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2021-03-31-accounts

QEH KING'S LYNN The Queen Elizabeth Hospital King's Lynn Charitable Fund Annual Report and Accounts for the year ended 31 March 2021 Registered Charity Number: 1051327

Contents Page5 Trustees Annual Report Independent Auditor's reportto the members of the Queen Elizabeth Hospital Kings Lynn Charitable Fund Statement of Financial Activities Balance Sheet Cash Flow Statement Notes to the accounts- Accounting policies Analysi5 of Total Voluntary Income Analysis of Charitable Expenditure Analysis of Management and Governance Costs Resources Expended Cash Flow Reconciliation of Net Income & Expenditure Movement in Funds Long Term Investments Analysis of Debtors Analysis of Creditors Forthcoming Projects Related Party Transaction5 Auditor Remuneration 12 15 16 17 18 20 21 21 22 22 22 23 23 24 24 24 24

Trustees Annual Report Foreword The Trurtees present the annual report and accounts of the Queen Elizabeth Hospital King's Lynn Charitable Fund for the year ended 31 March 2021. The accounts have been prepared in accordance with the Statement of Recommended Prartice- Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Stsndard applicable in the UK and Republic of Ireland (FRS 1021 issued on 16 July 2014 and the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland IFRS 1021 and the Charities Art 2011 and UK Generally Accepted Prartiee a5 It applie5 from 1 January 2015. The Charity's report and accounts include all the separately established funds for which The Queen Elizabeth H05Pltal NHS Foundation Trust (Corporate Trustee) is the sole beneficiary. The members of The Queen Elizabeth Hospital NHS Foundation Trust Ithe Trurtl Board who served during the f inancial year were as follows.. Professor Steve Barnett Caroline Shaw Laura Skaife-Knight Chris Benham Frankie Swords Carmel O'Brien Ifrom 14-March-21} Dr April Brown (to 13-March-21) Denise Smith Elizabeth Mcmanus (to 31-Aug-20) Chairman Chief Executive Deputy Chief Executive Director of Finance Medical Dirertor Chief Nurse Chief Nurse Chief Operating Officer Chief Nurse Alan Brown David Dickinson Dr lan Mack Graham Ward Dr Claire Fernandez (from 1-July-201 Jacquie Schneider (to 29-Jan-211 Simon Roberts Non-executive Non-executive Non-executive Non-executive Non-execLrtive Non-executive Non-executive The Trustee5 present the Charitable Funds Annual Report together with the Audited Financial Statements for the year ended 31 March 2021. Reference and administrative detai15 of the Charity. its Trustees and Advisors Constitution The Charity was entered on the Central Register of Charities on 8 of December 1995. This is the umbrella Charity under which some 95 individual funds are managed. The note5 to the accounts distinguish the types of funds held and disclose separately all of the material funds. Gifts and donations received by the Charity are accepted. held and admlnlstered as funds held on trust for purposes relating to the health seThSce in accordance with the National Health Service Art

2￿)6 and thè National Health Service and Community Care Art 1990 and these funds are held on trurt by the Corporate Trustee. The Queen Elizabeth Hospital NHS Foundation Trust is the Corporate Trustee of the Charity. Members of the Trust Board (excluding the non-executive directorsl have day-to-day responsibility for the management of the Charity and approve, on behalf of the Corporate Trustee. all expenditure over £5,000. The Trustees appoints fund manager5 who can approve expenditure up to £5,000. Princi al Office Finance Department The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust (QEHI Gayton Road King's Lynn Norfolk PE30 4ET Princi al Professional Advlsers Banker Auditor National Westminster Bank 4 Tuesday Market Place King's Lynn Norfolk PE30 1 LE KPMG LLP {UK) Botanic House 100, Hills Road Cambridge CB2 1AR Investment CCLA Investment Management Ltd COIF Charity Funds 80 Cheapside London EC2V 6DZ Structure. Governance and Management The Charity was established using the Model Declaration of Trust and all funds held on trurt as at the date of registration were either part of this unrestricted fund or registered as separate restricted funds under the main charity. Subsequent donations and gifts received by the Charity that are attributable to the original funds are added to those fund balances within the existing Charity. Where fund5 have been received which have specific restrictions set by the donor, new restrirted funds have been established. The charitable funds available for spending are allocated to specialties within the Trust's directorate management strurture. Therefore, each vwardldepartment may have its own designated restricted or unrestrirted funds within the Charity umbrella. The Trust has four endowment funds in total for which only the income received from its investment can be 5penL there 15 no power to convert the capital into income. Three of the endowment funds are held on deposi( while the Waley Trust is invested with CCLA Investment Management Ltd.

