Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Registered Charity No: 1061384 Address of Charity: Royal Devon and Exeter NHS Foundation Trust General Charity Barrack Road Exeter EX2 5DW
Corporate Trustee:
The Royal Devon and Exeter NHS Foundation Trust is the Corporate Trustee of the Royal Devon and Exeter NHS Foundation Trust General Charity. The Executive and Non-Executive directors who served the Royal Devon and Exeter NHS Foundation Trust are as follows:
| J Brent | Chairman |
|---|---|
| J Ashman | Non-Executive Director (resigned 30 September 2020) |
| C Bones | Non-Executive Director (resigned 31 May 2021) |
| C Burgoyne | Non-Executive Director (appointed 28 June 2021) |
| P Dillon | Non-Executive Director |
| J Kay | Non-Executive Director |
| B Kent | Non-Executive Director (appointed 28 June 2021) |
| H Khalil | Non-Executive Director (resigned 2 June 2021) |
| S Kirby | Non-Executive Director |
| A Matthews | Non-Executive Director |
| K Orford | Non-Executive Director (appointed 29 March 2021) |
| P Adey | Chief Operating Officer (resigned 31 March 2021) |
| H Foster | Chief People Officer |
| A Harris | Chief Medical Officer |
| A Hibbard | Chief Financial Officer (appointed 1 January 2021) |
| C Mills | Chief Nursing Officer (appointed 18 January 2021 |
| J Palmer | Chief Operating Officer (appointed 12 April 2021) |
| D Thomas | Interim Chief Nurse (resigned 18 January 2021) |
| C Tidman | Deputy Chief Executive (appointed 1 January 2021, previously Chief |
| Financial Officer) | |
| S Tracey | Chief Executive |
| Bankers: | Bank of Scotland |
| 33 Old Broad Street | |
| London | |
| Investment Managers: | Brewin Dolphin |
| Vantage Point, Woodwater Park | |
| Pynes Hill | |
| Exeter EX2 5FD | |
| Independent Auditor: | KPMG LLP |
| Chartered Accountants | |
| 66 Queen Square, Bristol, BS1 4BE |
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Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Structure, Governance and Management
The Charity was created by Trust Deed on the 19[th] March 1997 and was named the Royal Devon and Exeter Healthcare NHS Trust General Charity.
On the 3[rd] August 2004 the Charity was renamed as the Royal Devon and Exeter NHS Foundation Trust General Charity (the “Charity”), reflecting the Royal Devon and Exeter NHS Foundation Trust’s foundation status.
The Corporate Trustee (the “Trustee”) is the Royal Devon and Exeter NHS Foundation Trust (the “Trust”), and the Executive Directors and Non-Executive Directors of the Trust Board share responsibility to ensure that the Trust fulfills its duties as Trustee.
The Trust’s Chairman and Non-Executive Directors are appointed by the Trust’s Council of Governors (the “COG”) acting on the recommendation of the Nominations Committee, which is a committee of the COG. Prior to the appointment of a Non-Executive Director, the Trust’s Board undertake a review of the ‘Policy for the Composition of Non-Executive Directors on the Board’ to ensure the necessary mix of skills and experience on the Board is achieved.
Executive Directors are appointed in accordance with the Trust’s constitution. The Non-Executive Directors select the Chief Executive Officer and the appointment is ratified by the COG. A committee of the Chairman and Non-Executive Directors appoints the Executive Directors.
A Charity Sub-Committee has been established to oversee the operation of the Charity on behalf of the Trust Board in its role as Corporate Trustee. Its purpose is to give assurance to the Trust Board that charitable funds are managed and operated in accordance with the governing documents and comply with relevant legislation and guidance from the Charity Commission for England and Wales. The Charity Sub-Committee makes recommendations, as agreed at its meetings, to the Trust Board as the Corporate Trustee, for its approval or otherwise.
The Chief Financial Officer has delegated authority for the day to day management and control of the administration of the Charity.
The Charity has one linked charity, the Common Investment Fund, which has capital restrictions.
The funds held under the Common Investment Fund are classified as restricted income funds. The funds relating to particular wards and departments are also treated as restricted income funds if the donor has specified that the funds should be used for a particular purpose. Funds where the donor has expressed a desire that the donation be spent in a certain way, but has acknowledged that no trust is created, are classified as unrestricted, designated. The remaining funds held by the Charity are classified as unrestricted income funds, i.e. general funds.
The funds relating to particular wards and departments are managed on a day to day basis by fund holders, normally the ward/departmental manager.
Trustee induction and training
As part of their induction new members of the Corporate Trustee are made aware of their responsibilities.
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Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Statement of Trustee’s responsibilities in respect of the Trustee’s annual report and the financial statements
Under the trust deed and rules of the Charity and charity law, the Trustee is responsible for preparing the Trustee’s Annual Report and the financial statements in accordance with applicable law and regulations. The Trustee has elected to prepare the financial statements in accordance with UK Accounting Standards, including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland.
The financial statements are required by law to give a true and fair view of the state of affairs of the Charity and of the excess of income over expenditure for that period.
In preparing these financial statements, generally accepted accounting practice entails that the trustee:
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select suitable accounting policies and then apply them consistently;
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make judgements and estimates that are reasonable and prudent;
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state whether applicable UK Accounting Standards and the Statement of Recommended Practice have been followed, subject to any material departures disclosed and explained in the financial statements;
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state whether the financial statements comply with the Trust Deed and rules, subject to any material departures disclosed and explained in the financial statements; and
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assess the Charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern; and
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use the going concern basis of accounting unless they either intend to liquidate the Charity or to cease operations, or have no realistic alternative but to do so.
The Trustee is required to act in accordance with the Trust Deed and the rules of the Charity, within the framework of trust law. It is responsible for keeping proper accounting records, sufficient to disclose at any time, with reasonable accuracy, the financial position of the Charity at that time, and to enable the Trustee to ensure that, where any statements of accounts are prepared by them under section 132(1) of the Charities Act 2011, those statements of accounts comply with the requirements of regulations under that provision. It is responsible for such internal control as it determines is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error, and has general responsibility for taking such steps as are reasonably open to them to safeguard the assets of the Charity and to prevent and detect fraud and other irregularities.
The Trustee is responsible for the maintenance and integrity of the financial and other information included on the Charity’s website. Legislation in the UK governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.
Objectives & Activities
The Charity was registered with the objective:
“For any charitable purpose and purposes relating to the National Health Service wholly or mainly for the Royal Devon and Exeter NHS Foundation Trust.”
The funds relating to specific wards and departments include objectives relevant to those wards and departments. The objectives of funds relating to research include education and investigation into the causes, prevention, treatment and cure of sickness and disability.
