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2024-03-31-accounts

THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

Charity No. 1058567

ANNUAL REPORT AND ACCOUNTS

FOR THE YEAR ENDED

31 MARCH 2024

THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

ANNUAL REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2024

CONTENTS

Page
Trustee’s Annual Report 1
Statement of Trustee Responsibilities 8
Auditor’s Report 9
Statement of Financial Activities 13
Balance Sheet 14
Notes to the Accounts 15

THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

TRUSTEE’S ANNUAL REPORT

Introduction and Background

The Trustee during the financial year ended 31 March 2024 was the corporate body Ashford and St. Peter’s Hospitals NHS Foundation Trust.

Ashford and St. Peter’s Hospitals NHS Foundation Trust provides acute hospital services to the residents of West Surrey, Spelthorne and its surrounding areas. The Trust has traditionally received charitable donations for the relief of people who are ill or handicapped and also for the benefit of staff, as this is seen by the Charity Commission as being conducive to the furtherance of the charitable purpose.

The 1993 Charities Act, subsequently replaced by the Charities Act 2011, required the Trust, as Trustee of the charitable funds, to register those funds with the Charity Commission. In 2001, predecessor Charitable Funds were renamed and merged as The Ashford and St. Peter’s Hospitals Charitable Fund (Charity No. 1058567). Charitable donations are allocated to funds according to the donors’ wishes.

The attached annual accounts comply with current statutory requirements, the Charity’s governing document, the recommendations set out within 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, the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102), the Charities Act 2011 and UK Generally Accepted Practice as it applies from 1 January 2019.

Legal Status

The Ashford and St. Peter’s Hospitals Charitable Fund was established by a supplemental deed dated 19 November 2001 on Registered Charity 1058567.

Trustee

The Trustee during the financial year ended 31 March 2024 was the corporate body Ashford and St. Peter’s Hospitals NHS Foundation Trust. The directors of the Trust throughout the year, and up to the date of approval of the annual report and accounts, were as follows:

Chairman Andy Field (to August 2023) Chairman Caroline Warner (from September 2023 to January 2025) Acting Chair John Machin (from January 2025) Chief Executive Julie Smith (to April 2024) Interim Chief Executive Katie Fisher (from May 2024 to January 2025) Chief Executive Officer Louise Stead (from January 2025) Chief Financial Officer Simon Marshall Chief Nurse Andrea Lewis (to July 2023) Interim Chief Nurse Ellen Bull (from August 2023 to January 2025) Chief Nursing Officer Jay Dungeni (from January 2025) Director of Workforce Transformation Louise McKenzie (to December 2023) Chief People Officer Jo Fanning (from January 2024) Chief Digital Information Officer Dr Jason Bincalar (from January 2024) Medical Director Dr David Fluck (to October 2024) Interim Medical Director Mel Irvin-Sellers (from September 2024 to December 2024) Chief Medical Officer Dr Mark Roland (from December 2024) Chief Operating Officer James Thomas Director of Strategy and Sustainability Tom Smerdon Non-Executive Director John Machin Non-Executive Director Chris Kane Non-Executive Director Marcine Waterman (to April 2023) Non-Executive Director Jane Dale Non-Executive Director Dr Arun Thiyagarajan (to June 2024) Non-Executive Director Dr Dami Adedayo (to May 2024)

1

THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

TRUSTEE’S ANNUAL REPORT (Continued)

Non-Executive Director Don Iro
Non-Executive Director Simon Devonshire (from July 2023)
Non-Executive Director Andy Brooks (from September 2024)
Non-Executive Director Jane Dickson (from October 2024)
Non-Executive Director Julie Pearce (from September 2024)

Non-executive members of the Trust Board are appointed by the Foundation Trust’s Council of Governors. Executive members of the Board are subject to recruitment by the NHS Foundation Trust Board. Members of both the Trust Board and nominated sub-Committees are not individual Trustees under charity law but act as agents on behalf of the Corporate Trustee.

Principal Addresses Ashford Hospital
London Road
Ashford
Middlesex TW15 3AA
St. Peter’s Hospital
Guildford Road
Chertsey
Surrey KT16 0PZ
Banker The Royal Bank of Scotland PLC
10 North Street
Guildford
Surrey GU1 4AF
Investment Advisor Barclays Investment Solutions Limited
1 Churchill Place
London
E14 5HP
Auditor KPMG LLP
15 Canada Square
London
E14 5GL

Structure, Governance and Management

The Trustee of the Charity, which acted on behalf of the Charity throughout the course of the financial year, was the corporate body Ashford and St. Peter’s Hospitals NHS Foundation Trust.

The Trustee has a Charitable Funds Committee which reviews matters related to charitable funds including risk. The Committee, which consists of members of the Foundation Trust Board with members of the Council of Governors in attendance, met three times during 2023/24. Meetings are attended as necessary by the Fund’s investment advisors, to allow the Charitable Funds Committee to review the Charity finances and investments in detail. The members of the Charitable Funds Committee keep up to date with the responsibilities of the Trustee, and with any changes in legislation, at the Charitable Funds Committee meetings where papers are presented and any issues discussed.

As part of their induction programme through the corporate body, the members of the Trust Board acting as agents on behalf of the Corporate Trustee are made aware of their responsibilities as members of the Corporate Trustee. This induction includes an introduction to the objectives, scope and policies of the Charity and outlines Trustee responsibilities, liabilities, powers and accountability. The same information is provided for new members of the Charitable Funds Committee.

