CROYDON
HEALTH
CHARITY
ANNUAL REPORT
2023-24
Cmydon Health Charity Annual Report 2023-24
## **CONTENTS**
## **3 INTRODUCTION**
- 3 Chair of Charitable Funds Committee foreword
- 5 A message of thanks from Chief Executive, Matthew Kershaw
- 6 Our vision and mission
## **7 WHO WE ARE**
- 7 Our fundraisers
- 7 Community and individual fundraisers
- 10 Thanking our corporate supporters
## **11 OUR IMPACT**
- 11 Improving services
- 13 Little Breaths appeal
- 15 Funding state of the art equipment
- 17 Supporting staff health and wellbeing initiatives 19 Caring for our communities
- 20 Encouraging research and development
## **21 HOW WE OPERATE**
- 21 Making a difference in 2023/24
- 22 How does Croydon Health Services charitable fund operate?
- 23 Our corporate trustees
## **25 OUR GOVERNANCE**
- 25 Structure, governance and management
- 26 Policies
- 28 Risk management
## **29 OUR FINANCES**
- 29 Review of our financial performance
- 30 Charitable income
- 30 Investments
- 31 Charitable Expenditure
- 32 Key management personnel remuneration
## **33 ANNUAL ACCOUNTS**
- 33 Statement of trustees responsibilities in respect of the trustees annual report and accounts
- 38 Notes to the Accounts
Croydon Health Charity Annual Report 2023-24 **2** _|_
## **INTRODUCTION**
## **CHAIR OF CHARITABLE FUNDS COMMITTEE FOREWORD**
2023-24 has been another significant year for Croydon Health Charity, as we continue to support NHS staff and patients as they manage increasing demand for services, complex health conditions and the challenges of a rising cost of living.
NHS charities like ours often bridge the gap where NHS funding may not reach, to provide that extra layer of support that enhances patient experience and staff wellbeing.
There has been some fantastic work to support those in need across the borough, and this annual report serves as a testament to the incredible impact we’ve made together over the past year, thanks to the generosity of our donors and the tireless efforts of our team.
Looking back, we can see a year defined by several key areas of focus. Enhancing existing health services has remained a priority, and thanks to an incredibly successful ‘Little Breaths’ appeal, we have been able to fund two life-saving children’s ventilators, to support some of Croydon’s youngest patients.
At the same time, our teams secured partnerships to provide state of the art incubator for newborns in our Neonatal Unit, and vascular ultrasound machines to provide even better care for elderly patients; highlighting the impact of the charity on NHS patients at every stage of their lives.
Of course, the NHS cannot run without its talented workforce and we take our role in creating a more supportive environment for NHS teams seriously. This year Croydon Health Charity took a rounded approach to this support, improving rest spaces for busy Emergency Department teams, but also funding training programmes and celebrations including International Nurses Day, to ensure NHS colleagues felt valued, able to recuperate and encouraged to develop in their careers.
We could not have delivered any of these things without our incredible supporters and I would like to personally extend my thanks to everyone who has donated to Croydon Health Charity this year. Throughout this year, your generosity has been truly remarkable. Every donation, every mile run, every kilometre cycled and every cake baked, makes a tangible difference in the lives of NHS patients and staff.
**3**[Croydon Health Charity Annual Report 2023-24]
Looking ahead, we know that there is much more work to do. As our charity continues to grow, we know that demands on the health service will too and we will need to work hard to deliver projects that support Croydon Health Services NHS Trust as it faces these challenges.
For this reason, the work of our charity remains more crucial than ever. Looking ahead to 202425, we are committed to continuing our mission to support people from all walks of life to have the best experience of NHS care through:
- Significant improvements in our patient facilities; including the launch of our borough-wide Memory Lane dementia garden appeal
This annual report details the impact we’ve made together this year, but it also serves as a call to action. We invite you to join us in this coming year and get involved in supporting Croydon Health Charity and your local NHS – your contribution, no matter how big or small, can make a real difference.
Thank you.
**Rona (Veronica) Nicholson Non-Executive Director and Chair of the Charitable Funds Committee (since 1 October 2024)**
- Providing additional equipment and technology; to support the delivery of high quality care for all
- Tackling health inequalities; through projects designed to reach those in our communities that are most in need
- Supporting NHS staff; with continued investment in health and wellbeing services
Croydon Health Charity Annual Report 2023-24 **4** _|_
## **A MESSAGE OF THANKS FROM CHIEF EXECUTIVE, MATTHEW KERSHAW**
The past year has seen the NHS continue to navigate the significant challenges as we focus on quality of care to our patients and supporting our staff whilst recovering from the Covid pandemic, responding to demand for our services and financial constraints. In this environment the unwavering support of Croydon Health Charity has been a shining example of the continued compassion and kindness within our own teams and our wider communities, as they sought to give back to the NHS.
The efforts of Croydon Health Charity and its supporters this year has highlighted the vital role that NHS charities play in supporting our services, patients, and the wider community. As ever, it has risen to the occasion, allowing us to enhance our existing facilities, continue to prioritise staff wellbeing and invest in improvements that make a real difference to the care we can provide.
I’d like to extend a huge thank you once again to everyone who has donated, volunteered, or participated in fundraising activities and who has volunteered their time to support the charity this year. With your continued support we can do even more to enhance and support local NHS services, as we go further in our mission to deliver excellent care for all and keep Croydon residents healthier for longer.
_**“ We are incredibly grateful for your continued support and remain excited about the future of Croydon Health Charity, as we embarfi on another year of worfiing together. ”**_
Sincerely,
**5**[Croydon Health Charity Annual Report 2023-24]
## **OUR VISION AND MISSION**
We are committed to supporting people of all ages, from all walks of life, to have the best possible experience of NHS care during what can often be some of the most difficult times in their lives.
Croydon is one of London’s fastest growing boroughs with over 380,000 residents. The needs of local people can often be complex; compared to the average Londoner, people in Croydon have a higher rate of diabetes and heart disease and the borough is home to the youngest population in London, including a large number of looked after children.
To support our local people, as well as patients and NHS staff working at Croydon Health Services NHS Trust, we provide practical and emotional support by:
- Refurbishing parts of our hospitals and community services
- Funding state-of-the-art equipment
- Supporting life-changing research to pioneer new treatments
- Funding staff health and wellbeing initiatives for over 4,800 NHS employees
Our funding is always above and beyond statutory provision, whether it’s a new staff rest area or much needed medical equipment, wellbeing resources or specialist training, our work is varied and far reaching. We work in partnership with donors to ensure their gift has the greatest impact. Our supporters mean the world as our work is only possible thanks to their generosity.
Croydon Health Charity Annual Report 2023-24 **[6]**
## **WHO WE ARE**
## **OUR FUNDRAISERS**
Belle, a 12-year old ‘Falabella’ and miniature Shetland pony, walked 46,000 steps over three days to support the Little Breaths appeal to help fund two children’s ventilators. Belle battled torrential rain to complete her challenge, accompanied by owner, **Marianne Berends, who works for the Trust as a CT Scanning Assistant.**
## **Community and individual fundraisers**
Our fundraisers are the lifeblood of our charity and we are incredibly grateful for their efforts this year, and every year, in supporting the work of the charity.
This year, our incredible supporters challenged themselves to take part in events including marathons, fun runs, swims, cycles and bake sales. We were even lucky enough to welcome our first equine fundraisers!
We’d also like to thank our group of dedicated volunteers who provide support at many of our community fundraisers and without whom many of our events could not happen.
**7** Croydon Health Charity Annual Report 2023-24 _|_
In September, our largest single group of fundraisers raised £10,768 by each cycling 55 miles from London to Brighton. 15 cyclists completed the challenge on one of the hottest days of the year and included **a team from The BRIT School and staff, including Sauraj Paudel, Head of Clinical Coding & Data Quality.** Sauraj alone raised £2,820, which included a generous donation from Chitwan Aid Trust (CAT-UK). Thank you to our wonderful cyclists for their pedal and fundraising power!
**Vanessa Cowie, Consultant Anaesthetist, swam the English Channel** as part of a relay team to reach France from Dover. Vanessa battled choppy conditions, jelly fish and strong currents for over 15 hours to raise sponsorship fellow swimmers from the South London
Our largest ever team of runners took part in the popular London Landmarks Half Marathon (LLHM) on 2 April 2023 to raise £5,458. The charity’s loud cheering point helped to motivate **our runners, including the Trust’s Lead Cancer Nurse and Team ‘Dobo’** from the Mortuary who raised over £2,000.
