## **EAST CHESHIRE NHS TRUST CHARITABLE FUND ECHO (Registered Charity Number 1059228)** ## **TRUSTEE'S ANNUAL REPORT** ## **AND** ## **ACCOUNTS** **FOR THE YEAR ENDED 31st MARCH 2022** ## **Introduction** The Trustee presents the Annual Report for the East Cheshire NHS Trust Charitable Fund (also known as ECHO) for the year ended 31st March 2022. The charity is registered with the Charity Commission for England and Wales, registration number 1059228. The charity’s annual report and accounts for the year ended 31st March 2022 have been prepared by the Corporate Trustee 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 in October 2019 and the Charities Act 2011 and UK Generally Accepted Practice as it applies from 1st January 2019. The charity’s report and accounts include all the separately established funds and are used for the benefit of those who may require NHS services in the area covered by East Cheshire NHS Trust. ## **Reference and administrative details** The main charity, East Cheshire NHS Trust Charitable Fund is constituted of 79 individual funds as at 31st March 2022 (79 as at 31[st] March 2021) and the notes to the accounts distinguish the types of fund held and disclose separately all material funds. Charitable funds received by the charity are accepted, held and administered as funds 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 and these funds are held on trust by the corporate body. ## **Trustee** The Trustee of East Cheshire NHS Trust Charitable Fund is the corporate body, East Cheshire NHS Trust. Details of the members of East Cheshire NHS Trust are given in note 20 of the accounts. ## **Registered office** The registered office of the charity is: - Trust Headquarters East Cheshire NHS Trust Victoria Road Macclesfield Cheshire SK10 3BL ## **Governing document** The Trust is governed by the governing document produced along model lines supplied by the Charity Commission. The charity’s objects are to apply the income, and at its discretion, so far as may be permissible, the capital, for any charitable purpose or Page 2 purposes relating to the National Health Service wholly or mainly for the services provided by East Cheshire NHS Trust. The ECHO charity is made up of a number of administrative sub-funds, which represent the services provided within East Cheshire NHS Trust. The Corporate Trustee fulfils its legal duty by ensuring that funds are spent in accordance with the objects of each fund. By designating funds the Trustee respects the wishes of our generous donors to benefit patient care and advance the good health and welfare of patients, carers and staff. From 1[st] April 2016 non-executive members and the Chair of the Trust Board are appointed by the NHS Improvement for a fixed term, following open invitations among members of the local community. The NHS and trust recruitment guidance and policy are followed in these appointments, including open competition and the involvement of an independent external assessor. From 1[st] July 2022 the responsibility for appointing non-executive members and the Chair sits has transferred to the Secretary of State for Health and Social Care. The Chief Executive is appointed by the Chairman and non-executive directors. The executive directors are recruited by a panel led by the Chief Executive. Members of the Trust Board and the Charitable Funds Committee are not individual trustees under Charity Law but act as agents on behalf of the corporate Trustee. All members of the Board, in their capacity as corporate trustee, are made aware of their duties and responsibilities and directed to view the Charity Commission Booklet “CC3 – The Essential Trustee – what you need to know”. The Director of Finance ensures that all new Board members are given this information as part of their induction. The Trustee is responsible for the overall management of the charitable fund. The Trustee is required to: - - Control, manage and monitor the use of the fund’s resource - Provide support, guidance and encouragement for all its income raising activities whilst managing and monitoring the receipt of all income - Ensure that ‘best practice’ is followed in the conduct of all its affairs, fulfilling all of its legal responsibilities - Ensure that the investment policy is adhered to and that performance is continually reviewed whilst being aware of ethical considerations - Keep fully informed of the activity, performance and risks of the charity ## **Principal Advisor** The Trustee has overall responsibility for expenditure from charitable funds. Two nominated fund holders for each fund have delegated authority to make purchases up to £5,000 per request. Page 3 The accounting records and the day-to-day administration of the funds are dealt with by the finance department of East Cheshire NHS Trust located at the Trust. ## **Principal Professional Advisors** |**Bankers**|**Solicitors**|**Auditor**| |---|---|---| |National Westminster Bank plc
PO Box 65
2 Chestergate
Macclesfield
Cheshire
SK11 6BS|Hill Dickinson
Pearl Assurance House
2 Derby Square
Liverpool
L2 9XL|Heywood Shepherd
Chartered Accountants
1 Park Street
Macclesfield
