York 8 Scarborough Hospitals Charity Annual report & accounts - year ended 31 March 2025 •IJV4 "44 ui Registered Charity N•10545?b. Contents Making a positiue difference to York & Scarborough Hospitals Contents * Chair's foreword * Trustee report 02 * Income overview 03 * Fundraising highlights 05 * Community support 10 * Scarborough urgent and emergency care appeal 13 * New charity website 19 * Lottery 20 * Legacies 21 * Associated charities 22 * Expenditure overview 23 * Expenditure highlights 25 * Gifts in kind 46 * Governance 48 * Annual accounts 57 * Annual accounts background 58 * statement of tinancial activities 64 * statement of financial position 65 * Statement of cash flow 66 * Accounting policies 67 * Notes to the accounts 71 Chair's Foreword Making a positiue difference to York S Scarborough Hospitals Chair's Foreword It is my pleasure to present this, my third annual report which reflects the terrific support the Trust receives from the public, local businesses, patients and staff. One of the real highlights of the year was to see the new £48million Scarborough Hospital Urgent & Emergency Care Centre (UECC) open. Following our most successful fundraising appeal ever, we raised almost £450k adding to £400k of existing charitable funds. This funding of £850k was used to fund relatives, rooms, staff and patient gardens, artwork within the fabric of the building, an Autumn room for palliative care patients, a sensory room for patients with additional needs and lots of equipment. It really is a brilliant facility for patients and as a place to work which has been enhanced thanks to the generosity of everyone who has donated funds. During the past year the Charity received £1.2 million, 21 /. less than the previous year which was mainly due to wrapping up the Scarborough UECC fundraising appeal. On the other hand, expenditure was £1.9 million,16% more than the previous year because the £823k of expenditure for the UECC was recognised in the 2024125 year. Following an external review of the Charity commissioned by the Trustees, the recommendations around structure have been implemented. We have strengthened the Charity Team by establishing two additional fundraising posts and a Charity Operations Officer. The primary focus of this new role is to ensure the effective delivery of projects approved for funding, and to document and communicate the outcomes and benefits resulting from the Charity's investment. During the year a new Charity website was created meaning that the Charity now has its own distinct identity www.yshospitalscharity.org. The new website makes it easier for supporters to donate online, learn about the projects we have funded, and stay up to date with upcoming events and campaigns. For the first time we entered participants into the Great North Swim this year, offering a new alternative to our regular running events. We also introduced the sale of Christmas cards in support of the Charity, which were very well received and we will repeat going forward. In addition, we held our regular Big Tea campaign and held an incredibly popular Easter Egg tombola in aid of the children's wards. The Charity team remains dedicated and innovative ensuring professionalism in all that they do. A big thank you to the team, and l also want to thank the volunteers who provide admin support to the team. Above all I thank everyone who has donated funds and time to support the Charity which enables it to increase the support to patients and staff in many valuable ways. Trustees, Report Making a positiue difference to York S Scarborough Hospitals Income Oueruiew Making a positiue difference to York & Scarborough Hospitals Income Oueruiew The total income received for the year 2024125 was £l.2m down 21.4% year on year. 4.5% Donations in memory 11 £52,489 Fundraising activity Leagues of Friends & other grant m £161,395 Fundraising events 11 £33,191 Legacies ll £441,841 General donations • £212,953 Interest and dividends £137,111 17.8% 115% £156,088 36.9% Chort l- Income overview During 2024125 we received £442k from legacies, which was an 18% decrease vs 2023124. This accounted for 37% of total income.19 benefactors chose to support York & Scarborough Hospitals Charity compared with 15 in 2023124. We continue to promote legacies to our supporters as they remain an unpredictable source of income. General donations totalled £213k, representing a 23/0 increase compared to 2023124 (£173k). This growth reflects continued support from grateful patients and their families following care received, as well as from individual supporters and corporate partners who maintain ongoing relationships with the charity. £161k was received from Leagues of Friends and associated charities. The 63.7 % year-on-year decrease is due to the £198k grant received in 2023124 from NHS Charities Together, which was not repeated in the current year. In memory donations totalled £52.2k, representing a 7% increase compared to 2023124. Fundraising activities and events, organised by or in collaboration with the Charity team, raised £166k in 2024125, a 6.3% increase compared to last year and accounting for14.3% of total income. In addition to monetary donations, physical gifts are given to the Trust for both patients and staff. This year, the total value of gifts in kind was £34k, vs £73k in 2023124. The charity team coordinates the distribution of these gifts and thanks donors on behalf of the Trust. Income comparison year on year 2024125 • 2023124 General donations Donations in memory Fundraising activity Fundraising events Leagues of Friends & grants Legocies Interest & dividends £0 £iooooo £200000 £300000 £400000 £500000 £600000 Chart 2 - Year on year comparison Fundraising highlights Making a positiue difference to York & Scarborough Hospitals Challenge events We are continually inspired by our supporters who take on challenge events for us, with many participants returning year after year. In 2024125 we offered places in a range of events including running, walking and swimming. For the sixth year running, we had a team in the York Iok, one of the country's most beautiful city runs. In 2024, 20 amazing participants took on the challenge, racing through the heart of York and taking in its iconic landmarks, including the ancient city walls, Clifford's Tower, and the Minster. Thanks to their fantastic efforts, the team raised over £1,600. ta, a¥ Yss f1s 4nf r)It- 021 York10k We were delighted to once again secure places in the popular Yorkshire Coast Iok event in 2024. 10 runners took part in the race along Scarborough seafront in October. Participants braved wet and windy conditions by the sea this year, raising over £900. fbs ¥Fs l581 Yorkshire Coast10k This year we offered places in Overlimits, open charity event- challenging 24-mile trek across the Yorkshire 3 Peaks, with the goal of completing it within 12 hours. Battling torrential downpours and tough conditions, 27 determined participants set out on the route. Despite the weather forcing five to retire early, the team raised an impressive £6,160. Y5S Y85 Yorkshire 3 Peaks Challenge events 19 runners took on the Great North Run in early September. This year NHS Charities Together organised a space for all NHS Charities so our runners could come to the post- race marquee to meet us and enjoy a warm welcome and complimentary refreshments. This enhanced the experience for participants who raised an incredible £10,667 overall. Io?P•taL Great North Run For the first time, we secured places in the Great North Swim - the biggest open water swimming event in the UK. Our charity places were for the l-mile swim. The event saw six participants taking on a new and unique challenge, and raising an incredible £5,300 between them. Great North Swim 25 brave runners took on the 'Get Caked, muddy challenge on Saturday 20 April in the stunning grounds of Sledmere House to raise over £1,200. The participants climbed over,jumped through, crawled under, and ran across natural and man-made obstacles whilst tackling five miles of muddy and wet ground. Get Caked Fundraising campaigns In 2024125 the charity organised a number of different fundraising campaigns. Big Tea To mark the birthday of the NHS we held our annual Big Tea campaign encouraging Trust staff and charity supporters to hold a tea party or bake sale to raise funds for the charity. 24 events were held by staff across the Trust who joined forces to host a range / of celebratory activities. The events provided an opportunity for staff to come together and celebrate the NHS whilst raising funds for their wards ang, departments. In total the events raised over £1,900. HS IGTE 4Y4°Ni Win a week We held our'win A Week, of annual leave raffle for its third year, raising a fantastic £7,666. The campaign proved popular with staff across the Trust again this year. Online auction Our online auction was back for 20241 The auction raised over £5,900 towards the refurbishment of the breast unit waiting area in the Magnolia Centre at York Hospital. 84 prizes were on offer this year, kindly donated by local businesses. With a fantastic range of prizes including spa days, restaurant vouchers and much more, the auction was popular with Trust staff and charity supporters. Fundraising campaigns Christmas cards For the first time the charity sold branded Christmas cards to supporters this festive season. The whole charity team got involved selling cards at stalls on our sites and it was a great way to interact with supporters, and spread the word about our work. Over £1,000 was raised from card sales. National Elf Service Staff across the Trust engaged in the festive spirit by signing up to our National Elf Service campaign. This year staff were encouraged to organise a festive wear day to bring Christmas cheer to their wards and departments. 