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2023-03-31-accounts

EAST MIDLANDS AMBULANCE SERVICE NHS TRUST

FUNDS HELD ON TRUST

DRAFT ANNUAL REPORT AND ANNUAL ACCOUNTS

YEAR ENDED 31 MARCH 2023

Charity Registration Number: 1054148

EAST MIDLANDS AMBULANCE SERVICE NHS TRUST

CHARITABLE FUND

TRUSTEES ANNUAL REPORT YEAR ENDED 31 MARCH 2023

Charity Commission Registered Number 1054148

Financial Year Commencing 1 April 2022 Financial Year Ending 31 March 2023

1. Compliance

The financial statements have been prepared in accordance with the accounting policies set out in notes to the accounts and comply with the charity's governing document, the Charities Act 2011 and Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland published on 16 July 2014.

2. Governing Document

Trust deed dated 17 July 1996 amended by the supplemental deeds dated 30 March 2000 and 6 June 2007.

3. Objects of the Charity

For any charitable purpose or purposes relating to the National Health Service wholly or mainly for East Midlands Ambulance Service NHS Trust.

The Charitable Fund exists to support the work of the Trust for the benefit of residents in the East Midlands. Key uses of the funds include the provision of equipment for service developments and improving the work environment for staff.

4. Principal Charitable Fund Adviser to the Board

Under a scheme of delegated authority approved by the corporate trustee, Richard Henderson, Chief Executive, of East Midlands Ambulance Service NHS Trust had day to day responsibility for the management of the Charitable Fund.

The Director of Finance of the Trust acted as the principal officer overseeing the day to day financial management and accounting for the Charitable Funds. During the year this post was held by Mike Naylor, Director of Finance, as detailed in the Trustees section on page 3.

Page 1 of 24

5. Principal Office

The principal office for the charity is:

Charitable Funds Administration Finance Department East Midlands Ambulance Service NHS Trust Trust Headquarters 1 Horizon Place Mellors Way Nottingham Business Park Nottingham NG8 6PY

6. Professional Advisors

Bankers

Nat West Bank PLC 536 Valley Road Nottingham NG5 1JD

Solicitors

Browne Jacobson Mowbray House Castle Meadow Road Nottingham NG2 1BJ

Page 2 of 24

7. Trustees

The following individuals have acted as Trustees of the East Midlands Ambulance Service NHS Trust Charitable Fund during the year. Changes regarding the position of those individuals to the date of this report are also recorded.

Mr G Brown
Mrs K Tomlinson Commenced as Chairman August 2022
Mrs P Tagg Ceased as Trustee and Chairman August 2022
Dr V Sharma Ceased as Trustee September 2023
Prof. W Pope
Mr R Henderson
Mr M Naylor
Mrs K Gulliver
Ms N Bramhall Ceased as Trustee November 2023
Mr B Holdaway
Dr L Roberts Ceased as Trustee January 2023
Mr W Legge
Ms P Heer
Mr J Worrall Commenced as Trustee October 2022
Dr N Atkinson Commenced as Trustee January 2023
Ms J Jones Commenced as Trustee November 2022

All of the above Trustees are members of the Trust Board of East Midlands Ambulance Service NHS Trust.

During the year none of the Trustees or members of key management staff or parties related to them has undertaken any material transactions with the East Midlands Ambulance Service NHS Trust Charitable Fund.

Page 3 of 24

8. Structure, Governance and Management

The Charity’s unrestricted fund was established using the model declaration of trust, and all funds held on trust at the date of registration were either part of this unrestricted fund or registered as separate restricted funds under the main charity.

Non-Executive Members of the Trust Board are appointed by the NHS Trust Development Authority and Executive members of the Board are subject to recruitment by the NHS Trust Board. On 1 April 2016 the NHS Trust Development Authority became part of NHS Improvement. Members of the Trust Board and the Charitable Funds Committee are not individual trustees under Charity law but act as agents on behalf of the Corporate Trustee.

The Charitable Funds Board of Trustees is chaired by the Chairman of the Trust with a membership of all EMAS Trust Board members. The Charitable Funds Board of Trustees is a Committee of the Trust Board responsible for monitoring and administering the East Midlands Ambulance Service Charitable Fund. (Charity 1054148). It ensures that the funds are applied in accordance with the object of the fund, agreed procedures, legislation and good practice guidance.

Acting for the Corporate Trustee, the Charitable Funds Committee is responsible for the overall management of the Charitable Fund including the active promotion of Charitable Funds.

The Charitable Funds Committee considers and approves requests for expenditure from Charitable Funds in accordance with the EMAS Scheme of Delegation ensuring that the request meets the criteria set by the Charitable Funds Board of Trustees.

The Committee consists of the following EMAS Officers:Chairman of the Trust A Non Executive Director Director of Finance Assistant Director of Communications Trainee Financial Accountant

The Charitable Funds Committee has met on five occasions throughout the financial year and has discharged its responsibilities for scrutinising the risks and controls which affect all aspects of the charity’s business.