The overall policy of the Charity is to provide support to the Royal Devon and Exeter NHS Foundation Trust by the following means:
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Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Patients’ expenditure - purchase of small equipment and the provision of services and facilities not normally provided by, or in addition to, the normal NHS provision.
Staff expenditure - a) motivation of staff, by improving staff facilities and by providing services that improve staff wellbeing,
- b) education of staff by providing education over and above that normally provided by the Trust.
Capital equipment - purchase of equipment in addition to that normally provided by an NHS trust. Research expenditure - resources to allow staff to undertake non-commercial research and educational activities. The objectives of each of the individual funds state whether the use of the fund is for patients, staff, and provision of equipment or research.
Royal Devon and Exeter NHS Foundation Trust Profile
The RD&E has a long and proud history dating back over 250 years. Today, we provide safe, high quality and compassionate care to around 450,000 people in Exeter and across East and MidDevon; in a large acute teaching hospital, twelve community hospitals, various community settings and in people’s homes.
In 2004, we were one of the first Trusts nationally to achieve NHS Foundation Trust status. This means that we are directly accountable to local citizens through our Members and Governors. It enables us to connect more closely to the people and communities we serve and are better able to respond to local needs.
The Trust has earned a national and international reputation for the provision of high quality healthcare services, innovation, research and education. The following specialist fields are widely recognised for excellence; Princess Elizabeth Orthopaedic Centre, the Centre for Women’s Health (maternity, neonatology and gynaecology services), Cancer Services, Renal Services, Exeter Mobility Centre and Mardon Neurorehabilitation Centre.
Review of Fundraising & Activities of the Charitable Funds
Over the past year, whenever corona virus restrictions permitted, third-party fundraisers have run, walked, cycled, abseiled, baked, skydived and done so many other things in support of local patients. They have given their time, enthusiasm and energy and have also rallied their friends and family to support the cause. Our grateful thanks go to everyone who has helped us throughout this last year.
The Starfish Appeal received a donation from an individual of £20,000, and two £10,000 donations from individuals. The Help Us Help You fund received a donation of £20,000 from an individual, and the Exeter Chiefs donated a further £13,000.
A member of staff set up a COVID Comforts fund, which raised just over £15,000 to benefit staff working on the COVID wards. The Neonatal Unit received a donation of just under £11,000 from a family.
The Charity continued to provide grants to the Trust benefiting both patients and staff. When corona virus restrictions were in place, meaning that opportunities for live fundraising events were limited, the Fundraising Department focused on providing support and assistance to staff,
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Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
distributing the many gifts received from the public, as well as successfully applying for grants from NHS Charities Together, and continuing to fundraise for the Starfish Appeal and the Help Us Help You fund.
The Charity adheres to the NHS Safeguarding policies of the Royal Devon and Exeter Foundation Trust and a safeguarding declaration can be found online on the following link: - https://www.rdehospital.nhs.uk/about us/publications/declarations/
Donors to our Charity can be assured that we comply with the regulatory standards for fundraising. We are registered with the Fundraising Regulator and are committed to the Fundraising Promise and adherence to the Code of Fundraising Practice. The head of our in-house Fundraising Team is a member of the Chartered Institute of Fundraising.
Our fundraising efforts include encouraging donations and gifts in wills, applying for grants, running events and operating raffles.
We plan to use third-party suppliers to help us raise funds particularly where we do not have the expertise in-house, such as using external lottery management companies. We have safeguards in place when working with suppliers, including requiring them to confirm that they comply with the Code of Fundraising Practice, so that we protect our supporters and the reputation of our Charity,
Our relationship with our supporters is very important to us and we monitor feedback and take complaints seriously. When we receive a complaint, we endeavour to resolve it quickly, fairly and effectively. We can continue to improve the services we provide by listening and responding to the views of our supporters, partners and stakeholders and by responding positively to complaints. Our website outlines our complaints policy for the public and clearly explains how an individual can complain. We have received no complaints during 2020/21. If the Charity receives a complaint this is dealt with using our Management of Complaints, Concerns, Comments and Compliments policy and acknowledged within 3 working days. A copy of this policy can be requested from the Charity.
In 2020/21 the Charity’s total incoming resources were £861,000, a decrease of £1,908,000 compared to the prior year. £790,000 of donations and £8,000 of legacy income were received in the year, compared to £1,780,000 of donations and £903,000 legacy income in the prior year.
Significant donations in 2020/21 included £197,100 from NHS Charities Together, and fundraising efforts saw £118,000 in donations raised for the Help Us Help You fund, which was set up to support the health and wellbeing of staff and volunteers during and in the aftermath of COVID-19, and £128,000 raised for the Starfish Appeal, which was launched in 2020 to provide funding to enhance the Paediatric Outpatient area at the RD&E Wonford site.
In 2019/20 donations included £1,000,000 from the County Air Ambulance Trust to support the redevelopment of the helipad, and a legacy of £850,000 was received for the General Fund.
Total resources expended were £511,000, a decrease of £2,390,000 compared to the prior year.
Expenditure on purchases of capital equipment and contributions towards capital schemes, including support costs, was £123,000 - £1,385,000 lower than the prior year. Expenditure in 2019/20 included £1,000,000 to redevelop the Helipad, £103,000 to purchase an Optos camera and £85,000 on the re-design of the Paediatric Outpatient department. In 2020/21 the largest contribution towards a capital scheme was £46,000 for an Echocardiology machine at Tiverton Hospital, funded by Tiverton League of Friends.
Including support costs, expenditure on staff training and development was £241,000, a decrease of £80,000 compared to the previous year. Expenditure on patient welfare and amenities was £131,000, a decrease of £75,000.
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Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
In 2019/20, the Charity made an unconditional grant of £850,000 to the Royal Devon and Exeter NHS Foundation Trust to support the Trust with delivering care and treatment to its patients. The Trustee approved the grant, and the Charity Sub-Committee receives regular updates on how the grant is being spent. No such grant was made in 2020/21.
Departmental & Ward Funds:
There are around 120 departmental and ward funds; these funds are used specifically in the designated area for the benefit of patients and staff.
The funds benefit patients through purchasing supplementary or complementary equipment or services, which the Trust is not normally able to provide through exchequer funds. Examples of this include providing musical therapy at Mardon Neuro-Rehabilitation Centre and holidays for terminally ill children and their families.
Staff expenditure is used to enhance staff training and education, thereby promoting efficient performance of their duties and development of staff skills, with support also given to team building activities.
Where funding is not available from capital funds, the Charity supports the Trust’s equipment and building purchasing programme. In the year the Charity made grants to purchase equipment and to contribute towards other capital schemes. Five grants were made, the largest of which was £46,000 to purchase an Echocardiology machine.