Croydon Health Charity Annual Report 2023-24 **[8]**
Our Christmas Jumper Day enjoyed record support with over 13 registrations including Trust staff and local schools. Teams included Anticoagulation, Radiology, Dietetics and Digital Services created a cheerful Christmas spirit for their departments and patients. Bake sales, sweepstakes and bucket collections took place with over £1,800 raised.
**A special recognition goes to Winterbourne Boys Academy, Winterbourne Junior Girls School and Winterbourne Nursery and Infants** for their contributions!
In February 2023 we launched a new payroll giving scheme which lets Trust staff donate any ‘spare’ pennies from their monthly net pay, up to a maximum of 99p a month. **To date over 100 staff have signed up** and we have hosted a series of events to promote this great initiative.
**9** Croydon Health Charity Annual Report 2023-24 _|_
## **THANKING OUR CORPORATE SUPPORTERS**
This year, we’ve seen an outpouring of support from local businesses, community groups and vital Trusts and Foundations, who have helped to transform how NHS care is delivered in Croydon, funding a variety of vital new projects to support staff and patients.
## **Croydon in Relief**
A £20,000 grant from Croydon in Relief funded a part-time Domestic Violence and Sexual Abuse Support Worker based at Croydon University Hospital. Department of Health guidance states the NHS spends more time dealing with the impact of violence against women and children than almost any other agency. The specialist is delivering additional staff training for health care professionals to identify and support domestic violence victims as well as providing direct support.
## **Bluewater Private Equity**
Bluewater provided £10,000 of match funding to boost our Little Breaths appeal which allowed donations to go even further and also helped to attract new donors. We are very grateful for their support, helping to fund live-saving equipment for some of Croydon’s youngest patients.
## **MedEquip4Kids**
## **The BRIT School**
This year we were delighted to continue our partnership with the renowned BRIT School in Croydon and are proud of their fundraising achievements.
A team of BRIT School staff, including Stuart Worden, Principal and Ray Oudkerk, Vice Principal, raised over £5,800 by cycling from London to Brighton in September.
The BRIT School was also the location for the launch of our ‘Little Breaths’ appeal which brought together supporters from across Croydon to raise funds for new ventilators to help critically ill children.
MedEquip4Kids provides lifesaving neonatal and paediatric medical equipment for NHS hospitals and we were delighted to partner with this charity to secure funding for a new incubator to support tiny babies in our Neonatal Unit.
The incubator features the latest technology such as thermo-regulation to deliver the best possible care for babies requiring neonatal care, as well as providing features that allow families to improve bonds with their newest arrivals, during their first days of life.
The equipment makes it easier for parents to have physical contact with their child, with greater access to the bed area and a ‘Family View’ monitor which clearly displays baby’s progress, offering greater family-centred care.
Croydon Health Charity Annual Report 2023-24 **[10]**
## **OUR IMPACT**
## **IMPROVING SERVICES**
Each year, we fund projects that help to enhance existing NHS care, as well as supporting the development of new and innovative services to improve the experiences of both patients and staff in Croydon.
## **Supporting patients in the community**
Donations funded important new resources to help our Children’s Community Nursing Team care for children and young people in their own homes. The team received funding for 10 ‘Community Kit’ bags to help nurses effectively organise medical equipment that is routinely needed on patient visits.
**11** Croydon Health Charity Annual Report 2023-24 _|_
## **Taking action to support survivors of domestic abuse and sexual violence**
A significant donation has funded a part time specialist to help victims of all ages who are experiencing domestic and or sexual abuse. This is a key role to help safeguard victims of elder abuse, honour based, sexual and/ or domestic violence as well as coercion and control.
More staff have been trained to understand and recognise the risk factors, signs, presenting problems or conditions, including the patterns of coercive or controlling behaviour associated with domestic abuse.
## **Providing Dramatherapy support for young people with long term and life limiting conditions**
Thanks to a donation from Croydon Arts Society, arts and crafts resources were purchased to support a new creative arts peer support group for children and young people with epilepsy. The funding allowed the group to express their thoughts and feelings about their condition, which included the creation of ‘jars of hope’.
## **Funding new resources to upskill Croydon’s Community Learning Disability Team**
Donations purchased specialist books and resources in trauma informed care for the Community Learning Disability Team (CLDT) to help them develop their skills and confidence working with people with learning disabilities and complex trauma histories.
People with learning disabilities are more likely to be disadvantaged, receive poorer health outcomes and be exposed to adverse experiences throughout their lives and so these new resources will help the team to broaden the service’s range of therapeutic interventions to support patients.
Croydon Health Charity Annual Report 2023-24 **[12]**
## **LITTLE BREATHS APPEAL**
In July 2023 we launched a new fundraising appeal at the famous BRIT School in Croydon to purchase two life-saving children’s ventilators. The appeal was inspired by Mason Mole, a young boy who underwent lifesaving intubation at Croydon University Hospital.
Up to 70 children are admitted to Croydon University Hospital every year requiring mechanical ventilation to help them breathe for conditions such as sepsis and heart failure.
Thanks to supporters, the first new ventilator was purchased in Autumn 2023 and is helping seriously ill children in the Hospital’s Emergency Department who are unable to breathe by themselves. The £46,000 appeal hit its target in March 2024 and a second ventilator will be housed in the Rainbow Children’s Unit.
We are grateful to supporters including Bluewater Private Equity, Croydon Rotary Club, Cemplas and South London and Beckenham Crematoria.
- _**“ Ventilators are essential machines which tafie over breathing when a child is too unwell to breathe for themselves. They are a lifeline when our patients need us the most and, lifie with Mason, can prevent every parent’s worst nightmare when their child is critically unwell. We are grateful for any support to help us achieve our fundraising target. ”**_
_**- Hazel Daish, Consultant in paediatric medicine**_
## **MASON’S STORY**
Kelly Mole’s son Mason was left fighting for his life aged just 18 months after a virus attacked his body. Mason received life-saving ventilation at Croydon University Hospital before being transferred to another London NHS Trust.
_**“ I lived every parent’s worst nightmare when Mason fell desperately ill and I am thanfiful to the compassionate clinical team at Croydon University Hospital who loofied after him so well. Mason had no underlying health conditions and was playing in the garden just a few hours before being admitted to A&E. The ventilator helped to save his life as it toofi over when his weafi body could no longer function. Thanfifully, Mason is now a fit and healthy five-yearold boy who loves football and other sports. ”**_
_**- Kelly, who helped launch the appeal**_
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Croydon Health Charity Annual Report 2023-24 14
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## **FUNDING STATE OF THE ART EQUIPMENT**
Donations continued to benefit patients of all ages by purchasing a range of additional medical equipment which will deliver benefits for years to come.
## **Ultrasounds to support improvements in our diagnostic testing**
Thanks to donations and funding from the South West London Hepatology Network, a £80,000 ‘Fibroscan’ ultrasound device is helping the Gastroenterology Team to effectively care for patients by measuring any scarring or fibrosis in the liver and identifying early stage chronic liver disease.
Donations also funded a vascular ultrasound to support elderly patients. This important diagnostic device produces images of blood vessels and can help to diagnose blood clots, narrowed blood vessels, and other vascular health conditions. The device is used to assess the blood flow in the arteries or veins. It also helps to guide attempts at intravenous access to allow the administration of essential medications and fluid.
## **Increasing access to religious services for patients with mobility issues**
Five wheelchairs were purchased to help patients and visitors with mobility challenges to access support from our Chaplaincy & Spiritual Care Team. They were purchased thanks to a charitable legacy and are helping patients and carers to comfortably and safely access our Worship Centre.
## **Supporting family-centred care for babies born too soon**
A charity funded incubator to help enhance care for babies requiring neonatal care, arrived in time for World Prematurity Day in November. This incubator features the latest technology such as thermo-regulation and additional features that allow families to play music, lullabies and voice recordings directly into the incubator, improving the bond between parents and their newest arrivals. The equipment makes it even easier for parents to have physical contact with their child, with greater access to the bed area and a ‘Family View’ monitor which clearly displays baby’s progress, offering greater family-centred care.
