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2024-03-31-accounts

SOUTH TEES HOSPITALS CHARITY AND ASSOCIATED FUNDS ANNUAL REPORT & ACCOUNTS

1 April 2023 - 31 March 2024

Principal office:

Charities Office The Murray Building South Tees Hospitals NHS Foundation Trust James Cook University Hospital Marton Road Middlesbrough TS4 3BW

Registered Charity No. 1056061

Annual Report - 2023/24

South Tees Hospitals Charity and Associated Funds

Contents Page
1. Chair’s Foreward 3
2. Aims and Objectives 4
Our Role
Our Mission
3. Objectives – Moving Forwards 9
4. Financial Review
Assets 10
Income 10
Expenditure 10
Investments 11
5. Structure Governance and Management 12
Members of the corporate trustee 13
Key management personnel remuneration 14
Constitution and powers 14
Administration 14
Risk management 14
Partnership working 15
Reserves 13
6. Statement of Directors’ Responsibilities 16
7. Audit Report 17
8. Statement of Financial Activities 21
9. Balance Sheet 22
10. Statement of Cash Flows 23
11. Notes to the accounts 24

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South Tees Hospitals Charity and Associated Funds

Chair’s Foreword

I am delighted to present the 2023/24 annual report and accounts for South Tees Hospitals Charity.

Working under our brand name of ‘Our Hospitals Charity,’ we continue our mission to make a positive impact on the lives and wellbeing of our patients and staff from across the South Tees area.

In 2023/24, we have seen our contribution to our hospitals and community spaces continue to grow. We have been able to create new and updated spaces for patients and staff, support delivery of state-of-the-art training and equipment for staff across a variety of specialisms, and create many special moments for our patients, often at the most difficult of times.

As we reflect on our 2023/24 achievements in this report, we continue to work hard to develop and grow our charity, to ensure we can support people across the South Tees region in the future. We are indebted to the people of South Tees and wider communities for their continued support of our charity. I know so many people give so much of their time, energy, and passion into raising vital funds for our work. I hope this report gives a flavour of the positive and tangible benefits we have been able to bring to our patients, staff, and visitors this year thanks to your support.

I would also like to take this opportunity to thank my fellow members of the Charitable Funds Committee, our Board of Directors (who are the Corporate Trustee of the charity), our dedicated charity staff and many volunteers for their invaluable expertise, enthusiasm, and commitment to our charity.

With very best wishes,

Professor Derek Bell OBE

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Our Aims and Objectives

South Tees Hospital Charity (under the brand name Our Hospitals Charity) raises funds to enhance the services that South Tees Hospitals NHS Foundation Trust provides to more than one million people across the region.

We are committed to supporting our hospitals and community teams and work closely with our clinical teams to fund activites, refurbishments and equipment that are over and above those which the NHS can provide.

Our Mission

Our mission is to support and fund initiatives beyond the remit and the capacity of the NHS. To achieve this, we focus on the following key objectives:

The hospitals that we support are:

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Our Impact

Our Hospitals Charity continues to support patients, families, and staff across the South Tees Hospitals NHS Trust area. In 2023/24, we proudly funded projects and activities totalling over £2 million to improve the health and wellbeing of more than one million patients, carers visitors and staff across our sites and community services we see every year. These activities ranged from providing comforters for neonatal babies, memory boxes for palliative care patients and buying state of the art equipment for our hospitals.

Below are some highlights of the many ways the charity has made a real difference in 2023/24.

Delivering excellence and innovation

We understand that visiting hospital can often be an unexpected and stressful time for people, and we are committed to making every step of their journey as easy and accessible as possible. We have funded a computerised display screen system for our outpatient’s pharmacy at James Cook University Hospital.

Display screens located on the main hospital corridor inform patients of the status of their prescriptions, including how long they are likely to take and when they will be ready to collect. The tracking system can also text patients who are not in the building to advise when their prescription is ready. This system will ensure a fast and effective service for patients and will also support our pharmacy staff, who are often one of the busiest teams in the hospital.

For our Neonatal Unit at The James Cook University Hospital, we are delighted to fund v Create, a special app used to send video updates to parents, for those times when they are unable to be with their baby.

This system provides reassurance and minimises separation anxiety for families under the care of our Neonatal Unit. Updates from nursing staff are sent using this approved and secure software, including messages, videos and photos which can be downloaded and kept.

Patients attending our Oncology Department for Radiotherapy at the James Cook University Hospital have benefitted from the purchase of a new bladder scanner this year. Patients attending for Radiotherapy treatment to the pelvis have seen a reduction in unnecessary scans and a reduction in radiation dose thanks to this state-of-the-art addition to the service.

Enhancing our spaces

This year, we have transformed the day room on Ward 24 at The James Cook University Hospital to support patients with dementia. Inspired by local landmarks such as Saltburn and local parks, the day room is now a welcoming, dementia friendly environment, enabling patients experience a familiar and homely environment, which in turn supports their wellbeing.

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We have funded an upgrade to the Dragonfly Room on Infectious Diseases Ward 3 at The James Cook University Hospital giving patients who are nearing the end of their lives and their loved ones a space to quietly reflect and spend valuable time together.

This purpose-built end-of-life room offers a calm, private area for patients and their families away from the busy ward environment. Those using the room have their own ensuite, hot drinks station, massage oils and CD player. Each patient is given a dignity gown and a last wishes book to fill in with their family.

The room now also has ceiling light panels, new doors leading to the courtyard, and creature comforts which create a home from home environment for our patients and their families.

