## **Trustees Annual Report and Accounts North Bristol NHS Trust Charitable Funds**
## **For the year ended 31 March 2021**
**North Bristol NHS Charitable Funds operates under the working title of**
**Southmead Hospital Charity**
**Registered Charity Number: 1055900**
1
## **Southmead Hospital Charity Chair’s review**
In what has been an unprecedented year in the history of our NHS, Southmead Hospital Charity (SHC) has been indebted to our donors and supporters who have enabled us to provide continued support to our hospital and in particular to our patients, staff and visitors throughout the Coronavirus pandemic. Whether they have donated time, money, a gift or took on a fundraising challenge, since the start of the pandemic our donors and supporters have raised over £3.7 million, and £2.886 million in the 2020/2021 financial year – a phenomenal amount that is making a real difference to our patients and staff every single day.
From counselling support and calm rooms for staff, to the provision of mobile devices, sensory aids and life-saving critical care equipment for patients, and funding vital research into the impact of Long-Covid our donors have made a huge difference to patients and staff here in Bristol. Our thanks to everyone for all you have done to support your NHS and North Bristol Trust (NBT).
Following the launch of the Charity’s medium-term strategy at the start of the year, we have welcomed five new posts to the Team. This not only shows our ambitions for the Charity but also the strategic role the Charity will play, working with NBT and donors in the years to come.
Looking ahead, the Charity is busy with a focus on planning and working with NBT to support projects across our hospitals. We will be working towards a longer-term strategy during 2021/2022 with an aim to both increase income, focusing on corporate, charitable trust and major donor support and increase spending across all divisions and departments – all in order to maximise our support to our patients, staff and visitors.
During 2020/2021 we said farewell to Jaki Meekings Davis as Chair of the Charity Committee. My thanks to her for her contribution to the growth and development of the Charity; I know she would join me in saying that we are proud of all that we have achieved together over the past year. I look forward to supporting the Charity’s ambitious plans over the next year and beyond.
## **Richard Gaunt**
## **Chair, Southmead Hospital Charity Committee**
## **Non-Executive Director, North Bristol NHS Trust**
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Southmead Hospital Charity, Registered Charity Number 1055900, is administered and managed by the Trustee, North Bristol NHS Trust as a corporate body, which is represented by the Trust Board of Directors.
The Charity’s annual report and accounts for the year ended 31 March 2021 have been prepared by the Corporate Trustee in accordance with FRS102 and the Statement of Recommended Practice for charities. The Chair of the Trust Board and the Non-Executive Directors are appointed by NHS Improvement and Executive members of the Board are subject to recruitment by the NHS Trust Board. Members of the Trust Board and Southmead Hospital Charity Committee are not individual Trustees under charity law but act as agents on behalf of the Corporate Trustee. The Charity has made available to all Board Members the Charity Commission booklet CC3, _The Essential Trustee_ and _Charities and Public Benefit_ .
3
**Charity objectives and activities**
The overall registered purpose of the Charity is to, ‘apply income for any charitable purpose relating to the National Health Service wholly or mainly for the services provided by North Bristol NHS Trust’. It is the responsibility of the Trustee to ensure that all donations and legacies are utilised strictly in accordance with the purpose for which they were given.
The Charity has over 200 funds which means that donors can support a cause close to their heart, from NICU (neo-natal intensive care) to neurology, from renal to radiotherapy. Details of expenditure are provided in the annual accounts attached to this report.
Southmead Hospital Charity is the leading charity for North Bristol NHS Trust. We raise funds for Southmead Hospital in Bristol, Cossham Hospital and the community health services of North Bristol NHS Trust. Our aim is to make life better for the patients NBT treats every year and for our staff by funding projects across our five key areas of support:
4
## **Achievements and performance**
Working with NBT, Southmead Hospital Charity supports innovative and nurturing projects which are not covered or fully supported by central NHS funds.
Thanks to our donors, fundraisers and volunteers we make a real impact by funding pioneering research projects, health and wellbeing projects for our patients, wellbeing and training provision for staff, support innovative cutting-edge equipment, and improvements to our building and spaces. Every pound donated to Southmead Hospital Charity stays local, and everything we fund enriches the healthcare NBT provides supporting the 1,000,000 local population and over four million people across the wider South West and beyond.
At the start of the financial year the impact of Coronavirus both world-wide and within the UK became clear. The Charity team totally redesigned its plans and focused its fundraising activity on a Coronavirus Appeal, adapting and evolving our activity as more traditional forms of community fundraising were replaced with online and digital activity.
## **Specifically, as a result of the Coronavirus Appeal, some things we have funded are:**
- £105k towards Long-Covid research projects collaborating with researchers nationally.
- Sensory equipment to engage and distract patients.
- 12,000 baby scan images for parents.
- 12 months of donor breast milk deliveries for premature babies across the South West.
- 130 patient tablets to enable patients to keep in contact with friends and family whilst in hospital.
- £400k to support staff counselling.
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- Bereavements grants to the families of staff who we have lost their lives due to the pandemic.
- Florence Nightingale Nurse training programme.
- Improvements to over 45 staff rest areas.
- Lifesaving critical care equipment.
- Two double telepresence robots to support remote visiting.
- Spirobank smart spirometers.
- 16 outdoor tables and benches for staff and patient rest areas.
- Calm rooms for staff to use to reflect and seek support.
## **Other projects we have supported this year include:**
- Two PhD students in Brain Tumour Research.
- Specialist rehabilitation equipment for patients following a stroke.
- Online remote provision to support patients with Parkinson’s and Multiple Sclerosis.
- Welcome packs for new parents.
- Through the Fresh Arts programme supporting patients suffering from chronic pain.
- Advanced training modules to support the physiotherapy team.
- Handheld ultrasound machines for our surgical teams.
- Pressure mapping equipment to support patients who use mobility devices.
- Upgrading of patient waiting room within NBT’s medicine division.
- Benches across the site to enable staff to have breaks in safe, outside spaces
Fundraising for the hospital is a community effort - we receive support and donations from hundreds of individuals, companies, charitable trusts and community associations each year. There are too many to mention individually but collectively they have helped the Charity make a real impact, improving the care our patients at NBT receive and the additional support we are able to offer to our visitors and staff.
As a Charity we constantly aim to improve and renew our processes in order to guarantee we implement and deliver best practise across the Charity; giving donors confidence and assurance in our charitable activity and future ambitions. Throughout the year we have made numerous improvements including a review of our policies and procedures, and more detailed strategy and planning exercises, which are reviewed by both the Charity Committee and Corporate Trustee in their meetings. Our new strategy includes the introduction of refined processes and new workflows to ensure we continue to raise the bar delivering donor centric activity.
We have had an incredibly busy and rewarding year at Southmead Hospital Charity, but we have more still to do. During the next 12 months we will:
- Work with NBT to prioritise projects which need Charity support;
- Focus on building and cultivating meaningful, strategic philanthropic relationships with High Net Worth individuals, corporates and trusts;
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- Work with our fund holders and divisional leads across NBT to increase spend therefore supporting more patients and staff;
- Introduce a new Charity CRM database and reporting system to improve our use of data in business planning and communications;
- Launch a new Charity website to support improved communication, marketing activity and governance requirements;
- Improve our communications and marketing activity with our supporters and presence across the hospital to reflect the impact our donors and fundraisers make; and
- Work with NBT’s senior team to explore with Trust priorities are suitable option(s) for the next large campaign to benefit from philanthropic support.
The Charity’s plans are ambitious, and together with our dedicated supporters, Trustees, staff and charity partners, we can ensure a lasting legacy of a World-class National Health Service in the South West.
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## **Financial review**
The table below provides a summary of the financial performance of the Charity in 2020/2021
**----- Start of picture text -----**
2020/21 2019/20
£000 £000
Income:
Donations and Legacies 2675 3127
Investments 203 242
Other 8 58
Total Income and endowments 2886 3427
Expenditure:
Raising Funds 721 466
Charitable activities 2008 2039
Other 89 85
Total expenditure 2818 2590
Net gains/(Losses) on Investments 1388 (598)
Net Movement in Funds 1456 239
**----- End of picture text -----**
The funds carried forward at 31 March 2021 are £12,093k (31 March 2020: £10,637k).