Member5 of the Trust Board are the Charitable Funds Committee and are not individual Trustees under Charity law but act as agents on behalf of the Corporate Trustee. The NHS Appointrnent5 Commission appoints the non-executive members of the Trust Board. while the executive Member5 of the Board are appointed by the Trust Board. New members of the Trust Board are invited to read and understand a selection of Charity Commission booklets and are given access to the past reports and accounts minutes and other relevant documentation. In so far as the Trust Board is aware, there 15 no relevant audit information of which the auditor5 are unaware. The Trust Board has taken all the steps that ought to have been taken in order to make themselves aware of any relevant audit information and to establish that the auditor5 are aware of that information. The Corporate Trustee is responsible for the overall management of the charitable funds. It Is required to: Control, manage and monitor the use of the funds resources. Provide support, guidance and encouragement for all its income raising activities whilst managing and monitoring the receipt of all income. Ensure that 'best prartice. is followed in the conduct of all its affairs fulfilling all of its legal responsibilities. Maintain f inancial records, which disclose, at any time, the financial position of the funds held on Trust. applying appropriate accounting policies on a consistent basis. Establish and monitor a system of internal control. Establish arrangements for the prevention and detertion of fraud and corruption. Make judgements and estimates. which are reasonable and prudent. Risk Management The Charity assesses and scores risks against a Set methodology. Risks are reported to the Trust Board via a sub-committee along with mitigations and actions. The Trustees use the Framework contained in the Charity Commission publication 'Charities and Risk Management, to identify potential sources of risk. The Charity Trustees have given consideration to the major risks to which the Charity is exposed and have satisfied themselves that Syrtems and procedure5 are established in order to manage those risks. Internal audit provide assurance over the internal controls, transactions and processes and report their findings to the Trustee5. Objectives and Artivitie5 e ob"ective '.The Charitable fund has NHS wide objectives as follows The Charity aims to fully sUPPOrt the Trust to achieve a high quality of patient care, welfare and to support its staff. Enable more patients to be treated more effectively. efficiently and quickly. The Queen Elizabeth Hospital King's Lynn Charitable Fund (The Trust) is a valuable source of income and support to the hospital. "The Tnistees shall hold the Trust fund upon trust to apply the income and at their diSC￿tion. so far as may be'y permiTssible. the capital. ft*r any charitable purpose or purposes relating to the National Health Seryice.

Partnershl workin andn orks The Trust is the sole beneficiary of the Charity and is a related party by virtue of being Corporate Trustee of the Charity. working in partnership with the TrusL the charitable funds are used to best effect and so when deciding upon the most beneficial way to Use Charitable funds, the Corporate Trustee has regard to the main artivities, objectives and plans of the Trust. The Corporate Trustee fulf 115 its legal duty by ensuring that funds are spent in accordance with the objerts of each fund and by designating funds. The Corporate Trustee respects the wishes of OUT generous donors to benef St patient care and advance the good health and welfare of patients, carers and stsff. The Charity's aim is to enable more patients to be treated more qulckly. effectively and more efficiently. The Charity achieves this aim by raising fund5 that are then utili5ed to improve services and existing facilities provided at the Queen Elizabeth Hospital in The Charity remains indebted to the work of our volunteers who support the hospital each year. and to the League of Friends for their support. Our Activi During the year. the Charity continued to support a wide range of charitsble and health related activities benefiting both patient5 and staff. In general terms, the funds are used to purchase the varied additional goods and services that the NHS is unable to provide. The Ward charitable fund receives donations given to thank the nursing staff. These are used for charitable artivitie5 that will benefit staff, which in turn will benefit the patient care and 5UPPOrt provided. These donations enable staff to attend courses that are not funded by the Trust. The General Fund receive5 donations and legacie5 that can be used for any charitsble purpose relating to the Trust. For further details of the public benefit derived from the Charitable Fund's activities please see the overview of its achievements, performance and financial position sertion below. Public Benefit The Charity confirms that the Corporate Trustees have complied with iheir duty to have due regard to the guidance on public benef it published by the Charity Commission in exercising their powers or duties. Throughout this repor( the Charity has demonstrated that it acts for the public benefit. ReseNes lic The Charlty has established a policy whereby unrestricted funds held as cash, not committed or invested should cover all foreseen and planned expenditure based on the normal level of activity. Funds retained in exce55 of this may be invested in accordance with the Investment Policy (see below). The majority of the funds are designated for use within specific wards and departments within the Trurt either for patients, staff or equipment: this is to enable funds, a5 far as possible. to be spent in line with donor's wishes. The funds support the hospital in a variety of ways, further information regarding future planned expenditure can be found below.

nt Polic The Trust has an Investment Policy, with an aim to give clear guidelines to the Trustees in managing the funds of the Charity and to ensure proper and timely review and monitoring of investment performance. The Trustees will= Ensure working capital requirements are met by a reasonable cash balance in an instant access bank account. Invest funds in a way which will both preserve their capital value and produce a return consistent with prudent investment. Not place the funds at risk by speculative investment. Invert money in common investment funds. split between equity and non-equity. Not invest funds in a particular company if it carries out activities which are directly contrary to the Charity's purpose and therefore. against its intere5t5 and those of the beneficiaries. Seek expert advice from qualified investment managers as necessary. Review and monitor performance. Overview of achievement5. performance and financial position The net assets of the Charity for the year 2020-2021 were £3.29 million12019-20 £3.58ml, a decrease of 9%. This is as a result of total incoming resources for the year decreasing to £756.00012019-20 £2,297,000), primarily as a result of the Covid-19 pandemic. Total expenditure increased from £553,000 in 2019120 to £1.241.000 in 2020121. This is mainly due to thè spend committed for the construction of the Wellbeing Centre and the Maternity bereavement suite. The Charity has four endowments amounting to £45,000- the value of these will not change unless further endowrnent5 are received. The income derived from the endowment capital funds are credited to their re5pertive expendable funds, all four are restrirted. During the year there was a gain of £198,000 in the market value of the invertments held with CCLA Investment Management Limited. The number of charitable fund5 held under the Queen Elizabeth Hospital Kings Lynn Charitable Fund umbrella has decreased in the current financial year to 9512020- 101). The tharitable work was made up of the following five progiamme areas.. É600.0(M) £300.￿0 É200,C¥)O £1(4J,CA £0 Medical Equipment Nèw Building and Reftjrblshment Patient Welfare staff Welfare othpr E¥penditure 2020/21 Unrestrirted Expenditure 2020121 Restricted Expendit￿re 2019120foial Expenditure

