SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT FOR THE PERIOD 1 APRIL 2023- 31 MARCH 2024 REGISTERED CHARITY NUMBER - 1052366 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 Contents Reference and Administrative Detsils of thp Charity Trustee's Rèport 5-23 Statement of Trustee's responsibilities 24 Independent auditorfs report 25-28 Foreword 29 Statement of Financial Activities 30 Balance Sheet 31 Statement of Cashftow 32 Statement of Accounting Policies 33-37 Notes to the Financial Statements 38-46 REGISTERED CHARITY NUMBER - 1052366 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 Reference and Administrative Details of the Charit istered Address - Chari and Cor orate Trustee South Tyneside and Sunderfand NHS Foundation Trust Sunderland Royal Hospital Kayll Road Sunderland SR4 7TP The Charity was first registered by the Charity Commission as number 1052366 under a Declaration of Trust dated 7 December 1995 in respect of the former City Hospitals Sunderland NHSFT Charitable Funds (CHS), as amended 24 March 2020 to include the merger with the former Charity South Tyneside General Charitable Fund (ST), registered number 1059500, effective from 1 April 2020. From the 1 April 2020 the merged charity name is South Tyneside and Sunderland NHSFT Charitable Funds. The Charity's working name IS'STS Charity,. The Charity's single Corporate Trustee (the Trustee) is South Tyneside and Sunderland NHS Foundation Trust (STSFT). The Trust Board of Directors in office from April 2023 to Novembèr 2024 are: Chair Allison Thompson Chief Executive Ken Bremner M.B.E. Executive Directors Kath Griffin - Executive Director of Human Resources and Organisational Development Melanie Johnson - Executive Director of Nursing. Midwifery and Allied Health Professionals Peter Sutton - Executive Director of Planning and Business Development Shahid Wahid - Executive Medical Director Hayley Wardle - Executive Director of Finance Trust SecretarylDirector Andrea Hetherington Director of Corporate Affairs and Legairrrust SecretarylFreedom to Speak Up Guardian REGISTERED CHARITY NUMBER - 1052366 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 Non-Executive Directors Debbie Carrick-sen Alan Clarke Ngozi Lyn Cole Stewart Hindmarsh Martin Knowles Paul McEldon Roy McLachlan Chris Gray- (non voting) Professional services are provided by: Bankers Natwest bank plc Govemment Banking services branch 1000 Cathedral Square Cathedral Hill Guildford GU2 7YL Investment brokers Rathbone Investment Management Ltd Earl Grey House 75-85 Grey Street Newcastle upon Tyne NE16EF CCLA One Angel Lane London EC4R 3AB Inde endent Extemal Auditor Inde endent Internal Auditor Robson Laidler Accountants Limited Fernwood House Femwood Road Jesmond Newcastle upon Tyne NE3 1TJ Auditone Kirkstone Villa Lanchester Road Hospital C)urham DH15RD REGISTERED CHARITY NUMBER - 1052366 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 Trustee Re ort Governance Mana ement and Structure Whilst all Charities in the NHS must operate within the legal and regulatory framework laid down in the Charities Acts (plus any directions issued by the Secretary of State for Health), a Corporate Trustee has considerable discretion in determining how on a daily basis, the charity operates. When the Board of Directors is acting in the capacity of Corporate Trustee, there must be recognition that: 1. Charitable Funds are distinct from the exchequer tunds provided by Government; and In acting as Corporate Trustee the Board of Directors has a separate and distinct responsibility for the administration of the Charitable Funds. A Corporate Trustee cannot delegate its statutory duties and remains accountable for the Charity's performance but day to day management, can be delegated. To this end the Charitable Funds Committee (CFC) established on 1st April 2010 continues to oversee the administration of the Charitable Funds in accordance with any statutory or other legal requirements or best practice required by the Charities Commission. CFC Tomis of Reference- as u dated November 2023 Membershi Voting members: 2 Non-Executive Directors (one of whom is chair of the CFC) 2 Directors Executive Director of Finance Executive Director of Nursing, Midwifery and Allied Health Professionals 2 Public Governors Duly nominated deputies may attend in a Committee memberfs stead in exceptional circumstances, only with the prior agreement of the Committee Chair. In attendance.. Director of Corporate Affairs and Legairrrust secretary1F￿edOM to Speak Up Guardian Associate Director of Finance - Financial Services I Counter Fraud Champion REGISTERED CHARITY NUMBER - 1052366 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 In attendance by invitation: Charitable Fundraiser (part of Corporate Affairs function) Extemal Audit for the presentation of the Accounts Investment Manager Any others as required by the Committee Quorum: Minimum two members, who must include an Executive and Non-Executive Director. Votin members durin the eriod A ri12023 to November 2024: Ngozi Lyn Cole Chair of Committee l Non-Executive Director Hayley Wardle Melanie Johnson Anita Hagon Roy McLachlan Executive Dlrector of Finance Executive Director of Nursing, Midwlfery and AHPS Council of Govemor Representative Non-Executive Director Council of Governor Representative CFC Dutles The Charitable Funds Committee will: Ensure charitable funds are grouped in such a way that the wishes of the donors and the needs of the service are optimised. Plan expenditure of charitable funds annually in accordance with Board policy. Make recommendations to the Board of Trustees on issues of policy, investment and strategy. Review and approve any formal income generation schemes as they arise over £20,000. Authorise or decline expenditure which has exceeded delegated limits of individual officers to ensure the duties of Trustees are adequately discharged. Oversee and monitor the functions and responsibilities perfonned by the Executive Director of Finance as defined in the Standing Financial Instructions. Monitor the use of charitable funds across the organisation, ensuring the scheme of delegation is applied appropriately and funds are utilised for the correct purposes. Monitor the scheme of delegation for expenditure within agreed limits. REGISTERED CHARITY NUMBER - 1052366 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 Receive regular feedback on signed off commitments above £20,000 and approve any expenditure above £20.000. (Expenditure in excess of £200,000 requires fonnal'Board of Directors approval as Corporate Trustee). 10 Ensure adherence to the Trust's Standards of Business Conduct for the ordering and receiving of goods and services. 11 Ensure the Board of Trustees is kept up to date with all matters relevant to their role. 12 The CFC is empowered with responsibility: For the 'day to day, management of the investments ofthe Charilable Funds in accordance with the investment strategy set down annually by the Board of Trustees; To oversee and approve the work of the Fundraising Strategy, setting the ambition over the medium and long term. To liaise with donors and voluntary organisations to ensure wherever possible the assets donated are those most needed by the Trust, To review fund balances to ensure active management and utilisation of these funds, To ensure that procedures for Charitable Funds Investment decisions are made which preserves their capital value and produces a maximised return from prudent investment, To ensure the appropriate risk registers and associated action plans are in place across the organisation for all risks relating to Charitable Funds. The Charitable Funds risk register will be reviewed every six months, To ensure that the Investment Strategy is reviewed annually and approve any amendments as required, For the appointment of an Investment Manager to advise on investment matters and delegation of the 'day to day, management of some or all of the investments to the Investment Manager, in line with SFIS and Charities Commission requirements where relevant. The Committee will review and present the Charitable Fund Report and Accounts to the Board of Trustees REGISTERED CHARITY NUMBER - 1052366 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 Conduct of Buslness 'Meetings are held on a bi-monthly basis, a minimum of five meetings per year with notice of each meeting together with an agenda and papers being made available to each member no later than five clear days before the meeting. The Executive Administrative Team shall provide administrative support to the Committee and maintain a schedule of matters arising and agreed actions. ortln and Revlew The minutes of the Charitable Funds Committee meetings shall be formally recorded and submitted to the Board of Trustees. The Chair of the Committee will report to the Board of Trustees following each meeting on any issues for escalation. The Committee will review its Terms of Reference and its effectiveness against the requirements of Its Terms of Reference on an annual basis and report the findings to the Board of Trustees. In May 2018 the General Dats Protection Regulation (GDPR) came into force. Under this legislation, any personal data held (e.g. names of living or deceased persons) cannot be disclosed in this Annual Report unless the person has been informed and given consent. Some of the restricted funds held by the Charity were set up under the name of the