The Charity has continued to receive considerable support through our donors and fundraisers
throughout the year, despite the impact of the worldwide pandemic; this has meant the Charity’s income for 2020/2021 was £2.886m.
There are no uncertainties about the Charity’s ability to continue as a going concern.
## **Investment Income**
The Trustee invests the Charity’s funds for growth and income using appointed investment managers. The Charity committee regularly reviews the performance of their investments.
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## **Investment Policy**
In order to maximise income potential, the Charity invests to generate interest and dividends. To achieve this, an official pooling scheme is operated for investments and is operated through expert investment managers Smith & Williamson.
## **Short Term Balances**
Money is held in a current account with the Royal Bank of Scotland, generating interest, until such time as it is needed to meet expenditure requirements. As the short-term balances are derived from the income received on a day-to-day basis, they fluctuate in accordance with the income received.
## **Long Term Balances**
Under the Trustee Investment Act 1961 and the Trustee Act 2000, the Charity as a corporate body is empowered to invest in certain categories of investments. North Bristol NHS Trust Charitable Funds make investments in accordance with these Acts.
## **Reserves Policy**
The Charity receives income in the form of donations and bequests/legacies. This income is banked as and when it is received. By its very nature, it is difficult to predict in advance the amount of income that the Charity is likely to receive, and therefore it is essential that the Charity maintain sums of money on reserve, to meet its requirements and to act as a buffer against stock market fluctuations.
It is the policy of the Trustees to retain between 20% - 30% of the value of the Charity's Investment portfolio as reserves. The value of the Charity’s Reserve Funds, as at 31 March 2021 are £2,258k. The reserves held at 31st March 2021 were 22.1%, which is calculated as follows:
Total value of Investment Pool: £10,198k Funds held in reserve: £2,258k
## **Endowment Funds**
These funds are held so that only the income is available for distribution while the capital balance is maintained.
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## **Unrestricted Funds**
These Funds are held for general purposes and the Trustee has the freedom to use the funds at its discretion within the overall objects of the Charity.
## **Designated Funds**
These are funds without a legal restriction but where the donor has indicated wishes for the donations use. The Trustee has directed that such funds be designated for use in line with donors’ wishes.
## **Restricted Funds**
These are held by the Trustee for restricted purposes that have been determined by the donor. It is the duty of the Trustee to ensure these funds are used as the donor specifically requests.
## **Risk Management**
The Charity has identified and examined all major risks to which it is exposed and systems have been established to mitigate these risks. The main identified financial risks are that investments are not properly safeguarded, investments are subject to stock market fluctuations, and inappropriate expenditure may be made (too high, too low or not properly authorised). The investment performance is closely monitored by the Southmead Hospital Charity Committee and a reserve is maintained in accordance with the Reserves Policy. Expenditure is covered by strict authorisation rules following approval of annual spending plans.
11
**Structure, governance and Southmead Hospital Charity management**
During the 2020/2021 year the following individuals served as members of the Trust Board, representing the Corporate Trustee.
|**Non-Executive Directors**|**Executive Directors**|
|---|---|
|**Michele Romaine**
**Chair**|**Andrea Young**
**Chief Executive**_(to 11/12/2020)_|
|**Kelvin Blake**|**Evelyn Barker**
Chief Operating Officer and Deputy Chief Executive
_(to 11/12/2020)_
**Chief Executive** _(from 12/12/2020)_|
|**John Everitt**|**Helen Blanchard**
Director of NursingandQuality|
|**Richard Gaunt**
Associate Non-Executive Director
_(from 01/04/2020)_
Non-Executive Director _(from 01/10/2020)_|**Karen Brown**
Chief Operating Officer_(from 12/12/2020)_|
|**Tim Gregory**|**Dr Chris Burton**
Medical Director (_to 11/12/2020)_
Medical Director and Deputy Chief Executive_(from_
_12/12/2020)_|
|**Professor John Iredale**|**Glyn Howells**
Chief Financial Officer_(from 01/03/2021)_|
|**Kelly Macfarlane**
_(from 01/04/2020)_|**Catherine Phillips**
Director of Finance_(to 28/02/2021)_|
|**Jaki Meekings Davis**
_(to 30/09/2020)_|**Non-voting Executive Directors**|
|**Associate Non-Executive Directors**|**Neil Darvill**
Director of Informatics|
|**LaToyah McAllister-Jones,**
Associate Non-Executive Director
_(from 01/09/2020)_|**Jacqui Marshall**
Director of People and Transformation|
|**Ade Williams,**
Associate Non-Executive Director
_(from 01/04/2020)_|**Simon Wood**
Director of Estates, Facilities and Capital Planning|
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## **Registration with the Charity Commission**
North Bristol NHS Trust Charitable Funds is registered with the Charity Commission 1055900.
Charitable funds received by the Charity are accepted, held and administered as funds and property held on trust for purposes relating to the health service in accordance with the National Health Service Act 1977 and the National Health Service and Community Care Act 1990 and these funds are held on trust by the corporate body.
## **Southmead Hospital Charity Committee**
North Bristol NHS Trust is the Corporate Trustee of Southmead Hospital Charity governed by the law applicable to Trusts, principally the Trustee Act 2000 and the Charities Act 2011.
The authority to administer NBT’s charitable funds have been delegated by the NBT’s Board to Southmead Hospital Charity Committee. The Committee meets on a quarterly basis to review reports on the management of the funds and to consider recommendations made by NBT’s investment advisors concerning the Charity’s portfolio. Appropriate guidance issued by the Fundraising Regulator, Charity Commission and Information Commissioner’s Office concerning charity law and the role and responsibilities of Trustees have been made available to members of the Committee.
Acting for the Corporate Trustee, Southmead Hospital Charity Committee is responsible for the overall management of Southmead Hospital Charity.
## **The Committee is required to:**
- Control, manage and monitor the use of the fund’s resources for public benefit;
- Provide support, guidance and encouragement for all its income generating and philanthropic activities whilst managing and monitoring the receipt of all income;
- Ensure that ‘best practice’ is followed in the conduct of all its affairs fulfilling its legal responsibilities;
- Ensure that the Investment Policy approved by the NBT’s Board as Corporate Trustee is adhered to and that performance is continually reviewed whilst being aware of ethical considerations; and
- Keep NBT’s Board fully informed on the activity, performance and risks of the Charity.
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## **During 2020/2021 members of the Charitable Funds Committee were: -**
Chair Richard Gaunt Non-Executive Director _(from 01/10/2020)_ Jaki Meekings Davis Non-Executive Director _(to 30/09/2020)_ Non-Executive Members Michele Romaine Chair, NBT Kelvin Blake Non-Executive Director Executive Directors Helen Blanchard Director of Nursing and Quality Glyn Howells Chief Financial Officer _(from 01/03/2021)_ Jacqui Marshall Director of People and Transformation Catherine Phillips Director of Finance _(to 28/02/2021)_ In attendance at meetings Xavier Bell Director of Corporate Governance / Trust Secretary Elizabeth Bond Head of Fundraising Operations Karen Brown Divisional Operations Director, ASCR _(to 12/11/2020)_ Valerie Clarke Divisional Operations Director, Medicine _(from 12/11/2020)_ Simon Davies Assistant Director of Finance Kate Debley Assistant Trust Secretary Sarah Harrison Charity Director Kathreena Kurian Neuropathology Specialty Lead _(from 12/11/2020) Fund Holder representative_ Katherine Lord Head of Nutrition/Dietetics _(to 07/04/2020) Fund Holder representative_ Kyra Neubauer Care of the Elderly Consultant _(to 01/09/2020) Fund Holder representative_ Nick Smith Divisional Operations Director Anaesthesia, Surgery, Critical Care and Renal _(to 01/09/2020)_ Jasmeet Soar Consultant Intensivist _Fund Holder representative_
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## **Terms of Reference**
The Trustees of NBT approve the Terms of Reference for Southmead Hospital Charity Committee. These terms act as the governing document for the Charity and all funds held therein.