Attendance at Charitable Funds Committee Meetings
05/04/2022 02/08/2022 06/12/2022 30/12/2022 07/03/2023 Total
Members
Mike Naylor - Director of Finance P P P 3 of 5
Karen Tomlinson - Chairman P P P P P 5 of 5
Sara Reddish - Trainee Financial Accountant P P P P 4 of 5
Mel Wright - Assistant Director of Communications P P 2 of 5
Jeff Worrall - Non Executive Director P P P 3 of 5
In Attendance
Nigel Gilbert P 1 of 5
Rebecca Long P P P P P 5 of 5
Michele Sharratt P P P P 4 of 5
Harpreet Patel P 1 of 5
Michael Barnett-Connelly P 1 of 5

Page 4 of 24

8. Structure, Governance and Management (continued)

Charitable Funds Board of Trustees

The Charitable Funds Board of Trustees met on the 10 January 2023.

Page 5 of 24

9. Activities, Achievements and Performance of the Charity

a Actively promote Charitable Funds

The Charitable Funds leaflet has been circulated to various Organisations including Funeral Directors across the whole of the East Midlands. The leaflet is also available to the general public on the Trust's external website.

b Apply the funds within the Objects of the Charity and only for the agreed purpose.

Charitable Funds operates tight financial controls, using documented criteria for approving expenditure from Charitable Funds.

The Chairman and Director of Finance have been given delegated limits by the Charitable Funds Committee to authorise Charitable Funds expenditure, but will refer unusual expenditure requests to the Charitable Funds Committee for discussion. The Committee regularly refer to the expenditure criteria when discussing expenditure requests. The criteria used is reviewed by the Charitable Funds Committee annually.

c Preserve the assets of the Charity

By operating tight financial controls, the Charitable Funds Committee are reassured that funds are applied within the Objects of the Charity.

The Charitable Fund holds low risk, stable investments with CCLA Investment Management Ltd ( Churches, Charities, Local Authorities ) and reputable international banking institutions in order to protect its funds.

d Consider requests for expenditure from Charitable Funds and to ensure that any approvals comply with the objects and are within the terms of the donation.

Station funds have been utilised for specific expenditure where possible. If necessary, stations funds were supplemented by the General fund.

Page 6 of 24

9. Activities, Achievements and Performance of the Charity (continued)

e Ensure that specific donations are utilised expediently.

Large value donations are reported to the Charitable Funds Committee meeting at the earliest opportunity. Discussions are held at the Committee meetings regarding the background and restrictions surrounding the use of the donation.

In the year ending 31 March 2023, total voluntary income (unrestricted donations) received by the Charitable Fund was £28k (2022 £44k). This consisted of 90 donations in the period (2022 - 160 donations).

The table below shows the largest unrestricted donations received during the period from individuals.

Donation £6,379.00 Donation £1,000.00 Donation £785.57

In the year ending 31 March 2023 four new legacies were received.

In the year ending 2021/22, an interim grant payment of £409,372.00 was received from NHS Charities Together. The remaining balance of the grant, £102,343.00, is expected to be received in 2023/24, following the submission of an interim report to NHS Charities Together on the utilisation and impact of the initial grant payment (see note 17). The grant relates to an application by the EMAS Charitable Fund, in partnership with EMICS (East Midlands Immediate Care Scheme). (see Trustees Annual Report note 13 regarding Covid 19)

f Ensure arrangements are in place for the appropriate investment of funds to maximise the value of the Charitable Funds.

At 31 March 2023 the total value of investments held with CCLA is £113k.

g Review with the East Midlands Ambulance Service NHS Trust Audit Committee, recommendations of internal and external audit in relation to Charitable Funds.

These Accounts and Annual Report have been subject to an Independent Review, the results of which can be found on pages 12 and 13.

h Adopt the Charitable Funds Annual Report and Accounts

During 2022/23, the Charitable Funds Committee reviewed the 2021/22 Charitable Funds Annual Report and Accounts before submission to the Board of Trustees considering them to be accurate.

Page 7 of 24

9. Activities, Achievements and Performance of the Charity (continued)

i Keep the Trust Board fully informed on the activity and performance of the charity

The Board of Trustees are kept fully informed as the minutes of the Charitable Funds Committee meetings and record of business are presented at the earliest opportunity.

j To identify and consider the risks faced by the Charity and to ensure management of those risks

The major risks to which the charity is exposed have been identified and considered. They have been reviewed and systems established to mitigate those risks.

The major risk faced by the East Midlands Ambulance Service NHS Trust Charitable Fund is the possible loss from a fall in the value of the investments held. The failure of the Charity Official Investment Fund (COIF) investment has been assessed as low risk.

10. Financial Review

The financial position for 2022/23 showed an overall decrease in funds held of £212k. Analysis of the fund movements are as follows:

The Charity holds Investments of £113k which are easily convertible to cash.

