2024-03-31-accounts

St Peter & St James Hospice UospiGo• irt 4ko• &s St Peter & St James Charitable Trust Annual Report and Consolidated Financial Statements Yearended 31 March 2024 Charity number 1056114 Company number 3204919

Contents Introductionfrom the Chief Executive and Choir................................................................................. Overview of Services..................................................... Financial Challenges. Commitment to Quality................................................................................................................................ Looking Ahead..................................................... Acknowledgements......................................................................................................... Our Mission.................. . . . ...... .. Our Values................................................................................................................... . OurStrategy..................................................-........-.......................................................................... Overview of Services..................................... ... ... ......-..................................................................... 2023-2024 Achievements................................................ Inpatient Unit.............................................................................................................................................. Community Services.......................................... .......................................................................................... Supportive Care Services........................................................................................................ Quality and Safety...... . Clinical Audit................................... Patientsafety Indicotors...................................................................................................................10 Medicines Management............................................................................................................................. 10 Falls. .11 Pressure Ulcers . .11 Infertion Prevention & Control (IPC)........ .12 Safeguarding........................................... .13 Feedback....................................................................... .13 Examples of feedback from The Experience of Care QL•estionnaire..............................................................13 Exarnples of feedback from The Voices Questionnaire Voices:.....................................................................14 Complaints .14 Research.................................................................................................................................................... 14 Medical Revalidation....... .14 Quality Improvement Priorities (QIP5)...............................................................................................15

QIPsfor2024-2025........................................................................................................ . . ..16 Define our Models of Care..................... .16 Electronic Prescribing......................... .16 Non-medical Prescribing. .17 Data Quality. Analysis and Application . .18 Structure. Governance ond Monagement........................................................... . ............................19 Our People... ....................................................................................................................................20 Trustees................................ .20 Executive Team...................................... .20 OURFINANCIAL PERFORMANCE2023/24..........................................................................................21 Statement of Trustees, Responsibilities.............................. ..24 Independent Auditorfs Report To The Member5 Of St Peter & St James Charitable Trust.................. Statement of Financial Activities fincorporoting an income and expenditure occountj for the year ended 31 March 2024.............................................. ......................................... .........................................29 ..25 Bolance Sheets os at31 March 2024.......................................................... . ..30 Consolidated Cosh Flowstotementas at31 March 2024...................................................... .. ..........32 Principal Accounting Policies ...... ..33 Supporting Notes to Financialstatements.......... ..............................................................................37

Introduction from the Chief Executive and Chair St Peter & St James Hospice provides specialist palliative and end-of-life care to our community. Our mission is to support patients and their families through some of the most challenging times of their lives, with dignity, comfort, and compassion. This report reflects our ongoing commitment to excellence in care, transparency in ouroperations, and continuous quality improvement. Overview of Servlces St Peter & St James H05pice offers a range of services including inpatient care, community support and bereavement services. Our multidisciplinary team works tirelessly to tailor care to individual needs, providing not only medical and nur5ingcare but also emotional, psychological, and spiritual support. Financial Challenges Hospices across the UK, including ours, face significant financial challenges. Unlike NHS services, hospices rely heavily on charitable donations, fundraising efforts, and community support to cover most of our operating costs. The precarious financial position in which we find ourselves- along with many other hospices across the country - is exacerbated by the increasing demand for hospice services, coupled with rising operational costs and the economic uncertainties that impact fundraising activities. In the past year, we witnessed a shortfall in our funding, which has put immense pressure on our resources. Despite these challenges, our commitment to quality and patient-centred care remains unwavering and we continually strive to deliver care to the highest standards. Commitment to Quality This report highlights the achievements of the past year, the challenges we faced, and our plans for the next financial year. Key areas of focus include.. Clinical Effectiveness Continuous evaluation and improvement of our practice to ensure the highest standards ofcare. Patient Experience Listeningto our patients and theirfamilies to understand their needs and improve experience. Patient Safety Enhancing protocols to ensure the safety and well-beingofour patients. Looking Ahead We are actively seeking new funding opportunities, engaging with our community, and advocating for greater governmental support to ensure the sustainability of our services. It is through the collective efforts of our staff, volunteers, supporters, and the community thatwe can continue to provide essential care to those in need. We are working with other hospices in our local area to ensure we capitalise on opportunitie5 to maximise efficiencies, generate cost savings, and make the case to the NHS for fair funding, commensurate with the services we provide.

Acknowledgements We extend our heartfelt gratitude to our staff, volunteer5, and supporters. Their dedication and generosity are the cornerstones of our hospice. Together, we can navigate these financial challenge5 and strive to deliver the highest quality of care. Dr Martin Powell Harrietcreamer Chief Executive Chair

Our Mission St Peter&StJames Hospice providesexpertcareto adults livingwith a life-limiting illness in ourcommunity. Our support extends to friends and families too. Our community includes Burgess Hill, Haywards Heath, Lewes, Uckfield and everywhere in between. We support people to live and die well, according to what matters most to them. Our mission is to provide the best Possible care, in the right place, at the right time, to everyone who needs us. Our workforce is committed to excellence i n all they do. Ourvalues Ourvalues are at the heart ofour organisation and define who we are, how we work, and whatwe believe in and stand for.. Compassion We show everyone empathy, kindness, and respect. Integrity We do the rightthing, no matter how challenging. Accountability We take responsibility for our actions and outcomes. Excellence We strive to be outstanding and aim to exceed expectations. Inclusivity We welcome and respect everyone. Our Strategy People affected by life-limiting illness are central to ourcause, and ourstrategy is designed to ensure they receive the best possible care, in the right place, at the right time. To achieve this, we need a skilled workforce which is committed to excellence and prepared to deliver care and support to everyone who needs us. We have adopted a culture ofcontinuous improvement, striving for excellence and will remain agile, professional and responsive. We cannot do this without financial Stability, clear operating models and effective collaboration with all our stakeholders. While we focus on our impact in the local community, we must also face the crisis of climate change. As an organisation we have a duty to do what we can to reduce our impact on the environment, therefore we have a goal of net zero emissions by 2030. Our strategic goals for 2022 - 2025 are: Flnanclal stability Excellert care and SLtpport Target Net Zero Emissions skllted workforce Community recognitlan

Overview of Services 2023-2024 Achievements The clinicalteams worked hard to expand our reach, and this led to a significant rise in the supportwe provided to patients and carers during the last year. We have improved the support we give to carers by engaging with external stakeholders and creating a Carers Coordinator role, resulting in more people using our Living Well Centre. Overthe lastyear, we focused on optimisingour in-patient resources, creating a specific'turn-around, bed, which reduced the time it took to admit patients, and we experienced a 280h increase in the number of occupied bed days. By changing how we work in the community team, we were able to meet the growing demand for palliative care in our local area, ensuring that more people who need our support receive it. 2022 - 2023 2023- 2024 Increase New Patient Referrals Total Patients Supported Non-patients Supported Occupied Bed Days Bereavement Clients 688 747 90/0 864 912 174 233 340hi 1955 2501 28% 97 114 18% Community Patients Preferred Place of Death Recorded 693 858 24% 636 642 Inpatient Unit Thisyear, we cared for 161 patients with complex specialist palliative care needs on our Inpatient Unit IIPU). We hired more Registered Nurses as our activity and occupancy rate increased to 850/0, compared to 67% last year. Our average stay length also increased from 11.2 to 14.9 days. Community Services We support patients in community settings (including care homes), with 676 referrals this year. Our therapies service, which works with the IPU and Community, has seen 215 referrals, more than double the number from last year. The overall data indicates a consistent increase in the reach of our hospice clinical services over the lasttwo years, reflectingthe work we have done to reform and re-establish our provision after a period of change. Supportive Care Services Supportive Care Services have expanded, demonstrated in the table below which shows the increase in referral rates this year. We offer our counselling service to patients, carers and the bereaved, and from November 2023, we extended the service to children who are affected by the diagnosis, death, and bereavement of any of our patients. We have more group sessions atthe Livingwell Centre, which help patients in various ways such as peer support, self-care, meaningful activity, and education. We also offer individual sessions, which include Life Stories and Songwriting. Our Carers Support service is reaching more people in the community and all its services are growing. There are currently three services within Carers Support, and we are planning to add two more activities soon, a Saturday crafting session and a gardening group,to help the carers in ourcommunity.