## **Charity staff**
Southmead Hospital Charity team members are employed by NBT to raise funds, promote and administer NBT’s Charitable Funds on behalf of the Trustee. Staff members work with the Association of NHS Charities, Fundraising Regulator, the Charity Commission, Fund Holders, donors and the Southmead Hospital Charity Committee, reporting through line management. Whilst employed by NBT, the employment costs of these staff applicable to their involvement in the work of the Charity are charged to the Charity.
The NBT Board of Directors delegates the responsibility of authorising expenditure charged to the Charity in accordance with a defined banding structure which is contained in NBT’s detailed Scheme of Delegation.
15
## **Structure, governance and Southmead Hospital Charity management**
The Charities Act (Protection and Social Investment) 2016 came into effect in November 2016, which sets out key requirements for Charities to cover in their annual statements.
## _**The Charity’s approach to fundraising and whether a professional fundraiser or commercial participator was used.**_
SHC ensures that all fundraising expenditure will be to maximise our return on investment whilst maintaining the best possible relationship with our donors and supporters. In ensuring we focus on both raising funds across all income streams and to improve our governance and business planning we have appointed five new roles during 2021/2022.
## _**Details of any voluntary fundraising schemes or standards to which the Charity, or anyone fundraising on its behalf has subsidised and any incidents of non-compliance.**_
SHC is a member of the NHS Charities Together who ensure that we are kept informed and fully updated on all current and developing issues. Concerns are highlighted and knowledge is shared with similar organisations. The Charity is also a member of the Fundraising Regulator. We pay their voluntary levy and abide by their regulations and principles of best practise. There were no incidents of non-compliance during the year.
## _**Whether and how the Charity monitors fundraising actives carried out on its behalf.**_
The Corporate Trustee and SHC Committee agree the Charity’s annual income and expenditure operating budget for the Charity, and the Charity’s senior leadership team utilises the resources allowed in the expenditure budget to deliver against the team’s income target. The Charity reports on a quarterly basis to the Charity Committee and Corporate Trustee. If the Charity fails to generate its expected return on investment the Charity Director will recommend strategies to improve the return and implement alternative fundraising plans.
16
## _**How many complaints the Charity, or anyone acting on its behalf, has received about fundraising for the Charity.**_
The Charity has an agreed complaints procedure, and complaints log, and staff are required to bring any complaint to the attention of the Business Development Manager and Senior Leadership Team and to record the complaint on the Charity’s CRM database. The Charity has received no complaints during 2020/2021.
## _**What the Charity has done to protect vulnerable people and other from unreasonable intrusion on a person’s privacy, unreasonably persistent approaches or undue pressure to give.**_
As part of NBT, the Charity has approved policies for safeguarding and privacy. The Charity’s website includes our privacy policy and a commitment to ensuring that supporters are in control of how communications with them are managed. In compliance with GDPR regulations, we are responsive to all communications preference updates and act according to the wishes of the supporter.
17
## **Reference and administration details**
## **Bankers:**
Royal Bank of Scotland PO Box 16204 Birmingham B2 2WP
## **Auditors:**
Grant Thornton UK LLP 2 Glass Wharf Bristol BS2 0EL
## **Investment Fund Managers:**
Smith & Williamson Investment Management
Portwall Place Portwall Lane Bristol BS1 6NA
## **VAT Advisors:**
Liaison Financial Services
Liaison Court Vincent Road Worcester WR5 1BW
## **Solicitors:**
DAC Beachcroft LLP
Portwall Place Portwall Lane Bristol BS1 9HS
18
## **Partnership Working and Networks**
The patients of NBT are the ultimate beneficiaries of the Charity and NBT is a related party by virtue of being the Corporate Trustee of the Charity. By working in partnership with NBT, the charitable funds are used to best effect. When deciding upon the most beneficial way to use charitable funds, the Corporate Trustee reviews to the main activities, objectives, strategies and plans of NBT.
We remain indebted to the work of the League of Friends affiliated to each of our hospitals, who raise thousands of pounds each year and contribute towards the purchase of major items of medical equipment.
19
## **Our future plans**
Following the launch of a medium-term Charity strategy during 2020/2021 the Charity will be working to deliver continued and sustained expenditure and growth over the next five years. In particular, the Charity will be focusing its efforts on spending down on existing funds, in order to support more projects in a timely manner and reduce the time that donations remain unspent.
In the short to medium term, the fundraising team will work on a number of priorities to improve engagement, grow fundraising across our current five key areas: research; patient support& wellbeing; staff wellbeing & training; equipment and buildings & spaces. In the longer term, the Charity, working with NBT’s senior team, will explore Trust priorities for potential options for the next large campaign to benefit from philanthropic support. To support this, our donor activity will focus on building and cultivating meaningful, strategic philanthropic relationships with High Net Worth individuals, corporates and trusts.
Operationally we will continue to work with our Fund Holders and divisional teams to increase spend across NBT adhering to donor wishes and therefore benefitting more projects in a timely manner. With the introduction of a new Charity database and reporting system we will focus on using data and business planning to actively grow the Charity and enable us to present evidence-based income and expenditure reports to the Charity Committee and Corporate Trustee.
During 2021/2022 we will launch a new Charity website to support improved communications and marketing activity. We will improve our engagement with our supporters across our platforms, including social media, digital communications and printed materials. We are also working with NBT to increase our presence across the Hospital to reflect the impact our donors and fundraisers make to our patients, staff and visitors.
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**For further information about Southmead Hospital Charity please contact:**
**Southmead Hospital Charity Princess Campbell Office Southmead Hospital Bristol BS10 5NB**
**hello@southmeadhospitalcharity.org.uk 0117 414 0170**
**southmeadhospitalcharity.org.uk Facebook: Southmead Hospital Charity Instagram: Southmead Hospital Charity Twitter: @supersouthmead**
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# **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS**
**Charity Registration No. 1055900**
**ANNUAL ACCOUNTS 2020/21**
## **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **NATIONAL HEALTH SERVICE**
## **NORTH BRISTOL NHS TRUST**
## **CHARITABLE FUNDS**
## **ANNUAL ACCOUNTS 2020/21**
## **FOREWORD**
These accounts have been prepared by the Trustee under section 98(2) of the National Health Service Act 1977 (as amended) in the forms which the Secretary of State of Health has, with the approval of Treasury, directed.
## **STATUTORY BACKGROUND**
The Trustee has been appointed under s11 of the NHS and Community Care Act 1990.
The North Bristol NHS Trust Charitable Funds Held on Trust (the Charity) are registered with the Charity Commission and include funds in respect of the North Bristol NHS Trust Hospitals. In accordance with guidance from the Department of Health, the Charity also administers Funds Held on Trust on behalf of Bristol, North Somerset and South Gloucestershire CCG (BNSSG)
## **MAIN PURPOSE OF THE CHARITY**
The main purpose of the Charity is to apply income for any charitable purpose relating to the National Health Service wholly or mainly for the services provided by the North Bristol NHS Trust and Bristol.
# **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **Statement of Trustee's responsibilities**
The Trustee is responsible for:
- keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the Charity and to enable it 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.
The Trustee is required under the Charities Act 2011 and the National Health Service Act 1977 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 Charity in accordance with the Charities Act 2011. In preparing these accounts, the Trustee is required to:
- apply on a consistent basis accounting policies laid down by the Secretary of State with the approval of the Treasury
- make judgements and estimates which are reasonable and prudent;
- state whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the accounts.
The Trustee confirms that it has met the responsibilities set out above and complied with the requirements for preparing the accounts on a going concern basis. The financial statements set out on pages 3 to 18 attached have been compiled from and are in accordance with the financial records maintained by the Trustee.
The Trustee provided the financial statements and information to the auditors who have been appointed under section 144 of the Charities Act 2011 and who report in accordance with regulations made under section 154 of that Act.