In the financial year the Charity has spent a totsl of E121.000 on medical and surgical equipment. Items purchased include.. Optical coherence tomography (Ocn machine- £57,000 8revera biopsy System for the breast unit - £40,000 Bililux with radiometer for the neo-natal ICU £5,000 Clement Clarke portable slit lamp for Ophthalmology unlt- £5,000 Alrway Management Trainer kit for resuscitation training - f 5,000 During the year a total of £721,000 was committed to spend on new building projects and refurbishments aiming to provide more comfortable surroundings for patients and staff. From these, £603,000 has been committed to the new Cancer Wellbeing & Support Centre and £58,000 has been committed to the Maternty Bereavement Suite. The charity has fundéd the re-development work on a new Cancer Wellbeing and Support Centre during the year which was completed in May 2021. This will enable the Trust to expand non-clinical cancer services. in conjunction with Macmillan Support and Information Services, and strengthen SUPPQrt for patients and their families following a cancer diagnosis. A further £250,000 of charitable fund5 has been used to support nursing staff during the Covid-19 pandemifj and staff welfare and engagement activities. Covid grants Our Covid-19 recovery grants from NHS Charities Together continue to SUPPOrt the recovery and mental health of NHS staff throughout the Queen Elizabeth H05Pltal Kings Lynn NHS Foundation Trust. £108.000 has been spent on additional clinical psychologist services to support our staff mental health and wellbeing. During the year four separate grants were received from this organisation totalling £158,600. First grant £56.500 - was transferred to the Trust to cover the salary of a clinical psycholog15t on full-time post for 12-months on a f ixed-term contra(t. The Highly Specialist Clinical Psychologist joined the Trust on 8 September 2020. Second grant - £50,000 for a cognitive behavioural therapist working on a 12 month tixed-term contract to deal with post-traumatic stress disorder. Third grant. £2.100 was received in association with Starbucks to fund ten leisure memberships for staff members. . Fourth gran¢ £50.000 - To Improve patient experience through the purchase of laptops, tablets, and other IT devices for wards and dementia clo(ks. A further source of Covid related income came from the community who artively fundraised, organised virtual event5. set up their own JustGiving fundraising pages. The Trust also received donations via its own COVID-19 JustGiving campaign page as well as cheques, BACS payments, etc. Moreover. the supportive local community, members of the public and busine55es rallied round and gave numerous donations in kind, e.g. free meals. food supply. offer of free accommodation. etc. £44,000 of fund5 have been utilised in supporting and improving patient welfare. This has been used on purchasing wheelchairs, specialist falls prevention and management equipment, patient engagement projerts, and Chrirtmas presents for patients. The chart below show5 our main sources of income this year and last year. Our largest Source of income continues to be gifts and donations from the public, either direct or through corporate giving.

£300,000 £250,000 £200.IKIO £150,000 £wo.000 202￿2021 f 50,CK)O 201￿2020 £0 As well as maklng monetary donations, the communlty also continues to SUPPOrt the hospital by purchasing gifts via the Amazon WSsh Llst. We ran a pilot scheme with one of our wards: Rudham Children's ward Amazon Wish List The Amazon Wishlist started running in December 2020 and 15 proving to be very successful. We have received hundreds of gift5 f rom patients, parents. staff. the general public and local companies, ranging f rom small toys, colouring books and crayons through to a shop, multi- sensory toys and TV. A number of parents commented that they had previously wanted to donate to the Ward but hadn't been able to as they felt they couldn't afford to. They thought the Amazon Wishlist was an ideal way for them to say thank you, as they could spend as little as £2.00 and contribute to a gift in the knowledge that they were buying something the Ward really needed. We even had some young patients wanting to buy something with their pocket money. The generosity and kindness shown has been overwhelming at times for the Ward staff and we all as a team, would like to thank everybody who so kindly donated. We will look at the possibility of extending the scherne to other wards according to demand. Our future plans As with all the Charitable funds expenditure the aim is to help improve the care and experience for hospital patients, whether this is through investing in the training and welfare of staff, funding refurbishment projects or purchasing equipment. This work will continue throughout 2021122 with our plans to purchase further items of equipment to benefit patients and continuing our support to staff to further their education, enabling thern to introduce and perform new techniques in patient care. The Maternity 8ereavement Suite Appeal was chosèn as The Lynn News Charity of the Year. The fundraising target is £185,000 and we continue to work towards thi5 objective. The scheme is to create a dedicated area for families f rom our community who tragically10se their babies either during or shortly after birth. The Maternity Bereavement Suite will provide a welcoming facility for patients and families. away from the Waterlily Birth Centre and maternity department. It will give them the opportunity to create precious memories. Having suite in a homely environment will make a positive difference to the experience of parents who are going through their most difficult time after their loss. The proposed layout for the Suite and the completion of the project will give patients and their families a private space to spend precious time with their baby. In order to generate enough room for the scheme. the new area will be created by reconf iguring some of the maternity footprint. There will be a bedroom area, nursery space, rest area with refreshment facilltles and an en-suite shower room.