bequestor. In these circumstances these personal names are not being disclosed in the Flnancial Statements and Trustee Annual Report (TAR). The Charity is registered as an Umbrella Charity. Within the one registration, multiple fvnds are permitted, four of which are registered with the Charity Commission as 'Special Purpose Funds,. The Special Purpose restricted funds are: Fund 4280 - Legacy for the benefit of Paediatric physiotherapy and assessment services located at the Children's Centre. Fund 9245 - Bequest for the provision of flowers in the chapel on specified dates. Income was received as an endowment. Fund 3345 - Leukaemia and Lymphoma Research Fund from a legacy which has a small portfolio managed by Rathbone Investment Management. The Annual Report and Annual Financial Statements have been prepared to comply with the requirements of FRS102 (Financial Reporting Standard 102), the Charities FRS102 SORP (Statement of Recommended Practi￿}, the Companies Act 2006 and the Charities Act2011. The Trustee has had regard to Charity Commission guidance on public benefit in section 4 of Part 1 of the Charities Act 2011. The information in the Charity's 'Annual Report regarding its activities and achievements is structured to allow the reader to see how the infonnation sits with the Charity REGISTERED CHARITY NUMBER - 1052366 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 Commission aspects of Public Benefit Reporting and adds some detail to the financial data in the Financial Statements on pages 30 - 46. The Charity Cornmission has set out the following guidan￿ relating to the two aspects of public benefit". The 'beneflt as The 'benefit as ct, ect, of ublic benefit is about whether the ose is beneficial Legal requirement: to satisfy the 'benefit aspect, of public benefit.. a purpose must be beneficial - this must be in a way that is identifiable and capable of being proved by evidence where ne￿SSary and which is not based on personal views; and any detriment or harm that results from the purpose (to people, property or the environment) must not outweigh the benefit - this is also based on evidence and not on personal views. The, The, ubllc as ublic as ct, ect, of ublic benefit is about whom the ur ose benefits Legal requirement.. to satisfy the 'public aspect, of public benefit the purpose must: 'benefit the public in general, or a sufficient section of the public 'sufficient section of the public, varies from purpose to purpose; and not give rise to more than incidental personal benefit personal benefit is 'incidental' where (having regard both to its nature and to its amount) it is a necessary result or by-product of carrying out the purpose. what is a The main purpose of the Charitable Funds, as contained in the Charity's Trust Deed 'object' clause is to 'apply income for any charitable.purpose relating to the National Health Service,. In practice this is wholly or mainly for the services provided by South Tyneside and Sunderland NHS Foundation Trust. The Trust provides acute and community healthcare services to a core population of over 430,000 people living in and around the borough of South Tyneside and the City of Sunderland, as well as thousands of people from Durham who regularly use our services. We also provide a number of community and other services to people in Gateshead as well as a range of specialist services accessed by patients across the whole of the North East and beyond, serving a population of almost 1,000,000 pe,ople. Approximately 185 individual funds exist within the Charity registration. The majority of the Trust's wards and acute services have access to a fund. Geographically the funds exist to cover South Tyneside District Hospital, Sunderland Royal Hospital, Sunderland Eye Infirmary, the Durham Treatment Centre and community based services in South Tyneside, Sunderland and Gateshead. Funds which are expected to hold a balance of £5,000 or more can only be set up with CFC approval. REGISTERED CHARITY NUMBER - 1052366 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 The existence of a fund to cover a specific ward, specialty, or activity is dependent on any or all of the following being received.. Private indlvldual donations. which include personal fundraising; Corporate sponsorshiplsupport freely given with no commercial gain or advantage to the donor- e.g. to support training events or equipment purchases; Legacies; Institutional support e.g. from Universities in furtherance of pre-existing charitable research projects; Charity support - e.g. for equipment purchases or to develop training facilities or for General Purposes,. Clinicians electing to waive their personal fee for private work and opting to have the fee donated to the Charity; Staff lottery; andlor Fundraising - Corporately organised. Each fund has at least two designated managers. Fund managers have a delegated authority from the CFC to oversee their particular fund(s). Approval limits for aulhorising expenditure mirrored the controls in place for STSFT during 202312024 with the exception of standard fund holders who have a limit of up to £1,000 per transaction, which is lower than their limit. for revenue transactions. Any order valued at £20,000 or more requires a written proposal which must be presented to the CFC for consideration. Any order which is Capital in nature (a fixed asset valued at £5,000 or more that will be donated to the Foundation Trust) must first receive approval to proceed from the Capital. Medical Equipment Sub Group. Any information technology (IT) requests must first be approved by the IT department. Capital orders of £100,000 and above must also be approved by the Capital Development Steering Group (CDSG). Accounting functions and the day to day administration of the funds are handled by the Charitable Funds and Capital Finance Officer within the Financial Ser¢ices Department. located in Ward 17, South Tyneside District Hospital. Harton Lane, South Shields, NE34 OPL. The charity has a financial ledger system which is operated independently from the STSFT'S own system. The Charity currently has investments managed by both the CCLA and Rathbones. In early 2021 the Investment Management contract re-tendered, and Rathbones was successful in being reappointed. The investment broker Rathbones, as Nominee manages the investments on a discretionary basis and is required to provide at least a quarterly portfolio valuation and attend nominated CFC meetings to advise on perfornance, opportunities and possible market concerns. Its performance is reviewed annually by the CFC. REGISTERED CHARITY NUMBER - 1052366 10 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 The Nominee manages three portfolios, two of which resulted from legacies and are earmarked for specific funds. The portfolios are: The Main Portrollo - for the benefit of all funds except the Special Purpose Funds-, Fund 3345 - Leukaemia and Lymphoma Research (Special Purpose Fund); and Fund 2470- Incorporating a bequest for the benefit of the Eye Infirmary which has a small portfolio managed by Rathbone Investment Management. This is for the benefit of the Eye Infirmary, held within the Eye Infirmary General Purpose fund. Rlsk and Assurance The Charity has assessed the major risks to which it may be exposed and has put in place policies and procedures to mitigate these risks. In particular: The internal controls of STSFT have been adopted by the Charity; The Charitable Funds AdministratorlProcurement DepartmentlGeneral Office verify that all items requested from the funds are adequately authorised and in accordance with the objects of the Charity. and The Charity maintains a register of potential risks which is reviewed every six months. A significant area of uncertainty that affects the carying value of assets held by the Charity is the performance of investment markets. The performance of the Investment Broker is reviewed as a minimum on a quarterly basis by the Trustee. The following projection covers up to 12 months following the 2023124 audited accounts sign off. Based on the Charity's available cash resources at the date of the financial statements approval, the Trustee considers that there are no material. uncertainties about the Charity's ability to continue as a going concem up to 30 November 2025. Uncertainties over the level of future income constitutes a risk to the going concern of the Charity. To this end, expenditure commitments are logged and reviewed by the CFC to ensure they have not exceeded monies held as cash and cash equivalents. The Charitable Funds Committee commissioned a Strategic Review for the charity, the outcome of which was discussed at the CFC meeting on 13 June 2024. The risks around investment balances have been mitigated through the holding of balanced portFolios fully managed through the Nominee where the asset allocation mirrors the Charity Commission recommendation that no one investment should on average comprise more than 5 % of the portfolio. The Charity's operation and records are reviewed and tested by the external auditors Robson and Laidler Accountants Limited (Robson and Laidler) as part of the statutory annual audit on the information reported within the Charity's Annual Financial Statements. Robson and Laidler also review the Annual Report and report their audit findings to the CFC. The auditors of the STSFT annual Financial Statements, Mazars LLP also review REGISTERED CHARITY NUM8ER - 