Thanks to a very generous legacy, the Cardiology Department waiting area at Friarage Hospital in Northallerton has been fully refurbished. The area now offers patients and staff a bright and airy waiting space. We have also transformed a treatment room on the Short Stay Unit at The James Cook University Hospital. The newly refurbished room now offers a private space for families when they need it and has already greatly improved patients and relatives experience.

We know how attending a medical setting can be daunting for children and young people. This year, we funded a full refurbishment of our children’s waiting area at Redcar Urgent Treatment Centre.

The space is now a bright and welcoming for children with toys and games and comfortable seating for children, their parents, and carers. In our continued commitment to supporting children and young people, we have funded resources, including distraction packs, to support children and young people attending our hospitals who may be experiencing problems with their mental health.

Our commitment to enhancing spaces in not always limited to our hospitals and clinics. In 2023/24, we supported patients across Hambleton C Richmondshire with the provision of equipment in their own homes. For example, we have provided stair lifts and recliner chairs which have enabled patients to spend time at home with their families in a supported and comfortable manner.

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Supporting our teams

South Tees Hospitals NHS Foundation Trust employs approximately 9,500 staff across the region, working in a wide range of roles. We recognise the role our charity plays in supporting our teams, whether that is providing enhanced clinical training opportunities or upgrading staff rest areas.

In 2023/24, we undertook a variety of activities to support the health and wellbeing of Trust staff, including menopause champion training, a variety of counselling opportunities, and a staff choir.

Creating special moments

At Our Hospitals Charity, we understand that our patients and families are often away from family and friends at special times, and we collaborate with our colleagues all year round to make these times are as special and meaningful as possible.

This year, we had the pleasure of transforming our Critical Care Garden at the James Cook University Hospital into a winter wonderland at Christmas. Patients and their loved ones enjoyed refreshments, joined in with carol singing and created precious memories together away from the usual clinical environment.

We also transformed our Friarage Hospital chapel, and Dragonfly rooms at James Cook to host three weddings during the year for our patients receiving end of life care. This enabled the bride and groom to make the most of this very precious time together and celebrate their special day.

Donations have also allowed us to create memory boxes for children, with comfort items such as handprints, a heart in their hand, and books explaining grief. Patients can also create life memory books - a therapeutic activity where they can create a book to leave a legacy of memories for their loved ones.

Growing our support: Fundraising

We are only able to offer the wide range of support and funding across South Tees Hospitals NHS Foundation Trust we do thanks to the incredible generosity and commitment of the local community. We receive a wide variety of donations from individuals, groups, and local businesses. These donations, along with various fundraising activities, are our primary source of income.

South Tees Hospitals Charity is a registered charity (Charity No 1056061) and complied with all legislation and guidance from The Charity Commission. The charity is registered with the Fundraising Regulator and all our fundraising activities comply with their Code of Fundraising Practice. We have a Customer Relationship Management (CRM) database in place to ensure we monitor and support the activities of people fundraising for us. The CRM also ensure accurate financial record keeping and that we comply with General Data Protection Regulation (GDPR) and Privacy and Electronic Communications Regulations (PECR), regulated by the Information

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Commissioner’s Office (ICO). The charity had no compliance issues registered with ICO in 2023/24. The charity received no fundraising complaints in the last financial year.

We have many people from across the region take part in organised events, for example the Great North Run, to raise money for the charity. Many people also organise their own fundraising activities. We work closely with our volunteer fundraisers and supporters to ensure they are aware and compliant with any relevant legislation or guidelines around their fundraising.

The charity runs an internal lottery for staff of South Tees Hospitals NHS Foundation Trust and as such has a small lottery licence which is registered with Middlesbrough Borough Council and reviewed/renewed on an annual basis. During 2023/24 we did not work with any professional fundraisers or commercial participators to recruit new supporters, for example door to door fundraisers.

We are a member of NHS Charities Together and work closely with other NHS charities to benchmark our work, share best practice, and work together to offer support and education for our teams.

We are committed to supporting everyone who fundraises for the charity and understand that some people may be classed as vulnerable due to their personal circumstances or the circumstances of their loved ones. We ensure all our staff are trained and able to recognise someone who may be vulnerable and work closely with our hospital teams (and other relevant parties) to ensure the individual gets the most appropriate support.

We remain committed to growing and nurturing the support we receive from so many people who fundraise for the charity, often for very personal reasons. We are incredibly grateful for all the support we continue to receive from so many people across South Tees.

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Looking forward

We will continue to work closely with our colleagues at South Tees Hospitals NHS Foundation Trust and University Hospitals Tees to ensure the charity remains in a strong position to fund activities and initiatives that will enhance its services, going over and above those that the NHS can provide.

We are keen to develop innovate and effective partnerships and as such will also look forward to working in collaboration with our membership body, NHS Charities Together, to enhance our fundraising activities in the coming years.

We will continue to encourage, support, and thank the thousands of people across South Tees who give their time and energy to raising much needed funds for the charity, which in turn allows us to support patients, families, and staff across the region.

We invite everyone to find out more about our charity at www.southtees.nhs.uk/charity, pop in to see us at our Charity Hub in James Cook University Hospital or drop us a line on 01642 854169 or email OurHospitalsCharity@nhs.net

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Financial Review

Assets

The net assets of South Tees Hospitals Charity as at 31 March 2024 were £6.876 million (£6.832 million 2022/23). There was an increase in cash holdings to £1.525 million (£1.302 million 2022/23), an increase in debtors to £0.230 million (£0.061 million 2022/23) and an increase in creditors to £1.345 million (£0.737 million 2022/23).