Our Welfare Advisor helps with various practical issues such as finance, housing, assistive devices, and transport. They also offer after-death support such as funeral arrangements. Our Complementary Therapy service provides additional symptom relief. The Complementary Therapist Co- Ordinatorjoined us in May 2023 and has fourvolunteers who offer massage, aromatherapy, reiki, and reflexology. Two more volunteers, includingan acupuncturist, willjoin the team soon. Team 2022-20 2023-20 Increa C•un5•11ing Llvlngwell Centre Careys Support Welfaresupport Cgmpl•rywbtsryT.hei•py.: 154 266 73% 58 120 107% 69 2200 % 259 287 io 85 750% Quality and Safety We regularly review our processes to make sure all aspects of governance are strong and efficient. Our Quality and Safety Committee has an experienced Trustee a5 its Chair and plays a key role in assuring the Board of the quality and performa nce of our cli nical services. This year, we conducted a major review of our clinical governance structure to make sure that our clinical services follow safe, effective, and evidence-based practice. We revised our Clinical Risk and Effectiveness Group ICREGI to oversee our patient outcomes, clinical risks, programme of Clinical Audit, Research, and Quality Improvement Priorities IQIPS). The Quality and Safety Committee has analysed our safety data and narrative in detail, and annual clinical governance reports also provide a comprehensive assurance process of safe and effective care.

Clinical Audit The hospice has revitalised our programme of clinical and assurance audits which are overseen by the CREG as summarised below: Completed Assurance Audit Overall Compliance Compliant Date Improvement Actions Safeguarding October 2023 Review the Designated Safeguarding Officer Role Falls Risk Assessments 81% November 2023 Introduce Falls Policy and further develop falls training. Introduce baseline lying and standing blood pressure monitoring. Introduce guidance on documentation of falls risk assessment and post-fall clinical review. Controlled Drugs ICDI Audit 97.4% November 2023 Introduce procurement SOP Non-CD Audit 93% February2024 standard operating procedures developed; prescription chart audit introduced. Add itional training i ntroduced and rolled out to raise awareness and engagement. Integrated Palliative Care Outcome Scale liPOSI Audit Variable February 2024 Controlled Drugs Accountable Officer ICDAO) Audit Prescription charts audit loo% February 2024 Continue to be vigilant and monitor any legislative changes. 60% March 2024 Record weight, create a list of agreed abbreviation5 and add tothe SOP. Create list of names and signatures for prescribers. Posters displayed and additional training provided. Action progress monitored via the monthly IPC working group. Hand hygiene audit 95% March 2024 Annual Infection control Audit 92% July 2023

Patient Safety Indicator5 Seniorclinicians examine all clinical incidents and reportthem to our Quality and Safety Committee. Medicines Management The Medication Management Safety and Quality Group includes members of stafffrom all disciplines across our clinical services and its Terms of Reference ITORI are updated every year. As part of our focus on patient safety, we introduced Medication Safety Officer IMSOI and Medical Devices Safety Officer IMDSOI roles. The Controlled Drugs Accountable Officer ICDAO} reports benchmarking data to Hospice UK and the chart below shows the number of reported incidents compared to hospices with similar bed capacity: Benchmarked Me(lication Related Incidents 10.5 10.5 10.9 Ill oi Q2 Q3 04 Mpflirinp Incidpnts HUK BonrhrnJrk io

Falls We monitor all falls in our clinical services. The table below show5 the falls that were reported compared to the HUK benchmark for reporting year 2023124: Benchmarked Falls oi Q3 Q4 Falls HUK Benchmark The Rehabilitation Lead has delivered dynamic risk assessment training to 80 % of staff who work with patient5, which has increased theirconfidence, especiallythose newto Specialist Palliative Care. The remaining 20% will attend the sessions arranged in the early part of the new financial year. The dynamic risk assessment principles in specialist palliative care, where patient needs change quickly, supporta safety culture and practicethat enable staff to quickly spot, assess and act on risks in a changing environment. Staff are trai ned by ou r Rehabi litation Lead i n the Rehabi litative Palliative Care (RPCI approach to help patients reach their mobility goals, while managing risk. Pressure Ulcers We reportand analyseallpressure ulcersatourweekly incidentmeeting. In thisyear,the h05picehastakenthese actions to lowerthe frequency and improve the management of pressure ulcers: Reinforced the role of the Wound Link Nurse on the IPU. Arranged additional training from the Tissue Viability Nurse ITVNI on pressure and moisture damage, with examples of suitable dressings and best practice care plans to be included in the training packages. Wound Link Nurse providing frequent training sessions to ensure all staff on the IPU have attended at least one session. 11

Infection Prevention & Control (IPC) The hospice undertakes internal IPC monthly audits with an annual, externally commissioned auditto provide a fair, independent assessment of the IPC standards across all areas of the hospice. CleaiiillLJ Service lursiiig Estates Overall Scor'e Mar-24 loo, loo/ Feb-24 loo% loo/ Jan-24 loo% Dec-23 loo% Nov-23 iooy. Oct-23 loo/ Sei)-23 loo% loo/ ALig-23 loo% IOO/ts Jul-23 loo% IOOYJ Jun-23 IOOYO iooy. May-23 IGOYO loo/ Apr-23 98% IDOD/, Graph (above) illustrates tlie compliance in terms of cleaning standords ocross the h05pice for Ql-Q4 2023/24 Additionally, we conduct monthly hand hygiene audits and identified areas for improvement regarding the World Health Organisation's IWHOI 5 momentsofhand hygiene, includingthecorrectuseofhand geland safelydealing with bodily fluids. The IPC link nurse on the IPU provides feedback and guidance to staff to support learning, development, and safe practice. Hand Hygience Compliance loo% 14 'Jo% iou 951b' i? 800/0 70 -.ID io 60Q/o 50 4t)Vtr 20 In 0% llllllMIH Ai)r-?3 M,iy-2.-5 IiJii-:3 lul.23 Alig2,) Sep-?3 Oct-23 Nov-23 Do.c-."J l<in-?4 F(..b- Graph (obove) demonstrotes compliance on monthly basi5 versus stoff numbers involved in the audit, Ql-Q4 23/24 12

Safeguarding We increased awareness of safeguarding amongourclinical and non-clinical staff and volunteers throughout the hospice's operations. Safeguarding concerns are reported properly and discussed both informally with the safeguarding Lead or Team Leads and formally at MDTS and incident report meetings. Safeguarding Incidents are referred to Adult Social Care (ASCI when necessary. There were 34 concerns raised in the last year from the multi professional team. 21 of these were referred to ASC, none of which were related to our care. Designated Safeguarding Officer (DSOI meetings are held monthly, and the membership is representative ofeach department across the organisation. Level 3 Safeguarding training is undertaken by all members of the counselling team who support children and all DSO representatives. Processes are in place throughout the Hospice to ensure all Safeguarding cases are handled in accordance with best practice and the Safeguarding Lead strives to enhance efficiency and ensure Safeguarding is central to all our services, so patients and those close to them are kept as free from harm as possible. Feedback St Peter and St James welcomes comments on our services from patients, family and carers, to enhance our services. We provide our Experience of Care questionnaire to all IPU patients on their second day of admission and send it quarterly to our entire community patient cohort. The Voices questionnaire is sent to the bereaved 12 weeks after a patient's death. In the year 2023-2024, 1,242 Experience of Care Questionnaires were dispatched and 270 were received. a response rate of 22 %. The Voices questionnaire was dispatched to 279 family members or carers and 82 completed questionnaires were received, a response rate of 290/0. Overall, feedback from both questionnaires is very positive. Most respondents strongly agree that they would recommend St Peter & St James Hospice and felt that they were treated with dignity and respect. Although response rates are relatively low, they are comparable with other providers offering hospice services. Examples of feedback from The Experience of Care Questionnaire There is absolutely nothing to compare for the quality of care afforded to each and every individual who comprises this team of exemplary professionals. I worked for over 37 years in the NHS and would be honoured to have been part of this establishment. Natural, friendly, human, knowledgeable, nothing but nothing is too much trouble, humour++. I could go on eulogising about this place, team of superb staff, volunteers, great food etc.- and no it's not the medication talking- it's heartfelt yet plain to see have received care in the forms of pain management, coun5elling and physiotherapy. In each case the care has been excellent. Both the physio and counselling were offered to me at the suggestion of staff. I was most impressed and grateful 13