In addition the Trustee has Audit & Risk Committee meetings where matters relating to the Charity may be considered. These meetings consider risk and audit reports and include attendance by both internal and external auditors and the local counter fraud specialist. All of the meetings were quorate.

2

THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

TRUSTEE’S ANNUAL REPORT (Continued)

The Charity contains numerous funds in order to ensure that donations are spent according to donors’ wishes and these include two Special Trusts:-

The Charity Commission has directed, by virtue of section 96 of the Charities Act 2011, that these Special Trusts shall be treated along with The Ashford and St. Peter’s Hospitals Charitable Fund as a single Charity for the purposes of registration and accounting.

The Charity also has one Restricted Fund being the St. Peter’s Mother and Child Fund.

The Special Trusts and Restricted Funds have more specific restrictions on the way in which funds in these areas may be used. The objectives of Special Trusts are narrower than those of the main Charity (see below).

The Charity has delegated the administration of all funds to the Ashford and St. Peter’s Hospitals NHS Foundation Trust who are responsible for the day to day controls and for the preparation of the Annual Report and Accounts. The day to day management of these funds is delegated to the relevant Executive Director or the ward, department, Consultant or General Manager as appropriate. The Charity has its own Scheme of Delegation which sets out responsibilities for officers of the Trust in relation to the Charity.

The Chief Financial Officer, (see page 1) is responsible for internal procedures and the day to day administration of the Charity’s investment portfolio which is managed by Barclays Investment Solutions Limited a subsidiary of Barclays Bank Plc.

The Charity obtains any legal advice that it requires through the Trustee who has arrangements in place with legal advisers.

The Corporate Trustee employs a fundraising team to work on charity matters who report into the Charitable Funds Committee. The costs of this fundraising team are recharged to the Charity.

Objectives and Strategy

The objectives of the Charity are for the Trustee to hold the funds upon trust to apply the income, and at its 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 the Ashford and St. Peter’s Hospitals National Health Service Foundation Trust.

Each fund within the Charity, designated or otherwise, has its own objective which can include, for example, equipment for wards and departments and funding for staff and patients benefit. Those responsible for the day to day management of funds have a responsibility not to accumulate funds unnecessarily.

The specific objectives of the Charity’s Special Trusts and Restricted Funds are as follows:

Ashford Hospital Post Graduate Medical Centre Fund

This fund is used for:

"any charitable purpose or purposes relating to the National Health Service wholly or mainly for the Post Graduate Medical Centre at Ashford Hospital"

with the aim of improving medical education and facilities at the hospital.

Ashford and St. Peter’s Hospitals Research Fund

This fund is used for:

3

THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

TRUSTEE’S ANNUAL REPORT

( Continued)

"any charitable purpose or purposes principally (but not exclusively) at or in connection with the Ashford and St. Peter’s Hospitals, which will further the following aims:-

The St. Peter’s Mother and Children’s Fund

The St. Peter’s Mother and Children’s Fund was set up to raise funds to be applied for the charitable purposes relating wholly or mainly to the maternity, neonatal and paediatric services provided at St. Peter’s Hospital.

More specifically, the fund is used to assist paediatric staff development and welfare and to provide additional equipment and facilities in connection with the hospital treatment of children and their mothers.

Other Funds

All other funds are deemed to be General funds for the purpose of furthering the Charity’s objects, within the remaining departments of the hospital.

The only grants the Charity makes are to Ashford and St. Peter’s Hospitals NHS Foundation Trust.

Strategy

In January 2023 the Corporate Trustee approved a strategic plan for the Charity – the ‘ASPH Charity Strategic Plan’. It laid out the vision, mission and key deliverables for the Charity in the context of Ashford and St. Peter’s Hospitals NHS Foundation Trust. The key points from the Strategy were:

4

THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

TRUSTEE’S ANNUAL REPORT (Continued)

Public Benefit Statement

The Trustee confirms that it has referred to the guidance contained in the Charity Commission’s general guidance on public benefit when reviewing the Charity’s aims and objectives and in planning future activities.

The Charity’s objective is to support any NHS charitable purpose relating to the Ashford and St. Peter’s Hospitals NHS Foundation Trust. The Trustee has ensured that this purpose is carried out for the public benefit by ensuring that money donated is used to best effect to support the hospitals’ work and is in line with donors’ wishes and the Charity’s objectives.

The strategic plan of the Charity is set out in the previous section.

Risk Management

The Trustee is committed to reviewing the major strategic, business and operational risks which the Charity faces with a view to ensuring that appropriate systems and procedures are in place to minimise these risks. Risks are reviewed at every Charitable Funds Committee meeting.

Where appropriate the Trustee’s Audit & Risk Committee ensures that its internal audit plan tests these controls to ensure that they are effective. The Trustee has identified, monitored and reviewed the significant risks to the Charity and considers that the control framework in place is sufficient to manage and mitigate the identified risks. The Charity accounts are also subject to external audit.

One of the most significant risks that the Charity faces is the fall in value of investments as a result of fluctuating stock market conditions. This risk has been mitigated by ensuring that the Charity’s investments are spread over a wide portfolio comprising equity funds, fixed income stock and cash and by taking ongoing advice from professional investment advisers. The risk profile of the investment portfolio is a medium high risk tolerance over a shorter investment time horizon of 5 years. This risk profile is reviewed at each Committee meeting when the investment advisors attend.