SK11 6SR| ## **Objectives and Strategy** The charity works in partnership with other charities, volunteers and fundraisers to raise and receive much needed funds for the relief of sickness for people whom East Cheshire NHS Trust provides healthcare services. ## **Income and expenditure** Income is received via individuals giving donations, undertaking fund-raising, leaving legacies, and from other charities providing grants to the charity. The Trustee is grateful to all our generous donors for the fundraising and contributions they make to further the objects of East Cheshire NHS Charitable Fund for the benefit of patients and staff. During the year the charity received income of £1,832k (£282k 20020/21) of which donations and legacies totalled £1,829k (£273k 2020/21). No Income was received from other trading activities (£3k 2020/21). Bank interest was £3k (£6k 2020/21), earned from funds (including endowment funds) deposited in a twelve-month Charities Aid Foundation (CAF) deposit and a twelve-month 60-day notice fixed saver account with Shawbrook bank. During the year charitable expenditure totalled £137k (£230k 2020/21). Of this, £107k (£61k 2020/21) was spent on medical equipment and patient welfare. Page 4 Major grants and purchases during the year included: - |**Item**|**Cost**|**Description**| |---|---|---| |Manikin simulator|£46,671|For the ultimate benefit of patients
through training and education| |Zero tolerance training|£17,220|For the ultimate benefit of patients
through ensuring training and
education of hospital staff| |Patient weighing scales oncology|£3,757|For the benefit of oncology patients| |Rise & recline chair-lung cancer|£4,155|For the benefit of lung cancer
screening patients| |Minibus wrap|£1,920|For the ultimate benefit of patients
through promoting Trust Charity and
awareness| |Oncology staff training|£1,236|For the ultimate benefit of patients
through ensuring training and
education of hospital staff| |Laptop and projector for patient
education sessions|£1,204|For the ultimate benefit of patients
through training and education| ## **Fund-raising** The Trustee recognises the importance of proactive fundraising in the current climate to help increase the support given to those who use the services of East Cheshire NHS Trust. > Donations can be made on-line through https://charity.eastcheshire.nhs.uk/ . Donation envelopes are widely available across the Trust to enable more effective data capture to promote Gift Aid. Donation boxes are available within wards and departments in the Trust sites, and in various venues within the community. We are grateful to local charities, volunteers, supporters, fund-raisers and NHS Charities Together, for all their help and support during the year, which have helped to fund the purchase of many of the above items. ## **Investments** The charity no longer has any monies invested in the stock market as it was agreed in June 2013 to hold investments in liquid form to facilitate the use of the charitable funds. This policy is reviewed on a regular basis to ensure that the charity receives the best return on its liquid assets subject to an acceptable level of risk. Page 5 ## **Reserves policy** The reserves policy of the Trustee is to expend all appropriate funds subject to: - - (i) maintaining six months’ worth of annual running costs; - (ii) maintaining a balance on the general funds to ensure that there are sufficient funds to pay for on-going commitments; - (iii) any amounts held which are being built up for the purchase of a specific item of equipment or other specific purpose. ## **Risks** The major risks, to which the charity is exposed, as identified by the Trustee, are reviewed at each Charitable Funds Committee meeting to mitigate those risks. Signed on behalf of the Trustee Signed by: Dr. Andrew Smith Date: 31[st] January 2023 Signed by: Mrs. Kara Mason Date: 31[st] January 2023 Page 6 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## FOREWORD 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) issued in October 2019 and the Charities Act 2011 and UK Generally Accepted Practice as it applies from 1st January 2019. ## Statutory background East Cheshire NHS Trust is the Corporate Trustee ("Trustee") of the charitable fund. ## Main purpose of the charity The main purpose of the charity, as stated in its objects, is to apply its 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 in relation to the services provided by East Cheshire NHS Trust. Page 7 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## Trustee's responsibilities in relation to the financial statements The charity's Trustee is responsible for preparing a trustee's annual report and financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). The law applicable to charities in England and Wales requires the charity's Trustee to prepare financial statements for each year which give a true and fair view of the state of affairs of the charity and of the incoming resources and application of these resources of the charity for that period. In preparing the financial statements, the trustees are required to: - select suitable accounting policies and apply them consistently; - observe the methods and principles in the applicable Charities SORP; - make judgements and estimates which are reasonable and prudent; - - state whether applicable accounting standards have been followed, subject to any material departures that must be disclosed and explained in the financial statements; and - prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business. The Trustee is responsible for keeping proper accounting