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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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. 

**Page 33** 




## **National Voices** 

## **Balance Sheet As at 31 March 2021** 

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

**Page 34** 



**National Voices Statement of Cash Flows** 

## **For the year ended 31 March 2021** 


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



**Page 35** 



**National Voices Notes to the Financial Statements** 

**For the year ended 31 March 2021** 


## **1 Basis of Preparation** 

- 1.a Basis of Accounting 

   - The charity constitutes a public benefit entity as defined by FRS 102. The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland issued in October 2019, the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102), the Charities Act 2011, the Companies Act 2006 and UK Generally Accepted Accounting Practice. 

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 £. 

- 1.e Significant accounting estimates and judgements 

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. 

**Page 36** 



**National Voices Notes to the Financial Statements (continued)** 


## **For the year ended 31 March 2021** 

## **2 Accounting Policies (continued)** 

- 2.b There has been no offsetting of assets and liabilities, or income and expenses, unless required or permitted by the FRS 102 SORP. 

- 2.c. Donations of gifts, services and facilities 

   - Donated professional services and donated facilities are recognised as income when the charity has control over the item or received the service, any conditions associated with the donation have been met, the receipt of economic benefit from the use by the charity of the item is probable and that economic benefit can be measured reliably. 

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. 

- 2.d. Interest 

   - Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the charity; this is normally upon notification of the interest paid or payable by the bank. 

- 2.e. Fund accounting 

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. 

- 2.f Volunteer help 

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. 

- 2.h Allocation 

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. 

- 2.i Operating leases 

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

**Page 37** 



**National Voices Notes to the Financial Statements (continued)** 

**For the year ended 31 March 2021** 


- **2 Accounting Policies (continued)** 

## **Assets and Liabilities** 

- 2.j Tangible Fixed Assets 

   - Items of equipment are capitalised where the purchase price exceeds £500. Depreciation is provided on a straight line basis over its expected useful life. The depreciation rates in use are as follows: 

Fixtures, fittings & equipment - Over three years 

Computers & other equipment - Over three years 

- 2.k Debtors 

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

- 2.l Cash at bank and in hand 

   - Cash at bank and cash in hand includes cash and short term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account. 

## 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 

- The charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value. 

