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2021-03-31-accounts

National Voices Annual Report and Financial Statements For the period ended 31 March 2021 l-statements National Voices Notional Voices is o company limited by guorantee Charity Number 1057711 Compony Number 3236543

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NATIONAL VOICES TRUSTEES. ANNUAL REPORT (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 31 MARCH 2021 (coMfiNUED) Tash and Sam). We had partners from the social enterprise. charity and commercial sectors help us with staff, expertise and money (thank you PPL KPMG and more members than I can list here). And we had funders who were flexible enough to allow us to focus on what we needed to do. We are grateful. l also need to thank very explicitly the small but perfectly formed team at National Voices who worked incredibly hard and bore the impositions of homeworking, closed childcare and at times manic pace with grace and resilience. A thank you must also go to outgoing Chair Hilary Newiss for her hard work. leadership. and unwavering support. This coming year is all about ensuring the recovery of services is inclusive, equitable and persoTrcentred. And we will continue to work with anyone with insight, good practice, innovations and ideas. We urge our members and partners to stay close. Together we will figure out how to make the next year equally impactful in our mission to make what matters to people matter in health and care. Charlotte Augst CEO. National Voices Page 6

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NATIONAL VOICES TRUSTEES. ANNUAL REPORT (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 31 MARCH 2021 (coMfiNUED) Health and Wellbeing Alliance We have been an active member of the Health and Wellbeing Alliance (HWA), fulfilling our commitments and achieving green in a RAG rating for all our quarterly monitoring reports. We have fed into numerous programmes, facilitating engagement beMeen VCSE members and policy leads. We revised our workplan in light of the COV1￿7 g pandemic and focused on covit>l g's effect on health inequalities.. on addressing health inequalities to build back better,, on ensuring personcentred care underpins the recovery,. and in promoting the Alliance in all strands of our work. We have recently (May 2021) been appointed as Coordinator of the HWA from 2021-2024 and look forward to collaborating further with a vibrant neMork of system and sector partners. VCSE sector capacity building As soon as COVID-19 hit in March 2020 we opened up our nehmorks and events to noTrmembers and encouraged the recruitment of smaller organisations. often supporting seldorTrheard people as members in an effort to support the voluntary. community and social enterprise sector in its response to the COV1￿7 9 pandemic. We continue to offer free membership to chorities with an income of less than £1 Ook and target this offer to those with a clear inequalities focus. We have welcomed 34 new members, and 18 fall into this category. We have been pleased to welcome new members working with people with disabilities and from marginalised groups from right across England, another welcome impact of our engagement moving online. We routinely create access for members to senior decision makers in the NHS by brokering relationships wth those senior leaders and offering open events such as webinars (totalling 23), report launches and other opportunities where members of the VCSE sector can hear from senior system leaders and vice versa. We also create opportunities for our members and others to nelwork with each other with the aim of fostering partnering on projects and initiatives. Peer support Having previously undertaken a tto ollate evidence on the im act of eer su rt f in th h Ith st m we were able to create and engage a community of people interested in peer support as a tool for improving health and wellbeing outcomes. We convened a group to focus Page 9

NATIONAL VOICES TRUSTEES. ANNUAL REPORT (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 31 MARCH 2021 (coMfiNUED) on peer support during the pandemic, organising webinars, round tables and producing toolkits to strengthen the work of various organisations in terms of peer support adoption. and seeking to influence the NHS in its roll- out of a personalisation agenda, building peer support into the model of personalised care, The Peer Support Hub project was completed and is in the process of being handed over to Self Help UK where it will find a more appropriate home alongside their work on the evidence base for peer support. Digital exclusion Early on during the first lockdown we started a conversation about digital exclusion as it was becoming clear that the rapid shift to remote and digital appointments was negatively impacting some people's access to good quality care. We convened a webinar early on in the first lockdown and then produced the report The Di Will Zoom You Now alongside Healthwatch England, Traverse and PPL. This research gave us a real understanding of how people experienced the initial move to digital and remote services. We have since built on this work. creating an insight research report for the Accelerated Access Collective- alongside the Abbey Centre and the Centre for Seldom Heard Voices at Bournemouth University- which launched in May 2021. Unlockin the Di ital Front Door.. the ke sto inclusive healthcare is more explicitly focused on the effects of digital exclusion and details practical recommendations on how healthcare can be made more inclusive. It also features patient-facing information about access that is endorsed by the t2oyal College of Physicians and the Royal College of GPS. At our How Can We Dismantle Health Ine To ether? conference we devoted a whole day to digital exclusion. plafforming a range of views and experiences. We are now focused on digital exclusion becoming an important part of the alliance that we are building to promote more justice ar)d fairness in health. Experiences of odmin in the NHS We have worked with the King s Fund and Healthwatch England to understand people's experiences of administration within the NHS and a report detailing the fin softhisw rk has been ublish in June 2021. It focuses on how people's experiences of administration are not marginal or PagÈ10

NATIONAL VOICES TRUSTEES. ANNUAL REPORT (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 31 MARCH 2021 (coMfiNUED) peripheral but central to their overall experiences of and outcomes from healthcare. Too often, administration processes are too complicated or not reliable. which requires users to be very proactive, confident and digitally competent. This results in poor administrative processes leading to further inequality. covitkl 9: influencing the recovery At the start of the lockdown in MarclTrApril 2020 we launched Our COVID . a digital plafform giving people living with ill health or disability a chance to explain how the pandemic was impacting their lives. Based on what we leamed, we focused on articulating the concerns of people who were shielding, or who had questions about the vaccine, or who were experiencing disruption to health and care services they normally relied on. We worked with our members to communicate these concerns to the NHS and other partners. People with ongoing health concerns, we felt, were being left out or left behind and their needs were not being addressed. We therefore shifted our focus on to these inequalities from the very beginning of the pandemic. During the first wave we initiated a rapid response report. Wh t W Kn quantitative review using data from National Voices, members. suNeys and carrying 67.000 views of people with mental and physical health needs who had experienced seNice disruption. We also created What We Need Now a qualitative review based on Our COVID Voices. and used data to formulate a set of expectations for what health and care should look like from a seNice user point of view. We called these I Statements. eight expressions of expectations simply communicated as illustrations. They were very well received and have been presented to sewice leaders across the NHS, NHSX, the CQC, pharmaceutical companies and Royal Colleges. ab I say IS actred on Our CEO Charlotte Augst was invited to sit on the Inequalities Taskforce based on our insight into the impacts of the pandemic on people with health and care needs and our role on the Health and Wellbeing Alliance. The Taskforce set out eight urgent actions for the NHS to narrow the gap between communities experiencing the best and the worst outcomes. These priorities were then reflected in the lannin uidance for the NHS. Charlotte PagÈ11

