Buckinghamshire
Healthcare NHS Trust
Charitable Fund
Annual Report
and Accounts
2024/25
860

Table of Contents
l. Key Highlights
Page 4
2. About the charity
Page 4
2.1 Buckinghamshire HeaLthcare NHS Trust Charitable Fund
Page 4
2.2 Reference and administrative details
Page 4
2.3 Professional advisors
Page 7
3. Objectives and public benefit
Page 7
3.1 Objectives
Page 7
3.2 Public benefit
Page 7
4. Highlights of the year
Page 8
4.1 Supporting our patient and communities
Page 8
4.2 Supporting workforce wellbeing
Page 10
4.3 Fundraising and events
Page 10
5. Financial summary
Page 12
5.1 Review of finances
Page 12
5.2 Investment policy and performance
Page 12
5.3 Reserves
Page 13
5.4 Grant-making policy
Page 13
5.5 Fundraising
Page 14
5.6 Governance
Page 14
5.7 Risk
Page 14
5.8 Financial risk management
Page 14
5.9 ConsoLidation of accounts
Page 15
6. Plans for the future
Page 15
7. Financial Information
Page 16
7.1 Statements
Page 16
7.2 Independent Auditors Report
Page 17
7.3 Statement of FinanciaL Activities for the Year Ended 31 March 2025
Page 20
7.4 Balance Sheet as at 31 March 2025
Page 21
7.5. Statement of Cash FLOWS for the Year Ended 31 March 2025
Page 22
8. Notes to the Accounts
Page 22
8.1 Accounting Policies
Page 22
8.1.1 Accounting Convention
Page 22

8.1.2 Income
Page 23
8.1.3 Expenditure
Page 24
8.1.4 Fixed Asset Investments
Page 25
8.1.5 Realised Gains and Losses
Page 26
8.1.6 Changes in the Basis of Accounting
Page 26
8.1.7 Cash Flow Statement
Page 26
8.1.8 Income and Expenditure ALLocation
Page 26
8.1.9 Post Balance Sheet Events / Prior Year Adjustments
Page 26
8.1.10 Pooling Scheme
Page 26
8.1.11 Related Party Transactions
Page 26
8.2 Analysis of Income
Page 27
8.3 Charitable Expenditure
Page 27
8.4 Trust Salaries and expenses reimbursed
Page 28
8.5 Analysis of charitable expenditure
Page 28
8.6 Apportionment and aLLocation of support and governance costs
Page 29
8.7 Fixed asset investments
Page 30
8.8 Stocks
Page 31
8.9 Analysis of current debtors
Page 31
8.10 Analysis of cash and equivalents
Page 31
8.11 Analysis of current creditors
Page 32
8.12 Analysis of funds
Page 32
8.13 Transfers between funds
Page 34
8.14 Reconciliation of net movements in funds to net cash flows from operating
activities
Page 36
8.15 Material legacies
Page 36
8.16 Connected organisations
Page 37
8.17 Contingencies
Page 37
8.18 Material guarantees
Page 37
8.19 Commitments, liabiLities and provisions
Page 37
8.20 Key assumptions and judgements
Page 40
8.21 Disputes with other parties
Page 40
8.22 Taxation
Page 40
8.23 Post balance sheet events
Page 40
8.24 Comparative statement of financiaL activities
Page 41

l. Key highlights
2024125 was another successful year for the Buckinghamshire Healthcare NHS Charitable Fund (the
Charity). We continued to support patients to enhance their care and also gave support to our
colleagues to help deliver healthcare services.
We raised more than £800k this year and spent £558k on patients, welfare, delivering medical
equipment, wheelchairs, sensory and therapy activities to support many vulnerable people. We
invested £91k in supporting our colleagues, of which £21k was for training and development. We also
continue to collaborate with other local charities on projects to improve patient care and outcomes.
We would (ike to thank all our benefactors, fundraisers, supporters, volunteers and colleagues for
their continued generosity and for their commitment and time in raising funds to support the
activities of the Charitable Fund. The level of support the Charity receives is exceptional, and for
this, we are extremely grateful. These donations make our work possible, and your future donations
are the key to our continued success.
£800k + raised
£558k spent on
patient welfare
£91k spent
supporting colleagues
2. About the Charity
2.1. Buckinghamshire Healthcare NHS Trust Charitable Fund
The Trustee's Annual Report and Financial Statements for 2024125 have been prepared in
accordance with the Charities Act 2011 as amended by the Charities Act 2016, the Charity
(Accounts and Reports) Regulations 2008, the Statement of Recommended Practice on Accounting
and Reporting for Charities (SORP FRS 102), the Charity Commission's general guidance, the
Charity's Trust Deed, and applicable United Kingdom accounting standards.
2.2. Reference and Administrative Details
The Buckinghamshire Healthcare NHS Trust Charitable Fund (the Charity) is a charity registered with
the Charity Commission, registered charity number: 1053113, with contact details as foLIows:
Buckinghamshire Healthcare NHS Trust Charitable Fund
Whielden Street
Amersham
Buckinghamshire
HP7 OJD
01494 411700
Website: https:
www.buckshospitalscharity.org
The Board members of Buckinghamshire Healthcare NHS Trust (the Trust) on the date of approval of
the financial statements and during the 2024125 financial year are shown below=

Board of Directors
Name
Trust position title;
David Highton
Chair
Neil Macdonald
Chief Executive
Raghuv Bhasin
Chief Operating Officer/lnterim Chief Executive
Jenny Ricketts
Chief Nurse
Mr Andrew McLaren
Chief Medical Officer
Jon Evans
Chief Finance Officer
Bridget O'Kelly
Chief People Officer
Ellis PuLlinger
Interim Chief Operating Officer
Duncan Dewhurst
Chief Digital & Transformation Officer
Charmaine Hope
Chief Estates and Facilities Officer
Dr Lise Llewellyn
Non-Executive Director
John Lisle
Non-Executive Director
Nicola Gilham
Non-Executive Director
Nicola Frayne
Non-Executive Director
Anu Sekhri
Non-Executive Director
Sachin Jogia
Non-Executive Director
Dr Adrian Hayter
Non-Executive Director (Associate}
Claire Martin
Non-Executive Director (Associate)
Katie Higginson
Non-Executive Director (Associate)
Kavan Nagi
Board Affiliate
Morgann Bruce
Board Affiliate
Dr Poppy Flanagan
Board Affi(iate
Michelle Baker
Board Affiliate
Changes to the Board of Directors during 2024/2025:
Name
Trust position title
End date
Start date
Karen Bonner
Chief Nurse
1511212024
Jenny Rickets
Chief Nurse
1611212024
Tom Roche
Non-Executive Director
1310212025
ELaine Slew
Non-Executive Director
31101/2025
Claire Martin
Non-Executive Director (Associate)
26/0312025
Katie Higginson
Non-Executive Director (Associate)
2610312025

Changes to the Board of Directors during 2025/2026:
Name
Trust position title
End date
Start date
Neil Macdonald
Chief Executive
0311012025
Raghuv Bhasin
Chief Operating Officer
03/1012025
Raghuv Bhasin
Interim Chief Executive
06110/2025
Ellis Pullinger
Interim Chief Operating Officer
0611012025
Kavan Nagi
Board Affiliate
30111/2025
Nicola Gilham
Non-Executive Director
0410812025
Dr Poppy Flanagan
Board Affiliate
31/0812025
Michelle Baker
Board Affiliate
0110912025
Anu Sehkri
Non-Executive Director
0110712025
Sachin Jogia
Non-Executive Director
05/0812025
Morgann Bruce
Board Affiliate
0111212025
Membership of Charitable Funds Committee
Name
Trust positlon title
Nicola Gilham
Non-Executive Director/CFC Chair
John Lisle
Non-Executive Director/CFC Chair
Katie Higginson
Non-Executive Director (Associate)
Jon Evans
Chief Finance Officer
Les Broude
Honorary Independent Member for Donors
Maria Earley
Honorary Independent Member for the Interest of Colleagues
PhyLlis Scullion
Honorary Independent Member for Medical
Graham Livesey
Honorary Independent Member for Patients
Changes to the Charitable Funds Committee:
Name
Trust posltlon tltle
End date
Start date
Nicola Gilham
Non-Executive Director/CFC Chair
05/0812025
Start as CFC
Chair:
0510812025
John Lisle
Non-Executive Director/CFC Chair
Katie Higginson
Non-Executive Director (Associate)
26103/2025
Phyllis Scullion
Honorary Independent Member for Medical
2410512024
Graham Livesey
Honorary Independent Member for Patients
24/0512024

2.3. Professional advi
rs
Government Banking Seniices
Royal Bank of Scotland, 36 St Andrew Square, Edinburgh EH2 2YB
Investment Manager
Cazenove Capital Management Ltd, l London Wall Place, London EC2Y SAU
Auditors
Ernst & Young LLP, 400 Capability Green, Luton LUI 3LU
Solicitors
Capsticks, I, St George's Road, Wimbledon SW19 4DR
3. Objectives and Public Benefit
3.1. Objectives
The objective of the Charity is to apply the income and capital (where permissible), for any
charitable purpose or purposes relating to the National Health Service. Most of our activity is in
Buckinghamshire for patients of the Trust and the local community.
The Trust's vision is to provide outstanding care, create healthy communities and make the Trust a
great pLace to work. Outstanding care that is compassionate and inclusive, and delivers the best
possible outcomes most efficiently. Healthy communities where we play our role in communities to
support people to live independent, healthy lives at home. A great place to work that is inclusive
and compassionate. A workplace that learns and improves together and values the health and
weLlbeing of our colleagues because we know happy, healthy people deliver the best care.
To deliver the vision, the Trust has three strategic priorities allied to our objectives as follows:
NHS
Buckinghamshire Healthcare NHS Trust
Buckinghamshire Healthcare
NHS Trust
Outstanding care
Enhance patient experiences
and outcomes
Healthy communities
Support people and
communities to live well
A Great place to work
Support workforce and
wellbeing
3.2. Public Benefit
The Charity achieves public benefit by supporting patients of the Trust, supporting the health of
everyone in our community and supporting the Trust's colleagues to improve patient experience.
The Trustee is satisfied that the Charity complies with the public benefit parameters established by
the Charity Commission.

