Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 ## Contents |**Note**|**Description**|**Page no.**|**Page no.**| |---|---|---|---| |**no**.|||| ||Glossary of Terms||2| ||Foreword by Chairman||4| ||Trustee Report||6| ||Independent Auditor’s Report||35| ||Statement of Financial Activities||41| ||Balance Sheet||42| ||Statement of Cash Flows||43| |1|Accounting Policies||44| |2|Prior year comparatives by type of fund||48| |3|Analysis of income and endowments from donations and||51| ||legacies||| |4|Analysis of income from charitable activities||51| |5|Other trading activities||51| |6|Investment income||51| |7|Analysis of expenditure on raising funds||52| |8|Analysis of expenditure on charitable activities||52| |9|Grants Payable||52| |10|Transfers between funds||53| |11|Allocation of support costs and overheads||53| |12|Trustees remuneration, benefits and expenses||53| |13|Analysis of staff costs and remuneration of key management||53| ||personnel||| |14|Tangible assets||53| |15|Fixed asset investment||54| |16|Stock||55| |17|Debtors||55| |18|Analysis of cash and cash equivalents||55| |19|Creditors||55| |20|Funds||56| |21|Related party transactions||58| |22|Connected organisations||58| Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 1 ## Glossary of terms ## **Charitable Funds Comittee** This is a sub-committee of the Corporate Trustee for Mid & South Essex Hospitals Charity which has devolved responsibility for the on-going management of funds. The committee consists of any four board members of the Corporate Trustee, excluding the Chief Finance Officer and is supported by the Foundation Trust Secretary and representatives from the Department of Fundraising and the Finance Department. ## **Corporate Trustee** The Trustee of Mid & South Essex Hospitals Charity is the corporate body Mid & South Essex Hospitals NHS Foundation Trust. ## **Designated Funds** A designated fund constitutes unrestricted fund monies that have been allocated by the Corporate Trustee for a particular purpose. This is for administrative purposes only and does not legally restrict Trustee’s discretion to apply the monies in this way. income for the charity which is then spent in accordance with the purpose of the charity or used in the activities of the charity. The other type is an expendable endowment fund, which can be spent but differs from donated income as there is no requirement to spend the capital until the Trustee wishes to. Until then it must be invested to create income which is then spent for the purposes of the charity within a reasonable amount of time. ## **Fund Holder** A person approved by the Charitable Funds Committee to have delegated responsibility as outlined in the Foundation Trust's Standing Financial Instructions and Scheme of Delegation. ## **General Purpose Fund** Is a fund that holds unrestricted monies which have not been earmarked by the Corporate Trustee. ## **Grant** ## **Endowment Funds** There are two types of endowment fund - One is a permanent endowment fund which the charity cannot spend as income;- it must be invested to produce A grant is a voluntary payment (or other transfer of property) in favour of a person or institution. Grant payments, when made by a charity, are any such payments made in furtherance of its objects. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 2 ## **Income** Income is all resources which become available to a charity, including contributions to endowment funds but excluding gains and losses on investment assets. Total income includes all trading and investment income, legacies, donations, grants, and gains from disposal of fixed assets for use by the charity. ## **Unrestricted Fund** An Unrestricted fund is a fund that can be spent at the Trustee’s discretion in furtherance of the charity’s objectives. ## **Legacy** Money or property bequeathed to another by will. ## **Reserves Policy** A policy required by the Charity Commission to ensure a charity can justify the level of reserves held, so that it is not seen to be 'hoarding' but also has significant reserves to continue its objectives over the long term. ## **Resources Expended** All costs incurred in the course of expending or utilising the charity’s funds. ## **Restricted Fund** A Restricted Fund is a fund that holds income and/or capital which can only be applied for specific purposes. The restriction will be imposed by the donor at the point of the donation. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 3 ## Foreword by the Chairman of charitable funds committee of Mid & South Essex Hospitals Charity ## **Charitable Funds Comittee** Welcome to the annual report for Mid & South Essex Hospitals Charity 2020/21. Our charity supports the work of Mid & South Essex NHS Foundation Trust (MSEFT) and the patients and families it serves. This has been a year like none other; on 1st April 2020, our charity became the partnership charity for the newly formed organisation following the acquisition of Mid Essex and Basildon charitable trusts by Southend charitable trust. At the same time the COVID-19 pandemic hit and affected all of our plans for the year, changing the focus of our charity completely. In March we launched a COVID-19 Rapid Response Appeal, partly in response to the campaign launched by NHS Charities Together, and partly due to the enormous generosity and drive of the local community to support staff and patient welfare during the crisis. Key highlights of our year: - Receiving £229,000 in stage 1 grants from NHS Charities Together that we used to help MSEFT as they responded to the Covid-19 pandemic and a further £50,000 in second wave grants. - Being nominated as the lead charity for the stage 2 community partnership grants from NHS Charities Together for the ICS for Mid and South Essex - Receiving £330,000 in stage 3 recovery grants from NHS Charities Together that has been used to help fund health and wellbeing initiatives such as mental health first training - Receiving and distributing goods generously donated to support NHS staff as they worked through the lockdown period from March to July 2020. Particularly memorable was the distribution of over 60,000 Easter Eggs and 12,000 care packages to all patients and staff - Creating wellbeing hubs, ‘chill out’ spaces and garden areas in the hospitals so that staff have a safe space to relax during their breaks from working on the wards treating COVID-19 patients Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 4 - Thanking all staff for their outstanding contribution throughout the year with an e- voucher of £15 Your donations made this work possible and your future donations are key to our continued success. This is my first report as Chair of the charitable funds committee, and I would like to thank everyone who has donated gifts or money this year as well as our charity staff who supported our frontline colleagues in this year unlike any other. I would also like to say a special thank you to those of you who volunteered in our hospitals during the pandemic and in our charity shops in the community. Your contribution has been vital to ensuring the smooth running of services and an important income stream in this time of uncertainty. As it seems that the pandemic may be coming under control, we will be reviewing our plans, but we will continue to focus on helping the population of Mid and South Essex to live fulfilling and healthy lives. If you would like to get involved in helping our patients and staff, details about how to do this are at the end of this report. Alan Tobias, O.B.E. 31 January 2022 Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 5 ## Trustee report The Trustee presents its annual report and the financial statements audited by the independent auditor for the year ending 31 March 2021, which have been prepared in accordance with the charities Act 2011 and the Charities Statement of Recommended Practices (FRS102). ## **Who we are** Mid & South Essex Hospitals Charity is a registered charity (Registered Number 1057266). The charity has been in place since 1996, starting out as Southend University Hospital NHS Foundation Trust Charitable Fund.On 1st April 2020 Southend University Hospital NHS Foundation Trust Charitable Fund acquired Mid Essex Hospital Services NHS Trust Charitable Fund and Basildon and Thurrock University Hospitals NHS Foundation Trust Charitable Fund to form Mid & South Essex Hospitals Charity. We exist to receive donations for the benefit of the NHS. For us this is the patients of Mid & South Essex NHS Foundation Trust. By securing donations, legacies, and sponsorship we can enhance the care provided for patients, their families and the staff who look after them. Mid & South Essex NHS Foundation Trust serves a population of 1.2m Essex residents. It is an extremely busy hospital group, providing a wide range of acute services and offering specialties in cancer, cardiac and burns care. We would like you to support us in our crucial work so please read on and let us tell you more about ourselves, what we do, what we have achieved and how we go about spending the money given to us. ## **Our mission** In the Charity’s Governing Document, the Charitable Object is: ‘For any charitable purposes relating to the National Health Service’. We achieve this by raising new money and careful management of our existing funds. Mid & South Essex Hospitals Charity provides public benefit by making grants to Mid & South Essex NHS Foundation Trust and the organisations it works in partnership with in order to: ‘Make a real difference to the health and wellbeing of patients, their families and the staff who treat them. To provide support for innovation, education and care.’ Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 6 Grants are made in accordance with charity law, our constitution and the wishes and directions of donors. In making grants, we endeavour to reflect the wishes of patients and staff by directing funds towards areas they tell us are most in need.During the year 2020/21 grants totalling £1.7m were made. When considering where to focus our attention our corporate trustee’s board and, particularly, the members of the Charitable Funds Committee have regard to the Charity Commission of England and Wales’s guidance on public benefit and what this means for Mid & South Essex Hospitals Charity. Our plans are to continue to increase our level of fundraising to achieve our target of £2.5m a year which will help us work with our NHS partners to transform the health prospects for patients in our community. ## **What we have achieved: highlights from the activities undertaken in the year** Our key aim is to the serve the NHS patients of Mid & South Essex NHS Foundation Trust for the public benefit. By funding education, services, and equipment we can help the NHS bodies we work with provide care to their patients which goes beyond that which they are funded by the state to provide. By working with the NHS, we assist patients from every walk of life, irrespective of race, creed, ethnicity or personal or family financial circumstances. We put this aim into practice by helping the patients, their families and carers, and visitors to the hospital by: - enhancing the care our partner hospitals can offer through new equipment and building improvements to deliver better facilities - investment in the people who work in the NHS in MSEFT to create caring environments for the patients receiving care, their families and visitors - providing direct support to patients by way of information, networking support and better facilities We do this through a range of projects funded by you, our generous donors. Highlights form the main activities undertaken in the year are detailed below to give you a wider understanding of the difference we can make together to lives today and in the future. During a year like no other, Mid & South Essex Hospitals Charity has provided support for the hospitals staff who have worked so tirelessly to keep the public safe in Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 7 very challenging circumstances. And, we will be forever grateful for the help that we have received along the way from our dependable and invaluable volunteers to our fantastic fundraisers and generous donors, as well as NHS Charities Together. ## **Wellbeing Hubs** ## **COVID 19 Rapid Response Appeal** In just 6 months the COVID-19 Rapid Response Appeal had raised almost £610,000, including a generous grant of £229,000 from NHS Charities Together. Very quickly the charity team mobilised to respond to the requests from staff for support. Projects funded in the initial wave included: - 120 iPads and Kindles for patients to communicate with relatives at home - Baby monitors for ward staff to speak with patients in isolation - £50,000 worth of care bags and refreshments for staff - Kitchen appliance bundles and additional furniture for staff areas At the beginning of lockdown, the charity supported pop-up wellbeing hubs at each hospital. The hubs offered staff a quiet and comfortable space to relax and reflect during breaks from their demanding work. The spaces gave access to refreshments and information regarding support and counselling options available. Southend’s relaxing space has its own specially created mural by local artists Danny Bench, from South Woodham Ferrers. The structure of the hub at Southend was created in just two days by Maldon Building services who donate both labour and materials. - Dermatologically tested hand and face cream - Support to set up ‘wellbeing hubs’ on each site, kindly manned by hospital volunteers and Project Wingman Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 8 ## **Dr's Out of hours Room** A courtyard garden has been created including new garden furniture and evens some artificial grass. ## **Staff Serene Garden & Neil Rothnie Memorial at Southend Hospital** July 2020 see the creation of our Doctors out of hours lounge area at Southend Hospital. Another example of a charity funded project with thanks to money donated to our Covid19 appeal and with support of NHS Charities Together. We have created a quiet space to ensure staff are well rested. The charity has funded the installation of a new kitchen and accessories. We have also introduced new flooring and re-decorated, purchasing new soft furnishings and a flat screen TV. On 15th July 2020, the Serene garden at Southend Hospital was opened to staff following a special memorial service for Mr Neil Rothnie, Medical Director at the hospital since 2012.The service included the planting of a commemorative tree in the garden. The staff garden was funded from the COVID-19 Appeal funds, with generous support from local contractors and garden centres. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 9 ## **Garden of Remembrance Broomfield** A garden of remembrance opened at Broomfield Hospital and was made possible thanks to funding from NHS Charities Together and the Captain Sir Tom Moore fund. The garden, which took four months to plan and complete, offers a restful space for staff to re-connect with nature and a quiet area to remember colleagues and friends. ## **£30,000 for the Schwartz Rounds** The charity awarded a grant of £30,000 to support the Schwartz rounds which allow all levels of healthcare staff to reflect on the impact of their work. During Schwartz rounds trained facilitators lead a discussion where staff; from across the organisation both clinical and non-clinical are invited to share powerful experiences. They focus on staff experience, in particular recognising the emotional and relational challenges to providing care and are known to relieve stress and feelings of isolation in staff while also promoting togetherness and collaboration among staff. ## **Mental Health First Aid Training & Dedicated Counselling** 100 members of staff had the The main entrance to the garden welcomes you with a metal arch and the words “Our Heroes 2020”. The garden is also home to two sculptures, specially commissioned by the Serbian sculptor Bojan Krstić, which represent people comforting one other. opportunity to attend a two-day online mental health First Aid training course after the charity awarded £5,000 to fund the spaces. It enabled the Trust to expand the existing programme which is run by the occupational health team. The colour theme for the garden is for allyear round scented white flowers with green or grey foliage. Once the hedges have grown, the space will also have a sense of seclusion, privacy and enclosure, making it a garden for contemplation. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 10 ## **Appeals/Other projects** ## **Polly Parrot Children’s Services Appeal** The Polly Parrot Appeal continues to support Basildon hospital’s children’s services. An investment of £46,000 was awarded to create a 2nd en-suite side room on Wagtail ward; this will allow a second room for families whose children have an Oncology condition and who require frequent and prolonged admissions to hospital for treatment for childhood cancers. Basildon Hospital is a Paediatric oncology shared care unit that shares care with Great Ormond Street and University College Hospitals. The 2nd en-suite will give the privacy to families to not have to share bathroom facilities with the rest of the ward. ## **Apollo MRI** made possible thanks to money raised by the For Wards appeal, supported by the Southend Charitable Foundation. The project was also supported by a donation of £2,000 from the ROSCA Trust (The Trust supports charitable purposes in Southend, Rochford and Castle Point local authority areas) to purchase a mini MRI model and two iPads. ## **Children's Penguin ward** An appeal was launched to raise funds to help transform the new Penguin children’s oncology day unit at Basildon Hospital to provide a comforting and calming place for children who are receiving cancer treatment. A child-friendly MRI suite has been 'launched' to make scans less intimidating for young patients, Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 11 ## **Significant Donations/Gifts In Kind section** ## **Tibra Global** Basildon Intensive Care Unit is equipped with state-of-the-art medical technology to aid treatment in the battle against COVID-19, after an extremely generous donation from Tibra Capital FoundationEurope funded the purchase of 27 new Mindray Monitors. The Penguin Day Unit delivers 12 blood transfusions a month and currently treats 27 patients receiving blood platelets and chemotherapy. Supported by the community and the Polly Parrot children’s services appeal the area received a much needed child-friendly make-over to transform the space into an environment that is more welcoming and reassuring for children. ## Tibra Capital Foundation, the philanthropic division of the Tibra group – a leading prop trading firm, donated £112,000 which was used to buy the new monitors that are larger in size than previously available. This new kit will help staff who are working tirelessly in ICU by improving workflow efficiency and information managements. It will provide advanced monitoring and life support to ensure the highest standards of care for our patients. ## **COVID Statement** This annual report and accounts reflects the impact of the pandemic on the charity’s fundraising plans and income, activities during the year, financial position and the impact on unrestricted reserves. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 12 ## **Significant gifts in kind** During the Covid19 pandemic the Trust received generous support from not only the community but also from corporate supporters. A large volume of donations were distributed by the fundraising team and our Trust volunteers to staff. Below is the table of the significant level of gifts received and noted within the accounts. ## **Southend Hospital Charitable** **Foundation** (associated Charity) The Trustees of Southend Hospital Charitable Foundation are continuing their support to Southend Hospital, agreeing to donate £27,000 to support the purchase of a Fees stack machine. The equipment allows speech and language therapists to make assessments at the patients bed side vs several X-rays and scans by assisting in the assessment and practice of swallowing and/or danger of aspiration. The equipment will be used across the hospital particularly supporting stroke services and elderly patients so they can be moved on/off liquid diets more efficiently. Support was also received to purchase 2,700 male and female care packs to be used by the patient experience team valued at £3,000. The care packs contain personal hygiene items such as a toothbrush, shampoo, wipes and a comb. During covid19 unfortunately restrictions were placed on family and friend being able to visit their loved ones. This resulted in patients often being in hospital without access to the essentials. These packs have proved invaluable during a time of need. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 13 ## **League of Friends Basildon** ## **Friends at Broomfield** The Friends at Broomfield Hospital (FaBH) have continued to support the hospital despite the shops being closed at times during the Covid pandemic resulting in less income. However, they have been providing storage space within the shops to ensure that goods/gifts received from the community and general public are safely quarantined before being distributed. They were able to hold all their regular meetings on Zoom with a great deal of success ….and laughter! The Friends have also agreed to support the refurbishment of the Pathology Department staff room with a donation of £8,000, and £3,000 towards a leg press for the Physiotherapy team. More recently, they have agreed to support the new chemotherapy unit with £5,000 towards the purchase of chairs. i—= League of Friends continued to support Basildon Hospital by donating a whopping 3,000 shower gels, cocoa butter and aqueous creams for clinical staff. The League of Friends wanted to give something to staff to show appreciation and gratitude for all their hard work and dedication. They had spoken to staff who mentioned the long working hours, wearing of PPE and forever washing hands so that better way to sooth the skin than some wonderful skincare products. ## **How we funded our work, our achievements and performance** The following figures are taken from the full accounts approved on 28 January 2022, if more details are required please refer to the accounts. This part of the trustees annual report comments on key features of those accounts. In this section we firstly explain how we raised the money and then how we spent it. