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2022-03-31-accounts

County Durham and Darlington NHS Foundation Trust Charity Annual Report and Accounts 2021/22

www.cddft.nhs.uk

Contents:

Chair’s Foreword Introduction Reference and Administrative Details Structure, Governance and Management Objectives Public Benefit Fundraising and Donation Highlights Risk Management Income Summary Gifts in Kind Expenditure Summary Review of Financial Performance Thank You

www.cddft.nhs.uk

Chair’s Foreword

This is my last introduction to the Charities Annual Report as I retire from the Trust in September 2022. My colleague Dr Richard Scothon will be taking over as Chair in my place.

This year the charity has continued to assist the Trust and especially our staff with the recovery from the effects of the pandemic. The Wellbeing grant from NHS Charities Together is helping us to fund a TRim coordinator to help staff who are struggling with recovery from the stress of the pandemic.

We are also working with the wider voluntary sector to support youth mental health in the ICS region of the North East and North Cumbria. We have supported the Chaplaincy by funding training for three new chaplains including a Local Imam increasing the reach of the chaplaincy to more faiths that we believe is a first in the North East.

We have been able to fund a number of projects for our community teams to enable them to carry out more procedures in patient’s homes to reduce the number of times patients need to attend hospital which must be better for them. It is hoped that the UHND Maternity Bereavement Suite will be completed in the coming year and the refurbishment and the upgrading of the Chemotherapy unit also at UHND.

My thanks to my team of Pat, Philippa, Asim and Shaun who have kept the show on the road through Covid and have helped the charity flourish and especially Pat who is the most persuasive person I know and has brought so much money and gifts in kind to the charity. I wish you all well for the future.

Jenny Flynn

www.cddft.nhs.uk

An introduction from our Charity Manager

Like every other charity nationally we have been working in the most unusual of times, with many challenges still being faced by Covid and restrictions on visiting into our hospitals. That said, we continue to be encouraged by the level of local support we receive that enables us to help patients and staff across the hospitals and community locations covered by our wonderful Trust.

One of our key projects, now close to completion, is our dedicated Maternity Bereavement Suite in University Hospital of North Durham. This project has been cofunded by local charity 4 Louis and ourselves. This is creating a space where families can spend time and create some memories with their baby before they say goodbye. We are excited to see this project launch and know it will provide support to families in their time of need.

We also funded this year, the Low Risk Maternity Suite in Darlington Memorial – creating a transformational space where mum’s can be supported by a partner in a relaxing home from home environment. Maternity wards also benefitted from charitable investment into specialist side by side cots – these enable mum to easily transfer baby across to her bed – a huge benefit following a caesarean section where mobility may still limited.

We were successful in obtaining funding from NHS Charities Together in both Round 2 ‘Community Support Funding’ and Round 3 funding ‘Building Staff Resilience’. Working with Child Health & Wellbeing Network and local charities, Children North East, Youth NE and Tin Arts we have built on a pilot project to extend this programme throughout the North East and North Cumbria. This collaborative project has

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delivered early intervention into schools, helping young people build mental health resilience and coping strategies but most importantly, understanding how they can access help. Children NE have worked on poverty proofing support for families whilst working with NHS and other professionals to help them understand the impact that poverty can have on the whole family particularly with regard to their mental health and that the pressures of living in poverty need to form a part of the overall health assessment. We are encouraged through our case studies of the impact this early intervention is having and ultimately hope to reduce the rising numbers of young people struggling with their mental health and suicidal thoughts.

The Stage 3 funding from NHS Charities Together has helped provide a whole range of support services to staff as they cope and recover from the trauma of living and working through a global pandemic. Many staff have needed access to support services to help with a range of mental health issues, from 1-2-1 counselling and support through to group therapy and wellbeing sessions. The launch of TRiM (Trauma Risk Management) has proved to be hugely supportive to staff providing a range of solutions to help staff including our own TRiM Choir! Many staff have been trained to be TRiM ambassadors and have the skills to help support and signpost staff.

Gifts in Kind have continued to be given, helping us to deliver a range of support to our Trust, from the 12 Days of Christmas which is our free raffle at Christmas for staff, to the wonderful gifts for children not just at Christmas but throughout the year. Special thanks to SG Petch, Bell’s Fish & Chip Shop, Darlington Building Society, Rotary International and Freemasons who have helped us so very much this last year along with many other groups, associations and individuals.

We are also working through using gifts in kind to help build an ITU Palliative Care area (similar to an oversized conservatory), that will create a peaceful space for endof-life patients who want to ‘feel like they are outside’ and not in a busy ward. We are very grateful to Nicholson Nairn Architects, DTA Consulting, Miller Homes, Maguires Country Parks and AMP Consultants whom to date have all gifted their time and resources to help us deliver this build early 2023.

Huge thanks to everyone who has helped and supported us this year.

Pat Chambers

www.cddft.nhs.uk

Reference and Administrative Details

The County Durham and Darlington NHS Foundation Trust Charitable Fund is registered with the Charity Commission in accordance with the Charities Act 2011 (Registration number 1053467). This is the umbrella charity under which all individual funds are registered. The notes to the accounts distinguish the types of fund held and disclose separately all material funds.

Funds received by the Charity are administered as funds held on trust for purposes relating to the health service in accordance with the National Health Service Act 1977 and National Health Service and Community Care Act 1990. The County Durham and Darlington NHS Foundation Trust is the Corporate Trustee of the Charity as governed by the law applicable to Trusts, principally the Trustee Act 2000 and also the law applicable to Charities, the Charities Act 2011.

The principal office of the Corporate Trustee is as follows:

Principal Office

Trust Headquarters

Memorial Hospital

Hollyhurst Road

Darlington

DL3 6HX

The professional advisors of the Corporate Trustee are as follows:

Banker Investment Manager GBS National Westminster Brewin Dolphin PO Box 64388 Time Central 2 Devonshire Square 32 Gallogate London EC2P 2GR Newcastle upon Tyne NE1 4SR

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Internal Auditor Independent Examiner Audit One Mazars LLP Earls House The Corner Lanchester Road Bank Chambers Durham 26 Mosley Street DH1 5RD Newcastle Upon Tyne NE1 1DF

Solicitor

Ward Hadaway Sandgate House 102 Quayside Newcastle upon Tyne NE1 3DY

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Structure, Governance and Management

The Charity has a Corporate Trustee, County Durham and Darlington NHS Foundation Trust, with the members of the Trust Board responsible for its governance.

The members of the Trust Board who served during the financial year and to the date the annual report and accounts were signed were as follows:

Prof Paul Keane, OBE - Chairman

Sue Jacques - Chief Executive Noel Scanlon - Executive Director of Nursing Jeremy Cundall - Executive Medical Director Carole Langrick - Executive Director of Operations David Brown - Executive Director of Finance Jenny Flynn, MBE - Non-Executive Director Paul Forster-Jones - Non-Executive Director Richard Scothon - Non-Executive Director Michael Bretherick - Non-Executive Director Steve Crosland - Non-Executive Director

Structure, Governance and Management

Members of the NHS Foundation Trust Board are not individual trustees but act as agents under charity law on behalf of the Corporate Trustee. Non-Executive members of the Board are appointed by the Trust Council of Governors and Executive members are subject to recruitment by the NHS Trust Board.

