National Voices Report and Financial Statements
For the period ended 31 March 2022
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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
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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

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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

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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

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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

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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..

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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
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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
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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

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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
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Leornings from the project have highlighted olready existing inequalities.
Lorng Covid can be s*n 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 ne*woiks.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
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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
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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
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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 follo￿n 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 9iS*n 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
m￿ra 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: 

1. Assessed the susceptibility of the entity's financial statements to material misstatement, including how fraud may occur. 

2. Held discussions with the client regarding their policies and procedures on compliance with laws and regulations. 

3. 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** 

|**Income from:**<br>Note<br>**Total income**<br>**Expenditure on:**<br>**Total expenditure**<br>6<br>**Net income for the year**<br>Transfers between funds<br>**Net movement in funds for the year**<br>**Reconciliation of funds:**<br>Total funds brought forward<br>16<br>**Total funds carried forward**<br>16<br>Grants and Donations<br>3<br>Charitable activities:<br>4<br>Membership and Engagement<br>Influencing Policy and Practice<br>Investments<br>5<br>8<br>Raising funds<br>Charitable activities<br>Membership and Engagement<br>Influencing Policy and Practice|Unrestricted<br>Funds<br>£<br>23,848<br>138,417<br>321,895<br>65|-<br>333,548<br>Restricted<br>Funds<br>£<br>897<br>332,651<br>-|**23,848**<br>**817,773**<br>**2022**<br>**Total**<br>**Funds**<br>**£**<br>**139,314**<br>**654,546**<br>**65**|**121,505**<br>**774,819**<br>**2021**<br>**Total**<br>**Funds**<br>**£**<br>**147,828**<br>**505,337**<br>**149**|
|---|---|---|---|---|
||484,225||||
||32,791<br>139,381<br>295,152|-<br>323,867|**32,791**<br>**139,381**<br>**619,019**|**29,626**<br>**153,344**<br>**503,142**|
||467,324|323,867|**791,191**|**686,112**|
||-<br>16,901|9,681<br>-|**26,582**<br>**-**|**88,707**<br>**-**|
||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**<br>**Balance Sheet**<br>||||||
|---|---|---|---|---|---|
|**As at 31 March 2022**||||**Company no**|**. 03236543**|
|**Fixed assets:**<br>Tangible assets<br>**Net current assets**<br>**Total assets less current liabilities**<br>**Total net assets**<br>Total unrestricted funds<br>**Total charity funds**<br>**Current assets:**<br>Debtors<br>Cash at bank and in hand<br>**Liabilities:**<br>**Creditors: amounts falling due within one year:**<br>Deferred membership<br>Other creditors<br>Creditors: amounts falling due after one year<br>**The funds of the charity:**<br>Restricted income funds<br>Unrestricted income funds:<br>General funds|Note<br>**£**<br>12<br>13<br>**297,790**<br>**412,584**|**£**|**4,165**<br>**2022**<br>**£**|£|4,712<br>2021<br>£|
||||**4,165**<br>**291,930**|115,065<br>363,954|4,712<br>266,443|
||**710,375**<br>14<br>**(66,088)**<br>**(352,356)**|||479,019<br>(47,846)<br>(164,730)||
||**(418,444)**<br>14b<br>16<br>**222,261**|||(212,576)<br>205,360||
||||**296,095**<br>**(448)**||271,155<br>(2,090)|
||||**295,647**||269,065|
||||**73,386**<br>**222,261**||63,705<br>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**<br>**Cash flows from investing activities:**<br>**Net cash used in investing activities**<br>**(2,649)**<br>**Cash flows from financing activities:**<br>Payment of finance leases obligations<br>**Net cash used in financing activities**<br>**Change in cash in the year**<br>Cash at the beginning of the year<br>(2,003)<br>**(2,003)**<br>**48,629**<br>**363,955**<br>**412,584**<br>Note<br>**2022**<br>**£**<br>**£**<br>Interest from investments<br>Purchase of fixed assets<br>65<br>(2,714)<br>**Net cash provided by operating activities**<br>17<br>**Cash at the end of the year**<br>18|**53,281**<br>**Cash flows from investing activities:**<br>**Net cash used in investing activities**<br>**(2,649)**<br>**Cash flows from financing activities:**<br>Payment of finance leases obligations<br>**Net cash used in financing activities**<br>**Change in cash in the year**<br>Cash at the beginning of the year<br>(2,003)<br>**(2,003)**<br>**48,629**<br>**363,955**<br>**412,584**<br>Note<br>**2022**<br>**£**<br>**£**<br>Interest from investments<br>Purchase of fixed assets<br>65<br>(2,714)<br>**Net cash provided by operating activities**<br>17<br>**Cash at the end of the year**<br>18|**53,281**<br>**Cash flows from investing activities:**<br>**Net cash used in investing activities**<br>**(2,649)**<br>**Cash flows from financing activities:**<br>Payment of finance leases obligations<br>**Net cash used in financing activities**<br>**Change in cash in the year**<br>Cash at the beginning of the year<br>(2,003)<br>**(2,003)**<br>**48,629**<br>**363,955**<br>**412,584**<br>Note<br>**2022**<br>**£**<br>**£**<br>Interest from investments<br>Purchase of fixed assets<br>65<br>(2,714)<br>**Net cash provided by operating activities**<br>17<br>**Cash at the end of the year**<br>18|108,100<br>(6,920)<br>(1,669)<br>(1,669)<br>99,510<br>264,445<br>363,955<br>2021<br>£<br>£<br>149<br>(7,068)|108,100<br>(6,920)<br>(1,669)<br>(1,669)<br>99,510<br>264,445<br>363,955<br>2021<br>£<br>£<br>149<br>(7,068)|
|---|---|---|---|---|
||(2,003)||(1,669)||
||||||
|||**48,629**<br>**363,955**||99,510<br>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** 