General Funds .
The income received in these funds is not specific with regard to department or ward and may be used more generally across the Trust.
General funds include an overall “General Fund”, the “Patients’ Fund”, and the “Nurses’ Comfort Fund”.
The General Fund may be used to support charitable expenditure that is relevant to the Trust as a whole.
Donations from other Charities
The Royal Devon and Exeter NHS Foundation Trust is extremely grateful for the generous donations received from other Charities. These donations have been used to fund a number of purchases.
£197,100 was received from NHS Charities Together, including a grant of £50,000 to support the Trust’s Inclusion programme.
£46,000 was received from Tiverton League of Friends to support the purchase of the Echocardiology machine.
Donations of £7,600 each have been received from FORCE Cancer Charity and Ottery St Mary League of Friends for infusion pumps. Sidmouth League of Friends donated £6,600 for equipment and Exeter Leukaemia Fund donated £3,000 towards staff costs. Other significant donations have been received from Axminster, Honiton, and Exmouth Leagues of Friends.
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Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
The following are examples of some of the Charity’s achievements during the year:
Echocardiology machine
£46,000 received from Tiverton League of Friends was used to purchase an Echocardiology machine for Tiverton Community Hospital. The purchase gives the Tiverton service access to the most modern equipment, and means that patients no longer need to travel to Exeter for treatment.
Reminiscence Interactive Therapy and Activities systems
The General Fund was used to purchase four Reminiscence Interactive Therapy and Activities systems totalling £29,000 for use on Bovey and Kenn Wards. The systems are used to support inpatients with dementia, delirium and confusion. They allow the patient to use apps, games and other leisure activities as part of their treatment. This helps to keep patients calm, as well as helping prevent falls and reducing the need for medication.
Laryngoscopes for Community Hospitals
The Ottery St Mary General Fund purchased Laryngoscopes at cost of £16,000. The scopes are used for Ear, Nose and Throat clinics at Ottery St Mary and Tiverton Community Hospitals, reducing the need for patients to travel to Exeter to access equivalent services.
Axminster General Fund
An inpatient area that had remained closed for a number of years has now benefitted from refurbishment to enhance the outpatient services for the hospital. The Fund contributed over £11,000 to support this refurbishment to purchase equipment, couches, chairs and trolleys.
£500 was used to purchase weighing scales for the community team to use in patients’ homes.
Sidmouth General Fund
£11,000 was used to purchase Volumetric Infusion Pumps for the Ambulatory Care service.
Over £10,000 has been used to convert a meeting room into much needed office space for the Urgent Community Response team. Their original office has been used to allow further social distancing for staff breaks during the COVID-19 pandemic.
Neonatal Unit Fund
A contribution of £4,300 was made to support software costs which allowed the secure sharing of video and photos of babies with parents who were unable to be present due to COVID-19. The parent rooms were refurbished during at a cost of £3,700. £1,700 was used to enable staff to undergo advanced training and education as well as supporting their health and wellbeing by providing specialist supervision to enable staff to explore and reflect on difficult situations.
Kidney Unit Fund
£3,800 has been used to purchase bed scales which are used to weigh bed-bound patients before and after their dialysis session.
£1,500 was used to enable staff to access IT equipment to enable patients to attend virtual or telephone clinics when face to face clinics were unable to be held due to COVID-19.
£10,100 was spent to provide on-going staff training and development.
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Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Investment Trust
The Charity became responsible for an Investment Trust fund of £104,000 in May 2017 as part of the transfer of charitable funds for the twelve Community Hospitals that were previously administered by Northern Devon Healthcare NHS Trust.
The Investment Trust fund, now valued at £126,000, relates to a Trust administered by a firm of solicitors with annual interest payments being made to the Charity’s Sidmouth Hospital Fund.
Contribution of Volunteers
The Trustee of the Charity is extremely grateful to the volunteers who help support front line staff. These volunteers work in diverse areas such as guiding patients around the hospital, and assisting the chaplaincy service. Volunteers are also involved with affiliated charities such as RVS, FORCE Cancer Charity, the Exeter Leukaemia Fund (ELF), Hospital Radio Exeter and the League of Friends.
Public benefit statement
The Trustee has complied with its duty under the Charities Act 2011 to have due regard to public benefit guidance published by the Charity Commission.
To identify and respond to the needs of the intended beneficiaries of the Charity, individual wards and departments have been granted authority over the use of their charitable funds, so long as any and all expenditure falls within the overall objective of the Charity.
The delegated authority ensures that those closest to the intended beneficiaries are able to directly influence and develop the Charity to meet the needs of its beneficiaries.
Future plans
The Board of Directors of the Royal Devon and Exeter NHS Foundation Trust and the Northern Devon Healthcare NHS Trust have announced their intention to merge their operations, assets and liabilities into one single new Trust. The merger will be subject to due diligence, and review and approval by the Trust Board, Regulators NHSEI and the Council of Governors. The planned merger date is 1st April 2022. The intention is that the Charity will take on the assets and liabilities of the Northern Devon Charity on 1st April 2022, again subject to regulatory approval. It is intended that donors will still be able to express a preference as to which particular service they wish their donation to benefit.
Investment Policy
The Charity’s investment powers are determined by the Trust Deed, which gives the Trustee a general power of investment, subject to a restriction that no speculative or hazardous investments be made. Specifically, futures or traded options are not allowed. The Trustee has also excluded direct investment in property, although investment via collective schemes is permitted.
The investment policy is reviewed at least annually or more frequently if required. The Charity’s investment objective is to maintain and, if possible, enhance the real value of the reserves represented by its investments while producing an income. The risk profile is to provide a diversified return, subject to a balanced degree of risk as agreed with the Investment Managers.
The Charity’s ethical investment policy excludes companies that derive more than 5% of their revenue from tobacco, armaments, alcohol or gambling, or 3% from strategic military arms or pornography, and any involvement in land mines or cluster munitions.
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Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
In line with the Charity’s wish to avoid investing in companies with a high exposure to unhealthy foods linked to obesity, the ethical investment policy also limits investment within the food producing, travel and leisure and retail sectors to those companies which are committed to addressing the societal impacts of their services relating to reducing obesity, alcohol misuse and promoting healthy food habits.
The performance of the investments is reviewed on a quarterly basis in comparison with suitable benchmarks.
The Trustee has appointed Brewin Dolphin Ltd to manage the Charity’s investments on a discretionary basis. The method of investing is the direct purchase of the underlying assets to create a bespoke portfolio of investments.