Income

The Charity relies on income received from donations, legacies, and the voluntary fundraising efforts of the general public, who supported specific appeals or made gifts to support the wards from which they or loved ones had received care. In 2023/24 decreased from £1.913 million to £1.899 million.

The total income received amounting to £1.899 million was represented by voluntary income donations which totalled £0.636 million (£0.637 million 2022/23), bequests totalled £0.830 million (£0.622 million 2022/23), grants received totalled £0.138 million (£0.369 million 2022/23) and gifts in kind totalled £0.027 (£0.031 million 2022/23)

Investment income of £0.182 million (£0.182 million 2022/23 was received as well as income from charitable trading and activities of £0.086 million (£0.072 million 2022/23).

Expenditure

The Charity is a grant giving charity, rather than a service providing charity, in that it seeks to support the services provided by South Tees Hospitals NHS Foundation Trust.

All equipment and services purchased by the Charity are donated to the Trust. Expenditure from funds totalled £2.441 million, compared to expenditure of £1.251 million during the previous financial year.

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Expenditure has been spent on capital £1.492 million (£0.236 million 2022/23), patient C staff welfare £0.607 million (£0.623 million 2022/23), support costs £0.292 million (£0.270 million 2022/23) and other costs £0.050 million (£0.122 million 2022/23.

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Outgoing Resources
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Capital £1.492m Patient & Staff Welfare £0.607m Support Costs £0.292m

Investments

The Charity’s investments are held with CCLA Investment Management with an aim of maximising income and longer-term growth. Cash funds are held outside the portfolio to deal with the short-term cash flow issues. As of 31[st ] March 2024, there has been an in year unrealised gain of £0.586 million.

The performance of the investments is monitored by the Charitable Funds Committee which reports to the Board and reviews investment portfolio valuations provided at regular intervals by the advisers. The investment policy is reviewed on an on-going basis.

Market value brought forward
Disposal of investments
Fair value gains/(losses)
Market value as at 31 March 2024
Investments held:
Alternativeassets
COIF Charities Ethical Investment Fund		 TotalFunds
31 March 2024
£'000
TotalFunds
31 March 2023
£'000
6206
6512
(326)
586
-306
6466
6206
0
326
6466
5880
6466
6206

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Structure, Governance and Management

The South Tees Hospitals Charity was established by Trust Deed and is registered with the Charity Commission (charity number 1056061). As a body it is a member of NHS Charities Together.

All trust funds are registered with the Charity Commission under the umbrella registration of South Tees Hospitals Charity.

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

The Corporate Trustee fulfils its legal duty by ensuring that restricted funds are used in accordance with the objectives of each fund, and in designating funds the Trustee respects the wishes of the donor with due consideration made to the Charity Commission’s published guidance on Public Benefit as specified under the Charities Act 2011.

At the end of March 2024 there were 158 funds (264 in 2022/23). Each has a designated fund manager with specialist knowledge of the area to which the fund relates. They are generally clinical directors, managers, clinical consultants, heads of departments, ward sisters and Operations Directors who have the delegated power to commit expenditure up to £25,000. For all grants over £25,000 there is an approved Scheme of Delegation based on the Charity’s governance framework .

Charitable receipts are recorded in accordance with donors’ wishes to registered funds and expenditure is made in accordance with the objectives of each designated trust fund, within the limits set by the Trust’s Standing Orders, Standing Financial Instructions and Scheme of Delegation.

The accounting records and day-to-day administration of the funds are dealt with by the charities finance office, which is within the Trust’s Chief Executive’s department. It is the responsibility of the Corporate Trustee to ensure that the legal and accounting requirements of the Charities Act 2011 and directives from the Charity Commission are adhered to and that surplus funds are invested in a manner suitable for the maximisation of income and to safeguard the capital sums therein.

The Charitable Funds Committee supports and advises the Corporate Trustee of South Tees Hospitals Charity in discharging its responsibilities and remains accountable to the board of directors, acting as Corporate Trustee, in every respect. In 2023/24, the Committee met on three occasions to consider a range of strategic issues within its remit.

Our purpose is to enhance the services that South Tees Hospitals NHS Foundation Trust provides, supporting the provision of general healthcare and staff welfare, the improvement of specialist clinical and clinical support services and the advancement of clinical knowledge. The role of the Charity is not to fund patient care but to improve it.

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Strong governance is critical to our success and reputation. The Corporate Trustee has overall responsibility for our work, to ensure we are governed in accordance with the legal and regulatory requirements, and we meet our aims and objectives as a charity. The Corporate Trustee of the Charity is tasked with:

By establishing good governance at South Tees Hospitals Charity, ensuring:

Appointments to the Board are in accordance with the Trust’s Constitution, Terms of Authorisation, and legal and regulatory requirements.

Members of the Corporate Trustee

The Corporate Trustee is South Tees Hospital NHS Foundation Trust

The Charitable Funds Committee is supported by a number of professional advisers:

Bankers

Barclays Bank Plc Leicester LE87 2BB

External Auditor

Robson Laidler Accountants Ltd Fernwood House Fernwood Road Jesmond Newcastle upon Tyne NE2 1TJ

Investment Advisors

CCLA Investment Management Senator House 85 Queen Victoria Street London, EC4V 4ET

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Additional expertise relating to training is drawn from being a member of NHS Charities Together that holds regular conferences and symposia for the Corporate Trustee.

Key management personnel remuneration

Members of the Corporate Trustee and Charitable Funds Committee are required to disclose relevant interests and register them with the Company Secretary, withdrawing from decisions where conflicts of interest may exist.