|National Lottery Community Foundation<br>Janssen (Core)<br>Other donations<br>Coronavirus Job Retention Scheme<br>Other staff support grants<br>Donated services (note 3a)<br>Total income from grants and donations 2022<br>**3a. Donated services**<br>Total donated services<br>**4**<br>**Income from charitable activities**<br>Total Membership and Engagement 2022<br>Total Membership and Engagement 2021<br>Total income from grants and donations 2021<br>Membership Video<br>Health Inequalities Conference- Project management<br>Support with our Covid Voices Project<br>Training<br>Trustee away day facilitation<br>Legal support<br>Other Influencing support<br>**Membership and Engagement**<br>Membership subscriptions<br>Membership Support (Janssen)<br>Health Inequalities Conference|Unrestricted<br>£<br>-<br>-<br>10<br>1,603<br>7,010<br>15,225|Restricted<br>£<br>-<br>-<br>-<br>-<br>-<br>-|**2022**<br>**Total**<br>**£**<br>**-**<br>**-**<br>**10**<br>**1,603**<br>**7,010**<br>**15,225**|2021<br>Total<br>£<br>60,000<br>10,000<br>671<br>2,167<br>-<br>48,667|
|---|---|---|---|---|
||23,848|-|**23,848**|121,505|
||61,505|60,000|121,505|2021<br>Total<br>£<br>3,000<br>6,317<br>35,000<br>1,100<br>-<br>-<br>3,250|
||Unrestricted<br>£<br>-<br>-<br>-<br>1,000<br>1,770<br>12,455<br>-|Restricted<br>£<br>-<br>-<br>-<br>-<br>-<br>-<br>-|**2022**<br>**Total**<br>**£**<br>**-**<br>**-**<br>**-**<br>**1,000**<br>**1,770**<br>**12,455**<br>**-**<br>**15,225**<br>**138,417**<br>**-**<br>**897**<br>**139,314**<br>147,828<br>**2022**<br>**Total**<br>**£**||
||15,225|-||48,667|
||Unrestricted<br>£<br>138,417<br>-<br>-|Restricted<br>£<br>-<br>-<br>897||2021<br>Total<br>£<br>113,175<br>15,000<br>19,653|
||138,417|897<br>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**<br>Voices For Improvement/Patient Carer Network (Health<br>Foundation & Northumbria Healthcare NHS Foundation<br>Lived Experience Consultancy and Co-Production<br>Common Ambition (The Health Foundation)<br>Long Covid Grant- NHS England<br>Be the Change (Pfizer)<br>Community Connectors(NHS Central and South West)<br>Department of Health- Health & Wellbeing Alliance<br>Digital Inclusion (NHS England and Ipsos)<br>Peer Support ( Health Foundation and Nesta)<br>Social Prescribing (Capita)<br>Integrating Mental and Physical Health Needs (Various)<br>Strategic Input (TLAP, NHS England, NAVCA)<br>Industry Collaborative<br>Impact of Bad Admin (The Kings Fund)<br>Covid Influencing Recovery ( The Health<br>Foundation/AbbVie/Various)<br>Experience of Waiting Times (NHS England)<br>Enabling voice (Diabetes UK)<br>Kaleidoscope (NHS X)<br>Workshops, events and consultancy<br>Total influencing policy and practice 2022<br>Total influencing policy and practice 2021<br>Total Charitable Activities 2022<br>Total Charitable Activities 2021|-<br>9,200<br>46,812<br>-<br>-<br>38,925<br>-<br>57,986<br>3,350<br>32,024<br>-<br>47,600<br>45,988<br>-<br>-<br>-<br>-<br>-<br>40,010<br>Unrestricted<br>£|76,082<br>-<br>-<br>133,500<br>15,200<br>-<br>86,420<br>-<br>7,449<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>14,000<br>-<br>-<br>Restricted<br>£|**76,082**<br>**9,200**<br>**46,812**<br>**133,500**<br>**15,200**<br>**38,925**<br>**86,420**<br>**57,986**<br>**10,799**<br>**32,024**<br>**-**<br>**47,600**<br>**45,988**<br>**-**<br>**-**<br>**-**<br>**14,000**<br>**-**<br>**40,010**<br>**2022**<br>**Total**<br>**£**|109,423<br>-<br>-<br>-<br>-<br>-<br>80,000<br>58,870<br>22,372<br>38,921<br>40,459<br>-<br>46,265<br>11,776<br>43,400<br>35,850<br>-<br>5,000<br>13,001<br>2021<br>Total<br>£|