4. Highlights of the Year
The Charity accepts requests for expenditure on projects from any colleague working for the Trust.
Each request is carefully considered based on its alignment with our charitable objectives, potential
impact on patient care, and overall benefit to the Trust. In 2024125 we received 117 requests asking
for a total of £1.3 million.
4.1. Supporting Our Patients and Communities
A total investment of £558k (2023124: £562k) has been allocated to patient welfare and amenities.
This funding supports the acquisition of medical equipment, the implementation of projects aimed
at enhancing patient care and monitoring, as well as the improvement of hospital facilities and the
overall environment.
Patient Monitors in the National Spinal Injuries Centre
This project upgraded patient monitors in the
National Spinal Injuries Centre (NSIC) to enhance
safety, clinic efficiency, and integration with
Electronic Patient Records. The new monitors let
staff observe patients centrally, even with doors
closed, maintaining privacy.
mlndray
New patient monitor installed in St. Patricks Ward
Reminisce/Rehabilitation & Interactive Therapy Activities systems
FolLowi ng a successful trial of the
Reminisce/Rehabilitation & Interactive Therapy
Activities (RITA) systems, the charity decided to
fund 12 units, now located at three different
hospital sites within the Trust. The RITA systems
have been shown to help patients who may feel
lonely or confused. Paula, a patient on the
Waterside Ward at Amersham Hospital, shared
her thoughts about using the RITA system.
Paula, using the RITA System
"I think this is really important, it's needed for social interaction, and I feel
it frees my mind. I have feltpanicky in hospital a few times so it's nice to
know there are lots of different things to do on RITA. A ladysat with me
using RITA yesterday who has dementia, and she enjoyed creating her
own garden"
Children's Emergency Department Mental Health Room and
Sensory Equipment
The charity applied for a grant to create a new mental health room and provide portable sensory
equipment for the Children's Emergency Department (Children's, ED) at Stoke MandeviLle Hospital.
The room and equipment are designed to support children with learning diff iculties, autism, or
mental health needs, including those who are bed-bound. A parent also shared feedback about their
experience in the department.

Mental health room (left) and CED Projector in a patient room (right)
' Yesterday I had to attend with my son, who has ADHD, ASD, learning
difficulties and is non-verbal. We were quickly seen by a nurse and then
sent on to the Children's ED.
In ED, my son was triaged straight away andgiven a room. When he became
more dysregulated and anxious, the nurse immediately brought in a
fantastic sensory machine, which kept him calm and occupied throughout
our whole stay.
NSIC Wheelchair fleet
The charity funded a complete wheelchair fleet replacement at the National Spinal Injuries Centre,
providing patients with suitable equipment and enabling faster rehabilitation while Lowering risks
from extended bedrest.
-'1,: I,,,,.)), kj).
New wheelchairs deLivered to NSIC
Specialist Cardiac Rehab Nurse
The charity provided funding for a Specialist Cardiac Rehab
Nurse, to increase the number of Cardiac Rehab clinics
available for a range of patients. This should help improve
health outcomes for more cardiac patients, reduce
readmission and allow faster access to rehab clinics
improving the confidence and independence of patients.
Defence Medical Welfare Officer
The charity supported the employment of a Defence Medical
WeLfare Officer, to provide a range of supportive services to
the Armed Forces Community to improve their experiences of
primary and secondary care.
Helen Stewart,
Defence Med icaL WeLfare Officer

4.2. Supporting Workforce Wellbeing
A totaL of £73k (2023124: £137k) has been spent on supporting workforce wellbeing.
A healthy and motivated workforce gives a real benefit to patient care. Key projects in 2024125 are:
A Wellbeing Group Therapist to help prevent and reduce
work pressure for trust colleagues. This investment
expanded counselling options with group sessions,
complementing existing one-to-one support and aiming to
reduce burnout before issues escalate. The role has
already offered support to over a thousand colleagues.
Support for volunteers who offertheirtime to support our
patients, visitors and colleagues.
AdditionaLly, the Charity has invested in and supported
activities aimed at improving individual and team morale,
through Trust-wide colleague awards for excellent patient
care (CARE Awards), colleague development and training, and
wellbeing support events, webinars, and activities.
In 2024125 £21k was spent on supporting development and innovation (2023124 £5k).
The Charity provides support for colleagues at Buckinghamshire Healthcare NHS Trust in areas such
as conferences, workshops, and individual training. This assistance contributes to personal
development and the improvement of skills relevant to patient care.
Judith Twycross,
Psychological WeLlbeing Group Therapist
4.3. Fundraising and Events
This financial year has seen increased support and engagement across the community, whether
through ind ividual fundraising, participation in challenge events, or donations directly to the
charity. We are grateful to everyone who has supported us this year, whether volunteering,
fundraising or donating. Thank you.
London Marathon
We started the year with 9 runners in the London Marathon 2024 who raised just under £14k for the
Charity. In 2024 we went on to steward an additional 6 x runners ready for the 2025 London
Marathon supporting a range of fundraising initiatives including cake sales and quiz nights with our
enthusiastic fundraisers.
Four of our nine runners, Helen, Michelle, Joe and Jodie with their Marathon medals wearing our charity running vests
10

NSIC'S 80th Anniversary
2024 marked the 80th Anniversary of the National Spinal Injury Centre (NSIC), and we celebrated
with events on site such as a 24 hour Table-Tennis-a-thon and street party, as well as running an
inclusive 80km in 80 day challenge which colleagues, patients and families could participate in. In
total we raised just over £25k during the financial year to support the NSIC.
R•(•plK)n
fladii
Itk r',1
ij
th
NSIC Patient Education Team at the Founders Day event marking the 80 anniversary of the NSIC
Mobile Breast Screening Appeal
In September 2024 we launched the Mobile
Breast Screening Appeal in collaboration with
Scannappeal. We kicked off fundraising with
several of the Trust Executive Team and other
supporters running in the Marlow Santa's Fun
Run, as weLI as hosting carols across the hospitals
and working with Breast Unit teams to promote
the appeal. At the end of the financial year the
joint appeal total reached £85.gk, demonstrating
fantastic public support for the appeal in its first
year.
sbtj
'Santa's Scanners, team at the
Marlow Santa Fun Run
Fundraising & Major Donors
One of our most notable fundraisers this year
included a team of walkers & runners who held a
mini marathon in aid of the Neonatal Unit raising
over £2.7k with a walk from Flackwell Heath to Stoke
Mandeville. We have also had several major
donations coming in from patients to support
different areas of the Trust. For example, a £17.6k
donation to enable purchase of FES (functional
electricaL stimulation) bikes in the NSIC, £5k to
support throat and neck cancer treatment, and just
under £8kto enable innovative new equipment for
breast surgery teams.
Neonatal mini marathon participants
presenting a cheque to the neonatal team
11

Amersham Gardens
The Amersham Gardens project has continued to thrive this year, with the dedication of our
wonderful team of volunteers and ongoing support from local businesses and charitable
organisations who support the project. The project was selected for the Coop Local Community
Fund for 2024125 with a minimum donation of £lk going towards Amersham Gardens, customers
voting for the project can help to increase this donation, and we look forward to the final total
donation in late 2025. We also had supportfrom Hubbub Nature Hub Fund with £6k to support our
Butterfly Borders project. The Amersham Community Board also helped us develop our Wildflower
Meadow in collaboration with Wild Amersham with an additional grant of just under £lk. These
funds have helped our volunteer team to rejuvenate around 12 of the hospital gardens, creating
spaces where our patients, their families and our colleagues can take much needed time out to rest
and recuperate.
•1
Wildflower Meadow blooming with Oxeye Daisies Ileft) and Butterfly Border Red Roses (right)
Christmas Toy Donations
This year the Trust received an incredible toy
donation from Strive Capital which was delivered
to teams including Children and Young People,
Children's ED and Ward 3 at Stoke Mandeville
Hospital, Ward 11 at Wycombe Hospital, the NSIC
and the nurseries at both Amersham and High
Wycombe. Also 200 Shoe Boxes were donated to
Children's teams at Stoke Mandeville from
Kindness in Bucks, along with additional
donations from the Chiltern Toy Bank.
Donated toys being delivered to Stoke MandeviLle
5. Financial Summary
5.1. Review of Finances
The following financial statements have been prepared in accordance with the requirements of the
Charities Commission Statement of Recommended Practice (FRS 102 SORP 2019) - Accounting and
Reporting by Charities.
5.2. Investment Policy and Performance
The Trustee invests the charitable funds donated to them whilst proposals to utilise and expend
these funds are formulated and executed. It is not the Trustee's primary aim to accumulate funds.
Accordingly, a portion of the total funds are held back as working capital with the rest constituting
the portfoLio invested, which is the subject of the investment policy.
12

