Charitable Funds Annual Report and Accounts for the Year Ended 31 March 2025
Charity Registration Number - 1057902
Powys Health Charity Annual Report 2024/25
| Contents | Page |
|---|---|
| Reference and Administrative Details 2-4 | Reference and Administrative Details 2-4 |
| Charity Annual Report 5-26 | Charity Annual Report 5-26 |
| Statement of Trustee Responsibility 27-28 | Statement of Trustee Responsibility 27-28 |
| Audit Report 29-32 |
29-32 |
| Statement of Financial Activities 33 | Statement of Financial Activities 33 |
| Balance Sheet 34 | Balance Sheet 34 |
| Statement of Cash Flow 35 | Statement of Cash Flow 35 |
| Accounting Policies and Notes to the Accounts 36-47 | Accounting Policies and Notes to the Accounts 36-47 |
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Powys Health Charity Annual Report 2024/25
Trustee Arrangements
Powys Teaching Local Health Board Charitable Fund (the Charity) is registered with the Charity Commission; Powys Teaching Local Health Board (Powys THB) is designated as Corporate Trustee.
The members of Powys THB who served during the financial year to 31st March 2025 were as follows:
| Powys Teaching Local Health Board Board Members 2024/25 |
Powys Teaching Local Health Board Board Members 2024/25 |
|---|---|
| Chair | Carl Cooper |
| Vice Chair | Kirsty Williams |
| Chief Executive | Hayley Thomas |
| Independent Members (IM) | |
| Finance | Steve Elliot (From 17/04/2024) |
| Local Authority | Chris Walsh |
| Third Sector | Jennifer Owen Adams |
| University | Simon Wright |
| ICT | Ian Phillips (To 22/08/2024) |
| Trade Union | Cathie Poynton |
| Capital & Estates | Mick Giannasi |
| General | Rhobert Lewis |
| General | Ronnie Alexander |
| General | Ian Thomas (From 06/01/2025) |
| Executive Directors | |
| Interim Deputy Chief Executive, Executive Director of Finance, Information and IT Services, and Interim Executive Director of Primary Care |
Pete Hopgood (To 16/05/2024) |
| Deputy Chief Executive, Executive Director of Finance, Capital and Support Services and Interim Executive Director of Primary Care |
Pete Hopgood (From 17/05/2024 to 29/09/2024) |
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Powys Health Charity Annual Report 2024/25
| Elusen lechyd Powys Powys Health Charity |
Powys Health Charity Annual Report 2024/25 |
|---|---|
| Deputy Chief Executive and Executive Director of Finance, Capital and Support Services |
Pete Hopgood (From 30/09/2024) |
| Executive Director of Public Health | Mererid Bowley |
| Executive Director of Workforce and OD Debra Wood-Lawson | Executive Director of Workforce and OD Debra Wood-Lawson |
| Interim Executive Director of Operations, Community Care and Mental Health |
David Farnsworth (To 02/06/2024)1 |
| Interim Executive Director of Operations, Community Care and Mental Health |
Joy Garfitt (From 01/04/2024 to 30/09/2024)2 |
| Executive Director of Primary, Community Care and Mental Health |
Elaine Lorton (From 30/09/2024) |
| Executive Director of Planning, Performance and Commissioning |
Nicola Johnson (From 07/10/2024) |
| Executive Director of Therapies and Health Sciences |
Claire Madsen (To 30/04/2024) |
| Executive Director of Allied Health Professions, Health Science and Digital |
Claire Madsen (From 01/05/2024) |
| Interim Executive Director of Planning, Performance and Commissioning |
Stephen Powell (To 06/10/2024)3 |
| Executive Director of Nursing and Midwifery |
Claire Roche (To 30/04/2024) |
| Executive Director of Nursing, Quality, Women and Family Health |
Claire Roche (From 01/05/2024) |
| Executive Director of Workforce and OD Debra Wood-Lawson (To 30/04/2024) | Executive Director of Workforce and OD Debra Wood-Lawson (To 30/04/2024) |
| Executive Director of People and Culture |
Debra Wood-Lawson (From 01/05/2024) |
| Executive Medical Director | Kate Wright |
| Director of Corporate Governance / Board Secretary |
Helen Bushell |
1 There was a period of handover between DF and JG between 06/05/2024 and 02/06/2024 2 JG was away on planned absence from 01/04/2024 to 05/05/2024 with the Portfolio covered on an interim basis by DF. JG was also absent from 08/07/2024 to 30/09/2024, during which time the Portfolio was covered by other Executive colleagues.
3 SP remained with the Health Board from 07/10/2024 - 20/10/2024 for a handover period to the newly appointed NJ.
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Powys Health Charity Annual Report 2024/25
In order to assist the Corporate Trustee to fulfil its statutory duties under this registration, a Charitable Fund’s Committee has been established with delegated powers to manage the Charity.
Current Charitable Funds Committee Membership
Carl Cooper - Chair
Rhobert Lewis - Independent Member
Cathie Poynton - Independent Member
Pete Hopgood - Deputy Chief Executive and Executive Director of Finance, Capital and Support Services
Claire Madsen - Executive Director of Allied Health Professions, Health Science and Digital
Registered Office
The registered office of the Charity is Bronllys Hospital, Bronllys, Brecon, Powys, LD3 0LY.
Registration Number
The Charity is registered with the Charity Commission – Registered Number 1057902. 04
Bankers Internal Auditors Barclays Bank NHS Wales Shared 57 Frogmore Street Services Partnership Abergavenny Audit & Assurance Services Gwent 4-5 Charnwood Court NP7 5AT Heol Billingsley Parc Nantgarw Cardiff CF15 7QZ Investment Advisors External Auditors Brewin Dolphin Ltd Auditor General for Wales 12 Smithfield Street Audit Wales London 1 Capital Quarter, Tyndall Street EC1A 9BD Cardiff, CF10 4BZ
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Powys Health Charity Annual Report 2024/25
Foreword
The Charity was formally created on 28[th] May 2004 by a ‘Deed of Arrangement’ which replaced the Powys Health Care NHS Trust Charitable Fund, which had been in existence since 26[th] July 1996.
These accounts have been prepared in line with Financial Reporting Standard 102 (FRS 102).
The Charity’s annual report and accounts for the year ending 31st March 2025 have been prepared by the Corporate Trustee in accordance with Part VI of the Charities Act 2011 and the Charities (Accounts and Reports) Regulations 2005 (Statement of Recommended Practice (SORP) 2015). The Charity’s report and accounts include all the separately established charitable funds for which the Local Health Board is responsible.
Administrative Details
The Charity has an umbrella registration with the Charity Commission under which funds are registered together under a single ‘main’ registration number. There are a total of 74 individual funds maintained within the accounting records as at the 31 March 2025, and the notes to the accounts distinguish the types of funds and disclose separately all material funds.
Charitable monies donated to the Charity are accepted, held and administered as funds and property held on trust for purposes relating to the health service in accordance with the National Health Service Act 1977 and the National Health Service and Community Care Act 1990.
Trustee
Powys THB is the Corporate Trustee of the Charitable Fund governed by the law applicable to Local Health Boards, principally the Trustee Act 2000 and also the law applicable to Charities, which is governed by the Charities Act 2011.
The chair and independent members of the Board are appointed by the Welsh Government and the executive directors are appointed by the Board. The Corporate Trustee devolves responsibility for the on-going management of the charity to the Charitable Funds Committee which administers the fund on behalf
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Powys Health Charity Annual Report 2024/25
of the Corporate Trustee. Details of the Corporate Trustee and its Charitable Funds Committee are disclosed on pages 2 to 4.
Principal Charitable Fund Advisor to the Board
Under a scheme of delegated authority approved by the Corporate Trustee, the Executive Director of Finance of Powys THB has responsibility for the management of the Charity, and the Head of Financial Services is the principal officer overseeing the day-to-day financial management and accounting for the charitable fund and its specific charitable accounts during the year.