records that disclose, with reasonable accuracy at any time, the financial position of the charity and enable the Trustee to ensure that the financial statements comply with the Charities Act 2011, the applicable Charities (Accounts and Reports) Regulations and the provisions of the Trust deed. The Trustee is also responsible for safeguarding the assets of the charity and for taking reasonable steps for the prevention and detection of fraud and other irregularities. The Trustee is responsible for the maintenance and integrity of the charity and financial information included on the charity's website, in accordance with legislation in the United Kingdom governing the preparation and dissemination of financial statements. The Trustee confirms that the responsibilities set out above have been met, and the requirements for preparing the accounts have been complied with. The financial statements set out on pages xx to xx attached have been compiled from, and are in accordance with, the financial records maintained by the Trustee. By order of the Trustee Signed on behalf of the Trustee Dr. Andrew Smith Mrs. Kara Mason Date: 31st January 2023 Date: 31st January 2023 Page 8 REPORT OF THE INDEPENDENT AUDITORS TO THE TRUSTEES OF THE EAST ¢HESHIRE NHS TRUST CHARITABLE FUND Oplnlon We have oudited the finanaal $tstemenls of Tr East Cheshire NHS Trust Chariwle Fund Ilhe ¢haritVl for the year endsd 31 March 2022 o)mpr6e Stslementof Finanaal Acbvitie5, Ihe Balan￿ S￿et, the Cash Flow Statement and notes tts the financA81 slatemenls, in¢ludiNJ a sumiary of sgnificant awunting ￿"C4e$. The finanoal reporting framework Ihat has been aptAied in t￿1r p￿parat￿ rs appkthlp law and Ur¥teil Kngdom Acts)unling Stsndards (United Trfjngolom Generally Acxepled Ac￿ntIng Practw*l. indudw FM)arnial Reporbng Standard 102 'The Financial Reporting Standard applicable in the UK arm1 Repub￿ ol Irelarwj.. In our 4)inion ihè financial statemenis". giv• a Iruè and frdir vièw of the stsle of the thanvs affaws as al 31 Math 2022 anLJ ol rts incomiry resources and application of resources. for the year then end&l, have i*en properly prepared in arxordarKt wth Uryted ￿"r￿J￿)M Generally Ac£epW Accounting Practu. induding Finawal Rewb"ng Siar¥Jarrl 102 'The Fin￿￿al Slandard ap￿Kab￿ in th¢ UK and Rewts1￿ of I￿land.: and have been prepared in ac¥))rdant* w￿1h the requireThÉrts of Ihe Charities Ad 2011. 80818 for oplnEon Wè eonducted our audit in aco)rdanct wilh Intemaithal Starthrd5 on ALK*brvJ IUKI {ISA5 IUKII and applicab* law. Our respon5bllit￿s Und￿ those standards a￿ lurther deScr￿Ed ￿ Ihe A￿1110[5. te5ponsibilitie5 lor the audit of the finawal siatements Ser￿On of our report. We are iThJep￿)deTht ol ihe chanty in actordarte ￿1th the ethical requirements that are vant tD our audit of the fjnancial statements in UK in1￿1n9 FRtrs Ethical StsThJard. and have fulfilled our other ethical rgsponsitrjlities ￿ ar0)rdar￿ ￿th these requirements. We believe that the audit ev1deTr￿ we have obtain¢d 13 8uffirienl and appropriate to mwje a bas6 tyJrop•ith. Conclu8lons r•latlng to going concern In authtin9 Ihe financial statements. we have corM*xled thatthe tnstees. ￿ ofthe gomig a)ncem basis of ar￿u￿tI￿￿ in the preparation ol ￿ancIal staterrents is apwwiale Based on the work have perfomied, Iw• thntrf*d any rnatèri￿ urtcértawithts r•L4tiNJ to •v•nts or Condit￿nS that. individually or collectively, may cast s￿￿1￿can1 dts￿t on tharity'$ abilrty to o)ntinu• as a going eonc*m for period of at least tyyelve months from when the finanoal statements are authorised forissue. Our responsibil￿e8 aThl the re¥A)nskn"lrtes of ts trL¢tees i￿l￿ resi*d io go]"ThJ o)ncem are described in the re￿vant sedions of thiB reporL Other Infonnation The trustee5 are rewsbb lor ￿ other informath￿. The other infrymatiw cunpri8e6 the infornation induded in tho Annu81 Report, otherthan the finanekql statsmènts aTrJ our Report of Ihe Independent Audittira t￿re0ft. Our opinion on the fiTran￿1 statements does ￿tlYJVer the Inf￿110￿ 8nd. except to the extentolhwwi* oxpliLitIy Stattd in our report. do not express any form ofas5Utartr￿ C￿dus￿ thereon. In confftction wth our audit of the finanThal statements. our reSP￿sIbl￿ty s to read the olher Info￿atron and. in (￿g so, consider whether the other inf￿rnatIon is materially ino)nsislent with the finawial stslements or our knowledge obtaine¢Y in the aLvJit or olh¢rwis¢ aP￿e0￿ to be m8ierialty misstaled If we bjenlify material lo￿n¥18t￿n￿?$ or appa￿nt matewial misstaternents, ￿ are required to deteThrMre whether 9Ne8 risg to a matorial rnisstatemgnl in t financial stalemenls themstfv•s. If. ba￿d on Ihe woth have r*rfrThed, ￿ conclud• that thère is a material ml85taten￿nI of this other informth"on. ￿ are Tequired to rewmt th8t We have nothir#J to re￿￿ in this regard. Matt•rn on whlch are requ*ed to report by exceptlon W8 have ll0th￿g to report In respect ol the fo1th￿.￿j matters ￿ Ihe C*arii*s IAc(thmts and Reports) Regulalions 2008 requires us lo ￿port to il, in our wnth." the information given ￿ Ihe Report of the TNstees is m?