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2024-03-31-accounts

Company registration number: 03187574 Charity registration number: 1055056

Help and Care

(A company limited by guarantee) Annual Report and Financial Statements

for the Year Ended 31 March 2024

Help and Care

Contents
Reference and Administrative Details 1
Trustees Report 2 to 11
Independent Auditors' Report 12 to 15
Statement of Financial Activities 16 to 17
Balance Sheet 18
Statement of Cash Flows 19
Notes to the Financial Statements 20 to 36

Help and Care

Reference and Administrative Details

Charity Registration Number: 1055056

Company Registration Number: 03187574

The charity is incorporated in England and Wales.

Registered Office: A49 Aerodrome Studios 2-8 Airfield Road Christchurch Dorset BH24 3TS

Auditor: Saffery LLP Midland House 2 Poole Road Bournemouth BH2 5QY

Solicitors: Lester Aldridge Russell House Oxford Road Bournemouth BH8 8EX

Bankers: CAF Bank Limited Kings Hill West Malling Kent 4TA Natwest Plc Commercial Banking 2nd Floor, Heron House 10 Christchurch Road Bournemouth BH1 3NR Trustees and officers The trustees and officers serving during the year and since the year end were as follows:

Trustees: J A Dawson (Chair)

P Ashcroft (Appointed 11 December 2023)

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A Bond (Resigned 30 May 2024)

C M Foreman

T C Hayden

S Jackson (Appointed 11 December 2023)

S Jenkin (Appointed 11 December 2023)

N Yeo

J Currin (Appointed 9 August 2024)

Secretary: M Sharman

Senior Management / Leadership Team:

M Sharman, Chief Executive Officer

D Persse, Director of Services

K Loughnan, Director of Partnerships, Research & Influence

D Daniels, Director of Finance & Corporate Services (Resigned 10 July 2024)

R Verrico, Director of Organisational Development

The Trustees present their Report, together with the audited Accounts, for the year ended 31 March 2024.

STRUCTURE, GOVERNANCE AND MANAGEMENT

Governing Document

The previous articles of association were adopted when Help and Care was incorporated in 1996. These articles were dated and the members agreed new articles of association in December 2014. The charity is constituted by the Articles of Association as a Registered Charity and as a Company Limited by Guarantee.

Every member undertakes to contribute such amount as may be required (not exceeding £10) to the Charity’s assets if it should be wound up.

Directors (Trustees)

The directors of the company are also the charity trustees for the purposes of charity law.

The directors during the year were: John Dawson (Chair) Peter Ashcroft Ann Bond Claire Foreman Terry Hayden Sarah Jackson Steve Jenkin Nicholas Yeo

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Membership is open to individuals who apply in the form required by the Directors and are approved by the Directors. New Trustees undergo a comprehensive induction programme. Trustees are recruited via advertising and word-of-mouth.

The Trustees give their time voluntarily and receive no benefits from the charity. Any expenses reclaimed from the charity are set out in note 11 of the accounts.

The Trustees have had due regard to the Charity Commissions guidance on public benefit.

Organisational Structure

The Trustees meet at a minimum of 6 times per year in fulfilling their role of governance, financial accountability, approving the Business Plan for the organisation, formulation and review of strategy, holding the Chief Executive to account, and ensuring best practice.

The Audit, Risk and Remuneration Committee meets twice a year to review remuneration policy and set pay levels, review internal controls and risk management arrangements, and review the annual accounts in conjunction with the external auditors before submission to the Trustees.

Responsibility for the delivery of the Business Plan is delegated to the Chief Executive, Mark Sharman.

Remuneration for key management personnel is set by the board in line with remuneration levels for similar roles in the industry.

The board considers the leadership team (as listed on page 2) to be the key management personnel.

Related Parties

Help and Care is a member of the following companies - Healthwatch Hampshire C.I.C. (dissolved 23 April 2024) Healthwatch Isle of Wight C.I.C. Healthwatch West Sussex C.I.C.

Risk Management

The major risks to which the Charity is exposed, as identified by the Trustees, have been reviewed and systems have been established to mitigate those risks. The Trustees have undertaken a full and rigorous review of all areas during the year and a risk register has been established and is updated regularly.

OBJECTIVES AND ACTIVITIES

Purposes and Aims

Our charity’s purpose as set out in the objects contained in the company’s articles of association are:

The charity's objects (“Objects”) are specifically restricted to the following: • to relieve financial hardship, sickness and poor health amongst elderly people;

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Review of Activities

Key plans and priorities in the short to medium term are identified as:

  1. Help & Care is a strategic influencer and co-creator

  2. Help & Care is a sustainable and effective organisation fit for the future

  3. Help & Care services are delivered in more communities across Southern England

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Progress on the aims identified last year are as follows:

Sustainable and effective organisation fit for the future

Strategic Influencer, Collaborator, and Co-Creator

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Our Services, Engagement & Impact

VISION – where we should go and why

Our vision is a place where people and communities are living the lives they choose. We have worked since 1985 to improve the communities in which we work.

VALUES – guiding principles of our work and how we operate

  1. SOCIAL JUSTICE - sits at the heart of all our work. Since its very beginnings, we have played a key role in challenging and influencing policies and practices to make our communities better places.

  2. INNOVATIVE - In an ever-changing world, it is vital to embrace new situations and technology trends proactively. Help & Care has always faced new challenges with enthusiasm, and innovative and resourceful solutions.

  3. PERSONAL - All our work puts people’s needs first and foremost. We believe that every individual deserves to be treated with respect and compassion and that every voice should be heard.

  4. COLLABORATIVE – Our collaborations and partnerships allow us to expand and reach more people who need our help, as well as to challenge and influence policy makers.

