ERS r gMUSIC IN HOSPITALS & CARE Joy ihrough live music TH 75" Annual Report 2023/24
66 Aut us Welcome from our President The therapeutlc benefits and relaxation properties of the live music are Invaluable to the children of Ty Hafan - it's a universal language. Many life- shortening conditlons can come wlth symptoms of pain or discomfort. Music distracts the body from these symptoms, and helps the listener to fully relax and experlence a sense of comfort.. Welcomefrom our Chair 75 years ofjoy through Ilve muslc 10 ....... Our impact 12 Music arKI health resources 14 Gordon's story Celebrating partnerships 16 22 Music in Hospitals & Carevoices Fundraislng Financial Summary Our Strate and lookin8 ahead 24 28 TyHafan Children s Hospice Get Involved 35 Thank you Annual accounts
Music in F105Pita15 & Care 15 a tharity that ha5 been ImFYovlng the health arKI vlIbein8 of children a1 lUIts throu8h the healin8 power of live music since 1948. As a tharity founded in same year as the NHS, we have come a I( way. But we still ha%r further to go to ensure that everyt can Xcess arKI exrienCe the loy of live music. We heard the storie5 of the people we support throu8h our live music. their families and healthcare professlonals. We shared the knowledge and expertlse of our staff team and professional musicians through helpful resources around music and health. About us We launched our new three-year strategy to help us achieve our lon8-term ambitlon: for people in hospitals and care toenjoy a better quality of Ilfe and improved healthoutcomes. Special events throughout our live music programme recognised both long standing and newer partner5hip5 tocommcmoratc where we have been and look ahead to where we are 80in8 next. Music in Hospitals & Care's yofessional musicians share live music with people who may rK)t otherwise get to experience it. This includes those with dementia, mental health oblems. or who are seriously ill. Our specially-created live music experiences unlock all kind5 of emotions - from joy to loss. pleasure to nostalgia. They improve people's mental. ysical and emotional health. They help people feel more connected to each other. Thank you $0 much for ycwr support throughout what has been a vnderful year celebrating and reflecting on the impact of Music in Hospitals & Care over the past 75 years. In 2023 we celebrated our 75th anniversary and the diverse community that 15 at the heart of the charity.
Welcome from our President Welcome from our Chair Welcome to this annual report that celebrates an important milestone forthi5 wonderful charity. which l am proud to have been connected with since 2CK)5. It has been a significant year for the Board of Trustees. We were delighted to celebrate 75 yearsol Music in Hospitals & Careand see the positive impact the charity's new Strate is havln8 In Its first year to enable those who will benefit most to experience live musSc. Many years ago. I became aware of how music could affect people and offer solace at crucial Stages in lives affected by mental and physical illness. My motherand aunt were both diagnosed with dementia in thelr seventies. They had arrived at a tiff when music wa5 the only feature they could reco8nise froffj earlier life experience. My aunt could sin8 alon8 wlth me. rememberin8 the words when all other means of contact were lost to her. I remember one particular day at a hospital in Surrey, a young woman was wheeled into the ward in her bed. She had not communicated with any of the nursin8 Staff for stra1 days. Hearin8 live music from a sln8er standing by her bed brght a look to her face that I had never seen before rr since. The atmosphere in that small ward became so very different that I can't be8in to describe IL If I had wondered before. I now saw proof of the worth of vthat Music in H05Pita15 & Care offers totlK)se m05t in need of a li8ht in their live They bring IT and analytic skllls to the role and we are delighted to have them join u5. In November we said farewell to trustees Fiona Mclntosh and Helen Dutta. Both were former musicians who also brought many other professional skills to the Board, FSona was most recently the Chalr of our Risk Committee. aswell as a memberof our People Committee. Helen was most recentlythe Chair ofour People Committee and played a key role in helping u5 to shape our current safeguarding framework. We wish them all the best for the future. We welcomed new trustee Trna$ Parker to the board in September. Thomas is an internal auditor. workin8 With charities and publlc sertor clients xro55 LorKlon afKI the South focusin8 OD 8ood 8overnance. We are always keen to hear from people with relevant skills who would be interested in joining the Board. especially anyone with a professional background in the care xrtor. Then an invitation came to me to vffjrk with Music in Hospltals & Care. Obviously, this was somethin81 had to do. We¥e also participatin8 in an initiatrve to erKoura8e talented black professlonals to become charity trustees: through this scheme we welcomed Olawale Ojo and Deborah Om0b• a5 Shadow Trustees. Slr Thomas Allen President Manythanks to all of the trustee5 for their efforts this year as we enter another exciting chapter for Music in Hospitals & Care. Maureen Hall Chair
75 years of joy through live music We have had a fantastic year celebratin8 75 year5 ofour amazing Muslc In Hospitals &Carecommunity. From a legacy of the Entertainments National Serniices Association IENSA), who shared live muslc wlth wounded service people in military hospitals. to sharing live music with people of all 38es livin8 Wlth mental and physical health problem5 Withln health and care and the community. There have been thousands of moments of joy, laughter. singing. fingers tapping and all kinds of participation and expression in that time. Thank $0 much for311 of your supwrt. whether you have been with us for the past 75 years or are new to ttr charlty. None of this would be posslble without our generous funders. donor& volunteers and health and care partners. l am please(I to share another great year of joy throush live music With you. 1998 2008 The Council for Music in Hospitals. which has now been sharing live music for 50year develops more partnership5. including in Jersey and Guernsey with tours of hospitals and care home& The first live mtssic takes place In Intensive G¥e unlts an office opens in Wale Now called'music in Hospitals.. the charity celebrates its 60th year with Royal Gala in the presence of new Patron HRH the DucP*ss of Gloucester. 2021-22 -4 We begln to return to health and care 5ettin8S to share Ilve music in person. Our
BackToUve appeal helps to
bring more musiclans back with the correct PPE and protocol5. 1947 1955 1963 1972 1980 2017 2020 Arts Council employee Sheila Mccreery has the dea to share live muslc In hospltals following the closure of ENSA The first meeting of the Council for Music in Hospitals takes placc on 13 November, leading to the creation of the charity the following vear. The Council for Muslc In Hospitals becomes a re8lStered charity. Buildin8 on research into the benefits of live music for r*ople in hospital% our musicians begin to stay for refreshments and to chat with their audience. Some hospitals experiment with more intimate live music experiences for smaller group After 25 vears with thecharity, Sheila steps down and Sylvia Lindsay takes over as Secretary. working from herdining rwmto arrange live music. After consulting hospital staff and doctors, the music livi is revised to include more informal musio The first live music takes place in Scotland. It proves so pow1¥ that the Scottish committee is established the followin8 year. In 1984 musiciansgoon an introductory tour ID arKI around BelfasL The charity expands its nameto'music in Hospitals & Care, to better reflect the range of places it shares live music. From 22 in its first year. over 4,5CKJ live music experiences take place in 2018 as the charity reaches 70 years of sharing the healing p)wer of live music Music in Hospitals & Care explores live streaming for the first time after the 8lobal pandemlc puts a pauseon in-person music. Our fantastic musicians really step up to the plate. reaching over 60.CM)O people with weekly public live streams and personalised private sessions.
Our impact It Is estlmated 8,480+ 345 people experfenced Ilve muslc to support thelr wellbelng hours of tralnlng for ¢)ur staff of NHS staff are leaving thelr roles 841. of our staff felt the rf8ht amount of Informatlon was shared at monthly all team catch ups We work wlth hours of Ilve muslc shared across the U reachlni over 000 OOD The cost ol recrultln8 a traoned nurs• can be up to 352 professlonal muslclans IC),J60 1,.317 fio people In hospltals In care homes In hosplces In the communlty £12,000 Thls yearfs Ilve muslc experlences were shared by: Around 200,000 6,970+ 4,.. tdr.: Sololsts Duos Trlos staff experleTrced Ilve muslc people are admltted to Intenslve care unlts every y•ar In 1977 Sylvla Llndsavs daughter Ellzabeth conducted a survey of 12 mental health ho$pltal$ on the beneflts of the Ilve muslc: Around 8,50,000 11,565 people experlenced Ilve muslc In a dementla settlnz 8,812 people are Ilvlng wlth dementla In the UK people experleTrced Ilve muslc whlle facln8 a serlous Illness such as cancer. a stroke or In an Intenslve care unlt of staff had a • better worklni day because of the Ilve muslc Hours of Ilve muslc th&h the decades: 731. Ilked Jolnln8 In 22 hours of Ilve muslc In 1947 801. Iln4 of parents in neonatal care sald that Lullaby Hour helped them feel relaxed 69% 312 hoiirs enjoyed Just Ilstenln8 7,500 Live muslc can decrease paon In serlous Illness by of live music in 1960 people experlence mental health problems each year people experlenced Ilve muslc In a mental health settlng sald it helped to Improve thelr own emotlonal wellbelng 24g. 3.649 hoiirs sald It made them 271. of Ilve muslc In 1993 io li
Music and health resources 686 Chrlstmas press coverage health and care partners read our emalls In December we worked with charity press consultants Do Good PR to end our 75th anniversary on a hlghwith media coverage around sharin8 joy through live music at Christma 568 ThrOught 2023 we shared a series of resources. building on all of the research arKI knowledge Music in Hospltals & Care has 83ined about musicand health. Theaim was to create useful tools for everyone, whether they might be just looking to learn more about the benefits or would like to connect throu8h live music with themselves. a loved one, or someone they support in a health or care settin& they care for. This Sncluded how someone would like to engage with music and the emotlons and memories it sparks. reclplents accessed the ree$ We r&iched approxlmately: l .'G) "S In mayw shared ananimation abwt how to listen to music mindfully. The short demonstration covered a simple exercise anyone can use to help them slow down and reconrL 1,000. total cllcks on each resource In September. for Arts In Care Homes Day. we partnere(J with an advisory group from organisers (National Activity Providers A550ciation) to produce a written guide and accompanying video on how to make ywr own percussion instrument. 7,804,134 The first resource was a set of muslc conversation starter cue card5 for he31th and care staff or family members to explore topics around music with a person vlewers across three ITV local news channels (London, Granada and Wahs> 1,088,100 readers across flve prlnt and onllne publlc3tlon$ in Scotland 13