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NATIONAL VOICES TRUSTEES. ANNUAL REPORT (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 31 MARCH 2021 (coMfiNUED) social prescribing is delivered, changing the training for Primary Care Networks and putting more focus on health inequalities. Voices for Improvement Funded by the Health Foundation, we established a collaborative steering group bringing together people with lived experience and National Voices members and focused on elevating and promoting lived experience within the design and delivery of health and care setvices. For 12 months we have run on inclusive design process and have developed a proposition based around peer coaching and mentoring, peer research, and better use of existing patient experience data. We hove had interest from a range of members who are keen for us to create a way of joining the dots be￿een peer support/ research, lived experience and leadership. In the longer term we are working with funders to secure further investment to refine the offer to bring people with lived experience into strategic conversations and projects with decision makers. We also worked on embedding the principles of coproduction in our own work at National Voices and anticipate this way of working will be a more central port of all our insight and influencing work going forward. for example the recent recruitment (May 2021) of a new associate specifically to give us a greater lived experience perspective in National Voices, work. Patient participation We have taken a great interest in how primary care reforms can ensure that primary care services are more embedded in communities to work out how Patient Participation Groups (PPGS) can fit in. We did a small piece of work around PPGS, and ore now connecting our work on inclusion, digital transformation and voice in our influencing of primary care agendas. Health inequalities From March to July 2020 we held a series of webirnars focused on a wide range of questions around health inequalities, for example around racial inequality, mental health, and the digital divide. HuM￿n Ri￿ts THE NHS ' lin*Ké'dttisionS art PagÈ13

NATIONAL VOICES TRUSTEES. ANNUAL REPORT (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 31 MARCH 2021 (coMfiNUED) From late 2020 we worked on our online health inequity conference. How ntl H Ith In How Can We Dismantle Health Inequity Together? the powerofthevoluntJry5erto nf e to realise the fth ect r. It was held over four days in March 2021 and focused on povety, race, digital exclusion. and looking at practical steps for the future,. this work included member workshops and a focus on lived experience at every session. We had over 50 panellists. over l 000 attendees, with 300 at our best-attended session, and received overwhelmingly positive feedback anecdotally and in our postconference survey. Internally we have also begun to think through how we need to respond to rocial inequalities both in the healthcare and charity sectors. As a National Voices team, we undertook anti-racism training and our Head of Policy. Rebecca Steinfeld. is developing next steps for a plan to make ourselves a more diverse. connected and relevant organisation in this space. COVID-19 brought us into contact with a number of organisations and people more focused on diversity and inclusion and we're pleased to have recruited many new members who work specifically in marginalised communities. Integrating mental and physical health needs Over the past year we have worked on a project alongside the Centre for Mental Health. and involving a group of our members, looking at emotional support for people with long-term conditions. Interviews took place last summer with people experiencing long-term conditions as patients or families and carers. In November we developed recommendations at a round table and have now created a r inmi 21. This includes a campaign. #AskHowlAm. that asks for compassion and kindness in all contact beMeen patients and health and care professionals. We worked with members to promote our recommendations and ran a round table arter the report was OLtt. kHowlAm amon8 Iohg-le PagÈ14

NATIONAL VOICES TRUSTEES. ANNUAL REPORT (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 31 MARCH 2021 (coMfiNUED) Workshops. events, consultancy National Voices. work has opened up significantly in the past year- we ran 23 events online with partners or on our own. We have welcomed thousands of people to those events. One notable event was a reception to welcome the new chair, Helen Buckingham, and to say a fond farewell to the outgoing chair. Hilary Newiss, and we were pleased to welcome Bola Olowabi. Director of Inequalities. NHS England and NHS Improvement as o speaker at this event. At our AGM we were also pleased to welcome Ben Jupp, Director of Strategy, NHS England and Improvement, Richard Sloggett, Health and Care Lead at the Policy Exchange. and Sarah Hughes. CEO at the Centre of Mental Health, to speak about their perspectives on the work our sector needs to now lead for maximum impact. We have made sure that all our events are inclusive. interactive, and accessible, for example, we have worked with palantypists and on spotlighting British Sign Language interpreters in events. We also established regular Heads of Policy neMork meetings with members. a monthly meeting where policy leads from across the sector come together to share ideas. support one another. and identify areas of collaboration. Our senior team sit on many strategically important advisory boards and also provide ad hoc advice and support to many of our partners. This includes but is not exclusive to the King s Fund. the Royal College of Physicians. the Expert Panel of the Health and Social Care Select Committee. participation in the Birmingham, RAND and Cambridge (BRACE) rapid seNice evaluation centre's Overarching study of service innovations for people with multiple lontrterm conditions.. what works for whom, how and why? and c(￿tinuing work with NHS England and Improvement and the Health Foundation, Impact of volunteers We are very grateful that many people and organisations have chosen to be generous towards us this year. Volunteers worked with us on the creation of the Our COVID Voices platform and resulting I Statements, on understanding our impact throughout the early stages of the pandemic, and on PagÈ15