## 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. 

**Page 38** 



## **National Voices** 

## **Notes to the Financial Statements (continued)** 

## **For the year ended 31 March 2021** 


## **3 Income from grants and donations** 

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



**Page 39** 



**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<br>Populus<br>Digital Inclusion (NHS England)<br>Impact of Bad Admin (The Kings Fund)<br>Experience of Waiting Times (NHS England)<br>Social Prescribing (Capita)<br>Support PPG (NHS England)<br>Health Inequalities Insight (Ipsos)<br>Unmet Need (NHS England & Improvement)<br>Integrating Mental and Physical Health Needs (Various)<br>Kaleidoscope (NHS X)<br>Workshops, events and consultancy<br>Total influencing policy and practice 2021<br>Total influencing policy and practice 2020<br>Total Charitable Activities 2021<br>Total Charitable Activities 2020<br>**Influencing policy and practice**<br>Health and Wellbeing Alliance (Supporting Primary Care<br>Network Development through VCSE)<br>Industry Collaborative<br>Department of Health- Health & Wellbeing Alliance<br>Foundation & Northumbria Healthcare NHS Foundation<br>Trust)<br>Covid Influencing Recovery ( The Health<br>Foundation/AbbVie/Various)<br>Peer Support Hub ( Health Foundation and Nesta)|Unrestricted<br>£<br>-<br>-<br>-<br>-<br>-<br>39,965<br>11,776<br>-<br>35,850<br>38,921<br>-<br>-<br>9,530<br>-<br>46,265<br>5,000<br>13,001|£<br>80,000<br>-<br>-<br>-<br>22,372<br>9,375<br>-<br>43,400<br>-<br>-<br>109,423<br>-<br>-<br>-<br>40,459<br>-<br>-<br>-<br>Restricted|**2021**<br>**Total**<br>**£**<br>**80,000**<br>**-**<br>**-**<br>**-**<br>**22,372**<br>**49,340**<br>**11,776**<br>**43,400**<br>**35,850**<br>**38,921**<br>**109,423**<br>**-**<br>**9,530**<br>**-**<br>**40,459**<br>**46,265**<br>**5,000**<br>**13,001**|2020<br>Total<br>£<br>60,000<br>10,000<br>8,000<br>100<br>24,577<br>9,375<br>1,224<br>-<br>3,970<br>11,230<br>22,097<br>5,000<br>-<br>9,750<br>26,541<br>55,501<br>-<br>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**<br>Direct Salary costs<br>Direct costs of delivery<br>**Support Costs**<br>Salaries including governance (see note 7)<br>Direct governance costs ( see note 7)<br>Recruitment<br>Consultants and freelance<br>Finance Support<br>Other personnel costs<br>Premises and equipment<br>Depreciation and loss on disposal of fixed assets<br>Office overheads<br>Events, conferences and networking<br>Website and marketing<br>Other costs of activities<br>Bad debts<br>**Total Expenditure 2021**<br>Unrestricted Expenditure 2021<br>Restricted Expenditure 2021<br>Total Expenditure 2021|Fundraising<br>£<br>21,076<br>1,850<br>2,743<br>239<br>60<br>407<br>391<br>311<br>1,192<br>221<br>755<br>84<br>140<br>155<br>-<br>29,626<br>29,626<br>-<br>29,626|Membership<br>and<br>Engagement<br>Influencing<br>Policy and<br>Improving<br>practice<br>£<br>£<br>79,735<br>198,946<br>20,570<br>218,813<br>21,307<br>33,945<br>1,857<br>2,958<br>466<br>742<br>3,164<br>5,040<br>3,040<br>4,844<br>2,417<br>3,850<br>9,262<br>14,755<br>1,713<br>2,730<br>5,865<br>9,343<br>655<br>1,043<br>1,091<br>1,738<br>1,204<br>1,918<br>1,000<br>2,476<br>153,344<br>503,142<br>97,571<br>206,858<br>55,773<br>296,284<br>153,344<br>503,142<br>**Charitable Activities**|**2021 Total**<br>**£**<br>**299,757**<br>**241,234**<br>**57,995**<br>**5,055**<br>**1,268**<br>**8,611**<br>**8,275**<br>**6,578**<br>**25,209**<br>**4,664**<br>**15,963**<br>**1,782**<br>**2,969**<br>**3,276**<br>**3,478**<br>**686,112**<br>**334,055**<br>**352,057**<br>**686,112**|2020 Total<br>£<br>271,674<br>58,178<br>1,733<br>2,892<br>6,989<br>-<br>-<br>2,979<br>25,057<br>517<br>25,257<br>726<br>2,281<br>2,885<br>3,109|
|---|---|---|---|---|
|||||404,277|
|||||219,229<br>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**<br>Direct Salary costs<br>Direct costs of delivery<br>**Support Costs**<br>Salaries including governance (see note 7)<br>Direct governance costs  (see note 7)<br>Recruitment<br>Consultants and freelance<br>Other personnel costs<br>Premises and equipment<br>Depreciation<br>Office overheads<br>Events, conferences and networking<br>Website and marketing<br>Other costs of activities<br>Bad debts<br>**Total Expenditure 2020**<br>Unrestricted Expenditure 2020<br>Restricted Expenditure 2020<br>Total Expenditure 2020|Fundraising<br>£<br>-<br>1,747<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>1,747<br>1,747<br>-<br>1,747|Membership<br>and<br>Engagement<br>Influencing<br>Policy and<br>Improving<br>practice<br>£<br>£<br>78,573<br>193,101<br>1,948<br>54,483<br>504<br>1,229<br>842<br>2,050<br>3,866<br>3,123<br>-<br>-<br>839<br>2,140<br>7,278<br>17,779<br>151<br>366<br>7,472<br>17,785<br>337<br>389<br>968<br>1,313<br>1,852<br>1,033<br>3,109<br>-<br>107,739<br>294,791<br>107,739<br>109,743<br>-<br>185,048<br>107,739<br>294,791<br>**Charitable Activities**|**2020 Total**<br>**£**<br>**271,674**<br>**58,178**<br>**1,733**<br>**2,892**<br>**6,989**<br>**-**<br>**2,979**<br>**25,057**<br>**517**<br>**25,257**<br>**726**<br>**2,281**<br>**2,885**<br>**3,109**<br>**404,277**<br>**219,229**<br>**185,048**<br>**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<br>Direct governance costs<br>Audit Costs<br>Board expenses, training and recruitment<br>Other Governance costs|**2021**<br>**£**<br>12,866<br>4,447<br>595<br>13|2020<br>£<br>-<br>2,170<br>709<br>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**<br>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|



