Trustee Annual Report Great Western Hospitals NHS Foundation Trust Charitable Fund and Other Related Charities Year ending 31 March 2024
Foreword The Corporate Trustee presents the Charitable Funds Annual Report together wtth the independently examined financial statements for the year ended 31 March 2024. The Charty's Annual Report and Financial Statements for the year ended 31 March 2024 have been prepared by the Corporate Trustee in accordan with the Charities Act 2011, and the Charities (Accounts and Reports) Regulations 2008. The Charity's Annual Report and Financial Statements 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 accordan with the Charities Act 2011. Reference and Administrative Details The group Charity 'The Great Westem Hospttals NHS Foundation Trust Charitable Fund,, registered charity number 1050892, was entered on the Central Register of Charities on 22 November 1995. The group Charty has nine active charities linked to it as detailed in note 14 to the accounts (2022123- nine); all the linked Charities were formed by registering a Special Trust Deed. Charitable Funds received by the Charty are accepted, held and administered as funds and propety held on trust for purposes relating to the Health Service in accordance with the National Health servi Act 1977 and the National Health servi and Communty Care Act 1990. and these fvnds are held on trust by the Corporate Body. 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 responsibilty 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 Commtttee during the financial year were: Paul Lewis Andy Copestake Peter Hill Simon Wade Claire Thompson Non-Executive Director & Chair Non-Executive Director Non-Executive Director Chief Financial Offir Chief Improvement & Partnerships Officer 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. Rachel Hepworth (to Jul-23), Pippa Ross-smith (to Jan-24) and Alan Millard (all as Interim Head of Financial serViS) acted as the Principal Officer overseeing the day-to-day financial management and accounting for Charitable Funds during the year.
Principal Office Great Western Hospitals NHS Foundation Trust Trust Management The Great Westem Hospital Marlborough Road Swindon Wiltshire SN3 6BB Principal Professional Advisers Bankers The Royal Bank of Scotland PLC National Westminster Bank Government Banking Se1 Branch PO Box 2027. Parklands De Havilland Way Horwich, Bolton BL6 4YU Independent Examiners Deloitte LLP Bristol Solicitors Bevan Brittan LLP Kings Orchard 1 Queens Street Bristol BS2 OHQ 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 reiVed by the Charity that are attributable to the original funds have been added to those fund balan5 within the existing charity. The Corporate Trustee fulfils its legal duty by ensuring that funds are spent in accordan with the objectives 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 both patients and staff. The charitable funds available for spending are held within the nine registered charities described in note 14 of the accounts. This includes funds managed on behalf of Wiltshire Health and Care LLP. Non-ExecutNe 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 Chief Financial Officer. 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 Financial Statements; Policies and Procedures, and" the Charity Commission document 'The Essential Trustee: Vvhat you need to know.
The Charitable Funds Committee is responsible for the overall management of the Charitable Funds. The Committee is required to: Support the Board in its duty to ensure the Trust has the systems to effectively manage Charitsble Funds. Ensure the audtt prosseS perfomed by both external and internal audit in the area of Charitable Funds effectively deal with the traditional requirements of: True and accurate accounting records: Safeguarding of assets., complian with appropriate accounting policies, standards and Charity Law; Detection of fraud and irregularÈties. Recommend additional policies and prOdureS to the Board to comply with statutory changes. Review annual financial statements and trustee report prior to submission to the Board. Consider any other matters relating to charitable funds referred to it by the Board. 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 fvnds are dealt with by the Finance Department located at The Great Westem Hospitals NHS Foundation Trust, Commonhead Offices. Marlborough Road. Swindon, SN3 6BB. Risk Management The major risks to which the Charity is exposed have bn identified and assessed, with systems put in place to mitigate those risks. Any risks associated with the Charity are also included within the Great Westem Hospitals NHS Foundation Trust's risk register. The main risk currently fad by the Charity is associated wtth a potential fall in income due to a reduction in the number of people giving and the impact of the rising cost of living. The Charity's primary source of income comes from donations so any material changes to these levels could have a significant impact on operations. However, despite the persisten of difficult economic condÉtions in the UK. the Charrties Aid Foundation (CAF) has published data in their UK Giving Report - March 2024 stating the total amount donated by the public has in fact risen by over a billion: from 12.7 billion in 2022 to 13.9 billion in 2023. And this increase is attributed to existing donors giving more on average. rather than an increase in the total number of individuaSs giving to charity. The focus for Brighter Futures over 2024 is therefore to d*pen engagement with its existing supporters so that gift regularity increases as well as increasing the average gift value. This approach will mitigate the risks associated with a reduction in the number of people supporting and poorer performing supporter recruitment activities. In addition, the CAF report categorises a core of around one million people as 'Super Givers. supporting chartties by donating, giving goods, sponsoring, volunteering and fundraising. These Super Givers are more than twice as likely to be women, and most are aged over 45. In order to further mitigate the risk of a potential reduction in income, concentrate fundraising efforts and improve data-led decision making. the Charity is investing in website development and a more robust supporter database. This work will include data cleansing and will enable improved donor data analysis to identify Brighter Future's own 'Super Givers.. The information will help the Fundraising Team to better understand supporter preferens, interests and propensity to give and to develop effective supporter joumeys to deepen supporter engagement.