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NATIONAL VOICES TRUSTEES. ANNUAL REPORT (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 31 MARCH 2021 (coMfiNUED) Reference and administrative details Charity name.. National Voices Charity registration number: 1057711 Company registration number.. 3236543 Registered office and operational address: (Up to 22 December 2020) I sl Floor Bride House 1 &20 Bride Lane London EC4Y 8EE (From 22 December 2020) The Foundry 17 Oval Way London SEI 1 5RR Board of Trustees The Trustees who have served from l April 2020 up to the date of approval of these financial statements were as follows.. Helen Buckingham Hilary Newiss Chair (appointed l January 2021) (Chair until 31 December 2020, end of term of off ice) Elected. Arthritis Action Independent. Treasurer and Chair of Audit and t2isk Committee Elected, Self Help UK Independent Elected, National Sutvivor User Ne￿ork Elected. MS Society Elected, Groundswell Elected. Mind Independent (end of term of office 6 November 2020) Independent (end of term of office 6 November 2020) Noha Al Afifi Rick Borges Sarah Collis Harry Evans Akiko Hart Ed Holloway Steven Platts Sarah Rae Jean Appleyard Catherine Davies PagÈ19

NATIONAL VOICES TRUSTEES. ANNUAL REPORT (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 31 MARCH 2021 (coMfiNUED) Sarah Vibert Elected, Neurological Alliance (resigned at o November 2020) Independent (end of term of off ice 6 November 2020) Jill Worth Professional advisers Bankers: CAF Bank Ltd 25 Kings Hill Avenue Kings Hill West Malling Kent ME19 4JQ Auditors: Goldwins Limited 75 Maygrove Road West Hampstead London NW6 2EG Solicitors.. Bates Wells l O Queen Street Place London EC4[2 l BE. ard Ihak larn PagÈ 20

NATIONAL VOICES TRUSTEES. ANNUAL REPORT (INCLUDING DIRECTORS. REPORT) FOR THE YEAR ENDED 31 MARCH 2021 (coMfiNUED) Financial review Income for the year ended 31 March 2021 totalled £774,819 (2019/2020.. £41 1.756) and increased by £363,063 from the previous year. The largest area of increase was seen in income from charitable activities associated with Influencing Policy and Practice. which rose by £227.852 when compared with the previous year. The increase was the result of the successful focus on influencing through project work during the year and the securing of funds for several large projects.. Digital Inclusion, Covid Influencing Tr￿0very and the experience of Waiting times, as well as grant income from the Health Foundation and Northumbria Healthcare NHS Foundation Trust towards Voices for Improvement and the Patient Carer Network. National Voices. principal sources of income during 202t>21 were from grant and contract funding towards Influencing Policy and Practice, which totalled £505.337 (201912020.. £277,485) and comprised 05Yo of all income (2019/2020.. 67 %). while Membership subscriptions continue to be a significant and important source of income, totalling £1 13,175 (201912020.. £112.306) and comprising l 6Yo of total income (201912020.. 27Y,). We saw an I l°A fall in membership income, reflecting the pressures on the sector as monitored in our risk register. An increase in income from Grants and Donation was also seen during the year with income from this area totalling £121.505 (201912020.. £21,550). This change was driven by emergency COV1￿7 g funding having been secured from the Noh'onal Lottery Community Foundation and Janssen. This funding. towards core costs, supported the larger team during the year and allowed valuable breathing space to be able to develop sources of contract and grant income towards projects. We are incredibly grateful to both organisath'ons for their support. Grants and Donation income was further increased by significant donated seNices totalling £48,667 (2019/2020.. £nil). Expenditure totalled £686.112 during the year (201912020.. £404.277), an increase of £281,835 when compared with the previous year. The largest area of increase was direct project costs. primarily associated with the delivery of Influencing Policy and Practice work, which increased by £208,351 to £503.142 at the 31 March 2021 (201912020.. £294,791). This rise reflected an increase in work delivered in association with partner organisations and associates, with the four largest projects in terms of direct costs being Digital PagÈ 21

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National Voices

Statement of Financial Activities (Incorporating an Income and Expenditure Account)

For the year ended 31 March 2021

2021 2020
Unrestricted Restricted Total Total
Funds Funds Funds Funds
Note £ £ £ £
Income from:
Grants and Donations 3 61,505 60,000 121,505 6,550
Charitable activities: 4
Membership and Engagement 113,175 34,653 147,828 127,306
Influencing Policy and Practice 200,308 305,029 505,337 277,485
Investments 5 149 - 149 415
Total income 375,137 399,682 774,819 411,756
Expenditure on:
Raising funds 29,626 - 29,626 1,747
Charitable activities
Membership and Engagement 97,571 55,773 153,344 107,739
Influencing Policy and Practice 206,858 296,284 503,142 294,791
Total expenditure 6 334,055 352,057 686,112 404,277
Net income for the year 8 41,082 47,625 88,707 7,479
Transfers between funds (16,080) 16,080 - -
Net movement in funds for the year 25,002 63,705 88,707 7,479
Reconciliation of funds:
Total funds brought forward 16 180,358 - 180,358 172,879
Total funds carried forward 16 205,360 63,705 269,065 180,358

All income and expenditure derive from continuing activities. The Statement of Financial Activities includes all gains and losses recognised during the year. The notes form an integral part of these financial statements.

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National Voices

Balance Sheet As at 31 March 2021

National Voices
Balance Sheet
As at 31 March 2021 Company no . 3236543
Note
£
Fixed assets:
12
Current assets:
13
115,065
363,954
479,019
Liabilities:
14
(47,846)
(164,730)
(212,576)
14b
16
-
205,360
Total unrestricted funds
Restricted income funds
General funds
Total charity funds
Unrestricted income funds:
Designated funds
Total assets less current liabilities
Creditors: amounts falling due after one year
Total net assets
The funds of the charity:
Net current assets
Tangible assets
Debtors
Cash at bank and in hand
Creditors: amounts falling due within one year:
Deferred membership
Other creditors		 2021
£
4,712
4,712
266,443
271,155
(2,090)
269,065
63,705
205,360
269,065		 £
49,698
264,443
314,141
(35,620)
(100,471)
(136,091)
14,091
166,267		 2020
£
2,308
2,308
178,050
180,358
-
180,358
-
180,358
180,358

The financial statements have been prepared in accordance with the provisions applicable to companies subject to the small companies’ regime and in accordance with FRS 102 and the Charities SORP (FRS 102) 2019.