Constitution and powers

The Corporate Trustee, under its Scheme of Delegation, has appointed the Chief Finance Officer to be the officer responsible for implementation of procedures, to ensure all legislation and directives are adhered to and that expenditure from trust funds is appropriate for the purpose.

The Chief Finance Officer maintains such accounts and records, as necessary, to record and protect all funds held in trust. He has responsibility for ensuring that the activities of each fund are within the regulations of the Charities Act 2011 and comply with the procedures adopted by the Trust.

Risk Management

The members of the Charitable Funds Committee periodically review the Charity’s risk register.

The major external risk, to which the charity could be exposed, is a sudden fall in the value of the investment portfolio. However, the Directors invest over the long term to ensure that the greatest returns are achieved.

Policies and procedures to mitigate risks include:

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Partnership working

The patients of South Tees Hospitals NHS Foundation Trust are the main beneficiaries of the Charity, and the Trust is a related party by virtue of the Board of Directors acting as Corporate Trustee. By working in partnership with the Trust, the Corporate Trustee has regard to the main activities taking place within its hospitals to ensure that funds are spent in accordance with the objects of each fund to support the health and welfare of patients and staff.

The Trust is well supported by groups and associated charities, including the South Cleveland Heart Fund, Royal Voluntary Service, Friends of the Friarage and The James Cook University Hospital Voluntary Services Organisation who over many years have raised hundreds of thousands of pounds to support the Trust.

Reserves

At the end of 2023/24, the charity held reserves of £6.876 million. All monies held in funds were unrestricted apart from £1.107 million which are held on a restricted basis.

Reserves are built up to reinvest into the South Tees Hospitals NHS Foundation Trust and provide maximum benefit to the patients and staff. The classification of restricted and unrestricted reserves is reviewed on an annual basis.

The Corporate Trustee has agreed that the minimum level of reserves that should be held within the Charity is £400,000. This equates to approximately one year’s operational costs and estimated annual commitments which includes salary costs.

Cash on hand balances of £1.525 million are held at the end of 2023/24.

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Statement of Director’s responsibilities in respect of the Corporate Trustee’s annual report and the financial statements

In accordance with the trust deed and charity law, the Corporate Trustee is responsible for preparing the Charity’s Annual Report and the financial statements in accordance with applicable law and regulations. The Corporate Trustee has elected to prepare the financial statements in accordance with FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland. The financial statements are required by law to give a true and fair view of the state of affairs of the charity and of the excess of expenditure over income for that period.

In preparing these financial statements, generally accepted accounting practice entails that the trustees:

The Members of the Corporate Trustee is required to act in accordance with the trust deed of the charity, within the framework of trust law. They are responsible for keeping proper accounting records, sufficient to disclose at any time, with reasonable accuracy, the financial position of the charity at that time, and to enable the Corporate Trustee to ensure that, where any statements of accounts are prepared by them under section 132(1) of the Charities Act 2011, those statements of accounts comply with the requirements of regulations under that provision. The Members of the Corporate Trustee have general responsibility for taking such steps as are reasonably open to them to safeguard the assets of the charity and to prevent and detect fraud and other irregularities.

The Corporate Trustee is responsible for the maintenance and integrity of the financial and other information included on the charity’s website. Legislation in the UK governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

On behalf of the Corporate Trustee,

Signed:

Chairman

Date: 3rd December 2024

Date: 3rd December 2024

Chief Finance Officer

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7. Audit report

Independent auditor’s report to the trustees of South Tees Hospitals NHS Charity

Opinion

We have audited the financial statements of South Tees Hospitals NHS Charity (the ‘charity’) for the year ended 31 March 2024 which comprise Statement of Financial Activities, Balance Sheet, Statement of Cash flow 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 FRS 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.

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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 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 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 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

In 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’ Report.

We have nothing to report in respect of the following matters in relation to which the Charities (Accounts and Reports) Regulations 2008 requires us to report to you if, in our opinion:

Responsibilities of Trustee

As explained more fully in the trustee responsibilities statement set out on page 23, the trustee is 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 trustee 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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Auditor’s responsibilities for the audit of the financial statements

We have been appointed as auditor under section 144 of the Charities Act 2011 and report in accordance with the Act and relevant regulations made or having effect thereunder.

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 the 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. Based on our understanding of the charity and its activities, we identified that the principal risks of non-compliance with laws and regulations related to the UK tax legislation, pensions legislation, employment regulation and health and safety regulation, anti-bribery, corruption and fraud, money laundering and we considered the extent to which non-compliance might have a material effect on the financial statements. We also considered those laws and regulations that have a direct impact on the preparation of the financial statements, such as the Charities Act 2011 and the Charities Statement of Recommended Practice.

We evaluated the trustees’ and management’s incentives and opportunities for fraudulent manipulation of the financial statements (including the risk of override of controls) and determined that the principal risks were related to posting manual journal entries to manipulate financial performance, management bias through judgements and assumptions in significant accounting estimates, and significant one-off or unusual transactions.

Our audit procedures were designed to respond to those identified risks, including noncompliance with laws and regulations (irregularities) and fraud that are material to the financial statements. Our audit procedures included but were not limited to:

Our audit procedures in relation to fraud included but were not limited to:

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There are inherent limitations in the audit procedures described above and the primary responsibility for the prevention and detection of irregularities including fraud rests with management. As with any audit, there remained a risk of non-detection of irregularities, as these may involve collusion, forgery, intentional omissions, misrepresentations or the override of internal controls.