Croydon Health Charity Annual Report 2023-24 **16** _|_
## **SUPPORTING STAFF HEALTH AND WELLBEING INITIATIVES**
## **Supporting staff training and professional development**
Donations funded additional specialist staff training across departments such as Critical Care, Sexual Health and Chaplaincy. This funding has supported staff development and retention as well as up skilling staff to support patients.
Babbin John, Urology consultant, completed the NHS Mary Seacole Leadership programme which was fully funded by the Charity.
## **Welcoming our newest international recruitments**
The charity funded bespoke “welcome packs” to support overseas nurses by working in partnership with the Trust’s Nursing Workforce and International Recruitment Teams.
Each welcome pack included items such as travel cards and clinical pocket-books to help new staff to prepare for ‘OSCE’ nursing exams – a requirement of international nurses to ensure standardised care for patients.
## _**“ The Mary Seacole**_
_**programme was fantastic. It provided a way for me to understand myself and my leadership style. It also taught me to understand the effects of leadership on others within the team. The many examples of effective leadership and styles, recordings from various leaders in the field and basic theories were eye-opening. ”**_
## _**- Babbin John, Urology consultant**_
- **“ I’m very grateful for the welcome package, it helped to make me feel more at home in Croydon and valued by the Trust. I know that all my colleagues felt the same way. Thank you so much for the support. ”**
- **Anjali**
## **Improving our rest areas for Emergency Department (ED) staff**
Over £11,000 of funding replaced old and worn furniture to enhance the main ED staff rest area and help staff get the most out of their rest breaks. With the Trust’s ED one of the busiest in London, this was a key initiative to support the health and wellbeing of Urgent, Emergency & Acute Care staff.
## **Reinforcing our commitment to diversity, equality and inclusion**
Donations continued to support development of the Trust’s active staff networks, which include Race Equality Network (REN), LGBTQ+ Network and Religion and Belief Forum. The Charity funded a virtual exhibition to support Black History Month 2023. The REN in partnership with the Museum of Diversity, created a bespoke virtual museum experience that housed amazing exhibitions featuring a gallery of influential black women in the local health sector, including Trust staff.
## **Demonstrating our commitment**
## **to staff health and wellbeing**
Charitable funding ensured that 1,040 staff received a hot Christmas lunch in December 2023 and also supported some team building events. Donations continue to fund the ever popular ‘Thirst Responders’ weekly hydration trolley which visits a wide range of teams to dish up drinks, snacks and warm words! Donations also supported events to mark International Nurses’ Day and AHP Day.
- _**“ Donations continue to fund the ever popular ‘Thirst Responders’ weefily hydration trolley. ”**_
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Croydon Health Charity Annual Report 2023-24 18
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## **CARING FOR OUR COMMUNITIES**
## **Celebrating 75 years of the NHS**
On 5 July the NHS celebrated its 75 year anniversary and in honour of this significant milestone the charity supported events to recognise and celebrate the NHS in Croydon with staff and patients.
We were pleased to be a part of one of the celebratory events, the annual ‘NHS Big Tea’ garden party where staff gathered in the beautiful Chaplaincy gardens for a formal cake cutting with Matthew Kershaw, Chief Executive and Place Based Leader.
NHS Big Tea included a performance from Mauritian Sega dancers, music from an inhouse guitarist and a speech from our Croydon Civic Mayor.
We were honoured to work with Reverend Andy Dovey to support the successful tea party which also raised funds for the Charity’s dedicated Chaplaincy and Spiritual Care Fund. It was heart-warming to see the community come together and celebrate.
**19** Croydon Health Charity Annual Report 2023-24 _|_
## **ENCOURAGING RESEARCH AND DEVELOPMENT**
Charitable funds continued to support research and development which have a key role to play in improving productivity and clinical outcomes.
Donations funded the Trust’s annual Research and Development Day which celebrates research studies and improvement projects across the Trust.
Dedicated research funds also supported staff development by funding additional training including a cancer study day for a research nurse and advanced trauma life support course for a doctor. They also aided clinicians to analyse research data by funding additional statistician resource.
Croydon Health Charity Annual Report 2023-24 **[20]**
## **HOW WE OPERATE**
## **MAKING A DIFFERENCE IN 2023/24**
Croydon Health Charity aims to maximise public benefit, by ensuring individual funds are spent in line with our charitable mission.
In line with the objectives of the Charity and its primary beneficiary, Croydon Health Services NHS Trust, 2024/25 will see a key focus placed on the following areas:
- Reducing health inequalities
- Enhancing staff wellbeing
- Supporting research
- Funding innovations and equipment
- Improving the patient experience
- Supporting a sustainable future
## **HOW DOES CROYDON HEALTH SERVICES CHARITABLE FUND OPERATE?**
There are four special purpose charities associated with the umbrella charity. Each special purpose charity is divided into a number of smaller charity funds according to the intentions of the donors of the money.
The overall administration and stewardship of the funds is the responsibility of the Charitable Funds Committee, with day to day decisions about the use of the money held in these funds are made by senior NHS staff most closely associated with the area of benefit. The four funds overseen by Croydon Health Charity are:
- Croydon Health Services NHS Trust General Fund: contributes to projects mainly for the benefit of Croydon Health Services NHS Trust;
- Research and Education: Supports training and education initiatives in the Trust. It also supports clinical research projects carried out within the Trust and the dissemination of the useful results of those projects. All such research projects are subject to prior approval and monitoring by the Trust’s Ethical Committee;
- Staff and Patients Amenities: contributes to the provision of extra amenities for patients and service users at Croydon Health Services NHS Trust and to improve the working environment for staff at the Trust;
- South West London ICB (Croydon): contributes to the provision of extra amenities to improve the working environment for staff at South West London Integrated Care Board (Croydon).
Croydon Health Charity Annual Report 2023-24 **[22]**
## **OUR CORPORATE TRUSTEES**
The Corporate Trustee is Croydon Health Services NHS Trust (The “Trust”). The corporate trustee’s responsibilities are therefore carried out by CHS Board. Details of CHS Board membership can be found in its Annual Report and Accounts and on its website.
As at 31 March 2024, the CHS Trust Board members were as follows:
## **Name**
**Designation**
Yemisi Gibbons
Chair
Sola Afuape MBE
Vice Chair
Jamal Butt
Non-Executive Director / Senior Independent Director
Saurabh Das
Non-Executive Director
Stephen Dilworth
Non-Executive Director
Paulette Lewis MBE
Non-Executive Director
Anil Patil
Non-Executive Director
Professor Andrew Rhodes
Non-Executive Director
Rona Nicholson*
Associate Non-Executive Director
Matthew Kershaw
Chief Executive & Place Based leader for Health
Subhro Banerjee Simon Haben*
Medical Director
Chief People Officer
Deborah Kelly Mike Sexton
Chief Nurse
Joint Chief Financial Officer
Liz Wells*
Managing Director for Acute Services
Hilary Williams*
Joint Director of Transformation & Commissioning / Managing Director for Community Services
*non-voting
**23**[Croydon Health Charity Annual Report 2023-24]
The Board of CHS delegates responsibility for the day-today management of the Charity to the Charitable Funds Committee in accordance with the scheme of delegation and standing financial instructions. The Charitable Funds Committee oversees the management, investment and disbursement of the Croydon Health Charity, and ensures compliance with statutory or other legal requirements or best practice required by the Charity Commission.
The Charitable Funds Committee membership comprises of Non-Executive Directors and one Executive member of the Board. Other CHS Board members and staff regularly attend the committee meetings but do not have a vote at those meetings.
**Members of the Charitable Funds Committee as at 31 March 2024, were as follows:**
|**Name**
**Designation**
**From ***|**To**|
|---|---|
|Jamal Butt
Non-Executive Director (Chair)
01 Feb 20
Saurabh Das
Non-Executive Director
25 Sep 24
Rona Nicholson
Non-Executive Director
25 Sep 24
Mike Sexton
Joint Chief Finance Officer
01 Nov 19|Present
Present
Present
Present|
The Chairman of the Trust is responsible for appointing new trustees to the Charity Committee.