The Staff engagement scheme was introduced at the QEH during the year. Further plans in the following year will see us working with a new Staff App providing staff with a closed and secure platform to talk to each other and share information when they want to. It will offer a key digital channel for the staff to communicate instantly through chat and news feed feature5. increasing opportunities for engagement and fostering a closer working environment where we can work together to provide the best care for our patients using a system and information that supports people, processes. timely communication and learning. This App 15 great way to empower and engage stsff whilst also improving communication, workplace satisfaction and build With funding from NHS Charities Together the Trust wants to provide tools to assist patients to maintain contact with their families and friends. This is essential for the wellbeing of patients and their farnilies. This proposal will reach out to many inpatients to support them to communicate with their family and friends whi15t vistting is restricted due to the COVID-19 pandemic. When visiting is re-introduced thi5 equipment will be useful to support virtual visiting for patients with relative5 not able to come into the hospital either due to location {they live a long way away) or choice Ithey may be anxious, immunosuppressed or not able to come in due to other family commitments). The purchase of such equipment will enhance the experience of our patients in the Trust both inpatients Itablets to undertake virtual visitirbg arbd time Iday and date clocks) and outpatients Itablets to support the hard of hearing to understand staff when they come to the front entrance through the use of voice to text appl. Statement of Trustees responsibilitie5 in respect of the Trustees annual report and the financial statements Under the trust deed of the charity and charity law, the trustees are responsible for preparing a Trustees, Annual Report and the financial statements in accordance with appliiable law and regulations. The trustees are required to prepare the financial rtatements in accordance with UK Accounting Stsndards, including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland. The financial statements are required by law to give a true and fair view of the state of affairs of the charity and of the incoming resource5 and application of resources for that period. In preparing these financial Statements. generally accepted accounting practice entai15 that the trustees.. select suitable accounting policies and then apply them consistently.. make judgements and estimates that are reasonable and prudenL' state whether applicable UK Accounting Standards and the Statement of Recommended Practice have been followed, subject to any material departures disclosed and explained in the financial statements; state whether the financial statements comply with the trust deed. subject to any materlal departures disclosed and explained in the financial statements,. assess the charlty's ability to continue as a going concern. disclosing, as applicable, matters related to going concern.. and use the going concern basis of accounting unless they either intend to liquidate the charity or to cease operations. or have no realistic alternative but to do so. The trustees are required to act in accordance with the trust deed land the rulesl of the charity, within the framework of trust law. They are responsible for keeping accounting records which are sufficient to Show and explain the charity's transactions and di5c105e at any time. with reasonable accuracy. the financial position of the charity at that time. and to enable the trustees to ensure that where any ststements of accounts are prepared by them under section 13211} of the Charities io

Art 2011, those statements of accounts comply with the requirements of regulations under that provision. They are responsible for such internal control a5 they determine is necessary to enable the preparation of financial statements that are free from material misstatement. whether due to fraud or error, and have general responsibility for taking such steps as are reasonably open to them to safeguard the assets of the charity and to prevent and detect fraud and other irregularities. The trustees are responsible for the maintenance and integrity of the financial and other information included on the charity's website. Legislation in the UK governing the preparation and dissemination of financial statements may differ from legislation in other jurisdi(tions. Golng concern The Trustees of the Charity have reviewed its financial position. taking into account the longer-term projertions made by its managemenL current levels of reserves and cash (including short-term inve5tment5), and concluded that the Charity ha5 sufficient acces5 to resources to remain in operation for at least the next 12 months from the date of this report. The Trustees of The Charity therefore consider it is appropriate to continue to adopt the going concern basi5 of accounting in preparing the annual financial statements. Disclosure of Infomiation to auditor The Otticers of the Trustee who held offlce at the date of approval of this Trustees report confirm thaL so far as they are each aware, there is no relevant audit information of which the Charitable Fund's auditor is unaware.. and each officer has taken all the steps that he ought to have taken as an Officer of the Trustee to make himself aware of any relevant audit information and to establish that the Charitable Fund's auditor is aware of that information. A final thank-you On behalf of the staff, carers and patients who have benefited from improved seNices due to donations and legacie5. the Corporate Trustee would like to thank all patients, relatives, staff and various organisation5 that have made charitsble donations during the year. Approved by the Corporate Trustee. Signed: Date: 2 November 2021 Professor Steve Barnett li

Independent #uditor's report to the Trustee5 of The Queen EIiT2beth Hospitsl King's Lynn Ch2rit#ble Fund OpiDlon We have audited the financial statements of The Queen EIi7Ab¢th Hospital King's Lynn Charitable Fund {'the Charity") for the year ended 31 March 202 Iwhich cotnprise the Statement of Financial Activities, Balance Sheet, Statetnenl of Cash Flows and related notes. including the accounting policies in note In our opinion the financial statements: give a true and fair view of the state of the charity's affairs as at 31 March 2021 and of its incoming resources and application of resources for the year then ended- have been properly prepared in accordance with UK accounting standards, including FRS 102 The Financlal Reporting St8ndard applicable in th8 UK and Republ￿ of Ireland,. and have been prepared in accordance with the requirements of the Charities Act 2011. Basis for opinlon We have be¢n appointed a5 auditor under section 144 of the Charities Aet 2011 (or its prede¢essors) and report in accord2n¢e with regulations made under se¢kn"on 154 of that Act. We conducted our audit io a¢cordance with International Standards on Audititlg (UK} {"ISAs {UKI") and applicable law. Our responsibilities are described below. We have fulfilled our ethical responsibilities under, and are independent of the charity in accordance wsth, UK ethical requirements including the FRC Ethical Standard. We believe that the audit evidence we hav¢ obtained is a sufficient and appropriate basis for our opinitsn. Going eoncern The truste¢5 have prepar¢d the financial statements on the goinB ¢oncem basis as they do not intend to liquidate the charity or to cease its operations. and a5 they have concluded that the charity's fjnancial position means that this is r¢alLStic. They have also concluded that there a￿ no material uncertainties that could have ¢as¢ significant doubt ovcr irs ability io ¢onlinue as a going con¢em for at leasi a year from the date of approval of the rtnartcial statements {'Ihe going Concern perto(r'). In our evaluation of the trustees, ¢onclusions, we corLsidered the inherent risks to the charity'5 bu5ine5s model and onalysed how those risks might affect the chaTLty's flnancial r¢sour¢es or ability to continue operations over the going conc¢m period. Our ￿nCluSiOnS based on this work: we consider that the trnst¢¢s' use of the going concern basis of ￿coUnting in the preparation of the financial sternents is appropriate,. we have not identified. and concur with the trustees, assessment that there is noL a material uncertainty related to events or conditions thai, individually or collectively, may cast significant doubl otl the charity's abilLry to continue as a going con¢em for the going concern period. However, 2$ w¢ ¢annot predict all future events or conditions and as subsequent events may resul( in ouicomes that are iThconsistent wilh judgern￿ts that were reasonable at the time they were made, the above conclusions are not a guarantee thai the charity will continue in operation. FrAud brellches of IAWS #nd regul¥tlons- ability to dett¢l Idénitfying andrejpo￿dl￿g io risk¥ ofmaterEalmisslaleMeM due fofraud To identify risks of material misstatement due to fraud {"fraud risks"), we as5es5ed events or conditions that could indicate an itJ¢entive or pressure to commit fraud or provide an opportunity to commit fraud. Our risk assessment procedures inGluded.. Enquiring of management and inspection of documentation as to the entity'5 high-level polici¢s and pmc¢dures to prev¢tit and detect fraud. ReadKng Board meeting minus. UsEttg analyti¢al procedure5 to identify any utjusual or uThexpected relationships. 12

