Cheltenham lllllll Gloucester HOSPITALS CHARITY T. ri 11 'rJ7'_ Trustees, Annual Report and Accounts Year Ending 31 March 2024
Contents
| Foreword by the Chair of the Charitable Funds Committee | 3 |
|---|---|
| Legal, Governance and Administrative Information | 4 |
| Financial Review | 7 |
| Fundraising Highlights | 8 |
| Our Future Plans | 10 |
| Investments | 11 |
| Reserves Statement | 12 |
| Auditors Report | 13 |
| Statement of Financial Activities | 17 |
| Balance Sheet | 18 |
| Cash Flow Statement | 19 |
| Notes to the Accounts | 20 |
| Glossary | 29 |
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Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Legal, Governance and Administrative Information
Foreword by the Chair of the Charitable Funds Committee
Welcome to our Annual Report for 2023/24.
We fund projects that create positive changes for local patients, families, carers, and our dedicated NHS staff. From state-of-the-art equipment and hospital environment transformation to community outreach and specialist care, the support we receive helps us improve hospital life for many.
With the continued cost of living pressures affecting many, the generosity of those who donate, raise funds, give grants, or remember us in their will is more appreciated than ever.
Your support has enabled us to fund numerous projects this year, including:
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A new CT Gamma Scanner installed at Gloucestershire Royal Hospital, benefiting everyone from unwell children to cancer patients and those with Parkinson’s Disease.
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Cancer Support Team assistance and advice for local people undergoing cancer treatment.
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• Funding for green spaces, including a new wildflower garden, a trail, and artwork across the hospitals to enhance the patient and staff experience.
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The ‘Reaching out Together’ project, which engaged with communities facing health inequalities to reduce healthcare access barriers and promote community wellbeing.
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Funded research posts providing local people with opportunities to benefit from new trials and emerging techniques.
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Ophthalmology equipment, including a microscope and training simulator funded by Gloucestershire Eye Therapy Trust, making the latest technology available for local eye patients.
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A Clinical Psychologist post established with the support of Pied Piper, benefiting young people with serious illnesses such as cancer.
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Auto-contouring software enhancing precision radiotherapy treatment to eliminate cancer cells.
Many more projects were funded across the hospitals, from portable imaging technology to improved staff rooms.
Previously funded projects such as CT scanners continue to make a significant impact on patients.
The charity’s contributions were recognised through award nominations, locally for Gloucestershire Charity of the Year and nationally for the Health Service Journal NHS Race Equality Award for ‘Reaching out Together’. These award nominations highlighted deserved recognition for the impact and reach of the charity.
Additionally, we updated our charity brand and website to better communicate our work to the public and keep them informed about funded projects and ways to get involved.
This year, the charity also raised funds to transform the facilities in the Gloucestershire Oncology Centre. This important appeal remains a future priority, aiming to make the biggest possible impact for local people with cancer. We also aim to continue our critical work across the hospitals and in areas of inequality, making the greatest impact we can.
To all who have supported us – thank you. We are immensely grateful for your generosity. The projects you’ve helped fund make a difference every day in our local hospitals.
Marie-Annick Gournet Chair, Charitable Funds Committee
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Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Legal, Governance and Administrative Information
Legal, Governance and Administrative Information
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1 Registered Charity No. 1051606
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2 Address Charitable Fund Office
Cheltenham General Hospital
Cheltenham, Gloucestershire GL53 7AN
- 3 Objects
For any charitable purpose or purposes relating to the National Health Service, wholly or mainly for the Service provided by the Gloucestershire Hospitals NHS Foundation Trust
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4 Governing Document Declaration of Trust dated 27 Nov 1995 as amended by Supplemental Deeds dated 28 July 2003 and 15 Oct 2004.
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5 Trustees Gloucestershire Hospitals NHS Foundation Trust (GHNHSFT) as the Corporate Body
| Corporate Body | ||
|---|---|---|
| * | Deborah Evans | GHNHSFT Chair |
| * | Vareta Bryan | Non-Executive Director |
| Claire Feehily | Non-Executive Director (until 31st July 23) | |
| * | Marie-Annick Gournet | Non-Executive Director |
| Balvinder Kaur Heran | Non-Executive Director | |
| Kaye Law-Fox (ANED) | Associate Non-Executive Director (from 1st Jan 23) | |
| * | Jaki Meekings-Davis | Non-Executive Director |
| Alison Moon | Non-Executive Director (until 31st March 24) | |
| Sally Moyle (ANED) | Associate Non-Executive Director | |
| Mike Napier | Non-Executive Director | |
| John Cappock | Non-Executive Director (from 1st July 23) | |
| Rebecca Pritchard | Associate Non-Executive Director (until 31st July 23) | |
| * | Matt Holdaway | Director of Quality and Chief Nurse |
| Karen Johnson | Director of Finance | |
| Simon Lanceley | Director of Strategy and Transformation (until 2nd July 23) | |
| Deborah Lee | Chief Executive Officer (until 30th January 24) | |
| * | Mark Pietroni | Medical Director and Deputy Chief Executive |
| Claire Radley | Director for People and Organisational Development | |
| Qadar Zada | Chief Operating Officer (until 16th July 23) | |
| Helen Ainsbury | Interim Executive Chief Digital and Information Officer (from 1st Oct 23) | |
| * | Ian Quinnell | Interim Director of Strategy and Transformation (from 1st July 23) |
| Kevin McNamara | Chief Executive Officer (from 1st January 24) | |
| David Coyle | Interim Chief Operating Officer (from 4th July 23 to 28th March 24) | |
| Al Sheward | Chief Operating Officer (from 11 December 23) |
Together with the Divisional Directors of Quality and Nursing or their representatives, a * representative of FOCUS committee, a Governor Representative and the Head of Financial Services make up the Charitable Funds Committee.
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Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Legal, Governance and Administrative Information
| 6 | Bankers | Nat West |
|---|---|---|
| 7 | Investment Advisors | Brewin Dolphin Ltd, 12 Smithfield Street, London EC1A 9BD |
| Brewin Dolphin operates on a discretionary client basis, i.e. they are | ||
| permitted to buy and sell investments without the ongoing | ||
| concurrence of the Charity (subject to annual ongoing review). All | ||
| investment transactions must be in accordance with the investment | ||
| policy, (see Page 13). Brewin Dolphin has formally signed up to this | ||
| policy. |
8 Fund Structure
The charity is an umbrella charity for individual charitable funds, each designated for a specific ward or service within GHNHSFT. Whilst the charity acknowledges the receipt and the intended use for donated monies within a designated fund, this does not place the charity in any legal trust to do so. Trustees have decided that all designated funds are therefore to be classified for specific purpose within the overall unrestricted fund balance. Charitable appeal donations, legacies (where a ward or service is specified), grants and bursary funds, where restrictions are placed upon them, are accounted for as restricted funds.