Expenditure is closely monitored to ensure fund administrators are observing the authorisation limits delegated by the Trustee. The Trustee’s Charitable Funds Committee reviews the movement on the different funds to satisfy itself that funds are being spent, and for the purpose for which they were raised.

Achievements and Performance

The Financial Review section that follows sets out an analysis of the income and expenditure in 2023/24.

The income of £659,000 (2022/23: £322,000) includes donations from individuals, groups and companies of £339,000 (2022/23: £233,000) and legacy income of £221,000 (2022/23: £5,000).

Total expenditure in the year was £684,000 (2022/23: £841,000) of which £213,000 (2022/23: £159,000) was spent on raising funds (includes £16,000 of support costs, 2022/23: £19,000) and £471,000 (2022/23: £682,000) on charitable activities (includes £20,000 of support costs, 2022/23: £20,000).

5

THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

TRUSTEE’S ANNUAL REPORT

(Continued)

Financial Review

Pages 13 to 26 incorporate the Annual Accounts of the Charity for the year ended 31 March 2024. A summary of the accounts is as follows:-

Income
-
Total income for 2023/24 is summarised as follows:
Donations and legacies
Investment Income
Other Income
Total
Expenditure
-
Total
direct
expenditure,
excluding
fund-raising,
administration, for 2023/24 is summarised as follows:
Funding of assets over £5,000 for Ashford and St.
Peter’s Hospitals NHS Foundation Trust
Patients welfare and amenities
Staff welfare and amenities
Other
Total
2023/24
£’000
2022/23
£’000
560
238
40
41
59
43


659
322
management
and
2023/24
£’000
2022/23
£’000
17
325
280
147
130
171
24
19


451
662
2022/23
£’000
£’000
325
147
171
19
___
662

Cash held as part of the investment portfolio totalled £25,000 (1.29%).

The Charity has Investment Management Agreements with Barclays Investment Solutions Limited which set out the investment objectives, risk profile and restrictions to be applied to their investment portfolios. In January 2018 the risk profile of the investment portfolio was amended to a medium high risk tolerance over a shorter investment time horizon of 5 years. This led to a reduction in equity holdings. The Charitable Funds Committee meets with and reviews the performance of the investment advisors. Performance is benchmarked and in the financial year performance was considered by the Trustee to be satisfactory.

The Committee considers annually the ethical restrictions that are made to the type of investment that it believes are appropriate for the Charity to be involved in. Currently these restrictions relate to investment in companies that derive significant revenues from tobacco, alcohol, armaments, gambling and pornography.

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THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

TRUSTEE’S ANNUAL REPORT (Continued)

Financial Position

The Charity’s financial position at the balance sheet date is considered to be satisfactory in the context of their future plans. The Trustee confirms that on a fund by fund basis, assets are readily available and adequate to fulfil the needs of the Charity, and that there are sufficient liquid resources to meet their immediate requirements.

Reserves Policy

It is the policy of the Charity to hold reserves at a prudent level, adequate to fulfil its anticipated future needs and objectives and which takes into account the following considerations, risks and constraints:

The Trustee considers free reserves to be those unrestricted funds that are non-designated and have been realised. The level of realised free reserves (£289,000) is lower than that considered as required to comply with the reserves policy (which currently is to cover three years general expenditure). These free reserves have increased by 172.6% during 2023/24 and the Trustee is reviewing its current free reserve policy to ensure that the objects of the Charity are satisfied.

Plans for the Future

The Trustee has discussed with those responsible for the day to day management of the funds their responsibility not to accumulate funds unnecessarily. As set out above there was a net outgoing of resources before investment gains in 2023/24. Expenditure plans for the individual funds with significant balances will be reviewed again in 2024/25 as part of the remit of the Charitable Funds Committee.

The Charitable Funds Committee will review progress against the agreed strategy at future meetings. This will consider if, and when, a major appeal will be launched and what it might be for.

Summary

The Trustee would like to thank all those individuals and organisations who have and continue to contribute funds as well as time and effort in order to support the charitable funds.

John Machin On behalf of the Corporate Trustee 10 January 2025

Louise Stead On behalf of the Corporate Trustee 10 January 2025

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THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

STATEMENT OF TRUSTEE RESPONSIBILITIES

Under the trust deed and rules of charity law, the Corporate Trustee is responsible for preparing a Trustees’ Annual Report and the financial statements in accordance with applicable law and regulations. The trustee is required to prepare the financial statements in accordance with UK Accounting Standards, including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland.

The financial statements are required by law to give a true and fair view of the state of affairs of the charity and of the incoming resources and application of resources for that period.

In preparing these financial statements, generally accepted accounting practice entails that the Corporate Trustee:

The Corporate Trustee is required to act in accordance with the trust deed of the Charity, within the framework of trust law. It is responsible for keeping proper accounting records which are sufficient to show and explain the Charity’s transactions and disclose at any time, with reasonable accuracy, the financial position of the Charity at that time, and to enable the Corporate Trustee to ensure that, where any statements of accounts are prepared by them under section 132(1) of the Charities Act 2011, those statements of accounts comply with the requirements of regulations under that provision. It is responsible for such internal control as it determines is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error, and have general responsibility for taking such steps as are reasonably open to them to safeguard the assets of the Charity and to prevent and detect fraud and other irregularities.

