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 Offi￿r
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 serVi￿S) 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 Se￿1￿ 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 re￿iVed by the Charity that are attributable to the original
funds have been added to those fund balan￿5 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 pro￿sseS 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 prO￿dureS 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 b￿n 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 fa￿d 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 preferen￿s,
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 ne￿Ork 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 ne￿SSary 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 ServI￿S 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 V￿th 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
enhan￿d facilities which have directly benef￿ed 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 m￿t 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 Can￿r 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 ex￿ptIOn 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 d￿￿lopment 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 SU￿Ss￿l 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 balan￿S 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 trUSt￿S 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 ex￿eded £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 con￿MIng 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 reSoUr￿S 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 reSoUr￿S 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 b￿n 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 ServI￿S 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 f￿S 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 InCu￿ed 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 re￿iVed 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 ReSoUr￿S 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 servI￿s
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
ReSoUr￿S 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 ServI￿S
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 Sen41￿S
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