The individual charitable funds are 'pooled' so that each fund is not separately invested, and no
specific policy is applied to each fund. The rate of return allocated to each fund is a proportion of
the total return achieved on the investments, based on the total value of the funds. This minimises
the risk to each fund as the investment portfolio is well diversified, rather than individual funds
being exposed to the volatility of returns on individual investments.
The Trustee aims to maintain the real term value of the capital over the medium term, although
they will be prepared to realise capital gains if achieved and if there is a bona fide charitable
purpose for them. Funds available for normal charitable expenditure will, therefore, be drawn from
on-going donations, interest from investments that is surplus to administrative expenditure and
modest reaLisation of capital gains. One-off reductions in investment capital can occur, on a case-
by-case basis, for fund eligible major capita( The annual investment income and the projected
annual yield at the end of this financial year adhered to the performance expectations and
thresholds established in the Investment Policy.
As at 31 March 2025 the fund investments, representing most of its unspent income, were valued at
£10,237k (2023124: £7,456k). The investments, objectives and level of resenies are reviewed by the
Trustee annually. During 2024125 £3m of cash was invested into the portfolio. The value of the
invested funds experienced a decrease of £205k (2023124: increase of £474k).
Investment performance is monitored by the Charitable Fund Committee by reviewing regular
reports from the investment managers. The main form of financial risk faced by the charity is that
of volatility in equity markets and investment markets due to wider economic conditions, the
attitude of investors to investment risk, and changes in sentiment concerning equities and within
particular sectors or sub sectors.
5.3. Reserves
Free reserves are defined as the Level of reserves available after deducting endowment, restricted
and designated funds from the Charity's total funds. These funds are available to be spent on any
purpose. They can be utilised to cover any unforeseen circumstances and to ensure smooth
running of the Charity. Having an agreed level of reserves allows for the fact that the Charity's
income streams may be uncertain in timing and so allow Charity activities to continue in
circumstances where income is received unevenly over a period of time.
The level of reserves should be regularly evaluated to ensure that they could allow for a change in
the activities of the Charity to take place or to facilitate the closure or discontinuance of some or all
of the charity's activities. The level of reserves has been set at a level of six months, estimated
commitments for all funds in the forthcoming year. This is considered both reasonabLe and
prudent.
Six months, anticipated expenditure was estimated at £136k at 31 March 2025. The Charity's level of
reserves, less existing commitments, was £1,350k at the same date. The level of free reserves
defined above has therefore been evaluated in the light of existing and likely future commitments in
2025126 and as such is deemed by Trustees to be appropriate.
5.4. Grant Making Policy
ALI grants made are to Buckinghamshire Healthcare NHS Trust to support the activities relating to
the Trust in line with the objectives of the Charity. For example, the Charitable Fund does not
directly employ the colleagues working on Charitable funded activity; grants are made to the Trust
to employ those people.
13

The Charity has considered each bid for funding on its own merits and has worked independently of
the Trust's decision-making. The Charity does not enter into any contractual arrangement for the
approved grants. The grants approved have been recognised on the balance sheet and/or SOFA to
the extent to which the project has been delivered, and the commitments for these grants are
shown in note 8.19 on page 37 of the Annual Accounts.
5.5. Fundraising
Buckinghamshire NHS Trust Charitable Fund is registered with the fundraising regulator, and all
fundraising is carried out in accordance with the Code of Fundraising Practice, we do not use any
external advisers.
5.6. Govemance
The Charity Governance Code is not statutory legislation but represents a standard of good
practice to which all charities should aspire. The code requests that charities should either appLy
the standards of the code or explain how they are going to apply them in the future. The Charity has
reviewed the code and continues with an action plan to enhance its governance. The code is used
as a tool to achieve the highest standards of good governance.
5.7. Risk
The Charitable Fund Committee reviews risks and ensures that these are managed effectively.
Risk management includes=
Identifying the major risks that the Charity faces and assessing our attitude to risk.
Assessing the likelihood and severity of the risks identified.
Reviewing controls that are in place to mitigate these risks.
Identifying and implementing additional actions to mitigate risk.
Utilise internal and external audit and other assessments to provide assurance that the risks are
being managed appropriately and within our appetite for risk.
These processes and the review of them provide the Trust Board with the assurance that risks are
assessed and monitored by management.
5.8. Financial risk management
The Charity's activities expose the organisation to credit risk, market risk and liquidity risk.
The Charity's financial activities are governed by policies approved by the Charitable Fund
Committee and the Trust Board and these activities are directly supervised by the Chief Finance
Officer, Senior Finance Managers and the Procurement team.
The principal financial assets are bank balances, investments, and receivables. Liquidity risk is
mainly attributable to bank balances and these are well controlled.
A number of our investments are subject to market activities. In order to mitigate the risk of
fluctuating asset values the Charity adopts a well-defined investment policy which establishes a
welL-diversified investment portfolio.- The investment policy defines the approach to ethical
investment and climate change and the Charity reviews the composition of the portfolio and the
impact of the policy on valuation.
The funds, and individual accounts, are carefully monitored and expenditure is only permitted
when it is seen that an account has sufficient funds to support expenditure in accordance with its
objectives.
14

The financial risk management for the Charity, including the risk of fraud, is included within the
overall risk management processes embedded within Buckinghamshire Healthcare NHS Trust.
The Trustee has considered the risks that the Charity faces and confirms that the organisation has a
strong balance sheet and reserves to maintain the operations. It also has the appropriate systems,
procedures and policies in place to ensure that these risks are mitigated and managed.
5.9. Consolidation of Accounts
HM Treasury has concluded that in compliance with International Accounting Standard 27, the
financial position and results of NHS charities should be consolidated into the accounts of the
related NHS body, wherever that NHS body is the Corporate Trustee of the Charity and therefore
has the power to control and benefit from the Charity which it administers as Corporate Trustee.
NHS Charities remain independent, and Charity law requires that Trustees act in accordance with
the Charity's purposes and in the best interests of the Charity and its beneficiaries and do not act
on the policies or directions of any other body. Therefore, when the Corporate Trustee considers
the affairs of the Charity, although it does have control over those affairs, it is required to make
decisions solely in the interest of the Charity and its beneficiaries and not in the interests of the
NHS Trust.
Consolidation is only required where the figures are material to the accounts of the NHS body. In
the case of Buckinghamshire Healthcare NHS Trust, the NHS body is the Corporate Trustee of the
Charity, and the financial result from the Charity during this financial period was considered to be
material to the accounts of the NHS body, and therefore the Charity figures were consolidated
within the accounts of this body.
6. Plans for the Future
In 2024 the Board of BHT, as Corporate Trustee of BHTCF, agreed that a project should be
progressed to set up a Charity with independent Trustees. The Board of BHT and the Trustees of
another Local Buckinghamshire based Charity have a shared ambition to progress a merger of the
two Charities and the current status of BHTCF, with a Corporate Trustee, would not enable this to
happen. While discussions are ongoing, both organisations are approaching this collaboratively and
with a cLear focus on continuity for donors, volunteers, and colleagues. Once this new Charity was
operational, and appropriate due diligence carried out, the funds held by BHTCF would be
transferred to the new Charity.
Since then, the new Charity, Buckinghamshire Healthcare Charity (BHC) has appointed seven
Trustees and is now registered with the Charity Commission. The project is progressing and has an
anticipated completion date of 31st March 2026.
Until such time as the funds are transferred to the new Charity, BHTCF is operating to fuLly support
the patients and colleagues within BHT.
15

7. Financial Information
7.1. statements
Statement of Trustee's responsibilities in respect of the Accounts
The Trustee is responsible for preparing the Trustees, 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:
SeLect suitable accounting policies and then apply them consistently.
Obsernie the methods and principles in the Charities SORP FRS 102;
Make judgments and estimates that are reasonable and prudent;
State whether applicable accounting standards have been followed, subject to any material
departures disclosed and explained in the financial statements; and
Prepare the financial statements on the going concern basis unless it is inappropriate to presume
that the Charity WILI continue in business.
The Trustee is responsible for keeping proper accounting records which disclose with reasonable
accuracy at any time the financial position of the Charity and enable it to ensure that the financial
statements comply with the Charities Act 2011, the Charity (Accounts and Reports) Regulations
2008 and the provisions of Buckinghamshire Healthcare NHS Trust Charitable Fund procedures. 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. The Trustee is responsible for the
maintenance and integrity of the Charity's finances and any published information. The Trustee
confirms to the best of its knowledge and belief it has compiled with the above requirements in
preparing the accounts.
The Trustee is responsible for the maintenance and integrity of the Charity and financial
information included on the Charity's website. Legislation in the United Kingdom governing the
preparation and dissemination of financial statements may differ from legislation in other
jurisdictions.
Signed on behalf of the Buckinghamshire Healthcare NHS Trust
Name and role
Psignature
Date
Raghuv Bhasin
Interim Chief Executive
2810112026
John Lisle
Chair of the Charitable
Fund Commitee
28/01/2026
Jon Evans
Chief FinanciaL Officer
2810112026
16