Gordon's story 66 The muslc has really helped me to forget my worries and cope much better. It brought back my confidence and really improved my mood. It has changed my life.. Gordon. from Fife, was stru88lln8 with depression. He hadn't spoken a rd to anyone for qulte some time. combined with the family issues he was dealing with. he had started to thlnk that life was worthless. .1 wasn't copin& My life seemed to be Boing nowhere and I didn't know what to do about It,. says Gordon.'My sons had moved away from Fife so I hardly saw them. I've been a carer for my mum for the last 15 years and things Vre 8ettin8 on top of me. I wanted toget out into the community to speak to people and make new frierKls. tt I didn't know where to begin.. stru88le. But I decided to keep at IL I started getting imffjlved. chattin8 to people at the group, whSch was a bl8chan8e for me. But the biggest improvefftent happe1 when Music in Hospitals & Care's musician David Hood visited the group and I really enjoyed it. It brought back happy childhood memories and it really lifted my spirits. I'm a different person today thanks to the music. Gordon wa5 Put in touch with The Friendship Cabln. a community 8roup based in Glenrothes that helps to improve the independence and qualityof lifeof local residents. "l used to play the actordion when I was youn8er and played the drums In a band, so I can keep a beat. David really helwd to bring me wt of myself and I lound that being there. singing and daIngwItheVeryOne. was 50 800d for my mental health. It calms me dow "It was hard work for the first few weeks and I didn't think it was for me. I dldn't feel I was fitting in with people and it was a real "Th music has really helped me to for8et my worries and cope much better. It brought back my confidence and really improved my mood, It ha5 changed my life. My mum even comes alon8 to The Friendship Cabin orKe a week now and enjoys the music too.- 14 Is
Celebrating partnerships Calmlng melodles on crltlcal care wards Our musicians have been sharin8 calmin8 melodie5 at bedsides in critical care since 2016. when cwr ICU Hear programme launched at Manchester Royal Infirmary. Since then we have expanded this award. winning approach across the UK. helping to turn thi5 often busy. noisy and stressful environment into a peaceful space. In 2023124 a guitarist, kora player and clarinettist rotated each %veek to share live music at Manchester Royal Infirmary. At the Royal Infirmary of Edin1r8h. we worked with four different musicians to explore weekly relaxing li music durin8 the critical care'qulet hwr. between 1.30 and 2.30p when clinical staff try to avoid medical interrfentions unless there is an erner8e. Guitarist Will Brownevisited University Hospital Wales in Cardiff twice a mont which has continued into 2024. turned around In the short time I was there.. _ Kora player Rudy Green at Charin8 Cross Hospital. Singer and guitarist MiGa Bernard ha5 been making a difference at Imperial NHS Trust too, with Lullaby Hour everyotherweek at St Mary'5 Paddin8ton and Queen Charlotte's and Chelsea Hospit31. and everyweek at St Peter's Hospital In Chertsey. Lullaty Hour creates special moments aThJ menrIeS f parents and their babies in neonatal unit& Music can reduce babies. heart rates and help them to sleep nY)re dtty. This can reduce the time families have to spend in hospital. We are pr(KKI of the impart Lullaby Hour has had for hundreds of families o*r the past seven years. crltlcal care unlts experlenced Ilve musk Over the summer V took the opportunity to celebrate partnerships old and new with special live muslc experiences at health and care settings across the UK. We sent out party packs Includin8 buntin& balloons and our corrrfersation starter cue cards. musicians have been visiting there for over 15 years and pianist Alastair Collingwood joined them to celebrate our 75th anniversary. and volunteers all came together in the mental health hospital's courtyard garden to enjoy upliftin8 music from mandolin and accordion duo Cloud Nine. •• 70f. 66 of parents who experlenced Lullaby hour felt the sesslon was iood for the health of thelr Infant At Deva House Day Centre in Wrexham there were some impressive harKlmade musical decorations and Our musician Bernie Fawcett, who has been plwiin8 there slnce 2022, helped to celebrate a 96th birttrKlay. He took requests and staff harKled t1 percussion instruments and feather t#)as Older People's Coordinator Kath Riley spoke about how much she appreciates the session5 and enjoys seein8 how excited members are when there is one comin8 UP. You can't really put Into words how In-person Ilve musl¢ connects wlth people. It's a Ilved experlence.. In Belfast we celebrated with Northern Ireland Hospice. where we have been sharing live music since 1997. Sin8er 8Uitarlst Edelle Mcmahon played in the communal area and visited patients, rooms. Ch3rles Mariott PatientActivitles CldInatOr One person sald."Live muslc gives you eneryi. lifts your mood and you can forget you're sick in a hospice.. In London V have been partnering with Imperi31 Colle8e Healthcare NHS Trust since March 2023 to share live musiconce twice a month. with four musicians at Charing Cross. St Mary'5 Paddington. and Hammersmith Hospital Ifrom December). "One patient was in tears before we arrived and was unsure if she wanted any musi When I played on the ward she had a beaming smile and her rther filmed the interaction and said how beautiful it was. We came back to the same patient at the end of the session and played again and she was laughing and so joyful. Her day had really 66 909. We have been sharin8 live music at Royal Edinburgh H05Pital for over 10 years and Yre delighted to celebrate our 75th anniversary at this year's Summer Fling event. Patients. staff. It's Incredlble because you're able to create a flrst memory for • parent wlth thelr baby. There's so many nolses. nothlni Is really normal, so to be part of creatlng a safe and comfortable space Is what mak•5 It really speclal.. Mka of parent$ strongly agreed that they enloyed tha musk Holy Cross Hospital in Surreycare5 for people with severe disabilitie& Our 721. of stsff thlnk Lullaby Hour makes the hospltal a nlcer place to work 16 17
Shaplng our future work Songs In Swansea IMAGINED Our Music for Mental Health and Wellbeing pilot project. funded by the Peter Scwerby Foundation. came to an end in August 2023. It has helt*d us to develop our approach to live music in this area by working closelv with r partners to impr¢yoe practice, learn. develop and identify key outcomes. In Junewecompleted our Music in Health project. furrtled by the Arts Council of Wales in partnership with Swansea Bay University Health Board. 15 musicians shared 150 hoursof live music across three hospital sites. includin8 mental health dementia wards. reached over 2.(MX) patients during the 12 month project. Another exciting new project is investlgating )w people livingwith dementia engage with arts. including music and dance. and Vhther these activities are meaningful to those vtho participate. IMAGINED: Investigating Meanin8-makin8 and the co. creation ofGuidellnesfor Evaluation IN Arts for Dementia. is led by Dr Katry Warran at ECRED, the Edinbur8h Centre for Research on the Lived Experlence of Oementia Il 015taff aireed It made a posltlve dlfference for patlents Reachlng communltles In the Channel Islands The final phase of the project saw liNt music happening acr055 five ntaI health sett•ngs in Manchester, Glasgow, Croydon. Chester arKI Brid8end between March and July 2023. Following on from this we are partnering with Swansea Bay University Health Board and the Arts Council of Wales on a second project called 'MusiGal Hospitals,. In 2024 Neath Port Talbot Hospltal wlll transfcwm Into a muslc hub. wlth Music in H05Pitals & Care musicians Visiting the neurtrrehabilitation ward weekly. Other partners on the project brin8in8 music into the hospit31 include the BBC National Orchestra ofWales.Welsh National Opera. Royal Welsh College of Music & Drama and Live Music Now. Our long-standing partner5hlps With Guernsey's Healing Musit Trust and Arts in Healthcare Jersey continue to grow. In 2023124 15 ofour musicianscompleted 11 tours. dellvering 25 to 30 hours of live music each over the course of a week on the151arKI Activity began in November 2023 and will continue thrwgh to 2025. In the first phase, Music in Hospitals & Care will deliver 20 live music experiences at care homes in Edinburgh and Glas80W. Researcher Ruth Stevenson irdewKlentlv evaluated the wojert. designing 3 fr3mebw)rk and a55(Kiated Met108Y that would bring tO8ether local and national data. A steering group made up of people with lived experierKe of mental health and healthcare ryofessionals a150 Inwtted on the delivery nw)del. ol patlents felt Imer beuuse of the muslc Folk duo Paul Walker and Karen Pleiffer thoroughly enloyed their first tour of Guernsey this year."We all sang Sarnia Cherie (Guernsey's national antheml together," 53y5 Karen."One of the volunteers sald afterwards that she had never seen people respond so well in terms of interaction. That was nderful feedback for us! We perforni a totally different set of son8s at a care l)ome to at a special school. They should all mean somethin& And we involve the audience as much as we can.~ [ringthe live music at Ty Llidiard, a residential NHS Child and Adolescent Mental Health Serrfice ICAMHS) in Bridgend. patients took part in visual arts activities while listening to the music We secured fundin8 from the Arts Council of Wales for a six rnnth programme to Contin these sessions that started in January 2023. ol patlents felt posltlve physlcal In Jersey. where we have been sharin8 live music since 1993, we are workln8 to ensure that live music can reach further on the island throughout the year with a shared learning vrforkshop in April 2024. This 3im5 to Jild confidence and upskill volunteers and mu5ician5atfellowcharityAureole Music. of staff sald that attendlng th• session helped them let to know patlents In thelr care 18 Id 19
The time dedicated to growing these partnerships has resulted in rich bodie5 of work discovering the impart of regular live music and of both 8roup arml one-tone interactions. This is somethin8 we have been exploring with Oakminster Healthcare. which will be part of our Vrk in the ECRED research project. We first be83n sharin8 live mu5iCWith Oakminstercare horne5 in Glasgow in 2022 as part of the Rights Made Real campai8n. which champions human ri8hts and qualityof life in care home& Shared learnlng In Northern Ireland Make Music Day. the global celebration of music took place once again on 21 June. Previous years hwrfe seen'make your own kitchen orchestra, and live streamed rformanCes. This year we teamed upwithwalton BID (Business Improvement District) for Some feel-sc tune5 on the plaza at The Heart Shopping Centre and sing-along classlcs at Walton-on-Thames Community Centre. 66 In Northern Ireland we embarked on a learnin8 oject with two health and social care trtssts to explore the benefit5 for patients aTKI staff of long- term pro8rammes of live muslc These se$51ons have really posltlvely Impacted people's sense of wellbelng collectlvely. It's somethong that actually enhances people's quallty of Ilfe. In that mlnute they are completely absorbed In surroundlns themselves In the muslc. Thank you so much. It's been an absolute prlvlleie to be able to access It." trIng the first year of the project we have worked with the Arts in Health Manager at Belfast Health and Social Care Trus( and the Health & Wellbein8 Manager at Northern Health and Social Care Trust. to share 20 hrS of live music across four hospital settings for older PIe living with dementia and adults with dru8 and alcohol woblems. In 2023 we continued this vrfork with a programme of music funded by Creative Scotland to ensure that people c¢Juld access music even If they vKre unable to join the group in a communal space. The musicians met people in their most comfortable and familiar space so that no one had to miss out. We havesince been ableto expand this model to care hornes in the Dundee area. In December our music delivery and fundraising teams joined forces for our second annual Festive Mu5icallTea at the Riverhou5e Barn Artscentre In Walton-on-Thames, our 28th event at the venue. Singer Laura StephenKJn and pianist Elspeth Wilkes deli8hted an audience from care homes and day centres in the loc31 community. Cake5 were very kindly provided by the local Co-op, The event raised over £ICK) in 1cket donations. Traryvfiioen Live Values Enablerat OakminsterHealthcare One patient said that had the'best day: all I did was laugh a1 smile" and another said. 66 It made my anxlety reduce. It was iood for my mood and made me relaxed.. 40g. of people appeared less a8ltated or stress•d were chattler wlth staff or peers gMUSIC IN HQSPITALS & CARE seemed more relaxed or happy durlng the Ilve muslc mLb
JoyThroubhLiv(Musi¢