CAF'S Super Givers are especially likety to have discovered a charity through personal experience (59 % ) or through friends and family (44 % ). They are also much more likely than average to have donated to set an example to others (250/0 compared to 9 % average), to believe that we can all help to solve social problems (550/0 compared to 330/0 average), and to feel that they can make a difference {50 /0 compared to 270/0 average). CAF'S data shows local connection is a powerful motivator for giving for Super Givers. For local charities like Brighter Futures, developing those connections is key. The Fundraising Team's focus in 2024 will also be to the harness the power of social media to reconnect with those past 'Super Givers, who may have lapsed in order to reactivate their giving and will target local communities to create a local neOrk of support. We will work with colleagues in the Communications Team to raise the profile of the Charity with Trust Members. staff and within the local communrty. As the Great Western Hospital Trust is a significant provider of employment in the region. the Charity has a sizable audience which has not yet been exhausted, offering significant potential and going some way to reduce the fundraising risk. The Fundraising team continues to monttor the external environment and reports quarterly to the Charitable Funds Committee. The Charitable Funds Committee meetings have a focused agenda with risks assessed on each major topic area including Fundraising. Finance and Fund Management. An assurance report is provided to Trust Board following each meeting ensuring neSSary oversight. 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 Wittshire Health and 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 2023124 financial year a further £50.000 was transferred to Oxford University Hospitals NHS Foundation Trust (OUH), as agreed by both parties. This was the final part of appeal funding raised by the Charity on behalf of OUH to purchase key clinical equipment for use in their new Radiotherapy Centre built on the Great Western Hospital site. The major proportion of this value funded the purchase of a CT scanner to be used in the treatment of oncology patients. Objectives and Strategy for the Public Benefrt 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: To enhance the environment for staff and patients. in which health ServIS can be delivered effectively. To enable staff and carers caring for patients to benefit from education and facilities not normally available wrthin the NHS resource envelope.
To donate additional equipment and staffing to the Trust and other beneficiaries over and above the NHS resource envelope. To spend funds in accordance with Chaiity Commission best practi and in support of the Trust's and other beneficiaries. stated values and five-year vision. These aims are used by the Charitable Funds committ when deciding on the suitability of proposed project and their fulfilment would not be possible without the support of patients, carers, staff, the local communty, voluntsry 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 reviewng the Trust's aims and objectives and in planning future activtties. All Charities are also required by the Charity Commission to demonstrate how they pass the 'public benefit tesv. There must be an identifiable benefft; The benefit must be to the public or a section of the public. The Charity's aims. objectives 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 Charty. In general, spending directly benefrts patients Vth 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. Annual Review: Our Activities Every year we are astounded by the generosty 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 generostty has enabled the purchase of new equipment and enhand facilities which have directly benefed 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 availabSe within the NHS resour envelope. 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 Westem Hospital and as such has funded various initiatives and equipment purchases to support new Servi 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 mt the growing demands for funding. Total Charity income generated for the financial year 2023124 was £994,000 (2022123.. £666.000) of which £115.000 was from grant fvnding (2022123: £198,000). Notable restricted fundraising appeals include £123,000 raised for the Canr Service Development Fund and £97,000 raised for the Way Forward Appeal. Wrth an additional £120,000 of unrestricted funds generated for the Great Western Hospttal 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 2023124 included.. a superhero-themed fun-run. charity abseil. a Christmas-themed fun-run- and, a Christmas raffle. These initiatives have