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 14 ## **Money received - £3.3m. Money spent - £2.2m** Total income received by the charity has increased this year, totalling £3,260,000 compared to £997,000 (19/20) as a result of acquiring Mid Essex Hospital Services NHS Trust Charitable Fund and Basildon and Thurrock University Hospitals NHS Foundation Trust Charitable Fund. ## **Money received: Source of funds** All of our income comes from the voluntary efforts of the general public. The chart below show our main sources of income this year. Our largest source of income continues to be donations from individuals. Our fundraising activities this year have been impacted by Covid-19, particularly our Polly Parrot and Dementia Appeals. Many of our planned events were cancelled although we managed to move some on-line. Donations and Legacies – our largest source of income is giving by the public and by local companies keen to support their local community through improving health. _Donations from individuals_ £683k and Corporate Donations £598k Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 15 The outpouring of support for the NHS in the first lockdown was astonishing. We were inundated with donations of food, toiletries and care packages that we distributed immediately to grateful staff and patients. We were also given equipment such as microwaves for rest rooms, meals on an ongoing basis and bulk items of toiletries and non- perishable food items that have been reflected in our accounts at a value of £562,000. This is on top of the usual donations from grateful patients and relatives. Many companies adopt charities as a way of putting something back into the community. Mid & South Essex Hospitals Charity is grateful to the companies that have donated over the year and to their employees who have given their time and money to maximise the corporate support we receive. _Grants (£823,000)_ we are grateful to our charity partners and other similar organisations that have given us grants to fund particular projects or purchase pieces of equipment. We received £609,000 from NHS Charities Together, £82,000 from Southend Hospital Charitable Foundation and £132,000 from various community groups. _Legacies (£990,000)_ A gift in a will really is an investment in the better care of our patients and we are fortunate to be remembered by so many people each year. Where the terms of the gift require the capital to be invested, the income generated is used to assist our charitable work. _Fundraising (£127,000)._ Due to the lockdown and restrictions on hospital visiting trading income was greatly reduced for our charity shop in Leigh and fundraising stalls in the hospital outpatient departments at Southend and Basildon. Income was also down on the sale of Adventure Island wrist bands which usually generates significant profit for the Polly Parrot Appeal. _Investment Income (£39,000)_ by prudent management of funds not immediately required for use in the hospital we earned interest and dividends of £39,000. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 16 ## **Money spent: what we spent the money on** As the chart below shows, our largest area of spend was on charitable activities in the form of grants. However, the purpose of those grants has changed. This year we have spent more on staff welfare and amenities this year than we were expecting to at the start of the year and less on building and refurbishment projects. . _Staff education and welfare (£954,000)_ The largest proportion of expenditure this year was on initiatives to support staff health and wellbeing. Ensuring staff are well supported benefits the quality of care they provide. Of course MSEFT as the employer has a duty to ensure its staff are well trained and able to do their work, but we can add those extra amenities and support additional training. To this end we paid for staff to undertake mental health first aid training and supported a number of intensive support team building and counselling sessions. We also funded care packages for all staff, an e-voucher for all staff and volunteers in recognition of their work during the pandemic, fruit basket, snack rounds and hampers for staff working over the Christmas period. We have also funded kitchen appliance bundles for staff rooms to ensure staff have access to refreshments to keep their energy levels up. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 17 ## . _New equipment (£376,000)_ The NHS, of course, buys much of its own equipment for day-to-day use and has its own capital programme but NHS capital funds for large items of equipment are limited and must be used for essential items only. With advances in technology and items becoming obsolete, we can make a real difference to patients by funding equipment that might not otherwise have been bought. Equipment purchased in the year includes: - Mindray Capital expenditure £112k - £31k Raizer II Emergency Lifting Chair - Opthalmology equipment £115k - Intrepid Monitor/Defibrillator £66k ## _Admin, support and governance (£436,000)._ Support costs are those functions that assist the work of the charity but do not directly undertake charitable activities. These include the cost of staff working for Mid & South Essex Hospitals Charity, IT Support, Independent Examiner/Audit fees and administration costs. ## _Raising Funds (£64,000)._ The cost of raising funds includes investment manager fees, Adventure Island tickets, charity shop costs and professional fees paid in application of the NHS Charities Together Grant which were successfully awarded to Mid & South Essex Hospitals Charity. ## _Building and refurbishment (£174,000)._ In the year we spent £174,000 on refurbishing NHS buildings and facilities including refurbishments to Wagtail ward £55,000, Elizabeth Loury Ward £38,000 and Haematology wards £10,000. _Patient education and welfare (£224,000)._ Our support for the provision of IPAD’s, Kindles and mobile phones were our main area of spending this year. We also purchased care packs for use in patient care. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 18 ## **Performance against Objectives** Prior to the acquisition of the Trust and the creation of the new partnership charity on 1st April 2020, the Charitable Funds Committees for each Trust worked closely together over a period of 18 months to develop a set of objectives and strategic goals for the new charity and ensure a smooth transition of charitable funds. This included: - the creation of a new Mid & South Essex Hospitals brand, which was sympathetic to existing charity identities - approval of the stakeholder communications and engagement plan - oversight of the charity integration plan for back office operations including legal and regulatory framework - approval of the fundraising strategy 2020-2023 ## **Strategic goals 2020-2023** - 1.To work alongside the Trust to enhance the experience of patients and staff above and beyond what can be delivered though NHS core funding - 2.To maximise funds raised through the development of an integrated fundraising strategy which sees a 10% year on year growth - 3.To continue to deliver an excellent supporter experience to our donors and volunteers - 4.To develop great relationships with our partners to deliver benefits to patients across Mid and South Essex - 5.To be financially secure, responsive and have good governance We would like to thank the members of the former charitable funds committees for Southend, Basildon and Mid Essex for their dedication and contribution to the successful creation of the new partnership charity. - oversight of the investment policy and ensuring restrictions were maintained for each hospital within the new charity Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 19 ## **Our fundraising practices** Members of Mid & South Essex Hospitals Charity organise fundraising events and co-ordinate the activities of our supporters both in the hospital and in the wider community. Mid & South Essex Hospitals Charity does not use professional fundraisers or involve commercial participators. There have been no complaints about fundraising this year. Between March and August 2020, the charity staff were unable to organise any events. Instead, they were re-deployed to manage and administer the generous donations from the public. This included taking receipt of the donations, distributing them where possible and managing the storage of those donations that could not be distributed immediately. Since, September the team have been able to focus on fundraising, while managing donations that have been received. No face-to-face events have been held this year. However, an online sponsored walk and Christmas Grand Prize Draw was run. The charity has signed up to the Fundraising Regulator’s Code of Fundraising Practice. All direct marketing is undertaken by the charity office to ensure that it is not unreasonably intrusive or persistent. Contact is made through direct marketing a maximum of twice a year. All marketing materials contain clear instructions on how a person can be removed from mailing lists. ## **Our Fundraising performance** During the year the total donations, legacies and income from fundraising (shown as other trading activities in the Statement of Financial Activities) came to £3,221,000 against a plan of £2,000,000. The fact we exceeded our plan is mainly due to the support of the public for the NHS in the early days of the pandemic, NHS Charities Together Grants and legacies receivable. This was despite our fundraising activities being stopped during the year due to Covid restrictions. We are currently reviewing our prepandemic plans as we do not expect we will meet our fundraising target in 2021/22. We benchmark our fundraising activity with our peers through the NHS Charities Together and monitor the comparative success of campaigns and overall fundraising cost to income ratios. We continue to perform well with a low cost to income ratio compared to the average. