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← Medway NHS Foundation Trust Charitable Fund

2025-03-31-accounts

Registered Charity Number: 1051748

The Medway Hospital Charity’s Annual Report and Accounts 2024/25

Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Contents

Contents
Page
Foreword 3
Thank you for your support 4
Grateful patient stories 7
NHS Charities Together’s Community Partnership Funding 9
Officers and Professional Advisers 10
Corporate Trustee’s Annual Report 11
Provision of Information to Independent Examiner 18
Statement of Trustee Responsibilities 19
Independent Examiner’s Report 20
Statement of Financial Activities 21
Balance Sheet 22
Cash Flow Statement 23
Notes on the Accounts 24

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Foreword from the Chair of the Charitable Funds Committee

Welcome to The Medway Hospital Charity’s Annual Report and Accounts 2024/25.

It’s an honour to write my first foreword as Chair of the Charitable Funds Committee and I would like to thank each and every donor for their generosity in supporting our important work.

Without your donations we could not make such a positive impact, and please rest assured, we will never take your kindness for granted.

One of the highlights of my role is hearing from grateful patients who fundraise, or donate money. Individuals and families often support The Medway Hospital Charity to express their gratitude for the excellent care received at Medway Maritime.

Our staff go above and beyond every day to provide our patients with the best possible experience and it’s really heart-warming to hear such positive feedback.

This year the Charity, thanks to your generosity, has been able to create a new sensory room in Dolphin Ward. This space has been very well received by our young patients. As a calm, relaxing environment away from the hustle and bustle, it is an important addition to our children’s ward and would not have been possible without the Charity’s support.

Thanks to your generosity, we have also been able to buy more comfortable chairs for the Nuclear Medicine waiting room and for patients having day surgery from the Sunderland Day Case Centre.

We have also purchased sleeper chairs for relatives to use, high-backed chairs for our new staff breastfeeding room plus medical and simulation equipment. The Charity has also funded a new bike shelter for staff on the ground floor of the multi-storey car park, plus smaller, but no less impactful items, like gym equipment to enable patients to build up their strength before surgery and a therapy trolley, to help with rehabilitation.

Thank you for your ongoing support. Your donations really do make a big difference and we are truly grateful.

Kind regards,

Gary Lupton.

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Thank you for your support. Your kind donations have made a positive impact.

Thanks to your generous support, this financial year, we were able to create a new sensory room for young patients on our Children’s Ward.

Hospital can be scary and overwhelming for our young patients and this tranquil space is a place to play, unwind and recuperate.

A special thank you to NHS Charities Together and the Milly Moo Right Now Foundation for helping us fund the refurbishment of the Sensory Room and to the Morrisons Foundation for awarding our Charity a grant of almost £10,000 to fund the main piece of equipment (pictured).

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

To support Medway NHS Foundation Trust’s initiative to encourage more staff to cycle to work, the Charity funded an additional bike shed on the ground floor of the multi-storey car park.

It also supported alpha/beta/gamma hand, foot and clothing monitors, a tube and tracheostomy skills simulator, sleeper chairs for patients’ families, chairs for a new staff breastfeeding room, gym equipment to improve the fitness of patients undergoing major surgery, plus a therapy trolley with activities to support recovery.

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Thanks to your support, the Charity was also able to make our patients’ visits more comfortable by funding 28 high-backed chairs for patients undergoing day surgery from our Sunderland Day Case Centre plus new waiting room chairs for the hospital’s Nuclear Medicine Department.

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Cardiac arrest survivor donates £5,000 to say thank you for saving his life.

A patient donated £5,000 to The Medway Hospital Charity in recognition of the excellent care he received at Medway Maritime Hospital.

In October 2024, Chris Mills, a retired airline pilot, was found on the ground, unresponsive and without a pulse, near Dockside outlet shopping centre by off-duty nurse, Rachael Lewis. She administered cardiopulmonary resuscitation (CPR), while waiting for the ambulance to arrive, saving his life. Upon arrival at Medway Maritime Hospital, Chris was assessed and admitted to the Intensive Care Unit.

He said: “I didn’t realise that there was anything wrong with me. I’d never had heart problems before. One moment I was walking with my wife Brenda and the next I felt things fade away. When I woke up I thought I was in Canada as my daughter, Mikaela, was there.”

Brenda said: “As Canada is five hours behind, Mikaela was able to jump on a plane and rush to the hospital. We were so thankful she was there when Chris woke up.”

Once stabilised, Chris was moved to the Coronary Care Unit and then to Bronte Ward. During his three-and-a-half week stay in Medway, he underwent a variety of diagnostic scans and tests, which revealed he needed a triple heart bypass.

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eC Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Chris was transferred to St Thomas’ Hospital in London where he underwent major heart surgery before returning home to St Mary’s Island.