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.

Use of the audit report

This report is made solely to the charity’s trustees, as a body, in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008. Our audit work has been undertaken so that we might state to the charity’s trustees 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 trustees as a body, for our audit work, for this report, or for the opinions we have formed.

Signed:

Michael T Moran BA FCA (Senior Statutory Auditor)

For and on behalf of Robson Laidler Accountants Limited

Statutory Auditor

Fernwood House

Fernwood Road

Jesmond

Newcastle Upon Tyne

NE2 1TJ

Date: 17 December 2024

Robson Laidler Accountants Limited is eligible for appointment as auditor of the charity by virtue of its eligibility for appointment as auditor of a company under section 1212 of the Companies Act 2006.

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8. South Tees Hospitals Charity Statement of Financial Activities for the year ending 31 March 2024

Notes
Income and endowments from:
Donations and legacies
4
Charitable activities
5
Other trading activities
6
Investments
8
Total income
Expenditure on:
Raising funds
9
Charitable activities
10
Total expenditure
Net gains / (losses) on investments
15
Net income/(expenditure)
Transfers between funds
20
Net movement in funds
Reconciliation of funds
Fund balances at 1 April 2023
21
Fund balances at 31 March 2024
Unrestricted
funds
£’000
1,017
44
1
182
1,244
210
1,367
1,577
586
253
(10)
243
5,526
5,769		 Restricted
funds
£’000
614
-
41
-
655
23
841
864
-
(209)
10
199
1,306
1,107		 Total
2024
£’000
1,631
44
42
182
1,899
233
2,208
2,441
586
44
-
44
6,832
6,876		 Total
2023
£’000
1,659
29
43
182
1,913
258
993
1,251
(306)
356
-
356
6,476
6,832

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9. South Tees Hospitals Charity Balance Sheet as at 31 March 2024

Unrestricted Restricted 2024 2023
Notes Notes
£’000		 £’000 £’000 £’000
Fixed assets
Investments 15 6,466 - 6,466 6,206
Current assets
Debtors and accrued income 16 230 - 230 61
Cash and cash equivalents 17 418 1,107 1,525 1,302
648 1,107 1,755 1,363
Creditors: amounts falling due within
1 year		 18 (1,345) - (1,345) (737)
Net current assets (697) 1,107 410 626
Net assets 5,769 1,107 6,876 6,832
Reserves
Unrestricted funds 21 5,769 - 5,769 5,526
Restricted funds 21 - 1,107 1,107 1,306
Total reserves 5,769 1,107 6,876 6,832

The notes at pages 24 to 41 form part of these accounts and were approved by the Corporate Trustee on 3rd December 2024

Signed on its behalf by:

Signed ……………………………………..

Name Mr Chris Hand

Date 3rd December 2024

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10. South Tees Hospitals Charity Statement of Cash Flows for the year ending 31 March 2024

Cash flows from operating activities
Net cash provided by (used in) operating activities
19
Cash flows from investing activities
Proceeds from sale of investments
15
Dividends, interest and rents from investments
8
Change in cash and cash equivalents
Cash and cash equivalents at the beginning of
the year
Cash and cash equivalents at the end of the
year
17		 2024
£’000
(285)
326
182
223
1,302
1,525		 2023
£’000
87
-
182
269
1,033
1,302

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11. South Tees Hospitals Charity Notes to the accounts

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1. Accounting Policies

The financial statements have been prepared under the historic cost convention, with the exception of investments which are included at fair value.

The financial statements have been prepared in accordance with the statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS102) issued on 16 July 2014 and the Charities Act 2011 and UK Generally Accepted Practice as it applies from 1 January 2019.

The Trustee considers that there are no material uncertainties about South Tees Hospitals Charity’s ability to continue as a going concern. There are no material uncertainties affecting the current year’s accounts.

In future years, the key risks to the Charity would be a fall in donations or a fall in the stock market and resulting losses and reduced investment income. The trustees have a risk management strategy and reserves policy in place to mitigate against such risks.

(b) Funds structure

South Tees Hospitals Charity has both restricted and unrestricted funds but has no endowment funds. The Charity has specific funds for each service area of its hospitals; each fund has its own objectives/purpose and is classified as un-restricted designated funds. If a general donation is made and no specific area is identified then the monies will be paid into the General Purpose Fund which is used to benefit patients and staff of the trust at the Trustees’ discretion. Appeals for a specific purpose are classified as restricted.

The major funds held are disclosed in note 22.

(c) Income

All income is recognised once the Charity has entitlement, or is probable that the resources will be received and the monetary value can be measured with sufficient reliability.

Where there are terms and conditions attached to the income, particularly grants, then the terms and conditions must be met before the income is recognised as the entitlement condition will not be satisfied until that point. When the terms or conditions have not been met or uncertainty exists as to whether they can be met then the relevant income is not recognised in the year.

(d) Income from legacies

Legacies are accounted for as income either upon receipt or where the receipt of the legacy is probable. Receipt is probable when;

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If there is uncertainty as to the amount of the legacy and it cannot be reliably estimated then the legacy is shown as a contingent asset until all of the criteria for income recognition are met.

(e) Expenditure and irrecoverable VAT

All expenditure has been accounted for on an accruals basis and has been classified under headings that aggregate all costs related to each category of expense shown in the Statement of Financial Activities. Expenditure is recognised when the following criteria are met:

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

The Charity reimburses the Trust for expenditure they have incurred on the Charity’s behalf; this is as a result of the grants awarded by the Charity. Reimbursement is made when the liabilities have been settled and payment made. Any goods received prior to 31 March but not yet settled are accounted for as accruals in year.