As Corporate Trustee the key aim is to help serve the NHS patients and staff of Croydon Health Services NHS Trust for the public benefit. By working with the NHS we assist patients from every walk of life, irrespective of race, creed, ethnicity or personal or family financial circumstances, as well as supporting NHS staff to deliver high quality care. We put this aim into practice by helping the patients, their families and carers, and visitors to the Trust, as well as NHS staff, by providing supplementary services that the NHS does not normally fund. These include:
- Enhancing the care our hospitals and services can offer through funding new equipment and building improvements to deliver better facilities;
- Funding medical research to understand better the diseases affecting people so that we can develop the cures and therapies of tomorrow;
- Investment in people and in creating a caring environment for the patients receiving care, their families and visitors and a positive working environment for staff;
- Providing direct support to patients by way of information, networking support, better facilities and occasional grants.
The Corporate Trustee fulfils its legal duty by ensuring that funds are spent in accordance with the objects of each fund. By designating funds, the Corporate Trustee respects the wishes of our generous donors to benefit patient care and advance the good health and welfare of patients, their carer’s and the staff who look after them.
Profiles of the Trust directors can be found within Croydon Health Services NHS Trust’s own Annual Report and Accounts 2022-23.
Croydon Health Charity Annual Report 2023-24 **[24]**
## **OUR GOVERNANCE**
## **STRUCTURE, GOVERNANCE AND MANAGEMENT**
The Charitable Funds Committee assists in maintaining independence between Croydon Health Charity and Croydon Health Services NHS Trust, in line with guidance from the Charity Commission. The Charitable Funds Committee, chaired by Non-Executive Director Jamal Butt has devolved responsibility for the overall management of the charitable funds. The Committee is required to:
- Oversee and scrutinise use of the Fund’s resources for the public benefit, having regard to the guidance issued by the Charity Commission;
- Provide support, guidance and encouragement for all fundraising activities, whilst managing and monitoring the receipt of all income;
- Ensure that ‘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 trust board as corporate trustee is adhered to, and that performance is continually reviewed whilst being aware of ethical considerations;
- Keep the trust board fully informed on the activity, performance and risks of the charity.
**25**[Croydon Health Charity Annual Report 2023-24]
## **POLICIES**
The Charity has established a number of policies as part of its plans to provide long term support to Croydon Health Services NHS Trust and ensure
the sustainability of the Charity in its immediacy and in the longer term.
## **Reserves policy**
The Charity has established a reserves policy as part of their plans to provide long term support to the services provided by the Croydon Health Services NHS Trust. The policies specific to the charity reserves are as follows:
- To ensure the level of reserves are secured
- To monitor and review the policy periodically to ensure it remains suitable for the charity’s need.
- The corporate trustee has reviewed the reserves policy in the light of the charity commission’s.
- To maintain systems to forecast levels of expenditure and income to determine reserve requirements; the reserves policy sets out the maximum/minimum level of unrestricted reserves that the charity should hold.
The policy states that it should be a sufficient amount to cover expected operational and any committed expenditure for the future financial year.
At present, the agreed level of reserves should range between £100,000 and £150,000 which is equal to 12 months’ operational costs and estimated annual commitments. An additional unrealised reserve for investment is also included and total reserve requirements calculated as follows:
|Requirement for operating costs|£150,000|
|---|---|
|Requirement for investment|£ 48,000|
|**Total required**|**£198,000**|
## **Investment Policy**
The investment portfolio is managed by a firm of investment advisers which is a member of the London Stock Exchange and regulated by the FCA.
The Charitable Funds’ Committee has delegated the management of the investment portfolio on a discretionary basis under the powers provided to them in the National Health Service Trusts (Membership and Procedure) Regulation 1990. The portfolio is managed in accordance with the provisions of the Trustees Investment Act 1961.
The policy is set within an overall plan that the investment portfolio is to be sufficiently liquid to allow the charity’s reserve policy to be achieved. Investments are to be low risk. Investments in companies promoting products or services detrimental to health are to be excluded.
The Charitable Funds Committee reviews the charity’s investment policy annually.
The Charitable Funds Committee will review the amount of reserves that are required to ensure that they are adequate to fulfil the charity’s continuing obligations on a quarterly basis.
Croydon Health Charity Annual Report 2023-24 **[26]**
## **Grants policy**
The Charitable Funds Committee has three main routes to govern the Charity’s grantmaking; grant-making principles which are driven by good governance practice, grantmaking criteria which provide the public statement of the activities the trustee(s) wish to support in furtherance of the Charity’s charitable objectives and grant-making processes which transparently set out in broad terms how decision-making is carried out for different types of grants.
Charitable grants are awarded using a robust procedure to ensure donations are spent in accordance with the charity’s charitable objects and supporters’ wishes, to the greatest benefit of patients, their families and others who support them. The policy sets out the principles, criteria and processes that govern how the Charity makes grants across all fund types.
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27 Croydon Health Charity Annual Report 2023-24
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## **RISK MANAGEMENT**
The major risks to which the charity is exposed have been identified and considered by the corporate trustee. They have been reviewed and systems established to mitigate those risks.
The trustee is confident that reliance can be placed on the management arrangements in place, which include internal audit service, to minimise any risk to the funds.
The charity generates additional income from investing its cash balances, the most significant risks identified are the possible losses from a fall in the value of the investments.
The investments are held by the investment fund managers who act in accordance with the agreed investment policy and are subject to regular review. The risk is mitigated by having a diversified investment portfolio and regularly reviewing that portfolio. The charity committee review the investment returns at the quarterly meetings to ensure that both spending and financial commitments remain in line with available income.
Procedures are in place to ensure that both spending and firm financial commitments remain in line with income. Income is covered by the standing financial instructions and there is an agreed boundary for the receipt of donations. There is an agreed expenditure and reserves policy together with a tight approval procedure which gives the corporate trustee confidence that the expenditure will remain within the limits of the charity’s resources. All funds are checked before a payment is made to ensure that there is money available to meet expenditure. Fund statements are sent to the fund holders on a quarterly basis. The trustees are presented with a fund balances statement at every committee meeting for assurance.
The NHS is, by its very nature, subject to national changes in government policy as well as local politically driven decisions.
The corporate trustee has identified this as a risk as it may mean initiatives or healthcare activities supported by the charity could be affected. The corporate trustee regularly liaises with all of our NHS partners to understand potential changes that they are facing at an early stage.
- _**“ The charity is reliant upon donations and grants, if income falls then it would not be able to fund developments to support Croydon Health Services NHS Trust. ”**_
Croydon Health Charity Annual Report 2023-24 **28** _|_
## **OUR FINANCES**
## **Trend Analysis of Income, Expenditure, Cash and Funds Balance (2019-2024)**
## **Review of the financial performance of Croydon Health Charity**
The chart above shows a snapshot of the levels of income and expenditure; and cash balances held and overall fund value over the past 5 years. As compared to prior year, charitable funds balance have decreased by £123k from £1,172k to £1,049k. Income decreased by £35k and expenditure decreased by £546k respectively as compared to last corresponding period.
The variances year on year reflect the fluctuating nature of income donations received by the Fund and its impact on expenditure and other balances.
**29**[Croydon Health Charity Annual Report 2023-24]
**Charitable Income 2023-24**
## **Charitable income**
The charity relies on fund raising activities as the main sources of income together with donations, legacies and investment income. Total income in 2023-24 was £0.4m (2022-23: £0.4m).
The income of the Fund for the year is analysed as follows:
- Donations - 31% (£117k) the charity received donations of £37k from individuals and£80k from corporate bodies;
- Charitable Activities - 57% (£108k) the charity received £16k from gym club subscriptions, £9k was for others charitable activities. During the year the charity managed to raise £84k from various organisations and events;
## **Investments**
As at the 31 March 2024, £1m of the assets of the Charitable Fund constituted the investment portfolio, which is managed by our investment adviser Investec Wealth & Investment Limited, a member of the London Stock Exchange and regulated by The Financial Conduct Authority (FCA).
During the 2023-24 financial year the funds and cash held in short term investments generated dividends of £28k and interest income of £8k.
By the end of the financial year, there was a net profit investment of £67k.
- Legacies - 3% (£83k) the charity received 3 legacies during the year;
- Investment income - 9% (£36k) the charity earned interest and dividends from our prudent management of investments.