Chris said: “I was looked after incredibly well by everyone at the hospital. This gift to The Medway Hospital Charity is to say thank you for saving my life and for providing such excellent care.”

Donna Law, Head of Charity, said: “We were delighted to receive this unexpected, incredibly generous donation from Chris and Brenda. It’s always so lovely to hear from patients who have received the best of care. We will use this gift to further enhance patient experience at Medway Maritime Hospital by providing those extras that fall outside of the NHS budget.”

Grateful family raises money to support other patients going through cancer.

Three-and-a-half years after starting chemotherapy for acute lymphoblastic leukaemia, a delighted Oscar Maxwell rung the bell to signal the end of his treatment.

Oscar was joined by his parents, Catherine and Mike, and his twin sister, Holly, to celebrate this important milestone on Dolphin Ward.

His grateful family was so thankful for the excellent care he received at Medway Maritime Hospital, that they hosted a comedy night, Ozfest, to raise money for the children’s oncology fund.

Their generous donation of £4,735 to The Medway Hospital Charity will support other young patients and their families going through a cancer journey.

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

NHS Charities Together Community Partnerships update

Hundreds of young people needing mental health support have benefitted thanks to a community partnership with NHS Charities Together.

The Medway Hospital Charity, as managing agent for the NHSCT grant programme for the Kent and Medway region, disbursed the final £98,233 tranche of Community Partnerships funding to Medway Council/Emerge Advocacy this financial year.

Medway Council’s / Emerge Advocacy’s scheme to support young people aged 10-25 years in Kent and Medway who are struggling with self-harm ran until September 2025.

During the two-and-a-half-year programme, Emerge volunteers engaged in 1,110 hospital sessions with 660 young patients in Kent and Medway. Some 214 young people had 1,743 follow-up sessions in the community.

Amy’s story:

Please note, the £98,233 received from NHS Charities Together was not income for The Medway Hospital Charity.

It was a grant for Medway Council/Emerge Advocacy and has therefore been recorded as a pass-through cost.

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Officers and Professional Advisers

Trustee:

Medway NHS Foundation Trust is the Corporate Trustee of Medway NHS Foundation Trust Charitable Fund (working name The Medway Hospital Charity) governed by the law applicable to Trusts, principally the Trustee Act 2000 and the Charities Act 2011.

The Trust Board devolved responsibility for the day-to-day financial management and accounting for Charitable Funds to the Charitable Funds Committee on behalf of the Corporate Trustee.

Principal officers – key management personnel:

Jonathan Wade – Interim Chief Executive Officer Simon Wombwell, Interim Chief Finance Officer Siobhan Callanan, Deputy Chief Executive and Lead Director for the Charity

Principal professional advisers:

Bankers Government Banking Service 1 Ruskin Square Croydon CR0 2WF

Investment Fund Managers

Investec Wealth and Investment Limited 30 Gresham Street London EC2V 7QN

Solicitors

Sintons LLP The Cube Barrack Road Newcastle upon Tyne NE4 6DB

Principal Office

Medway NHS Foundation Trust Medway Hospital Windmill Road Gillingham ME7 5NY

Independent Examiner

TC Group TC SWP Limited Suffolk House George Street Croydon CR0 0YN

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Corporate Trustee’s Annual Report for Medway NHS Foundation Trust Charitable Fund for the Year Ended 31 March 2025

The Corporate Trustee presents the Charitable Fund annual report together with the financial statements for the year ended 31 March 2025.

The Charity’s annual report and accounts for the year ended 31 March 2025 have been prepared by the Corporate Trustee in accordance with Part 8 of the Charities Act 2011 and the Charities (Accounts and Reports) Regulations 2008, the Charities Statement of Recommended Practice (SORP) 2019 and the provisions of the Trust deed.

Voting members of the NHS Foundation Trust Board who served as Trustees during the financial year were:

Changes since 31 March 2025:

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

The Charitable Fund is registered with the Charity Commission (no. 1051748) in accordance with the Charities Act 2011.

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Reference and Administrative details

Medway NHS Foundation Trust Charitable Fund, registered Charity Number 1051748, was entered on the Central Register of Charities on 4 January 1996.

Its working name is The Medway Hospital Charity.

The Charity is constituted of 41 individual sub funds as at 31 March 2025, compared to 43 as at 31 March 2024.

The notes to the accounts distinguish the types of fund held and disclose separately all significant funds.

Medway NHS Foundation Trust, which the Charity supports, is a public benefit corporation authorised under the National Health Service Act 2006.

The Trust’s principal purposes and activities are to provide clinical services to almost half a million patients in the Medway and Swale areas of South East England.

Charitable funds received by the Charity are accepted, held and administered as ‘funds and property held on trust for purposes relating to the health service in accordance with the National Health Service Act 2006’ and these funds are held on trust by the corporate body.

