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Hampshire Hospitals Charity

(Registered Charity number 1060133)

Annual Report and Accounts for the year ended 31 March 2024

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Trustee’s Report ................................................................................................................................................. 3 Statement of Trustee’s responsibilities ............................................................................................................. 11 Independent Auditor’s Report ........................................................................................................................... 12 Statement of Financial Activities ...................................................................................................................... 15 Balance Sheet .................................................................................................................................................. 16 Statement of Cash Flows ................................................................................................................................. 17 Notes to the accounts ....................................................................................................................................... 18

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Trustee’s Report

Foreword

The Trustee presents the Charity’s Annual Report and the audited Accounts of the Charity for the year ended 31 March 2024.

These accounts have been prepared by the Trustee under the Charities Act 2011, in the form set out in Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Ireland (FRS 102).

Statutory Background

Hampshire Hospitals Charity administers funds for the benefit of patients and staff of the Basingstoke and North Hampshire Hospital (BNHH), the Royal Hampshire County Hospital (RHCH) in Winchester, and the Andover War Memorial Hospital (AWMH).

Throughout these accounts the word Charity refers to the Hampshire Hospitals Charity. HHFT refers to Hampshire Hospitals NHS Foundation Trust. Hampshire Hospitals Charity is registered with the Charity Commission (registration number 1060133).

Trustee

The Charity has a single corporate trustee, HHFT, which administers funds in the interests of beneficiaries. The Trustee meets bi-monthly to monitor progress with managing the Charity’s resources, ensuring they are used for the public benefit, and having regard for the guidance issued by the Charity Commission.

Directors of HHFT who held office during the year and up to the date of signing the Annual Report and Accounts were:

Name Position in Foundation Trust Steve Erskine Chairman Alex Whitfield Chief Executive Officer Lara Alloway Chief Medical Officer (left 13[th] August 2023) Dr Nick Ward Interim Chief Medical Officer (left 1[st] January 2024) Ruth Williamson Chief Medical Officer (from 2[nd] January 2024) Steve West Chief Financial Officer Julie Dawes Chief Nurse Rupert Goodman Interim Chief People Officer (left 31[st] August 2023) Tim Powell Chief People Officer (from 4[th] September 2023) Andy Hyett Chief Operating Officer Shirlene Oh Chief Strategy and Population Health Officer Ruth Williams Non-Executive Director Simon Holmes Non-Executive Director Jos Creese Non-Executive Director Laks Khangura Non-Executive Director Stephen Duckworth Non-Executive Director Clancy Murphy Non-Executive Director John Deverill Non-Executive Director Dominic Arthur Associate Non-Executive Director

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Administration

The principal office for the Charity is:

Finance Department Basingstoke and North Hampshire Hospital Aldermaston Road Basingstoke RG24 9NA

Professional Advisers and Agents

During the year the Charity employed the following agents:

Bankers

Lloyds Bank plc 2 Winchester Street Basingstoke Hampshire RG21 7EB

Investment Advisors

Sarasin & Partners LLP Juxon House 100 St Paul's Churchyard London EC4M 8BU

Partners Capital LLP 5th Floor 5 Young Street London W8 5EH

Independent Auditor

Kreston Reeves LLP 9 Donnington Park 85 Birdham Road Chichester West Sussex PO20 7AJ

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Main Purpose of the Charity

The trustees shall hold the trust fund upon trust to apply the income to enhance patient care, improving hospital environment, and by increasing the knowledge and welfare of staff who provide care to those patients, or purposes related to the National Health Service elevating hospital healthcare and wellbeing of our local community.

Structure, Governance and Management

The main Charity, being an unrestricted fund, was established using the model declaration of trust, with special trusts being registered for the restricted funds. All funds that were held on trust at the date of registration were either part of the unrestricted fund or restricted funds held registered under the main Charity. Subsequent donations and gifts received by the Charity that are for the benefit of the original funds have been added to those fund balances.

The Corporate Trustee fulfils its legal duty by ensuring that funds are spent in accordance with the fund objectives by designating funds to benefiting patient care, promoting good health and welfare for both patients and staff, thereby respecting donors’ wishes.

The charitable funds are allocated to specialities, wards and departments within HHFT’s divisional management structure. These allocations are known as funds and have fund managers appointed to them, who are responsible for ensuring they are correctly managed.

The accounting records and day to day administration of the funds are dealt with by the finance department of HHFT. To keep the administrative costs to a minimum, the Charity relies on HHFT to identify the appropriateness of funding requests, ensuring they are of a charitable nature, the funds are available and if required a VAT zero rating certificate is completed when the order is raised.

Key management personnel consist of the directors of the Corporate Trustee. The directors undergo charity training as part of their induction. No remuneration was paid to these persons by the Charity in the year.

Risk Management

A risk register is maintained by the Corporate Trustee and is regularly reviewed. Risks are prioritised according to their probability and potential impact. The Corporate Trustee has considered the major risks to which the charity is exposed and they have satisfied themselves that systems and procedures are in place to manage and mitigate those risks.

Significant areas of risk continue to be reviewed and are deemed to include:

Governance Risk

Hampshire Hospitals NHS Foundation Trust is the Corporate Trustee of the Charity and its Executive and Non-executive Directors are responsible for the governance of the Charity. Papers are sent out in advance of the regular Trustees meetings for prior consideration, then discussed at the meeting following which decisions taken are minuted and communicated to the fund holders. The Trustee maintains a register of interests and ensures that there are no conflicts of interest with third parties.

The Company Secretary (or delegated assistant) of the Trustee is in attendance at all meetings to ensure that the charity is managed in line with Charity Law guidelines.

Risk to Reputation

The reputation risk that the Charity is not acting in accordance with its donors’ wishes is managed by continually checking that all expenditure is in line with the objectives of the individual funds. The fund signatories receive regular reporting of their fund balances and are continually educated on appropriate spending. HHFT Finance review all transactions prior to 3rd party commitment.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Financial Risk

Monthly accounts are prepared by the finance department of the Corporate Trustee, and a quarterly report is presented to its directors to highlight the performance of the Charity over the previous three months.

The risk that the Charity might suffer a financial loss if the investment portfolio is not appropriately managed is mitigated by the investment sub-committee who meet on a regular basis to review the portfolio risk and fund manager performance. The fund managers produce quarterly reports of performance which are considered by the investment sub-committee.

The risk of loss of opportunity to apply for grants from NHS Charities Together (NHSCT) if the Trust does not respond in a timely manner means that correspondence from NHSCT is regularly reviewed and shared.

If legacies intended for our hospitals do not match the legal title of the Charity there is a risk of delayed or non receipt of funds but if notified merger documents can be provided.

The Charity takes out an annual insurance policy to cover the Trustee Liability.

The Trustee make a regular assessment as to whether the reserves are sufficient to meet their on-going financial obligations.

Partnership Working

Patients and staff of HHFT are the main beneficiaries of the Charity and HHFT is a related party by the virtue of being the Corporate Trustee of the Charity. By working closely with the Trust, the Charity ensures that funds are used to best effect, after taking into account the main activities, objectives, strategies and plans of HHFT over the short, medium and long term.

Annual Review

Hampshire Hospitals Charity receives the majority of its income from donations, legacies and investment income and gains. Trustees of the Charity are extremely grateful to all donors for the funds received over the year as these make a significant difference to the care and treatment provided to the patients of Hampshire Hospitals NHS Foundation Trust.

Total income for the year was £936,000 (2022/23 £915,000) of which donations of £764,000 (2022/23 £561,000), legacies £117,000 (2022/23 £316,000), grants £nil (2022/23 nil), investment income £55,000 (2022/23 £38,000) and income from charitable activities £nil (2022/23 nil).

The Charity’s funds continued to support a wide range of activities which greatly enhance the service offered to patients and/or supported the staff of HHFT. Individual purchases were varied but all added to the quality of patient care or the staff experience by supporting developments that are not possible through NHS funding alone. This included, for example, the purchase of leading-edge clinical equipment, providing staff and equipment to enhance patients welfare and providing learning and education to increase staff knowledge.