By Order of the Trustee
Signed and authorised for issue on behalf of the Trustee:
Richard Gaunt, Chair
Glyn Howells, Chief Finance Officer
Date 09/07/2021
09/07/2021
Page 1
**NORTH BRISTOL NHS TRUST CHARITABLE FUNDS Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **Audit Opinion**
Audit opinion on last 4 pages
Page 2
## **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS**
## **Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **Statement of Financial Activities for the year ended 31 March 2021**
|**Note**
**Income and Endowments from :**
2
3
4
8
**Total Income and Endowments**
**Expenditure on:**
5
6
7
**Total Expenditure**
**Net Income/(Expenditure)**
**Net movement in funds**
Funds brought Forward
**Total Funds Carried Forward**
Other
Other Trading Activities
Donations and legacies
Transfers between funds
Net Gains/(Losses) on sale on
investments
Raising Funds
Charitable Activities
Other
Investments|SHCG
SHCU
**General**
**Designated**
**Funds**
**Funds**
£000
£000
1,539
1,136
0
3
203
0
1
4
**1,743**
**1,143**
(712)
(5)
(1,106)
(875)
(89)
0
**(1,907)**
**(880)**
1,273
0
**1,109**
**263**
20
(2)
**1,129**
**261**
1,850
7,822
**2,979**
**8,083**
**Unrestricted**|SHCR
**Restricted**
**Funds**
£000
0
0
0
0
**0**
(4)
(27)
0
**(31)**
115
**84**
(18)
**66**
934
**1,000**
**2020/21**|SHCE
**Endowment**
**Funds**
£000
0
0
0
0
**0**
0
0
0
**0**
0
**0**
0
**0**
31
**31**|**Total**
**£000**
2,675
3
203
5||**2019/20**
**Total**
**£000**
3,127
44
242
14|
|---|---|---|---|---|---|---|
|||||**2,886**
(721)
(2,008)
(89)||**3,427**
(466)
(2,039)
(85)|
|||||**(2,818)**
1,388||**(2,590)**
(598)|
|||||**1,456**
0||**239**
0|
|||||**1,456**||**239**|
|||||10,637||10,398|
||**2,979**|||**12,093**||**10,637**|
||||||||
The notes on pages 6 to 18 form part of the accounts.
Page 3
## **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS**
## **Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **Statement of Financial Position for the year ended 31 March 2021**
|**Note**
**Current Assets**
BS1
9
BS2
13
BS3
10
**Total Current Assets**
**Liabilities**
BS4
11
**The Funds of the Charity**
BS5
BS6
**BS7**
Debtors
Endowment Funds
Restricted Funds
Unrestricted Funds
Investments
Cash at Bank and in hand
Creditors (Amounts falling due
within one year)
**Total Net Assets**
**Total Charity Reserves**|SHCG
SHCU
**General**
**Designated**
**Funds**
**Funds**
£000
£000
60
90
2,621
6,715
518
1,327
**3,199**
**8,132**
(220)
(49)
**2,979**
**8,083**
0
0
0
0
2,979
8,083
**2,979**
**8,083**
**Unrestricted**|SHCR
**Restricted**
**Funds**
£000
5
831
164
**1,000**
0
**1,000**
0
1,000
0
**1,000**
**2020/21**|**Endowment**
**Funds**
£000
0
31
0
**31**
0
**31**
31
0
0
**31**|**Total**
**£000**
155
10,198
2,009||**2019/20**
**Total**
**£000**
263
8,092
2,536|
|---|---|---|---|---|---|---|
|||||**12,362**
(269)||**10,891**
(254)|
|||||**12,093**||**10,637**|
|||||31
1,000
11,062||31
934
9,672|
|||||**12,093**||**10,637**|
||||||||
Approved on behalf of the Trustees
Glyn Howells, Chief Finance Officer
Date 09/07/2021
Page 4
## **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **Cashflow for the year ended 31 March 2021**
**----- Start of picture text -----**
2020/21 2019/20
Note
Total Total
£000 £000
Cash flows from operating activities:
Net cash (used in) / provided by
operating activities 12 (11) (207)
Cash flows from investing activities:
Dividends, interest and rents from
investments 4 203 242
Proceeds from the sale of property, plant
and equipment 0 0
Proceeds from sale of investments 13 501 1,777
Purchase of investments 13 (1,220) (1,379)
Net cash provided by (used in) (516) 640
investing activities
Change in cash and cash equivalents in (527) 433
the reporting period
Cash and cash equivalents at the 2,536 2,103
beginning of the reporting period
Cash and cash equivalents at the end 2,009 2,536
of the reporting period
**----- End of picture text -----**
Page 5
## **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **Notes to the Accounts**
## **1 Accounting policies**
## **1.1 Accounting convention**
The financial statements have been prepared under the historic cost convention, as modified for the revaluation of certain investments, and in accordance with FRS 102 and the Statement of Recommended Practice "Accounting and Reporting by Charities". These accounts have been prepared under all applicable charitable law in the charity's country of registration, the UK.
## **1.2 Fund Accounting**
- a) Restricted funds are to be used for specific purposes as laid down by the donor. Expenditure which meets this criteria is charged to the fund.
b) Unrestricted funds are donations and other incoming resources received or generated for the charitable purposes.
c) Designated funds are unrestricted funds earmarked by the trustees for particular purposes.
## **1.3 Incoming resources**
a) All incoming resources are included in full 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;
ii) Probability – it is more likely than not that the economic benefits associated with the transaction or gift will flow to the charity.
iii) Measurement - the monetary value or amount of the income can be measured reliably and the costs incurred for the transaction and the costs to complete the transaction can be measured reliably.
- b) Income received from the investment of endowment funds is treated as unrestricted.
c) Legacies are accounted for as incoming resources once the receipt of the legacy becomes probable.
This will be once confirmation has been received from the representatives of the estate that payment of the legacy or transfer of property is likely to be made and once all conditions attached to the legacy have been fulfilled.
d) Gifts in kind:
i) Assets given for distribution by the Charity are included in the Statement of Financial Activities only when distributed.
ii) Assets given for use by the Charity (e.g. property for its own occupation) are included in the Statement of Financial Activities as incoming resources when receivable.
iii) Gifts made in kind but on trust for conversion into cash and subsequent application by the Charity 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 Charity or the amount actually realised.
Page 6
## **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **1.4 Fixed assets**
No fixed assets are held or owned by the Charity.
## **1.5 Resources expended**
The Charity's accounts are prepared in accordance with the accruals concept. All expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party.
- a) The costs of generating funds are the costs associated with generating income for the Charity. These will include the costs associated with appeals, printing, publicity and investment management together with appropriate salary costs.
- b) Activities in the furtherance of the Charity's objectives are accounted for on an accruals basis where the conditions for their payment have been met or where a third party has a reasonable expectation that they will receive the grant. This includes grants made to NHS bodies.
- c) Governance costs of the Charity include costs incurred by the finance department of North Bristol NHS Trust. These are accounted for on an accruals basis and comprise all costs of the Charity and its compliance with regulation and good practice. These costs include costs related to statutory audit together with other direct Trustee costs.
## **1.6 Investments**
Investments are included on the balance sheet at market value. These investments are managed by Smith & Williamson, see note 1.10 for more information.
## **1.7 Structure of funds**
The table below sets out the current structure of funds used within the charity
|**Fund type**|**Description**|
|---|---|
|Unrestricted General|Funds that can be spent on any purpose allowed by the Charity's
Objects|
|Unrestricted Designated|Funds that can be spent on any purpose allowed by the Charity's
Objects but which have been donated or assigned for a specific
purpose|
|Restricted|Funds which can only be used for a specific purpose and are
legallyrestricted to thatpurpose|
|Endowment|Funds which can only be used to generate income via investments
and which cannot be spent|
Page 7
# **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **1.8 Realised and unrealised gains and losses**
All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and opening market value (or date of purchase if later). Unrealised gains and losses are calculated as the difference between market value at the year end and opening market value (or purchase price if acquired during the year).
## **1.9 Apportionment**
Dividends, interest and governance costs are apportioned monthly to fundraising income fund. Realised and unrealised gains and losses held on reserve are apportioned to restricted and unrestricted funds. Central support and fundraising costs have been allocated to fundraising income fund.