The Gloucestershire Hospitals NHS Foundation Trust (GHNHSFT) General Charitable Fund is an independent registered charity (registered number 1051606). Cheltenham and Gloucester Hospitals Charity is the registered working name for the charity. The Charity provides a public benefit by raising funds, donations and grants for the benefit of local patients. By securing donations, legacies, grants and sponsorship, Cheltenham and Gloucester Hospitals Charity can provide additional funds that make a real difference for our patients, their families, friends and the staff who treat them.
9 Governance Arrangements
GHNHSFT is the Corporate Trustee of the charity. The Trustee delegates responsibility for some of the day to day running of the charity to the Charitable Funds Committee, chaired by a Non-Executive Director. In 2018/19 the Trustee also established a separate Investment Committee to oversee the development of an investment strategy and policy, and monitor the charity’s investments. The Charity Director meets with new members of the Committee to induct them to the Charity and they are in regular contact through the year
The Charity operates within the overall governance arrangements of GHNHSFT, and the Charitable Funds are required to be consolidated as part of the Trust’s Annual Accounts. Whilst the charity shares the same financial systems as the GHNHSFT, a separate bank account is maintained for the charity.
Each fund is managed by nominated fund advisor(s) who, along with the Associate Director of Charity, are responsible for ensuring that expenditure is in accordance with the charity’s governing documents and in accordance with donor wishes. Expenditure in excess of £10,000 requires the approval of the Charitable Funds Committee. Copies of the accounts can be obtained from the Charity Commission.
All of the Charity team are employees of GHNHSFT, and are part of agenda for change salary banding and pay grades. The banding of all roles and pay grades are considered by GHNHSFT HR Department prior to recruitment, to identify the correct salary level.
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Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Legal, Governance and Administrative Information
- 10 Charity Objectives and Strategic Aims
Cheltenham and Gloucester Hospitals Charity has a shared vision with GHNHSFT, “Best care for everyone”, with the aim of raising funds to create the best possible experience for patients, their families and staff by funding programmes which deliver exceptional care, support innovative capital schemes to supply new equipment, help to deliver Trust innovations in patient treatment and ensure colleagues are supported in their duties.
The Charity's objectives are such that the area of intended benefit relates to the NHS, wholly or mainly for the service provided by GHNHSFT, to include patients and colleagues. By virtue of these objectives the patient benefit is inherently considered in all activities undertaken.
By raising funds and through careful management of our existing funds, Cheltenham and Gloucester Hospitals Charity provides a public benefit by making grants to GHNHSFT and the other organisations it works with in order to support patients and colleagues. This is ‘for any charitable purpose or purposes relating to the National Health Service’, which includes funding facilities, equipment and research and to support associated healthcare and complementary services for patients of GHNHSFT.
During the year the charity undertook a strategic review and restructure, in order to best achieve priorities including the diversification of income, impact measurement, strategic partnership working, the planned launch of a new brand in 2023 and development of the Charity’s first capital appeal to transform the facilities for Oncology. This was completed and an update on progress against milestones is reviewed at each charitable funds committee meeting.
- 11 Risk Management
In terms of risk management, the charity’s systems and protocols are aligned to those of the Trust. Accordingly, the Trust’s risk system has been utilised to track and mitigate risk for the charity. The Charity reviewed areas such as financial and reputational risk during the year and our strategies for managing risk. No significant risks were identified which are expected to impact on the Charity’s financial performance.
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Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Financial Review and Fundraising Highlights
Financial Review
The economic climate has continued to impact on our charity, with high rates of inflation and the increased cost of living having a knock-on effect in the charity sector. Despite this challenging environment the public have continued to kindly give support and the charity was in receipt of £1,940k of donated income (£1,350k 2022/23), this included £369k of legacy income and £727k in grants.
There are no sources of estimation or judgement in the financial review.
The overall fund balance of the Charity stands at £3,509k (£3,960k 2022/23). Of this, £1,790k has been committed by the charity for expenditure, including funds to cover the costs of the cost of our Focus Cancer support Team for a further year, funds to enhance the hospital green spaces for patients and staff and a planned transformation of facilities for cancer patients in the Gloucestershire Oncology Centre. Included in the fund balance is the Charity’s reserve which as at 31 March 2024 was £318,876 (£318,876 2022/23). The Charity’s investments are carrying an unrealised gain of £29k (unrealised loss of £39k 2022/23).
Charitable Expenditure
A number of varied projects were funded during the year to make a wide impact across the hospitals, with a total of £2,458k (£1,910k 2022/23) spent in the year, with £1,923k (£1,544k 2022/23) spent on projects to meet charitable purposes, including the purchasing of equipment, support for medical research and staff training.
Key projects included:
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A new CT Gamma scanner was installed in Gloucestershire Royal Hospital.
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Staff posts including the Focus Cancer Support Team, research posts and three Clinical Psychology workers.
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Ophthalmology refurbishment to benefit local eye patients.
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Development of the Outline Business Case and planning of a new Cancer Treatment Facility.
----- Start of picture text -----
Analysis of Charitable Expenditure 2023/24 Analysis of Charitable Expenditure 2022/23
Patients Welfare &
Patients Welfare &
Amenities
10% Amenities
18% Staff Welfare &
1% 12% Staff Welfare and 9% Development
4% Development 6%
Buildings andOutdoor spaces (inc 5% Buildings andOutdoor spaces (inc
26% Artwork)Equipment Artwork)Equipment
31%
46% Research Research
31%
Community Project Community Project
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The cost of charity management, grant making and administration in the year was £152k (£134k 2022/23), and the cost of fundraising in the year was £502k (£358k 2022/23). The cost of fundraising reflects an early investment in private phase fundraising of the Big Space Cancer Capital Appeal to transform our cancer facilities, which is anticipated to bring significant future income to the charity in future years.
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Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Financial Review and Fundraising Highlights
2023/24 Fundraising Highlights
The support of the local community makes our work possible, and we deeply appreciate every gift we receive – especially with the continued pressures which impact on the cost of living for many people. From imaging technology to give faster diagnosis to specialist reclining chairs to improve patient comfort, staff roles focussed on new medical research to art to improve the hospital environment, so much has been achieved thanks to the generosity of the public.
During the year, Individuals continued to kindly give to the charity, with donations totalling £639k helping us to make a difference. The kindness of those who choose to leave a gift in their will to our charity is greatly appreciated by staff, and enables us to fund projects to make an impact for the future of patients receiving treatment and care. £369k was received from gifts in wills during the year, funding a range of projects across the hospitals
We are grateful to all those who take on challenges or raise funds through events, from marathon runners to three-peaks challenges, sponsored walkers to head shaves, the dedication of our supporters to take on challenges and raise funds continues to amaze and inspire us.
Many people have chosen to take part in the charity’s new lottery, which was launched during the year. Their regular support will enable more projects to be funded in future, benefitting local people and NHS staff.