7.2. Independent Auditors Report
Opinion
We have audited the financial statements of Buckinghamshire Healthcare NHS Trust Charitable
Fund for the year ended 31 March 2025 which comprise the Statement of Financial Activities, the
Balance Sheet, the Statement of Cash Flows and the notes to the financial statements, including
as summary of significant accounting policies. The financial reporting framework that has been
applied in their preparation is applicable law and United Kingdom Accounting Standards Iunited
Kingdom Generally Accepted Accounting Practice) including FRS 102"The Financial Reporting
standard applicable in the UK and Republic of Ireland"
In our opinion the financial statements:
give a true and fair view of the state of the charity's affairs as at 31 March 2025 and of its
incoming resources and application of resources, for the year then ended;
have been properly prepared in accordance with United Kingdom Generally Accepted
Accounting Practice; and
have been prepared in accordance with the requirements of the Charities Act 2011.
Basis for opinion
We conducted our audit in accordance with International Standards on Auditing (UK) IISAS (UK))
and applicable law. Our responsibilities under those standards are further described in the
Auditor's responsibilities for the audit of the financial statements section of our report below.
We are independent of the charity in accordance with the ethical requirements that are relevant
to our audit of the financial statements in the UK, including the FRC'S Ethical Standard, and we
have fulfilled our other ethical responsibilities in accordance with these requirements.
We believe that the audit evidence we have obtained is sufficient and appropriate to provide a
basis for our opinion.
Conclusions relating to going concern
In auditing the financial statements, we have concluded that the trustees, use of the going
concern basis of accounting in the preparation of the financial statements is appropriate.
Based on the work we have performed, we have not identified any material uncertainties relating
to events or conditions that, individually or collectively, may cast significant doubt on the
charity's ability to continue as a going concern for a period of at least 12 months from when the
financial statements are authorised for issue.
Our responsibilities and the responsibilities of the trustees with respect to going concern are
described in the relevant sections of this report. However, because not all future events or
conditions can be predicted, this statement is not a guarantee as to the trustee's ability to
continue as a going concern.
Other information
The other information comprises the information included in the annual report, other than the
financial statements and our auditor's report thereon. The trustees are responsible for the other
information contained in the annual report.
Our opinion on the financial statements does not cover the other information and we do not
express any form of assurance conclusion thereon.
17

7.2. Independent Auditors Report
Our responsibility is to read the other information and, in doing so, consider whether the other
information is materially inconsistent with the financial statements or our knowledge obtained in
the audit or otherwise appears to be materially misstated.lf we identify such material
inconsistencies or apparent material misstatements, we are required to determine whether this
gives rise to a material misstatement in the financial statements themselves. If, based on the
work we have performed, we conclude that there is a material misstatement of the other
information, we are required to report that fact.
We have nothing to report in this regard.
Matters on which we are required to report by exception
We have nothing to report in respect of the following matters where the Charities (Accounts and
Reports) Regulations 2008 require us to report to you if, in our opinion=
the information given in the Trustees, Annual Report is inconsistent in any material respect
with the financial statements; or
sufficient accounting records have not been kept; or
the financial statements are not in agreement with the accounting records and returns; or
we have not received all the information and explanations we require for our audit.
Responsibilities of trustees
As expLained more fully in the trustees, responsibilities statement set out on page 16, the
trustees are responsible for the preparation of the financial statements and for being satisfied
that they give a true and fair view, and for such internal control as the trustees determine is
necessary to enable the preparation of financial statements that are free from material
misstatement, whether due to fraud or error.
In preparing the financial statements, the trustees are responsible for assessing the charity's
ability to continue as a going concern, disclosing, as applicable, matters related to going concern
and using the going concern basis of accounting unless management either intends to liquidate
the charity or to cease operations, or has no realistic alternative but to do so.
Auditor's responsibilities for the audit of the financial statements
We have been appointed as auditor under section 144 of the Charities Act 2011 and report in
accordance with the Act and relevant regulations made or having effect thereunder.
Our objectives are to obtain reasonable assurance about whether the financial statements as a
whole are free from material misstatement, whether due to fraud or error, and to issue an
auditor's report that includes our opinion. Reasonable assurance is a high level of assurance, but
is not a guarantee that an audit conducted in accordance with ISAS (UK) will always detect a
material misstatement when it exists. Misstatements can arise from fraud or error and are
considered material if, individually or in the aggregate, they could reasonably be expected to
influence the economic decisions of users taken on the basis of these financial statements.
Explanation as to what extent the audit was considered capable of detecting irregularities,
including fraud
Irregularities, including fraud, are instances of non-compliance with laws and regulations. We
design procedures in line with our responsibilities, outlined above, to detect irregularities,
including fraud. The risk of not detecting a material misstatement due to fraud is higher than the
risk of not detecting one resulting from error, as fraud may involve deliberate concealment by,
18

7.2. Independent Auditors Report
for example, forgery or intentional misrepresentations, or through collusion. The extent to
which our procedures are capable of detecting irregularities, including fraud is detailed below.
However, the primary responsibility for the prevention and detection of fraud rests with both
those charged with governance of the entity and management.
We obtained an understanding of the legal and regulatory frameworks that are applicable to
the charity and determined that the most significant are The Charities Act 2011 and all
relevant employment laws in the United Kingdom.
We understood how Buckinghamshire Healthcare Trust Charitable Fund is complying with
those frameworks by understanding the incentives, opportunities and motives for non-
compliance, including inquiring of management and obtaining and reviewing documentation
relating to the procedures in place to identify, evaluate and comply with lead and regulations,
and whether they are aware of instances of non-compliance. We corroborated this through
our review of board minutes and through the inspection of other information. Based on this
understanding we designed our audit procedures to identify non-compliance with such laws
and regulations. Our procedures had a focus on compliance with the accounting framework
through obtaining sufficient audit evidence in line with the level of risk identified and with
relevant Legislation,
We assessed the susceptibility of the charity's financial statements to material misstatement,
including how fraud might occur by understanding the potential incentives and pressures for
management to manipulate the financial statements, and performed procedures to
understand the areas in which this would most likely arise. Based on our risk assessment
procedures, we identified manipulation of reported financial performance through improper
recognition of revenue, and management override of controls to be our fraud risks.
Based on this understanding we designed our audit procedures to identify noncompliance
with such laws and regulations. Our procedures involved: (a) review of the manual year-end
income accruals, challenging assumptions and corroborating the income to appropriate
evidence; (b)performing a review for any significant, unusual business transactions; and (c)
testing of specific journal entries identified by applying risk criteria to the entire population
of journals. For each journal selected, we tested specific transactions back to source
documentation to confirm that the journals were authorised and accounted for
appropriately.
A further description of our responsibilities for the audit of the financial statements is located on
the Financial Reporting Council's website at https://www.frc.org.uk/auditorsresponsibilities. This
description forms part of our auditor's report.
Use of our report
This report is made solely to the Trustees, as a body, in accordance with Part 4 of the Charities
(Accounts and Reports) Regulations 2008. Our audit work has been undertaken so that we might
State to the charity's trustees those matters we are required to state to them in an auditors,
report and for no other purpose. To the fullest extent permitted by law, we do not accept or
assume responsibility to anyone other than the charity and the charity's trustees as a body, for
our audit work, for this report, or for the opinions we have formed.
¢£qwUf
Ernst & Young LLP
Statutory Auditor
London
28 January 2026
Ernst & Young LLP is eligible to act as an auditor in terms of section 1212 of the Companies Act
2006
19

7.3. Statement of Financial Activities for the Year Ended 31 March 2025
Totsl at
Total at
UrYestr1￿ Re&ricted 31 March 31 Marth
Funds
Funds
2025
2024
Nots
Donations and le
acies
Charitable activities
Other tradin
activities
Investments
885
33
19
852
18
1.448
127
381
381
334
Raisin
funds
Charitable activities
95
552
96
907
80
926
8.3, 8.5. 8.6
355
Net income l (expenditure) and net
movement in funds before gains I
losses
on investments
Net
ains /
losses
on investments
Net income I
ex
enditure
Transfer between funds
Net movement in funds.
618
205
413
672
259
370
248
205
43
903
474
1.377
370
675
305
8.13
43
1,377
T(thl c¥rfed forwvd at 31 Mffth 2)25
All income and expenditure resources relate to continuing operations.
The Charity has not recognised gains or losses other than those dealt with in the Statements of
Financial Activities.
Comparative information for 2023124 by fund type is shown in note 8.24 on page 39-40
The notes on pages 22 to 40 form part of these accounts.
20