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Music in Hospitals 81 Care voices 66 In September y surveyed our musicians to get their thoughts on our impact and how we measure it. 41 musicians completed the survey and their respon infornd our new evaluation framework and Theory of Change. When asked how they know the difference they make. one musician said: After playlng at Gloucester Hospltal psychlatrlc unlt wlth my son many years a80, a young lad who was a patlent tU88ed at hls sleeve and sald 'thank you lor $topplni th• horror for • blt,. take that wlth me every day.. 66 66 66 66 Belng a volunteer ambassador has Involved helplni to ralse awareness of the charlty, fundralslni and zolng alonz to Ilve muslc. I remember one speclflcally; there were qulte a few people Just slttln8 around In the room. thelr faces totally blank. But as soon as the muslclan started 5Sn8ln8 It wa$ •$ If • 118ht had Just been swltched on. And that wa$ the tlm• I thlnk It came home to me that muslc can open doors that have been shut lor algns tlme. It was quote prolound." The Ilve fflu$lc experlences are so Important lor parent carers. It helps us to engage wlth each other and prevents soclal Isolatlon, all whlle havln8 a sln8-son8 and a boo81•. The dlfference In the group members has been tremendous and they always ask when the muslclans are comln8 next. Before havlni ¢hSldr¢n. concert$ w•r¢ my Ilfe, I'd io to about 10 a year. Due to b•comlni a parent carer and now the cost of Ilvlnz crlsls, It, somethlng I don't 8et to enjoy as much. I feel that Mu51c In Hospltal% & Care has kept my love for Ilve muslc alive.. The power of muslc 15 Incredlble. I hear famllles say they can't belleve It becau$e thelr father has dlsappeared, but then he'll be sln8ln8 all the words ol a son8 they dldn't even know he knew. I've loved the work and found It Incredlbly humbllnz and extraordlnary. More than In any other way of makoni muslc. you have to Ilve the best of yourself. You ar• thlnklni of oth•r people all the way through and you really want to take them away for a whlle. That'5 such an Incredlble thln8 to be able to be a part of.. We ai staff valu• the IOv• ffluslc. It valldate5 our worth. and undoubtedly brln8S pleasure and happlness for the rem•lnder of the day. Llsten5ng to some of the very skllled muslclansls also soothlng and relaxln8, not lust for patlents, but for staff. It glves tlme out from a busy day, allowlns one to set lost In th• muslc.. Staff memberat Hol1 Hospital. Antrim n* Volunteer. North Wale5 since 2016 Jenna Hillyard Group leader at SPACE, M3nchesterParent CarerForum Laura Stephenson Musician in South England$ie 1986 23
Fundraising We had lots of fantastlc fundralslng thls year from the Muslc In Hospltals & Care communlty, Includlng crafty creations, glorious gardens and everything in between. Fundraising has been vital to keep the music playingover the past 75 years. We are so gratefvl to our 298 regular supporters. who are fantastlc ambassadors for the charity. Some have been 8ivin8 3 monthlydonation for over 30year5, helping to share live music wlth hundrÈdsof people in hospitals.care homes and in the community. 1947 that vrfould lead to its creation thefollowin8year and thestart of 75 years of joy through live music. On 13 November 2023 we launched a new video. which dennStrate5 our new vision. mission and wrpose in actio The video had 1,889 online vlews. Our wonderful volunteers Robin and Anne Barr opened their beautiful garden on Of kney over the summer as part of the Scottish Gardens kheme, They had over 100 visitors and raised £331.50, with further openings raisin8 another £4251 Ame Fraser from East Lothian showcased her designs made from reoffjled materials in June and raised an impressive £1,061A3. charity and for thelr part In wr 75th anniversary celebrations. 240 ca115 were made from our staff to thank each and every one of them for their support this year. We sent emails too wlth a special video me553ge from our trustee Dimple Keen. We also took the opw)rtunity to thank some of our supporters. muslclans, funder5 arKI health arKI care partners tor their contributions, roles within the 13 November isa verysignificant day for thecharity. A meetin8was held in 14th amual Didsbury Guitar Trail in July raised £380 and saw dozens of perfornr$ take up pltche5 ¥ound Fletcher Moss Gardens to provide a musical landscape. Companies House choir entertained shoppers in Cardiff at Christma5 Wlth their labulous harmonies arKI raised £95. Radlo 4 appeal We were delighted to be successfijl for a BBC Radio 4 appeal tocolncide with this imty)rtant date. Ourfirst BBC appeal was back in the early 1950s. with at least 10 more taking place between 1960 and 2015. Our appeal focused on Peter, who1Sves at Chester Park Care Home in Glasgow. He moved there after sustainin8 a neck injury and receiving treatment in hospital lor several weeks. Peter Is now in a wheelchair and receives full-time care. Music BBC broadcaster Mark Radcliffe ¥Diced our 2023 appeal. Mark has a per5¢Nl connection to for health aTh wellbelnK, says nwsic helped him through his recc•*eryfr¢)m throat and neck cancer. He 3150Witnessed hw nxtsic helped his Mother. who h1 dementia. Mark remembers her sin8in8'Brin8 Me Sunshir, right up until tFE erKI. Scottish Fiddle Orchestra raised £325 from the audierKe at their concert at the Glasgow Royal Concert Hall in September with our fundraiser Sue. volunteer Gillian and Chair Maureen on bucket duty,. The NHS Health Economics Unit rock band. The HEUri5tics. staged their debut 818 in March at Hoxton Underbelly. raising £550. The appeal raised £30,369 to help people like Peter to experlence ttr healing power of live music. We were clelighted that 70% of gifts were first tin donations to Music in H05Pita15 & Care, meanin8 reached a large new audience with the appeal. 25
Marathon heroes Summer fun in Pontypridd Doubling the difference with Big Give In March we were selected by Big Give for their match funding campaign. Donations up to £5.(KKI made during the appeal week were matched by Big Give to double the difference the campai8n could make. Our Vice President Katie Derham. who has been involved with the charity for many years and w)iced our Radio 4 appeal In 2015. endorsed our Big Give campai8 We had nine runners at the 2023 London Marathon in April who raised a pherMen31 £32,451 to sharethe heallng power of live music. We are also very grateful to Finlay.who ran the Scottish Half Marathon in September and raised £515, and to Nick.who ran the Cardlff Half Marathon In October and raised £425. In Au8UStwe held ourfirst ever Family Fun Day at Pontypridd Rugby Club. The event raised £1,314 and Welsh families had a great day with stalls. food, fairground rides and, of course. live music. Long-standing Music in Hospitals & Care duo Huw and Mel were there to provlde the tunes. 66 What a $ensatlonal experlent• - I Instantly felt relaxed and mellowed. Knowln8 thls benefltted our crltlcal care patlents as well seelni them enia¢e and smlle Ilft•d my $plrlt$. Th• power of muslc Is second to no other. Thank you so much. hope we see a lot more experlences Ilke thls.. Wlnter Warmer pwters volunteers staff aThl musiclans got together at Murrayfield Parish in EdInrghforourwInter Warmer event in November. Music in Hospitals & Care musicians Daniela arKI Matthew werejoined by supwrters Hector on the bagpipe5 and Emma the flute. It was a fantastic evenin8 to celebrate 75 years of Music in Hospitals & Care's)ertul community. £154179 wa5 raised fr(¥n ticket sales a1 a IxKket collecti. Powerful quotes and images were used to support the appeal for donations. %tythich raised a fantastic total of £14,759 towards our work in serious i11rs. Staff memberat Conquest Hospltal, St Leonards-on-sea W• had such an amazlni tlme on Sunday. The entlre experlence from start to flnlsh was unfor8ettable. To run for such a ireat charlty wa5 a real honour, and to hav• ralsed more than I could have Imaglned Is the cherry on top. Thank you for the opportunlty we absolutely loved it." 75 miles in September aatt Facebook followers and new supporter5 were challenged to walk. jogor run 75 miles in Septemberto celebrate our 75th anniversary. We had 363 members in the challenge Facebook grwp. which had a great community feel with participants sharing their efforts 3rMd cheering each other on. 103 group members set up a lundraisin8 page to receive donations. raising £2,9M48. Our musicians Peler 3ndMoir3 Gutterid8e ralsed £274.67 for us through busking this year. They were also invited to attend a Royal Garden Party in May to celebrate the King'5 Coronation. , 9MUSIC IN HOSPITALS & CARE Christmas choirs It was another holly jolly Christmas with our regular sin8in8 Spots in En8l3nd. Scotland and Wales taking place. Companies House choir sang for us at St David's Shoppin8 Centre in Cardiff. while in EdinixJr8h Pltchcraft choir and The Son8 Space were jingle bell rockin8 at John Lewis and Dynamic Earth. Our musician Laura Stephenson once again led the chorus under the tree at Trafal8ar Square. Our festive fundraising choir5 raised a total of £40125. We had a lovely tlme, met The Duche55 of Gloucester and had a chat about Muslc In Hospltals & Care and her patrona8e. We saw the Kln8 as he walked around and enjoyed the sandwlches and Ice cream.. London MaratlK>n runner Following this 5ucce55. we irivited runnin8 clubs and individuals to do a festive fvn run In Santa hats that were sent out to them. In February r third Facebook challenge to hiele 2(Y).(XK) steps during the month was a 8reat way to make an active start to the year. ..W4Mu>IC . S139 26 27 Èic
Financial summary How we raised money How we spent our money Grants and donations Contr5110n$ from Care Centres Other lundraisi oiects In4tStment Chwitabbe liture Fundraisl Our total income for the year was £1.090.144. We have seen an increase of more than 27% in inc(xne, compared to 20221231£852.0181. ContritIonS from he31th trds. $talS and 131 care environments increased to £158,662 in 2023124. marking a steady increase from the previ(KJs year (£140283Tr. In 2023/24. we spent £1.454,833 - a £222.631 increase compared to 2022123 (£1.232.2021. Thi5 is because we continue to invest in our people and infrastructure to SUPPOrt the delivery of our strategy. We planned for the deficit for 2023124. Before investment gains and losses. it was £364.689. This was le55 than originally forecast, primarily due to spending restricted funds received in the previous year. In 2023124. 61% of our irKon* came from a variety of trusts and fndatiOnS. arKI from our fantastic Indlvidual supporters and committed corporate partners1£669,5721. This is an InC3$e of Sl% compared to 20221231£444.607). Our income strategycontinues to focus on reccyffj and di¥trsification of fund& 1Thr 75th anniversaryyear, we deli¥tred owth thr(@1 an tX18oln8 inbestment in relati¢x)ship> We saw growth In IrKI from our indlvldual supporter5. tnjsts and frKlatiOnS and our health and care partrw5. Thi5 V4Drk will supwrt the recovery of our income and liNt nwsic after the pandem5G aNI 1p us to athl (r strategic aim Once agaln, we are hugely grateful to the individuals who remember Music in Hospitals & Care in theirwill; we received £158,853 from legacies this year. Planning for the future We still have restricted funds to spend over the next year and plan to invest Some of our reser in our continuing recovery and delivery against (wr organisational stratw. demonstratin8 the value of our live music. This Is crucial to our recovery as we develop more partnerships and seek future support so we can continue to deliver live music experience5 where there is the greatest need. The organisation will also reach a key milestone in wr digital transformation as we realise the savin8s and efficierbcies of new system Our muslclans We paid our musicians. fees and expenses and hosted training which cost the charity £242,962 in 2023124. compared to £202,657 in 2022/23. This is due to 3 20% increase in the live music experiences we vlere able to share and ongoing investments in our musician Year two 15 a significant year in our Strategy. We are implementing our evaluation framework. to deliver on our impact aims and ensure we are more impart led