OPPORTUNITIES AND THREATS

  1. Ensuring Help & Care’s governance and leadership is fit for purpose.

  2. The cyclical nature of tendering impacting on the organisation.

  3. Developing our market entry point to reduce reliance on tenders and increase collaboration with VCSE and system partners.

  4. Crisis within the NHS and social care, leading to a change in priorities across the sector. 5. Cost of Living Crisis affecting workforce.

  5. Need to retain staff in a competitive market.

  6. Responding to the current political landscape and future local and national elections.

  7. The need to respond to the changing local political landscape, and the complexities of new relationships.

  8. Maximising data & digital solutions in our decision making.

  9. Decrease in Net Assets caused by failure to generate sufficient funds.

  10. Developing our marketing strategy to ensure our message reaches the right people.

LONG-TERM GOALS – what we will do to fulfil our vision

  1. Help & Care make a difference to more people’s lives and making more communities better places.

  2. Help & Care is a strategic influencer, collaborator and innovator changing everyday practice.

  3. Help & Care is a sustainable and agile organisation adapting to future needs whilst challenging and guiding policy makers.

Our portfolio of services across Dorset underpin our aspiration to support people to retain maximum independence and wellbeing, through self-management, when facing health or other challenges.

We must ensure that our services are desirable, accessible and operate to the highest standards.

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We are acutely aware of the financial pressures that commissioners are facing and are committed to excellent value for money and outcomes for people and our funders.

This can be achieved, in part, by offering a seamless Help & Care experience for people needing support. We are mobilising integrated, multi-disciplinary Help & Care teams in neighbourhoods across the county, which will present a single Help & Care service offer, but provide a gateway to personalised conversations and bespoke plans.

Our portfolio includes:

Dorset Health & Wellbeing Coaching Service

A revised model following a successful tendering exercise, using system wide data to identify people with high support needs and low motivation, who need structure and goal setting to achieve better health outcomes.

HOPE (Help Overcoming Problems Effectively)

HOPE is an NHS sponsored course we deliver to help people identify what matters to them and to address health and wellbeing issues accordingly. It focuses on group work and peer support, complements our individual health coaching model.

Dementia Coordinator Service

Our Dementia Coordinators Service is another local NHS commissioned service. Our team provide a bespoke support service from dementia diagnosis to (potentially) end of life. The service is entering its third year and is a key component in our integrated services ambitions, due to the significant unmet need for the carers of people with dementia. A wrap around support offer for carers is a key driver.

Social Prescribing

Important signposting and information capacity is essential in supporting people with low / medium support needs, to find community-based solutions. In addition, social prescribing supports the work of our coaches by bringing additional expertise to the conversation with people with more complex needs. Very often this function is the difference between sustainable outcomes and missed opportunities.

Mental Health Transformation

Help & Care’s contribution in supporting people with wide and complex needs, enabled us to contribute confidently to the mental health transformation programme in Dorset. Importantly, our experience allowed us to advocate the importance of the voluntary sector and a non-clinical workforce, in offering alternative and creative solutions and outcomes, sometimes as an alternative to traditional service pathways, sometimes in conjunction with clinical partners.

As a result, we were entrusted to develop and deliver a ‘test of concept’ open access model for people seeking support with their mental health and wellbeing. Consequently, we have also been awarded a

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contract, in collaboration with two other non-clinical, voluntary sector partners, to mobilise further universal access points pan Dorset.

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Volunteering

Our Healthwatch volunteers are at the heart of what we do. They are active in the communities we serve listening to people to find out if health and care is working for them. In being a part of the Healthwatch service they gain valuable, transferable skills whilst helping to improve care locally. Our volunteers support us in a variety of ways and play an important role at Healthwatch. They may be involved in delivering local leadership, helping with administrative tasks, observing health and care services, gathering the views of patients, residents and staff, then contributing to reports which highlight their findings. This enables the Healthwatch team to have a much wider reach in their communities. We have many dedicated volunteers already but are looking to involve more young people in the volunteering roles and increase diversity.

In our work we ensure that people’s voices are at the centre of service design, delivery and transformation. The Involving People team have continued to support the Wessex Cancer Alliance by managing a Patient and Public Involvement Network as well as a Steering Group. We have invested in a dedicated volunteering system which will help to notify all existing volunteers of new opportunities as well as assisting with the recruitment of new volunteers.

Roots

Help & Care’s longest running service, operating for over 35 years now. Roots continues to cultivate, nurture and sustain people affected by mental ill health in the joint purpose of cultivating local gardens of those who cannot do it for themselves, and by recognising the importance of wellbeing through gardening.

This vision succinctly describes what the Roots service can offer and achieve for our colleagues, volunteers and customers’ gardens or community spaces. Through examination of the ‘NHS Five Steps to Mental Wellbeing’ the team have utilised appropriate and corresponding language which will encourage clinicians to refer their patients to the service and prospective volunteers to understand the beneficial outcomes.

The service still benefits from annual grants from NHS Dorset and Bournemouth, Christchurch & Poole local authority. Further funding is secured by our Income Generation / Fundraising Officer through grant applications and the London marathon, with a 2% growth target linked to the 49:49:2 ratio from the Strategic Framework.

The current focus is to establish the service as a formal option for people accessing vocational rehabilitation services or a pathway back to employment, along with the aim of ensuring all costs of providing the service are met in full.

Healthwatch

Healthwatch services including the Hub have empowered thousands of people to share their personal experiences of health and care. In sharing those experiences, they have been pivotal not only in identifying current issues, but in highlighting how to make real and lasting change. Our Healthwatch colleagues, through listening to the public, help to shape our NHS and social care system at a critical time for health and social care services. There are major challenges which need to be addressed. Healthwatch reports have highlighted the barriers and delays to timely care that patients face across the whole system. They also detailed the disproportionate impact that access issues are having on those already facing deprivation.