- **9 Analysis of staff costs, trustee remuneration and expenses, and the cost of key management personnel** 

Staff costs were as follows: 

|Redundancy and termination costs<br>Salaries and wages<br>Social security costs<br>Employer’s contribution to defined contribution pension schemes|**2021**<br>**£**<br>**309,644**<br>**27,055**<br>**16,803**<br>**4,250**|2020<br>£<br>225,142<br>13,522<br>12,057<br>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<br>Membership and Engagement<br>Influencing policy and practice<br>Governance and support costs|**2021**<br>2020<br>**No.**<br>No.<br>**0.26**<br>-<br>**2.05**<br>1.68<br>**4.11**<br>3.90<br>**0.98**<br>-<br>**7.40**<br>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.<br>At the end of the year<br>**Net book value**<br>**At the end of the year**<br>At the start of the year<br>**Depreciation**<br>At the start of the year<br>Charge for the year<br>Eliminated on disposal<br>**Cost**<br>At the start of the year<br>Additions in year<br>Disposals in year<br>At the end of the year|Equipment<br>£<br>34,906<br>7,068<br>(14,330)|**Total**<br>**£**<br>**34,906**<br>**7,068**<br>**(14,330)**|
|---|---|---|
||27,644|**27,644**|
||32,598<br>2,356<br>(12,022)|**32,598**<br>**2,356**<br>**(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**<br>All debtors relate to amounts owed within one year.<br>**14**<br>Deferred membership income (note 14c)<br>Hire Purchase  Creditor<br>Taxation and social security<br>Other creditors<br>Accruals<br>Deferred income (note 14c)<br>Trade creditors<br>**Creditors: amounts falling due within one year**<br>Trade debtors<br>Prepayments<br>Accrued income<br>**Debtors**|**2021**<br>**£**<br>**88,884**<br>**5,758**<br>**20,423**|2020<br>£<br>30,434<br>8,899<br>10,365|
|---|---|---|
||**115,065**|49,698|
||**2021**<br>**£**<br>**38,789**<br>**45,083**<br>**3,908**<br>**33,612**<br>**47,846**<br>**41,547**<br>**1,791**|2020<br>£<br>9,556<br>3,982<br>2,785<br>3,500<br>35,620<br>80,648<br>-|
||**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.**<br>At the start of the period<br>Released to income from charitable activities during the year<br>Amount deferred in the year<br>Balance at the end of the year<br>**15**<br>Creditors: amounts falling due within one year<br>**15b**<br>Creditors: amounts falling due within one year<br>Hire Purchase  Creditor<br>Balances at 31 March 2021 are represented by:<br>Tangible fixed assets<br>Current assets<br>Current liabilities<br>**Net assets at the end of the year**<br>**Net assets at the end of the year**<br>**Analysis of net assets between funds**<br>**Deferred income**<br>**Analysis of net assets between funds of previous reporting period**<br>Balances at 31 March 2020 are represented by:<br>Tangible fixed assets<br>Current assets<br>Current liabilities|Restricted<br>£<br>-<br>80,571<br>(16,866)<br>-|£<br>-<br>-<br>-<br>-<br>Designated|**2021**<br>**£**<br>**2,090**|2020<br>£<br>-|
|---|---|---|---|---|
||||**2,090**|**-**|
||||**2021**<br>**£**<br>**80,648**<br>**(80,648)**<br>**89,393**|2020<br>£<br>49,801<br>(49,801)<br>80,648|
||||**89,393**|80,648|
||||Unrestricted<br>£<br>4,712<br>398,448<br>(195,710)<br>(2,090)|**Total funds**<br>**£**<br>**4,712**<br>**479,019**<br>**(212,576)-**<br>**(2,090)**|
||**63,705**|**-**|**205,360**|**269,065**|
||Restricted<br>£<br>-<br>-<br>-<br>-|£<br>2,308<br>11,783<br>-<br>-<br>Designated|Unrestricted<br>£<br>-<br>302,358<br>(136,091)<br>-|**Total funds**<br>**£**<br>**2,308**<br>**314,141**<br>**(136,091)**<br>**-**|
||**-**|**14,091**|**166,267**|**180,358**|