(f) Recognition of expenditure and associated liabilities as a result of a grant

Grants payable are payments made to linked, related party or third party NHS bodies and non NHS bodies, in furtherance of the charitable objectives of the funds held on trust, primarily relief of those who are sick.

Grant payments are recognised as expenditure when the conditions for their payment have been met or where there is a constructive obligation to make a payment. A constructive obligation arises when:

The Trustee has control over the amount and timing of grant payments and consequently where approval has been given by them and any of the above criteria have been met then a liability is recognised. When grants are awarded with conditions

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South Tees Hospitals Charity and Associated Funds

attached then those conditions have to be met, or expected to be met, before the liability is recognised.

Where an intention has not been communicated, then no expenditure is recognised but an appropriate designation is made in the appropriate fund. If a grant has been offered but there is uncertainty as to whether it will be accepted or whether conditions will be met then no liability is recognised but a contingent liability is disclosed.

(g) Allocation of support costs

Support costs are those which do not relate directly to a single activity. These include some staff costs, costs of administration, internal and external audit costs and IT support. Support costs have been apportioned between fundraising costs and charitable activities on an appropriate basis. The analysis of support costs and the bases of apportionment applied are shown in note 11.

(h) Fundraising costs

The costs of generating funds are those costs attributable to generating income for the Charity, other than those costs incurred in undertaking charitable activities or the costs incurred in undertaking trading activities in furtherance of a charity’s objects. The costs of generating funds represent fundraising costs together with investment management fees. Fundraising costs include expenses for fundraising activities.

(i) Charitable activities

Costs of charitable activities comprise all the costs incurred in the pursuit of the charitable objectives of the Charity. These costs, where not wholly attributable, are apportioned between the categories of charitable expenditure in addition to the direct costs. The total costs of each category of charitable expenditure include an apportionment of support costs as shown in note 10.

(j) Fixed asset investments

Investments are a form of basic financial instrument. Fixed asset investments are initially recognised at their transaction value and are subsequently measured at their fair value (market value) as at the balance sheet date.

(k) Debtors

Debtors are amounts owed to the Charity. They are measured on the basis of their recoverable amount.

(l) Cash and cash equivalents

Cash at bank and in hand is held to meet the day to day running costs of the charity as they fall due. Cash equivalents are short term, highly liquid investments, usually in less than 90 day notice interest bearing savings accounts.

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(m) Creditors

Creditors are amounts owed by the Charity. They are measured at the amounts that the Charity must pay to settle the debt.

Those amounts which are owed in more than one year are shown as long term creditors.

(n) Realised gains and losses

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

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2. Prior year comparatives by type of fund

The primary statements provide prior year comparatives in total; this note provides prior year comparatives for the Statement of Financial Activities and Balance Sheet for each type of fund that South Tees Hospitals Charity manages.

2A Unrestricted Funds – Statement of Financial Activity for the Year ended 31 March 2024

Income and endowments from:
Donations and legacies
Charitable activities
Other trading activities
Investment income
Total income
Expenditure on:
Raising funds
Charitable activities
Total expenditure
Net gains / (losses) on investments
Net income/(expenditure)
Transfers between funds
Net movement in funds
Reconciliation of funds
Fund balances at 1 April 2023
Fund balances at 31 March 2024		 2024
£’000
1,017
44
1
182
1,244
210
1,367
1,577
586
253
(10)
243
5,526
5,769		 2023
£’000
569
25
-
182
776
159
807
966
(306)
(496)
(165)
(661)
6,187
5,526

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South Tees Hospitals Charity and Associated Funds

2B Unrestricted Balance Sheet as at 31 March 2024

Fixed assets
Investments
Current assets
Debtors and accrued income
Cash and cash equivalents
Creditors: amounts falling due within
1 year
Net current assets
Net assets
Reserves
Unrestricted funds
Total reserves		 2024
£’000
230
418
648
(1,345)		 2024
£’000
6,466
(697)
5,769
5,769
5,769		 2023
£’000
61
(4)
57
(737)		 2023
£’000
6,206
(680)
5,526
5,526
5,526

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South Tees Hospitals Charity and Associated Funds

2C Restricted Funds – Statement of Financial Activity for the Year ended 31 March 2024

Income and endowments from:
Donations and legacies
Charitable activities
Other trading activities
Investment income
Total income
Expenditure on:
Raising funds
Charitable activities
Total expenditure
Net gains / (losses) on investments
Net income/(expenditure)
Transfers between funds
Net movement in funds
Reconciliation of funds
Fund balances at 1 April 2023
Fund balances at 31 March 2024		 2024
£’000
614
-
41
-
655
23
841
864
-
(209)
10
(199)
1,306
1,107		 2023
£’000
1,090
4
43
-
1,137
99
186
285
-
852
165
1,017
289
1,306

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South Tees Hospitals Charity and Associated Funds

2D Restricted Balance Sheet as at 31 March 2024

Fixed assets
Investments
Current assets
Debtors and accrued income
Cash and cash equivalents
Creditors: amounts falling due within
1 year
Net current assets
Net assets
Reserves
Restricted funds
Total reserves		 2024
£’000
-
1,107
-		 2024
£’000
-
1,107
1,107
1,107
1,107		 2023
£’000
-
1,306
1,306
-		 2023
£’000
-
1,306
1,306
1,306
1,306

3. Related party transactions

South Tees Hospitals NHS Foundation Trust patients are the main beneficiary of the Charity and the trust is a related party by virtue of being Corporate Trustee of the Charity. The charity has provided funding to the Trust for approved expenditure made on behalf of the charity. During the current financial year this expenditure amounted to £1,469 million (£1,251 million 2022/23) with £0.679 million owed by the charity to the Trust at 31 March 2024 (£1.094 million 2022/23).