The Corporate Trustee effectively delegates the day-to-day operations of the Charity to a dedicated Charity Team reporting to the Head of Communications and to a dedicated finance team reporting to the Director of Finance.

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In addition, the Charitable Funds Committee meets quarterly in order to:

The Audit Committee is required to:

Maintenance of the accounting records and general administration of the Charity are carried out by staff in the NHS Trust’s Finance Directorate offices.

Individual fund advisors are delegated the responsibility for the use of designated funds within the limits set by NHS Trust’s standing orders, standing financial instructions and scheme of delegation. Fund-advisors are clinical directors and managers, medical consultants, heads of department, and ward sisters.

Objectives

Our aim:

The Corporate Trustee shall hold the charitable funds upon trust to apply the income, and using discretion insofar as may be permissible, the capital, for any charitable purpose or purposes relating to the National Health Service wholly or mainly for the services provided by County Durham and Darlington NHS Foundation Trust.

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In addition there are also funds that have a more specific purpose, either by legal restriction or trustee designation, for the benefit of patients within individual services or centres of care.

In essence, the Charity is concerned with enhancing the care and improving the facilities for patients and staff across both acute and community sectors in County Durham and Darlington. That includes the Trust’s main hospitals in Durham, Darlington and Bishop Auckland, and a wide range of community hospitals and health centres. In addition, healthcare is increasingly being delivered within the homes of patients and within nursing homes.

Public Benefit

The charity exists to support patient care and wellbeing through the services provided by County Durham and Darlington NHS Foundation Trust (CDDFT). The Trust is an ambitious organisation with a strategy focussed on ‘our patients matter’ and delivering the Trust’s vision to provide care which is ‘right first time, every time’ for the populations it serves.

The NHS is operating within an increasingly challenging financial environment and therefore to support the Trust’s ambitions a more proactive approach to the Trust’s Charity was adopted in 2018/19, and this has continued to develop and grow through the following years including 2021/22.

Our charitable activities focus on providing a public benefit by the advancement of health and the saving of lives within the whole population served by CDDFT. They seek to improve healthcare services and facilities above and beyond what is expected from the NHS and are achieved through the encouragement of charitable giving and effective management of the charity and its grant-making activities.

The trustees confirm that they have referred to the guidance contained in the Charity Commission’s general guidance on public benefit when reviewing the Trust’s aims and objectives and in planning future activities and setting the grant making policy for the year.

www.cddft.nhs.uk

Fundraising, Donation and Grant Funding Highlights of 2021/22

Patients in our hospitals were egg-stremely delighted with the abundance of Easter treats donated by our supporters in April. Egg deliveries came from companies including Balfour Beatty and Sainsbury’s Local Gilesgate. Two egg-stra special young supporters also made special donations. Six-year-old Kelsey Mackay wanted to put a smile on the faces of children in hospital over the holiday, so with the help of mum and Emergency Department Sister Kirsty Maria delivered a huge haul of 437 chocolate eggs to the ED department at Darlington Memorial Hospital. While Anastasia Ethelena Rowell, 5, presented us with over 100 Easter eggs for our children’s wards in Darlington Memorial and University Hospital of North Durham.

Our youngest supporters are such stars and we’re grateful for their efforts to raise funds. Emily Bell, 7, climbed Roseberry Topping and raised £160.

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Toddlers from Welcome Nurseries Catterick Garrison hopped, skipped, jumped and ran their way to raise £436.93 through a sponsored Toddle.

Practical donations of gifts in kind are always welcome. Beaumont Landscapes came through for the operations team at Darlington Memorial Hospital by gifting them a kettle.

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The caring hands of our staff were given the soothing support of a generous donation of hand cream from Dragons’ Den business Nursemskincare, which were distributed to hospitals and community teams.Local Dragon Sara Davies gave our nursing staff a shout out on her blog for International Nurses Day and said she was delighted to support the free product for our hospitals in County Durham and Darlington.

Tesco in the Community Champion John Bailey and Cllr Sam Zair of Bishop Auckland, together made a welcome donation of some fans to Ward 18 in Bishop Auckland Hospital.

Cllr Sam Zair said: ‘This was a personal donation from me, I know how uncomfortable it can get in a hospital and you need that breeze to cool you down, we are delighted to help.”

It was wonderful to be able to hold in-person fundraising events again and our Charity Golf Day at Rockliffe Hall Golf Club, supported by Brunel Insurance Brokers as main sponsor, was our first event in 18 months. This was shortly followed by a Golf Day at Close House. It’s good to be back and we’ve already secured a date for next year with Rockliffe.

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Another of our annual fundraising events to return was the skydive. Thanks to our brave daredevils who jumped out of a plane for us!

A team from MN Consulting braved the elements and completed the Yorkshire Three Peaks Challenge to raise just over £2,000.

If you’d like to get involved in one of our challenges to raise much needed funds to help us support our hospitals, then get in touch by emailing cddft.charity@nhs.

We were very inspired by the runners who tackled the Great North Run on our behalf and raised over £3,000.

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The NHS marked 73 years during the summer and our staff and patients got involved with celebrating this milestone with plenty of cake involved.

Morrisons Bishop Auckland Community Champion donated afternoon tea for all the wards at Bishop Auckland Hospital. While TLC Durham made sure there was plenty of coffee and chocolate for the Treetops Ward.

Sainsburys Sedgefield kindly donated a wishing well

planter as a thank you for all our hospitals have done throughout the pandemic. They also plan to replant this

each year at their own expense. What a wonderful addition to the grounds.

www.cddft.nhs.uk

Darlington Rotarians helped ensure our staff could put their feet up and rest in Darlington Memorial Hospital, their donations helped purchase new microwaves, a TV, a drinks dispenser and coffee tables. Thank you Rotary!

Corporate Partners form an essential part of our support, with regular planned giving and wider exposure to their business networks. We’re very grateful to Resilient Business Solutions, Orca Cleaning Services, Aerogels, Peachy Digital, BNI Regional, Sparta Security, Fresh Business Solutions, The Axe House, Bar 29, By the Pool, Boss Bins and Sandringham Financial Services

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Matthew Short honoured the memory of his mum Carol by raising £1,815 to help support the Mara Unit in Bishop Auckland Hospital. Carol died of bowel cancer during the pandemic and Matthew wanted to do something positive in her name.

He said: “My mum actually looked forward to going for her treatment at the Mara Unit as the staff were just so lovely and she made some good friends in the ward too. I set up a GoFundMe page and asked all the people who couldn’t’ be with us at the funeral to show their support and am overjoyed that we raised £1,815!”

Grateful patient Caroline Mason donated £1,000 to support the plans for the new chemotherapy unit in University Hospital of North Durham after she was diagnosed with Stage 4 bowel cancer.

Caroline said: “I thought bowel cancer was something that happened to other people, not to someone like myself who was still relatively young, fit and active. I thought living a healthier lifestyle simply meant I wouldn’t be at risk and to be honest had no idea what signs to look for that would have made me more concerned about the changes I felt. If I can do anything to help make more people aware to get themselves checked, don’t put it off I will do it. I simply can’t thank the NHS team that have supported me enough, particularly up at Shotley Bridge. Thank you everyone.”