7.4. Balance Sheet as at 31 March 2025
Totsl at
Totsl at
Nots Fw
2025
2024
Investments
5,751
761
4,392
94
10,237
10
7,456
Stocks
Debtors
Cash al bank and in hand
32
1,339
32
2,106
189
4.491
8.10
765
Creditors: Amounts falling due within one year 8.11
(394)
(349)
(743)
(547)
9TT
416
4.134
Tdal ￿ Assets
11
Fwxts of th8
endable Endowment Funds
Restricted Income Funds
Unrestricted Income Funds
8.12
8.12
8.12
96
99
4,808
6.728
11,832
6,728
6,rn 4,8(
6.988
Notes on pages 22 to 40 form part of these accounts
These accounts (Registered Charity number 1053113) were approved by the Trustees and signed on
their behalf by:
Name and role
Signature
Date
Raghuv Bhasin
Interim Chief Executive
28/01/2026
John Lisle
Chair of the Charitable
Fund Commitee
28/01/2026
Jon Evans
Chief Financial Officer
2810112026
21

7.5. Statement of Cash Flows for the Year Ended 31 March 2025
2024125 2023124
Funds
Funds
£000
£000
221 1,590
221 1,590
Note
Cash flows from o
eratin
activities
Net cash used in operating activities
8.14
Dividends and interest
Proceeds from sale of investments
Purchase of Investment
Increase
/Decrease in cash held in investment
Net cash
8.7.3
381
335
8.7.1
3000 7,959
8.7.1 (5,993) (7,340)
407
1361
Recei
tofex
Net cash
endable endowment
Change In cash and c&sh equlvalents In the year
(2.385
2.951
Cash and cash equivalents brought forward
8.10 4,491 1,540
C&8h cash 8.10 2,1(￿ 4,491
Notes on pages 22 to 40 form part of these accounts
8. Notes to the Accounts
8.1. Accounting Policies
The following accounting policies have been consistently applied in dealing with items which are
considered material in relation to the Buckinghamshire Healthcare NHS Trust Charitable Fund (the
Charity's) financial statements.
8.1.l. Accounting Convention
a. Basis of Preparation
The financial statements have been prepared under the historic cost convention, with the
exception of investments which are included at bid market value. The financial statements have
been prepared in accordance with Accounting and Reporting by Charities: Statement of
Recommended Practice (FRS 102 - effective l January 20191 Charities SORP- FRS 102) and
applicable UK Accounting and Financial Reporting Standards and the Charities Act 2011 as
amended by Charities Act 2016.
The accounts have been prepared on the going concern basis which assumes the Charity will
continue for the foreseeable future. The Trustee believes that there are no material uncertainties
that caLI into doubt the Charity's ability to continue in operation.
22

There is an ongoing concern that the cost-of-living crisis may affect future giving. As a grant making
charity with few on-going commitments, a reduction in the income will impact on the leveL of new
grants that can be made in the short term rather than affecting the charity's ability to continue as a
going concern. There are no material uncertainties affecting the current year's accounts.
b. Fund Structure
Restricted funds are funds which are to be used in accordance with specific restrictions imposed by
the donor. Where the restriction requires the gift to be invested to produce income but the Trustee
has the power to spend the capital, it is classed as expendable endowment.
Unrestricted income funds comprise those funds which the Trustee is free to use for any purpose in
furtherance of the charitable objects. Unrestricted funds include designated funds, where the
donor has made known their non-binding wishes or where the Trustee, at their discretion, have
created a fund for a specific purpose.
The Charity has four expendable endowments.
Further details of each fund are disclosed in note 8.12 on page 32.
8.1.2. Income
a. All incoming resources are included in full in the Statement of Financial
Activities as soon as the following three factors are met:
EntitLement- control over the rights or other access to the economic benefit has passed to the
Charity (In the case of a donations, entitlement usually arises immediately on its receipt); and
Probable- when it is more likely than not, that the economic benefits associated with the
transaction or gift will flow to the Charity; and
Measurement- when the monetary value, or amount of income, can be measured reliably and the
costs incurred for the transactions and the costs to complete the transaction can be measured
reLiably.
b. Income from Donations
Donations are received from individuals.
c. Legacies
Legacies are recognised and accounted for when it is probable that it will be received. This will be
once
There has been grant of probate;
The executors have established that there are sufficient assets in the estate, after settLing any
liabilities, to pay the legacy; and
Any conditions attached to the legacy are either within the control of the Charity or have been met.
The Charity has adopted a policy of discounting the value of legacies where:
The expected receipt date is more than 12 months after the balance sheet date, and the expected
nominal value of the legacy is over £1 mil(ion, or the expected receipt date is more than 3 years
after the balance sheet date, and the effect of discounting is material.
23

The discount rate will be the prevailing rate in line with the Trust's General Discount rate disclosed
in the Department of Health Group Accounting Manual.
Material Legacies which have been notified but not recognised as incoming resources in the
Statement of Financial Activities are disclosed in note 8.15 on page 36.
d. Gifts in Kind
Assets given for distribution by the funds are included in the Statement of FinanciaL Activities when
distributed.
Assets given for use by the funds (e.g. property for its own occupation) are included in the
Statement of Financial Activities as incoming resources when receivable.
Gifts made in kind but on trust for conversion into cash and subsequent application by the funds
are included in the accounting period in which the gift is sold.
In alL cases the amount at which gifts in kind are brought into account is either a reasonable
estimate of their value to the funds or the amount actually realised. The basis of the valuation is
disclosed in the annual report.
e. Charitable Activities
Grants Received
Grants are clearly identified and allocated in specific department funds to ensure that these funds
are only used in the activities and terms stated in the grant applications.
Income from Charitable Activities
Income received from 3rd parties, for use of facilities to provide seniices to the patients, are
deliberately set at level which only covers related costs.
8.1.3. Expenditure
a. Expenditure is recognised when all of the following criterio are met:
ObLigation - a present legal or constructive obligation exists at the reporting date as a result of a
past event.
Probable- it is more likely than not that a transfer of economic benefits, often cash, WILI be
required in settlement.
Measurement- the amount of the obligation can be measured or estimated reliably.
When the Charity enters into a contract for the supply of goods or services, expenditure is
recognised once the supplier of the goods or services has performed their part of the contract and
the goods and services have been received by the Charity.
Grants are only made to related or third-party NHS bodies and non-NHS bodies in furtherance of
the charitable objects of the funds held by the trust, primarily the patient benefit. Liability for
unconditional grants is recognised when approval has been given by the Trustee and when the
recipient has been notified. Where the Trustee pledges support for the cost of an on-going project,
the costs are accrued within the Charity as the costs are incurred on the project.
ALI expenditure is accounted for on an accruals basis and it is allocated to the appropriate
charitable activity.
24

b. Irrecoverable VAT
Irrecoverable VAT is charged against the category of resources for which it was incurred.
c. Allocation of Support Costs and Overheads
Overhead and support costs have been allocated as a direct cost or apportioned on an appropriate
basis between Charitable Activities (refer to notes 8.3-8.6 on pages 27-29). Once allocation, and/or
apportionment of overhead and support costs including governance, has been made between
Charitable Activities, the cost attributable to Charitable Activities is apportioned across those
activities in proportion to total spend.
d. Raising funds
Costs of raising funds comprise only the investment management fees charged by Cazenove.
e. Charitable Activities
Costs of charitable activities comprise all costs incurred in the pursuit of the Charity's objectives
and in line with SORP 2019 (FRS 102), also include governance costs for the Charity. Expenditure on
charitable activities will be for the benefit of Patients, Staff, Research or Education. Throughout
these accounts the term patients refers to patients and service users. The costs include the direct
costs of the charitable activities together with governance support costs that enable them to be
undertaken.
These costs comprise direct costs and apportionment of overhead and support costs as shown in
notes 8.3-8.6 on pages 27-29.
f. Govemance and Support Costs
Governance costs comprise all costs incurred in the governance of the Charity. These costs include
costs related to statutory audit together with an apportionment of overhead and support costs as
shown in notes 8.3-8.6 on pages 27-29.
Both governance and support costs are accounted for on an accruals basis and included within the
direct costs of charitable activities and further details provided on the notes to the accounts. These
governance and support costs are apportioned across the individual funds within the Charity on an
average baLance basis (so as to avoid disadvantaging funds with high volume, low value
transactions).
8.1.4 Fixed Asset Investments
Fixed asset investments comprise Common Investment Funds and cash and are managed by
Cazenove Capital Management Limited.
Investment fixed assets are shown at bid market value as at the balance sheet date.
Quoted stocks and shares are included in the balance sheet at mid-market price on 31 March 2024
as suppLied by the investment managers, excluding dividends.
The Statement of Financial Activities includes the net gains (or losses) arising on revaluation and
disposaLs of investments throughout the year
Other investment fixed assets are included at Trustee's best estimate of market value.
Stocks are valued at their face-value, which is their monetary value.
25

