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2025-03-31-accounts

Registered Charity No: 1061384

—— Annual report 2024/25

Contents

CONTENTS

———— CONTENTS
a
————
——
e Statement from the Chair
..........................Page 3
e The difference YOU make
........................Page 4
e Helping our NHS go further
.....................Page 5
e The Fern Centre
...............................................Page 6
e Our hospital heroes
.......................................Page 7
Future plans
........................................................Page 9
. Our objectives and activities
................Page 10
e Reference and administration
.............Page 12
e Structure, governance
and management and management
Financial overview
........................................Page 13
.........................................Page 15
Auditor’s report
..............................................Page 18
Statement of financial activities
.........Page 20
e Balance sheet
................................................Page 21
° Statement of cash flows
..........................Page 22
Notes to the accounts
..............................Page 23

Statement from Royal Devon Hospitals Charity Annual Report and Financial Statement 2023-2024 the Chair

Welcome to Royal Devon Hospitals Charity’s 2024-25 Annual Report and Audited Financial Statements for the year ending 31 March 2025.

The Charity has continued to go from strength to strength during the last 12 months, with more supporters, more fundraising and even more support for Royal Devon University Healthcare NHS Foundation Trust.

Across Exeter, Northern, Mid and Eastern Devon, people of all ages have been busy fundraising to help enhance hospital services over and above what’s possible with NHS funding.

In 2024-25, an incredible £1,936,000 was raised to purchase new equipment; improve patient and staff environments; support additional staff development and wellbeing projects; and fund cuttingedge research.

A record 392 online fundraising pages were set up by supporters, raising £170,472 online. Digitally, the Charity is engaging with more supporters than ever before, having grown its supporter database by 25% and social media following by 11%.

The hard work and generosity of our supporters has resulted in some notable achievements in 2024-25.

In February, a new Children’s Emergency Department area and Paediatric Assessment Unit opened at the Royal Devon and Exeter Hospital (RD&E) following a successful £200,000 fundraising appeal. Money raised by the Charity funded ocean-themed wall murals and light panels, interactive digital equipment and comfortable seating with USB charging points, transforming the way the hospital cares for children and young people.

The Charity also funded the final phase of a project to refurbish the Children’s Outpatient Department at the RD&E. The new area for teenagers follows the completion of a new entrance corridor and beach hut play area for younger children. It marks the final chapter of the Charity’s Starfish Appeal, which raised £520,000 against a £450,000 target.

A new fundraising appeal to support a hybrid operating theatre at the RD&E has raised nearly £500,000 in just six months. The Super Theatre Appeal is funding state-of-the-art equipment that will mean fewer procedures, reduced risk of complications, and faster recovery times for thousands of patients across Devon.

Also this year, a ladies-only Topless Swim fundraising event was launched in North Devon, inspired by one of our supporters who runs topless to promote breast cancer screening and body positivity following a double mastectomy. This bold new event sold out, generating huge awareness for the Charity and raising £50,000 to enhance care for local breast cancer patients.

The Charity is proud to continue funding vital support for cancer patients at the Fern Centre at North Devon District Hospital (NDDH). In 2024-25, there were more than 6,000 contacts to the cancer wellbeing centre, which provides access to a whole range of support, including counselling, complementary therapies, as well as emergency accommodation.

In total, the Charity spent £2,587,000 enhancing NHS care in 2024-25. Among the many other projects supported, funding was provided for vein finders for chemotherapy patients; emergency lifting chairs; artwork for the Intensive Care Unit (ICU); community nursing bags; and staff e-bikes.

Meanwhile, our two charity shops in Barnstaple and Westward Ho! along with our pop-up shops at RD&E and NDDH, raised £269,000 in 2024-25, generating a vital income stream for the Charity, as well as providing affordable good quality items for the local community and promoting sustainable shopping.

And as I write, there are exciting plans for 2025-26! The Charity will be launching a new fundraising appeal in spring 2026 to install Surface Guided Radiotherapy (SGRT) equipment at the RD&E. These state-of-the-art imaging cameras use light beams to create a unique 3D outline of a patient’s body to further improve accuracy and reduce treatment time.

We are also very excited to be welcoming a new Head of Charity in autumn 2025. Lucy Ashton will be joining us from the RNLI, where she is currently the Regional Engagement Lead and brings with her experience in both fundraising, external engagement and relationship management across a broad range of stakeholders.

As a result of all this fundraising activity, there are stories of grateful patients and families who have received the best possible care from their local NHS. People like cancer patient Steve, from Appledore, who said he’d been able to fight his cancer thanks to the help of counselling at the Fern Centre.

Thank you for all your continued support over the past 12 months and to all the Charity staff and volunteers for their hard work and dedication to going over and above for our NHS.

Bill Boa Charity Committee Chair

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 3

The difference YOU make...

£505,398 Legacy income £2,587,000 in 2024/25 spent in 2024/25 supporting our NHS

5,591 donations on Enthuse

£1,936,000 Income for 2024/25

£269,000 Donations from charity shop sales in 2024/25 392 online fundraising pages set up £35,609 raised in 17 Gift Aid Legacy payments received in 2024/25

£35,609 raised in Gift Aid

£94,710 received in grants £170,472 raised on Enthuse and Just Giving

20 capital schemes funded

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 4

Helping our NHS —— go further —

£5,910 for vein finders and stands for the Seamoor Unit

£189,306 £1,790 towards the for artwork in completion of a new the Intensive children’s emergency Care Unit department area

£25,359 for breast cancer care

for breast £18,084 cancer care for garden improvements at £52,257 the Fern Centre for community nursing bags 250 women took part in first ever Topless Swim event iSes) £189,371 to complete refurbishment of paediatric Ey outpatients area

£8,292 for emergency lifting chairs £11,520 to purchase E-bikes for staff

£70,698

64 charity volunteers

raised for cancer wellbeing support at the Fern Centre

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 5

----- Start of picture text -----
Wellbeing support for
local cancer patients
We are incredibly proud of the support te)
that The Fern Centre continues to offer 162 32 wig fitting 75 financial advice
cancer patients in North Devon in accommodation clinics appointments
2024-25. Opened in 2020 following a bookings
£1.5m appeal, the cancer wellbeingcentre at North Devon District Hospital eo
offers invaluable access to a whole
range of information, complementary
therapies, counselling and support. The
Charity continues to provide ongoing
funding to ensure the centre is there 2,016
for local people at a time when they complementary
need it the most. therapy
1,652 appointments
Pe counselling
appointments
6,433 contacts to
the centre
12
mindfulness 11 bra fitting
workshops clinics } 4 ~~ ¥
96 i
yoga classes
6 Look Good Feel
Better sessions
----- End of picture text -----

"Reflexology at the Fern Centre has been superb, as has the counselling service, which has really highlighted how I’ve suffered internally, but perhaps not shown it externally." – Steve, from Appledore

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 6

Our hospital heroes...