effectively raised the profile of the Charrty and signtficantly contributed to the total incoming resources to 31 March 2024. Grant Making Policy Grants are awarded on a case-by-case basis, assessed on how well they support the strategic aims of the Charity. and in accordance with donor restrictions. The intended use of the grant must be costeffective and enhan the Servi 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. 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 these clearly defined spending limits. Income is also monitored to check whether the levels of income are as expected and rf not, then spending plans are amended accordingly. The majority of grants are made from the Charity's Restricted Funds. These comprise of two elements: a) The Registered Restricted General Funds of the Great Western Hospital and the Swindon and 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 Westem Hospital and within the wider Wiltshire community areas. 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. AIS grants. with the exptIOn of those related to the Wiltshire Community Health Charitable Funds, are made to Great Westem Hospitals NHS Foundation Trust, with the Funds being administered by The Great Westem Hospitals NHS Foundation Trust Charitable Fund. Grants relating to Wiltshire Community Health Charitable Funds are administered by a committee within Wiltshire Health and Care LLP and subsequently ratified by the Great Western Hospitals NHS Foundation Trust Charitable Funds Committee. Reserves Policy Free reserves, as defined by the Trustee, are part of the Charity's unrestricted funds available to utilise on activities for the benefit of the public in furtherance of the Charity's objectives, but not yet designated for a specific purpose. The total free reserves at 31 March 2024 was £304,000 compared with £162,000 for the year ending 31 March 2023 and there are no material commitments. The Trustee believes reserves should be maintained at a minimum level around £57.000 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 fvnding 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 minimum level, but the Charity has approved funding for various longer-teTh projects during the year which are designated but not spent as at 31 March 2024. The Corporate Trustee is aware that funds should be spent on charitable activities within a reasonable time period and. through the Charitable Funds Committee, ensures thatfvnds are spent and not saved unless a fund manager has a specific purpose for which they wish to save and have received pemission from the Committee to do so. Future Plans The charity enables the Greatwestem 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 benefft from education and facilities not normally available within the NHS budget, and; providing additional equipment and staffing to the Trust above the NHS funding envelope. Our charity fundraising focuses on the strategic priorities of the Great Western Hospitals NHS Foundation Trust. Key strategic priorities include integrating front door services and prioritising expansion land developments, re-procurement of Community Services, CQC improvements and performance, Electronic Patient Records and continuous improvement via the Trust's Improving Together programme. The current strategic priority to integrate and expand services is known as the Way Forward Programme. This will create a hospital environment suitable for Swindon's growing and ageing population, now and well into the future. This programme of work, which started in December 2018, remains a key priority in 2024. It is focused on projects that, rather than creating a biggerversion of the hospital we have today, will help to develop a more integrated, streamlined and efficient hearth care system in Swindon, providing an effective balance of urgent and longer-term care for our patients. best interests. The aim is to improve services and ensure the Trust can meetthe growing demand created by Swindon and North Wiltshire's rapid population growth. For Brighter Futures the major appeal to support the Way Forward Programme launched in October 2022 and remains our fundraising priority. The appeal target is to raise £1.6 million to support the urgent and emergency care services at the Great Western Hospital. Appeal funding will enable the creation of welcoming and calm environments in our new Emergency Department, due to open to the public in late August 2024. as well as the Children's Emergency Unit, due to open in October 2024. 10 A Review of our Finances, Achievements and Performance The total net assets of the Charttable Funds as at 31 March 2024 were £1,272,000 compared wtth £948,000 as at 31 March 2023. Overall net assets increased by £324,000 due to overall net incoming resources of £324,000. The Charty continues to rely on donations. legacies, grants and investment income as its main sources of income, representing 94.0 % of total income in 2023124 compared with 91.00 in 2022123. Of the £670,000 total expenditure in 2023124. compared with £747,000 in 2022123, charitable expenditure on direct charitable activty (including support costs) was £378,000 compared with £464,000 in 2022123 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 £110,000 (£238,000 in 2022123). This represents a considerable contribution to enhancing patient care. Donated Expenditure on New Equiprrent Radiotherapy CT machine Salient contrast injector Ne()natal adjustable height cots Heart Support sofiware Point-of-care heamoglobin analyser Breathing kit. masks & USB controllers Electric breast pumps & trolley Portable & wireless ultrasound Other smaller electrical appliances Other smaller fixtures & fftiings TOTAL rooo 50 16 10 10 110 12 Patient Welfare The total donated expenditure, excluding support costs, on patients, welfare was £89,000 {£42,000 in 2022123). Donated Expenditure on Patients Children's 'Changing Places, bathroom Cancer buddy coordinator sic therapy sessions ICU infographics panels Paediatric waiting area play equipment bther & baby courtyard garden Therapy items & act[ltIeS Physical rehabilitation items Educational materials Christmas gifts & hospitalty Dementia friendly signage TOTAL rooo 14 89 13 Stsff Education and Welfare The total donated expenditure on staff education and welfare, excluding support costs, was £101,000 {£125.000 in 2022123).