The financial statements were approved by the Trustees and authorised for issue on 15th July 2021 and signed on their behalf by:

Helen Buckingham Chair

Rick Borges Trustee/Treasurer

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National Voices Statement of Cash Flows

For the year ended 31 March 2021

Note
£
£
17
108,099
149
(7,068)
(6,919)
(1,669)
(1,669)
99,511
264,443
18
363,954
Cash flows from financing activities:
Payment of finance leases obligations
Net cash used in financing activities
2021
Net cash provided by operating activities
Cash flows from investing activities:
Interest from investments
Purchase of fixed assets
Change in cash in the year
Cash at the beginning of the year
Cash at the end of the year
Net cash used in investing activities		 Note
£
£
17
108,099
149
(7,068)
(6,919)
(1,669)
(1,669)
99,511
264,443
18
363,954
Cash flows from financing activities:
Payment of finance leases obligations
Net cash used in financing activities
2021
Net cash provided by operating activities
Cash flows from investing activities:
Interest from investments
Purchase of fixed assets
Change in cash in the year
Cash at the beginning of the year
Cash at the end of the year
Net cash used in investing activities		 Note
£
£
17
108,099
149
(7,068)
(6,919)
(1,669)
(1,669)
99,511
264,443
18
363,954
Cash flows from financing activities:
Payment of finance leases obligations
Net cash used in financing activities
2021
Net cash provided by operating activities
Cash flows from investing activities:
Interest from investments
Purchase of fixed assets
Change in cash in the year
Cash at the beginning of the year
Cash at the end of the year
Net cash used in investing activities		 £
£
59,731
415
(2,825)
(2,410)
-
-
57,321
207,122
264,443
2020		 £
£
59,731
415
(2,825)
(2,410)
-
-
57,321
207,122
264,443
2020
(1,669)
99,511
264,443		 57,321
207,122
363,954 264,443

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National Voices Notes to the Financial Statements

For the year ended 31 March 2021

1 Basis of Preparation

Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy or note.

1.b Legal Form

National Voices is a charitable company incorporated in England under the Companies Act 2006. In the event of the charity being wound up, the liability in respect of the guarantee is limited to £1 per member of the charity. The address of the registered office is The Foundry, 17 Oval Way, Vauxhall, London, SE11 5RR. The charity’s operations and principal activities are included in the Trustees’ annual report.

1.c Going Concern

The financial statements are prepared on a going concern basis. The Trustees have looked at least 12 months from the signing date of these accounts, considering the charity's cost base, reserves and secured funding and have concluded that there are no material uncertainties around the charity's ability to continue as a going concern.

1.d Accounting Policies

The accounts present a true and fair view and the accounting policies adopted are those outlined in note 2. The financial statements are presented in sterling which is the functional currency of the charity and rounded to the nearest £.

Aside from going concern set out in 1c above, there have been no other key estimates or judgements required in determining the carrying values of assets and liabilities.

2 Accounting Policies

Income

2.a Recognition of income

Income is recognised when the charity has entitlement to the funds, any performance conditions attached to the income have been met, it is probable that the income will be received and that the amount can be measured reliably.

Income from government and other grants, whether 'capital' grants or 'revenue' grants, is recognised when the charity has entitlement to the funds, any performance conditions attached to the grants have been met, it is probable that the income will be received and the amount can be measured reliably and is not deferred. Income received in advance for the provision of a specified service is deferred until the criteria for income recognition are met.

The charity has received government grants in the reporting period and these are disclosed in note 3.

Membership income is recognised over the year to which it relates and the proportion of subscriptions received during the year that relate to a subsequent financial accounting period is carried forward as a creditor in the balance sheet and shown as subscriptions received in advance.

Grants and donations are only included in the SoFA when the general income recognition criteria are met, generally upon receipt.

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National Voices Notes to the Financial Statements (continued)

For the year ended 31 March 2021

2 Accounting Policies (continued)

On receipt, donated gifts, professional services and donated facilities are recognised on the basis of the value of the gift to the charity which is the amount the charity would have been willing to pay to obtain services or facilities of equivalent economic benefit on the open market; a corresponding amount is then recognised in expenditure in the period of receipt.

Unrestricted funds are available to spend on activities that further any of the purposes of charity. Designated funds are unrestricted funds of the charity which the trustees have decided at their discretion to set aside to use for a specific purpose. Restricted funds are grants and donations which the donor has specified are to be solely used for particular areas of the charity's work or for specific projects being undertaken by the charity.

Other than specific pro bono services set out in note 3a, the value of any voluntary help received is not included in the accounts but is described in the trustees’ annual report.

Expenditure

2.g Expenditure and Irrecoverable VAT

Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required and the amount of the obligation can be measured reliably. Expenditure is classified under the following activity headings:

Costs of raising funds comprise of trading costs and the costs incurred by the charitable company in inducing third parties to make voluntary contributions to it, as well as the cost of any activities with a fundraising purpose.

Expenditure on charitable activities includes the costs of delivering services and other activities undertaken to further the purposes of the charity and their associated support costs.

Irrecoverable VAT is charged as a cost against the activity for which the expenditure was incurred.

Support costs represent indirect charitable expenditure. In order to carry out the primary purposes of the charity it is necessary to provide support in the form of office space, personnel development and support, financial support, insurances and IT support.

Governance costs comprise the costs involving the public accountability of the charity (including audit costs) and costs in respect of its compliance with regulation and good practice.

Support costs including governance costs are apportioned based on the proportion of time spent on each activity by staff.

Rental charges are charged on a straight line basis over the term of the lease.

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National Voices Notes to the Financial Statements (continued)

For the year ended 31 March 2021

Assets and Liabilities

Fixtures, fittings & equipment - Over three years

Computers & other equipment - Over three years

Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are valued at the amount prepaid.

2.m Creditors and provisions

Creditors and provisions are recognised where the charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount after allowing for any trade discounts due.