A great start for new Super Theatre Appeal

A £1.4m fundraising appeal has been launched to purchase high-tech equipment for a new hybrid operating theatre being built at the Royal Devon and Exeter Hospital (RD&E).

An incredible £500,000 has been raised in the first 6 months of the Super Theatre Appeal, the largest ever launched in support of the RD&E.

Once open, this new state-of-the-art operating theatre will revolutionise surgery for thousands of patients right across East, North and Mid-Devon.

Cutting-edge equipment will enable surgeons to perform complex procedures and diagnostic imaging at the same time, reducing the need for open surgery and multiple operations, meaning faster recovery times and less time in hospital.

Transforming care for young patients

A new Children’s Emergency Department area and Paediatric Assessment Unit has opened at the Royal Devon and Exeter Hospital (RD&E) following a successful £200,000 fundraising appeal.

Money raised by the Charity funded ocean-themed wall murals and light panels, interactive digital equipment and comfortable seating with USB charging points, transforming the way the hospital cares for children and young people.

The calm and welcoming new space was officially opened by 11-year-old Tim Harvey, who was born with a number of complex medical conditions and is a regular visitor to the hospital with parents Kristy and Ralph.

Tim said: “The new Children’s ED looks amazing and I especially like the games! I can’t believe it looks just like the artists’ posters! The team did a really good job.

“I hope it makes patients like me have an easier time when they come to hospital.”

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 7

Our hospital heroes...

Topless Swim makes a big splash for the charity

Hundreds of women dared to bare at the Charity’s first ever Topless Swim fundraiser in November.

Around 250 ladies braved the cold water at Tunnels Beaches in Ilfracombe, raising £50,000 in support of breast cancer care at North Devon District Hospital (NDDH).

The event was inspired by one of our supporters who runs topless to promote breast cancer screening and body positivity following a double mastectomy.

Thought to be the first event of its kind in North Devon, it completely sold out and was described by participants as ‘empowering, inclusive, inspiring and so much fun!’.

A second Topless Swim is being planned for autumn 2025.

Megan and Pip’s 5k-a-day for children’s ward

Holsworthy teenager Megan Fry, and her trusty collie Pip, raised more than £1,000 for the Caroline Thorpe children’s ward at North Devon District Hospital in Barnstaple.

They completed a 5km-a-day challenge throughout May to give something back to the ward that cared for her big sister Chloe during Covid.

Megan, 16, walked, ran or rode the distance each day, covering 155km – more than three-and-a-half marathons – in 31 days.

She said: “Some of the runs were quite difficult with lots of hills but it was good to get out and raise some money for the hospital that did so much for my sister when she was poorly.

“The nurses who cared for her were amazing and not only looked after her medically but did things like plait her hair to make her feel that little bit better.

“They were always on her side and tried their best to make her and us feel as comfortable as possible in that situation. Thanks to them, Chloe has made a full recovery and is living her normal life.”

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 8

Future Plans

A new fundraising appeal to help revolutionise radiotherapy at the RD&E

In 2026, Royal Devon Hospitals Charity will be launching a new fundraising appeal to revolutionise radiotherapy treatment for 1,800 cancer patients a year at the Royal Devon & Exeter Hospital.

Surface Guided Radiotherapy (SGRT) uses light beams and advanced cameras to create a unique 3D outline of a patient’s body to further improve accuracy and reduce treatment time. Motion-controlled treatment automatically pauses if it detects patient movement, as well as any changes that affect treatment effectiveness, such as swelling or weight loss.

Currently, patients are often fitted with immobilisation devices, including restrictive closed-face masks, which can be uncomfortable and claustrophobic. Patients may also require permanent tattoos to guide their radiotherapy treatment and ensure powerful X-rays target and kill cancer cells, while protecting surrounding tissue and organs.

SGRT is not currently funded by the NHS because it is not essential to the success of radiotherapy. However, we want to invest in this technology to deliver the best possible experience for our patients in terms of comfort, speed and accuracy.

----- Start of picture text -----
SGRT
FOR THE
RD&E!
----- End of picture text -----

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 9

Our Objectives and Activities

Our Objectives

The Charity has the following objective:

“For any charitable purpose and purposes relating to the National Health Service.”

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

University Healthcare NHS Foundation Trust by the following means:

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.

provided by the Trust.

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 Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 10

Our Objectives and Activities

Roya l Devon University Healthcare NHS Foundation Trust Profile

The Royal Devon University Healthcare NHS Foundation Trust was established in April 2022, bringing together the expertise of both the Royal Devon and Exeter NHS Foundation Trust and Northern Devon Healthcare NHS Trust.

The Royal Devon is a service provider within the overall structure of the NHS in England and our services stretch across Northern, Eastern and Mid Devon.

We have a workforce of over 15,000 staff, making us the largest employer in Devon.

Our core services, which we provide for more than 615,000 people, cover more than 2,000 square miles across Devon, while some of our specialist services cover the whole of the peninsula, extending our reach as far as Cornwall and the Isles of Scilly.

We deliver a wide range of emergency, specialist and general medical services through North Devon District Hospital and the Royal Devon and Exeter Hospital.