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Volunteering (continued)

Engagement work was conducted in response to the priorities raised by the inhabitants of local communities, so that practical assistance was available as well as signposting to specialist support. The Healthwatch teams amplified the voices of those people in the community and also sought out seldom heard groups, to ensure their needs were considered. Some key outcomes include: -

The Involving People team have recognised that the quality-of-care people experience varies considerably. There is still a focus on the priorities of the delivery system, rather than the individual needs and wishes of patients. Through the research projects and training provided, colleagues have been working towards a fundamental shift in culture so that there is a greater focus on listening to patients and carers. Building on their public and patient toolkit, they have developed a Personalised Care Institute accredited training course which has been shared with the National Institute for Health and Care Research Academy and the Applied Research Collaboration (ARC) Wessex.

Our longstanding partnership with BU continues to strengthen our research activities and we have discussed drawing up a legally binding Memorandum of Agreement. The Whatever It Takes project work with BU concludes this year. This was funded by a proof-of-concept grant, so work has already commenced on plans for a much larger research project on the back of this. The application will be submitted in August 2024. Thanks to separate funding from Macmillan who are keen to support any equality, diversion and inclusion work we undertake, we have had the benefit of adding a Project Officer to the Involving People team, who is also a Macmillan professional. Their post is fully funded for a twoyear period. Besides the Whatever It Takes project, colleagues from other services across Help & Care have provided support to assist with other areas of research the university are pursuing. There are myriad benefits to this alliance e.g. colleagues at Help & Care have been offered the opportunity to undertake an MRes programme at no cost. This will allow them to undertake a research project at Master’s level tailored to their specific interests in health and social care.

Financial Review

The total incoming resources for the year were £4,020,778 (2023: £4,692,169). Total resources expended were £4,285,850 (2023: £4,239,997), giving a deficit for the year before the revaluation of investments of £265,072 (2023: surplus of £452,172). The net assets at the end of the year total £2,602,547 (2023: £2,882,355). The major funding sources are set out in note 3-7 to the financial statements and the expenditure set out in notes 8 to 13.

The principal risks and uncertainties are possible reductions in public funding and contract base vulnerability and over reliance on one contract type for funding. These are also the factors likely to affect financial performance and position. A risk management log has been created to review and quantify these risks, enabling the board to act to mitigate them.

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Reserves Policy

Help and Care are aiming to establish unrestricted reserves at a minimum level of 3 months and a maximum of 9 months' costs. The relevant costs are those to maintain Help and Care's services. The Trustees may establish designated reserves for specific contingencies and asset replacement, where necessary.

At the year-end unrestricted and undesignated reserves were £2,546,656 and represent approximately 7.12 months’ total costs which are deemed sufficient.

Plans for the Future Period

Key plans and priorities

In the short to medium term, priorities remain as set out above. During 2024-25 our priorities will include the following:

Small company provisions

This report has been prepared in accordance with the small companies’ regime under the Companies Act 2006.

Statement of trustees' responsibilities

The trustees (who are also the directors of Help and Care for the purposes of company law) are responsible for preparing the trustees' report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice), including FRS 102 "The Financial Reporting Standard applicable in the UK and Republic of Ireland".

Company law requires the trustees to prepare financial statements for each financial year. Under company law the trustees must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the charitable company and of the incoming resources and application of resources, including its income and expenditure, of the charitable company for that period. In preparing these financial statements, the trustees are required to:

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Trustees Report

The trustees are responsible for keeping proper accounting records that can disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

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

In so far as the trustees are aware there is no relevant audit information of which the charitable company’s auditor is unaware and the trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditor is aware of that information.

Auditors

Saffery LLP were appointed as auditor to the company and in accordance with section 485 of the Companies Act 2006, a resolution proposing that they be re-appointed will be put at a General Meeting.

The annual report was approved by the trustees of the charity on 8[th] November 2024 and signed on its behalf by:

M R Sharman J A Dawson (Chair) Chief executive officer Trustee

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Independent Auditor's Report to the Members of Help and Care

Opinion

We have audited the financial statements of Help and Care (the ‘charity’) for the year ended 31 March 2024 which comprise the statement of Financial Activities, the Balance Sheet, the statement of Cash Flows and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102, the Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice). In our opinion, the financial statements:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the charity in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charity's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

Other information

The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives

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Independent Auditor's Report to the Members of Help and Care

Other information (continued)

rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information we are required to report that fact.

We have nothing to report in this regard.

Opinions on other matters prescribed by the Companies Act 2006

In our opinion, based on the work undertaken in the course of the audit:

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the charity and its environment obtained in the course of the audit, we have not identified material misstatements in the Trustees’ Annual Report.

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our opinion:

Responsibilities of trustees

As explained more fully in the Trustees’ Responsibilities Statement set out on page 11, the trustees are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the trustees are responsible for assessing the charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so.

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Independent Auditor's Report to the Members of Help and Care

Auditor’s responsibilities for the audit of the financial statements

We have been appointed as auditors under the Companies Act 2006 and report in accordance with regulations made under the Act.

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

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. The specific procedures for this engagement and the extent to which these are capable of detecting irregularities, including fraud are detailed below.

Identifying and assessing risks related to irregularities:

We assessed the susceptibility of the charity’s financial statements to material misstatement and how fraud might occur, including through discussions with the trustees, discussions within our audit team planning meeting, updating our record of internal controls and ensuring these controls operated as intended. We evaluated possible incentives and opportunities for fraudulent manipulation of the financial statements. We identified laws and regulations that are of significance in the context of the charity by discussions with trustees and updating our understanding of the sector in which the charity operates.