Professional Advisors
The principal professional advisors to the Corporate Trustee are detailed on page 4.
Structure Governance and Management
The Charity’s unrestricted fund was established using the model declaration of trust. All funds held on trust as at the date of registration were either part of this unrestricted fund or registered as separate restricted funds under the main Charity. Subsequent donations and gifts received by the Charity that are attributable to the original funds are added to those fund balances within the existing Charity. Where funds have been received which have unique specific restrictions set by the donor, new unrestricted (designated) funds have been established.
The current structure of the individual funds reflects the fact that the majority of income and expenditure is focused where patients receive services. Operational managers exercise control over the funds donated to their management area. The charitable funds available for spending are allocated to service areas within Powys THB’s management structure. There are, for example, specific allocations made for individual wards and for specific service areas such as Palliative Care and Brecon Cardiac Services.
Members of the Powys THB and its Charitable Funds Committee are not individual Trustees under Charity Law but act as agents on behalf of the Corporate Trustee. Appropriate training and induction is received on initial appointment followed by periodic development sessions to further develop the understanding of their roles and responsibilities. Informal training and awareness is provided through routine consideration of charitable fund matters at meetings of the LHB Board and directly to individuals where additional matters are identified.
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Powys Health Charity Annual Report 2024/25
Acting for the Corporate Trustee, the Charitable Funds Committee is responsible for the overall management of the Charitable Funds. The Committee is required to:
-
control, manage and monitor the use of the fund’s resources for the public benefit having regard to guidance issued by the Charity Commission,
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provide support, guidance and encouragement for all its income raising activities whilst managing and monitoring the receipt of all income,
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ensure that ’best practice’ is followed in the conduct of all its affairs fulfilling all of its legal responsibilities,
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ensure that the approved Investment Policy incorporated within the Charitable Funds Policy approved by the Teaching Local Health Board as Corporate Trustee is adhered to and that performance is regularly reviewed whilst being aware of ethical considerations,
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keep the Corporate Trustee fully informed on the activity, performance and risks of the Charity.
Powys THB is the main beneficiary of the Charity and is a related party by virtue of being the Charity’s Corporate Trustee. By working in partnership with Powys THB, the charitable funds are used to best effect and so when deciding upon the most beneficial way to use charitable funds, the Corporate Trustee has regard to its main activities, objectives, strategies and plans. The Corporate Trustee fulfils its legal duty by ensuring that funds are spent in accordance with the objectives of each fund that has been designated to respect the specific wishes of each donor.
The accounting records and the day-to-day administration of the fund is dealt with by the Finance Department located at Bronllys Hospital, Brecon, Powys, LD3 0LY.
Foundational objectives of the Charitable Fund
The Charity was established with NHS wide objectives for its main fund which were outlined as follows:
“The Trustee shall hold the Trust fund upon trust to apply the income, and at their discretion, so far as may be permissible, the capital, for any charitable purpose or purposes relating to the National Health Service, wholly or mainly for the services provided by Powys Teaching Local Health Board (hereinafter referred to as “the objects”)”
This means that the fund can be used for the benefit of patients and staff who receive or help deliver the services provided by Powys THB in accordance with the Deed of Trust.
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Powys Health Charity Annual Report 2024/25
The Charity is funded by donations and/or legacies received from patients, relatives and friends, the general public and other external organisations. The Corporate Trustee fulfils its legal duty by ensuring that funds are spent in accordance with the objects of each fund. The trustee respects the wishes of our donors to benefit patient care and advance good health and welfare of patients and staff and ensuring that all expenditure fulfils public benefit criteria. The practice of the Charity is to provide support to the Powys THB and Powys community through the following means: -
Patients’ Expenditure: by purchase of equipment, and the provision of services and facilities not normally provided by or additional to the normal NHS provision.
Staff Expenditure:
by supporting staff to provide more effective services to patients, through (for example) additional education and training opportunities; and facilitating and promoting research.
Medical Equipment: by purchase of equipment in addition to that normally provided by the NHS.
When there are changes in the delivery of a service, or when for some other reason it becomes impractical to maintain a separate fund, the Corporate Trustee has ultimate discretion, in accordance with Section 96 of the NHS Act 1977, to apply the charitable funds. Its objective, however, is to continue to respect the donor’s wishes.
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Powys Health Charity Annual Report 2024/25
A message from our Chair
This year has marked a period of significant change and progress for Powys Health Charity. We were delighted to welcome a new Interim Manager, whose leadership has enabled the charity to continue growing from strength to strength. Our commitment to providing the best opportunities for Powys Teaching Health Board (PTHB) staff and the wider Powys community has remained at the heart of our work.
We continued to deliver our small grant scheme, this year titled the Bach grant scheme, supporting the health and wellbeing of patients, staff, and the broader community. In addition, we successfully launched a new annual campaign, the Festive Fundraiser, which aimed to ensure that every in-patient, care home resident, mother-to-be, and newborn received a thoughtful gift on Christmas Day.
Our partnerships with the League of Friends have also flourished, with the introduction of quarterly meetings to strengthen our shared mission of supporting PTHB. These collaborations have been invaluable in enhancing the support we provide across our communities.
To better reflect the diversity and vibrancy of Powys, the charity has been dedicated to developing its own image library. Our team visited all Powys sites, capturing authentic moments that showcase both our local communities and the dedication of our hardworking staff. This initiative ensures that our visual resources truly represent the people and places at the heart of our work.
We extend our heartfelt thanks to all our wonderful supporters, staff members, partners, and NHS colleagues who have contributed to the charity’s continued growth over the past year. With your ongoing support, we remain committed to investing in people, projects, and partnerships that improve the health and wellbeing of our patients, staff, and the wider population.
Dr Carl Cooper,
Chair of Powys Teaching Local Health Board and
PTHB Charitable Funds Committee
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Powys Health Charity Annual Report 2024/25
Our mission
As the dedicated NHS charity for Powys, we have a responsibility to support the staff and patients of the Powys THB and the wider community. We also have an opportunity to develop new partnerships between the public health and the voluntary health sectors. Our Charity can be a catalyst for partnership projects and programmes that help reduce the number of people who get ill and need statutory health intervention and help improve the health and wellness of those with longterm health conditions.
The NHS workforce provides the foundation for health care in Powys. By supporting and providing for a better working environment and better outcomes for NHS staff, our Charity will help ensure better outcomes for NHS patients and their families.
Where possible, Powys Health Charity will look to learn from the most influential and impactful third sector organisations from across the UK, particularly those in the field of healthcare and medical support and leading grant-giving charities. More locally, the Charity will also look to work with other health board charities in Wales on relevant issues and to coordinate campaigns and communications for the widest possible impact.
The support network that has been created and maintained by NHS Charities Together across the last three years has allowed for greater collaboration between NHS charities. Maintaining a strong relationship and open dialogue, particularly with Welsh NHS and third sector colleagues, will ensure Powys Health Charity is as knowledgeable, responsive and effective as possible within its field.
Our values
Powys Health Charity aims to support the health and wellbeing of staff, patients and communities across Powys. Wherever possible, Powys Health Charity will strive to support the health and wellbeing of the people of Powys whilst adhering to the following values:
Accessible
- Ensure that wherever possible the Charity’s investment in local health care brings benefit to the community, the wider NHS and beyond.
Collaborative
- Look to support health improvement projects and cultivate partnerships which enable people to live healthy lives.
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Powys Health Charity Annual Report 2024/25
Inclusive
- Embrace equality and diversity by ensuring the Charity is of, by, and for, the people of Powys.
Innovative
- Play a key role in the development of greatly improved health care for Powys.
Sustainable
- Utilise the Charity’s existing and future assets to strengthen its strategic priorities and deliver positive long-term impacts for Powys.