Alongside our two acute hospitals, we provide integrated health and social care services across a variety of settings including community

inpatient hospitals, outpatient clinics, and within people’s own homes.

We also offer primary care services, a range of specialist community services, and Sexual Assault Referral Centres (SARC).

Our acute hospitals are both renowned for their research, innovation and links to universities.

Commitment to the highest standards

The Charity adheres to the NHS Safeguarding policies of the Royal Devon University Healthcare NHS Foundation Trust and a safeguarding declaration can be found online on the following link: www.royaldevon.nhs.uk/aboutus/publications/declarations/safeguar ding-declaration

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. Our Fundraising Manager is a member of the Chartered Institute of Fundraising.

Our fundraising efforts include encouraging donations and gifts i n

wills, applying for grants, running events and operating raffles.

We 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 2024/25. 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.

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 11

Our Objectives and Activities

Roya l Devon University Healthcare NHS Foundation Trust Profile

The Royal Devon University Healthcare NHS Foundation Trust was established in April 2022, bringing together the expertise of both the Royal Devon and Exeter NHS Foundation Trust and Northern Devon Healthcare NHS Trust.

The Royal Devon is a service provider within the overall structure of the NHS in England and our services stretch across Northern, Eastern and Mid Devon.

We have a workforce of over 15,000 staff, making us the largest employer in Devon.

Our core services, which we provide for more than 615,000 people, cover more than 2,000 square miles across Devon, while some of our specialist services cover the whole of the peninsula, extending our reach as far as Cornwall and the Isles of Scilly.

We deliver a wide range of emergency, specialist and general medical services through North Devon District Hospital and the Royal Devon and Exeter Hospital.

Alongside our two acute hospitals, we provide integrated health and social care services across a variety of settings including community

inpatient hospitals, outpatient clinics, and within people’s own homes.

We also offer primary care services, a range of specialist community services, and Sexual Assault Referral Centres (SARC).

Our acute hospitals are both renowned for their research, innovation and links to universities.

Commitment to the highest standards

The Charity adheres to the NHS Safeguarding policies of the Royal Devon University Healthcare NHS Foundation Trust and a safeguarding declaration can be found online on the following link: www.royaldevon.nhs.uk/aboutus/publications/declarations/safeguar ding-declaration

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. Our Fundraising Manager is a member of the Chartered Institute of Fundraising.

Our fundraising effort’s include encouraging donations and gifts i n

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 2024/25. 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.

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 11

Reference and Administration SSS Registered Charity Number 1061384 Address of Charity Royal Devon University Healthcare NHS Foundation Trust Charity Newcourt House Old Rydon Lane Exeter EX2 7JU Corporate Trustee Dame S Morgan Chair Mrs K Bentley Non-Executive Director (appointed 3 November 2025) The Royal Devon University Mr W Boa Non-Executive Director (appointed 1 October 2025) Healthcare NHS Foundation Trust is Mrs C Burgoyne MBE Non-Executive Director (resigned 8 September 2024) the Corporate Trustee of the Royal Mr T Cooper Non-Executive Director (appointed 27 August 2024) Devon University Healthcare NHS Mr D Harland Non-Executive Director (resigned 3 November 2025) Foundation Trust Charity. The Professor B Kent Non-Executive Director Executive and Non-Executive Mr S Kirby Non-Executive Director (term ended 31 August 2024) Directors who served the Royal Professor S Lamb Non-Executive Director (appointed 29 January 2025) Devon University Healthcare NHS Professor M Marshall Non-Executive Director Foundation Trust are as follows: Mr A Matthews Non-Executive Director (term ended 30 September 2025) Professor YT McIntyre-Bhatty Non-Executive Director Mr T Neal Non-Executive Director (term ended 31 July 2025) Mr R Potter Non-Executive Director (appointed 1 September 2025) Mrs H Foster Chief People Officer Professor A Harris Chief Medical Officer for Digital and Research Mrs A Hibbard Chief Finance Officer Mr S Higginson Chief Executive Mr P Luke Interim Chief Operating Officer (appointed 1 August 2025) Mrs C Mills Chief Nursing Officer Mr J Palmer Chief Operating Officer (resigned 31 August 2025) Dr V Purday Chief Medical Officer (appointed 1 September 2025) Mr C Tidman Deputy Chief Executive Bankers Bank of Scotland 33 Old Broad Street London Investment Managers RBC Brewin Dolphin Vantage Point Woodwater Park Pynes Hill Exeter EX2 5FD Independent Auditor KPMG LLP Chartered Accountants 66 Queen Square Bristol BS1 4BE ~~L~~

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 12

Structure, Governance and M an agement

The Charity was created by Trust Deed on the 19th March 1997 and was named the Royal Devon and Exeter Healthcare NHS Trust General Charity.

On the 3rd 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.

On the 1st April 2022 the Royal Devon and Exeter NHS Foundation Trust and the Northern Devon Healthcare NHS Trust merged their operations, assets and liabilities into one single new Trust. The new name for the combined organisation is Royal Devon University Healthcare NHS Foundation Trust.

The Charity took on the assets and liabilities of the Northern Devon Charity (Charity number 1051463) on 1st April 2022, and the Northern Devon Charity was dissolved. To reflect the new name of the Trust, the Charity’s name was changed to Royal Devon University Healthcare NHS Foundation Trust Charity. The Charity’s objectives were amended to “for any charitable purpose and purposes relating to the National Health Service”. It is

intended that donors will still be able to express a preference as to which particular service they wish their donation to benefit.

The Accounts and Annual Report are for the year to 31 March 2025.

The Corporate Trustee (the “Trustee”) is the Royal Devon University Healthcare NHS Foundation Trust (the “Trust”), and the Executive Directors and Non-Executive Directors of the Board of Directors share responsibility to ensure that the Trust fulfils its duties as Trustee.

The Trust’s Chair 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 Board of Directors 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 Chair and Non-Executive Directors appoints the Executive Directors.