We communicated identifi¢d fraud risks throughout the audit team and r¢main¢d alert to any indications of fraud throughout the audiL As required by auditin8 standards, we perform pro¢¢dures to address the rÉsk of management ove￿Ide of controls and the risk of fraudulent revenue Te¢ognition. However, due to the nature ofthe income received by th¢ ¢harity we have rebutted the fraud risk in relation to revenue recognition. Within the Charities sector, auditors also consider the risk that material misstatements due lo fraudul¢nt financial reporting may arise from the manipulation of expenditure recognition and Ih¢r¢fore an additional risk has be¢n identified in relation to this. Due to the natur¢ of the expenditure re¢ognised by the Charity, this risk has been limited to expenses which do not relate to ITansfeTS to the The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust. W¢ p¢rfomhed procedure5 iThcludin8'. Identifying joumal entries to test based on risk critcria and comparin8 the id¢ntifi¢d ¢ntries to supp)rting docwnentstion. These included those posted to unusual accounts combittatiot)s', Agreeing a sample of expense transactions ba¢k to r¢l¢vant invoices and supporting documentatLOn. Idehiifying andresponding Éo rlsks ofmaieriol mi$5talemeni dNe Io non-compliance wiih Imvs apjdre8ulali0￿S We identified areas of laws and regulations that could reasonably be expected to have a mat¢rial ¢ffe¢t on th¢ fjnancial Statements from our general commercial and sector experi¢n¢¢ and through discussion with the Trustees and other management la5 required by auditin8 5tandardsl. We discussed with the Trnstees and other managetnent the poli¢ies and procedures regarding compliance with laws and regulations. W¢ commutsi¢ated ]d￿tified law5 and regulations throughout our t¢atn and remained alert to any indic&tion5 of non- ¢ompliance throughout the audit. The potential effect of th¢s¢ laws and regulations on the fJn8ncial statements varie5 considerably. Firstly, die Charity ts subje¢t to laws atld r¢gulation5 that directly affect the flnancial statements including financial reporting legislation {including the Charitie5 SORPI and taxation legislation atld we assessed the extetlt of compliance with th¢5e law5 and regulations as part of our pro¢edures on the related fin&ncial stat¢]nent item5. Secondly. the Group 15 subject to many other laws and regulations where th¢ con5equenccs of notL<ompliance could have a material effect on amounts or disclosur¢s in the firtart¢ial siaternents. for instsnce through the imposltion of fines OT Iltigatton. We id¢niifi¢d th¢ following areas as those most likely to have such an effect.. health and safety, anti-bribery, and certain aspe¢ts of charity legislation. recogni5ing the nature of the Charity's octiviti¢s and its legal forn). Auditing stattdards liItLlt thr required audit procedures to identify non-compliance with these laws and regulations to enquiry of the Trustees and other management and inspection of regulatory 2nd legal correspondence. if any. Therefore. if a breach of opcrational regulation5 15 not disclos¢d to us or ¢vid¢nt from r¢levant ¢orr¢spondenc¢. an audit will not detect that breach. Conlexl ofthe ability ofthe atdii io deiecifrathlor breaches oflaw or regulation Owin8 to the inherent limitations of atl audii, ttkere is an unavoidable risk that we may not have detected som¢ material misstatements in th¢ fjnanrial statements, even though we have properly planned and perfomied our audit in accordance with auditing standard5. For example, the further removed non-compliznce with law$ and regulatiotss is fn)m the events and tran5action5 reflected in the financial statem¢nts, th¢ less likely the inherently limited procedures required by auditing Standards would identify it. In additÈon. as with ony audil th¢r¢ remains a higher risk of non-de￿110tt of fraud. &8 these may involve collusion. forgery, intentional omissions. misrepresentations. or the override of internal contro15. Our audit procedures ar¢ d¢5ign¢d to detect mat¢rial tnisstatetnent. We are not responsible for preventing non-compliance or fraud and cannot be ¢xpe¢t¢d to detect non.compliance with all laws and re8ulations. Other Infomation The trustee5 are responsible for the other information. which comprises the Trustees, Annual R¢port. Our opinion on the f￿anCIal statements does not ¢ov¢r the other infor]nation and, accordingly. we do not express an audit opinton or, except e$ explicitly stated below, any forni of assurance conclusion thereon. Our respoThst6iltty is to read the other inforn)ation and. in doing so, consider whether, based on our finan¢ial ststements audit work, tjie inforn)ation therein is materially mtsstated or in¢onsist¢Dt with the financial statement5 or our audit knowledge. We are required to report to you if.. b&sed sol¢ly on that work. we have idenlified material rnis5tatemcnts in the other iThforniation' or 13

We have nothing to report in these respects.