Laws and regulations of direct significance in the context of the charity include The Companies Act 2006, and UK Tax legislation.

Audit response to risks identified:

We considered the extent of compliance with these laws and regulations as part of our audit procedures on the related financial statement items including a review of financial statement disclosures. We reviewed the charity’s records of breaches of laws and regulations, minutes of meetings and correspondence with relevant authorities to identify potential material misstatements arising. We discussed the charity’s policies and procedures for compliance with laws and regulations with members of management responsible for compliance.

During the planning meeting with the audit team, the engagement partner drew attention to the key areas which might involve non-compliance with laws and regulations or fraud. We enquired of management whether they were aware of any instances of non-compliance with laws and regulations or knowledge of any actual, suspected or alleged fraud. We addressed the risk of fraud through management override of controls by testing the appropriateness of journal entries and identifying any significant transactions that were unusual or outside the normal course of business. We assessed whether judgements made in making accounting estimates gave rise to a possible indication of management bias. At the completion stage of the audit, the engagement partner’s review included ensuring that the team had approached their work with appropriate professional scepticism and thus the capacity to identify non-compliance with laws and regulations and fraud.

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Independent Auditor's Report to the Members of Help and Care

Auditor’s responsibilities for the audit of the financial statements (continued)

Audit response to risks identified (continued):

There are inherent limitations in the audit procedures described above and the further removed noncompliance with laws and regulations is from the events and transactions reflected in the financial statements, the less likely we would become aware of it. Also, the risk of not detecting a material misstatement due to fraud is higher than the risk of not detecting one resulting from error, as fraud may involve deliberate concealment by, for example, forgery or intentional misrepresentations, or through collusion. A further description of our responsibilities is available on the Financial Reporting Council’s website at:

www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.

Use of our report

This report is made solely to the charity’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charity’s members those matters we are required to state to them in an auditor’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 members as a body, for our audit work, for this report, or for the opinions we have formed.

…………………………………..

Casidhe Baleri (Senior Statutory Auditor) for and on behalf of Saffery LLP

Statutory Auditors

Midland House 2 Poole Road Bournemouth Dorset BH2 5QY

11 December 2024

Saffery LLP is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006

Statement of Financial Activities for the Year Ended 31 March 2024 (Including Income and Expenditure Account)

Unrestricted Restricted Total funds funds 2024

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Note £ £

£

- 82,662
3,810,722 3,851,976
- 9,740
- 52,723
- 23,677
210,056 3,810,722 4,020,778
(67,788) (4,218,062) (4,285,850)
(67,788) (4,218,062) (4,285,850)
(8,703) (6,033) (14,736)
133,565 (413,373) (279,808)
(6) 6 -
133,559 (413,367) (279,808)
2,413,097 469,258 2,882,355
Income and Endowments from: 2,546,656 55,891 2,602,547
Charitable activities 4 41,254
Other trading activities 5 9,740
Donations and legacies 3 82,662
Investment income 6 52,723
Other income 7 23,677
Total income
Expenditure on:
Charitable activities 8
Total expenditure
Gains/losses on investment assets
Net income
Transfers between funds
Net movement in funds
Reconciliation of funds
Total funds brought forward
Total funds carried forward 20

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Unrestricted Restricted Total
funds £ funds £ 2023
Note £
- 56,403
4,328,337 4,593,123
- 12,668
- 13,863
- 16,112

Statement of Financial Activities for the Year Ended 31 March 2023 (Including Income and Expenditure Account)

Income and Endowments from:
Donations and legacies 3 56,403
Charitable activities 4 264,786 Other trading activities 5 12,668
Investment income 6 13,863
Other income 7 16,112
Total income 363,832 4,328,337 4,692,169
Expenditure on:
- - -
(8,300) (4,231,697) (4,239,997)
(8,300) (4,231,697) (4,239,997)
(10,500) (5,369) (15,869)
345,032 91,271 436,303
131,760 (131,760) -
476,792 (40,489) 436,303
1,936,305 509,747 2,446,052
2,413,097 469,258 2,882,355

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Help and Care

Raising funds Charitable activities 8

Total expenditure

Gains/losses on investment assets Net income Transfers between funds Net movement in funds

Reconciliation of funds

Total funds brought forward

Total funds carried forward 20

Help and Care

(Registration number: 03187574) Balance Sheet as at 31 March 2024

Note
£
£ Fixed assets
Tangible assets
14
Investments
15
Current assets
Debtors
16
Cash at bank and in hand
Creditors: Amounts falling due within one year
17 Net current
assets
Netassets

Funds of the charity:
Restricted income funds
Restricted funds
20
Unrestricted income funds
2024
2023
29,252
7,493
-
387,067
29,252
394,560
241,181
184,289
2,543,671
2,622,186
2,784,852
2,806,475
(211,557)
(318,680)
2,573,295
2,487,795
2,602,547
2,882,355
55,891
469,258
2,546,656
2,413,097
2,602,547
2,882,355

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20

Unrestricted funds

Total funds

The financial statements on pages 15 to 36 were approved by the trustees, and authorised for issue on 8[th] November 2024 and signed on their behalf by:

J A Dawson Chair

Statement of Cash Flows for the Year Ended 31 March 2024

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Note £ £
Cash flows from operating activities
Net cash (expenditure) / income (279,808) 436,303
Adjustments to cash flows from non-cash items
Depreciation 6,661 11,852
Investment income 6 (52,723) (13,863)
Revaluation of investments (30,941) (15,869)

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(356,811) 418,42
3
Working capital adjustments 282,08
(Increase) / decrease in debtors 16 (56,892) 2
(Decrease) in creditors 17 (2,987) (87,365
(Decrease) in deferred income )
(104,136) (513,408)
Net cash (Outflows) / inflows from operating activities (520,826) 99,732
Cash flows from investing activities
Interest receivable and similar income 6
Purchase of investments
Sale of investments
15 52,723
(24,432)
13,863
(23,360
)
Net cash inflows from investing activities 414,020 55,098
Net (decrease) / increase in cash and cash equivalents 442,311
(78,515)
45,601
145,33
Cash and cash equivalents at 1 April Cash and cash 3
equivalents at 31 March
2,622,186 2,476,853
2,543,671 2,622,186

All of the cash flows are derived from continuing operations during the above two periods.