A Charity Committee has been established to oversee the operation of the Charity on behalf of the Board of Directors in its role as Corporate Trustee. Its purpose is to give assurance to the Board of Directors

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 Committee makes recommendations, as agreed at its meetings, to the Board of Directors as the Corporate Trustee, for its approval or otherwise.

The Chief Finance 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 must 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 Fern Centre and the wellbeing support it offers local cancer patients is beyond what the NHS is able to fund and is only here thanks to such incredible backing from the local community."

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 13

Structure, Governance and Management

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.

Statement of Trustee’s responsibilities

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 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:

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.

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 14

Financial overview

The net assets of the Charity as at 31 March 2025 are £4,685,000.

Total income for the year was £1,936,000, compared to £2,178,000 for 2023/24.

Significant donations in 2024/25 included two legacies of £240,000 and £144,000, which have been allocated to the Super Theatre Appeal.

Total resources expended in the year were £2,587,000.

Some examples of what we have purchased can be found in this report under the heading “Helping our NHS go further”. The Charity strives to maintain its fundraising activities in support of future projects and continues its commitment to make appropriate use of charitable funds.

Departmental & Ward Funds

There are around 240 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 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. During the year, the Charity made grants to purchase equipment and to contribute towards other capital schemes

20 grants were made, the largest of which was £189,000 to fund the Paediatric Outpatient Project, and £189,000 fir the Children’s Emergency Department Reconfiguration Project.

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 University Healthcare 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.

The Angela Gallagher Memorial Fund donated £50,000 to the Starfish Appeal, and the Hybrid Theatres Appeal received £20,000 from the Talbot Trust and £10,000 from the Grace Trust.

FORCE donated £33,900 to fund the purchase of a Cold Cap machine and £30,567 to fund the purchase of a retractor.

Donations totalling £37,968 were received from eight different

Community Hospital Charities to fund the purchase of community nursing bags. Exmouth League of Friends donated £8,292 to fund the purchase of emergency lifting chairs.

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 £120,000, 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 local League of Friends.

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

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Financial overview

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.

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.

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. Investments in companies that derive more than 10% of revenue from tar sands or thermal coal are also excluded.

The performance of the investments is reviewed on a quarterly basis in comparison with suitable benchmarks. The Trustee has appointed RBC 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 RBC Brewin Dolphin investment managers. Performance on a Total Return basis (1 April 2024 to 31 March 2025)

Charity Index -1.28% 6.41% Investment Risk portfolio Category return 6 – balanced (gross of fees)

Risk level 6 is a medium risk portfolio with the investments producing a balance between income and capital growth.

We have considered the future sustainability of our investment portfolio and believe it is important that we invest responsibly to achieve our Charity’s goals. As stewards of our investments, our investment managers will take account of a wide range of environmental, social and governance factors when assessing and selecting investments for our portfolio. RBC Brewin Dolphin engage with companies directly and with members of leading industry bodies on important issues that could impact the value of our holdings. As signatories, they adhere to the UN supported Principles of Responsible investment.

Our investment portfolio has a carbon intensity score of 97.65, compared to the Comparator (Vanguard FTSE All World) score of 207.43. Carbon intensity measures a portfolio’s exposure to carbon intensive businesses and is a recommended metric for assessing carbon risk by the Task Force on Climate Related Financial Disclosures (TCFD).

Where we spent our funds

Capital equipment and contributions towards capital schemes - 36%

Raising funds - 26%

Staff training, development and welfare - 22%

Patient welfare and amenities - 16%

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 16

Financial overview

Reserve Policy

The Charity has a formal policy approved by the Trustee regarding the holding of reserves.

The Trustee wishes to provide grants to the Trust for the benefit of the community that it supports. Grants are only given to the level of resources available from unrestricted and restricted funds, and are awarded to enhance the patient experience by improving the environment and facilities, purchasing equipment, and supporting staff development and wellbeing.

The purpose of holding reserves is to substitute for income that has not been generated. The Trustee has considered the appropriate level of reserves for the Charity considering forecast levels of income and expenditure and the likelihood and consequences of these requirements not being met. The Trustee is of the opinion that to safeguard the continuing work and commitments of the Charity the level of reserves should equate to 3 months of the total relevant resources due to be expended.

Forecast expenditure has been extracted from the accounts for the period ending 31 March 2024 and forecasting activities:

Cost 3 Month Period 3 Month Period 3 Month Period 3 Month Period 3 Month Period
£’000 £’000
Charity Shops £68
Cancer and
Wellbeing Centre
£41
Governance £13
= - m at « - sa
Support Cost P ~~—~~ £22
Cost of Fundraising Cost of Fundraising £88
3 month reserve £232

As at the 31 March 2025 the Charity had sufficient unrestricted funds to meet the reserve requirement. The Charity plans to use these funds to meet its objectives, including contributing towards the planned new ‘super theatre’ as mentioned on page 7.

The Charity has two charity shops and has future plans to open a third shop.

The objective is to raise unrestricted funds in support of the Trust. The Charity has acquired annual leases for the shop premises incurring a total exit cost liability of £20,500. It has been forecast the shop running cost liability for a 3 month period will not exceed £39,000.

During 2020 the Northern Devon Charity opened the new Cancer and Wellbeing centre, now named the Fern Centre. The Charity has raised funds to build the centre to provide over-night accommodation and support services to patients and their families.

Grant Making Policy

This year the Charity made grants of £1,796,000, excluding support costs of £116,000 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:

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.

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.

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.

Sam Higginson, Chief Executive, 26 November 2025.

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 17

Auditor's Report

Independent auditor’s report to the Trustees of Royal Devon University Healthcare NHS Foundation Trust Charity

We have audited the financial statements of Royal Devon University Healthcare NHS Foundation Trust Charity (“the Charity”) for the year ended 31 March 2025 which comprise the Statement of Financial Activities, Balance Sheet, Statement of Cashflows and related notes, including the accounting policies in note 1.