Donated Expenditure on Stsff Staff recognition awards event Volunt*rs future fund project Fundraising dlopment project Training courses & leamiro events Staff rest area itemslimprovements Volunteers long ser%fjce aNards ent Staff 'thank you, ttems & gift vouchers Educational materials & training aids Fleece hoodies & cardigans Team building activities & events Hospitalty & refreshments Other smaller ttems TOT eooo 28 19 18 17 101 14 Research Grants The Trust's Ethics Committee sanctions all expenditure on research and patient studies. The Charity also seeks advi from the Trust's Research and Innovation Department before any grants are made for these purposes. The total donated expenditure on Research, excluding support costs. was £20,000 (nil in 2022123). This represented one grant awarded for research project enablement, of which two SUSsl research project applications were subsequently supported. 15 Perfomiance Management 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 fvnd balanS which are closely scrutinised. The CommÈttee 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 pemiission to save funds for a spectfic project. the Committee requires them to produ progress updates where appropriate. The Charity does not employ any staff, but the Great Westem Hospitals NHS Foundation Trust provides accounting and administration services. The agreed fixed annual fee is recharged on a quarterly basis and this charge is included within expense on charitable activities. In addition, from 2012 the Trust has employed an Associate Director of Fundraising who is responsible for raising the profile of the Charty 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 recrutted additional fundraising team members to support the proposed fundraising projects going forward. 16 Investment Policy The Corporate Trustee has determined the investment policy for the Charity with reference to Charity Commission guidan and in accordan with the Trustee Act 2000. The main objective is to achieve a balan between protecting the real value of caprtal funds and generating income, with a low to moderate level of risk toleran. Any identified surplus of uncommttted cash balan in the Charities account, not expected to be required in the shorter-term, is considered for investment. Based on the current cash
balance together with expenditure plans and commitments. this account provides both a preferential rate of return together with the required flexibility to meet current Charity needs compared to options for alternative investment. The Charity has a Government Banking servi (GBS) bank account to ensure the maximum level of safeguarding and balance protection. en the level of surplus funds increases. these will be considered for etther: short to medium-term deposit in higher interest accounts to maximise returns over appropriate fixed time periods, or; longer-term in a tnanaged Charities investment portfolio with a significant focus on ethical investment categories with reduced volatility. This position is regularly monitored by the Charitable Funds Committee to ensure potential opportunities are maximised and investment policy is reviewed annually. On behalf of staff and patients who have beneffted 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.. 10
Statement of Trustee responsibilities In respect of the Trustee annual report and the financial ststements Under the trust deed and rules of the charity and charrty law, the trustee is responsible for preparing the Trustee Annual Report and the financial statements in accordan 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 gtve a true and fair view of the state of affairs of the charity and of the excess of expenditure over income for that period. The law applicable to charities in England and Wales requires the trUStS to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charity and of the incoming resources and application of resources of the chartyfor that period. In preparing these financial statements, the trustee is required to: select suitable accounting policies and then apply them consistenUy' observe the methods and principles in the Charrties SORP. make judgments and estimates that are reasonable and prudent., • state whether applicable accounting standards have been followed" and prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business. The trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the charity and enable them to ensure that the financial statements comply with the Chartties Act 2011, the Charty (Accounts and Reports) Regulations 2008 and the provisions of the trust deed. They are also responsible for safeguarding the assets of the charity and hence fortaking reasonable steps for the prevention and detection of fraud and other irregularities. The trustee is responsible for the Maintenan and integrty of the charity and financial information included on the charity's webstte. Legislation in the United Kingdom goveming the preparation and dissemination of financial statements may differ from legislation in other jurisdictions. So far as the trustee is aware, there is no relevant information of which the charity's independent examiners are unaware, and all the steps have been taken that they ought to have taken as trustees in order to make themselves aware of any relevant infonnation and to establish that the charity's independent examiners are aware of that information. By Order of the Trustee Chairperson Date 21 2025 Charty Committee member
INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES OF THE GREAT WESTERN HOSPITALS NHS FOUNDATION TRUST CHARITABLE FUND AND OTHER RELATED CHARITIES I report to the trustees on my examination of the accounts of The Great Westem Hospitals NHS Foundation Charitable Fund and Other Related Charities ('the Charity") for the year ended 31 March 2024 which comprise the income and expenditure account. the balance sheet, cash flow statement and the related notes 1 to 14. This report is made solely to the charity's trustees, as a body, in accordan wtth section 145 of the Charities Act 2011 and regulations made under section 154 of that Act. My work has been undertaken so that I might state to the charity's trustees those matters l am required to state to them in an independent examinerfs 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 charty's trustees you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (Yhe 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 YOUT 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 145(5)(b) of the 2011 Act. Independent examinerfs statement Since the company's gross income exeded £250.000 your examiner must be a member of a body listed in section 145 of the 2011 Act. I confirm that l am qualified to undertake the examination because l am a member of the ICAEW. which is one of the listed bodies. I have completed my examinakn'on. 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 conMIng the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a 'true and fair viev/ which is not a matter considered as part of an independent examination I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached. Michelle Hopton, FCA for and on behalf of Deloitte LLP Bristol, United Kingdom 28 January 2025 12
The Great Western Hospitals NHS Foundation Trust Charitable Fund and Other Related Charities Statement of Financial Activities for the Year Ended 31 March 2024 Note Unrestricted Restricted Totsl Unrestricted Restricted Total Funds Funds Funds Funds Funds Funds 2024 2024 2024 2023 2023 2023 £000 £000 £000 £000 £000 £000 Income from Donations and Legacies Other Grants Receivable Other Trading activities Income from Investments Income from Charitable activities Totsl Income 3&4 235 30 611 140 49 332 56 472 105 30 10 56 43 60 51 27 40 28 54 14 279 715 994 205 461 666 Expenditure on Raising funds Expenditure on Charitable activities Total Expenditure Net income l (expenditure) before investments & transfers Transfers between funds (57) (235) (292) (56) (227) (283) (103) (275) (378) (117) (347) (464) {160) (510) (670) {173) (574) (747) 119 205 324 32 (113) (81) 23 {23) Net Movement in Funds 142 182 324 32 (113) (81) Reconciliation of Funds Total Funds Brought Fwd 162 786 130 899 1,029 Total Funds Carried Fwd 14 304 968 1,272 162 786 948 Please refer to note 14 for detailed fvnd anatysis. Notes on pages 16 to 25 fomi part of these accounts 13
The Great Western Hospitals NHS Foundatlon Trust Charitable Fund and Other Related Charities Balance Sheet as at 31 March 2024 Note Unrestricted Restricted Total Unrestricted Restricted Total Funds Funds Funds Funds Funds Funds 2024 2024 2024 2023 2023 2023 £000 £000 £000 £000 £000 £000 Current Assets Prepayments and debtors Cash and cash equivalents 183 137 194 1,218 102 114 53 1,294 155 1,408 12 1.081 Totsl Current Assets 320 1.092 1,412 216 1,347 1,563 Creditors falling due within one year 13 (16) (124> (140) (54) {561) (615) Net Current Assets 304 968 1,272 162 786 948 Total Net Assets 304 968 1,272 162 786 948 Funds of the Charity Unrestricted Income Funds 14 304 304 162 162 Restricted Income Funds 14 968 968 786 786 Total Funds 304 968 1.272 162 786 948 Notes on pages 16 to 25 form part of these accounts Signed: Name: JvL(AN bvKKt (-J Date.. 14