||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<br>Total income from investments 2022<br>Total income from investments 2021|Unrestricted<br>£<br>65|Restricted<br>£<br>-|**2022**<br>**Total**<br>**£**<br>**65**|2021<br>Total<br>£<br>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**<br>Total Expenditure 2022<br>Unrestricted Expenditure 2022<br>Restricted Expenditure 2022<br>**Direct costs**<br>Direct Salary costs<br>Direct costs of delivery<br>**Support Costs**<br>Salaries including governance (see note 7)<br>Direct governance costs ( see note 7)<br>Recruitment<br>Consultants and freelance<br>Legal Support<br>Finance Support<br>Other personnel costs<br>Premises and equipment<br>Depreciation and loss on disposal of fixed assets<br>Office overheads<br>Events, conferences and networking<br>Website and marketing<br>Other costs of activities<br>Bad debts|Fundraising<br>£<br>23,402<br>-<br>4,668<br>462<br>240<br>512<br>498<br>426<br>384<br>1,515<br>118<br>331<br>-<br>99<br>136<br>-|139,381<br>619,018<br>**Charitable Activities**<br>Membership<br>and<br>Engagement<br>Influencing<br>Policy and<br>Improving<br>practice<br>£<br>£<br>139,381<br>295,152<br>-<br>323,867<br>75,864<br>2,486<br>219,355<br>235,347<br>30,343<br>81,691<br>3,002<br>8,083<br>1,559<br>4,198<br>3,326<br>8,954<br>3,238<br>8,719<br>2,768<br>7,452<br>2,499<br>6,728<br>9,848<br>26,515<br>765<br>2,059<br>2,154<br>5,800<br>-<br>-<br>643<br>1,731<br>886<br>2,386<br>-<br>-<br>139,381<br>619,019|**791,190**<br>**467,324**<br>**323,867**<br>**2022 Total**<br>**£**<br>**318,621**<br>**237,833**<br>**116,702**<br>**11,547**<br>**5,997**<br>**12,792**<br>**12,455**<br>**10,646**<br>**9,611**<br>**37,878**<br>**2,942**<br>**8,286**<br>**-**<br>**2,473**<br>**3,408**<br>**-**<br>**791,191**|2021 Total<br>£<br>299,757<br>241,234<br>57,995<br>5,055<br>1,268<br>8,611<br>-<br>8,275<br>6,578<br>25,209<br>4,664<br>15,963<br>1,782<br>2,969<br>3,276<br>3,478|
||32,791|139,381||686,113|
||32,791<br>-|139,381<br>-||334,055<br>352,057|
||32,791|139,381||112<br>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<br>Unrestricted Expenditure 2021<br>Restricted Expenditure 2021<br>Total Expenditure 2021<br>**Direct costs**<br>Direct Salary costs<br>Direct costs of delivery<br>**Support Costs**<br>Salaries including governance (see note 6)<br>Direct governance costs ( see note 6)<br>Recruitment<br>Consultants and freelance<br>Finance Support<br>Other personnel costs<br>Premises and equipment<br>Depreciation and loss on disposal of fixed assets<br>Office overheads<br>Events, conferences and networking<br>Website and marketing<br>Other costs of activities|Fundraising<br>£<br>21,076<br>1,850<br>2,743<br>239<br>60<br>407<br>391<br>311<br>1,192<br>221<br>755<br>84<br>140<br>155|**Charitable Activities**<br>Membership<br>and<br>Engagement<br>Influencing<br>Policy and<br>Improving<br>practice<br>£<br>£<br>153,344<br>503,142<br>97,571<br>206,858<br>55,773<br>296,284<br>153,344<br>503,142<br>79,735<br>20,570<br>198,946<br>218,813<br>21,307<br>33,945<br>1,857<br>2,958<br>466<br>742<br>3,164<br>5,040<br>3,040<br>4,844<br>2,417<br>3,850<br>9,262<br>14,755<br>1,713<br>2,730<br>5,865<br>9,343<br>655<br>1,043<br>1,091<br>1,738<br>1,204<br>1,918|686,113<br>**334,055**<br>**352,057**<br>**686,112**<br>**2021 Total**<br>**£**<br>**299,757**<br>**241,234**<br>**57,995**<br>**5,055**<br>**1,268**<br>**8,611**<br>**8,275**<br>**6,578**<br>**25,209**<br>**4,664**<br>**15,963**<br>**1,782**<br>**2,969**<br>**3,276**|
||29,626|153,344||
||29,626<br>-|97,571<br>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<br>Direct governance costs<br>Audit Costs<br>Board expenses, training and recruitment<br>Other Governance costs|**2022**<br>**£**<br>23,427<br>2021<br>£<br>12,866<br>4,500<br>4,447<br>7,034<br>595<br>13<br>13|
||**34,974**<br>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<br>Social security costs<br>Employer’s contribution to defined contribution pension schemes<br>Redundancy and termination costs|**2022**<br>**£**<br>**385,418**<br>**28,975**<br>**20,930**<br>**-**|2021<br>£<br>309,644<br>27,055<br>16,803<br>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<br>Membership and Engagement<br>Influencing policy and practice<br>Governance and support|**2022**<br>2,021<br>**No.**<br>No.<br>**0.28**<br>0.26<br>**1.83**<br>2.05<br>**4.95**<br>4.11<br>**2.94**<br>0.98<br>**10.00**<br>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**<br>At the start of the year<br>Additions in year<br>Disposals in year<br>At the end of the year<br>**Depreciation**<br>At the start of the year<br>Charge for the year<br>Eliminated on disposal<br>At the end of the year<br>**Net book value**<br>**At the end of the year**<br>At the start of the year|Equipment<br>£<br>27,644<br>2,714<br>-||**Total**<br>**£**<br>**27,644**<br>**2,714**<br>**-**|