In our opinion the financial statements:

B asis for opinion

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

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

Our conclusions based on this work:

We consider that the Trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate; and

We have not identified, and concur with the Trustees’ 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:

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

Reading Board minutes

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

As required by auditing standards, we perform procedures to address the risk of management override of controls, in particular the risk that management may be in a position to make inappropriate accounting entries. On this audit we do not believe there is a fraud risk related to revenue recognition because of the noncomplex recognition due to the nature of the revenue, which limits the opportunities to fraudulently misstate revenue.

We did not identify any additional fraud risks

In determining the audit procedures we took into account the results of our evaluation 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. We did not identify any journal entries or other adjustments for further testing based on our risk criteria.

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 18

Identifying and responding to risks of material misstatement due to noncompliance 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 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 nondetection 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 noncompliance or fraud and cannot be expected to detect non-compliance with all laws and regulations.

Other information

The Trustees are 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.

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

We have nothing to report in these respects.

Matters on which we are required to report by exception

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

We have nothing to report in these respects.

Trustees’ responsibilities

As explained more fully in their statement set out on page 14, the Trustees are 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 Trustees as a body, in accordance with section 144 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 its Trustees, as a body, for our audit work, for this report, or for the opinions we have formed.

Rees Batley for and on behalf of KPMG LLP, Statutory Auditor Chartered Accountants

KPMG LLP is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006.

66 Queen Square, Bristol, BS1 4BE

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 19

Statement of Financial Activities for the year ended 31 March 2025

S
fo
tatement
r the year en
tatement
r the year en
of Financia
ded 31 March
of Financia
ded 31 March
of Financia
ded 31 March
of Financia
ded 31 March
l Activities
2025
l Activities
2025
l Activities
2025
l Activities
2025
Notes Unrestricted
funds
£000
Restricted
funds
£000
En dowment
funds
£000
Total funds
2024/25
£000
Total funds
2023/24
£000
Inco me and endowments from:
Don ations and legacies 2 922 516 - 1,438 1,673
Inve stments 3 83 108
- 191 174
Trad ing activities 4 278 10 - 288 302
Oth er Charitable activities 5 19 - - 19 29
Tota l income and endowments 1,302 634
- 1936 2178
. ,
Exp enditure on:
Rais ing funds 7 461 214 - 675 605
Cha ritable activities: 8
Cap
tow
ital equipment and contributions
ards capital schemes
379 554 - 933 662
Pati ent welfare and amenities 190 224 - 414 364
Staf f training, development and welfare 190 367 - 557 495
Med ical research - 8 - 8 4
Tota l resources expended 1,220 1,367 - 2,587 2,130
Net (losses) / gains on investments (77) (45) (5) (127) 273
Tran sfers between funds (32) 32 - - -
Net movement in funds (27) (746) (5) (778) 321
Rec onciliation of funds:
Tota l funds brought forward 2,351 2,853 259 5,463 5,142
Tota l funds carried forward 15 2,324 2,107 254 4,685 5,463
All
op
Co
Th
gains and losses recognised in the year a
erations. There is no material difference b
mparative figures for the Statement of Fi
re included in the statement of financial a
etween the deficit for the financial year a
nancial Activities for the year ended 31 Ma
ctivities and relate to continuing
nd its historical cost equivalent.
rch 2024 are shown in note 16.
2 2 f f h

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 deficit for the financial year and its historical cost equivalent.

Comparative figures for the Statement of Financial Activities for the year ended 31 March 2024 are shown in note 16.

The notes on pages 23 to 32 form part of these accounts.

Page 20

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Balance Sheet

as at 31 March 2025

re
a
Notes
re
Unrestricted
funds
£000
re
ee
Restricted
funds
£000
re
ee
Endowment
funds
£000
re
ee
Total funds
31 March 2025
£000
re
eee
Total funds
31 March 2024
£000
re
eee
Fixed assets
a
CC ee
CC
ee
CC
ee
CC
eee
CC
eee
CC
Investments
a
13
eC
958
eC
2,159
eC
134 3,251 3,399
Investment Trust
a
13
CC
-
CC
-
CC
115
CC
115
CC
116
CC
Total fixed assets 958 2,159 249 3,366 3,515
Current assets
aa
aa aa aa
Investment Trust
a
13
aeC
-
eC
-
eC
5 5 5
Debtors
a
10
eC
18
eC
4
eC
- 22 258
Cash at bank and in hand
a
1,426
Ca
-
Ca
- 1,426 2,572
Total current assets 1,444 4 5 1,453 2,835
Liabilities:
aa
a
aa
aa
aa
eee
eee
Creditors: amounts falling due
within one year
a
a
11
aeee
78
eee
56
eee
-
eee
134
eee
eee
887
eee
eee
Net current assets / (liabilities)
a
CC 1,366
CC
(52)
CC
5
CC
1,319
eee
CC
1,948
eee
CC
Total net assets 2,324 2,107 254 4,685 5,463
The funds of the Charity
aa
aa aa aa
Endowment funds
a
15
aeC
-
eC
-
eC
254 254 259
Restricted income funds
a
15
eC
-
eC
2,107
eC
- 2,107 2,853
Unrestricted income funds
a
15 2,324
Ca
-
Ca
- 2,324 2,351
Total Charity funds 2,324 2,107 254 4,685 5,463

The accounts were approved by the Corporate Trustee on 26 November 2025 and signed on its behalf by:

Sam Higginson, Chief Executive, 26 Novembe r 2025

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 21

Statement of Cash Flows for the year ended 31 March 2025

----- Start of picture text -----
Unrestricted Restricted Endowment Total funds Total funds
funds funds funds 2024/25 2023/24
£000 £000 £000 £000 £000
Cash flows from operating activities:
Net cash provided by operating activities (836) (501) - (1,337) 389
-
Cash flows from investing activities:
Dividends, interest and rents from investments 83 108 - 191 174
Net cash provided by investing activities 83 108 - 191 174
Change in cash and cash equivalents (753) (393) - (1,146) 563
in the reporting period
Cash and cash equivalents at the beginning of 2,179 393 - 2,572 2,009
the reporting period
Cash and cash equivalents at the - -
1,426 1,426 2,572
end of the reporting period
----- End of picture text -----