Matters on which we are required to report by exception

Under the Charities Act 2011 we are required to report to you if, in our opinion:

We have nothing to report in these respects.

Trustees' responsibilities

As explained more fully in their statement set out on page [number], the trustees are responsible for: the preparation of financial statements which give a true and fair view; such internal control as they determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error; assessing the charity's ability to continue as a going concern, disclosing, as applicable, matters related to going concern; and using the going concern basis of accounting unless they either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so.

Auditor's responsibilities

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue our opinion in an auditor's report. Reasonable assurance is a high level of assurance, but does not guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of the financial statements.

A fuller description of our responsibilities is provided on the FRC's website at www.fc.org.ukauditorsresponsibilities.

The purpose of our audit work and to whom we owe our responsibilities

This report is made solely to the charity's trustees as a body, in accordance with section 144 of the Charities Act 2011 (or its predecessors) and regulations made under section 154 of that Act. Our audit work has been undertaken so that we might state to the charity's trustees those matters we are required to state to them in an auditor's report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charity and its trustees, as a body, for our audit work, for this report, or for the opinions we have formed.

Stephanie Beavis for and on behalf of KPMG LLP, Statutory Auditor Chartered Accountants KPMG LLP is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006

Dragonfly House 2 Gilders Way Norwich NR3 IUB 23 December 2021

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Statement of Financial Activities (SOFA) for the Year to 31 March 2021 2020-2021 2019-2020 Unrnstri¢tsd Restricted Endownment Total Funds Funds Funds Funds £'ooD £'cfjo £'ooo rooo Total Funds rwo Note5 Donation$ Legacies Totsl Donations & Incom 229 33 447 676 315 1,934 2,249 33 262 447 709 In￿Stment In¢ome Total Incoming Re￿UrCeS 39 301 47 48 455 7S6 2,297 pU￿hase of Medical Equipment New Building and RefiJrbishment Patient Welfare Staff Welfrdre Oiher Expenditure Total Expenditurè on Charitsble Activities 119 636 32 114 14 915 121 118 76 12 136 712 115 69 250 14 108 45 226 1,141 45$ Cost of Generating Voluntary Income Management l G0￿ManCe Costs Total Re￿UrCeS Expendèd 37 53 41 60 42 56 1.005 236 1,241 553 Net Income Before TRn5fers Gross Transfers (704) {145} 219 14851 1,744 145 Net In¢ominglOutgoing Resources GainslLosses on Re￿IlDispoSal of Investment Net Movements in Funds 18491 132 364 14851 198 {2871 1,744 1241 1.720 66 17171 430 Fund Balances al Year Start 3,213 325 3.583 1,863 Fund Bal*n¢es clf at Year End 2.496 755 45 3.296 3,583 Charity Registration number: 1051327 All operations are continuing The note5 on page 18 to 25 form an integral part of these financial statements.

Balance Sheet as at 31 March 2021 20?￿2021 Unrestricted Restrlcted Endownmen¢ Funds Fund$ Funds £'ooc £￿C 2019-2020 Total Fund5 £'ooo Total Fund5 É'OOD Net Asgets Flxèd Asts Lorrfj Tem Inslments Inkeslments Total Flxed ASEets 330 21 351 1,381 1.732 285 1,249 1,534 1,381 1,381 330 21 Current Assyts Debtors Cash at Barl( and in H￿d Total Current Asseis 333 1532 1865 333 569 425 425 24 24 1981 2314 1542 2111 Credsto Amoufjt5 Falling Du8 Within One Year Tolal Creditors (7501 (7501 17501 17501 1621 Net Current Assets 1,115 42$ 24 1,564 1049 Total NolAss9ts 2,496 755 45 3.296 3,583 Funds Income Funds ' Ure5tri¢ted Funds Income Fund5 '. Restricted Funds Capitsl Funds ". Endownrnent Fund5 2,496 2,496 755 45 3,213 325 45 755 45 Totsl Funds 2,496 755 45 3.256 3,5B3 Chaiity Registration Thumber.. 1051327 The note5 on pages 18 to 25 form part of these account Approved by the Corporate stee on 2 November 2021 and signed on its behalf by Professor Steve Barnett Date: 2 November 2021 16

Cash Flow Statement as at 31 March 2021 202￿2021 2019-2020 rooo Noiè6 Cash generated from operating activities: Net cash provided by {u5ed inl operating activtties 392 1.221 Cash flow￿ from invasting actiwities: Dividends. interest and Tents from investmènts Total Cash flo￿ Irom other sources: 47 47 Appllcatlon of cash.. Net increaselldecrease) In cash: 439 1.269 Cash at 1 Ppril 1,542 273 Cash at 31 Mar(h 62 1.981 Charlty Registration nurnber.. 1051327 17