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Centenarian Bill Cooksey walked a staggering 100 miles over the course of ten days and raised £2,595 for the Charity. The WWII veteran walked 10 miles a day and has already planned his next challenge for us. What a hero!

The fabulous ladies of the Shincliffe Knit and Natter group have been wonderful supporters. The group meet every week and have donated an outstanding £1,533. Apart from their fundraising, they all have their needles working their magic to create anything from hats and blankets for our maternity wards through to ‘knitted knockers’ for patients with cancer who have recently had breast surgery. Del Faye (pictured holding the heart) said: “We’ve a lovely bunch of knitters here, its great company and we’re glad we’re able to help our local hospital too.”

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Year 6 students from Reid Street School took on an entrepreneurial challenge to find creative solutions to raise funds for local charities including ours.

The students decided to sell their products on International Nurses Day as some of the children have parents who work in Darlington Memorial and they raised over £1,500 for the school and three local charities. Well done and thank you.

Despite the challenges faced by fundraisers during the year Shelly Fairbairn and Tony Clark of Ramside Golf Club still managed to donate a fantastic £2,000. Shelly said: “It has been very difficult to fundraise with lockdown and restrictions so feel so very grateful to everyone who helped and supported Ramside Ladies Golf during my captaincy contributing to this total.”

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With regular fundraising events put on hold due to the pandemic we had to come up with innovative new ways to bring in income. We installed recycling bins at three sites which, as well as raising money, support the Trust’s green campaign as we reuse and recycle.

It’s an honour to be able to support the Trust’s annual awards which recognise the amazing work taking place by staff within our hospitals. We rely on local businesses to support with providing prizes and are incredibly grateful to all who donate to this event.

www.cddft.nhs.uk

Risk Management

The major risks to which the Charity is exposed have been identified and systems put in place in mitigation.

The major external risk to which the Charity is exposed is a sudden fall in the value of the investment portfolio, as occurred on more than one occasion since 2000. However, the Corporate Trustee invests over the longer term to ensure that the greatest returns are achieved. Evidence of financial performance over any 20-year period in the last century is that some exposure to a wide range of equity-based investments will add value in comparison to a purely narrow-range, fixed-interestbased portfolio.

To mitigate the exposure to risk in this area the Charity has adopted an investment policy that seeks to achieve a balance between capital growth and income generation by using a range of investment vehicles. These typically comprise a wide range of UK Gilts and corporate bonds, UK and overseas investment and unit trusts, UK common investment funds and UK equities. The UK equity investments are generally constituents of the FTSE 100 Index. There are no investments in organisations whose primary business is in tobacco or alcohol products.

The Charity also employs a professional investment management company to provide a specialist advisory investment service. The firm is authorised and regulated by the Financial Conduct Authority, whose remit was set by the Financial Services & Markets Act 2000 as amended by the Financial Services Act 2012.

With these controls in place over this area of risk, the Charity was able to continue supporting local NHS services in their drive to improve care and services to patients.

Internal risk of misappropriation or misuse of funds is controlled through the adoption and use of the Trust constitution, standing financial instructions and financial procedure notes by staff working on charity matters. An internal audit service is provided by Audit One, who reviews the financial operations of the Charity on a continual basis. A full report is prepared for the Audit Committee of the NHS Foundation Trust annually.

www.cddft.nhs.uk

NHS NHS • Your1￿ li I Charity County Durham and Darlington NHS FouThd•tlonTrurtthirlty (WtrWI051467 NHS Foundation Trust Income Summary 2021122 Investment income £520,000 £53,000 Donatlons .397,00 Our Chaiity team work hard In the community to keep these generous donations coming in. Charitsble Acti¥itie5 £11,000 This is income the Trust receive5 fr(Hn charitsble rtivitie5 5uth as educational •nd tr•lnln8 •wn Legacies £59,000 These generous bequests have been left to a range of department5 and this helps pport various initiative5 throughout our ho¥4itsls. NHS Charity safe • compassionate • joined-up care 000 www.cddft.nhs.uk

Gifts in Kind 2021/22

During the year 2021/22, County Durham and Darlington NHS Foundation Trust’s Charity was humbled and grateful to receive many different gifts in kind to support the Trust’s workforce and patients as they faced an unprecedented year still impacted by the pandemic. Every gift made a real difference to a dedicated healthcare professional or a patient.

To be open and transparent, the Charity team maintained a record of all such gifts and included an approximate financial value for each of these gifts.

The estimated value of gifts in kind received during 2021/22 is £60,000.

One company providing gifts in kind was S G Petch in Durham and Darlington which was instrumental in helping us deliver Christmas treats to young patients in Treetops Durham and our children’s wards in Darlington Memorial, along with donations of raffle gifts for our Corporate events.

Expenditure Summary 2021/22

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Review of Financial Performance [to check]

The net assets of the Charity as at 31 March 2022 are £2,567,000, representing an increase over the year of £82,000.

Income

Donations and legacies are relied upon by the Charity, supported by investment income, as the main sources of income. Together, donations and legacies have decreased by £352,000 compared to the previous financial year.

www.cddft.nhs.uk

The Charity is a grant-giving rather than a service-providing Charity, in that it seeks to support the NHS services provided by the host NHS Foundation Trust. No activities of the Charity or the Trust rely solely on funds from the Charity. Under SORP 2015 charitable expenditure comprises the direct costs of the charitable activities together with the support costs incurred that enable these activities to be undertaken. Resources expended during the year are shown on the Statement of Financial Activities within the accounts on this basis. An analysis of charitable activities and support costs is disclosed in Note 8 to the accounts.

Total direct charitable expenditure on activities is £433,000, though there are no comparable patterns of expenditure as trustees and fund advisors tend to support different services from one year to the next.

Some of the improvements we have funded within the hospitals include new physio stairs for our rehabilitation unit in Bishop Auckland Hospital to support patients’ recovery and murals in the children’s ED to help put children at ease during their visit.

www.cddft.nhs.uk

Grants awarded

To give a sense of the difference the funds we raise provide to staff and patients here is a selection of case studies providing insight into what our grants can support.

Video Conferencing Equipment

Part of the Trust’s response to the Covid-19 pandemic saw the relocation and reconfiguration of services across the Trust. Some services, previously based on the two main hospital sites, were relocated or centralised to Bishop Auckland Hospital. This service reconfiguration had an impact on the ability for the cancer multidisciplinary team meetings (MDTM) to maintain an acceptable and safe level of compliance and clinical input. MDT members and clinicians found they were unable to attend meetings in person due to the change in location of services and clinics. Main site attendance was also impacted upon by the necessity to maintain social distancing requirements.

This grant funding helped to extend the availability of the Trusts existing video conferencing equipment, used by the clinicians to attend an MDTM, into a dedicated meeting room at BAH and to allow remote connections into the main video conferencing rooms based at Darlington Memorial Hospital and University Hospital of North Durham.