Examples of feedback from The Voices Questionnaire Voices: Your help and care in the last 3 weeks of my husband's life meant that I could support him to be at horne. Thank you so much for looking after my dear husband Yourteam at the hospice was excellent from day I to the last day of her Ilfe Complaints We receive feedback from those who use our services in other ways too, such as via our website, email, verbally and via feedback forms available throughout the building. Concerns are dealt with immediately and resolved to the satisfaction of the person raising it in a timely fashion. Any themes and patterns are identified and monitored so we can improve our care and supportwhereverwe can. During the year we received one formal complaint and commissioned an external provider to investigate the complaintthoroughly and provide a set of recommendations. As a result, we: Developed a welcome leaflet for IPU patients to explain our services Enhanced our Ward Support volunteer role, to support patients with food choices and help family members be as comfortable as possible, especially when staying overnight Reinforced'softerskills, duringtrainingsessions for staff, especiallywhen moving& handling patients Reviewed our policy on animals in the hospice, leadingto the decision to rehome the hospice cat5 Research Wetook part in one clinical research projectthisyear. The hospicewaschosen asa sitefortheCHELsea11 (Cluster Randomised Trial of Clinical Assisted Hydration in Patients in the Last Days of Lifel phase111 clinical trial funded by the University of Surrey in May 2022. We were approved to begin recruiting patients in February 2023 and enrolled 10 patients to the study by March 2024. We became part of a Kent, Sussex and Surrey wide research collaborative, which is working with the National Institute of Health and Care Research INIHR) to create resources to support research governance in Hospices. Medical Revalidation We ensure that all doctors in our organisation meet the General Medical Council's standards for Medical Appraisal and Revalidation. We have a Service Level Agreementwith University Hospital Sussex NHS Foundation Trust who help us with Accountable Officer services. We reached 100 % compliance fordoctors with a prescribed connection at St Peter & St James Hospice finishing their appraisal cycle on time or having an approved exception. 14

Quality Improvement Priorities (QIPS) In 2023-2024 we established the following QIPS.. To improve our documentation and reporting function within our Electronic Patient Record IEPRI system. To improve our approach to raising and reporting safeguarding concerns and embedding safeguarding as everyone's business To increase our reach in the Living Well Centre (LWCI & Supportive Care ISCI services with the implementation of a rehabilitative palliative care IRPCI approach. To review our referral acceptance and discharge planning processes. As explained in the safeguarding section above, we reviewed our safeguarding practice across the organisation. A key part of this review was ajoint audit across Sussex hospices, which involved a team of hospice trustees from across the county evaluating the quality of safeguarding practice in each others, hospices. We successfully adopted a rehabilitative palliative care approach in our Living Well Centre ILWCI and extended our reach, increasingthe number of groups we run every week and adding a Fatigue and Breathlessness Group, a Restore Shed and a Living Well Matters education program. From January 2024 we are providing counselling supportto children as well as adults and this service has been used by 10 children in the lastquarterofthe year. We will continue to work on our electronic patient record IEPRI as part of the QIP program for 24-25. This will ensure we have reliable data going fO￿ard so we can report regularly on our patient activity and patient reported outcomes across all our services. We will also examine our referral acceptance and discharge processes in more detail and make any necessarychanges as part of this review of our EPR. 15

QIPS for 2024-2025 Define our Models of Care To ensure equitsble access to services by all those who need us. To streamline processes and ensure patients receive the right care in the right place, by the right person, atthe righttlme. Why: Wewill define and describe what we do, for whom, when, and how much. e wiFt, describe pathways acCor￿1ng to a cohe￿nt taxonomy. We will determine the level of Input for patients wEtPkerailty, dementia, and other diseases where it is less clear to what degree hospices should inteNene.. We will developthe models of care into a Clinical Strategy for the next3-5 years. How? Electronic Prescribing .To hèEyTeduce medkatlon lfictdent5, To Improve remote assessment, remote prescrlbing, and easler integration of rec(Irdsbr medicatlon audits and incidents. Why,. We wlll research and implement an electrortic prescriblngsystern for use on the In-Patient Unfc. We wlll aim to collaborate with a local Hospice to reduce duplication.of effort and tlme and financial resources needed. We will workwith the new system provider to ensure hardware and 4 software are in place to accommodate electronlc prescribing. We will provide tralningfor all stalf involved in the prescribing and adminlstration of medicines. How? 16

Non-medical Prescribing To improve the support we give our patients to live and die well in."., their preferred place of care, through the enhanced skills of Non edical Prescribing INMPI. To enhance effective symptom control by supporting patients Wit timely access to treatment with medicines, thus enabling choice reducingsyrnptom burden and admission to hospital attheend of life Why,. We will define NMP min,imum standards for the Hospice. We will identify an organisational Independent Prescribing Lead together with a NMP Lead role profile. We will complete the self-assessment employer readiness tool and establish SMART objectives. We will c(vnplete a trainee NMP readiness checklist and establish SMART objectives to suppo.rt trainees. We wilFagree organisational minimum standards for prescribin& We will de.vlse a return:it7g / resuming ta presc.ribing practice process and competency. We will produce and implement an organisational NMP policy and fram.ework. How? 17

Data Quality? Analysis and Application To efective y assess place, or neighbourhood. To use quality data to help us understand what our population need5, and how and where care and supportservices should be commissioned and provided, To ensure existlng, routinely collected data,15 being I'everagedlexploited to its full potential. To use the rlght data to help us p.redictfuture need and understand how symptorr}s in patient cohorts influencehGW care Should be organi5ed and pr¢Jvided. est to Improve PEOLC across our system, We will use an agreed method of categorising patients according to Jevel apd 5e!er!ty.pf frailty,. adopti n&the same aeproach to assessi n monitoring, scori ng andf ategorlsing interventions. Wé Will embed ￿￿rfOrm defiFthIOhS of Coré. SpttlotTrst and Ethnced al￿ use these Inyeportl -. We will devebop a uniform approaeh,to ta entlyi collecti0Troiid repo Ing or ersona uppo anning In Wewill identify population need and quantifiable estimates of reach based on agreed methods. We will develop a setof KPIS for reportingthat are meattingful and achievable. Wewlll determine optimal methods (with requisite data collectionand reporting) for assessi ng impact of care at servlce level. How? 18

Structure, Governance and Management St Peter & St James Charitable Trust Ithe"Charity"} is a Company limited byguarantee, not having a share capital. It is governed by a Board of Trustees operating in accordance with the Articles of Association adopted on 3 October 2018 las amended on 17 October 2022). The Hospice operates a numberof shops selling principally donated goods. St Peter& St James Hospice Shops Ltd I"Shops"l is a wholly owned subsidiary of the charity whose main purpose isto sell a small range of new goods through the Hospice's shops. The Friends of St Peter& St James {"Friends"l is a'linked, charityto St Peter& StJames Charitable Trust. The total of the three entities above is referred to in this report as the"Group" The Group is administered by a Board of Trustees that meets regularly throughout the year. The Chief Executive is appointed by the Trustees to manage our executive operations with the support of the Executive Team and has delegated authority forthe day-to-day management of the Charity and the Group. The following Committees support and reportto the full Board throughoutthe financialyear: Quality and Safety Committee Finance and Resources Committee Income Generation Committee People Committee Board Development Committee Membership of all Committees includes both Trustees and members of the Executive Team . The Board Development Committee is responsible for overseeing Hospice governance and forthe recruitment, induction and trainingof Trustees. It uses a skills and experience auditto determinethe skills requirements for new Trustees when a vacancy arises, ensuring the Board and its Committees have the requisite skills and experience to function effectively. Trustee vacancies are advertised on the Hospice website and Hospice social media channels and prospective Trustees are shortlisted for interview. Following a successful interview, a recommendation is made to the Board which then decides whether to appoint. Prospective Trustees are invited to a Board meeting as observers beforethe appointment decision. Following the appointment, Trustees are provided with governance documentation and current operational reports and are offered a structured induction programme. The term of office for individual Trustees is four years, with a maximum of one renewal. New Trustees appointed by the Board are subject to formal appointment at the next AGM. The position of Chair of Trustees is held for a maximum period of 5 years. During 2023124, the Executive Team comprised the Chief Executive, Care Director, Finance Director (whose services were provided via a Service Level Agreement with St Catherine's H05picel, People Director (appointed August 20231, Medical Director (appointed December 20231, working with the Trustees to provide leadership and direction to the organisation. The Senior Leadership Team comprises all senior managers responsible forthe delivery of services and activities. 19

The Chief Executive's salary is determined using an independent salary survey, developed in association with Hospice UK. Senior Leadership Team salaries are part of a pay5tructure thatwas created in 2021 following a systematicjob evaluation of all roles within the hospice, using an independentjob evaluation and benchmarkingtool. Co113boration and coordination are key in enablingthe Charity to provide excellent personalised care. Aswell as the collaboration with other Sussex Hospices already referred to, the Hospice strives to maintain good working relationships with local GPS, Integrated Care System, Local Authorities and other healthcare providers and charities, includingother Hospices. Our People Trustees Patrons Charlotte Almond Dr Nick Barrie Michael Carey Caroline Cauvin Anita Chown (Appointed September 20231 Andrew Cook Harrietcreamer (Chairl Patrick Henshaw (Appointed September 2023) John Hills Robin Knight (Vice Chairl Isabelle Otway Patricia Robi nson Lesley Strong Anne Billson Matt Turner Sir Edward Cazalet Katie Derham Edward Fox OBE Piers Morgan Lisa Welton Emma Cleary Toby Wittome Karol Matthews Susan Fleet MBE Hon GMS Deirdre Prower (retired as a trustee in September 2023. Baroness Andrews of Southover OBE (resigned appointed as a patron in April 20241 September 20241 The Viscount Brentford (resigned September 20241 Executive Team Dr Martin Powell Chief Executive: Care Director: Eirian Levell Finance Director: Cathy Heard (via SLA, from June 2022 to June 20241 Matthew Dean ACA (appointed July 20241 Medical Director Dr Helen McGee (appointed December 20231 People Director: Melissa Le Palud (appointed August 20231 20

