well as gifts in kind and donated services and facilities.
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! Investment Income: incoming resources from investment assets, including dividends and interest but excluding realised and unrealised investment gains and losses.
d
Incoming resources from legacies
Legacies are accounted for as incoming resources either upon receipt or when receipt is probable; this will be once there has been a grant of probate, the executors have confirmed that there are sufficient assets in the estate after settling liabilities to pay the
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legacy and all conditions attached to the legacy are within the control of the Charity or have been met.
e
Resources expended
Expenditure is recognised when a liability is incurred. Grant commitments are recognised when a constructive obligation arises which results in a payment being unavoidable.
Grants are only made to related or third-party 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 Trustee, therefore a grant approval is taken to constitute a firm intention of payment, which has been communicated to the NHS Bodies, and so a liability is recognised.
Contractual arrangements are recognised as goods and services supplied.
f Irrecoverable VAT
Irrecoverable VAT is charged against the category of resources expended for which it was incurred.
g Allocation of administrative support and overhead costs
Charges included within governance, administrative support and overhead costs have been allocated on either:
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! a direct basis and include banking fees and IT software maintenance charges, or;
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! appropriately apportioned based on an estimate of recharged staff time (please see note 5).
Following allocation or apportionment, these costs are then divided across the different categories of Charitable activities in proportion to total spend (as shown in note 6).
h Expenditure on raising funds
Expenditure on raising funds includes all costs incurred by the Charity in order to raise funds for its charitable purposes. This comprises the costs of all fundraising activities and investment management fees.
Fundraising activities include: recharged departmental staff pay costs and expenses incurred in seeking donations, grants and legacies; organising fundraising events; inclusion in charity membership schemes; operating lotteries and raffles, and; advertising and marketing costs including those associated with direct mailing appeals.
i
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 an apportionment of governance, administrative support and overhead costs as shown in note 5.
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j Governance costs
Governance costs comprise all costs incurred in the governance of the Charity. These costs include audit charges, legal advice and an apportionment of Committee members recharged pay costs. Governance costs are included within administrative support and overhead costs and are apportioned across the different categories of charitable activities in proportion to total spend (see note 5 & 6).
k Fixed assets investments
Investments are stated at market value 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.
l Realised gains and losses
All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and open market value (purchase date if later). Unrealised gains and losses are calculated as the difference between the market value at the year end and the opening market value (or purchase date if later).
m Tax position
The Great Western Hospitals NHS Foundation Trust Charitable Fund is considered to pass the tests set out in Paragraph 1 Schedule 6 Finance Act 2010 and therefore it meets the definition of a charitable trust for UK income tax purposes. Accordingly, the charity is potentially exempt from taxation in respect of income or capital gains received within categories covered by Part 10 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.
n Cash flow statement
The Charity has prepared the Financial Statements under FRS 102 and provided a statement of cash flow.
2 Related Party Transactions
The Great Western Hospitals NHS Foundation Trust and Wiltshire Health and Care are the beneficiaries of the Charity. The Charity provided funding to these bodies for approved expenditure made on behalf of the Charity. In addition, funding was transferred to Oxford University Hospital NHS Foundation Trust to purchase key clinical equipment for the new Radiotherapy Centre. The overall total funding in 2021/22 amounted to £2,685,000 (£353,000 2020/21) as detailed in note 7.
During the year none of the members of the bodies Boards of Directors or key management staff or person(s) related to them have undertaken any material transactions with or been beneficiaries of the Charity. Neither the Corporate Trustee nor any members of these organisations have received honoraria, emoluments or expenses, and have not purchased Trustee indemnity insurance.
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3 Analysis of Donations
| Donations from Individuals Voluntary Organisations Corporate Donations Charitable Trusts Total Donations from Individuals Voluntary Organisations Corporate Donations Charitable Trusts Total |
Unrestricted Funds 2022 £000’s Restricted Funds 2022 £000’s Total Funds 2022 £000’s 46 110 156 7 36 43 12 51 63 2 180 182 |
|---|---|
| 67 377 444 |
|
| Unrestricted Funds 2021 £000’s Restricted Funds 2021 £000’s Total Funds 2021 £000’s 37 126 163 11 83 94 8 19 27 4 254 258 |
|
| 60 483 542 |
4 Analysis of Legacies
| An Individual An Individual An Individual An Individual An Individual An Individual Total |
Unrestricted Funds 2022 £000’s Restricted Funds 2022 £000’s Total Funds 2022 £000’s Benefit Area - - 20 50 33 - 50 33 20 Cancer Development Account Intensive Care Unit Account Great Western Hospital General - - - 5 1 1 5 1 1 Dementia Appeal Account Rheumatology Account Audiology/ENT Account 20 90 110 |
|---|---|
| An Individual An Individual An Individual An Individual An Individual An Individual Total |
Unrestricted Funds 2021 £000’s Restricted Funds 2021 £000’s Total Funds 2021 £000’s Benefit Area - 75 75 Ophthalmology Account - 15 - - - 37 - 2 1 1 37 15 2 1 1 Cancer Services Account Great Western Hospital General Haematology Clinical Account Intensive Care General Account Great Western Hospital General 15 116 131 |
|---|---|
In addition, notifications have been received for a further two legacies with a total estimated value of £2,220,000. These have not been included in the legacy income balance at the year-end as they were not deemed measurable or probable.