Structure, Governance and Management

funds or registered as separate restricted funds under the main Charity.

Subsequent donations and gifts received by the Charity that are attributable to the original funds are added to those fund balances in accordance with the wishes of the donor.

The Corporate Trustee fulfils its legal duty by ensuring that funds are spent in accordance with the objects of each fund and, by designating funds, the Trustee respects the wishes of generous donors to benefit patient care and advance the good health and wellbeing of patients, volunteers and staff.

For funds that are received which have specific restrictions set by the donor, a restricted fund has been established.

Non-Executive Members of the Trust Board are appointed by the Board of Governors, made up of elected public governors, staff governors and partner governors from our local community.

Executive Members of the Board are subject to recruitment by the NHS Foundation Trust.

Members of the Trust Board are not individual Trustees under Charity Law but act as agents on behalf of the Corporate Trustee.

The accounting records and the day-today administration of the funds are dealt with by the finance department and fundraising team located at Medway Maritime Hospital, Windmill Road, Gillingham, Kent, ME7 5NY.

The Charity was established using the model declaration of trust and all funds held on trust as at the date of registration were either part of this as unrestricted

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Partnership Working and Networks

The patients and staff of Medway NHS Foundation Trust are the main beneficiaries of funds from the Charity.

Medway NHS Foundation Trust is a related party by virtue of being Corporate Trustee of the Charity.

By working in partnership with the Trust, the Charitable Fund is used to best effect.

When deciding upon the most beneficial way to use the Charitable Fund, the Corporate Trustee has regard to the main objectives, strategies and activities of the Trust and the intent of the donor.

Objectives and Strategy

The objects established within the governing document relate both to the duties of the Corporate Trustee and the aims of the Charity and are as follows:

“The Trustees shall hold the trust fund upon trust to apply the income, and at their discretion, so far as may be permissible, the capital for any charitable purpose or purposes relating to the National Health Service.”

The Trustee confirms that it has referred to the advice contained in the Charity Commission’s general guidance on public benefit when reviewing the aims and objectives and in planning future activities and setting the grant making policy for the year.

Annual Review: Our Activities

During the year, charitable funds continued to support a wide range of medical and wellbeing-related activities benefitting both patients, volunteers and staff.

The charitable activities, as detailed in the Statement of Financial Activities (and notes), included the purchase of equipment, welfare support and other expenditure directly supporting hospital projects.

In general, funds are used to purchase varied goods and services to support Medway NHS Foundation Trust projects, which fall outside of its NHS budget.

Individual funds may receive donations, specifically to thank staff. These are used to fund staff room improvements and wellbeing initiatives.

Application of the Charity Commission Code of Governance

We are fully committed to the spirit of the code as well as its practical application.

The code articulates seven principles and underlying the principles is the foundation of the Trustee role combined with the charity context.

The context is one of pressure, in which the Trust is working hard to improve quality and financial stability against a background of historical overspend.

Despite the need for sources of additional funding, the Corporate Trustee considers whether any financial commitments are in

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

the best interests of the Charity rather than the Trust.

The seven principles of the Code of Governance are:

: Organisational Purpose

We seek to be true to the purpose of the Charity and its values, using its limited resources appropriately.

The Charitable Funds Committee continues to refer back to the Charity’s objects, and scrutinises bids for spending through two main filters: who are the main beneficiaries, and how would this application be perceived by our donors - generally the man or woman in the street?

Leadership:

The charity has its objects and the Charitable Funds Committee has its Terms of Reference. These, and all associated charity policies and procedures, are reviewed on a rolling basis and regular self-effectiveness surveys are carried out for best practice and to make necessary improvements.

Integrity:

Integrity, linked to openness and accountability, have to be the bedrocks of our charitable work. The Corporate Trustee and its Charitable Funds Committee members are required to be fit and proper persons.

Decision-making, Risk and Control:

The biggest practical consideration is the appropriateness of spending in a context of the Trust needing to find savings each financial year.

Every spending bid is considered against the question of whether this is something which the Trust or Charity should pay for.

Board Effectiveness :

In terms of this topic, we recognise that this applies both to the Corporate Trustee and to the Charitable Fund Committee.

Members receive a general induction, and have access to a collection of governing documents. We also seek opportunities for continuing training.

Our Charitable Funds Committee has a good broad covering of skills and we partner informally with other health charities in the region, sharing ideas and benchmarking.

Diversity:

We recognise that increasing diversity can make both the Trust Board and the Charitable Funds Committee more effective.

We have no barriers in terms of gender or ethnicity and governor representation is intended to provide the view of our beneficiaries and donors (the man or woman in our community).

Non-executive members bring a wider view, experience and skill-sets. In the healthcare field, we have taken account of clinician expertise and opinion by including representation from medical professionals.