￿tent ￿ any material respect wth Ihe financaal siaterT*nts.' or sUffic￿nI aeeountrng reoyds h8ve not been W: or the financial stalements are not in agre￿eThI with the ￿OUnt1r￿j recLJrts aThY fetums". or W8 hav8 not recv¥8d all the inI￿rnat￿)n and explanat￿)ro forour aud Pag¢9 REPORT OF THE INDEPENDEKf AUD￿oR5 TO THE TRUSTEES ( THE EAST CHESHIRE NHS TRusf CHARITABLE FUND Re8pon•lblllll•s of trwtéaa As gxplained more fully in th8 Statemènt of Tru5tees' ReSp￿&t¥￿tieS. tre trustees are respOn9b￿ lor the proparatI￿ ol the finanrial stat&nenls vthKh give a aTrJ fair view, a￿1 for such int•mal rnntrol as the trustee8 determine is r*¢£ssary to enabk the plepara1K￿ of finawl ststwts that are free frcm materia misstalèn*nl, whèthèr duè to fraud or error. In preparing Ihe financial stalements, trustee8 are responsbk tr assessing the charty's ability to continue as a g¢￿llg Con￿rn. disch)sing. as applTcab*, rnatters reL41ed to COn￿M and usirg the gDirvJ concem basis ol accountin9 Un￿$$ trustees ￿ltter irteryj to INuKlate the tharrty or to cease werati￿$. or have no real￿tIC allematwe but to do so. Our ￿PonsIbIlItIeS forthe audlt of thè financial ¥laknnents We have b￿￿ appointed as ouditors under seCt￿n 144 of lh• char￿e8 Act 2011 rEPOrt in xcordan(x Mrilh th8 Afa and ￿levant ￿gUlat￿)n$ made gr havir#J effert the￿under. Our objedivag are to obtain reasonable assuran￿ aboul ***ther th¢ finano41 $tat¢ments $5 8 are free trom material misststen*n( wlther due lo or error, to IS￿ a Report ts[t￿ Ind•pèndtnt Athlitors that indudes our opiruon. Reasc¥)able assurdnce is a hiqh kvel ol assurance, tyjt is net a guarantee that an audit conducted in a¢COrdan￿ with ISAS IUKI will ahyays delect a material n¥sstaten*nl it exists. Misstatements arise fi(xn fraLKI or error and are Co￿dI￿d ma*rial if. irn1NKlually w in the aggwate. they could ieasonatAy be eyGted lo inflrenrz the econornK decisKJns of u4èrs taken on the basis of these fthan(ial staterrEnls. Our approach to *Jenbfying and assess¥￿ the risks ol material nwssla￿ in respett ol itrogujariiias, I￿￿dIng fraud and non-mmpIran￿ ￿th law5and regulati￿$. was as 10kn13". - The engagernent partner enswed that the engaggment tèam thlknbvely had th2 8prxopriate corrWenr*. capabilities and skills to i(kntify or re￿nISe non-O)tIWiancè with appliratAe laws and regulations.. - We i¢knkn"fied the lo￿ regulatws to Trust thrwh d￿D￿SSionS wilh rnanageTr*nt. aThJ from our 1￿mmercIal kno￿&￿ge exper￿n￿ of Ihe olanty sector -we loryjsed on $￿elfiC la￿ and regulations whth ￿ (Yjnsvjer￿ tnay have a th.red matenal eflgrt gn the financial ¥latements or the operations of tIE TnJsL irKAudiro thantes SORP FRS 102. taXat￿Tr legtslation, data prot6th"on, anti-bribery, employ￿￿1. ellv1ron￿nl* heatth satsty b3L*tion. - W8 885esseil the extent of cornpliance wth the laws arxl regulatws ijenbferf above thmugh making aNwiri&8 of man8gement arhy inspecting legal corr•spOTrJgr￿. aTrJ - Identified lavB and regulat￿n$ *tr• e•nNnuntsied Ihe audit team regularfy a￿1 the team remained alert to instanTr5 01 nw-Q)mrAianc* thrO￿hOlrtth8 a￿1 We assessed the s￿eaPt1bil1tY of the Trusts finwcial ststerTths to material M￿staternents. indud1￿ obtaining an underBlanding of how fraud mvJhl r￿cur, by.. - Making enquiries of rnanagement as to whe¥e t￿Y ¢￿$￿Je￿I was susc*ptibility t¢* frdwl, their krh)wkdge of 8Ctual. suSp￿ed and atkged fraud aTrJ.. - Considering the Intemal omtrols to n¥k8 offr8￿1 aThJ non**Unrestricted**
**Funds**
**£000**
Donations and legacies
3
947
Other trading activities
4
Investment income
5
3
**Total incoming resources**
**950**
**Expenditure on:**
Charitable activities:
Patient welfare
6
(101)
Staff welfare
6
(30)
**(131)**
**Total expenditure**
**(131)**
**Net movement in funds**
**819**
**Reconciliation of funds**
Total funds brought forward
337
**Total funds carried forward**
**1,156**
**Income and endowments**
**from:**|**Restricted**
**Funds**
**£000**
882
**882**
(6)
**(6)**
**(6)**
**876**
285
**1,161**|**Endowment**
**Funds**
**£000**
**0**
0
0
**0**
**0**
**0**
147
**147**|**Total**
**Funds**
**2021/22**
**£000**
**1,829**
**0**
**3**
**1,832**
**(107)**
**(30)**
**(137)**
**(137)**
**1,695**
**769**
**2,464**|Total
Funds
2020/21
£000
273
3
6| |---|---|---|---|---| |||||282| |||||(61)
(169)
(230)
(230)
52
717
769| The notes on pages 15 to 28 form part of these accounts. Page 12 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## Balance Sheet as at 31 March 2022 |**Note**
**Current assets**
Debtors
12
Cash and cash equivalents
13
Investments - Shawbrook Bank Ltd
14
**Total Current Assets**
**Creditors:**
**Amounts falling due**
15
**within one year**
**Commitments:**
**Amounts falling due**
15.1
**within one year**
**Net Current Assets**
**Total Net Assets**
**The funds of the charity**
17
Endowment funds
17.1
Restricted funds
17.3
Unrestricted funds
17.5
**Total charity funds**|**Unrestricted**
**Funds**
**£000**
378
689
295
**1,362**
(153)
(53)
**1,156**
**1,156**
1,156
**1,156**|**Restricted**
**Funds**
**£000**
375
703
105
**1,183**
(15)
(7)
**1,161**
**1,161**
1,161
**1,161**|**Endowment**
**Funds**
**£000**
147
**147**
**147**
**147**
147
**147**|**Total**
**Funds**
**2021/22**
**£000**
**753**
**1,539**
**400**
**2,692**
**(168)**
**(60)**
**2,464**
**2,464**
**147**
**1,161**
**1,156**
**2,464**|Total
Funds
2020/21
£000
28
641
400| |---|---|---|---|---|---| ||||||1,069| ||||||(257)
(43)| ||||||769| ||||||| ||||||769| ||||||147
285
337| ||||||769| The notes on pages 15 to 28 form part of these accounts. Signed on behalf of the Trustee Dr. Andrew Smith Date: 31st January 2023 Page 13 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## Statement of Cash Flows for the year ended 31 March 2022 |**Note**
.