## **1.10 Investment policy**
In order to maximise income potential, the Charity invests monies to generate interest and when appropriate, dividends. To ensure that there are monies available to meet different demands on expenditure the balances are held as short term investments. The Charity engages Smith & Williamson Investment Management as its investments manager.
Funds are invested by Smith & Williamson acting as Investment Manager for the Charitable Funds. They are instructed to maintain a balanced portfolio of holdings with a criteria the equity investments in the portfolio should be between 35-55%. The portfolio should include no direct investment in tobacco companies. Where possible, the investments in equity and fixed income should only be made in funds where the underlying manager is a signatory to the United Nations Principles for Responsible Investment (UNPRI), or if they are intending to or in the process of becoming a signatory. The Charity expects investments to be made in funds where the MSCI ESG rating is a minimum of BB.
## **Short term balances**
Monies are held in a current account with The Royal Bank of Scotland until such time as they are needed to meet expenditure requirements. As the balances are dependent on the income received on a day to day basis, they fluctuate in accordance with the income received. In addition to this, cash is held with Smith and Willimson to enable them to purchase and sell investments in line with the investment policy.
Under the Trustee Investment Act 1961 and the Trustee Act 2000, the Charity as a corporate body, is empowered to invest in certain categories of investments. The Charity makes investments in accordance with this Act.
Page 8
**NORTH BRISTOL NHS TRUST CHARITABLE FUNDS Charity Registration No. 1055900**
**ANNUAL ACCOUNTS 2020/21**
## **1.11 Pooling scheme**
An official pooling scheme is operated for investments and is operated through expert investment managers by Smith & Williamson.
## **1.12 Going Concern Policy**
These accounts have been prepared on the basis that the Charity is a going concern. The trustee has assessed the Charity's ability to continue as a going concern and feel the Charity holds sufficient funds in the form of liquidity and cash to meet all its obligations for the foreseeable future.
## **1.13 Reserves Policy**
The Charity receives income in the form of donations and bequests/legacies. This income is banked as and when it is received. By its very nature, it is difficult to predict in advance the amount of income that the Charity is likely to receive, and therefore it is essential that the Charity maintains sums of money on reserve, to meet its requirements and to act as a buffer against stock market fluctuations.
It is the policy of the Trustee to retain on reserve a minimum of 20% of the value of the Charity's investment portfolio in the form of unrealised and realised gains. In addition the Charity holds a minimum cash balance of six months operating costs as a cash reserve.
The Charity’s Financial reserves mainly comprise of cash and investment funds. The main purpose of these reserves is to maintain sufficient finance for the Charity’s planned future operations and activities. The aim of the reserves is to protect the Charity from unforeseen financial challenges, while making funds available for investment in future activities.
The Investment funds and Cash at bank and in hand are apportioned across the category of restricted and unrestricted funds based on the fund value in the statement of financial activities.
The Charity requires the Fund Holders for each fund to provide a commitment forecast for the year to assist the Charity with its overall financial plans.
The level of reserves and expenditure plans are reviewed quarterly to ensure that the Charity expenditure is in line with income and reduces the level of reserves held.
Page 9
**NORTH BRISTOL NHS TRUST CHARITABLE FUNDS Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **1.14 Statement of Charitable Purpose**
North Bristol NHS Charitable Funds is a charity (charity number 1055900) operating under the name Southmead Hospital Charity. As such it is registered with the Charity Commission in the United Kingdom as a charity and is a Public Benefit Entity as defined in FRS 102.
The Charity's registered office is Southmead Hospital, Southmead Road, Bristol. This is the same as North Bristol NHS Trust which is its parent entity.
The Charity is considered a wholly controlled subsidiary of North Bristol NHS Trust as the Board of North Bristol NHS Trust is, as a corporate body, the trustee of North Bristol NHS Trust Charitable Funds. North Bristol NHS Trust's purpose is to improve healthcare in the region in which it treats patients.
## **1.15 Staff**
During the year the charity had 19 staff members. This includes three members of staff who left during the year and eight who started. The charities average number of staff in the year is 14.
During the year The Charity paid £25,923 in termination costs (£nil 2019/20). One Staff member was paid in the range £80,000 -£89,999 during the year.
## **1.16 Stock**
The Charity had nil value of stock as at 31st March 2021. All items of donated stock were distributed during the financial year. Donated items of stock are recognised at fair value which is the amount the charity would have been willing to pay for the items on the open market.
## **1.17 Debtors**
Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due.
## **1.18 Cash at bank and in hand**
Cash at bank and cash in hand includes cash held in banks and cash held by the Trust on the Charity's behalf.
## **1.19 Creditors and provisions**
Creditors and provisions are recognised where the charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount after allowing for any trade discounts due.
## **1.20 Financial Instruments**
The Charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their market value.
Page 10
## **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **2 Details of Donations and Legacies**
|DonatIndividual Donations
DonatIn Memory
DonatCommunity
DonatCorporate
DonatMajor Donors
DonatGrants
LegaciLegacies
LegaciEvents|SHCG
Unrestricted
Funds
£000
172
39
60
624
29
276
207
132
**1,539**|SHCU
SHCR
Designated
Funds
Restricted
Funds
£000
£000
31
0
108
0
30
0
88
0
276
0
174
0
409
0
20
0
**1,136**
**0**
**2020-21**|**Total**
**£000**
**203**
**147**
**90**
**712**
**305**
**450**
**616**
**152**|
|---|---|---|---|
||||**2,675**|
|||||
|Individual Donations
In Memory
Community
Corporate
Major Donors
Grants
Legacies
Events|112
Unrestricted
Funds
£000
10
19
27
26
4
52
234
0
**372**|SHCU
SHCR
Designated
Funds
Restricted
Funds