People have supported the charity’s general work, and also given to areas across the hospitals including our Scanner Appeal, our baby loss remembrance garden at Gloucestershire Royal Hospital and our Focus Fund which provides support for local cancer patients and specialist equipment for the Gloucestershire Oncology Centre. The support of those who give in-kind gifts to help us make an impact, or give their time to volunteer for the charity, is also greatly appreciated.
Case Study – Gamma CT Scanner
Patients are benefitting from new technology which provides two specialist scans at the same time; an external CT scan and a gamma scan from within the body.
The combination of images gives an incredible level of picture quality, helping to diagnose conditions which otherwise may not be found and reducing the number of hospital appointments needed.
Thanks to our donors, more than 4,000 patients every year will benefit from this new technology.
The Charity continues to be extremely grateful for the support we receive from partner charities who raise funds on our hospital sites, with our patients benefiting from grants to fund projects such as a new state-of-the-art microscope to benefit cataract surgery patients funded by Gloucestershire Eye Therapy Trust, a Clinical Psychologist to benefit young people with cancer funded by the Emily’s Gift campaign run by The Pied Piper Appeal, and Cosytherm Incubators funded by Scoo-b-doo.
NHS Charities Together have continued their support, particularly with funding of our Community Partnership Project, and charitable trusts and other organisations kindly give grants to support our work. Without our donors, supporters, partner charities, and those who so kindly choose to remember the hospitals in their will, the projects we fund would not be possible, and we are grateful for every gift which helps us make an impact for local patients and NHS staff.
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Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Financial Review and Fundraising Highlights
Case Study – Focus Support Team
The charity raises funds for the ongoing work of the Focus Support Team, who support cancer patients at every step – from a diagnosis of cancer to advice during and beyond treatment.
The team, who work alongside dedicated volunteers in the Gloucestershire Oncology Centre, are there to provide information, help and advice both practical and emotional, for cancer patients and their loved ones at a time when they might feel particularly unwell, anxious or vulnerable.
Our Fundraising Practices
Members of the charity’s fundraising team co-ordinate the activities of supporters both in the hospitals and in the wider community. They also organise fundraising events and activities and fundraising appeals for the charity. There have been no complaints about fundraising activity in the past year.
The fundraising department has signed up to the Fundraising Regulator’s Code of Fundraising Practice. All fundraising guidance and working practices are compliant with that code. The fundraising team is responsible for co-ordinating fundraising volunteers and activities with our Head of Income responsible for monitoring their activities against the requirements of the code. New fundraisers are given a briefing before they raise funds and remain in regular contact with the charity team. A member of the fundraising team will attend most events to ensure that that they are being appropriately run.
All direct marketing and fundraising is undertaken by the fundraising department to ensure that it is not unreasonably intrusive or persistent. All marketing material contains clear instructions on how a person can be removed from mailing lists .
The fundraising team are a member of NHS Charities Together, modelling best practice for NHS charities.
Case Study – Reminiscence Therapy
Thanks to a grant from The Saintbury Trust, a new RITA has been funded to benefit patients on our Acute Medical Unit, particularly benefitting patients with dementia or other cognitive conditions.
RITA stands for Reminiscence Rehabilitation & Interactive Therapy Activities and offers a user friendly interactive way to combine therapy and entertainment. It can help patients to feel calm, to reduce anxiety and promote interaction with other patients, loved ones and the staff caring for them.
This technology is helping to make vulnerable patients feel safe, and to improve their experience while they are a patient in a medical environment.
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Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Our Future Plans
Our Future Plans
The charity’s annual plan for 2024/25 aims to develop priority areas of work, which include:
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The Big Space Cancer Appeal: launching the public phase of this important capital appeal to improve facilities for local cancer patients through a public engagement and fundraising campaign.
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Growing sustainable income and visibility: continued investment in areas of long-term income growth and increasing the overall visibility of the charity.
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Strategic grant making and communicating impact: Increasing our understanding of the impact the charity makes, ensuring this meets the diverse needs of GHNHSFT’s work.
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Establishing strategic alliances: building relationships and working in partnership with the local healthcare system to maximise impact, including projects to benefit those with health inequalities
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Governance and future planning: planning for the charity to best work in partnership with Gloucestershire Hospitals NHS Foundation Trust to maximise charity impact in the long term
The private phase of the Big Space Cancer Appeal was progressed during 2023/24 with investment in advance of a planned public launch in 2024/25. This appeal is raising funds for a new facility on the Cheltenham General Hospital site, to improve the environment for local cancer patients and transform their experience.
With the launch of a new lottery, and our first dedicated role to communicate the impact of Gifts in Wills, we are investing in areas which can increase the general funding available to fund priority projects across the hospitals – especially in areas which might otherwise receive very little designated support.
We will continue to work alongside the trust to plan our work in partnership, and understand the need within the hospitals – through this work we aim to maximise the impact we can make for local patients and NHS staff.
Case Study – Fundraising challenges
We are incredibly grateful to all who take on events and challenges to raise funds, and among the many kind supporters were the ‘Forget-Me-Not’ support group who took on a series of fundraising challenges to support our Baby Loss Remembrance Appeal, and their biggest challenge was a Wing Walk which raised over £5,000.
The group were extremely motivated to raise funds for a new outdoor space that will provide quiet reflection for families at Gloucestershire Royal Hospital, and thanks to support received we aim to open the garden in 2024/25.
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Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Investments
Investments
The Charitable Funds Investment Committee meets twice a year, reporting to the Trustee and the Charitable Funds Committee. Our Investment Policy includes an Ethical Investment Policy, which attempts to ensure that all investments are ethically and environmentally sound, and are not opposed to the purpose of the charity.
The Investment Mandate sets out the investment objectives for the charity, which are for total return (income and capital growth) ahead of the prevailing rate of inflation in real terms over the long term with a diversified approach at a low to moderate risk level. Short term dividend income is of secondary concern. The level of investment risk taken is reviewed regularly and has been appropriately mitigated by apportioning approximately half of the funds in a low-risk portfolio, with the other half in a balanced portfolio.
The following investment objectives have been agreed:
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Invest funds for which there is no current spending plan;
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Invest funds in a way which will both preserve and enhance their capital value and produce a return consistent with prudent investment;
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Not place the funds at risk by speculative investment;
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Diversification of investments to reduce risk;
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Not invest in companies engaged in activities deemed by the Trustee generally deemed to be unethical as set out in the Ethical Investment Policy;
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Income to be targeted at no less than £60,000 per annum, and paid out monthly via standing order to the charity. Any income generated over £75,000 should be reinvested;
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• The Trust is not permanently endowed.