Delegations within the Charity are clear, and there are feedback loops to ensure scrutiny at the appropriate levels.

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Openness and Accountability:

As stated earlier, openness and accountability are closely linked to integrity. We welcome governor involvement and scrutiny.

Grant Making Policy

Grants can be made from either restricted, unrestricted or designated funds.

Restricted funds are funds used in accordance with specific, legally-binding restrictions imposed by the donor.

Unrestricted, or designated funds, usually contain donations where a particular part of the hospital or activity was nominated by the donor at the time their gift was made.

While their nomination is not legally binding on the Trustee, designated funds reflect these nominations.

Both types of fund are overseen by fund holders, who can make grant requests within their designated area, providing they are within the objectives of the fund and thereby advance patient, volunteer or staff benefit and the wishes of the donor.

To simplify the approval process, the Charity relies on the Head of Charity to identify the appropriateness of funding requests and to adhere to the approved scheme of delegation.

Applications are reviewed and approved by either the Head of Charity, Chief Executive and Chair of the Charitable Funds Committee, the Charitable Funds Committee or the Corporate Trustee.

Reserves Policy

The Charity holds £150,000 in reserves to cover operational, administration and wind down costs, including staff redundancies, for one financial year.

Our Future Plans

The reconfiguration of services and the plans for redesigning patient care to meet the needs of the future will influence the future priorities for spending funds by the Charity.

A Review of our Finances, Achievements and Performance

The net assets of the Charitable Fund as at 31 March 2025 was £896,000; (2023/24: £883,000).

The Charity continues to rely on donations, fundraising, grants, investments and legacies as its main sources of income.

Total income in 2024/25 was £9,000 less than in 2023/24 due to fewer legacies.

The Charity received £12,000 in non-cash donations in the 2024/25 financial year (2023/24: £18,000).

Total expenditure decreased in 2024/25 by £273,000 compared to 2023/24. The expenditure for 2023/24 was higher as the Trustee authorised significant spending on equipment from our general fund.

They also approved the start of a new, Same Day Endoscopic Spinal Surgery

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Service. This equipment was funded by a tranche of a large orthopaedic legacy.

Expenditure on direct charitable activity of £242,000 of £248,000 represents 98 percent of total expenditure (2023/24: £497,000 of £521,000 represents 95 percent total expenditure).

Performance management

In 2024/25, the Charity paid £99,038 (2023/24: £89,209) towards fundraising and financial management.

All staff are employed by Medway NHS Foundation Trust and salaries are recharged.

The £99,038 repaid to Medway NHS Foundation Trust includes a £13,538 management fee from NHS Charities Together to The Medway Hospital Charity for leading its *Stage 2 Community Partnership programme in the Kent and Medway region and £6,808 for a part-time grants officer funded by a development grant received in the last financial year.

*An £80,000 NHS Charities Together grant for the management of the multi-year programme was received in the 2021/22 financial year.

Investments

The Corporate Trustee decided to liquidate its investments into cash. This decision enables the Charity to fund larger projects immediately, without the need to draw down money from investments.

Going Concern

The Charity’s activities, results and future plans are disclosed in the Corporate Trustee’s Annual Report.

The Trustee has assessed the balance sheet and likely future cash flows of the Charity at the date of approving the financial statements.

Although income, grants and legacies are slightly down from the previous financial year, there is sufficient money in reserves for the continuation of the Charity.

As all expenditure is discretionary, the Corporate Trustee believes that there are no material uncertainties that call into doubt the Charity’s ability to continue in operation and believes the Charity is well placed to manage its business risks successfully.

Although it is still a challenging time for the Charity as the cost-of-living crisis has not abated, the Trustee continues to adopt the going concern basis of accounting in preparing the annual financial statements.

A Big Thank You

On behalf of the patients, staff and volunteers who have benefitted from improved services due to donations, grants and legacies, the Corporate Trustee would like to thank you.

Without your ongoing generosity and support, our charity would not be able to make the difference that it does.

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025 CO

Provision of information to the Independent Examiner

Each of the persons who are agents of the Trustee at the time when this Trustee’s report is approved has confirmed that:

Approved on behalf of the Trustee on 14 January 2026 and signed on its behalf by:

Siobhan Callanan Interim Deputy Chief Executive Medway NHS Foundation Trust

John Goulston Chair Medway NHS Foundation Trust

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Statement of Trustee Responsibilities

The Trustee is responsible for preparing the Trustee’s Annual Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

The law applicable to charities in England and Wales requires the Trustee to prepare financial statements for each financial year, which give a true and fair view of the state of affairs of the Charity and of the incoming resources and application of resources of the Charity for that period. In preparing these financial statements, the Trustee is required to:

The Trustee is responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the Charity and enable them to ensure that the financial statements comply with the Charities Act 2011 and the Charity (Accounts and Reports) Regulations 2008 and the provisions of the trust deed.