£000
£000
32
0
93
0
341
0
140
0
1,044
0
337
0
723
45
0
0
**2,710**
**45**
**2019-20**|**Total**
**£000**
**42**
**112**
**368**
**166**
**1,048**
**389**
**1,002**
**0**|
|---|---|---|---|
||||**3,127**|
|||||
Page 11
## **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **2020/21**
## **3 Details of Trading Activities**
|SHCG
SHCU
Unrestricted
Funds
Designated
Funds
£000
£000
Trading Income
0
1
Services
0
2
**0**
**3**
**4**
**Details of Return on Investments**
SHCG
SHCU
Unrestricted
Funds
Designated
Funds
£000
£000
Dividends
203
0
**203**
**0**
**5**
**Details of Fundraising Costs**
SHCG
SHCU
Unrestricted
Funds
Designated
Funds
£000
£000
Salary cost
422
4
Termination Costs
26
0
Pension costs
54
0
Social Security costs
60
0
**ng**Materials
1
0
**sin** Events
3
0
Sh Cafe Costs
0
1
Investment
48
0
**ing**Other
98
0
**712**
**5**|SHCG
Unrestricted
Funds
£000
0
0
**0**|SHCU
Designated
Funds
£000
1
2
**3**|SHCR
Restricted
Funds
£000
0
0
**0**
**2020/21**|SHCE
Endowment
Funds
£000
0
0
**0**|**Total**
**£000**
**1**
**2**|
|---|---|---|---|---|---|
||||||**3**|
|||||||
|||||||
||SHCG
Unrestricted
Funds
£000
203
**203**|SHCU
Designated
Funds
£000
0
**0**|SHCR
Restricted
Funds
£000
0
**0**
**2020/21**|SHCE
Endowment
Funds
£000
0
**0**|**Total**
**£000**
**203**|
||||||**203**|
|||||||
|||||||
||SHCG
Unrestricted
Funds
£000
422
26
54
60
1
3
0
48
98
**712**|SHCU
Designated
Funds
£000
4
0
0
0
0
0
1
0
0
**5**|SHCR
Restricted
Funds
£000
0
0
0
0
0
0
0
4
0
**4**
**2020/21**|SHCE
Endowment
Funds
£000
0
0
0
0
0
0
0
0
0
**0**|**Total**
**£000**
**422**
**26**
**54**
**60**
**1**
**3**
**1**
**52**
**98**|
||||||**721**|
|||||||
Page 12
## **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **2020/21**
**6**
## **Details of Charitable Spend**
|PatPatients
StaStaff Welfare
Re Research
Art Art
Contribution to
Capital Assets
Trust Volunteers|SHCG
Unrestricted
Funds
£000
262
737
65
35
7
0
**1,106**|SHCU
Designated
Funds
£000
146
315
3
(1)
409
3
**875**|SHCR
Restricted
Funds
£000
0
27
0
0
0
0
**27**
**2020/21**|SHCE
Endowment
Funds
£000
0
0
0
0
0
0
**0**|**Total**
**£000**
**408**
**1,079**
**68**
**34**
**416**
**3**||**2019/20**
**Total**
**£000**
325
1,334
35
125
208
12|
|---|---|---|---|---|---|---|---|
||||||**2,008**||2,039|
||ERROR|ERROR|ERROR||ERROR|||
## **7 Details of Other Resources Expended**
Inv Support costs BanBank Charges SalFinance Cost Co Computer Costs ExtExternal Audit
|SHCG
Unrestricted
Funds
£000
0
0
77
0
12
**89**|SHCU
Designated
Funds
£000
0
0
0
0
0
**0**|SHCR
Restricted
Funds
£000
0
0
0
0
0
**0**
**2020/21**|SHCE
Endowment
Funds
£000
0
0
0
0
0
**0**|**Total**
**£000**
**0**
**0**
**77**
**0**
**12**||**2019/20**
**Total**
**£000**
0
1
80
0
4|
|---|---|---|---|---|---|---|
|||||**89**||**85**|
|ERROR|ERROR|||ERROR|||
The audit fees relate only to the cost of undertaking the statutory year end audit
Page 13
## **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS**
## **Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **8 Other Income**
|**tere**Bank Interest
**ansfe**Transfers from other charities|SHCG
Unrestricted
Funds
£000
0
1|SHCU
Designated
Funds
£000
0
4
**4**
ERROR|SHCR
Restricted
Funds
£000
0
0
**2020/21**|SHCE
Endowment
Funds
£000
0
0|
**Total**
**£000**
**0**
**5**||**2019/20**
**Total**
**£000**
11
3|
|---|---|---|---|---|---|---|---|
||**1**||**0**|**0**|**5**||**14**|
||ERROR||||ERROR|||
## **9 Debtors**
|Trade Debtors
Accrued Income|SHCG
Unrestricted
Funds
£000
57
3|SHCU
Designated
Funds
£000
90
0
**90**|SHCR
Restricted
Funds
£000
5
0
**2020/21**|SHCE
Endowment
Funds
£000
0
0|
**Total**
**£000**
**152**
**3**||**2019/20**
**Total**
**£000**
0
263|
|---|---|---|---|---|---|---|---|
||**60**||**5**|**0**|**155**||**263**|
|||||||||
Page 14
## **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS**
## **Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **10**
## **Cash at bank**
|RBS
Smith & Williamson|Unrestricted
Funds
£000
494
24
**518**|Designated
Funds
£000
1,264
63
**1,327**|Restricted
Funds
£000
156
8
**164**
**2020/21**|Endowment
Funds
£000
0
0
**0**|**Total**
**£000**
**1,914**
**95**||**2019/20**
**Total**
**£000**
2,174
362|
|---|---|---|---|---|---|---|---|
||||||**2,009**||**2,536**|
||||||0|||
**11 Creditors (Amounts falling due within one year)**
|Trade creditors
Amounts owed to group and
associated undertakings|Unrestricted
Funds
£000
92
128
**220**|Designated
Funds
£000
66
(17)
**49**|Restricted
Funds
£000
0
0
**0**
**2020/21**|Endowment
Funds
£000
0
0
**0**|**Total**
**£000**
**158**
**111**||**2019/20**
**Total**
**£000**
204
50|
|---|---|---|---|---|---|---|---|
||||||**269**||**254**|
|||||||||
## **12 Reconciliation of net income/expenditure to net cash provided by operating activities**
|SHCG
Net Income/(Expenditure) for
the reporting period
Adjustments for :
Investments (Gains)/Losses
Dividends
Loss/(profit) on the sale of fixed assets
(Increase)/Decrease in Stocks
(Increase)/Decrease in Debtors
Increase/(Decrease) in Creditors
Net cash (used in) / provided by Operating activities|**2020/21**
**£000**
1,456
(1,388)
(203)
0
0
109
15||**2019/20**
**£000**
239
598
(242)
0
0
(146)
(656)|
|---|---|---|---|
||**(11)**||**(207)**|
|||||
Page 15
## **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **13 Investment**
|Opening Balance (1 April)
Less Disposals
Add Acquisitions
Net Gain on revaluation
Closing Market Value|**2020/21**
**£000**
8,092
(501)
1,220
1,388||**2019/20**
**£000**
9,088
(1,777)
1,379
(598)|
|---|---|---|---|
||**10,198**||**8,092**|
|||||
## **14 Contingencies**
As at 31 March 2021 there are no contingencies (31 March 2020: £Nil).
## **15 Post balance sheet events**
There are no post balance sheet events relating to the financial year ended 31 March 2021.
## **16 Trustees representatives' expenses reimbursed**
No representative of the Trustee received reimbursements in respect of expenses from the Charity (2020: £Nil).
## **17 Trustee Remuneration**
No representative of the Trustee received any remuneration paid or payable from the Charity.
Page 16
## **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS**
**Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
## **18 Related party transactions**
During 20/21 there were no related party transactions with the Directors of the Trust Board of North Bristol NHS Trust (2020: £Nil).
The Charity has made revenue and capital payments to North Bristol NHS Trust where the representatives, as listed earlier, of the Trustee are also members of the Trust.
Funds owed to North Bristol NHS Trust at the year end are disclosed in note 11.
Details of the remuneration of Trustees from North Bristol NHS Trust are included in the accounts of North Bristol NHS Trust.