Developing new strategic priorities and key deliverables
The following priorities and objectives have been established to outline a clear and consistent identity for our Charity. They will help to build our profile and increase the impact of our work through greater engagement with our communities and more strategic investment. They have been developed to help ensure Powys Health Charity remains relevant and sustainable for the next three years and beyond.
The priorities for this strategy have been identified through consultation with the Charity’s stakeholders, which includes PTHB staff and Board members, third sector partners, patients and their families, as well as members of the community. They reflect our stakeholders’ expectations of what Powys’ Health Board Charity can deliver and are linked to the strategic objectives of Powys Teaching Health Board’s Integrated Medium-Term Plan (IMTP) 2022-2025.
Demonstrating Responsible Leadership
| Demonstrating Responsible Leadership | Demonstrating Responsible Leadership |
|---|---|
| What our Stakeholders said: |
What we will deliver: |
| Ensure the Health Board’s Charitable Funds are managed responsibly to deliver sustained health and wellbeing improvements for many years to come in Powys. |
- A commitment to swift and responsive decision making whilst maintaining high standards of good governance. - An increase in the scale of Charity operations which ensures long-term sustainability and viability. - New grant funding programmes to respond to emerging health and wellbeing priorities in a timelymanner. |
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Powys Health Charity Annual Report 2024/25
| - | Additional guidance which allows PTHB staff | ||
|---|---|---|---|
| and independent members to navigate and | |||
| work alongside the Charity with ease. | |||
| - | Annual reviews of existing governance and | ||
| bidding arrangements, audit for vulnerabilities | |||
| and implementation of operational | |||
| efficiencies. | |||
| - | A clear long-term investment strategy which | ||
| adopts a responsible and balanced approach | |||
| to risk and ethical imperative. | |||
| - | A clear long-term fundraising strategy to | ||
| diversify income streams and maintain | |||
| financial sustainability. | |||
| - | A robust programme of evaluation for all | ||
| Charity projects and activity to measure the | |||
| impact, influence and effectiveness of | |||
| Charitable Funds within Powys. | |||
| Linked PTHB IMTP Objectives: |
- Implement key governance improvement priorities embedding risk management, effective policies, procedures and guidance; audit and effectiveness; Board effectiveness and systems of accountability.
Upholding Our Civic Mission
| What our | What we will deliver: | What we will deliver: |
|---|---|---|
| Stakeholders said: | ||
| - | Better outcomes for communities struggling | |
| There is a vital civic | with socio economic deprivation in Powys | |
| leadership role that the | (lack of access to services, a lack of adequate | |
| Health Board and the | digital infrastructure or geographic disparity). | |
| Charity has within the | - | Increased accessibility and more equitable |
| community, which | opportunities for foundational economy | |
| needs to be a key | training, support, and careers in Powys. | |
| priority. | - | A commitment to embed proactive |
| environment and sustainability initiatives in all | ||
| Charity activity. | ||
| - | Collaboration with existing PTHB services to | |
| ensure theyare sustainable. |
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Powys Health Charity Annual Report 2024/25
Linked PTHB IMTP Objectives:
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Take action to reduce health inequalities and improve population health.
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Enhance the health board’s role in partnership and citizenship, maximising opportunities for volunteering and healthcare careers.
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Implement ambitious commitments to carbon reduction, biodiversity enhancement and environmental wellbeing
Enhancing NHS Services
| What our | What we will deliver: | What we will deliver: |
|---|---|---|
| Stakeholders said: | ||
| - | An enhanced patient experience, particularly | |
| The Charity can provide | for those undergoing long stays in community | |
| transformational | hospitals. | |
| opportunities for | - | More digitally enabled NHS services through |
| learning, training and | the provision of additional kit and equipment. | |
| initiatives that can | - | New pilot schemes which encourage |
| greatly improve the | innovation in healthcare. | |
| working environment for | - | An additional programme of support for NHS |
| staff and enhance | staff wellbeing. | |
| patient experience. | - | Bursary schemes across multiple Health Board |
| service areas for Powys community members | ||
| which provide beneficiaries the opportunity to | ||
| learn as they work. | ||
| - | A commitment to equitable support and | |
| investment for all services and service areas. | ||
| - | A dedicated digital resource hub to help NHS | |
| staff and patients to find project funding in | ||
| Powys. |
Linked PTHB IMTP Objectives:
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Improve access to high quality sustainable primary care.
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Improve access to high quality, equitable prevention and early intervention services for children, young people, and their families.
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Support improved access to and outcomes from specialised services.
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Enhance access to high quality education and training across all disciplines, specifically focusing on ‘grow our own’/apprenticeships.
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Powys Health Charity Annual Report 2024/25
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Implement clinical digital systems that directly enable improved care, including cross border clinical records sharing, clinical service priorities (nursing, eye care, prescribing), and telecare.
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Implement capital, estate and facilities improvements that enhance services to patients/public and wellbeing/experience of staff.
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Implement value-based healthcare, to deliver improved outcomes and experience, effective deployment and management of resources.
Establishing a Culture of Collaboration
What our What we will deliver: Stakeholders said:
| 18. Implement clinical digital systems that directly enable improved care, including cross border clinical records sharing, clinical service priorities (nursing, eye care, prescribing), and telecare. 21. Implement capital, estate and facilities improvements that enhance services to patients/public and wellbeing/experience of staff. 24. Implement value-based healthcare, to deliver improved outcomes and experience, effective deployment and management of resources. |
18. Implement clinical digital systems that directly enable improved care, including cross border clinical records sharing, clinical service priorities (nursing, eye care, prescribing), and telecare. 21. Implement capital, estate and facilities improvements that enhance services to patients/public and wellbeing/experience of staff. 24. Implement value-based healthcare, to deliver improved outcomes and experience, effective deployment and management of resources. |
|---|---|
| Establishing a Culture of Collaboration | |
| What our Stakeholders said: |
What we will deliver: |
| Through strong partnerships with other local organisations and projects, the Charity can help ensure greater joined up planning across health services. The Charity is also uniquely poised to support cross sector collaborations between the public and voluntary sectors. |
- A strong and successful brand for Powys Health Charity which is of, by, and for our stakeholders (staff, service users, volunteers, Powys residents and third sector partners). - Smarter and more effective use of combined resources through new collaborations with public and voluntary sector partners in the community. - Greater fundraising presence in the community with more resources and opportunities for those who want to raise funds for their local NHS services. - An established development pathway for the Charity, which includes a new volunteering network for those who want a more active role in shaping the Charity’s future. - Engaging campaigns to widen Powys Health Charity’s reach to new audiences by sharing and celebrating the impact of charitable funds projects. - Improved project coordination across service areas and hospitals by building upon existing regional partnerships with stakeholders such as Powys’ Leagues of Friends. - An innovative approach to health and wellbeing engagement by leveraging the expertise of the STEAM(science,technology, |
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Powys Health Charity Annual Report 2024/25
engineering, arts, mathematics) sector to engage staff and patients.
Linked PTHB IMTP Objectives:
-
Deliver improvements to staff wellbeing and engagement, working closely with Trade Unions in Social Partnership on key joint priorities.
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Develop and implement key actions to enhance integrated/partnership system working in Wales and England.
Delivery and monitoring
Delivery of these objectives is overseen and monitored by the Charitable Funds Committee on behalf of the Corporate Trustee as a key programme of work.
Our year in review
Changes to Charity Personnel
During the reporting period, the charity welcomed Martin O’Brien as Interim Charity Manager. Martin’s appointment brought fresh vision and new opportunities for the organisation, helping to shape the charity’s strategic direction.
As the demands and scope of the Interim Charity Manager role evolved, it became necessary for the Charity Administrative Support Officer position to adapt accordingly, taking on additional responsibilities to better support the Charity’s objectives.
Furthermore, the introduction of a Charity Support Manager role enabled the team to place greater emphasis on strategic planning and the development of fundraising campaigns. This change allowed the charity to increase its focus on raising awareness and creating new opportunities for growth and community engagement.
