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2022-03-31-accounts

Charitable Funds Annual Report 2021/2022

1 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

Foreward

3

Contents

1. Charity Governance, Structure and Management Arrangements 6
2. Goals, Objectives and Activities 8
3. Grant Making Policy 9
4. Financial Policy 10
5. Plans for future periods 13
Financial Accounts 14
Independent Examiners Report 15
Statement of Financial Activities 17
Balance Sheet 18
Statement of Cashfow 19
Accounting Policies 20

2 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

Foreward

Herefordshire and Worcestershire Health and Care NHS Trust Charitable Fund. This document records the activities and Financial Accounts for the financial year 1 April 2021 to 31 March 2022.

The Charity’s report and accounts include all the separately established funds administered for the public benefit by Herefordshire and Worcestershire Health and Care NHS Trust on behalf of the Charity. All the charitable funds held are for the benefit of patients and staff, their carers and the communities served. The patients of Herefordshire and Worcestershire Health and Care NHS Trust are the main beneficiaries of the Charity.

The Charity has a corporate trustee, Herefordshire and Worcestershire Health and Care NHS Trust. The members of the NHS Trust Board who served during the financial year were as follows:

Mr M. Yates Chair
Mrs S. Dugan Chief Executive
Dr J. Devapriam Medical Director
Ms M. Greatorex Director of Nursing and Quality
Mr R. Mackie Director of Finance and Deputy Chief Executive
Mr M. Hall Chief Operating Officer
Ms J. Snell Non-Executive Director
Mr S. Peak Non-Executive Director
Mr J. Morris Non-Executive Director
Ms T. Norris Non-Executive Director
Mr M. Charters Non-Executive Director
Ms J Clarke Non-Executive Director

The Charity is registered with the Charity Commission (No.1060335) in accordance with the Charities Act 2011.

3 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

Reference and administrative details

The Charity was registered on the Central Register of Charities on the 23 January 1997 under its predecessor name Worcestershire Mental Health Partnership NHS Trust Charity. The Charity comprises of a single fund following the consolidation of 10 linked charities as at 12 July 2017. For administrative purposes the notes to the accounts distinguish the types of fund held and disclose separately all material funds.

In April 2020 the Trust took over responsibility for mental health and learning disability services in Herefordshire, and in turn the charity has updated its name inline with the Trust which better reflects the broader services we provide and the wider community we serve.

Charitable funds received by the Charity are accepted, held and administered as funds and property held on trust 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 Trustee.

Trustee

Herefordshire and Worcestershire Health and Care NHS Trust is the Corporate Trustee of the Charity governed by the law applicable to Trusts, principally the Trustee Act 2000 and the Charities Act 2011.

The NHS Trust Board has delegated the authority for the management of the Charity to the Trust’s Charitable Funds Committee which administers the funds on behalf of the Corporate Trustee. This committee was formed in January 1997 to increase the profile of the charitable funds within the organisation and to enhance the management structure of the Charity. The Committee meets at least three times a year to review:

The names of those people who served as agents for the Corporate Trustee, as permitted under regulation 16 of the NHS Trusts (Membership and Procedures) regulations 1990 were as follows:

Mr M. Yates - Chair of Charitable Funds Committee (April to July 2021) Ms J. Snell - Chair of Charitable Funds Committee (appointed July 2021) Mr S. Peak - Non-Executive Director Mr J. Morris - Non-Executive Director Mr R. Mackie - Director of Finance and Deputy Chief Executive Ms J. Austin - Associate Director of Countywide Community Services Mr C. Lavalette - Head of Finance (Systems and Reporting) Mr I. Burrows - Brewin Dolphin (Investment Advisor)

Attendance at the Charitable Funds Committee in the financial year was as below:

4 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

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May August November February
2021 2021 2021 2022
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M Yates J Snell S Peak J Morris R Mackie J Austin C Lavalette I Burrows

Principal Charitable Fund adviser to the Board

The Chairman of the Charitable Funds Committee, under a scheme of delegated authority approved by the Corporate Trustee, has day-to-day responsibility for the management of the charitable funds and must personally approve, on behalf of the Corporate Trustee all expenditure above £2,000 using their delegated authority and will seek approval from the Committee for any expenditure in excess of £7,500.

The Charitable Funds Committee advises the Trust Board about the use of the charitable funds and oversees the day-to-day operation of those funds.

Legal and Administrative

The principal office for the Charity is: Finance Department Herefordshire and Worcestershire Health and Care NHS Trust 2 Kings Court Charles Hastings Way Worcester WR5 1JR

Legal advisers Mills and Reeve 78-84 Colmore Row Birmingham B3 2AB

Bankers Investment advisers Lloyds Bank PLC Brewin Dolphin Ltd The Cross 9 Colmore Row Worcester Birmingham Worcestershire B3 2BJ WR1 3PY

External auditors Internal auditors Grant Thornton UK LLP CW Internal Audit 2 Glass Wharf Wayside House Bristol Wilsons Lane BS2 0EL Coventry CV6 6NY

5 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

1. Charity governance, structure and management arrangements

The Charity was established using the statutory remit contained within the NHS Act 2006 and all funds held on trust as at the date of registration were part of this Charity. Subsequent donations and gifts received by the Charity that are attributable to the original funds are added to those fund balances within the existing Charity.

