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National Voices Report and Financial Statements For the period ended 31 March 2022 Voices fvr What's ckahsed ak Watx>naL vlX ? 2021 /2L>2Z a bW-" Not1{01 Voieos (I 2022 Nolionol VolS is o charity and company limited by guarantee Charity Number 1057711 Company Number 03236543

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) Contents Choir's foreword 2 CEO'S introduction 3 Report of the Trustees 4 Objectives and activih'es 4 Activities. performance and plans 5 Key risks ond uncertainties 16 Organisationol details ond key management personnel 17 Financial review 19 structure. management and governance 21 statement of Trustees. responsibilities 23 Appointment of auditors 24 Independent ouditorfs report to the members of Notionol Voices 25 statement of financiol octivities 29 Bolonce sheet 30 statement of cash flows 31 Notes to the accounts 32

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) Chair's foreword It hoidly seems possible that a year has possed since I wrote my first foreword to a National Voices annual report. So much has hoppened in that lime. t)oth on the national stage and in the health and core sector. The COVINI 9 pondemic, sadly. is still with us. Although advances in treatment coupled witFI less severe variants hove thankfully reduced overall levels of mortality, for people who are clinically vulrnerable. and the mony fhousands of people and their families affected by Long Covid we are long way from returning lo rloimalify. The last hwo years hove accelerated the incieose in waiting times for heollh care which we were already starting to see before the pandemic. On top of this, the economic outlook for many individuals and families is bleok, and this too hos a real impoct on heolt and welkbeing So. the work which Nationol Voices leads with its members has never been more needed. Moking sure thal the real experiences of people who are using health and care services ore front and centie of Ihe minds of the people making decisions about those services is critical. l am extremely proud of the work accomplished by Charlotte Augst and the whole Nationol Voices team this year, and the influence that this small organisation has on leoders across the health and care sector. You will read more aboul their impact in the following pages. There are many opportunities ahead. As I write, in early July 2022. Integroted Care Boards have just become statutory bodies. Across the country, NHS organisatiorns are finding new ways to work in partnership with colleagues in the voluntory sector, to recognise the expertise and e volue that the VCSE brings, and to move on from 'consultotion' to true cTrproduction. The journey will not be an eosy one. but the rewards for success will be worth it. Finolly, olthough this report looks bock on Ihe year 2021122, it would be remiss of me not to pay further tribute here to Choilome, who has announced that she will be standing down as Chief Executive later ir) 2022. In the 3 and half yeois she has been with National Voices. our membership of nearly 200 orgonisations has grown bigger than ever, our income has more than doubled. our influence and profile have increased significantly, and our team has grown. She leaves on impressive legacy on which her successor will build. Helen Buckingham Chair, National Voices

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) CEO'S introduction Reporting on last year's activities creates an opportunity to pause and ieflecl. 2021122 has beer) another busy year for our small team. responding to Ihe follout from the parndemic ond how it shopes the work of our members as they respond to the needs and ambitions of people and commurlities Despite continuous pandemic, political and structural churn in our external environment we managed to focus our work on clear and consistent priorities. Mostly we aim to omplify how the pandemic and urnderlying service shortages continue to impact people who need health and care services. To this end, we focus on elective recovery, primary core access, the need for ongoing lor)g term conditions care, mental health and also Long Covid. Growing and maluring os an organisotion. we also continue to ieflecl or) our methodologies- how do we build ar) ineoualities perspective into everylhir)g we do, and how do we work alongside people, rather thon just on their behalf) We have made some progress in diversifying the team and the Boord, and are continuing to iellecl or) how we recruit. how we design our programmes ond how we connect with people. porticularly those who are not currently well supported by existing service models. Ir) our minds, the inequalities agenda and Ihe space and status we give to genuine coproduction are connected. The massive blind spots ir) how the health and care syslem deals with barriers to access, poor quality. stigma or discriminotion can t)e exploined by a lack of focus on inequolih'es, but also by a lack of commitment to and expertise in genuinely working differently with people and communities. Ourv ntPr mm which was so generously supported by the Health Foundotior) Q Community, has helped us build lived experience and codesign bolh ir)to our own work. and into our support and chollenge to system partners. We ore excited to facilitote orn emerging community of diverse lived experience partners who hove coaching skills and who will be working with syslem leaders on lived experience-bosed coaching and strategic coproduction. We embark on the next year of our work with an even stronger commitment lo k*ping both inequality and genuine coproduction front and centre of our ownwork. andof our er)gagement with the formal health and care system. Dr Charlotte Augst CEO, Notional Voices

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) t2eport of the Trustees Objectives and octivities The Trustees present their report ond the examined financiol stotements of Ihe chority for the year ended 31 March 2022. The Truslees have adopted fhe provisions of the Statement of f2ecommended Practice (SORP) "Accounting and Reporling by Charities" in preparing the annual report and financiol statements of the charity The financial statemenfs have been prepared in accordance with the accounting policies set out in notes to the financial statements ond comply with the chority's governing documer)t, the Chorities Act 2011, the Componies Acl 2006 and Accounting ond Reporting by Charilies. Statemer)t of Recommended Practice applicable to charities preparing their finonciol statements in accordonce with the Financial Reporting Standard opplicat)le in the UK and Trepublic of Irelond published in October 2019. The Directors of the charitable company ore ils Truslees for the purposes of chority law. The Trustees who have served during the year are listed on page Objectives ond activities for the public benefit National Voices is Ihe leoding coalition of health ond social core charities in England. We have more than 190 members covering a diverse range of heolth conditions and communities, connectir)g us with the experiences of millions of people. We work together lo strengthen the voice of potienls, service users, carers. their families and Ihe voluntory organisations ar)d groups thot work for them. Our mission is to.. Understand and advocate for what matFers lo people. especially Ihose who have greater health 01 care needs. Find common couse across communities arld conditions by woikirng with member charities and those they support. Connect and convene chorities. decision makers and citizens to work logether to change health and care for good. The objects of the charity as set out in its wverning document are. for the public benefil, to.. Advance health arld to relieve those in r)eed by reason of ill-health or disability. including. but without limitation. to relieve people offected

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) by lontrterm health conditiorns and disabilities, in particular, but without limitation. by fostering and encouraging c(>operations between individuals, voluntary organisations ar)dlor public bodies connected with health and social core ir) a common effort to improve Ihe care ond Ireotment of service users and to promote services which loke accounl of the needs of service users and corers. Educote the public in the subjects of health and sociol care, includir)g Ihe causes, effects and treatments of all lontrlerm health conditions and disobilities. The Trustees confirm that they have referred to the Charity Commission's Guidance on public benefit when reviewing the charity's aims and objectives and in planning future activities The objects are achieved through a combination of the following activities.. Engaging with our membership to bring their insight, practice and ambilions to senior decision makers. Engaging with people who live with ill health or disobility to ensure our influencing work is driven by their experience and ambitions. Supporting national policy and system design by includirlg the insights of the voluntary and community sector and the people they work wilh. Championing and strenglhening the vital role that the voluntary, community and social enterprise sector plays in health arnd care. Supporting the adoption and spread of persorFcentred opproaches across health ond core by placing people's experience of living with ill heolth or impairment, and their ombitions and priorities, at the centre of decision making. Activities. performonce and plons Orgo nisational priorities.. A focus on inequality and inclusion. Deeperning and widening erngagement with our membership and people with lived experience of ill health, disability and inequality Being agile and responsive to the challenges emerging through the Covid recovery Recovery This year we have argued strongly for an inclusive and equiloble recovery from Ihe pandemic. As some parts of society reluined to a new rnormal. we amplified the voices of Ihose who were most effected by the or)going, drastic and unequal impacts of the pandemic- those living wilh long term ill

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) health, ond those who find themselves ot the shorp end of the inverse core In July 2021 we vir t t Ih Prim Mini r urging him to iecorlsidei lifting infectiori control measures. asking him to consider the risk to those who remain highly vulneioble to Covid. Addressing issues such as the strain on the NHS, Waiting lists, people's rights at work. and the need for much greater clarity in communicotion. We followed this irntervention wilh Tim Prirn . Addressing Ihe widespread, devastating, impact of delays. waits, service disruptions and cancellations so widespreod that it was difficult lo fir)d oieas of healthcare that aren't affected. we called for rebuilding timely access to heolth and care to be top priority for oll system leaders. Throughout this year we have repeatedly ioised the needs of those living with long term conditions or those who remain vulnerable to the virus. to hove better access to health arid care services. Where oppropriate. we amplified our messages through working with the media - for example by placing comment pieces inlo trade magazines. such as Health Service Jouinol and the British Vedical Journal, and also by working with moinstream media, including BBC News. Our Twitter account provides a strong platForm to share our activities and our messaging. and continues to grow. We now hove 15.6k followers, ond this continues to rise steadily month by month. Our online events are also very well attended,. with ourv l in Liv nt ahracting 250 people. Inclusive and holistic serdice models Primary care We hove engaged with Ihe Primary Care team at NHSEII and primary care leaders ocioss the system (NHS Confedeiotion, Troyal College of Generol Practitioners, British Medical Associatiorn) to address the widely reported frustration and access diff iculties people have when seeking help from GPS and e1r teams. We have organised o welkatFended members, workshop where members working with often morginalised communities provided feedbock to NHS l The inverse care law state5 that often Ihe relationship between people s health needs ond their access to and use of health service5 is i nverse. ie th05e in greatest r)eeds are the leosl well servea by health services See lor exomple..