The Great Western Hospitals NHS Foundation Trust Charitable Fund and Other Related Charities statement of Cash Flows for year ended 31 March 2024 Total Funds 2024 £000 Total Funds 2023 £000 Cash flows from operating activities: Net cash provided l (used) by operating activtties (250) 68 Cash flows from investing activities: Dividends and interest from investments 60 28 Increase l (decrease) in cash and cash equivalents {190) 96 Cash and cash equivalents at 1 April Cash and cash equivalents at 31 March 1,408 1,218 1,312 1.408 Reconciliation of net income to net cash flow from operating activities Net income l (expenditure) for the reporting period (as per the statement of financial activities) 324 (81) Adjustments for: Dividends and interest from investments (Increase) in debtors Increase l (decrease) in creditors (60) 139) 1475) (28) (38) 215 Net cash provided l (used) by operating activities (250> 68 Analysis of cash and cash equivalents Cash in hand 1,218 1,408 Total cash and cash equivalents 1.218 1,408 Notes on pages 16 to 25 form part of these accounts 15
Accountlng Pollcles Basis of preparation The accounts have been prepared under the historical cost convention, with exception of investments which are included at fair value. and the accounting policies have been consistently applied. The financial statements have been prepared in accordance with the statement of Recommended Practi. Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK (FRS 102) effective from 1 January 2019, and applicable UK Accounting Standards {FRS 102) and the Charities Act 2011. The major funds held in each of these categories are disclosed in note 14. Going concern 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 as cash reserves totalled £1,218k at year-end. As at 31st December 2024, cash levels have risen to £1,637k with this movement primarily due to the receipt of outstanding legacy income totalling £134.000 and an increase in creditors. 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 2024 or 2023 or net expenditure for 2023124. Funds structure Restricted Funds are funds to be used in accordan with specific restrictions imposed by the donor. Unrestricted Funds comprise funds that the Trustee is free to use for any purpose in furtherance of the charitable objects. The Charty has one Unrestricted Fund being The Great Western Hospitals NHS Foundation Trust Charitable Fund. All of the major funds are disclosed in note 14. Incoming resources All incoming resources are recognised once the Charity has entttlement 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 reSoUrS 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 seprfices and facilities. Investment Income: incoming resources from investment assets, including dividends and interest but excluding realised and unrealised investment gains and losses. Incoming resources from legacies Legacies are accounted for as incoming reSoUrS 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 legacy and all conditions attached to the legacy are within the control of the Charity or have been met. 16
Resources expended Expenditure is recognised when a liabilty is incurred. Grant commitments are recognised when a constructive oblÈgation arises which results in a 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 bn given by the Corporate Trustee. The NHS Bodies have full knowledge of the plans of the Trustee, therefore a grant approval is taken to constttute 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 ServIS supplied. Irrecoverable VAT Irrecoverable VAT is charged against the category of resources expended for which tt was incurred. Allocation of administrative support and overhead costs Charges included within governance. administrative support and overhead costs have been allocated on etther: direct basis and include banking fS and IT software maintenance charges, or. appropriately apportioned based on an estimate of recharged staff time (note 5). Following allocation or apportionment, these costs are then divided across the different categories of Charitable activities in proportion to totsl spend (note 6). 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. Expenditure on charitable activities Costs of charitable activities comprise all costs InCued in the pursuit of the charttable objects of the Charty. These costs comprise an apportionment of governance, administrative support and overhead costs as shown in note 6. Governance costs Governan 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 (note 5 & 6). 17