**Net cash generated in operating activities**
16
**Cash flows from investing activities**
Interest and dividends from investments
Purchase of financial assets/investments
**Net cash generated by investing activities**
**Change in cash and cash equivalents in the year**
Re-categorisation in year - from investments to cash
and cash equivalents
Cash and cash equivalents as at 1 April
**Cash and cash equivalents as at 31 March**|**Total**
**Funds**
**2021/22**
**£000**
**895**
3
0
**3**
898
641
**1,539**|Total
Funds
2020/21
£000
167| |---|---|---| |||6
(200)| |||(194)| |||(27)
147
521| |||641| Page 14 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## Notes to the Accounts ## **1 Accounting Policies** ## **1.1 Basis of preparation** The financial statements have been prepared under the historic cost convention. 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) issued in October 2019 and the Charities Act 2011 and UK Generally Accepted Practice as it apply from 1st 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. The Trustee has a reasonable expectation that the Charity has adequate resources to continue as a going concern. Expenditure is discretionary, and balanced against the reserves policy requirements. Accounting for income and expenditure is on an accruals basis to ensure all committed expenditure is reflected in the reporting process, and the Charity has sufficient resources to meet its committed expenditure for 12 months from the date that the financial statements were approved by the Corporate Trustee. ## **1.2 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 either: - 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. 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. Those funds which are neither endowment nor restricted funds, are classified as unrestricted funds. These include designated (earmarked) funds where the Trustee has set aside amounts to be used for specific purposes or which reflect the nonbinding wishes of donors and unrestricted funds which are to be used at the Trustee's discretion, including the general fund. The major funds held in each of these categories are disclosed in note 17. Page 15 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## **1.3 Incoming resources** All incoming resources are recognised once the charity has entitlement to the resources; and it is probable (more likely than not) that the resources will be received; and the monetary value of the incoming resources can be measured with sufficient reliability. ## **1.4 Incoming resources from legacies** Legacies are accounted for as incoming resources either upon receipt or where the receipt 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. ## **1.5 Investment Income** Investment income reported in the Statement of Financial Activity (SOFA) and in notes 2.1 and 5 is interest on deposit and bank accounts. It is accounted for on an accruals basis. Page 16 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## **1.6 Resources expended and irrecoverable VAT** All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to each category of expense shown in the SOFA. Expenditure is recognised when the following criteria are met: - - There is a present legal or constructive obligation resulting from a past event - It is more likely than not that a transfer of benefits (usually a cash payment) will be required in settlement; and - The amount of the obligation can be measured or estimated reliably Irrecoverable VAT is charged against the category of resources expended for which it was incurred. ## **1.7 Recognition of expenditure and associated liabilities as a result of a grant** Grants payable are payments made to a linked, related party or third party NHS bodies, in furtherance of the charitable objectives of the funds held on trust, primarily for the relief of those who are sick. Grant payments are recognised as expenditure when the conditions for their payment have been met or where there is a constructive obligation to make a payment. A constructive obligation arises when: - The charity has communicated their intention to award a grant to a recipient who then has a reasonable expectation that they will receive a grant - The charity has made a public announcement about a commitment which is specific enough for the recipient to have a reasonable expectation that they will receive a grant - There is an established pattern of practice which indicates to the recipient that the charity will honour its commitment The Trustee has control over the amount and timing of grant payments and consequently where approval has been given by the Trustee and any of the above criteria have been met then a liability is recognised. Grants are not usually awarded with conditions attached. However, when they are, those conditions have to be met before the liability is recognised. Page 17 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## **1.8 Allocation of support costs** Support costs are those costs which do not relate directly to a single activity. These include administration costs, external audit costs and IT support costs. Support costs have been apportioned between fundraising costs and charitable activities on an appropriate basis. The analysis of support costs and the basis of apportionment applied are shown in note 9. ## **1.9 Fundraising costs** The costs of generating funds are those costs attributable to generating income for the charity, other than those costs incurred in undertaking charitable activities or the costs incurred in undertaking trading activities in furtherance of the charity's objectives. ## **1.10 Charitable activities cost** The cost of charitable activities comprises all costs incurred in the pursuit of the charitable objectives 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 