30 different events took place across sites, raising a wonderful amount of over £3,000. Christmas magic appeal For the second year we ran our'christmas magic appeal,, a direct donation ask to supporters to give to our children's wards at Christmas. The ask was sent by letter and email to our supporters. The campaign raised over £2,700 which was split between the York and Scarborough children's wards. Community support Making a positiue difference to York S Scarborough Hospitals Community support Each year, we continue to be inspired by the creativity, passion, and dedication of our community fundraisers. We are so grateful for their commitment to raising money for their local hospitals and community services. In 2024125, our charity team supported 36 third- party fundraising events by building strong, supportive relationships with individuals and groups who chose to raise funds on our behalf. This year has seen a fantastic variety of events and below are just a few of the highlights. Tractor run A charity tractor run, organised by Gemma and Simon Chapman, raised a fantastic £5,770 for the Children's Ward at York Hospital. The tractor run paraded through local villages in December. The event saw hundreds of people lining the streets to show their support. The family organised the event as a way to give back after their son Bertie was cared for on the Children's Ward. Wanting to show their appreciation, they rallied local farmers and tractor owners to create a spectacular convoy, bringing some winter cheer to the villages while raising funds for the ward that supported their family. Deanne and Annette's ball Y8s Hosp.itals Charity This was the fourth ball organised by two friends, Deanne Leng and Annette Reid, for the charity. The ball was held on 13 July at Scarborough Rugby Club and exceeded its initial fundraising target of £5,000, raising a fantastic £6,600. The event, attended by150 generous supporters, was an extraordinary success, with funds raised being split equally between three departments at Scarborough Hospital: the Chemotherapy Unit, the Breast Care team and Cancer Services including the wig service. /1 akin9ai li Jk 11 Community support Estbek House Yss Award-winning restaurant Estbek House in Sandsend marked its 20th anniversary with a special wine and tapas evening, raising funds in support of our Urgent and Emergency Care Appeal for Scarborough Hospital. Co-owners David Cross and Tim Lawrence hosted the event in honour of the exceptional care David's late mother received at the hospital, raising £4,500. Rachael's golf day Rachael and Rich organised a charity golf day and raised a fantastic £5,316 to benefit the Early Pregnancy Unit at York Hospital. The event was held at the KP club in Pocklington and saw many keen golfers come together to support. The money raised will be used to fund recliner chairs for the department, making a real diff erence to patients. Joe's year of fundraising Y6$ Y6$ Yss Yss Scarborough dad Joe Logan, along with 11 of his friends and family, took on the National Three Peaks challenge. Joe wanted to to say thank you to the fantastic team in the Special Care Baby Unit at Scarborough Hospital who cared for his three daughters who were all born prematurely. The group took on the ultimate challenge by travelling and climbing the three highest peaks in Scotland, England, and Wales over a 24-hour period. Joe and his brother-in-law Jordan completed a total of five challenges in 2024 including the Leeds Half Marathon and the Great North Run. Joe and his team have raised over £8,000, a phenomenal amount that will make such a difference to the Special Care Baby Uniti 12 Scarborough Urgent & Emergency Care Appeal We are delighted to share the overwhelming success of our Urgent and Emergency Care Appeal - the largest appeal in our history - which has raised over £400,000 thanks to the generosity of supporters across the East Coast. Combined with charitable funds already committed, the appeal has contributed over £850,000 to enhance patient care and experience, and support staff wellbeing at Scarborough Hospital's brand-new Urgent and Emergency Care Centre (UECC), which is due to open to patients in May 2025. We would like to say a heartfelt thank you to all the fundraisers, donors, hospital staff, local businesses and community groups who supported the appeal. The funds raised have enabled a number of important projects in the new centre, providing facilities and enhancements that go above and beyond those included in the core build. JC&c Yss- Charit tb thanksto Fam Frwdsof IHP Reco nition wall Two patient gardens will offer patients and their relatives the opportunity to spend time outdoors, supporting them physically and mentally. Patient gardens 13 Scarborough Urgent & Emergency Care Appeal Enhancing staff wellbeing ij, illlll, ,' *[11!P.,:. taff garden Two staff gardens, accessible from staff rooms, will provide space for staff to take a break in a peaceful environment. Supporting relatives '*F elatives, room Two ensuite rooms within critical care will provide relatives with a place to stay close to their family member. A kitchen and lounge area gives relatives somewhere to make refreshments and somewhere to relax. 14 Scarborough Urgent & Emergency Care Appeal Fitting out specialist rooms Autumn room ensory room An Autumn room provides a private space for patients at the end of their life to spend time with their loved ones. A sensory room provides a specialist space for patients with additional needs. Oyer 300 tsls live in o ¢oIonyon the beneath Ravenscaf •4, Jb_ hildren's waiting room A children's waiting room gives younger patients and their families a designated family-friendly area to wait 15 Scarborough Urgent & Emergency Care Appeal Improuing the hospital environment Artwork Artwork has been installed around the entire building, which has been specially developed to help with anxiety and reduce aggressive behaviour. ma9ing ,11 16 Scarborough Urgent & Emergency Care Appeal Providing new equipment Srryj" RESUS E￿1pmENT 31513 E161MEEIK 2027 *etone meter CG machin Ophtha moscope atient TVS 17 Scarborough Urgent & Emergency Care Appeal Providing new equipment Illiiiil 11!Ili UIJ {railty chairs arming cabinets reatmen chairs 18 New charity website Yss Hospitals Charity AIXVA Yw%*lwKWII fur¥Jlng Making a positiue difference to your local hospital Wo fvnd Impr0￿m￿nt$ to th@ fv)gF¥tol envSronments and servlces twnd thot NHS fundlng alone coukl ddNer In York and Scart)orough hospitals and our communty sites ond service& We were thrilled to launch our new charity website on Thursday19 September 2024. This was made possible thanks to a charity development grant received from NHS Charities Together. The website includes a range of features enabling users to discover different ways to support the charity and read the latest news and learn about some of the projects the charity has funded. Visitors can also use the site to donate directly to the charity and are able to choose which hospital they would like their donation to benefit. To celebrate the website launch we held a competition to win a Betty's hamper, encouraging charity supporters and Trust staff to visit the new site. The competition received a fantastic 971 entriesl From the launch of the website until the end of the financial year, we had 18,197 page views made up of 5,022 unique visitors. It is worth noting that we can only track visits from those who have cookies turned on, so the actual figure is likely to be even higher than this. The website was designed in line with our charity branding which is used throughout the site. To visit the new website, go to www.yshospitalscharity.org 19 Lottery We continue to promote the lottery to recruit players. In 2024125 the lottery raised over £5.8k (£5.3k 2023124) By linking with Sterling Lotteries, it means our players are able to win a maximum of £25k per week. This year we have had 172 winners (157 in 2023124). YSS Hospitals Charity Lottery Your chance to win up to £25.000 each week! Sign up today and make a positive difference to your local hospital through York & Scarborough Hospitals Charity. www.yshospitalscharity.org/lottery R•9lst•r•d wlth FR FUNDRAISING REGULATOR Making a positiue difference to York S Scarborough Hospitals Reglstered Chority No. 1054527 20 Legacies During 2024125 we received £442k from19 benefactors (15 in 2023124) which was a 17.6% decrease vs 2023124 (£539k). Whilst legacies remain an unpredictable source of income, they continue to provide a significant contribution to the charity income. Each legacy we receive is a humbling testament to the care given by the staff within the Trust to ensure patients receive the best possible care. D Meek Psychological Medicine Ophthalmic department O Littlewood Coronary Care P Howse P Machen York Cancer PR Simpson G Braysha York unallocated M Ruddock Lung Cancer nurses York Orthopaedics Scarborough unallocated R Wacey York unallocated SE Jackson P Dixon Oncology J Martin York unallocated RG Whitaker York unallocated R Stubbing RG Whitake Audiology department York unallocated J Pratley Bridlington unallocated York Cancer PRW Wox P Gallop York unallocated PA Mercer Scarborough unallocated M Salmon York SCBU 21 Associated Charities York & Scarborough Hospitals Charity receives income through the associated Leagues of Friends and support groups who are independent charities and support each hospital. Income is received in response to approval of specific requests for the support of projects or equipment. The total donated in 2024125 was £136l-47.3/0 vs 2023124 (£258K). We were saddened to hear of the closure of the Malton League of Friends this year. Their incredible support for the patients and staff at Malton Hospital over the years is very much appreciated and we wish to express our heartfelt gratitude. We also extend our very best wishes to the Trustees for the future. Associated Charities 2024125 £76,325 2023124 £171,398 Friends of York Hospital Friends of New Selby War Memorial Hospital Friends of St Monica's Hospital Malton League of Friends Friends of Bridlington & District Hospital Scarborough League of Friends SC8U Support Group TOTAL £10,308 £8,552 £5,727 £1,451 £9,596 £65,742 £15,843 £0 £18,000 £2,460 £0 £8,163 £135,799 £257.766 Toble l - Income from Associated Charities Volunteering Volunteering continues to play a vital role in the life of our hospitals, supporting both patient wellbeing and the charity's fundraising efforts. Volunteers are essential in helping the charity maximise opportunities at events and collections. In 2024125, the majority of volunteer time was dedicated to administrative support, packing patient Christmas gifts, and assisting with bucket collections. A total of over100 hours was contributed by14 volunteers. In addition to individual volunteers, the charity continues to benefit from the dedicated support of the following volunteer support groups: * York Orthopaedic Support Group Filey Cancer Fund * York SCBU Support Group 22 Expenditure Oueruiew Making a positiue difference to York & Scarborough Hospitals Expenditure Oueruiew The total expenditure for the year 2024125 was £l.9m, up15.8 % year on year. This reflects our continued commitment to ensuring we are spending charitable funds in a timely manner and making a continued positive diff erence to patients and staff. 