1052366 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 the charity's financial position in the context of the charity position being consolidated in the STSFT Group Financial Statements. Protectln vulnerable le and Data Protection The Charity exercises care and sensitivity when engaging with its donors and any activities involving vulnerable people. As an NHS Corporate Trustee Charity, the Charity adheres to the Trust's Safeguarding, Equality Diversity and Human Rights, Dementia, Learning Disabilities, Mental Health Awareness, and Freedom to Speak Up and Information Governance and Data Security policies. Ob'ectlves and Activlties The Trust Deed permits funds to be used for any charitable purpose(s) relating to the National Health Service. The objective of charitable funds expenditure is lo provide an enhancement to patienvpublic benefit by being over and above what would be provided as part of STSFT'S core services whilst also fulfilling the Charity Commission requirements on 'public benefit,. Donors may express a wish as to the application of a specific gift, providing it falls within the overall purpose of the Charity. Gifts received by way of legacies must be applied in accordance with the tenns of the Will. The Charity does not accept legacies where it feels it cannot meet the terms of the Will. There are no funds to benefit specific named individuals, nor is any expenditure incurred that benefits a sole individual. The CFC issues an 'Acceptable Spend Areas, list to senior managers, last updated in August 2023. It also contains a list of items that will not generally be funded via Charitable Funds. In practice, funds are expended mainly on amenities for patients, medical equipment purchases and training. Financial support for staff employed at Sunderland to extend their knowledge through training or research is available because it enhances the skill set used in the delivery and management of heatthcare. Funding for the Trust's Staff Recognition Awards event is permitted by the CFC and in April 2023 the Trust held its first staff event since the COVID-19 pandemic, although in this instance the majority of the costs were covered by the Corporate Affairs department revenue budget. The CFC delegates day-to-day management of the funds to designated fund managers who may also be operational service managers, with responsibility that may include clinical input within STSFT. These managers can thus tailor expenditure to provide defined benefits that are available to all Servi￿ usèrs. Donations are allocated to a designated fund on receipt, by reference to the source of the donation and to the donor's instructions, if expressed. REGISTERED CHARITY NUMBER - 1052366 12 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 Fundraisin The post of Fundraising Officer was created in February 2016 as part of the Corporate Affairs function. The post-holder is tasked with raising the profile of the Charity, with the aim of increasing income from donations and fundraising. An increase in income would pemiit the Charity to increase its spending, benefitting the provision of healthcare. South Tyneside and Sunderland NHS Foundation Trust is actively seeking to appoint to this post, vacant since December 2021.The Charity has however continued to provide advice and support to individuals and groups who have chosen the Charity to benefit from their fundraising efforts. 'The Strategic Review addresses the role of Fundraising and raising the profile of the Charity. The Charity voluntarily subscribes to the Fundraising Regulator and its Code of Fundraising Practice. The Regulator assumed responsibility for regulating fundraising from July 2016 and investigates and takes appropriate action on cases of public concem. The Charity continues to run a monthly staff lottery draw. The lottery is licensed by the City of Sunderland Council under The Gambling Act 2005. The lottery proceeds may only be used for purposes falling within the Charity's objects clause, Source and a Ilcatlon of funds Funds are used for both the purchase of relatively minor items for which NHS funding would otherwise not be available and also individual larger items of medical equipment or appropriate building work which are gifted to the Trust as donated Capital Assets and appear on the STSFT Statement of Financial Position. The charitable funds have continued to provide a valuable resource to enable STSFf to provide additional facilities for patients and staff which otherwise would not have been possible. Sources of funds are principally individual donations and legacies. Fundraising by volunteers and also the staff lottery contribute towards income. Income is also received received by way of fees for courses run by STSFT. Course fee income can only be held within charitable funds if the purpose is purely educational and the courses are not run for the purpose of income generation. The advancement of education is not the Charity's primary aim, but in providing education, that increased knowledge base allows for the development and advancement of healthcare delivery. CHOICE, the wholly owned subsidiary company to STSFT, once again donated to the Charity. Procurement services are provided to STSFT by CHOICE, but CHOICE does not control what its donation is spent on: nor does it directly procure goods on behalf of the Charity. During 2023124 CHOICE made. another substantial donation to the Charity of £2,OOOk (2022123.. £2,500k). Income from donations alone decreased slightly in 2023124 totalling £2,406k (2022123 - £2,680k), principally due to a slightly. lower donation from CHOICE. Legacy receipts REGISTERED CHARITY NUMBER - 1052366 13 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 totalled £373k (2022123: £57k), with the increase being one substantial legacy to Paediatrics. General personal donatlons were £160k (2022123: £150k), with the increase primarily form those donating over £1 k. Achlevements and Perforniance In su ort of the Charl rlma aim Patlent and staff wolfare and amenltles The charity made contributions to patients and staff welfare and amenities totalling £582k during the course of the year (2022123 - £430k). In doing so the Charity was able to make a difference by funding specialist stsff to provide services not funded by the NHS and to replace and upgrade furniture and equipment for the benefits of patients as well as the staff who provide vital clinical services. eciallst staff: The 'Thrive' staff psychology scheme being initially funded through donations and grants received in response to the Covid19 pandemic commenced in July 2021. The scheme's aim was to help staff deal with the stresses experienced during both the height of and the recovery from the Covid19 pandemic. Charitable funds continued to support the scheme in 2023124 until the dedicated funding was exhausted (£226k). The two year pilot post of an 'lnclusion Advisor, concluded In March 2024 {£55k} A new Podiatry Tissue Viability nursing post being trialled for one year across wards commenced in June 2023 (£49k). The two year post of bereavement lead within maternity services which commenced in October 2021 concluded in 2023124 {£26k). The administrative support to the multiple sclerosis service (£12k) became an STSFT revenue cost during 2023 once the dedicated contributions to charity funding were exhausted. In 2023124 the Cancer Information and Support Centre located at Sunderland Royal Hospital, and its sister centre at South Tyneside District Hospital, known as the 'Rise Above Cancer, fund received £29k income from donations and spent £31 k for the benefit of cancer patients and their families (2022123 - £30k income, £26k spent). The fund works in partnership with Macmillan Cancer Support but does not re￿1ve funding from Macmillan to fund services such as complementary therapy or legal advice. The fund is reliant on donations and fundraising to support the many resources supplied to patients and their families in connection with bereavement and supporting children to understand and manage their feelings due to a family memberfs cancer diagnosis or passing. REGISTERED CHARITh NUM8ER - 1052366 14 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 Supporting patients with the side.effects of cancer treatment is a sepdice that is seen as necessary and headwear, such as bandanas, is provided for ladies who have hair loss due to chemotherapy, at a low or no cost. Complementary therapies (£16k), were offered to help with the side effects of treatment, or anxiety and sleeping issues. The fund supported 206 patients and carers to access complementary therapy or auricular acupuncture from 1 April 2023 to 31 March 2024. Legal advice (£1 Ok) is an ongoing service which supports patients with, for example, Will writing, including death bed Wills, Power of Attomey, debt management and guardianship issues. It is seen as a valuable service to patients, giving them peace of mind that their legal affairs are in order. The centres also provided patients with 'Comfort Support packs, which contained a pocket hug. worry worm, notebook and pen, hand gel, lavender bag, angel and sweets, with crafted items generously made and donated by team members from a local corporate employer. The ladies also received a pashmina, these were kindly donated by the Scamp and Dude company. Male patients did not miss out! They received bamboo socks, via a kind donation. Over the financial year the centre supported 4,367 