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5 Allocation of Governance, Administrative Support and Overheads
| Financial services Governance costs IT and other costs Total Financial services Governance costs IT and other costs Total |
Purchase of new Equipment 2022 £000’s Patients Welfare 2022 £000’s Staff Education & Welfare 2022 £000’s Research Grants 2022 £000’s Total Allocated 2022 £000’s 33 16 3 1 - - 3 1 - - - - 37 17 3 |
|---|---|
| 52 1 4 - 57 |
|
| Purchase of new equipment 2021 £000’s Patients Welfare 2021 £000’s Staff Education & Welfare 2021 £000’s Research Grants 2021 £000’s Total Allocated 2021 £000’s 17 8 1 4 2 - 17 8 1 - - - 38 18 2 |
|
| 26 6 26 - 58 |
6 Expenditure on Charitable Activities
The Charity made grants to Great Western Hospitals NHS Foundation Trust and Wiltshire Health and Care in support of a range of charitable activities.
| Purchase of new equipment Patients Welfare Staff Education & Welfare Research Grants Governance & Support costs Total Purchase of new equipment Patients Welfare Staff Education & Welfare Research Grants Governance & Support costs Total |
Unrestricted Funds 2022 £000’s Restricted Funds 2022 £000’s Total Funds 2022 £000’s 8 2,374 2,382 16 26 42 51 153 204 - 5 - 52 - 57 |
|---|---|
| 80 2,605 2,685 |
|
| Unrestricted Funds 2021 £000’s Restricted Funds 2021 £000’s Total Funds 2021 £000’s 3 128 131 8 21 29 23 112 135 - 9 - 49 - 58 |
|
| 43 310 353 |
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| Purchase of new equipment Patients Welfare Staff Education & Welfare Research Grants Total Purchase of new equipment Patients Welfare Staff Education & Welfare Research Grants Total |
Grant Funded Activity 2022 £000’s Governance & Support costs 2022 £000’s Total Funds 2022 £000’s 2,382 52 2,434 42 1 43 204 4 208 - - - |
|---|---|
| 2,628 57 2,685 |
|
| Grant Funded Activity 2021 £000’s Governance & Support costs 2021 £000’s Total Funds 2021 £000’s 131 26 157 29 6 35 135 26 161 - - - |
|
| 295 58 353 |
7 Analysis of Grants
All grants were made to Great Western Hospitals NHS Foundation Trust, Wiltshire Health and Care and Oxford University Hospital NHS Foundation Trust with the funds being administered by The Great Western Hospitals NHS Foundation Trust Charitable Fund on behalf of others.
| Oxford University Hospitals NHS Foundation Trust Great Western Hospitals NHS Foundation Trust Wiltshire Health and Care Governance & Support costs Total |
Purchase of new equipment 2022 £000’s Patients Welfare 2022 £000’s Staff Education & Welfare 2022 £000’s Research Grants 2022 £000’s Total 2022 £000’s 2,292 91 - - 44 - - 195 6 - - - 2,292 330 6 52 1 4 - 57 |
|---|---|
| 2,435 45 205 - 2,685 |
| Great Western Hospitals NHS Foundation Trust Wiltshire Health and Care Governance & Support costs Total |
Purchase of new equipment 2021 £000’s Patients Welfare 2021 £000’s Staff Education & Welfare 2021 £000’s Research Grants 2021 £000’s Total 2021 £000’s 131 - 25 4 135 - - - 291 4 26 6 26 - 58 |
|---|---|
| 157 35 161 - 353 |
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The Corporate Trustee operates a scheme of delegation through which all grant-funded activity is managed by Fund Managers, 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 Activities.
8 Analysis of Staff Costs
| nalysis of Staff Costs | |
|---|---|
| Salaries & wages Social security costs Pension costs Total emoluments of staff Number of staff contracted in year |
2022 Total £000’s 2021 Total £000’s 194 11 16 177 11 15 |
| 221 203 |
|
| 4.19 3.85 |
The analysis above represents amounts charged to the Charity for staff employed by the NHS Foundation Trust and work solely on behalf of the Charity. All staff are on standard NHS terms and conditions and are contracted to work with the Great Western Hospitals NHS Foundation Trust.
9 Auditor’s Remuneration
The Auditor’s remuneration was £6,850 in 2021/22 (£3,175 in 2020/21) and related solely to the Audit in each financial year, no other work was undertaken.