8.4% 216% Purchase of Equipment • £287.697 Patient Care & Experience Building & Refurbishment Staff Wellbeing & Training • £164,742 Research 15.5% £156.478 £823.638 0.2% 8.9% £3,776 £420,364 Charity Management & Admin Chart 3- Expenditure overview 4￿4% We welcomed almost 500 applications to support patient care and experience, research, equipment, staff wellbeing and building and refurbishment which ultimately benefit the patients being treated within the Trust's hospital sites and community settings. Building works and refurbishment saw a significant increase, with almost £824k invested in the Scarborough Urgent and Emergency Care Centre following our successful appeal, a significant increase from just £5,128 the previous year. Patient care and experience, purchases of equipment and staff wellbeing and training have all declined year on year. Much of the funding for these areas was allocated to the Scarborough Urgent and Emergency Care Centre project, and therefore is reported within building and refurbishment. Charity management and administration costs rose by11 / to £420k following the planned restructure in November 2024. With the introduction of a Charity Operations Officer there is a dedicated focus on expenditure and impact. The appointment of a Fundraising Manager and the creation of an additional fundraiser have also impacted the cost of overheads. These costs also include investment management fees, audit fees and a one-off fee of approximately £26k for procurement of the new website, Expenditure comparison year on year 2024125 • 2023124 Purchase of equipment Patient care & experience Building work & refurbishment staff wellbeing & training Research Charity administration & managment £0 £200000 £400000 £600000 £800000 Chart 4- Expenditure comparison yeor on year 24 Expenditure Highlights Making a positiue difference to York & Scarborough Hospitals Sara Stedy, Ward15, York Hospital Orthopaec r.J A'sara Stedy, is a non-powered standing aid designed to help staff assist a patient with transfers from sitting to standing. Desmond Spencer, Therapy Assistant, explained -The team delivers rehabilitation to highly deconditioned patients enabling their recovery from surgery to the point they are discharged from hospital. "The Sara Stedy enables patients to be transferred between their beds, to the toilet or into chairs. Patients in the early stages of recovery post operation or who have higher support needs benefit from using a Sara Stedy. The standing aid helps promote quality care and rehabilitation to enable progression to allow patients to be discharged from hospital. The equipment has been used daily and we are very grateful to the charity for funding it." 26 Sonosite Edge Transducer ultrasound machine An ultrasound machine was funded for Ward 16 at York Hospital. The surgical ward previously shared a machine with theatres. The medical staff and Surgical Care Practitioners use ultrasound devices for insertion of a midline catheter which is a thin, flexible, hollow tube. They can be described as a long cannula. One end of the catheter is fixed to just above the crease of the patient's elbow. This enables trained staff to administer medication into the patient's vein, without the need for repeated cannulations and can stay in place for approximately four weeks. The ultrasound can also be used for difficult canulations and blood taking on the ward. Purchasing the device will mean that midlines can be done on the ward instead of patients being taken into theatre. It will cut down the number of patients in theatre and will lead to better and more efficient patient care as this will reduce delays for treatment. 27 Spirometer Yss ospitals Charity We were delighted to fund an additional spirometer for the Critical Care Outreach team. Paula Cooper, Critical Care Outreach Sister explained "The handheld device is used on deteriorating patients who have underlying autoimmune conditions such as Myasthenia Gravis and Transverse Myelitis. Patients whose breathing might suddenly worsen due to the condition may require assessment at any time, day or night. The spirometer is used to measure a patient's lung volume and air flow. Previously there was only one machine available for staff to use out of hours. Paula added -The additional spirometer will enhance the patient experience by reducing a delay in assessment and treatment with a quicker response to deterioration.- 28 Scalp coolers for chemotherapy patients Patients at York and Scarborough hospitals now have access to additional scalp cooling units, which help reduce hair loss, a common and often distressing side effect of chemotherapy. As cancer diagnoses rise, demand for scalp cooling continues to grow. With three additional units now in place, costing £75,000, the charity hopes to further increase the number of units available. The Friends of York Hospital assisted with the purchase of the York scalp coolers by making a donation of £34,000. Scalp cooling works by lowering the temperature of the scalp before, during, and after chemotherapy, helping to protect hair follicles and minimise hair loss. Local mum Hayley, who was diagnosed with breast cancer three months ago, described the scalp coolers as a way of maintaining 'normality' while receiving treatment. "Your hair is such a big part of your identity. When I was told the coolers could help me keep my hair, I was willing to give it a try. I had heard the cyclist Sir Chris Hoy had used one when he was diagnosed with cancer. I would like to thank both charities for the coolers and all the people who have given their time to raise money to allow me to use them." Alex Campbell, Chemotherapy Sister, Trust-wide, said the new coolers were much more efficient. "Our staff had some great feedback from patients and hopefully we will be able to purchase more in the future. The prospect of hair loss can cause considerable anxiety. The opportunity to retain hair during treatment can offer people a chance to maintain a sense of privacy." 29 Intra Oral Scanners York & Scarborough Hospitals Charity has successfully funded advanced intraoral scanners for both York and Scarborough hospitals and a 3D printer for the Orthodontic Lab at York Hospital. This state-of-the-art equipment is revolutionising dental care for patients across both hospitals, improving treatment outcomes and patient experiences. Dr Tarun Mittal, Consultant orthodontist explained: "The intraoral scanner can scan a digital impression of the mouth instead of taking 'moulds' with impression material. It can be sent to anywhere in the world for any purpose. It also produces 3D images and 3D models and will be used to facilitate the move to using digital models of teeth instead of physical models made of plaster of ParislGypsum. Moving to a digital media vastly reduces the storage and environmental impact. There is large body of research that suggests patients of all ages have a better experience with intraoral scanning compared to conventional impressions and that digital scanning is more accurate., Mark Collinson, Maxillofacial and Orthodontic Laboratory Manager added "The benefits of the printer are that we are now able to print Orthodontic and restorative working models and mandible and maxilla maxillofacial models for diagnostic purposes. The first smaller machine washes the model and removes any excess resin. The second smaller machine is the final cure and hardens the model surface. Orthodontic and restorative appliances and medical devices are then constructed for patients using the working models. These appliances or devices are then sent to clinicians to be fitted in clinic.- 30 Foetal cardiac training for sonographers L) Lynne Berry, Advanced Practitioner Sonographer explained -Foetal cardiology is the study of the unborn child's heart. Over 50 to 60 /0 of foetal cardiac anomalies are found on the anomaly scan and thanks to York & Scarborough Hospitals Charity training sessions have been provided to aim to exceed the national average." Tiny Tickers teach healthcare professionals to improve prenatal screening and support families affected by congenital heart defects provided the training sessions. Lynne also explained "Babies with undiagnosed cardiac problems are less likely to do well if they are not born in a specialist hospital and was very grateful to the charity for funding the training sessions." 31 Interactive projector O/ Thanks to the generosity of our supporters, children visiting York Hospital's Child Development Centre can now enjoy a more welcoming and engaging experience while waiting for outpatient appointments. We have been able to provide funding to install an interactive floor projector that brings fun to young patients and their families. The projector displays interactive games and images on the floor, transforming the waiting area into a playful and stimulating environment. This interactive technology provides not only entertainment but also an opportunity for children to engage with one another, making the time pass more pleasantly before their appointments. The games are designed to encourage social interaction and development, fostering skills like self-awareness, cooperation, and physical coordination whilst adding an element of fun. Leanne Haycock, Play Team Leader at York Hospital, shared the positive impact of this new addition"During the pandemic, we had to remove toys from our children's waiting area to comply with infection prevention guidelines. Now, this interactive projector helps distract children from the clinical environment and reduces the anxiety that hospital visits can create. It's wonderful to see children so engaged and at ease. We are incredibly grateful to the generous donors who have made this possible.- 32 Paediatric therapy equipment i• Yss Hospitals Charity Scarborough One request we received was to purchase therapy equipment for Scarborough Intensive Care Unit (Icu) to improve patients. experience. Charlotte Vamplew, Physiotherapist, said:-The therapy team on ICU was very grateful to receive a new rehabilitation trolley, including much needed therapy equipment to help patients to begin their often long and complex rehab journeys to recovery. All the items we have received will help our patients to regain some form of independence and functionality. "For instance, the whiteboards will help our patients communicate, handheld mirrors will help patients learn how to do tasks such as brush their teeth and hair again, and therapy bands to help patients start strengthening their muscles. "We were pleased to receive some gardening tools, pots, and a watering can. We hope to plant seeds with our patients which they can take with them when they leave hospital. These plants will symbolise their individual journeys and remind them of their strength throughout their time in hospital. "Finally, we received an aromatherapy diffuser with lavender scents and calm sensory lighting to support our end-of-life patients and their families. All items will be gratefully used!