During the year, no members of the Charitable Funds Committee, the key management staff or parties related to them has undertaken any material transaction within the South Tees Hospitals Charity and Associated Funds.

The South Tees Hospitals NHS Foundation Trust makes a number of services available to the Charity; these include the use of the general ledger system, procurement system, payroll reimbursement system and office accommodation.

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Board members and directors

Declarations of interests, completed on an annual basis by Executive and NonExecutive Directors, have been reviewed to identify any related party relationships requiring disclosure within this note.

There were no charity related party transactions connected with Directors of the Corporate Trustee and their associated interests.

4. Income from donations and legacies

Donations
Fundraising generated by donors
Gift aid
Corporate donations
Legacies
Grants receivable
Gifts in kind		 Unrestricted
funds
£’000
323

146
30
65
349
77
27
1,017		 Restricted
funds
£’000
38
22
2
10
482
60
-
614		 Total
2024
£’000
361
168
32
75
830
138
27
1,631		 Total
2023
£’000
414
136
42
45
622
369
31
1,659

Donations from individuals are gifts from members of the public, relatives of patients and staff. Grateful patients and family members express their gratitude for the care received; supporters often undertake fundraising activities and collect sponsorship.

5. Analysis of income from charitable activities

Payment for holistic treatment provided
Atrium stalls
Other trading income		 Unrestricted
funds
£’000
28
10
6
44		 Restricted funds
£’000
-
-
-
-		 Total
2024
£’000
28
10
6
44		 Total
2023
£’000
23
-
6
29

Trading income was primarily from the therapy treatments to patients of South Tees Hospitals provided by the Trinity Holistic Centre.

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South Tees Hospitals Charity and Associated Funds

6. Analysis of income from other trading activities

Staff lottery deductions
Miscellaneous income		 Unrestricted
funds
£’000
-
1
1		 Restricted
funds
£’000
41
-
41		 Total
2024
£’000
41
1
42		 Total
2023
£’000
43
-
43

7. Role of volunteers

The Charity is reliant on a team of volunteers. In accordance with the SORP, due to the absence of any reliable measurement basis, the contribution of these volunteers is not recognised in the accounts.

8. Gross investment income

Investments listed on a Stock
Exchange held in the UK		 Total
2024
£’000
182
182		 Total
2023
£’000
182
182

9. Analysis of expenditure on raising funds

Fundraising events
Lottery winnings paid
Support costs		 Unrestricted
funds
£’000
16
-
194
210		 Restricted
funds
£’000
-
23
-
23		 Total
2024
£’000
16
23
194
233		 Total
2023
£’000
85
22
151
258

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South Tees Hospitals Charity and Associated Funds

10. Analysis of charitable expenditure

The Charity did not undertake any direct charitable activities on its own account during the year.

Expenditure is incurred in favour of South Tees Hospitals NHS Foundation Trust to carry out activities which will benefit NHS patients, their families and staff. The Charity incurred expenditure with third parties in pursuance of those grants or reimbursed expenditure incurred by them or their staff.

The Charity reimburses the Trust once the expenditure is recognised, this is when liabilities have been settled and payment made with obligations committing the Charity to expenditure by fund-holders to whom power to expend Charity funds has been delegated, any goods or services received prior to 31 March 2024 but not yet settled are accounted for as accruals in year.

Patient welfare
Staff salaries, education &
welfare
Capital
Goods & equipment
Course running costs
Volunteer support costs
Gifts in kind		 Unrestricted
Grant
Funded
Activity
£’000
Unrestricted
Support
costs
£’000
Restricted
Grant
Funded
Activity
£’000
Restricted
Support
costs
£’000
Total 2024
£’000
Total 2023
£’000
225
17
8
-
250
219
235
21
82
-
338
415
695
52
745
-
1,492
236
72
5
6
-
83
75
4
-
-
-
4
2
10
1
-
-
11
15
28
2
-
-
30
31
1,269
98
841
-
2,208
993

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South Tees Hospitals Charity and Associated Funds

11. Allocation of support costs and overheads

External audit
Governance
Salaries and related costs
Bank charges
Rent and rates
System Changes
Miscellaneous		 Raising
funds
£’000
9
9
173
6
3
3
-
194		 Charitable
Activities
£’000
-
-
98
-
-
-
-
98		 Total
2024
£’000
9
9
271
6
3
3
-
292		 Total
2023
£’000
11
11
250
6
-
3
-
270

12. Directors of the Corporate Trustee remuneration, benefits and expenses

The members of the governing committee give their time freely but are able to claim expenses to reimburse them for costs that they incur in fulfilling their duties.

Committee members have not received remuneration, benefits or expenses during 2023/24 or 2022/23 in relation to their support of the charity.

13. Staff costs and Key management personnel

The Charity does not directly employ any members of staff. The services used by the Charity are provided by South Tees Hospitals Trust. The cost of providing these services are recharged to the Charity by the Trust.

The charity considers its key management personnel to be the Directors of the Corporate Trustee and the Director of Charities.

14. Auditor’s remuneration

The auditor’s remuneration for the 2023/24 financial year was £10,500 (£10,200 2022/23) related solely to the audit with no additional work being undertaken.