The investment portfolio rose in value over the year. At the year’s start, the economic outlook appeared more challenging than it eventually became. Investors believed that central banks had further to go in terms of raising interest rates to tame inflation, with the assumption that these rate rises would eventually be reversed. Although expectations for interest rate reductions have dampened, US economic exceptionalism throughout the year, as well as the emerging technological revolution in artificial intelligence, has spurred markets higher
The Charity regularly reviews the performance and the level of risk taken with our investment managers, to ensure we are comfortable with the degree of market volatility that it is exposed to, and it takes a long-term view over its investments.
The amount the Charity will hold in cash will vary depending on the cash flow and spending plans. The charity chooses to hold funds in cash for its capital projects being funded, rather than it being invested.
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Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Reserves Statement
The Charitable Funds Committee review the Charity reserves policy and statement annually, through which we aim to minimise the risk of a reduction in charitable income to ensure that the charity can cover its ongoing operational costs whilst maintaining expenditure to meet charitable purpose. The charity holds a fixed reserve created by the realisation of investment gains in 2017. It is agreed that the fixed reserve held should be sufficient to cover the charity’s costs for minimum of 3 months to include salaries, redundancy and core charitable administration expenditure.
The realised gains on investments held at 31 March 2024 is £318k (£318k 2022/23), which is a fixed reserve held in a designated fund. The charity’s expenditure on salaries and operational costs for 3 months is £110k, which together with redundancy costs of £186k means there is sufficient in the fixed reserve to cover the winding down of the charity during 2024/25, should that be necessary.
Any surplus generated through investments, agreed as over 20% of investments, can be realised by the Trustee and used to fund future charitable activity or to increase the fixed reserve if required.
The Charitable funds committee calculate the free reserves as that part of the charity’s unrestricted income funds that is freely available after taking account of designated funds that have been earmarked for specific projects.
Free reserves currently stand at 28k (3k 2022/23) and are calculated as follows
| 2023-24 | 2022-23 | |
|---|---|---|
| £000 | £000 | |
| Total unrestricted funds | 1,722 | 1,606 |
| less designated funds | 1,694 | 1,603 |
| Total free reserves | 28 | 3 |
Charitable funds committee considers the balance of the free reserves before approving grant applications, if insufficient free reserves are available, grants will be deferred until funding is available
The Trustee is mindful that donated monies require utilisation and should not be accumulated over time. As a general guide, the Trustee aims in any one year to spend at least the equivalent amount that has been raised through fundraising activity. The Trustee reviews the balances held in all funds, in accordance with the provision of the NHS Acts relating to charitable funds, to determine whether these funds are likely to be committed in the near future, and if not the reasons for this.
Case Study – Reaching Out Team
Thanks to a grant from NHS Charities Together, The Reaching Out team has been engaging with communities to engage them with NHS Services, improve their health and wellbeing, and break down barriers which might prevent them accessing healthcare.
The team’s work was shortlistedfor a national Health Service Journal NHS Race Equality Award, giving recognition to the important work they have been doing.
With 8 Community Outreach Workers and a Health and Wellbeing Co-ordinator, the team speak 8 different languages between them and have a wide reach across the community.
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Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Independent auditor’s report to the trustees of Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund
Report on the audit of the financial statements
Opinion
In our opinion the financial statements of Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund (the ‘Charity’):
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give a true and fair view of the state of the charity’s affairs as at 31 March 2024 and of its incoming resources and application of resources, including its income and expenditure, for the year then ended;
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have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice, including Financial Reporting Standard 102 “The Financial Reporting Standard applicable in the UK and Republic of Ireland”; and
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have been prepared in accordance with the Charities Act 2011.
We have audited the financial statements which comprise:
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the statement of financial activities;
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the balance sheet;
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the cashflow statement;
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the related notes 1 to 17.
The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 “The Financial Reporting Standard applicable in the UK and Republic of Ireland” (United Kingdom Generally Accepted Accounting Practice).
Basis for opinion
We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the auditor's responsibilities for the audit of the financial statements section of our report.
We are independent of the charity in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the Financial Reporting Council’s (the ‘FRC’s’) Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.
Conclusions relating to going concern
In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.
Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charity’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.
Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.
Other information
The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information contained within the annual report. Our opinion on the financial statements does not cover the other information and we do not express any form of assurance conclusion thereon.
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Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.
We have nothing to report in this regard.
Responsibilities of trustees
As explained more fully in the trustees’ responsibilities statement, the trustees are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.
In preparing the financial statements, the trustees are responsible for 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 the trustees either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so.
Auditor’s responsibilities for the audit of the financial statements
We have been appointed as auditors under section 144 of the Charities Act 2011 and report in accordance with the Act and relevant regulations made or having effect thereunder.
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 an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.
A further description of our responsibilities for the audit of the financial statements is located on the FRC’s website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.
Extent to which the audit was considered capable of detecting irregularities, including fraud
Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below.
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Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
We considered the nature of the charity’s industry and its control environment, and reviewed the charity’s documentation of their policies and procedures relating to fraud and compliance with laws and regulations. We also enquired of management and the trustees about their own identification and assessment of the risks of irregularities, including those that are specific to the charity’s business sector.
We obtained an understanding of the legal and regulatory framework that the charity operates in, and identified the key laws and regulations that:
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had a direct effect on the determination of material amounts and disclosures in the financial statements. These included the Trust Deed, UK Charities Act and Charities (Accounts and Reports) Regulations 2008.
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do not have a direct effect on the financial statements but compliance with which may be fundamental to the charity’s ability to operate or to avoid a material penalty. This included the regulations of the Charity Commission for England and Wales.
We discussed among the audit engagement team regarding the opportunities and incentives that may exist within the organisation for fraud and how and where fraud might occur in the financial statements.
As a result of performing the above, we identified the greatest potential for fraud or noncompliance with laws and regulations in the following area, and our procedures performed to address it are described below:
- Cut-off of legacy and grant income, at year end. To address this risk, we completed a review of key controls relating to legacy and grant income and substantively tested legacy and grant income which have been recognised as income post year end to ensure they have been recognised in the correct accounting period.
In common with all audits under ISAs (UK), we are also required to perform specific procedures to respond to the risk of management override. In addressing the risk of fraud through management override of controls, we tested the appropriateness of journal entries and other adjustments; assessed whether the judgements made in making accounting estimates are indicative of a potential bias; and evaluated the business rationale of any significant transactions that are unusual or outside the normal course of business.
In addition to the above, our procedures to respond to the risks identified included the following:
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reviewing financial statement disclosures by testing to supporting documentation to assess compliance with provisions of relevant laws and regulations described as having a direct effect on the financial statements;
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performing analytical procedures to identify any unusual or unexpected relationships that may indicate risks of material misstatement due to fraud;
-
enquiring of management concerning actual and potential litigation and claims, and instances of non-compliance with laws and regulations; and
-
reading minutes of meetings of those charged with governance.