The Corporate Trustee fulfils its legal duty by ensuring that funds are spent in accordance with the objectives 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, their carers and the staff who look after them. Where funds have been received which have specific restrictions set by the donor, a restricted fund will be established.

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. Non-Executive members of the Trust Board are appointed by the NHS Improvement and Executive members of the Board are subject to recruitment by the NHS Trust Board.

Acting for the Corporate Trustee, the Charitable Funds Committee is responsible for the overall management of the charitable funds. The Committee is required to:

The Corporate Trustee has complied with the duty in section 4 of the Charities Act 2011 to have due regard to public benefit guidance published by the Charity Commission.

The Charity does not employ any staff and in order to keep transaction costs to a minimum and to simplify the process, the Charity relies upon staff employed by the Trustee to identify the appropriateness of funding requests.

The charitable funds available for spending are allocated to specialities within the NHS Trust’s Service Delivery Unit management structure. Each allocation is managed by use of designated funds within the Charity.

The accounting records and the day-to-day administration of the funds are dealt with by the Finance Department located at Herefordshire and Worcestershire Health and Care NHS Trust, 2 Kings Court, Charles Hastings Way, Worcester, Worcestershire, WR5 1JR.

6 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

1.1 Training and development

The Charity takes an active role in the training and development of Trust Board members. Where new Board Members are appointed they receive individual induction training and are provided with information about the Charity, including:

Additionally the Charitable Funds Committee will arrange further training as appropriate.

1.2 Risk management

The Charitable Funds Committee reviews the performance of the fund on a quarterly, year to date and annual basis. Items reported to the Committee include the value of the investments compared with the previous quarter, the balance of cash reserves held throughout the year, the amount of income and expenditure for the quarter and future spending plans. Any potential risks arising from the report are highlighted in the meeting and discussed.

After each meeting of the Charitable Funds Committee, the Chair presents a report to the Board of Directors in order to update it on the most recent work of the Committee providing assurances and escalating matters for further discussion as necessary.

The most significant risk to the Charity is possible losses from a fall in the value of the investments it holds and the level of reserves available to mitigate the impact of such losses. This has been carefully considered and there are procedures in place to review the Investment Policy, ensuring that investment risks are kept to an acceptably low level and to ensure that both spending and firm financial commitments remain in line with income.

1.3 Wider networks and related parties

Herefordshire and Worcestershire Health and Care NHS Trust is a related party by virtue of being the Corporate Trustee of the Charity.

The Charity works closely with the Trust as nearly all of the expenditure is to provide services and facilities to the Trust’s service users, carers and members of staff.

By working in partnership, the charitable funds are used to best effect for the benefit of service users, carers and staff. When deciding upon the most beneficial way to use charitable funds, the Corporate Trustee has regard to both the objectives of the Charity and also the activities, objectives, strategies and plans of the Trust.

7 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

2. Goal, objectives and activities

2.1 Goal

The Charity’s goal is to help the service users, their families and carers, and visitors to the NHS Trust, by enhancing the care the NHS Trust can offer through new equipment, research and investment in people and by creating a caring environment for the service users receiving care, along with their families and visitors. During the year, the funds continued to support a wide range of charitable and health related activities benefiting both service users, carers and staff.

2.2 Objectives

The Charitable Trust’s governing document, the Declaration of Trust, incorporates the object or purpose of the Charity which is that:

“The trustee shall hold the trust fund upon trust to apply income, and at their discretion, so far as may be permissible, the capital, for any charitable purpose or purposes relating to the National Health Service (hereinafter referred to as “the objects”)”

The Trustee has made the following statement in order to focus on the objectives:

“Through donations received we will further improve the provision of high quality patient care throughout the Trust, focussing on areas not covered or fully supported by central NHS funds”.

The Charity has referred to the guidance contained in the Charity Commission’s general guidance on public benefit when reviewing our aim and objectives and in planning our future activities.

2.3 Activities

The focus of our charitable work is to advance patient care, firstly by funding therapies, equipment and facilities and secondly through supporting service users, their carers and NHS staff. During the year, the charitable funds continued to support a wide range of health related activities benefiting service users, their carers and the staff who care for them. In general the Trustee’s approach is to use charitable funds to purchase additional goods and services that enhance the service users’ experience and environment.

In addition to funds intended to meet the needs of patients directly, our charitable funds often receive donations specifically to thank the nursing staff who care for the service users. These funds, by helping the staff either by way of training, morale boosting facilities or amenities, strengthen the NHS Trust’s staff capacity to serve their service users well. The charitable funds also enable consultants and other medical staff to attend courses not funded by the NHS, which will update them on new ideas and modern techniques in their specialties.