The East Midlands Ambulance Service Charitable Fund owes £115k to East Midlands Ambulance Service NHS Trust for the ordering and payment for goods and services on its behalf.

11. Policies

Reserves:

At the year ending 31 March 2023 the East Midlands Ambulance Service NHS Trust Charitable Fund held uncommitted reserves of £661k (2022 - £873k).

Reserves are defined as that part of a charity’s income funds that are freely available. This definition of reserves therefore excludes endowment or restricted funds and any other part of funds not readily available for spending. These are specifically income funds which could only be realised by disposing of fixed assets held for charity use and programme related investments.

It is not the policy of the East Midlands Ambulance Service NHS Trust Charitable Funds to hold reserves; however expenditure is dependant on receiving applications from members of staff for the appropriate use of the funds. All staff are made aware of the funds held and are encouraged to make appropriate applications.

The East Midlands Ambulance Service NHS Trust Charitable Fund will aim to utilise all funds for the purpose for which they were donated in a timely manner.

Investment Selection

The East Midlands Ambulance Service NHS Trust Charitable Fund currently invests surplus funds with the Charity Official Investment Fund (COIF) and a commercial bank. This policy has been complied with throughout the year.

Public Benefit Statement

The East Midlands Ambulance Service NHS Trust Charitable Fund is a Public Benefit Entity and has complied with the public benefit requirements of the Charities Acts.

Fixed Asset Capitalisation Policy

The Charity may purchase tangible assets with the purpose of donating them to East Midlands Ambulance Service NHS Trust. Such assets should be valued within the Charities Accounts at cost until the whole capital scheme is ready for donation. On becoming operational tangible assets have been donated to East Midlands Ambulance Service NHS Trust and capitalised under the Accounting Policies of the NHS Trust. Following donation the tangible assets will be recorded within the Accounts of East Midlands Ambulance Service NHS Trust.

Page 8 of 24

12. Plans for Future Period To support wllh the ongoing COVID 19 recovery. the EMAS Chadty were awarded 8 grant from NHS Charitie5 Together INHS CT). The total value of the grant was £511,715, with an initial payment of £409.372 being recetved in Decembei 2021, wtlh Ihe remaining £102.343 to be rg18ased following an inteiiTN progres5 report to NHS Charilies Together in November 2023. The grant i8 lo be utilised to fund four community response projects. orbe of which is In partnershlp with East Midlands Immediate Care Scheme IEMICSI. As per the terms and conditiens of the grant award, there will be no change5 to the utilisation of the grant without ptior appfeval from the Grant Managei at NHS CT. 11 Set up of eight new Community Flrst Responder ICFRI schemes In Nottinghamshlre. Derbyshire, Ncrlhamptonshire, and Leicestershire. 21 Expansion ofthe existiDg Comfflunity First Responder fleet and introducthon of 9 Dew responder cars. IPreviously 14 vehides. project arnen(Itnent agreed with NHS CT Giant Manage1} 31 Provision of 90 cotntnunty public access defibrillatots ICPADS) in taigeted locations. identthed by the EMAS CFR teatn. 41 Equlpping a Volunteer Doclor Crhlcal Care car to provide an enhanced cthical care response to patients in Ihe East M5dlands. Thls prolect Is being fully managed by EMICS. The grant amount allocated fo¥ this pfoject is £44.176. The abovÈ proleets will prowde add￿onal support to the operallonal staff at EMAS by expandlng on the exSsling CFR volunteer schemes and Pro￿dIng addl￿Onal resources to more rur81 loca￿on8. or Ihose with a higher level of demand ler services. The four project5 all COTnmenced dLtring 2023. Due to longer lead times for the elertric vehicles and defibrillators. two of the projects are currently behind the proposed titFiefraTne for implementatior> and project exten510n5 have been agreed with the Grant Manager at NHS cr. The cost of the vehicles when ordered was significantly higherthan the estlmated cost on the original grant application. Thi5 project has been amended and nine electric vehlcles were received in March 2023. Additional cost5 to get the vehicle5 operational, such 85 livery* insurance and vehicle tr8ckers have been funded using the NHS cr grant. The interim progre55 report will sumTll3fi5e progre55 to date and expenditure incurred for all four project5. The report will also prowde details of the number of staff or patients dirertly benefiting frotn the projects and any challenges encountered during implernent3tion. Operational management of the prolectswlll remain wlth the EMAS Communlty Flrst Responder team and an EMICS representative. The Charity Asslstsnt wlll provlde additlonal support wlth the admlnlstration and reportlrng reqvlremernt5 of the grant. The EMAS Flnance department wlll support wlth any finance and procurement querie5. The Charltable Funds Commlttee wlll be provlded wlth regular progress updates and informed of any slgnlflcant15sues that may arjse.