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 20 ## **Our future plans** In addition to the spending plans identified by fund holders from each care group: - Identify a new major capital appeal in support of MSEFT and a compelling ‘wishlist’ of equipment and projects across wards and departments - Continue to grow our trading activities including new charity shops in the local community and in the new hub based at Basildon HospitaL - Expand our fundraising activities towards achieving our goal of raising £2.2million in 2021/22. We are aware that we did not meet that target in 20/21 as the Covid-19 donations were largely made without our input. We expect we will also fall short of our target in 2021/22 due to ongoing social distancing measures, we are working hard on virtual events - Spend the grants provided by NHS Charities Together to help our partner organisations recover from the impact of the pandemic - Continue to raise the profile of the charity, engaging with community partners, hospital staff and the local community across a variety of platforms ## **How we manage money** Mid & South Essex Hospitals Charity makes grants from unrestricted, restricted and endowment funds. The grants from restricted funds must be used in accordance with the conditions attached to the donation. Within the unrestricted funds, grants are made from general funds and designated (earmarked) funds. - _unrestricted funds._ These funds are received by MSE Hospitals Charity with no particular preference expressed by donors. The charitable funds committee invites applications from any member of the hospital, and also from specialist partner charities, for example MacMillan, and patient groups working with the hospital. Based on their knowledge of the hospital, the committee agree funding priorities and score the applications for quality and value for money. Grants are particularly targeted at projects in areas of the hospitals that do not have available designated funds to assist them. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 21 - _designated (earmarked) funds._ These funds are established for a particular ward or department or activity nominated for support by the donor. They are overseen by fund holders who can make recommendations on how to spend the money within the designated area. Fund holder’s recommendations are generally accepted, and these funds can be spent at any time. - _endowment funds - U Brown._ This is a permanent endowment fund managed by the charity. The fund cannot be spent as income and is instead invested. Income from investment is spent in accordance with charity purposes. ## **Our reserves policy** The Corporate Trustee formulates the reserves policy in accordance with the Charity Commission booklet CC19, Charities’ Reserves. The Corporate Trustee has a minimum target for reserves of £500,000 which is required for the continued administration of the charity and has a ceiling for reserves of £5,000,000. Any unrestricted funds above the minimum target allow the Corporate Trustee the freedom to make grants when they are needed in anticipation of donations, whilst being mindful of guidance from the Charity Commission that donations should be spent within two to three years of receipt. The amount of reserves, including designated funds, held at the end of the year is £3,019,000 (2019/20: £779,000) against a target of £500,000. The Corporate Trustee anticipates that maintaining the target level of reserves is likely to be achievable given the level of unrestricted funds held at the end of the year. The Charitable Funds Committee reviews compliance with this policy at each meeting. The Corporate Trustee notes the level of designated funds within the charity and has plans to continue to spend these balances on the areas appropriate to donor’s wishes. In the event that the need identified for any designated funds no longer exists, these funds will be redirected to the general purpose fund. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 22 ## **Our financial health: a strong balance sheet** The assets and liabilities of MSE Hospitals Charity as at 31 March 2021 are stated below, compared with the position at 31 March 2020. The increase in total funds from £1,593,000 to £6,145,000 is mainly a result of the acquisition which resulted in a transfer in of NHS funds from Mid Essex Hospital Services NHS Trust Charitable Fund and Basildon and Thurrock University Hospitals NHS Foundation Trust Charitable Fund of £3,420,000. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 23 ## **About our investments** The management of the charity’s investment funds is delegated to professional investment managers. The performance of the investments is continuously monitored and reported at every Charitable Funds Committee meeting. The Charity invests funds in accordance with its Investment Powers as defined by the Trustees Act 2000. This gives the same power to invest the Charity’s assets, except for any investment in land, as if it owned the assets outright rather than holding them on Trust. The investment policy requires that all monies, apart from working capital, to be invested to maximise the overall return consistent with an acceptable level of risk. Following the acquisition on 1 April 2020, the charity has acquired all investments previously held by Mid Essex Hospital Services NHS Trust Charitable Fund and Basildon and Thurrock University Hospitals NHS Foundation Trust Charitable Fund . These are managed by HSBC and CCLA respectively. The charity intends to review its investments within 2021/22. ## **How we organise our affairs, reference and administrative details** ## **The charity** The Mid & South Essex Hospitals Charity is registered with the Charity Commission under the single Registered Number 1057266. Mid & South Essex NHS Foundation Trust Charity is also known as Mid & South Essex Hospitals Charity (Registered Number 1057266) Its objects are ‘for any charitable purpose or purposes relating to the National Health Service.’ ## **How to contact us** The charity office and principal address is: Director of Charities and Voluntary Services Mid & South Essex Hospitals Charity Office The Lodge Southend University Hospital Prittlewell Chase Westcliff on Sea Essex SS0 0RY Telephone: 01702 385337 E-mail: MSE.Charity@nhs.net Web: www.msehospitalscharity.co.uk Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 24 ## **Trustee arrangements** Mid & South Essex NHS Foundation Trust (MSEFT) is the sole corporate trustee of the charity. The corporate trustee’s responsibilities are therefore carried out by MSEFT’s board of directors. The board is appointed in accordance with the FT’s constitution. Details of MSEFT board membership can be found in its annual report and accounts and on its website. As Mid & South Essex Hospitals Charity has a corporate trustee it is, in accounting terms, controlled by MSEFT and is therefore its subsidiary. Financially, the charity is not material to MSEFT, so it is not consolidated into the FT’s accounts. MSEFT’s board meet annually as corporate trustee to: - review and approve Mid & South Essex Hospitals Charity strategic plan - re-appoint or appoint members of the charitable funds committee and The board of directors of MSEFT delegate responsibility for the day-to-day management of the Mid & South Essex Hospitals Charity to the charitable funds committee and the Charity director in accordance with the scheme of delegation and standing financial instructions. Together, they are responsible for fulfilling the corporate trustee’s strategic plan and for working with the professional advisors and with the representatives of MSEFT who provide the financial services to the charity. The charitable funds committee comprises two executive members of the board and three non-executive members. Other members of MSEFT staff are invited to attend committee meetings but do not have a vote at those meetings. During the year, the committee members were: - approve the trustee’s annual report and accounts for the year. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 25 Pen profiles of the members of the charitable funds committee: ## **Alan Tobias OBE, Non-Executive Director, Trust Vice Chair and Health and Wellbeing Guardian (from April 2021)** Alan joined Southend University Hospital NHS Foundation Trust as Chair in December 2011 from his former position of chairman at West Essex PCT. He is a qualified solicitor with a strong record of senior management, both in the public and private sector. For 16 years he was a London Borough’s Chief Executive and latterly chairman of an IT company. Alan was also Chairman of Essex Probation Service for six years and a board member of Springboard Housing Association as well as a trustee to two charitable trusts. In February 2019, Alan was appointed as chairman of Mid Essex Hospital alongside his role at Southend. Committee memberships – Finance and Performance Committee (Chair), Charitable Funds Committee, People and Organisational Development Committee, Remuneration and Nominations Committee **Dawn Scrafield, Chief Finance Officer** Dawn is a highly experienced, values driven senior NHS leader with a strong reputation as an effective problem solver, with drive, determination, energy and imagination to deliver high quality, cost effective services to patients. Dawn is a qualified and seasoned finance professional with over 23 years’ experience at senior and board levels, with a successful track record of achievements operating as a Director and Deputy Chief Executive in complex multi-site NHS organisations. Prior to joining the Mid & South Essex Group in September 2019, Dawn supported the successful merger of Colchester and Ipswich Hospitals, to form East Suffolk and North Essex Foundation Trust. A strong team player with an excellent reputation for achieving significant results across a broad range of portfolios including, corporate leadership and strategy, financial improvement, performance management, and turnaround in challenged organisations. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 26 ## **Tom Abell, Chief Strategy and Transformation Officer (Deputy Chief Executive)** Tom Abell joined BTUH in October 2015 as Deputy Chief Executive. He was previously Chief Officer of NHS Basildon and Brentwood CCG, bringing valuable experience of health commissioning to the Board of Directors. Tom has been involved in several major service transformation and improvement programmes during his career. He has a special interest in the role that technology and new ways of working can play in improving health outcomes for patients, while making maximum use of valuable resources. ## **Dave Hughes, Non-Executive Director, Senior Independent** ## **Director** Dave is pursuing a portfolio career combining non-executive, trustee and consulting roles following a highly successful senior executive career with British Telecom including over 15 years’ board level experience creating and transforming high technology businesses. Dave is passionate about helping the community by utilising the business skills he has developed to help other organisations, something he has already experienced as Deputy Chair of Papworth Hospital and recently Directors of Paradigm Trust, Health Enterprise East and as a Trustee of Let’s Talk Reading. Committee memberships – People and Organisational Development Committee, Charitable Funds Committee, Finance and Performance Committee, Remuneration and Nominations Committee. ## **Julie Parker, Non-Executive Director** Julie is an experienced non-executive director with strong finance and corporate governance expertise. She has been a Director of Resources and Finance with an excellent track record in providing strategic direction, strong financial management and effective support services. Her experience spans the London Borough of Haringey, Tower Hamlets and Barking and Dagenham. She has extensive audit committee experience including the Health and Care Professions Council, Essex Fire and Rescue and Essex Police. Prior to her appointment to the Mid & South Essex Board, Julie was a non-executive director of East Suffolk and North Essex NHS Foundation Trust and its predecessor Colchester University Hospital NHS Foundation Trust since April 2014. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 27 Julie Parker, Non-Executive Director (cont.) Committee memberships – Audit, Finance and Performance Committee, Charitable Funds Committee, Remuneration and Nominations Committee. The charity’s auditors and solicitors provide much useful material, and the Association of NHS Charities (to which we belong) runs regular conferences and symposia for trustees. Members of the charitable funds committee are selected to give the charity a good mix of appropriate professional skills – for example, medical, finance, investment and fundraising. All members of the MSEFT board are provided with the Charity Commission’s guidance: public benefit: an overview and the essential trustee: what you need to know (CC3) and a summary of what this means for a corporate trustee. New members of the charitable funds committee are provided with an induction pack consisting of the governing documents, previous 3 years trustee’s annual reports and accounts, policies and procedures of the Charity as well as the Charity Commission’s guidance: public benefit: an overview and the essential trustee: what you need to know (CC3). Appropriate training courses are offered in charity law and administration, and the roles and responsibilities of trustees. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 28 ## **Statement of Corporate Trustees’ responsibilities in respect of the Trustees’ annual report and the financial statements** Under the trust deed of the charity and charity law, the trustees are responsible for preparing a Trustees’ Annual Report and the financial statements in accordance with applicable law and regulations. The trustees are required to prepare the financial statements in accordance with UK Accounting Standards, including 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 incoming resources and application of resources for that period. In preparing these financial statements, generally accepted accounting practice entails that the trustees: - state whether applicable UK Accounting Standards and the Statement of Recommended Practice have been followed, subject to any material departures disclosed and explained in the financial statements; - state whether the financial statements comply with the trust deed , subject to any material departures disclosed and explained in the financial statements; - assess the charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern; and - use the going concern basis of accounting unless they either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so. - select suitable accounting policies and then apply them consistently; - make judgements and estimates that are reasonable and prudent; Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 29 The corporate trustees are required to act in accordance with the trust deed of the charity, within the framework of trust law. They are responsible for keeping accounting records which are sufficient to show and explain the charity’s transactions and disclose at any time, with reasonable accuracy, the financial position of the charity at that time, and to enable the corporate trustees 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. They are responsible for such internal control as they determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error, and 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. ## **Our staff and advisors** MSE Hospitals charity has 11 whole time equivalent staff employed by Mid and South Essex NHS Foundation Trust. The charitable funds committee is also assisted by a number of professional advisors, as detailed below ## Investment managers: HSBC Investment Services, Ground Floor, Forum I, Parkway, Whiteley PO15 7PA CCLA, Senator House, 85 Queen Victoria Street, London EC4V 4ET ## External auditors: KPMG LLP (UK), 15 Canada Square, London ## Internal auditors: RSM Risk Assurance Services LLP, The Pinnacle, 170 Midsummer Boulevard, Milton Keynes, Buckinghamshire MK9 1BP ## Bankers: The corporate trustees are 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. Natwest, 280 Bishopgate, London EC2M 4RB Barclays Bank, Leicester, Leicestershire LE87 2BB Scottish Widows Bank, P O Box 883, Leeds LS1 9TY Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 30 ## **Key management personnel remuneration** The board of the corporate trustee and the charity director comprise the key management personnel of the charity as they are in charge of: - directing and controlling the charity running and operating the charity on a day-to-day basis. The Charity director is employed by MSEFT on NHS terms and conditions. The director's remuneration is reviewed annually and is increased in accordance with the nationally agreed increases for his pay scale. Mid & South Essex Hospitals Charity is fully recharged by the FT for the employment costs relating to the charity office and finance team. ## **Risk analysis** MSEFT’s board members are either executive members who are employees of MSEFT or non-executive members who are remunerated in accordance with the MSEFT’s constitution. None of the board members are specifically paid in relation to Mid & South Essex Hospitals Charity, they give of their time freely. Details of expenses paid to key management personnel are disclosed in note 12 to the accounts. Members of MSEFT’s board are required to disclose all relevant interests and register them with the company secretary and withdraw from decisions where a conflict of interest arises. All related party transactions are disclosed in note 21 to the accounts. As part of the business planning exercise carried out during the year, the charitable funds committee has considered the risks to which Mid & South Essex Hospitals charity is exposed. They have reviewed systems and identified steps to mitigate those risks. Three major risks have been identified and arrangements have been put in place to mitigate those risks. ## **Future levels of income** Mid & South Essex Hospitals Charity is reliant on donations to allow it to make grants to NHS bodies. If income falls, then the charity would not be able to make as many grants or enter into longer term commitments with the NHS bodies it supports. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 31 The committee mitigates the risk that income will fall by engaging with the Fundraising Department. That Department comprises dedicated fundraising experts who work with MSEFT to provide a co-ordinated approach to raising funds. Fundraising activity is regularly benchmarked against our peers and thorough reviews are undertaken after major campaigns and events to understand what worked well and how things could be done better. The public’s support of the NHS has been demonstrated through increased donations during the Covid-19 pandemic, particularly the national emergency appeal managed by NHS Charities Together. However, social distancing measures in place in 2020 and continuing into 2021, particularly during the spring and summer months have affected our fundraising events and therefore reduced our fundraising income. The Fundraising Department has managing this risk by moving fundraising online, but this continues to be a key risk as the pandemic continues and the public’s goodwill towards the NHS starts to wane. ## **Fall in investment returns** Mid & South Essex Hospitals Charity generates additional income from investing its cash balances so the committee considers the loss of investment income to be a major financial risk. This risk is increased as a result of the impact of the Covid-19 pandemic on the stock market although that risk is, in part, reduced by the increased cash balances due to the grants received in year. The risk is mitigated by retaining expert investment managers, having a diversified investment portfolio and regularly reviewing that portfolio. The committee makes use of benchmarking information when reviewing the portfolio. ## **Unforeseen changes in the operation of the NHS** The NHS is, by its very nature, subject to national changes in government policy as well as local politically driven decisions. The charitable funds committee has identified this as a risk as it may mean initiatives or healthcare activities supported by Mid & South Essex Hospitals Charity are no longer delivered in the Mid & South Essex area. The committee regularly liaises with NHS partners to understand the changes that they are facing at an early stage. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 32 ## **Wider networks** Mid & South Essex Hospitals Charity is one of over 400 NHS linked charities in England and Wales who are eligible to join NHS Charities Together. As a member charity, we have the opportunity to discuss matters of common concern and exchange information and experiences, join together with others to lobby government departments and others, and to participate in conferences and seminars which offer support and education for our staff and members of the charitable funds committee. _**As a member of NHS Charities Together, we have also been very grateful to receive grants from their national emergency appeal.**_ However, they retain their independence to act in the best interests of Mid & South Essex Hospitals Charity and the charity’s beneficiaries. ## **Our relationship with the wider community** The ability of Mid & South Essex Hospitals Charity to continue its vital support for the NHS in Mid & South Essex is dependent on its ability to raise funds from the general public. Mid & South Essex Hospitals Charity also continues to forge strong relationships with members of NHS staff whose cooperation the ability to make an effective contribution would be much diminished. ## **Related parties** MSEFT is the corporate trust of Mid and South Essex Hospitals Charity and is therefore a related party. We do pay grants to other NHS bodies, particularly, members of Mid and South Essex ICS where they provide services which align with our charitable objectives. The committee consults with representatives of these organisations formally through their committee meetings and via other, less formal contacts. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 33 ## **Volunteers** On behalf of the trustee body, the charitable funds committee would like to pay tribute to: - the members of staff who give of their time out of hours in support of the work of the MSE Hospitals Charity and working with us to identify how we can help them care for the patients - our fundraisers who do so much to encourage others to enrich lives through donations and fundraising activities. - Finally, a special thank you to Maureen Townley MBE and Linda Ansell MBE who retired this year from fundraising. Maureen and Linda have been part of the fabric of Southend Hospital since the mid-1980s as Maureen and Linda’s Enterprises, selling bric-a-brac and knitted goods from a stall in the outpatients’ department. Over the years they have raised hundreds’ of thousands of pounds and in 2017 received the lifetime achievement award at the Annual Volunteer Awards. - Members of Project Wingmen whose flight teams looked after our teams by serving drinks and snacks and giving them a place to relax away from the front line. - volunteers from the Stockvale Group who supported our goods in team and helped to distribute PPE to the wards - our charity shop volunteers and the Friends of Broomfield shop volunteers who carried on, where possible, throughout the pandemic Signed on behalf of the trustee: Name: Alan Tobias, O.B.E., (Chair of the charitable funds committee) Date: 31 January 2022 Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 34 ## **Independent auditor’s report to the Corporate Trustee of Mid & South Essex NHS Foundation Trust Charity** ## **Opinion** We have audited the financial statements of Mid & South Essex NHS Foundation Trust Charity (“the charity”) for the year ended 31 March 2021 which comprise the Statement of Financial Activities, Balance Sheet. Statement of Cash Flows and related notes, including the accounting policies in note 1. In our opinion the financial statements: - give a true and fair view of the state of the charity’s affairs as at 31 March 2021 and of its incoming resources and application of resources for the year then ended; - have been properly prepared in accordance with UK accounting standards, including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland; and - have been prepared in accordance with the requirements of the Charities Act 2011. ## **Basis for opinion** We have been appointed as auditor under section 144 of the Charities Act 2011 (or its predecessors) and report in accordance with regulations made under section 154 of that Act. We conducted our audit in accordance with International Standards on Auditing (UK) (“ISAs (UK)”) and applicable law. Our responsibilities are described below. We have fulfilled our ethical responsibilities under, and are independent of the charity in accordance with, UK ethical requirements including the FRC Ethical Standard. We believe that the audit evidence we have obtained is a sufficient and appropriate basis for our opinion. ## **Going concern** The Corporate trustees have prepared the financial statements on the going concern basis as they do not intend to liquidate the charity or to cease its operations, and as they have concluded that the charity’s financial position means that this is realistic. They have also concluded that there are no material uncertainties that could have cast significant doubt over its ability to continue as a going concern for at least a Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 35 year from the date of approval of the financial statements (“the going concern period”). In our evaluation of the corporate trustees’ conclusions, we considered the inherent risks to the charity’s business model and analysed how those risks might affect the charity’s financial resources or ability to continue operations over the going concern period. However, as we cannot predict all future events or conditions and as subsequent events may result in outcomes that are inconsistent with judgements that were reasonable at the time they were made, the above conclusions are not a guarantee that the charity will continue in operation. **Fraud and breaches of laws and regulations – ability to detect** _Identifying and responding to risks of material misstatement due to fraud_ Our conclusions based on this work: - we consider that the corporate trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate; - we have not identified, and concur with the corporate trustees’ assessment that there is not, a material uncertainty related to events or conditions that, individually or collectively, may cast significant doubt on the charity’s ability to continue as a going concern for the going concern period. To identify risks of material misstatement due to fraud (“fraud risks”) we assessed events or conditions that could indicate an incentive or pressure to commit fraud or provide an opportunity to commit fraud. Our risk assessment procedures included: - Enquiring of directors as to the Charity’s high-level policies and procedures to prevent and detect fraud as well as whether they have knowledge of any actual, suspected or alleged fraud. - Reading Board minutes. - Using analytical procedures to identify any unusual or unexpected relationships. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 36 We communicated identified fraud risks throughout the audit team and remained alert to any indications of fraud throughout the audit. As required by auditing standards, we perform procedures to address the risk of management override of controls and the risk of fraudulent revenue recognition. However, due to the nature of the income received by the charity we have rebutted the fraud risk in relation to revenue recognition. Within the Charities sector, auditors also consider the risk that material misstatements due to fraudulent financial reporting may arise from the manipulation of expenditure recognition and therefore an additional risk has been identified in relation to this. Due to the nature of the expenditure recognised by the Charity, this risk has been limited to expenses which do not relate to transfers to the Mid and South Essex NHS Foundation Trust. We performed procedures including: - Agreeing a sample of expense transactions back to relevant invoices and supporting documentation. Identifying and responding to risks of material misstatement due to noncompliance with laws and regulations We identified areas of laws and regulations that could reasonably be expected to have a material effect on the financial statements from our general commercial and sector experience and through discussion with the Corporate Trustees and other management (as required by auditing standards). We discussed with the Corporate Trustees and other management the policies and procedures regarding compliance with laws and regulations. We communicated identified laws and regulations throughout our team and remained alert to any indications of noncompliance throughout the audit. The potential effect of these laws and regulations on the financial statements varies considerably. Identifying journal entries to test based on risk criteria and comparing the identified entries to supporting documentation. These included those posted to unusual accounts combinations; Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 37 The Charity is subject to laws and regulations that directly affect the financial statements including financial reporting legislation (including the Charities SORP) and taxation legislation and we assessed the extent of compliance with these laws and regulations as part of our procedures on the related financial statement items. Whilst the Charity is subject to many other laws and regulations, we did not identify any others where the consequences of non-compliance alone could have a material effect on amounts or disclosures in the financial statements. _Context of the ability of the audit to detect fraud or breaches of law or regulation_ Owing to the inherent limitations of an audit, there is an unavoidable risk that we may not have detected some material misstatements in the financial statements, even though we have properly planned and performed our audit in accordance with auditing standards. For example, the further removed non-compliance with laws and regulations is from the events and transactions reflected in the financial statements, the less likely the inherently limited procedures required by auditing standards would identify it. In addition, as with any audit, there remained a higher risk of non-detection of fraud, as these may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal controls. Our audit procedures are designed to detect material misstatement. We are not responsible for preventing non-compliance or fraud and cannot be expected to detect noncompliance with all laws and regulations. ## **Other information** The corporate trustees are responsible for the other information, which comprises the Trustees’ Annual Report. Our opinion on the financial statements does not cover the other information and, accordingly, we do not express an audit opinion or, except as explicitly stated below, any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether, based on our financial statements audit work, the information therein is materially misstated or inconsistent with the financial statements or our audit knowledge. We are required to report to you if: based solely on that work, we have identified material misstatements in the other information; or Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 38 - in our opinion, the information given in the Trustees’ Annual Report is inconsistent in any material respect with the financial statements. We have nothing to report in these respects. ## **Matters on which we are required to report by exception** Under the Charities Act 2011 we are required to report to you if, in our opinion: - the charity has not kept sufficient accounting records; or - the financial statements are not in agreement with the accounting records; or - we have not received all the information and explanations we require for our audit. We have nothing to report in these respects. ## **Other matter - prior period financial statements** We note that the prior period financial statements were not audited. Consequently ISAs (UK) require the auditor to state that the corresponding figures contained within these financial statements are unaudited. Our opinion is not modified in respect of this matter. **Corporate Trustees’ responsibilities** As explained more fully in their statement set out on page 29, the corporate trustees are responsible for: the preparation of financial statements which give a true and fair view; such internal control as they determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error; 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 they either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so. Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 39 ## **Auditor’s responsibilities** 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 our opinion in an auditor’s report. Reasonable assurance is a high level of assurance, but does not guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of the financial statements. A fuller description of our responsibilities is provided on the FRC’s website at www.frc.org.uk/auditorsresponsibilities. ## **The purpose of our audit work and to whom we owe our responsibilities** This report is made solely to the charity’s corporate trustees as a body, in accordance with section 144 of the Charities Act 2011 (or its predecessors) and regulations made under section 154 of that Act.Our audit work has been undertaken so that we might state to the charity’s corporate 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 its corporate trustees, as a body, for our audit work, for this report, or for the opinions we have formed. ## **Emma Larcombe for and on behalf of KPMG LLP, Statutory Auditor** ## _Chartered Accountants_ _KPMG LLP is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006_ Botanic House 100 Hills Road Cambridge CB2 1AR 1 February 2022 Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 40 &gxrth CHARITY_/ Mid &Scvth Essw NHS Fcvndation Trustchaiit 202012021Ch*ii Re siration 1057266 SiaQ•m•nQ ol Financial Activiti•s lor lh• y•ai •nding 31 March 2021 Unwdii•d 202012021 Tolal Funds 201912020 Notejrnestricted Funds tOOO Restiicted Endo¥rnent Funds Funds Toial Funds 000 ÉOOO tOOO Income and endo¥rnenls liom tbnallons and legaci•s Chaiilabw aclivi1Ses Oiherlradir4 aoiivllSes hvesimenis 1.500 609 96 28 2.485 609 127 39 842 31 150 Total 2.233 1.027 997 Exp•ndSiur• on: R•151Th3 lundi 51 1.858 13 3)6 64 2.164 50 845 Toi•l 319 895 N•t g4in onll¥•d •ss•1 r•v•lu•tion N•t g4insllloss•ilon Inv•stm•nis Nw Inoom￿1•Xp•ThdIlUl•1 20 20 23 23 77 1.132 77 401 731 102 TrJnxl•rs b•iw••n I￿ld5 Oihei i•oogn15•d galns11105s•$1 G•in onlunds Iromg*t ol ch*li•bl•14ids 10 313 13131 20 1.526 1.832 62 3.420 N•t rno¥•m•ni In lunds 2.240 2.250 62 4.552 102 R•oorholllaQlon OF lunds= TolalFunds brouthi forward 20 779 814 1.593 1,491 Total Funds oarri•d lorvavd 20 62 JI ncG4T* andwpendiure isderivedlrom ¢or*huing KI1￿11*% Thestaiement ol Financial AcivJities inolL*4@s allgains andloss•s r•co97ised in the yeai. 'Gainon funds is Iromiho gilt ol NHS oharitabl•lunds via th•iiansl•rol assois and liablities to MSE Chariiy 1.1. Mid & South Essex Hospitals Charity Annual ReporL and Accounts year ending 31 March 2021 41 Approved on behalf of the Corporate Trustee by: 31 January 2022 Dawn Scrafield. Chief Finance Officer Mid & South Essex Hospitals Charity Mid & South Essex Hospitals Charity Annual Report and Accounts year ending 31 March 2021 42 &gxrth CHARITY_/ Mid& Scthh Essax WS FoJntsknonTnJst - I)2￿3)21 Chanty Reggrab'cm 11672E6 stst•Mnl of Cash Flows for Iheyear endlno 31 Marth 3J21 ithajdted ?￿￿]3)21 201913)20 Tota Tcrtal Funds FLmts Cash flows ITOM operalno ￿t￿ltIeS.. cash pmvided by opwaring aui¥TDes 4(M]7 161 Cath flow5 1￿M Inyesllng ￿*￿Vtiles". tl'vidend. irrterest and rerrts frwi invearrerts Proceeds ftom the sae of i￿estrrÉrtS Grft offixedassets Grft of irvestn￿nIS a c2nyiTrJ valje PLYchase cl inveaments cash pmvided by in￿S[lng a(xfvlles 12 1791 Cknange in cash and cash e4w1val￿TS in the ￿porting pwiod Cash and cash equrrfalenls & Ihe bvJinning of the reportino pefv)d ca￿ and cash equi￿al￿ts a rhe ￿￿1 ofthe r￿orring per*)d 1,640 1.677 131 1e6 1.511 1,6T7 Recondllthn of nei in(on* to net cash Ilowfrom opernlnu &ttvttS88 1th3Jdted 20J)13)21 201913r20 Totd Tcrtal Funds FLnts £oc A￿[￿￿￿0Me for rherqx)rringpwA)d (asperthe s￿re￿￿T of Th￿￿0*a￿•v1[l9sj 1,132 1Q2 Adjustn*ntslor: DeF(edaic (Gans￿s*S ffl nvearw*s (Gans￿5*$ cn fixed assd r6vaualic Gan on funds Ircm glt c( NHS charrtatle funts 'Vhdends. irterest rerts frOmirwest￿ls Ilncre8*y(*ue&se in St￿kS Ilncrea*ythuease in detrtors IncreaSeJlthc￿&sel in cred1￿5 cash prowded by Op￿d[lng aafyiDa8 (TTI 1231 3,420 1391 1&91 (6671 316 (51 The not8s on p4es 4 to 15r￿M O (( th's xcrAnt Mid & South Essex Hospitals Charity Annual ReporL and Accounts year ending 31 March 2021 43 &gxrth CHARITY_/ Md aThl South Essex NHS Fo￿latknn Trust C￿4￿. - 202012021 th . istraucn 1057266 Noies to th• fIn￿CIal statemènts fc* th• y￿r ended 31 Mar¢h 2021 1. A¢¢ourrtSng Poll¢les 1.1. Basls tsf prep*ation The fin￿aal statements are prepar&J Lm(*r the historica cost conventDn. wlh the excep￿ cl investments are inclLthd at fair value. The accomts Ifinancial statemenlsl have been prepar& in accordance wth the Statement of Recommended Practice. Acc(xJnts"TrJ and ReprKtirg ty Chanbes prepanng Iheii accounts In acc(Ydance wth the Financi* Re￿￿[￿j apylicatje In the UK Republic ol Iieland IFRS 1021 Issued In od￿r 2019 and the Fin￿claI Rewrtiro Slat*ard applutle in United Klwcm aThl Rep￿￿1C of Ireland IFRS 1021 ￿ the Chathes Acl 2011 and UK Gewaly Acceptwj Ptactice as Il Ir(¥n 1 January 2019. The accowts Ilinancrdl statemenlsl have t)een prepar￿ lo give a lair view and have departed frL¥n the Charit￿$ (Accounts avj Rewtsl Regulaticns 20D8 to eKienl required to provlde a 'tn* and fair wew. This departure has InvcAved T￿lOwlr￿j Accountlng army Rerx)rting by Chanties prepanng their accounts In accLY(Jance wrth the Fironcia Re￿rfr￿J sI￿d￿d applicaL* In the UK aTrJ Repjblic ol Ireland IFRS 1021 Issued In Oct(thr 2019 rather trkin the Ac￿ntry and RepuknrKJ by Charrt￿. SL*ement ol RecwmeThJed Pr￿ty¢e effecllve from 1 Wl 2(KJ5 h has since L￿en wthdrawn. fin￿dI StsleM￿ts wewed c￿ a cot)cem basts wknich the TrLLslees c(msthr to be aFpr(yWe ￿the reas(￿￿. The buyness m(xlel of the tharty IS SUCJ) t￿￿t ts tha￿talle a￿1￿1￿$ are Imlled lo ttK)se bthlch K has suffic￿1 ft￿￿$ lo suppcit trom tt* excess funding rec￿Ved over the costs of administering the chaity The chanty therefore has r#) specffjc commrtments no commrtted costs Wrmd rts fixerj c0515 of oFeratI¢￿ ¥sknich are ¢Jetal*J h note 7a. The Twslees have revÈwed the cash flow forethsts lor a 12 monlhs from the dale ol apprvvai of tt*se IlnarKia slaternenls which ￿dIcale that charty wll have surricient ftmds lo meet ts IiaLMlites as IW fal due fu that perf￿1 The Tntstees have also crmsidered the Impllcthons of cov1￿19 tr￿ cash flow foreC￿ts and consKJer that a5 a regjlt ol Ils opErating mc*Jd e¥yalned above, even Il rK) Iwther l￿dIr￿) Ls re￿Ived In the 12 KtrKQ. t￿ ch&ty has suffluenl cay) reserves to kw all commrtled cosls. CA)nSeque￿I￿. the Trustees we cty)fKlent trwl Ihe charty bs111 have suffidenl luNls to oyllnue lo meel ts ll*)ilil￿S as Ihey lall due for at least 12 n￿nths Irom the date ol approval or the 1￿Cla statements On 1 WI 2020 assets aTh1 Ikqblltties ol Mk1 Essex Ho¥Jltsl se￿Ces NHS Trusl aTh1 Baslthn aNI Thurrod< iknfver*ty Ho¥Jrtas NHS Fwdatlon Tnjst were acquired In Ihe rc￿ of a gfft by s￿thhe￿J UnIver￿ty Hospltal NHS FOundalK￿ Trust Tre Trust Board. ty way of 9JFvkrnenlal d￿d5 C 1 WI 2020 ￿reed lo make appllcati(n lo the Charity CommlssKm lo transfer the assets and Ii*)Illlies ol t￿ lom￿r Trust a)arrtks. close the linked charrtles and grant Ihe rrnnies Irorn Mid Essex H05Prtal se￿￿5 NHS Trusl C￿tal￿e Fund Bag1(knn and Thurrc(k Ur4versty How￿$ NHS F￿￿JalKIn Twsl Ch￿table Fut* lo SCIrthe￿￿ Univm Fk6pllal NHS Fo￿￿at1(￿ Trust charttJL￿e Fund. Simultanewsty. Southend Unrversty Hospital NHS FoLndallon Trust ChaNtatle Fund was renamed Mid and Scmjth Essex NHS Fc*Jndatk)n Trust Chanty ￿ a wuking lit￿ of Mhj & Essex Hosprtats Chty registered. Md South Essex NHS FO￿¥jat￿ Tru51 Chkn ts a puLllc LEnefrt ertty. Mid & South Essex Hospitals Charity Annual ReporL and Accounts year ending 31 March 2021 44 &gxrth CHARITY_/ Mid Swlh Essex NHS F￿n￿at￿ Twst . 202￿2021 Chanty Rg]tstrath)n 105T266 1.2 Incomlnu Tesowces hjl Incoming res￿rceS *e recognbsed (￿te the charty has entit￿ent lo the reS￿jr¢es. K is probable {m￿e l*ely ihan Mti that the resources ¥¥ill be reC￿ve￿I and th8 rnonetary val￿ of Incomiro re9)urces can be measured wth gjfficient reliafj'lty. 1.2.1 D￿￿tIOns, leoacles gifts in kind tknn3tw)ns arvj legaaes a￿ cteditwj to revenue a ￿e￿a)le basls. Legacies are acctsjnled fc¢ on rttewl of ¢￿￿nCe frcm the FeNnal resenlalive Indicalirvj Ihat payTnent of the legacy will be m￿je Grfts donated for resale are Inchjded 35 income when they are sohl. No arn￿Jn1s g inrdt*Jod in the financial sla19m￿ for so￿￿9$ (knalwj byv(￿nt8er3. 1.2.2 Grants receivable Grants rec￿¥the are ciedtted lo tr* slatement ol financlal *ti¥￿e$ kn Il* in whleh Ihty are ￿teNable. 1.3 Resourcès expen( AJI exFeThJilure Is acc(￿ted I¢x ac¢nth bags has been classffi&J ￿￿er he*J¥tsJs that ￿[egate all costs relate(J to the catewy. Where costs cannot dicectty attritxrted to panTroJlar headmgs t￿Y have Jbcated lo activibes cfi a basis ccnsisla)I wrth use ol the resource5 Costs ofgeneraling ¥￿Untary income are th)se ￿cu￿Ed in seekirrfj voKmtary ￿tr￿ul￿5 afKI do rKJl inclL¥Je costs ol thssemlnaling irrformalKn in SLPPJrt ol chartty ath.Vrt￿$. All expendrtwe Is recognised On￿ there is a *gal tr ojrtslrudve C*)1'ga￿ lo rnakè a payTrenl lo a thir 1.3.1 Granis pay&*le Grants payab￿ are pa￿ents. m*Jè lo trw'rd part*S lindudiThJ NHS ttsJl•sl In thjrthèranee of tho lurhts hèld tffi tsugfs ¢haritail8 obJectIv￿. l>anl payments a￿ reccwis&1 as eypeiKJiture when the ¢￿￿rt￿5 for Ihwr payinent have rnel of whère there Is a ¢￿StrUC￿ve ￿li￿a￿on lo make a payment A construcbve ￿￿Jat￿ anses a grant Is approv&J by the tluslee an(J ac￿pted by the Wefiaanes (i e. vknere a trmro party has leas￿al￿e exwIal￿ that U*ywill ￿¢￿Ve the granll. trusiee has ¢c￿tr(l over the am(MJnl and timing of grant tAyments and c￿Seq[*￿ty where akwval has ￿en given by the Injsteè, and anyollhe a￿6 ¢M￿na ￿]ve beèn mel then a liability Is re¢(￿nised. Grants arè Tr)t usualy warded wth coTrJrtMs attached. Ho4ve¥ef. vthen they ¥e then Ih05e condrthMs have to belore the Ikil)Il'ty i8 r8coJnLq8d. 1,3.2 Funitralslno cog13 Costs ol raisiThJ funds are I￿se costs aiinbutatAe lo gew3b.ng *Kome chanty. otr*r Ihan those costs In mJèrtakirKJ chartable Iiinb68. K mthd6s knv6strnenl manwmenl tses. 1,3.) Charmab￿ 4Klivil ts ol chantable a¢￿￿treS clwse all ccfjts Incuvred pur￿11 cl Ihe *"ects ol ihe FLTrJ. These costs c(xnfv threcl costs a) apportTh)menl ol surrf)ort costs as sho¥w) in note 7. 1.3.4 Allocation of 8iwNI costs pwt costs have been albxated b&￿en charitable ath¥it￿$ In proFth to Ihe average month end balances hehl on each indi¥ithJal fimj. yt costs are (hose costs whlch ¢kn ￿1 rdale direclly lo a sTrJle athvty. These Inclu(k some staff costs. costs of adrnlnistrats￿, an(J IT 1.3.5 IrrecovoTatd• VAT y irrecoverable VAT Is Char￿ lo the Stalen￿￿1 of lknanclal ath.¥￿$. ￿ wtallsed as part of the cc6t (rf the relale(J a5sei. where appr(ybate. 1.3.6 Recognition of liabil￿.ej "abilities are recognised when an ct4lgat1￿ arises lo trar￿fer benefits as a restli of Fo51 transacth￿S or events. Mid & South Essex Hospitals Charity Annual ReporL and Accounts year ending 31 March 2021 45 &gxrth CHARITY_/ 'd arKI South Essex NHS Foundat￿)n Trust Cha 202012021 Ch islraknon 1057266 1.4 Fund aceountlng 1.4.1 unrest￿¢1ed Funds Unrestricted lurKJs are ftjnds that are available IOT use at the discreb"i)n ol the trustees in the lurtherance of the general objectsves of the charty. and which have not been designated for other purwses. 1.4.2 Restrict•d Funds Restricted lunds are lunds Ithich are lo l￿ used In accordance specific reslrlclons imposed ty ￿(￿OrS or whlch have been raised by the charty ior particular purtM)ses. The cost ol raislng and admlnistenng such funds are charged 4alnst a spetiflc fund. 1.4.3 D•5ignat•d fund5 Designated funds compnse unrestncted fvnds that have been set aside by the Trustee for partscular purwses, but will￿1 restricting or committing the luThJs wally. 