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) England and Improvement colleagues on o proposed communications campaign explaining access to primary care through onlirne forms. telephone calls or by walking into surgeries. We contir)ue to engage with system ond sector colleagues or) this lopic which consistently comes up os a top piioiify for people using our members, services ond helplirnes. For 2022123 we ore planning to work LJP o more person ond community centred Vision for primary core, ond ore seeking funding lor a series of ioundtables focusing on different aspects of the primary care reform agenda. Digital exclusion and bad administrative processes We hove done extensive insight and influencing work on the topic of digital exclusion. Our suile of publications under the heading of the nl dair sels out clearly how people hove experienced Ihe shift to remole models of care arnd what system leoders and healthcore providers ot all levels need to now do to rebuild trust. inclusiorn and personalisation. In portnership with NHS England and Improvement and Ipsos Mori we particulorly focused on the experiences of people ot risk of exclusion. people who don't speak English as a first language. people living in poverty and disobled people. We olso concluded work in partnership with the Kirigs Fund and Healthwatch England thal explored how mini tr liv and how badly run processes can create barriers for people to access the care they need in ways that work for them, porticularly when they are struggling with disadvantage 01 moiginolisotion. We corltinue to influence the elective and primory care recovery and transformation progrommes, with o focus on digitol exclusion as a core factor driving urnequal access. experiences and outcomes. for example by working with on the development of their MyPlonnedCare platform. P[ support The move to online delivery models olso impacted our owr) sector, for example as many orgonisations needed to think through quickly how the benefits of peer support could be realized when people were not allowed to be in Ihe same room together. We have convened cornversations between members who develop peer support models that often blerld online and face to face elements.

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) As part of this work, we hove also honded over the Peer Support Hub from our website to a member organization. Mind, who will update and host oll materials supporting the delivery and evaluation of peei support.

AskHowlAm

Early in the year we c(>produced A k H WIAM. rtii with I rm with Centre for Mental Heollh. A report drawn from conversations with people living with long term conditions. their carers, and healthcare professiorlals who work wilh them. Bringing understonding to the relatiornship between having a long-lerm illness and people's emotional ond mental wellbeing. and to identify ways of improving people's experiences and outcomes. The report mokes l O iecommendotions for system leaders and designed to support people. Alongside the report we ran *AskHowlAm, a campaign calling for compassionate conversations at all points of contoct between healthcare professionals ar)d people living with lontrterm conditions. We called upon every healthcare provider- nurses, doctors, arnd allied heolthcare professionals- to ask people how properly. meaningfully, they ore feeling We met wilh the thern Minister for Mentol Health Nadine Dorries MP and worked with the Policy Lead for Merntal Health Delivery and Data al the Department of Health and Social Core. The insight from this report will now show our contribution to the l O year Merntal Health Plan the Government is pursuing, arnd continues our influencing around the recovery of good holistic lor)g term conditions care. Bringing our work closer to people and communities Our strategy commils us to place people's experierice at the heart of what we do. When you listen harder lo what people experience you realise quickly that such experiences ore unequal. and that this inequalify is not random variation, but clusters oiound disadvantages that loyer on top of each other. Poverty. iocism and digitol exclusion oll burden communities living wtih ill heolth. We believe we hove to challenge ourselves, our members and stakeholders much more deeply, thinking through what we need to do to effectively bridge belween different kinds of experiernces, and differernt forms of knowledge, to enable the principles of participation. democracy and equity to shape what we know about the world, and how we build equitoble services for people who need them. In 21122 we hove contiriued our journey towards humanising and democratising our own work. Undertoking numerous projects which have not only produced meanir)gful, impactful findings in their own right, but that

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) are transforming ornd modelling new ways of working with people who hove lived experience of marginalisation alongside ilkheolth or being a carer. We have sought to proclice what we preach- and have brought people with lived experience of ill health, disability or inequality in to oll that we do. We hove been groteful for the support of our networks in doing this. Voices For Improvement Finishing during the year. V nt. a National Voices project funded in partnership with the Health Foundation Q Community, explored susloinable options to strengthen diversify and inclusior) and the voice of people with lived experience in the improvement of health and care. The project advisory group settled on growing o consultancy model which provides training for Lived Experience Partners to acquire coaching and mentoring skills and to deploy Ihese in o supervised coaching and mentoring relatiornship with senior system leaders. Through I lo I coaching and action leoining sets, Lived Experience Poitners bring fresh perspective and insight to senior leaders and offer constructive challenge through their coaching skills to strengthen inclusive practice grounded in real world experience. This offer wos launch d online In F bruoi 2022. 250 participated in the online ever)t, 70 expressions of interest were received. We support o pool of eight Lived Experience Partners who ore embarking on this partnership working based on coaching and mentoring skills. They are already workir)g wilh our industry partner Roche. Prospective further clients include NHS Trusts, academic teams, social care and voluntary orgonisotions. Common Ambitions Nalional Voices also partners with t2UBIS.Ql. as technical support partners to the Health Foundotion's three year Common Ambition Programme. Our involvement is port ol the Health Foundations £2.1 million Progromme and funds 4 partrnerships ir) England to improve health care by developing collaborative communities. Each partnership drows on voluntary sector expertise. These communities tackle HIV and sexual health services with African ond Caribbean communities irn Bristol. put people livirng with inflammotoiy bowel diseose at the centre of service desigr) in Sheffield. promote better connectiorns for people living with ond without learning disabilities in London, and support Ihe c(>creation of homeless health services in Brighton. This progiomme provides valuable insight into inclusive partrnership proctice across health, care and voluntary sectors. During the veal Notional Voices, involvemenl as technically support partners has been

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) slow to establish as a result of delays caused by the ongoing por)derric, increased involvement is expected in the coming year. Lived Experience Consultancy and C(>Production We ore toking our lived experience consultoncy ornd coproduction offer to o range of clients ond oiganisations ar)d are in conversations with a nalional regulator, a professional body. a loige NHS trust, arnd an end of life charity The first partnership lo actually establish and deliver has been with Roche UK. who have the ombition to center lived experience and coproduction much more explicitly in all their work. We have introduced coproduction methodologies and coaching questions into this challenging but supportive portnership ornd are looking forword to understanding how for this work will go in the new year. Long Covid Project Another significornt project that embeds equiloble, inclusive coproduction in our own I help uk work ornd with system partners has been our Groundsw?11 121JyrJ. Flrst I Peo outreach projecl looking at the experiences and needs of diverse people living with Long Covid. We hove been working with through and with six partner organisotior)s who support communities at risk of exclusion. They have strong. authenh'c relationships with communities ot risk of marginalisation. We split our grant funding with them 50/50, paying for project management and influencing on our side, and for their stafl time and to engage members of their communities on Iheirs. In collaborating with this unique coalition of partners. we are learning about the power of supporting each other and showing solidarity in the VCSE (Voluntary, Community ond Social Enterprise) sector. enobling each other to work from our respective strengths. with the total being more thon the sum of ils ports. Fur)ded by NHS England and Improvement. this work complements work being undertaken by our members Asthmo UKIBLF who are piloting holistic needs assessments for people with Long Covid. The project has surveyed over 150 people living with Long Covid across the groups represented by the partners. In depth interviews hove been conducted wilh over 15 individuals. Shared learrning has t)een a central tenant of the project. olor)gside awareness roising through significant local media coverage. Together partners are working to build a footprint arnd programme of support. rota CAHNO DERB YIJHI RE