12. Plans for Fulure Period Chari nsion and Communicationg Strate One of the aims ofthe Charitable Fund5 Committeefrom 2021122 wa5 to raise the profile ofthe EMAS Charity, both internally amongst ewployees and externally with patient5 and other potential dorLof5. The Assistant Dlrertor of Communlcations prepared a two-year Charitable Funds Communlcations plan to outline how this could be achieved. Year one would focus on raising the profile of the Charity with employees and managers to increase awarene55 of the availability of charitable fund5 across the organisation. Year two would focu5 on developlng oppDrtLJnities for oxternal fundralsing and promoting the EMAS Charity and Its achievements to the public and potential donors. to increase the CharitVs annual income from donation5 or event 5ponsor5hip. Due to limited staff resources Wtthin the EMAS Communications teawv and conflicting work piioritie5, tho Charltys Communlcations strategy Is currently bohind schedule. National Issues wlthin tho NHS such as the ongoing strikes by medical staff and the national pay award have reduced the opportunities to promote the Charrty as planned, a5 Other communication updates have taken priortty. There have been several publicatlons in E-News and on social media regarding the projects that a belng funded by the NHS Charltes Together grant and other succoss storles where staff havo utilised charitable funds for training or other project5. The EMAS web51te has a150 been updated with details of the EMAS charrty, including contact details and way5 to donate. Leanet5 are also available an¢J can be dlstributed to patlents and thelr families who wish to donate. A revised Communications plan is due to be submitted by tho Assistant Director of Communlcations for review by the Charitable Funds Committee. The Communication5 team will continue to work with the Charity As515tant and Finance departmentto deliverthe updated communications Strategy forthe EMAS Charity.

13. Covid 19

During the financial year ended 31st March 2022, the Charitable Fund has received £409,372 from NHS Charities Together in the form of grants. This is to support with the ongoing Covid 19 crisis and recovery and is a restricted fund. The grant will be used as per the application to NHS Charities Together to fund four separate projects. Any changes in the intended use of the grant must be authorised by the NHS Charities Together Grant Manager.

The four projects commenced in 2022/23. The balance of the grant, £102,343 is expected to be received from NHS Charities Together in November 2023, following the submission of an interim progress report. The report will summarise the progress, activities and expenditure of each individual project.

There are four projects detailed in the grant application, these being:

  1. Purchase of 48 First Responder kit bags, to be distributed amongst 8 new Community First Responder teams.

  2. Provision of 9 additional Community First Responder vehicles. (Amended from 14 vehicles, as agreed with NHS Charities Together)

  3. Purchase of 90 defibrillators to be located in priority community locations.

  4. Provision of a Volunteer Doctor Critical Care Car - in collaboration with East Midlands Immediate Care Scheme (EMICS).

14. A Big Thank You

On behalf of the staff and patients who have benefited from purchases made due to donations and legacies, the Corporate Trustee would like to thank all patients, relatives and staff who have made charitable donations.

Declaration

I declare, in my capacity of East Midlands Ambulance Service NHS Trust Charitable Fund trustee, that: the trustees have approved the report above; and have authorised me to sign on their behalf.

Mike Naylor

Director of Finance - East Midlands Ambulance Service NHS Trust

Date: 10 January 2024

Page 11 of 24

Independent Examiners’ Report to the Trustees of East Midlands Ambulance Service NHS Trust Charity (Registration 1054148)

I report on the financial statements of East Midlands Ambulance Service NHS Trust Charity (the Charity) for the year ended 31 March 2023, which are set out on pages 15 to 16

Respective responsibilities of trustees and examiners

The Charity’s trustees are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (“the Act”). The Charity’s trustees consider that an audit is not required for this year under section 144(2) of the Charities Act 2011 and that an independent examination is needed

Having satisfied myself that the Charity is not subject to audit and is eligible for independent examination, it is our responsibility to:

Your attention is to drawn to the fact that the charity has prepared the accounts (financial statements) in accordance with Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) in preference to the Accounting and Reporting by Charities: Statement of Recommended Practice issued on 1 April 2005 which is referred to in the extant regulations but has been withdrawn. I understand that this has been done in order for the accounts to provide a true and fair view in accordance with the Generally Accepted Accounting Practice effective for reporting periods beginning on or after 1 January 2015.

This report has been prepared for and only for the trustees as a body in accordance with section 145 of the Charities Act 2011 and the regulations made under section 154 of the Charities Act 2011 (Regulation 31 of The Charities (Accounts and Reports) Regulations 2008) and for no other purpose. I do not, in making this report, accept or assume responsibility for any other purpose or to any other person to whom this report is shown or into whose hands it may come save where expressly agreed by our prior consent in writing.

Basis of independent examiners’ 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 accounts present a ‘true and fair view’ and the report is limited to those matters set out in the statement below.