The Corporate Trustee is responsible for the maintenance and integrity of the financial and other information included on the Charity’s website. Legislation in the UK governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

By Order of the Corporate Trustee, the Board of Ashford and St. Peter’s Hospitals NHS Foundation Trust

John Machin On behalf of the Corporate Trustee 10 January 2025

Louise Stead On behalf of the Corporate Trustee 10 January 2025

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THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

INDEPENDENT AUDITOR’S REPORT TO THE TRUSTEE OF THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

Opinion

We have audited the financial statements of The Ashford and St. Peter’s Hospitals Charitable Fund (“the charity”) for the year ended 31 March 2024 which comprise the Statement of Financial Activities, Balance Sheet, and related notes, including the accounting policies in note 1.

In our opinion the financial statements:

Basis for opinion

We have been appointed as auditor under section 149 of the Charities Act 2011 (or its predecessors) and report in accordance with regulations made under section 154 of that Act.

We conducted our audit in accordance with International Standards on Auditing (UK) (“ISAs (UK)”) and applicable law. Our responsibilities are described below. We have fulfilled our ethical responsibilities under, and are independent of the charity in accordance with, UK ethical requirements including the FRC Ethical Standard. We believe that the audit evidence we have obtained is a sufficient and appropriate basis for our opinion.

Going concern

The trustee has prepared the financial statements on the going concern basis as they do not intend to liquidate the charity or to cease its operations, and as they have concluded that the charity’s financial position means that this is realistic. They have also concluded that there are no material uncertainties that could have cast significant doubt over its ability to continue as a going concern for at least a year from the date of approval of the financial statements (“the going concern period”).

In our evaluation of the trustees’ conclusions, we considered the inherent risks to the charity’s business model and analysed how those risks might affect the charity’s financial resources or ability to continue operations over the going concern period.

Our conclusions based on this work:

However, as we cannot predict all future events or conditions and as subsequent events may result in outcomes that are inconsistent with judgements that were reasonable at the time they were made, the above conclusions are not a guarantee that the charity will continue in operation.

Fraud and breaches of laws and regulations – ability to detect

Identifying and responding to risks of material misstatement due to fraud

To identify risks of material misstatement due to fraud (“fraud risks”) we assessed events or conditions that could indicate an incentive or pressure to commit fraud or provide an opportunity to commit fraud.

9

THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

INDEPENDENT AUDITOR’S REPORT TO THE TRUSTEE OF THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

Our risk assessment procedures included:

We communicated identified fraud risks throughout the audit team and remained alert to any indications of fraud throughout the audit.

As required by auditing standards, we perform procedures to address the risk of management override of controls, in particular the risk that management may be in a position to make inappropriate accounting entries. On this audit we do not believe there is a fraud risk related to revenue recognition because of the low value, high volume homogeneous nature of the Charity’s revenue through to cash receipts in year.

We did not identify any additional fraud risks.

We performed procedures including:

Identifying and responding to risks of material misstatement due to non-compliance with laws and regulations

We identified areas of laws and regulations that could reasonably be expected to have a material effect on the financial statements from our general sector experience and through discussion with the directors and other management (as required by auditing standards), from inspection of the Charity’s regulatory and legal correspondence and discussed with the directors and other management the policies and procedures regarding compliance with laws and regulations.

We communicated identified laws and regulations throughout our team and remained alert to any indications of non-compliance throughout the audit.

The potential effect of these laws and regulations on the financial statements varies considerably.

Firstly, the Charity is subject to laws and regulations that directly affect the financial statements, including financial reporting legislation (including related charities legislation) and we assessed the extent of compliance with these laws and regulations as part of our procedures on the related financial statement items.

Whilst the Charity is subject to many laws and regulations, we did not identify any where the consequences of non-compliance alone could have a material effect on amounts or disclosures in the financial statements.

Context of the ability of the audit to detect fraud or breaches of law or regulation

Owing to the inherent limitations of an audit, there is an unavoidable risk that we may not have detected some material misstatements in the financial statements, even though we have properly planned and performed our audit in accordance with auditing standards. For example, the further removed non- compliance with laws and regulations is from the events and transactions reflected in the financial statements, the less likely the inherently limited procedures required by auditing standards would identify it.

10

ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

INDEPENDENT AUDITOR’S REPORT TO THE TRUSTEE OF THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

In addition, as with any audit, there remained a higher risk of non-detection of fraud, as these may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal controls. Our audit procedures are designed to detect material misstatement. We are not responsible for preventing non-compliance or fraud and cannot be expected to detect non-compliance with all laws and regulations.

Other information

The trustee is responsible for the other information, which comprises the Annual Report. Our opinion on the financial statements does not cover the other information and, accordingly, we do not express an audit opinion or, except as explicitly stated below, any form of assurance conclusion thereon.

Our responsibility is to read the other information and, in doing so, consider whether, based on our financial statements audit work, the information therein is materially misstated or inconsistent with the financial statements or our audit knowledge. We are required to report to you if:

We have nothing to report in these respects.

Matters on which we are required to report by exception

Under the Charities Act 2011 we are required to report to you if, in our opinion:

We have nothing to report in these respects.

Trustee’s responsibilities

As explained more fully in the statement set out on page 8, the trustee is responsible for: the preparation of financial statements which give a true and fair view; such internal control as they determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error; 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 they either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so.

Auditor’s responsibilities

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 our opinion in an auditor’s report. Reasonable assurance is a high level of assurance, but does not 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 aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of the financial statements.