15
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Report on other legal and regulatory requirements
Matters on which we are required to report by exception
Under the Charities (Accounts and Reports) Regulations 2008, we are required to report in respect of the following matters if, in our opinion:
-
the information given in the financial statements is inconsistent in any material respect with the trustees’ report; or
-
sufficient accounting records have not been kept; or
-
the financial statements are not in agreement with the accounting records and returns; or
-
we have not received all the information and explanations we require for our audit.
We have nothing to report in respect of these matters.
Use of our report
This report is made solely to the charity’s trustees, as a body, in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008. Our audit work has been undertaken so that we might state to 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 the charity’s trustees as a body, for our audit work, for this report, or for the opinions we have formed.
idole LL?
Deloitte LLP Statutory Auditor Bristol, United Kingdom 29 November 2024
Deloitte LLP is eligible for appointment as auditor for the charity by virtue of its eligibility for appointment as audit of a company under section 1212 of the Companies Act 2006.
16
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Gloucestershire Hospitals NHS Foundation Trust Charitable Fund Statement of Financial Activities For the year ending 31 March 2024
| Note Incoming Resources |
Restricted Funds 2023-24 £000 |
Unrestricted Funds 2023-24 £000 |
Total Funds 2023-24 £000 |
Restricted Funds 2022-23 £000 |
Unrestricted Total Funds Funds 2022-23 2022-23 £000 £000 |
|---|---|---|---|---|---|
| From : Donations & Legacies 2 Investment Income 3 Total Incoming Resources |
|||||
| 1,223 - |
513 204 |
1,736 204 1,940 |
796 - |
427 1,223 127 127 554 1,350 |
|
| 1,223 | 717 | 796 | |||
| Expenditure on | |||||
| Raising Funds 4 Charitable Activities: 5,6 |
- | (535) | (535) | - | (366) (366) |
| - Community Projects |
(192) (28) (400) (867) (62) (110) |
- - (107) (11) (21) (125) |
(192) (28) (507) (878) (83) (235) |
(277) (71) (388) (437) (57) (3) |
- (277) - (71) (91) (479) (46) (483) (37) (94) (137) (140) |
| - Medical research |
|||||
| - Purchase of new equipment |
|||||
| - Building /refurbishment of buildings |
|||||
| - Staff education and welfare - Patient education and welfare |
|||||
| Total expenditure | (1,659) | (264) | (1,923) (2,458) 67 (451) - (451) 3,960 3,509 |
(1,233) | (311) (1,544) (677) (1,910) (179) (179) (302) (739) 95 - (207) (739) 1,814 4,700 1,606 3,960 |
| (1,659) - |
(799) 67 |
(1,233) - |
|||
| Net gains/(losses) on investment assets 7 |
|||||
| Net income /(expenditure) Transfer between funds |
(436) (131) |
(15) 131 |
(437) (95) |
||
| Net Movements in funds Reconciliation of Funds |
(567) 2,354 |
116 1,606 |
(532) 2,886 |
||
| Total Funds brought forward | |||||
| Total Funds carried forward | |||||
| 1,787 | 1,722 | 2,354 |
The notes at pages 20 to 28 form part of these financial statements.
17
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Gloucestershire Hospitals NHS Foundation Trust Charitable Fund Balance Sheet as at 31 March 2024
| Note | Total | Total | ||
|---|---|---|---|---|
| Fund | Fund | |||
| 2023-24 | 2022-23 | |||
| £000 | £000 | |||
| Fixed Assets | ||||
| Investments | 7 | 1,944 | 1,885 | |
| Total Fixed Assets | 1,944 | 1,885 | ||
| Current Assets | ||||
| Debtors | 8 | 119 | 175 | |
| Cash at bank and in hand | 9 | 1,680 | 2,201 | |
| Total Current Assets | 1,799 | 2,376 | ||
| Liabilities | ||||
| Creditors falling due within one year | 10 | (234) | (301) | |
| Net Current Assets | 1,565 | 2,075 | ||
| Total assets less current liabilities | 3,509 | 3,960 | ||
| Total net assets | 3,509 | 3,960 | ||
| The Funds of the Charity | ||||
| Restricted income funds | 1,787 | 2,354 | ||
| Unrestricted income funds | 1,722 | 1,606 | ||
| Total Funds | 3,509 | 3,960 |
The notes at pages 20 to 28 form part of these financial statements.
Signed
Deborah Evans Chair
Karen Johnson Director of Finance
Date: 14.11.2024
18
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Statement of Cash Flow For the year ending 31 March 2024
| Note Cash flow from operating activities: Net cash used in operating activities 11 Cash flow from investing activities: Dividends and interest from investment 3 Proceeds from sale of investments 7 Purchases of investments 7 Net cash provided by investing activities 9 9 Cash and cash equivalents at the beginning of the reporting period Cash and cash equivalents at the end of the reporting period Change in cash and cash equivalents in the reporting period |
Total Funds 2023-24 £000 (732) 204 439 (432) 211 (521) 2,201 1,680 |
Total Funds 2022-23 £000 (1,186) 127 358 (359) 125 (1,061) 3,262 2,201 |
|---|---|---|
19
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Notes to the Financial Statements
1 Accounting Policies
1.1 Accounting Convention
The financial statements have been prepared under the historic cost convention, as modified for the revaluation of certain investments.
The accounts (financial statements) have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued on October 2019 and the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS102) and the Charities Act 2011 and UK Generally Accepted Practice as it applies from 1 January 2019.
1.2 Incoming Resources
The policies followed which deal with income, voluntary assistance and donations, are:
a) Cash donations and gifts are included in full in the Statement of Financial Activities (SOFA) as soon as they are received. Legacies are accrued for as soon as the conditions for receipt have been met and there is probable assurance of receipt.
b) Cash collected from fund raising events is included in the SOFA as soon as it is received by the Trustee.
c) Donations in kind (e.g., donated stock or facilities and voluntary assistance) are not valued for accounting purposes as they are not considered to be material.
d) Investment income dividends are included in the SOFA when they are received at an amount which includes tax credits recoverable from the Inland Revenue.
e) Grants income received from grant making organisation is recognised once the conditions associated with the grant have been met.
f) Hospital Lottery income is included in the SOFA as soon as it is received
1.3 Resources expended
The funds held on trust accounts are prepared in accordance with the accruals concept. All expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party.
a) Cost of generating funds
The cost of generating funds are the costs associated with generating income for the funds held on trust. This includes the costs associated with running the Hospital Lottery.
b) Charitable Activities
Payments are made to third parties (including NHS bodies) in the furtherance of the funds held on trust's charitable objectives to relieve those who are sick. They are accounted for on an accruals basis where the conditions for their payment have been met or they will receive the grant. This includes grants paid to NHS bodies where a third party has a reasonable expectation that they will receive the grant.
c) Support costs
Support costs are those costs which do not relate directly to a single activity. These include some staff costs, costs of administration and audit costs. The support costs have been apportioned between raising funds and charitable activities and apportioned across restricted and unrestricted funds in line with the SORP. The analysis of support costs and the basis of apportionment applied are shown in note 5.2
20
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
1.4 Structure of funds
Where there is a restriction on the purpose to which a fund may be put, the fund is classified in the accounts as a restricted fund, all other funds are classified as unrestricted. Where an unrestricted fund is designated for a specific purpose, this is included within designated funds which forms part of the unrestricted reserves.