10 Total Gross Income from Investments and Cash on Deposit
| Cash on Deposit: Bank Interest Total nalysis of cash and cash equivalents NatWest Bank Lloyds Bank Total |
2022 Held in UK Total £000’s 2021 Held in UK Total £000’s 1 32 |
|
|---|---|---|
| 1 32 |
||
| 2022 Total £000’s 2021 Total £000’s 1,322 - 3,366 222 |
||
| 1,322 3,588 |
11 Analysis of cash and cash equivalents
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12 Analysis of Current Liabilities
| Creditors: Amounts falling due within one year Great Western Hospitals NHS FT Accrual Oxford University Hospitals NHS FT Accrual Total |
2022 Total £000’s 2021 Total £000’s 44 356 83 - |
|---|---|
| 400 83 |
The creditor accrual represents monies owed at the year-end by the Charity to related parties: to Great Western Hospitals NHS Foundation Trust for costs incurred by the NHS Trust on behalf of the Charity in the furtherance of the Charity’s objects, and; to Oxford University Hospitals NHS Foundation Trust as the balance of the CT Scanner appeal funding due to be transferred during 2022/23.
13 Analysis of Charitable Funds
| 1050892-1 General Unrestricted 1050892-2 Medical Services 1050892-3 Surgical Services 1050892-4 Women & Children’s 1050892-7 Diagnostic Services 1050892-8 Research 1050892-9 Great Western General 1050892-13 Swindon Community 1050892-14 & 15 WCHS Total |
Adjusted Balance as at 31/03/21 £000’s Incoming Resources (inc trnsf) £000’s Resources Expended (inc trnsf) £000’s Transfers between funds £000’s Gains and Losses £000’s Fund C’fwd 31/03/22 £000’s 166 126 (114) (48) - 130 147 40 (56) - - 131 125 72 (48) - - 149 109 43 (57) - - 95 93 13 (32) (33) - 41 41 31 (31) - - 41 2,640 326 (2,903) 81 - 144 4 6 (3) - - 7 307 1 (17) - - 291 |
|---|---|
| 3,632 658 (3,261) - - 1,029 |
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| 1050892-1 General Unrestricted 1050892-2 Medical Services 1050892-3 Surgical Services 1050892-4 Women & Children’s 1050892-7 Diagnostic Services 1050892-8 Research 1050892-9 Great Western General 1050892-13 Swindon Community 1050892-14 & 15 WCHS Total |
Adjusted Balance as at 31/03/20 £000’s Incoming Resources (inc trnsf) £000’s Resources Expended (inc trnsf) £000’s Transfers between funds £000’s Gains and Losses £000’s Fund C’fwd 31/03/21 £000’s 149 99 (82) - - 166 151 31 (35) - - 147 70 92 (37) - - 125 99 35 (25) - - 109 72 57 (36) - - 93 103 6 (68) - - 41 2,426 402 (188) - - 2,640 12 2 (10) - - 4 387 13 (93) - - 307 |
|---|---|
| 3,469 737 (574) - - 3,632 |
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Description, Nature and Purpose of Fund
Name of Fund
Great Western Hospitals NHS Foundation Trust Charitable Fund
Great Western Hospitals NHS Foundation Trust Medical Services Charity
Great Western Hospitals NHS Foundation Trust Surgical Services Charity, Audiology, Ophthalmology and Urology
Great Western Hospitals NHS Foundation Trust Women and Children’s Services Charity
Great Western Hospitals NHS Foundation Trust, Diagnostic Services Charity
Great Western Hospitals NHS Foundation Trust, Research Charity
Great Western Hospitals NHS Foundation Trust, General Hospital Charity
Great Western Hospitals NHS Foundation Trust Swindon Community Charitable Fund
Great Western Hospitals NHS Foundation Trust Wiltshire Community Health Services Charitable Fund
Unrestricted Fund, its purpose being any Charitable purpose(s) relating to the National Health Service.
Restricted Fund, its purpose being to support services such as Emergency, Cardiology, Care for the Elderly, Respiratory and Stroke Care.
Restricted Fund, its purpose being to support services such as Trauma and Orthopaedics, Theatre Recovery, Intensive Care, Anaesthetics, Pain Relief, Audiology, Ophthalmology and Urology.
Restricted Fund, its purpose being to support services such as Obstetrics, Gynaecology, Paediatrics, and the Special Care Baby Unit.
Restricted Fund, its purpose being to support services such as Pharmacy, Haematology, Pathology, Outpatient Clinics and Radiology, which includes the Computerised Axial Tomography Scanner (CT), Bone Densitometer Scanner, Magnetic Resonance Imaging Scanner (MRI), Breast Screening and General X-Ray.
Restricted Fund, its purpose being to support research into Gastro-intestinal, Orthopaedics, Vascular Surgery, Cardiology, ENT and Diabetes.
Restricted Fund, its purpose being for any Charitable Purpose(s) relating to the Great Western Hospitals NHS Foundation Trust, principally but not exclusively for the Great Western Hospital General Purposes.
Restricted Fund, its purpose being to support the Health Service wholly or mainly for the Services provided within the Swindon Community area.
Restricted Fund, its purpose being to support the Health Service wholly or mainly for the Services provided within the wider Wiltshire Community Area.
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