A fuller description of our responsibilities is provided on the FRC’s website at www.frc.org.uk/auditorsresponsibilities

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ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

INDEPENDENT AUDITOR’S REPORT TO THE TRUSTEE OF THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

The purpose of our audit work and to whom we owe our responsibilities

This report is made solely to the charity’s trustee as a body, in accordance with section 149 of the Charities Act 2011 (or its predecessors) and regulations made under section 154 of that Act. Our audit work has been undertaken so that we might state to the charity’s trustee those matters we are required to state to them in an auditor’s 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 charity and its trustee, as a body, for our audit work, for this report, or for the opinions we have formed.

Jessica Hargreaves

for and on behalf of KPMG LLP, Statutory Auditor

Chartered Accountants

KPMG LLP is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006 15 Canada Square, Canary Wharf, London, E14 5GL

21 January 2025

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THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2024

Note Unrestricted Restricted Total Total
Funds Income Funds Funds
Funds 2024 2023
£'000 £'000 £'000 £'000
Income and endowments from:
Donations and legacies 3 429 131 560 238
Investments 31 9 40 41
Other 4 59 - 59 43
___ ___ ___ ___
Total income and endowments 519 140 659 322
Expenditure on:
Raising funds 5 (182) (31) (213) (159)
Charitable activities 6 (396) (75) (471) (682)
____ ____ ____ ____
Total expenditure (578) (106) (684) (841)
Net gains/(losses) on investments 124 45 169 (91)
____ ___ ____ ____
Net income/(expenditure) 65 79 144 (610)
Transfers between funds - - - -
____ ___ ____ ____
Net movement in funds 65 79 144 (610)
Reconciliation of Funds
Fund balances at 31 March 2023 1,505 435 1,940 2,550
_____ ___ _____ _____
Fund balances at 31 March 2024 1,570 514 2,084 1,940
The notes at pages 15 to 26 form part of these accounts.

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THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

BALANCE SHEET AS AT 31 MARCH 2024

Note Unrestricted Note Unrestricted Restricted Total Total
Funds Income Funds Funds
Funds 2024 2023
£'000 £'000 £'000 £'000
FIXED ASSETS
Investments 11 1,461 478 1,939 2,154
CURRENT ASSETS
Debtors 12 35 11 46 37
Cash at bank and in hand 256 84 340 75
TOTAL CURRENT ASSETS 291 95 386 112
Creditors: Amounts falling due
Within one year 13 (182) (59) (241) (326)
____ ___ ____ ____
NET CURRENT ASSETS 109 36 145 (214)
_____ ___ _____ _____
NET ASSETS 1,570 514 2,084 1,940
FUNDS OF THE CHARITY
Capital Funds:
Endowment Funds - - - -
Income Funds:
Restricted 14 - 514 514 435
Unrestricted 15 1,570 - 1,570 1,505
_ ___ ___ ____ _____
TOTAL FUNDS 1,570 514 2,084 1,940

Approved by the Corporate Trustee on 10 January 2025 and signed on its behalf by:

Att Sed

Louise Stead

10 January 2025

The notes at pages 15 to 26 form part of these accounts.

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THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

NOTES TO THE ACCOUNTS 31 MARCH 2024

1. Accounting Policies

1.1 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 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) 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 2019.

The Trustee considers 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.

1.2 Statement of Charitable Purpose

The Ashford and St. Peter’s Hospitals Charitable Fund is registered with the Charity Commission in the United Kingdom as a charity (charity number 1058567) and is a public benefit entity as defined in FRS 102.

The Trustee is the corporate body Ashford and St. Peter’s Hospitals NHS Foundation Trust and as such the Charity is considered a wholly controlled subsidiary of the Trust. The registered office for both the Charity and the Trust is St Peter’s Hospital, Guildford Road, Chertsey, Surrey KT16 0PZ. Ashford and St. Peter’s Hospitals NHS Foundation Trust’s purpose is to provide acute hospital services to the residents of West Surrey, Spelthorne and its surrounding areas.

1.3 Funds Structure

Where there is a legal restriction on the purpose to which a fund may be put, the fund is classified in the accounts as a restricted fund. Funds where the capital is held to generate income for charitable purposes and cannot itself be spent are accounted for as endowment funds. Other funds are classified as unrestricted funds. Funds which are not legally restricted but which the Trustee has chosen to earmark for set purposes are classified as designated funds. Funds which are not legally restricted and not designated have been classed as general funds. The major funds held within these categories are disclosed in notes 14 and 15. The Charity does not currently have any endowment funds.

1.4 Income

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.

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THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

NOTES TO THE ACCOUNTS (Continued) 31 MARCH 2024

b)

Gifts in Kind

In all cases the amount at which gifts in kind are brought into account is fair value which is either a reasonable estimate of their value to the Charity or the amount actually realised.

Legacies are accounted for as income either upon receipt or where the receipt of the legacy is probable. This will be once confirmation has been received from the representatives of the estate(s) that probate has been granted, once the executors have established that there are sufficient funds in the estate to make payment of the legacy or transfer the property and once 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.

d) Intangible Income

Intangible income (e.g. the provision of free accommodation) is included in the accounts with an equivalent amount in expenditure, if there is a financial cost borne by another party. The value placed on such income is the financial cost of the third party providing the resources. There was no intangible income in either 2023/24 or 2022/23.

e) Investment Income

Investment income is recognised when receivable and allocated to funds quarterly based on the average quarterly balance held.

f) Other Income

Other income includes all other sources of income unless the amount is sufficiently material as to require its presentation as a separate heading in the Statement of Financial Activities.