- 33 Sky panels, High Dependency Unit, York John Wright Electrical generously donated and installed eight modern LED sky panels at York Hospital's High Dependency Unit (HDU). The panels have completely revolutionised the environment, creating a vibrant and soothing atmosphere for patients. These innovative LED sky panels don't just illuminate the space; they bring a bit of outdoors inside. With their lifelike display of the sky outside, they provide a refreshing escape for patients confined to indoors for extended periods. Elaine Hunter, Lead Nurse in Critical Care, shared her excitement about the positive impact of the sky panels on patients and their families, saying'we have received a great response to the sky panels. Adding a touch of the outdoors to brighten up the patients, days makes a real difference." One touching account shared by Elaine highlighted the huge impact of the sky panels on a patient and his family. The daughter of a patient, who directly experienced the effect of the panels, expressed her amazement at the impact it had on her father's wellbeing. The illusion of an open sky and natural light brought an unexpected sense of luxury and comfort to her father, creating an experience she never thought possible within a hospital setting. 34 ICU patient diaries pftrtirr DIA_RIES_ IF Tlllf YT (wj Ib rrfb4L Teams at Scarborough and York have created a new patient diary which is personalised and allows staff to record information about patients in their care. Staff members note down information such as a patient's hobbies and any discussions with loved ones the details about how the patient likes their appearance to be. One staff nurse recorded the scores of a patient's favourite football team. Many record patients, favourite music, so they can play it to them. Hannah Davis, Deputy Sister and Gemma Morris, Staff Nurse in Critical Care in Scarborough explained -critical Care patients have an increased risk of developing post-traumatic stress disorder (PTSD), anxiety and depression, and the provision of a patient diary has been shown to reduce this. ryDT 4F44 Hannah explained how the diary was a patient focused account of their journey through critical care. "A nursing entry is written on every shift, and the family can join in with diary entries too. We keep the admission details simple but factual and use terminology with explanations. The day-to-day entries are all relevant to changes experienced, milestones and individual goals. The diaries can also help to understand confused memories and establish what was likely an awareness of reality. "We also run a follow up clinic which gives patients the opportunity to discuss their experience and ask questions about their illness and hospital stay. The diaries can also help fill gaps of what happened during a patient's critical illness. They can also help with the grieving process for relatives of the person whom the diary is written for passes away.- Gemma added l often write simple things such as the weather or I like to make the patient feel themselves by doing their hair how they like it.- 35 Garden furniture. White Cross Court Y8S Hospitals Charity Brand new garden furniture has been purchased for White Cross Court, thanks to the incredible fundraising efforts of staff. This much-needed addition includes a table, comfortable chairs, and two protective parasols, ensuring patients can enjoy the garden in comfort and safety. The new garden furniture provides shade for patients, enabling them to benefit from outdoor spaces without overheating. Access to open spaces and fresh air has been associated with improved mood, especially for stroke recovery patients, creating a peaceful environment for relaxation and healing. Patients can now enjoy quality time with loved ones in a comfortable outdoor setting, enhancing their experience of the beautiful warmer months. The outdoor environment offers a change of scenery and a sensory-rich experience, which is beneficial for cognitive stimulation and overall mental health. 36 Funding of the Euros on patient TVS Thanks to your donations, York & Scarborough Hospitals Charity were delighted to fund all bed-side television units to enable patients to watch every England game at this year's men's Eurosl The funding means all 446 units will be free-to-use for patients all day when England are playing, so even if patients don't want to tune in to cheer on the Three Lions, there is a host of other channels and entertainment available for the day. It's not just York patients who will be able to watch the games, new TVS have recently been funded by the charity for all wards at Scarborough Hospital as well as other sites across York and Scarborough Teaching Hospitals NHS Foundation Trust. 37 Blood taking and sensory equipment Y8S Hospitals harity Charlotte Taylor, Play leader. explained the benefit the blood taking and sensory equipment will have to patients using York Hospital's childrens, services. "Ray Rabbit phlebotomy device is a friendly rabbit which can be attached to IV, draw and fill blood bottles to help children with desensitisation to blood tests and cannulation. Through play, it helps children manage the worry of these medical procedures. "Two buzzy bee devices are being used for blood taking. vaccinations. injections as a numbing option or distraction from the medical procedure the child is undertaking. Using vibration and cold pack sensation the aim of the bee is to block the pain signals sent from brain to body during the procedure. The therapeutic play clinic are offering them as an option to be used in blood testing. allowing young people to see if they offer pain relief. "Four jelly fish tanks have gone into the Child Development Centre (CDC). Day Unit and wards 17 and 18 treatment rooms and clinical areas. With changing lights and moving jellyfish, they are used daily to provide a calming distraction for children of all ages. °Two pop-up blackout tents and light machines have been funded for the Day Unit paediatric area and the CDC. These are well-used items in developmental clinics providing a safe. separate space for children to sit in that may make them feel calmer in the clinical environment of hospital and help with regulation during appointments in hospital. The aim is to promote a positive hospital experience and look after the child's wellbeing. "l am very grateful to York & Scarborough Hospitals Charity for funding the equipmentl" 38 Picnic bench. Chemotherapy. Scarborough Yss*•' Hospitals Charity York & Scarborough Hospitals Charity has recently funded a vital addition to the Chemotherapy Unit at Scarborough Hospital= a picnic bench with a roof. The new picnic bench, situated in a quiet outdoor space, provides staff with a much- needed area to relax during their breaks. Working in the Chemotherapy Unit often involves dealing with emotionally challenging situations, and having a designated place to unwind is essential for maintaining mental health and wellbeing. The picnic bench offers more than just a physical resting space. It creates an environment where staff can momentarily step away from the demands of their roles, enjoy some fresh air, and take time to reflect. For staff members experiencing particularly tough days, this space serves as a sanctuary to process their emotions in a calm and peaceful setting. 39 See ME First badges Thanks to your donations we have been able to fund 'See ME First badges,. Fatima Kuddus, Workforce Equality, Diversity and Inclusion Off icer explained "Approximately 15 /0 of the Trust is made up of ethnically diverse people and most are patient facing. "The See ME First initiative directly benefits patients by fostering a more inclusive and respectful healthcare environment. When ethnically diverse staff feel supported, it enhances staff morale which means they are better equipped to provide high quality care. This leads to improved communication, trust, and patient satisfaction, ensuring that all patients receive compassionate and equitable care regardless of their background." Colleagues can show their support for the See ME First initiative by pledging their commitment to equality at work, and as a result will receive the See ME First badge to wear on their lanyard. The Trust has several staff networks which have been set up to represent and offer support to members of staff from a wide variety of backgrounds. There is a Carer's Staff Network, Enable Network, LGBTQ+ Network, Race Equality Network, Veterans Network and Women's Network. Many of which have been supported by York & Scarborough Hospitals Charity. 40 Period dignity products for staff Free EmergenGy Sanitary Products For Trust siaff Rachel Marson, Health and Wellbeing Lead, explained that thanks to donations it has been possible to provide period dignity products for one year for use by Trust staff. It is hoped this will help to eradicate period poverty and ensure those who are the most vulnerable have access to period products when they need them. Products will be available for all staff that need them, but in particular will help those staff who cannot get away from wards or departments to purchase items. Rachel stated "Caring for our staff and making sure they are supported both physically and mentally to meet the service demands will ensure better patient care and better health of the overall workforce, making staff also feel valued-. Period dignity products are available for staff at Bridlington, Selby, York, Scarborough, Malton, The Old Chapel at York and also White Cross Court. 41 EMDR kit for Psychological Medicine EMDRKIT EMDRkit_com The Psychological Medicine team are able to use a EMDR (Eye Movement Desensitisation Reprocessing) kit which supports people to process trauma when for multiple reasons the person cannot use eye movements. Instead, bilateral sounds (headphones) and vibrations (pulsators) are used. Dr Becky Cannon, Principal Clinical Psychologist explained-EMDR therapy is recommended by NICE guidelines (National Institute for Health and Care Excellence) for the treatment of people suffering from post-traumatic stress disorder. "EMDR is a structured therapy that encourages the processing of distressing memories, helping individuals to reduce their impact and develop coping mechanisms. "For some people with visual impairments or dry eyes this is not possible, and they require other methods that involve sound or touch. This process is believed to help the brain reprocess the memory in a more adaptive way.