OUR FINANCIAL PERFORMANCE 2023124 Income and Expenditure Income £5.7m Expenditure £6.Om Donations Donations Legacies Tradi ng Activities Tradi ng Activities Cha ritable Activities Charitable Activities Investment Income Other Income Reserves and Cash Reserves £6.Im Cash £3.2m Unrestricted Reserves Investments Designated Reserves Current Asset Snvestments Restricted Reserves Cash & Equivalents Following the Pandemic, our income continues to be impacted by the cost-of-living crisis, despite great efforts from ourFundraisingand Retailteams. Inthisfinancialyearwe realised lowerlegacyincome, despitethe support of a generous interim release of £500k from a future legacy. The changes made in our retail portfolio have SUPPOrted stronger growth. Our statutory income remains static. 21

We ended the year with net expenditure of £0.3m, leaving reserves at £6.Im, free general reserves lunre5tricted reserves less fixed assets) of £3.7m and a cash position of £3.2m. Financial Outlook 2024125 Operational Performance Given the continued economic uncertainties, our budget for 2024125 expects a net expenditure in the year of approximately £0.7m moving our free general reserves position to approximately £3.Om, which is subject to change in a unpredictable market. However, we are actively working to increase our voluntary income with a fresh focus on our fundraising activities and continued delivery of our retail strategy, whilst managing our expenditure. Reserves The Trustees, reserves policy is to mai ntai n free reserves at a level that is sufficient to protect services from the potential financial impact of known significant risks over the short to medium term. The focus of this policy is aligned to Free General Reserves as these reserves support operational activities. The Trustees, objectives are: that free reserves should be held at a sum sufficient to avoid an unacceptable level of disruption to services in the event of an unexpected downturn in income. and to recognise the need for continuing investment to maintain the quality of the Charity's assets to an adequate standard. The Trustees have agreed that in order to set a relevant free general reserves policy level which is in the charity's best interests, a risk centred approach is most valid. The Trustees recognise that as a healthcare organisation, the risk of full closure has always been low, given that alternative arrangementswould be made to continue operations, which is addressed in our Business Continuity Plan. However, as we navigate the current costof livingcrisis, complacency in this regard is not an option. Decisions related to the reserves policy are taken by the full board based on the advice of the Finance and Resources Committee. The Free Reserves position required to meet this policy is between £1.4m and £4.4m. The Group's free reserves of £3,747,000 as of 31 March 202412023.. £4,079,000) are in line with our policy requirements. The net movement in reserves in the year is set out in Notes 19 to 22 to the accounts Market Value of Land and Buildings All freehold land and buildings shown in Fixed Assets in the Balance Sheet are included in the financial statements at cost or open market value if lower. In the opinion ofthe Directors, the open market value of the freehold land and buildings is not less than the amounts shown in the financial statements. 22

Investments The overall objective of the charity for its investments, which represent reserves held consistentwith its reserves policy, is to provide fi nancial security and stabi lity, recognising that the charity is exposed to a degree of fi nancial risk due to the variable and uncertain nature of its income streams. The Trustees have agreed thatthe charity's assets can be invested widely and should be diversified by assetclass, by managerand by security. Asset classes could include cash, bonds, equities, property, hedge funds, structured products, private equity, commodities, and any other asset that is deemed suitable. The charity seeks to produce the best financial return within an acceptable level of risk. The charity has adopted an ethical investment policy to ensure that its investments do not conflict with its aims or can lead to reputational damage. The investment objective for the long-term fund is returns which, over a rolling 5 years, achieve CPI +2%. The Finance and Resources Committee has responsibility for recommending the investment strategy, setting benchmarks and monitoring the investment assets on a quarterly basis. Aformal evaluation of each fund managers, performance and consideration of the need to undertake full market testing is undertaken every 3-5 years. A significant element of the charity's funds 15 held with Rathbone Investment Management. Note 14 gives further information on the Investment position as of 31 March 2024. Current Asset Investments The Charity also holds funds in short-term, interest-bearing deposit accounts. Deposits in any one banking group are subject to a maximum investment of £450,000. Term deposits can be placed if cash flow projections show that the funds are temporarily surplus to operational requirements. Going Concern Having reviewed and formally agreed the forecasts and cashflows prepared in June 2024, together with the Executive's business plan, the Trustees believe, to the best of their knowledge, that the charity remains a going concern for the 12-18 month period from the date of approval of the financial statements. Disclosure of information to auditor Each of the Trustees has confirmed that there is no information of which they are aware which is relevant to the audit, but of which the auditor is unaware. They have further confirmed that they have taken appropriate steps to identify such relevant information and to establish that the auditor is aware of such information, The Trustees, report was approved by the Board of Trustee. Name Date.. l.l... Sep&Mb..¢f...aOILL 23

*-,•￿,4 Statement of Trustees, Responsibilities The Trustees, who are also the directors of St Peter & St James Hospice for the purpose of company law, are responsible for preparing the Trustees, Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom GenerallyAccepted Accounting Practice}. Company Law requirestheTrusteesto prepare financial statementsforeach financialyearwhich give a true and fair view of the state of affairs of the charitable company and of the incoming resources and application of resources, includingthe income and expenditure, ofthe charitable company forthatyear. In preparing these financial statements, the Trustees are required to: select Suitable accounting policies and then apply them consistently. observe the methods and principles in the Charities SORP; makejudgements and estimatesthat are reasonable and prudent,. state whether applicable UKAccounting Standards have been followed, subject to any material departures disclosed and explained in the financial statements. and prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charitable company will continue in operation. The Trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other i rregu larities. 24

IndependentAuditor's Report To The Members Of St Peter & St James Charitable Trust Opinion We have audited the financial statements of St Peter& St James Charitable Trust Ithe'charitable company'l for the year ended 31 March 2024 which comprise the statement of financial activities, the balance sheet, the statementof cash flows3ndthe notestothefinancialstatements, includinga summaryof significantaccounting 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 GenerallyAccepted Accounting Practice). In ouropinion, the financial statements: give a true and fair view of the state of the charitable company's affairs as at 31 March 2024 and of it5 incoming resourcesand application of resources, includingits income and expenditure, fortheyearthen have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice. and have been prepared in accordance with the requirements ofthe Companies Act 2006. Basis for opinion We conducted our audit in accordance with International Standards on Auditing IUKI {ISAs IUK}l and applicable law. Our responsibilities underthose standards are further descri bed i n the Auditor's responsi bi lities for the audit of the financial statements section of our report. We are independent ofthe charitable company 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 forour 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 charitable company's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue. Our responsibilities and the responsibilities of the Trustees with respect to going concern are described in the relevant sections of this report. Other information The other information comprises the information included in the annual report other than the financial statements and our auditor's report thereon. The Trustees are responsible for the other information contained within the annual report. Our opinion on the financial statements does not cover the other information and, 25

except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to 3 material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is 3 material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard. Opinions on other matters prescribed by the Companies Act 2006 In our opinion, based on the work undertaken in the course ofour audit: the information given in the Trustees, report for the financial year for which the financial statements are prepared, which includes the directors, report prepared for the purposes of company law, is consistent with the financial statements. and the directors, report included within the Trustees, report has been prepared in accordance with applicable legal requ irements. Matters on which we are required to report by exception In the light of the knowledge and understanding ofthe charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the directors, report included within the Trustees, report. We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to reportto you if, in our opinion: adequate accounting records have not been kept, or returns adequate for our audit have not been received from branches not visited by us- or the financial statements are not in agreement with the accounting records and returns. or certain disclosures of trustees, remuneration specified by law are not made- or we have not received allthe information and explanations we require forour audit. or the Trustees were not entitled to prepare the financial statements in accordance with the small companies regime and take advantage of the small companies, exemptions in preparing the Trustees, report and from the requirement to prepare a strategic report. Responsibilities of Trustees As explained more fully in the statement of Trustees, responsibilities, the Trustees, who are also the directors of the charitable company for the purpose of company law, are responsible for the preparation of the financial statements and for being satisfied that they give a true and fairview, and for such internal control as the TrLbStees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. In preparingthe financial statements, the Trustees are responsible for assessingthe charitable company's ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basi5 of accounting unless the Trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative butto do so. Auditor's responsibilities for the audit of the financial statements 26