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Powys Health Charity Annual Report 2024/25
Fundraising
In December 2024, the charity team launched its inaugural annual campaign, the Festive Fundraiser. This heartwarming initiative was designed to spread festive cheer to patients, residents, and expectant mothers across Powys Teaching Health Board hospitals and care homes. The campaign’s aim was to ensure that everyone received a thoughtful Christmas gift on Christmas Day, helping to make the festive season brighter for all.
Building on this success, the team developed the concept for a second annual fundraiser, May’s Miles, in early 2025. The objective of this campaign was to promote wellbeing by encouraging participants to take on enjoyable challenges, whether walking, cycling, dancing, or any activity they preferred and to track the distance they covered. This initiative fostered a sense of community spirit while supporting the charity’s mission.
Charity-Funded Projects
Over the past year, the Charity Team made significant strides in strengthening the governance and transparency of all funded initiatives. Monitoring processes were centralised and enhanced, enabling more robust reporting to the Charitable
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Funds Committee. These improvements ensured that the wider committee remained informed and had full oversight of charitable expenditure.
Enhancing Dementia-Friendly Environments - Charitable funds were used to improve the Bronllys Hospital site, making it more dementia-friendly. This initiative served as a catalyst for a wider rollout of dementia-friendly signage across all Powys sites in late 2025. The
improvements aligned with the AllWales Dementia Care Pathway of Standards, particularly Standard 11, which supports the implementation of the Dementia Friendly Hospital Charter for Wales. Updates included a dementia-friendly paint scheme for wards, outpatient areas, and day rooms, significantly enhancing the patient experience.
Virtual Reality in Palliative Care -where the Specialist Palliative Care Team sought continued charitable support to provide Virtual Reality (VR) experiences for palliative and end-of-life patients. Over the past year, one Dr VR headset was in use, funded by our Arts in Health colleagues. Evidence increasingly supports the use of VR in healthcare, showing positive impacts on pain, anxiety, and overall patient wellbeing. As the headsets are leased annually, the team is now seeking sustained funding to continue offering this innovative therapeutic tool.
Supporting Mental Health Recovery -where to assist individuals supported by the Crisis Team, Community Mental Health Teams (CMHTs), and the Acute Mental Illness (AMI) Ward, the Charity funded the production of brightly coloured A4 fridge planners with wipe-clean surfaces and marker pens. These planners helped clients manage appointments, medication reminders, and offered practical tips from staff to support their recovery journey.
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Powys Health Charity Annual Report 2024/25
Pre-bereavement support for teenagers - Charitable funds were allocated to deliver specific Training for Powys Teaching Health Board staff to support teenagers affected by an adult receiving palliative care. The training encompasses communication skills specific to communicating with teenagers, as well as understanding the pre bereavement support that could be offered – it is widely acknowledged that the better the pre bereavement support offered the lesser the risk of the bereaved person developing complex grief reactions
Therapeutic Art Group in Machynlleth - Funding was secured to provide a therapeutic art group for the Machynlleth community, offering 45 sessions over the course of a year. The group supported 6–7 individuals with complex mental health needs who may not benefit from mainstream talking therapies. All participants were known to mental health services and received tailored therapeutic input through creative expression.
Improving Patient Comfort - where the Charity funded the purchase of 20 new patient chairs, including both reclining and high-back models for bedside and day room use. As many patients spend extended periods seated, these chairs significantly improved comfort and contributed to a more dignified and supportive care environment.
Development of Welfare Facilities for Community Groups - A new project was approved to convert a section of P Block at Bronllys Hospital into a dedicated welfare facility for visiting community groups. The building, previously unused, received approval from the Property Accommodation Group for repurposing. The facility will include a toilet, a small kitchen area, a rest room, and a separate space for storing PPE and outerwear.
Providing a shared welfare space is essential, especially as multiple community groups are expected to be active on-site. It would not be practical or costeffective for each group to bring or procure their own amenities. This facility will offer a comfortable and functional space for breaks, particularly during adverse weather conditions, supporting the wellbeing of all who use it.
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Powys Health Charity Annual Report 2024/25
Smaller Projects Supported - In addition to larger initiatives, the Charity supported several smaller but impactful projects:
-
£68 was provided for the Ollie the Octopus Activity Book , developed by child psychologist and author Dr. Karen Treisman. The book offers worksheets to help children, and their caregivers explore themes of loss, grief, and bereavement in a supportive and accessible way.
-
£50 was allocated for dementia-friendly knitting supplies for Clywedog Ward, helping patients engage in meaningful and calming activities.
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£80 funded a Metastatic Spinal Cord Compression Study Day, aimed at educating healthcare professionals on the management of this complex condition. The event covered disease overview, symptom recognition, red flags, radiological investigations, treatment options, and bladder/bowel management, including specific considerations for myeloma patients
Partnerships
- League of Friends Throughout the year, the charity team worked closely with all League of Friends groups within Powys to ensure that hospitals and communities
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Powys Health Charity Annual Report 2024/25
benefited from the combined support of both Powys Health Charity and the League of Friends.
To strengthen these partnerships, quarterly group meetings were established, providing a valuable forum for sharing information, discussing challenges, and developing collaborative solutions.
Regrettably, after nearly 50 years of dedicated service, the Newtown League of Friends closed during the reporting period. The charity worked in partnership with the Chair of the Newtown League of Friends to ensure that all remaining funds were transferred to Powys Health Charity. Importantly, these funds have been ringfenced to support Newtown Hospital and its community, ensuring that the legacy of the Newtown League of Friends continues to make a positive impact.
Collaboration with NHS Charities
Powys Health Charity has met regularly with the other NHS Charities across Wales. The informative sessions shared like minded experiences, new ideas and concepts and more importantly a greater harmony for the collective support for the health and wellbeing of people of Wales. This new coalition of Welsh NHS Charities is supported by NHS Charities Together, helping this National group identify a single purpose whilst retaining their own individual identity.
Income & expenditure
Income
Voluntary income consists of donations and legacies from patients and their relatives and friends. Total income of £250,964 received during 2024/25 included £52,135 which related to six legacies.
Donations in 2024/25 include an amount of £21,780 received from various Leagues of Friends associated with Powys Hospitals (2024: £31,091).
The generosity of all those who made a donation or left a legacy is greatly appreciated. An analysis of total income is given below.
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Powys Health Charity Annual Report 2024/25
| 2024/25 | 2023/24 | |
|---|---|---|
| £ | £ | |
| Interest and Dividends | 143,342 | 157,495 |
| Donations | 55,487 | 81,755 |
| Legacies | 52,135 | 17,148 |
| Grants | 0 | 30,000 |
| 250,964 | 286,398 |
Expenditure
Expenditure on charitable activities and Support Costs in 2024/25 was £432,003 (2024: £369,278). An analysis of expenditure (excluding Fundraising costs) is shown below:
| 2024/25 | 2023/24 | |
|---|---|---|
| £ | £ | |
| Staff Education, Welfare and Amenities | 34,921 | 42,380 |
| Patient Education, Welfare and Amenities | 128,545 | 105,616 |
| Medical Equipment | 42,300 | 72,448 |
| Building and Refurbishment | 75,411 | 18,428 |
| Support Costs | 150,826 | 130,406 |
| 432,003 | 369,278 |
Gain/Loss on Investment Assets
An amount of £2.804M was invested via Brewin Dolphin Ltd in February 2020 and at the 31[st] March 2025 was valued at £3.522M (2024:£ 3.551M) the unrealised loss on Investment totalled £0.025M. Unrealised gains and losses are calculated as the difference between the market value of the investment at the year end and opening carrying value. Since the investments have not physically been sold, this change in valuation remains an unrealised gain/loss until a sale transaction realises the value and it becomes a realised gain/loss.