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15. Fixed asset investments

Market value brought forward
Disposals
Net gain/(loss) on revaluation		 Total
2024
£’000
6,206
(326)
586
6,466		 Total
2023
£’000
6,512
-
(306)
6,206

16. Analysis of current debtors

Other debtors - unrestricted
Prepayments & accrued income -
unrestricted		 Total
2024
£’000
61
169
230		 Total
2023
£’000
1
60
61

Other debtors represent sums owed to the Charity by other non-related parties.

17. Analysis of cash and cash equivalents

Cash in hand - unrestricted
Cash in hand - restricted		 Total
2024
£’000
418
1,107
1,525		 Total
2023
£’000
(4)
1,306
1,302

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18. Analysis of liabilities

Other creditors - unrestricted
Accruals - unrestricted		 Total
2024
£’000
1,283
62
1,345		 Total
2023
£’000
684
53
737

19. Reconciliation of net income to net cash flow from operating activities

Net income (per SOFA)
Adjustments for:
Net (gain)/loss on investments
Investment income
Decrease/(increase) in debtors
Increase/(decrease) in creditors		 Total
2024
£’000
44
(586)
(182)
(169)
608
(285)		 Total
2023
£’000
356
306
(182)
91
(485)
87

20. Transfers between funds

There were two transfers from restricted to unrestricted funds during the financial year.

Transfers Unrestricted
£’000
(10)
(10)		 Restricted
£’000
10
10

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South Tees Hospitals Charity and Associated Funds

21. Analysis of charitable funds

A – Analysis of restricted funds

Fund
Small Restricted Donations
To Benefit Mowbray Suite
FHN
NHS Charities
Staff Lottery
Hearts and Minds Cardio
Appeal
Maternity Bereavement
Rheumatology Staff & Patient
Oncology/Radiotherapy/Ward
14
Renal Unit
Ward 8 Urology General Jcuh
Orthopedics
Head & Neck Research
H & R Palliative Care
Diabetes & Id Ward Fund
Rehab Unit
Maxillo Facial Surgery Fund
Special Care Baby Unit
ITU/Hdu
Robert Ogden Centre
H + R Palliative Care
Cardiology
Restricted Funds		 Balance at
1 Apr 2023
£’000
24
41
76
121
753
47

123

85
15

15
5
1
-
-
-
-
-
-
-
-
-
1,306		 Income
£’000
-
-
-
41
60
28
-
31
-
-
-
-
5
24
-
1
203
203
20
20
20
656		 Expenditure
£’000
-
(40)
-
(34)
(780)
(11)
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
(865)		 Transfers
£’000
-
-
(1)
-
1
-
-
-
-
-
-
-
-
4
6
-
-
-
-
-
-
10		 Balance at
31 Mar 2024
£’000
24
1
75
128
34
64
123
116
15
15
5
1
5
28
6
1
203
203
20
20
20
1,107

B – Analysis of unrestricted and material designated funds

Fund
South Tees Hospital Charity
and Associated Funds
Unrestricted Funds
Total Funds		 Balance at
1 Apr 2023
£’000
5,526
5,526
6,832		 Income
£’000
1,830
1,830
2,486		 Expenditure
£’000
(1,577)
(1,577)
(2,442)		 Transfers
£’000
(10)
(10)
-		 Balance at
31 Mar 2024
£’000
5,769
5,769
6,876

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South Tees Hospitals Charity and Associated Funds

£100,000 or above is set as an opening or closing balance threshold for the separate reporting of material designated funds.

Other designated funds relate to assisting patients of services provided by the South Tees Hospitals NHS Foundation Trust for which donors have indicated their nonbinding wishes when making their generous gifts.

The general funds included donations where donors have not expressed any preference as to how the funds shall be spent and the unrestricted income accruing to the charity. These funds are applied for any charitable purpose to the benefit of the patients of South Tees Hospitals NHS Foundation Trust at the absolute discretion of the Corporate Trustee.

22. Funds over £100,000 for disclosure

2024 2024
Name Description £’000 £’000
Any charitable purpose relating to the NHS,
General Fund wholly or mainly for the services provided 1,391 1,113
by South tees NHS Foundation Trust
Staff Lottery Control Account For the benefit of staff 129 121
Brest Cancer Fund (Surgery) Development in breast care unit 188 123
Oncology/Radiotherapy/Ward 14 For the benefit of patients and staff 239 279
For the benefit of patients and staff as well
Rheumatology as for training and education of staff and 260 234
patients
To generate donations to help with
Endocrinology Diabetes, Endocrinology related education,
support courses, conferences and		 165 103
purchase equipment for patients care
Special Care Baby Unit For the benefit of patients and staff 459 214
Spinal Injuries For the benefit of spinal injuries, patients
and staff		 226 267
Hematology To support research and facilities for
Heamatolgy service		 211 184
South Tees Post Graduate Medical
Centre
To fund post graduate medical education		 150 142
Cardiology For the benefit of staff and patients 87 132
Hearts and Minds Cardio Appeal For the development of Cardiovascular
Clinical research Facility		 34 753
ITU/HDU For the benefit of staff and patients in
Critical Care		 261 69
Pediatrics General Fund For the benefit of staff and patients in
Pediatrics		 133 53
Cardiothoracic Trust Fund For the benefit of staff and patients within
the cardiothoracic division		 161 35

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South Tees Hospitals Charity and Associated Funds

23. Capital Commitments

At the year end the trust has capital commitments of £69,300 in relation to Therapy Chairs that were ordered pre year end but not received or invoiced until post year end.

41