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Notes to the Financial Statements for the Year Ended 31 March 2024

1 Charity status

The charity is limited by guarantee, incorporated in England and Wales, and consequently does not have share capital. The registered office is A49 Aerodrome Studios, 2-8 Airfield Road, Christchurch, Dorset, BH24 3TS. Each of the trustees is liable to contribute an amount not exceeding £10 towards the assets of the charity in the event of liquidation.

2 Accounting policies

Summary of significant accounting policies and key accounting estimates

The principal accounting policies applied in the preparation of these financial statements are set out below. These policies have been consistently applied to all the years presented, unless otherwise stated.

Statement of compliance

The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice (applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102)) (issued in October 2019) - (Charities SORP (FRS 102)), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006.

Basis of preparation

Help and Care meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy notes.

The accounts are prepared in sterling, which is the functional currency of the charity. Monetary amounts in the financial statements are rounded to the nearest £1.

Going concern

The financial statements have been prepared on a going concern basis. The board have considered the level of funds held and the expected level of income and expenditure for 12 months from authorising these financial statements. In the opinion of the board, the charity has sufficient working capital to continue to meet its financial obligations and pay its liabilities as they fall due for the foreseeable future. The budgeted income and expenditure is sufficient for the charity to be able to continue as a going concern and therefore the financial statements have been prepared on a going concern basis.

Income and endowments

All income is recognised once the charity has entitlement to the income, it is probable that the income will be received and the amount of the income receivable can be measured reliably. Donations and legacies

Donations are recognised when the charity has been notified in writing of both the amount and settlement date. In the event that a donation is subject to conditions that require a level of performance by the charity before the charity is entitled to the funds, the income is deferred and not recognised until either those conditions are fully met, or the fulfilment of those conditions is wholly within the control of the charity and it is probable that these conditions will be fulfilled in the reporting period.

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23

Help and Care

Notes to the Financial Statements for the Year Ended 31 March 2024

Legacy gifts are recognised on a case-by-case basis following the grant of probate when the administrator/executor for the estate has communicated in writing both the amount and settlement date. In the event that the gift is in the form of an asset other than cash or a financial asset traded on a recognised stock exchange, recognition is subject to the value of the gift being reliably measurable with a degree of reasonable accuracy and the title to the asset having been transferred to the charity.

Grants receivable

Grants relating to revenue are recognised in income over the period in which the related costs are recognised.

Deferred income

Deferred income represents amounts received for future periods and is released to incoming resources in the period for which, it has been received. Such income is only deferred when:

Other trading activities

Income from trading activities includes income earned from fundraising events and trading activities to raise funds for the charity. Income is received in exchange for supplying goods and services in order to raise funds and is recognised when entitlement has occurred.

Investment income

Dividends are recognised once the dividend has been declared and notification has been received of the dividend due.

Charitable activities

The charity receives contract income in respect of its charitable activities. Income from local government and other authorities are recognised at fair value when the charity has entitlement after any performance conditions have been met, it is probable that the income will be received and the amount can be measured reliably. If entitlement is not met then these amounts are deferred.

Expenditure

All expenditure is recognised once there is a legal or constructive obligation to that expenditure, it is probable settlement is required and the amount can be measured reliably. All costs are allocated to the applicable expenditure heading that aggregate similar costs to that category. Where costs cannot be directly attributed to particular headings, they have been allocated on a basis consistent with the use of resources, with central staff costs allocated on the basis of time spent, and depreciation charges allocated on the portion of the asset’s use. Other support costs are allocated based on the spread of staff costs.

Raising funds

These are costs incurred in attracting voluntary income, the management of investments and those incurred in trading activities that raise funds.

Charitable activities

Charitable expenditure comprises those costs incurred by the charity in the delivery of its activities and services for its beneficiaries. It includes both costs that can be allocated directly to such activities and those costs of an indirect nature necessary to support them.

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24

Help and Care

Notes to the Financial Statements for the Year Ended 31 March 2024

Governance costs

These include the costs attributable to the charity’s compliance with constitutional and statutory requirements, including audit, strategic management and trustees’ meetings and reimbursed expenses.

Taxation

The charity is considered to pass the tests set out in Paragraph 1 Schedule 6 of the Finance Act 2010 and therefore it meets the definition of a charitable company for UK corporation tax purposes. Accordingly, the charity is potentially exempt from taxation in respect of income or capital gains received within categories covered by Chapter 3 Part 11 of the Corporation Tax Act 2010 or Section 256 of the Taxation of Chargeable Gains Act 1992, to the extent that such income or gains are applied exclusively to charitable purposes.