It is also responsible for safeguarding the assets of the Charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025 eee Independent Examiner’s Report to the Trustee of Medway NHS Foundation Trust Charitable Fund

Independent Examiner’s Report to the Trustees of Medway NHS Foundation Trust Charitable Fund (‘the charity’)

I report to the charity trustees on my examination of the accounts of the charity for the year ended 31 March 2025, which are set out on pages 21 to 34.

Responsibilities and basis of report

As the charity’s trustees you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (‘the Act’).

I report in respect of my examination of the charity’s accounts carried out under section 145 of the Act and in carrying out my examination I have followed all the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act.

Independent Examiner’s Statement

I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:

  1. accounting records were not kept in respect of the charity as required by section 130 of the Act; or

  2. the accounts do not accord with those records; or

  3. the accounts do not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a ‘true and fair view’ which is not a matter considered as part of an independent examination.

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.

Patrick duCassé, ACA

Date: 14 January 2026

Institute of Chartered Accountants in England and Wales

TC Group TC SWP Limited Suffolk House George Street Croydon Surrey CR0 0YN

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Medway NHS Foundation Trust Charitable Fund - Statement of Financial Activities for the Year Ended 31 March 2025

2024/25 2023/24
Note Restricted
Funds		 Unrestricted
Funds		 Total
Funds		 Total
Funds
£000 £000
Income from:
Donations 3 0 136 136 97
Donations (non-cash) 3 0 12 12 18
Legacies 3 0 18 18 36
Other Trading Activities 4 0 30 30 33
Grants (from NHS Charities 8 0 10 10 30
Together)
Investments 5 0 47 47 48
Total Income 0 253 253 262
Expenditure on:
Raising Funds 6 0 (6) (6) (24)
Charitable Activities 7 (21) (221) (242) (497)
Total expenditure (21) (227) (248) (521)
Net income / (loss) before
investment gains / losses		 (21) 26 5 (259)
Other recognised gains /
(losses): Realised and
unrealised gains on		 11 0 8 8 29
investment assets
Net income / (loss) for the
year		 (21) 34 13 (230)
Gross transfers between
funds		 0 0 0 0
Net movement in funds (21) 34 13 (230)
Reconciliation of Funds Total
Funds brought forward at 1 47 836 883 1,113
April
Total Funds carried
forward at 31 March		 26 870 896 883

There were no other recognised gains or losses other than those listed above and the net loss for the year. All income and expenditure derive from continuing activities.

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025 eee Medway NHS Foundation Trust Charitable Fund - Balance Sheet as at 31 March 2025

31 March 31 March
Note Restricted
Funds		 Unrestricted
Funds		 2025
Total
Funds		 2024
Total
Funds
£000 £000
Fixed assets:
Investments 11 0 14 14 675
Total Fixed Assets 0 14 14 675
Current Assets:
Debtors 12 0 2 2 4
Cash at bank and in
hand		 13 26 856 882 435
Total Current Assets 26 858 884 439
Current liabilities:
Creditors: Amounts
falling due in 1 year		 14 0 (2) (2) 231
Total Current Liabilities 0 (2) (2) 231
Net assets 26 870 896 883
The Funds of the
Charity:
Restricted funds 15 26 0 26 47
Unrestricted funds 15 0 870 870 836
Total Charity funds 26 870 896 883

The financial statements of Medway NHS Foundation Trust Charitable Fund registered number 1051748 were approved and authorised for issue by the Trustee on 14 January 2026 and have been signed on its behalf by:

Siobhan Callanan Interim Deputy Chief Executive Medway NHS Foundation Trust

John Goulston Chair Medway NHS Foundation Trust

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Medway NHS Foundation Trust Charitable Fund - Cash Flow Statement for the Year Ended 31 March 2025

2024/25 2023/24
Note Total Funds Total Funds
£000 £000
Cash flows from operating from
operating activities
Net cash from operating activities 17 (269) (82)
Cash flows from investing activities
Dividends
and
interest
investments		 from
5		 47 48
Disposal/(Purchase) of investments 11 667 114
Investment Fund management fees 11 2 (7)
Net cash provided by investing
activities		 716 155
Change in cash and cash equivalents
in the year		 447 73
Cash and cash equivalents at the
beginning of the year		 435 362
Cash and cash equivalents at the
end of the year		 13 882 435

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Notes on the accounts

1. Accounting Policies

a.) Basis of accounting

The financial statements have been prepared under the historical cost convention, in accordance with the Statement of Recommended Practice “Accounting and Reporting by Charities (SORP 2019)” applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102), effective 1 January 2019; and the Charities Act 2011. The financial statements are prepared in sterling, which is the functional currency of the charity. Monetary amounts in these financial statements are round to the nearest thousand pounds (£’000).