- Becky continued -The staff Psychology team provide EMDR therapy to staff who have been exposed to traumatic instances via their working environments." 42 Audiology booth 1tA3 The refurbishment of two audiology booths has provided a much-improved environment for conducting hearing assessments, offering a high-specification testing area that benefits both patients and staff. Sound booths play a vital role in audiology, providing an environment free from external noise to ensure accurate and reliable hearing tests. Made from sound-absorbing materials like acoustic foam, these booths allow audiologists to properly evaluate hearing aids and perform diagnostic tests. The refurbishment of these rooms has created a more welcoming space and is especially more inviting now for children and their families. This contributes to a positive experience for young patients and improved outcomes. The Trust's Head of Audiology, Kate Iley said -By providing a high-quality environment for hearing research and testing, York and Scarborough Hospitals NHS Foundation Trust can continue to improve its services for the community. We want the public to know it's never too early to get support if they think they have hearing loss.- 43 Research Clinic Room at Scarborough Y8s Hospitals Charity We were proud to attend the unveiling of a brand-new research clinic room at Scarborough Hospital, made possible by generous donations to York & Scarborough Hospitals Charity. This dedicated clinic is already making a significant impact by creating a space where life-changing research can take place, providing patients with access to new groundbreaking treatments and dedicated care. Scarborough Hospital's new research clinic room, located near the new Urgent and Emergency Care Centre (UECC), is the first space of its kind at Scarborough. This dedicated room will allow the Research and Innovation Team to conduct clinical trials in a controlled, quiet setting, away from the busy activity of the main hospital areas. This clinic gives researchers and patients a space where focus, privacy, and specialised care come together, allowing more effective and compassionate research experiences. The room is just one example of how York & Scarborough Hospitals Charity are committed to funding projects that directly enhance patient experiences and support staff in delivering exceptional care. 44 Elsie May Sykes research grant Consultant Surgeon Mr Michael Lim, a specialist in the treatment of colon and rectal cancer, was awarded funding from the annual Elsie May Sykes Research Award. He said the funds would continue to support his collaborative research project with the University of York. The project investigates the role of sodium channels in the perpetuation and aggressiveness of colon and rectal cancer. The aim is to identify and establish new drugs to help treat such patients and improve their sur+/ival. Mr Lim has been working with university scientists for the past four years on the SCION project and said that the money will continue to finance the laboratory work of a research fellow appointed by the Trust. He said: "l am very lucky to have received this award especially as the research is relevant in improving the care of cancer patients. It is particularly exciting as it is a project that has numerous links with departments within the organisation and in the university. "It is hoped that five or ten years from now, we could find a drug that will help improve outcomes from advanced disease. We want to put York and Scarborough at the forefront of groundbreaking research work. Research can be costly so funding from the Elsie May Sykes Award is crucial in driving collaborations forward. I would like to thank the charity for providing this support." 45 Gifts in kind We are constantly overwhelmed by the generosity of our supporters. In addition to monetary donations, we also receive physical donations for staff and patients. in 2024125 the value of these gifts totalled £34k. We manage Amazon wishlists for our children's wards and also the York Intensive Care and Scarborough SCBU teams. The majority of supporters who buy from these lists do so due to the care they have received as patients. We held an auction to support our York Breast Care Unit waiting area and were lucky enough to receive 84 prizes from both individuals and businesses. We'd like to thank everyone who made physical donations to help make a difference to staff and patients. Some of the donors are represented below and on the next page. '11_1_.4 FARM The Pantry T. AI41i%f4pN LEEDS Pl.AY NYMR IPOW TFIE YORKSHIRE ARBORETUM WOLDTUP XP XTAG THERM Morrisons nexc IICJTtL INDIGO MASONS blue tfee gallery York Archfj•olryy 46 Gifts in kind CAMMOp4 MALL F A Miither.. ItsN YORK > MEDICAL vir47UAL HIPEQkPT KNAItESBOR H Enterprise Mobntty- 4e44ies c￿￿j￿c NatlDnal Lit&r&Gy Trujt Lth HAXBY IORVIN IlItHJutÈ Palenque .tXl) (,.IRI)I..X [.l+j,rclORF. FoolgE>lf J4iMP¥ AIRHOP OTEL eurastar BOOKER BW | Bestwestem. klgEtIs & Rrsvrb 47 Gouernance Constitution and powers The charitable funds of York and Scarborough Teaching Hospitals NHS Foundation Trust are registered under a single umbrella charity in the name York & Scarborough Hospitals Charity (Y&SHC). York Teaching Hospital Charity (YTHC) was registered with the Charity Commission under number1054527 on11 April1996. The governing document of YTHC was a declaration of trust, dated 23 February1996, as amended by deed dated 25 May 2012. A Transfer of Staff, Property and Liabilities Order signed by authority of the Secretary of State for Health on 28 June 2012 replaced the Scarborough Healthcare NHS Trust Corporate Trustee with the York Teaching Hospital Charity Corporate Trustee. On 27 March 2013, the Corporate Trustee resolved to de-register the Scarborough charity as a charity in its own right and re-register it as a charity under the umbrella of the York Teaching Hospital Charity. In July 2021, with approval from the Corporate Trustee, York Teaching Hospital Charity rebranded to become York & Scarborough Hospitals Charity following the name change of the Trust on l April 2021. YTHC was established using the model declaration of trust and all funds held on trust on the date of registration were either part of this unrestricted fund or registered as separate restricted funds under the main charity. Subsequent donations and gifts received by Y&SHC that are attributable to the original funds are added to those fund balances within the existing charity. The purpose of Y&SHC is to apply income for any charitable purpose relating to the National Health Service wholly or mainly for the services provided by the York and Scarborough Teaching Hospitals NHS Foundation Trust. York and Scarborough Teaching Hospitals NHS Foundation Trust is the Corporate Trustee of Y&SHC. Members of the Board of Directors are not individual trustees under Charity law but act as agents on behalf of the Corporate Trustee. The Corporate Trustee fulfils its legal duty by ensuring that monies are spent in accordance with the designation of each fund. By designating funds, the Corporate Trustee respects the wishes of donors to benefit patient care and advance the good health and welfare of patients, carers and staff. Where monies have been received that have legal restrictions imposed, a restricted fund is established. York & Scarborough Hospitals Charity Charity Registration Number 1054527 Registered Address York & Scarborough Hospitals Charity York Hospital Wigginton Road York, Y0318HE 48 Charity gouernance committee In its management of the charitable funds, the Corporate Trustee has had regard to the Charity Commission's guidance on independence. Acting for the Corporate Trustee, the Charity Governance Committee assists in maintaining independence by ensuring the use of charitable funds is focused on the needs of NHS patients. The Charity Governance Committee has devolved responsibility for the overall management of charitable funds. The Committee is required to: Control, manage and monitor the use of the charity's resources for the public benefit, having regard for the guidance issued by the Charity Commission. Ensure best practice is followed in the conduct of all its affairs fulfilling all of its legal responsibilities. Ensure that the Investment Policy, approved by the Corporate Trustee is adhered to and that performance is continually reviewed whilst being aware of ethical considerations and monitor the performance of the investment managers. Report to the Corporate Trustee so it remains fully informed on the activity, performance and risks of the charity. Regulation and membership Y&SHC is registered with and adheres to the standards set by the FUNDRAISING Fundraising Regulator and Fundraising Preference Service. REGULATOR www.fundraisingregulator.org.uk Y&SHC is an active member of NHS Charities Together (formally known .' NHS CHARITIES as the Association of NHS Charities). NHS Charities Together seeks to TOGETHER support, and to be the voice of all NHS Charities in England, Scotland and Wales. The principal aim of the Association is to promote the effective working of NHS Charities. Being a member offers Y&SHC a wide range of support, networking and information services as well as adopting best practice from across the sector. During 2020 NHS Charities Together ran an urgent appeal in response to the Covid-19 pandemic, raising in excess of £150m for member charities. https:IIvwnN.nhscharitiestogether.co.uk/ O Chartered Institute of Fundraising One member of the Charity team is an individual member of the Chartered Institute of Fundraising (CloF). The CloF is the chartered professional membership body for UK fundraising. They support fundraisers through leadership and representation; best practice and compliance; education and networking; and champion and promote fundraising as a career choice. https:l/ciof.org.uk/ 49 Charity personnel Corporate trustee The following members of the Board of Directors sepded on behalf of the Corporate Trustee during the year: Sirmn MorrÉtt Ch￿1 Executive ALM3 2019 Jon 2009 Present ATrJrew Bertrom Fimnce Director Present Deputy Chief Executive Medical Director May 2018 Nov 2022 Karen Stone Present Claire Hansen ChFef Operating officer Chief Nurse Jul 2023 Present Dawn Porkes Sept 2024 Feb 2019 Present Polty Mcmeekin Jomes Hawkins Director of Workforce arKI Orgonisotionol Development Chief Digital and InforrrKJtTron Officer Present Aug 2022 Present Toble 2-Executive Directors Martin Barkley Jenry McAleese Chair Nov 2023 Piesent Non-executive Directc Mar 2017 Present Vice c￿1r Oct 2020 Present Senior lTrJependent Directc May 2019 Apr 2018 June 2022 Feb 2020 Lorraine Boyd Non-execLrtive Director Present Senior Independent Director Non-executive Direct Present Lynne Mellor stephen Holmberg Apr 2018 Dec 2024 Non-executive Direct July 2019 Mar 2020 Present Sen4￿ IndeperKlent Director Non-execLrtive Director Moy 2022 Present Jim Dillon July 2019 June 2020 Matt Morgan Julie Chorge Hull York Medical scho￿ Stakeholder Noft-executive Director Present Non-execLrtive Director June 2024 Present YTHFM Chair Jane Hazelgrave Helen Grantham Non-executive Director Feb 2025 Present Ass￿. NcTrexecutNe Director May 2024 Present Table 3 -Non-executive Directors AII NEDS are considered to be independent, meeting the criteria for independence as laid out in NHS England's Code of Governance. 