Tangible fixed assets

Individual fixed assets costing £2,000 or more are initially recorded at cost, less any subsequent accumulated depreciation and subsequent accumulated impairment losses. Depreciation and amortisation

Depreciation is provided on tangible fixed assets so as to write off the cost or valuation, less any estimated residual value, over their expected useful economic life as follows:

Asset class Depreciation method and rate Computer equipment 20% straight line Equipment 15% reducing balance Motor vehicles 25% reducing balance

Fixed asset investments

Fixed asset investments, other than programme related investments, are included at market value at the balance sheet date. Realised gains and losses on investments are calculated as the difference between sales proceeds and their market value at the start of the year, or their subsequent cost, and are charged or credited to the Statement of Financial Activities in the period of disposal.

Unrealised gains and losses represent the movement in market values during the year and are credited or charged to the Statement of Financial Activities based on the market value at the year end.

Trade debtors

Trade debtors are amounts due from customers for merchandise sold or services performed in the ordinary course of business.

Trade debtors are recognised at the transaction price. A provision for the impairment of trade debtors is established when there is objective evidence that the charity will not be able to collect all amounts due according to the original terms of the receivables.

Cash and cash equivalents

Cash and cash equivalents comprise cash on hand and call deposits, and other short-term highly liquid investments that are readily convertible to a known amount of cash and are subject to an insignificant risk of change in value.

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25

Help and Care

Notes to the Financial Statements for the Year Ended 31 March 2024

Trade creditors

Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course of business from suppliers. Accounts payable are classified as current liabilities if the charity does not have an unconditional right, at the end of the reporting period, to defer settlement of the creditor for at least twelve months after the reporting date. If there is an unconditional right to defer settlement for at least twelve months after the reporting date, they are presented as non-current liabilities.

Trade creditors are recognised at the transaction price. Fund structure

Unrestricted income funds are general funds that are available for use at the trustees’ discretion in furtherance of the objectives of the charity.

Designated funds are unrestricted funds set aside for specific purposes at the discretion of the trustees.

Restricted income funds are those donated for use in a particular area or for specific purposes, the use of which is restricted to that area or purpose.

Pensions and other post-retirement obligations

The charity operates a defined contribution pension scheme which is a pension plan under which fixed contributions are paid into a pension fund and the charity has no legal or constructive obligation to pay further contributions even if the fund does not hold sufficient assets to pay all employees the benefits relating to employee service in the current and prior periods.

Contributions to defined contribution plans are recognised in the Statement of Financial Activities when they are due. If contribution payments exceed the contribution due for service, the excess is recognised as a prepayment.

Employee benefits

The costs of short-term employee benefits are recognised as a liability and an expense.

3 Income from donations and legacies

Donations and legacies;
Donations
Unrestricted
funds
Total
Total
General
£
2024
£
2023
£
82,662
82,662
56,403
82,662
82,662
56,403

4 Income from charitable activities

Unrestricted

funds Restricted Total Total

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26

Help and Care

Notes to the Financial Statements for the Year Ended 31 March 2024

General
£
Core activities and central
support
41,254
Advocacy and self-care
-
Healthwatch
-
Healthwatch trading
-
Non-clinical health coaching and
local prescription
-
41,254
funds
£
-
985,117
758,223
-
2,067,382
3,810,722
2024
£
2023
£
41,254
179,748
985,117
1,064,417
758,223
1,154,073
-
85,038
2,067,382
2,109,847
3,851,976
4,593,123

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27

Notes to the Financial Statements for the Year Ended 31 March 2024 Help and Care

5 Income from other trading activities

Unrestricted Unrestricted
funds
Total
Total Funds £ £ £
General 2024 2023
Fundraising 9,740 9,740 12,668
9,740 9,740 12,668
6 Investment income
Unrestricted
funds
Total Total
General 2024 2023
Interest receivable and similar £ £ £
income; Interest receivable on
bank
deposits
52,723 52,723 13,863
7 Other income
Unrestricted funds Total Total
General 2024 2023
Governance Income £ £ £
23,677 23,677 16,112
Help and Care 23,677 23,677 16,112
8 Expenditure on charitable activities
Total Total
2024 2023
By expense type: £ £
Staff costs incl. expenses & training 3,771,875 3,807,284
Service costs, including Sitting, volunteer support and bad debts 47,082 62,861
Equipment and van maintenance 5,562 4,309
Depreciation 6,661 11,852
Establishment costs 43,310 39,262
Promotion expenses 20,354 22,822
Office costs 246,238 197,849
Bank charges and interest 5,367 3,923

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28

Help and Care

Notes to the Financial Statements for the Year Ended 31 March 2024

Irrecoverable VAT relating to partial exemption 27,028 15,342
Professional fees 47,984 21,922
Governance (see note below) 64,389 52,571
Total Total
2024 2023
By activity: £ £
Advocacy and Self Service 1,003,773 250,256
Dementia Service 166,978 883,623
Engagement 7,070 -
Healthwatch 801,429 1,206,081
Involving People 103,724 108,941
Non-clinical Health Coaching 2,202,876 1,791,096
4,285,850 4,239,997
~~4,285~~
~~85~~
~~4,239,99~~
,
0
7

9 Analysis of governance costs

Governance costs

Staff costs
Wages and salaries
Audit Fees - Audit of the financial statements
Other governance costs
10 Net incoming / outgoing resources
Net incoming / (outgoing) resources for the year include:
Audit fees
Depreciation of fixed assets
Total
Total
2024
£
2023
£
46,933
36,318
15,850
13,500
1,606
2,753
64,389
52,571
2024
2023
£
£
15,850
13,500
6,661
11,852

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29

Notes to the Financial Statements for the Year Ended 31 March 2024

11 Trustees’ remuneration and expenses

During the year the charity made the following transactions with trustees:

£Nil (2023: £55) reimbursed expenses were paid to trustees.

Trustees waived £351 in expenses during the year.