Independent examiners' statement

In connection with our examination, no material matters have come to our attention which gives us cause to believe that, in any material respect:

· the accounts were not kept in accordance with section 130 of the Charities Act 2011; and

Page 12 of 24

Independent Examiners’ Report to the Trustees of East Midlands Ambulance Service NHS Trust Charity

· the accounts did not accord with the accounting records;

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

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

Signature:............................................................................................ Date: …21 December 2023

Glynis Onley ACMA, CPFA For and on behalf of 360 Assurance Stapleford Care Centre Church Street Stapleford Nottingham NG9 8DB

Page 13 of 24

Ststement of Trustees. responsibilities in respect of the Trustees. annual report aNI the flnanclal sLitements Under charty law, the trustees are reg)ongble for preparing the Trustees, Annual Report and the financial aatennts for each financial year which show a true and fair view of the ate of aff airs of the chanty and of the excess of expenditure over incorre for that period. In prepanng these financial State￿EntS, generally accepted accounting practice entails that the truaees: lect ￿rtable accounting policies and then apply them consi4enty" ke iuthJetTents and estinEtes that are rea￿nable and prudent", ate kthether the rec0r￿nendatIOnS of Ihe StatenEnt of Reconinended Practice have been followl, gjbiect ta any matenal departures disclosed and explained in the financial aatenEnts' ate whether the finanaal statements corrpty ￿fjth the trua deed land rules], wbied to any nEterial departures disclosed and explained in the financial statements, prepare the fina noal aatements on the going concem basis unless tt is inappropriate to presurTE that the chanty will continue rts actmties. The truaees are required to act in accordan￿ kwth the tru deed [and the rules] of the charty, wthin the fra￿E￿Ork of trust law. They are responsible for keeping proper accounting records. wfFicient to dixlo at any b'rre, V￿th reasonable accuracy, the financial posrtion of the charrty at that time: and to enable the tnJees to ensutE that, where any aterrEnts of accounts are prepared by them under section 13211) of the Charrties Act 2011 , those State￿EntS of accounts comply ￿1th the reqUire￿EntS of regulations under that provison. They have general re4)onsbilrty for taking such steps as are reax)nably open to them to S3feguard the asts of the charity and to prevent and detect fraud and other irregularrties. The truaees are responsible for the Maintenan￿ and integnty of the financial and other information included on the charty's ￿EbSIe. Legislation in the UK governing the preparation and disserrination of f inancial State￿EntS nEy drffer from legigation in other jun￿lIc￿'0ns. Signed_. ChaimBn of East Midlands Anulance &rVI￿ NHS Trust Date. 10 January 2024 Page 140124

East Midlands Ambulance Service NHS Trust Charitable Fund

Statement of Financial Activities for the year ending 31 March 2023

2023 2023 2023 2022 2022 2022
Unrestricted Restricted Total Funds Unrestricted Restricted Total Funds
Note Funds Funds Funds Funds
£'000 £'000 £'000 £'000 £'000 £'000
Income and Endowments from:
Donations 3 28 0 28 43 2 45
Legacies 3 20 65 85 3 0 3
NHS Charities Grants 3 0 0 0 0 409 409
Total Donations and Legacies 48 65 113 46 411 457
Investment Income 11 4 2 6 3 0 3
Total Income and Endowments 52 67 119 49 411 460
Expenditure on Charitable activities:
Patient Education and Welfare 4 (55) (185) (240) (1) 0 (1)
Staff Education and Welfare 4 (68) (19) (87) (86) (19) (105)
Total Expenditure on Charitable
activities (123) (204) (327) (87) (19) (106)
Net gains and (losses) on Investment
Assets
14 (3) (1) (4) 7 2 9
Net Income / (Expenditure) (74) (138) (212) (31) 394 363
Gross transfers between funds 6 0 0 0 0 0 0
Net movement in funds (74) (138) (212) (31) 394 363
Reconciliation of Funds
Total funds brought forward 1 April 353 520 873 384 126 510
Total funds carried forward 31 March 279 382 661 353 520 873

Page 15 of 24

East Midlands Ambulance Service NHS Trust Charitable Fund

Balance Sheet Statement for the year ending 31 March 2023

Note
Fixed Assets:
Vehicles
9
Current Assets:
Investments
10
Debtors
12
Cash at bank and in hand
12
Total Current Assets
Liabilities:
Creditors falling due within one year
13
Net Current assets
Total assets less current liabilities
Net assets
The funds of the charity:
14
Restricted income funds
Unrestricted income funds:
Total charity funds
2023
Unrestricted
Funds
£'000
0
113
0
254
367
88
279
279
279
0
279
279
2023
Restricted
Funds
£'000
0
0
0
431
431
49
382
382
382
382
0
382
2023
Total Funds
£'000
0
113
0
685
798
137
661
661
661
382
279
661
2022
Unrestricted
Funds
£'000
0
117
0
338
455
102
353
353
353
0
353
353
2022
Restricted
Funds
£'000
0
0
0
537
537
17
520
520
520
520
0
520
2022
Total Funds
£'000
0
117
0
875
992
119
873
873
873
520
353
873

The notes at pages 18 to 24 form part of these accounts

Signed:

Name:

KAREN TOMLINSON, Chairman of East Midlands Ambulance Service NHS Trust

Date:

10 January 2024

Page 16 of 24

East Midlands Ambulance Service NHS Trust Charitable Fund

Statement of Cash Flows for the Year ended 31 March 2023

Note
Cash Flows from Operating Activities
Net income / expenditure as per the Statement of Financial Activities
Losses / (Gains) on investments
10
Dividends / interest on investments
11
Decrease / (Increase) in Trade and Other Receivables
12
Increase / (Decrease) in Trade and Other Payables
13
Expenditure recognised in respect of capital donations
Net Cash provided by (used in) Operating Activities
Cash Flows from Investing Activities
Dividends / interest on investments
11
Purchase of Vehicles
9
Proceeds from Disposal of Investment Assets
10
Net Cash provided by (used in) Investing Activities
Net Cash provided by (used in) Financing Activities
Changes in Cash and Cash equivalents in reporting period
Cash and Cash Equivalents at Beginning of the Period
Cash and Cash Equivalents at year end
12
2022/23
£'000
(212)

4

(6)

0

18
0
(196)

6

0

0
6
0
(190)
875

685
2021/22
£'000
363
(9)
(3)
0
(39)
0
312
3
0
0
3
0
315
560
875

Page 17 of 24

Notes on the accounts

1. Accounting Policies

(a) Basis of preparation

The accounts (financial statements) have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Standard applicable in the UK and Republic of Ireland (FRS 102) issued on 16 July 2014 and the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102) and the Charities Act 2011 and UK Generally Accepted Practice as it applies from 1 January 2015.

The accounts (financial statements) have been prepared to give a 'true and fair' view and have departed from the Charities (Accounts and Reports) Regulations 2008 only to the extent required to provide a 'true and fair view'. This departure has involved following Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued on 16 July 2014 rather than the Accounting and Reporting by Charities: Statement of Recommended Practice effective from 1 April 2005 which has since been withdrawn.

(b) Funds 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 trustees have the power to spend the capital, it is classed as an 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 trustees, at their discretion, have created a fund for a specific purpose.

The major funds held in each of these categories are disclosed in note 14.

(c) Incoming resources

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

(d) Incoming resources from legacies

Under FRS102, Legacy income is recognised when three criteria are met:

-Entitlement is established, receipt of the income is probable, and it can be reliably measured.

-Entitlement is established when we receive notification of an interest in an estate.

-Income receipt is probable when the statement of the state’s assets and liabilities is received.

-Measurement criteria is considered met once the final estate accounts are received.

Only when these criteria have been met is income from legacies recognised in the financial statements.

(e) Resources expended

Expenditure is recognised on an accruals basis. Grant commitments are recognised when a constructive obligation arises that result in payment being unavoidable.

Grants are only made to related or third-party NHS bodies and non-NHS bodies in furtherance of the charitable objects of the funds. A liability for such grants is recognised when approval has been given by the Trustee. The NHS Trust has full knowledge of the plans of the Trustee, therefore a grant approval is taken to constitute a firm intention of payment which has been communicated to the NHS Trust, and so a liability is recognised.

Contractual arrangements are recognised as goods or services supplied.

(f) Tangible fixed assets Capitalisation

The Charity may purchase tangible assets with the purpose of donating them to East Midlands Ambulance Service NHS Trust. Such assets should be valued within the Charities Accounts at cost until the whole capital scheme is ready for donation. On becoming operational tangible assets were donated to East Midlands Ambulance Service NHS Trust and capitalised under the Accounting Policies of the NHS Trust. Following donation the tangible assets will be recorded within the Accounts of East Midlands Ambulance Service NHS Trust.

(g) Going Concern

The financial statements have been prepared on a going concern basis, which assumes that the Charity will continue in operational existence for the foreseeable future.

Page 18 of 24

(h) Irrecoverable VAT

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

(i) Allocation of overhead and support costs

The support costs have been apportioned on a 50:50 basis to each of the charity's significant activities (Patient Education & Welfare and Staff Education & Welfare).

(j) Costs of generating funds

The costs of generating funds are the costs associated with generating income for the funds held on trust.

(k) Charitable activities

Costs of charitable activities comprise all costs incurred in the pursuit of the charitable objects of the charity.

(l) Governance costs

Governance costs are classified as a support cost and have therefore been apportioned between fundraising activities and charitable activities.

(m) Current asset investments

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

The Common Investment Fund Units (COIF) are included in the balance sheet at the closing dealing price at 31 March 2023.

(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 market value (or purchase date if later). Unrealised gains and losses are calculated as the difference between the market value at the year-end and opening market value (or purchase date if later).

(o) Change in the basis of accounting

There has been no change in the basis of accounting during the year.

(p) Prior year adjustments

There are no prior year adjustments.