Note 1: Accounting policies (a) Accounting convention The charity is a public benef it entity and the funrtional currency is Pounds Sterling l£}. The financial statements have been prepared under the historical cost convention, as modified for the revaluation of certain investments. and in accordance with applicable United Kingdom accounting standards. the Charities Statement of Recommended Practice Charities SORP {FRS 102 effective 1 January 2019, and the Charities Act 20111. The Trustees have a reasonable expertation that it has adequate resources to continue activities for the foreseeable future. Accordingly the accounts have been prepared under a going concern basis. (b) Incoming Resources All incoming resources are included in full in the ststement of financial artivities as soon as the following three fartors can be met- entitlement- arises when a particular resource is receivable or the Charity's right becomes legally enforceable,. ertainty- when it is virtually certain that the incoming resource will be received; measurement- when the monetary value of the incoming resources can be measured with sufficient reliabllity. Cash donations are recognised as income in the statement of financlal a(tivities, once they have been received by the cashiers. Legacies are included in incoming resources once they have been received or receipt becomes reasonably certain. This will be orice confirmation has been received from the representatives of the estate. that payment of the legacy will be made or property transferred and once all conditions attached to the legacy have been fulfilled. It is an estimate based on the latest information received from the executors. (iv) Cash collected from fundraising events 15 included in the statement of financial activities upon receipt. {vl Endowment fund income is included in the statement of financial activities when it 15 received. Three out of the four endowment funds held in the Charity are rertrirted {Waley Trust, Warrington N and Shephardl, while the General endowment fund is unrestricted. (c} Resource5 expended The account5 are prepared in accordance with the accruals concepL All expenditure 15 recognised once there is a legal or constructive obligation to make a payment to a third party. le A tivi The costs listed under Charitable activities on the SOFA, consist of the following artivities,. purchase of medical equipment new building and refurbishment, patient experience, staff welfare and other expenditure such as computer equipment. Mana ement and Governan￿ Costs Management and administration costs cover the Charity's expenses, which consist of staff cost5. internal and external audit fee5. insurance, IT support and general office charges. 18

Costs of Genera in Volu ta Income The cost of generating voluntary income relates to the costs incurred in the Charity's fundraising artivities, including that of the f undraising executive. These costs are apportioned to the Geneial Fund following a Trustee decision in 2021. Other Policies Irrecoverable VAT is included in the relevant C05t headings on the face of the Statement of Financial Activities and not shown as a separate item. Id) Strurture of funds Fund5 of the Charity Unrestricted Income Funds Restricted Funds Income Funds Endowment Funds General Funds Designated Funds Expendable Permanent All of the unrestricted funds, including the designated funds, are available for any charitable purpose relating to the NHS. but are wholly or mainly for the stated purpose contained in the fund title, in recognition of the non-binding wishes of donors. The only unrestricted fund which has no designations is the General Fund, which is available for any charitable purpose at the discretion of the Trustee. Restrirted funds defined as donations that require the funds to be used in a specif ic way. or for specific purpose. Restricted income funds are subjert to specific Trusts, which may be declared by the donors or with their authority or created through legal process, but still within the wider objects of the Charity. {e) Investments Investment assets li.e. stockslshares) are shown as required by the Ststement of Recommended Prartice at the mid-market price, ex-div, at the Balance Sheet date. Net gains or losses are summarised in note 8 of the accounts. All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and 1055e5 on investments are calculated as the difference between sales proceeds and opening market value {or date of purchase if later). Unrealised gains and losses are calculated as the difference between market value at the year-end and opèning market value lor date of purchase. if later}. All investments are made in accordance with the Charity's investment policy, which minimises any risk. If) Cash at Bank Cash at bank and in hand records balances in bank accounts. whether interest bearing or not. Cash Flow Statement A G3sh flow statement has been produced in accordance with FRS 102. 19

Ih) Pooling Scheme An official pooling Kheme Is operated for invertments relating to the following schemes: Patients. Fund. General Fund, Staff Fund. The scheme was registered with the Charity Commission on 13, March 1998. Transfer5 between funds Transferring between funds is generally not allowed bLrt in certain circumstances and with approval from the Trustees this may be authorised. In the event of a ward closure or a fund closing any remaining balance will be transferred to a fund of similar purpose. (i) Trustee's remuneration The Board members receive no remuneration or expenses in respect of the administration of the funds. (k) Indemnlty insurance The fund ha5 purchased insurance to Indemnify the Trustee or other officers against the consequences of any neglect or default on their part. Note 2: Analysis of Total Voluntary Income 2020-2021 Unrestrlctèd Restrlctèd Endownent Funds Funds Funds 2019-2020 Total Funds E'o(M) Donation5 Total Fund5 E'OOO LXJ £'(KJo E'ooo Cheque Donations Cash Donation5 Grants Corporation Donations Total 73 182 102 159 255 144 42 29 59 55 218 59 229 447 676 315 202￿2021 Unrestiicted Restricted Endownent Funds Funds Funds 2019-2020 Totsl Funds £'ooo Legacie5 Total Funds £.￿0 E'OQO Legacies Total Legacies 33 33 33 1,934 1,934 33 20

Note 3: Analysis of tharitable Expenditure 2020-2021 Unrestricted Restrictsd Endowment rDoo rouo 201￿2010 Total Totsl E'ooo E'ooo £'oNJ Purcha¥e of Medical Equipment New 8uilding and Refijrbishment Patient Welfat staff Welfare Other Expenditure Totsl Expendllure on Charltable ActivSti88 119 121 118 115 636 32 114 76 12 136 712 260 14 14 45 916 228 1141 Managemellt l G0￿manCe Costs Indemnity knsurance Go¥emance Costs Totsl ManagemenUGovernance costs 62 48 S3 S9 Total Expendlture and costs Cost of Generating Voluntary In¢ome Tofal Resource$ Expendèd 968 37 232 1200 41 1241 511 100S 553 Explanation of direct charitable expenditure headings. Medicallsurgical equipment- This includes all medical and surgical equipment. Expenditure on 'new building and refurbishmenv includes the cort of upgrading the hospitals facilities and surroundings making them more comfortable for patients. Patients Welfare Any expenditure that is for patients benefit only, additionallcomplimentary support from professional services {including massage. reflexology, counselling etcl, Christmas gifts and toys for the children and information booklets and brtschure5. Staff Welfare Any expendtture that is staff related, i.e. training course5, conferences, Christmas parties. staff welfare and engagement artivtties and educational books. Other expenditure Any expenditure. including office. computer 50ftware and hardware, cleaning equipmenL additional staffing costs catering services and accrued audit fees is included in here. Note 4: Analysis of Management and Governance Costs Medlcal l New Buildlng Totsl cost Patlents Staff Surglcal and for 2020- Welfare Wellaro Equlpmont R8furbl*nent Other 2021 Total cost for 2019- 2020 £'ooo £￿00 £￿0￿ £wo £WC4J £Tr)o nagement Costs Administration costs Governan￿ costs other c05tS Totsl Manag8ment eo Cost of Generatiw VolLWtèry In¢ome T¢)tsl Manag. & Govem. Cost5 12 18 18 21 25 32 38 16 12 62 60 38 13 66 100 21