One trustee received £Nil (2023: £5,500) from the charity for the provision of accountancy services during the year whilst the Director of Finance & Corporate Services was recruited. No trustees, nor any persons connected with them, have received any remuneration from the charity during the year.

No trustees have received any other benefits from the charity during the year.

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30

Help and Care

Notes to the Financial Statements for the Year Ended 31 March 2024

12 Staff costs

The aggregate payroll costs were as follows:

Staff costs during the year were:
Wages and salaries
Social security costs
Pension costs
Other staff costs
2024
£
2023
£
3,327,832
3,363,278
290,521
299,158
70,452
69,279
110,823
111,887
3,799,628
3,843,602

The monthly average number of persons (including senior management team) employed by the charity during the year was as follows:

2024 2023
No. No.
Central Services 18 17
Dorset Advocacy 0 2
Dorset Dementia Services 25 26
Dorset Healthcare 2 2
Healthwatch 23 31
Involving People 9 5
Non-Clinical Health Coaching 34 39
PCN 24 24
Roots 3 3
Wellbeing Coordinators 2 1
140 150

The number of employees whose emoluments fell within the following bands was:

2024 2023
No. No.
£70,001 - £80,000 4 1
£80,001 - £90,000 - -
£90,001 - £100,000 1 -

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31

Help and Care

4

The total employee benefits of the key management personnel of the charity were £378,955 (2023 - £363,176).

13 Taxation

The charity is a registered charity and is therefore exempt from taxation.

14 Tangible Fixed Assets
Furniture,
equipment and IT
£
Motor vehicles
£
Total
£
Cost
At 1 April 2023
51,840
17,459
69,299
Additions
28,028
392
28,420
At 31 March 2024
97,719
Depreciation
At 1 April 2023
61,806
Charge for the year
6,661
At 31 March 2024
68,467
At 31 March 2024
29,252
At 31 March 2023
3,041
4,452
7,493
79,868
17,85
1
48,799
13,00
7
5,164
1,497
53,963
14,50
4
25,905
3,347
Assets Assets Furniture,
equipment and IT
£
Motor vehicles
£
Total
£
51,840
17,459
69,299
28,028
392
28,420
97,719
79,868
17,85
1
48,799
13,00
7
5,164
1,497
53,963
14,50
4
25,905
3,347
61,806
6,661
At 31 March 2024
68,467
At 31 March 2024
29,252
3,041
4,452
7,493

15 Fixed asset investments

2024 2023

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32

Help and Care

Notes to the Financial Statements for the Year Ended 31 March 2024

£ £
Other investments - 387,067

Notes to the Financial Statements for the Year Ended 31 March 202

Other investments
Listed
investments Total
£ £
Cost or Valuation
At 1 April 2023 387,067 387,067
Revaluation (30,941) (14,736)
Additions 24,432 180
Disposals (380,558) (372,511)

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33

~~4~~

Help and Care

At 31 March 2024
Net book value
At 31 March 2024
At 31 March 2023
16 Debtors
Trade debtors
Prepayments
Other debtors 17 Creditors: amounts falling due within one year
Trade creditors
Other taxation and social security
Other creditors
Pension scheme creditor
Accruals
Deferred income
Deferred income at 1 April 2023
Resources deferred in the period
Amounts released from previous periods
Deferred income at year end
18 Pension and other schemes
-
-
387,067
2024
£
215,876
25,056
249
241,181
2024
£
18,150
105332
,
8,508
211,557

Defined contribution pension scheme

The charity operates a defined contribution pension scheme. The pension cost charge for the year represents contributions payable by the charity to the scheme and amounted to £70,452 (2023 - £69,279).

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34

Help and Care

Notes to the Financial Statements for the Year Ended 31 March 2024 Notes to the Financial Statements for the Year Ended 31 March 202

Notes to the Financial Statements for the Year Ended Notes to the Financial Statements for the Year Ended Notes to the Financial Statements for the Year Ended 31 March 2024
Notes to the Financial Statements for the Year Ended 31 March 202 Other recognised
Balance at 31 Transfers
gains / (losses) March 2024
19 Funds £ £ £
Balance at 1
2,413,097
Incoming
210,056
Resources

(67,788)
(6) (8,703) 2,546,656
April 2023 resources expended
£
£
£ Unrestricted funds
General 103,724
18,656
-
985,117

(103,724)

(1,003,773)
-
-
-
-
-
-
General fund 2,311,787
7,070
210,056
-
(52,912)

(7,070)
- - -
Designated 43,206 758,223
(801,429)
- - -
Dementia Service 101,310
99,190
-
-
(14,876)

(99,190)
- - -
Total unrestricted funds
People
Restricted funds Involving 146,545
50,867
-
2,067,382

-

(2,202,876)
6
-
(6,033)
-
140,518
(84,627)
Advocacy & Self Care 469,258 3,810,722
(4,218,062)
6 (6,033) 55,891
Engagement
Healthwatch / Healthwatch Transitions
2,882,355 4,020,778
(4,285,850)
- (14,736) 2,602,547
Dementia Service
BACE
Non-clinical health coaching and local prescription
(6) (8,703) 2,460,222
Total restricted funds Total funds
- - 86,434

Page 32

Help and Care

Help and Care

Notes to the Financial Statements for the Year Ended 31 March 2024

Prior year funds

Help and Care

4 Balance at 1 Incoming Resources Other recognised Balance at 31 April 2022 resources expended Transfers gains/(losses) March 2023 £ £ £ £ £ £