1.5 Expenditure and Irrecoverable VAT

The Charity’s Accounts are prepared in accordance with the accruals concept. A liability (and consequently, expenditure) is recognised in the Accounts when there is a legal or constructive obligation arising from a past event which is capable of reliable measurement and it is more likely than not that a transfer of benefits, usually cash, will be required in settlement.

Expenditure is split into two main categories, being raising funds and charitable activities.

16

THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

NOTES TO THE ACCOUNTS (Continued) 31 MARCH 2024

Expenditure on raising funds includes all expenditure incurred by the Charity to raise funds for its charitable purpose. Expenditure on charitable activities includes all expenditure incurred in undertaking activities that further charitable aims for the benefit of the Charity’s beneficiaries and includes grant payments. A grant is any payment that is made voluntarily to any institution or to an individual in order to further the Charity’s objectives, without receiving goods or services in return.

Irrecoverable VAT is charged against the category of expenditure for which it was incurred.

1.6 Allocation of Support Costs

Support costs are those costs which do not relate directly to a single activity and include governance costs. Governance costs comprise all costs attributable to ensuring the public accountability of the Charity and its compliance with regulation and good practice and include costs related to audit. Support and governance costs have been allocated between charitable activities and fundraising activities. The analyses of support and governance costs and the bases of apportionment applied are shown in Note 7.

1.7 Intangible and Tangible Fixed Assets

These funds have no such retained assets.

1.8 Investment Fixed Assets

Investment fixed assets are a form of basic financial instrument and consist of quoted stocks and shares and cash held within the investment portfolio. Investment fixed assets are initially recognised at their transaction value and are subsequently included in the balance sheet at fair value (market value). Valuation gains and losses are recorded in the Statement of Financial Activities with the balance sheet reflecting the revalued amounts.

The main form of financial risk faced by the Charity is that of volatility in equity markets and investment markets due to wider economic conditions, the attitude of investors to investment risk, and changes in sentiment concerning equities and within particular sectors or sub sectors.

1.9 Cash and Cash Equivalents

Cash is cash in hand and deposits with any financial institution repayable without penalty on notice of not more than 24 hours. Cash equivalents are investments that mature in 3 months or less from the date of acquisition and that are readily convertible to known amounts of cash with insignificant risk of change in value. Cash and cash equivalents exclude cash held as part of the investment portfolio.

1.10 Debtors

Debtors are amounts owed to the Charity. They are measured on the basis of their recoverable amount.

1.11 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.

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THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

NOTES TO THE ACCOUNTS (Continued) 31 MARCH 2024

1.12 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 or value at date of purchase if later. Unrealised gains and losses are calculated as the difference between the market value at the year end and opening carrying value or value at date of purchase if later.

1.13 Cashflow Statement

Update Bulletin 1 which amended the Charities SORP (FRS 102) as a result of changes to UK Accounting Standards included an update to Module 14: Statement of cash flows which was amended to require only larger charities to prepare a cash flow statement. As the Charity does not meet the criteria for a larger charity, the cash flow exemption has been applied.

2. Prior Year Comparatives by Type of Fund

The primary statements provide prior year comparatives in total: this note provides prior period comparatives for the Statement of Financial Activities and the Balance Sheet for each of the two types of fund that the Charity manages, Unrestricted and Restricted.

2.1 Unrestricted Funds – Statement of Financial Activities for the year ended 31 March 2024

Note
Income and endowments from:
Donations and legacies
3
Investments
Other
4
Total income and endowments
Expenditure on:
Raising funds
5
Charitable activities
6

Total expenditure
Net gains/(losses) on investments
Net income/(expenditure)
Transfers between funds
Net movement in funds
Reconciliation of Funds
Fund balances at 31 March 2023

Fund balances at 31 March 2024
2024
£’000
429
31
59

519
(182)
(396)

(578)
124
_
65
-

65
1,505
_____

1,570
2023
£’000

146
33
43

222
(140)
(564)

(704)
(80)
_
(562)
-

(562)
2,067
_____
1,505

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THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

NOTES TO THE ACCOUNTS (Continued) 31 MARCH 2024

2.2 Unrestricted Funds – Balance sheet as at 31 March 2024

Note 31 March 2024 31 March 2023
£’000 £’000
FIXED ASSETS
Investments 11 1,461 1,671
CURRENT ASSETS
Debtors 12 35 29
Cash at bank and in hand 256 58
TOTAL CURRENT ASSETS 291 87
Creditors: Amounts falling due
Within one year 13 (182) (253)
____ ____
NET CURRENT ASSETS 109 (166)
_____
NET ASSETS 1,570 1,505
FUNDS OF THE CHARITY
Income Funds:
Unrestricted 15 1,570 1,505
_____ _____
TOTAL FUNDS 1,570 1,505
2.3 Restricted Funds – Statement of Financial Activities for the year ended 31 March 2024
Note
2024
2023
£’000 £’000
Income and endowments from:
Donations and legacies 3 131 92
Investments 9 8
Other 4 - -
___ ___
Total income and endowments 140 100
Expenditure on:
Raising funds 5 (31) (19)
Charitable activities 6 (75) (118)
____ ____
Total expenditure (106) (137)
Net gains/(losses) on investments 45 (11)
____ ____
Net expenditure 79 (48)
Transfers between funds - -
____ ____
Net movement in funds 79 (48)
Reconciliation of Funds
Fund balances at 31 March 2023 435 483
___ ___
Fund balances at 31 March 2024 514 435

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THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