people who accessed its services, this was a 22.9 % increase in the number of referrals compared with the previous year. The largest number of referrals are for financial support, ensuring patients are receiving all of the State benefits they are entitled to, alongside providing Macmillan grants if appropriate. The service benefits a range of cancers including breast, prostate, lung, bowel, liver, stomach, and gynaecological. Furniture and fittin s (£51k) (2022123 £138k): Includes the replacement of desk seating in the Education and Training Centre at SRH {£17k), seating in the patient area of the Diagnostic Imaging department (£8k), outdoor picnic tables for staff and patients (£5k), bed settees and stackable visitor chairs, and resident rooms dry wipe notice boards in Haven Court (£4k), glideaway guest beds in Paediatrics (£4k), collapsible mattresses and dementia friendly clocks in the SRH Emergency Department (£4k), various items of fumiture to benefit service users on wards B26 and D46 (£5k). Other (£63k) (2022123 £92k) - Various patient 'distraction' and therapy devices and programmes were brought on board which cover Haven Court, Elderly Medicine, Renal and chemotherapy services (£23k). A Patient Safety Conference was held in the summer of 2023 with speakers attending from extemal organisations (£12k). The smaller value items fvnded during the financial year include Christmas gifts for patients occupying a bed on Christmas morning and for children undergoing treatment in the week before Christmas (£19k), Chemo bandanas, crockery and soft furnishings, Cuski mini boo swaddling items for NNU, patient manicure sets, and such like (£5k). The charity has REGISTERED CHARITY NUMBER - 1052366 15 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 continued to support Comfort Care packs for visitors staying over at short notice and End of Life packs, provided to vulnerable patients being cared for at home (£2k). The Charity is also pleased to report that it was also able fund the cost of Patient TV during the King's Coronation celebrations allowing all patients to have free access should they choose to watch, and special Coronation baby grows and Royal Mint coins were provided to newboms (£2k). Contrlbutlons to NHS The Charity also made contributions to the NHS woith £3,878k (2022123 - £517k) that are included under Donated Capital Assets in STSFfs Statement of Financial Position. The equipment assets purchased include: Total £2,845k Theatres Division: Total £2,540k Spec T Gamma camera (£1,635k), including turnkey building work required for installation. SPECT-CT systems are tomographlc gamma cameras combined with a CT camera analogous to PET-CT. which enable "functional" gamma camera images that lack detailed anatomical location to be superimposed on anatomical CT images. The combined images are more specific and therefore diagnostic results are more accurate which in turn improve patient outcomes. This enables the Trust to provide world class nuclear medicine imaging by improving quality. It also helps ensure the Trust maintains its vision as the 3rd centre in the North East by maintaining appropriate investment in currently accepted standards for imaging equipment. This in turn will help attract radiologists with a specialist interest in nuclear medicine to the Trust. Head and Neck theatres ENT (Ear Nose and Throat) Oral and Maxillofacial surgery microscopes x 4 {£377k) - these microscopes are especially useful in microsurgery techniques {e.g. nerve repair and grafting, blood vessel repair and grafting, free tissue transfers) because of their premium Fusion Optics technology which allows the surgeon to see more in one fully focussed view. Endoscopy theatre - EBUS (£73k) - is an Endobronchial Ultrasound system. It has a high diagnostic value with lo.w risk allowing real time guidance in needle aspirations and is used when testing for various diseases including lung cancer. F2 theatre Anaesthetic machines x 4 (£71k) - These machines offer lung protective ventilation functionalities and will allow the opening of the F2 level theatre. South Tyneside theatres - Image Intensifier (£70k) - used in general surgery and urology procedures. Replaces an older machine to ensure the length of time patients are on the operating table is minimised. Theatre - Solitive laser (£60k) - for laser prostate and renal stone surgeries. Requires no surgical incisions resulting in the benefits of low risk of bleeding, decreased pain, reduced risk of complications and quick recovery times. ENT and Orthopaedic theatres - monitoring stack and cameras (£56k) South Tyneside theatres - Replacement Sonosite (£46k) - An ultrasound device used for regional anaesthesia REGISTERED CHARITY NUMBER - 1052366 16 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 F2 theatre - monitors (£28k) Matemity theatres - Rapid Infuser (£22k) -used to deliver a rapid volume of fluids including blood products warmed to a specific temperature to patienls with a major haemorrhage. Theatres - Neurotherm (£21 k) - Radiofrequency denervation is a minimally invasive technique that involves the safe destruction of the nerve supply to painful joints. The benefits to patients include a longer lasting result compared with having injections to reduce pain, reduced pain, increased mobility, improved function, very low risk, minimal recovery time, day case treatment, avoidance of spinal fusion surgery.. Theatres - Bariatric trolleys (£18k) - as the regional centre for bariatric surgery (obesity) these trolleys allow safer and more comfortable moving of patients Main theatre SRH - ECG machine (£1 Ok) Medlcine Divlsion.. Total £194k Cardiothoracic Directorate - MRI in CIED .(£65k) jointly used wlth the Radiology service - Patients with cardiac pacemakers or defibrillators (collectively termed cardiac implantable electronic devices- CIEDS) are likely to benefit the most because they are older (one in 50 people over 65 have a pacemaker) and have more comorbities. Previously they have been prevented from having MRI scans due lo historical safety concerns, resulting in more invasive, inaccurate testing. This equipment allows these patients access to MRI scanning. Rebus probes and navigator (£64k)- a bronchoscopic technique using real time ultrasound imaging to guide thoracic lymph node sampling, which helps diagnose then treat lung cancer at its earliest stage Portable ECG machine (£31 k) generously funded from a specific patient donation Medical Specialties Directorate - Scalp coolers x 3 (£34k) - Phoenix Unit- can assist with reducing hair loss during chemotherapy treatment Surgical Division: Total £133k Trauma and Orthopaedics Directorate - Bone scalpel (£44k} provides a gentler osteotomy compared with standard bone cutting tools. This tool is particularly important during spinal surgery High Speed Drill (£35k) simultaneously will allow more cases to be operated on REGISTERED CHARITY NUM8ER - 1052366 17 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 Ophthalmology Directorate - Slit lamp biomicroscope (£35k) - improves the ability to assess patients of all ages and with disabilities Head and Neck Directorate - Dental Laboratory Oral 3D Scanner and printer package (£19k) - The scanner creates a 3D virtual model of the mouth and teeth, which can be e-mailed, attached to a CT scan for planning, or even printed out on 3D printer for modelling. The 3D printer, allows for the rapid processing of orthodontic, restorative and orthognathic patient models and enables the in-house manufacture of surgical splints. Various VAT refunds and supplier credit notes £22k The building schemes assets funded include: Total £1,033k NeoNatal Parent Accommodation upgrade and expansion Within NNU itself (£599k) - completed March 2024, fully open April 2024 Within Trust Headquarters building (£361 k) - completed August 2024 Bike shelters at South Tyneside hospital site (£38k) - secure shelter for staff and visitor use Christmas light decoration displays - Installed extemally on buildings at South Tyneside District Hospital (£35k) Tralnln and Education Su ort During 2023124, a number of different course types were run by the Trust's Training Department for both STSFT staff and professionals outside the Trust. These include the Advanced Trauma Life Support (ATLS), Advanced Life Support (ALS), Advanced Paediatric Life Support (APLS), Neonatal Life Support (NLS), Immediate Life Support (ILS) and Paediatric Immediate Lrfe Support (P ILS). Experts to facilitate these courses are sourced from across the UK. Both qualified and trainee medical and nursing staff in the UK attend these courses to extend or maintain their skills in accordance with current best practice. Courses held in 2023124 generated £93k (2022123 - £80k) at a cost of £91 k (2022123 - £56k). Expenditure includes equipment for course provision. Course attendance consists of members of staff from STSFT as well as other organisations. REGISTERED CHARITY NUMBER - 1052366 18 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 Achlevements and Perforniance- Investments Traded investments and cash - income totalling £433k (2022123- £173k). Traded Investments- Rathbones 2023124 2022123 £000 £000 90 77 Fixed Interest Holding- CCLA 2023124 2022123 £000 £000 13 COIF- deposit accounts Current account bank interest 2023124 2022123 £000 £000 317 68 2023124 2022123 £000 £000 26 15 Charities variable interest deposit fund held with CCLA Investment Management. an