Patients managed by an MDTM are more likely to receive accurate diagnosis, be offered a choice of treatments, receive better coordination and continuity of care through all stages of the cancer, and be treated in line with locally agreed policies and national guidelines. Getting the MDTM right is crucial for patient outcomes. As CDDFT’s cancer network stretches over large distances and covers huge populations commitment to this can take up a large amount of a clinician’s time. Multiply that by the number of specialists who are part of the team, including radiologists, specialist nurses, oncologists, allied health professionals and others, this is a large human resource and discussion through a video conferencing forum ensures the best possible treatment plan decision is agreed in real time.

Out Parenteral Antibiotic Therapy Team

We were delighted to fund the purchase of two portable ultra-sound machines which would enable patients to be treated in the community, which is more convenient for patients and saves valuable bed days. One of the patients this has made a difference to is someone with profound learning disabilities who was on a four-week plus course of intravenous antibiotics. The OPAT allowed them to receive treatment at home surrounded by parents and carers. Ultrasound has allowed the IV access device to be re-sited at home and bloods to be taken without any need for multiple attempts which could be distressing.

www.cddft.nhs.uk

Camera for Maternity Bereavement Support

When families lose a baby in pregnancy or shortly after birth it is vital that we provide them with the resources and opportunity to create memories and mementoes as recommended by the National Bereavement Care Pathway. Photographs are an important part of this memory making process. The charity 4Louis provide us with memory boxes for our bereaved families which include a complementary SD card for use with the digital camera we provided through charitable funds. Providing this this camera means families can take as many photos as they wish of their baby giving them very precious memories to keep forever.

Multi-Functional Monitors

Due to changes in wards to support the ongoing pandemic, there was a need for additional equipment to help staff monitor patients without delays. Equipment was borrowed from other wards to support these newly created wards and had to be returned to the ward they had borrowed it from, the provision of funding to purchase two new multi-functional monitors – used to record patient’s physiological parameters such as blood pressure, heart rate and, oxygen saturations – made an immediate difference for both staff and patients.

Community Physiotherapy Videos

Lots of innovative ideas emerged during the pandemic and with so many clinics needing to be postponed the concern to ensure patient welfare and essential physiotherapy continued was essential. The Trust physiotherapy team requested funding to create a range of videos that patients could follow at home to ensure their rehabilitation continued efficiently and effectively for each patient.

One patient started their therapy hardly being able to stand and needing a fourwheel stroller to just get around the house and was not too confident in venturing out. The patient’s biggest fear was that they would fall, however with the videos the team were able to help give them confidence to try the exercises they were being instructed to follow. Initially the patient struggled to do just five repetitions but with the help and support of the team in just nine weeks, the patient was walking around their home with a stick or often without any aid. Their confidence grew and they were able to venture outside either using a stick or on occasions for a longer walk using their stroller.

Review of Financial Performance

Investments

The Charity’s policy objective for investments is to achieve a balance between capital growth and income generation. To achieve this, an investment manager, Brewin Dolphin, is contracted to act in a discretionary capacity, but within the framework of an investment policy.

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Relevant reports are provided by the advisor to the Charity Committee on a quarterly basis, setting out the investment portfolio valuation at the quarter-end, notes the exceptional performances of individual stock-holdings, summarises the general market conditions and makes trading recommendations when appropriate.

The portfolio comprises a wide range of investments in UK equities, UK and overseas unit and investment trusts, Common Investment Funds, UK bonds and treasury stocks. There are no investments in companies involved in tobacco and armaments. Realised and unrealised gains decreased as some investments were sold to increase cash for the charity.

Thank you

Our Charity continued to provide many significant benefits to our patients and staff over the past year. These have not been just to our hospitals but more widely to include our community services as well.

It is pleasing to see how the NHS charities are working together and being supportive of each other particularly during these very difficult economic times. We are always so grateful to our many donors and sponsors for their time and generosity. I wish to thank our Charity team who work tirelessly and in an innovative manner in generating new means of support.

Paul Keane, OBE

Trust Chairman

www.cddft.nhs.uk

County Durham & Darlington NHS Foundation Trust Charity

Charity Registration Number: 1053467

Unaudited Annual Accounts 2021-2022

Foreword

These accounts have been prepared by the Corporate Trustee in accordance with the Charities Act 2011 and the Charities Statement of Recommended Practice (SORP) FRS102.

Statutory background

The County Durham and Darlington NHS Foundation Trust charitable funds held on trust are registered with the Charity Commission and incorporate funds that support the NHS services that we provide in County Durham & Darlington, whether in homes or health centres, or in our hospitals in Durham City, Darlington, Bishop Auckland, Shotley Bridge, Chester-le-Street, Barnard Castle, Sedgefield and Stanhope.

Main purpose of the funds held on trust

The main purpose of the charitable funds held on trust is to apply income for any charitable purpose relating to the National Health Service wholly or mainly for the services provided by the the County Durham and Darlington NHS Foundation Trust.

Foreword

County Durham and Darlington NHS Foundation Trust Charity 2021/22

Statement of Trustees’ responsibilities in respect of the Trustees’ annual report and the financial statements

Under the trust deed of the charity and charity law, the trustees are responsible for preparing the Trustees’ Annual Report and the financial statements in accordance with applicable law and regulations. The trustees have elected to prepare the financial statements in accordance with UK Accounting Standards, including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland.

The financial statements are required by law to give a true and fair view of the state of affairs of the charity and of the excess of expenditure over income for that period.

In preparing these financial statements, generally accepted accounting practice entails that the trustees:

The trustees are required to act in accordance with the trust deed of the charity, within the framework of trust law. They are responsible for keeping proper accounting records, sufficient to disclose at any time, with reasonable accuracy, the financial position of the charity at that time, and to enable the trustees to ensure that, where any statements of accounts are prepared by them under section 132(1) of the Charities Act 2011, those statements of accounts comply with the requirements of regulations under that provision. They are responsible for such internal control as they determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error, and have general responsibility for taking such steps as are reasonably open to them to safeguard the assets of the charity and to prevent and detect fraud and other irregularities.

The trustees are responsible for the maintenance and integrity of the financial and other information included on the charity’s website. Legislation in the UK governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

By Order of the Trustees

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Chairman…………………………………………… Date …..........04/01/2023.........
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Trustee …………………………….……………... Date …..........04/01/2023...............
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Page 1

Independent Examiner’s Report to the Trustee of County Durham and Darlington NHS Foundation Trust Charitable Fund

I report on the financial statements of the Charity for the year ended 31 March 2022, which are set out on pages 4 to 18.

Respective responsibilities of trustees and examiner

The charity’s trustee is responsible for the preparation of the financial statements. The charity’s trustee considers that an audit is not required for this year under section 144(2) of the Charities Act 2011 (the 2011 Act) and that an independent examination is needed.

It is my responsibility to:

This report, including my statement, has been prepared for and only for the charity’s trustee as a body. My work has been undertaken so that I might state to the charity’s trustee those matters I am required to state to them in an independent examiner’s report and for no other purpose. To the fullest extent permitted by law, I do not accept or assume responsibility to anyone other than the charity and the charity’s trustee as a body for my examination work, for this report, or for the statements I have made.