Reconciliation of net income to net cash flow from operating activities

Unrestricted
funds
£000
Restricted
funds
£000
Endowment
funds
£000
Total funds
2024/25
£000
Total funds
2023/24
£000
Net income for the reporting period (as
per the Statement of Financial Activities)
(27) (746) (5) (778) 321
Adjustments for:
Loss / (gain) on investments 77 45 5 127 (273)
Investment rebalance (617) 617 - - -
Investment management fees 11 11 - 22 20
Dividends, interest and rents from investments (83) (108) - (191) (174)
Decrease / (increase) in debtors 43 193 - 236 (148)
(Decrease) / increase in creditors (240) (513) - (753) 643
Net cash provided by operating activities (836) (501) - (1,337) 389

Analysis of cash and cash equivalents

Unrestricted
funds
£000
Restricted
funds
£000
Endowment
funds
£000
Total funds
31 March 2025
£000
Total funds
31 March 2024
£000
Cash at bank and in hand 1,426 - - 1,426 2,572
Total cash and cash equivalents 1,426 - - 1,426 2,572

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 22

Notes to the Accounts

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. 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.

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.

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.

Material legacies which have been notified but not recognised as incoming resources in the Statement of Financial Activities are disclosed in Note 12 to the accounts with an estimate of the amount receivable.

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.

1.5 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.

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.

Irrecoverable VAT is charged to the relevant expenditure category.

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 27 charitable purposes.

Unrestricted income funds comprise those funds which the Trustee is free to use for any purpose in furtherance of the charitable objects. Unrestricted

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 6.

1.9 Costs of raising funds - The costs of raising funds includes all expenditure incurred in raising funds for charitable purposes. It includes the costs of all fundraising activities and events, the costs of seeking donations, shop costs, grants and legacies, and the 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 8.

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 23

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Notes to the Accounts

2. Income from donations and legacies

----- Start of picture text -----
Unrestricted
Restricted funds 2024/25 2023/24
funds
£000 £000 £000
£000
Donations 502 431 933 1,335
Legacies 420 85 505 338
922 516 1,438 1,673
----- End of picture text -----

3. Investment income

----- Start of picture text -----
|||| |---|---|---| |2024/25|2023/24| |£000|£000| |Quoted investments (fixed asset investments)|92|88| |Bank interest|99|86| |191|174|

----- End of picture text -----

4. Income from trading activities

----- Start of picture text -----
|||| |---|---|---| |2024/25|2023/24| |£000|£000| |Income from shops|269|292| |Other trading income|19|10| |288|302|

----- End of picture text -----

5. Income from other charitable activities

----- Start of picture text -----
|||| |---|---|---| |2024/25|2023/24| |£000|£000| |Fern Centre accommodation income|9|5| |Income from courses|8|24| |Other income|2|-| |19|29|

----- End of picture text -----

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 24

Notes to the Accounts

6. 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.

Allocation and apportionment to support costs

Basis of
apportionment
2024/25
£000
2023/24
£000
Administrative and
governance costs
Allocated on time 109 104
Fundraising support costs Allocated on time 375 333
External audit Allocated on time 7 6
491 443

7. Raising Funds

The costs of generating funds include salary costs, rental and other running costs relating to two shops.

Direct Costs
£000
Support
costs
£000
2024/25
£000
2023/24
£000
Cost of generating funds 282 375 657 585
Investment Management Costs 18 - 18 20
300 375 675 605

8. 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.

Grant funded
activity
£000
Support
costs
£000
2024/25
£000
2023/24
£000
Capital equipment and contributions
towards capital schemes
921 12 933 662
Patient welfare and amenities 370 44 414 364
Staff training, development and welfare 498 59 557 495
Medical research 7 1 8 4
1,796 116 1,912 1,525

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 25

Notes to the Accounts

8.1 Analysis of grants

The majority of grants are made to the Royal Devon University Healthcare 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 8.

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 Total amount
paid in 2024/25
£000
Total amount
paid in 2023/24
£000
Royal Devon University Healthcare
NHS Foundation Trust
1,794 1,414
Other grants 2 1
1,796 1,415

9. 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 £7,000 (2023/24: £6,000).

10. Debtors

10. Debtors
Debtors under one year 31 March 2025
£000
31 March 2024
£000
Legacy debtors - 72
Donations due from other charities - 137
Other debtors 12 36
Prepayments 10 13
22 258

11. Creditors: amounts falling due within one year

31 March 2025
£000
31 March 2024
£000
Royal Devon University
Healthcare NHS Foundation Trust*
100 804
Accrued expenses 34 83
134 887

*The amount due to Royal Devon University Healthcare NHS Foundation Trust relates to purchases that the Trust makes on behalf of the Charity, and for which the Charity then reimburses the Trust.

12. Notified legacies

As at 31 March 2025 the Charity had been notified of legacies with an estimated value of £405k (31 March 2024: £222k), which have not been accrued as they do not meet the recognition criteria, see accounting policy Note 1.4.

Page 26

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Notes to the Accounts

13. Fixed asset investments

13. Fixed asset investments
Movement in fixed asset investments 31 March 2025
£000
31 March 2024
£000
Market value brought forward as at 1 April 2024 3,399 3,144
Disposals at carrying value (375) (891)
Additions to Investments at cost 370 928
Investment managers fees (22) (19)
(Loss) / Gain on revaluation (121) 237
Market value as at 31 March 2025 3,251 3,399

Net cash released from investments in the year was £22k (2023/24: £19k)

Net cash released from investments in the year was £22k (2023/24: £19k) Net cash released from investments in the year was £22k (2023/24: £19k) Net cash released from investments in the year was £22k (2023/24: £19k)
Fixed asset investments holdings
The market value of investments held with RBC Brewin Dolphin Investment Managers was:
31 March 2025
£000
31 March 2024
£000
Listed investments 3,185 3,345
Cash 60 46
Dividends pending 6 8
3,251 3,399

As at 31 March 2025, overseas equities comprised 53% of the Charity's investment portfolio.

Investment Trust

The Investment Trust Fund, valued at £120,000 (2023/24 £121,000), 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 15.1.