1.5 Fixed Assets
No fixed assets were owned by the charity during the financial year.
1.6 Investment Fixed Assets
Investment fixed assets are shown at market value.
1.7 Realised gains and losses
All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and opening market value (or date of purchase if later). Unrealised gains and opening market value or date of purchase (if later) losses are calculated as the difference between market value at the year end.
1.8 Debtors
Debtors are amounts owed to the charity. They are measured on the basis of their recoverable amount.
1.9 Creditors
Creditors are amounts owed by the charity. They are measured at the amount that the charity expects to have to pay to settle the debt.
1.10 Going Concern
The trustee considers that there are no material uncertainties about the Charity’s ability to continue as a going concern. Fundraising income is almost back to pre-pandemic levels but continues to be affected by the cost-of-living crisis. As a grant making charity with few on-going commitments, reduced income will impact on the level of new grants that can be made in the short term rather than affecting the charity’s ability to continue as a going concern. There are no material uncertainties affecting the current year’s accounts. The key risks to the Charity’s continuing going concern status are a fall in income from donations or investment income but the charity and trustee has arrangements in place to mitigate those risks (see the risk management and reserves sections of the annual report, for more information). The Trustee has made this assessment for a period of at least one year from the date of approval of the financial statements.
21
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
| 2 3 4 5 |
Analysis of voluntary income | |
|---|---|---|
| Restricted Unrestricted Total Restricted Unrestricted Total Funds Funds Funds Funds Funds Funds 2023-24 2022-23 £000 £000 £000 £000 £000 £000 |
||
| Donations from individuals Corporate donations Charities and Non Corporate Bodies Grants Legacies Hospital Lottery Total |
53 450 503 121 347 468 2 39 41 2 23 25 72 23 95 13 28 41 727 - 727 218 29 247 369 - 369 442 - 442 - 1 1 - - - 1,223 513 1,736 796 427 1,223 |
|
| Donations from individuals are gifts from mem | Restricted Unrestricted Total Restricted Unrestricted Total Funds Funds Funds Funds Funds Funds bers of the public, relatives of patients and staff. |
|
| Gross investment income | 2023-24 2022-23 |
|
| £000 £000 £000 £000 £000 £000 Quoted investments (fixed asset investments) - 73 73 - 77 77 Interest on cash held on deposit (current asset - 131 131 - 50 50 Total - 204 204 - 127 127 |
||
| Analysis of expenditure on raising funds | Restricted Unrestricted Total Restricted Unrestricted Total Funds Funds Funds Funds Funds Funds 2023-24 2022-23 £000 £000 £000 £000 £000 £000 - 494 494 - 333 333 - 8 8 - 8 8 - 33 33 - 25 25 - 535 535 - 366 366 Grant funded activity Support cost Total Grant funded activity Support cost Total 2023-24 2022-23 £000 £000 £000 £000 £000 £000 104 6 110 3 - 3 58 4 62 53 4 57 813 54 867 406 31 437 375 25 400 361 27 388 26 2 28 66 5 71 180 12 192 258 19 277 1,556 103 1,659 1,147 86 1,233 |
|
| Fundraising Office Investment management Support costs |
||
| Analysis of charitable expenditure | ||
| Restricted funds | ||
| Patient education and welfare Staff education and welfare Building /refurbishment of buildings Purchase of new equipment Medical research Community Projects |
||
| Total | ||
| Grant funded activity Support cost Total Grant funded activity Support cost Total 2023-24 2022-23 £000 £000 £000 £000 £000 £000 117 8 125 127 10 137 20 1 21 34 3 37 10 1 11 43 3 46 101 6 107 85 6 91 - - - - - - - - - - - - 248 16 264 289 22 311 |
||
| Unrestricted Funds | ||
| Patient education and welfare Staff education and welfare Building /refurbishment of buildings Purchase of new equipment Medical research Community Projects Total |
22
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
5.1 Institution recieving grant support
----- Start of picture text -----
Total Total
Amount Amount
Paid Paid
2023-24 2022-23
£'000 £'000
GHNHSFT 1,670 1,227
Gloucestershire VCS Alliance 54 111
Gloucestershire Health and Care NHS FT 26 34
NHS Gloucestertshire CCG 54 64
Total 1,804 1,436
----- End of picture text -----
The charity did not undertake any direct charitable activities on its own account during the year. All of the charitable expenditure was in the form of grant funding. Grants were approved in favour of the partner organisation, Gloucestershire Hospitals NHS Foundation Trust to carry out activities that will benefit their patients and staff. The Charity received a grant from NHS Charities together (NHS CT) as the lead organisation of a group of Gloucestershire organisations. The Charity distributed the funds to the organisations by way of grants in 2023/2024 when the NHS Ct terms and conditions were met. The charity incurred expenditure with third parties in pursuance of those grants or reimbursed expenditure incurred by them. The Charity does not give grants to individuals.
5.2 Allocation of support costs and overheads
| External Audit Administration Financial administration |
Raising Funds Charitable activities Total 2023-24 £'000 £'000 £'000 9 32 41 7 26 33 16 59 75 - - - 1 2 3 |
|---|---|
| Bank Charges | |
| Miscellanous | |
| Total | 33 119 152 Raising Funds Charitabl e activities Total 2022-23 £'000 £'000 £'000 |
| External Audit Administration Financial administration |
1 7 8 10 42 52 14 59 73 - - - - 1 1 |
| Bank Charges Miscellanous |
|
| Total | 25 109 134 |
Support costs are apportioned on the basis of the level of expenditure of each type of activity.
6 Analysis of Staff costs
The charity has no direct employees; Staff are employed by the Gloucestershire Hospitals NHSFT which handles all personal tax transactions and HR issues, employee costs are recharged as set out in note 12. These are:
| 2023-24 | 2022-23 | |
|---|---|---|
| Staff in the Charity and fundraising team | 11 | 10 |
23
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
| 7 | Fixed asset investments | Total | Total |
|---|---|---|---|
| Market value brought forward Add additions to investments at cost Less disposals at carrying value Add net gain / (loss) on revaluation |
2023-24 £000 1,885 432 (440) 67 |
2022-23 £000 2,063 359 (358) (179) |
|
| Market value as at 31 March | 1,944 | 1,885 | |
| Fixed asset investments by type | Total | Total | |
| 2023-24 £000 588 213 725 334 67 1,927 17 1,944 |
2022-23 £000 |
||
| Bond Funds UK Equity Funds Overseas Equity Funds Other Investments Property Funds Total Listed Investments Cash on interest bearing deposits Total |
555 248 602 382 62 |
||
| 1,849 36 |
|||
| 1,885 | |||
| The Trustee sets 5% of market value as at 31 March as the threshold for the reporting of material investments. |
|||
| Investments held with a value >5% of total investment as at 31st March 2024 Description £000 Fidelity UCITS ICAV 143 Vangard Investment Series 113 |
|||
| JP Morgan Funds Ltd 94 |
|||
| Vangard Funds Plc 91 There were no material investments at 31 March 2023 |
| Investments held with a value >5% of total investment | as at 31st March 2024 |
|---|---|
| Description | £000 |
| Fidelity UCITS ICAV | 143 |
| Vangard Investment Series | 113 |
| JP Morgan Funds Ltd | 94 |
| Vangard Funds Plc | 91 |
| There were no material investments at 31 March 2023 |
The main risk from financial instruments lies in the combination of uncertain investment markets and volatility in yield.