the charitable expenditure include an apportionment of support costs, as shown in note 6. ## **1.11 Debtors** Debtors are amounts owed to the charity. They are measured on the basis of their recoverable amount. ## **1.12 Cash and cash equivalents** Cash and cash equivalents are held to meet short term cash commitments as they fall due. Cash equivalents are short term, highly liquid investments which have a maturity date of, say, three months or less from the date of acquisition. ## **1.13 Current asset investments** Current asset investments are investments which a charity holds for resale or pending their sale and cash or cash equivalents with a maturity date of less than one year. This heading includes cash on deposit and cash equivalents with a maturity of less than one year held for investment purposes rather than to meet short term cash commitments as they fall due. ## **1.14 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. Page 18 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 Amounts which are owed greater than one year from the balance sheet date are shown as non-current creditors. Commitments for future expenditure are recognised if there is an expectation the funds will be used for a particular purpose. This will ordinarily take the form of an approval of the expenditure by the Trustee. They are recognised in expenditure and in the balance sheet under the heading 'Commitments' split between current and non current categories. ## **1.15 Realised gains and losses** All gains and losses are taken to the SOFA as they arise. The charity has no unrealised gains or losses. ## **1.16 Consolidation** From 2013/14, the divergence from the Treasury's Financial Reporting Manual (FReM) that NHS Charitable Funds are not consolidated with their NHS Trust's own annual accounts was removed. Following the Treasury’s agreement to apply IAS 27 to NHS Charities from 1 April 2013, the Trust has established that as it is the Corporate Trustee of the linked East Cheshire NHS Trust Charitable Fund (ECHO), it effectively has the power to exercise control so as to obtain economic benefits. However the transactions between the two entities are immaterial in the context of the group and as such the transactions have not been consolidated. Details of the transactions with East Cheshire NHS Trust are included in notes 7 and 17. ## **1.17 Financial instruments** The charity only has financial instruments and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value. Page 19 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## **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 SOFA and the Balance Sheet for each of the three classifications of fund that the charity manages. ## **2.1 Unrestricted funds - SOFA for the year ended 31 March 2022** |**2.1**
**Unrestricted funds - SOFA for the year ended 31 March 2022**||| |---|---|---| ||**2021/22**|2020/21| |**Income and endowments from:**
Donations and legacies
Other trading activities
Investment income
**Total incoming resources**
**Expenditure on:**
Raising funds
Charitable activities:
- Patient welfare
- Staff welfare
- Equipment
**Total expenditure**
**Net Income / (expenditure)**
**Net movement in funds**
**Reconciliation of funds**
Total funds brought forward
**Total funds carried forward**
**Unrestricted funds - Balance Sheet as at 31 March 2022**
**Current assets**
Debtors
Cash at bank and in hand
Investments
**Total current assets**
**Liabilities**
Creditors falling due within one year
Commitments: Amounts falling due within one year
**Net current assets**
**Total net assets for unrestricted funds**
**Total unrestricted funds**|**£000**
947
3
**950**
0
(44)
(30)
(57)
**(131)**
**(131)**
819
**819**
337
**1,156**
**2021/22**
**£000**
378
689
295
**1,362**
(153)
(53)|£000
271
3
6| |||280| |||0
(21)
(168)
(24)| |||(213)| |||(213)| |||67| |||67
270| |||337| |||2020/21
£000
28
297
295| |||620
(244)
(39)| ||**1,156**
**1,156**
**1,156**|337| |||337| |||| |||337| |||| Page 20 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## **2.2 Restricted funds - SOFA for the year ended 31 March 2022** ||**2021/22**|2020/21| |---|---|---| |**Income and endowments from:**
Donations and legacies
Other trading activities
Investment income
**Total incoming resources**
**Expenditure on:**
Charitable activities:
- Patient welfare
- Staff welfare
- Equipment
**Total expenditure**
**Net income / (expenditure)**
**Net movement in funds**
**Reconciliation of funds**
Total funds brought forward
**Total funds carried forward**
**Restricted funds - Balance Sheet as at 31 March 2022**
**Current assets**
Debtors
Cash at bank and in hand
Investments
**Total current assets**
**Liabilities**
Creditors falling due within one year
Commitments: Amounts falling due within one year
**Net current assets**
**Total net assets for restricted funds**
**Total restricted funds**|**£000**
882
0
0
**882**
(4)
0
(2)
**(6)**
876
**876**
285
**1,161**
**2021/22**
**£000**
375
703
105
**1,183**
(15)
(7)
**1,161**
**1,161**
**1,161**|£000
2
0
0| |||2| |||(4)
(1)
(12)| |||(17)| |||(15)| |||(15)
300| |||**285**| |||2020/21
£000
0
197
105| |||302
(13)
(4)| |||285| |||285| |||| |||285| |||| Page 21 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## **2.3 Endowment funds - SOFA for the year ended 31 March 2022** ||**2021/22**|2020/21| |---|---|---| |**Reconciliation of funds**
Total funds brought forward
Net movement of funds
**Total funds carried forward**|**£000**
**147**
**0**
**147**|£000
147
0| |||147| |||| |Investment income of £1,140 (£1,775 2019/20) (included in note 2.1) was received on the
endowment fund cash balance.||| ## **Endowment funds - Balance Sheet as at 31 March 2022** |**Current Assets**
Investments