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) Leornings from the project have highlighted olready existing inequalities. Lorng Covid can be sn as a microcosm of how people experience long term conditions in marginolized communities. Lack of access. lock of awareness. lack ol quality. lack of connection. This lock of connection is crucial to understanding people's expeiier)ce. Services often do not join us in these communilies. ond people also can lack connection with other individuals experiencing the condition, such os through peer support. People are exasperoted, desperole ornd mistrusting of the system so turn to Iheir own solutions. The project has influenced system thinking and practice orn multiple levels. Supporting the design of NHS pathwoys and working with VCSE orgarnisatiorns to empower them to work holistically and strengthen peer support newoiks.11 has complemented work beir)g ur)dertaken by our members Asthmo UK/BLF who are piloling holistic needs assessments for people with Long Covid. This new for us type of partnership working has led to many opporturnities we will build upon in 22/23. We are not normally working on specific conditions. and are looking forward to extending this methodology to other issues where marginalisation and inequality shape service uptake or community engagement. Inequalities We hove challenged ourselves and our nelworks lo listen more deeplylo, and meaningfully act upon, the experierices and insight of people who find themselves at e sharp end of the inverse care law. Addressing inequalities hos been a thread Ihioughout oll our insight and influencing work, underpinned by the methodologies we've developed from Voices for Improvement and our Long Covid project. We were represerlted at different levels of the NHS England and ImDrovemer)t inequolities ogendo.. the Health and Wellbeing Allionce, our work on Long Covid, and vorious NHS England and Improvement task forces and programme boards. We have olso supported, and brought lived experience voices ir)to, Coie20Plus5. the opproach all ICSS will be mandated to pursue that focuses on the outcomes of the 2010 most deprived communities, plus other communities at risk of exclusion. We ore ot Ihe begirnnirng of a journey of orgonisational change. We are working with our monagement team, the Board and our wider network to ensure that we ore both addressing rociol inequolities across health and care. and in our owri sector and orgonisatior). Through targeted recruitment campaigns we have diversified our board and made some heodway

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) diversifying our stcff team. Inlernolly we've hod a series of conversations around race, our shared goal to be an ar)tpiacist organizalion, and the actions we need to take to ensure that we are. We are not assuming a right to lead, but we also dor)'t wont to sil back- we are leainirng os we go along Be The Change Following our March 21 inequolities conference, we recognised a reol appetite amongst our memt)ers to. alongside tackling inequolities in the heolth and care system, look internally at our own orgonisations to tackle racism in the charity sector ond build inclusive organisations. In response. we orgar)ised o series of antpiacism ioundtables providing an honest and safe space for member organisations to come together to share good practice, reflect on challenges and support one another to bring about meaningful char)ge in the VCSE. Two of four workshops took place in this reporting year. One on diversifying Irustee boards. the other on estoblishing ond mointainir)g inclusive workplaces. A further hmo workshops are plarlned on inclusive service delivery ond amplifying the voices of marginalized people through insight and irnfluencing work. We would like to thank Pfizer for sponsoring these workshops. Health Inequalities Insight Community Connectors (Core20Plus5) We hove supported the work of the Health Inequality Improvement Team (HIID, led by Dr Bola Owolobi, Director for Health Inequalify Improvemerlt at NHS England ond Improvement, ond their main programme of work.. Core20Plus5. This is the approach all ICSS will be mandated to pursue which focuses on the oulcomes of the 20Yo most deprived communities, plus other communities at risk of exclusion. We submitted a response lo the nini expressing support for the ambition lo support and challenge ICSS to mainstream the inequalities agenda into substantial clinical progrommes We also expressed some concern aboul the relative weakness of commitments around community engagement or coproduction. Working with our associate Samira Ben Omar we brought people wilh lived experience into the early thinking around the delivery of Core20Plus5. Orgonising a series of rour)d tables with people who have lived experience of being a community connector or of leading o commur)ity connectors programme, osking them whot good looks like and feeding iritelligence into Ihe programme. We also supported people with lived experience to shape

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) the selection of successful systems to toke port in the first wove of the programme. We ore now moving into developing a learning and support offer and building o network of community connectors and partr)erships thot will form a losting legacy of this national programme. Health and Wellbeing Alliance This year we. along with NAVCA as a partr)er, have taken on the newly created role of c(K)rdinotoi for the Health and Wellbeing Alliance. A shared initiative from NHS Englond and Improvement, the Department of Health arnd Social Core ond then Public Health England, the Allionce brings together 18 partrners across the VCSE who have on inequalities focus to feed into the emerging work of the system partners. In this role we have c(x)Idinoted the Alliance through facilitating working days. writing a newsletter. and buildir)g relationshi ps. With lots of new partners arnd a new way of working, it hos taken some time lo build the relationships and methodologies we will n*d to creale impact, but we now hove clear priorities. workplans and a shared understanding of everyone's roles. so are ready to deliver an impoctful programme of work for Ihe second year of this partnership. Promoting equitable. community focused. connected local Systems As local systems grappled with the impact of Covid and moved towoids the implementation of Integioted Care Systems (ICSS) we promoted e volue of community-based approaches ond meaningful engagement with VCSE organisatior)s and community groups. We have engaged with the NHS England and Improvement System Tionsformalion ar)d Partnership teams and hove c(xreated various pieces of guidance on how ICSS need to build different relah'onships with people and communities. Together with other civil society organisations, we have developed a focused vision for what ICSS actually need to ochieve. Our members consistently identhfied the ICS ager)do as a key area they wanted us to focus upon and in oddition to our work on Core20Plus5 we were involved in conversalions oboul the developmenl of ICSS at different levels. We brought those leading the changes, both locally and nationally, logether with our members to talk about the wider integration agenda. We ore bringing our members into dialogue with system portners ornd enabling the input of a wide ronge of organisotions into the emerging plans

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) for ICS design and delivery In March we invited Sarah Wollastorn ond Tracey Bleakleylo ieflent with our members ond artners on Ihe emerging ICS partnership agenda, as Choir designote for the Devon and CEO designale for the Norfolk and Woveney systems. In June 2022 we also delivered nf on Ihe ICS ogenda as seen from o communify and voluntary sector perspective, which attraded over 300 participants and a range of high profile speakers. Social Prescribing We hove been working to understand the impact of NHS Englond's inveslmenl in social prescribing link workers on the VCSE sector and to ensure tFiot roll out tokes account of the needs of VCSE bodies. In our 2020 report R Ilin we shared leorning from over 300 VCSE oigarnisotions on their experiences of the eoily phoses of the roll out through Primary Care Networks. This year we've worked with the Personalised Care Group at NHS England ond NHS Improvement and with New Philar)thropy Capital to broaden the discussion around how to realise the poter)tial of social prescribing as a tool for supporting a wider shift across the health and care system towards more effective community-based support to help people live well with lorntrlerm conditions. We published the follon report. Liv in June 2022. Ongoing strategic Input National Voices continues to provide constiuclive challenge to decision makers acr05S the heolth and care system. As well as sitting on various NHS England and Improvement boards. such as ICS implementation. primary care access, elective recovery ond inequolities, we also conducted o focused piece of work, together wilh Think Local Act Personal JLAP) and the CQC on how the nt we developed together arld thot hove evolved into the M kin it R ol fiomework could shape the new regulatory approach the CGIC will adopt going forward. We are currently shaping a new piece of work. ogain in this three way partnership to help focilitate the required culture change that CQC needs to go through in order to focus its regulatory work, from registration to inspection, on what matters to people. Events, membership. and partnership During 21122 we have hosted ten virtual events. Highlights included V Liv where we were joined by 250 people to reflect on the leornings of Voices For Improvement and to introduce our consultancy offer, andth I h fth #A kH wlAm 14

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MARCH 2022 (CONTINUED) We've been delighted to welcome hundreds of attendees to our events, from across the UK ar)d beyond. Attend*s included our memt)ers and portners. system leaders. people wilh lived experience and academics. Throughout the course of the year our membership Mas grown to l 97, its highest ever. Over the past couple of years our membership has diversified, welcoming memEErs from across England and those who support marginalised communities. We hove brought members together Ihiough our Heads of Policy meetings where we have invited ser)ior system leoders to discuss peitir)enl issues. Highlights included sessions on the ICS agendo. on Core20Plus5. on the Long Term Plan. ar)d on elective recovery We contir)ue to partner up with o wide range of oiganisalions who volue our insight on their Boards. and steering groups and our contributions to their conferences and events. These include organisations os varied as the National Instilute for Health Research Ropid Evaluation Centre at the University of Birmingham (BQACE), the Heolth Foundation. the Kings Fund, and the Associotion of British Phaimoceutical Industry. Map showing the locotion of event ottendees in 202112022 Partnership Scheme and Industry Collaborative We contir)ue to value our work with industry partners through our collaborative. Highlights ol our engogement were an event with Tim Ferrer from NHSE/I to talk about innovotion in the NHS, ond event on the need for ICSS to work in partnership with norFNHS t¥)dies. On botFI occasions, we showcased work of industry parlneis. We also held an event thot looked at how n in E can help with reaching communities that would otherwise t)e locked out of innovation. In March 2022 we also launched a wider rtn Ihat allows orgcnisations that don't qualify for membership (i.e . aren't patient or user organisations) to support our work and benefit from our nehmork. We have half o dozen members so far and have been delighted to welcome organisations as diverse as the Kings Fund, the NHS Confederatior), PPL, and Ihe Acceleioted Access Collaborative to our scheme. 15