Gloucestershire Hospitals Charities manages these investment risks by retaining expert advisors and operating an investment policy that provides for a high degree of diversification of holdings within investment asset classes.
The value of the investments Increased by £67k over the financial year (decreased by £179k 2022-23).
Liquidity risk is anticipated to be low as all assets are traded and the commitment to intervention by central banks and the market regulators has continued to provide for orderly trading in the markets and so the ability to buy and sell quoted equities and stock is anticipated to continue. Gloucestershire Hospitals Charites investments are mainly traded in markets with good liquidity and high trading volumes. Gloucestershire Hospitals Charities have no material investment holdings in markets subject to exchange controls or trading restrictions.
Gloucestershire Hospitals Charities does not make use of and derivatives or similar complex instruments as it has a long-term time horizon for its investments and aims to weather short-term volatility in order to meet its long-term objectives. The level of investment risk taken is reviewed regularly and has been appropriately mitigated by apportioning approximately half of the funds in a low risk portfolio, with the other half in a balanced portfolio.
24
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
----- Start of picture text -----
8 Analysis of current debtors Total Total
2023-24 2022-23
£000 £000
Debtors under 1 year
VAT 1 -
Owed by parent entity a) 12 -
Other Debtors 106 175
Total 119 175
----- End of picture text -----
a) The parent entity raises invoices on behalf of the Charitable Funds. This balance is repayable on demand and does not accrue interest.
9 Analysis of cash
| Cash at bank and cash in hand Total 10 Analysis of current liabilities Creditors less than one year Trade Creditors Owed to parent entity Accruals Total |
Total 2023-24 £000 1,680 1,680 Total 2023-24 £000 67 - 167 234 |
Total 2022-23 |
|---|---|---|
| £000 2,201 |
||
| 2,201 | ||
| Total 2022-23 £000 |
||
| 6 256 39 |
||
| 301 |
----- Start of picture text -----
Reconciliation of net income/(expenditure) to net cash flow from
operating activities
Total Total
Funds Funds
2023-24 2022-23
£000 £000
Net cash flow from operating activities (451) (739)
Net income / (expenditure) as per Statement of Financial Activities:
(Gains)/ losses on investment (67) 179
Dividends and interest from investment (204) (127)
Decrease/(Increase) in Debtors 56 (169)
Increase/(Decrease) in Creditors (67) (330)
Net cash provided by / (used in) operating activities (733) (1,186)
----- End of picture text -----
11 Reconciliation of net income/(expenditure) to net cash flow from operating activities
25
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
12 Analysis of staff costs and remuneration of key management personnel
----- Start of picture text -----
2023-24 2022-23
£000 £000
Salaries and Wages 343 306
Social Security Costs 44 42
Employers Pension Contribution 35 32
Total 422 380
----- End of picture text -----
As set out in note 6 Analysis of staff costs, the charity has no direct employees. The above staff costs have been recharged by Gloucestershire Hospitals NHSFT.
----- Start of picture text -----
Employees Paid over £60k 2023-24 2022-23
Number of Pay Number of
Pay Band Employees Band Employees
£000 £000
70-75 1 60-70 1
----- End of picture text -----
13 External audit fee disclosure
External Audit fee for the year 2023/24 is £41k (2022/23 £8k). The fee comprises the annual audit charge, there were no other services provided.
14 Related Party Transactions
During the year none of the Trustees or members of the key management staff or parties related to them has undertaken any transactions with Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund or received any benefit from the charity in payment in kind. The Trustees received no honoraria, emoluments or expenses in the year from the charity.
Board members and other senior staff take decisions both on charity and exchequer matters but endeavour to keep the interests of each discreet and do not seek to benefit personally from such decisions. Declarations of personal interest have been made in both capacities and are available to be inspected by the public.
During the year the Charitable Trust made capital purchases of £400k and a cash grant of £71k for building works was given to GHNHSFT where the Trustees are all members of the Trust board.
Staff costs detailed in note 12 are paid by the GHNHSFT and recharged to the charity.
The charity does not have its own debtor system GHNHSFT raises invoices on the charity's behalf. The amount outstanding for these invoices is shown as a debtor in note 8.
15 Transfers
Transfers include a charge made to funds for the cost of fundraising. The transfer between restricted and unrestricted funds relates to the transfer of spending of unrestricted funds on areas where there is restricted income, in order to reflect the correct carried forward balance of restricted funds.
26
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
16 Analysis of charitable funds
16.1 Analysis of restricted fund movement
| Battledown Ward General Purposes Big Plus Cardiology 1/2 CGH League of Friends CT Scanner Appeal Dementia Dermatology Diabetes C/F Edward Jenner Clinic/Haem CF Endoscopy Dept C/F FOCUS General Purposes Glos Urology fund Gloucestershire Heart Appeal Neurology Brainwave C/F Oncology Capital Appeal Paediatric Wards C/F Palliative Care Team C/F Pied piper Richards Bursary Special Care Baby Unit C/F Surgical Laser C/F W & C General Purposes Other Restricted funds Battledown Ward General Purposes Big Plus Cardiology 1/2 CGH League of Friends CT Scanner Appeal Dementia Dermatology Diabetes C/F Edward Jenner Clinic/Haem CF Endoscopy Dept C/F FOCUS General Purposes Glos Urology fund Gloucestershire Heart Appeal Medical Discharge Unit Neurology Brainwave C/F NHS Charities together Oncology Capital Appeal Ophthalmology Equipment Paediatric Wards C/F Palliative Care Team C/F Special Care Baby Unit C/F Surgical Laser C/F W & C General Purposes Other Restricted funds |
Balance B/fwd Income Expenditure Transfers Fund C/fwd 31.03.23 31.03.24 £000 £000 £000 £000 £000 96 14 - - 110 11 28 (5) (6) 28 103 - - - 103 82 - (10) 5 77 511 116 (567) (18) 42 22 - - - 22 15 - (1) - 14 69 - (5) - 64 108 - - - 108 19 - - - 19 224 51 (55) (112) 108 435 263 (84) (23) 591 75 - - - 75 24 1 - - 25 34 - (5) - 29 268 - (128) - 140 13 - (3) - 10 23 - (7) - 16 (4) 142 (81) - 57 9 75 (5) - 79 12 54 (53) - 13 116 - (32) - 84 26 - - - 26 63 479 (618) 23 (53) |
|---|---|
| 2,354 1,223 (1,659) (131) 1,787 |
|
| Balance B/fwd Income Expenditure Transfers Fund C/fwd 01.04.22 31.03.23 £000 £000 £000 £000 £000 96 23 (23) - 96 - 14 - (3) 11 88 24 (9) - 103 234 5 (20) (137) 82 657 122 (283) 15 511 31 - (9) - 22 17 - (2) - 15 72 - (3) - 69 108 - - - 108 19 - - - 19 34 213 (23) - 224 322 144 (31) - 435 71 4 - - 75 21 4 - (1) 24 11 25 (57) 32 11 37 - (2) (1) 34 161 121 (259) - 23 410 - (142) - 268 257 - (229) - 28 4 9 - - 13 23 - - - 23 12 - - - 12 120 - (4) - 116 26 - - - 26 57 88 (137) - 8 |
|
| 2,886 796 (1,233) (95) 2,354 |
Other Restricted Fund balances include all restricted funds which have a balance of less than £10k at year end.