During the year 2022/23, the Charitable Funds Committee will carry out its annual review of fund balances and the overall future objectives and direction of the Charity.

8 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

3. Grant making policy

Applications may be made for items which the NHS would not normally fund and these are classified as charitable activities. The Charity makes grants from both its unrestricted and restricted funds.

9 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

4. Financial performance

The net assets of the Charitable Funds as at 31 March 2022 were £1,536,995 (31 March 2021 were £1,574,193). Overall net assets reduced by £37,198 with a gain of £79,746 on investment assets.

The Charity continues to rely on donations, legacies and investment income as the main sources of revenue, amounting to £83,728 in 2021/22 (£238,026 - 2020/21).

4.1 Incoming resources

The following pie chart shows the split between the main sources of income.

10 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

4.2 Resources expended

During the year a variety of expenditure took place, these are summarised below and also shown in the pie chart;

11 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

4.3 Reserves

Reserves are calculated as being the Charity’s income funds that are freely available after taking account of restricted funds which have been designated (earmarked) for specific building or major equipment purchases, research and other projects.

The Trustee intends that restricted and designated funds are spent within a reasonable period of receipt and therefore foresees a need only to maintain reserves sufficient to provide certainty of funding for general grant making. The restricted funds total £407,185, whilst unrestricted funds currently stand at £1,129,810.

The Trustee has established a Reserve Policy with the intention of avoiding major fluctuations in the amounts of income available for distribution and for unforeseen contingencies by retaining £50,000 of cash reserves in excess on known expenditure commitments.

The Trustee continues to review the balances held in restricted and designated funds, in accordance with the provisions of the NHS Acts relating to charitable funds, to determine whether these funds are likely to be committed in the near future and the extent to which there is a continuing need identified for any particular designated fund. All existing funds are reviewed annually to identify activity recorded and to encourage their utilisation.

4.4 Investments

The Charity’s Fixed Assets Investments are managed by Brewin Dolphin Ltd on a discretionary basis with reference to a formal Statement of Investment Principles.

The performance figures of the portfolio are set out below are on a total return basis for the year ended 31 March 2022 in comparison against other key indices:

The Statement of Investment Principles is reviewed annually as are the investment portfolio objectives

and attitude to risk.

The breakdown of the investment portfolio by type as at 31 March 2022 was:

Portfolio
Fixed Interest
Property Investments
Structured Products
UK Equities
Overseas Equity Funds
Absolute Return Fund
Portfolio Total		 Value (£)
178,309
58,612
25,328
328,896
729,718
128,934
1,449,797		 (%)
12.30%
4.04%
1.75%
22.69%
50.33%
8.89%
100.0%

12 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

At the year end, the geographical spread of the portfolio was as follows:

Area 2022 2021
UK 41.1% 44.3%
USA 30.4% 30.4%
Japan 2.9% 3.4%
Asia Pacifc 5.9% 5.2%
Other European markets 5.2% 5.7%
Emerging Markets 1.5% 1.6%
General global investments 12.9% 9.4%

5. Plans for future periods

The many changes in the NHS, including efficiency reviews, continue to shape the environment in which the Charity operates and the priorities of the Charity are affected by changes in the NHS. The reconfiguration of services and the plans for redesigning patient care to meet the needs of the future will continue to influence the priorities for spending of the charitable funds.

The Trustee does not expect any significant changes in the objectives of the Charity in the forthcoming year.

Thank you

On behalf of the staff and patients who have benefited from improved services and facilities due to donations and legacies, the Corporate Trustee would like to thank all patients and relatives and staff who have made charitable donations. Your donations, no matter how small, make a real difference to the lives to the people who come to us for help.

Approved on behalf of the Corporate Trustee;

Julie Snell Chair Charitable Funds Committee Herefordshire and Worcestershire Health and Care NHS Trust Date: 28 November 2022

13 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

STATEMENT OF TRUSTEE RESPONSIBILITIES IN RESPECT OF THE TRUSTEE’S REPORT AND THE FINANCIAL STATEMENTS

Under charity law, the Trustee is responsible for preparing the Trustee’s annual report and accounts for each financial year which show a true and fair view of the state of affairs of the charity and of the excess of expenditure over income for that period.

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

The Trustee is required to act in accordance with the trust deed and the rules of the charity, within the framework of trust law. The Trustee is responsible for keeping proper accounting records, sufficient to disclose at any time, with reasonable accuracy, the financial position of the charity at that time, and to enable the Trustee to ensure that, where any statements of accounts are prepared by the Trustee under section 132(1) of the Charities Act 2011, those statements of accounts comply with the requirements of regulations under that provision. The Trustee has a general responsibility for taking such steps as are reasonably open to the Trustee to safeguard the assets of the charity and to prevent and detect fraud and other irregularities.