2.n Financial Instruments

2.o Pensions

The charitable company operates a stakeholder defined contribution pension scheme. Contributions payable for the year are charged in the Statement of Financial Activities.

2.p Accrued and Deferred income

Accrued income relates to contract income to which the charity is entitled but which has not yet been invoiced.

Deferred income relates to contract income received where a proportion of the work remains incomplete.

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National Voices

Notes to the Financial Statements (continued)

For the year ended 31 March 2021

3 Income from grants and donations

3
Income from grants and donations
National Lottery Community Foundation
Janssen (Core)
The Helen Hamlyn Trust
Donation made by a trustee
Other donations
Coronavirus Job Retention Scheme
Donated services (note 3a)
3a. Donated services
Membership Video
Health Inequalities Conference- Project management
Support with our Covid Voices Project
Training
Other Influencing support
4
Membership Support (Janssen)
Total Membership and Engagement 2021
Total Membership and Engagement 2020
Membership and Engagement
Membership subscriptions
Health Inequalities Conference
Total donated services
Income from charitable activities
Total income from grants and donations 2021
Total income from grants and donations 2020		 Unrestricted
£
-
10,000
-
-
671
2,167
48,667		 £
60,000
-
-
-
-
-
-
Restricted		 2021
Total
£
60,000
10,000
-
-
671
2,167
48,667		 2020
Total
£
-
-
4,500
2,000
50
-
-
61,505 60,000 121,505 6,550
6,550 - 6,550 2020
Total
£
-
-
-
-
-
Unrestricted
£
3,000
6,317
35,000
1,100
3,250		 £
-
-
-
-
-
Restricted		 2021
Total
£
3,000
6,317
35,000
1,100
3,250
48,667 - 48,667 -
Unrestricted
£
113,175
-
-		 £
-
15,000
19,653
Restricted		 2021
Total
£
113,175
15,000
19,653		 2020
Total
£
112,306
15,000
-
113,175 34,653 147,828 127,306
127,306 - 127,306

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National Voices

Notes to the Financial Statements (continued)

For the year ended 31 March 2021

4. Income from charitable activities (continued)

Income from charitable activities (continued)
Oxford AHSN
Populus
Digital Inclusion (NHS England)
Impact of Bad Admin (The Kings Fund)
Experience of Waiting Times (NHS England)
Social Prescribing (Capita)
Support PPG (NHS England)
Health Inequalities Insight (Ipsos)
Unmet Need (NHS England & Improvement)
Integrating Mental and Physical Health Needs (Various)
Kaleidoscope (NHS X)
Workshops, events and consultancy
Total influencing policy and practice 2021
Total influencing policy and practice 2020
Total Charitable Activities 2021
Total Charitable Activities 2020
Influencing policy and practice
Health and Wellbeing Alliance (Supporting Primary Care
Network Development through VCSE)
Industry Collaborative
Department of Health- Health & Wellbeing Alliance
Foundation & Northumbria Healthcare NHS Foundation
Trust)
Covid Influencing Recovery ( The Health
Foundation/AbbVie/Various)
Peer Support Hub ( Health Foundation and Nesta)		 Unrestricted
£
-
-
-
-
-
39,965
11,776
-
35,850
38,921
-
-
9,530
-
46,265
5,000
13,001		 £
80,000
-
-
-
22,372
9,375
-
43,400
-
-
109,423
-
-
-
40,459
-
-
-
Restricted		 2021
Total
£
80,000
-
-
-
22,372
49,340
11,776
43,400
35,850
38,921
109,423
-
9,530
-
40,459
46,265
5,000
13,001		 2020
Total
£
60,000
10,000
8,000
100
24,577
9,375
1,224
-
3,970
11,230
22,097
5,000
-
9,750
26,541
55,501
-
30,120
200,308 305,029 505,337 277,485
93,721 183,764 277,485 404,791
313,483 339,682 653,165
221,027 183,764 404,791

The indursty collaborative members during the year were Astra Zeneca, Bayer, Deep Mind Technologies Ltd, Gilead Sciences Ltd and Novatis Pharmaceuticals UK Ltd.

Government Grants were received from the Department of Health and Social Care (DHSC) totalling £80,000 (2020:£60,000). In addition, as set out above funds were received from the National Lottery Community Fund totalling £60,000 (2020: £nil) and the Coronavirus Job Retention Scheme totalling £2,167 (2020:£nil). There were no unfulfilled conditions or contingences in relation to government grants at the end of March 2021 (2020: none).

Page 40

National Voices

Notes to the Financial Statements (continued)

For the year ended 31 March 2021

5 Income from investments

Income from investments
2021 2020
Unrestricted Restricted Total Total
£ £ £ £
Bank interest 149 - 149 415
Total income from investments 2021 149 - 149 415
Total income from investments 2020 415 - 415

Page 41

National Voices Notes to the Financial Statements (continued)

For the Year Ended 31 March 2021 6 Analysis of expenditure

Direct costs
Direct Salary costs
Direct costs of delivery
Support Costs
Salaries including governance (see note 7)
Direct governance costs ( see note 7)
Recruitment
Consultants and freelance
Finance Support
Other personnel costs
Premises and equipment
Depreciation and loss on disposal of fixed assets
Office overheads
Events, conferences and networking
Website and marketing
Other costs of activities
Bad debts
Total Expenditure 2021
Unrestricted Expenditure 2021
Restricted Expenditure 2021
Total Expenditure 2021		 Fundraising
£
21,076
1,850
2,743
239
60
407
391
311
1,192
221
755
84
140
155
-
29,626
29,626
-
29,626		 Membership
and
Engagement
Influencing
Policy and
Improving
practice
£
£
79,735
198,946
20,570
218,813
21,307
33,945
1,857
2,958
466
742
3,164
5,040
3,040
4,844
2,417
3,850
9,262
14,755
1,713
2,730
5,865
9,343
655
1,043
1,091
1,738
1,204
1,918
1,000
2,476
153,344
503,142
97,571
206,858
55,773
296,284
153,344
503,142
Charitable Activities		 2021 Total
£
299,757
241,234
57,995
5,055
1,268
8,611
8,275
6,578
25,209
4,664
15,963
1,782
2,969
3,276
3,478
686,112
334,055
352,057
686,112		 2020 Total
£
271,674
58,178
1,733
2,892
6,989
-
-
2,979
25,057
517
25,257
726
2,281
2,885
3,109
404,277
219,229
185,048
404,277

Support costs, including governance costs, are apportioned across the activities shown in note 2.h based on the proportion of time spent on each activity by staff.