Our strategy and looking ahead Impact IL Creating unique moments arKI life-affirmin8 impact thr8h r perscThlised live ff$1¢ experiences. A Christmas presscampaign to raise 8reater awareness of the benefits of live music in h05Pitals and care. Demonstratlng our Impact and provin8 the difference we make. • Musician engagement: Deepen engagement with our network of profe55ional freelance musicians 50 that we can continue to share high- quality live music. Enable them to have the time and skills to be part of the evaluation pr(Kess. What success looks like in the future Increasln8 access to Ilve muslc: Through greater awarene55 arKI an elevated profile, we aim to en8a8e more health and care partners and increase access to live music. Impact arKI research have a long history with the charity. We have continued to collaborate on demonstrating the benefits of live music over the year Our first research sulKommittee was founded in the early 19505. Since then research has informed our 08rammes, from insights across the muslc and health sector aNI own live nwsic experience5. such as ¢Jur recent IMAGINED project on page 19. In Au8U5t. we launched our new strate8y, setting out our plans for the next three years and our vlslon.. that everyone can access and experience the joy of live music. In our 75th year, Y invited everyone to play their part in composin8 our future. Brand reco8nlt5on: This Is essential to helping people access our live music and in creating more awareness of the impact. A better quallty of Ilfe: Apply wr learning around impart {tcoMeS to programme design. creating new live music experiences which engage and itively imp¥t thsical atKI mental health outcomes. Reflecting the communlties we work woth: Sharing individual stories and findin8s on the impact of live music and continuing to havea voice as part of vital research and decision makingabout music and health. Representing the voices that make upour communities. (knr the last year, have made slgnificant progress against our three original aims. and reflected on areas that were previously identified in the 5trate8y but we feel need equal emphasis to help us move forward. These are: Equallty. Dlverslty. I(sk •nd AcCeIbl1y, and our Oryanls•tlonal upablllty, which Includes our investment In our systems and infrastnACture. These sit alongside our existing aims: lryacL Voice and Recovery. What have we achleved $0 far? Updated our theory of chan8e to create the evaluation fraffthor Incorporating musicians. afKI settin85' wices and ali8nin8 With our strate8ic directS0n. People have always been at the heart of our organi53tion. We developed our new vision, mlssion and purpose by talkin8 to our communities who createand experience live music.which helped u5 to comp05e our long- term strategy, tO8ether with our staff and trustees. Voice Elevatlng our proflle by beln8 a vlslble volce. • Continued our return to sharing live music in critical Gare through r ICV Hear. Lullaly Hour pro8rammes. Raising awareness of the benefit of live music in health and care was longstandin8 part of previ(xJs mission. It is embedded in how we work as an or8anisatioD and essential to our future recovery. En8a8in8 content: We will continue to delTnStrate the difference live music has on someone in health arKI care. We aim to brin8 3 live music experience to life for our supporters and funders. Recruited two new strategic roles within the live music team: Creative En8a8ement and Development Manager and Llve Music Programme Manager. What have we achieved $0 far. Our yearlong celebration communications for our 75th anniversary, which inforn)ed our approach to our newcommunicatK)n strategic plan to irKrea5e en838ement and awareness. What success looks like In the future Our live music We will continue to share live music With people who canrK)t otherwise experience 31
Recovery Iil(I Establish lW income streams: Successfully diversify our income to include new income streams, such as corporate fundraisingand individual giving. that ensure future financial resilience. Organisational capability Bulldlng future flnanclal stability and sustainable music delivery. Ensuring have the systems. resources. processes and infrastructure V need allows us to focus on what we hwrt always done- workin8 together with our health a1 care partners. fuThJers aNI supporters. • Launched a strategy detailing r commitments to equality. diversity and Inclusi¢. In the 1970s. Sylvia Lindsay be83n leadingthe charity and saved it from Trearclosure.This was through increasing our fundraising efforts and taking a fresh outlook while staying true tOWhatv do. She began to lay the foundations of a deeper understandin8 of the needs of the people we share live music with. We have kept this approach close to mind when plannin8our recovery from the pandemic. stslnable Ilve muslc: Working With health and care p3rtners to secure more formal service level agreements. Seeking out different source5 of funding through derrK)nstrating the value and impxt of our live music 3r#J building lon8-term partnerships with declslon makers. What success looks Ilke In the future Incluslve and actesslble Ilve musle. Continue to work with people from a diverse ran8e of backgrounds and communities living with different health and wellbeing challen8es. Our live music refiects arKI enables people to experience different need5. tastes arKI cultures What have we achleved so far? Tendered and selected our new CRM and be8an the deslgn and Implementatirm. Tendered and ontM)arded our new IT provider who will support with our move to clwd-based storage and 5yStems. ScOk and agreed new Mline learnin8 platform to support staff development and musicians, essential trainin8. What have we achleved $0 far. Continued to engage funders. health and care partners and supp)rter5 In the value of live music. which supported our recovery and increase n income from the previou5 year. EDIA Laj En8a8emenL belon8ln8 and effectfve volce: We aim to foster an empowering environment and culture where our people can sav they belon8 to an or8anisation that truly values equality. diversity. inclusion and acce$5ibility. Equallty, Dlverslty, Incluslon and Accesslblllty has always been at the core of the Charlty. What success looks Ilke In the future • Strengthenlng relatk1PS and communkatlons: r rthvCRM systemswill help us todothis and allow us to provide a more personalised and consistent experience for people engaging with Music in H05Pita15 & Care. • Develo a digital fundraising 5tratC8Y, With 5upwrt from an external consultant to highlight the opportunities available to us to diversify our Income. Music is universal; it breaks down barriers. We want to understand and reflect the communities V workwith and those aim to workwittrL Leamlng and understandlnr. This isn t just al)out delivering trainin& Equality. diversity. inclusion arKI accessibility will be an ongoin8 and or8anisation-wide learnin8 corr¥rsatio Operatin8 more efficiently and effectively. Chan8es to our finance. HR and cloud-based systems will allow us to work more effectively and efficiently. What success looks Ilke In the future Remove fundln8 8ap: We recover our income to ensure we have what need todeliver and to invest in our future resllienceand ambitions.This includes %vorkin8 Wlth our investrr+ent managers to achieve our strategic vision and to miti8ate for potential future financial challenges. What we have achleved 50 far. Joined Black Talent on Board as a host board. taking on two participants as shadow trustee& • Policie& mices dats: All of cwr organisational p)licies w(king practices are assessed thrgh a lens of equality. diversity. accessibility and inclusion- from fair and inclusive recruitmenL to accessible technologrf. Contrlbutln8 to the wlder plcture: We have a role to play in helping meet the UK net zero target by 2050. In the lifetime of this strategrf. we will have taken significant steps to reduce our emissions and develo our creative iyactice proce55 to influence partner> Recruited to the role of He1 of OFErations and formalised the development of a Pecple aThJ Culture Strategic Pla 32
Make a donation Fundralse Ever since the grant that established the charity in 1948 from the Ex-services Mental Welfare Association, donations from charitable trusts and foundations have been making our live music P055ible. We are so grateful to the 93 that donated in 2023124. Here are someof the wonderful funders who have supported us with large grants this year: Yr supry)rt has helped people in hospitals, care homes and the community to feel connected. remembered and cared for. You can help ensurevle are able to share live music for another 75 years. From sports events to bake sales. you can have lots of fun raisin8 vitsl furKls for Music in Hospitals & Care. Whatever way you'd Ilke to fundraise. vrfe'll support you all the way. mlhc.ors.uk/fundralse £15 n Playws of People's Postcode Lottery n McLay Dementia Trust Volunteer n The Peter Scmerby Fwndation IJ The Haramead Trust could help a person living With dementla remember songs from their childhood and share a special moment with thelr family through live music. It's 3 8reat way to meet like-minded people and develop new skills while making a difference. We're always lookin8 for people to help spread the word about Music in Hospitals & Care and lend a hand at events mlhc.org.uk/volunteer n Arts Council En8lar n Greerwkh Hospltal Plum Trust Merchant Taylors, Company Charlties n Drapers, Charitable Fund BailyThomas Charitable Fund £30 n Arts Cwncil Wales Millennium Stsdium Charitable Trust could pay for two stroke surrflvors to take part in a live music experience. helping them to Interact and Improve their speech and movement. n Robert B*r Trust n Pilkington Charities, Fund Leave a le ac IJ Slr John Flsher Foundat6on London Freemasons, Charlty Ycld makea dlfferwKe for years to come by leaving a gift in ywrwill. Create lasting memories for children and adults throu8h the healin8 power of live muslc. mlhc.or8.uk/leave-a-legacy Calleva FouNlation n The Grateful Soclety n The Chlldwkk Trust Scott (Eredinel Charltable Trust Eveson Tt Crfspa Charitable Trust could go towards sharing live muslc in an intensive care unit for seriously ill people. creating a relaxin8 environment to aid their recovery. n Lady Marian Glbson Trust Dwf Cargill Fund mlhc.or8.uk/donate or more and you'll help more people benefit from live music mlhc.orz.uk/frlend5 Generous funding from charitable trusts and foundations helps make our live music possible. mihc.ory.uk/become-a-funder
IN HOSPITALS & CARE Joy through live music Annual accountsforthe year ended 31 March 2024 Public benefit 37 Financial review for the year to 31 March 2024 37 Administrative information 43 Independent auditor's report to the trustees Statement of financial activities to 31 March 2024 47 Balance sheet as at 31 March 2024 49 Statement of cash flows for the year ended 31 March 2024 50 Notes to the financial statements for the year ended 31 March 2024 51 mihc.org.uk 00 IHCUK Music in H05Pltals & Care is a Rcgistcred charity in Engl3rKI and Wale5 no. 1051659 and SC038864 in SCotlar Company limiied by 8uarantee re8iStered in England no. 3138683 Re8lstered offlce address: Unit 40. Enterprise House. 44-46 Terrace Road, Walton on Thames. Surrey KT12 2SD 36
Public benefit The charity is not dependent on any one donororgroup of donors and receives support from a substantial number of separate sources, This includes individuals. companies, statutory authorities and charitable trusts. Someof our principal supporters are shown at Note 17. But it is not possible to list all individual supporters across the UK who give generously to Muslc in Hospitals &Care. Without them,we simply could rt share live musicwith 50 manyadults and children in health and care. Trustees have referred to guidance issued by the Charity Commission concerning public benefit. They are satisfied that the information given in this report, in particular how planned activities contribute to the charity's aims and objectives, demonstrate that requirements to identify public benef it have been met. Flnanclal revlew for the year to 31 March 2024 Investments The total income for the yearwas £1,090,144. In 2022/23, it was £852.018. In 2023124, our expenditure was £1,454,833 This compares to £1.232.202 in 2022123. The deficit for thisyear before gainsllosses on investments and transfers between funds. was1£364,6891. Last year, this fi8ure was 1£380.184). The charity's Investment pollcy Is to produce a reasonable long-term overall return by means of a balanced portfolio. The policy is regularly reviewed by trustees in conjunction with the charity's independent investment managers. We continue to monitor our investment portfolio on a regular basis at Trustee and Finance and Audit Committee meetings and through regular contactwith our investment managers. Prlnclpal fvndlng sources This year.we had a planned operational deficit. partly funde(I through our restricted funds and former'endowment funds, (which are now treated as restrlcted funds). We used funds to invest In staff and infrastructure so we can recover and deliver our organisational strate. This approach aligns with our resenies policy. This yearwe have made investment gainsof £53,585. The portfolio has decreased to £1,120,367. Trustees are grateful to the investment managers for minimising the investment losses duringthis diff icult year. Reserves In 2023/24, we continued todeliver and progress our fundraising strategy. It lays out howwe recover and diversify our income. As part of this. and in our 75th anniversary year, we focused on engaging our existing regular supporters and acquiring new donors and funders. Resenies are that part of the unrestricted funds which are freely available to spend on any of the charity's purposes. Reserves policy Nextyear, as part of our strate8y.wewill continue to diversify funds by focu5in8on 8eneratin8 more contribution5 from health board5. h05Pitals and Social care. Alon85ide 5eekin8 fundingfrom trusts and foundations to fund other are35 of the or83nisation, such 35 our work to Support musician5' development and our core cost5. The organisation takes a strategic approach to managing our resep4es liCy. In assessing the appropriate level of reserves the charity requires, we weigh up potential changes in income and expenditureand the level of potential substitute reserves the charity holds. 37