The performance of the investments, in comparison to their benchmark is:
Investments held with Brewin Dolphin investment managers
Performance on a Total Return basis (1 April 2020 to 31 March 2021)
Charity Index 29.09% 26.07% Investment portfolio return Risk Category 6 – balanced (gross of fees)
Reserve Policy
The Charity has a formal policy regarding the holding of reserves, which is reviewed annually. The Trustee, having examined the circumstances facing the Charity and its future income and expenditure patterns, has determined that no minimum level of reserves is necessary. This policy is applicable to the unrestricted reserves.
The Charity’s total expenditure for the year represents 21% of the opening unrestricted, restricted and endowment reserves. The unrestricted reserves available to the Charity as at the 31 March 2021 were £459,000.
Grant Making Policy
This year the Charity made grants of £437,000, excluding support costs of £58,000. The Charity awards grants in the following areas on an ad-hoc basis, and in accordance with the objectives of the individual funds. The grants policy is summarised as follows:
a) Grants to the NHS for the purchase of capital assets
The needs of the relevant hospital departments are assessed and grants are awarded in the circumstances where the NHS would not normally provide equipment and where there is a benefit to patients in the provision of the equipment.
b) Grants to other research institutions
Grants are made on an ad-hoc basis to other local research institutions where elements of research cannot be carried out within the hospital or where there are joint funding arrangements.
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Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
- c) Grants to individuals
In certain cases of hardship or severe illness, small grants will be made on an ad-hoc basis to patients and/or relatives. Although grants must be approved by a fund manager, the basis of an assessment may be conducted by either the relevant fund manager or by other staff involved in the case.
Charity Risk Management Policy
The Trustee has drawn up a risk management policy for the Charity. This policy details the process to be followed in identifying risks and controls, assessing risks and evaluating the actions required. This information is consolidated onto the Charity’s Risk Register.
The Charity’s Risk Policy is reviewed on an annual basis and the Trustee reviews any new risks identified during the year on an ongoing basis.
The Trustee is satisfied that appropriate systems and procedures are in place to manage risk.
A Big Thank You
On behalf of the staff and patients who have benefited from improved services due to the donations and legacies received, the Trustee would like to thank patients and their relatives, staff and everyone who have made charitable donations.
Approved on behalf of the Corporate Trustee.
Suzanne Tracey: Chief Executive 15[th] December 2021
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Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Independent auditor’s report to the Trustees of Royal Devon and Exeter NHS Foundation Trust General Charity
We have audited the financial statements of Royal Devon and Exeter NHS Foundation Trust General Charity (“the charity”) for the year ended 31 March 2021 which comprise the Statement of Financial Activities, Balance Sheet, Statement of Cash Flows and related notes, including the accounting policies in note 1.
In our opinion the financial statements:
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give a true and fair view of the state of the charity’s affairs as at 31 March 2021 and of its incoming resources and application of resources for the year then ended;
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have been properly prepared in accordance with UK accounting standards, including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland ; and
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have been properly prepared in accordance with the requirements of the Charities Act 2011.
Basis for opinion
We have been appointed as auditor under section 144 of the Charities Act 2011 (or its predecessors) and report in accordance with regulations made under section 154 of that Act.
We conducted our audit in accordance with International Standards on Auditing (UK) (“ISAs (UK)”) and applicable law. Our responsibilities are described below. We have fulfilled our ethical responsibilities under, and are independent of the charity in accordance with, UK ethical requirements including the FRC Ethical Standard. We believe that the audit evidence we have obtained is a sufficient and appropriate basis for our opinion.
Going concern
The Trustee has prepared the financial statements on the going concern basis as it does not intend to liquidate the charity or to cease its operations, and it has concluded that the charity’s financial position means that this is realistic. It has also concluded that there are no material uncertainties that could have cast significant doubt over its ability to continue as a going concern for at least a year from the date of approval of the financial statements (“the going concern period”).
In our evaluation of the Trustee’s conclusions, we considered the inherent risks to the charity’s business model and analysed how those risks might affect the charity’s financial resources or ability to continue operations over the going concern period.
Our conclusions based on this work:
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we consider that the Trustee’s use of the going concern basis of accounting in the preparation of the financial statements is appropriate;
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we have not identified, and concur with the Trustee’s assessment that there is not, a material uncertainty related to events or conditions that, individually or collectively, may cast significant doubt on the charity’s ability to continue as a going concern for the going concern period.
However, as we cannot predict all future events or conditions and as subsequent events may result in outcomes that are inconsistent with judgements that were reasonable at the time they were made, the above conclusions are not a guarantee that the charity will continue in operation.
Fraud and breaches of laws and regulations – ability to detect
To identify risks of material misstatement due to fraud (“fraud risks”) we assessed events or conditions that could indicate an incentive or pressure to commit fraud or provide an opportunity to commit fraud. Our risk assessment procedures included:
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Enquiring of Directors and inspection of policy documentation as to the charity’s high-level policies and procedures to prevent and detect fraud, as well as whether they have knowledge of any actual, suspected or alleged fraud; and
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Reading Board minutes.
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Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
We communicated identified fraud risks throughout the audit team and remained alert to any indications of fraud throughout the audit.
As required by auditing standards, we perform procedures to address the risk of management override of controls, in particular the risk that management may be in a position to make inappropriate accounting entries. On this audit we did not identify a fraud risk relating to revenue recognition because of the limited opportunity for fraud due to the simplistic nature of revenue.
We did not identify any additional fraud risks.
In determining the audit procedures we took into account the results of our evaluation and testing of the operating effectiveness of some of the charity-wide fraud risk management controls.
We also performed procedures including:
- Identifying journal entries to test based on risk criteria and comparing the identified entries to supporting documentation. These included screening for unusual or unexpected account combinations with cash, though none were required to be tested.
Identifying and responding to risks of material misstatement due to non-compliance with laws and regulations
We identified areas of laws and regulations that could reasonably be expected to have a material effect on the financial statements from our general commercial and sector experience, and discussed with the Directors the policies and procedures regarding compliance with laws and regulations.
We communicated identified laws and regulations throughout our team and remained alert to any indications of non-compliance throughout the audit.
The potential effect of these laws and regulations on the financial statements varies considerably.
The charity is subject to laws and regulations that directly affect the financial statements including financial reporting legislation (including related Charities legislation), distributable profits legislation and taxation legislation and we assessed the extent of compliance with these laws and regulations as part of our procedures on the related financial statement items.
Whilst the Charity is subject to many other laws and regulations, we did not identify any others where the consequences of non-compliance alone could have a material effect on amounts or disclosures in the financial statements.
Context of the ability of the audit to detect fraud or breaches of law or regulation
Owing to the inherent limitations of an audit, there is an unavoidable risk that we may not have detected some material misstatements in the financial statements, even though we have properly planned and performed our audit in accordance with auditing standards. For example, the further removed non- compliance with laws and regulations is from the events and transactions reflected in the financial statements, the less likely the inherently limited procedures required by auditing standards would identify it.