8.1.5. Realised Gains and Losses
All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains
and losses on investments are calculated as the difference between sales proceeds and opening
market value (or cost at date of purchase if later). Unrealised gains and losses are calculated as the
difference between market value at the year end and opening market value (or cost at date of
purchase if later).
8.1.6. Changes in the Basis of Accounting
All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains
and losses on investments are calculated as the difference between sales proceeds and opening
market value (or cost at date of purchase if later). Unrealised gains and losses are calculated as the
difference between market value at the year end and opening market value (or cost at date of
purchase if later).
8.1.7. Cash Flow Statement
Large charities preparing their accounts under FRS102- SORP 2019 must provide a statement of
cash fLows, which has been provided.
8.1.8. Income and Expenditure Allocation
Incoming resources and expenditure are allocated directly to individual funds. Each fund is
classified as restricted, endowment or unrestricted and the balances accounted for accordingly.
Where costs and income arise across all funds generally, they have been allocated to each fund
proportionate to the average fund balance at each month end. This method has applied to
Investment Income, Unrealised Gains, Governance and Administrative Costs.
8.1.9. Post Balance Sheet Events / Prior Year Adjustments
There are no post balance sheet events or prior year adjustments to be disclosed.
8.1.10. Pooling Scheme
The Charity has an official pooling scheme for investments. This scheme was registered with the
Charity Commission on the 10 June 1998. The scheme registration number is N215(S)198.
8.1.11. Related Party Transactions
Buckinghamshire Healthcare NHS Trust is the main beneficiary of Buckinghamshire Healthcare NHS
Trust Charitable Fund. The remainder of expenditure goes to provide welfare and recreational
facilities for its staff. Total funding paid to the Trust and its staff is detailed within Note 8.16. During
the year, none of the members of the NHS Trust Board or Senior NHS Trust Staff or parties related
to them were beneficiaries of the Charity.
No member of the NHS Trust Board has been paid or received any remuneration or other benefits in
the year from the charitable fund and the Trustee has not purchased trustee indemnity insurance
because their activities are covered under the general indemnity to the board of the trust.
No member of the NHS Trust Board or the Trustee has incurred expenditure in the year on behalf of
charitabLe funds.
Details of Trust salaries and expenses reimbursed (Audit fees, overheads costs, and rent) from the
charitabLe fund are provided in note 8.4 on page 28.
26

8.2. Analysis of Income
Total
Unrestricted Restricted Endowment 2024r25
£000
£000
£000
£000
185
218
699
633
1)
18
Total
2023124
£000
118
1,330
127
Materlal Inc(xnl Resour(x
Donations
Le
acies
Charitable activities
Other trading activities
Investments
Other
Totsl Income
33
66
19
381
381
334
14
1.250
8.3. Charitable Expenditure
Total
Unrestricted Restricted Endowrnent 2024r25
Total
2023r24
£000
£000
£000
£000
£000
Fundraisin
activities
Investment management costs
Totsl ralsl fvnds
82
13
83
13
53
27
Patients, welfare and amenities
Staff welfare and amenities
Research
Trainin
and Develo
Other
236
72
322
558
73
562
137
ment
13
21
316
652
704
8.3.3. knlysls of sUpp￿t and
Salaries and wa
Audit fee
Professional fees and establishment
costs
Totsl su
es
176
29
19
195
29
184
20
31
31
255
18
19
Totsl e
The Trust recharged the Charity £20,000 in 20241251£20,000 2023124) for the externaL audit fee.
There was no fee for an internal audit (2023124= £Nil). Should new risks be identified, a provision
exists for internal audit review.
27

8.4. Trust Salaries and expenses reimbursed
Total
Total
Unrestrided Restricted EndO￿t 2024r25 202V24
£(x)o
£(x)o
176
29
31
Salaries and wa
Audit fee
Professional fees and establishment costs
es
19
195
29
31
255
20
18
19
Totsl
2024r25
Totsl
2023r24
Salaries and wa
es
195
184
Salaries, management and administration charges paid to the Trust in this financial year and
recharged to the Charity totalled £255,000 (2023124: £222,000). The expenditure recharges usually
reLated to accommodation and IT support £12,000 (2023124: £12,000); stationery and office
equipment £1,700 (2023124: £2,000); external audit fees £29,000 (2023124: £20,000); other
governance costs £7,000 (2023124: £5,000) and finance staff and senior management costs
£195,000 (2023124: £184,000).
The Charity does not directly employ staff members. There are two members of staff (2023124: 2)
who provide support services to charitable activities who are employed by Buckinghamshire
Healthcare NHS Trust and the salary cost is recharged via an administration charge. The Charity
fulfils its charitable objectives by providing financial support to projects, which are run by the NHS
Trust. Therefore, the Trust employs staff who deliver the projects.
Four interim members of staff were contracted to provide support with the completion of the
operational activities of the Charity in 2024125.
Members of the Board and the Charitable Fund Committee give their time freely and receive no
remuneration for the work that they undertake in relation to the Charity.
8.5. Analysis of charitable expenditure
Total
Total
Unrestricted Restricted Endowment 2024125 2023124
£(x)o
Fundraising general costs and fees
Investment management costs
82
13
83
13
53
27
28

Activities
undertaken
directly
Grant
Support
funded
and
Total
activities govemance 2024125
£o)o
£(x)o
177
736
54
126
Total
2023124
£￿0
741
168
Patients, welfare and amenities
Staff welfare and amenities
Research
Training and Development
Other
558
73
20
26
19
19
256
11
651
The only activity of the Charity is that of providing grants. All grants made are to Buckinghamshire
Healthcare NHS Trust to support the activities relating to Buckinghamshire Healthcare NHS Trust in
line with objectives of the Charity. The support costs are attributable to all the grants and not to a
singLe activity.
8.6. Apportionment and allocation of support and governance costs
Support and
Totsl
Total
Funds Governance Costs 2024r2025 2023r2024
Patients, welfare and amenities
Staff welfare and amenities
Research
Trainin
and Development
Other
236
72
177
54
414
126
634
108
13
316
745
Patients, welfare and amenities
Staff welfare and amenities
Research
Trainin
and Development
Other
322
322
107
60
13
13
19
19
19
11
181
Patients, welfare and amenities
Staff welfare and amenities
Research
Trainin
and Develo
Other
ment
29

Support and
Total
Total
Funds Governance Costs 2024r2025 202312024
JI fimtr.
Patients, welfare and amenities
Staff welfare and amenities
Research
Trainin
and Develo
Other
558
73
177
54
736
126
741
168
ment
20
26
19
19
256
11
651
Support costs, including governance activities, are allocated to expenditure on charitable activities
based on the purposes of each fund across the main charitable activities of the Charity.
8.7. Fixed asset investments
Total
Total
2024r2025 202Y2024
Market value at 1 A
ril 2024
Less: Dis
osals at carr
in
value
Add: Ac
uisitions at cost
Net
ains &
losses
on revaluation
at 31 21r25
7,455
3,000
5,993
211
10
8,009
65
HtstLYlc u)st at 31 Mwth 2025
Total
Total
Held in UK outsth UK 2024r2025 2023r2024
8.72. Market vakn at 31 2IY25
Investments listed under E
uities
Investments listed under UK Bonds
Multi-Asset Funds
Pro
ert Funds
Other
Interest on cash held on de
10,207
10,207
7,420
osit
30
30
36
10
0 10
Investments listed under E
uities
Investments listed under UK Bonds
Multi-Asset Funds
Pro
ert Funds
Other
Cash held on de
45
13
73
15
171
171
osit
210
210
182
30

The unrealised loss in 2024125 was-£351,00012023124: gain £348,000). The realised gain in year is
£NIL (2023124: gain £5,000). The unrealised loss made on investments was-£351,000 (2023124: gain
£353,000); which added to unrealised gain brought forward of £446,000; gives cumuLative
unrealised gains of £95,000. Some cost adjustments may be reflected in historic cost due to
equalisation.
The Charity does not hold individual investments, such as a particular equity, bond or property.
Through its portfolio, which is administered by its investment manager, it purchases a share of
equity, bond and property funds. The Charity has agreed a strategic asset allocation with the
investment manager, but tactical positions are taken within the range agreed by the Trustee.
Investments within the portfolio are not linked to individual funds held within the Charity. The total
return achieved in year is apportioned to the individual funds.
The Charity paid an explicit professional fee to the investment manager of £13,00012023124
£28,000).
8.8. Stocks
Total
Unrestricted Restricted Endowm8nt 2024r25
Total
2023r24
£000
£000
£000
Stocks
Total
8.9. Analysis of current debtors
Total
Totsl
Unrestricted Rethicted Endowment 2024r25 2023r24
Accrued income
Other debtors
30
30
181
Current debtors are in relation to income due from donations from giving websites £4,000
(2023124: £1,000); Gift Aid and Gift Aid Small Donation Scheme from HMRC £2,000 (2023124
£6,000); dividends from the investment manager £3,000 (2023124: £NIL); various legacies £13,000
(2023124: £180,000); recharges to associated charities £2,000 (2023124: £1,000); prepayments
£2,000 (2023124: £0) and VAT claim for £5,000 (2023124: £NIL).
8.10. Analysis of cash and equivalents
Total
Total
Unrestricted Restricted Endowment 2024r25 2023r24
Cash and cash 8qulvalents:
Bank
£000
1,339
£000
765
£000
£000
£000
2,106
4,491
2106 4491
No cash or cash equivalents or current asset investments were held in non-cash investments or
outside of the UK.
All of the amounts held on interest bearing deposit are available to spend on charitable activities.
31