Total expenditure, including support costs, was £853,000 (2022/23 £1,120,000). Charitable expenditure on direct charitable activity was £588,000 (2022/23 £1,118,000). Fundraising costs were £191,000 (2022/23 £2,000) and investment management costs were £2,300 (2022/23 nil).

A summary of the major items purchased during the year is shown below:

Clinical Equipment £105,000 (2022/23 £191,000)

The Charity purchased many items of clinical equipment which enabled the hospitals’ teams to provide leading edge technology for their patients’ treatment. The most significant of those purchases included:

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

New cold cap machines (£41,000) for Chemotherapy Unit based in Winchester hospital. This is a device that prevents hair loss as a side effect of chemotherapy. Many patients choose to use the cold cap machines during their cancer treatment.
Therapy treadmill (£22,000). The national stroke guidelines strongly recommend treadmill gait training for patients unable to mobilise post stroke.
Billycocoon phototherapy lights (£12,000) for Winchester Neonatal Unit. The device is used to help jaundiced newborns without the need for them to stay in hospital. This phototherapy units are ideal as they allow babies to be mobile while receiving the treatment. Lights are returned to the hospital once the therapy is completed.
4 x ATOM phototherapy units (£11,000) to help recover jaundiced babies in Winchester Neonatal Unit.
2x RP-10 sample preparation system OSNA (£18,000) mixing device to prepare tissue samples for diagnostic testing to replace two existing homogenisers. The equipment has been requested by The Cellular Pathology Department.

Enhancing Patients and Staff Environments £107,000 (2022/23 £124,000)

The most expensive (£37,000) project has been completed for Hampshire Heart Centre (Cardiology and Cardiology Education Fund). The decommissioned space has been restored to create a welfare area, bereavement room, quiet space as well as utility room. The refurbishment has significantly improved the usage of floorspace for the patients, their families as well as hospital staff.

£26,000 has been spent on modernisation and expansion of Outpatient Waiting Area in paediatric care in RHCH (Northbrook/Sophies Place). This project was essential to ensure that critical services can continue for the physical and mental health and wellbeing of young patients.

Further £34,000 has been spent on improving restaurant areas at both Basingstoke and Winchester. Charitable funds were used to refurbish the servery at Basingstoke, purchase comfortable sofas, low tables, seating, plants as well as equipment (self-serve coffee and ice cream machines). By making these improvements, the restaurants have been able to increase their offerings to both staff and visitors.

Also new windows and blinds have been installed in Sherbourne Blue Room (£6,000). The replacement was essential for this room to create fit for purpose space for interviews, patient discharge meetings and patient education session.

Enhancing Patients’ Welfare £216,000 (2022/23 £378,000)

£35,000 has been spent on providing Patient Partner Programme together with £22,000 speciality focused patient voice partner.

The charity also purchased this year motorised wheelchairs for all sites for the value of £36,000.

To ensure the best service to the patients £30,000 annual subscription fee has been paid to UpToDate online service that provides evidence based clinical information and recommendation for health care professionals.

As part of the Healthier Communities New Models of Care £30,000 has been committed to increase the Community Builder (Animator) employed in Andover to 2 days a week resulting in coverage across Andover and Basingstoke. A Community Builder (Animator) is a paid member of staff (usually from a third sector organisation) and is focused on engaging the skills, knowledge and talents of citizens living in a community.

£16,000 is committed to provide a non-core post for psychological support for 12 months at Winchester Hospice to help support patients at end of life and those in receipt of palliative care.

Maintenance of fountain in Hospice Garden for the value of £13,000.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

£11,000 is committed to 1.2 WTE band 6 Clinical Nurse Specialists for 12 months, to enable continued service provision and management of patients for chemotherapy and any other systemic anti-cancer therapy (SACT).

£7,000 was spend on Virtual Reality Therapy kit, as well as on 2 electric patient trolleys.

Supporting our Staff to be Even Better £160,000 (2022/23 £361,000)

Many grateful patients offer donations for the direct benefit of the ward team who have looked after them. These donations are used in two main ways; either to provide additional education to enhance the skills of the team so they can offer even better care to their patients; or to enable team development activities which help improve staff morale and retention both of which are key aspects in delivering high quality healthcare.

A total of £94,000 was used to enable staff to attend educational programmes to expand their skills and knowledge to do their jobs better.

A total of £67,000 was spent or committed on staff welfare this year. This was spent or committed on providing safe spaces for rest and recuperation, facilities that promote and encourage outdoor breaks and activities, improvements to staff rest areas, wellbeing support, reverse mentoring, staff focus week, the annual people’s awards, treats for staff, away days, lockers, Christmas treats, bike doctor clinics, hardship payments and fruit boxes.

Our Future Plans

Looking ahead, following this exciting year after supporting dozens of projects that have delivered improved patient care, helped with staff wellbeing and have contributed towards our vision for a happier, healthier Hampshire 2024-2025 will build on these successes. Our team will be looking to increase donations to be able to help and support more staff, more patients and more families.

We’ll be hosting large scale, community specific fundraising events, including the second annual Lions Picnic in Winchester, inaugural Colour Run in Andover and inaugural Penguin Walk in Basingstoke to increase awareness of and donations to the charity. We’ll be launching specialist business networking events across the region in collaboration with clinicians from the NHS trust to encourage increased business support for Hampshire Hospitals Charity, in the form of gifts in kind, event sponsorship and philanthropic donations.

Throughout our hospitals in Basingstoke, Winchester and Andover we’re going to be encouraging more staff to become Charity Champions to be able to increase participation in fundraising and to empower colleagues to talk confidently about the charity with patients and families when they have questions.

Funding will continue to be raised to support some truly inspirational projects in and around areas of research and innovation to save lives, patient support around hardship such as providing family access to onsite accommodation, children’s health including enhancing the environment of our Firvale space to better support our younger patients, staff wellbeing such as funding team building activities, and collaboration with external support groups for staff as well as improving staff areas.

A new charity brand including visual style and tone of voice will be developed and launched during 2024/2025 to improve awareness of and provide a distinctive look and personality to Hampshire Hospitals Charity, contributing towards our ambitious vision for a happier, healthier Hampshire.

Grant Making Policy

All staff employed by Hampshire Hospitals NHS Foundation Trust can apply for grants from charitable funds to enhance the care and treatment of patients.

Charitable funds can potentially be used for a wide range of costs, including medical research, professional staff development and medical equipment, which the trust cannot acquire through ordinary sources.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

The directors have discretionary powers to delegate their authority to agree grant applications. Currently, Fund Managers can make decisions on items totalling up to and including £1,000 subject to there being sufficient monies in the fund to cover the total requested.

Requests for grants between £1,000 and £5,000 must be approved by both a Fund Manager and the Chief Executive and reported to the full trust board at their next monthly meeting.

For all grants over £5,000, a paper must be completed which includes detailed information to support the grant application. The paper is submitted to the full trust board for approval, who meet monthly.

Any request to Fund Advisors should be in writing and should include details of the name and number of the fund to be charged, the amount, purpose and benefits of request and should be supported with documentation e.g. invoices/receipts.

Details of Fund Managers currently acting for a particular fund can be obtained upon request.

Fundraising

We are guided throughout our fundraising activity by robust governance and reporting, holding ourselves to the highest standards as required by the Charities Commission and Fundraising Regulator.

Income for the Charity is generated through a variety of routes, including, but not exclusive to, direct donations, Charity organised fundraising activity, legacy giving and investments.

There is a large increase of fundraising costs this year £193,000 (2023: £2,000) due to recruitment of fundraising team with skill set focused on income generation for the full spectrum of fundraising methods. This new function has been created as a response to rising importance, size and needs of the charity and is in line with its strategic goals.

There have been no failures by the charity to comply with the Code of Practice, nor complaints received by the Charity about fundraising activity.

Reserves Policy

The Corporate Trustee has a general legal duty to apply the charitable funds within a reasonable amount of time of receiving them, so with this in mind the Corporate Trustee reviews the funds it holds.