Signed on behalf of the Trustee:

Julie Snell Chair Charitable Funds Committee Herefordshire and Worcestershire Health and Care NHS Trust

Date: 28 November 2022

14 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

Independent examiner’s report to the corporate trustee of NHS Worcestershire Health and Care NHS Trust Charitable Funds

I report on the accounts of Herefordshire and Worcestershire Health and Care NHS Trust Charitable Fund (“the Charity”) for the year ended 31 March 2022, which are set out on pages 14 to 27.

Independent examiner’s statement

In connection with my examination, no matter has come to my attention:

Basis of independent examiner’s statement

My examination was carried out in accordance with the general Directions given by the Charity Commission. An examination includes a comparison of the accounts with the accounting records kept by the Charity. It also includes consideration of any unusual items or disclosures in the accounts and seeking explanations from you as corporate trustee concerning any such matters. The procedures undertaken do not provide all the evidence that would be required in an audit, and consequently no opinion is given as to whether the accounts present a ‘true and fair’ view and the report is limited to those matters set out in the statement above.

Respective responsibilities of corporate trustee and examiner

The Charity’s corporate trustee is responsible for the preparation of the accounts. The Charity’s trustee considers that an audit is not required for this year under section 149(2) of the Charities Act 2011 and that an independent examination is needed. It is my responsibility to:

Your attention is drawn to the fact that the Charity’s trustee has prepared the Charity’s accounts in accordance with the Statement of Recommended Practice ‘Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019) issued in October 2019 in preference to the Statement of Recommended Practice ‘Accounting and Reporting by Charities: Statement of Recommended Practice (revised 2005)’ issued in April 2005 which is referred to in the Charities (Accounts and Reports) Regulations 2008 but has been withdrawn. I understand that the Charity’s trustee has done this in order for the Charity’s accounts to give a true and fair view in accordance with United Kingdom Generally Accepted Accounting Practice effective for reporting periods beginning on or after 1 January 2019.

15 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

Independent examiner’s report to the corporate trustee of NHS Worcestershire Health and Care NHS Trust Charitable Funds

Use of this report

This report is in respect of an examination carried out under section 149(3) of the Charities Act 2011. This report is made solely to the Charity’s corporate trustee, as a body, in accordance with the regulations made under section 154 of the Charities Act 2011. My work has been undertaken so that I might state to the Charity’s trustees those matters I am required to state to them in an independent examiner’s report and for no other purpose. To the fullest extent permitted by law, I do not accept or assume responsibility to anyone other than the Charity and the Charity’s trustee, as a body, for my work, for this report or for the opinions I have formed.

JD Roberts

Jon Roberts, CPFA

Grant Thornton UK LLP Chartered Accountants Bristol

5 December 2022

16 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

Statement of Financial Activities for the year ended 31 March 2022

2021/22 2021/22 **2021/22 ** 2020/21
Note Total Total Total Total
unrestricted restricted funds Funds
Funds Funds
£’000 £’000 £’000 £’000
Income from:
Donations and legacies 4 49 0 49 207
Investments 5 35 0 35 31
Total income 84 **0 ** 84 238
Expenditure on:
Raising funds 6 (46) 0 (46) (45)
Charitable activities: 7
- Patient welfare (106) (4) (110) (50)
- Staf education and welfare (45) 0 (45) (126)
Total expenditure (197) (4) (201) (221)
Net gains/(losses) on investments 12 80 0 80 276
Net income/(expenditure) (33) (4) (37) 293
Transfers between funds 0 0 0 0
Net movement in funds (33) (4) (37) 293
Reconciliation of funds
Total funds brought forward 1,163 411 1,574 1,281
Total funds carried forward 1,130 407 1,537 1,574

The notes on pages 20 to 30 form part of these accounts.

17 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

Balance Sheet as at 31 March 2022

Total un-
restricted
funds
Total
restricted
funds
Note
31 March
2022
31 March
2022
31
£’000
£’000
Fixed Assets:
Investments
12
1,085
365
Total fxed assets
1,085
365
Current assets:
Debtors
13
10
0
Cash and cash equivalents
14
37
42
Total current assets
47
42
Liabilities:
Creditors: Amounts falling due
within one year
15
(2)
0
Net current assets
45
43
Total net assets
1,130
407
The funds of the charity
16
Restricted income funds
0
407
Unrestricted funds
1,130
0

Total funds
1,130
407
 Total
funds
March
2022
31
£’000
1,450

1,450

10
79
89
(2)
87
1,537
407
1,130
1,537		 Total
funds
March
2021
£’000
1,352
1,352
6
228
234
(12)
222
1,574
411
1,163
1,574

The notes at pages 20 to 30 form part of these accounts.