Basis of independent examiner’s report

My examination was carried out in accordance with the general Directions given by the Charity Commission. An examination includes a review of the accounting records kept by the charity and a comparison of the financial statements presented with those records. It also includes consideration of any unusual items or disclosures in the financial statements, and seeking explanations from you as trustees concerning any such matters. The procedures undertaken do not provide all the evidence that would be required in an audit and consequently no opinion is given as to whether the financial statements present a ‘true and fair view’ and the report is limited to those matters set out in the statement below.

Page 2

Independent examiner’s statement

In connection with my examination, which is complete, no matters have come to my attention which give me reasonable cause to believe that in any material respect:

Cameron Waddell (Jan 5, 2023 14:42 GMT)

Cameron Waddell

for and on behalf of Mazars LLP Relevant professional qualification or body: CPFA

The Corner, Bank Chambers, 26 Moseley Street, Newcastle Upon Tyne, NE1 1DF 5 January 2023

Page 3

County Durham and Darlington NHS Foundation Trust Charity 2021/22

Statement of Financial Activities for the year ended 31 March 2022

Note
Income and endowments from:
Donations and legacies
4
Income from charitable activities
5
Investment income
6
Total income
Expenditure on:
Raising funds
8a
Charitable activities:
Medical equipment
Medical research
Staff education and welfare
Patient education and welfare
Other equipment and refurbishment
Total expenditure on charitable activities
8b
Total expenditure
Net (expenditure)/income before (losses)/gains on investment assets
Net (losses)/gains on investments
Net (expenditure)/income
Fund balances brought forward at 31 March 2021
Transfers between funds
21
Fund balances carried forward at 31 March 2022		 Unrestricted
Funds
£000
156
9
38
203
(91)
(9)
-
(6)
(16)
(154)
(185)
(276)
(73)
114
41
1,863
(71)
1,833		 Restricted
Funds
£000
301
3
14
317
(30)
(13)
-
(7)
(22)
(206)
(248)
(278)
39
2
41
622
71
734		 Endowment
Funds
£000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-		 2021-22
Total
Funds
£000
457
12
52
520
(121)
(22)
-
(13)
(38)
(360)
(433)
(554)
(34)
116
82
2,485
(0)
2,567		 2020-21
Total
Funds
£000
811
6
55
872
(106)
(333)
(1)
(52)
(47)
(346)
(779)
(885)
(14)
520
507
1,977
-
2,484

The notes at pages 6 to 18 form part of these Accounts.

Page 4

County Durham and Darlington NHS Foundation Trust Charity 2021/22

Balance Sheet as at 31 March 2022

Notes
Fixed Assets
Investments
16
Total Fixed Assets
Current Assets
Debtors
18
Cash and cash equivalents
19
Total Current Assets
Liabilities
Creditors falling due within one year
20
Net current assets/(liabilities)
Total Net Assets
Funds of the Charity
21
Endowment funds
Restricted income funds
Unrestricted income funds
Total Funds		 Unrestricted
Funds
£000
1,867
1,867
1
82
83
(117)
(34)
1,833
-
-
1,833
1,833		 Restricted
Funds
£000
734
734
-
114
114
(114)
-
734
-
734
-
734		 Endowment
Funds
£000
-
-
-
-
-
-
-
-
-
-
-
-		 Total at 31
March 2022
£000
2,601
2,601
1
196
197
(231)
(34)
2,567
-
734
1,833
2,567		 Total at 31
March 2021
£000
2,450
2,450
-
243
243
(208)
35
2,485
-
623
1,862
2,485

The notes at pages 6 to 18 form part of these Accounts.

Signed: ……………………………………

Date: 04/01/2023

Page 5

County Durham and Darlington NHS Foundation Trust Charity 2021/22

Statement of Cash Flow for the year ended 31 March 2022 31 March 2022
£000		 31 March 2021
£000
Net operatingincome /(expenditure) 82 507
Adjustment for non-cash transactions -unrealisedgains on investments (116) (441)
Adjustment for non-cash donations(physical assets)and other non-cash transactions 0 0
(Increase)/decrease in receivables (1) 2
Increase/(decrease)inpayables 23 (94)
Other movements in workingcapital 0 0
Other adjustments for non-operatingcash flows 0 0
Other operatingcash flows 0 0
Net cashgenerating from /(used in) operations (11) (26)
Net cashgenerating from /(used in) investing activities 0 0
Purchase of investments (36) (539)
Proceeds from disposal of investments (0) 720
Net cashgenerating from /(used in) financing activities 0 0
Net increase /(decrease) in cash (47) 155
Cash at 1 April 243 88
Cash and cash equivalents at start ofperiod of new FT 0 0
Cash and cash equivalents transferred under normal absorption accounting 0 0
Cash transferred to NHS foundation trust upon authorisation as FT 0 0
Cash at 31 March 196 243

Page 5a

County Durham and Darlington NHS Foundation Trust Charity 2021/22

1 Accounting Policies

Notes to the Accounts

(a) Basis of preparation

The financial statements have been prepared under the historical cost convention, modified to include the revaluation of investments to market value, in accordance with the Charities Act 2011 and with the guidelines set out in the Charities Statement of Recommended Practice: (SORP) FRS102.

The Trustees consider that there are no material uncertainties about the Charity's abilityto continue as a going concern. There are no material uncertainties affecting the current year’s Accounts.

The key risks to the Charity are a fall in income from donations or investment income, or loss in value of its investment portfolio. However, the Charity is grant-giving rather than service-providing so there is no material risk to beneficiaries as a whole.

The Trustees have arrangements in place to mitigate the risks through its investment policy.

Page 6

County Durham and Darlington NHS Foundation Trust Charity 2021/22

(b) Funds structure

Funds are classified as follows:

Endowment funds are held on trust to be retained by the Charity as capital.

Where the Corporate Trustee is required to maintain the whole of the fund it is known as permanent endowment. Income to these funds is generally not subject to the same restriction as the original fund and therefore forms part of the unrestricted funds. At 31 March 2022 there were no endowment funds within the Charity.

Restricted funds can only be applied for particular purposes within the Charity's objects and have to be accounted for separately. Income to such a fund is generally subject to the same restriction as the original fund. At 31 March 2022 there were 15 restricted funds.

Unrestricted funds are available to apply for any general charitable purpose of the Charity. Where the Corporate Trustee earmarks unrestricted funds for particular purposes then such funds are described as 'designated' funds but remain part of the Charity's unrestricted funds for accounting purposes. At 31 March 2022 there were 88 such funds, mainly designated to particular service or ward purposes.

(c) Income

Income is recognised once the Charity has entitlement to the resources, it is probable (more likely than not) that the resources will be received and the monetary value of income can be measured with sufficient reliability.

Conditions must be met before the income is recognised as the entitlement condition will not be satisfied until that point. Where terms or conditions have not been met or uncertainty exists as to whether they can be met then the relevant income is not recognised in the year but deferred and shown on the Balance Sheet as deferred income.

(d) Income from legacies

Legacies are accounted for as income either upon receipt or where the receipt of the legacy is probable. Receipt is probable when:

If there is uncertainty as to the amount of the legacy and it cannot be reliably estimated then the legacy is shown as a contingent asset until all of the conditions for income recognition are met.