50 The Board of Directors has included an additional non-voting Director in the membership of the Board: Lucy Brown Diroctor ol Communicotions Feb 2020 Prosent Table 4- Non-voting Directors Corporate advisors The Corporate Trustee has appointed the following professional advisors during the year: Bankers Barclays Bank PLC Leicester, LE87 2BB Independent Auditor Fordis Mazars LLP 5th Floor 3 Wellington Place, Leeds, LSI 4AP Investment Managers RBC Brewin Dolphin UK 10 Wellington Place, Leeds, LSI 4AN 51 Charity governance committee The following acted as members of the Charity Governance Committee during the year: Mortin Barkley ArKlrew Bertrom Chair Nov 2023 Present FIr￿nCe Director Sept 2017 Present Deputy ChTref Executive Director of Communications Lucy Brown Elizabeth Hill Sept 2017 Oct 2022 Present Associate Chief Operatirg Officer Head of Copital PlannirKJ DepLty FirKJnce Director t)eputy Head of Corporate Fir￿￿8 Head of Charty Present Andrew Bennett Sept 2017 Sept 2017 Sept 2019 Moy 2019 Present Steven Kttching Robert Taylor Rachel Brcrf)k Present Present Present Table 5- Charity Governance Committee Operational staff No members of staff are employed directly by Y&SHC. Salary costs in respect of fundraising, operations, financial management and administration are recharged by York and Scarborough Teaching Hospitals NHS Foundation Trust. Staff remain employees of York and Scarborough Teaching Hospitals NHS Foundation Trust. The recharge is based on time spent on work related to the charity. Rachel Brook Head ol Chaity Chority Manager Fundraisirg Manager C¢)mmunty FurKJfoiser Oct 2024 Present May 2019 Nov 2024 Oct 2024 Emma Sargent Present Jan 2022 Nov 2024 Joe Fenton IrKlivTrdual Giwng FurKlraiser cc￿munIty Fundraiser Cornmunty FurKlraiser Chartty Assistont Events Fundraiser N4)v 2024 Present Nov 2019 Nov 2024 8eckyWhtte Mar 2024 Present Mar 2022 Mor 2024 Natalie Marriott Jon 2025 Present Hannah Baitey Fiona Hills Charty Operotions Officer Chorty Assistant Jan 2025 Present Jan 2025 Preserbt Robert Taylor Janet Harrison Deputy Head Corporote Finance Charty Finance Team Leader Chorty FIr￿nCe Assistant (moternty leave from Feb 2025) Charity FirKJnce Assistant (rrKJternity cover) Sept 2019 Jan 2016 Present Present Sarah HcKlgson So￿tra Dumill Nov 2022 Present 'Mar 2025 Present Table 6 - Charity operational stall 52 Policies and procedures During this year, the Charity Governance Committee has reviewed policies and documents relating to each of the items below. The policies are reviewed according to a timetable, which is reviewed annually. The Corporate Trustee has delegated functions to the Charity Governance Committee but retains overall responsibility for the Charity. Risk register The Charity Governance Committee actively reviews the perceived major risks that the Charity faces. Operational standards have been set throughout the organisation which is audited on a regular basis. The Charity also maintains a risk register which is reviewed annually. During 2024125, the principal risk identified was reduced income due to deteriorating financial climate experienced by donors coupled with competition from other local charities. To mitigate this risk, we have taken action to strength the marketing approach and conducted a review of income streams to identify opportunities to increase support. Privacy statement This policy sets out how and why Y&SHC collects and uses your personal information, and how we protect it. It also explains where third parties collect your data where they are working on our behalf. If we ask you to provide certain information by which you can be identified, it will only be used in accordance with this privacy statement and in line with GDPR and appropriate Data Protection legislation. Expenditure Expenditure is appropriately controlled to ensure that it fulfils the objects of the Charity and of the individual funds. Y&SHC relies on York and Scarborough Teaching Hospitals NHS Foundation Trust to identify the appropriateness of funding requests in order to keep transaction costs to a minimum and to simplify the approval process. All expenditure is approved in advance and in line with the Charity's scheme of delegation. The Charity Governance Committee approves all significant expenditure in advance and routinely monitors all expenditure to confirm that it is appropriate. A scheme of delegation setting out limits of authority for approving expenditure is in place. All our grants and activities demonstrate public benefit, so that the Corporate Trustee has complied with its duty to have due regard to the guidance on public benefit published by the Charity Commission in exercising its powers or duties. Terms of reference The Terms of Reference for the Charity Governance Committee set out the membership requirements, expectations, framework and delegations for this formal group, accountable to the Corporate Trustee. They ensure the committee carries out its roles and functions appropriately, in line with devolved responsibility. 53 Scheme of delegation The Charity operates within the constraints of the scheme of delegation and standing financial instructions. The acceptance of income (e.g. donations and legacies) and the approval of expenditure operates within an authorisation framework. Inuestment policy The overall objectives of the policy are to create suff icient income and capital growth to enable the charity to carry out its purposes consistently year on year, with due and proper consideration for future needs and the maintenance and enhancement of the value of the invested funds while they are retained. The charity has a portfolio of professionally managed investments. The Corporate Trustee precludes investment in companies closely connected with the arms trade, tobacco and alcohol industries. This is defined as companies with more than 20/0 of their turnover in these activities. The investment portfolio is managed on a discretionary basis by Y&SHC's investment managers, Brewin Dolphin. Investment income amounted to £156k for the year (2024: £156k). The total portfolio was valued at £5,948k at the end of the year (2024: £6,642k). Reserves policy The charity derives most of its income from donations and legacies and this varies from one year to the next. Charities are always conscious of the need to secure their viability for the longer term by putting aside some of their current income to meet future commitments and as a resenie against uncertainties. Charities also have a requirement to apply their income for the purposes for which it was given, within a reasonable timescale. While the Corporate Trustee does not aim to retain excessive reserves, there is a need to retain some reserves, the main reasons being; To ensure donations are spent in line with the donor's wishes. Donations may be made for specific purposes but will not be spent immediately if unnecessary. To ensure there are suff icient funds to fund future developments. To meet current or anticipated expenses such as management, administration and governance costs. The Corporate Trustee calculates the reserves as that part of the unrestricted income funds that is freely available after taking account of designated funds that have already been earmarked for specific needs. At the end of March 2025 the unrestricted undesignated reserves amounted to £552k (2024: £707k). The Corporate Trustee foresees a need only to maintain reserves sufficient to provide certainty of funding for average annual general grant making. Therefore the target range for reserves is £300k to £700k to ensure the stability of grant funding. 54 Future plans As we look ahead to the coming year, our focus will be on building a stronger, more efficient, and more impactful charity. Key initiatives will include: Deueloping our newly restructured team Following our recent restructure, we are committed to supporting our team in reaching their full potential. This will include professional development opportunities, clearer role definitions, and fostering a collaborative working environment. By developing our people, we aim to strengthen the overall eff ectiveness and morale of the charity. These plans represent an exciting step forward for our organisation, helping us to serve our patients and Trust staff better, work more eff iciently, and increase our charitable impact. Digitalising our request-to-expend process To improve both accessibility and efficiency, we will be digitalising our request-to-expend process. With over 500 funding requests submitted annually, streamlining this system will make it easier for beneficiaries to access charitable funds, while significantly reducing the administrative burden on the Charity team. The new system will ensure greater transparency, faster turnaround times, and better tracking of requests. Reuiewing and rationalising our funds We will undertake a strategic review of the various funds we hold, with the aim of rationalising and simplifying fund structures. This will allow us to ensure our resources are used in the most effective and impactful way, while also reducing complexity and improving oversight and management of donations. Creating a new Charity promotional video We will commission a new, professionally produced video to showcase the impactful work we do and the projects we have funded. This video will serve as a powerful tool for engaging supporters, donors, and the wider community, highlighting real stories and outcomes from our charitable activity. Promoting our lottery to increase revenue We will invest time and effort into raising the profile of our Charity lottery as a key source of sustainable income. By reviewing the current process and a targeted marketing campaign, we aim to grow participation and boost annual revenue, supporting even more projects from our unrestricted funds. 