NOTES TO THE ACCOUNTS (Continued) 31 MARCH 2024

2.4 Restricted Funds – Balance sheet as at 31 March 2024

Note 31 March 2024
31
March 2023
£’000 £’000
FIXED ASSETS
Investments 11 478 483
CURRENT ASSETS
Debtors 12 11 8
Cash at bank and in hand 84 17
TOTAL CURRENT ASSETS 95 25
Creditors: Amounts falling due
Within one year 13 (59) (73)
___ ___
NET CURRENT ASSETS 36 (48)
___ ___
NET ASSETS 514 435
FUNDS OF THE CHARITY
Income Funds:
Restricted 14 514 435
___ ___
TOTAL FUNDS 514 435
3. Income from Donations and Legacies
Unrestricted Restricted Total Unrestricted
Restricted

Total
Funds Income 2024 Funds Income
2023
Funds Funds Funds
Funds
£’000 £’000 £’000 £’000 £’000
£’000
Donations 211 128 339 141 92
233
Legacies 218 3 221 5 -
5
___ ___ ___ ___ ___
___
429 131 560 146 92
238

Included within income from donations is gifts-in-kind income of £117,000 (2022/23: £10,000) in recognition of items donated to the Charity. Gifts-in-kind of £117,000 (2022/23: £10,000) are also recognised within expenditure, as shown in Note 6.

4. Other Income

Unrestricted Restricted Total Total
Funds Income 2024 2023
Funds Funds Funds
£’000 £’000 £’000 £’000
Sale of ultrasound pictures 26 - 26 25
Other 33 - 33 18
__ __ _ _ _ _
59 - 59 43

Included within Other is £22,000 (2022/23: £nil) in relation to sponsorship of the 2023 Sam Simmonds Orthopaedic meeting.

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THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

NOTES TO THE ACCOUNTS (Continued) 31 MARCH 2024

5. Analysis of Expenditure on Raising Funds

Direct Support and Total Total
Costs Governance 2024 2023
Costs Funds Funds
£’000 £’000 £’000 £’000
Investment management charges - 16 16 19
Fundraising and publicity expenses 197 - 197 140
___ __ ___ ___
197 16 213 159

The Corporate Trustee continues to employ a Fundraising team to work on charity matters and a part time administrator to focus specifically on the Mother & Children’s Restricted Fund. The costs of these posts are recharged to the Charity by the Corporate Trustee and are included in the table above.

6. Analysis of Expenditure on Charitable Activities

Direct Support and Total Total
Costs Governance 2024 2023
Costs Funds Funds
£’000 £’000 £’000 £’000
Grants to Ashford and St. Peter’s
Hospitals NHS Foundation Trust
– Medical and surgical equipment
17
- 17 152
– Building works - - - 77
– General amenities for staff - - - 84
– Catering 12
Patients welfare and amenities 280 13 293 156
Staff welfare and amenities 130 6 136 181
Miscellaneous 24 1 25 20
___ __ ___ ___
451 20 471 682
7. Analysis of Support Costs
Expenditure Expenditure Total Total
on on Raising 2024 2023
Charitable Funds
Activities
£’000 £’000 £’000 £’000
Management charge 15 - 15 15
External audit 5 - 5 5
Bank charges - - - -
Investment management charges - 16 16 19
__ __ __ __
20 16 36 39

Central support costs have been allocated to unrestricted and restricted funds on the basis of the average fund balances during the year.

8. Staff Costs

There are no direct staff costs (including benefits) as no staff (2022/23: nil) are employed directly by the Charity.

21

THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

NOTES TO THE ACCOUNTS (Continued) 31 MARCH 2024

9. Role of Volunteers

Like all charities, the Charity is reliant on a team of volunteers for its smooth running. Our volunteers perform two roles:

a) Fund advisers

There are a number of Ashford and St Peter’s Hospitals NHS Foundation Trust staff who manage how the Charity’s designated funds should be spent. These funds are designated (or earmarked) by the Trustee 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 Trustee’s wishes and guidelines. The Trustee determines what each fund can be spent on and the amount that can be spent in a year.

b) Fundraisers

The Charity is grateful to have a large number of volunteers local to both hospitals who actively fundraise for the Charity by running various events.

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.

10. Analysis of Net Assets Between Funds

Unrestricted Restricted Total Total
Funds Income 2024 2023
Funds Funds Funds
£'000 £’000 £'000 £'000
Investments 1,461 478 1,939 2,154
Current assets 291 95 386 112
Current liabilities (182) (59) (241) (326)
_____ ___ _____ _____
1,570 514 2,084 1,940

11. Fixed Asset Investments

There were no investments held outside the UK.

Analysis of Fixed Asset Investments
Total
2024
£'000
Value at 1 April 2023
2,154
Disposals at carrying value
(1,382)
Acquisitions at cost
1,019
Net gain / (loss) on revaluation
169
Movement in cash
(21)
Value at 31 March 2024
Historic cost at 31 March 2024
_____
1,939
1,734
Total
2023
£'000
2,225
(325)
391
(91)
(46)
_____
2,154
1,878

11.1 Analysis of Fixed Asset Investments

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THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

NOTES TO THE ACCOUNTS (Continued) 31 MARCH 2024

11.2 Value as at 31 March 2023
Investments listed on Stock Exchange
Cash held as part of the investment portfolio

Total value of fixed asset investments
All investments are carried at their fair value.
Total
2024
£’000
1,914
25
_____

1,939
Total
2023
£'000
2,108
46
_____
2,154

The significance of financial instruments to the ongoing financial sustainability of the Charity is considered in the risk analysis section of the Trustee’s annual report.