In addition, as with any audit, there remained a higher risk of non-detection of fraud, as these may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal controls. Our audit procedures are designed to detect material misstatement. We are not responsible for preventing non- compliance or fraud and cannot be expected to detect noncompliance with all laws and regulations.
Other information
The Trustee is responsible for the other information, which comprises the Trustee’s Annual Report. Our opinion on the financial statements does not cover the other information and, accordingly, we do not express an audit opinion or, except as explicitly stated below, any form of assurance conclusion thereon.
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Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Our responsibility is to read the other information and, in doing so, consider whether, based on our financial statements audit work, the information therein is materially misstated or inconsistent with the financial statements or our audit knowledge. We are required to report to you if:
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based solely on that work, we have identified material misstatements in the other information; or
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in our opinion, the information given in the Trustee’s Annual Report is inconsistent in any material respect with the financial statements.
We have nothing to report in these respects.
Matters on which we are required to report by exception
Under the Charities Act 2011 we are required to report to you if, in our opinion:
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the charity has not kept sufficient accounting records; or
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the financial statements are not in agreement with the accounting records; or
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we have not received all the information and explanations we require for our audit.
We have nothing to report in these respects.
Trustees’ responsibilities
As explained more fully in their statement set out on page 3, the Trustee is responsible for: the preparation of financial statements which give a true and fair view; such internal control as they determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error; assessing the charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern; and using the going concern basis of accounting unless they either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so.
Auditor’s responsibilities
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue our opinion in an auditor’s report. Reasonable assurance is a high level of assurance, but does not guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of the financial statements.
A fuller description of our responsibilities is provided on the FRC’s website at www.frc.org.uk/auditorsresponsibilities.
The purpose of our audit work and to whom we owe our responsibilities
This report is made solely to the charity’s Trustee as a body, in accordance with section 149 of the Charities Act 2011 (or its predecessors) and regulations made under section 154 of that Act. Our audit work has been undertaken so that we might state to the charity’s Trustees 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 it’s Trustee, as a body, for our audit work, for this report, or for the opinions we have formed.
Jonathan Brown for and on behalf of KPMG LLP, Statutory Auditor
Chartered Accountants 66 Queen Square, Bristol BS1 4BE 20 December 2021
KPMG LLP is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006
Page 13
Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Statement of Financial Activities for the year ended 31 March 2021
| Notes Income and endowments from: Donations and legacies 2 Income from Investments 9 Income from Charitable activities Total income and endowments Expenditure on: Raising funds: Investment management costs Charitable activities: 4 Capital equipment and contributions towards capital schemes Patient welfare and amenities Staff training, development and welfare Grant to Royal Devon & Exeter NHS Foundation Trust Total resources expended Net gains / (losses) on investments Transfers between funds Net movement in funds Reconciliation of funds: Total funds brought forward Total funds carried forward 12 |
Unrestricted funds £000 334 14 - |
Restricted funds £000 464 49 - |
Endowment funds £000 - - - |
Total funds 2020/21 £000 798 63 - |
Total funds 2019/20 £000 2,683 83 3 |
|---|---|---|---|---|---|
| 348 | 513 | - | **861 ** | 2,769 | |
| 3 31 9 46 - |
13 92 122 195 - |
- - - - - |
16 123 131 241 - |
16 1,508 206 321 850 |
|
| 89 | 422 | - | 511 | 2,901 | |
| 64 (2) |
420 2 |
17 - |
501 - |
(217) - |
|
| 321 | 513 | 17 | 851 | (349) | |
| 138 | 2,116 | 209 | 2,463 | 2,812 | |
| 459 | 2,629 | 226 | 3,314 | 2,463 |
All gains and losses recognised in the year are included in the statement of financial activities and relate to continuing operations. There is no material difference between the surplus for the financial year and its historical cost equivalent.
Comparative figures for the Statement of Financial Activities for the year ended 31 March 2020 are shown in note 13.
The notes on pages 17 to 24 form part of these accounts.
Page 14
Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Balance Sheet as at 31 March 2021
| Notes Unrestricted funds £000 Fixed assets Investments 10 152 Investment Trust 10 - Total fixed assets 152 Current assets Investment Trust 10 - Debtors 6 - Cash at bank and in hand 350 Total current assets 350 Liabilities: Creditors: amounts falling due within one year 7 43 Net current assets 307 Total net assets 459 The funds of the Charity Endowment funds 12 - Restricted income funds 12 - Unrestricted income funds 12 459 Total Charity funds 459 |
Notes Unrestricted funds £000 Fixed assets Investments 10 152 Investment Trust 10 - Total fixed assets 152 Current assets Investment Trust 10 - Debtors 6 - Cash at bank and in hand 350 Total current assets 350 Liabilities: Creditors: amounts falling due within one year 7 43 Net current assets 307 Total net assets 459 The funds of the Charity Endowment funds 12 - Restricted income funds 12 - Unrestricted income funds 12 459 Total Charity funds 459 |
Restricted funds £000 2,417 - |
Endowment funds £000 100 121 |
Total funds 31 March 2021 £000 2,669 121 |
Total funds 31 March 2020 £000 2,183 122 |
|---|---|---|---|---|---|
| 152 | 2,417 | 221 | 2,790 | 2,305 | |
| - - 350 |
- 5 216 |
5 - - |
5 5 566 |
5 454 1,170 |
|
| 350 43 |
221 9 |
5 - |
576 52 |
1,629 1,471 |
|
| 307 | 212 | 5 | 524 | 158 | |
| 459 | 2,629 | 226 | 3,314 | 2,463 | |
| - - 459 |
- 2,629 - |
226 - - |
226 2,629 459 |
209 2,116 138 |
|
| 459 | 2,629 | 226 | 3,314 | 2,463 |
The accounts were approved by the Corporate Trustee on 15 December 2021 and signed on its behalf by:
Suzanne Tracey: Chief Executive
15 December 2021
Page 15
Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Statement of Cash Flows for the year ended 31 March 2021
| Cash flows from operating activities: Net cash provided by operating activities Cash flows from investing activities: Dividends, interest and rents from investments Net cash provided by investing activities Change in cash and cash equivalents in the reporting period Cash and cash equivalents at the beginning of the reporting period Cash and cash equivalents at the end of the reporting period |
Unrestricted funds £000 (466) 14 14 (452) 802 350 |
Restricted funds £000 (201) 49 49 (152) 368 216 |
Endowment funds £000 - - - - - - |
Total Total funds funds 2020/21 2019/20 £000 £000 (667) 760 63 83 63 83 (604) 843 1,170 327 566 1,170 |
|---|---|---|---|---|
Reconciliation of net income/(expenditure) to net cash flow from operating activities
| Net income / (expenditure) for the reporting period (as per the Statement of Financial Activities) Adjustments for: (Gains) / losses on investments Investment management fees Dividends, interest and rents from investments Decrease / (increase) in debtors (Decrease) / increase in creditors Net cash (used in) / provided by operating activities |
Unrestricted funds £000 321 (64) 3 (14) 350 (1,062) (466) |
Restricted funds £000 513 (420) 13 (49) 99 (357) (201) |
Endowment funds £000 17 (17) - - - - - |
Total Total funds funds 2020/21 2019/20 £000 £000 851 (349) (501) 217 16 16 (63) (83) 449 (438) (1,419) 1,397 (667) 760 |
|---|---|---|---|---|
Analysis of cash and cash equivalents
| Cash in hand Total cash and cash equivalents |
Unrestricted funds £000 350 350 |
Restricted funds £000 216 216 |
Total Total Endowment funds funds funds 31 March 2021 31 March 2020 £000 £000 £000 - 566 1,170 - 566 1,170 |
|---|---|---|---|
Page 16
Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Notes to the Accounts
1. Accounting policies
1.1 Basis of preparation
The accounts have been prepared under the historical cost convention, with the exception of investments which are included at their fair value, and the accounting policies have been consistently applied. The financial statements have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK (FRS102) effective from 1 January 2015, and applicable UK Accounting Standards (FRS102) and the Charities Act 2011.