||30,358||**30,358**|
||22,932<br>3,261<br>-||**22,932**<br>**3,261**<br>**-**|
||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.<br>Trade debtors<br>Prepayments<br>Accrued income|**2022**<br>**£**<br>**288,902**<br>**6,362**<br>**2,526**|2021<br>£<br>88,884<br>5,758<br>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**<br>Hire Purchase Creditor<br>**. Deferred income**<br>Balance at the end of the year<br>Trade creditors<br>Taxation and social security<br>Other creditors<br>Accruals<br>Deferred membership income (note 14c)<br>Deferred income (note 14c)<br>Hire Purchase Creditor<br>At the start of the period<br>Released to income from charitable activities during the year<br>Amount deferred in the year||**2022**||2021<br>£<br>2,090<br>**2,090**<br>2021<br>£<br>38,789<br>45,083<br>3,908<br>33,612<br>47,846<br>41,547<br>1,791<br>212,577<br>2021<br>£<br>80,648<br>(80,648)|
|||**£**<br>**24,647**<br>**68,804**<br>**2,361**<br>**55,999**<br>**66,088**<br>**198,754**<br>**1,791**|||
|||**2022**<br>**£**<br>**448**<br>**418,444**|||
|||**448**|||
|||**2022**<br>**£**<br>**89,393**<br>**(89,393)**<br>**265,886**|||
|||||89,393<br> <br>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**<br>Balances at 31 March 2022 are represented by:<br>Tangible fixed assets<br>Current assets<br>Current liabilities<br>Creditors: amounts falling due within one year<br>**Analysis of net assets between funds of previous reporting period**<br>Balances at 31 March 2021 are represented by:<br>Tangible fixed assets<br>Current assets<br>Current liabilities<br>Creditors: amounts falling due within one year<br>**Net assets at the end of the year**||Restricted<br>Designated<br>£<br>£<br>637<br>-<br>99,569<br>-<br>(26,820)<br>-<br>-<br>-|Unrestricted<br>£<br>3,528<br>610,806<br>(391,624)<br>(448)|**295,647**<br>**Total funds**<br>**£**<br>**4,165**<br>**710,375**<br>**(418,444)**<br>**(448)**<br>**Total funds**<br>**£**<br>**4,712**<br>**478,919**<br>**(212,576)**<br>**(2,090)**|
|||**73,386**<br>**-**|**222,261**||
|||Restricted<br>Designated<br>£<br>£<br>-<br>-<br>80,471<br>-<br>(16,866)<br>-<br>-<br>-|Unrestricted<br>£<br>4,712<br>398,448<br>(195,710)<br>(2,090)||
|||**63,605**<br>|**-**<br>**205,360**<br>**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:**<br>Health and Wellbeing Alliance (Department of Health)<br>Long Covid (NHS England)<br>Enabling Voice (Diabetes UK)<br>Peer Support Hub- The Health Foundation<br>Be the Change (Pfizer)<br>Voices for Improvement- The Health Foundation<br>Patient and Carer Network (Northumbria Healthcare NHS<br>Foundation Trust)<br>Health Inequalities Conference- The Health Foundation<br>Digital Inclusion - Roche<br>Integrating Mental and Physical Health Needs (Various)<br>**Total unrestricted funds**<br>**Total funds**<br>**Total restricted funds**<br>**Unrestricted funds:**<br>**General funds**|At the start<br>of the year<br>£<br>-<br>-<br>-<br>-<br>-<br>29,700<br>24,030<br>-<br>9,375<br>600|Income<br>£<br>86,420<br>133,500<br>14,000<br>7,449<br>15,200<br>76,082<br>-<br>897<br>-<br>-|Expenditure<br>£<br>(86,420)<br>(105,569)<br>-<br>(600)<br>(6,100)<br>(104,729)<br>(9,577)<br>(897)<br>(9,375)<br>(600)|Transfers<br>£<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-|**At the end**<br>**of the year**<br>**£**<br>**-**<br>**27,931**<br>**14,000**<br>**6,849**<br>**9,100**<br>**1,053**<br>**14,453**<br>**-**<br>**-**<br>**-**|
||63,705|333,548|(323,867)|-|73,386|
||205,360|484,225|(467,324)|-|**222,261**<br>**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** 