Julie Snell

Chairman Charitable Funds Committee Herefordshire and Worcestershire Health and Care NHS Trust

Date: 28 November 2022

18 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

Statement of Cash Flows for the year ending 31 March 2022

**2021/22 ** 2020/21
Note Total Total
funds Funds
£’000 £’000
Cash fows from operating activities:
Net cash provided by (used in) operating activities 17 (166) (18)
Cash fows from investing activities:
Dividends, interest and rents from investments 5 35 31
Proceeds from the sale of investments 12 192 220
Purchase of investments 12 (210) (180)
Net cash provided by (used in) investing activities 17 71
Change in cash and cash equivalents in the reporting (149) 53
Cash and cash equivalents at the beginning of the reporting 228 175
period
Cash and cash equivalents at the end of the reporting period 14 79 228

19 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

1. Accounting policies

(a) Basis of preparation

The financial statements have been prepared under the historical cost convention, with the exception of investments which are included at fair value.

The accounts (financial statements) have been prepared in accordance with the Statement of Recommended Practice:

(b) Funds structure

Where there is a legal restriction on the purpose to which a fund may be put, the fund is classified either as:

Endowment funds, where the capital is held to generate income for charitable purposes, are subanalysed between those where the Trustee has the discretion to spend the capital, expendable endowment, and those where there is no discretion to expend the capital, permanent endowment. The Charity has no permanent endowment funds and no expendable endowment funds.

Those funds which are neither endowment nor restricted income funds, are unrestricted income funds which are sub analysed between designated (earmarked) funds where the Trustee has set aside amounts to be used for specific purposes, often reflecting the wishes of donors and unrestricted funds which are at the Trustee’s discretion, including the general fund. The major funds held in each of these categories are disclosed in note 16.

(c) Incoming resources

All incoming resources are included in the Statement of Financial Activities once the Charity has entitlement to the resources, it is probable that the resources will be received and the monetary value of incoming resources can be measured with sufficient reliability.

Where there are terms or conditions attached to incoming resources, particularly grants, then these terms or conditions must be met before the income is recognised as the entitlement condition will not be satisfied until that point. Where terms or conditions have not been met or uncertainty exists as to whether they can be met then the relevant income is not recognised in the year but deferred and shown on the balance sheet as deferred income.

Distribution of Investment Income to individual Charitable Funds is made quarterly, based on the number of shares each individual fund has within the investment portfolio.

20 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

(d) Incoming resources from legacies

Legacies are accounted for as incoming resources either upon receipt or where the receipt of the legacy is probable.

Receipt is probable when:

If there is uncertainty as to the amount of the legacy and it cannot be reliably estimated then the legacy is shown as a contingent asset until all of the conditions for income recognition are met.

(e) 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 Statement of Financial Activities. Expenditure is recognised when the following criteria are met:

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

(f) Recognition of expenditure and associated liabilities as a result of grant Grants payable are payments made to linked, related party or third party NHS bodies and non NHS bodies, in furtherance of the charitable objectives of the funds held on trust.

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 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 then those conditions have to be met before the liability is recognised.

Where an intention has not been communicated, then no expenditure is recognised but an appropriate designation is made in the appropriate fund. If a grant has been offered but there is uncertainty as to whether it will be accepted or whether conditions will be met then no liability is recognised but a contingent liability is disclosed.

21 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

(g) Allocation of support costs

Support costs are those costs which do not relate directly to a single activity. These include some staff costs, costs of administration, internal and external audit costs and IT support. Support costs have been apportioned between fundraising costs and charitable activities on an appropriate basis. The analysis of support costs and the bases of apportionment applied are shown in note 9.

(h) Costs of raising funds

The costs of raising funds includes all expenditure associated with generating incoming resources from all sources other than from undertaking charitable activities. This includes costs of fundraising, trading and associated costs and costs of managing investments as shown in note 6.

(i) Charitable activities

Costs of charitable activities comprise all costs incurred in the pursuit of the charitable objects of the charity. These costs, where not wholly attributable, are apportioned between the categories of charitable expenditure in addition to the direct costs. The total costs of each category of charitable expenditure include an apportionment of support costs as shown in note 7.

(j) Fixed asset investments

Investments are a form of basic financial instrument. Fixed asset investments are initially recognised at their transaction value and are subsequently measured at their fair value (market value) as at the balance sheet date. The Statement of Financial Activities includes the net gains and losses arising on revaluation and disposals throughout the year. Quoted stocks and shares are included in the Balance Sheet at the current market value quoted by the investment analyst, excluding dividend. Other investments are included at the Trustee’s best estimate of market value.

The main form of financial risk faced by the charity is that of volatility in equity markets and investment markets due to wider economic conditions, the attitude of investors to investment risk, and changes in sentiment concerning equities and within particular sectors or sub sectors. Further information on the Charity’s investments can be found in note 12.

(k) Debtors

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

(l) Cash and cash equivalents

Cash at bank and in hand is held to meet the day to day running costs of the charity as they fall due. Cash equivalents are short term, highly liquid investments, usually in notice interest bearing savings accounts.

(m) 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.

The Charity does not owe any amounts due over one year.

(n) Realised gains and losses

All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and opening carrying value (purchase date if later). Unrealised gains and losses are calculated as the difference between the market value at the year end and the opening carrying value (or purchase date if later).