b.) Preparation of financial statements – going concern basis

The accounts have been prepared on the going concern basis which assumes the Charity will continue for the foreseeable future. As reserves have been maintained, income from donations is stable and expenditure is discretionary, the Trustee believes that there are no material uncertainties that call into doubt the Charity’s ability to continue in operation.

c.) Legal Status of the Charity

This is a public benefit entity, registered in England and Wales.

d.) Funds structure

Restricted funds are funds which are to be used in accordance with specific restrictions imposed by the donor. Unrestricted funds are those funds which are given to the Charity (whether solicited or unsolicited) without any restrictions imposed by the particular donor. Designated funds are funds set up to support a specific speciality. Donors can request their money goes into a designated fund to support an area of their choice, for example critical care.

e.) Incoming resources

All incoming resources are recognised once the Charity has entitlement to the resources, it is probable that the resources will be received and the monetary value of incoming resources can be measured with sufficient reliability.

f.) Resources expended

Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required and the amount of the obligation can be measured reliably. Expenditure is classified under the following activity headings:

Expenditure on raising funds includes the costs incurred in generating fundraising income and the costs associated with making the investments.

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Costs of charitable activities comprise all costs incurred in the pursuit of the charitable objectives of the Charity.

Expenditure on charitable activities includes:

Costs associated with purchasing new equipment:

Grant commitments are recognised when a constructive obligation arises that result in payment being unavoidable. Grants are only made to related or third-party NHS bodies and non NHS bodies in furtherance of the charitable objects of the funds.

A liability for such grants is recognised when approval has been given by the Trustee. The NHS Foundation Trust has full knowledge of the plans of the Trustee, therefore a grant approval is taken to constitute a firm intention of payment which has been communicated to the NHS Foundation Trust, and so a liability is recognised.

Contractual arrangements are recognised as goods or services supplied.

g.) Irrecoverable VAT

Irrecoverable VAT is charged against the category of resources expended for which it was incurred.

h.) Allocation of overhead and support costs

Overhead and support costs have been allocated as a direct cost or apportioned on an appropriate basis between charitable activities and governance costs.

i.) Costs of generating funds

The costs of generating funds are the Investec Wealth & Investment Limited management fees.

j.) Fixed asset investments

Investments are stated at market value as at the balance sheet date. The Statement of Financial Activities includes the net gains and losses arising on revaluation and disposals throughout the year.

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

k.) Realised / Unrealised gains and losses

All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and opening market value (purchase date if later). Unrealised gains and losses are calculated as the difference between the market value at the year end and opening market value (or purchase date if later).

l.) Staff costs

Staff are employed by Medway NHS Foundation Trust. Where staff perform a service to the Charitable Fund an element of the salaries and related costs are recharged to the Charity. These costs are shown under ‘Management Services’ and ‘Financial Services'.

In this financial year, £99,038 was paid in service fees for financial and charity management costs. This figure includes a management fee of £13,538 paid to The Medway Hospital Charity by NHS Charities Together for leading its Stage 2 Community Partnership programme for the Kent and Medway region* and £6,808 from a development grant received in 2023/24 for a part-time Grants Officer.

*A one-off grant payment of £80,000 was received in the 2021/22 financial year to cover all costs associated with this multi-year Stage 2 Community grant programme, which finished in September 2025.

m.) Taxation

The Charity takes advantage of certain exemptions from taxation on income and gains, to the extent that they are applied for charitable purposes.

n.) Debtors and Creditors

As per the Trust’s Standing Financial Instructions, the debtor, creditor and financial instrument accounting policies in place for the Trust are also used for the charity. All financial instruments are subject to impairment review on an annual basis.

2. Critical Accounting, Judgements and Key Sources of Estimation Uncertainty

In the application of the Charity’s accounting policies, which are described in note 1, the Trustee is required to make judgements, estimates and assumptions about the carrying amounts of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates.

The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised if the revision affects only that period or in the period of the revision and future periods if the revision affects both current and future periods.

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

The Trustee does not consider there are any critical judgements or sources of estimation uncertainty requiring disclosure beyond the accounting policies listed above.

3. Analysis of income from donation, legacies, and non-cash donations

Donations 2024/25 2023/24
£000 £000
Donations - £0 - £1,000 42 29
Donations - £1,001 - £10,000 68 42
Donations - £10,000 + 26 26
Total 136 97
Legacies 2024/25 2023/24
£000 £000
Donations - £0 - £1,000 0 3
Donations - £1,001 - £10,000 0 1
Donations - £10,000 + 18 32
Total 18 36
Donations Non-cash 2024/25 2023/24
£000 £000
Donations - £0 - £1,000 0 1
Donations £1,001 - £10,000 12 17
Donations - £10,000 + 0 0
Total 12 18

All donations are unrestricted funds.