Croydon Health Charity Annual Report 2023-24 **[30]**
## **Charitable Expenditure 2023-24**
**----- Start of picture text -----**
Staff Salaries, £113k
New Equipment, £264k
Staff welfare, £152k
Investment Fees, £12k
Fundraising , £22k
Patients welfare , £37k Research & Educ, £47k
**----- End of picture text -----**
## **Charitable Expenditure**
Of the total expenditure of £534k which includes £113k salaries & wages (2022-23: £124k), fund raising costs £22k (2022-23: £88k) and charitable activities expenditure amounted to £500k (2022-23: £981k) which includes staff and patient welfare, training and purchase of new equipment. The table below shows the comparison of expenditure between 2022/23 and 2023/24.
|**Expense**|**2023/24**|**2022/23**|
|---|---|---|
|**Description**|**£ ‘000**|**£ ‘000**|
|New Equipment|264|124|
|Staff welfare|152|129|
|Research & Education|47|38|
|Patients welfare|37|29|
|Investment Fees|12|11|
|Fundraising Events|22|88|
|Premises & Building|0|632|
An analysis of the total charitable expenditure for the financial year is as follows:
- Purchase of New Equipment £264k (41%) - Medical equipment such as Ultrasound,
- Infusion pumps;
- Research and Education £47k (8%) - sponsorship of researchers for Cardiology, Gastroenterology and Chest clinic;
- Staff Welfare £152k (23%) - to ensure staff are well trained and supported through sponsorship for tuition and course fees; staff wellbeing, community projects, Christmas lunch, upgrade of offices and staff rest areas;
- Salaries & Wages £113k (17%) - staff cost to support the fund raising and administrative duties;
- Patients Welfare £37k (6%) - for improving patients experience and training;
- Fundraising Activities £22k (3%) - spend mostly relates to delivery of courses by the Consultant;
- Investment Management Fees £12k (2%)
- in relation to the Investec fees;
## **Key management personnel remuneration**
The Corporate Trustee (Croydon Health Services NHS Trust) has concluded that the Directors of the Trust and Members of the Charitable Funds Committee comprise the key management personnel of the charity as they are in charge of:
- Directing and controlling the charity;
- Running and operating the charity on a day to day basis.
The Directors of the Trust and Members of the Charitable Funds Committee did not receive any remuneration in respect of the work that they have undertaken for the charity during the year.
The Directors of the Trust and Members of the Charitable Funds Committee are required to disclose all relevant interests and register them with the trust fund director and withdraw from decisions where a conflict of interest arises. All related party transactions are disclosed in Note 14 to the accounts.
The Corporate Trustee is assisted in their work by a number of professional advisors, as detailed below:
## **Investment Manager**
Investec Wealth & Investment Limited 30 Gresham Street London EC2V 7QN
## **External Auditors**
Grant Thornton 30 Finsbury Square London EC2P 2YU
## **Bankers**
Government Banking Service (GBS) Southern House Wellesley Grove Croydon CR9 1WW
Croydon Health Charity Annual Report 2023-24 **[32]**
## **ANNUAL ACCOUNTS**
## **STATEMENT OF TRUSTEES RESPONSIBILITIES IN RESPECT OF THE TRUSTEES ANNUAL REPORT AND ACCOUNTS**
The Trustees are required to act in accordance with the trust deed and the rules of the charity, within the framework of trust law.
The Trustees are 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 requirements in the Charities Act 2011 and those outlined in the directions issued by the Secretary of State;
- establishing and monitoring a system of internal control; and
- establishing arrangements for the prevention and detection of fraud and corruption.
**33**[Croydon Health Charity Annual Report 2023-24]
The Trustees are required under the Charities Act 2011 to prepare accounts for each financial year. The Secretary of State, with the approval of the Treasury, directs that these accounts give a true and fair view of the financial position of the funds held on trust, in accordance with the Charities Act 2011. In preparing those accounts, the Trustees are required to:
- apply on a consistent basis accounting policies laid down by the Secretary of State with the approval of the Treasury in accordance with the recommended SORP;
- make judgements and estimates which are reasonable and prudent;
The Trustees confirm that it has met the responsibilities set out above and complied with the requirements for preparing the accounts. The financial statements set out in this document have been compiled from, and are in accordance with, the financial records maintained by the Trustees.
Signed on behalf of the trustees:
## **Yemisi Gibbons Chair Date: 30 July 2026**
- prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue its activities.
**Matthew Kershaw Joint Trust Chief Executive and Place-Based Leader for health Date: 30 July 2026**
Croydon Health Services Charitable Fund Croydon University Hospital 530 London Road Croydon CR7 7YE
Registered Charity in England No. 1054824
Croydon Health Charity Annual Report 2023-24 **[34]**
**Statement of Financial Activities for the year ended 31 March 2024**
|**Unrestricted**
**Funds**
**£000**
108
10
36|**2023-24**
**Restricted**
**Total**
Unrestricted
**Funds**
**Funds**
Funds
**£000**
**£000**
£000
92
200
65
98
108
83
0
36
36
**190**
**344**
184
(2)
(34)
(31)
(210)
(264)
(116)
0
0
0
(45)
(47)
(1)
(18)
(37)
(10)
(47)
(152)
(19)
**(320)**
**(500)**
(146)
**(322)**
**(534)**
**(177)**
0
67
(108)
**(132)**
**(123)**
**(101)**
(0)
(0)
(10)
**(132)**
**(123)**
**(111)**
853
1,172
430|2022-23
Restricted
Total
Funds
Funds
£000
£000
63
128
132
215
0
36|
|---|---|---|
|**154**
(32)
(54)
0
(2)
(19)
(105)
**(180)**||195
379
(68)
(99)
(8)
(124)
(661)
(661)
(37)
(38)
(19)
(29)
(110)
(129)|
|||(835)
(981)|
|**(212)**
67||**(903)**
**(1,080)**
1
(107)|
|**9**
0||**(707)**
**(808)**
10
0|
|**9**||**(697)**
**(808)**|
|319||1,550
1,980|
||**721**
**1,049**
**319**||
The notes at pages 38-48 form part of these accounts.
**35**[Croydon Health Charity Annual Report 2023-24]
## **Statement of Financial Position as at 31 March 2024**
|Note
**Fixed Assets**
Investments
6.2
**Total Fixed Assets**
Debtors
7
Short term
8
investments
and deposits
Cash at bank
5.1
and in hand
**Total Current Assets**
**Liabilities**
Creditors: Amounts
falling due within
one year
9
**Total Net Current**
**Assets/(Liabilities)**
**Non Current**
**Liabilities**
Creditors: Amounts
falling due after
more one year
**Total Net assets**
**or Liabilities**
**The Funds**
**of the Charity**
Restricted funds
10.1
Unrestricted funds
10.2
**Total Charity Funds**|**Unrestricted**
**Funds**
**£000**
314|**Restricted**
**Funds**
**£000**
691
691
8
2
62
72
(42)
**30**
0
**721**
721
0
**721**|**Total**
**Funds at**
**31 March**
Unrestricted
Restricted
**2024**
Funds
Funds
**£000**
£000
£000
**1,005**
271
724
**1,005**
271
724
**11**
7
19
**3**
2
4
**91**
70
188
**105**
79
211
**(61)**
(31)
(82)
**44**
48
129
0
0
0
**1,049**
319
853
**721**
0
853
**328**
319
0
**1,049**
319
853|**Total**
**Funds at**
**31 March**
**2023**
**£000**
995|
|---|---|---|---|---|
||314|||995|
||4
1
28|||26
6
258|
||33|||290|
||(19)
**14**
0
**328**|||(113)|
|||||177|
|||||0|
|||||1,172|
||0
328|||853
319|
||**328**|||1,172|
The notes at pages 38-48 form part of these accounts.
Croydon Health Charity Annual Report 2023-24 **[36]**
**Statement of Cash Flows for the year ended 31 March 2024**
|Note
**Cash flows from operating activities:**
**Net cash provided by (used in) operating activities**
5
**Cash flows from investing activities:**
Dividends, interest and rents from investments
2.3
Proceeds from the sale of investments
6.1
Purchase of investments
6.1
**Net cash provided by (used in) investing activities**
**Change in cash and cash equivalents in the reporting period**
**Cash and cash equivalents at the beginning of the reporting period**
5.1
**Cash and cash equivalents at the end of the reporting period**
5.1
The notes at pages 38-48 form part of these accounts.|**Total at**
Total at
**31 March**
31March
**2024**
2023
**£000**
£000
**(265)**
(689)|
|---|---|
||**36**
36
**293**
385
**(231)**
(171)|
||**98**
**250**
**(167)**
**(439)**
**258**
697|
||**91**
**258**|
|||
**37**[Croydon Health Charity Annual Report 2023-24]
## **NOTES TO THE ACCOUNTS**
## **NOTE 1 ACCOUNTING POLICIES**
## **1.1 Basis of Preparation**
a) The financial statements have been prepared under the historic cost convention, with the exception of investments which are included at fair value.