Page 17
## **NORTH BRISTOL NHS TRUST CHARITABLE FUNDS Charity Registration No. 1055900**
## **ANNUAL ACCOUNTS 2020/21**
|Opening balance
(£)
Income (£)
Expenditure (£)
Closing balance
(£)
# BUI Urology Gate 36
122,575
28
9,956
112,647
# BUI Endourology Urology Gate 36
33,577
41,775
5,724
69,628
SHBUI Functional Urology
78,194
500
26,076
52,618
# Renal Directorate
161,532
147,610
7,687
301,455
# Dialysis
318,458
2,485
608
320,335
# Vascular
121,345
719
1,188
120,876
# ICU
1,250,636
344,921
320,337
1,275,219
20BUI Biomed Research & Education
98,707
0
0
98,707
10Breast Care Centre
100,587
0
0
100,587
# BUI Oncology Urology Gate 36
92,497
0
0
92,497
80General Fund
590,026
26,291
105,700
510,618
# Legacy General
1,164,670
67,500
4,533
1,227,637
# Cossham General Amenities
100,738
7,863
0
108,600
# General Fund Holding
64,129
0
0
64,129
# Fundraising
90,676
102,704
80,066
113,315
20Fresh Arts
37,088
171,794
154,732
54,150
# Special Projects
67,732
3,104
9
70,828
# General Fund 2
46,471
1,109,586
863,152
292,905
# Research Fund (Springboard)
468,413
44,676
3,121
509,968
# General Fund - Helipad Monies
224,250
0
0
224,250
# IPTV
98,907
0
6,533
92,374
# Fundraising Levy
0
125,462
0
125,462
70Brain Tumor Research
118,424
34
0
118,458
70Parkinson's Research
117,526
4,771
0
122,297
20General Fund Research
0
75,359
363
74,996
# MRI Scanners Gate 18 & 20
97,409
0
0
97,409
10Microbiology Academic Fund
58,392
0
1,944
56,448
10Bacteriology Research
142,082
0
29,311
112,770
# PAT Fund Adult Speech And Language Therapy
121,409
0
300
121,109
# Radiology Scanning
118,917
0
0
118,917
# Medicine Cardiology
169,370
5
0
169,375
# The NBT Wellbeing Centre Fund
72,977
3,209
1,439
74,748
# Guy Jordan Memorial Fund
51,042
(106)
0
50,936
# Pounsford Research & Travel
66,569
0
1,660
64,909
# Lung Cancer Fund
52,378
242
35
52,585
# Dreams & Wishes
53,388
0
0
53,388
# Disablement Services Centre
2,408
99,124
9,678
91,855
# Functional Neurosurgery
185,323
44,000
0
229,323
20Ms Clinical Research
209,198
(110)
0
209,088
20Stroke and TIA
164,500
6,427
18,414
152,513
# Neurology
263,977
1,069
14,414
250,632
BRAMS
250,135
0
26,350
223,784
Brain Tumor Bank and Research - PhD Designated
203,494
0
64,695
138,799
NICU
135,281
29,634
55,081
109,834
**7,985,408**
**2,460,677**
**1,813,106**
**8,632,978**
Other Funds
2,651,582
1,812,920
1,004,250
3,460,252
Total charity reserves
**10,636,990**
**4,273,597**
**2,817,357**
**12,093,231**
**19**
**Major Funds (>£50,000 atyear end)**|Opening balance
(£)
Income (£)
Expenditure (£)
Closing balance
(£)
# BUI Urology Gate 36
122,575
28
9,956
112,647
# BUI Endourology Urology Gate 36
33,577
41,775
5,724
69,628
SHBUI Functional Urology
78,194
500
26,076
52,618
# Renal Directorate
161,532
147,610
7,687
301,455
# Dialysis
318,458
2,485
608
320,335
# Vascular
121,345
719
1,188
120,876
# ICU
1,250,636
344,921
320,337
1,275,219
20BUI Biomed Research & Education
98,707
0
0
98,707
10Breast Care Centre
100,587
0
0
100,587
# BUI Oncology Urology Gate 36
92,497
0
0
92,497
80General Fund
590,026
26,291
105,700
510,618
# Legacy General
1,164,670
67,500
4,533
1,227,637
# Cossham General Amenities
100,738
7,863
0
108,600
# General Fund Holding
64,129
0
0
64,129
# Fundraising
90,676
102,704
80,066
113,315
20Fresh Arts
37,088
171,794
154,732
54,150
# Special Projects
67,732
3,104
9
70,828
# General Fund 2
46,471
1,109,586
863,152
292,905
# Research Fund (Springboard)
468,413
44,676
3,121
509,968
# General Fund - Helipad Monies
224,250
0
0
224,250
# IPTV
98,907
0
6,533
92,374
# Fundraising Levy
0
125,462
0
125,462
70Brain Tumor Research
118,424
34
0
118,458
70Parkinson's Research
117,526
4,771
0
122,297
20General Fund Research
0
75,359
363
74,996
# MRI Scanners Gate 18 & 20
97,409
0
0
97,409
10Microbiology Academic Fund
58,392
0
1,944
56,448
10Bacteriology Research
142,082
0
29,311
112,770
# PAT Fund Adult Speech And Language Therapy
121,409
0
300
121,109
# Radiology Scanning
118,917
0
0
118,917
# Medicine Cardiology
169,370
5
0
169,375
# The NBT Wellbeing Centre Fund
72,977
3,209
1,439
74,748
# Guy Jordan Memorial Fund
51,042
(106)
0
50,936
# Pounsford Research & Travel
66,569
0
1,660
64,909
# Lung Cancer Fund
52,378
242
35
52,585
# Dreams & Wishes
53,388
0
0
53,388
# Disablement Services Centre
2,408
99,124
9,678
91,855
# Functional Neurosurgery
185,323
44,000
0
229,323
20Ms Clinical Research
209,198
(110)
0
209,088
20Stroke and TIA
164,500
6,427
18,414
152,513
# Neurology
263,977
1,069
14,414
250,632
BRAMS
250,135
0
26,350
223,784
Brain Tumor Bank and Research - PhD Designated
203,494
0
64,695
138,799
NICU
135,281
29,634
55,081
109,834
**7,985,408**
**2,460,677**
**1,813,106**
**8,632,978**
Other Funds
2,651,582
1,812,920
1,004,250
3,460,252
Total charity reserves
**10,636,990**
**4,273,597**
**2,817,357**
**12,093,231**
**19**
**Major Funds (>£50,000 atyear end)**|Opening balance
(£)
Income (£)
Expenditure (£)
Closing balance
(£)
# BUI Urology Gate 36
122,575
28
9,956
112,647
# BUI Endourology Urology Gate 36
33,577
41,775
5,724
69,628
SHBUI Functional Urology
78,194
500
26,076
52,618
# Renal Directorate
161,532
147,610
7,687
301,455
# Dialysis
318,458
2,485
608
320,335
# Vascular
121,345
719
1,188
120,876
# ICU
1,250,636
344,921
320,337
1,275,219
20BUI Biomed Research & Education
98,707
0
0
98,707
10Breast Care Centre
100,587
0
0
100,587
# BUI Oncology Urology Gate 36
92,497
0
0
92,497
80General Fund
590,026
26,291
105,700
510,618
# Legacy General
1,164,670
67,500
4,533
1,227,637
# Cossham General Amenities
100,738
7,863
0
108,600
# General Fund Holding
64,129
0
0
64,129
# Fundraising
90,676
102,704
80,066
113,315
20Fresh Arts
37,088
171,794
154,732
54,150
# Special Projects
67,732
3,104
9
70,828
# General Fund 2
46,471
1,109,586
863,152
292,905
# Research Fund (Springboard)
468,413
44,676
3,121
509,968
# General Fund - Helipad Monies
224,250
0
0
224,250
# IPTV
98,907
0
6,533
92,374
# Fundraising Levy
0
125,462
0
125,462
70Brain Tumor Research
118,424
34
0
118,458
70Parkinson's Research
117,526
4,771
0
122,297
20General Fund Research
0
75,359
363
74,996
# MRI Scanners Gate 18 & 20
97,409
0
0
97,409
10Microbiology Academic Fund
58,392
0
1,944
56,448
10Bacteriology Research
142,082
0
29,311
112,770
# PAT Fund Adult Speech And Language Therapy
121,409
0
300
121,109
# Radiology Scanning
118,917
0
0
118,917
# Medicine Cardiology
169,370
5
0
169,375
# The NBT Wellbeing Centre Fund
72,977
3,209
1,439
74,748
# Guy Jordan Memorial Fund
51,042
(106)
0
50,936
# Pounsford Research & Travel
66,569
0
1,660
64,909
# Lung Cancer Fund
52,378
242
35
52,585
# Dreams & Wishes
53,388
0
0
53,388
# Disablement Services Centre
2,408
99,124
9,678
91,855
# Functional Neurosurgery
185,323
44,000
0
229,323
20Ms Clinical Research
209,198
(110)
0
209,088
20Stroke and TIA
164,500
6,427
18,414
152,513
# Neurology
263,977
1,069
14,414
250,632
BRAMS
250,135
0
26,350
223,784
Brain Tumor Bank and Research - PhD Designated
203,494
0
64,695
138,799
NICU
135,281
29,634
55,081
109,834
**7,985,408**
**2,460,677**
**1,813,106**
**8,632,978**
Other Funds
2,651,582
1,812,920
1,004,250
3,460,252
Total charity reserves
**10,636,990**
**4,273,597**
**2,817,357**
**12,093,231**
**19**
**Major Funds (>£50,000 atyear end)**|
|---|---|---|
||Opening balance
(£)
122,575
33,577
78,194
161,532
318,458
121,345
1,250,636
98,707
100,587
92,497
590,026
1,164,670
100,738
64,129
90,676
37,088
67,732
46,471
468,413
224,250
98,907
0
118,424
117,526
0
97,409
58,392
142,082
121,409
118,917
169,370
72,977
51,042
66,569
52,378
53,388
2,408
185,323
209,198
164,500
263,977
250,135
203,494
135,281|Income (£)
Expenditure (£)
Closing balance
(£)
28
9,956
112,647
41,775
5,724
69,628
500
26,076
52,618
147,610
7,687
301,455
2,485
608
320,335
719
1,188
120,876
344,921
320,337
1,275,219
0
0
98,707
0
0
100,587
0
0
92,497
26,291
105,700
510,618
67,500
4,533
1,227,637
7,863
0
108,600
0
0
64,129
102,704
80,066
113,315
171,794
154,732
54,150
3,104
9
70,828
1,109,586
863,152
292,905
44,676
3,121
509,968
0
0
224,250
0
6,533
92,374
125,462
0
125,462
34
0
118,458
4,771
0
122,297
75,359
363
74,996
0
0
97,409
0
1,944
56,448
0
29,311
112,770
0
300
121,109
0
0
118,917
5
0
169,375
3,209
1,439
74,748
(106)
0
50,936
0
1,660
64,909
242
35
52,585
0
0
53,388
99,124
9,678
91,855
44,000
0
229,323
(110)
0
209,088
6,427
18,414
152,513
1,069
14,414
250,632
0
26,350
223,784
0
64,695
138,799
29,634
55,081
109,834|
||**7,985,408**
2,651,582
**10,636,990**|**2,460,677**
**1,813,106**
**8,632,978**
1,812,920
1,004,250
3,460,252|
|||**4,273,597**
**2,817,357**
**12,093,231**|
The majority of the funds above are held for the specific benefit of the patients and staff of the listed service of the North Bristol NHS Trust.