27
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
16.2 Analysis of unrestricted and designated fund movements
| Breast Care Fund Cardiac Ward Colorectal Fund Cotswold Dialysis Fund C/F FOCUS General Purposes Glos Urology fund ITU Lillybrook Ward Maternity Unit C/F Medical General Purposes Oncology Capital Appeal Optometry Paediatric Epilepsy Paediatric Oncology C/F Realised Gains Stroke Services X-Ray Dept Total other designated funds Breast Care Fund Cardiac Ward Colorectal Fund Cotswold Dialysis Fund C/F FOCUS General Purposes Glos Urology fund ITU Lillybrook Ward Maternity Unit C/F Medical General Purposes Oncology Capital Appeal Optometry Paediatric Epilepsy Paediatric Oncology C/F Realised Gains Stroke Services X-Ray Dept Other Designated Funds |
B/fwd Income Expenditure Transfers Fund C/fwd 01.04.23 31.03.24 £000 £000 £000 £000 £000 32 1 - (2) 31 13 - (1) (1) 11 31 4 - (2) 33 19 1 - (1) 19 61 210 (162) (21) 88 25 60 (43) (14) 28 10 2 - (1) 11 12 2 - (1) 13 10 - (5) - 5 33 5 (5) (2) 31 28 - - (1) 27 596 126 (1) (115) 606 58 1 - (47) 12 15 9 (2) (1) 21 18 - (2) - 16 319 - - - 319 11 3 (1) (1) 12 10 1 - (1) 10 305 292 (577) 342 429 |
|---|---|
| 1,606 717 (799) 131 1,722 |
|
| Balance B/fwd Income Expenditure Transfers Fund C/fwd 01.04.22 31.03.23 £000 £000 £000 £000 £000 33 3 (2) (2) 32 14 1 (1) (1) 13 32 1 - (2) 31 21 - - (2) 19 248 142 (144) (185) 61 38 45 (63) 5 25 8 2 - - 10 13 6 (6) (1) 12 7 3 - - 10 26 9 - (2) 33 29 - - (1) 28 485 89 - 22 596 58 - - - 58 5 11 (1) - 15 19 2 (2) (1) 18 319 - - - 319 17 3 (8) (1) 11 10 1 - (1) 10 432 236 (450) 267 305 |
|
| 1,814 554 (677) 95 1,606 |
Other designated Fund balances include all unrestricted funds which have a balance of less than £10k at year end.
28
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
17 Purpose of restriction
Description Restriction Battledown Ward General Purposes Funds to be used for the benefit of patients and staff of Battledown Ward and CGH paediatrics Big Plus General funds through 'Big Plus' appeal to be used for the benefit of patients and staff Cardiology 1/2 Funds to be used for the benefit of cardiology patients and staff in Cardiology CGH League of Friends Funds to be used for the benefit of patients and staff of Cheltenham General Hospital CT Scanner Appeal Funds to be used for imaging technology Dementia Funds to be used for the benefit of patients with Dementia Dermatology Funds to be used for the benefit of patients and staff of Dermatology Diabetes C/F Funds to be used for the benefit of patients and staff with diabetes Edward Jenner Clinic/Haem CF Funds to be used for the benefit of haematology patients and staff Endoscopy Dept C/F Funds to be used for the benefit of patients and staff of Endoscopy Dept FOCUS Funds to be used for the benefit of patients and staff in the oncology centre General Purposes General funds to be used for the benefit of patients and staff Glos Urology fund Funds to be used for the benefit of patients and staff of Urology dept Gloucestershire Heart Appeal Funds to be used for the benefit of patients and staff of heart departments Neurology Brainwav e C/F Funds to be used for the benefit of patients and staff of Neurology Brainwav e units Funds to be used for the benefit of patients and staff of the oncology dept through capital appeal Oncology Capital Appeal to transform facilities Oncology Capital Appeal Paediatric Wards C/F Funds to be used for the benefit of patients and staff of Paediatric Wards Palliativ e Care Team C/F Funds to be used for the benefit of patients and staff of Palliativ e Care Team Funds to be used for the benefit of patients and staff of the Childrens Centre as granted by The Pied piper Pied Piper Appeal Pied piper Richards Bursary Funds to be used for the benefit of nursing staff through the Richards Bursary Special Care Baby Unit C/F Funds to be used for the benefit of patients and staff of Special Care Baby Unit Surgical Laser C/F Funds to be used for the benefit of patients and staff of surgical research dept. W & C General Purposes Funds to be used for the benefit of patients and staff of Womens and Children div ision
29
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Glossary
Glossary
Donations Investment Income
Represent money given by grateful patients or relatives and other third parties.
Includes dividend income as well as interest received from cash held on deposit. Encompasses expenditure on the purchase of medical equipment and provision for expenditure on patients and staff amenities.
Management and Administration Includes the recharge of staff costs involved in the administration of the funds by GHNHSFT staff and the Finance Shared Service. Carrying Value The market value of an investment at the beginning of the financial year or at the time of the last revaluation. Realised gains/losses on investments On disposal of an investment represents the difference between the sale proceeds and its carrying value. Unrealised gains/losses on investments Represents the increase/decrease in the value of investments (not disposed in the year), i.e. difference between market values 1 April to market values 31 March.
30
Gloucestershire Hospitals NHS Foundation Trust General Charitable Fund Trustees’ Annual Report and Accounts Year ended 31.3.24
Cheltenham 111111 Gloucester HOSPITALS CHARITY