Fixed assets investsnents 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. 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 differen between sales proceeds and open market value (purchase date if later). Unrealised gains and losses are calculated as the difference between the market value atthe year end and the opening market value (or purchase date if later). Tax posltlon The Great Westem 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. Cash flow ststement The Charity has prepared the Financial Statements under FRS 102 and provided a statement of cash flow. Estimates and judgements Estimates and judgements are used to approximate values where exact data is not readily apparent. The underlying assumptions used for these approximations are based on relevant available data to achieve reasonable and prudent measurement, recognition and disclosure in the context of FRS 102. Actual results may differ due to uncertainty. There are currently no material estimates or judgements recognised in the financial statements. Related Party Transactions The Great Western Hospitals NHS Foundation Trust and Wiltshire Health and Care are the beneficiaries of the Charity. The Charty provided funding to these bodies for approved expenditure made on behalf of the Charity. In addition. a final transfer was made to Oxford University Hospital NHS Foundation Trust related to appeal fvnding raised to purchase key clinical equipment for the new Radiotherapy Centre. The total amount was £50,000 in 2023124 (£55,000 in 2022123) 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 reiVed honoraria. emoluments or expenses. and have not purchased Trustee indemnty insurance. 18
Donations Unrestricted Funds 2024 £000 36 Restricted Funds 2024 £000 Total Funds 2024 £000 Donations from Individuals Voluntsry Organisations Corporate Donations Charitable Trusts 155 36 36 102 191 37 38 109 Totsl 46 329 375 Unrestricted Funds 2023 £000 Restricted Funds 2023 £000 Totsl Funds 2023 £000 Donations from Individuals Voluntary Organisations Corporate Donations Charitable Trusts 128 29 27 142 162 29 30 143 Total 38 326 364 Legacies Unrestricted Restricted Funds Funds 2024 2024 £000 £000 Totsl Funds 2024 £000 Benefit Area An Individual An Individual An Individual An Individual An Individual An Individual An Individual An Individual An Individual 229 229 81 53 52 47 Radiology & Imaging Account Great Western Hospital General GWH General I Cancer Services Great Western Hospital General Great Western Hospital General Great Western Hospital General Palliative Care & A&E Account Urology Department Account Great Western Hospital General 81 50 52 47 Totsl 189 282 471 Unrestricted Restricted Funds Funds 2023 2023 £000 £000 Total Funds 2023 £000 Benefit Area An Individual An Individual An Individual An Individual 82 20 82 20 Great Western Hospital General Great Western Hospital General Intensive Care Unit Account Great Western Hospital General Total 102 108 19
In addition, notifications have been received for a further two legacies with a total estimated value of £2,200,000. These have not been included in the legacy income balance as at the year ending 31 March 2024 as they were deemed not measurable or probable. Allocation of Govemance, Administrative Support and Overheads Purchase of new Equipment 2024 £000 Patients Welfare Staff Education & Welfare 2024 £000 12 Research Grants Total Allocated 2024 £000 2024 £000 2024 £000 Financial services Governance costs IT and other costs Total 13 10 37 19 21 15 19 58 Purchase of new Equipment 2023 £000 Patients Welfare Staff Education & Welfare 2023 £000 Research Grants Total Allocated 2023 £000 2023 £000 2023 £000 Financial services Governance costs IT and other costs Total 22 12 37 20 35 18 59 Expendlture on Charitable Activities The Charity made grants to Great Western Hospitals NHS Foundation Trust and Wiltshire Health and Care LLP in support of a range of charitable activities. Unrestricted Funds 2024 £000 Restricted Funds 2024 £000 Total Funds 2024 £000 Purchase of new equipment Patients Welfare Staff Education & Welfare Research Grants Governance & Support costs 110 60 53 110 89 101 20 58 29 48 20 52 Total 103 275 378 Unrestricted Funds 2023 £000 Restricted Funds 2023 £000 Total Funds 2023 £000 Purchase of new equipment Patients Welfare Staff Education & Welfare Research Grants Governance & Support costs Totsl 61 177 42 73 238 42 125 52 55 347 59 464 117 20
Grant Funded Activty 2024 £000 Govemance & Support costs 2024 £000 Total Funds 2024 £000 Purchase of new equipment Patients Welfare Staff Education & Welfare Research Grants 110 89 101 20 21 15 19 131 104 120 23 Total 320 58 378 Grant Funded Activty 2023 £000 Governance & Support costs 2023 £000 Total Funds 2023 £000 Purchase of new equipment Patients Welfare Staff Education & Welfare Research Grants 238 42 125 35 273 48 143 18 Total 405 59 464 Analysis of Grants All grants were made to Great Western Hospitals NHS Foundation Trust, Wiltshire Health and Care and Oxford University Hospttal NHS Foundation Trust with the funds being administered by The Great Western Hospitals NHS Foundation Trust Charitable Fund on behalf of others. Purcha* Patients Staff of new Welfare Education equipment & Welfare 2024 2024 £000 £000 Research Grants Total Grants 2024 £000 2024 £000 2024 £000 Great Western Hospitals NHS FT Oxford University Hospital NHS Wiltshire Health and Care Governan & support costs Total 60 50 87 101 20 268 50 21 15 19 58 131 104 120 23 378 Purchase of new equipment 2023 £000 Patients Staff Welfare Education & Welfare 2023 £000 Research Grants Total Grants 2023 £000 2023 £000 2023 £000 Great Western Hospitals NHS Oxford University Hospital NHS FT Wiltshire Health and Care Governance & support costs Total 141 55 42 35 42 125 308 55 42 59 18 273 48 143 464 21