14. Related party transactions

The ultimate controlling party of the Charity is the Royal Devon University Healthcare NHS Foundation Trust. Copies of the Trust's 2024/25 Annual Report and Financial Statements can be obtained by writing to: Chief Finance Officer, Royal Devon University Healthcare NHS Foundation Trust, Barrack Road, Exeter, EX2 5DW

The Charity has made grants (Note 8.1) of £1,794,000 (2023/24: £1,414,000) and reimbursed £491,000 (2023/24: £443,000) relating to support costs (Note 6.1) to the Trust.

No members of the Trust's Board of Directors have received honoraria, emoluments or expenses from the Charity in the year.

15. Analysis of charitable funds

15.1 Analysis of endowment fund movements

Balance
b/fwd
£000
Incoming
resources
Net (loss) / gain
on investments
£000
Balance
c/fwd
£000
Chorley 48 - - 48
Moretonhampstead Laycock 2 - - 2
Sidney Hawkins Investment Trust 121 - (1) 120
Other funds 88 - (4) 84
259 - (5) 254

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 27

Notes to the Accounts

The object of the Chorley Endowment Fund is to apply the income from the permanently endowed gift to benefit the staff and patients within the Royal Devon University Healthcare NHS Foundation Trust. The object of the Moretonhampstead Laycock Endowment Fund is to apply the income for the benefit of the patients and 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.

15.2 Analysis of restricted fund movements

Balance
b/fwd
£000
Incoming
resources
£000
Resources
expended
£000
Transfers
£000
Net gain on
investments
£000
Balance
c/fwd
£000
Bideford 35 1 (10) - (1) 25
COVID-19 Grant fund 49 2 - - - 51
Diabetic ND 41 8 (5) - (1) 43
ED Appeal Fund 151 57 (208) - - -
Exmoor Unit OPD 66 2 (20) - (1) 47
Fern Centre Fund 85 3 (64) - (1) 23
Fern Centre Garden Fund 70 13 (18) - (2) 63
Gastroenterology Research 38 1 (4) - (1) 34
General Research Fund 55 2 (6) - (1) 50
Hybrid Theatres Appeal - 31 - - (1) 30
Ilfracombe 41 2 (5) 8 (1) 45
Improving Working Lives Staff Lottery 133 64 (42) - (3) 152
Kidney Unit 171 8 (27) - (4) 148
Lung Research 34 2 (4) - (1) 31
NHS Charities Together 133 77 (100) - - 110
NHS Charities Together- Inclusion 47 1 - - - 48
North Devon Cancer Care Trust Grant - - - 86 - 86
Orthopaedic Unit 102 3 (59) - (2) 44
Orthopaedic Wards 36 1 (30) - - 7
Rheumatology Fund 74 3 (12) - (2) 63
Seamoor Unit 190 21 (36) (86) (2) 87
Sidmouth General Fund 68 2 (27) - (1) 42
South Molton 42 1 (4) (4) (1) 34
Starfish Appeal 232 58 (215) - (4) 71
Surgical Wards 72 3 (9) - (1) 65
The Wendy Green Trust (ICU Training)
Fund
212 8 (4) - (4) 212
WEEU 168 6 (92) - (3) 79
Other funds 508 254 (366) 28 (7) 417
2,853 634 (1,367) 32 (45) 2,107

The above individual funds represent funds with balances in excess of £30,000, either at the 1 April 2024 or 31 March 2025.

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 28

Notes to the Accounts

15.2 Analysis of restricted fund movements (continued)

The objective and purpose of the funds shown on the previous page are as follows:

Bideford Fund Legacy income - for the general benefit of the Bideford Hospital
COVID-19 Grant fund NHS Charities Together grant income
Diabetic ND Fund Legacy income - for the general benefit of Diabetic Patients
ED Appeal Fund To provide Charity capital funding to enhance the paediatrics ED area at RDE (Wonford Hospital).
Exmoor Unit OPD Fund Legacy of D Gibson - for the Exmoor Unit.
Fern Centre Fund To provide funding for the Fern Centre which supports cancer patients in North Devon to provide access to
information, complementary therapies, counselling and support.
Fern Centre Garden Fund Donations and grants to make improvements to the Fern Centre garden to improve the environment for
both staff and patients.
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.
Hybrid Theatres Appeal To raise funds for specialist equipment for the new ‘Super Theatre’ at the Royal Devon and Exeter Hospital.
Ilfracombe Fund Legacy income - for the general benefit of Ilfracombe Hospital.
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.
NHS Charities Together To enhance the well-being of NHS Staff, volunteers and patients impacted by COVID-19, as part of the
Trust’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.
North Devon Cancer Care
Trust Grant
Grant money provided by the North Devon Cancer Care Trust for specific equipment.
Orthopaedic Unit Fund To provide extra comforts for patients and staff, support training and education and contribute towards
equipment.
Orthopaedic Wards Fund To provide extra comforts for patients and staff, support training and education and contribute towards
equipment.
Rheumatology Fund To provide extra comforts for patients and staff, purchase extra equipment, and to fund education and
training.
Seamoor Unit Fund Legacy income - for general use at the Seamoor Unit.
Sidmouth General Fund For any charitable purpose or purposes relating to the NHS wholly or mainly for the patients and staff of
Sidmouth Hospital.
South Molton Fund Legacy income for general use of the South Molton Hospital.
Starfish Appeal Fund To provide capital funding to enhance the paediatrics outpatients area at the RD&E Wonford site.
Surgical Wards Fund Education and welfare of staff. Equipment/facilities to benefit patient care. Staff functions.

Page 29

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Notes to the Accounts

Notes to the Accoun
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.