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) Impact of volunteers We are very grateful that many people arnd orgornisotions hove chosen to be generous towards us this year. Volunleers worked with us to provide dato protection Iraining, lo support Booid Development and os pri>bono legal support reviewing employment contract and data protection processes. Gifts in kind are shown in our accounts in note 2b. am 9iSn th Iwd Key risks and uncertainties The Trustees regularly review the principal risks and major uncertainties to which Ihe charity may be exposed, and policies. systems and procedures hove been established to manoge those risks. The Audit and Risk Committ* reviews the risk register quarterly and prior to it being presented for discussion at board meetings once every six months, and it lists the key risks identified together with a risk score calculated on the probability and the potential impact of the risk concerned. Actions loken to manage the identified risks are listed on the register. Key risks identified during the year ore: Funding and income Unsecured income continued to make up o significant omournt of our annual budget. Income generation Iheiefoie remained a subslonlial part of Ihe 2021 /22 workload for the senior team. Hoving achieved significant growth in the previous year our fundroising target to mairltoin our size was considerably higher. Responding to this risk, the leam worked with o consultant to develop a lor)gei term plan to secure more suslairnable income sources. This included the lournch of o portr)ership scheme and consultoncy offer. Failure to deliver on projects and work This year saw us holding multiple lorge projects. commissioned by strategically important partners. These included Voices for Improvement, Long Covid ar)d our role as the Health and Welkbeing Alliance c(>ordinator. as well os multiple other projects. ongoing reactive influencing, and relationship management. This risk wos exacerbated by sickness absences across the staff team. 16

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) We manged the risk through thorough business plonning from the start of Ihe year, regularly reviewed and updated by the senior team, to manage capacity planning We also supported the core team by t)ringing in expert consultants where slaff members were off for significant periods of illness. Throughout, the CEO personolly held oversight of key projects and their deliverables. Team wellbeing The team continued to work predominately from home. coming into the off ice when Covid rates were lower. and guidance supported doing so. Two veals of pandemic. and the strains of a growing organisation with at times unpredictable workloods have impacted the team, which has experienced significant turnover ir) the yeor. and we ore mindful that we need to address more sustainoble ways of working in the new business year. This is one of the major focal points of this yeor's business plan. closely monitored by the Board. Organisational details and key management personnel Staff Team 2021-22 Dr Charlotte Augst. Chief Execulive Jess Brayne, Head of Membership, Communications ond To March 22 Operations Dr tlebecca Steinfeld. Head of Policy. currently o maternity leave Sarah Sweeney. Head of Policy (Maternity Cover) Rachel Matthews, Head of Experience Jen Beardsley. Head of Finance ond Operations Aleyah BabtiBenjomin, Outreach and Insighl Manager Keymn Wheivin, CcFproduction Manager Charles Howgego, Communicotions Monoger Catherine Stone, Operations Manager F2osie Moffat. Communications and Engagement Officer Ello Wright. Senior Policy Officer Kasia ZielinskpRushforth, Executive Assistanl to the Chief Executive Laura fieed, Executive Assistant to the Chief Executive Savannah Fishel. Policy and Engagemenl Officer Pavi Bior. Policy Off icei Esme Hahlo, Operations Officer Keisha Dixon, Operations and Engagement Officer From January 22 From October 21 From July 21 From February 21 To November 21 Mar to Sept 21 To February 22 From February 22 To June 21 From September 21 From Novemk)er 21 From Julp Dec 21 The SOTrP considers Ihe key monagement personnel of the charity to be Ihose persons having authority and responsibility for planning. directing and

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) controlling tFie activities of the charity, directly or indi rectly The Trustees consider that the Notional Voices Board of Trustees. the Chief Execuh've ond the Heads of Deportments are Key Mar)agement Personnel of the charity during the 2021 /22 Financial year. This senior team consisted of a Head of Policy. Head of Engagement and Head of Firiance at one poirnt. and is now Ihe Head of Policy. ar)d the Head of Operations. Detoils of Trustee expenses and related porty trornsoctions ore disclosed in note 23 of the accounts. Trustees ore required to disclose oll relevant interests and regisler them with the charity and. in accordance with the chority's policy. withdraw from decisions where a conflict of interest arises. Reference and administrative details Chority name.. National Voices Charity registration number.. 1057711 Company registration number.. 3236543 Registered office and operational address.. The Foundry 17 Oval Woy London SEI 15RR Board of Trustees The Trustees who have served from l April 2021 up to the date of approvol of these financial statements were as follows.. Helen Buckingham Independent, Chair Noha Al Afifi Elecled, Arthritis Action Helen Ball Independent, Treasurer and Chair of Audtt and Risk Committee (from I Ith May 22) Elecled, Turning Poinl (trom 23 November 21) Independent, Treasurer and Chair of Audtk and Risk Committee (end of term of office 4 June 22) Shannon Brennan Elected. Alzheimer's Society (from I l May 22) Sarah Collis Elecled, Self Help UK (end of term of off ice 23 November 2021) Independent Elected. Better Living (trom 23 November 21 to 22 December 21) Akiko Hait Elecled, Nalional Survivor User Network Ed Hollowav Elecled. MS Society, Samantha Holmes Elecled. Rethink Mental Illness (from I l May 22) Kalu Obuka Independent (from 23 November 21) Sherone Ph illips Independent (from 23 November 21) Ezra BeTrVisrael Flick Borges Hairy Evans Margarel Gilbert Ed Hollowoy hos movecj onto becoming CEO ol the Bonk Worker5 Choirty. duiing this yeor, he will slond down ol the next AGM

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MARCH 2022 (CONTINUED) Elected. Groundswell (resigr)ed 22 June 21) Elecled, Mind (end of term of office 23 November 2021) Elecled, Shine Cancer Support (from I l Moy 22) Elecled, Macmillan Concer SupFX)rt (from 23 November 21) steven Pl(Jtts Sarah tEae mra Shah Clare Woodford Professional advisers Bonkers.. CAF Bank Ltd 25 Kings Hill Avenue Kings Hill West Mallir)g Kent MEI9 4JQ Auditors: Xeinadin Audil Limited 12 Cor)queror Court Sittingbourne Kent MEI 0 5BH Solicitors.. Bates Wells l O Queen Street Place London EC4R I BE Financial review Income for the year ended 31 Morch 2022 totalled £817,773 (202012021 . £774,819) ond increased by £42,954 from the previous yeor. Income from choiitable activities associated with Influencing Policy and Practice rose by £149,209 when compared with the previous yeoi ossociated with Ihe further growth of this area of income arid in particular the large NHS England grant received towoids the Long Covid Project. This increase was off set by a foll in income of £97.657 from Gionts and Donolion due to the receipt of emergency COVID- 19 funding in 2020121 which wasn't repeoted in the current year as well os donated services being lower in the 2021 /22 year. National Voices, principal sources of income during 2021-22 were from grant and contract funding towards Influencing Policy and Practice. which totalled £654.546 (202012021 .. £5.337) ond comprised 8010 of all income (2020/2021 .. 65 1,), while Membership subscriptior)s continue to be a significant and important source of income, totalling £138,417 (2020121 '. £113,175) ond comprising 1710 of total income (2020/2021. 16%). We saw an 22 /0 growth in membership income. welcoming several new members and some larger members providing odditionol support by raising their contribution. 19