(q) Contingencies

A contingent liability is a possible obligation that arises from past events and whose existence will be confirmed only by the occurrence or non-occurrence of one or more uncertain future events not wholly within the control of the NHS trust, or a present obligation that is not recognised because it is not probable that a payment will be required to settle the obligation or the amount of the obligation cannot be measured sufficiently reliably. A contingent liability is disclosed unless the possibility of a payment is remote.

A contingent asset is a possible asset that arises from past events and whose existence will be confirmed by the occurrence or non-occurrence of one or more uncertain future events not wholly within the control of the NHS trust. A contingent asset is disclosed where an inflow of economic benefits is probable.

Where the time value of money is material, contingencies are disclosed at their present value.

Page 19 of 24

2. Related party transactions

During the year none of the Trustees or members of the key management staff or parties related to them has undertaken any material transactions with the East Midlands Ambulance Service Charitable Trust.

At 31 March 2023 the Charitable Trust owes East Midlands Ambulance Service NHS Trust £115k (2022 the Charitable Trust owed East Midlands Ambulance Service NHS Trust £102k).

The Trustees are also members of the Trust Board.

Neither the Corporate Trustee nor any member of the NHS Trust Board has received honoraria, emoluments or expenses in the year from the Charitable Trust and the Trustee has not purchased trustee indemnity insurance.

3. Analysis of voluntary income

Donations from individuals
NHS Charities Grants
Corporate donations
Corporate donations earmarked for research
Legacies
Total
Unrestricted
Funds
£'000
19
0
9
0
20
48
Restricted
Funds
£'000
0
0
0
0
65
65
2023
Total
£'000
19
0
9
0
85
113
Unrestricted
Funds
£'000
43
0
0
0
3
46
Restricted
Funds
£'000
0
409
2
0
0
411
2022
Total
£'000
43
409
2
0
3
457

Page 20 of 24

4. Analysis of charitable expenditure on charitable activities

Patient Education & Welfare
Staff Education & Welfare
Total
Total
£'000
2023
240
87
327
Activities
Undertaken
Directly
£'000
2023
239
86
325
Grant
funding of
Activities
£'000
2023
0
0
0
Support
Costs
£'000
2023
1
1
2
Total
£'000
2023
1
105
106
Activities
Undertaken
Directly
£'000
2022
0
104
104
Grant
funding of
Activities
£'000
2022
0
0
0
Support
Costs
£'000
2022
1
1
2

5. Analysis of support costs

Governance
-Establishment costs-production of
accounts
-Independent Examination Fee
Administration Support
Total
2023
Total
£'000
2
2
2
6
2023
Patient
Education &
Welfare
£'000
1
1
1
3
2023
Staff
Education &
Welfare
£'000
1
1
1
3
2022
Total
£'000
2
2
3
7
2022
Patient
Education &
Welfare
£'000
1
1
1
3
2022
Staff
Education &
Welfare
£'000
1
1
2
4

In the year to 31 March 2023, East Midlands Ambulance Service NHS Trust was recharged £4k for the administration time of Finance staff in preparation of the accounts and support to the charity (2022 - £5k). The Finance administration support costs are included in 'activities undertaken directly' in note 4 above.

The support costs have been apportioned on a 50:50 basis to each of the charity's significant activities (Patient Education & Welfare and Staff Education & Welfare).

6. Transfers between funds

In 2022/23 there have been no transfers between Restricted & Unrestricted Funds (See Note 14 on page 24).

Page 21 of 24

7. Analysis of staff costs

Salaries and wages
Social security costs
Other pension costs
Total
2023 Total
£'000
8
0
0
8
2022 Total
£'000
3
0
0
3

The average number of full-time equivalent employees during the year were 0.4 (2022 0.2) with all employee time involved in providing support services to charitable activities. Due to an increase in donations and the receipt of grant funding from NHS Charities Together, the Charity Assistant increased their working hours to support the additional administrative duties of managing the Charity's day to day activities.

No employees had emoluments in excess of £60,000 (2022 0).

8. Independent Examiners Fee

In the financial year to 31 March 2023 an independent examination of the Charity's Annual Report and Accounts was carried out at a cost of 2k (2022 £2k).

9. Tangible Fixed Assets

Movement in tangible fixed assets
Cost at start of year
Additions of Assets Under Construction: Vehicles
Additions Purchased
Reclassifications
Reclassifications as Held For Sale
Disposals other than For Sale
Cost at end of year
Current assets
Current asset investments
Movement in current asset investments
Market value at start of year
Add: additions to investments at cost
Less disposals at carrying value
Add net gain / (losses) on revaluation
Market value at end of year
Current asset investments:
COIF Investment Income Units
Total
Current asset investments
Investments held primarily to provide an
investment return for the charity
Programme related investments
Market value as at 31stMarch
2023 Total
£'000
0
0
0
0
0
0
0
2023 Total
£'000
117
0
0
(4)
113
Units held as at
31 March 2023
6,032.41
6,032.41
2023 Total
£'000
113
0
113
2022 Total
£'000
0
0
0
0
0
0
0
2022 Total
£'000
108
0
0
9
117
2023 Total
2022 Total
(held in the UK)
(held in the UK)
6,032.41
6,032.41
6,032.41
6,032.41
2022 Total
£'000
117
0
117
2022 Total
£'000
0
0
0
0
0
0
0
2022 Total
£'000
108
0
0
9
117
2023 Total
2022 Total
(held in the UK)
(held in the UK)
6,032.41
6,032.41
6,032.41
6,032.41
2022 Total
£'000
117
0
117
6,032.41