15.3 Analysis of unrestricted fund movements

Unrestricted funds

Unrestricted funds
Balance
b/fwd
£000
Incoming
resources
£000
Resources
expended
£000
Transfers
£000
Net gain on
investments
£000
Balance
c/fwd
£000
General Fund 873 268 (453) (456) (77) 155
Help Us Help You 59 2 (29) - - 32
Shop Rose Lane 83 136 (116) (39) - 64
Shop Westward Ho 117 139 (94) (61) - 101
Other funds 47 16 (22) - - 41
1,179 561 (714) (556) (77) 393

Unrestricted - designated funds

Unrestricted - designated funds
Balance
b/fwd
£000
Incoming
resources
£000
Resources
expended
£000
Transfers
£000
Net gain on
investments
£000
Balance
c/fwd
£000
Bideford Community Fund (unrestricted) 36 1 (16) (3)
-
18
Breast Cancer Care (unrestricted) 14 26 (7) - - 33
C. Reed Legacy Fund (1) 243 (25) (20) - 197
Cancer Fund (unrestricted) 128 (25) (9) - - 94
Clyst Ward (unrestricted) 34 4 (5) - - 33
Fern Centre Fund (unrestricted) 111 107 (122) 100 - 196
Health and Wellbeing Group 51 27 (78) 20 - 20
Histopathology (unrestricted) 32 1 (10) - - 23
Hybrid Theatres Appeal (unrestricted) - 53 (20) 436 - 469
Ilfracombe Community Fund (unrestricted) 35 1 (3) (11) - 22
Kidney Unit Fund (unrestricted) 73 13 (9) - - 77
Orthopaedic Fund (unrestricted) 12 59 (6) - - 65
ND SCBU (unrestricted) 101 15 (21) - - 95
Seamoor Unit (unrestricted) 29 21 (11) - - 39
Other funds 517 195 (164) 2 - 550
1,172 741 (506) 524 - 1,931
h
Total unrestricted funds 2,351 1,302 (1,220) (32) (77) 2,324

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 30

The objective and purpose of the unrestricted funds shown above are:

----- Start of picture text -----
General Fund To provide benefits to both staff and patients of the Trust
To support the health and wellbeing of staff and volunteers during and in the aftermath of
Help Us Help You
Covid 19
Shop Rose Lane To provide funds for the Fern Centre
Shop Westward Ho To provide funds for the Fern Centre
----- End of picture text -----

The unrestricted, designated funds have been set aside for specific purposes, often reflecting the non-binding wishes of the donor:

donor:
Bideford Community Fund
(unrestricted)
For any charitable purpose or purposes relating to the NHS wholly or mainly for Bideford
Breast Cancer Care Fund
(unrestricted)
For any Charitable purpose or purposes relating to National Health Service wholly or mainly for
Breast Cancer Care in North Devon.
C. Reed Legacy Fund To provide benefit to staff and patients that would not normally be available from Exchequer
budgets nor from specific Charitable Funds. Legacy received from the Estate of Cyril Reed
Cancer Fund (unrestricted) The fund will be used to purchase non-essential equipment and items that will improve the
comfort and quality of the service for patients. The fund will enable staff to undertake training
to enhance their knowledge and skills required within the department. The fund will be used for
staff development and support in the way of team building activities.
Clyst Ward (unrestricted) To provide extra comforts for patients and staff, not available from Trust budgets.
To support staff training and education in addition to Trust provision.
To supplement the Trust equipment replacement and acquisition programme.
Fern Centre Fund
(unrestricted)
To provide funding for the Fern Centre which supports cancer patients in North Devon to
provide access to information, complementary therapies, counselling and support. In addition to
provide overnight accommodation for relatives and friends of patients who are currently
admitted at North Devon District Hospital.
Health & Wellbeing group To support the health and wellbeing of staff.
Histopathology
(unrestricted)
Training and education costs for Pharmacy staff. Purchase of Reference Books. Sundry staff
benefits. Purchase of staff benefits to include hospitality and catering for department events.
Improvements to the bereavement garden.
Hybrid Theatres Appeal
(unrestricted)
To raise funds for specialist equipment for the new ‘Super Theatre’ at the Royal Devon and
Exeter Hospital.
Ilfracombe Community
Fund (unrestricted)
For any Charitable purpose or purposes relating to the National Health Service wholly or mainly
for the Ilfracombe & District Tyrell Hospital.
Kidney Unit Fund
(unrestricted)
To support the purchase of complementary equipment, provide training to staff and team
building within the unit.
Orthopaedic Unit Fund
(unrestricted)
To provide extra comforts for patients and staff, not available from RD&E Trust budgets. To
support staff training and education in addition to Trust provision. To supplement the Trust
equipment replacement and acquisition programme.
ND SCBU (unrestricted) To fund purchases of patient-related equipment and ancillary items.
Seamoor Unit Fund
(unrestricted)
For any Charitable purpose or purposes relating to National Health Service wholly or mainly for
the Seamoor Unit in North Devon.

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 31

Notes to the Accounts

16. Comparative figures for Statement of Financial Activities

Unrestricted
funds
£000
Restricted
funds
£000
Endowment
funds
£000
Total funds
2023/24
£000
Income and endowments from:
Donations and legacies 881 792 - 1,673
Investments 78 96 - 174
Trading activities 302 - - 302
Other charitable activities 29 - - 29
Total income and endowments 1,290 888 - 2,178
Expenditure on:
Raising funds 367 238 - 605
Charitable activities:
Capital equipment and contributions
towards capital schemes
207 455 - 662
Patient welfare and amenities 214 150 - 364
Staff training, development and welfare 180 315 - 495
Medical research - 4 - 4
Total resources expended 968 1,162 - 2,130
Net gain on investments 125 146 2 273
Transfers between funds 21 (21) - -
Net movement in funds 468 (149) 2 321
Reconciliation of funds:
Total funds brought forward 1,883 3,002 257 5,142
Total funds carried forward 2,351 2,853 259 5,463

Royal Devon Hospitals Charity Annual Report and Financial Statement 2024-2025

Page 32

Northern Fundraising Team

Fundraising Office, North Devon District Hospital, Barnstaple, EX31 4JB 01271 311 772

Eastern Fundriaising Team

Fundraising Office, Royal Devon & Exeter Hospital, Exeter, EX2 5DW 01392 402040

www.royaldevoncharity.org.uk rduh.charity@nhs.net