The financial statements have been prepared on a going concern basis which the Trustee considers to be appropriate because the business model of the Charity limits its charitable activities to those where it has sufficient funds to support from the excess of funding received over the costs of administering the Charity. The Charity has no specific commitments above the funding available to it.
The Trustee has also considered the implications of COVID-19 and considers that as a result of its operating model explained above, even if no further funding was received in the 12 month period from the date of signing these financial statements, the Charity has sufficient cash reserves to pay all committed costs.
Consequently, the Trustee is confident that the Charity will have sufficient funds to continue to meet its liabilities as they fall due for at least 12 months from the date of approval of the financial statements.
1.2 Funds structure
Where there is a legal restriction on the purpose to which a fund may be put, the fund is classified either as an endowment fund, where the donor has expressly provided that only the income of the fund may be applied, or as a restricted income fund where the donor has requested the donation to be spent in furtherance of a specified charitable purpose.
Unrestricted income funds comprise those funds which the Trustee is free to use for any purpose in furtherance of the charitable objects. Unrestricted funds include designated funds, where the donor has made known their non binding wishes or where the Trustee, at its discretion, has created a fund for a specific purpose.
1.3 Incoming resources
All incoming resources are recognised 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.
1.4 Incoming resources from legacies
Legacies are accounted for as incoming resources either upon receipt or when receipt is probable; this will be once there has been a grant of probate, the executors have confirmed that there are sufficient assets in the estate after settling liabilities to pay the legacy and all conditions attached to the legacy are within the control of the Charity or have been met.
Material legacies which have been notified but not recognised as incoming resources in the Statement of Financial Activities are disclosed in Note 8 to the accounts with an estimate of the amount receivable.
1.5 Resources expended and irrecoverable VAT
All expenditure is accounted for on an accruals basis and is recognised when a legal or constructive obligation arises, resulting in a payment being unavoidable.
Irrecoverable VAT is charged to the relevent expenditure category.
Page 17
Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Notes to the Accounts
1. Accounting policies (continued)
1.6 Taxation
The Charity is a registered charity, and as such is entitled to certain tax exemptions on income and profits generated from investments, and surpluses on any trading activities carried on in the furtherance of the Charity's primary objectives, that are applied solely for charitable purposes.
1.7 Recognition of liabilities for grants payable
Grants payable are payments made to a related party or third party NHS bodies and non NHS bodies in furtherance of the charitable objects of the funds. They are accounted for on the accruals basis where the conditions for their payment have been met or where the recipient has a reasonable expectation that they will receive the grant.
1.8 Allocation of support costs
The Charity incurs administrative (overheads, administrative and governance costs) and external audit costs that are not wholly attributable to charitable activities. The support costs are apportioned to charitable activities and the basis for the apportionment is disclosed in Note 3.
1.9 Costs of raising funds
The costs of generating funds consists of investment management costs.
1.10 Charitable activities
Costs of charitable activities comprise all costs incurred in the pursuit of the objects of the Charity. These costs comprise direct costs and an apportionment of support costs as shown in Note 4.
1.11 Fixed asset investments
Investments are stated at the market price as at the balance sheet date. The statement of financial activities includes the net gains and losses arising on the revaluation as at the end of the financial period and on disposals throughout the year.
Realised gains and losses on investments are calculated as the difference between sales proceeds and the valuation from the previous financial year end or the purchase price if purchased during the current financial year. Unrealised gains and losses are calculated as the difference between opening market value (or purchase price if purchased during the year) and the market value at the year end.
Page 18
Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Notes to the Accounts
2. Voluntary income
| Donations Legacies |
Unrestricted funds £000 333 1 334 |
Restricted funds £000 457 7 464 |
2020/21 2019/20 £000 £000 790 1,780 8 903 798 2,683 |
|---|---|---|---|
3. Allocation of support costs and overheads
The Charity does not have employees. The administrative and governance costs of operating the Charity are incurred by the Trust and recharged to the Charity.
Administrative and governance costs are apportioned between the charitable activities based upon expenditure incurred by each activity. However, for apportionment purposes the expenditure relating to the purchase of capital equipment and contributions towards capital schemes is restricted to a maximum of £100,000. It is considered that without including this restriction the weighting of the apportionment to this category would be too high.
3.1 Allocation and apportionment to support costs
| Basis of apportionment Financial Allocated on time External audit Allocated on time |
2020/21 2019/20 £000 £000 55 56 3 3 58 59 |
|---|---|
4. Charitable activities
The Charity did not undertake any direct charitable activities on its own account during the year. Grants were approved in favour of beneficiaries and the Charity incurred expenditure with third parties in pursuance of those grants or reimbursed expenditure incurred by beneficiaries.
| Capital equipment and contributions towards capital schemes Patient welfare and amenities Staff training, development and welfare Grant paid to Royal Devon and Exeter NHS Foundation Trust |
Grant funded activity £000 110 115 212 - 437 |
Support costs £000 13 16 29 - 58 |
2020/21 2019/20 £000 £000 123 1,508 131 206 241 321 - 850 495 2,885 |
|---|---|---|---|
Page 19
Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Notes to the Accounts
4.1 Analysis of grants
The majority of grants are made to the Royal Devon and Exeter NHS Foundation Trust. Grants are sometimes made to individuals, e.g. to help families with travel expenses. The total cost of making grants, including support costs, is disclosed in Note 4.