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) Expenditure totalled £791.191 during the year (202012021 '. £686,112), Orn increase of£1 05,079 wher) compared with the previous yeor. The largest area of increase wos direct project costs, primarily associated with the delivery of Influencing Policy ar)d Practice work, which increased by £1 15,877 to £619,019 at the 31 Morch 2022 (2020/2021.. £503,142). This rise was driven by three factors. increased direct staff costs of £20.409 iesultirlg from o larger team delivering this areo of work. increased costs of work delivered in association with portner organisctions ond ossociotes of £16.534, ond increased support costs of £78.934 as a result of investment in support stoff fo develop the infrastructure of the organisation and higher rental costs associated with Ihe office in the 2021122 year. The four largest projects in terms of direct costs were Voices for Improvement. the Long Covid Project, Digital Inclusion. and Core20plus5. Sloff costs olso sow on overall increase of £77,571 to o total of £435,323 for the 2021 /22 financial year (202012021 . £357,752). which was a result of the expansion of the team from ar) average fulklime equivolerit of 7.4 in the 2021 lo l 0.00 in 2021 /212. This was necessary to invest in operotional and governonce infrastiuctuie ond included the change of the Chief Executive post from part to full time. Costs of raising funds totallirng £32.791 (202012021 . £29,026) were iecognised during the 2021122. which represented staft costs and support costs associaled with staff time sper)t on grant applications and seeking funding for project work. As well as the increase in gionl ond project ir)come seen in Ihe 2021122 finoncial yeoi, the investment wos successful in securing income towords 2022123, of £171.000 including further lunding for the Core20plus5, funding for o culture chonge arnd leadership developmer)t programme with Mid and South Essex NHS trust, Lived Expeiierlce C(} production contracts with Roche and seveiol new partnership agreements. We are very grateful to all our funders for their supporl. Total funds. reser4es policy and going concern Total funds at 31 March 2022 were £295,647 (202012021. £269,065) and comprised reslricted funds of £73,386 (2020/2021 .' £63.705) and unrestricted funds of £222.261 (2020/2021 . £205,360) The largest remoining restricted fund comprise funds for the fir)alisation of the Long Covid Project funded by NHS England which will be used in 2022123. 20

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) The Trustees review the chority s reserves policy annually ond oim to hold S7 months of core stoff and running costs plus other specific amounts in relation to stoff statutory redundancy entitlement and other lease commitmenls. As such, the agreed reserves target is behDJeen £256,105 and £349,522. At the 31 March 2022 unrestricted free reserves, excluding fixed assets. totalled £218.096, which was t)elow this target range and. after adjusting for the specific amounts merntioned obove, represented 4.26 months of core costs. The trustees have included plons within the fundraising strategy and budget to roise levels of reserves during the yeoi ond expect lo reach at least 4.66 months of core costs by March 23. Trustees will monitor the reserves quarterly and review the policy again six months into the new financial year. The Trustees have reviewed the budgets for the 2022123 financial year, including reserves ond secured income, and consider there to be sufficient funding to prepare these accounts on a going concern bosis Structure. management and governance National Voices is o charitoble compor)y and operotes within the parameters of its Memoiondum and Articles of Association arnd accompanying Bye-Laws ar)d its business is managed by a Board of Trustees. The governing document gives the Board powers regarding its management of the charity, and these powers may be delegaled to the Chief Executive and Officers, in line with the Scheme of Reservation and Delegation of Powers. The Board is comprised of Trustees elected from the membership arnd independent Trustees who are appoinled by the Booid (and in accordance with the Bye-Laws) for their skills and experience relevant to the work of the Booid. Trustees are appoir)ted for a term of three yeors and moy serve a second term of three years up to a maximum of six yeois. A Trustee's first or second term may be extended by orie yeoi in exceptional circumstonces and with the approval of the Board. The Articles of Associotion stipulate that Ihe numt)er of elected Trustees will olways be greater than the number of independent Trustees. During the year, a membership election took place lo recruit new member trustees. Three new trustees were recruited whose term started at the AGM on 23 November 2021 . Ezra BerFYisrael. Margaret Gilbert and Clare Woodford. In oddition. Noho Al Afifi was rfrelected for o *cond term. In addition. the truslees invited applications for fvjo independent trustee positions or) the board and these were successfully filled by Kolu Obuka and Shoione Phillips from 23 November 2021, 21

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) The appointment of tFie new posts was the result of o public recruitment process overseen by Helen Buckingham, who chaired the Nominah'ons Committee. The posts were odveitised widely, and suiloble opplicants were interviewed by a panel of 3 Trustees, the Chief Executive, as well as a "lived experience" panel, Ihe memt)ers of which were drawn from the Voices for Improvement project. We are grateful to the followirng for their involvement on Ihe ponel.. Trustees.. Helen Buckingham. Noha Al Afifi and Ed Holloway Lived experience panel. Helen Hassell, Pouline KentorFBatt ond Moilon Patrice During the period of this report, two Trustees stood down ot the AGM of 23 November 2021 because their term of office had come to an end. Sarah Collis ond Sarah Trae. In addition, Stephen Platts resigned in June 21 and Morgorel Gilbert resigned in December 2021. For the period befvjeen December 21 and Moy 22 the number of elected Trustees was equal to the number of independent trustees. The constitution stipulates ttiat the elected trustees should exceed independent trustees by at leost one. Legal advice was loken, and o member election was arranged as soon os possible within the capacity of the team. As a result. three new member trustees were elected and in place from Moy 2022. As port of trustee induction. new trustees meet officers and the team arnd are made fomiliar with key documents and work programmes of the orgcnisation. Trustees have to formally confirm they are aware of the conflict of interesl policy and the Irustee code of conduct. We also ran o board away day. and are in the process of planning more of those. A budget is available for training or reasonable adjustments for rnew Trustees if required. The Senior Management Team has compiled o Qisk t2egister of the major risks to which the charity is exposed, together with actions loker) to mitigote these. The Register is updaled regularly and is considered alongside the Business Plan,. both the Risk Register and Business Plan are reviewed by the Audit ond Risk Committee and the Board of Trustees. 22

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) The Audit and Trisk Committee oversees the pay and remunerotion of the chority's personrnel in accordance with its t2emuneration Policy. The Audit and Qisk Committee conducts ar)nual reviews of salary. toking into account the financial health of Ihe choiity, expected future income ond expenditure, Ihe wider financial climate, and market sector trernds. To determine the iemunerotion of a new posl, the Committee takes into account information about comparable roles in similar orgonisotions, preferably within the voluntory sector, Using reputable sources of dato, such os NCVO. @ l am not fvryott Statement of Trustees, responsibilities Trustees. responsibilities in relah'on to the finaricial stotements The charity Trustees are responsible for preparing o Trustees. anr)ual report and finonciol statements in occordance with opplicable low ar)d United Kingdom Accounting Standards (Uniled Kingdom Geneiolly Accepted Accounting Practice) The law applicable to charities in Englond and Wales requires the charity Trustees to prepare financial statements for eoch year that give a true and fair view of the state of affairs of the charity ond ol the incoming resources and application of resources of the charity for thot period. In preparing the finarlcial statemenls. the Trustees ore required to.. Selecl suitable accounling policies and thern apply them consistently Observe Ihe methods and principles in the applicable Charities SOFIP Make judgements and estimates that ore reasonable ornd prudent Slote whether applicable occounling standards have been followed. subjecl to any material departures that must be disclosed and explained in the finarnciol stotements Prepare the fincncial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in operation 23

NATIONAL VOICES TTrUSTEES' ANNUAL fiEpofiT (INCLUDING DifiECTOTrS' tEpoRD FOTr THE YEAf2 ENDED 31 MAficH 2022 (CONTINUED) The Trustees are responsible for keeping proper accounting records Ihat disclose with reasonable accurocy at ar)y time the finonciol position of Ihe choiity and to enable them to ensure that the financial statements comply with the Charities Act 2011, the opplicoble Charities (Accounts and Treports) Regulations, and the provisions of the constitution. They are also responsible for safeguording the assets of the charify ond taking reosonoble steps for the prevention and detection of fraud and other irregularities. Eoch of the Board members confirms that. So for os the Boord member is awore, there is no relevont oudit informotion of which the charity s ouditor is unoware,. and The Board member has taken all Ihe steps that they ought to hove loken as a Boord member in order lo make Ihemselves aware of any ielevar)t audit information and to establish that the charity's auditor is aware of thot information. This confirmation is given and should be interpreted in accordance with the proviSiOrnS of s418 of the Companies Act 2006. The Trustees are responsible for the mairitenance and integrity of the charity and financial infoimotion included on the charity's website in accordance with legislation in the United Kingdom goverrning the preparation and dissemination of financial statements. Appointment of Auditors The members oppointed Xeinadin Audit Limited as auditors for the 2022123 yeor end at the AGM on the 23rd November 2021. This report wos approved by the Board of Trustees on 18 July 2022 and signed on their behalf by.. Helen Buckingham. Chair of Trustees 24

Opinion

We have audited the financial statements of National Voices Limited for the year ended 31 March 2022, which comprise the Statement of comprehensive income, the Balance sheet, the Statement of cash flows, and the related notes, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 ‘The Financial Reporting

Standard applicable in the UK and Republic of Ireland' (United Kingdom Generally Accepted Accounting Practice).