(e) Expenditure and irrecoverable VAT

All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to each category of expense shown in the Statement of Financial Activities.

Expenditure is recognised when the following criteria are met:

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

(f) Recognition of expenditure and associated liabilities as a result of grant

Grants payable are payments made to linked, related party or third party NHS bodies and non NHS bodies, in furtherance of the charitable objectives of the funds held on trust, primarily relief of those who are sick.

Grant payments are recognised as expenditure when the conditions for their payment have been met or where there is a constructive obligation to make a payment.

Page 7

County Durham and Darlington NHS Foundation Trust Charity 2021/22

(f) (continued)

A constructive obligation arises when:

The Trustees have control over the amount and timing of grant payments and consequently where approval has been given by the Trustees and any of the above criteria have been met then a liability is recognised. Grants are not usually awarded with conditions attached. However, when they are then those conditions have to be met before the liability is recognised.

Where an intention has not been communicated, then no expenditure is recognised but an appropriate designation is made in the appropriate fund. If a grant has been offered but there is uncertainty as to whether it will be accepted or whether conditions will be met then no liability is recognised but a contingent liability is disclosed.

(g)

Allocation of support costs

Support costs are those costs which do not relate directly to a single activity. These include some staff costs, costs of administration, internal and external audit costs and IT support. Support costs have been apportioned between fundraising costs and charitable activities on an appropriate basis. The analysis of support costs and the bases of apportionment applied are shown in note 12.

(h)

Fundraising costs

The costs of generating funds are those costs attributable to generating income for the Charity, other than those costs incurred in undertaking charitable activities or the costs incurred in undertaking trading activities in furtherance of the Charity’s objects. The costs of generating funds represent fundraising costs together with investment management fees. Fundraising costs include expenses for fundraising activities and a charge paid to a related party, the County Durham & Darlington NHS FT, to cover the costs of salaries of the staff who are involved in the collection of funds.

(i) Charitable activities

Costs of charitable activities comprise all costs incurred in the pursuit of the charitable objects of the Charity. These costs, where not wholly attributable, are apportioned between the categories of charitable expenditure in addition to the direct costs. The total costs of each category of charitable expenditure include an apportionment of support costs as shown in note 12.

(j) Investment fixed assets

Investments are a form of basic financial instrument. Fixed asset investments are initially recognised at their transaction value and are subsequently measured at their fair value (market value) as at the balance sheet date. The Statement of Financial Activities includes the net gains and losses arising on revaluation and disposals throughout the year. Quoted stocks and shares are included in the Balance Sheet at the current market value quoted by the investment analyst, excluding dividend. Other investments are included at the Trustees’ best estimate of market value.

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. Further information on on the Charity's investments can be found in note 16.

(k) Debtors

Debtors are amounts owed to the Charity. They are measured on the basis of their recoverable amount.

(l)

Cash and cash equivalents

Cash at bank and in hand is held to meet the day to day running costs of the Charity as they fall due. Cash equivalents are short term, highly liquid investments, usually in 90 day notice interest bearing savings accounts.

Page 8

County Durham and Darlington NHS Foundation Trust Charity 2021/22

(m) Creditors

Creditors are amounts owed by the Charity. They are measured at the amount that the Charity expects to have to pay to settle the debt. Amounts which are owed in more than a year are shown as long term creditors.

(n) 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 carrying value (purchase date if later).

(o) Pensions

The Charity has no employees, but utilises staff employed by the linked NHS Foundation Trust to run its business on behalf of the Corporate Trustee. Therefore, there are no pension liabilities arising.

Page 9

County Durham and Darlington NHS Foundation Trust Charity 2021/22

2 Prior year comparatives by type of fund

The primary statements provide prior year comparatives in total; this note provides prior period comparatives for the Statement of Financial Activities and the Balance Sheet for each of the types of funds that the Charity manages.

2a Unrestricted funds - Statement of Financial Activities for the year ended 31 March 2022

Income and endowments from:
Donations and legacies
Charitable activities
Investment income
Total income
Expenditure on:
Raising funds
Charitable activities
Total expenditure
Net (losses)/gains
Net (expenditure)/income
Transfers between funds
Net movement in funds
Reconciliation of funds
Total funds brought forward
Total funds carried forward
Unrestricted funds - Balance Sheet as at 31 March 2022
Fixed Assets:
Investments
Total Fixed Assets
Current Assets:
Debtors
Cash and cash equivalents
Total Current Assets
Liabilities:
Creditors falling due within one year
Net Current (Liabilities)/Assets
Total Assets less Current Liabilities
Creditors falling due after more than one year
Total Net Assets for unrestricted funds
Total unrestricted funds		 2022
£000
156
9
38
203
(91)
(186)
(277)
114
40
(71)
(31)
1,863
1,833
2022
£000
1,867
1,867
1
82
83
(117)
(34)
1,833
1,833
1,833		 2021
£000
327
5
41
373
(83)
(472)
(555)
510
328
1
329
1,533
1,862
2021
£000
2,379
2,379
-
(309)
(309)
(208)
(517)
1,862
-
1,862
1,862

Page 10

County Durham and Darlington NHS Foundation Trust Charity 2021/22

2b
Restricted funds - Statement of Financial Activities for the year ended 31 March 2022
2022
£000
Income and endowments from:
Donations and legacies
301
Charitable activities
3
Investment income
14
Total income
317
Expenditure on:
Raising funds
(30)
Charitable activities
(247)
Total expenditure
(277)
Net (losses)/gains
2
Net (expenditure)/income
42
Transfers between funds
71
Net movement in funds
113
Reconciliation of funds
Total funds brought forward
622
Total funds carried forward
735
Restricted funds - Balance Sheet as at 31 March 2022
2022
£000
Fixed Assets:
Investments
734
Total Fixed Assets
734
Current Assets:
Debtors
-
Cash and cash equivalents
114
Total Current Assets
114
Liabilities:
Creditors falling due within one year
(114)
Net Current (Liabilities)/Assets
-
Total Assets less Current Liabilities
735
Creditors falling due after more than one year
-
Total Net Assets for restricted funds
735
Total restricted funds
735		 2021
£000
484
457
1
12
14
52
499
520
(23)
-121
(308)
-433
(331)
-554
11
116
179
82
(1)
0
178
82
445
2,485
623
2,568
2021
£000
71
2,601
71
2,601
-
552
196
552
197
-
552
-34
623
2,568
-
623
2,568
623
2,568

Page 11

County Durham and Darlington NHS Foundation Trust Charity 2021/22

2c
Endowment funds - Statement of Financial Activities for the year ended 31 March 2022
2022
£000
Income and endowments from:
Donations and legacies
-
Charitable activities
-
Investment income
-
Total income
-
Expenditure on:
Raising funds
-
Charitable activities
-
Total expenditure
-
Net (losses)/gains
-
Net (expenditure)/income
-
Transfers between funds
-
Net movement in funds
-
Reconciliation of funds
Total funds brought forward
-
Total funds carried forward
-
Endowment funds - Balance Sheet as at 31 March 2022
2022
£000
Fixed Assets:
Investments
-
Total Fixed Assets
-
Current Assets:
Debtors
-
Cash and cash equivalents
-
Total Current Assets
-
Liabilities:
Creditors falling due within one year
-
Net Current (Liabilities)/Assets
-
Total Assets less Current Liabilities
-
Creditors falling due after more than one year
-
Total Net Assets for endowment funds
-
Total endowment funds
-		 2021
£000
-
-
-
-
-
-
-
-
-
-
-
-
-
2021
£000
-
-
-
-
-
-
-
-
-
-
-

Page 12

County Durham and Darlington NHS Foundation Trust Charity 2021/22

3 Related party transactions

County Durham and Darlington NHS Foundation Trust is a related party by virtue of its role as corporate trustee of the Charity. As part of the Accounting and Reporting by Charities: Statement of Recommended Practice (SORP 2015), the Charity is viewed as a subsidiary for accounting purposes as its activities are controlled by the Corporate Trustee.