Fund managers have been given delegated authority to manage their funds and make grants in accordance with the Charity's objectives and the donors' wishes.
| Institution receiving grant support Royal Devon and Exeter NHS Foundation Trust Other grants |
Total amount Total amount paid in 2020/21 paid in 2019/20 £000 £000 432 2,820 5 6 437 2,826 |
|---|---|
5. External audit cost
The cost of the external audit is incurred by the Trust and an element is recharged to the Charity. The cost recharged by the Trust in the year was £3,000 (2019/20: £3,000).
6. Debtors
| Debtors under one year Legacy debtors Donations for capital schemes Other debtors Creditors: amounts falling due within one year Royal Devon and Exeter NHS Foundation Trust Other creditors |
31 March 2021 31 March 2020 £000 £000 - 101 - 345 5 8 5 454 31 March 2021 31 March 2020 £000 £000 47 1,438 5 33 52 1,471 |
|---|---|
7. Creditors: amounts falling due within one year
8. Material legacies
As at 31 March 2021 the Charity had been notified of legacies with an estimated value of £43,500 (31 March 2020: £45,000), which have not been accrued as they do not meet the recognition criteria, see accounting policy Note 1.4.
9. Investment income
| Quoted investments (fixed asset investments) | 2020/21 2019/20 £000 £000 63 83 |
|---|---|
Page 20
Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Notes to the Accounts
10. Fixed asset investments
| Movement in fixed asset investments Market value brought forward as at 1 April 2020 Disposals at carrying value Additions to investments at cost Investment managers fees Gain / (loss) on revaluation Market value as at 31 March 2021 Net cash released from investments in the year was £Nil (2019/20: £Nil) Fixed asset investments holdings The market value of investments held with Brewin Dolphin Investment Managers was: Listed investments Cash As at 31 March 2021, overseas equities comprised 43.4% of the Charity's investment portfolio. |
31 March 2021 £000 2,183 (295) 320 (16) 477 2,669 31 March 2021 £000 2,631 38 2,669 |
31 March 2020 £000 2,415 (549) 569 (18) (234) |
|---|---|---|
| 2,183 | ||
| 31 March 2020 £000 2,094 89 |
||
| 2,183 | ||
Investment Trust
The Investment Trust Fund, valued at £126,000, relates to a legacy for Sidmouth Hospital where the principal is held by a firm of solicitors in line with the wishes of the deceased, as described in Note 12.1.
11. Related party transactions
The ultimate controlling party of the Charity is the Royal Devon and Exeter NHS Foundation Trust. Copies of the Trust's 2020/21 Annual Report and Financial Statements can be obtained by writing to: Chief Financial Officer, Royal Devon and Exeter NHS Foundation Trust, Barrack Road, Exeter, EX2 5DW.
The Charity has made grants (Note 4.1) of £432,000 (2019/20: £2,820,000) and reimbursed £58,000 (2019/20: £59,000) relating to support costs (Note 3.1) to the Trust.
No members of the Trust's Board of Directors have received honoraria, emoluments or expenses from the Charity in the year.
12. Analysis of charitable funds
12.1 Analysis of endowment fund movements
| Chorley Moretonhampstead Laycock Sidney Hawkins Investment Trust Other funds |
Balance b/fwd £000 48 2 127 32 209 |
Incoming resources - - - - - |
Net (loss) / gain on Balance investments c/fwd £000 £000 - 48 - 2 (1) 126 18 50 17 226 |
|---|---|---|---|
The object of the Chorley Endowment Fund is to apply the income from the permanently endowed gift for the benefit of staff and patients within the Royal Devon and Exeter NHS Foundation Trust. The object of the Moretonhampstead Laycock Endowment Fund is to apply the income for the benefit of the patients & staff of Moretonhampstead Hospital. The Sidney Hawkins Investment Trust was set up in 1989, for a period of 79 years, and makes annual interest payments to three beneficiaries, including £5,000 per annum for the benefit of the staff of the Sidmouth Hospital.
Page 21
Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Notes to the Accounts
| 12.2 Analysis of restricted fund movements Axminster General Fund Bramble Ward Fund Cardiology Research Fund Clyst Ward Fund Gastroenterology Research Fund General Research Fund Improving Working Lives Staff Lottery Fund Kidney Unit Fund Lung Research Fund Neonatal Unit Fund (restricted) NHS Charities Together NHS Charities Together - Inclusion Orthopaedic Unit Fund Orthopaedic Wards Fund Ottery St Mary Hospital General Fund Paediatric Oncology Fund Rheumatology Fund Sidmouth General Fund Starfish Appeal Fund Surgical Urology Fund Surgical Wards Fund The Wendy Green ICU Training Fund West of England Eye Unit Fund Other funds |
Balance b/fwd £000 34 32 46 37 36 53 88 214 30 41 - - 87 64 193 38 162 155 36 41 69 205 97 358 2,116 |
Incoming resources £000 1 4 1 1 1 1 40 4 1 1 148 50 2 1 5 1 3 1 120 1 1 4 3 118 513 |
Resources expended £000 (11) (2) (1) (15) (1) (1) (40) (29) (1) (17) (14) - (3) (7) (40) (13) (5) (28) (5) (1) (3) - (5) (180) (422) |
Transfers Net gain on Balance investments c/fwd £000 £000 £000 - - 24 (10) - 24 - - 46 - - 23 - - 36 - - 53 - - 88 - - 189 - - 30 - - 25 - - 134 - - 50 11 - 97 (3) - 55 - - 158 - - 26 (1) - 159 - - 128 10 - 161 - - 41 - - 67 - - 209 (1) - 94 (4) 420 712 2 420 2,629 |
|---|---|---|---|---|
The above individual funds represent funds with balances in excess of £30,000, excluding unrealised investment gains, either at the 1 April 2020 or 31 March 2021.