1.4.4 Endowm•nt funds Endowment lunds are capitsi ftinds given to be held in perpeluty Investment income Is app¢Ntscffled to Ihe indlvldual lunds in prwrtson to the average fvnd balance over the evious quarter of the ye￿. 1.5 Tangibl• ass•15 1.5.1 Capftallsatlon All assets lalllrKJ inlo the lollowTrJ caiegories are Ca￿taliSed. a) Tangible Assets bthich are capable of belNJ used for mwe than cffie year. and have a cosi equal lo N greater than £5.CKIO" b) Groups ol tanglble fixed assets whlch are inlerdependenl CK I￿VId normally be pTovthd or replaced as a grcwp with a total value in excess of £5.000 and an individual value of £500 01 more. 1.5.2 Valuatlon ValuatKJns for Buik1ings and Land are camed out Fffofessionalty at fNe year intervals. A three year inlenm valuauon is also camed out. The last full valuation vrds carried oul by Cushman & Wakefield wf(h a valuation date 0131 sl Arcn 2017. A ¢Jesktop valUat￿n has been undertaken as al 31 Marcn 2020. Fixed assets are valued as lo110￿. a) BuildirMJs. installations and fittings are valued al depreciated replacement cost for speciallsed FfOFerty; b) Land is staled al oten market value lor its existing use., c) EqUi￿ent Is valued al the lov￿ of estsmaled net replacemenl cost or recoverabk amwnl, d) Assets in Ihe course of ConstructiC￿ are in￿￿lty val￿1 al cost and are reval￿1 by profeSY￿1 valuers as part of the 5 rx 3 yearfy valuat￿n. Mid & South Essex Hospitals Charity Annual ReporL and Accounts year ending 31 March 2021 46 &gxrth CHARITY_/ Id and Sw￿e, en1wcen￿I ol the value of trt C￿lIable Fund. Inveglment are ty the Trugiee on the reeomnw¥Jations cl tr Ctynmittee. 1.7 Stock Stock ￿ wak￿d at the ol ¢<￿t and net mlisa￿e Val￿ ￿ a fnt in firnt bo*'•. 1.8 DelAor8 1.9 Cash and cash equivalents Ca¥h at bank in hand ki meet the day to day rUr￿Ing ¢(*ts of ch￿ 88 faLI 1.10 Creditors Creditors are rkwsured at the amount that tre charity eycts to have to pay to setlle tr* d*t. Arno￿1$ *thich are more than ￿e yeaT are a8 tum creJJit¥3. 1.11 Pen8ion8 The charty * a g￿t makro chty arKI has rK4 wnFAffjees ccffltrIXrt￿ Id)d' rf*s that may ￿se are g)Idy the res￿n￿bIl￿ of the ￿nt recipiert Mid & South Essex Hospitals Charity Annual ReporL and Accounts year ending 31 March 2021 47 &gxrth J & s￿ Esex WS FO￿l￿t￿n Trust Ch . 202th'2021 Cha" i4traksD 1057IJO CHARITY_/ 2. PrDry•ar ¢ompar4tr+•s by tJp• olfw the sla*r￿Nto1FThlTrUl1*￿l￿b*S aTrJ t** S￿t *)r *•eho{t￿ threè wsollufvj thattl ChantymaTha 2a UnTr5tricted . Statemert of ￿Tranc￿lIACtI11*l￿s forthe parerKled 31 March 2021 202W2021 XI9.'X20 lrtan* arnl en(krATment5 fr(m Donat￿Tr5 •n¢t k9aO ChantaL4E acti4le5 Ot￿rtr￿J1ry artiwi Ins*JbW Total 419 2.23 51 1,8 727 Total Nei 9ainsfb%es1 on Sn%*5M*n N•t irromtr4èxpeThditur*l 77 401 Tianslèrs bètwèèn fvtsaj ot￿1 reco￿15+d 9ainslb5*•51 ndj wft• Restrbded FuTrls. Slaterrnnt crf Firnn(ial P£liiilie8fcff th2 ythrerKled J1 Z121 U ne￿Il￿d 3)2012021 2019r2011 I￿or￿and m*)wrn)t$from Donat￿￿* aTrJ kgaiie cttant8b￿ othu Iradmg admt IrNeStm￿ts To•AI 423 31 19 442 ExpuKl*ureo RaBing fiJn Chantable Adiwtk%S Tol31 13 319 120 Net gan on t 23 T31 Transkrs betvèen tsn Other r￿O￿l￿d Lydin￿[lO1￿￿) Gain (m ￿ndS gifted ftDm NH S thantsble lJr¥Js (313> (181) 1,832 Met rny4errnnt in fimdl 141 R£r￿cl￿At1C￿ of funi Total Funds brnught ftyyard 814 673 Totsl FuThl•cani￿l fom 814 J) Restrkled Fu￿19- Baance Sheet • It 31 ￿r¢h 20 und￿l￿d 2(Q0120X 2019r20ZI £(Do F￿ed￿￿tS Tangible As8ets Investrnents Totsl Fixed A•ets 240 St￿k Deblorn- amojnts falling due v4thkn one Jear Cash and easl 8]ur4alents Tolal CuThert A88d* Cre(ItcYs- ￿Ount$ tsliNJ due one)¢ 142 Net CUrT￿tA¥￿t8 ILi&txlitM) Totsl Met As*$ tr restiirX8I fun 814 Mid & South Essex Hospitals Charity Annual ReporL and Accounts year ending 31 March 2021 49 &gxrth Mid& South EssexNHS F￿nda￿onT￿$tCh8 2020ri121 Chari Re trath'on 105726 CHARITY_/ E￿1￿1￿￿ FU￿18- Slatfftwrtof Fi￿￿1•1 ktivitbes fcf Swre￿Ied J1 ￿tsr¢h 2021 Unaudf(ed 202012021 201913]20 I￿(￿and e￿￿>T￿lE￿91￿rn DonatK)rK8 aTrJ kgacxs charit￿￿ other trading a￿rAt￿9 IrNestfflents Tol&1 Expuxltureo Ratsmg ffiJn Chant￿le A£tiMtN Totsl Net gpdn on fc<&l assd revalu&i Net gpinyloossesl In￿$trne￿ts Ilet ilCtTh1leype￿IlW2I Trarutsrn betyeen Other nro￿l￿d Evin￿lI01￿) Gan ￿ ffiJnds giled from NHS tharitsble ffiJThls Ilet rnxeffent in 62 A￿{￿ClIall(￿ of l￿d￿. Total Funds bffjughl fcryard Totsl FuThl8Ca￿1ed fw 62 Fu￿18. Ball￿e SIMta•at31 2Q1 Unaudrted 2a￿12021 2019rii20 ed8￿¢$ Tangibk Assets IrNeslments Totrdl FixalA•ets Current a&s&s Slcck Debt0￿- amwnts falliig due v4thm one year Cath and 8]ur¢aknts Totsl CunErt A¥gds 62 62 Wet CurntAg*ts 62 Totrdl Ilet Assa8 fundB 62 Totrdl e￿k¥￿rnt 62 Mid & South Essex Hospitals Charity Annual ReporL and Accounts year ending 31 March 2021 50 Mids￿￿ CHARITY_/ &South £55￿ FwrknJat￿n TnJ5tCh . 20310J21 Char 10572e 3. Anatysis ol •)¢on*arnl ènd(A¥morts frum dcffiat1￿$ arnl Wiès UNI￿￿rtÈd 202012021 3)1&20 Trtal Total FuThds Fur¥J5 Uryestrrted Rè5tibEted FU￿1% FuTrJs DoMtKffj trom ir**YOu 67 477 Gwts 10 214 597 27 Tolal 258 Total 2.485 842 4. A Thitysi5 01 in¢)XQl *XtJ7* art )1 C I JLt 31 t1 Mid & South Essex Hospitals Charity Annual ReporL and Accounts year ending 31 March 2021 53 &gxrth CHARITY_/ & Sgth Essv NHS F￿r&I#￿*n TwstCh¥ •tr•tityt 1CÈ3rae 15. FiJ•d a55et in*5trnwrt Unwdited 2￿(￿￿?21 2019'JZI Listed 5Èd Tket V8kne tVOLght fawawd Gift d irwestrÈnts Sk ￿>11VJ v8kne 2.17 L*Js." 4t ¢xryry VI￿* 15821 N•t g•in I lts•l on f•v*J•li>i at 31 Pl¥ch Un•J4it•J 2021YaJ21 2019￿2) £0 HSBC FT￿ AJI-￿￿* Inst Ir¢ HSBC CryFef** Fur&1 Inst Ir¢ HS8C UK GIA In**x Furo. Ir•t Unti HS8C Europ1￿ Iré•r Ir•t Inc HSBC IThJ￿ h5t Ir¢ HSBC US EqLity Flnd knjt Inc HSBC Jy Inthèxlrnt hc R fvkn•J•J FL*Lf•5 UCITS GBP ktrr•n s￿￿j Cicsi kn•t Tr￿￿£ HSBC ¢>1 hflAt*)n Lb ZQ1 H I￿P HSBC ¢3(**￿ I￿+$*r•￿t Fl￿{￿ Asi• H*Jh Y*hJ 6cnd ZQ1H GBP HSBC ¢3(tsd Inmstrnrrt FLn%* Asi• Irw•strn?rt ZQ1H G HSBC &rtsd1Trrnskn)•rrt Fl￿th Gb Slyt DLftn Bnd ZQH GBP HSBC ITrMstrr*nt Eftwoing Lcul Drt•tZQ1 USD HS8C Irw•str•nt FLYt** R•¥ Estyt• EqutyZQI HS8C Irwe5trrerrt G￿b￿ SlYJrt DUIBb￿ Fur￿ ZQ1 H G HSBC Irvestrrerrt lryestrnwt Gr•Ye ￿ Crd ZQ1HG HSBC Equty ZQ HSBC t3(￿1 Inv•t￿t FuTrJs Gbtel C(TW4te 8crd ZQH G HSBC ¢3(tsd Iwtrerrt FL￿%* Elwging BOZ G8P DIST HDG HSBC Irvestrrerrt G￿errffiwt B￿d ZQ1 H ￿P HSBC Irvestrrerrt FLr¢* Hyh Yield BoThY Z GBP Dst HDG HSBC I￿eS￿ernt fvknfJ.k5et ZCH G PriFr* UK Mid S￿1 CBP LICITS ETF DR HSBC UCITSETF G&U khv•5 Klsc Wofkl GBP H•lo*1 Hsgc fvtsc4 J•w UCITSETF ￿P kh¥•s Cty•Em Irri DLST Lyxu fvtscl Firerr48b KIT5 ETF CIJF c￿ritES Ethical Inve5trrerrt FUTr CIJF c￿￿rtE$ Inv￿try￿t Fur¥J CCIF CPwrt*s Fi*d Int¥•t Fur TO*￿ h5ted ￿￿trT￿lS h IrP￿strrerts 118 13 18 17 81 15 117 19 412 2.191 Mid & South Essex Hospitals Charity Annual ReporL and Accounts year ending 31 March 2021 54 &gxrth CHARITY_/ M hl & South E $5ex NH S Foundation Trust Chari 2020r2021 Char Re i5tralion 10572e6 16. Stock U n8udrted 202012021 201912020 £IM)O £000 Theme Park Tithets 58 17. Debtor• U noudtted 20201202 1 201912020 £￿0 An￿untI falling due ¥%ith•n y￿r Prepaymenlg & accrued income Trtal 667 18. Analy•i• ofea•h and ea•h ewi¥alent• U naudrted 202012021 201912020 £(M)o £000 Cash ni hand 2010 1,171 Noti￿ deposts I￿￿¥ than 3 months) 507 Trtal 3,J17 1,671 19. Credtorn U noudrted 202012021 201912020 £(M)o £000 An￿unt¥ f•lling due vAthin y￿r Trade Credilof5 Accfua L% tsr grants oval to NH S bodies 332 78 Other Credrtors 61 Trtal 400 Mid & South Essex Hospitals Charity Annual ReporL and Accounts year ending 31 March 2021 55 &gxrth CHARITY_/ Mid & so￿￿ Essex NHS FOunda￿1n Tru￿ Chari 202012021 Charrt R Istration 1c67￿6 Material Fund5 Je con&dered lo te I￿se wlh a baance that exceeded £9),000 ticlh allhe Legnning and end ol the Fnarrial Year 20. Funds Balance 1Apr20 Incomlno Rey)urces reWur￿$ expended Gmlrom NH S funds. Transfers other Galns & losses Balwce 31 Mar 21 Permanent E nd0Y￿ent Funds U Brw Legacy 62 Restrictd Funds Snwler Restricted Leoades Srrdler Restrided Dcfiaio Famly AcconTrJdation- Asset cardiolo￿ E￿cath Pdly Parrot AppeJ- Clilthen Lectureship FLnd- RestrKted CTC Restricted Legacy MacMIll￿ Irlormal￿ Centre Al other Funds 531 72 891 11rn 1245 1101 131 59 161 77 18n 107 57 154 117) 11951 833 1136) n2 Sub Total Re8trkted Funds 814 1,027 1319 31 Unm8irtt•J Fund8 Charlty Equlprr¢nl Fund E Loury Ward FLnd 8rfrast FuTrJ Crrtical C¥e Unil Fund Covi¢>19 F￿d 8wns Centre Funol Matwnity Bw8av8m8nt Servi 8a£lldcn Unrestricted Legacy Gernral Purposes Charly FuTrJ Al other Funds 55 83 60 46 130 10 11 12611 1381 1131 1211 1587) 1301 141 161 161n 13321 247 865 110 174 20 2)8 157 857 12) 149 203 251 11621 692 766 367 Totsl Funds 1,593 3,260 12,2381 3,420 1(rfJ 6,145 Gift from funts relerslo the Gain on funts fromthe gfl of NFB charttable funds via the tr￿SIer d assets liabihties lo MSE Chartty pw Ncle 1. 1. Mid & South Essex Hospitals Charity Annual ReporL and Accounts year ending 31 March 2021 56 &gxrth CHARITY_/ Mid & South Essex NHS FoundatK)n Trust Char 202012021 Charit Re i#ratDn 1057266 Unaudit￿1 Balance 1Api19 £000 Unaudited Balance 31 Mai 20 20. Funds Incoming Resources resouice5 expended Transfers Gains & losses £000 Permanent Endowment Funds Restrkted Funds Smaller Restricted Legacies Kefvole Cancer Appeal macmil￿n Information Céntrè Dementa Fund 20th Annwersary Fund G￿a& Ioncology COPES Fund Other Restncled Funds 388 1211 45 33 96 38 94 218 21 16 {751 531 141 1221 {711 121 1211 57 38 19 39 130 171 {681 62 88 1311 SubTotal R8strICt￿ Funds 673 120 1181 814 Unro$irkted Fundi Charrty Equipment Fund Charity Shop E Loury Ward Fund Oncology Fund east Fund roke Unil Fund ambridge Isurgicall ward Fund &aff Lottery Fund Chemolh eTapy Unil Fund Cribcal Care Unil Fund Other De&gnaled Funds 65 71 59 29 12011 1411 121 120 55 19 83 48 61 49 35 59 47 54 55 33 31 161 24 19 1171 1121 1131 13 19 12 300 131 191 161 14841 1101 121 33 41 421 41 46 333 bTotsl Unrestrlcted Funds 818 555 775 181 779 Tolal Funds 1,491 997 1,593 Mid & South Essex Hospitals Charity Annual ReporL and Accounts year ending 31 March 2021 57 &gxrth CHARITY_/ Mid and South Essex NHS Foundabon Trust Chanty - 202012021 Charity R istratKJn 1057266 21. R•lat•d party transactlons Mid and Souih Essex NHS Found3￿"1)n Trust is Ihe Corporaie Tnjsiee ol Ihe Mid and South Essex NHS FOundat￿n Trust Chanty. The members of the 8oard are listed on pa9e 6 of the Annual Report. During Ihe year. none12019120 None) of the rnembets of the Trusl Board or key managerneni staff c* parties to Ihem have undertaken any matenal Iransaclions with the Mid and South Essex NHS FOundat￿)n Trust Charty. The MKI and South Essex NHS FoundatK)n Twsl Charty ha5 rnade revenue ￿ld capital pawnents 19 the Mbj and South Essex NHS Fowdab Trust where the corporale twstees a￿ also members ol Ihe Trust Boartl An admnistralNe recharge ftx the star 2020r21 of £401k12019r20.. £272kl wa5 rn* by Ihe Twst to Ihe Charty. Dunng Ihe year the Chawty made grants of £1,728k12019r20". £571kl to Mid and Soulh Essex NHS Foundath?n Twst. At the year end, the Clwty had a balwte Outstsnding owed lo the Twsl 01 £336k12019r20. £78kl. Thts ￿￿esentS trade cre