8.11. Analysis of current creditors
Total
Total
Unfestri￿d Restri￿ Endowment 202¥25 202¥24
Accruals
394
349
743
743
547
Current creditors consist of £700,000 (2023124: £468,000) to be paid to the Trust in relation to a
reimbursement of various projects paid on behalf of the charity to enhance the services provided
within the NHS Trust for patients, welfare, staff welfare, research and general charitable hospital
purposes, in accordance with the objectives of the Charity and the wishes of the donors.
This aLso refers to general creditor's accruals of £33,00012023124: £16,000) to be paid for other
projects and Deferred Income of £10,000 (2023/24: £63,000)
8.12. Analysis of funds
Bala￿e at
lnveStsrn￿ Balance at
Gains 1 31 March
2024 RescArn Experthd Trnnsfers (Losses) 2025
8.111. FWKIK
8alarKe at
31 March Inc(xnifvJ Resources
In￿1 8alarKe at
Galnsl 31 March
Spinal Injuries Children - To benefit the
activities related to the hospital's spinal
children in'uries work
1,406
12
11
1,386
Spinal Amenity - To benefit the activities
related to the hospital's national spinal
in
uries centre
1,293
55
304
10
924
Masson Legacy for Spinal Research - To
benefit the research activities relaled to the
hospital's natlonal spinal In
urles cent
Diabetes Centre - For investigation of
causes and t￿atrnent of diabetes
Spinal Injuries Research - For the provision
of research related to s
inal in'uries
506
502
364
12
375
337
15
350
Medtronic Export Research Fund - To
benefit the activities related to the
hos
ital's coronar
research
103
97
Diabetic Research Fund - To benefit the
actmties ￿lated to the hospital's diabetic
research unit
Pharmacy Trust Wide. Research &
Equipment Fund - For the phamiacy
department in connection with research
arKI
ui
ment
110
(1)
109
57
56
Restricted General Amenity Stoke
Mandeville Hos
765
765
168
76
Restricted Maxillofacial
Other funds
327
24
33
242
675
32

Bala￿e at
Investment 8alartt at
31 March Incoming Resources.
Gains 1 31 March
2024 Reswrces Expended Trdnsfers (Losses)
2025
Chiltem Medical Education Fund
Cancer and Haematol
Fund - combined
37
159
71
37
374
71
215
WGH Gastroenterolo
fund
Wycombe General Hospital General
Amenities Fund
428
(15)
440
Coronary Care and Cardiac Rehab Fund -
combined
52
286
65
12
293
(2)
334
284
69
Breast Cancer Research
Care of Ihe Elde
- combined
Generdl Amenity Stoke Mandeville
Hospital
BHT Critical Care
1,093
82
88
54
59
161
305
72
44
216
276
61
637
(774)
(i)
949
84
104
71
59
160
299
120
41
214
274
61
Paediatric Ameni
76
17
63
Plastic Su
Scientific Research
SMH Cancer Care Nurse Education Fund
(i)
(2)
(i)
Amersham Hos
ital General Amenities
Dermatolo
Trust Fund
51
Heberden Unit FundlNeuro reh-BNRU
Marlow Hos
ital General Amenit Fund
Chalfont and Gerrards Cross
(2)
{2)
Thame Hos
ital
Buckinghamshire Hospitals NHS Trust
Amenities Fund
2,179
243
84
873
434
485
(219)
{2)
(i)
{180)
1,909
248
83
446
6,729
Ph
iothera
Bht General Fund
Res
irato
Amen
Fund
THORACIC
Other funds
34
77
{205)
(knj TLthI of FwwJ8
11,633
Material funds are those with closing fund balances of over £35k.
On the 31 March 2025, the Charity was constituted of 88 active funds with balances (2023124: 102);
of these,
4 of the funds in the year or at year-end were endowments, 65 unrestricted and 19 restricted.
The generaL fund includes all donations for which a donor has not expressed any preference as to
how the funds shall be spent and the unrestricted income accruing to the charity. These funds are
applied for any charitable purpose to the benefit of the patients of BHT at the absolute discretion
of the Trustee and in line with the established policy.
33

8.13. Transfers between funds
Tolal
1CK)1 Ajan Vass Memorial Fund
13
13
1 IX13 Cancer Researth
30
1007 Elderf Care Medical Staff General Amenit
1008 General Su
ical - Combined Fund
19
19
1CM)9 Cancer And Haemato
Fund - Combined
215
215
1011 Neurolo
And Parkinson - Combined Fund
29
29
1012 0 hlhalmol
- Combined Fund
30
30
1013 Orth edics - Combined Fund
1017 Social Workers Samaritan Fund
1020 Visual Voice Fund
1021 WGH Gaslrcenlerol Fund
1022
combe Breast Cancer
1023
combe General Hos
tal General Amenities Fund
1024 Anaesthetics - Combined Fund
17
17
1029 Cancer Research & Treatment Fund
93
93
1030 Corona
Care And Cardiac Rehab Fund - Combined
293
293
1035 Stroke Amenil Fund
combe & Amersham Hos
itals
29
29
1036 Video Arthrosco
Fund
21Y)1 Emer
artment - Combined Fund
2LM)3 A&E Trauma & Orth aedic Fund
2CM)4 Accident & Eme
en
2(X)S Anaestheiics De
17
17
201% B￿a$1 Cancer Research
(2)
2010 Ca￿r Pauenls Parlnershi
2011 Cardiac Rehabililalion Fund SMH
28
28
2012 Cafe Of The Elde
- Combined
2013 Carf Todd Oncd
49
49
2017 Chesl knd Heart
2019 CYP- comts.ned Fund
2022 cO￿a
Care
41
41
2023 cOr￿a
Researth
210
210
2026 Diatetes Fund - Combined
12
12
2031 E e Unit
18
18
2034 General Amenit Sioke Mandev11 le Hos
774
774
2036 G eacol Research & E
ui
enl
2037 Haemato
35
35
2038 Haemato
Nursi
Fund- Ward 5
10
10
2039 Rheumalol Fund - Combined
17
17
2041 Heari
Im
14
14
2045 IMPS
34

Totsl
2045 IMPS
2046 BHT Critical Care
2048 Masson L
For S 'nal Research
2049 W(Knen's Funds - Combined
19
19
20x1 Maxilk> Facial
168
2054 Medtronic Ex
Research Fund
2056 MKlwrf & G
e Services Fu￿1
2057 Mr Tv￿edle - General Su
2058 Combined Radiol Fund
2063 Paediatric Amenit
2070 Retinal Stu
2074 Short Sta
- Ward 10
3)
2076 SMH Cancer Care Nurse Education Fund
2079 S
inal Amenit
10
10
2082 S "nal In
uries Children
11
(11
2083 S
nal In'uries Research
3)
2084 Sur
ical D rtment E
ui
enl Fund
2087 Sur
ical Wards
(7
(7
(4
765
2093 Children Unit Fundl
al
4)
765
2094 Restricted General kneni
Stoke Mandeville Hos
ital
2095 Restricted - Maxillofacial
168
168
3001 Amersham Hos
ital General Amenities
3002 Amersham Hos
ital Su
ical Fund
{2
3003 Amersham Hos
ital Ultra Sound
3004 Dermalol Trust Fund
3005 Audiolo
- Combined Fund
35
35
3008 Rheumatolo
& Rehabilitation Fund
18
18
4001 Maflow Hos
ilal General Amenit Fund
4003 Chalfonl And Gerrards Cross
2)
21)
(2
(21)
5003 Audiolo
General Fund- Amersham,
ital In Pe
combe & SMH
5004 Bi
ins Ca
5005 BPCT Trainin
{3)
219
3)
219
so1￿ Buckin
hamshire Hos
itals NHS Trusl Amenities Fund
5007 Cardiol Trust Fund
12
12
5016 Comea Fund
(2)
15
(2
15
(1)
5)
(1)
(5)
5018 Diabelic Nursin
Fund
5019 Diabelic Research Fund
(1)
5021 DM Pie
ital In Pe
etuit Fund
5)
5026 Health Visitor Parentin
(1
(5
5028 Inter Team - North
Comm Nurse
5029 Inter Team - South East
Comm Nurse
5031 Inler Team -
Comm Nursin
Combined Fund
5032 Kem
ital In Pe
iluit
35