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 IUKI 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. In identifyi ng and assessing the risk of material m isstatement in respect of i rregu larities, includi ng fraud, we: obtained an understanding of the nature ofthe sector, includingthe legal and regulatory framework that the charitable company operates in and how the charitable company complies with the legal and regulatory framework, inquired of management, and those charged with governance, about their own identification and assessment of the risks of irregularities, including any known actual, suspected or alleged instances of fraud; and discussed matters about non-compliance with laws and regulations and how fraud might occur including assessment of how and where the financial statements may be susceptible to fraud. As 3 result of these procedures we consider the most significant laws and regulations that have a direct impact on the financial statements are FRS 102, Charities SORP IFRS 102), Companies Act 2006, Charities Act 2011, the charitable company's governing document, tax legislation and Charities (Protection and Social Investment) Act 2016. We performed audit procedures to detect non-compliances which may have a material impact on the financial statements which included reviewing the financial statements, including the Trustees, report, and remainingalertto new or unusual transaction5 which may not be in accordance with the governingdocument. The most significant laws and regulations that have an indirect impact on the financial statements are employment law, health and safety regulations and the UK General Data Protection Regulation IUK GDPRI. We performed audit procedures to inquire of management and those charged with governance whether the charitable company is in compliance with these laws and regulations and inspected correspondence with regulatory authorities. We identified the risk of management override of controls as the area where the financial statements were most susceptible to material misstatement due to fraud. Audit procedures performed included, but were not limited to, testing manual journal entries and other adjustments, evaluating the business rationale in relation to significant, unusual transactions and transactions entered into outside the normal course of business and challengingjudgments and estimates. Because of the in herent li m itations of an audit, there is a risk that we will not detect all i rregu larities, includ ing those leading to a material misstatement in the financi31 statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be les5 likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation. A further description of our responsibilities is available on the Financial Reporting Council's website at: https:/l www.frc.org.uklauditorsresponsibilitie5. This description forms part of our auditor's report. 27

Use of report This report is made solely to the charitable company'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 charitable company'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 responsibilityto anyone otherthan the charitable company and the charitable company'strustees as a body, for our audit work, forthis report, or forthe opinionswe have formed. LLr David Martin FCA (Senior Statutory Auditor) for and on behalf of Knill James LLP Chartered Accountants Statutory Auditor One Bell Lane Lewes East Sussex BN71JU 28

Statement of Financial Activities (incorporating an income and expenditure account) forthe yearended 31 March 2024 Total Funds Total Funds Restrlcted Designated Unrestrlcted 2024 2023 Note £'OOO's £'OOO's £'OOO's £'OOO's £'OOO's Incorne Donations & Legacies 107 2,176 2,283 2,694 Trading Activities 2,304 2,304 1,904 Charitable Activities 30 868 898 926 Investments 75 75 29 Other Income 142 30 172 60 Total Income 279 5,453 5,732 5,613 Expenditure Fundraising & Investment Activities 560 560 611 Trading Activities 2,067 2,067 1,915 Charitable Activities 160 3,238 3,398 3,173 Total Expenditure 160 5,865 6,025 5,699 Net Income I (Expenditure) Operationa(Activities on 119 14121 {2931 (861 Net Gains I ILossesl on Investments 13,14 13 13 1291 Net Income I (Expenditure) forthe Year 119 1399} 1280} (1151 Transfer Between Fund$ 19.20 Net Movement in Funds 119 (399} 1280} (115) Funds BIF a5 at 1st April 92 199 6.088 6,379 6,494 Funds Carried Forward as at31st March 211 199 5,689 6,099 6,379 All gains and losses arising in the current and previous year have been recognised in the Statement of Financial Activities and arise from continuing activities. The prior year comparators for each fund included above are included in notes 27 to 32. The notes on pages 37 to 56 form part ofthesefinancial statements. 29

Balance Sheets as at 31 March 2024 Company Registration Number: 03204919 Group Hospice 31 March 31 March 31 March 31 March 2024 2023 2024 2023 Notes £'ooo £'ooo £'ooo £'ooo Fixed Assets Tangible Assets 12 1,941 2,005 1,941 2,005 Investments 13 500 477 590 567 2,441 2,482 2,531 2,572 Current Assets Investments .14 2.503 2,395 2,503 2,395 stock 15 19 25 Debtors 16 1,220 1,388 1,277 1,486 Cash at Bank 207 316 31 140 3,949 4,124 3,811 4,021 Current Liabblitie5 Creditors.. amounts falling due within one year 17 291 227 290 227 Net Current Assets 3,658 3,897 3,521 3,794 Total Assets less Current Liabilities 6,099 6,379 6,052 6,366 Creditors.. arnounts falling dL¢e greater than oneyear Total Net Assets 6,099 6,379 6,052 6,366 The Funds of the Charity Restricted Funds 19 211 92 211 92 Designated Funds 20 199 199 199 199 Unrestricted Funds 20 5,689 6,088 5,642 6,075 Total Funds 21 6.099 6,379 6,052 6,366 30

The unconsolidated net loss of the Hospice in 2023124 was £314,000 {2022123 a net income of £116,000). The Financial Statements on pages 29 to 56 were approved by the Board of Directors and authorised for issue on Il" September 2024 and are signed on its behalf by: Harriett Creamer IQLa Aiidrevd Coo Trustee l Director Trustee l Director The notes on pages 37 to 56 form part of these financial statements. 31

Consolidated Cash Flow Statement as at 31 March 2024 31 March 2024 31 March 2023 £'ooo £'ooo Notes Cashflows from Operating Activities Net Cash provided by I lused inl Operating Activities 243 6S 95 Cashflows from Investing Activities Purchase of Property. Plant & Equipment 1661 1901 Proceeds from Investments Net Cash provided by I (used inl Investing Activities (661 (85) Change in Cash & Equivalents in the Reporting Period (i) io Cash & Equivalents atthe beginningofthe Reporting Period 2.711 2,701 Cash & Equivalentsatthe end ofthe Reporting Period 24b 2,710 2,711 The notes on pages 35 to 54 form part of these financial statements. 32

Principal Accounting Policies The principal accounting policies adopted, judgments and key sources of estimation uncertainty in the preparation of thefinancial statements are as follows: Basis of Accounting The Trust meets the definition of a public benefit entity under FRS 102. The financial statements have been prepared in accordance with the Trust's Memorandum and Articles of Association, the Charities Act 2011, FRS 102 "The Financial Reporting Standard applicable in the UK and Republic of Ireland" ("FRS 102,1 and the Charities SORP "Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparingtheiraccounts in accordancewith the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 102} (effective l January 20191. The financial statements are prepared under the historical cost convention, modified to include certain items at fairvalue. The financial statements are prepared in sterling which is the functional currency ofthe Charity and rounded to the nearest thousand pounds. Lpgal £tatLlS of the Charity The Charity is a company limited by guarantee and has no share capital. In the event of the Charity beingwound up, the liability in respect of the guarantee is limited to £10 per member ofthe Charity. Going Concern The financial statements are prepared on a going concern basis. The Trustees believe that there are no material uncertainties aboutthe Charity's abilityto continue as a going concern, aftertaking into accountthe further risks and reduced income levels from the impact of Covid-19. Free rese￿e5 stand within the charity's reserves policy requirements which has been agreed on a ri5k-based profile. Medium-term forecast projections indicate that the charity's free reserves remain within its policy's acceptable limits. MaterialAreas of Judgement The most significant area ofjudgement and key assumptions that affects items in the accounts is the estimation of income from Legacies. The estimated value of each outstanding legacy at31 March is calculated in accordance with the principles set out in the Donation, Grants and Other Income section below. Another significant area of assumption is in respect of depreciation of Fixed Assets. The rates of write down are shown in the Tangible Fixed Assets section below. The Trustee5 are 5at15fied that these write down rates are a reasonable reflection of the expected useful life of the assets in each class. Group Financial Statements The financial statements consolidate the results ofthe Charity, its whollyowned subsidiary, St Peter& StJames Hospice Shops Ltd and the Friends of St Peter & St James on a line-by-line basis. A separate Statement of Financial Activities and Income and Expenditure Account for the Charity has not been presented because the Charity has taken advantage of the exemption afforded by section 408 of the Companies Act 2006. Fund Accounting Unrestricted funds are available to spend on activities thatfurther any ofthe purposes of the charity. Designated funds are unrestricted funds of the charity which the Trustees have decided attheir discretion to set aside to use for a specific purpose. Restricted funds are donations where the donor has specified they should only be used for 33