The SORP requires a number of disclosures in the Accounts as follows:

The principal office of the Corporate Trustee is:

Darlington Memorial Hospital Trust Headquarters Hollyhurst Road Darlington DL3 6HX

A copy of the consolidated accounts of the Corporate Trustee can be obtained by contacting the Director of Finance at this address.

All Charity expenditure is incurred by the Corporate Trustee and recharged to the Charity on a timely basis. Total expenditure for 2021/22 amounted to £499,621 of which £122,736 remained outstanding at 31 March 2022. There were no amounts written-off during the year.

Unrestricted Restricted Total Total
Funds Funds 2022 2021
£000 £000 £000 £000
Donations from individuals 117 39 156 129
Corporate donations 37 204 241 149
Legacies 2 58 59 48
Grants - - - 392
Recharge income - - - 93
Total voluntary income 156 301 457 811
Income from charitable activities
Unrestricted Restricted Total Total
Funds Funds 2022 2021
£000 £000 £000 £000
Education and training events (1) - (1) -
Other events 10 3 12 6
Total income from charitable activities 9 3 12 6

Page 13

County Durham and Darlington NHS Foundation Trust Charity 2021/22

Investment income
Earned from:
UK Equities
UK Bonds
Overseas Equities
Overseas Bonds
Property
Alternatives
Cash
Total investment income
*20/21 categories restated		 2022
£000
21
5
19
2
1
3
-
51		 2021
£000
20
7
23
1
2
2
-
55

7 Role of volunteers

The Charity relies on fund advisors, acting in a voluntary capacity, to manage the individual charitable funds. The advisors are typically employees of the corporate trustee, usually senior clinical and management staff, who are well placed to decide within the scheme of delegation how funds can best be directed to improving services, facilities and amenties for patients.

8

a. Analysis of expenditure on raising funds

Currently, the Charity is investing to develop itself and has incurred development costs in order to support the organisation in having a more prominent position in the local community. Over the years, there has been a drive to raise the Charity profile within the local community and area.

Investment management
Charity development costs
Other support costs
Total expenditure on raising funds
Analysis of expenditure on other areas
Charitable Activities
Furtherance of Charity Objectives
Other Expenditure
Third Party Expenditure
Total expenditure on other areas		 Unrestricted
Restricted
Funds
Funds
£000
£000
10
4
-
-
81
26
91
30
Unrestricted
Restricted
Funds
Funds
£000
£000
160
186
7
3
20
5
-
54
186
247		 Total
2022
£000
14
-
107
121
Total
2022
£000
346
9
24
54
433		 Total
2021
£000
12
-
94
106
Total
2021
£000
677
84
19
780

9 Analysis of charitable expenditure

The Charity did not undertake any direct charitable activities during the year, but awarded grants to County Durham & Darlington NHS Foundation Trust to enable it to improve its services and provide additional amenities for patients.

Expenditure over activity headings is as follows:

Medical equipment
Medical research
Staff education and welfare
Patient education and welfare
Other equipment and refurbishment
Total charitable expenditure		 Grant Funded
Activity
£000
22
-
13
37
352
424		 Support
Costs
£000
-
-
-
1
8
9		 2022
Total
£000
22
0
13
38
360
433		 2021
Total
£000
325
1
57
46
350
779

Page 14

County Durham and Darlington NHS Foundation Trust Charity 2021/22

10 Analysis of grants

The total cost of grant-making, including support costs, is disclosed in the Statement of Financial Activities. The actual disbursement, excluding support costs, is disclosed in note 9.

All grants are made through the County Durham & Darlington NHS Foundation Trust to enhance the care of NHS patients in furtherance of our charitable aims.

The Corporate Trustee operates a scheme of delegation under which fund advisors administer the day-to-day activities in accordance with established standing orders and financial instructions. Spending decisions made under the scheme of delegation represent both ongoing and one-off activities and it is not possible to segment these activities into discrete individual grant awards. Individual grants are not approved by the corporate trustee, rather individual fund advisors initiate expenditure based on the approved charitable purposes of each fund.

Name of recipient:
County Durham & Darlington NHS Foundation Trust
Total grants		 Total paid
Total paid
2022
2021
£000
£000
295
582
295
582		 Total paid
Total paid
2022
2021
£000
£000
295
582
295
582
582

11 Commitments

The following commitments are not included in the Statement of Financial Activities as there is no legal or constructive obligation in place at the end of the financial year. They represent commitments agreed by the Charitable Funds Committee during the financial year.

The Charity awards a number of grants each year, most of which are paid out in the same financial year.

The Charity does not generally agree funding over a period longer than 12 months, so all commitments at 31 March 2022 are expected to be settled during the year.

As there is control over the award and timing of grants there is little uncertainty around these payments.

Commitments outstanding at 1 April
Commitments settled during the year
New commitments arising during the year
Total Commitments outstanding at 31 March		 2022
£000
87
(79)
38
46		 2021
£000
159
(159)
87
87

Although the Purchase Orders were placed during 2021/22, the goods and services will be received during the following year 2022/23.

12 Allocation of support costs and overheads

Support and overhead costs are allocated between fundraising activities and charitable activities. Governance costs are those support costs which relate to the strategic and day to day management.

The bases of allocation used are as follows:

Internal audit
Expenditure
Independent Examiner
Expenditure
Subscriptions
Expenditure
Staff support
Time
Staff training
Time
Total governance costs
Events expenditure
Expenditure
Other expenditure
Expenditure
Staff support
Time
Total support costs and overheads		 Raising
Charitable
Funds
Activities
£000
£000
-
-
1
-
-
-
-
9
-
-
1
9
-
-
21
-
99
-
121
9		 2022
Total
£000
-
1
-
9
-
10
-
21
99
130		 2021
Total
£000
4
1
2
82
-
89
-
16
84
189

Page 15

County Durham and Darlington NHS Foundation Trust Charity 2021/22

12 Allocation of support costs and overheads (continued)

Support costs have been apportioned across funds on the basis of average fund balances, as follows:
Unrestricted
Restricted
Total
Funds
Funds
2022
£000
£000
£000
Investment management
10
4
14
Support costs
86
29
115
Total support costs and overheads
96
33
129		 Total
2021
£000
12
178
190

13 Trustees’ remuneration, benefits and expenses

The Corporate Trustee makes no payment to any member of the Board of Directors of the Corporate Trustee in respect of remuneration or expenses for the work they do in support of the Charity.