55 Support our work Should you wish to support York & Scarborough Hospitals Charity, details of how you can do so are shown in the form below. Donation Form Y&s Hospitals Charily Thank you for youf supporL tOget￿r we C¢￿ make a huge difference. Irst Nc)mo. Surnomo". 40n-iQ Add'o" PostccKIe" lolophon8'. I would like to dowte £ to Yryk & Hwltals Charity Sort cod￿ 20-99-56. Reference: Newsletter. P*age (Kknse us by F*one crf rril rf you *[] Lknnote C￿lIne.. Pleose visit rTokng u poyrnnt so thot we krmx to look ￿ for MMW.V3hospita15chonty.OfglthJrKrte or it arxl crn say th(Jnk Trul scon heré to chxKrte rthv o c*e(S1 Iorrn encb%d lo oJdrpss tjebw. W•'d lov• to k••p in touch Please lot us know if yoj wney raised is helping in our hos￿￿talS olong With futur8 e￿nt ond fundroising compoigns. O By wst O By email O By ph(Th O NO thanks Pl8os818t us know if yw likè to trwr from us obwt future volunt8erir#3 OPFx)rtuniti@s when thèy arise. O By post O By ern￿7 O By phono O No thonks fLII data protect•Jn and FXIWXY Foky ￿ our W•yW.wb￿￿t￿txrtY￿ Incr•as• Y4￿1 donatlon by 25p lot •v•ry Él you ¢h)not•l 9,fr44d&t O,-,; the future or have rrKJde in the post 4 Y￿rS to York & ScafbcKoLM3h Hospitals Ctmjrity l (Yn a LK tWryEY and urKJprstmJ tIMJt I i FX￿leY5 Inc(￿ lax a￿/L￿ C￿5 Tax ttKJn tt) arTbJunt of Gilt A¥J cknned cn all my OJIJt￿n5 in ttrKJt tyJx yeow it ts my resPm5tdity to pay I￿V diFlerw PIoas8 Terum your I￿rn by wst or in p8rson to." York & Scarborough F*JsiiEaLs Cl￿r￿. Fundfaising off￿•. York HOs￿[al wwinton Ro￿% Yiyk .V0318HE hello@yshosptalschoNy org 01904 724521 wth.yshospitalschafity.org 56 Yss Hospitals Charity Annual accounts 2024/25 Making a positiue difference to York S Scarborough Hospitals York and Scarborough Hospitals Charity Registered charity number1054527 Annual accounts 2024/25 Statutory background The Trustee of the York and Scarborough Hospitals Charity, York and Scarborough Teaching Hospitals NHS Foundation Trust, has been appointed under sll of the NHS and Community Care Act1990. The York and Scarborough Hospitals Charity is registered with the Charity Commission and includes funds in respect of York and Scarborough Teaching Hospitals NHS Foundation Trust. Main purpose of the charity The main purpose of the York and Scarborough Hospitals Charity is to apply income for any charitable purpose relating to the National Health Service wholly or mainly for the services provided by the York and Scarborough Teaching Hospitals NHS Foundation Trust. Making a positiue difference to York S Scarborough Hospitals 58 Statement of Trustee's responsibilities The Trustee is responsible for: Keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the funds held on trust and to enable them to ensure that the accounts comply with Charities Act 2011 requirements. Establishing and monitoring a system of internal control; Establishing arrangements for the prevention and detection of fraud and corruption; Safeguarding assets and ensuring their proper application under Charity law. In accordance with the charities SORP Financial Reporting Standard 102 (FRS 102) and the Charities Act 2011, the Trustee is required to prepare accounts for each financial year. The Charity Commission directs that these accounts give a true and fair view of the financial position of the funds held on trust. In preparing those accounts, the Trustee is required to: Prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue its activities; Apply on a consistent basis suitable accounting policies; Make judgements and estimates which are reasonable and prudent. State where the financial statements comply with the trust deed and whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the accounts. The Trustee confirms that it has met the responsibilities set out above and complied with the requirements for preparing the accounts on a going concern basis. The financial statements set out on pages TBC to TBC attached have been compiled from and are in accordance with, the financial records maintained by the Trustees. By order of the Trustee; Dated. 2711112025 La. Trustee ............................................................. Dated 2711112025 59 ## **Opinion** ## **Basis for opinion** ## **Conclusions relating to going concern** ## **Other information** ## **Matters on which we are required to report by exception** ## **Responsibilities of Trustees** Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAS {UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of the financial statements. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below. Irregularities, including fraud. are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above. to detect material misstatements in respect of irregularities, including fraud. Based on our understanding of the charity and its sector, we considered that non-compliance with the following laws and regulations might have a material effect on the financial statements- the Charities Act 2011, employment regulation, health and safety regulation. anti-money laundering regulation. To help us identify instances of non-compliance with these laws and regulations, and in identifying and assessing the risks of material misstatement in respect to non-compliance. our prO￿dureS included, but were not limited to.. Inquiring of management and, where appropriate, those charged with govemance, as to whether the charity is in Complian￿ with laws and regulations, and discussing their policies and prO￿dureS regarding compliance with laws and regulations- Inspecting correspondence, rf any. with relevant li￿nsIng or regulatory authorities- Communicating identified laws and regulations to the engagement team and remaining alert to any indications of non-compliance throughout our audit- and Considering the risk of acts by the charity which were contrary to applicable laws and regulations, including fraud. We also considered those laws and regulations that have a direct effect on the preparation of the financial statements, such as tax legislation, pension legislation and the Charities Act 2011. In addition, we evaluated the trustees, and management's incentives and opportunities for fraudulent manipulation of the financial statements. including the risk of management override of controls. and determined that the principal risks related to posting manual joumal entries to manipulate financial performance. management bias through judgements and assumptions in significant accounting estimates, in particular in relation to income recognition (which we pinpointed to the cut-off assertion, and significant one-off or unusual transactions. Our audit procedures in relation to fraud included but were not limited to= Making enquiries of the trustees and management on whether they had knowledge of any actual, suspected or alleged fraud., Gaining an understanding of the internal controls established to mitigate risks related to fraud. Discussing amongst the engagement team the risks of fraud., and Addressing the risks of fraud through management override of controls by perfomiing journal entry testing. There are inherent limitations in the audit procedures described above and the primary responsibility for the prevention and detection of irregularities including fraud rests with management. As with any audit, there remained a risk of non-detection of irregularities. as these may involve collusion. forgery. intentional omissions, misrepresentations or the override of intemal controls. 62 **www.frc.org.uk/auditorsresponsibilities** ## **Use of the audit report** ## Forvis Mazars LLP Forvis Mazars LLP (Nov 28, 2025 11:59:41 GMT) 28/11/2025 4 n ¢0 C4 64 f4 •) o 65 o u £ u u u 66 1 Accounting policies 1.1 Accounting convention / Basis of preparation The financial statements have been prepared under the historical cost convention, as modified for the revaluation of certain investments, and in accordance with applicable accounting standards. The accounts have been prepared in accordance with the Charities SORP Financial Reporting Standard 102 (FRS 102) issued in October 2019, the Charities Act 2011 and UK Generally Accepted Practice as it applies from Ist January 2019. The 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 the Charities Statement of Recommended Practice (FRS 102) in accordance with the Financial Reporting standard applicable in the UK and Republic of Ireland (FRS102) rather than the "Accounting and Reporting by Charities: Statement of Recommended Practice Charities SORP 2005" which has since been withdrawn. The funds held on trust accounts are prepared in accordance with the accruals concept. With an overall funds balance of £5.6m and expenditure for 2023124 of £l.6m (and not expected to increase significantly over the next 2 years), then the charity is considered to be a going concern. The trustee considers that there are no material uncertainties about York and Scarborough Hospitals Charity's ability to continue as a going concern. There are no material uncertainties affecting the current year's accounts. 1.2 Income All income including donations, activities for generating funds and investment income are included in full in the Statement of Financial Activities as soon as the following three factors are met: i) entitlement - arises when a particular resource is receivable or the Charity's right becomes legally enforceable; ii) receipt- when it is probable that the income will be received; iii) measurement- when the monetary value of the income can be measured with sufficient reliability. 67 Gifts in kind Gifts in kind, such as food and care packages, are not accounted for when they are accepted and immediately distributed, unless a single donation is material. Gifts of tangible assets are recognised as a donation at fair value (market price) on receipt and charitable expenditure when they are distributed. Where gifts in kind are held before being distributed to beneficiaries, they are recognised at fair value as stock until they are distributed. Legacies Legacies are accounted for as income once the receipt of the legacy becomes probable. Receipt is probable when: i) Confirmation has been received from the representatives of the estate(s) that probate has been granted; ii) The executors have established that there are suff icient assets in the estate to fulfill payment of the legacy; iii) all conditions attached to the legacy have been fulfilled or are within the Charity's control. Where the exact monetary value is not known, an assessment will be made based on known facts and potential liabilities and disbursements due from the estate, to provide a reasonable estimation of the amount due to the charity. 