The Charity’s reserves and its policy are set out as follows:

The ratio is calculated using the total unrestricted funds over expenditure in the current year. This means that with the current reserves can cover 5.21 times of the charity’s yearly expenditure. Trustees review the ratio annually. The ratio has increased this year due to lower levels of charitable funds activities, decrease of 41% compared to previous year.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

The restricted fund balances of £443,000 (2022/23 £556,000) are not part of the reserves policy as the Corporate Trustee has no discretion over these. Restricted funds are carried forward in the current year to comply with our donors’ specific requirements.

In the Corporate Trustee’s view, the reserves should provide the Charity with adequate financial stability and the means for it to meet its charitable objectives in the medium term i.e. for next 3 to 5 years.

The Corporate Trustee maintains the Charity’s reserves at a level which is at least equivalent to two years operational expenditure having regards to the unpredictability of the funding streams, and therefore discounting any legacy income which, by its nature, cannot be relied upon. The Corporate Trustee also maintains sufficient cover for any reasonable investment losses.

The Corporate Trustee reviews the amount of reserves that are required to ensure that they are adequate to fulfil the charity’s continuing obligations on a quarterly basis at their finance meeting.

Investments and Performance Management

The Charity complies with the investment powers detailed in its governing document in addition to the powers given to it by the Trustee Act 2000. During the year, the Corporate Trustee invested its charitable funds with Sarasin and Partners LLP and Partners Capital LLP. Investments were valued at £4,009,000 as at 31 March 2024 (2022/23 £3,714,000). There is a further remaining investment held by CCLA Investment Management Limited COIF Charities Investment Fund which was valued at £22,000 as at 31 March 2024 (2022/23 - £20,000).

The investment portfolios held with Partners Capital LLP and Sarasin & Partners LLP have increased in year, as the inflation has settled and economy recovered during the year.

The Charity’s current investment policy has a restriction, stated within the mandate, preventing investment in companies whose main business is the processing of tobacco.

The Corporate Trustee performs regular reviews of the performance, structure and financial management arrangements of the funds.

Conclusion

We would like to say a heart-felt thank you to all of the patients, families, carers, staff and the wider community for their continued, generous support. Without this generosity the Charity could not have achieved all of the improvements it has supported during the year.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Statement of Trustee’s Responsibilities

The Trustee is responsible for preparing the Trustee’s Annual Report and the accounts 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 Trustee to prepare accounts for each financial year which give a true and fair view of the state of affairs of the Charity and of the income and expenditure of the Charity for that period.

In preparing these accounts, the Trustee is required to:

select suitable accounting policies and then apply them consistently;
observe the methods and principles in Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable to the United Kingdom and Republic of Ireland (FRS 102);
make judgments and estimates that are reasonable and prudent;
state whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the accounts; and
prepare the accounts on the going concern basis unless it is inappropriate to presume that the Charity will continue in operation.

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 accounts comply with the Charities Act 2011, applicable Charity (Accounts and Reports) Regulations and the provisions of the Charity’s trust deed. The Trustee is also responsible for safeguarding the assets of the Charity and hence 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. Legislation in the United Kingdom governing the preparation and dissemination of accounts may differ from legislation in other jurisdictions.

	04/12/2024
Steve Erskine (Chairman) .............................	Date .......................
	04/12/2024
Alex Whitfield (Trustee) .................................	Date .......................

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Independent Auditors’ Report to the Trustee of Hampshire Hospitals Charity

Opinion

We have audited the financial statements of Hampshire Hospitals Charity (“the charity”) for the year ended 31 March 2024 which comprise the Statement of Financial Activities, the Balance Sheet, the Cash Flow Statement and the related notes, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion the financial statements:

give a true and fair view of the state of the Charity’s affairs as at 31 March 2024, and of its incoming resources and application of resources, for the year then ended;
have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and
have been prepared in accordance with the requirements of the Charities Act 2011.

Basis for opinion

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

Conclusions relating to going concern

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

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

Our responsibilities and the responsibilities of the Trustee with respect to going concern are described in the

relevant sections of this report.

Other information

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

We have nothing to report in this regard.

Matters on which we are required to report by exception

We have nothing to report in respect of the following matters in relation to which the Charities Act 2011 requires us to report to you if, in our opinion:

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

the information given in the financial statements is inconsistent in any material respect with the Trustee’s report; or
sufficient accounting records have not been kept; or
the financial statements are not in agreement with the accounting records; or
we have not received all the information and explanations we require for our audit.

Responsibilities of trustees

As explained more fully in the Trustee’s responsibilities statement, the Trustee is responsible for the preparation of the financial statements which give a true and fair view, and for such internal control as the Trustee determines is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

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

Auditor’s responsibilities for the audit of the financial statements

We have been appointed as auditor under section 144 of the Charities Act 2011 and report in accordance with regulations made under section 154 of that Act.

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

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

Capability of the audit in detecting irregularities, including fraud

Based on our understanding of the Charity and industry, and through discussion with the Trustee and other management (as required by auditing standards), we identified that the principal risks of non-compliance with laws and regulations related to health and safety and anti-bribery. We considered the extent to which noncompliance might have a material effect on the financial statements. We also considered those laws and regulations that have a direct impact on the preparation of the financial statements such as the Charities Act 2011 and Charities Statement of Recommended Practice (FRS 102) 2019. We communicated identified laws and regulations throughout our team and remained alert to any indications of non-compliance throughout the audit. We evaluated management’s incentives and opportunities for fraudulent manipulation of the financial statements (including the risk of override of controls), and determined that the principal risks were related to posting inappropriate journal entries to increase revenue or reduce expenditure and management bias in accounting estimates and judgemental areas of the financial statements. Audit procedures performed by the engagement team included:

Discussions with management and assessment of known or suspected instances of non-compliance with laws and regulations and fraud; and
Identifying and assessing the design effectiveness of controls that management has in place to prevent and detect fraud; and
Challenging assumptions and judgements made by management in its significant accounting estimates; and
Confirmation of related parties with management, and review of transactions throughout the period to identify any previously undisclosed transactions with related parties outside the normal course of

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

business; and

Reading minutes of meetings of those charged with governance; and
Review of significant and unusual transactions and evaluation of the underlying financial rationale supporting the transactions; and
Performing analytical procedures to identify any unusual or unexpected relationships, including related party transactions, that may indicate risks of material misstatement due to fraud.

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.

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

Identify and assess the risks of material misstatement of the financial statements, whether due to fraud or error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and appropriate to provide a basis for our opinion. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control.
Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Charity’s internal control.
Evaluate the appropriateness of accounting policies used and the reasonableness of accounting estimates and related disclosures made by the Trustee.
Conclude on the appropriateness of the Trustee’s use of the going concern basis of accounting and, based on the audit evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant doubt on the Charity’s ability to continue as a going concern. If we conclude that a material uncertainty exists, we are required to draw attention in our auditor’s report to the related disclosures in the financial statements or, if such disclosures are inadequate, to modify our opinion. Our conclusions are based on the audit evidence obtained up to the date of our auditor’s report. However, future events or conditions may cause the Charity to cease to continue as a going concern.
Evaluate the overall presentation, structure and content of the financial statements, including the disclosures, and whether the financial statements represent the underlying transactions and events in a manner that achieves fair presentation (ie. gives a true and fair view).

We communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit.

Use of our report

This report is made solely to the charity’s Trustee, as a body, in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008. 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 the Charity’s Trustee as a body, for our audit work, for this report, or for the opinions we ; have formed.