The accounts (financial statements) have been prepared in accordance with the Statement of Recommended Practice (SORP) and the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102) (second edition -October 2019) and the Charities Act 2011 and UK Generally Accepted Practice as it applies from 1 January 2019.
The trustees consider that there are no material uncertainties about the Charities’ ability to continue as a going concern. There are no material uncertainties affecting the current year’s accounts.
If the terms or conditions have not been met or uncertainty exists as to whether they can be met then the relevant income is not recognised in the year but deferred and shown on the balance sheet as deferred income.
## **Legacies**
Legacies are accounted for as incoming resources once the charity has entitlement to the resources. This will also be once confirmation has been received from the representatives of the estates that payment of the legacy will be made or property transferred and once all conditions attached to the legacy have been fulfilled. The three conditions identified above must also be met.
If there is uncertainty as to the amount of the legacy and it cannot be reliably estimated then the legacy is shown as a contingent asset until all of the conditions for income recognition are met.
b) Gifts in kind
## **1.2 Incoming Resources**
a) All incoming resources are recognised in the Statement of Financial Activities as soon as the following three factors can be met:
i) entitlement - arises when a particular resource is receivable or the charity’s right becomes legally enforceable;
i) Assets given for distribution by the funds are included in the Statement of Financial Activities only when distributed.
ii) Assets given for use by the funds (e.g. property for its own occupation) are included in the Statement of Financial Activities as incoming resources when receivable.
ii) receipt - when it is probable receipt likely than not that the incoming resource will be received;
iii) measurement - when the monetary value of the incoming resources can be measured with sufficient reliability.
Where there are terms or conditions attached to incoming resources, particularly grants, then these terms or conditions must be met before the income is recognised as the entitlement condition will not be satisfied until that point.
iii) Gifts made in kind but on trust for conversion into cash and subsequent application by the funds are included in the accounting period in which the gift is sold.
In all cases the amount at which gifts in kind are brought into account is either a reasonable estimate of their value to the funds or the amount actually realised. The basis of the valuation is disclosed in the annual report.
Croydon Health Charity Annual Report 2023-24 **[38]**
## **Donated services and facilities**
Donated services and facilities (e.g. the provision of free accommodation) is included in the accounts with an equivalent amount in outgoing resources, if there is a financial cost borne by another party. The value placed on such income is the financial cost of the third party providing the resources.
c) Grants are accounted for as incoming resources once there is evidence of entitlement, normally expressed in writing. Where entitlement is demonstrable, and no conditions are attached, such promises are recognised as incoming resources once the criteria of probable receipt and measurability are met.
d) Where incoming resources are received for a specific activity that is to be delivered in the following year, that income is deferred.
e) The Charitable Fund has no life subscriptions.
f) The Charitable Fund has no endowment funds.
g) Incoming resources have been included in the Statement of Financial Activities gross of expenditure.
## **1.3 Resources Expended & Irrecoverable VAT**
All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to each category of expense shown in the Statement of Financial Activities. Expenditure is recognised when the following criteria are met:
- There is a present legal or constructive obligation resulting from a past event.
- It is more likely than not that a transfer of benefits (usually a cash payment) will be required in settlement.
- The amount of the obligation can be measured or estimated reliably.
Irrecoverable VAT is charged against the category of resources expended for which it was incurred.
a) Expenditure is recognised when and to the extent that a liability is incurred or increased without a commensurate increase in recognised assets or a reduction in liabilities. The accounts are prepared on the accruals basis, where liabilities are recognised as resources expended as soon as there is a legal or constructive obligation committing the charity to the expenditure as described in Financial Reporting Standards 5 and 12. A liability will arise when a charity is under an obligation to make a transfer of value to a third party as a result of past transactions or events.
b) Items are included within the relevant activity category of resources on the following basis:
## i) Costs of Raising funds
The costs of raising funds are the costs associated with generating income for the funds held on trust, other than from undertaking charitable activities, and can include the costs of generating voluntary income; fundraising trading, including the cost of goods sold and other associated costs; and the costs of managing investments for both income generation and capital maintenance.
Costs of generating funds do not include the costs associated with delivering or supporting the provision of goods and services in the furtherance of the charity’s objectives.
## ii) Charitable activities
Resources expended on charitable activities comprise all the costs incurred by the charity in undertaking its work to meet its charitable objectives as opposed to the cost of raising the funds to finance these activities and governance costs. Charitable activities are all the resources expended by the charity in the delivery of goods and services, including its programme and project work that is directed at the achievement of its charitable aims and objectives. Such costs include the direct costs of the charitable activities together with those support costs incurred that enable these activities to be undertaken.
**39**[Croydon Health Charity Annual Report 2023-24]
## iii) Governance Costs
These include the costs of governance arrangements which relate to the general running of the charity as opposed to the direct management functions inherent in generating funds, service delivery and programme or project work. These activities provide the governance infrastructure which allows the charity to operate and to generate the information required for public accountability. They include the strategic planning processes that contribute to future development of the charity.
## c) Support Costs
Support costs are those costs which do not relate directly to a single activity. These include some staff costs, costs of administration, internal and external audit costs and IT support. Support costs have been apportioned between fundraising costs and charitable activities on an appropriate basis. The analysis of support costs and the bases of apportionment applied is shown in note 3.3.
## **1.4 Grants Payable**
Grants payable are payments made to linked, related party or third party NHS bodies, in furtherance of the charitable objectives of the funds held on trust, primarily relief of those who are sick.
Grant payments are recognised as expenditure when the conditions for their payment have been met or where there is a constructive obligation to make a payment.
A constructive obligation arises when:
- We have communicated our intention to award a grant to a recipient who then has a reasonable expectation that they will receive a grant
- We have made a public announcement about a commitment which is specific enough for the recipient to have a reasonable expectation that they will receive a grant
- There is an established pattern of practice which indicates to the recipient that we will honour our commitment.
The trustees have control over the amount and timing of grant payments and consequently where approval has been given by the trustees and any of the above criteria have been met then a liability is recognised. Grants are not usually awarded with conditions attached. However, when they are then those conditions have to be met before the liability is recognised.
Where an intention has not been communicated, then no expenditure is recognised but an appropriate designation is made in the appropriate fund. If a grant has been offered but there is uncertainty as to whether it will be accepted or whether conditions will be met then no liability is recogniNseodteb1u(t2a) contingent liability is disclosed.
## **1.5 Financial Instruments**
## **Fixed Asset Investments**
Investments are a form of basic financial instrument. Fixed asset investments are initially recognised at their transaction value and are subsequently measured at their fair value (market value) as at the balance sheet date. The Statement of Financial Activities includes the net gains and losses arising on revaluation and disposals throughout the year. Quoted stocks and shares are included in the Balance Sheet at the current market value quoted by the investment analyst, excluding dividend. Other investments are included at the trustees’ best estimate of market value.
The main form of financial risk faced by the charity is that of volatility in equity markets and investment markets due to wider economic conditions, the attitude of investors to investment, changes in sentiment concerning equities and within particular sectors or sub sectors. Further information on the Charities investments can be found in note 6.
Croydon Health Charity Annual Report 2023-24 **[40]**
## **Debtors**
Debtors are amounts owed to the charity. They are measured on the basis of their recoverable amount.
## **Creditors**
Creditors are amount owed by the charity. They are measured at the amount that the charity expects to have to pay to settle the debt. Amounts which are owed in more than a year are shown as long term creditors.
## **1.9 Pensions Contributions**
The charity does not employ staff directly. Administration is performed by staff of Croydon Health Services NHS Trust, who enjoy the right to join the NHS Pension Scheme by virtue of their employment with Croydon Health Services NHS Trust. Relevant details of the NHS Pension Scheme are disclosed in the Croydon Health Services NHS Trust accounts.