Page 42

National Voices Notes to the Financial Statements (continued)

For the Year Ended 31 March 2021

6 b Analysis of expenditure prior year

Direct costs
Direct Salary costs
Direct costs of delivery
Support Costs
Salaries including governance (see note 7)
Direct governance costs (see note 7)
Recruitment
Consultants and freelance
Other personnel costs
Premises and equipment
Depreciation
Office overheads
Events, conferences and networking
Website and marketing
Other costs of activities
Bad debts
Total Expenditure 2020
Unrestricted Expenditure 2020
Restricted Expenditure 2020
Total Expenditure 2020		 Fundraising
£
-
1,747
-
-
-
-
-
-
-
-
-
-
-
-
1,747
1,747
-
1,747		 Membership
and
Engagement
Influencing
Policy and
Improving
practice
£
£
78,573
193,101
1,948
54,483
504
1,229
842
2,050
3,866
3,123
-
-
839
2,140
7,278
17,779
151
366
7,472
17,785
337
389
968
1,313
1,852
1,033
3,109
-
107,739
294,791
107,739
109,743
-
185,048
107,739
294,791
Charitable Activities		 2020 Total
£
271,674
58,178
1,733
2,892
6,989
-
2,979
25,057
517
25,257
726
2,281
2,885
3,109
404,277
219,229
185,048
404,277

Page 43

National Voices Notes to the Financial Statements (continued) For the Year Ended 31 March 2021

7 Governance Costs

Governance costs are included within support costs (note 6) and comprise:

Governance costs are included within support costs (note 6) and comprise:
Staff costs
Direct governance costs
Audit Costs
Board expenses, training and recruitment
Other Governance costs		 2021
£
12,866
4,447
595
13		 2020
£
-
2,170
709
13
17,921 2,892

Staff costs represent the amount of staff time spent on governance activities. This amount is included within staff support costs in note 6.

8 Net incoming / (outgoing) resources for the year

This is stated after charging:

Net incoming / (outgoing) resources for the year
This is stated after charging:
2021 2020
£ £
Depreciation of owned fixed assets 548 517
Depreciation of assets held under hire purchase agreements 1,808
Loss on disposal of fixed assets (2,308) -
Interest payable on Hire Purchase Agreements 177 -
Operating lease rentals:
--land and buildings 16,570 23,806
--equipment 1,056 622
Auditors' remuneration (excluding VAT):
Audit 3,500 3,500

Staff costs were as follows:

Redundancy and termination costs
Salaries and wages
Social security costs
Employer’s contribution to defined contribution pension schemes		 2021
£
309,644
27,055
16,803
4,250		 2020
£
225,142
13,522
12,057
22,686
357,752 273,407

One employee (2020: One) received employee benefits excluding pension contributions during the year between £60,000 and £70,000.

National Voices operates a defined contribution pension scheme for all eligible employees. Employer contributions are included in the SOFA within staff costs as an expenses for the year ended 31 March 2021 and total £16,803 (2020: £12,057). At the end of the year amounts totalling £3,907 (2020: 2,624) were owed to pension providers and are included in other creditors shown in note 14.

The key management personnel of the charity during the 2020/21 year comprise the Trustees and the CEO, Head of Membership, Communications and Operations and Head of Policy (2020: The Trustees and the CEO). No trustee receives any payment for their services to the charity (2020: none). The total amount paid, including Employers National Insurance and Pension, to the Key Management Personnel in the financial year ended 31 March 2021 was £162,008 (2020: 75,641).

The charity trustees were not paid and did not receive any other benefits from employment with the charity in the year (2020: none). No Trustees (2020: four) were reimbursed expenses totalling £nil (2020: £638). No charity trustee received payment for professional or other services supplied to the charity (2020: £nil).

Page 44

National Voices Notes to the Financial Statements (continued) For the Year Ended 31 March 2021

10 Staff numbers

The average number of employees (head count based on number of staff employed) during the year was 9 (2020: 7) with a full time equivalent of 7.4 (2020:5.58)

The full time equivalent of staff working across the various areas of operation was

Raising funds
Membership and Engagement
Influencing policy and practice
Governance and support costs		 2021
2020
No.
No.
0.26
-
2.05
1.68
4.11
3.90
0.98
-
7.40
5.58

11 Taxation

By virtue of S.478 Corporation Tax Act 2010, the charitable company is exempt from corporation tax.

12 Tangible fixed assets

All of the above assets are used for charitable purposes.
At the end of the year
Net book value
At the end of the year
At the start of the year
Depreciation
At the start of the year
Charge for the year
Eliminated on disposal
Cost
At the start of the year
Additions in year
Disposals in year
At the end of the year		 Equipment
£
34,906
7,068
(14,330)		 Total
£
34,906
7,068
(14,330)
27,644 27,644
32,598
2,356
(12,022)		 32,598
2,356
(12,022)
22,932 22,932
4,712 4,712
2,308 2,308

Included within the net book value is £3,615 (2020: £nil) relating to assets held under hire purchase agreements for laptops.