**Total current assets**
**Net current assets**
**Total net assets for endowment funds**
**Total endowment funds**|**2021/22**
**£000**
**147**
**147**
**147**
**147**
**147**|2020/21
£000
147| |---|---|---| |||147| |||147| |||147| |||| |||147| Page 22 ## East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## **3 Income from donations and legacies** |Donations from individuals and
other organsations
Corporate donations
Legacies
Grants|**Unrestricted**
**Funds**
**£000**
32
915
**947**|**Restricted**
**Endowment**
**Funds**
**Funds**
**£000**
**£000**
2
880
**882**
**0**|**Total**
**2021/22**
**£000**
**34**
**0**
**1,795**
**0**
**1,829**|Total
2020/21
£000
96
0
22
155| |---|---|---|---|---| |||||273| Donations from individuals are gifts from members of the public, relatives of patients and staff. This includes income collected through collection boxes around the hospital and placed in businesses in the Macclesfield area. Grant income in 2020/21 was received from Charities Together, no grant income has been received in 2021/22. ## **4 Analysis of income from other trading activities** |Events organised by the trust|**Unrestricted**
**Funds**
**£000**
0|**Restricted**
**Endowment**
**Funds**
**Funds**
**£000**
**£000**
0
0|**Total**
**2021/22**
**£000**
**0**|Total
2020/21
£000
3| |---|---|---|---|---| ## **5 Analysis of investment income** |Interest - cash on bank deposit
Charities Aid Foundation (CAF)|**Unrestricted**
**Funds**
**£000**
0
3
**3**|**Restricted**
**Endowment**
**Funds**
**Funds**
**£000**
**£000**
0
0
0
0
**0**
**0**|**Total**
**2021/22**
**£000**
**0**
**3**
**3**|Total
2020/21
£000
0
6| |---|---|---|---|---| |||||**6**| ## **6 Analysis of charitable expenditure** The charity did not undertake any direct charitable activities on its own account during the year. All of the charitable expenditure was in the form of grant funding. Grants were approved in favour of the charity's partner organisation, East Cheshire NHS Trust, to carry out activities that will benefit NHS patients and their families and NHS staff. The charity incurred expenditure with third parties in pursuance of those grants or reimbursed expenditure incurred by them. |Patient welfare
Staff welfare|**Grant funded**
**activity**
**£000**|**Support**
**costs**
**£000**|**2021/22**
**£000**
**106**
**31**
**137**|Total
2020/21
£000
61
169| |---|---|---|---|---| ||83|23||| ||22|9||| ||**105**|**32**||230| Page 23 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## **7 Analysis of grants** The charity does not make grants to individuals. All grants are made to East Cheshire NHS Trust or other institutions to provide for the care of NHS patients and staff in furtherance of our charitable aims. The majority of grant support was given to East Cheshire NHS Trust. The total cost of making grants, including support costs, is disclosed on the face of the SOFA, and the actual funds spent on each category of charitable activity is disclosed in note 6. The Trustee operates a scheme of delegation for the majority of the charitable funds, under which fund holders manage the day to day disbursements on their projects in accordance with the directions set out by the Trustee in the charity's standing orders and financial instructions. All grants over £5,000 are approved by the charity's Trustee committee. All grants awarded during 2021/22, totalling £105,000 (2020/21 - £199,000), were made to East Cheshire NHS Trust. ## **8 Allocation of support costs and overheads** 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 the charity. The basis of allocation used are for both allocation between fundraising activities and charitable activities and, for allocation between funds, is expenditure during the year. |Governance: Independent examiner's fee
Administrative services
Information technology costs
**Total**
**Unrestricted**
**Funds**
**£000**
Fundraising activities
0
Charitable activities
29
**29**|Governance: Independent examiner's fee
Administrative services
Information technology costs
**Total**
**Unrestricted**
**Funds**
**£000**
Fundraising activities
0
Charitable activities
29
**29**|**Fundraising**
**Activities**|**Charitable**
**Activities**|**Total**|Total| |---|---|---|---|---|---| |||**£000**|**£000**|**2021/22**|2020/21| ||||||| |||0|4|**4**|2| |||0|23|**23**|22| |||0|4|**4**|7| |||**0**|**31**|**31**|31| ||||||| ||||||| ||**Unrestricted**|**Restricted**|**Endowment**|**Total**|Total| ||**Funds**|**Funds**|**Funds**|**2021/22**|2020/21| ||**£000**|**£000**|**£000**|**£000**|£000| ||||||| ||0|0|0|**0**|0| ||29|2|0|**31**|31| ||**29**|**2**|**0**|**31**|31| Page 24 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## **9 Trustee's remuneration, benefits and expenses** The Board members of East Cheshire NHS Trust, detailed in note 19, in their capacity as Corporate Trustee give their time freely and receive no remuneration for the work which they undertake. ## **10 Analysis of staff costs and remuneration of key management personnel** The charity has no employees (2020/21 - none). Administrative support is provided to the charity by staff who work for East Cheshire NHS Trust, the host NHS body. ## **11 Independent auditor's remuneration** The auditor's remuneration for 2021/22 is £4,200, inclusive of VAT (2020/21: £1,500). In 2021/22 due to the receipt of legacy income the Charity exceded the threshold under which only an independent examination of the financial statements is required. |**12**
**Analysis of current debtors**
**Debtors due in under 1 year**
Accrued income
Accrued Legacy income
**13**
**Analysis of cash and cash equivalents**
Cash at bank and in hand|**2021/22**
**£000**
3
750
**753**
**2021/2**
**2**
**£000**
**1,539**|2020/21
£000
28
0| |---|---|---| |||28| |||2021
£000