(o) Pensions

The Charity does not employ any staff and therefore does not have a pension liability.

22 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

2. Prior year comparatives by type of fund

The primary statements provide prior year comparatives in total; this note provides prior period comparatives for the Statement of Financial Activities and the Balance Sheet for both types of fund that the Charity

manages.

2a. Unrestricted funds – Statement of Financial Activity for the year ended 31 March 2022

2021/22
2020/21
£’000
£’000
Income
Donations and legacies
49
193
Investments
35
31
Total income
84
224
Expenditure
Raising funds
(46)
(45)
Charitable activities
(151)
(163)
Total expenditure
(197)
(208)
Net gains/(losses) on investments
80
276
Net income/(expenditure)
33
292
Transfer between funds
0
0
Net movement in funds
33
292
Reconciliation of funds
Total funds brought forward
1,163
871
Total funds carried forward
1,130
1,163
Unrestricted funds – Balance Sheet as at 31 March 2022
2021/22
2020/21
£’000
£’000
Fixed Assets
Investments
1,085
987
Total fxed assets
1,085
987
Current assets
Debtors
10
6
Cash and cash equivalents
37
182
Total current assets
47
188
Liabilities
Creditors: Amounts falling due within one year
(2)
(12)
Net current assets
45
176
Total net assets
1,130
1,163		 2021/22
2020/21
£’000
£’000
Income
Donations and legacies
49
193
Investments
35
31
Total income
84
224
Expenditure
Raising funds
(46)
(45)
Charitable activities
(151)
(163)
Total expenditure
(197)
(208)
Net gains/(losses) on investments
80
276
Net income/(expenditure)
33
292
Transfer between funds
0
0
Net movement in funds
33
292
Reconciliation of funds
Total funds brought forward
1,163
871
Total funds carried forward
1,130
1,163
Unrestricted funds – Balance Sheet as at 31 March 2022
2021/22
2020/21
£’000
£’000
Fixed Assets
Investments
1,085
987
Total fxed assets
1,085
987
Current assets
Debtors
10
6
Cash and cash equivalents
37
182
Total current assets
47
188
Liabilities
Creditors: Amounts falling due within one year
(2)
(12)
Net current assets
45
176
Total net assets
1,130
1,163		 2021/22
2020/21
£’000
£’000
Income
Donations and legacies
49
193
Investments
35
31
Total income
84
224
Expenditure
Raising funds
(46)
(45)
Charitable activities
(151)
(163)
Total expenditure
(197)
(208)
Net gains/(losses) on investments
80
276
Net income/(expenditure)
33
292
Transfer between funds
0
0
Net movement in funds
33
292
Reconciliation of funds
Total funds brought forward
1,163
871
Total funds carried forward
1,130
1,163
Unrestricted funds – Balance Sheet as at 31 March 2022
2021/22
2020/21
£’000
£’000
Fixed Assets
Investments
1,085
987
Total fxed assets
1,085
987
Current assets
Debtors
10
6
Cash and cash equivalents
37
182
Total current assets
47
188
Liabilities
Creditors: Amounts falling due within one year
(2)
(12)
Net current assets
45
176
Total net assets
1,130
1,163		 2021/22
2020/21
£’000
£’000
Income
Donations and legacies
49
193
Investments
35
31
Total income
84
224
Expenditure
Raising funds
(46)
(45)
Charitable activities
(151)
(163)
Total expenditure
(197)
(208)
Net gains/(losses) on investments
80
276
Net income/(expenditure)
33
292
Transfer between funds
0
0
Net movement in funds
33
292
Reconciliation of funds
Total funds brought forward
1,163
871
Total funds carried forward
1,130
1,163
Unrestricted funds – Balance Sheet as at 31 March 2022
2021/22
2020/21
£’000
£’000
Fixed Assets
Investments
1,085
987
Total fxed assets
1,085
987
Current assets
Debtors
10
6
Cash and cash equivalents
37
182
Total current assets
47
188
Liabilities
Creditors: Amounts falling due within one year
(2)
(12)
Net current assets
45
176
Total net assets
1,130
1,163
~~Total unrestricted funds~~
~~1,130~~		 ~~1,163~~

23 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

2b. Restricted funds – Statement of Financial Activity for the year ended 31 March 2022