In our opinion the financial statements:

give a true and fair view of the state of the Company's affairs as at 31 March 2022 and of the profit for the year then ended;
have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and
have been prepared in accordance with the requirements of the Companies Act 2006.

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditors' responsibilities for the audit of the financial statements section of our report. We are independent of the Company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the United Kingdom, including the Financial Reporting Council's Ethical Standard and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the directors' use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the Company's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the directors with respect to going concern are described in the relevant sections of this report.

Other information

The other information comprises the information included in the Annual Report other than the financial

statements and our Auditors' report thereon. The directors are responsible for the other information contained within the Annual Report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

Opinion on other matters prescribed by the Companies Act 2006

In our opinion, based on the work undertaken in the course of the audit:

the information given in the strategic report and the Directors' report for the financial year for which the financial statements are prepared is consistent with the financial statements; and
the strategic report and the Directors' report have been prepared in accordance with applicable legal requirements.

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the Company and its environment obtained in the course of the audit, we have not identified material misstatements in the strategic report or the Directors' report.

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our opinion:

adequate accounting records have not been kept by the Company, or returns adequate for our audit have not been received from branches not visited by us; or
the Company financial statements are not in agreement with the accounting records and returns; or
certain disclosures of directors' remuneration specified by law are not made; or
we have not received all the information and explanations we require for our audit.

Responsibilities of directors

As explained more fully in the Directors' responsibilities statement set out on page 2, the directors are

responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the directors determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the directors are responsible for assessing the Company's ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the directors either intend to liquidate Company or to cease operations, or have no realistic alternative but to do so.

Auditors' responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an Auditors' report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:

As part of an audit in accordance with ISAs (UK), exercise professional judgement and maintain professional scepticism through the audit. We also:

Assessed the susceptibility of the entity's financial statements to material misstatement, including how fraud may occur.
Held discussions with the client regarding their policies and procedures on compliance with laws and regulations.
Held discussions with the client regarding their policies and procedures on fraud risks, including knowledge of any actual suspected or alleged fraud.

We consider the entity's controls effective in identifying fraud. We do not consider there to be significant difficulty in detecting irregularities.

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our Auditors' report.

Use of our report

This report is made solely to the Company's members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the Company's members those matters we are required to state to them in an Auditors' report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the Company and the Company's members, as a body, for our audit work, for this report, or for the opinions we have formed.

Alastair Crawford FCA (Senior statutory auditor) for and on behalf of Xeinadin Audit Limited Statutory Auditors 12 Conqueror Court Sittingbourne Kent ME10 5BH Date:

National Voices

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

For the year ended 31 March 2022

Unrestricted Funds £ 23,848 138,417 321,895 65	- 333,548 Restricted Funds £ 897 332,651 -	23,848 817,773 2022 Total Funds £ 139,314 654,546 65	121,505 774,819 2021 Total Funds £ 147,828 505,337 149
484,225
32,791 139,381 295,152	- 323,867	32,791 139,381 619,019	29,626 153,344 503,142
467,324	323,867	791,191	686,112
- 16,901	9,681 -	26,582 -	88,707 -
16,901	9,681	26,582	88,707
205,360	63,705	269,065	180,358
222,261	73,386	295,647	269,065

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.

National Voices

Balance Sheet As at 31 March 2022

National Voices Balance Sheet
As at 31 March 2022				Company no	. 03236543
Fixed assets: Tangible assets Net current assets Total assets less current liabilities Total net assets Total unrestricted funds Total charity funds Current assets: Debtors Cash at bank and in hand Liabilities: Creditors: amounts falling due within one year: Deferred membership Other creditors Creditors: amounts falling due after one year The funds of the charity: Restricted income funds Unrestricted income funds: General funds	Note £ 12 13 297,790 412,584	£	4,165 2022 £	£	4,712 2021 £
			4,165 291,930	115,065 363,954	4,712 266,443
	710,375 14 (66,088) (352,356)			479,019 (47,846) (164,730)
	(418,444) 14b 16 222,261			(212,576) 205,360
			296,095 (448)		271,155 (2,090)
			295,647		269,065
			73,386 222,261		63,705 205,360

			295,647		269,065

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 18 July 2022 and signed on their behalf by:

Helen Buckingham Chair

National Voices Statement of Cash Flows

For the year ended 31 March 2022

53,281 Cash flows from investing activities: Net cash used in investing activities (2,649) Cash flows from financing activities: Payment of finance leases obligations Net cash used in financing activities Change in cash in the year Cash at the beginning of the year (2,003) (2,003) 48,629 363,955 412,584 Note 2022 £ £ Interest from investments Purchase of fixed assets 65 (2,714) Net cash provided by operating activities 17 Cash at the end of the year 18	53,281 Cash flows from investing activities: Net cash used in investing activities (2,649) Cash flows from financing activities: Payment of finance leases obligations Net cash used in financing activities Change in cash in the year Cash at the beginning of the year (2,003) (2,003) 48,629 363,955 412,584 Note 2022 £ £ Interest from investments Purchase of fixed assets 65 (2,714) Net cash provided by operating activities 17 Cash at the end of the year 18	108,100 (6,920) (1,669) (1,669) 99,510 264,445 363,955 2021 £ £ 149 (7,068)	108,100 (6,920) (1,669) (1,669) 99,510 264,445 363,955 2021 £ £ 149 (7,068)
(2,003)		(1,669)

	48,629 363,955		99,510 264,445
	412,584		363,955

Notes to the Financial Statements

For the year ended 31 March 2022

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.

National Voices

Notes to the Financial Statements (continued)

For the year ended 31 March 2022

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.

National Voices

Notes to the Financial Statements (continued)

For the year ended 31 March 2022

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.

National Voices

Notes to the Financial Statements (continued)

For the year ended 31 March 2022

3 Income from grants and donations

Unrestricted £ - - 10 1,603 7,010 15,225	Restricted £ - - - - - -	2022 Total £ - - 10 1,603 7,010 15,225	2021 Total £ 60,000 10,000 671 2,167 - 48,667
23,848	-	23,848	121,505
61,505	60,000	121,505	2021 Total £ 3,000 6,317 35,000 1,100 - - 3,250
Unrestricted £ - - - 1,000 1,770 12,455 -	Restricted £ - - - - - - -	2022 Total £ - - - 1,000 1,770 12,455 - 15,225 138,417 - 897 139,314 147,828 2022 Total £
15,225	-		48,667
Unrestricted £ 138,417 - -	Restricted £ - - 897		2021 Total £ 113,175 15,000 19,653
138,417	897 34,653		147,828
113,175

Notes to the Financial Statements (continued)

National Voices

For the year ended 31 March 2022

4. Income from charitable activities (continued)

Income from charitable activities (continued)
Influencing policy and practice Voices For Improvement/Patient Carer Network (Health Foundation & Northumbria Healthcare NHS Foundation Lived Experience Consultancy and Co-Production Common Ambition (The Health Foundation) Long Covid Grant- NHS England Be the Change (Pfizer) Community Connectors(NHS Central and South West) Department of Health- Health & Wellbeing Alliance Digital Inclusion (NHS England and Ipsos) Peer Support ( Health Foundation and Nesta) Social Prescribing (Capita) Integrating Mental and Physical Health Needs (Various) Strategic Input (TLAP, NHS England, NAVCA) Industry Collaborative Impact of Bad Admin (The Kings Fund) Covid Influencing Recovery ( The Health Foundation/AbbVie/Various) Experience of Waiting Times (NHS England) Enabling voice (Diabetes UK) Kaleidoscope (NHS X) Workshops, events and consultancy Total influencing policy and practice 2022 Total influencing policy and practice 2021 Total Charitable Activities 2022 Total Charitable Activities 2021	- 9,200 46,812 - - 38,925 - 57,986 3,350 32,024 - 47,600 45,988 - - - - - 40,010 Unrestricted £	76,082 - - 133,500 15,200 - 86,420 - 7,449 - - - - - - - 14,000 - - Restricted £	76,082 9,200 46,812 133,500 15,200 38,925 86,420 57,986 10,799 32,024 - 47,600 45,988 - - - 14,000 - 40,010 2022 Total £	109,423 - - - - - 80,000 58,870 22,372 38,921 40,459 - 46,265 11,776 43,400 35,850 - 5,000 13,001 2021 Total £
	321,895	332,651	654,546	505,337
	200,308	305,029	505,337	653,166
	460,312	333,548	793,860
	313,483	339,682	653,165

The industry collaborative members during the year were AbbVie, Bayer, Coloplast, Gilead Sciences, Novatis Pharmaceuticals and Roche.