4. Other Trading Activities

2024/25 2023/24
£000 £000
Activities for Generating Funds 30 33
Total 30 33

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

5. Analysis of income from investments

2024/25 2023/24
£000 £000
Income from Investment Portfolio 47 48
Total 47 48

6. Analysis of expenditure on raising funds

2024/25 2023/24
£000 £000
Investment management costs 1 7
Cost of Generating Voluntary Income (Fundraising Events) 5 17
Total 6 24

7. Analysis of charitable expenditure

All of the resources expended by the Charity were in the form of grants to Medway NHS Foundation Trust in support of a range of charitable activities.

2024/25 2023/24
£000 £000
Purchase of New Equipment 55 324
Staff Welfare 10 15
Patient Welfare 32 54
General Welfare 8 10
Medical Research 0 1
Other Expenditure 35 0
Governance costs (see note 9) 102 93
Total 242 497

8. Analysis of grants

Income: In the 2024/25 year, the Charity received £10,000 in grant income (2023/24: £30,000). This grant was received from The Morrisons Foundation to buy the main piece of equipment for a new sensory room in our children’s ward. The Charity used an NHS

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Charities Together grant received in 2023/24 to fund a part-time Grants Officer role for 12 months.

Expenditure: All grants are made to Medway NHS Foundation Trust. The Corporate Trustee operates a scheme of delegation. All grant-funded activity and the disbursement of funds is managed by the Head of Charity

9. Allocation of support costs and overheads

Once allocation and / or apportionment of overhead and support costs has been made between Charitable Activities and Governance Costs, the cost attributable to Charitable Activities is apportioned across those activities in proportion to total spend.

Allocation and 2024/25 Allocated to Residual for 2023/24
apportionment to Total Governance apportionment
Total
Governance Costs £000 £000 £000 £000
Management Services 83 83 0 73
Financial Services 16 16 0 16
Independent Examination
2		 2 0 3
Fee/Independent Audit
Fee
Bank Charges 1 1 0 1
Total 102 102 0 93

Staff are employed by Medway NHS Foundation Trust. Where staff perform a service to the Charitable Fund an element of the salaries and related costs are recharged to the Charity. These costs are shown under ‘Management Services’ and ‘Financial Services'.

In this financial year, £99,038 was paid in service fees for financial and charity management costs. This figure includes a management fee of £13,538 paid to The Medway Hospital Charity by NHS Charities Together for leading its Stage 2 Community Partnership programme for the Kent and Medway region and £6,808 from a development grant received in 2023/24 for a part-time Grants Officer.

A one-off grant payment of £80,000 was received in the 2021/22 financial year to cover all costs associated with this multi-year Stage 2 Community grant programme, which finished in September 2025.

10. Independent Examiner’s remuneration

The Independent Examiner’s remuneration of £2,000+VAT (the VAT of which is irrecoverable) related solely to the independent examination of these financial statements with no other additional work undertaken (2023/24: £1,950+VAT).

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

11. Fixed asset investments

Movement in Fixed Asset Investment 2024/25
£000		 2023/24
£000
Market value brought forward 675 753
Acquisitions at cost 18 224
Disposals (667) (338)
Add net (loss)/gain on revaluations 8 29
Cash movement (20) (7)
Market value as of 31 March 14 675
Book Cost 14 661
Fixed asset investments 31 March 2025
31 March 2024
£000 £000
UK Invested Unit Trusts 14 656
Cash account 0 17
Accrued interest 0 2
Total 14 675

12. Analysis of current assets

Debtor receivable within 1 Year 31 March 2025
31 March 2024
£000 £000
Accrued income 2 4
Total 2 4

13. Analysis of cash and deposits

31 March 2025
31		 March 2024
£000 £000
Bank Account 883 435
Total 883 435

14. Analysis of current liabilities

Creditors payable within 1 year 31 March 2024
31		 March 2024
£000 £000
Accruals 2 231
Total 2 231