|**Restricted funds:**<br>Health and Wellbeing Alliance (Department of Health)<br>Covid Influencing Recovery -The Health Foundation<br>Covid Influencing Recovery -AbbVie<br>Peer Support Hub- The Health Foundation<br>Peer Support Hub- Nesta<br>Voices for Improvement- The Health Foundation<br>Patient and Carer Network (Northumbria Healthcare NHS<br>Foundation Trust)<br>Support PPG (NHS England)<br>Health Inequalities Conference- The Health Foundation<br>Digital Inclusion - Roche<br>The National Lottery Community Fund<br>Integrating Mental and Physical Health Needs (Various)<br>Membership Support (Janssen)<br>Total designated funds<br>General funds<br>Total unrestricted funds<br>**Total funds**<br>**Total restricted funds**<br>**Unrestricted funds:**<br>Designated funds:<br>VCSE capacity building<br>Depreciation fund|At the start<br>of the year<br>£<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-|Income<br>£<br>80,000<br>28,400<br>15,000<br>5,295<br>15,000<br>67,500<br>44,000<br>19,653<br>9,375<br>60,000<br>40,459<br>15,000|Expenditure<br>£<br>(80,000)<br>(28,400)<br>(15,000)<br>(5,295)<br>(15,000)<br>(45,518)<br>(16,199)<br>(2,340)<br>(19,653)<br>-<br>(60,000)<br>(49,653)<br>(15,000)|Transfers<br>£<br>-<br>-<br>-<br>-<br>-<br>7,717<br>(3,771)<br>2,340<br>-<br>-<br>-<br>9,794<br>-||**At the end**<br>**of the year**<br>**£**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**29,700**<br>**24,030**<br>**-**<br>**-**<br>**9,375**<br>**-**<br>**600**<br>**-**<br>**63,704**|
|---|---|---|---|---|---|---|
||-|399,682|(352,057)|16,080|||
||11,783<br>2,308|-<br>-|(11,783)<br>(2,308)|-<br>-||**-**<br>**-**|
||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**<br>**Net income for the reporting period**<br>**(as per the statement of financial activities)**<br>Depreciation charges<br>Interest<br>Payment of finance leases obligations<br>Loss on disposal of Fixed Assets<br>Increase in debtors<br>Decrease in creditors|**2022**<br>**£**<br>**26,582**<br>2021<br>£<br>88,707<br>**3,261**<br>2,356<br>**(65)**<br>(149)<br>**2,003**<br>1,669<br>**-**<br>2,308<br>**(182,725)**<br>(65,367)<br>**204,227**<br>78,575|
|---|---|
||**53,281**<br>108,099|