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Elements of funds held
Expenditure was undertaken from the Charity’s unrestricted and restricted income funds; these funds comprise two elements:
-
The General Purposes Fund, which is constituted of funds received by the Charity with no particular preference expressed by donors. Applications can be made to this fund from any service area within Powys THB. Expenditure from this fund is targeted on projects in areas that do not have available Designated Funds to pay for them.
-
Designated Funds, which usually contain donations where a particular part of a Hospital or Health Board activity was nominated by the donor at the time their donation was made. Whilst their nomination is non-binding on the Trustee, the designated funds reflect these nominations and are overseen by Service Managers who can make recommendations on how to spend the money within their designated area. Service Managers’ recommendations are duly considered and these funds can be spent at any time with the prior approval of the Charitable Funds Committee or Executive Directors/Assistant Directors.
Reserves policy
The Charity’s reserves policy has the objective of ensuring that the Charity has sufficient funds available to maintain liquidity, cover unforeseen risks and provide for future opportunities.
The Charity relies heavily on income from donations, fundraising and legacies. These are unpredictable sources that can vary year to year. Therefore, the Charity needs sufficient reserves to be able to continue its activities in the event of fluctuations in its income.
The Charity has a target level of reserves of £0.823M. This is based on the following calculation, with average figures taken from the last three years of audited accounts:
-
One year’s administration cost (support costs, fundraising costs and investment management costs).
-
20% of the value of investments held.
-
25% of the grant funded activity expenditure.
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The target level of reserves will be reassessed on a bi-annual basis.
The Trustee will review the actual reserves held against the target at least annually, to ensure that sufficient funds are held within the Charity, whilst also continuing to utilise funds within a reasonable period of receipt.
A review of funds, performance & investments
The net assets of the Charitable Funds as at 31st March 2025 were £4,182,411 (2024: £4,404,436). Overall net assets decreased by £222,025.
The charity continues to rely on donations and legacies and investment income as the main sources of income. Total incoming resources decreased by £35,434 compared with the previous financial year. Legacy income increased by £34,987
Expenditure of £447,533 has increased compared with the previous year (2024: £386,673). The total charitable expenditure on direct charitable activity, including support costs was £432,003 across a range of programmes.
Purchase of new medical equipment
The total spend on providing new equipment for Powys THB of £42,300 (2024: £72,448) represents a vital and valuable contribution to enhancing the provision of clinical care ranging from purchases of items of audiology equipment through to an hydraulic patient chair.
Provision of Staff Education, Welfare and Amenities
Of the total Staff Education, Welfare and Amenities expenditure in year of £34,921 (2024: £42,380), the Charity contributed £13,451 (2024: £10,380) towards the provision of education and training for Powys THB staff undertaking further professional education and training.
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Provision of Patient Education, Welfare and Amenities
A significant amount of expenditure £128,545 (2024: £105,616) has been charged under this heading in the year from small initiatives such as increased patient activities at day hospitals to the funding of recliner chairs for the ward day rooms .
Performance management
The Charity Manager and Charity Administrative Support Officer have been employed to deliver a new strategy for the Charity and to support the development of new projects, partnerships and proposals to help the Charity to best fulfil its charitable aims and objectives. The Charity team help the Trustee to monitor general progress and performance of charitable funds and their utilisation. The performance of the Charity team is regularly reviewed by both the Charitable Funds Committee and the Corporate Trustee in order to ensure to the Charity continues to achieve and deliver support to its full potential.
All general purpose funding proposals and significant proposals (above £10,000 in value) are reviewed and approved by the Charitable Funds Committee with prior support from the PTHB Executive Committee. Local and designated fund requests that fall below the above threshold require support from Executive Directors/Assistant Directors for the delegated service managers who manage those funds.
Investments
The Corporate Trustee has considered potential risks to which the Charity is exposed. There are no major risks that have been identified other than those associated with the normal fluctuations in the value of investments. The Trustee believes these risks are appropriately managed. Independent investment advisors (Brewin Dolphin Limited) have been appointed, and investments are held in a diversified fund of investments.
The Corporate Trustee invests the funds of the Charity with Brewin Dolphin Ltd via a Portfolio arrangement. At the year-end 19%, 69%, 5% and 5% were invested in Fixed Income, Equities, Alternatives and Other Investments respectively with the remaining 2% held as cash assets.
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The Corporate Trustee continues to consider its exposure to the fluctuations in the value of its equity-based investment, and receives a quarterly investments performance report at each Charitable Funds Committee meeting.
In line with the ethos of promoting patient wellbeing, the Corporate Trustee attempts to ensure that all investments are ethically and environmentally sound and are not opposed to the core purpose of the Charity. This ethical mandate is interpreted by our Investment Managers and informs the makeup of our portfolio. These ethical considerations and regularly monitored on a quarterly basis.
The strategy of the Corporate Trustee is that funds are spent within a timely manner after receipt. The Charity has further developed this strategy to target funds that remained dormant for a period of over 12 months to ensure that the funds that have been built up over many years are being targeted and distributed equitably where possible.
This work is currently implemented through the Charity team, who support the Corporate Trustee’s aims, as well as supporting service managers, senior operational teams and directorate managers in developing strategic proposals to utilise funds throughout the year.
Looking ahead to next year
We are planning to launch our new website next year, which will enhance our ability to build networks, strengthen public relations, and increase visibility for the charity. This will serve as a valuable platform to share our work and connect with a wider audience.
In the coming year, we will also take active steps to strengthen our brand, ensuring that all communications are consistent, clear, and reflective of our values. This will support greater recognition and trust across all areas of our work.
Building on the success of this year’s Festive Fundraisers, we are developing new annual campaigns to engage our community throughout the year. One such initiative is May’s Miles , a fun and inclusive challenge designed to encourage wellbeing. Participants will set personal goals, track their progress throughout May, and come together to celebrate how far we can go together.
We will also begin preparing for the renewal of our charity strategy. This process will involve engagement with stakeholders to reflect on our achievements and explore future priorities, ensuring the strategy continues to meet the needs of the communities we serve.
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The Charity will also continue work with partners, donors, staff and other stakeholders to add benefit to the population of Powys receiving health care services. As such, income and expenditure plans will be the subject of continual review to ensure that future needs are prioritised accordingly. All future priorities for PTHB Charity should reflect its stakeholders’ expectations of what it can deliver and complement the strategic aims of Powys Teaching Health Board.
Finally, we will review our communications approach to ensure that it becomes more story-led. Rather than simply sharing what we do, we aim to highlight the real impact of our work through the voices and experiences of people across Powys.
Thank you for all your support
On behalf of the patients, staff and community members who have benefited from the grants, donations and legacies, the Corporate Trustee and Powys Health Charity would like to thank all organisations, patients, relatives, friends and staff who have made charitable donations or contributions during the year. We have been overwhelmed by the generosity of our communities this year and for that we cannot thank them enough.
If you want to learn more about Powys Health Charity and how you can support, please visit the Charity’s website: www.powyshealthcharity.wales or contact the Charity at PTHB.Charity@wales.nhs.uk.
Dr Carl Cooper
Mrs H Thomas
Chair
Chief Executive
Powys Teaching Local Health Board
Powys Teaching Local Health Board
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Statement of Trustee responsibilities in respect of the Trustee’s Report and the financial statements
Under charity law, the Trustee is responsible for preparing the Trustee Report and the financial statements for each financial year which show a true and fair view of the state of affairs of the charity and of the excess of income over expenditure for that period.
In preparing these financial statements, generally accepted accounting practice entails that the Trustee:
-
selects suitable accounting policies and then applies them consistently;
-
makes judgements and estimates that are reasonable and prudent;
-
states whether the recommendations of the Statement of Recommended Practice FRS 102 have been followed, subject to any material departures disclosed and explained in the financial statements;
-
states whether the financial statements comply with the trust deed, subject to any material departures disclosed and explained in the financial statements;
-
prepares the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue its activities.