**Page 46** 



|**National Voices**<br>**For the Year Ended 31 March 2021**<br>**Notes to the Financial Statements (continued)**|||||**At the end**<br>**of the year**<br>**£**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**29,700**<br>**24,030**<br>**-**<br>**-**<br>**9,375**<br>**-**<br>**600**<br>**-**<br>63,705<br>**-**<br>**-**<br>**-**<br>**205,360**<br>**205,360**<br>**269,065**|
|---|---|---|---|---|---|
|**16**<br>Peer Support Hub- Nesta<br>Voices for Improvement- The Health Foundation<br>Support PPG (NHS England)<br>Health Inequalities Conference- The Health Foundation<br>Digital Inclusion - Roche<br>The National Lottery Community Fund<br>Membership Support (Janssen)<br>**Total restricted funds**<br>Total designated funds<br>**General funds**<br>**Total unrestricted funds**<br>**Total funds**<br>**Movements in funds**<br>**Unrestricted funds:**<br>Designated funds:<br>VCSE capacity building<br>Depreciation fund<br>**Restricted funds:**<br>Health and Wellbeing Alliance (Department of Health)<br>Covid Influencing Recovery -The Health Foundation<br>Covid Influencing Recovery -AbbVie<br>Peer Support Hub- The Health Foundation<br>Patient and Carer Network (Northumbria Healthcare NHS<br>Foundation Trust)<br>Integrating Mental and Physical Health Needs (Various)|At the start<br>of the year<br>£<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-|Income<br>£<br>80,000<br>28,400<br>15,000<br>5,295<br>15,000<br>67,500<br>44,000<br>19,653<br>9,375<br>60,000<br>40,459<br>15,000|Expenditure<br>£<br>(80,000)<br>(28,400)<br>(15,000)<br>(5,295)<br>(15,000)<br>(45,517)<br>(16,199)<br>(2,340)<br>(19,653)<br>-<br>(60,000)<br>(49,653)<br>(15,000)|Transfers<br>£<br>-<br>-<br>-<br>-<br>-<br>7,717<br>(3,771)<br>2,340<br>-<br>-<br>-<br>9,794<br>-||
||-|399,682|(352,057)|16,080||
||11,783<br>2,308|-<br>-|(11,783)<br>(2,308)|-<br>-||
||**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)<br>Emotional Support (Various)<br>Support PPG (NHS England)<br>Social Prescribing (Capita)<br>Digital Health (Roche)<br>Experience of Waiting Times<br>Impact of Bad Administration<br>**Total restricted funds**<br>Total designated funds<br>**General funds**<br>Network Development through VCSE)<br>Voices for improvement HF (Health Foundation)<br>**Unrestricted funds:**<br>Designated funds:<br>Future pension contribution<br>VCSE capacity building<br>Depreciation fund<br>**Total unrestricted funds**<br>**Restricted funds:**<br>Health and Wellbeing Alliance (Department of Health)<br>Foundation Trust)<br>**Total funds**|At the start<br>of the year<br>£<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-|Income<br>£<br>60,000<br>22,097<br>10,000<br>24,577<br>9,750<br>26,541<br>5,000<br>11,230<br>9,375<br>3,970<br>1,224|Expenditure<br>£<br>(60,098)<br>(22,565)<br>(10,212)<br>(24,577)<br>(9,750)<br>(26,541)<br>(5,000)<br>(11,230)<br>(9,881)<br>(3,970)<br>(1,224)|Transfers<br>£<br>98<br>468<br>212<br>-<br>-<br>-<br>-<br>-<br>506<br>-<br>-|**At the end**<br>**of the year**<br>**£**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**|
|---|---|---|---|---|---|
||-|183,764|(185,048)|1,284|**-**|
||-<br>9,660<br>-|-<br>15,000<br>2,825|-<br>(12,877)<br>(517)|-<br>-|**-**<br>**11,783**<br>**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**<br>**(as per the statement of financial activities)**<br>Depreciation charges<br>Interest<br>Payment of finance leases obligations<br>Loss on disposal of Fixed Assets<br>(Increase)/Decrease in debtors<br>(Decrease)/Increase in creditors<br>**Net cash provided by operating activities**|**2021**<br>2020<br>**£**<br>£<br>**88,707**<br>7,479<br>**2,356**<br>517<br>**(149)**<br>(415)<br>**1,669**<br>-<br>**2,308**<br>-<br>**(65,367)**<br>33,511<br>**78,575**<br>18,639<br>**108,099**<br>59,731|
|---|---|