Unrestricted funds General

Help and Care

Notes to the Financial Statements for the Year Ended 31 March 2024
General fund 1,836,305 363,832 (8,300) 130,450 (10,500) 2,311,787
Designated
Dementia Service 100,000 - - 1,310 - 101,310
Total unrestricted funds Restricted funds 1,936,305 363,832 (8,300) 131,760 (10,500) 2,413,097
Involving People
- 212,665 (108,941) - - 103,724
16,208 252,704 (250,256) - - 18,656
7,070 - - - - 7,070
95,214 1,154,073 (1,206,081) - - 43,206
101,310 974,513 (875,323) (101,310) - 99,190
182,364 - - (30,450) (5,369) 146,545
107,581 1,734,382 (1,791,096) - - 50,867
509,747 4,328,337 (4,231,697) (131,760) (5,369) 469,258
2,446,052 4,692,169 (4,239,997) - (15,869) 2,882,355

Help and Care

Notes to the Financial Statements for the Year Ended 31 March 2024

The specific purposes for which the funds are to be applied are as follows:

Information and Carers Service:

Carer Training

Funded by Dorset County Council (DCC) on a payment by results arrangement to provide training to unpaid carers. This includes basic Health & Safety, End of Life Care, Dementia & personal care.

Short Breaks Service

DCC funded service for carers enabling them to have access to respite breaks from their caring role. Help & Care liaise between the carers and the domiciliary care provider to coordinate the respite breaks.

Advocacy and Self Care:

Advocacy & Support

Funded from a variety of sources, our range of advocacy services enable vulnerable people to have their voices heard when they are dealing with challenging situations in their lives.

Self-Care - My Health My Way

Funded by the Dorset Clinical Commissioning Group, Help & Care provide Health Coaches to people diagnosed with a long-term health condition.

Engagement:

Dorset POPP

DCC initiative providing community engagement and development workers across every locality and parish in Dorset County.

Healthwatch

Local Healthwatch organisations give people a powerful voice and help them to get the best out of their local health and social care services. Whether it's improving services today or helping to shape them for tomorrow. Local Healthwatch is all about local voices being able to influence the delivery and design of local services. Not just people who use them, but anyone who might need to in the future.

BACE:

BACE stands for Bournemouth Association for Care of the Elderly. The fund was previously managed through the BACE charity and was transferred to Help and Care in October 2017 after 60 years of operation.

The traditional use of the funds were grants to residents of Bournemouth over the age of 60, only to individuals and usually up to £200. In exceptional cases they could be to £500.

Dementia Co-ordinator Service

Working in partnership with Dorset Healthcare University NHS Foundation Trust, Dorset Clinical Commissioning Group & Age UK. Help & Care offers support to people with dementia in Dorset via the Memory Assessment Service, Dementia Co-ordinators and Cognitive Stimulation Therapy.

NCHCSP:

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40

Help and Care

Notes to the Financial Statements for the Year Ended 31 March 2024

Funded by the NHS to provide non-clinical support and interventions in local Primary Care Networks. Our health coaches and social prescribers provide individual and group support to people living with a long-term health condition enabling them to find the skills, confidence, and resources to manage their lives successfully.

The transfer from BACE is to reflect the adjustment in values of the fund in prior years.

The transfer from Dementia Service reflects the spend from restricted funds in prior years which had been taken from unrestricted funds.

Involving People

Improving health and care outcomes by involving patients and the public in the design, delivery and transformation of health services. Involving people puts people’s voices at the centre of service design, delivery and transformation.

20 Analysis of net assets between funds

Tangible fixed assets
Current assets
Current liabilities
Total net assets
Total funds at
Unrestricted funds
Restricted
31 March
General
Designated
£
£
funds £
2024
£
29,252
-
-
29,252
2,642,527
86,434
55,891
2,784,852
(211,557)
-
-
(211,557)
2,460,222
86,434
55,891
2,602,547
Tangible fixed assets
Fixed asset investments
Current assets
Current liabilities
Total net assets
21 Analysis of net funds
Unrestricted funds
Restricted
Total funds at
31 March
General
Designated
£
£
funds £
2023
£
7,493
-
-
7,493
240,522
-
146,545
387,067
2,382,452
101,310
322,713
2,806,475
(318,680)
-
-
(318,680)
2,311,787
101,310
469,258
2,882,355
Financing cash
At 31 March
At 1 April 2023
flows
2024
£
£
£

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41

Help and Care

Notes to the Financial Statements for the Year Ended 31 March 2024

Cash at bank and in hand

Net debt
Cash at bank and in hand ~~2,622,186~~ ~~(78,515)~~ ~~2,543,671~~
Net debt
22 Related party transactions
2,622,186 (78,515) 2,543,671
During the year the charity made the following
related party transactions:
Healthwatch Companies
The following Directors and leadership team
members are also on the Board of Healthwatch
companies:
At 1 April 2022
£
Financing cash
flows
£
At 31 March
2023
£
Mark Sharman – Healthwatch Hampshire + 2,476,853 145,333 2,622,186
Healthwatch West Sussex
Kathryn Loughnan – Healthwatch Hampshire +
2,476,853 145,333 2,622,186
Healthwatch West Sussex

During the year income of £775,901 (2023: £1,154,073) was received from the Healthwatch Companies. Balances held are restricted fund balances. At the balance sheet date, the amount due from Healthwatch Companies was £59,876 (2023 - £Nil).

Healthwatch Isle of White
Healthwatch East Berkshire
Healthwatch Wiltshire
Healthwatch Hampshire
Healthwatch West Sussex
Healthwatch Croydon
2024
Outstanding
2023
£
£
£
118,577
-
114,306
193,317
38,663
193,317
119,746
-
179,617
17,677
21,213
195,258
289,273
-
322,164
37,311
-
149,411
775,901
59,876
1,154,073

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42