particular areas of the hospice's work. The aim and use of each designated and restricted fund is set out in the notes to the financial statements. Investment income, gains and losses are allocated to the appropriate fund. DonJtecl & TanRible Fixed Assets Tangible assets donated to the hospice are recorded at the original estimate of their value to the company. Fixed assets other than donated assets are stated at historical cost. All assets costing more than £1,000 are capitalised. Depreciation is provided to write off the cost or revalued amount of all fixed assets on a reducing balance basis overtheirexpected economic useful lives as follows: Freehold land Freehold property 5% Fixtures, fittings and equipment 15 % or 200/0 Computer equipment Motorvehicles 25% Equipment (Shops) I dXLILioII The company is considered to pass the tests set out in the Finance Act 2010 and therefore meets the definition of a charitable company for UK corporation tax purposes. Accordingly, the company is potentially exempt from taxation on income or capital gains to the extent that such income or gains are applied exclusively to charitable purposes. Rentalcosts under operating leases are charged tothe general fund operating account in equal annual amounts in accordance with the terms ofthe lease. Any benefits received or receivable as an incentive to sign an operating lease are recognised on a 5traight-line basis over the period of the lease. p￿￿¢4￿11 ¢iJritril)Iitiiin The Charity contributes to a defined benefit scheme INHS Superannuation) for eligible Staff and operates a defined contribution scheme for other staff. The contributions to the schemes are recognised as an expense in the financial statements as they become payable. The NHS scheme may be defined as a defined benefit multi-employer plan. however, the Charity does not have any share of the underlying assets or liabilities. The contributions are determined by the Government actuary, and there is no furtherobligation from the Charity otherthan the initial contributions due. DoiiitlOl)s GJl-cllltb,Iiiil Otlio&i- Iiicoi)ie Income is recognised in the Statement of Financial Activities when the charity is entitled to the funds, any performance conditions attached to the item{sl of income have been met, it is probable that the income will be received and the amount can be measured reliably. In the event that a donation or grant is subject to fulfilling performance conditions before the charity is entitled to the fu nds the income is deferred and not recogn ised unti l it is probable that those cond itions will be fulf illed in the reporting period. Income from Gift Aid reclaims is recognised for any donations with relevant Gift Aid 34

certificates recognised in income forthe year. Any amounts of GiftAid not received bythe year end are accounted for in income accrued in debtors. Income from NHS contracts, government or other grants, whether capital or revenue in nature is recognised when the charity has entitlement to the funds, any performance conditions have been met, it is probable that the income will be received and the amount can be measured reliably, Legacies Income from legacies is determined on a case-by-case basis in accordance with the following principle5: Pecuniary legacie5 are recognised once probate has been granted and notification has been received that payment will be received. Residuary legacies are recognised once probate has been granted, provided that sufficient information has been received to enable valuation of the hospice's entitlement with sufficient certainty. amounts receivable are included at 90 % of their valuation, to reflect the sector's experience of the uncertainty inherent in the administration of estates, subject to further reduction to reflect the impact of otherfactors such as the valuation of unrealised estate assets or subsequent adverse movements in property and investment markets. Where legacies have been notified to the charity orthe charity Is aware of the granting of probate and the criteria for income recognition have not been met then the legacy is treated as a contingent asset and disclosed if material. Donated Goods and Services Donations of goods and services, including seconded NHS doctors, are recognised when the charity has control over the item, any conditions associated with the donated item have been met, the receipt of economic benefit from its use is probable and the economic benefitcan be reliably measured. These items are included in income atthe estimated value of the gift to the charity when received based on the amount the charity would have been prepared to pay had it been required to purchase them. Volunteers The value of the services provided by volunteers is not incorporated into these financial statements. Further deta ils of thei r contribution are provided i n note 12. ExpenditLire Expenditure is included in the Statement of Financial Activities on an accruals basis once there is a legal obligation to make a payment, it is probable that settlement will be required, and the amount ofthe obligation can be measured reliably, Expenditure is categorised under the following headings Costs of raisingfunds comprises fundraising costs incurred in seeking donations, grants and legacies. investment management fees. costs of fundraising activities including the costs of trading activity and their associated supportcosts. Fundraisingcostsdo notincludethe costsofdi55eminating information in supportofthe hospice's charitable activities. Expenditure on charitable activitie5 includes the costs of providing specialist palliative care and support to patients,theirfamilies and the widercommunity. research and other educational activities undertaken to further the purposes of the charity and their associated support costs. Support costs comprise those costs which are incurred directly in support of expenditure on the objects of the hospice and include governance cost, finance and office costs. Governance costs are those costs incurred in 35

connection with complying with constitutional and statutory requirements of the charity. Where practicable irrecoverable VAT is charged as a cost against the activity for which the expenditure was incurred. Support costs are allocated to each of the activities on a variety of bases, principally headcount, floor area or time spent on activities depending on the nature of the support costs, to best allocate the costs to each attributable heading. More details on the analysis and basis of allocation is given in note 6. Fii)ai)Lial In%lrLIITieni The hospice only has f inancial assets a nd liabilities of a ki nd that qua lify as basic fina ncial i nstruments. Basic financial instruments are initially recognised at their transaction value and subsequently measured at their settlement value. Investments are a form of basic financial instrument and are initially recognised at their transaction value and subsequently measured at their fair value as at the balance sheet date using the closing quoted market price, except for the shares in the trading subsidiary which are carried at cost. The Statement of Financial Activities includes the net gains and losses arisingon revaluation and disposals throughout theyear. 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 their opening carrying value or their purchase value if acquired duringthe financial year. Unrealised gains and losses are calculated as thedifference between the fair value at the year end and their carrying value. Realised and unrealised investment gains and losses are combined in the Statement of Financial Activities. Currentasset investments are shortterm liquid investments, which are not required to coverday to day running costs. These comprise cash on deposit and cash equivalents held with organisations other than our current bankers. The charity does not acquire put options, derivatives or other complex financial instruments. The main form of financial risk faced by the charity is that of volatility in equity and bond markets due to wider economic conditions, the attitudes of investors to investment risk and changes in sentiment concerning equities and other instruments within particular sectors. Stoik Stock of goods for resale is valued at the lower of cost and net realisable value. Stock donated for resale is not included in the financial statements until it is sold because the Trustees consider it impractical to be able to assess the amount of donated stocks as there are no systems in place to record these until they are sold and undertaking a stock take would incur undue cost and income loss for the charity which would far outweigh the benefits. Dc,l)loi- Trade and other debtors are recognised at the settlement amount due after any discounts offered. Prepayments are valued at the amount prepaid net of any discounts due. Accrued income arid tax recoverable is included at the best estimate of the amounts receivable at the balance sheet date. fa81i al Bcll)b Lll-11-l iii H,Ilii Cash at bank and cash in hand includes cash and short term highly liquid deposits Wlth a short maturity of 95 days or less from the date of acquisition or opening ofthe account. 36

Creditors Creditors are recognised wherethe charity has a present obligation resulting from a past event thatwill probably result in a transfer of funds to 3 third party and the amount due for settlement can be measured or estimated reliably. Creditors are normally recognised at their settlement amount after allowing for any trade discount. Supporting Notes to Financial Statements I Income Income derives from the group's principal activities carried on wholly in the United Kingdom. 2 Income from Fundraising Activities Restricted Unrestricted 2024 2023 £'OOO's £'OOO's £'OOO's £'OOO's Donations 76 1,029 1,105 1,103 Legacies 1,094 1,094 1,422 Other Grants 31 53 84 169 107 2,176 2.283 2,694 Legacy Income includes £500,00012022123 £500,000), being an early release of funds from a will estate. 3 Income from Investments 2024 2023 £'OOO's £'OOO's Listed Investment I ncome 13 li I nterest Received -1 nvestments held as Current A55ets 62 18 75 29 37