Potential changes in income and expenditure assess the probabillty and impact of a number of different scenarios, This could include; unexpected falls in different income sources, additional unexpected expenditure and potential costs in the event of closing the charityor needing to launch new initiatives. The Development Fund is belng used to fund the infrastructure we need to operate effectively, from laptops to software, like a customer relationship management System, In 2023124, the Development Fund w35 Partly used with £23,267 of expenditure12022123 £21,349>. At the end of theyear, therewas £16,479 still in fund (2022123 balance was £39,4761.This is due to be spent during 2024125 to support ourdi8ital transformatlon. Examplesof our potential substitute reserves, that thecharity may hold are: restricted income, designated funds or fixed assets, such as property. Funds The Flnance and Audit committee monitor the charity's managcment accounts. which include notification of the reserves, before submission to all trustees. There were three different types of funds held by the charity: Full and detailed forecasts have been prepared. These are con5tantlv updated to make sure sufficient free reserves are available to the charity. (al Restricted funds Thecurrent strategic assessment.weighing up risks in terms of probability and impact. indicate5 that the current level of unrestricted reserves held at 31 March 2024 of £647.40112022123 £990,159 re-stated) 15 considered in excess of our agreed minimum level of reserves and within the appropriate range of reserves required. These funds come from donations with express wishes attached. They can be restricted to a specific area or, most commonly, our live music. Trustees have no discretion in the use of these funds. (bl Designated funds We will be spending moreof our reserves in the next two years to invest in the future of the or83nisation and sUPPOrt our long-term ambition - to make sure people in hospita15 and care enjoy a better qualityof life and improved health outcomes. These funds cover the net book value of tangible and intangible assets and fund the development and expansion of the charity, including offices and IT infrastructure. Reserves at 31 March 2024 (cl Unrestrirted fvnds The free unrestricted reserves available to the trustees to be used for the purposes of the Charity at 31 March 2024 amounted to £647,401.12022123 £990,159 re-stated). Refer to rK)te 16 for a full breakdown of unrestricted funds. This fund is available to be used for anyof the charity's purposes, Asummary of the funds at 31 March 2024 was (see overleaf): The de5i8nated fixed 355et5 funds represent the net book value of tan8ible and intangible fixed assets. 38
2024 Re-stated 2023 Trustees (Board of Directors) Our Board of Trustees, who are also Directors of the Charity for the purposes of the charity law, have overall responsibilityfor the str3teyrf, management. and control of Music in Hospitals &Care.The trusteesare listed on page 43. Our Chief Executive.working with the Senior Leadership team, Is responsible fordeliverlng thevlsion and strate8y and for the day-to- dayoperations. a) Restricted funds 706,253 697,404 bl Designated funds 96.320 73,520 802.573 770,924 cl Unrestricted funds: available to the trustees to beused forthe purposes of the charity The charity regularly reviews the board of trustees to ensure it aligns with our strategic aimsof equality, diversity and inclusion, through ensuring we have a diverse and representative board. 60% of b)ard members have lived experience of dementia. mental health problems or serious illness Iwhether personally or through caring responsibilities) and 80% have experienced live music while in a health or care setting. 647.401 990.159 Total funds 1,449,974 1,761,083 Trustees are appointed for a three-year term of office, with the option of renewal for two further terms to a maximum of nine years. Trustees are required to disclose all relevant interests and register them with the Cha5r and abstain from votin8 where a conflict of interest arises. Structure, 8overnance and mana8ement Governlngdocument Music in Hospitals & Care is registered as a charitywith the Charity Commission and the Office of the Scottish Charity Regulator. Trustees have all received the Charity Commission Guidelines on Trustees, Responsibilities. All trustees have sufficient understanding of the charity's activities and resources to allow trn to properly fulfil their responsibilities. Job descriptions are in place for the Chair, Honorary Treasurer and trustees. Music in Hospitals & Care Is a company limited byguarantee registered In England no. 3138683. The company is sometimes referred to as thecharity in this report. The charity changed its name from Music in Hospitals to Music in Hospitals & Care by special resolution on 28 June 2017. As part of their induction, new trustees receive full detalls of the charity and its operations, including information on governance and finances. New trustees also undergoa briefing With the Chair and appropriate senior management staff across thecharity. All trustees areencouraged toattend appropriate external training where this will help them in their role, as well as attending live music, In carrying out their responsibilities for governance and setting the strategic direction of the organisation, the Board is SUPPOrted by a number of committees. There are terms of reference for each of thesesub-committees which suide how theyoperate.All Committees are accountable to. and rep)rt to, the Board: Thecharity is governed by its Memorandum and Articles ofA550ciation dated 11 October 1995 as amended by Special Resolutions on 20 April 2CQ4, 4 July 21)7, 28 September 2011 and 5 March 2019. The registered objects are the relief of physical or mental sickness and the preservation and protection of health by the use of high-quality music as a therapeutic agent. 39
work with fundralsing consultantswhenwe don't havecapacityor specialist knowledge in-house. This helps us todeliver fundraisingof a high standard. Bo¥dotTrwtee5 We also have a number of volunteerswhofundraise on behalf of the organisation. They follow the same policies and best practice as staff and liaise with the in-house fundraising team on all activities. Commlttoe5 All our fundraising is carried out in accordancewith the Fundraising Regulator's Code of Practice and our Fundraising Policy.We are committed to ensuring all fundraising activities are carried out in a legal, open. honest and respectful manner. •nd axlll cammitiee Rl*¥xl •ssur¥Kt Music in H05Pita15 & Care is registered with the Fundraising Regulator and 15 committed to following it5 5tandard5. During the financial year. there have not been any recorded breaches of these standards nor have there been any complaints received by the charity with regards to its fundraising activities. All trustees have the benefit of a qualifying third-party indemnity provision as defined by the Companies Act 2006. Key management We continue to be responsible in our fundraisin8 practice and will never exploit vulnerability. We have a Safe8uardin8 Children and Vulnerable Adults policy to ensure best practice 15 embedded throughout our work, including fundraisin8. Music in H05Pitals & Caredoes rbot accept donations where it ha5 reason to belleve the donor may be experiencing vulnerable clrcumstance5 and accepting the donatlon would be harmful to the donor or morally wrong. Key management personnel are the trustees. the Chief Executive and the Senior Leadershipteam. All Trustees carryout their roles on a voluntary basis and received rK) benefit5 from the charity. They are unpaid but may claim legitimate expenses Incurred. Detailsof trustees, expenses are dlsclosed in note eight tothe accounts. Chief Executive Off icer pay 3rKI benefit5, as V11 a5 the payment and benefits of the remainin8Senior Leadership Team and all other staff members are approved by the Trustee Board, based on review and recommendations by the People Committee. In considering pay and benefits. the People Committee is provided with information on the sector and similar-sized charities, to inform decisions. Risk man38ement and a55urance Trustees have overall responsibility for the management of risk within Music in Hospitals & Care.Trusteesview this as an essential discipline to support the Charity in achieving its strategyand aims. This includes setting the risk appetite for the charity, ensuring that there are re350nable procedures in place for the prevention and detection of major risks, including fraud risk and other irregularities. Fundralsing regulatlon and management Furbdralsing is managed by the Head of Fundraisingand Communications and is carried out in-house bythe fundraisingteam, where possible. We also Trustees review the risk management poliry on a regular basis. The risk management strategy for the Charity comprises: 40
an on80ing reviewof the risks thecharity may face establishing systems and procedures to mitigate identified risks putting procedures into place that are designed to minimise the negative impact on the charity of any risks that happen. Risks- Reduction of or Inabilityto deliverdueto capacity issues within the staff team. Mitigations.. Implementation of findings from Fair Work survey. Continue to back fill secondments and vacancies. The terms of reference for the subcommittees were revlewed recently with agreement from the Trustees for the Risk and Assurance committee to support the Board and the Senior LeadershipTeam in their responsibilities forensuring the adequacyof risk management arrangements. internal controls, and compliance with the organisation's regulatory obligations. Risks: Failure to complywith data protection law. Caused by vulnerabilities in systems or pr¢xesses resulting in personal data breaches. fraud orcyber-attack. Mitigations.. Updating policies and proce55es. complying with relevant regulations and legislations. Implementation of new SyStem5 to add additional security. Staff tralningon data protection through a newe-learning platform. Trustees continue to develop an approach to risk management to make sure that management of risk is embedded within the day-to-day runningof the charity. Risks: Failure to comply wlth leg151atlon and regulations 35 applicable to the charity's activities. Mitigatlons.. Staff trainln8 and guidance on relevant le8lslation and regulations specif ic to their roles. Trustee handbook and IrKluction programme for all new trustees. Employment law retainer in place with dedicated advisor to support with legislation changes. Relevant H&S risk assessments in place across all functions for activities and offices. Mandatory training on new e.learning platform for staff and trustees. Internal review of policies and procedures. The subcommittee revlews the risks that have been hlghllghted from all levels of the organisation, and monitors our strategic risk register.Thls register is then reviewed by the full Board of Trustees annually. The strategic rlsk registerls Informed by departmental risk registers, whlch have been developed by staff within each department (Operations. Finance, Fundraising and Communications, and Music Delivery) to highlight specific rlsks wlthin each area of ourwork. Below, we have shared what we consider are our greatest challenges to achieving our strategy and the context and mitigations around them. Risks: Safeguarding rlsk to muslclan and or vulnerable person.which could result in harm, investigation by statutory authoritles and legal action, Mitigatlons.. Safeguarding training for all staff and musicians. Risk assessment required by all health and care partners. Setting staff required to stay with musicians. Clear safeguarding procedures in place. Implement newe-learning trainin8. Risks: Destabili5ation of organi53tion due to failure of effective mana8ement of the programme of change Ileadin8 to ne8ative impact on staff motivation and reduced engagementl. Mitl8ations: Appropriate secondments and training in place to support organisational change. Project plans and milestones with project leads for each function: and associated communications plan offering opportunities for feedback. Reviewof People & Operations roles. Risks: Misrepresentation of our brarKI or voice in public. 41