The Trustee is required to act in accordance with the trust deed and the rules of the charity, within the framework of trust law. The Trustee is responsible for keeping proper accounting records, sufficient to disclose at any time, with reasonable accuracy, the financial position of the charity at that time, and to enable the Trustee to ensure that, where any statements of accounts are prepared by them under section 42(1) of the Charities Act 2011, those statements of accounts comply with the requirements of regulations under that provision. The Trustee has a general responsibility for taking such steps as are reasonably open to it to safeguard the assets of the charity and to prevent and detect fraud and other irregularities.
The Trustee is responsible for the maintenance and integrity of the financial and other information included on the Powys Teaching Local Health Board website. Legislation in the UK governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.
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The Trustee confirms that it has met the responsibilities set out above and complied with the requirements for preparing the accounts. The financial statements set out on pages 33 to 47 attached have been compiled from and are in accordance with the financial records maintained by the Trustee.
By Order of the Trustee
Signed: (Chair) Date: 28[th] January 2026
Signed: (Chief Executive) Date: 28 Hdvomae .[th] January 2026
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The independent auditor’s report of the Auditor General for Wales to the trustee of Powys Teaching Local Health Board Charitable Fund
Opinion on financial statements
I have audited the financial statements of Powys Teaching Local Health Board Charitable Fund for the year ended 31 March 2025 under the Charities Act 2011. The financial statements comprise the Statement of Financial Activities, Balance Sheet, Statement of Cash Flow and related notes, including the material 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 my opinion the financial statements:
-
give a true and fair view of the state of affairs of the charity as at 31 March 2025 and of its incoming resources and application of resources 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 Charities Act 2011.
Basis for opinion
I conducted my audit in accordance with applicable law and International Standards on Auditing in the UK (ISAs (UK)) and Practice Note 10 ‘Audit of financial statements and regularity of public sector bodies in the United Kingdom’. My responsibilities under those standards are further described in the auditor’s responsibilities for the audit of the financial statements section of my report.
My staff and I are independent of the charity in accordance with the ethical requirements that are relevant to my audit of the financial statements in the UK including the Financial Reporting Council’s Ethical Standard, and I have fulfilled my other ethical responsibilities in accordance with these requirements. I believe that the audit evidence I have obtained is sufficient and appropriate to provide a basis for my opinion.
Conclusions relating to going concern
In auditing the financial statements, I have concluded that the use of the going concern basis of accounting in the preparation of the financial statements is appropriate.
Based on the work I have performed, I have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the body’s ability to continue to adopt the going concern basis of accounting for a period of at least twelve months from when the financial statements are authorised for issue.
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My responsibilities and the responsibilities of the trustee 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 my auditor’s report thereon. The trustee is responsible for the other information contained within the annual report. My opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in my report, I do not express any form of assurance conclusion thereon. My responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If I identify such material inconsistencies or apparent material misstatements, I am required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work I have performed, I conclude that there is a material misstatement of this other information, I am required to report that fact.
I have nothing to report in this regard.
Matters on which I report by exception
I have nothing to report in respect of the following matters in relation to which the Charities (Accounts and Reports) Regulations 2008 require me to report to you if, in my opinion:
-
I have not received all of the information and explanations I require for my audit;
-
sufficient accounting records have not been kept, or returns adequate for my audit have not been received from branches not visited by my team;
-
the financial statements are not in agreement with the accounting records and returns; or
-
the information given in the financial statements is inconsistent in any material respect with the trustees’ report.
Responsibilities of the trustee[s] for the financial statements
As explained more fully in the statement of trustee responsibilities set out on pages 27 to 28 the trustee is responsible for:
-
maintaining sufficient accounting records;
-
the preparation of the financial statements in accordance with the applicable financial reporting framework and for being satisfied that they give a true and fair view;
-
internal controls as the trustees determine is necessary to enable the preparation of financial statements to be free from material misstatement, whether due to fraud or error;
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- assessing the charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees anticipate that the services provided by the charity will not continue to be provided in the future.
Auditor’s responsibilities for the audit of the financial statements
I have been appointed as auditor under section 150 of the Charities Act 2011 and report in accordance with regulations made under section 154 of that Act.
My 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 auditor’s report that includes my 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. I design procedures in line with my responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud.
My procedures included the following:
-
Enquiring of management, the Charity’s head of internal audit and those charged with governance, including obtaining and reviewing supporting documentation relating to Powys Teaching Local Health Board Charitable Fund’s policies and procedures concerned with:
-
identifying, evaluating and complying with laws and regulations and whether they were aware of any instances of non-compliance;
-
detecting and responding to the risks of fraud and whether they have knowledge of any actual, suspected or alleged fraud; and
-
the internal controls established to mitigate risks related to fraud or noncompliance with laws and regulations.
-
Considering as an audit team how and where fraud might occur in the financial statements and any potential indicators of fraud. As part of this discussion, I identified potential for fraud in the following areas: revenue recognition, expenditure recognition and posting of unusual journals and;
-
Obtaining an understanding of Powys Teaching Local Health Board Charitable Fund’s framework of authority as well as other legal and regulatory frameworks that the Powys Teaching Local Health Board Charitable Fund operates in, focusing on those laws and regulations that had a direct effect on the financial statements or
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that had a fundamental effect on the operations of Powys Teaching Local Health Board Charitable Fund
- Obtaining an understanding of related party relationships.
In addition to the above, my procedures to respond to identified risks included the following:
-
reviewing the financial statement disclosures and testing to supporting documentation to assess compliance with relevant laws and regulations discussed above;
-
enquiring of management about actual and potential litigation and claims;
-
reading minutes of meetings of those charged with governance
-
in addressing the risk of fraud through management override of controls, testing the appropriateness of journal entries and other adjustments; assessing whether the judgements made in making accounting estimates are indicative of a potential bias; and evaluating the business rationale of any significant transactions that are unusual or outside the normal course of business;
I also communicated relevant identified laws and regulations and potential fraud risks to all audit team members and remained alert to any indications of fraud or non-compliance with laws and regulations throughout the audit.
The extent to which my procedures are capable of detecting irregularities, including fraud, is affected by the inherent difficulty in detecting irregularities, the effectiveness of the Powys Teaching Local Health Board Charitable Fund’s controls, and the nature, timing and extent of the audit procedures performed.
A further description of the auditor’s responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website www.frc.org.uk/auditorsresponsibilities. This description forms part of my auditor’s report.
Other auditor’s responsibilities
I communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that I identify during my audit.
Adrian Crompton Auditor
General for Wales
1 Capital Quarter Tyndall Street
29 January 2026
Cardiff
CF10 4BZ
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Powys Health Charity Annual Report 2024/25
| Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 | Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 | Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 | Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 | Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 | Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 | Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 | Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 | Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 | Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 | Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 | Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 | Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 | Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 | Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 | Powys Teaching Local Health Board Charity Balance Sheet as at 31 March 2025 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted | Total | Total | |||||||||||||
| Unrestricted | Income | Endowment | 31 March | 31 March | |||||||||||
| funds | funds | funds | 2025 | 2024 | |||||||||||
| Note | £000 | £000 | £000 | £000 | £000 | ||||||||||
| Fixed assets: | |||||||||||||||
| Investments | 13 | 3,763 | 0 | 3 | 3,766 | 3,795 | |||||||||
| Total fixed assets | 3,763 | 0 | 3 | 3,766 | 3,795 | ||||||||||
| Current assets: | |||||||||||||||
| Debtors | 14 | 3 | 0 | 0 | 3 | 4 | |||||||||
| Cash and cash equivalents | 15 | 695 | 0 | 695 | 795 | ||||||||||
| Total current assets | 698 | 0 | 0 | 698 | 799 | ||||||||||
| Liabilities: | |||||||||||||||
| Creditors: Amounts fallingdue within oneyear | 16 | 282 | 0 | 0 | 282 | 175 | |||||||||
| Net current assets /(liabilities) | 416 | 0 | 0 | 416 | 624 | ||||||||||
| Total assets less current liabilities | 4,179 | 0 | 3 | 4,182 | 4,419 | ||||||||||
| Creditors: Amounts fallingdue after more than | 16 | 0 | 0 | 0 | 0 | 15 | |||||||||
| oneyear | |||||||||||||||
| Total net assets /(liabilities) | 4,179 | 0 | 3 | 4,182 | 4,404 | ||||||||||
| The funds of the charity: | |||||||||||||||
| Endowment Funds | 3 | 3 | |||||||||||||
| Restricted income funds | 0 | 0 | |||||||||||||
| Unrestricted income funds | 19 | 4,179 | 4,401 | ||||||||||||
| Total funds | 4,179 | 0 | 3 | 4,182 | 4,404 | ||||||||||
| The notes onpages 36 to 47 formpart of these accounts | |||||||||||||||
| Signed : .................................................................................... | |||||||||||||||
| Chair | |||||||||||||||
| Name : ..............................................................(Chair of Trustees) | |||||||||||||||
| Date : ..........28th Januar | Date : ..........28th January2026 |
The notes on pages 36 to 47 form part of these accounts
Signed : ....................................................................................