13
All debtors relate to amounts owed within one year.
14
Deferred membership income (note 14c)
Hire Purchase Creditor
Taxation and social security
Other creditors
Accruals
Deferred income (note 14c)
Trade creditors
Creditors: amounts falling due within one year
Trade debtors
Prepayments
Accrued income
Debtors		 2021
£
88,884
5,758
20,423		 2020
£
30,434
8,899
10,365
115,065 49,698
2021
£
38,789
45,083
3,908
33,612
47,846
41,547
1,791		 2020
£
9,556
3,982
2,785
3,500
35,620
80,648
-
212,576 136,091

Page 45

National Voices Notes to the Financial Statements (continued) For the Year Ended 31 March 2021

14 b. Creditors: amounts falling due after one year

14 c.
At the start of the period
Released to income from charitable activities during the year
Amount deferred in the year
Balance at the end of the year
15
Creditors: amounts falling due within one year
15b
Creditors: amounts falling due within one year
Hire Purchase Creditor
Balances at 31 March 2021 are represented by:
Tangible fixed assets
Current assets
Current liabilities
Net assets at the end of the year
Net assets at the end of the year
Analysis of net assets between funds
Deferred income
Analysis of net assets between funds of previous reporting period
Balances at 31 March 2020 are represented by:
Tangible fixed assets
Current assets
Current liabilities		 Restricted
£
-
80,571
(16,866)
-		 £
-
-
-
-
Designated		 2021
£
2,090		 2020
£
-
2,090 -
2021
£
80,648
(80,648)
89,393		 2020
£
49,801
(49,801)
80,648
89,393 80,648
Unrestricted
£
4,712
398,448
(195,710)
(2,090)		 Total funds
£
4,712
479,019
(212,576)-
(2,090)
63,705 - 205,360 269,065
Restricted
£
-
-
-
-		 £
2,308
11,783
-
-
Designated		 Unrestricted
£
-
302,358
(136,091)
-		 Total funds
£
2,308
314,141
(136,091)
-
- 14,091 166,267 180,358

Page 46

National Voices
For the Year Ended 31 March 2021
Notes to the Financial Statements (continued)		 At the end
of the year
£
-
-
-
-
-
29,700
24,030
-
-
9,375
-
600
-
63,705
-
-
-
205,360
205,360
269,065
16
Peer Support Hub- Nesta
Voices for Improvement- The Health Foundation
Support PPG (NHS England)
Health Inequalities Conference- The Health Foundation
Digital Inclusion - Roche
The National Lottery Community Fund
Membership Support (Janssen)
Total restricted funds
Total designated funds
General funds
Total unrestricted funds
Total funds
Movements in funds
Unrestricted funds:
Designated funds:
VCSE capacity building
Depreciation fund
Restricted funds:
Health and Wellbeing Alliance (Department of Health)
Covid Influencing Recovery -The Health Foundation
Covid Influencing Recovery -AbbVie
Peer Support Hub- The Health Foundation
Patient and Carer Network (Northumbria Healthcare NHS
Foundation Trust)
Integrating Mental and Physical Health Needs (Various)		 At the start
of the year
£
-
-
-
-
-
-
-
-
-
-
-
-		 Income
£
80,000
28,400
15,000
5,295
15,000
67,500
44,000
19,653
9,375
60,000
40,459
15,000		 Expenditure
£
(80,000)
(28,400)
(15,000)
(5,295)
(15,000)
(45,517)
(16,199)
(2,340)
(19,653)
-
(60,000)
(49,653)
(15,000)		 Transfers
£
-
-
-
-
-
7,717
(3,771)
2,340
-
-
-
9,794
-
- 399,682 (352,057) 16,080
11,783
2,308		 -
-		 (11,783)
(2,308)		 -
-
14,091 - (14,091) -
166,267 375,137 (319,964) (16,080)
180,358 375,137 (334,055) (16,080)
180,358 774,819 (686,112) -

Transfers between funds

Transfers are made from the general fund to reflect a reallocation expenditure from restricted funds to general funds in 2019/20 to better reflect progress made on the projects during that year.

Page 47

National Voices Notes to the Financial Statements (continued) For the Year Ended 31 March 2021

16 Movements in funds (continued) Purposes of restricted funds Health and Wellbeing Alliance (Department of Health and National Voices is a member of this alliance, which is a partnership Social Care) between the voluntary sector and health and care system partners to provide a voice and improve the health and wellbeing for all communities. The fund represents DHSC funding towards the costs of contributing to the alliance. Covid Influencing Recovery -The Health Foundation The Health Foundation awarded grant funding towards the aim of enabling people living with ill health and disabilities to tell their stories of life during the UK’s COVID 19 pandemic, in order to inform policy makers and clinicians to improve care during the pandemic, and to plan services in the aftermath of the pandemic which better meet users’ needs. The grant was used to fund the costs of recording testimonies and producing videos to tell the stories of individuals. Covid Influencing Recovery -AbbVie AbbVie provided funding for staff costs to further support the work of the Covid influencing Recovery project (dissemination through conferences and round tables) with the objective of ensuring people with ongoing health needs have a better experience of support than they did during the first wave of the pandemic. Peer Support Hub- The Health Foundation The project aims to increase the availability of high quality peer support by supporting those leading peer support programmes through the development of an online hub that collates, curates and categorises peer support resources. During the year, the grant provided support towards maintaining the Hub and to respond to rapid changes in the peer support landscape during the pandemic by convening practitioners and sharing learning. Peer Support Hub- Nesta Funding was provided to further develop work on the peer support by bringing together colleagues working on peer support including those across a wide range of mental and physical health conditions and groups such as carers and those with lived experience to share learning around new models of peer support which have emerged during the pandemic. Voices for Improvement- The Health Foundation The Health Foundation awarded grant funding towards the project with the aim of increasing positive impact of improvement efforts across health and care by inspiring and enabling a stronger focus on user experience at the core of such work. This involved creating and strengthening a community of improvers and patient advocates with a focus on included under re-presented groups and building understanding and demands for skilled, productive input from patients and service users. The remaining balance represents funds associated with further development of the website and CRM system to support these aims as well as staff costs to support the further development of the project. Patient and Carer Network (Northumbria These fund were used to support the input from people who set up the Healthcare NHS Foundation Trust) Rosamund Snow Community some years ago to bring lived experience into improvement work and exploring how the learning from this initiative and others like it can be put on a more sustainable, impactful footing. Support PPG (NHS England) This fund was for the co-production of information for PPGs and to support a project at NHS England around community engagement and PCNs. Health Inequalities Conference- The Health This grant was provided towards the costs of running a Health Foundation Inequalities conference at the start of 2021

Page 48

National Voices Notes to the Financial Statements (continued) For the Year Ended 31 March 2021

16 Movements in funds (continued)

Purposes of restricted funds (continued)

Digital Inclusion - Roche

The grant was awarded to support cross-sectoral team responding to the development of the NHS App. Roche kindly agreed a grant variation for the unused funds which will be used in 2021/22 towards influencing the development and roll out of more digitally inclusive, personalised approaches and the mitigation of digital exclusion.