## **1.10 Consolidation**
## **1.6 Investments policy**
The objective of the policy is to ensure the creation of sufficient income and capital growth to enable the charity to carry out its purposes consistently year by year with due and proper consideration for future needs and maintenance of, and if possible, enhancement of the value of the invested funds while they are retained. The Trustees exclude the Tobacco and Alcohol sectors, as defined by those companies that derive their income from such trading, with regard to investments. The Charity’s investment advisers are Investec Wealth and Investment.
## **1.7 Gains and losses on investments**
All gains and losses, both realised and unrealised, are taken to the Statement of Financial Activities as they arise.
Any net annual unrealised gain or loss on investments is allocated to the unrestricted reserves. Should the reserves become exhausted, losses will be charged to General Amenities fund.
## **1.8 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. Other funds are classified as unrestricted funds. Funds which are not legally restricted but which the Trustees have chosen to earmark for set purposes are restricted funds. The major funds held within these categories are disclosed in notes 10.1 and 10.2.
Under the provisions of IAS 27 Consolidated and Separate Financial Statements, those Charitable Funds that fall under common control with NHS bodies and if material are consolidated within the entity’s financial statements.
The Croydon Health Services Charitable Fund (Registered Charity No. 1054824) is the only subsidiary of the Trust. The Trust Board is the Corporate Trustee, and the board members of the Trust are jointly responsible for the management of these charitable funds.
The value of the charitable funds is c£1m; because the value of the funds are deemed not material in the context of the group and therefore not consolidated.
## **1.11 Prior year comparatives by type of fund**
The primary statements provides prior period comparatives for the Statement of Financial Activities and the Balance Sheet for each of the two types of fund that the Charity manages.
Paragraph 4.2 of the new SORP states that FRS 102 requires that comparative information must be provided for all amounts provided in the SoFA. The new SORP requires that comparative information for the total funds of a charity must be provided on the face of the SoFA and comparative information for each class of funds can be provided either on the face of the SoFA or in a note to the accounts.
**41**[Croydon Health Charity Annual Report 2023-24]
## **Details of Incoming Resources**
## **2.1 Donations & Legacies**
|**Donations**
Donations from Individuals
Corporate Donations
**Total Donations**
**Legacies**
Staff Amenities/ Medical Equipment
General Purposes Fund
**Total Legacies**
**Total Donations and Legacies**|**Unrestricted**
**Funds**
**£000**
25
0
**25**
0
83
**83**
**108**|**Restricted**
**Funds**
**£000**
12
80
**92**
0
0
**0**
**92**|**2023/24**
**Total**
**£000**
37
80
**117**
0
83
**83**
**200**|2022/23
Total
£000
51
66|
|---|---|---|---|---|
|||||**117**|
|||||2
9|
|||||**11**|
||||||
|||||**128**|
In 2023/24 the Trust received 3 legacies of £83k as compared to 2022/23 of 5 legacies (£11k).
## **2.2 Charitable Activities**
|Fund raising
Grant
Staff Gym Club
Study/Course Fees
Other Income
**Total Charitable Activities**|**Unrestricted**
**Funds**
**£000**
10
0
0
0
0
**10**|**Restricted**
**Funds**
**£000**
74
0
16
1
7
**98**|**2023/24**
**Total**
**£000**
84
0
16
1
7
**108**|2022/23
Total
£000
114
65
18
11
7|
|---|---|---|---|---|
|||||215|
## **2.3 Investment Income**
|Bank Interest
Dividends
**Total Investment Income**
**Total All Incoming Resources**|**Unrestricted**
**Funds**
**£000**
8
28
**36**
**154**|**Restricted**
**Funds**
**£000**
0
0
**0**
**190**|**2023/24**
**Total**
**£000**
8
28
**36**
**344**|2022/23
Total
£000
7
29|
|---|---|---|---|---|
|||||**36**|
||||||
|||||**379**|
Croydon Health Charity Annual Report 2023-24 **[42]**
## **Details of Resources Expended**
## **3.1 Resources expended on Charitable Activities**
## **3.1.1 Analysis of expenditure on Raising Funds**
|Fundraising Events
Investment Management
**Total**|**Support**
**Costs**
**Unrestricted Unrestricted**
**£000**
**£000**
0
20
11
1
**11**
**21**|**Support**
**Costs**
**2023/24**
2022/23
**Restricted**
**Restricted**
**Total**
Total
**£000**
**£000**
**£000**
£000
2
0
**22**
88
0
0
**12**
11|
|---|---|---|
|||**2**
**0**
**34**
99|
## **3.1.2 Analysis of expenditure on Charitable Activities**
|Purchase of New Equipment
Building & Refurbishment
Medical Research & Education
Patients welfare and amenities
Staff welfare and amenities|**Support**
**Costs**
**Unrestricted Unrestricted**
**£000**
**£000**
26
28
0
0
1
1
9
10
50
56
**86**
**95**|**Support**
**Costs**
**2023/24**
2022/23
**Restricted**
**Restricted**
**Total**
Total
**£000**
**£000**
**£000**
£000
201
9
**264**
**124**
0
0
**0**
**661**
43
2
**47**
**38**
17
1
**37**
**29**
44
2
**152**
**129**|
|---|---|---|
|||**305**
**14**
**500**
**981**|
## **3.2 Analysis of Grants**
|**Grants to Institutions**
Purchase of New Equipment
Building & Refurbishment
Medical Research & Education
Staff & Patient Amenity
**Total**|**2023/24**
**Total**
**£000**
2022/23
Total
£000
**122**
87
**64**
632
**112**
29
**4**
201|
|---|---|
||**302**
949|
The charity undertook direct charitable activities and grants were paid within the objects of the individual funds and that of the overall objectives of the charitable fund. In 2023/24 the revenue grants of £468k (£238k in 2022/23) and £55k (£711k in 2022/23) capital grants were made available to the Croydon Health Services NHS Trust.
**43**[Croydon Health Charity Annual Report 2023-24]
## **3.3 Allocation of Support Costs & Overheads**
|**Raising Funds:**
Governance - Internal & External Audit
Finance Costs - Bank charges
Salaries - Finance Administration
**Total Support Costs**
**Charitable Activities:**
Governance - Internal & External Audit
Finance Costs - Bank charges
Salaries - Finance Administration
**Total Support Costs**|**Unrestricted**
**Restricted**
**£000**
**£000**
1
0
0
0
72
0|**2023/24**
2022/23
**Total**
Total
**£000**
£000
**1**
1
**0**
0
**72**
85|
|---|---|---|
||**73**
**0**|**73**
86|
||8
0|**8**
8|
||1
0
36
14|**1**
1
**49**
121|
||**45**
**14**|**58**
130|
The governance costs relate to internal and external audit fees to the audit of the Charitable Fund’s annual accounts and report.
External Audit fee is £7.5k plus VAT £1.5k in 2023/24 for independent review (£7k plus VAT 1.4k in 2022/23).
The external auditors have provided no other financial services to the Charitable Fund. Finance costs are for fees relating to bank charges.
The salary costs relate to the salary costs of the officers providing financial, budgetary, fund raising and administrative services to the Charitable Fund.
## **Note 4 Analysis of Staff Costs**
|Salaries and wages
Social security costs
Employers pension contribution
**Total Staff Costs**
Average monthly WTE of employees in the year:|**2023/24**
**Total**
**£000**
**93**
**11**
9
**113**
**2.00**|2022/23
Total
£000
103
13
8|
|---|---|---|
|||124|
||||
|||2.00|
The charity does not directly employ staff. The salary cost is related to salary recharges from Croydon Health Services NHS Trust for services provided. Within the salary recharge, there are no employees with a salary of over £60k (nil in 2023/24)
Croydon Health Charity Annual Report 2023-24 **[44]**
## **Note 5 Reconciliation of Net Income to net cash flow from operating activities**
|Net income for the reporting period
(as per the Statement of Financial Activities)
Adjustments for:
Dividends, interest and rents from investments
Net (Gains)/Losses on investments
(Increase)/decrease in stocks
(Increase)/decrease in debtors
Increase/(decrease) in creditors
Adjustment due to rounding
**Net cash provided by (used in) operating activities**|**2023/24**
**Total**
**£000**
**(123)**
(36)
(67)
0
18
(52)
(5)
**(265)**|2022/23
Total
£000
(808)
(36)
107
0
31
17|
|---|---|---|
|||**(689)**|
## **Note 5.1 Analysis of Cash at Bank & In hand**
|Cash in hand
**Total cash and cash equivalents**|**2023/24**
**Total**
**£000**
**91**
**91**|2022/23
Total
£000
258|
|---|---|---|
|||**258**|
## **Note 6 Analysis of Movement of Investments**
## **6.1 Movement in Fixed Asset Investments:**
|Market value at beginning of year1April
Less: Disposals at carrying value
Add: Acquisitions at cost
Net gain/(loss) on revaluation
**Market value at end of year 31 March**|**2023/24**
**£000**
**995**
**(293)**
**231**
**67**
**1,000**|2022/23
£000
1,316
(385)
171
(107)|
|---|---|---|
|||995|
All investments are held in order to provide an investment return for the charity.