Mitigations.. All volunteers and musicians receive inductlons and resources, All communications ref lect our voice and key messages. Mitigatlons.. Monthly reviewof management accounts and forecasting, Live forecasttracker to monitor income, Treasurer regularly meets with Investment managers. Investment managers appraised of our strategyand the planned reduction of funds. Risks: Lack of suff icient fundsdue to not achieving required income targets and underperformance of Investment portfolio. Statement of trustees, responsibilities Trustees are responsible for the maintenance arKI integrity of the corporate and f inancial information included on the charitable company's website. Legislation in the United Kingdom governing preparation and dissemination of financial statements may differ from legislation in otherjurisdiction5. The trustees (who are also directors of Music in Hospitals & Care for the purposesof company lawl are responsible for preparing the trustees. report and financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom GenerallyAccepted Accounting Practice). including FRS 102- the Financial Reporting Standard applicable in the UK and Republic of Ireland. Dlsclosure of Informatlon to audltors In so far as the trustees are aware: Company law requires trustees to prepare financial statements for each financial year, which give a true and fair view of the state of the affairs of thecharitable companyand the income and expenditureof the charitable company for that period. In preparin8 these financial statements, the trustees are required to: there is no relevant audit information of which the charitable company's auditor is unaware they have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditor is aware of that information. select suitable accounting policies and then apply themconsistently observe the methods and principles in the Charities Statement of Recommend Practice ISORPI makejudgements and estimates that are reasonable and prudent state whether 3pplic3ble UK accounting standards have been followed subject to any material departures disclosed and explained in the f inancial statements Audltors The Board approved the appointment of SB Audit LLPon 26 January 2024. SB Audit LLP merged with Sumer Auditco Limited and their audit registration ceased with effect from that date. Therefore. the Company is audited by Sumer Auditco Limited. United Kingdom in 2023. In accordance with Section 485 of the Companies Act 2026. auditor has been appointed for the financial year 2024 for the first time. Trustees are responsible for keeping proper accounting records that disclose, with reasonable accuracy. at any time the financial position of the charitable company and allow them to make sure the financial statementscomply with the Companies Act 2CK)6, the Charities and Trustee Investment (Scotlandl Act 2005 and the Charities Accounts (Scotland) Regulations 2(Y)6 las amendedl. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps to prevent and detect fraud and other irregularities. Signed: Mdth L¢&y Maureen Hall, Chair Date: 21 Au8USt 2024 42
Administrative information Sollcltors: Turcan Connell Princes Exchange Music in Hospitals & Care isa company limited byguarantee, Registered in England and Wales No.3138683. l Earl Grey Street Edinburgh EH3 9EE Registered Charity in England and Wales No. 1051659 and in Scotland SC038864. Reglstered off Ice: Unit 40 Enterprise House, 44-46 Terrace Road Walton on Thames Surrey KT12 2SD Auditors: Sumer Auditco Limited Fitzroy House Crown Street Ipswlch Suffolk IPI 3LG Royal Patron: HRH the Duchess of Gloucester GCVO Presldent: Sir Thomas Allen CBE Vlce Presldents: Dame Evelyn Glennle CH DBE. Julian Lloyd Webber. Dame Felicity Lott DBE. Sir Richard Stilgoe OBE. Toby Spence. Katie Derham. SirAndrew Parmley, Christopher Glynn Bankers: National Westminster Bank plc Walton-on-Thames Surrey KT12 IDW Presldents Emerltl: Nella Kerr MBE Chalr: Maureen Hall Clydesdale Bank plc Edinburgh EH2 2QW Vlce Chalr: Dr Jeremy Huwwilliams Hon Treasurer: Andrew Lin8 Investment Advlsors: Trustees IDirectors): The following trustees served to 31 March 2024 and up to the datecovered by this report.. Maureen H311. Dr Jeremy Huwwilliams. Andrew Lin8, Sarah Mallock. Charmian May. Dimple Keen. Angharad Thomas, Atheer Al-salim, Silvia Denaro. Dr Alasdair Dow. Dr Jennifer MacRitchie. Thomas Parker (from 28 September 2023). Investec Wealth & Investment Management Ltd London EC2V7QN The following trustees also served during the period= Fiona Mclntosh (to 3 November 2023) and Helen Dutta (to 3 November 2023). Evelyn Partners Glasgow G2 5SG Chlef Executlve: Barbara Osborne 43
Independent audltor's report to the trustees of Musl¢ In Hospltals and Care Conclusions relating to going concern Opinion In auditingthefinancial statements.we have concluded that the trustees, useof the going concern basis of accounting in the preparation of the financial statements Is appropriate. We have audited the financial statements of Music in Hospitals and Care (the 'charitv'l for the yearended 31 March 2024 which comprise the Statement of Financial Activities, the Balance Sheet. the Statement of Cash Flows and notes to the financial statements, including a summaryof significant accounting wlicies. The financial reporting f r3mework that has been applied in their preparatior) is applicable law and United Kin8domAccountin8 Standards, includin8 FRS 102"The Financial Repjrting Standard applicable In the UK and Republic of Ireland. (United Kingdom Generally Accepted Accounting Practice). Based on the work we have performed. we have not identified any material uncertainties relating toevents or conditionsthat, individually or collectively. may cast significantdoubt on thecharity's ability to continue as a going concern for a period of at least tv1Ve months from when the financial statements are authorised for issue. Our reswnsibilities and the responsibilitiesof the trustees With respect to going concern are described in the relevant sections of this report. In our opinion. the financial statements: give a true and fair view of the state of the charity's affairs as at 31 March 2024 and of its income and expenditure for the year then ended: have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice: and have been prepared in accordance with the requirements of the Cornpanies Act 2006 and the Charities and Trustee Investment (Scotlandl Act 2(M)S, regulations 6 and 8 of the Charities Accounts (Scotlandl Regulations 2006 {as amended). Other informatlon The other Tnforrnation comprlses the Information Included in the annual report. other than the financial statements and our auditor'5 report thereon. The trustee5 are responsible for the other information. Ouroplnion on the financlal statements does not cover the other Information and. except to the extent otherwise explicitly stated in our report, wedo not express any form of assurance conclusion thereon. Basis for opinion In connection with our audit of the fin3ncial statements, our responsibility is to read the other information and, in doin850, considerwhether the other information is materially incon515tent with the financial statements orour knowledge obtained in the course of the audit, or otherwise appear5 to be materially mi5Stated. We conducted our audit in accordance with International standards on Auditing (UK) IISAS (UK)) and applicable13w. Our responsibilities under those standards are further described in the Auditor's responsibilities for the audit of the f inancial 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 f inancial Statements in the UK, includin8 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 forour opinion. If we identify such material inconsistencies or apparent material mi5Statements. we are required to determine whether there is a material misstatement in the financial statements or a material mi55tatement of the other information. 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 facL We have nothing to rep)rt in this regard.
Opinions on other matters prescribed by the Companies Act 2(X)6. the Charities and Trustee Investment (Scotlandl Act 2005 and regulations 6 and 8 of the Charities Accounts (Scotland) Regulations 2CK)6 las amendedl. Responsibilities of Trustees As explained more fully in the trustees, responsibilities statement set out on page 41. the trustees (who are alsothe directors of the charitable company for the purposes of company law) are responsiblefor the preparation of the financial statements and for being satisfied that theygive 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 tofraud or error. In our oplnion, based on the work undertaken in the course of the audit.. the information given in the Trustees, Report which includes the Directors, RetM)rt prepared for the purposes of company law, for the financial year for which the financial statements are prepared is consistent with the financial statements; and the Directors, Report included within the Trustees, Report has been prepared in accordance with applicable legal requirements. In preparing the financial statements, the trustees are responsible for assessing the charity's ability tocontinueas 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 toceaseoperations, or have no realistic alternative but to do so. Matters on vthich we are reqtjired to report by exception In light of the knowledge and understanding of the charity and its environment obtained in the course of the audit, we have not identified material misstatements in the Directors, Report included within the Trustees, Report. Auditor's responsibilities for the audit of the financial statements We have been appointed as auditor under Section 44111 C of the Charities and Trustee Investment (Scotlandl Act 21J)5 and under the CompaniesAct 2(X)6and report in accordance with regulations made under thoseActs. We have nothing to report in respect of the following matters in relation towhich the Companies Act 2006 and the Charities Accounts Iscotlandl Regulations 26 requires usto report toyou if, in our opinion: Our objectives are to obtain reasonable assurance atx)ut whether the financial Statements as a whole are free from material misstatement,whetherdve tofraud 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 orerror3nd are considered material If, individually or in the aggregate. they could reasonably be expected to influence tP economlc decislons of users taken on the basis of the financial statements. adequate and proper accountlng record5 have not been kept, or returns adequate for our audit have not been re(eived from branches not vlsited by us; or the financial statement5 are not In agreement with the accounting records and returns; or certain disclosures of trustees, remuneratlon specified by law are not made: or we have not received all the information and explanations we require for ouraudit; or the Trustees. were rK)t entitled to prepare the financial statements in accordance with the small companies regime and take advantage of the small companies exemption in preparing theTrustees' Report and from the requirement to prepare a Strategic Report. Irregularities. including fraud, are instancesof non%ompliancewith laws and regulations. We design procedures in line with our responsibilities, outlined al)ove, to detect material mlsstatements in respect of irregularities, including fraud. Based on our understanding of the charity and its activities, we identified that the principal risks of non-compliancewith laws and regulations related to the Charities Act 2011, the Charities Statement of Recommended Practice. UK tax legislation. pensions legislation. employment regulation and he3lth and safety regulation, anti-bribery, corruption and fraud. money13undering. non-compliance with 45