Kreston Reeves LLP

Chartered Accountants Statutory Auditor Chichester

Date: 20th December 2024

Kreston Reeves LLP are eligible to act as auditors in terms of section 1212 of the Companies Act 2006.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Statement of Financial Activities for the year ended 31 March 2024

				2024			2023
			Unrestricted	Restricted	Total	Unrestricted	Restricted	Total
	Note		Funds	Funds		Funds	Funds
			£'000	£'000	£'000	£'000	£'000	£'000
Income from:
Donations		2	763	1	764	559	2	561
Legacies		2	122	(5)	117	245	71	316
Grants		2	-	-	-	-	-	-
			885	(4)	881	804	73	877
Other trading activities			-	-	-	-	-	-
Investments		7	55	-	55	30	8	38
Total income			940	(4)	936	834	81	915
Expenditure on:
Raising funds:
Other trading costs		3	(191)	-	(191)	(2)	-	(2)
Investment management costs		3	(2)	-	(2)	-	-	-
Charitable activities		4	(551)	(109)	(660)	(696)	(422)	(1,118)
					-			-
Total expenditure			(744)	(109)	(853)	(698)	(422)	(1,120)
Gains on investments		6	288	-	288	(75)	14	(61)
Net movement in funds			484	(113)	371	61	(327)	(266)
Fund balances brought forward			3,944	556	4,500	3,883	883	4,766
Fund balances carried forward			4,428	443	4,871	3,944	556	4,500

All results derive from continuing operations.

All gains and losses recognised in the year are included in the Statement of Financial Activities.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Balance Sheet as at 31 March 2024

	Note	2024		2023
		£'000	£'000	£'000	£'000
Fixed Assets
Investments	6	4,031		3,734
			4,031		3,734
Current Assets
Debtors	8	333		616
Cash at Bank and in Hand	8	1,706		1,203
		2,038		1,819
Creditors: Amounts Falling Due Within One Year	9	(1,199)		(1,053)
Net Current Assets			840		766
Total Assets Less Current Liabilities			4,871		4,500
Total Net Assets			4,871		4,500
Funds of the Charity
Restricted Income Funds	10		443		556
Designated Income Funds	10		4,017		3,653
General Income Funds	10		411		291
Total Charity Funds			4,871		4,500

The annual accounts on pages 15 to 29 were approved and authorised for issue by the Corporate Trustee and signed on its behalf by Steve Erskine.

Signed:

Date: 4[th] December 2024

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Statement of Cash Flows for the year ended 31 March 2024

Notes 2024 £'000 2023 £'000	Notes 2024 £'000 2023 £'000
Cash inflow from operating activities: Net cash provided by (used in) operating activities A Cash inflow from investing activities: Dividends and interest from investments Proceeds from the disposal of investments Purchase of investments Net cash provided by (used in) investing activities Change in cash and cash equivalents in the year Cash and cash equivalents at 1 April 2023 B Cash and cash equivalents at 31 March 2024 B	448 76
	55 38 63 124 (63) (85)
	55 77
	503 153 1,203 1,050
	1,706 1,203

Notes to the cash flow statement for the year to 31 March 2024

A Reconciliation of net movement in funds to net cash flow from operating activities

----- Start of picture text -----
2024 2023
£'000 £'000
Net movement in funds (as per the statement of financial activities) 372 (266)
Adjustments for:
(Gains) losses on investments (288) 61
Dividends and interest from investments (55) (37)
Foreign Exchange Gain (9) 32
(Increase) decrease in debtors 282 (147)
Increase (decrease) in creditors 146 433
Net cash provided by (used in) operating activities 448 76
----- End of picture text -----

B Analysis of cash and cash equivalents

Analysis of cash and cash equivalents
	2024 £'000 2023 £'000
Cash at bank and in hand Cash held by investment managers Total cash and cash equivalents	1,706 1,203 - -
	1,706 1,203

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Notes to the accounts

1. Accounting Policies

Basis of preparation

These accounts have been prepared for the year to 31 March 2024.

The accounts have been prepared under the historical cost convention with items recognised at cost or transaction value unless otherwise stated in the relevant accounting policies below or the notes to these accounts.

The accounts have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice 2019 applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102) (Charities SORP FRS 102), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Charities Act 2011.

The charity constitutes a public benefit entity as defined by FRS 102.

The accounts are presented in sterling and are rounded to the nearest thousand pounds.

Critical accounting estimates and areas of judgement

Preparation of the accounts requires the Trustee to make significant judgements and estimates. The items in the accounts where these judgements and estimates have been made include:

Estimating amounts to be accrued as legacies

The Trustee has considered all legal correspondence received in the year in order to assess whether a legacy should be recognised in the accounts based on the entitlement of the charity to receive it, the probability of receipt, and the reasonable certainty of the amount which includes making enquiries of the executors of the wills in question.

Assessment of going concern

The Trustee has assessed whether the use of the going concern assumption is appropriate in preparing these accounts. The Trustee has made this assessment in respect to a period of one year from the date of approval of these accounts.

The Trustee of the charity has concluded that there are no material uncertainties related to events or conditions that may cast significant doubt on the ability of the Charity to continue as a going concern. The Trustee is of the opinion that the charity will have sufficient resources to meet its liabilities as they fall due.

In making this decision, the Trustee has taken into consideration the risks and uncertainties arising from the Coronavirus pandemic and conclude that the charity can sustain its operations for a period of at least twelve months from date of signing these accounts.

Funds structure

Unrestricted general funds represent those monies which are freely available for application towards achieving any charitable purpose that falls within the Charity’s charitable objects.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Restricted funds are those which are to be used in accordance with specific restrictions imposed by the donor or the result of a specific appeal. Where a preference is indicated by a donor as to the application of funds, they are unrestricted, and then designated by the Trustee in line with this. The Charity follows the Charity Commission guidance for NHS charities when allocating to funds.

Where the restriction requires the gift to be invested to produce income which may be spent but the capital must be protected, then it is an endowment fund. If the Trustee also has the power to spend the capital in addition to the income, then the fund is an expendable endowment fund.

The Charity has a combination of restricted and unrestricted funds and no endowment or expendable endowment funds.

The Charity has some designated funds which have been set aside out of unrestricted funds for specific purposes.

Income recognition

Income is recognised in the period in which the Charity has entitlement to the income, the amount of income can be measured reliably and it is probable that the income will be received.

Income comprises donations, grants, legacies and investment income.

Donations and grants

Donations and grants are recognised when the Charity has confirmation of both the amount and settlement date. In the event of donations or grants pledged but not received, the amount is accrued for where the receipt is considered probable. In the event that a donation or grant is subject to conditions that require a level of performance before the Charity is entitled to the funds, the income is deferred and not recognised until either those conditions are fully met, or the fulfilment of those conditions is wholly within the control of the charity and it is probable that those conditions will be fulfilled in the reporting period.

Legacies

Legacies are included in the statement of financial activities when the Charity is entitled to the legacy, it is probable that the legacy will be received, and any conditions attached to the legacy are within the control of the charity.

Entitlement is taken as the earlier of the date on which either: the Charity is aware that probate has been granted, the estate has been finalised and notification has been made by the executor to the Charity that a distribution will be made, or when a distribution is received from the estate. Receipt of a legacy, in whole or in part, is only considered probable when the amount can be measured reliably and the Charity has been notified of the executor’s intention to make a distribution. Where legacies have been notified to the Charity or the charity is aware of the granting of probate, but the criteria for income recognition have not been met, then the legacy is treated as a contingent asset and disclosed if material. In the event that the gift is in the form of an asset other than cash or a financial asset traded on a recognised stock exchange, recognition is subject to the value of the gift being reliably measurable with a degree of reasonable accuracy and the title of the asset having been transferred to the Charity.

Taxation

The Charity is a registered charity, and as such is entitled to certain tax exemptions on income and profits from investments, and surpluses on trading activities carried on in furtherance of the Charity’s primary objectives, if these profits and surpluses are applied solely for charitable purposes.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Expenditure recognition

Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the Charity to make a payment to a third party, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably.

All expenditure is accounted for on an accruals basis. Expenditure comprises grants and donations, and support costs. All expenses, including support costs, are allocated or apportioned to the applicable expenditure headings. The classification between activities is as follows:

Expenditure on raising funds are those costs attributable to generating income for the Charity, other than those costs incurred in undertaking charitable activities, and represent fundraising costs together with investment management fees.
Expenditure on charitable activities includes all costs associated with furthering the charitable purposes of the Charity through the provision of its charitable activities. Such costs include charitable grants and donations and support costs in respect to the charitable activity including governance costs.