All investments were listed on a UK stock exchange or in investment companies incorporated in the UK and therefore are investment assets in the UK.
**45**[Croydon Health Charity Annual Report 2023-24]
## **6.2 Market value at 31 March:**
|**6.2 Market value at 31 March:**|||
|---|---|---|
|Investments listed on Stock Exchange
**Fixed Asset Investment by type:**
Fixed Interest
UK Equity Funds
Overseas Equity Funds and alternative Assets
Property Funds
Total Listed Investments
Cash on Interest Bearing Deposit
**Total**|**2023/24**
**£000**
**1,000**
**1,000**
**2023/24**
**£000**
**186**
**154**
**599**
**62**
**1,000**
**5**
**1,005**|2022/23
£000
995
995
2022/23
£000|
|||173
170
584
68|
|||995
0|
|||995|
## **Note 7 Analysis of Current Debtors**
|Amounts falling due within one year and over one year:
Trade debtors
Prepayments and accrued income
Amounts due from subsidiary and associated undertakings
**Total debtors falling due within one year**|**2023/24**
**£000**
**11**
**0**
**0**
**11**|2022/23
£000|
|---|---|---|
|||**18**
**6**
**2**|
|||**26**|
## **Note 8 Analysis of Short Term Investments & Deposits**
|Short term investments and deposits
**Total short term investments and deposits**|**2023/24**
**£000**
**3**
**3**|2022/23
£000
**6**|
|---|---|---|
|||**6**|
All short term investments and deposits are cash amounts held by the Charitable Fund’s investment advisers within the UK.
Croydon Health Charity Annual Report 2023-24 **[46]**
## **Note 9 Analysis of Liabilities**
|**Note 9 Analysis of Liabilities**|||
|---|---|---|
|**Creditors under 1 year**
Trade creditors
Amounts due to associated
Other Accruals & Deferred Income
**Total creditors falling due within one year**|**31 March**
**2024**
**£000**
**14**
**0**
**47**
**61**|31March
2023
£000
**1**
**0**
**112**|
|||**113**|
## **Note 10 Analysis of Charitable Funds**
## **10.1 Restricted Funds***
|**Material funds**
Medical & Other Equipment
Research & Education
Staff & Patients Amenities
Premises & Building
SWL ICB
Restricted Reserves - Investment
**Total**|Fund
Balance at
**Fund**
31March
Gains and
**Balance at**
2023
Income
Expenditure
Transfers
(Losses)
**31 March**
£000
£000
£000
£000
£000
**£000**
77
57
(22)
0
0
112
222
3
(23)
(1)
0
201
405
130
(164)
1
0
372
115
0
(112)
0
0
3
18
0
(1)
0
0
17
16
0
0
0
1
16|
|---|---|
||853
190
(322)
0
1
721|
*Restricted funds are those where the donor has specified that the funds are used only for a specific purpose.
## **10.2 Unrestricted Funds**
|General Purposes Fund
Unrestricted Reserves - Operating
Unrestricted Reserves - Investment
**Total**|Fund
Balance at
31 March
2023
Income
Expenditure
Transfers
Gains and
(Losses)
**Fund**
**Balance at**
**31 March**
£000
£000
£000
£000
£000
**£000**
137
154
(212)
0
0
79
140
0
0
0
0
140
42
0
0
0
67
109|
|---|---|
||319
154
(212)
0
67
328|
**47**[Croydon Health Charity Annual Report 2023-24]
## **Note 11 Details of Material Funds**
The following funds had individual values in excess of £50,000 at 31 March 2024:
||**Balance**|||
|---|---|---|---|
|**Name of fund**|**£000**|**Fund Origin**|**Description of the nature and purpose of each fund**|
|General Amenities|78|Legacies and|To support patient experience of Croydon University Hospital|
|||donations||
|Medical Equipment Fund|50|Donations|Specific fund for purchasing Medical equipment|
|Staff Gym|117|Mainly staff|The fund’s income comes from monthly gym subscriptions|
|||subscriptions||
## **Note 12 Contingent Assets**
Legacy income is only recognised as an income resource where a receipt is reasonably certain and the amount is known with certainty, or the legacy has been received. As at the 31 March 2024, there is no notification received.
During the year, none of the members of the Croydon Health Services NHS Trust or parties related to them were beneficiaries of the Charity. No member of the Trust Board has received any payment from the Charity during the year, including for the reimbursement of expenses incurred.
## **Note 13 Post Balance Sheet Events**
The value of the investment portfolio (including cash at hand) has decreased by £65k since balance date. This is based on the most recent quarterly valuation report dated 30 June 2024.
## **Note 14 Related Party Transactions**
The Croydon Health Services NHS Trust Board is the Corporate Trustee of the Croydon Health Services Charitable Fund. For reporting purposes, this means that the charity is a subsidiary of Croydon Health Services NHS Trust All of the members of the Charitable Funds Committee are also members of the NHS Trust board, the staff and patients of which are the main beneficiaries of the charity. The charity has made revenue and capital grant payments to the NHS Trust as detailed in note 3.2.
The total value of charitable contributions to Croydon Health Services NHS Trust was £468k in 2023/24 (£949k in 2022/23).
Croydon Health Charity Annual Report 2023-24 **[48]**
Commercial in confidence
## **Independent examiner's report to the corporate trustee of Croydon Health Services NHS Charitable Fund**
I report to the trustee on my examination of the accounts of Croydon Health Services NHS Charitable Fund (the Charity) for the year ended 31 March 2024.
## **Responsibilities and basis of report**
As the charity trustee, you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (‘the Act’). The charity’s corporate trustee considers that an audit is not required for this financial year under section 14 of the Charities Act 2011 and elected that an independent examination is conducted under section 149(3) of the Charities Act 2011.
I report in respect of my examination of the Charity’s accounts as carried out under section 149 of the Act. In carrying out my examination I have followed all the applicable Directions given by the Charity Commission under section 149(5)(b) of the Act.
## **Independent examiner's statement**
Your examiner must be a member of a body listed in section 149(3A) of the 2011 Act. I confirm that I am qualified to undertake the examination because I am a member of Chartered Institute of Public Finance and Accountancy which is one of the listed bodies.
I have completed my examination. I confirm that no matter has come to my attention in connection with the examination which gives me reasonable cause to believe that in any material respect:
− accounting records were not kept in respect of the charity as required by section 130 of the Act; or
- the accounts do not accord with these records; or
− the accounts do 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.
− the accounts have not been prepared in accordance with the methods and principles of the Statement of Recommended Practice for accounting and reporting by charities applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019).
I have no concerns and have come across no other 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.
Our report is made solely to the Charity’s corporate trustee, as a body, in accordance with section 154 of the Charities Act 2011. Our work has been undertaken so that we might state to the Charity’s corporate trustee those matters we are required to state to them in an independent examiner's report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the Charity and the Charity’s corporate trustee as a body, for our work or for the independent examiner’s report, or for the opinions we have formed.
## **Sophia Brown**
Chartered Institute of Public Finance and Accountancy Grant Thornton UK LLP Chartered Accountants
London 30 July 2026
**49**[Croydon Health Charity Annual Report 2023-24]
Croydon Health Charity Annual Report 2023-24
## **www.croydonhealthcharity.org.uk**
**@HereforCroydon @CroydonHealthCharity**
**Croydon Health Services Charitable Fund** Croydon University Hospital • 530 London Road • Croydon • CR7 7YE
Registered Charity in England No. 1054824