Independent auditor's report tothe trustees of Music in Hospitals and Care (continuedl detection of irregularities, as these may involve collusion. forgery, intentional omi55ions. misrepresentations or the override of internal controls. implementation ofgovernment supFM)rt schemes relatingto COVID-19. and we considered theextent towhich non-compliance might have a material effect on the financial statements. We also considered those laws and regulations that have a direct impact on the preparation of the financial statements. such as the Companies Act 2(J)6. A further description of our responsibilities for the audit of the financial statements is located on the Financial Reportingcouncil's website at frc.org.uk/auditors resnSibIlItIes. This description forms part of our auditor's report. Use of the audit report We evaluated the trustees, and management's Incentlves and opportunities for fraudulent manipulatlon of the financial staternents lincludln8 the risk of override of controls) and determlned that the prlncipal risks were related to postin8 manual journal entries to manipulate financial performance, management bias throu8h judgements and assumptions in signif icant accounting estimates. in particular in relation to use of restricted funds, income recognition Iwhich we consider to be pinpointed to the cut-off assertion) and significant one-off Of unusual transactions. This report 15 made solelyto the charltv's members as a body in accordance with Chapter 3 of Part 16 of the Companies Act 2(M)6, 5ectlon 44 (1) C of the Charities and Trustee Investment Iscotlandl Act 25, regulation Ioof the Charities Accounts (Scotlandl Regulations 2006 {as amended) and with Part 4 of the Charities (Accounts and Reports) Regulations 2008. Our audit work has been undertaken so thatwe might state to the charity's members those matters we are required to state to them in an auditor's rewrt 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 members as a body for our audit work, for this report, or forthe opinions we have formed. Our audit procedures were designed to respond to those identified risks, including non-compliance with laws and regulation5 lirregularitiesl and fraud that are material to the financial statements. Our audit procedures included but were not limited to: Discussing with the trustees and management their policies and procedures regarding compliance with13ws and regulations; Communicating identified laws and regulations throughout ourengagement team and remaining alert to any indications of non-compliance throughout our audit: and Considering the risk of acts by the charitywhich were contrary to appllcable laws and regulations, including fraud. Signed: Our audlt procedures in relation to fraud included butwere not limited to.. John Perry (Senior Statutory Auditor) for and on behalf of SumerAuditco Limited Making enquiries of the trustees and management on whether they had knowledge of any actual, suspected or alleged fr3ud; Gaining an understandingof the internal controls established to mitigate risks related to fraud; Discussing amongst the engagement team the risks of fraud: and Addressing the risks of fraud through management override of controls by performin8 journal entry testln8. Statutory Auditor Fitzroy House, Crown Street, Ipswich, Suffolk I PI 3LG Date: 27 August 2024 There are inherent limitations in the audit proceduresdescribed above and the primary responsibility for the prevention and detection of irregularities including fraud rests with management.As with any audit, there remained a risk of non- 46
Statement of financial activities for the year ended 31 March 2024 Unrestrlcted Funds 2024 Restrlcted Funds 2024 Unrestrlcted Funds 2023 Re-stated Restrlcted Funds 2023 Re- Stated Total funds 2023 Re- stated Notes Total furNIs 2024 Income & Endowments Donations and legacies 487.272 341,152 828.424 437.936 193,079 631.015 Charitable activities 161.560 56,682 161,560 56,682 140,283 44,245 140.283 44,245 Events Income from investments 43.477 43,477 36.455 36.455 Other income 20 20 Total ¢)peratlng Sncome 748,991 341,152 1,090.144 658,939 193,079 852,018 Expendlture on ralslng funds Fundraisin8COStS 281,940 281,940 254,932 254.932 Investment management costs 10,296 10,296 9,318 9.318 Total cost of raising funds 292.236 292,236 264,250 264,250 Expendlture on charltable actlvltles Musicians'fees and expenses for live music 242,987 242,987 202.657 202.657 Other expenditure 830,299 89,311 919,610 393,803 371.492 765.295 Total charitable expenditure 830.299 332,298 1,162,597 393,803 574.149 967.952 Totsl ¢Jperatlng expendlture 1,122,535 331298 1.454.833 658.053 574,149 1.232,202 47
Statement of financial activities for the year ended 31 March 2024 Icontinued) Net operatlng lexpendlture)Ilncome (373,544) 53,585 (319,959) 8,854 (364.6891 53.585 (311,1041 886 {381,070) 1380,184) (93,199) (473,383) Galnsl(losses) on Investment assets Net Income/(expendlture) before transfers (93,199) (92,313) 8,854 {381,070 Transfers between fund5 Net movement In funds 319,959? 8,854 (311,1041 (92,3131 {381,070L (473,383) Total funds brought forward 1,063,679 697,404 1,761,083 997,137 1,237,329 2,234,466 Total funds carrled forward 743.721 706,253 1,449,974 1,063.679 697,404 1,761,083 There are no recognised gains or losses other than those included above. All arnounts relate to continuing activities. 48
Balance sheet as at 31 March 2024 Notes 2024 2023 Re-stated Flxed assets Intangible f ixed assets Tangible assets Investments 45,758 34.352 1.120.367 1.200,477 10 li 1,437,662 1.471.706 Current Assets Debtors 12 95.214 466.149 149,775 449,196 598,971 Cash at bank and in hand 561,363 Credltors: amounts falling due wlthln one year 13 (311,867) 1309,594> Net current assets 249,496 1.449.974 289,377 1.761.083 Net assets 15 Represented by: Unrestricted funds 16 743,721 1,063,679 Restricted furKIs 17 706,253 697,404 1,449,974 1,761,083 The financial statements have been prepared in accordance with the special provisions of the Companies Act 2(K)6 relating to small eritities. Approved by the trustees and signed on their behalf bv: Mdw&h Maureen Hall Chalr of Trustees Andrew Ling Hon. Treasurer Date: 21 August 2024 49
Statement of cash flows for the year ended 31 March 2024 2024 2023 Cash flows from operatin8 activities Net (expendlture)Ilncome (311.104) (473,383) Adjustments for: Amortisation 539 Depreciation 10,368 13.702 (Gainl/loss on investments 153,5851 93,199 Investment income 143,4771 (36.4551 Trade and other debtors 54,561 129,637 Trade and other creditors 2,273 239,331 Cash flows lused In)Igenerated from operatlng artlvltles (340.964) (33.430) Purchase of investments 1263,0111 (106,5321 Proceeds on disposal of investments 633,832 71,114 Investment income 43,477 36,455 Movement in investment cash 21,406 Purchase of tangible f ixed assets Purchase of intan ible f ixed assets 110,6761 45,7581 357,864 Cash flows lused In)Igenerated from Investlng actlvltles 22.443 Net (decrease) in cash and cash equivalents 16,900 (10,987) Cash and cash equivalents at l April 449,196 460.183 Cash and cash equivalents at 31 March 466,096 449,196 50
Notes to the financial statements for the year ended 31 March 2024 They have maintained constantly updated and detailed cash flow forecasts that anticipate expected changes of income and expenditure going for4vard to March 2025. Note l - Accounting policie5 The risk committee meets regularly to considerand reporton key risks. This allows trustees and the senior leadership team to regularly monitor and manage these risks. Music in Hospitals & Care isa company limited byguarantee no. 3138683 and a registered charity in England and Wales 1051659 and in Scotland SC038864. It does rK)t have share capital. The charitablecompanytherefore continues to adopt the going concern basis in preparin8 its f inancial statements. Every member of the company undertakes to contribute to its a55et5 in the event that It is wound updurin8 the time that they are a member or withln one year after theycease to be a member.This is for the payment of thedebts and Ilabllitles of the company contracted before they ceased to be a member. It Is for an amount as may be required, not exceeding £10. Ic) Intangible fixed assets and amorti5ation (al Basis of preparation Amorti53tion is not charged on assets in the course of construction. Amortisation will be charged from the date implementation is complete. The flnancial statements have been prepared in accordance with the Financial Rep)rtin8 Standard applicable in the UK and Republic of Ireland IFRS 1021. The Charitable Company is a public benefit entity for the purposes of FRS 102. Therefore. the charity also prepared its financial statements in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland IThe FRS 102 Charities SORPI, the Comp2niesAct 2C(16, the Charities Act 2011 and Charities Accounts (Scotlandl Regulations 2CK)6 as amended by the Charities Accounts (Scotland) Amendment (No. 21 Regulations 2014. Id) Tangible fixed 355etsand depreciation Depreciation has been provided on tangible fixed assets at rates calculated towrite off the cost less estimated net residual value of each asset over its effective life, as follows: Freehold property 2% straight line on cost Off ice equipment 20% straight line on cost Computer equipment 20% straight line on cost Musical equipment 17.5% reducing balance (b) Going concern The trustees have assessed whether the use of the going concern basis is appropriate and have considered possible events or conditions that might cast significant doubton the ability of the charitable company to continue as a goin8 concern, The trustees have made this assessment for a period of at least one year from the date of approval of the financial statements. In particular, the Trustees have considered the charitable company's forecasts and projections and have taken account of pressure5 on donation and investment income by having adequate cash resources to meet liabilitie5. Freehold property and equipment are stated at cost less accumulated depreciation. At the end of each reporting period, the residual values and useful livesof assets are reviewed and adjusted, if necessary. In addition, if events or changes in circumstances indicate the carryingvalue may not be recoverable then the carrying values of tangible fixed assets are reviewed for impairment. We are forecasting a three-year budget with regular reforecasting and review points for our trustees and senior leadership team. 51