The Southmead General Fund is held for the benefit of the patients and staff of North Bristol NHS Trust.
The Research Fund is held to provide research into health issues affecting the patients of North Bristol NHS Trust and specific research funds are held for research into specific health issues affecting patients of North Bristol NHS Trust.
The Guy Jordan Memorial Fund and the MS Clinical Research Fund have small negative income due to reversal of previous year accrued income.
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Independent auditor's report to the corporate trustee of North Bristol NHS Trust Charitable Funds
## **Opinion**
We have audited the financial statements of North Bristol NHS Trust Charitable Funds (the ‘charity’) for the year ended 31 March 2021, which comprise the Statement of Financial Activities, the Statement of Financial Position, the Cashflow and notes to the financial statements, including a summary of 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:
- give a true and fair view of the state of the charity's affairs as at 31 March 2021 and of its incoming resources and application of resources for the year then ended;
- have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and
- have been prepared in accordance with the requirements of the Charities Act 2011.
## **Basis for opinion**
We have been appointed as auditor under section 149 of the Charities Act 2011 and report in accordance with regulations made under section 154 of that Act. 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**
We are responsible for concluding on the appropriateness of the trustee’s use of the going concern basis of accounting and, based on the audit evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant doubt on the charity’s ability to continue as a going concern. If we conclude that a material uncertainty exists, we are required to draw attention in our report to the related disclosures in the financial statements or, if such disclosures are inadequate, to modify the auditor’s opinion. Our conclusions are based on the audit evidence obtained up to the date of our report. However, future events or conditions may cause the charity to cease to continue as a going concern.
In our evaluation of the trustee’s conclusions, we considered the inherent risks associated with the charity’s business model including effects arising from Brexit and Covid-19, we assessed and challenged the reasonableness of estimates made by the corporate trustee and the related disclosures and analysed how those risks might affect the charity’s financial resources or ability to continue operations over the going concern period.
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.
In auditing the financial statements, we have concluded that the trustee’s use of the going concern basis of accounting in the preparation of the financial statements is appropriate.
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The responsibilities of the corporate trustee with respect to going concern are described in the ‘Responsibilities of the corporate trustee for the financial statements’ section of this report.
## **Other information**
The corporate trustee is responsible for the other information. The other information comprises the information included in the Trustee’s Annual Report **[1]** , other than the financial statements and our auditor’s report thereon. 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. In connection with our audit of the financial statements, 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 audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. 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.
## **Matters on which we are required to report by exception**
We have nothing to report in respect of the following matters where the Charities Act 2011 requires us to report to you if, in our opinion:
- the information given in the Trustee’s Annual Report and Accounts is inconsistent in any material respect with the financial statements; or
- the charity has not kept sufficient accounting records; or
- the financial statements are not in agreement with the accounting records and returns; or
- we have not received all the information and explanations we require for our audit.
## **Responsibilities of the corporate trustee for the financial statements**
As explained more fully in the Statement of Trustee’s Responsibilities, the corporate trustee is responsible for the preparation of the financial statements which give a true and fair view, and for such internal control as the trustee determines 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 corporate trustee is 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 corporate trustee either intends to liquidate the charity or to cease operations, or has no realistic alternative but to do so.
## **Auditor’s responsibilities for the audit of the financial statements**
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 the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.
A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.
> 1 The terms used to describe the annual report should be the same as those used by management.
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Explanation as to what extent the audit was considered capable of detecting irregularities, including fraud
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. Owing to the inherent limitations of an audit, there is an unavoidable risk that material misstatements in the financial statements may not be detected, even though the audit is properly planned and performed in accordance with the ISAs (UK).
The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:
- We obtained an understanding of the legal and regulatory frameworks that are applicable to the charity and determined that the most significant which are directly relevant to specific assertions in the financial statements are those related to the reporting frameworks (The Charities Act 2011, the Charities SORP 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);
- We enquired of management concerning the charity’s policies and procedures relating to:
- the identification, evaluation and compliance with laws and regulations;
- the detection and response to the risks of fraud; and
- the establishment of internal controls to mitigate risks related to fraud or non-compliance with laws and regulations.
- We enquired of management whether they were aware of any instances of non-compliance with laws and regulations or whether they had any knowledge of actual, suspected or alleged fraud.
- We assessed the susceptibility of the charity’s financial statements to material misstatement, including how fraud might occur, by evaluating incentives and opportunities for manipulation of the financial statements. This included the evaluation of the risk of management override of controls and fraudulent revenue recognition. We determined that the principal risks were in relation to:
- journals, management estimates and transactions outside the course of business **;** and
- fraudulent revenue recognition, and specifically the occurrence and accuracy of voluntary income.
- Our audit procedures involved:
- evaluation of the design effectiveness of controls that management has in place over journals;
- journal entry testing, with a focus on unusual journals made during the year and after the draft accounts stage;
- challenging assumptions and judgements made by management in its significant accounting estimates;
- understanding controls around the monitoring and receipt of cash donations; and
- sample testing of in-year donations and legacies and year end balances to supporting records.
- These audit procedures were designed to provide reasonable assurance that the financial statements were free from fraud or error. However, detecting irregularities that result from fraud is inherently more difficult than detecting those that result from error, as those irregularities that result from fraud may involve collusion, deliberate concealment, forgery or intentional misrepresentations. Also, the further removed non-compliance with laws and regulations is from events and transactions reflected in the financial statements, the less likely we would become aware of it.
- Assessment of the appropriateness of the collective competence and capabilities of the engagement team included consideration of the engagement team's:
- understanding of, and practical experience with audit engagements of a similar nature and complexity through appropriate training and participation
- knowledge of the sector in which the charity operates
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- understanding of the legal and regulatory requirements specific to the charity
- In assessing the potential risks of material misstatement, we obtained an understanding of:
- the charity’s operations, including the nature of its income and expenditure and its services and of its objectives and strategies to understand the classes of transactions, account balances, expected financial statement disclosures and business risks that may result in risks of material misstatement.
- the charity's control environment, including the policies and procedures implemented by the charity corporate trustee to ensure compliance with the requirements of the financial reporting framework.
## **Use of our report**
This report is made solely to the charity's corporate trustee, as a body, in accordance with Section 154 of the Charities Act 2011. Our audit 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 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 its corporate trustee as a body, for our audit work, for this report, or for the opinions we have formed.
Grant Thornton UK LLP Statutory Auditor, Chartered Accountants
## **Oxford**
## **12 July 2021**
Grant Thornton UK LLP is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006.