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

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



## **19 Analysis of changes in net funds** 

|**Analysis of changes in net funds**||||
|---|---|---|---|
|Total net funds<br>Cash and cash equivalents<br>Obligations under finance leases|At 1st April<br>2021<br>£<br>363,954<br>(3,881)|48,630<br>1,642<br>Cash flows<br>£|**At 31 March**<br>**2022**<br>£<br>412,584<br>(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**<br>Cash at bank measured at cost:<br>Debt instruments measured at amortised cost:<br>**Total Financial Assets**<br>**Total Financial Liabilities**<br>**Carrying amount of financial liabilities**<br>Measured at amortised cost:|**2022**<br>**£**<br>412,584<br>291,428|2021<br>£<br>363,954<br>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<br>One to five years|Property<br>**2022**<br>2021<br>**£**<br>£<br>**10,326**<br>10,326<br>**-**<br>-<br>**10,326**<br>10,326|Equipment<br>**2022**<br>2021<br>**£**<br>£<br>**792**<br>1,056<br>**-**<br>792<br>**792**<br>1,848|
|---|---|---|



## **22 Finance lease commitments** 

Future minimum lease payments due under finance leases: 

|Within one year<br>In two to five years|IT Equipment<br>**2022**<br>2021<br>**£**<br>£<br>**1,791**<br>1,791<br>**448**<br>2,090<br>**2,239**<br>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).