(el Income (inclusive of accrued income) at the balance sheet date without deduction of the estimated future selling costs. Changes infair value and gains and losses arising on the disposal of investments are credited or charged to the income or expenditure section of the Statement of financial activities as 'gains or losses on investments,. All income is recognised when there is entitlement to the funds, the receipt is probable and the amount can be measured reliably. Legacies are recognised following probate and once there is suff icient evidence that receipt is probable and the amount of the legacy receivable can be measured reliably. Where entitlement to a legacyexists but there is uncertainty as to its receipt or the amount receivable. details are disclosed as a contingent asset until the criteria for income recognition are met. lil Realised 83ins and losses All gains and105ses are taken to the income and expenditure section of the Statement of Financial Activities as they arise. Realised gains and105ses are calculated as the difference between the sale proceeds and the opening market value, or cost, if purchased during the year. Unrealised gains and losses are calculated as the difference between the market valueat the end of the year and the opening market value, or cost. if purchased during the year. Income is deferred when the donor attaches conditions outside the charity's own control or specifiesthat the resources are to be used in a future accounting period. All grants and donations, whether received specifically for live music or to contribute to the shortfall in income from live music. or for any other purpose, are treated as donation income. Costs attributable to live music specifically funded bya grant or a donation may fall in a subsequent accounting period to that in which the grant or donation was received. Realised and unrealised gains are not separated in the Statement of financial activities. (il Restrlcted funds (f) Expenditure Restricted furKls are to be used for specific purposes as laid down by the donor. Expenditure which meets this criterion ischarged to the fund. Liabilities are recognised orKe there is a legal or constructive obligation to transfer economic benefit to a third party. It is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. All expenditure is accounted foron an accrual's basis. Ik) Leases Rentals payable urKler operating lease5 are charged against incotne on a straight- Ilne basls over the leaseterm. Expenditure 15 allocated to the particular activitywhere the cost relates directly to that activity. However, the cost of overall direction and administration on each activity, comprising the salaries and off ice costs, is aptK)rtioned as setout in note 5. {11 Critical accounting estimates and areasof judgement (gl Pension costs In the viewof the trustees in applying the accounting tKJlicies adopted,jud8ement determining useful economic lives has been applied. The annual depreciation charge for tangible fixed assets is sensitive to changes in the estimated useful economic value of the assets. The useful economic lives are reassessed annually. They are amended when necessary to reflect current estimates. based on technological advancement, future investments, economic utilisation and the physical condition of the assets. The charity operate5 pension schemes for certain employees.The schemes are defined contribution schemes and contributions are charged against income as they are paid. All employees have the opportunitytojoin the schemes. (h) Fixed asset investments Investments are initially measured at their cost and subsequently measured at theirfair value ateach reportin8 date. Fairvalue 15 based on theirquoted price 52
Note 2- Voluntary income Note 4 - Investment income Unrestrkted Funds Restrfcted Funds Total Funds 2024 Total Funds 2023 Unrestrlrted Funds Restrkted Funds Total Funds 2024 Donation5 from indivlduals Bank Interest 2,269 2,269 102,625 102,625 51.481 Investment income 41.209 41,209 43,477 43,477 Grants and donations 257,644 309,302 566,947 393.106 Unrestrlcted Funds Restrlcted Funds Totsl Funds 2023 Legacies 127,(X)3 31,850 158,853 186,429 487,272 341,152 828,424 631,015 Bank Interest 787 787 Investment income 35.668 35,668 36.455 36,455 Note 3- Income from charitable activities Total funds 2024 Total funds 2023 Contributions from healthcare Products and merchandisin Other income artners 158,662 2,898 140,283 3.742 20 144,045 161.560 53
Note 5 - Expenditure Fundraising costs 2024 Charitable actlvltles 2024 Total 2024 Fundraising costs 2023 Charitable actlvltles 2023 Total 2023 Expendlture dlrertly allocated to actlvftles Musicians, fees and expenses 242,987 242,987 203,789 203.789 Staff costs 198.787 718,032 916,819 194,189 573.612 767.801 Advertising 12.192 12,192 5,142 5.142 Travelling Cost of fundraising Cost of Communications 20,912 20,912 15.823 15,823 37,158 23.294 37.158 23,294 44,414 44.414 271,431 981,932 1,253,363 243,745 793,224 1,036,969 Support costs allocated to actlvltles Premises and equipment expenses Gerieral office costs 10,508 59,547 70.056 11,187 63,393 74.580 91,850 91.850 81,674 81.674 Depreciation &Amortisation 10,368 10.368 14,241 14.241 281,939 1.143,697 1,425,637 254,932 952.532 1.207.464 Investment management costs 10,296 10,296 9,318 9.318 Audit fees 18,900 18.9(K) 15.420 15.420 292,236 1,162,597 1,454,833 264,250 967,953 1,232,202 Support costs have been allocated on the following basis: Staff costs - time spent Depreciation and amortisation- usage Other expenses - usage This year. we spent £332,298 on restricted funds (2023: £574,149) 54
Note 6- Net operating income ToLIl 2024 Total 2023 Total 2024 Total 2023 The average number of staff employed by charity was: This is stated after ch3rgin¥. Chief Executive Auditors. remuneration 18.900 15,420 Fundraising and publicity Fees paid to audit firm for other services 4.194 Live music organisation and support 18 15 Depreciation of intangible fixed assets 539 28 24 Depreciation of tangible fixed assets 10.368 13.702 Operating lease rentals- land and buildings 21,427 20,138 Employees earning £60.(x to £70.[ Nil (2023 - Nil) Operating lease rentals- other 4.092 4.560 Employees earning £70,CKX) to £80,C¥Y) 112023 - 1 Note 7- Employees Note 8- Trustees and key management personnel Notrustees received emoluments in theyear12023: none) Total 2024 Total 2023 There was £865 of travel expenses paid to twstees in 2023124 for three trustees. In 2022123 £33 of travel expenses was paid toone trustee. Wages and salaries 779,054 663,999 The total employee emoluments of the charity's key management personnel were £94,058. Last year this was £93.776. Social security costs 68,844 64,687 The charity spent nil on Board meetings in 2023124. In 2022123, the figure was £2,658. Pen51on costs 47.551 27.626 Other staff costs This year, four trustees donated £886 to unrestricted funds. Last year, six trustees donated £2,298 to unrestricted funds. 8.550 3.382 Staff costs 904.IXM) 759.694 55
Note 9- Intangible fixed assets Website Develownent ICRM Development Depreclatlon At l April 2023 Char8e for the year At 31st March 2024 28,041 Cost At l April 2023 Additions- CRM development 28.041 45.758 28.041 Net B<Jok Value At 31st March 2024 At 31st March 2024 73,799 45.758 At 31st March 2023 Note 10 . Tangible fixed asset5 Our freehold premises, which are in Edinburgh, are occupied by Music in Hospitals & Care forcharitable pUrse$. Freehold Premlses Offlce Equlpment Muslcal Equlpment Computer Equlpment Total Cost At l April 2023 42.253 11.886 15,505 114.706 184.350 Additions 153 10,523 10,676 Disposals At 31st March 2024 42.253 12,039 15.505 125.229 195.026 Depreclatlon At l April 2023 23.660 11.438 14.471 100.737 150,306 Char8e for theyear 845 414 181 8.928 10.368 At 31st March 2024 24.505 11.852 14.652 109.665 160.674 Net Book Value At 31st March 2024 17,748 187 853 15,564 34,352 At l April 2023 18.593 448 1,034 13,969 34,044 56
Note 11- Investments Note 12 - Debtors Total 2024 Total 2023 Totsl 2024 Total 2023 Quoted shares and securltles Sundry debtors 17.825 16.712 Marketvalue at l April 1,437.603 1,516,849 Accrued Income 59.111 126,094 Additions at cost 263.011 106.532 Prepayments and other debtors 18,278 6,969 Disposals at opening market value 1633,832) 171.1141 95,214 149,775 Movement in investment cash 121.4061 Note 13- Creditors Gains/lLosses) on revaltsation 53.585 193.1991 Total 2024 Re-stated Total 2023 Market value at 31 March 1,120.367 1,437.662 Historic cost at 31 March 1,019.779 1,357,294 Musicians, fees and expenses 20,457 16.338 Taxation and social security 20,026 18.118 Deferred Postcode Lottery grant 2(K),000 200.OCK) The Portfolio included the followin8 individual 5hareholdin8s in excess of 5% of the total at 31 March 2024: Deferred Income - others 14.193 17.417 Other creditors 57,191 57.721 311,867 309,594 Liontrust Fund 12,260 5.36% WS Liddell TR UK 17.(J)O 5.25% Deferred Income: Artemls Fd M8rs 55.000 5.46% At l April 2023 Income deferred in current year Amounts released from previous year Deferred income at 31 March 2024 217.417 214.193 (217,417) 214.193 Deferred income comprises grants received in a(fvance of the condition5 having been met and fees received in advance for which entitlement has not been met. 2023 creditors figures have been restated to correct the analysis previously reported. There is no change to the overall 2023 creditors total. 57
Note 14- Financial commitments Thecharity's future minimum lease payments are as follows: Total 2024 Total 2023 Land and buildin8S Within oneyear 13.696 Between one and five years Other Within oneyear Between one and five years 13,696 Note IS- Analysis of net assets between funds Unrestricted Funds Restricted Funds Total FurKls 2024 Tangible and intangible assets 80,110 80.110 Investments 414,114 706,253 1,120,367 Current assets 561,363 561,363 Current liabilities (311.867> {311,8671 743,721 706,253 1,449,974 58
Note IS - Analysis of net assets between funds {continuedl Re-stated Unrestrlcted Funds Re.Stated Restrlcted Funds Re-stated Total Funds 2023 Tangible and intangible assets 34.044 Investments 740.258 697,404 1,437,662 Current assets 598.971 598.971 Current liabilities (309,594} 1309.5941 1,063,679 697,404 1,761,083 Note 16 - Unrestricted funds At IApril 2023 Income Expenditure Transfers (Losses)IGains At 31 March 2024 Deslgnated Unrestrlcted Funds Fixed asset funds: Scot13nd England and Wales Development Fund Intangible Fixed Assets Total designated funds General Llnrestricted Funds Total 22,025 12,020 39,476 12,9041 3,212 123,2671 45,758 22,799 122,7991 19.121 15.232 16.209 45,758 96,319 647,401 743,720 73,520 990,159 1,063,679 748,991 748.991 11,122.5351 11.122.535) 53,585 53.585 The desigrbated fixed assets funds represent the net book value of tangible fixed assets and intangible fixed assets. In 2023124. the Development Fund was partly used with £23.267 of expenditure. At the end of the year. there was £16.209 still in the fund to support our digital transformation. 59
Note 17- Restricted funds As previously stated at 31 Marth 2023 Prioryear Adjustment (see Re•Stated at 31 March 2023 Donors Income Expendlture At 31 March 2024 Aileen Young Legacy 374,851 374.851 374,851 Gibson Graham Charitable Trust Margaret J Stephen's Charitable Trust Peter Sowerby Foundation 27,332 27,332 127.3321 145,230 145,230 148.6761 96.554 23,135 23,135 25,C 148,1351 William Roy Legacy lain McG13sh3n Le ac Live music in specific areas of the UK Live music in specific categories of healthcare environment 158.855 (158,855) 31,850 31.850 82.865 82.865 147.555 1119.3011 111,119 43,990 43.990 136.747 188.8601 91.877 856.258 1158,855) 697,404 341.152 {332.3041 706.251 Funder Aileen Young Legac Gibson Graham Charitable Trust Margaret J Stephen's Charitable Trust Peter Sowerb Foundation William Ro Le lain McGlashan Restrlctlons For live music in Scotland For live music in Strathcl de ( reference for Kint re) For live music in Dundee and An us Final instalment of £IQOk Music for Mental Health & Wellbein UK-wide ro ect rant Prior Year ad'ustment- transferred from restricted to unrestricted funds 2022123 For an use in Scotland Note 18- Commitments Therewere capital commitments at 31 March 2024 of £24,(KK) {2023: nil). This relates tothe continuingdesign implementation phase of our new CRM. 60
Note 19- Pension costs The company operates contributory pension schemes. They are defined contribution schemes and contributions are charged against income as they accrue. The charge for the year was £47,551. Last year, it was £27,807. Contributions of £6.693 were payable to the scheme at theend of the year and are included as creditors. In 2022123. figure was £15,510. Note 20- Prior year adjustment During the period. information was provided to the Charity that made it clear that funds in the amount of £158,855 should have been classified as unrestricted rather than restricted funds. Given the amount involved, theTrusteesconsider it appropriate to update the financial statements to reflect thecorrect position. Accordingly, the Comparatives have been restated which has resulted in an increase in the opening restricted resenies of £158,855 with a correspondingdecrease in theopening restricted reserves for the same amount. 61
Music in Hospitals & Care is a charity that improves the health and wellbein8 of chIldn and adults through the healing power of live music. r gMUSIC IN HOSPITALS & CARE Joy ihrough live music Every year, our professional musicians share live music with people from across the UK. who rnay not otherwise get to experience it. This includes those who are Ilvln8 wlth dementia. have mental health problems. or a seriously ill. Only with your support will we help more people benefit from the healing power of live mus1C. mihc.org.uk hello@mihc.org.uk 01932 260810 ( o o @MIHCUK SK In H05Pit&Care&5areqlstered ch¥lty In Ery1 & Wabe5 1o51659andknknjx5cOJB904 Re8iStereddfice." Ur¥r40. EntuwlseHw44-46Terrxe Ro•* Walt(Yfr¢TrThrn KT12 250