## **18 Analysis of cash and cash equivalents** 

|Cash in hand<br>30 day notice deposits<br>**Total cash and cash equivalents**<br>**19**<br>**Analysis of changes in net funds**<br>Cash and cash equivalents<br>Obligations under finance leases<br>Total net funds<br>**20**<br>At the Balance Sheet date the Charity held the following:<br>**Carrying amount of financial assets**<br>Cash at bank measured at cost:<br>Debt instruments measured at amortised cost:<br>**Total Financial Assets**<br>**Carrying amount of financial liabilities**<br>Measured at amortised cost:<br>**Total Financial Liabilities**<br>**Financial Instruments**|At 1 April<br>2020<br>£<br>167,163<br>97,280|Cash flows<br>£<br>99,511<br>-|Other changes<br>£<br>-<br>-|**£**<br>**266,674**<br>**97,280**<br>**At 31 March**<br>**2021**|
|---|---|---|---|---|
||264,443|99,511|-|**363,954**|
|||At 1st April<br>2020<br>£<br>264,443<br>-|Cash flows<br>£<br>99,511<br>(3,881)|£<br>363,954<br>(3,881)<br>**At 31 March**<br>**2021**|
|||264,443|95,630|360,073|
||||**2021**<br>**£**<br>363,954<br>109,307|2020<br>£<br>264,443<br>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<br>One to five years|**2021**<br>2020<br>**£**<br>£<br>**10,326**<br>19,930<br>**-**<br>-<br>**10,326**<br>19,930<br>Property|**2021**<br>2020<br>**£**<br>£<br>**1,056**<br>1,367<br>**792**<br>1,848<br>**1,848**<br>3,215<br>Equipment|**2021**<br>2020<br>**£**<br>£<br>**1,056**<br>1,367<br>**792**<br>1,848<br>**1,848**<br>3,215<br>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<br>In two to five years|**2021**<br>2020<br>**£**<br>£<br>**1,791**<br>-<br>**2,090**<br>-<br>**3,881**<br>-<br>IT Equipment|**2021**<br>2020<br>**£**<br>£<br>**1,791**<br>-<br>**2,090**<br>-<br>**3,881**<br>-<br>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** 