Total
5033 Oral Sur
& Orthodontic Fund
5036 Ph
iothera
Bht General Fund
(2)
(1
$038 Res
irato
Amenit Fund
Thoracic
(1
5041 To
Libra
5044 Unrestricted l Desi
nated General Staff Fund
14
14
5045 Volunta
Services
(2
36
(2
36
9010 Investment Income Control Fund
9011 Unrealised Gainwlosses Control Fund
219
219
9016 Investment Ex
nditureffiees Control Fund
23
23
(671)
674
(3)
Total
Unrestricted Restricted Endowment 2024r25
£(x)o
£000
Investment Income Allocation 2024125
116
114
Admin Char
e Allocation 2024125
148
Dividends & Interest - Tfr to Breast Cancer a
eal
Fund Combination
225
225
Shared Costs allocation
Transfer to New Funds
(933)
932
(i)
674
8.14. Reconciliation of net movements in funds to net cash flows from
operating activities
Total
202￿5
Tolal
.202￿4
Net income l (expendilure) for 2024 12025 (as per the Statement of Financial
Activities
43
1,377
Deduct interest income shown in in investin
activities
Deduct
ains l add back losses on investments
Decrease
increase
in stocks
Decrease
increase
in debtors
Increase (decrease) in creditors
381
205
334
474
157
196
221
832
190
8.15. Material legacies
Legacy income is only included in incoming resources where receipt is probable that it will be
received and the amount is known with certainty, or the legacy has been received.
36

8.16. Connected organisations
Net
Net
Name of party involved, a description of the
Surplus I
Surplus I
Turnover (Deficit) Turnover (Deficit)
transaction and a description of the nature of 2024r25 2024r25 2023r24
2023r24
the relationship
'£ooo
'£oix)
'£ooo
'£ooo
The Board of Buckinghamshire Healthcare NHS Trust
is the corporate trustee of the charitable funds. The
Trust's employees provide all management and
administrative support to the funds and a recharge is
made for these. A charge of £252,000 (2023124:
£222,000) was also made to cover audit fees, rent
and other minor expenses incurred. Current
creditors consists of £721,000 (2023124: £468,000)
to be paid to the Trust in relation to a reimbursement
of various projects as mentioned in note 8.11.
709,896 (10,905) 657,814 (10,010)
709,896 (10,W 657.814 (10.010)
Buckinghamshire Healthcare NHS Trust Charitable Fund has been consolidated into the
Buckinghamshire Healthcare NHS Trust's accounts in accordance with the International Accounting
Standard (IAS) 27. This is because Buckinghamshire Healthcare NHS Trust Board is the Corporate
Trustee of the Buckinghamshire Healthcare NHS Trust Charitable Fund and under the provision of
IAS 27 those charitable funds that fall under common control with NHS bodies should be
consolidated. However, the Charity and its assets remain independent.
The group annual report and accounts from Buckinghamshire Healthcare NHS Trust 202412025 can
be obtained at
rTr
B kingh
hir
NH
8.17. Contingencies
There were no contingencies at 31 March 2025
8.18. Material guarantees
There were no material guarantees at 31 March 2025
8.19. Commitments, liabilities and provisions
Items not induded Items not induded
within SOFA or
within SOFA or
Balance Sheet at Balance Sheet at
31 March 2025
31 March 2024
£(x)o
£(x)o
Real Time Patient Electronic Observations and
Escalation S stem
NSIC Fleet U date
41
98
NSIC Replacement of Patient Monitoring & Central
Stations
FES Exercise Bike
35
21
285
37

Items not included Items not induded
within SOFA or
within SOFA or
Balance Sheet at Balance Sheet at
31 March 2025
31 March 2024
£000
Wellbein
Grou
Thera
1st
Badges to commerate the 75th Anniversary of Ihe
foundin
of the NHS
Defence Medical Service Welfare Officer
Patient Eme
Discha
e Fund
Staff Wellbein
ect
Redecoration lo the SMH ICU relatives Room
Neonatal E
ui
ment Calesca
Autoste
brackel and accessories for the Lite Gait
Electric Recliner Chairs & Screen
Patient Slee
Well Packs
Two ankle brachial index kits
Staff Network Activities
Volunteer Retention and Reward
Sensory & Mental Health Room Equipment for the
Children's De
rtrnent
Southern ACHT Breakroom Furniture & Goods
Improving the Clinical Environment for Children wilh
Additional Needs
Hearts and Souls S
ialist Cardiac Rehab Nurse
Development of Proof of Concept Role of a Clinical
ecialist
Wallet Document Potyfile Classic Polypropylene with
Po
er Clear A5
Development of a Scheduling Syslem for NSIC
Rehabilitation - Sta
e 1 the Discove
Pro
ect
T-shirts to Promote Awareness
26
24
20
49
20
48
en
14
17
39
33
Food for NSIC 80th Birthd Celebration
ED Resus Frid
Resus E
ui
ment
Bums Prevention Marketin
Plastic Wallets
Materials
38

Items not included ttems not induded
within SOFA or
within SOFA or
Balance Sheet at Balance Sheet at
31 March 2025
31 March 2024
£000
Clinical Accreditation Pro
ramme Award Ceremon
in
of Palliative Care Formula
Books
Anaesthetics PSIRF U date
Staff Jackets - Worn b Staff at Work & Outreach
Hoist Scale Attachment for Children's O/P WH
Postural Stabilit Instructor Trainin
ICU Team Awa
Burns Unit G m E
ui
ment and Educational Su
Sustainabilit - Amersham Hos
ital Gardens Pro
New Procedure Su
ort of Intemational Proctor
Purchase of a Pool Platform
Purchase of a Ski*r
for Use in the S
inal G
Reactivation of 12 Month OAM Activation Card
Annual License Fee for vcreate
BriSCEV Conference
EMDR Su
ervision for BHT Ps
cholo
Stroke Unit Garden and Chiltem Ran
BHT CF Indicative Pro
ect Plan
HQ Charitable Fund Accounting - Annual
Maintenance Contract for 2025126
Payter Plane, A920 & 4G Sims Fees - Donation Walls
ri12025 to March 2026
SLA for the Maintenance of the Charity's Website -
ri12025 to March 2026
Donorfy Monthly Direct Debits for CRM - April 2025
to March 2026
SLA for Providing Email Services to the Charity -
ri12025 to March 2026
Ph
sioe
ui
ment- NMES machines
Staff room furniture and a projector for training
oses
lies
ect
ists
ers
14
Phase 1 AGH Gardens Pro
ect
10
39

Items not included ttems not induded
within SOFA or
within SOFA or
Balance Sheet at Balance Sheet at
31 March 2025
31 March 2024
£000
Upgrade of RT300 FES Bikes and GIGER MD
Recumbent Arm & Leg Cycle (Used on St Frances
Ward
Retinal Stud - Conference
18
New cables and additional electrodes and required
sponges for the DEN2x Lower Motor Neurone
Stimulator
Other small ex
Totsl Other
enditure re
uests
418
614
Apart from the fundraising audit and strategy work, the Charity has not entered into any
contractual arrangement for the approved expenditure above.
The items have been recognised on the Balance Sheet andlor SOFA to the extent to which the
project has been delivered.
8.20. Key assumptions and judgements
The charity accrues for items of expenditure which relate to the previous year where invoices have
not been processed or received before the year end. However, should it be necessary, estimates are
made in some instances where invoices have not been received based on activity and/or
expenditure for the year to date. During this financial year no estimates in expenditure accruals
have been made.
No significantjudgements have been made in preparing the accounts. No key assumptions have
been made regarding any sources of estimation uncertainty with a significant risk of causing a
future material adjustment.
8.21. Disputes with other parties
There were no disputes, litigations or claims with other parties to report as at 31 March 2025.
8.22. Taxation
Buckinghamshire Healthcare NHS Trust Charitable Fund is a registered charity and as such benefit
from certain exemptions from taxation on income and gains, to the extent that they are applied for
charitable purposes.
8.23. Post balance sheet events
There were no post balance sheet events to report at 31 January 2026.
40

8.24. Comparative statement of financial activities
uNestriC￿ Rethted EnthJ*rnt T(Aal at 31 Tila at 31
F￿mIS 2024 2023
Donations
Le
acies
95
1,110
23
220
118
1,330
152
1 ,843
Charitable activities
Other Tradin
activities
Investment income
18
109
127
334
334
171
Fundraisin
activities
Investment mana
ement costs
8.3, 8.5
8.3. 8.5
52
27
53
27
45
28
Patients, welfare and amenities
Staff welfare and amenities
Research
Trainin
and develo
Other
8.3, 8.5, 8.6
8.3, 8.5, 8.6
8.3, 8.5, 8.6
8.3. 8.5. 8.6
8.3. 8.5, 8.6
455
77
107
60
562
137
1,682
155
107
ment
211
746
222
198
1139
2212
181
Net incomel(expendilure) and net movement in
funds before
ains and losses on investments
Net gainsl(losses) on investments
732
381
171
95
903
474
1,343
(404)
(2)
Transfer between funds
8.13
127
124)
127
Total funds brou
ht forward at 1 A
ril 2023
5.748
4,364
101
10,213
9,275
Total funds brou
ht forward at 1 A
ril 2023
Tc4al cvrknl at 31 2024
5.748
4,364
101
10.213
11
9.275
10
14
41