Government Grants were received from the Department of Health and Social Care (DHSC) totalling £86,420 (2021:£80,000). In addition, as set out above funds were received from the Coronavirus Job Retention Scheme totalling £1,603 (2021:£2167), Access to work totalling £1,805 (2021: £nil) and Kick Start totalling £5,206 (2021: £nil). In the prior year National Lottery Community Fund funding totalling £60,000 was received. There were no unfulfilled conditions or contingences in relation to government grants at the end of March 2022 (2021: none).

National Voices

Notes to the Financial Statements (continued)

For the year ended 31 March 2022

5 Income from investments

Income from investments
Bank interest Total income from investments 2022 Total income from investments 2021	Unrestricted £ 65	Restricted £ -	2022 Total £ 65	2021 Total £ 149
	65	-	65	149
	149	-	149

National Voices Notes to the Financial Statements (continued)

For the Year Ended 31 March 2022

6 Analysis of expenditure

Analysis of expenditure
Total Expenditure 2022 Total Expenditure 2022 Unrestricted Expenditure 2022 Restricted Expenditure 2022 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 Legal Support 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	Fundraising £ 23,402 - 4,668 462 240 512 498 426 384 1,515 118 331 - 99 136 -	139,381 619,018 Charitable Activities Membership and Engagement Influencing Policy and Improving practice £ £ 139,381 295,152 - 323,867 75,864 2,486 219,355 235,347 30,343 81,691 3,002 8,083 1,559 4,198 3,326 8,954 3,238 8,719 2,768 7,452 2,499 6,728 9,848 26,515 765 2,059 2,154 5,800 - - 643 1,731 886 2,386 - - 139,381 619,019	791,190 467,324 323,867 2022 Total £ 318,621 237,833 116,702 11,547 5,997 12,792 12,455 10,646 9,611 37,878 2,942 8,286 - 2,473 3,408 - 791,191	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
	32,791	139,381		686,113
	32,791 -	139,381 -		334,055 352,057
	32,791	139,381		112 686,

Support costs, including governance costs, are apportioned across the activities shown in note 6 based on the proportion of time spent on each activity by staff as detailed in note 2h.

National Voices Notes to the Financial Statements (continued)

For the Year Ended 31 March 2022

6 b Analysis of expenditure prior year

Analysis of expenditure prior year
Total Expenditure 2021 Unrestricted Expenditure 2021 Restricted Expenditure 2021 Total Expenditure 2021 Direct costs Direct Salary costs Direct costs of delivery Support Costs Salaries including governance (see note 6) Direct governance costs ( see note 6) 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	Fundraising £ 21,076 1,850 2,743 239 60 407 391 311 1,192 221 755 84 140 155	Charitable Activities Membership and Engagement Influencing Policy and Improving practice £ £ 153,344 503,142 97,571 206,858 55,773 296,284 153,344 503,142 79,735 20,570 198,946 218,813 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	686,113 334,055 352,057 686,112 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
	29,626	153,344
	29,626 -	97,571 55,773
	29,626	153,344

National Voices Notes to the Financial Statements (continued)

For the Year Ended 31 March 2022

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	2022 £ 23,427 2021 £ 12,866 4,500 4,447 7,034 595 13 13
	34,974 17,920

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:

This is stated after charging:
	2022	2021
	£	£
Depreciation of owned fixed assets	1,453	548
Depreciation of assets held under hire purchase agreements	1,808	1,808
Loss on disposal of fixed assets	-	(2,308)
Interest payable on Hire Purchase Agreements	212	177
Operating lease rentals:
--land and buildings	30,981	16,570
--equipment	1,056	1,056
Auditors' remuneration (excluding VAT):
Audit	4,500	3,500

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

Staff costs were as follows:

Salaries and wages Social security costs Employer’s contribution to defined contribution pension schemes Redundancy and termination costs	2022 £ 385,418 28,975 20,930 -	2021 £ 309,644 27,055 16,803 4,250
	435,323	357,752

One employee (2021: none) received employee benefits excluding pension contributions during the year between £80,000 and £90,000. In 2021 one employee received employee benefits excluding pension contributions during the year of between £60,000 and £70,000. The change was seen as a reflection of full time working arrangements for one member of staff.

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 £20,930 (2021: £16,803). At the end of the year amounts totalling £2,361 (2021: 3,907) were owed to pension providers and are included in other creditors shown in note 14.

The key management personnel of the charity during the 2021/22 year comprise the Trustees and the Chief Executive. Head of Engagement, Head of Policy, Head of Finance and Operations and the Head of Experience (2021: the Trustees and the Chief Executive, Head of Membership, Communications and Operations and the Head of Policy). No trustee receives any payment for their services to the charity (2021: 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 £244,997

The charity trustees were not paid and did not receive any other benefits from employment with the charity in the year (2021: none). One trustee (2020: none) was reimbursed expenses totalling £61 (2020: £nil). Trustee training for all trustees totalling £500 was also paid for during the year (2021: £nil) No charity trustee received payment for professional or other services supplied to the charity (2021: £nil).

National Voices Notes to the Financial Statements (continued)

For the Year Ended 31 March 2022

10 Staff numbers

The average number of employees (head count based on number of staff employed) during the year was 11 (2021: 9) with a full time equivalent of 10 (2021: 7.4)

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	2022 2,021 No. No. 0.28 0.26 1.83 2.05 4.95 4.11 2.94 0.98 10.00 7.40

11 Taxation

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

12 Tangible fixed assets

Tangible fixed assets
Cost At the start of the year Additions in year Disposals in year At the end of the year Depreciation At the start of the year Charge for the year Eliminated on disposal At the end of the year Net book value At the end of the year At the start of the year	Equipment £ 27,644 2,714 -	Total £ 27,644 2,714 -
	30,358	30,358
	22,932 3,261 -	22,932 3,261 -
	26,193	26,193
	4,165	4,165
	4,712	4,712

All of the above assets are used for charitable purposes.

Included within the net book value is £1,808 (2020: £3,615) relating to assets held under hire purchase agreements for laptops.

13 Debtors

All debtors relate to amounts owed within one year.

All debtors relate to amounts owed within one year. Trade debtors Prepayments Accrued income	2022 £ 288,902 6,362 2,526	2021 £ 88,884 5,758 20,423
	297,790	115,065

National Voices Notes to the Financial Statements (continued)

For the Year Ended 31 March 2022

14 Creditors: amounts falling due within one year

Creditors: amounts falling due within one year
. Creditors: amounts falling due after one year Hire Purchase Creditor . Deferred income Balance at the end of the year Trade creditors Taxation and social security Other creditors Accruals Deferred membership income (note 14c) Deferred income (note 14c) Hire Purchase Creditor At the start of the period Released to income from charitable activities during the year Amount deferred in the year	2022	2021 £ 2,090 2,090 2021 £ 38,789 45,083 3,908 33,612 47,846 41,547 1,791 212,577 2021 £ 80,648 (80,648)
	£ 24,647 68,804 2,361 55,999 66,088 198,754 1,791
	2022 £ 448 418,444
	448
	2022 £ 89,393 (89,393) 265,886
		89,393 89,393
	265,886

14 b. Creditors: amounts falling due after one year

14 c. Deferred income

15 Analysis of net assets between funds

Analysis of net assets between funds
Net assets at the end of the year Balances at 31 March 2022 are represented by: Tangible fixed assets Current assets Current liabilities Creditors: amounts falling due within one year Analysis of net assets between funds of previous reporting period Balances at 31 March 2021 are represented by: Tangible fixed assets Current assets Current liabilities Creditors: amounts falling due within one year Net assets at the end of the year	Restricted Designated £ £ 637 - 99,569 - (26,820) - - -	Unrestricted £ 3,528 610,806 (391,624) (448)	295,647 Total funds £ 4,165 710,375 (418,444) (448) Total funds £ 4,712 478,919 (212,576) (2,090)
	73,386 -	222,261
	Restricted Designated £ £ - - 80,471 - (16,866) - - -	Unrestricted £ 4,712 398,448 (195,710) (2,090)
	63,605	- 205,360 268,965

15b Analysis of net assets between funds of previous reporting period

National Voices

Notes to the Financial Statements (continued)