investment body serving charities, churches and the public sector. Portfollo investments through Rathbones provide an income stream as well as aiming to provide capital growth in the long tenn to enable income streams to better withstand inflationary pressures. In line with the ethos of promoting patient care, the Corporate Trustee attempts to ensure that all investments are ethically and environmentally sound, and are not opposed to the purpose of the Charity. The investment strategy includes the following: The prime investment objective is to achieve a balanced portfolio between income and capital gro￿th. The preferred level of investment risk is defined as 'Medium'. There should be no investment in companies associated with the production of Armaments, Alcohol or the Tobacco industry. Although not strictly prohibited, sensitivity should also be given to investments in other industries associated with Alcohol, Armaments or Tobacco production Rathbone statement 'The last financial year saw markets turn more positive as the inflationary shocks caused by the Covid pandemic and war in Ukraine finally appeared to unwind. Investors remained focused on any signals from Central Banks that they would declare victory in bringing inflation under control by beginning to cut interest rates. However, this was set against a backdrop of increasing tension in the Middle East and political uncertainty in developed economies with a number of elections due to be held during 2024. As such, equity markets, although positive, were volatile as investors came to terms with the fact that interest rates in developed economies would not be cut as quickly as was expected at the end of 2023. The first quarter of 2024 saw a technical recession in the UK which proved to be short- lived. However, the.U.K. economy is not showing signs of sustained growth yet amid uncertainty for the outlook for inflation and as investors await outcomes after the General Election. REGISTERED CHARITY NUMBER - 1052366 19 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 The EU economy remains in similar shape but the US has been running hotter than expected, backed by strong employment numbers and inflation falling more slowly than was previously predicted. Looking at the investments, the portfolio posted a solid annual gain of 8.80/0 for the year, with returns dominated by a handful of the largest US technology holdings, dubbed "The Magnificent Seven." Such was their dominahce that they contributed to more than bNO- thirds of the total world equity market gain during 2023 and while the portfolio retains some exposure, it is undeDNeight against the mart(et indices which resulted in an overall underperformance against the composite benchmark gain of 11.0%. The portfolio contains a mix of holdings across the globe, invested for both growth and income which was beneficial during the first quarter of 2024 as the concentration of performance seen ' during 2023 dissipated - as the likelihood of global recession recedes, more and more global companies have been able to participate in 2024's rising markets. However, with significant geo-political risks remaining (and even building) it is Important to retain a well- balanced and disciplined investment approach across asset classes, regions and sectors in order to guard against potential shocks. Flnanclal Revlew of 2023124 As at the 31 March 2024 the value of the funds was £9,135k. This represents a net decrease of £1,140k on the 31 March 2023 Financial Statements value of £10,275k. There was a focus on utilislng funds for the benefit of patients and staff resulting in a net funds decrease of £1,353k (2022123: net increase £1,959k), with Capital purchases of £2,845k, mostly theatre equipment, driving this. This net expenditure was offset by a net gain on investments of £213k (2022123 - net loss £239k) The Royal Voluntary Service (RVS) recommenced donations in 2023124 totalling £220k which included guaranteed gifting of £160k plus a one off donation of £60k (2022123: nil). CHOICE, the commercial enterprise wholly owned by the STSFT reduced its donation by £500k to £2,OOOk (2022123: £2,500k). Please refer to note 2 of the Financial Statements for financial data surrounding income received. The majority of volunteer fundraisers have very strong personal reasons for supporting a particular seNice. Thank you to all the individuals, groups, schools, churches, many fellowships.and clubs and employers who have generously supported STSFT'S Charitable Funds. The total resources expended were £4,663k (202212023: £1,096k) an increase of £3,567k. This increase is primarily attributable to Capital Asset contributions to the NHS consisting of medical equipment and building schemes that have been considered and approved by the Charitable Funds Committee during the course of 2022123 and 2023124. This will vary from one year to another reflect specific proposals received from the Trust. REGISTERED CHARITY NUMBER - 1052366 20 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 Expenditure spanned the usual range of patient amenities which include regular events such as Christmas presents for patients occupying a bed on Christmas Day, babies born over Christmas and children attending theatres and A&É over Christmas, staff amenities were principally the costs of delivering the Thrive staff psychology service, the Inclusion Advisor staff post and fumiture for the Education and Training Cent￿. A lesser sum was expended on Retirement gifts and long service award vouchers as these became a Trust revenue cost with effect from 1 September 2023. Reserves Polic The Trustee's Reserves Policy forms part of the plan to provide long term support to STSFT for new equipment, patient and staff benefits. The Charity's General Purpose fund is available for Trustwide initiatives and as such is classed as the ' free reserves,. The Trustee intends that designated funds are spent within a reasonable period of receipt unless funds are reserved for major future developments and therefore foresee a need only to maintain reserves sufficient for general Trust-wide funding applications. The Trustee continues to review the balances held within designated funds in accordance with the provisions of the NHS Acts relating to Charitable Funds, to determine whether these funds are likely to be committed in the near future and the extent to which there is a continuing need identified. In the event that the need identified no longer exists, those funds will be directed to the General Purpose Fund which is managed by Corporate Affairs. Free reserves held within the General Purpose fund amounted to £303k {£445k reported at 31 March 2023). Balances may be accumulated in an individual fund prior to the commencement of a project or the purchase of an expensive piece of medical equipment; this is to ensure that there are sufficient resources before commitment so that other earmarked funds are not placed at risk. STSFT is responsible for the day to day running costs and maintenance of . equipment purchased through donated funds. ' The CFC continues to take an active interest in reviewing fund usage to establish that funds are used appropriately and in a timely, controlled manner. There are no funds in deficit. Our Thanks To CHOICE, whose monies were and will continue to be used to fund a number of major medical equipment purchases and during the course of the 2024125 financial year the charity is expecting to continue to make a significant contribution towards the Trust's medical equipment programme. REGISTERED CHARITY NUMBER - 1052366 21 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 We are grateful to the RVS for their contribution from profits and to the South Tyneside League of Friends which used their funds to support a number of applications by wards. As always, the Charity is grateful to the countless volunteer fundraisers who dedicate time and energy to raising funds for a number of specific services. Whatever the value of a donation made, we are grateful to all our donors and we acknowledge that for many, 2023124 continued to be a challenging year both financially and emotionally. We value the letters of thanks that are received, and our sympathies remain with families and friends who donate or continue to fundraise in memory of loved ones. Without the on-going and tireless support of organisations, volunteers, individuals and their families, the Charity would nol be able to pursue the many projects undertaken this year. To all of our donors we give our thanks and hope for your continued support in the years to como. Plans for the Future The Cancer Information and Support Centre located at Sunderland Royal Hospital, and its sister centre at South Tyneside District Hospital, known as the 'Rise Above Cancerf fund continues to support the Personalised Patient Care Programme to look at Survivorship Activities Programmes. Sadly, cancer services are still seeing an increase in referrals of patients with less than six months to live, with increasing numbers of younger patients with young children, for whom benefit advice and legal advice services are vital, and costs are expected to increase. The centre is looking at ways to continue to supply 'Comfort Support packs,. A project to trial two fundraising contactless donation points machines, initially at Sunderland Royal Hospital got underway in Aprll 2024, with donors able make a donation by debit or credit card, The