ERS
r gMUSIC
IN HOSPITALS & CARE
Joy ihrough live music
TH
75"
Annual
Report
2023/24

66
A￿ut 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 v￿lIbein8 of children a￿1 ￿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 ex￿rienCe 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 v￿nderful 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 st￿ra1 days. Hearin8 live music from a
sln8er standing by her bed br￿ght a look
to her face that I had never seen before r￿r
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 T￿rna$ 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 Om￿0b• 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
ThrOugh￿t 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 re￿￿￿e$
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 reconr￿L
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 V￿re 8ettin8 on top of me. I wanted
toget out into the community to speak to
people and make new frierKls. t￿t 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 da￿IngwItheVeryOne. 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 Edin1￿r8h. 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 men￿rIeS f￿ parents and their
babies in neonatal unit& Music can
reduce babies. heart rates and help
them to sleep nY)re dtt￿y. 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 t￿1 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 Cl￿dInatOr
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 r￿ther 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 Y￿re 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
Vh￿ther 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 Met￿￿108Y 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-to￿ne interactions. This is somethin8 we
have been exploring with Oakminster Healthcare. which will be part
of our V￿rk 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."
t￿rIng 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 h￿rS 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 1￿cket donations.
Traryvfiioen
Live Values Enablerat OakminsterHealthcare
One patient said that had the'best day: all I did
was laugh a￿1 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¢
21

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￿ inforn￿d 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$e thelr
father has dlsappeared, but then
he'll be sln8ln8 all the words ol
a son8 they dldn't even know he
knew. I've loved the work and
found It Incredlbly humbllnz and
extraordlnary. More than In any
other way of makoni muslc. you
have to Ilve the best of yourself.
You ar• thlnklni of oth•r people
all the way through and you
really want to take them away
for a whlle. That'5 such an
Incredlble thln8 to be able
to be a part of..
We ai staff valu• the IOv•
ffluslc. It valldate5 our worth.
and undoubtedly brln8S
pleasure and happlness for
the rem•lnder of the day.
Llsten5ng to some of the
very skllled muslclansls
also soothlng and relaxln8,
not lust for patlents, but for
staff. It glves tlme out from a
busy day, allowlns one to set
lost In th• muslc..
Staff memberat Hol￿1
Hospital. Antrim
*n*
Volunteer. North Wale5 since 2016
Jenna Hillyard
Group leader at SPACE,
M3nchesterParent CarerForum
Laura Stephenson
Musician in South
England$i￿e 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 den￿nStrate5 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
perforn￿r$ 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¢N￿l
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 h￿1 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 pher￿Men31 £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 EdIn￿rghforourwInter
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 a￿1 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 i11r￿s.
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
Contr5￿110n$
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.
Contri￿tIonS from he31th t￿￿rds. ￿$￿talS and ￿￿131 care
environments increased to £158,662 in 2023124. marking a steady
increase from the previ(KJs year (£140283Tr.
In 2023/24. we spent £1.454,833 - a £222.631 increase
compared to 2022123 (£1.232.2021. Thi5 is because we
continue to invest in our people and infrastructure to
SUPPOrt the delivery of our strategy.
We planned for the deficit for 2023124. Before investment
gains and losses. it was £364.689. This was le55 than
originally forecast, primarily due to spending restricted
funds received in the previous year.
In 2023124. 61% of our irKon* came from a variety of
trusts and f￿ndatiOnS. arKI from our fantastic Indlvidual
supporters and committed corporate partners1£669,5721.
This is an InC￿3$e of Sl% compared to 20221231£444.607).
Our income strategycontinues to focus on reccyffj and
di¥trsification of fund& 1Th￿r 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
f￿rKlatiOnS 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 thr￿8h ￿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 AcCe￿Ibl1￿y, 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 delT￿nStrate 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 l￿W 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 a￿1 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 relatk￿1PS 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 thr￿gh 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 He￿1 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:
Y￿r 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
Y￿c￿ld 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 T￿￿t
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 r￿t 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 t￿￿rn 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 V￿11 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 tv￿1Ve 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 2￿6
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
res￿nSibIlItIes. 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 2￿5, 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 pUr￿se$.
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 chIld￿n 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
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