Charitable grants and donations are made after the Trustee has considered an application for funds. Grants and donations are included in the statement of financial activities when approved for payment. Charitable expenditure is authorised and allocated for each individual fund rather than allocated across multiple funds.

Allocation of overheads and support costs

Support costs represent indirect charitable expenditure. In order to carry out the primary purposes of the Charity it is necessary to provide support in the form of personnel development, financial procedures, provision of office services and equipment and a suitable working environment.

Governance costs comprise the costs involving the public accountability of the Charity (including audit costs) and costs in respect to its compliance with regulation and good practice.

All support costs have been allocated to expenditure on charitable activities because any apportionment across the expenditure categories would be immaterial.

Fixed Asset Investments

Listed investments are a form of basic financial instrument and are initially recognised at their transaction value and subsequently measured at their fair value as at the balance sheet date using the closing quoted market price. The Statement of Financial Activities includes the net gains and losses arising on revaluation and disposals throughout the financial year.

The Charity does not acquire put options, derivatives or other complex financial instruments.

As noted above 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.

Gains and losses on investments

Realised gains (or losses) on investment assets are calculated as the difference between disposal proceeds and their opening carrying value or their purchase value is acquired subsequent to the first day of the financial year. Unrealised gains and losses are calculated as the difference between the fair

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

value at the year end and their carrying value at that date. Realised and unrealised investment gains (or losses) are combined in the statement of financial activities and are credited (or debited) in the year in which they arise.

At each quarter end 50% of unrealised gains are allocated across the funds and the remainder is recorded as an unrealised gain reserve.

All unrealised losses are allocated across the funds at each quarter end.

Debtors

Debtors are recognised at their settlement amount, less any provision for non-recoverability. Prepayments are valued at the amount prepaid. They have been discounted to the present value of the future cash receipt where such discounting is material.

Cash at bank and in hand

Cash at bank and in hand represents such accounts and instruments that are available on demand or have a maturity of less than three months from the date of acquisition. Deposits for more than three months but less than one year have been disclosed as short term deposits. Cash placed on deposit for more than one year is disclosed as a fixed asset investment.

Creditors and provisions

Creditors and provisions are recognised when there is an obligation at the balance sheet date as a result of a past event, it is probable that a transfer of economic benefit will be required in settlement, and the amount of the settlement can be estimated reliably. Creditors and provisions are recognised at the amount the Charity anticipates it will pay to settle the debt. They have been discounted to the present value of the future cash payment where such discounting is material.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

2. Analysis of Donations, Legacies and Grants

A total of £127,000 has been accrued in legacies where the receipt of the legacy is probable and measurable but not yet received. Donations include £192,000 accrued as a donation towards robotic surgery.

No grants were notified or received in the year.

3. Allocation of Support Costs and Overheads

	2024	2023
	Total	Total
	£'000	£'000
Accountancy support	48	48
External audit	13	10
Bank charges	-	1
Software maintenance	7	3
Insurance	3	2
Total support costs	71	64

	2024	2023
	Total	Total
Fundraising costs	191	2
Investment management fee	2	-
Total costs of raising funds	193	2

Support costs and overheads are apportioned across restricted and unrestricted funds. All support costs have been allocated to general charitable expenditure (note 4) because any apportionment between the categories of expenditure would be immaterial.

Fundraising costs include a recharge of staff time from HHFT (see note 13), other fundraising expenses and investment management fees. All costs of raising funds are allocated against unrestricted funds.

4. Analysis of Charitable Expenditure (Grant Support Provided)

The charitable expenditure incurred is for grant support provided, rather than for direct charitable activities undertaken by the Charity. The Charity does not provide grant support to individuals but makes the support solely available to HHFT.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

The Corporate Trustee operates a scheme of delegation, whereby fund holders manage the day to day disbursements for their programme in line with the directions set by the Corporate Trustee, and the Charity’s procedures.

The table below shows the categories of programmes that the Charity has supported during the financial year under review.

year under review.
		2024			2023
	Unrestricted	Restricted	Total	Unrestricted	Restricted	Total
	Funds	Funds		Funds	Funds
	£'000	£'000	£'000	£'000	£'000	£'000
Patients' welfare and amenities	159	57	216	182	196	378
Staff welfare and education	169	(9)	160	153	208	361
Purchase of clinical equipment	82	23	105	185	6	191
Enhancing patient environment	69	38	107	124	-	124
Support costs	71	-	71	52	12	64
Other expenditure	1		1	-		-
	551	109	660	696	422	1,118

5. Auditor’s Remuneration

The independent auditor’s remuneration was £12,900 (2022/23 - £10,000) relating solely to the statutory audit with no other additional work undertaken.

6. Investments

Movement in Fixed Asset Investments

Listed Investments Market value at 1 April Additions to investments at cost Disposals at book value Net unrealised investment gains/(losses) Market value at 31 March Carrying value at 31 March Historic cost of investments at 31 March	31 March 2024 £'000 3,734 63 (100) 334 4,031 4,031 2,247	31 March 2023 £'000 3,867 96 (135) (94)
		3,734
		3,734
		1,893

At 31 March 2024, all funds are held by two investment companies who have invested the funds in Common Investment Funds and Overseas Hedge Funds.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Investments held at 31 March 2024 comprised the following:

UK common investment funds Overseas hedge funds	31 March 2024 £'000 31 March 2023 £'000 1,406 1,265 2,625 2,469 4,031 3,734

7. Total Gross Income from Investments

Unrestricted Funds £'000 Return on investments held: UK common investment funds 37 Bank interest 18 55	Restricted 2024 2023 Funds Total Total £'000 £'000 £'000 - 37 35 - 18 3 - 55 38

8. Analysis of Current Assets

Debtors

Amounts falling due within one year: Prepayments and accrued income Other debtors Total debtors	31 March 31 March 2024 2023 £'000 £'000 319 584 14 32 333 616

The Charity has accrued income of £127,000 relating to legacies of which it had been notified during the year and met the criteria for recognition but had not been received as at 31 March 2024 (2023 - £317,000 accrued legacies). A further £192,000 is accrued relating to a donation from a private donor towards the robotic surgery fund which was notified in the year and received in 2024/25 (2023: £177,000 accrued donations). The prior year also included accrued NHS Charities Together grant income of £90,000.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Cash at Bank and in Hand

Cash in hand represented petty cash of £200 (2023 - £200).

9. Analysis of Liabilities

Creditors

	31 March	31 March
	2024	2023
	£'000	£'000
Amounts falling due within one year:
Amounts due to related parties	497	198
Other creditors	2	2
Grants payable	685	843
Accruals	15	10
	1,199	1053

Amounts owed to related parties represent amounts owed to HHFT for costs incurred on behalf of the Charity in furtherance of the Charity’s objects.

All liabilities are unsecured.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

10. Analysis of Charitable Funds

----- Start of picture text -----
Balance at Transfer Gains and Balance at 31
1 April 2023 Income Expenditure between Losses March 2024
£'000 £'000 £'000 funds £'000 £'000
Restricted
Arthritis Research - Legacy I H Spain 94 - - - - 94
Stroke Serv Development Charitable Fund RHCH 234 (4) (32) - - 197
RHCH Staff Benefit 125 - (61) - - 64
RHCH Patient Benefit 36 - (11) - - 25
Covid-19 9 - (4) - - 5
BAME Staff Support 35 - (9) - - 26
Healthier Communities New Models of Care 1 - - - - 1
Hospice Equipment and support 23 - 8 - - 32
Total restricted funds 556 (4) (109) - - 443
Unrestricted
Designated funds
RHCH Chapel 134 - (3) - - 131
UNREALISED GAIN RESERVE 484 - - - - 484
Paediatrics RHCH 41 67 (30) - - 78
Magic Wand Appeal 56 1 (4) - - 53
Liver 232 31 (10) - - 253
Orthopaedic Department General Purposes 516 1 (6) - - 511
Oncology Unit ( Previously EH Unit or Wessex) 201 37 (58) - - 180
Ward C2 83 5 - - - 88
Cardiology Education Fund 73 1 (19) - - 55
Pseudomyxoma/Colorectal Research 291 77 (17) - - 351
Winchester Hospice Fund 120 16 (9) - - 127
ROBOTIC SURGERY FUND 423 200 - - - 623
BDMDS Basingstoke District Medical Dental Society 0 120 (10) - - 110
Other designated 999 127 (153) - - 973
Total designated funds 3,653 683 (319) - - 4,017
General Funds 291 257 (425) - 288 411
Total unrestricted funds 3,944 940 (744) - 288 4,428
Total Funds 4,500 936 (853) - 288 4,871
----- End of picture text -----

Individual unrestricted funds with closing balance over £50,000 have been reported in the table above. All smaller funds are included within other designated and general funds. There are no endowment funds held by the Charity.