For the Year Ended 31 March 2022

16 Movements in funds

Movements in funds
Restricted funds: Health and Wellbeing Alliance (Department of Health) Long Covid (NHS England) Enabling Voice (Diabetes UK) Peer Support Hub- The Health Foundation Be the Change (Pfizer) Voices for Improvement- The Health Foundation Patient and Carer Network (Northumbria Healthcare NHS Foundation Trust) Health Inequalities Conference- The Health Foundation Digital Inclusion - Roche Integrating Mental and Physical Health Needs (Various) Total unrestricted funds Total funds Total restricted funds Unrestricted funds: General funds	At the start of the year £ - - - - - 29,700 24,030 - 9,375 600	Income £ 86,420 133,500 14,000 7,449 15,200 76,082 - 897 - -	Expenditure £ (86,420) (105,569) - (600) (6,100) (104,729) (9,577) (897) (9,375) (600)	Transfers £ - - - - - - - -	At the end of the year £ - 27,931 14,000 6,849 9,100 1,053 14,453 - - -
	63,705	333,548	(323,867)	-	73,386
	205,360	484,225	(467,324)	-	222,261 222,261
	205,360	484,225	(467,324)	-
	269,065	817,773	(791,192)	-	295,647

National Voices Notes to the Financial Statements (continued)

For the Year Ended 31 March 2022

16 Movements in funds (continued)

Purposes of restricted funds
Health and Wellbeing Alliance (Department of Health and	National Voices is the co-ordinator 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 co-
	ordinating the alliance.
Long Covid Project -NHS England	NHS England awarded grant funding towards project work with smaller
	community organisations looking at the impacts of Long Covid on a wide
	range of communities. The grant was used to fund the costs of the project
	manager and sub-grants to participating groups who collaborated in the
	work.
Enabling Voice - Diabetes UK	Diabetes UK awarded a grant of £14,000 towards participation costs in
	work surrounding inequalities and living with obesity. The projects have
	been on hold whilst further funding is secured.
Peer Support Hub- The Health Foundation and NESTA	The project aims to increase the availability of high quality peer support
	by supporting those leading peer support programmes through round
	tables and discussions, plus an online hub that collates, curates and
	categorises peer support resources. Further funding was awarded to
	support work on the impact of the pandemic and to transfer of support
	resources from National Voices website to another platform. This work
	will be completed in 2022/23.
Anti-racism round tables - Pfizer	Pfizer provided funding for the hosting of 4 roundtables to enable
	National Voices members to discuss their approach to anti-racism work.
	The funding was used to cover staff time and participation. 2 of the 4
	round tables will be held in 2022/23
Voices for Improvement- The Health Foundation	The Health Foundation awarded grant further grant funding towards this
	work in 2021/22. The funding aimed to support the development of a
	Lived Experience Consultancy offer which was successfully developed
	during the year. The funding was used to cover staff time, participation
	and business development. The remaining balance represents funds
	associated with further development of the website to support further
	implementation of the project.
Patient and Carer Network (Northumbria Healthcare NHS	These fund were used to support the input from people who set up the
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. The
	funding was used in the year to support the Voices for Improvement work.
Digital Inclusion - Roche	The grant was awarded to support a cross-sectoral team responding to
	the development of the NHS App. Roche kindly agreed a grant variation
	for the unused funds which were used in 2021/22 towards influencing the
	development and roll out of more digitally inclusive, personalised
	approaches and the mitigation of digital exclusion.
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 in 2020/21. The final part of the funding was utilised in
	2021/22.

National Voices

Notes to the Financial Statements (continued)

For the Year Ended 31 March 2022

16 b. Movements in funds during previous reporting period

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) (45,518) (16,199) (2,340) (19,653) - (60,000) (49,653) (15,000)	Transfers £ - - - - - 7,717 (3,771) 2,340 - - - 9,794 -	At the end of the year £ - - - - - 29,700 24,030 - - 9,375 - 600 - 63,704
-	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)	205,361
180,358	375,137	(334,055)	(16,080)	205,361
180,358	774,819	(686,112)	-	269,065

National Voices Notes to the Financial Statements (continued)

For the Year Ended 31 March 2022

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

Net cash provided by 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 in debtors Decrease in creditors	2022 £ 26,582 2021 £ 88,707 3,261 2,356 (65) (149) 2,003 1,669 - 2,308 (182,725) (65,367) 204,227 78,575
	53,281 108,099

18 Analysis of cash and cash equivalents

Analysis of cash and cash equivalents
Total cash and cash equivalents Cash in hand 30 day notice deposits	266,657 97,297 At 1 April 2021 £	48,630 - Cash flows £	- - Other changes £	At 31 March 2022 £ 315,287 97,297
	363,954	48,630	-	412,584

19 Analysis of changes in net funds

Analysis of changes in net funds
Total net funds Cash and cash equivalents Obligations under finance leases	At 1st April 2021 £ 363,954 (3,881)	48,630 1,642 Cash flows £	At 31 March 2022 £ 412,584 (2,239)
	360,073	50,272	410,345

20 Financial Instruments 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 Total Financial Liabilities Carrying amount of financial liabilities Measured at amortised cost:	2022 £ 412,584 291,428	2021 £ 363,954 109,307
	704,012	473,261

	85,246	80,190
	85,246	80,190

National Voices Notes to the Financial Statements (continued)

For the Year Ended 31 March 2022

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	Property 2022 2021 £ £ 10,326 10,326 - - 10,326 10,326	Equipment 2022 2021 £ £ 792 1,056 - 792 792 1,848

22 Finance lease commitments

Future minimum lease payments due under finance leases:

Within one year In two to five years	IT Equipment 2022 2021 £ £ 1,791 1,791 448 2,090 2,239 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 (2021: none).

During the year sub grants for the Long Covid project were issued to National Voices member Self Help UK totalling £18,000. National Voices trustee, Sarah Collis until 23 November 21, was the CEO of Self Help UK at the time the sub grant was awarded. The conflict of interest was managed carefully, and the trustee was not involved in the final decision to provide the funding to Self Help UK. Self help UK's grant was larger than other organisations because as well as involvement in the project, the grant covered support they offered to the wider cohort of sub-grantees.

During the year sub grants for the Long Covid project were issued to National Voices member Groundswell totalling £10,000. National Voices trustee, Steven Platts until 22nd June 21, was the CEO of Groundswell during the project. The conflict of interest was managed carefully, and the trustee was not involved in the final decision to provide the funding to Groundswell.

In addition to the two members above, 4 other organisations were awarded sub-grants as part of the Long Covid work.

National Voices

Notes to the Financial Statements (continued)

For the Year Ended 31 March 2022

During the previous year, member charity Arthritis Action made a grant totalling £5,000 towards the Integrating Mental and Physical Health Needs project. 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 2022 (2021:£nil).

2022-03-31-accounts

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Opinion

Basis for opinion

Conclusions relating to going concern

Other information

Opinion on other matters prescribed by the Companies Act 2006

Matters on which we are required to report by exception

Responsibilities of directors

Auditors' responsibilities for the audit of the financial statements

Use of our report

National Voices

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

For the year ended 31 March 2022

National Voices

Balance Sheet As at 31 March 2022

National Voices Statement of Cash Flows

For the year ended 31 March 2022

Notes to the Financial Statements

For the year ended 31 March 2022

1 Basis of Preparation

1.a Basis of Accounting

1.b Legal Form

1.c Going Concern

1.d Accounting Policies

1.e Significant accounting estimates and judgements

2 Accounting Policies

Income

2.a Recognition of income

National Voices

Notes to the Financial Statements (continued)

For the year ended 31 March 2022

2 Accounting Policies (continued)

2.c. Donations of gifts, services and facilities

2.d. Interest

2.e. Fund accounting

2.f Volunteer help

Expenditure

2.g Expenditure and Irrecoverable VAT

2.h Allocation

2.i Operating leases

For the year ended 31 March 2022

2 Accounting Policies (continued)

Assets and Liabilities

2.j Tangible Fixed Assets

2.k Debtors

2.l Cash at bank and in hand

2.m Creditors and provisions

2.n Financial Instruments

2.o Pensions

2.p Accrued and Deferred income

National Voices

Notes to the Financial Statements (continued)

For the year ended 31 March 2022

3 Income from grants and donations

National Voices

For the year ended 31 March 2022

National Voices

Notes to the Financial Statements (continued)

For the year ended 31 March 2022

5 Income from investments

6 Analysis of expenditure

6 b Analysis of expenditure prior year

7 Governance Costs

8 Net incoming / (outgoing) resources for the year

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

10 Staff numbers

11 Taxation

12 Tangible fixed assets

13 Debtors

14 Creditors: amounts falling due within one year

14 b. Creditors: amounts falling due after one year

14 c. Deferred income

15 Analysis of net assets between funds

15b Analysis of net assets between funds of previous reporting period

Notes to the Financial Statements (continued)

For the Year Ended 31 March 2022

16 Movements in funds

16 Movements in funds (continued)

Notes to the Financial Statements (continued)