Support cost5 are allocated across the funds as follow& 500h of the c05t5 incurred are allocated a5 a fixed charge, the remaining 50Yfj is apportioned on the average balance basis. The Fundraiser costs amount to £38,000. Cost of generating voluntary income are allocated to the General Fur)d Note 5: Resources expended A share of donations received into the Can¢er Care and Treatment Fund is allocated to Macmillan Cancer Relief in agreement with the Charity Commi55ion. For the current linancial year this was £3,89412019-20- £8,594). Note 6: Cash Flow 6.1: Reconciliation of net incomel(e>penditure} to net cash flowfrom operating actiwities 2020-2021 2019-2020 £'ooo £'o Total Donations & Income Total Resources Expended Net operatiny e>penditure 709 11,2411 (5321 2.249 15531 1.696 Ilncreaseydecrease In debtors IDecreasÈllincrea5e in credttor5 Net cash provided by (used in) operating actimties 236 688 392 1489) 14 1.221 6.2: Analy515 of cash at bank and in hand less 0￿rdraftS 2020-2021 2019-2020 £'ooo £'ooo Cash at bank and in hand Overdrafts included in bank loans and overdrafts fallin Total Cash at bank and in hand 1.981 1542 due 1981 1542 Note 7: Movement in funds The Cancer Care and Treatment Fund, Breast Care Fund. Diabete5 Fund. Rudham Ward Equipment Fund, Palliative Care Nurse Support Fund, and the Kidney Fund are material designated funds for use in their own areas. The General Fund is used for any charitable purpose at the discretion of the Trustees. QEH Medical I Surgical fund - This includes donations I legacies for general use within the hospital to purchase any equipment whether medlcal or surgical. The QEH Medical Dirertorate's fund and Other Acute funds IOthers1 include the remaining designated funds from each dirertorate. 22

Note 8: Long Term Investments - Analy515 of COIF naly5i5 of COIF Value 2020-2021 2019-2020 GainlLoss £'ooo 'ooo £'O(KJ Queen Elizabeth Hospital King's Lynn Charrtable Fund Ilncome Units) Queen Elizabeth Hospital King's Lynn Charttable Fund Ilncome Unit51 Queen Elizabeth Hospital King's Lynn Chariiable Fund Accumulation Units Total: 38 83 69 14 222 178 351 285 66 alysi5 of COIF Charities Investments 2020-2021 2019-2020 GalnlLoss £'OOD £'ooo £'ooo COIF Charltles Fixed Interest Fund Ilncome Unrts) COIF Charfcies Investment Fund Ilncome Units) 564 572 {81 817 677 140 COIF Investment Total: 1.381 1.249 132 Grand Total 1,732 1,534 198 COIF.. Charities Official Investment Fund Note 8.1: Investments - Analysis of gross income from investments 2019-2020 £'ooo 2019-2020 £'o Interest on cash held on deposfc account {NatrNest} and CCLA Investments in a Common Investment Fund fixed asset investment) Total 46 47 48 Note 9: Analysis o* debtors (Under 1 year) 202￿2021 Unrestricted Restricted Funds Funds £'ooo £'ooo 2019.2020 Total Funds £'ooo Total Funds £'ooo Accrued income (Grft Aid) Other Debtors {Legacies} Total Debtors for the Yoar 17 17 23 316 316 546 333 333 569

Note 10: Analysi5 of Creditors: amounts falling due within one year 202(k2021 £'ooo 2019-2020 £￿00 Other Credrtors as at 3110312020 Amount due to Related Party Cancer Relief Prov￿10￿ Total Creditor5 for the Year 23 724 16 750 Note 11: Forthcoming Projects The Charity has a number of projects that it is intending to support In 2027r22. The forecast expenditure on these projects 15 £749.000. This has not been recognised as expenditure in the financial rtatements as the Charity has not entered into a contractual commitment for these projects. Note 12: Related Party Transactions During the year none of the Trust Board or members of the key management staff or parties related to them has undertaken any material transactions with The Queen Elizabeth Hospital King's Lynn Charitable Fund. Board members land other senior staffl take decisions both on Charity and Exchequer matters, but endeavour to keep the interests of each separate and do not seek to benefit personally from such decisions. Declaration5 of personal interest have been made in both capacities and are available to be inspected by the public. The Charitable Trust has made revenue and capital payments amourhting to £876,000 to the Trust, where the board rnembers also act as the Corporate Trustee of the Charitable Fund. At 31 March 2021 the Charity owed the Trurt £724,00012020 £16.0001 The Financial Statements of the Trust are included in its annual report. Note 13: Audltor Remuneration The external auditors remuneration for the current year is £7.800 12020 £5,820). This relates solely to the audit with no other additional work undertaken and is included in the accounts within Management l Governance Costs. 24