4 Income from Trading Activitie5 2024 2023 £'OOO's £'OOO's Retail 1,995 1,669 Lottery 191 171 Fundraising Events 118 64 2,304 1,904 Income from CliaritableActivities Restricted UnrestrictEd 2024 2023 £'OOO's £'OOO's £'OOO's £'OOO's NHS Block Grants NHS Block Grant 626 626 505 NHS Pension Rebate 31 31 30 Grants NHS Consulta nts Sessions 57 N HS Specialist Palliative Community Care Weekends / Bank Holidays County Council Befriend ing Services 30 30 33 Commissioned Income I npatient Beds from Continu ing Healthcare 34 34 63 Inpatient Beds for Winter Pressures 43 43 39 Urgent Response 46 Contribution to Drug Costs 86 86 69 other Commissioned Income 13 COVID 19 Hospice UK IHUKI Support Education Income 43 43 20 30 868 898 926 38

a) Expenditure Direct Cost$ Support Costs Depreciation Total 2024 Total 2023 £OOO's £OOO's £OOO'$ £OOO's £OOO's Fundraising I Investment Activities Donations, Grants Legacies 354 186 16 556 606 Investment Management 358 186 16 560 611 TradlngActlvltiÈS Retail Shops 1,513 309 17 1,839 1,767 Lottery Costs 67 69 58 Fundraising Events 29 127 159 90 1,542 503 22 2,067 1,915 Charitable Activities Inpatient Selwices 1,271 720 37 2,028 2,175 Community Services 554 371 33 959 729 Wellbeing Service5 130 216 16 361 182 Education 46 50 87 1,957 1,353 88 3,398 3,173 3,857 2,042 126 6,025 5,699 39

bl Analysis of Support Costs in al above Facilities & Hospitality Support Services Corporate Comms Support Costs Total Governance £000'5 £OOO's EOOO'S £OOO's É000'5 Fundraising I Investment Activities Donations, Legacie5 & Grants 50 96 23 17 186 50 96 23 17 186 Trading Activities Retail Shops 81 186 34 309 Lottery Costs 50 67 Fundraising Events 49 49 20 127 180 242 37 44 503 Charitable Activities Inpatient services 223 414 75 720 Community Services 62 255 46 371 Wellbeing Services 87 102 19 216 Education 19 20 46 391 791 27 144 1,353 621 1,129 87 205 2,042 40

7 Trading Operations The wholly owned trading subsidiary, St Peter and St Jame5 Hospice Shops Limited, UK company registration number 3146736, pays all its eligible profits to the Charity under Gift Aid. The company manages the sale of purchased goods through the hospice retail shops. The charity ownsthe entire issued share capital of 90,000 shares of £1 each. A summary of the trading results IS shown below. 2024 2023 £'ooo £'ooo Turnover 180 107 Cost of Sales 36 38 Gross Profit 144 69 Other Operating Expenses Inetl iio 68 Profit on Ordinary Activities 34 Donations under GiftAid Corporation Tax Profit Retained in the Subsidiary 33 41

Net Income l Expenditure 2024 2023 £'ooo £'ooo Net Income I (Expenditure) is stated after charging: Tangible Fixed Asset Depreciation and amounts Written Off in the Period Owned Assets 135 131 Operating Lease Rentals - Equipment Operating Lease Rentals - Shops & Office 381 338 Auditors Remuneration - Audit io 12 AL¢ditors Remuneration - Tax Business Employees 2024 2023 FTE'S FTE'S Averageweekly FTE'S Voluntary Income Generation 43 43 Delivery of Charitable Activities 36 40 Support Services 27 16 106 99 The hospice employs a significant number of staff on a part-time basis. The average of number of paid staff in the charity and group in 2023124 was 154 (2022123.. 1291. 2024 2023 E'ooo £'ooo staff Cost5 Salaries 3,581 3,479 Social Security Costs 312 178 Other Pension Costs 211 153 4,104 3,810 42

The hospice made ex gratia payments to staff in 2023124 of £26,00012022123 £17,000). Pension costs for 2023124 are £180,00012022123 £123,000), net of NHS funding. No emolument wa5 paid during the year to any of the Trustees (2022123: £Nill and no Trustee was reimbursed for expenses {2022123: £Nill. The number of employees who received emoluments in the following ranges was: 31 March 2024 31 March 2023 £'ooo £'ooo £60,001- £70,000 £70,001- £80,000 £80,001- £90,000 £90,001- £100,000 £LOO,001- £IIO,000 £110,001- £120,000 All of the above higher paid employees are accruing retirement benefits under schemes treated as defined contribution schemes. The company made pension contributions of £45,000 on behalf of these staff in 2023124 12022123 £38,000). FRS 102 defines 'key management personnel as those persons having authority and responsibility for planning, directing and controlling the activities of the Charity, directly or indirectly, including those members of staff who are the Executive Team personnel to whom the Trustees have delegated significant authority or responsibility in the day-to-day running of the charity, We have interpreted this to be the Trustees and the Executive Team, whose employee benefits for both the Charity and the Group were £338,965 in total. Related Party Transactions Donations from Trustees to the charity amounted to £510 in 202312412022123 £3251. In addition, Trustees make small donations to events and gifts in kind to retail as well as entering our Local Hospice Lottery. The charity provided services during the year to its wholly owned trading subsidiary, St Peter and St James Hospice Shops Limited. The charge for those services amounted to £107,00012022123 £68,000). A donation of £796 was made under gift aid from the trading5ubsidiary in the year12022123 NIL). There were no other related party transactions in the current year or previous year. 43

10 Pension Contributions The h05pice participates in a defined contribution pension scheme operated by Aegon, the assets of which are held separately from those of the hospice. Employees contribute 30/0 of their salary with the charity contributing 5¥0. The total pension cost charge of the group represents contributions payable by the charity and amounted to £211,00012022123: £153,000). At the year-end contributions outstanding totalled £0 12022123: £27,535). The estimated employer pension contributions payable by the company in 2024125 is £250,000. 11 Voliinteers The Charity is dependent upon a team of part-time voluntary helpers who assist in all areas ofthe charity's care. Volunteers support. In the year the charity was supported by 398 volunteers12022123= 3721: Retail Operations - 184 volunteers12022123: 1731 volunteers supported our retail operations providing sorting and till supportto ourcharity shops, warehouse and e-commerce operations. Charitable and Administrative Activities - 214 volunteers12022123: 1991 provided: A range of clinical services (complimentary therapies, counselling, patient drivers}. Community fundraising, through friends, groups, and supporting events. Support services activities i ncludi ng administration, hospitality, and garden ing activities. 12 Tangible Fi.xed As.5èts Fr¢)Ili&'.Ll l aiid & 6iiiidiiigs Hospice & GTOUP tqtsipment Motor Vehicles Total £'ooo E'LIOO £'ooo £'ooo Cost I Valuation at 1st April 2023 3,507 1,133 118 4,758 Additions 28 43 71 Disposals Cost Ivaluation at 31st March 2024 3,535 1,176 118 4,829 Depreciation at 315t March 2023 1,697 973 83 2,753 Charged in the Year 92 37 135 Disposals Depreciation at 31st March 2024 1,789 I,oio 89 2,888 Net Bookvalue 31st March 2024 1,746 166 29 1,941 44

Net Book Value31st March 2023 1,810 160 35 2.005 Allthe tangible fixed assets ofthe group are partof the accounts of the main charity. Freehold land of £180,000 is included in Freehold Land and Buildings that is not depreciated. The market value of the land has been valued by the directors at £345,000. All freehold land and buildings are included in the financial statements at the lower of historic cost less depreciation and open market value. In the opinion of the Directors, the open marketvalue of the freehold land and buildings is not less than the stated value and depreciated accordingly. 13 Fixed Asset Investments Listed Investments £'ooo Cost l Market Value 1st April 2023 477 Gains I (Lossesl on Disposal 121 Unrealised Gains I (Losses) 15 Dividends & Interest 14 Management Fee 141 Cost l Market Value 31st March 2024 500 Historical Cost 31st March 2024 468 Investments held by the charity also include an additional £90,00012022123 £90,000) investment in the subsidiary company at cost. 45

Subsidiary Company Aggregate Capital & Reserves Country of Incorporation Class of Proportion Held Result for 14ame Holding Year £'ooo £'ooo St Peter and St James Hospice Shops Limited England Ordinary iooo 90 34 14 Investments held as CurrentAssets Cost l Marketvalue 1st April 2023 2,395 Cash held in deposit accounts 305 Disposal of Investments 12591 I ntere5t 62 Cost l Market Value 31st March 2024 2,503 Historical Cost 31st March 2024 2,160 15 Stock Group Hospice 2024 2023 2024 2023 £'ooo £'ooo £'ooo £'ooo stock Goods for Resale 19 25 19 25 46

16 Debtors Group Hospice 2024 2023 2024 2023 £'ooo £'ooo £'ooo £'ooo Debtors Trade Debtors 30 30 Accrued Legacy Income 903 1,165 903 1,165 Amounts Company due from Subsidiary 57 95 Other Prepayments & Accrued Income 224 66 224 66 Other Debtors 63 157 63 160 1,220 1,388 1,277 1,486 17 Creditors.. Amounts falling due within one year Group Hospice 2024 2023 2024 2023 £'ooo £'ooo £'ooo £'ooo Creditors Trade and Other Creditors 165 115 164 117 Taxation and Social Security Costs 65 65 Accruals & Deferred Income 115 15 115 15 Other Creditors li 32 li 30 291 227 290 227 47