The investment portfolio performed satisfactorily during 2023/24 and the portfolio is kept under regular review, including performance benchmarking. The Charity considers that, over the five-year investment horizon, no adjustment to the investment risk is currently required. The Charity withdrew £400,000 from the portfolio during 2023/24 (2022/23 - £nil).

Liquidity risk is anticipated to be low as all assets are traded and the commitment to intervention by central banks and market regulators has continued to provide for orderly trading in the markets and so the ability to buy and sell quoted equities and stock is anticipated to continue. The Charity’s investments are mainly traded in markets with good liquidity and high trading volumes. The Charity has no material investment holdings in markets subject to exchange controls or trading restrictions.

The Charity manages these investment risks by retaining expert advisors and operating an investment policy that provides for a high degree of diversification of holdings within investment asset classes. All investments were made in companies listed on a UK stock exchange or incorporated in the UK and therefore all investments are treated as investment assets in the UK.

The Charity does not make use of derivatives and similar complex financial instruments as it takes the view that investments are held for their longer term yield total return and historic studies of quoted financial instruments have shown that volatility in any particular 5 year period will normally be corrected.

11.3 Analysis of Gross Income from Investments Total Total
2024 2023
£'000 £'000
Investments listed on Stock Exchange 40 41
11.4 Significant Investments

There were three investments representing greater than 5% of the total market value of all investments as at 31 March 2024. These were:

Cash held as part of the investment portfolio totalled £25,000 (1.29%).

23

THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

NOTES TO THE ACCOUNTS (Continued) 31 MARCH 2024

12. Debtors

12. Debtors
2024 2023
Amounts falling due within one year: £’000 £’000
Accrued income 27 10
Prepayments 19 27
__ __
46 37
No amounts fall due after more than one year.
13. Creditors
2024 2023
Amount falling due within one year: £’000 £’000
Trade creditors 11 52
Other creditors 50 41
Accruals 1 54
Deferred income 179 179
___ ___
241 326
No amounts fall due after more than one year.

Deferred income relates to a grant received during 2022/23 for an Ophthalmic EMR system. Following a procurement exercise, this system has now been ordered and will be implemented during 2024/25.

14. Restricted Funds

Restricted Funds
Balance Income Expenditure Transfers Gains Balance
31 March Between and 31 March
2023 Funds Losses 2024
£’000 £’000 £’000 £’000 £’000 £’000
Research Fund 207 4 (4) - 19 226
Post Graduate Medical 4 - - - 1 5
Centre Fund
Mother & Children’s Fund 224 136 (102) - 25 283
___ ___ ____ _ ___ ___
Total restricted funds 435 140 (106) - 45 514

More information about these funds can be found in the Objectives and Strategy section of the Trustee’s Annual Report.

24

THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

NOTES TO THE ACCOUNTS (Continued) 31 MARCH 2024

15. Unrestricted Funds

Unrestricted Funds
Balance Income
Expenditure
Transfers Gains Balance
31 March Between and 31 March
2023 Funds Losses 2024
£’000 £’000 £’000 £’000 £’000 £’000
Designated Funds:
Orthopaedic 58 - (27) - - 31
Fracture Treatment 165 22 (36) - - 151
Haematology 181 - - - - 181
Breast Care 114 1 (2) - - 113
Cardiac Rehab 53 - (20) - - 33
Accident & Emergency 113 5 (27) - - 91
COVID-19 63 6 (53) - - 16
Cancer (Oncology & 50 4 - - - 54
Palliative)
Ultrasound 45 26 (9) - - 62
Other designated funds 338 163 (198) 89 - 392
____ ____ ____ ___ ____ ____
1,180 227 (372) 89 - 1,124
Non-designated funds 325 292 (206) (89) 124 446
_____ ____ ____ ___ ____ _____
Total unrestricted funds 1,505 519 (578) - 124 1,570

The Charities SORP (FRS102) requires disclosure of material individual designated fund balances and this note has been prepared on the basis that funds with balances of more than £50,000, either at the beginning or end of the financial year, meet this criteria.

16. Post Balance Sheet event

There were no post balance sheet events having a material effect on the accounts.

17. Contingencies

There are no contingent gains/(losses) included in the accounts.

18. Commitments

There are no material expenditure commitments as at 31 March 2024 (31 March 2023: £nil).

19. Trustee and Related Parties Transactions

19.1 Trustee Expenses Reimbursed

No member of the Corporate Trustee’s Board was reimbursed expenses from the Charity.

19.2 Trustee Remuneration

No member of the Corporate Trustee’s Board received remuneration or any other benefits during the year from the Charity.

25

THE ASHFORD AND ST. PETER’S HOSPITALS CHARITABLE FUND

NOTES TO THE ACCOUNTS (Continued) 31 MARCH 2024

19.3 Details of Transactions with Trustee or Related Parties

The Charity has made revenue payments to the Corporate Trustee, Ashford and St. Peter’s Hospitals NHS Foundation Trust for expenses incurred on its behalf in the year. There was also a management charge made by the NHS Foundation Trust for the administration (excluding audit fee) of the charity of £15,000 (2022/23: £15,000). As at 31 March 2024 £50,000 (31 March 2023: £41,000) was owed by the charity to Ashford and St. Peter’s Hospitals NHS Foundation Trust in respect of payments made by the Trust on behalf of the Charity.

Grants to Ashford and St. Peter’s Hospitals NHS Foundation Trust totalled £17,000 in the year (2022/23: £325,000).

26