14 Analysis of staff costs and remuneration of key management personnel

The Charity does not directly employ any staff, but draws on the support of staff employed by the Corporate Trustee. Staff are not employed solely to work on the charitable funds so they are not considered to be employees of, or working directly for, the Charity.

15 Independent Examination

The Independent Examiner's remuneration of £1,000 related solely to work on the 2021/22 Annual Accounts. An independent examination is similar to a full audit and is carried out by an external audit organisation.

16

a. Fixed Asset investments

Movement in Fixed Asset investments
Market value at 1 April
Add: additions to investment at cost
Less: disposals at carrying value
Less: movement in investment deposit account balances
Add: unrealised gains on revaluation
Market value at 31 March
Historic cost at 31 March
Investment portfolio content
UK Bonds
UK Guilts
UK Equities
Overseas Equities
Property
Alternatives
Overseas Bonds
Cash held as part of portfolio
Total investments*		 2022
£000
2,450
36
(27)
28
116
2,601
2,087
2022
£000
172
67
599
1,315
73
184
89
2,498
104
2,601		 2021
£000
2,190
539
(696)
(24)
441
2,450
2,041
2021
£000
186
72
607
1,210
61
179
59
2,374
76
2,450

b. Investment portfolio content

Individual holdings are considered to be material and require disclosure if they represent more than 5% of the fair value of the portfolio at the Balance Sheet date.

At 31 March 2022, the following investments meet this criterion:
JP Morgan US Equity Income
Vanguard Funds PLC S & P 500 ETF
ISHARES CORE S&P 500
Total investments representing more than 5% of the portfolio		 2022
£000
231
232
243
706		 2021
£000
195
192
201
588

Page 16

County Durham and Darlington NHS Foundation Trust Charity 2021/22

16 Fixed asset investments (continued)

All investments are carried at their fair value, as advised by the Charity's appointed investment advisor, Brewin Dolphin.

The main risk relating to investments still lies in the combination of volatility in financial valuations and returns.The ongoing conflict in Ukraine, high levels of inflation and deteriorating economic outlook gives uncertainty to future valuations and returns although central banks are still focused on taming inflation in the long term.

The likelihood of a recession in the next 12-24 months is rising, and markets will continue to react to this until we have more clarity as to where the economy is heading.

The Charity manages these investment risks by taking professional advice from qualified, regulated, investment advisors, who manage the portfolio within the parameters of an agreed investment policy.

17 Transfers between charitable funds

During 2021/22 there was a transfer of £70,800 from General funds into the UHND Bereavement Suite. This is part of the UHND Maternity Bereavement Suite project and aims to have all the funding in one fund for ease of managing costs.

18 Analysis of debtors
Amounts falling due within one year:
Accrued income
Prepayments
Total debtors
19 Cash at bank and in hand
GBS Bank Account
Total cash at bank and in hand
20 Analysis of creditors
Amounts falling due within one year:
Accruals for grants due to NHS bodies
Other accruals
Total creditors		 Unrestricted
Funds
£000
1
-
1
Unrestricted
Funds
£000
82
82
Unrestricted
Funds
£000
116
1
117		 Restricted
Funds
£000
-
-
-
Restricted
Funds
£000
114
114
Restricted
Funds
£000
114
-
114		 Total
2022
£000
1
-
1
Total
2022
£000
196
196
Total
2022
£000
230
1
231		 Total
2021
£000
-
-
-
Total
2021
£000
243
243
Total
2021
£000
208
-
208

Accruals for grants due to NHS bodies represent grants due to the County Durham and Darlington NHS FT for costs incurred by the Trust on behalf of the Charity in furtherance of its objects.

Page 17

County Durham and Darlington NHS Foundation Trust Charity 2021/22

21 Analysis of charitable funds

a) Endowment funds
Total endowment funds
There are currently no enowment funds
b) Restricted funds
UHND Maternity Bereavement Unit
Surgical Oncology - UHND
TIC - Mental Health Projects
Chemotherapy Expension Appeal
Paediatric Legacy Fund
CDDFT Medical Education Trust Fund
Cancer Services Fund
Cardiac Research Fund - Legacy Sub Fund 1
Ophthalmology Nurses Fund - SUB FUND 1
Ophthalmology Nurses Fund - SUB FUND 2
Diabetes Fund
CDDFT General Purpose BAH
Covid-19
CSS MALTA LEGACY FUND
Total restricted funds		 Balance
Incoming
Resources
Transfers
Gains and
Balance
31 March
Resources
Expended
Losses
31 March
2021
2022
£000
£000
£000
£000
£000
£000
-
-
-
-
-
0
Balance
Incoming
Resources
Transfers
Gains and
Balance
31 March
Resources
Expended
Losses
31 March
2021
2022
£000
£000
£000
£000
£000
£000
0
102
(130)
71
-
43
5
-
-
-
-
5
0
98
(87)
-
-
11
252
52
(29)
-
1
276
2
-
-
-
-
2
6
-
(5)
-
-
1
5
-
-
-
-
5
27
-
(1)
-
-
26
12
-
(5)
-
-
7
49
2
(2)
-
1
50
39
1
(2)
-
0
38
4
-
-
-
-
4
220
4
(18)
-
0
206
-
58
-
-
0
58
623
317
(279)
71
2
734

The restricted funds are made up of legacies received over a number of years.

It also includes income received towards appeals plus and any grants received with specific restrictions on their expenditure.

c) Unrestricted funds
Designated funds:
Rheumatology Research UHND
Cardiology UHND
Paediatric Diabetic UHND
Cardiac Research Fund
ITU Fund
Special Care Baby Unit Fund
Asthma Clinic
Community Fund
CSS Fund
Designated funds:
Other (77 funds)
Non-designated funds:
Unrealised Investments Gains/Losses
CDDFT General Fund
Total unrestricted funds		 Balance
Incoming
Resources
Transfers
Gains &
Balance
31 March
Resources
Expended
Losses
31 March
2021
2022
£000
£000
£000
£000
£000
£000
31
1
(1)
-
1
32
35
1
(2)
-
-
34
43
1
(4)
-
-
40
40
1
(14)
-
-
27
92
10
(6)
-
-
96
38
2
(4)
-
-
36
36
1
(4)
-
-
33
433
11
(68)
-
2
378
120
3
(8)
-
1
117
868
31
(111)
-
4
792
567
98
(81)
-
2
586
220
4
(17)
-
108
315
208
70
(67)
(71)
1
141
428
74
(84)
(71)
109
456
1,863
203
(276)
(71)
114
1834

The threshold for reporting material unrestricted funds is set by the Trustee as a balance of £50,000 or above. The purposes of the unrestricted funds are to support any charitable purpose relating to the NHS, mainly those NHS services provided by the host NHS Foundation Trust. The Unrealised Investment Gains/Losses fund comprises the unrealised investment gains due to unrestricted funds. They are not being allocated across all unrestricted funds but held in a central fund to mitigate against the risk of future losses. Total for restricted & unrestricted funds as above 2,485 520 (555) - 116 2568

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