10. Current assets

Page 22 of 24

11. Total Gross income from investments and cash on deposit

Quoted investments (current asset investments)
Interest on cash held on deposit (current assets)
Total
2023 Total
Held in UK
£'000
3
3
6
2023
Unrestricted
£'000
2
2
4
2023
Restricted
£'000
1
1
2
2022 Total
Held in UK
£'000
3
0
3
2022
Unrestricted
£'000
3
0
3
2022
Restricted
£'000
0
0
0

12. Analysis of Debtors

Debtors under 1 year
Other Debtors
Prepayments
Total
Analysis of cash and deposits
National Westminster Bank PLC
COIF Charities Deposit Fund
Total
2023 Total
£'000
0
0
0
2023 Total
£'000
685
0
685
2022 Total
£'000
0
0
0
2022 Total
£'000
875
0
875

13. Analysis of current liabilities and long-term creditors

Creditors under 1 year
Other creditors
Accruals
Total
2023 Total
£'000
137
0
137
2022 Total
£'000
119
0
119

Other creditors represent sums owed at the year-end by the charity to a related party, East Midlands Ambulance Service NHS Trust, for costs incurred by the NHS Trust on behalf of the charity in the furtherance of the charity's objectives.

Page 23 of 24

14. Analysis of charitable funds

Unrestricted funds
East Midlands Ambulance
Service
Restricted funds
East Midlands Ambulance
Service
Grand Total
Brought forward
Balance at
1 April 2022
£'000
353
520
873
Incoming
resources
£'000
52
67
119
Resources
expended
£'000
(123)
(204)
(327)
Transfers
£'000
0
0
0
Gains
and losses
£'000
(3)
(1)
(4)
Carried forward
Balance at
31 March 2023
£'000
279
382
661

EMAS restricted funds:-

In 2022/23 there have been no transfers between Restricted & Unrestricted Funds (See Note 6 on page 21).

In 2021/22 £409k was received from NHS Charities Together. This is a restricted fund and will be utilised in accordance with the grant offer between the EMAS Charity and NHS Charities Together. There are no permitted changes to the use of this grant without prior approval from NHS Charities Together. The remaining £102k balance of the grant is expected in 2023/24, following an interim report being submitted to NHS Charities Together. There were several funds all restricted to Purchase of Equipment in 2022/23.

Analysis of unrestricted funds

Unrestricted Funds
Designated Funds
Medical Equipment
Station Funds
General Funds
Brought forward
Balance at
1 April 2022
£'000
1
86
266
353
Incoming
resources
£'000
0
5
48
53
Resources
expended
£'000
0
(7)
(116)
(123)
Transfers
£'000
0
0
0
0
Gains
and losses
£'000
0
(1)
(2)
(3)
Carried forward
Balance at
31 March 2023
£'000
1
83
196
280

15. Commitments

The Charity has the following commitm
Revenue Charitable Projects
Capital Charitable Projects
NHS Charities Together Grant
2021/22 Project Funding
Other
Total
ents
2023 Total
£'000
3
0
324
0
327
2022 Total
£'000
32
0
509
0
541

In March 2023, EMAS (Trust) entered into a lease agreement for the lease of nine electric CFR

vehicles, to be funded by the EMAS Charity's NHS CT Grant, awarded in 2021/22. The value of the lease included in the EMAS Charity Commitments is: 2023/24 (£51k), 2024/25 (£51k) and 2025/26 (£49k).

16. Post Balance Sheet Events

There are no post Balance Sheet events relating to the financial year ended 31 March 2023.

17. Contingencies

Contingent assets
Legacy
NHS Charities Together Grant
Net value of contingent assets
2023 Total
£'000
0
102
102
2022 Total
£'000
74
102
176

The legacy payment identified as at 31 March 2022 totalling £74k was received in 2022/23.

The Charitable Fund received a net amount of £64k following the deduction of legal costs of £15k.

18. Grants Payable

On 30 July 2022, the EMAS Charity transferred £44,176 to the East Midlands Immediate Care Scheme (EMICS). This was in relation to project 4 of the 'Organisational Support with COVID Recovery', for which the EMAS Charity received grant funding from NHS Charities Together. The EMAS Charity Assistant provides EMICS with some admin support to EMICS to ensure the required annual reports are submitted to NHS CT, as required by the grant agreement between the EMAS Charity and NHS CT. The support costs are solely met by the EMAS Charity.

Page 24 of 24