Chair
Name : ..............................................................(Chair of Trustees)
Date : ..........28th January 2026
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Powys Teaching Local Health Board Charity Statement of Cash Flows for the year ending 31 March 2025
| Restricted Unrestricted Income Endowment funds funds funds Note Cash flows from operating activities: Net cash provided by (used in) operating activities 17 (247) 0 0 Cash flows from investing activities: Dividend, interest and rents from investments 5 143 0 0 Proceeds from the sale of investments 13 804 0 0 Purchase of investments 13 (794) 0 0 Movement of Cash held as part of investment portfolio 13 (6) 0 0 |
Total Total Funds Funds 2024-25 2023-24 £000 £000 (247) (301) 143 157 804 709 (794) (779) (6) 86 |
|---|---|
| Net cash provided by (used in) investing activities 147 0 0 Change in cash and cash equivalents in the (100) 0 0 reporting period Cash and cash equivalents at the begining of the 15 795 0 0 reporting period |
147 173 (100) (128) 795 923 |
| Cash and cash equivalents at the end of the 15 695 0 0 |
695 795 |
| reporting period |
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Note on the accounts
1 Accounting Policies
(a) Basis of preparation
The financial statements have been prepared under the historic cost convention, with the exception of investments which are included at fair value.
~~The accounts (financial statements) have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued on 16 July 2014 and the Financial Reporting Standard applicable in the~~ United Kingdom and Republic of Ireland (FRS 102) and the Charities Act 2011 and UK Generally Accepted Practice as it applies from 1 January 2015.
The accounts (financial statements) have been prepared to give a ‘true and fair’ view and have ~~departed from the Charities (Accounts and Reports) Regulations 2008 only to the extent required to provide a ‘true and fair view’. This departure has involved following Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued on 16 July 2014 rather than the Accounting and Reporting by Charities: Statement of Recommended Practice effective~~ from 1 April 2005 which has since been withdrawn.
The Trustees consider that there are no material uncertainties about the Charity's ability to continue as a going concern. There are no material uncertainties affecting the current year’s ~~accounts.~~
~~In future years, the key risks to the Charity are a fall in income from donations or investment income but the trustees have arrangements in place to mitigate those risks (see the risk management and reserves sections of the annual report for more information).~~
The Charity meet the definition of public benefit entity under FRS 102.
(b) Funds structure
Where there is a legal restriction on the purpose to which a fund may be put, the fund is classified either as:
A restricted fund or
An endowment fund.
~~Restricted funds are those where the donor has provided for the donation to be spent in furtherance of a specified charitable purpose. The Charity’s restricted funds tend to result from donations or legacies for specified purposes.~~
Endowment funds arise when the donor has expressly provided that the gift is to be invested and only the income of the fund may be spent. These funds are sub analysed between those where the Trustees have the discretion to spend the capital (expendable endowment) and those where there is no discretion to expend the capital (permanent endowment).
~~Those funds which are neither endowment nor restricted income funds, are unrestricted income funds which are sub analysed between designated (earmarked) funds where the Trustees have set aside amounts to be used for specific purposes or which reflect the non-binding wishes of donors and unrestricted funds which are at the Trustees~~ ’ ~~discretion, including the general fund~~ which represents the charity’s reserves. The major funds held in each of these categories are disclosed in note 19.
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(c) Incoming resources
~~Income consists of donations, legacies, income from charitable activities and investment~~ income.
Donations are accounted for when received by the charity. All other income is recognised once the charity has entitlement to the resources, it is probable (more likely than not) that the resources will be received and the monetary value of incoming resources can be measured ~~with sufficient reliability.~~
~~Where there are terms or conditions attached to incoming resources, particularly grants, then these terms or conditions must be met before the income is recognised as the entitlement condition will not be satisfied until that point. Where terms or conditions have not been met or uncertainty exists as to whether they can be met then the relevant income is not recognised in the year but deferred and shown on the balance sheet as deferred income.~~
(d) Incoming resources from legacies
Legacies are accounted for as incoming resources either upon receipt or where the receipt of the legacy is probable.
Receipt is probable when:
~~Confirmation has been received from the representatives of the estate(s) that probate has been granted~~
~~The executors have established that there are sufficient assets in the estate to pay the legacy and~~
~~All conditions attached to the legacy have been fulfilled or are within the charity~~ ’ ~~s~~ control.
If there is uncertainty as to the amount of the legacy and it cannot be reliably estimated then the legacy is shown as a contingent asset until all of the conditions for income recognition are met.
(e) Incoming resources from endowment funds
The income received from the investment of endowment funds is attributed to unrestricted funds to be spent on charitable purposes. Any gains or losses arising from the valuation of ~~investment of the endowment capital amount are attributed to the endowment fund~~
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Powys Health Charity Annual Report 2024/25
(j) Charitable activities
Costs of charitable activities comprise all costs incurred in the pursuit of the charitable objects of the charity. These costs, where not wholly attributable, are apportioned between the categories of charitable expenditure in addition to the direct costs. The total costs of each category of charitable expenditure include an apportionment of support costs as shown in note 7.
(k) Debtors
Debtors are amounts owed to the charity. They are measured on the basis of their recoverable amount.
(l) Fixed Asset Investments
Investments are a form of basic financial instrument. Fixed Asset investments are initially recognised at their transaction value and are subsequently measured at their fair value (market value) at the balance sheet date. The Statement of Financial Activities includes the net gains and losses arising on revaluation and disposal throughout the year. Quoted stocks and shares are included in the Balance Sheet at the current mid price market value quoted by the investment analyst, excluding dividend. The SORP recommends that the bid price market price be used in valuing stocks and shares, although the difference between the bid and mid market price is not material. Other investments are included at the trustees' best estimate of market value.
The main form of financial risk faced by the charity is that of volatility in equity markets and investment markets due to the wider economic conditions, the attitude of investors to investment risk and changes in sentiment concerning equities and within particular sectors or sub sectors. Further information on the charity's investments can be found in note 13.
(m) Cash and cash equivalents
Cash at bank and in hand is held to meet the day to day running costs of the charity as they fall due. Cash equivalents are short term, highly liquid investments, usually in no notice interest bearing savings accounts.
(n) Creditors
Creditors are amounts owed by the charity. They are measured at the amount that the charity expects to have to pay to settle the debt.
Amounts which are owed in more than a year are shown as long term creditors.
(o) Realised gains and losses
All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and opening carrying value. Unrealised gains and losses are calculated as the difference between the market value at the year end and opening carrying value.
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2. Related party transactions
During the year none of the trustees or members of the key management staff or parties related to them has undertaken any material transactions with the Powys Teaching Local Health Board Charitable Funds other than those disclosed below.