The National Lottery Community Fund

Covid-19 emergency funding was received towards staff costs during the year.

Integrating Mental and Physical Health Needs (Various)

Funding was gratefully received from Alzheimer's Society, Guys and St Thomas Charity, British Heart Foundation, Arthritis Action, Macmillan Cancer Support Diabetes UK and Independent Age towards a project looking at meeting the emotional support needs of people living with physical ill health.

Membership Support (Janssen)

Core funding was provided by Janssen towards supporting membership involvement and recruitment.

Purposes of designated funds

VCSE Capacity Building (Janssen)

During 2019/20 Janssen provided funding towards supporting the development of a new partnership model and to enable National Voices to reduced membership fees to smaller charities.

16 b. Movements in funds during previous reporting period

NHS EI Unmet Need (NHS England)
Emotional Support (Various)
Support PPG (NHS England)
Social Prescribing (Capita)
Digital Health (Roche)
Experience of Waiting Times
Impact of Bad Administration
Total restricted funds
Total designated funds
General funds
Network Development through VCSE)
Voices for improvement HF (Health Foundation)
Unrestricted funds:
Designated funds:
Future pension contribution
VCSE capacity building
Depreciation fund
Total unrestricted funds
Restricted funds:
Health and Wellbeing Alliance (Department of Health)
Foundation Trust)
Total funds		 At the start
of the year
£
-
-
-
-
-
-
-
-
-
-
-		 Income
£
60,000
22,097
10,000
24,577
9,750
26,541
5,000
11,230
9,375
3,970
1,224		 Expenditure
£
(60,098)
(22,565)
(10,212)
(24,577)
(9,750)
(26,541)
(5,000)
(11,230)
(9,881)
(3,970)
(1,224)		 Transfers
£
98
468
212
-
-
-
-
-
506
-
-		 At the end
of the year
£
-
-
-
-
-
-
-
-
-
-
- 183,764 (185,048) 1,284 -
-
9,660
-		 -
15,000
2,825		 -
(12,877)
(517)		 -
-		 -
11,783
2,308
9,660 17,825 (13,394) - 14,091
163,219 210,167 (205,835) (1,284) 166,267
172,879 227,992 (219,229) (1,284) 180,358
172,879 411,756 (404,277) - 180,358

Page 49

National Voices Notes to the Financial Statements (continued) For the Year Ended 31 March 2021

17 Reconciliation of net income to net cash flow from operating activities

Net income for the reporting period
(as per the statement of financial activities)
Depreciation charges
Interest
Payment of finance leases obligations
Loss on disposal of Fixed Assets
(Increase)/Decrease in debtors
(Decrease)/Increase in creditors
Net cash provided by operating activities		 2021
2020
£
£
88,707
7,479
2,356
517
(149)
(415)
1,669
-
2,308
-
(65,367)
33,511
78,575
18,639
108,099
59,731

18 Analysis of cash and cash equivalents

Cash in hand
30 day notice deposits
Total cash and cash equivalents
19
Analysis of changes in net funds
Cash and cash equivalents
Obligations under finance leases
Total net funds
20
At the Balance Sheet date the Charity held the following:
Carrying amount of financial assets
Cash at bank measured at cost:
Debt instruments measured at amortised cost:
Total Financial Assets
Carrying amount of financial liabilities
Measured at amortised cost:
Total Financial Liabilities
Financial Instruments		 At 1 April
2020
£
167,163
97,280		 Cash flows
£
99,511
-		 Other changes
£
-
-		 £
266,674
97,280
At 31 March
2021
264,443 99,511 - 363,954
At 1st April
2020
£
264,443
-		 Cash flows
£
99,511
(3,881)		 £
363,954
(3,881)
At 31 March
2021
264,443 95,630 360,073
2021
£
363,954
109,307		 2020
£
264,443
40,799
473,261 305,242
80,190 15,840
80,190 15,840

Page 50

National Voices Notes to the Financial Statements (continued) For the Year Ended 31 March 2021

21 Operating lease commitments

Total future minimum lease payments under non-cancellable operating leases are as follows:

Less than one year
One to five years		 2021
2020
£
£
10,326
19,930
-
-
10,326
19,930
Property		 2021
2020
£
£
1,056
1,367
792
1,848
1,848
3,215
Equipment		 2021
2020
£
£
1,056
1,367
792
1,848
1,848
3,215
Equipment
1,848 3,215

The operating lease commitment for 2020 has been restated to include an equipment lease not previously included.

22 Finance lease commitments

Future minimum lease payments due under finance leases:

Within one year
In two to five years		 2021
2020
£
£
1,791
-
2,090
-
3,881
-
IT Equipment		 2021
2020
£
£
1,791
-
2,090
-
3,881
-
IT Equipment
3,881 -

Finance lease payments represent rentals payable by the charity for the IT equipment. Leases include purchase options at the end of the lease period, and no restrictions are placed on the use of the assets. The average lease term is 36 months. All leases are on a fixed repayment basis and no arrangements have been entered into for contingent rental payments.

23 Related party transactions

No trustee made any donation during the year (2020: a trustee made an unrestricted donation to the charity of £2,000).

During the year, member charity Arthritis Action made a grant totalling £5,000 towards the integrating Mental and Physical Health Needs project (2020: £5000). National Voices trustee, Noha Al Afifi is a member of the Executive Management Team at Arthritis Action. The conflict of interest was managed carefully, and the trustee was not involved in the final decision to provide the funding to National Voices.

24 Capital Commitments

There are no capital commitments as at 31 March 2021 (2020:£nil).

Page 51