18 Reserves - Movements by Fund This schedule presents the final reserves position by fund. RLJ%tricted F(Inds DesigiiAted U ni-8slriil*(I Tolal Fiin(I Balance as at I" April 2023 92 199 6,088 6,379 Net Operating Income / IExpenditurel Net Gains / (Losses) on I nvestments 119 14121 12931 13 13 Net Inc / (Decl in Reserves 119 13991 12801 Transfers between Funds Net Inc I (Decl in Reserves 119 {3991 12801 Balance as at 31" March 2024 211 199 5,689 6,099 Less.. Fixed Assets 1,941 1,941 Available Reserves 211 199 3,748 4,158 Notes 20 and 21 provide further detail on fund movements in theyear. 19 Restricted Funds: Group & Charity Balance I Income in Expenditure in Year Transfers In I Ioutl Balance 31 April 2023 Year March 2024 Capital & Equipment 47 48 95 Other 45 231 160 116 Total Funds 92 279 16Q 211 Donations in Kind Total Funds 92 279 160 211 The hospice may receive grants or donations whose use is restricted by the donor. In these circumstances, the funds are shown as restricted. f.apital & Eciuipniefil Funds raised in support of specific capital projects and equipment. 48

20 Unrestricted Funds Gain I (Lossl on Balance I April 2023 Income in Expenditure in Year Investments in Year Transfers In Balance 31 March 2024 Year l (Outl Designated Funds Capital Replacement 199 199 Total Funds Designated 199 199 General Funds 6,088 5,453 5,865 13 5,689 Total Funds Unrestricted 6,287 5,453 5,865 13 5,888 Unrestricted reserves are available to be used for.. The dayto day running of the hospice. The costs of any capital projects in whole or in part where the cost is not met from any other fund, and For any other purpose as the Directors see fit to fulfil the objectives of the hospice. Designated funds have been agreed by the Trustees to support costs in the delivery of its Strategic goals. At the end of the year £199,000 remains in the designated fund to support programmed capital expenditure to 31 March 2025. 49

21 Analysis of Group NetAssets between Funds Total Total Funds Funds Unrestricted Restricted 2024 Unrestricted Restricted 2023 £'ooo £'ooo £'ooo £'ooo £'ooo £'ooo Tangible Fixed Assets 1,936 1,941 2,000 2,005 Fixed Asset I nve5tment5 500 500 477 477 Current Asset Investments 2,503 2,503 2,395 2,395 Other Current Assets 1.227 206 1,433 1,538 87 1,625 Current Liabilities 12781 12781 11231 11231 5,888 6,099 6,287 92 6,379 22 Members ofthe Hospice As at 31 March 2024 there were 56 members of the company who are required to contribute £10 each in the event ofthe company beingwound up. LJ vpei-aiing Leabe LOi>li)IiimentS At 31 March 2024 the group was committed to make the following payments in respect of operating leases: 2024 2U23 £'ooo £'ooo Land & Buildings Amounts due within One Year 398 337 Amounts due in Two to Five Years 1,470 1,301 Amounts due in over Five Years 931 928 Other Amounts due within One Year Amounts due in Two to Five Years 2,800 2,568 Payments under operating leases are recognised as expenditure as they fall due. No provision has been made for future commitments. 50

24 Cashflows 2024 2023 £'ooo £'ooo a) Net Income I (Expenditure) forthe Reporting Period (280) (1151 Adjust for: Depreciation 135 131 (Gains) l Losses on Sale of Asset5 101 13 Ilncreasel / Decrease in I nvestments 1281 18 Ilncreasel / Decrease in Stocks {251 Ilncreasel l Decrease in Debtors 168 32 Increase / IDecrea5el in Creditors 41 Net Cash provided by l (used in) Operating Activlties 65 95 bl Analysis of Cash & Cash Equivalents 2024 2023 £'ooo £'ooo Cash in Hand 207 316 Notice Deposits (less than 3 Months) 2,503 2,395 Total Cash & Cash Equivalents 2,710 2,711 25 Financial Performance of the Friends of 5t Peter and St James Charitable Trust. The Friends of St Peter& St James is a registered charity, number 288522, whose objects are to relieve the patients of the Hospice who aresick, convalescent, disabled, handicapped orinfirm and generallyto supportthecharitable work of the Hospice to whom the Friends of St Peter & St James are ultimately responsible. A summary of the financial activities of the Friends of St Peter & St James is given below and these have been consolidated into the group accounts. 51

P&L 2024 2023 Income- Donations 611 2,115 Expenditure- Charitable Activities Net Income I (Expenditure) for the Year 611 2,115 Funds BIF a5 at 1st April 18,026 15,911 Funds Carried Forward as at 31st March 18,637 18,026 Balance Sheet 2024 2023 Current Assets Debtors 75 Cash at Bank and in Hand 18,562 18,026 Net Assets 18,637 18.026 The Funds of the Charity Unrestricted Funds 18,637 18,026 26 Capital Commitments There are no capital commitments. 27 SOFA prior Year Coniparatives Total Total Funds Funds Restricted Designated Unrestricted 2023 2022 Note £'OOO's E'OOO'S £'OOO's E'OOO'S E'OOO'S Inconie Donations & Legacies 154 2,540 2,694 2,400 Trading Activities 1,904 1,904 1,857 Charitable Activities 141 785 926 893 Investments 29 29 12 Other Income 60 60 Total Income 295 5,318 5,613 5,162 52

Expenditure Fundraising & Investment Activities 611 611 514 Trading Activities 1,910 1,915 1,265 Charitable Activitie5 245 2,928 3,173 2,992 Total Expenditure 245 5,449 5,699 4,771 Net Income I (Expenditure) Operational Activities on 50 (s) 1131) (861 391 Net Gains I (Losses) on Investments 14,15 1291 1291 Net Income I (Expenditure) for the Year 50 (5) (160) (115) 398 Transfer Between Funds 20,21 12,8001 2,800 Net Movement In Funds 50 (2,8051 2,640 (115) 398 Funds BIF as at 1st April 42 3,004 3,448 6,494 6,096 Funds Carried Forward as at 31st March 92 199 6,088 6,379 6,494 28 Note 6 Expenditure- prior year Expenditure Direct Costs Support Costs Depreciation Total 2023 Total 2022 £OOO's £OOO's £OOO's £OOO's £OOO's Fundraising I Investment Activities Donations, Legacie5 & Grants 465 125 17 606 569 Investment Management Trading Activities 470 125 17 611 573 Retail Shops 1,522 227 18 1,767 1,207 Lottery Costs 54 58 Fundraising Events 87 90 Charitable Activitie5 1,524 368 23 1,915 1,207 Inpatient Services 1,591 546 38 2,175 2.028 Community SeNices 430 265 34 729 736 Wellbeing Services 166 16 182 227 53

Education 50 34 87 2,071 I,oii 92 3,173 2,991 4,065 1,503 131 5,699 4,771 Allalysis of Support Costs Facilities & Support Costs Total Hospitalir Siipport Service5 Gi)veriiance EOOO'S £OOO's £OOO's £OOO's Fundraising I InvestmentActivities Donations, Legacies & Grants 48 74 125 48 74 125 Trading Activities Retail Shops 77 144 227 Lottery Costs 48 53 Fundraising Events 48 37 87 173 186 367 Charitable Activities I npatient Services 214 318 14 546 Community Services 59 197 265 Wellbeing Services 83 80 166 Education 18 15 34 374 610 27 I,oii 595 870 38 1,503 54

29 Note 20 Restricted Funds- prior year Balance I Income in Year Expenditure in Year Transfers In I {Outl Balance 31 March 2023 April 2022 Restricted Revenue Fund 37 33 Inpatient services 92 92 Community Services 72 72 Wellbeing Services 88 76 12 Capital & Equipment 42 47 Total Funds 42 295 245 92 30 Note 21 Unrestricted Funds- prior year. Gain l {Lossl on Balance I April 2022 Income in Expenditure in Year Investments Transfers In l {Out) Balance 31 March 2023 Year in Year Designated Funds Tangible Fixed Assets 2,059 12,0591 Legacy Accrual 848 18481 Capital Replacement 81 123 199 Friends of St Peter and St James 16 1161 Total Funds Designated 3,004 12,8001 199 General Funds 3.448 5,318 5.449 {291 2,800 6,088 Total Funds Unrestricted 6,452 5,318 5,454 {29) 6,287 55

31 Analysis of Group )let Assets between Funds - prior year Total Funds Total Funds 2022 Unrestricted Restricted 2023 Llnie5tricted Restricted £'ooo £'ooo E'OOO £'ooo £'ooo £'ooo Tangible Fixed Assets 2,000 2,005 2,059 2,059 Fixed Asset I nvestments 477 477 500 500 Current Asset Investments 2,395 2,395 1,875 1,875 other Current Assets 1,538 87 1,625 2,204 42 2,246 Current Liabilities 11231 11231 11851 11851 6,287 92 6,379 6,453 42 6,495 56