The Trustee considers that sufficient resources are held in an appropriate form to enable each fund to be applied in accordance with any restrictions.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

10. Analysis of Charitable Funds (continued)

----- Start of picture text -----
Balance at Transfer Gains and Balance at 31
1 April 2022 Income Expenditure between Losses March 2023
£'000 £'000 £'000 funds £'000 £'000
Restricted
Stroke Services Development Charitable Fund RHCH 242 4 (16) - 4 234
RHCH Staff Benefit 138 37 (52) - 2 125
Arthritis Research - Legacy I H Spain 93 1 (2) - 2 94
Covid-19 154 1 (149) - 2 8
BAME Staff Support 44 - (10) - 1 35
RHCH Patient Benefit - 36 - - - 36
Healthier Communities New Models of Care 30 - (30) - 1 1
Hospice Equipment and support 182 1 (162) - 2 23
Total restricted funds 883 80 (421) - 14 556
Unrestricted
Designated funds
Orthopaedic Department General Purposes 534 8 (36) - 10 516
Oncology Unit (Previously EH Unit or Wessex) 266 26 (95) - 4 201
Liver Fund 245 3 (20) - 4 232
Pseudomyxoma/Colorectal Research 242 82 (38) - 5 291
Robotic Surgery Fund 220 202 (4) - 5 423
Winchester Hospice Fund 164 29 (76) - 3 120
RHCH Chapel 132 1 (2) - 3 134
Cardiology Education Fund 111 4 (43) - 1 73
Ward C2 74 10 (3) - 2 83
Winchester Medical Foundation Charitable Fund 66 1 (41) - 1 27
Magic Wand Appeal 55 1 (1) - 1 56
Other designated 1,628 187 (202) - (116) 1,497
Total designated funds 3,737 554 (561) - (77) 3,653
General Funds 146 279 (136) - 2 291
Total unrestricted funds 3,883 833 (697) - (75) 3,944
Total Funds 4,766 913 (1,118) - (61) 4,500
----- End of picture text -----

The Trustee considers that sufficient resources are held in an appropriate form to enable each fund to be applied in accordance with any restrictions.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

10. Analysis of Charitable Funds (continued)

The purposes of the funds analysed are as follows:

Restricted

Stroke Services – to provide a new ward for stroke patients and to aid in their rehabilitation.

RHCH Staff Benefit – for the benefit of all staff members at Winchester Hospital.

Arthritis Research – Legacy I H Spain – to fund research of arthritis treatments.

Covid-19 – to enhance the well-being of NHS Staff, volunteers and patients impacted by Covid.

BAME Staff Support - to increase and improve our support for our BAME staff.

RHCH Patient Benefit - for the benefit of all patients at Winchester Hospital.

Healthier Communities New Models of Care - project to improve health and wellbeing at 'neighbourhood' level by reducing health inequalities.

Hospice Equipment and support – from NHS funds (via the CCG) to support revenue and equipment in hospices.

Designated

Orthopaedic General Purposes Fund – to provide staff and patients amenities within the Orthopaedic Department.

Oncology Unit (Formerly Elizabeth Hall Unit) – to provide welfare and amenities for patients and staff and to fund enhancements to the fabric of the unit (Haematology/Oncology).

Liver Fund – to fund research and development within the Hepato-Biliary unit.

Pseudomyxoma/Colorectal Research – the relief of patients suffering from pseudomyxoma peritonei, colorectal cancer and related diseases. Promotion and understanding of research into causes, treatment and prevention of pseudomyxoma peritonei, colorectal cancer and related diseases and publications in any form of the results of such research. To provide amenities for staff in the pseudomyxoma and colorectal units.

Robotic Surgery Fund - provision of robotic surgery at BNH.

Winchester Hospice Fund – to support the development of hospice services for the population of Winchester and surrounding areas, including the development of a hospice building, staffing and staff development.

RHCH Chapel – for the preservation and upkeep of the Chapel at Winchester Hospital.

Cardiology Education Fund – to support education and research within the Cardiology Unit and to provide staff amenities within the unit.

Ward C2 - to provide welfare and amenities for patients and staff and to fund enhancements to the fabric of the unit.

Winchester Medical Foundation Charitable Fund – for the benefit of all staff and patients, equipment and training/research.

Magic Wand Appeal – to design, reconfigure and refurbish the paediatric unit.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

11. Analysis of Net Assets between Funds

Fund balances as at 31 March 2024 are represented by:

Investments Current Assets Creditors: Amounts falling due within one year	General Restricted 2024 General Restricted 2023 Funds Funds Total Funds Funds Total £'000 £'000 £'000 £'000 £'000 £'000 3,861 170 4,031 3,456 278 3,734 1,649 390 2,039 794 1,025 1,819 (1,082) (117) (1,199) (306) (747) (1,053) 4,428 443 4,871 3,944 556 4,500

12. Related Party Transactions

HHFT receives grants and delivers services on behalf of the Charity. The Charity has reimbursed HHFT for approved expenditure made on behalf of the Charity. This reimbursement amounted to £1,031,000 (2023 - £433,000) and is included within total expenditure in the Statement of Financial Activities. During the year none of the members of HHFT’s Board or their senior staff or parties related to them were beneficiaries of the Charity.

The Charity owed HHFT £497,000 at 31 March 2024 (2023 - £198,000), as shown in note 9.

Neither HHFT nor any member of the Board received honoraria, emoluments or expenses in the year.

HHFT purchased trustee indemnity insurance costing £3,000 during the year (2022/23 - £1,700).

HHFT has provided fundraising and administrative support for the Charity at a cost of £221,323 (2022/23 - £48,000) for the year.

The Hampshire Medical Fund is considered a related party because Dr Alloway who is the Chief Medical Officer and member of the Trust Board is a Trustee of the Hampshire Medical Fund. No transactions occurred with the Hampshire Medical Fund during the year.

The Winchester Hospice Fundraising Charity is considered a related party because Dr Alloway who is the Chief Medical Officer and member of the Trust Board is a Trustee of the Winchester Hospice Fundraising Charity. No transactions occurred with the Winchester Hospice during the year.

13. Staff costs

The Charity does not directly employ any individuals but is recharged for staff employed by HHFT who have provided services for the Charity. This included the Head of Charity, the fundraising team and a proportion of the costs of other individuals who provided administrative support. There was no team to recharge in 2023. The average monthly headcount of staff included in the recharge over the year to 31 March 2024 was 6 (2023: nil).

The total amount of £173,000 for the year (2023: £nil) represents a recharge covering applicable salaries and other employment costs, including employer’s national insurance and pension costs which are not separately identifiable. None of the recharges related to individual staff emoluments of over £60,000.

The key management personnel comprise the directors of the Corporate Trustee. As disclosed in note 12, no remuneration was paid to these individuals by the Charity.

Hampshire Hospitals Charity

(Registered Charity number 1060133)

Annual Report and Accounts for the year ended 31 March 2024

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Trustee’s Report

Foreword

The Trustee presents the Charity’s Annual Report and the audited Accounts of the Charity for the year ended 31 March 2024.