2021/22
2020/21
£’000
£’000
Income
Donations and legacies
0
14
Investments
0
0
Total income
0
14
Expenditure
Raising funds
0
0
Charitable activities
(4)
(13)
Total expenditure
(4)
(13)
Net gains/(losses) on investments
0
0
Net income/(expenditure)
(4)
1
Transfer between funds
0
0
Net movement in funds
4
1
Reconciliation of funds
Total funds brought forward
411
410
Total funds carried forward
407
411
2020
2019
£’000
£’000
Fixed Assets
Investments
365
365
Total fxed assets
365
365
Current assets
Debtors
0
0
Cash and cash equivalents
42
46
Total current assets
42
46
Liabilities
Creditors: Amounts falling due within one year
0
0
Net current assets
42
46
Total net assets
407
411
Total unrestricted funds
407
411
Restricted funds – Balance Sheet as at 31 March 2022		 2021/22
2020/21
£’000
£’000
Income
Donations and legacies
0
14
Investments
0
0
Total income
0
14
Expenditure
Raising funds
0
0
Charitable activities
(4)
(13)
Total expenditure
(4)
(13)
Net gains/(losses) on investments
0
0
Net income/(expenditure)
(4)
1
Transfer between funds
0
0
Net movement in funds
4
1
Reconciliation of funds
Total funds brought forward
411
410
Total funds carried forward
407
411
2020
2019
£’000
£’000
Fixed Assets
Investments
365
365
Total fxed assets
365
365
Current assets
Debtors
0
0
Cash and cash equivalents
42
46
Total current assets
42
46
Liabilities
Creditors: Amounts falling due within one year
0
0
Net current assets
42
46
Total net assets
407
411
Total unrestricted funds
407
411
Restricted funds – Balance Sheet as at 31 March 2022		 2021/22
2020/21
£’000
£’000
Income
Donations and legacies
0
14
Investments
0
0
Total income
0
14
Expenditure
Raising funds
0
0
Charitable activities
(4)
(13)
Total expenditure
(4)
(13)
Net gains/(losses) on investments
0
0
Net income/(expenditure)
(4)
1
Transfer between funds
0
0
Net movement in funds
4
1
Reconciliation of funds
Total funds brought forward
411
410
Total funds carried forward
407
411
2020
2019
£’000
£’000
Fixed Assets
Investments
365
365
Total fxed assets
365
365
Current assets
Debtors
0
0
Cash and cash equivalents
42
46
Total current assets
42
46
Liabilities
Creditors: Amounts falling due within one year
0
0
Net current assets
42
46
Total net assets
407
411
Total unrestricted funds
407
411
Restricted funds – Balance Sheet as at 31 March 2022


365
0
46
46
0
46
411
411

24 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

3. Related party transactions

Herefordshire and Worcestershire Health and Care NHS Trust is the sole Corporate Trustee and beneficiary of the Charity. The charity has made revenue and capital grant payments to the Trust for the benefit of NHS patients and these are detailed in note 7.

During the year none of the members of the NHS Trust Board or parties related to them has undertaken any transactions with the Charity or received any benefit from the Charity in payment or kind. The Trustee received no honoraria, expenses or emoluments in the year.

The Trust makes a number of clerical and transaction services available to the charity, by agreement with the Trustee. These include administrative services at a cost of £30,177 (£29,598 in 2020/21) in support of the charity’s grant making activities which are included within support costs - see note 8. The amounts paid for administrative services are due under a service level agreement and are set at an amount which allows the Trust to recover its costs.

4. Income from donations and legacies

Unrestricted Restricted Total Total
funds funds 2021/22 2020/21
£’000 £’000 £’000 £’000
Donations from individuals 44 0 44 47
Donations from corporations 0 0 0 10
Funds from other NHS Charities 0 0 0 146
Legacies 5 0 5 4
Total 49 0 49 207

Legacy income is only included in incoming resources where receipt is probable and the amount is known with certainty, or the legacy has been received. Total legacy income was a single bequest being £5,000.

5. Gross income from investments

Unrestricted Restricted Total Total
funds funds 2021/22 2020/21
£’000 £’000 £’000 £’000
Investments listed on UK
Stock Exchange 35 0 35 31
Total 35 0 35 31

6. Analysis of expenditure on raising funds

Unrestricted Restricted Total Total
funds funds 2021/22 2020/21
£’000 £’000 £’000 £’000
Investment management cost 10 0 10 9
Support costs 36 0 36 36
Total 46 0 46 45

25 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

7. Analysis of charitable activities

nalysis of charitable activities
Total Total
2021/22 2020/21
£’000 £’000
Patient welfare 110 50
Staf education and welfare 45 126
155 176

8. Analysis of grants

The charity does not make grants to individuals. All grants are made to the Trust to provide for the care of NHS patients in furtherance of our charitable aims. The grant support was given to Herefordshire and Worcestershire Health and Care NHS Trust. The total cost of making grants, including support costs, is disclosed on the face of the Statement of Financial Activities and the actual funds spent on each category of charitable activity, is disclosed in note 7.

The Corporate Trustee operates a scheme of delegation for all of the charitable funds, through which all grant funded activity is managed by fund advisers responsible for the day to day disbursements on their projects, in accordance with the directions set out by the Trustee’s charity standing orders and financial instructions.