Corporate Affairs department is overseeing where they are located and departments can approach Corporate Affairs to take a machine if Ihey have a specific event in mind where a machine might be useful to have. The monies donated by CHOICE were and will continue to be used to fund a n'umber of major medical equipment purchases. During the course of the 2024125 Financial Year, the charity is again making a significant contribution to the Trust's medical equipment capital programme, in the order of £1,613k. It is expected these will make a significant enhancement to the provision of patient care at the various hospital and outpatient sites operated by South Tyneside and Sunderland NHS Foundation Trust. In some cases the items will provide additional capacity, a welcome support as the Trust continues to actively manage its back log of patients following the COVID 19 pandemic. The provision of additional parent accommodation within Trust Headquarters on the Sunderland Royal Hospital site, in support of services in. the NeoNatal Unit (NNU) is expected to complete in 2024. This accommodation and the enhanced provision already within the NNU is designed to provide a 'home from home, to help parents cope with the demands of having a child in the NNU. REGISTERED CHARITY NUMBÉR - 1052366 22 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS TRUSTEE ANNUAL REPORT 202312024 Alongside our plans for a new Eye Hospital, we've also launched our Vision chaiity appeal. This aims to help raise vital funds so that Sunderland stays at the forefront of the very latest eye t￿atrnentS and cutting edge technologies. Money raised through the Vision Appeal will help fund even more state-of-the-art equipment for the new Eye Hospital. The fund balances carried fO￿ard to 2024125 will continue to be used to enhance services and resources for the provision of healthcare by South Tyneside and Sunderland NHS Foundation Trust. In line with the legal requirement to provide and demonstrale wide ranging patient benefit, the most effective use of our Charitable Funds will continue to be monitored by the CFC. To view the Charity's current and previous Trustee Annual Report and Financial Statements and for further information on areas such as Charities Act updates, Public Benefit Guidance and Good Govemance please visit www.charit commission. ov.uk. By Order of the Trustee Signed..... .(Executive Director) Dated.. 01 KbJ?th8Eo ..2o¥LE...... REGISTERED CHARITY NUMBER - 1052366 23 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS - FINANCIAL STATEMEWS 2023124 Statement of Trustee rosponslbllltles Th8 Trustee is r8sponsible for preparing the Trustee's Annual Report and the financial statements in accordance wlth applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accountlng Pra¢tice}. The law applicable to charities in England and Wales requlres the Truste8 to prepare financlal statements for each financial year which give a true and fair view of the stste of affairs of the Charity and of the incoming resources and applicatlon of resources of th8 Charlty for that P8rlod. In preparing these flnanci815tstements, the Trustee is required to.. seled sultable accountlng policles and then apply them consistently; ' observe the methods and principles in the Charfties SORP (FRS102>; • make judgments and 88tlmat88 that are roasonab18 and prudent: • stst8 vth8th8r appllcabl8 accountlng 8tandard8 have been followed, subied to any material departures dlsclosed and explalned Sn the financial Statements; and ' prepare the financial statem8nt8 on th8 going conc8m basls unle88 6t18 Inapproprfat8 to presume that the Charlty will contlnue in business. The Trustee is responsible for k88ping proper accountlng records that dlsc1088 wlth r8a80nab18 accuracy at any tlme the financial position of the Charity and enable them to ensure that the financlal 8tstements comply wlth the Charities Act 2011, the Charities (Account8 and R8POrts) R8gulatbons 2008 and the provlslons of th8 trust d88d. They are also responslble for safeguarding the assets of the Charty and hence for taking rea80nable stsps for tho prevenllon and d8tectlon of fraud and other irregularities. On behalf of the Tru8tee Signed.. Dlrector o? 2024 Director (T4 bJo)efftE.L . . 2024 Page 24 R8glst8r8d ch8rity number- 1052366 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS- FINANCIAL STATEMENTS 2023124 Independent auditor's report to the trustees of South Tyneside and Sunderland NHS Foundation Trust Charitable Funds Opinion We have audited tho financial Statements of South Tyneside and Sunderland NHS Foundation Trust Charitable Funds (the 'charlV) for the year ended 31 March 2024 which comprlse Statement of Financial Activities. Balance Sheet, Statement of Cash flow and notes to th8 financial Statements, includlng a summary of signiflcant accounting policies. The financial r8PQrtlng framework that has been appli8d in Ih8ir preparation is applicable law and United Kingdom Accounting Standards, including FRS 102 "The Financial Reporting Standard applicable in the UK and Republic of Ireland" (United Kingdom Generally Acc8Pt8d Accounting Practlce). In our opinion, the financial ststements= give a tru8 and falr vlew of the state of the charltys affairs as at 31 March 2024 and of its net income and app15cation of resources, for the year then ended., hav8 been properly prepared in 8ccordanc8 wlth United Kingdom Generally Accepted Accountlng Practlce; and have b&en prepared In accordance wlth the requirements of the Charltles Act 2011. 8a818 for oplnlon W8 conducted our audlt In accordance wlth Intemation81 Standards on Audltlng (UK) (ISAS IUKI) and appllcable law. Our responslbllltles und8r those standards are further descrlbed in the Auditor's responsibilities for the audit of the financial statements section of our report. We are independent of the charity in accordance with the ethical requirements that are relevant to our audit of the financial statements In th8 UK, including the FRC'S Ethical Standard and we have fulfilled our other ethical responsibllities in accordance wlth these requirements. W8 b81iev8 that the audit evidence we have obtain8d is sufficlent and appropriate to provlde basis for our opinlon. Concluslons relatlng to golng conc•rn In audltlng the flnancial statements. wa have concluded that the trustees, use'of the going concern basis of accounting In the preparation of the financial 5tatements18 appropriate. Based on the work we have performed, we have not Ident5fied any material uncertalnties relating to events or oonditions that, Indivldually or collectlV81y, may cast significant doubt on the charlty's ability io continue as a going concern for a period of at least elve months from when the financial ststements are authorised for Issue. Our responsibilities and the responsibilities of the twstees with respect to going concem are descrlbed in the relevant sections of this report. Other Informatlon The other informatlon comprises the information included in the annual report, other than the financial statements and our auditor's report thereon. The trustees are responsible for the other information. Our opinion on the financial statements does not cover the other information and we do not express any form of assurance conclusion thereon. Page 25 Register8d charity number- 1052366 SOUTH TYNESIOE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS - FINANCIAL STATEMENTS 2023124 INDEPENDENT AUDITOR'S REPORT TO THE TRUSTEE OF CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS (CONTINUED) In connectlon with our audit of the financial statements. our responsiblllty is to read the other information and, in doing so, conslde vthether the oth8r inft)rmation is materially inconsistent with the financial stataments or our knowledge obtained in the course of the audit. or otherwise appears to be materially misststed. If we identify such material inconsistencies or apparent material misstatements. we are required to d8tamiine whether there is a material misstatement In the financial statements or a material misstatement of th& other infomiation. If, based on the vrfork we have p8rfomied. we conclude that there is a material misstatement of this other information, we are required to report that facf. We have nothlng to report In this regard. Matt¢rg on whlch we aro requlrod to report by exceptlon In Iloht of the knowledge and understanding of the charity and Its environment obtalned in the course of the audit, we have not idantlfied materlal mlsstatements in the Trustees, Report. We have nothlng to report In tespect of the followlng matters In ￿latiOn to whlch tha Charities (Accounts and Reports) Regulations 200.8 requires us to report to you if, In our oplnlon.. the Informatlon glvan In the flnancial ststements Is Snconslstent In any materlal raspect wlth tha Trustees. Report. or sufficient accountlng records have not been kept,. or the financial statements are not in agreement wlth the accounting records: or we have not received all the information and explanatlons we requlre for our audlt. Ro8pon8lbllltl•8 of trustoas As explalned more fully In the trust8a r8sponslbllllles statement set out on page 23, the trustee is responsible for the preparation of the financial statements and for belng satisfied that they glve a Irue and falr view. and for such Inlernal control as the trustees determln8 is necessary to enable the preparatlon of financial statements that are free from mated81 misstatement, whether due to fraud or error. In preparlng the financial statements, the trustee are responsible for assessing the ¢harlty's ability to continue as a going concern. disclosing. as appllcable, matt8rs related to going Concern and uslng the going Concern basis of accounting unless the trustees either Intend to liquidate the charlty or lo cease operations. or have no realistic altemative but to do so. Page 26 RegiSte￿d charity numb8r- 1052366 UTH TYNESIDE AND SUNDERLAND NHS FOUNDAMON TRUST CHARITABLE FUNDS- FINANCIAL STATEMENTS 2 23124 INDEPENDENT AUDITOR'S REPORT TO THE TRUSTEE OF CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS (CONTINUED) Auditor's responsibllltles for the audit of the flnancial statements We have been appoint8d a5 audltor under section 144 of the Charities Act 2011 and report in accordance with the Act and relevant regulations made or having effect thereunder. Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material. misstatement, whether du8 to fraud or error, and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAS {UKI will always detect a material misstatement when it exists. Misstat8ments can arise from fraud or error and are considered mat8rial If, individually or in the aggregate, they could reasonably be expected to 5nfluence the economic decisions of users taken on the basiè of the financial statements. Irregularities. including fraud, ar8 instances of non-compliance With laws and regulatlons. We deslgn, procedures in Ilne with our responsibilltles, outlin8d above, to detect material misstatements in respect of irregularltles, including fraud. Based on our understanding of the charity and Its activit18s, we Identified that the principal risks of non-compliance with laws and regulatlons related to the iJK'tax legislation, p8nslons legislation. employm8nt regulatlon and health and safety regulation, anti-brlbery, corruptlon and fraud, money laund8ring and we considered the extant to which non {19) 11,690) (2851 Not current a88ets 32 159 Total not assets 8,790 186 159 9,135 10,275 Retalned funds of th• Charlty Endowment Funds Restricted Income Funds Unrestrfcted Incom8 Funds 13.1 13.3 13.5 159 159 186 8,790 159 166 9.950 186 8,790 Total retslned funds of tha Charl 8,790 186 159 10,275 The financial statements on pages 30 to 46 w8r8 approved by order of the Trustee on and signed on its behalf by: 2024 KW Bremner M.B.E. Chief Executive, South Tyneside and Sunderland NHS Foundation Trust. Corporate Trustee Page 31 Registered charily numb8r- 1052366 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRU T CHARITABLE FUNDS - FINANCIAL STATEMENTS 2023124 STATEMENT OF CASHFLOW Year Ended 31 March 24 £'OOOs Year Ended 31 March 23 £￿009 Net income and expendlture for the r8portlrw period (Increase) in current debtors Investment Income received Net Loss on investments revaluatlon (De¢￿ase) I Increase in current creditors Net cash Inflowl{oufflow) from oporatlng actlvltl08 (1,140) 24 1433) {2131 1,405 (357) 1,720 {9) {173) 239 (358) 1,419 Dlsposal at sale proceeds values Acquisltions at cost Investment income r8ceived 303 (3721 433 1.274 (1,204) 173 Net ca8h Inflowl{oufflow) from Invo8tm•nt actlvltle8 243 Not cash Inflowl(outn¢)w) oash and cash oqulvahnts 1,662 Ca8h and cash equlval•nt¥ at b•glnnlng of the p•rlod 7,035 5,373 Ca8h and cash equlvalents at •nd of tho perlod Page 32 Registered charity number- 1052366 ￿T￿E IOE TA NOTES TO THE FINANCIAL STATEMENTS 1 kthinilng Polkl 1.1 8a•b otpr•wrntlo Th98e Inor￿￿1 ststèments Iw• boan prepared undertr* hiitothlcost¢oThthkn as rnodlw tythe offywestmgnl¥ at mBrkei valuo. In 8ccordance wlth lh8 AccounlrYJ arK4 Reporthg by Chanues.. Stslomeiii ofRecomm¢nthl Praclke appkabb ￿ charft*s pTrp8rfThJ Ilwaccount8 in a¢¢orf8rth wth Ihe RTh8n¢&l Repothg Standard appllcabb in Ihe UK and R¥pubUG ol lrn&nd IFFIS 10211th1￿9 Ir(wn 1 J8nuttry 20191-Ch*th 50RP IFRS 1021. Cornp8nla& 2W6ar*J thg Charftle8 Aei 2011. accoundThJ po¥ckn• appl￿ In thg preparnkn oflhesa statemerts are 88t out bekx. Th98¢ prrtk￿ have ￿en conglstonty applbd to •lth• yggr8 pfBsentsd. un￿6 otherwi8e 8tatott. The Choty conJthB a wblk bonefft entty a$ defined by FRS 102. The TnJstqe consttth that ih8r8 ara no m8tsdal unG0rt8knl￿ atrwlthe c￿1￿8 ab￿ to Cen￿n￿ aB a gohvJ Concem. Th¢ urKertoln •¢onomk ouLk)ok and tho vartabw fvom don8lh)n$ *gael•s y8ar-ttry•8f roPrn88rts a 8*nhlc8nt aroa of financlgl uncertalnty for ChBrfty. Th& Cha mll10¥￿9 th1¥ rf5k through m8lntsinlThJ dfv•r8ty In stre￿$ ar*1 upwkng 4vlhort8athJn controts w prevent ov8r £1 k Indlvlduals glving > £100 Fundraising - voluntary (not via STSFT) Other Total• 160 150 Total 2024 Funds £000 Totsl 2023 Funds £000 Unrestricted Funds £000 Restricted Funds £000 Endowment Funds £000 2.2 L•gac188 Paedlatrics Corporat8 - Nurslng Ophthalmology Urg8nt + Emergency Care Medical Specialties PerioperatlV8 + Crtllcal Care Rehab and Elderly Medicine General Purposes 300 36 23 12 300 23 12 11 372 373 57 In total 9 legacies were received during 2023124. of which 1 was residuary Sum (2022123 .' 7) 2.3 Total donatlon8 and legaclo8 2,776 2,779 2,737 Total 2024 Funds £000 Total 2023 Funds £000 Unrestricted FurKIs £000 Restricted Funds £000 Endowment Funds £000 2.4 Grants Grants from Charities CHSA- Covid19 Healthcare Support Appeal 60 60 Page 38 Registered charity number- 1052366 SOUTH TYNESIDE AND UNDERLAND NHS FOUNDATION TRUST CHARITA8LE F S - FINANCIAL STATEMENTS 202 NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) Income from charltable activities Total 2024 Funds £000 Totsl 2023 Funds £000 Unrestricied Funds £000 Restrictad Funds £000 Endowment Funds £000 Course and conferenco fees 93 93 80 7 dmerent course types were heid {2022r23 .' 8). Income from other tradln9 actlvltles Total 2024 Funds £000 Totsl 2023 Funds £000 Unrestrlcted Funds £000 Re51rfcted Funds £000 Endowment Funds £000 Staff lottery Page 39 Registered charity number- 1052366 SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TR T CHARtTABLE FUND FINANCIAL STATEMENTS 2023124 Detalls of Fundralsing oxponditure NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) Totsl 2024 Funds £000 Total 2023 Funds £000 Unrestricted Funds £000 R8stricled Funds £000 Endowment Funds £000 8oughl-In services from NHS Investment Broker fee Corporate Fundralsing r)on pay (2) {25) {2) (24) (11 (26) 28 29 27 All traded investment business covering all funds is handled by the Charity's investment broker, Rathbone Investment Management Ltd. Bought-in services relat8 to salary recharg85 from STSFT in respect of managlng the staff lottery £2k, 0.08 whole time equivalent- wl812022123'. £2k, 0.09 wte) Dotalls of Charllable actlvltles expondltur• Total 2024 Funds £000 Total 2023 Funds £000 Unrestricted Funds £000 Restricted Funds £000 Endowment Funds £000 .1 Cost of Charftable Activities P8ti8nts' welfare 8nd amenllles Course and conférence costs Contributions to NHS Staff welfare and arn8nilies Support and govarn8nce costs {247) (91} (3,8781 (335) 82 1247) (91) (3.878) (335) 83 4.634 (293) (56) (517) 1137) 66 1,069 Analy•l• of 8UPPOrt costs expondltur• Staff I Patient Course and Welfarè and Conferencè Amenities Costs £000 £000 Total 2024 Funds £000 Total 2023 Fund8 £000 Governance Costs £000 Research £000 Support and governance co8L' Unrestricted Restricted (60) 191 (14) 183) {64) 14 66 Support costs malnly relate to pay in respect of 1.62 whole Ilme equivalent {wtel staff costs of which 0.08 wte was transferred to Governance in conneclion with the preparation of the statutory Annual Financlal St8tements gnd Trustee Annual Report. There are no staff employed dlrectly by the charity therefore there have been no pension contributions made in ltte yèar. Non pay costs include bank charges and the licence fee assoclaled with the Charltable Funds database. In addition d¢Jrlng 23124 there was a one-off charge for o)n8ultancy charges for a CharSty Strategic Review.Inlern81 audit charge 2023124 nil {2022123 '. nil). Governance costs include the statutory annual audit by Robson-L8idler for 23124 total £9,200 exclusSve of VAT (2022123 £8,750 excl VAT) and an element of support costs detailed above. Page 40 Registered charity number- 1052366 SQUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITAB E FUNDS- FINANCIAL STATEMENTS 2023124 NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) Analysis of total xpenditurn Inve5trnent Costs of m￿ag￿nent Fundrasing £LYJO Costs of Charitable Activities Govemance Costs £000 Total 2024 £000 Totpj 2023 £000 £coo £000 Other Bought-in services frorn NHS Investment Broker fee Audit fees - external statutory audit provislon {1) (2) (4,177) (443) {4,1781 (845) {217) (24} (10) {3) (26) 126) 111) (111 26 14 4,863 1,096 Gran18 made lo In8titutlons and Indlvldual• During the year, the Charity m8de no grants to indlvlduals or other inslilutSons but funding was provided lo STS for the benefit of patients. staff which could not be fund8d out of NHS operating expenses. Page 41 Rgjislered charity number- 1052366 UTH TYNESIDE AND UNDERLAND NH OUNDATION TRUST CHARITABLE FUNDS - FINANCIAL TATEMENTS 2023124 Analysls of non currènt asset Inv88tments NOTES TO THE FINANCIAL STATEMENTS {CONTINUED) Traded Non Curr•nt A8s•t Inv•8trn•nts: 2024 Total £000 2023 Total £000 Managed Portfollo8 Market value at 1 April Less: Disposals al Sales Proceeds values Add.. Acquisitions at cost Net unrealised and'realised gain l (loss) on sale and r8valuation Market value at 31 March 3.481 {303) 372 213 3,763 2.729 (312) 1.204 140 3.481 Flxed Interest Fund Holding Market value et 1 Aprll Less.. Disposals at Sales Proceeds values Add.. Acquisitions at cL)st Net unreallsed and reallsed galn l {loss} on sale and revaluation Market value at 31 March 1,061 (962) 99 Total non curront a•ut In￿stmentS 3,481 H18torlc cost at 31 Ma￿h . Managed Portfolios 3,968 3,896 Trad•d Non Currnnt A88Ot In￿81M0nta. 31 March 2024 Total £000 31 March 2023 Total £000 In th8 UK Outside the UK 1,573 663 1.487 551 In the UK Outside the UK Total 1,008 521 3,763 983 460 3,481 Analy818 of gro88 Income from Investments Total gross Incom•: 2024 Total £000 2023 Totsl £000 Inv en In the UK Outside the UK Unli ted securiti In the UK Outside the UK 54 21 17 Investments in a Common Deposit Fund Current account I short temi interest Total 25 318 433 15 68 173 Page 42 Registered charity number- 1052366 so TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST CHARITABLE FUNDS - FINANCIAL STATEMENTS 2023124 NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) Analy818 of 10 Amounts falling due within on8 year: Trade and oth•r Recelvablos 31 March 2024 £000 31 March 2023 £000 Trade receivables Amounts due from STSFT Prepayments and accrued income Total recelvablos falllng due wlthln on• ￿ar 13 32 12 44 20 Analys18 of Cash and Ca8h Equlvalants 11 Cash and cash equlvalents 31 March 2024 £000 31 March 2023 £000 ash at GBS ( and commerclal bank 31 March 2022} Notice Deposits {less than 3 months) Cash held in deallng account with Investment Broker Total cash and cash •qulval•nt8 6,526 465 51 7,042 6.424 465 146 7,035 Analys1• of 12 Amounts falllng ¢ue wlthln one year.. Trado and oth•r Payabl•8 31 March 2024 £000 31 March 2023 £000 Amounts due to STSFT Trade payabl88 Accruals and deferred incotne Total payable8 falllng dua wlthln ono yoar (564> {1,112) 14 (104) (45) 136 285 Anal￿18 of 13 Fund8 13.1 Endowmont Fund• B818nc8 1 Aprfl 2023 £000 Balanco 31 March 2024 £000 Detalls of materlal funds - Endowment Fund• Galn8 on Galn8 on Disposals Revaluations £000 £000 Income Expendlture £000 £000 Transfer8 £000 Fund 1910 Legacy Fund 1900 Legacy Fund81920-1940 Glftg Total 158 (71 158 159 159 13.2 Doscrlptlon of funds Fund 1910 Legacy Fund 1900 Legacy Fund 1920 Fund 1930 +1940 Capital in Perp8tuity to purchase 8quipment at Sundedand Eye Inflmary. Capital in Perpetuity to place "in memoriam" )lowers in the Chapel. to benefit the Library to benefit Nursing Page 43 Registered charity numb8r- 1052366 TH TYN SIDE NDE ND HS FOUNDATI NTR T CHARITABLE F ND - FINANCI TATEMENTS 2 24 NOTES TO THE FINANCIAL STATEMENTS (coKfiNUED) Analysls of 13 {Contlnu•dl Funds D•talls of materf•l funds- R•8trict•d Funds 13.3 R••tri¢t•d Fund• 88lanc• 1 April 2023 £000 Balanc• Gain on Galn on 31 March Dlsposals Revaluatknn 2024 £000 £000 Incomé Expenditure £000 Transfers £000 Mat•rial fund• Leukaemia Reséarch Legaay OrthopAedics bequ88t Neonatal Unll Lega¢y Other d881gn8tsd funds Total 107 (i 11) 10 125 22 23 186 12 10 13A O••crlptlon of fund• Loukaemla Re$e8rth Legacy Orthopa8dlc8 béque8t For leukaemla and lymphoma ￿Search. For the provislon of an operallng theatre bed 8peclflc4lly d881gned for people 8ufferfng from curvature of tha 8P1 For South Ty￿SIde neonates Neonatal Unrt legacy . D•tallJ of matorljl 13.5 Unr••trlct•d Fund• Balance Bal•nc• fund•- Unr••trlGted Fund• 1 Apdl 2023 Galn on Galn on DI$po8als Revaluatk)n £000 31 March 2024 £000 Income Expendlture £000 £000 Transfèrs £000 Mat•rlal fund• Medlcal Equlpment purposes Paedlatrlc department General Purposes NeoNatsl Unlt SRH ICCU Rlse Above Cancer Glaucorna purposes Maternlty Unlt Phoenlx Unlt - Chemotherapy SEI General Purposes ALS course- Resu5C Renal purposes Pharmacy department Dlabetes purposes Legacy Cllnlcal Haematology SRH Ward D46 Stroke ( pTh E58,D41) ,STDH Cardlology bequests South Tyneslde Communlty Planned Car ENT15ALT purposes SRH Cardiology Gynaecology purposes Urology Unit SRH Coronary Care Nlall Quinn Chlldrens OPD Other Total Unr••trlct•d Fund8 5220 331 2.212 327 (3,5511 (2581 11491 13) 1301 {21 433 322 160 174 143 137 145 17 20 29 177 173 142 27 37 38 {411 {21 119) 181 80 98 65 99 98 10 92 74 78 {81 {61 65 57 60 67 12 121 61 53 53 51 49 49 49 1880 9,950 251 3.291 15621 201 201 1.757 Transfers.. During 2023124 the only transfer wa5 a Gross transfer of funds to move Endowment ICIPI income to Unrestricted fund5 Page 44 Registered charity number- 1052386 TH TYNESIDE AN ERLAN NDAM TRUST ITA8L NDS- FINANCIAL STATEM NTS2 Ofjtslls of matgrl•l fvnds- Unrestrlct Funds (contlnu•dl NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) 13.6 O••crlptlon of funds Medlcal EquIp￿ent purpose5 (incl CHOICE donation) PaedlaMc department General Purposes NeoNatal Unlt Larger items of medical equipment fijnded from CHOICE donations. Equlpmant and pquent amÉniUes acro88 Paediatrfcs Tru8twide in accordance wlth the objects of the Charity. Equipm￿1 and patient amenities for the Neonates Se￿¢8 set by NHS Charllles Togelher {Incl Captsin Sir Tom Moore diS￿butIon5). PuryJ088s benefilting Ihe Inlenslve Crilcal Care Unit Information. support and compllmentary therapy treatrnent rooms on Sundertand Royal and South Tyneside Dlsthct hospitsl 81tds Ino)rporallng the GRAD S fund, lor glaucoma service purposes indudlng research and development Eouipmenl for the rnatemlty unlt and purpos88 In accordance wlth the obigcts ofthe Charlty Equlpment and p81i8nl amenllles vAthin the Unll- rèloc81gd For Eye Inflmary benefll In accordance wlth the objects of the Charfty. Advanced Llfe Support eourse delivery For expendiiure In 8ceordance ￿th the oblects of the CharSty. Equlpmenl. tralning and education wlthln the dapartment. For expendlture in accordance wllh the object8 of th8 Charfty. EoulpmenL educaJon and p•lenl care In Cllnlcal Haematology. Equlpment and patjenl amonlUa8 Withln Ihe ward SRH ICCU Rlse Above Cancer aucoma purp()ses Matemlty Unlt Ph￿nIm Unlt - Chemotherapy SEI General Purposes ALS ￿￿r¥8- r88uscltstlon Renal purposes Pharmacy department Dlabetes purposes Legacy ainlcal Haematoloqy SRH Ward D46 Stroke (prevlously located on ward E58) STDH card101￿¥ bequests South Tyneslde Communlty Planned Care ENTISALT purposes SRH Cardloloqy GYnaecol￿Y purposes Urologv Unlt SRH Coronary Ca Nlall Qulnn ChIld￿n$ OPD For axpendlture In accordance the oblacts of the Ch8rfty. For expendlture In accordan¢• wlth the oble¢t8 of tha Charfty, For purw$68 Includlng Head and N8¢k.¢4nc•r 88rvlce8 For 6xp8ndllur8 In aGcordance the objects of tho Charlty. For expendlture In accordanGe wlth the oble¢ts of the Charfty. For 8xp8ndlture In accord¥nce wlth the oblects of thè Charlty. For axpgnditure In 8ccordance wlth the oblects of the Charfty. For expendllure In accordance wlth the objects of the Ch8rlty. Page 45 Registered charSty number- 1052366 SOUTH TYNESIOE AND S NDERLAND NHS FOUNDATION TRUST HARITABLE FUNDS - FINANCIAL STATEMENTS 202 124 NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) Trustee and Connectsd Persons Transaetion8 14 14.1 Recharg08 from Corporato Trusts STSFT. as Corporate Trusteè of the Charfty. incurred rechargeable expenditu￿ on beha￿ of the Charity amounting to £3,364,409 (202212023: £1,138.486). Thé rechargeable 8XpenditU￿ relates to the ChariV$ objectives, and represents the majority of the resource5 expended as shown In note 8.1.STSFT does not recharge any costs for servlces provided by its Directors. An amount of £564.016 is included withln payables for outstanding transactions not yet reimbursed. (£103,580 payable re 2022123). 14.2 Analys1• of Contrlbutlon• to NHS The Charfty provided the followlng capitsl donations to STSFT: 2024 £000 2,845 2023 £000 379 Equlpment Fixtures and Fittlngs IT equipment Bullding$ 137 1.033 3,878 517 14.3 Trugt•• Ind•mnlty Insuran No indemnlty Insurance was provided to the Trustee in the year to 31 st March 2024 (2022123 Nil). 14.4 R•latod Party Tran•a¢tlon8 Thg Charity has made revenue and capital donations to Ils Corporate Trustee, STSFT. The Corporate Tru$tge, which is the ultimate controlling paty. conslsts solely of members of th8 Board of Directors who assume responsibility and accountability for the Charity. During the year, none of the Dlrectors or members of the key management staff or parties related lo them has undertaken any prlvate tran$actlons with the South Tynesid8 and Sunderland NHS Foundation Tru#t Charltable Funds. No member of the Board of Directors ha$ been reimbursed "out of pocket 8xpense8 by the Charity. There ware no loans or guarant893 secured agalnst assets of Ihe Charlty in the year to 31st March 2024 (2022123 Nill. The Charitable Funds receiv8d a donation of £2.000,000 (2022123'£2,500,0001 from City Hosprtals Indepèndent Commerclal Enterprises Ltd {CHolCE), which is the subsldiary of STSFT. The Charitable Funds did not place any non stock requisitions via CHOICE, however ona Capital order for £34k was inadvertantly proc8ssed through CHOICE, who also processed minimal value stock items for Comfort CarelEnd of Life Car8 Packs £1961, (2023123.. £1701 Internal audit services are provided by Audilone. Services provl¢ed lo the Charity by Auditone during the flnanclal year 2023124 were nil122123.' nll). 14.5 Post Balanc• Sha¢t Event A bequest of £43.049 was received in June 2024, which was not qualifiable until that date, though communlcation had been received from the solicitor during 2023124 that the charity was to be a residuary beneficiary of the d￿ased.8 Will. Page 46 Registered charity number- 1052366