Statutory Background

Trustee

Directors of HHFT who held office during the year and up to the date of signing the Annual Report and Accounts were:

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Administration

The principal office for the Charity is:

Finance Department Basingstoke and North Hampshire Hospital Aldermaston Road Basingstoke RG24 9NA

Professional Advisers and Agents

During the year the Charity employed the following agents:

Bankers

Lloyds Bank plc 2 Winchester Street Basingstoke Hampshire RG21 7EB

Investment Advisors

Sarasin & Partners LLP Juxon House 100 St Paul's Churchyard London EC4M 8BU

Partners Capital LLP 5th Floor 5 Young Street London W8 5EH

Independent Auditor

Kreston Reeves LLP 9 Donnington Park 85 Birdham Road Chichester West Sussex PO20 7AJ

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Main Purpose of the Charity

Structure, Governance and Management

Risk Management

Significant areas of risk continue to be reviewed and are deemed to include:

Governance Risk

The Company Secretary (or delegated assistant) of the Trustee is in attendance at all meetings to ensure that the charity is managed in line with Charity Law guidelines.

Risk to Reputation

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Financial Risk

If legacies intended for our hospitals do not match the legal title of the Charity there is a risk of delayed or non receipt of funds but if notified merger documents can be provided.

The Charity takes out an annual insurance policy to cover the Trustee Liability.

The Trustee make a regular assessment as to whether the reserves are sufficient to meet their on-going financial obligations.

Partnership Working

Annual Review

A summary of the major items purchased during the year is shown below:

Clinical Equipment £105,000 (2022/23 £191,000)

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

New cold cap machines (£41,000) for Chemotherapy Unit based in Winchester hospital. This is a device that prevents hair loss as a side effect of chemotherapy. Many patients choose to use the cold cap machines during their cancer treatment.
Therapy treadmill (£22,000). The national stroke guidelines strongly recommend treadmill gait training for patients unable to mobilise post stroke.
Billycocoon phototherapy lights (£12,000) for Winchester Neonatal Unit. The device is used to help jaundiced newborns without the need for them to stay in hospital. This phototherapy units are ideal as they allow babies to be mobile while receiving the treatment. Lights are returned to the hospital once the therapy is completed.
4 x ATOM phototherapy units (£11,000) to help recover jaundiced babies in Winchester Neonatal Unit.
2x RP-10 sample preparation system OSNA (£18,000) mixing device to prepare tissue samples for diagnostic testing to replace two existing homogenisers. The equipment has been requested by The Cellular Pathology Department.

Enhancing Patients and Staff Environments £107,000 (2022/23 £124,000)

Enhancing Patients’ Welfare £216,000 (2022/23 £378,000)

£35,000 has been spent on providing Patient Partner Programme together with £22,000 speciality focused patient voice partner.

The charity also purchased this year motorised wheelchairs for all sites for the value of £36,000.

£16,000 is committed to provide a non-core post for psychological support for 12 months at Winchester Hospice to help support patients at end of life and those in receipt of palliative care.

Maintenance of fountain in Hospice Garden for the value of £13,000.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

£7,000 was spend on Virtual Reality Therapy kit, as well as on 2 electric patient trolleys.

Supporting our Staff to be Even Better £160,000 (2022/23 £361,000)

A total of £94,000 was used to enable staff to attend educational programmes to expand their skills and knowledge to do their jobs better.

Our Future Plans

Grant Making Policy

All staff employed by Hampshire Hospitals NHS Foundation Trust can apply for grants from charitable funds to enhance the care and treatment of patients.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Requests for grants between £1,000 and £5,000 must be approved by both a Fund Manager and the Chief Executive and reported to the full trust board at their next monthly meeting.

Details of Fund Managers currently acting for a particular fund can be obtained upon request.

Fundraising

We are guided throughout our fundraising activity by robust governance and reporting, holding ourselves to the highest standards as required by the Charities Commission and Fundraising Regulator.

Income for the Charity is generated through a variety of routes, including, but not exclusive to, direct donations, Charity organised fundraising activity, legacy giving and investments.

There have been no failures by the charity to comply with the Code of Practice, nor complaints received by the Charity about fundraising activity.

Reserves Policy

The Charity’s reserves and its policy are set out as follows:

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

The Corporate Trustee reviews the amount of reserves that are required to ensure that they are adequate to fulfil the charity’s continuing obligations on a quarterly basis at their finance meeting.

Investments and Performance Management

The investment portfolios held with Partners Capital LLP and Sarasin & Partners LLP have increased in year, as the inflation has settled and economy recovered during the year.

The Charity’s current investment policy has a restriction, stated within the mandate, preventing investment in companies whose main business is the processing of tobacco.

The Corporate Trustee performs regular reviews of the performance, structure and financial management arrangements of the funds.

Conclusion

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Statement of Trustee’s Responsibilities

In preparing these accounts, the Trustee is required to:

select suitable accounting policies and then apply them consistently;
observe the methods and principles in Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable to the United Kingdom and Republic of Ireland (FRS 102);
make judgments and estimates that are reasonable and prudent;
state whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the accounts; and
prepare the accounts on the going concern basis unless it is inappropriate to presume that the Charity will continue in operation.

	04/12/2024
Steve Erskine (Chairman) .............................	Date .......................
	04/12/2024
Alex Whitfield (Trustee) .................................	Date .......................

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Independent Auditors’ Report to the Trustee of Hampshire Hospitals Charity

Opinion

In our opinion the financial statements:

give a true and fair view of the state of the Charity’s affairs as at 31 March 2024, and of its incoming resources and application of resources, for the year then ended;
have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and
have been prepared in accordance with the requirements of the Charities Act 2011.

Basis for opinion

Conclusions relating to going concern

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

Our responsibilities and the responsibilities of the Trustee with respect to going concern are described in the

relevant sections of this report.

Other information

We have nothing to report in this regard.

Matters on which we are required to report by exception

We have nothing to report in respect of the following matters in relation to which the Charities Act 2011 requires us to report to you if, in our opinion:

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

the information given in the financial statements is inconsistent in any material respect with the Trustee’s report; or
sufficient accounting records have not been kept; or
the financial statements are not in agreement with the accounting records; or
we have not received all the information and explanations we require for our audit.

Responsibilities of trustees

Auditor’s responsibilities for the audit of the financial statements

We have been appointed as auditor under section 144 of the Charities Act 2011 and report in accordance with regulations made under section 154 of that Act.

Capability of the audit in detecting irregularities, including fraud

Discussions with management and assessment of known or suspected instances of non-compliance with laws and regulations and fraud; and
Identifying and assessing the design effectiveness of controls that management has in place to prevent and detect fraud; and
Challenging assumptions and judgements made by management in its significant accounting estimates; and
Confirmation of related parties with management, and review of transactions throughout the period to identify any previously undisclosed transactions with related parties outside the normal course of

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

business; and

Reading minutes of meetings of those charged with governance; and
Review of significant and unusual transactions and evaluation of the underlying financial rationale supporting the transactions; and
Performing analytical procedures to identify any unusual or unexpected relationships, including related party transactions, that may indicate risks of material misstatement due to fraud.

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

Identify and assess the risks of material misstatement of the financial statements, whether due to fraud or error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and appropriate to provide a basis for our opinion. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control.
Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Charity’s internal control.
Evaluate the appropriateness of accounting policies used and the reasonableness of accounting estimates and related disclosures made by the Trustee.
Conclude on the appropriateness of the Trustee’s use of the going concern basis of accounting and, based on the audit evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant doubt on the Charity’s ability to continue as a going concern. If we conclude that a material uncertainty exists, we are required to draw attention in our auditor’s report to the related disclosures in the financial statements or, if such disclosures are inadequate, to modify our opinion. Our conclusions are based on the audit evidence obtained up to the date of our auditor’s report. However, future events or conditions may cause the Charity to cease to continue as a going concern.
Evaluate the overall presentation, structure and content of the financial statements, including the disclosures, and whether the financial statements represent the underlying transactions and events in a manner that achieves fair presentation (ie. gives a true and fair view).