1.3 Expenditure All expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party. Expenditure is apportioned on a direct cost basis across restricted, unrestricted and endowment funds. Irrecoverable VAT is included in the expense to which it relates. Cost of generating funds The cost of generating funds are the costs associated with generating income for the funds held on trust. This will include the costs associated with investment managers, fees. Grants payable Grants payable are payments made to third parties (including NHS bodies) in the furtherance of the funds held on Trust's charitable objectives, primarily to relieve those who are sick. They are accounted for where the conditions for their payment have been met or where a third party has a reasonable expectation that they will receive the grant when a contructive obligation is created. 68 Gouernance costs These cover legal and audit fees. Support costs These are recharges of appropriate proportions of staff services costs from York and Scarborough Teaching Hospitals NHS Foundation Trust. See Note 6. .4 Fixed assets Fixed assets bought via the Charity are gifted to the Trust and accounted for in the Trust's accounting records. Tangible and intangible assets which are capable of being used for more than one year and have a cost equal to or greater that £5,000 are capitalised. 1.5 Cash and cash equivalent Cash at bank and in hand is held to meet the day to day running costs of the Charity as they fall due. This includes amounts held in interest bearing savings accounts with a notice period of less than 30 days. 1.6 Debtors Debtors are amounts owed to the Charity. They are measured on the basis of their recoverable amount. .7 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. 1.8 Financial instruments The Charity has financial assets and financial liabilities of a kind that qualify as basic financial instruments. With the exception of the fixed asset investments, basic financial instruments are initially recognised at transaction value and subsequently measured at the present value of the future cash flows unless the effect of discounting would be immaterial. Financial assets comprise cash at bank, cash in hand and debtors. Financial liabilities comprise creditors. Fixed asset investments, including bonds and cash held as part of the investment portfolio, are reported at fair value at the balance sheet date, with gains and losses being recognised within statement of financial activities. 69 1.9 Structure of funds Where there is a legal restriction on the purpose to which a fund may be put, the fund is classified in the accounts as a restricted fund. Funds where the capital is held to generate income for charitable purposes and cannot be spent are accounted for as endowment funds. Other funds are classified as unrestricted funds. Funds which are not legally restricted but which the Trustee has chosen to earmark for set purposes are designated funds. The major funds held within these categories are disclosed in notes14.I to14.3. .10 Investment in fixed assets Investment in fixed assets are shown at market value as at the balance sheet date. The Statement of Financial Activities includes the net gains and losses arising on any revaluation and disposals throughout the year. i) Quoted stocks and shares are included in the Statement of Financial Position at current market value quoted by the investment analyst excluding dividend. ii) other investment fixed assets are included at market value as per the Charity's investment manager's valuation report. 1.11 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 opening market value (or purchase value if later) and sales proceeds. Unrealised gains and losses are calculated as the difference between opening market value (or purchase value if later) and closing market value at the year end. .12 Accounting judgements and estimates There are no critical judgements or estimates used in the preparation of the financial statements. 70 Notes to the accounts 2 Analysis of income from donations and legacies Unrestricted Restricted End0wr￿nt Total Total Funds Funds Funds 2025 2024 £OOOs £OOOs £OOOs £0008 £OOOs DOr￿tionS 369 286 Legacies Gronts (Incl. Leogue of Friends) Gift in Kind Donotions 442 442 539 17 34 73 Total 868 138 1.342 Donation of gift in kirKI goods totolling £34k ore included in income at their market value (2024: £73k). All of these donations have been distributed during the yeor with expenditure recognised in rK)te 3 Analysis of charitable expenditure Unrestrlcted Restrlcted Endowment Total Totol Funds Funds Funds 2025 2024 £OOOs £OOOs £OOOs £OOOs Patients weffare orKI omenities 140 16 156 375 Staff welfar8 and aThnities 163 168 359 Bullding orKI refu￿IshMent Purchase of 8quipment Total 374 450 824 288 288 965 471 1,436 1225 £34k of donated gift in kind goods are recognised in note 3 within Patients welfare and amenities. (2024: £73k was recognised; £50k in Patients welfare and amenities, £21.5k in Building and refurbishment and £l.5k in Staff welfare and amenities.) 4 Analysis of total expenditure Costs of Cost of Total Total Activities for G8nerating Funds 2025 2024 Charitable Objectives £OOOs £OOOs £OOOs £OOOs Governance Cost - Audit fse 16 19 18 Support Services from NHS Charitable expenditure Fundraising Investment monagement fees Total 91 19 97 1,436 1.436 1,225 255 255 228 37 37 35 1.543 314 1,857 1,603 The Charity had no employees in the period (2024: nil). Charitable expenditure relates solely to grants paid to York and Scarborough Teaching Hospitals NHS FT. These grants are compliant with the Charities SORP Paragraph 16.13. 71 Notes to the accounts 5 Auditor's remuneration The Auditor's remuneration of £19,200 inclusive of VAT (£18,000 in 2023124) relates solely to the audit with no other additional work being undertaken. (2023124: no additional work undertaken). 6 Analysis of staff costs No members of staff are employed directly by the Charity. Salary costs in respect of fundraising, financial management and administration are recharged by York and Scarborough Teaching Hospitals NHS Foundation Trust. The recharge is based on time spent on work related to the charity. Key management personnel roles included below are the Head of Charity, Deputy Finance Director and Deputy Head of Corporate Finance. The values are based on the amount of time spent on charity related work. The total cost recognised in relation to these roles, including social security costs and employers pension contribution is £88k (£78k in 2023124). Total Total 2025 2024 £OOOs £OOOs Salaries and Wages Social Security costs Employers Pension contribution Total 252 221 26 22 35 31 313 274 7 Analysis of fixed asset investments 7.1 Fixed asset investments Total Total 7.1 Fixed Asset Investments= 2025 2024 £OOOs £OOOs Market volue brought forNard Add: Acquisitions at cost Less: Disposals at carrying value Add.. Net gain l (loss) on revaluation Transfers (to) I from cash Murkvt voluvut 31 MorGh 6,642 6.112 3,293 1.000 (1.055) 545 (3,314) (814) 5.948 40 0,642 Historic cost crt 31 March 5240 5.545 72 Notes to the accounts 7.2 Investment portfolio summary Market Val Market Value 2025 2024 £OOOs £OOOs UK Bonds 829 765 Overseas Bonds 228 336 UK Equities North American Equities European Equities Japanese Equities Asio Pacific Equities Emerging Market Equities Global Investrnents 871 1,189 2,728 Z391 288 413 133 237 242 337 392 Absolute Retum 570 452 Private Equity Other Investments 79 174 Cash - deposit Total 74 89 5.948 6,642 Three investments are held representing more than 5 % of the portfolio. These are Ml Select Managers Bond Instl DIS (8%), Vanguard Funds PLC S&P 500 UCITS ETF USD DIS (6.9%) and Ml Select Managers Alt DIS (6.6%). All remaining investments are below 5% of the value of the investment portfolio. (2024: One investment (Vanguard Funds PLC S&P 500 UCITS ETF USD DIS) was held representing 6% of the portfolio. All remaining investments were below 5% of the value of the investment portfolio). 8 Analysis of debtors Total Totol 2025 2024 Amounts falling due within one year. Accruèd incomo £OOOs £OOOs 86 156 Total 86 156 9 Analysis of creditors Total Totol 2025 2024 Amounts folling (Jue within one yeor. Accruols £OOOs £OOOs 219 267 Commitments 287 594 Totol 506 861 73 Notes to the accounts 10 Financial instruments Total Total 2025 2024 Financial assets measured ot fair value through prolit or lo Investments £OOOs 6.048 6,642 11 Reconciliation of net income / (expenditure) to net cash flow from operating activities Unrestrl¢ted Restricted Erth¥M￿nt Total Tc*al Funds FiThJ8 Funds 2025 2024 £OOOs £000• £0008 Net movement In lunds reportlng (as per the SOFA) Adjustrnents lor. DlvpJend8 Intefests and rents Ifcm InVestM￿lS (tsKrease)Idocr•Jse kn debt¢xs Incr8osel(decrease) in Cr￿lItorS (Galns)Iiosses on knvestrnents (Increase) I decreose tr) investment occounts (Deposit) to I wlthdrowol from portfolic) Not cash provid•d by (u¥od in) opwatingocthittl•8 (226) (326) 31 (s￿) (n5) (41) (156) (158) 70 87 12 (654) (106) 14 299 (355) (220) (141) (545) 14 (40) (35) 800 (229 45) During the year, £800k was withdrawn from the portfolio. No deposits or withdrawals were made in the previous year. 12 Cash from dividends. interest and rents from investments Total Total 2025 2024 £OOOs £OOOs Dividends 152 153 Interest - Business Premium Account Total 156 156 13 Analysis of cash and cash equiualents Total Total 2025 2024 £OOOs £OOOs Cash at bank & in hand 46 Notice deposits (less than 30 days) Total 66 137 77 183 74 Notes to the accounts 14 Analysis of funds 14.1 Endowment funds 8okmce Income Experthra Tfonsfers Galns arKI I AF*iI 2024 Losses £OOOs 31 Murch 2025 Matorlal lund• £OOOs £CQOs £IXIO¥ Elsle May Sykes Leyy Cthers (2) Total L331 39 (42) (3) 33 1.361 70 41 Note14.I discloses funds with a closing balance of £IOOk and above. The remaining funds are grouped within others, which consists of 2 funds below the £IOOk threshold. Income generated from the Elsie May Sykes Legacy fund is used for the purchase of medical equipment or to further medical research. 14.2 Restricted funds ExperKliturè Trortsfèrs Goons arKI Bolan¢• l Awll 2024 Losses 31 IAar¢h 2025 Materiol lunds £Ofth £CX)Os £0008 John MoorelstrlrvJer Legicy Others (16) Total (8) (458) 125 501 138 183 138 308 Note 14.2 discloses funds with a closing balance of £IOOk and above. The remaining funds are grouped within others, which consists of16 funds below the £IOOk threshold. Nume of Fund Ntsttire I P*Jrpo$e of fund Ortology ser4lees John mC￿re/strIng8r Legacy 75 Notes to the accounts 14.3 Unrestricted funds Bak￿e Inc