641| Cash is held in a National Westminster bank business reserve account and a three month notice saver account with Shawbrook Bank Ltd. ## **14 Analysis of current investment assets** |**Analysis of current investment assets**||| |---|---|---| ||**2021/2**|| ||**2**|2021| ||**£000**|£000| |Investment|**400**|400| Deposits are held at Shawbrook Bank Ltd in a charity aid foundation (CAF) matured funds account, which is due to mature in May 2022. |**15**
**Analysis of current liabilities**
Current amounts falling due within one year:
Creditors
Accruals for Commitments
**Total creditors falling due within one year**|**2021/2**
**2**
**£000**
168
57
**225**|2021
£000
257
43| |---|---|---| |||300| The Creditors figure disclosed above relates to costs due not yet paid for goods or services received on or before 31st March 2022. |**15.1 Accruals for commitments payable**
Opening Balance
Committed in Year
Paid in Year (utilised)
Released in Year
Re-catagorisation (commitment to accrual)|**2021/2**
**2**
**£000**
43
67
(27)
(26)
0
**57**|2021
£000
59
149
(105)
(23)
(37)| |---|---|---| |||43| Commitments comprise £31k for grants approved in 2021/22, £25k for grants approved in 2020/21 and £1k appoved in 2019/20 which will be incurred in 2022/23. Page 25 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## **17.4 Details of funds with balances over £20,000 - restricted funds** ## **Name of fund** ## **Nature and purpose of fund** Cancer Resource Centre Fund A legacy given for the benefit of East Cheshire NHS Trust Cancer services DGH General Equipment Fund A legacy received for equipment at Macclesfield District General Adult Physiotherapy A legacy given for the neuro physiotherapy gymnasium ## **17.5 Analysis of unrestricted funds movements** |**Name of fund**|**Balance**
**Income**
**Expenditure**
**Transfer**
**Recoding Balance**
**1 April**
**between**
**between 31 March**
**2021**
**funds**
**Funds**
**2022**
**£000**
**£000**
**£000**
**£000**| |---|---| |East Cheshire NHS
Trust General Fund
Oncology Fund
Palliative Care Nurse Fund
Others (64)
**Total**|85
925
(43)
3
(37)
**933**
35
1
(8)
**28**
22
(1)
**21**
195
24
(79)
(3)
37
**174**| ||**337**
**950**
**(131)**
**0**
**0**
**1,156**| ## **17.6 Details of funds with balances over £20,000 - unrestricted funds** ## **Name of fund** ## **Nature and purpose of fund** East Cheshire NHS Trust General Donations and legacies received for healthcare within East Cheshire. Fund Oncology Fund Donations and legacies received for the benefit of patients requiring oncology services. Palliative Care Nurse Donations and legacies received for the benefit of patients requiring palliative care services. ## **18 Related party transactions** East Cheshire NHS Trust ("Trust"), which provides healthcare services to the people of East Cheshire and surrounding areas, is the Corporate Trustee of East Cheshire NHS Trust Charitable Funds. The patients and staff of the Trust are the main beneficiaries of the charity. The charity has made revenue and capital payments to the Trust totalling **£105,000** in 2021/22 (2020/21: £199,000) for the benefit of NHS patients and staff, and these are detailed in note 7. Page 27 East Cheshire NHS Trust Charitable Fund - Annual Accounts 2021/22 ## **19 Related party transactions, continued** During the year; neither the Trustee, nor members of the Trust Board, whose names are listed below, or parties related to them have undertaken any material transactions with the charity. None of the Trust Board members in their capacity as Corporate Trustee received any remuneration or expenses. The Trust Board members during the year were: - - Lynn McGill, Chairman - Andrew Smith, Non-Executive Director - Tim Shercliff, Non-Executive Director (retired August 2021) - Mr Peter Madden, Non-Executive Director - Ian Goalen, Non Executive Director - Mike Wildig, Non-Executive Director (retired October 2021) - John Wilbraham, Chief Executive (planned period of absence November 2021 - March 2022) - Mark Ogden, Director of Finance (retired July 2021) - Ged Murphy, Director of Finance, Estates and Planning (appointed August 2021), Acting Chief Executive ( November 2021) - Rachael Charlton, Director of People and Culture - Julie Green, Director of Corporate Affairs & Governance - Dr John Hunter, Medical Director - Kath Senior, Deputy CEO and Director of Nursing and Quality (retired August 2021) - Simon Goff, Chief Operating Officer - Kate Daly-Brown, Director of Nursing and Quality (appointed July 2021) - Katherine Sheeran, Director of Transformation and Partnerships (appointed December 2021) - Kara Mason, Acting Director of Finance, Estates and Planning (December 2021) - Tony Ward, Associate Non Executive Director (appointed February 2022) The Trust makes a number of clerical and transactional services available to the charity by agreement with the Trustee. These are included within support costs (see note 9) and include: - Administrative services at a cost of **£21,500** (2020/21: £21,500) in support of the charity's grant making activities - Information Technology costs of **£4,327** (2020/21: £6,779) The amounts paid for administrative services and IT costs are set at an amount which allows the Trust to recover some of its costs. For 2021/22, as was also the position in 2020/21, the Trust has waived the majority of its fee for administrative services. As at 31 March 2022, creditors include £150,863 owed to East Cheshire NHS Trust (£208,535 as at 31 March 2021). The total income of the Corporate Trustee, East Cheshire NHS Trust, for the year ended 31 March 2022 was **£199,224,000** (2020/21: £193,589,000.), and a surplus of **£513,000** (2020/21: Surplus £3,244,000). ## **20 Events after the end of the reporting period** There are no events to disclose, which happened after the end of the reporting period. Page 28