Use of our report

Kreston Reeves LLP

Chartered Accountants Statutory Auditor Chichester

Date: 20th December 2024

Kreston Reeves LLP are eligible to act as auditors in terms of section 1212 of the Companies Act 2006.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Statement of Financial Activities for the year ended 31 March 2024

				2024			2023
			Unrestricted	Restricted	Total	Unrestricted	Restricted	Total
	Note		Funds	Funds		Funds	Funds
			£'000	£'000	£'000	£'000	£'000	£'000
Income from:
Donations		2	763	1	764	559	2	561
Legacies		2	122	(5)	117	245	71	316
Grants		2	-	-	-	-	-	-
			885	(4)	881	804	73	877
Other trading activities			-	-	-	-	-	-
Investments		7	55	-	55	30	8	38
Total income			940	(4)	936	834	81	915
Expenditure on:
Raising funds:
Other trading costs		3	(191)	-	(191)	(2)	-	(2)
Investment management costs		3	(2)	-	(2)	-	-	-
Charitable activities		4	(551)	(109)	(660)	(696)	(422)	(1,118)
					-			-
Total expenditure			(744)	(109)	(853)	(698)	(422)	(1,120)
Gains on investments		6	288	-	288	(75)	14	(61)
Net movement in funds			484	(113)	371	61	(327)	(266)
Fund balances brought forward			3,944	556	4,500	3,883	883	4,766
Fund balances carried forward			4,428	443	4,871	3,944	556	4,500

All results derive from continuing operations.

All gains and losses recognised in the year are included in the Statement of Financial Activities.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Balance Sheet as at 31 March 2024

	Note	2024		2023
		£'000	£'000	£'000	£'000
Fixed Assets
Investments	6	4,031		3,734
			4,031		3,734
Current Assets
Debtors	8	333		616
Cash at Bank and in Hand	8	1,706		1,203
		2,038		1,819
Creditors: Amounts Falling Due Within One Year	9	(1,199)		(1,053)
Net Current Assets			840		766
Total Assets Less Current Liabilities			4,871		4,500
Total Net Assets			4,871		4,500
Funds of the Charity
Restricted Income Funds	10		443		556
Designated Income Funds	10		4,017		3,653
General Income Funds	10		411		291
Total Charity Funds			4,871		4,500

The annual accounts on pages 15 to 29 were approved and authorised for issue by the Corporate Trustee and signed on its behalf by Steve Erskine.

Signed:

Date: 4[th] December 2024

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Statement of Cash Flows for the year ended 31 March 2024

Notes 2024 £'000 2023 £'000	Notes 2024 £'000 2023 £'000
Cash inflow from operating activities: Net cash provided by (used in) operating activities A Cash inflow from investing activities: Dividends and interest from investments Proceeds from the disposal of investments Purchase of investments Net cash provided by (used in) investing activities Change in cash and cash equivalents in the year Cash and cash equivalents at 1 April 2023 B Cash and cash equivalents at 31 March 2024 B	448 76
	55 38 63 124 (63) (85)
	55 77
	503 153 1,203 1,050
	1,706 1,203

Notes to the cash flow statement for the year to 31 March 2024

A Reconciliation of net movement in funds to net cash flow from operating activities

B Analysis of cash and cash equivalents

Analysis of cash and cash equivalents
	2024 £'000 2023 £'000
Cash at bank and in hand Cash held by investment managers Total cash and cash equivalents	1,706 1,203 - -
	1,706 1,203

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Notes to the accounts

1. Accounting Policies

Basis of preparation

These accounts have been prepared for the year to 31 March 2024.

The charity constitutes a public benefit entity as defined by FRS 102.

The accounts are presented in sterling and are rounded to the nearest thousand pounds.

Critical accounting estimates and areas of judgement

Preparation of the accounts requires the Trustee to make significant judgements and estimates. The items in the accounts where these judgements and estimates have been made include:

Estimating amounts to be accrued as legacies

Assessment of going concern

Funds structure

Unrestricted general funds represent those monies which are freely available for application towards achieving any charitable purpose that falls within the Charity’s charitable objects.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

The Charity has a combination of restricted and unrestricted funds and no endowment or expendable endowment funds.

The Charity has some designated funds which have been set aside out of unrestricted funds for specific purposes.

Income recognition

Income is recognised in the period in which the Charity has entitlement to the income, the amount of income can be measured reliably and it is probable that the income will be received.

Income comprises donations, grants, legacies and investment income.

Donations and grants

Legacies

Taxation

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Expenditure recognition

Expenditure on raising funds are those costs attributable to generating income for the Charity, other than those costs incurred in undertaking charitable activities, and represent fundraising costs together with investment management fees.
Expenditure on charitable activities includes all costs associated with furthering the charitable purposes of the Charity through the provision of its charitable activities. Such costs include charitable grants and donations and support costs in respect to the charitable activity including governance costs.

Allocation of overheads and support costs

Governance costs comprise the costs involving the public accountability of the Charity (including audit costs) and costs in respect to its compliance with regulation and good practice.

All support costs have been allocated to expenditure on charitable activities because any apportionment across the expenditure categories would be immaterial.

Fixed Asset Investments

The Charity does not acquire put options, derivatives or other complex financial instruments.

Gains and losses on investments

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

At each quarter end 50% of unrealised gains are allocated across the funds and the remainder is recorded as an unrealised gain reserve.

All unrealised losses are allocated across the funds at each quarter end.

Debtors

Cash at bank and in hand

Creditors and provisions

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

2. Analysis of Donations, Legacies and Grants

No grants were notified or received in the year.

3. Allocation of Support Costs and Overheads

	2024	2023
	Total	Total
	£'000	£'000
Accountancy support	48	48
External audit	13	10
Bank charges	-	1
Software maintenance	7	3
Insurance	3	2
Total support costs	71	64

	2024	2023
	Total	Total
Fundraising costs	191	2
Investment management fee	2	-
Total costs of raising funds	193	2

4. Analysis of Charitable Expenditure (Grant Support Provided)

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

The table below shows the categories of programmes that the Charity has supported during the financial year under review.

year under review.
		2024			2023
	Unrestricted	Restricted	Total	Unrestricted	Restricted	Total
	Funds	Funds		Funds	Funds
	£'000	£'000	£'000	£'000	£'000	£'000
Patients' welfare and amenities	159	57	216	182	196	378
Staff welfare and education	169	(9)	160	153	208	361
Purchase of clinical equipment	82	23	105	185	6	191
Enhancing patient environment	69	38	107	124	-	124
Support costs	71	-	71	52	12	64
Other expenditure	1		1	-		-
	551	109	660	696	422	1,118

5. Auditor’s Remuneration

The independent auditor’s remuneration was £12,900 (2022/23 - £10,000) relating solely to the statutory audit with no other additional work undertaken.

6. Investments

Movement in Fixed Asset Investments

Listed Investments Market value at 1 April Additions to investments at cost Disposals at book value Net unrealised investment gains/(losses) Market value at 31 March Carrying value at 31 March Historic cost of investments at 31 March	31 March 2024 £'000 3,734 63 (100) 334 4,031 4,031 2,247	31 March 2023 £'000 3,867 96 (135) (94)
		3,734
		3,734
		1,893

At 31 March 2024, all funds are held by two investment companies who have invested the funds in Common Investment Funds and Overseas Hedge Funds.

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Investments held at 31 March 2024 comprised the following:

UK common investment funds Overseas hedge funds	31 March 2024 £'000 31 March 2023 £'000 1,406 1,265 2,625 2,469 4,031 3,734

7. Total Gross Income from Investments

Unrestricted Funds £'000 Return on investments held: UK common investment funds 37 Bank interest 18 55	Restricted 2024 2023 Funds Total Total £'000 £'000 £'000 - 37 35 - 18 3 - 55 38

8. Analysis of Current Assets

Debtors

Amounts falling due within one year: Prepayments and accrued income Other debtors Total debtors	31 March 31 March 2024 2023 £'000 £'000 319 584 14 32 333 616

Hampshire Hospitals Charity – Annual Report and Accounts for the year ended 31 March 2024

Cash at Bank and in Hand

Cash in hand represented petty cash of £200 (2023 - £200).

9. Analysis of Liabilities

Creditors

	31 March	31 March
	2024	2023
	£'000	£'000
Amounts falling due within one year:
Amounts due to related parties	497	198
Other creditors	2	2
Grants payable	685	843
Accruals	15	10
	1,199	1053