Board Members (and other senior staff) take decisions both on Charity and Exchequer matters but endeavour to keep the interests of each discrete and do not seek to benefit personally from such decisions. Declarations of personal interest have been made in both capacities and are available to be inspected by the public.
The Charitable Trust Fund has made payments to Powys Teaching Health Board of £0.285M (2024: £0.209M). As at 31 March 2025 the total owed to the Health Board was £0.227M (2024: £0.153M), and owed by the Health Board was £0.000M (2024:£0.000M).
The Charity's Board members have related party interests in the the following:
| Name | Details | Related Party Interests | Related Party Interests | |
|---|---|---|---|---|
| Jennifer Owen Adams | PTHB Indepdent Board Member | Powys Association of Voluntary Organisations | ||
| Co-opted Trustee of Powys Association of Voluntary | ||||
| Organisations | ||||
| The Total value of transactions with related parties during 2024/25 are as follows: | The Total value of transactions with related parties during 2024/25 are as follows: | |||
| Amounts | Amounts | Amounts | ||
| Payment to | received from | owed to | due from | |
| related party | related party | related party | related party | |
| Related Party | £ | £ | £ | £ |
| Powys Association of Voluntary | ||||
| Organisations | 27,233 | 0 | 0 | 0 |
3. Income from donations and legacies
| Restricted | Total | Total | |||
|---|---|---|---|---|---|
| Unrestricted | Income | Endowment | 2024-25 | 2023-24 | |
| funds | funds | funds | |||
| £000 | £000 | £000 | £000 | £000 | |
| Donations | 56 | 0 | 0 | 56 | 82 |
| Legacies | 52 | 0 | 0 | 52 | 17 |
| Grants | 0 | 0 | 0 | 0 | 30 |
| 108 | 0 | 0 | 108 | 129 |
4. Role of volunteers
Like all charities, the THB Charity is reliant on a team of volunteers for our smooth running. Our volunteers perform the following role:
- Fund advisors – there are about 13 THB staff who manage how the charity’s designated funds should be spent. These funds are designated (or earmarked) by the trustees to be spent for a particular purpose or in a particular ward or department. Each fund advisor has delegated powers to spend the designated funds that they manage in accordance with the trustees wishes subject to the approval of their Executive Director/Assistant Director or the Charitable Funds Committee. The trustees determine through its Strategy the key aims that expenditure should be utilised for. Fund advisors who spend more than £10,000 are required to seek approval from the Charitable Funds Committee setting out what they intend to spend the money on and the difference it will make to the patients and staff of the THB services.
In accordance with the SORP, due to the absence of any reliable measurement basis, the contribution of these volunteers is not recognised in the accounts.
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9. Movements in funding commitments
| Restricted | Total | Total | |||
|---|---|---|---|---|---|
| Current | Non-current | 31 March | 31 March | ||
| liabilities | liabilities | 2025 | 2024 | ||
| £000 | £000 | £000 | £000 | ||
| Opening balance at 1 April (see note 16) | 190 | 190 | 243 | ||
| Movement in liabilities | (63) | (63) | (53) | ||
| Closing balance at 31 March (see note 16) | 127 | 0 | 127 | 190 |
As described in notes 7 and 8, the charity awards a number of grants in the year. Many grants are awarded and paid out in the same financial year. However, some grants which are awarded for example funding a specific post can span financial years. For such grants whilst the award may be for more than one year, it is only the annual amount that is paid out in year and recorded as expenditure within charitable activities.
The charity at present does not issue formal grant letters to recipients and therefore the expectation of the recipient in recognition of this grant as defined by the SORP is not met with certainty.
10. Allocation of support costs
Support and overhead costs are allocated between fundraising activities and charitable activities. Governance costs are those support costs which relate to the strategic and day to day management of a charity.
| Raising | Charitable | Total | Total | ||
|---|---|---|---|---|---|
| funds | activities | 2024-25 | 2023-24 | Basis | |
| £000 | £000 | £000 | £000 | ||
| Governance | |||||
| External audit | 0 | 21 | 21 | 16 | Charged to Central Fund |
| Finance and administration | 0 | 0 | 0 | 0 | Charged to Central Fund |
| Other professional fees | |||||
| Total governance | 0 | 21 | 21 | 16 | |
| Finance and administration | 0 | 130 | 130 | 114 | Charged to Central Fund |
| 0 | 151 | 151 | 130 | ||
| Restricted | Total | Total | |||
| Unrestricted | Income | Endowment | Funds | Funds | |
| funds | funds | funds | 2024-25 | 2023-24 | |
| £000 | £000 | £000 | £000 | £000 | |
| Charitable activities | 151 | 0 | 0 | 151 | 130 |
| 151 | 0 | 0 | 151 | 130 |
11. Staff Costs, Trustees' remuneration, benefits and expenses
The charity does not make any payments for remuneration nor to reimburse expenses to the charity trustees for their work undertaken as trustee.
The charity has no employees. Staff services are provided to the charity from Powys Teaching Local Health Board, the corporate Trustee of the Charity , which has received reimbursement from the Charity of £0.172M 2023/24: £0.185M).
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12. Auditors remuneration
The External auditors remuneration of £18,512 (2023-24: £18,203) related solely to the Audit of the Statutory Annual Report and Accounts. During the year, an additional accrual of £2,203 was actioned in the 24/25 accounts in relation to the 2023/24 Audit fee based on the latest estmate of the invoice value. This increased the 2023/24 audit fee from £16,000 to £18,203.
Due to the Charity exceeding the threshold requirements during 2023/24 and 2022/23 a full audit of the Annual Report and Accounts was required. Some previous years has seen an Independent Examination being undertaken as the thresholds had not been exceeded.
The Internal auditors remuneration of £0 (2023-24: £0) related to an Internal Audit review to provide the Charity with assurance that operational procedures are compliant with the Health Board’s Charitable Funds Policy and Guidance, along with its underlying Standing Financial Instructions, and wider NHS Charities guidance. An Internal Audit review was undertaken during October 2022 which provided a rating of Reasonable Assurance which indicates:
"The Board can take reasonable assurance that arrangements to secure governance, risk management and internal control, within those areas under review, are suitably designed and applied effectively. Some matters require management attention in control design or compliance with low to moderate impact on residual risk exposure until resolved"
During the year 2020/21 the Local Counter Fraud Service undertook a risk assessment of controls for charitable funds. NHS Protect has issued a Risk Assessment tool to guide Local Counter Fraud functions to undertake a Risk Assessment of the Counter Fraud arrangements in place at their own organisation. The Assessment of Charitable funds indicated a low risk rating of 1x4 with the only recommendation being to 'maintain the robust controls that are in place and consult with Counter fraud prior to any amendments being initiated'.
13. Fixed asset investments
Movement in fixed assets investments
| Movement in fixed assets investments | ||
|---|---|---|
| Total | Total | |
| 2024-25 | 2023-24 | |
| £000 | £000 | |
| Market value brought forward | 3,795 | 3,565 |
| Add: additions to investments at cost | 794 | 779 |
| Add: additions to investments at cost (Non Cash) | 0 | 0 |
| Less disposals at carrying value | (804) | (709) |
| Add net gain / (loss) on revaluation | (25) | 246 |
| Movement of Cash held as part of investment portfolio | 6 | (86) |
| Market value as at 31st March | 3,766 | 3,795 |
Fixed Asset by Type
| Fixed Asset by Type | ||
|---|---|---|
| Total | Total | |
| 2024-25 | 2023-24 | |
| £000 | £000 | |
| Investment Properties | 244 | 244 |
| UK Bonds | 404 | 312 |
| Overseas Bonds | 267 | 330 |
| UK Equities | 603 | 622 |
| Global Equities | 1,779 | 1,833 |
| Emerging Market Equities | 31 | 45 |
| Absolute Return | 72 | 62 |
| Property | 107 | 86 |
| Other Investments | 209 | 217 |
| Cash | 50 | 44 |
| 3,766 | 3,795 |
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