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 Activtties. Independent Examiner's Remuneration The Independent Examinerfs remuneration was £7.040 in 2023124 (£6.850 in 2022123) and related solely to the independent examination in each financial year, no other work was undertaken. Analysls of Staff Costs 2024 Total £000 201 19 29 2023 Total £000 193 13 15 Salaries & wages Social security costs Pension costs Total emoluments of staff 249 221 Ave number of staff per month 5.01 4.04 The analysis above represents amounts charged to the Charty 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 wtth the Great Western Hospitals NHS Foundation Trust. 10 Income from Investments 2024 Total Held in UK £000 2023 Total Held in UK £000 Cash on Deposit: Bank Interest 60 28 Total 60 28 11 Prepayments and debtors 2024 Total £000 2023 Total £000 Legacy income recognition HMRC gift aid income Total 183 11 152 194 155 12 Cash and cash equivalents 2024 Totsl £000 2023 Total £000 Natwest Bank 1.218 1,408 Total 1.218 1,408 22
13 Creditors falling due within one year Analysis of liabilities by organisatlon 2024 Total £000 2023 Total £000 Great Western Hospitals NHS FT Oxford University Hospiials NHS Global Media Group (Global Radio) Central Swindon Parish Council 140 180 411 13 Total 140 615 The creditor accrual represents monies owed at the year-end by the Charity to the related parties.. 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. 14 Analysis of Charitable Funds Adjusted Incoming ReSoUrS Transfers Gains Fund Balance Resources Expended between and C'fwd 31103123 (inc trnsfj (inc trnsfj funds Losses 31103124 £000 £000 £000 £000 £000 £000 1050892-1 General Unrestricted 1050892-2 Medical servIs 162 279 (160) 23 304 123 41 {54) 110 1050892-3 Surgical Services 10508924 Women & Children's 1050892-7 Diagnostic Service 114 42 (67) 89 93 59 (75) 77 42 273 (50) 265 1050892-8 Research 39 (8) 39 1050892-9 Great Westem General 1050892-13 Swindon Community 1050892-14 & 15 WCHS 129 269 {236) (23) 139 (2) 242 20 (18) 244 Total 948 994 1670) 1,272 23
Adjusted Incoming Resources Transfers Gains Fund Balance ReSoUrS Expended between and C'fwd 31103122 (inc trnsQ (inc trnsfj funds Losses 31103123 £000 £000 £000 £000 £000 £000 1050892-1 General Unrestricted 1050892-2 Medical Services 130 205 (173) 162 131 31 (38) (1) 123 1050892-3 Surgical Sep4ices 10508924 Women & Children's 1050892-7 Diagnostic Service 149 (88) (1) 114 95 35 (38) 93 41 25 (24) 42 1050892-8 Research 41 (4) 39 1050892-9 Great Westem General 1050892-13 Swindon Community 1050892-14 & 15 WCHS 144 297 (312) 129 (11) 291 10 (59) 242 Total 1,029 666 (747> 948 24
Name of Fund Description, Nature and Purpose of Fund Great Western Hospitals NHS Unrestricted Fund, ts purpose being any Charitable Foundation Trust Charitable Fund purpose(s) relab'ng to the National Health Service. Great Western Hosprtals NHS Foundation Trust Medical Services Charity Restricted Fund, its purpose being to support ServIS such as Emergency, Cardiology, Care for the Elderly, Respiratory and Stroke Care. Great Western Hospitals NHS Foundation Trust Surgical Services Charity, Audiology, Ophthalmology and Urology Restricted Fund, its purpose being to support Sen41S such as Trauma and Orthopaedics, Theatre Recovery, Intensive Care, Anaesthetics, Pain Relief, Audiology, Ophthalmology and Urology. Great Western Hospitals NHS Foundation Trust Women and Children's Services Charity Restricted Fund, its purpose being to support sepiices such as Obstetrics. Gynaecology, Paediatrics, and the Special Care Baby Unit. Great Western Hospftals NHS Foundation Trust, Diagnostic Services Charity 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. Great Western Hospitals NHS Foundation Trust. Research Charity Restricted Fund, its purpose being to support research into Gastro-intestinal, Orthopaedics, Vascular Surgery, Cardiology, ENT and Diabetes. Great Western Hosprtals NHS Foundation Trust, General Hospital Charity 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. Great Western Hospttals NHS Foundation Trust Swindon Communty Charitable Fund Restricted Fund, its purpose being to support the Health servi wholly or mainly for the Services provided within the Swindon Communty area. Great Western Hospitals NHS Foundation Trust Wiltshire Community Health Seniices Charitable Fund Restricted Fund, its purpose being to support the Health Service wholly or mainly for the Seplices provided within the wider Wiltshire Communty Area. 25