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

15. Analysis of charitable funds 2024/25

Balance Balance Balance
at Gains at 31
1 April and March
b/fwd
Income
Expenditure
(losses)
Transfers
c/fwd
Analysis of Material fund
£000
£000
£000		 £000 £000 £000
Restricted
NHS Charities Together 29
0
0		 0 (15) 14
NHS CT Salary 18
0
(21)		 0 15 12
Total Restricted Funds
(2) 47
0
(21)		 0 0 26
Unrestricted/
Designated
General Fund 216
0
(110)		 1 1 108
Diabetes 49
0
(6)		 1 0 44
The Ralph Barrett
Legacy 238
0
(26)		 3 0 215
Medway Cancer Unit 103
9
(11)		 1 0 102
Children’s 26
19
(22)		 0 0 23
Critical Care 26
17
(6)		 0 0 37
Other unrestricted funds
(32) 178
208
(46)		 2 (1) 341
Total Unrestricted
Funds (38) 836
253
(227)		 8 0 870
Grand Total (40) 883
253
(248)		 8 0 896
Name of Fund Description, nature and purpose of the fund
NHS Charities Together Holds a development grant to support the growth of The
Medway Hospital Charity.
General Fund The General Fund holds all general and unrestricted donations
and can support any specialism within the hospital.
Diabetes Contributions to diabetic patient care and relevant education at
Medway Maritime Hospital
The Ralph Barrett Legacy Ralph Barrett left a legacy of almost £1 million, with a wish that
it go to our orthopaedic department.
Medway Cancer Unit The Medway Cancer Unit is made up of donations to
Lawrence Ward and Galton Day Unit.
Children’s Contributions to support our Children’s ward
Critical Care This fund is made up of donations to our intensive care and
high dependency units.
NHSCT Salary This fund is a restricted fund to pay salaries for NHS Charities
Together funded posts.

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Other Funds

The other restricted/unrestricted funds within the 2024/25 financial analysis have been grouped together for presentational purposes. All have a closing balance of less than £20,000. These funds hold donations made to various departments within the hospital.

Analysis of charitable funds 2023/24

Balance Balance
at 1 Gains at 31
April and March
b/fwd Income
Expenditure
(losses)
Transfers
c/fwd
Analysis of Material fund
£000		 £000 £000 £000 £000 £000
Restricted
NHS Charities Together 23 30 (24) 0 0 29
NHS CT Salary 45 0 (27) 0 0 18
Total Restricted Funds
(4) 68 30 (68) 0 0 47
Unrestricted/
Designated
General Fund
214		 169 (175) 8 0 216
Diabetes Centre
50		 0 (2) 1 0 49
The Ralph Barrett
Legacy 418 (2) (189) 11 0 238
Medway Cancer Unit
109		 5 (14) 3 0 103
Children’s
26		 26 (26) 0 0 26
Critical Care
39		 4 (18) 1 0 26
Other Unrestricted
(33 Funds) 189 25 (41) 5 0 178
Total Unrestricted
Designated Funds 1,045 227 (465) 29 0 836
(39 Funds)
Grand Total (48
Funds) 1,113 257 (516) 29 0 883

16. Related party transactions

Medway NHS Foundation Trust is the major beneficiary of the Charity and in 2024/25 received grants and contributions of £242,000 (2023/24: £516,000).

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

In 2024/25, Medway NHS Foundation Trust, as employer, recharged £99,038 for financial and charity management services provided in the 2024/25 financial year, (2023/24: £89,209).

Included in this total was £13,538 which was recharged by the Trust for The Medway Hospital Charity’s management fee of NHS Charities Together’s Stage 2 Community Partnership programme for the Kent and Medway region and £6,808 for a Grants Officer post funded by an NHS Charities Together Development Grant.

None of the members of Medway NHS Foundation Trust Board or senior NHS Foundation Trust staff or parties related to them were beneficiaries of the Charity. Neither the Corporate Trustee, nor any member of the NHS Foundation Trust Board, has received honoraria, emoluments or expenses in the year and the Trustee has not purchased Trustee indemnity insurance.

17. Reconciliation of net income / (expenditure) to net cash flow from operating activities

Movement in Net Cash from Operating Activities 31 March 2025
Total
£000
31 March
2024
Total
£000
Net income / (expenditure) 13 (230)
Losses/(Gains) on investments (8) (29)
Dividends and interest on investments (3) (24)
Interest from bank deposits (44) (24)
Decrease / (Increase) in debtors 2 (1)
Increase / (Decrease) in creditors (229) 226
Net cash provided by operating activities (269) (82)

18. Post balance sheet events

There were no post balance sheet events.

19. NHS Charities Together Community Partnerships

The Medway Hospital Charity has acted as the Kent and Medway managing agent for NHS Charities Together for its £801,959 multi-year Community Partnerships Programme, which completed in September 2025.

During the 2024/25 financial year, the charity received £98,233 from NHS Charities Together and disbursed this to community partner, Medway Council. (2023/24: £449,748).

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Medway NHS Foundation Trust Charitable Fund - Year Ended 31 March 2025

Medway Council received £98,233 as its final tranche of grant funding for its mental health advocacy programme, with partner Emerge Advocacy.

This money was not income for The Medway Hospital Charity and has been recorded as a pass-through cost.

NHS Charities Together awarded The Medway Hospital Charity its management fee in an earlier financial year. This money has sat within a restricted fund and is being spent down. In the 2024/25 financial year, the management cost of this programme was £13,538; (2023/24: £25,655).

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