Page 22
Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Notes to the Accounts
12.2 Analysis of restricted fund movements (continued)
The objective and purpose of the funds shown on the previous page are as follows:
Axminster General Fund For any charitable purpose or purposes relating to the NHS wholly or mainly for the patients and staff of Axminster Hospital. Bramble Ward Fund Education and training of staff. Improving the working environment for staff. Patient-related equipment and ancillary items. Improving patient experience, quality and patient/family comforts including facilities and improvement of the environment. Cardiology Research Fund To further the investigation of the causes, prevention, treatment or the advancement of scientific and medical education into illness/infirmity- with special reference to cardiac disease. Clyst Ward Fund Staff benefits, staff education and training. Patient benefits. Ward/departmental activities. Gastroenterology Research Fund Assist with the funding of research staff, the training of research staff, scientific journals and equipment for research. General Research Fund Investigation of causes of sickness and disability and prevention. Advancement of scientific research and medical education. Furtherance of any other charitable purpose for the relief of suffering. Improving Working Lives Staff Lottery Fund The provision of equipment. The carrying out of works or the provision of services. Facilities or events that benefit staff through environmental, social physical or other means. Kidney Unit Fund To support the purchase of complementary equipment, provide training to staff and team building within the unit. Lung Research Fund To fund staff, equipment, materials or other activities involved in the research and understanding of the causes, treatment and prevention of lung diseases. Neonatal Unit Fund (restricted) To fund purchases of patient-related equipment and ancillary items. The fund will also enable staff to undertake training and education and provide other staff benefits. To also provide facilities for patients and families. To support staff salary costs where additional funds have been identified e.g. research. NHS Charities Together To enhance the well-being of NHS Staff, volunteers and patients impacted by COVID-19, as part of theTrust’s COVID-19 response. To support the Trust’s health and care partnerships and social care pathways so that NHS patients can leave hospital more quickly and safely, stay or remain out of hospital. To help sustain, develop or establish these partnerships or new ways of working (where they have not done so already) in order to fund collaborative projects. NHS Charities Together - Inclusion To meet the needs of the Trust inclusion agenda. Specifically for the use of setting up a Staff BAME, LGBGT+ and Disability Network and equipment and resources needed. Orthopaedic Unit Fund Provide extra comforts for patients and staff, support training and education and contribute towards equipment. Orthopaedic Wards Fund Provide extra comforts for patients and staff, support training and education and contribute towards equipment. Ottery St Mary Hospital General Fund For any charitable purpose or purposes relating to the NHS wholly or mainly for the patients & staff of Ottery St Mary Hospital. Paediatric Oncology Fund Facilities and equipment to help children with cancer and their families. Staff education and welfare. Rheumatology Fund To provide extra comforts for patients and staff, purchase extra equipment, and to fund education and training. Sidmouth General Fund For any charitable purpose or purposes relating to the NHS wholly or mainly for the patients & staff of Sidmouth Hospital. Starfish Appeal Fund To provide capital funding to enhance the paediatrics outpatients area at the RD&E Wonford site. Surgical Urology Fund To support the RD&E Urology Service. Surgical Wards Fund Education and welfare of staff. Equipment/facilities to benefit patient care. Staff functions. The Wendy Green ICU Training Fund To provide financial assistance to support the training, education and development of permanent staff within the Intensive Care Unit and also to purchase equipment that supports this training. West of England Eye Unit Fund Education and welfare of staff. Equipment/facilities for patients.
Page 23
Royal Devon and Exeter NHS Foundation Trust General Charity Accounts and Annual Report for the year ended 31 March 2021
Notes to the Accounts
12. Analysis of charitable funds (continued)
12.3 Analysis of unrestricted fund movements
Unrestricted funds
| General Fund Help Us Help You Other funds Unrestricted - designated funds Neonatal unit fund (unrestricted) Other funds Total unrestricted funds |
Balance b/fwd £000 102 - 36 138 Balance b/fwd £000 - - - 138 |
Incoming Resources resources expended £000 £000 20 (51) 118 (31) 12 (3) 150 (85) Incoming Resources resources expended £000 £000 56 (1) 142 (3) 198 (4) 348 (89) |
Transfers Net gain on investments £000 £000 (2) - - - - 31 (2) 31 Transfers Net gain on investments £000 £000 - - - 33 - 33 (2) 64 |
Balance c/fwd £000 69 87 76 |
|---|---|---|---|---|
| 232 | ||||
| Balance c/fwd £000 55 172 |
||||
| 227 | ||||
| 459 |
The objective and purpose of the General Fund is to provide benefits to both staff and patients of the Trust. The objective and purpose of the Help Us Help You Fund is to support the health and wellbeing of staff and volunteers during and in the aftermath of Covid 19. Any surplus funds can be used for the wider purpose of supporting the NHS. The other unrestricted funds also provide benefits to nurses and other Trust staff, and to patients.
The unrestricted, designated funds have been set aside for specific purposes, often reflecting the non-binding wishes of the donor. The objective and purpose of the unrestricted Neonatal unit fund is to fund purchases of patient-related equipment and ancillary items. The fund will also enable staff to undertake training and education and provide other staff benefits, and will provide facilities for patients and families and to support staff salary costs where additional funds have been identified e.g. research.
13. Comparative figures for Statement of Financial Activities
| Unrestricted funds £000 Income and endowments from: Donations and legacies 1,925 Income from Investments 9 Income from Charitable activities - Total income and endowments 1,934 Expenditure on: Raising funds: Investment management costs 1 Charitable activities: Capital equipment and contributions towards capital schemes 1,001 Patient welfare and amenities 3 Staff training, development and welfare 33 Grant to Royal Devon & Exeter NHS Foundation Trust 850 Total resources expended 1,888 Net (losses) / gains on investments (8) Net movement in funds 38 Reconciliation of funds: Total funds brought forward 100 Total funds carried forward 138 |
Restricted Endowment Total funds funds funds 2019/20 £000 £000 £000 758 - 2,683 74 - 83 3 - 3 835 - 2,769 15 - 16 507 - 1,508 203 - 206 288 - 321 - - 850 1,013 - 2,901 (199) (10) (217) (377) (10) (349) 2,493 219 2,812 2,116 209 2,463 |
Restricted Endowment Total funds funds funds 2019/20 £000 £000 £000 758 - 2,683 74 - 83 3 - 3 835 - 2,769 15 - 16 507 - 1,508 203 - 206 288 - 321 - - 850 1,013 - 2,901 (199) (10) (217) (377) (10) (349) 2,493 219 2,812 2,116 209 2,463 |
|---|---|---|
| 2,769 | ||
| 16 1,508 206 321 850 |
||
| 2,901 | ||
| (217) | ||
| (349) | ||
| 2,812 | ||
| 2,463 |
14. Post Balance Sheet Event
The Board of Directors of the Royal Devon and Exeter NHS Foundation Trust and the Northern Devon Healthcare NHS Trust have announced their intention to merge their operations, assets and liabilities into one single new Trust. The merger will be subject to due diligence, and review and approval by the Trust Board, Regulators NHSEI and the Council of Governors. The planned merger date is 1st April 2022. The intention is that the Charity will take on the assets and liabilities of the Northern Devon Charity on 1st April 2022, again subject to regulatory approval.
Page 24