9. Allocation of support costs

Support costs have been allocated between raising funds and charitable activities on the basis of direct allocation.

on.
Raising Charitable Total Total
funds activities 2021/22 2020/21
£’000 £’000 £’000 £’000
External audit 2 0 2 2
Internal audit 0 0 0 0
Governance 2 0 2 2
Administration costs 30 0 30 30
Miscellaneous 4 0 4 4
Total 36 0 36 36

10. Analysis of administration costs

The Charity does not employ any staff, but the Charity was charged £30,177

by Herefordshire and Worcestershire Health and Care NHS Trust. This represented the recovery of the costs of relevant NHS Trust employees who administered the charitable funds during the year.

26 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

11. External Auditor’s remuneration

The external audit fee for 2021/22 was £2,400. This fee relates solely to examination, with no other additional work undertaken.

12. Fixed assets investments

Movement in fxed asset investments
Market value bought forward
Add: additions to investments at cost
Less: disposals at carrying value
Add: net gain / (loss) on revaluation
Market value at year end
Fixed asset investments by type
Fixed interest
Property investments
Structured products
UK equities
Overseas equity funds
Absolute return funds
Total		 2022
£’000
178
59
25
329
730
129
1,450		 2022
%
12.3
4.0
1.8
22.7
50.3
8.9
100.0		 2022
Total
£’000
1,352
210
(192)
80
1,450
2021
£’000
185
50
50
340
687
40
1,352		 2021
Total
£’000
1,116
180
(220)
276
1,352

2021
%
13.7
3.7
3.7
25.1
50.8
3.0
100.0

27 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

All investments are carried at their fair value.

The Trustee set 5% of market value as of 31 March as the threshold for reporting material investments. As of 31 March 2022, the following investments were considered material: Vanguard US Equity Index Inst Plus Inc fund (6.35% of portfolio); Vanguard Funds PLC S&P500 ETF USD (6.97% of portfolio); and Artemis US Select Fund (5.79% of portfolio).

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

The main risk from financial instruments lies in the combination of uncertain investment markets and volatility in yield. Owing to ‘quantitative easing’ and the market favouring lower risk investments, the yield on bonds has been low giving rise to a significant downside risk of a fall in capital values if interest rates return to normal levels

Although the stronger economy should result in improving dividend yields, there is concern that the market conditions will change and this may not be the case.

The default rate on fixed interest securities is expected to improve with a strengthening economy. The high current demand for high quality corporate bond and government stock continues to depress the yield.

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

The Charity manages these investment risks by retaining expert advisors and operating an investment policy that provides for a high degree of diversification of holdings within investment asset classes. All investments were made in companies listed on a UK stock exchange or incorporated in the UK or European Union and therefore all investments are treated as investment assets in the UK/EU. Restricted appeals to fund specific equipment or assets are held on notice deposit or overnight on the money markets in accordance with the Trustee’s investment policy.

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

28 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

13. Analysis of current debtors

13. Analysis of current debtors
Debtors under 1 year 2022 2021
£’000 £’000
Debtors 10 6
Prepayments 0 0
Total 10 6

14. Analysis of cash and cash equivalents

Analysis of cash and cash equivalents 2022 2021
£’000 £’000
Cash in hand 55 182
Short term investments 24 46
Total 79 228

All cash is held in a current account. No cash or cash equivalents or current asset investments were held in non-cash investments or outside of the UK.

15. Analysis of Liabilities

15. Analysis of Liabilities
Creditors under 1 year 2022 2021
£’000 £’000
Other creditors 2 12
Accruals 0 0
Total 2 12

29 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

16. Analysis of fund movements charitable funds

The Trustee sets a closing balance of £50,000 or above as the threshold for the separate reporting of material funds. In the interests of accountability and transparency a complete breakdown of all funds is available upon written request.

Fund
Malvern Hospital
Other restricted funds
Other unrestricted funds
Mental Health & Learning
Disabilities
Integrated Community
Care
Countywide Community
Care
Children’s and Specialist
General Trust-Wide
NHS Charities Together
Grant		 B/fwd
Income
Expenditure
Gains
and
losses
326
0
(3)
0
85
0
(1)
0
23
(58)
(45)
80
164
51
(83)
0
175
14
(18)
0
175
20
(26)
0
177
7
(7)
0
397
50
(18)
0
52
0
0
0
1,574
84
(201)
80		 Fund
C/fwd
323
84
0
132
171
169
177
429
52
1,537

17. Reconciliation of net income/(expenditure) to net cash flow from operating activities


operating activities
2021/22 2020/21
£’000 £’000
Net income/(expenditure)
(as per the Statement of Financial Activities) (37) 292
Adjustments for:
Depreciation charges 0 0
(Gains)/losses on investments (80) (276)
Dividends, interest and rents from investments (35) (31)
Loss/(proft) on the sale of fxed assets 0 0
(Increase)/decrease in stocks 0 0
(Increase)/decrease in debtors (4) (6)
Increase/(decrease) in creditors (10) 3
Net cash provided by (used in) operating activities (166) (18)

30 | Hereforshire and Worcestershire Health & Care NHS Trust Charitable Funds Annual Report and Accounts 2021/22 Registration number: 1060335

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