2022-03-31-accounts

AMENDED Stclare Hospice Annual Report & Financial Statements 2021 /2022 St Clare West Essex Hospice Care Trust

Annual Report and Financial Statements 2022 Contents Reference and Administrative Information about the Charity, its Trustees, Management and Advisors Trustees, Report Introduction Organisation, Govemance and Management Constitution and Registration Governance of St Clare Hospice Management of St Clare Hospice Corporate Structure Aims, Objectives and Activities Public Benefit Volunteers Strategic Report Achievements and Performance 13 Financial Review Fundraising ApproaGh and Perfonnance Retail and Lottery Perfom7ance Investment Reserves Policy and Objectives Risk Management Commentary on Last Yearfs Plans for 2021/22 Future Plans 2022/23 Statement of Trustees, Responsibilities People Independent Auditors, Report Group Statement of Financial Activities Group and Charity Balance Sheets Group Cash Flow Statement Notes Forming Part of the Financial Ststements 23 24 26 30 31 32 33 slclarehos ice.or .uk Company Limited by Guarantee, Registered in England and Wales No. 3398955 Registered Charity No. 1063631

Reference and Administrative Information about the Charity, its Trustees, Management and Advisors Patrons Dame Claire Bertschinger DBE DL Mr Michael Chapman DL Mr Robert Ha￿on MP Mrs Melissa Jones Dame Eleanor Laing DBE MP Mr Gary Neill MBIE Lord Petre KCVO Mr Bob Weston Mr John Wickens Trustees {and Directors as defined by the Companies Act 2006) Mr Nik Wright (Chair Resigned as tnistee Appointed Chair 01/06￿027 26/01/2022 Mr Mark Astarita OBE (Vice Chair) Dr Monica Bose MBBS Bsc FRCP- (Vice Chair) Mr Phil Birch Mrs Jill Rowlinson FCIS MBA Mr Andrew Balfour Mrs Katrina Leighton-Hearn CPFA MAA T Dr Jeffrey Phillips Bsc FRCA FFICM Mr Lawren￿ Slade FEI Mrs Carole Bennett MEdMCGT Mrs Deborah Fielding MSG RGN RMHVDip Mr Graham Randall FCA Dr Ronald Morgan MB ChB FRCP Dip Pall Med Mr Andy Skelton Mrs Wendy Adams RGN Mr Adrian John Bannington FGA G.DirFIOD CII Mr Mike Guinan BA (Hons? FCMA Mr Fabian Bullen Appointed Appointed Appointed Appointed Appointed Resigned Resigned Retired" Resigned Resigned Resigned Resigned Appointed Resigned 27/07/2021 27/07/2021 27/07/2021 07/06/2022 07/06/2022 27/07/2021 01/09/2021 26/01/2022 10/09/2021 11/04/2022 22109/2021 26/01/2022 27/07/2021 05/04/2022 'Retl￿d al AGM underArticle 30(3J having served maximum term pem?itted. Company Secretary Mrs Jill Ro￿InS0n FCIS MBA Registered Office & Principal Office St Clare Hospice, Hastingwood Road, Hastingwood, Essex CM17 9JX

Senior Leadership Team Chief Executive Mrs Sarah Thompson MSG BA {HonsJ Medical Director Dr Syed Qamar Abbas MBBS FRCP (UK) CEPC Dip Pall Med Dip Med Ethics PGC Med Ed Director of Finance and Resources Mr Richard Burton Bsc (Hons) ACMA CGMA Mr Riyad Islam BA (Hons) FCMA CGMA DChA Appointed 30/05/2022 Resigned 03/06/2022 Director of Patient Care Mrs Sheona Evangeli Bsc (Honsj Dip HE DN RN {Interiml Appointed 01/0212022 Ms Carolanne Brannan Bsc Dip HE RN Director of People and Communities Mrs Helen Grubb BA (Hons) MCIPD Director of Income Generation Miss Rosie Knowles Bsc (Hons) MlnstF Director of Digital and Transformation Mrs Louise Hall BSG (Hons) Appointed 11/08/2022 Advisors Bankers Barclays Bank plc, 14 The Water Gardens, Harlow, Essex, CM20 1AN HSBC Bank plc, 34 Broad Walk, Harlow, Essex, CM20 1JA Auditors Haysmacintyre LLP, 10 Queen Street Place, London, EC4R 1AG Solicitors Whiskers LLP, 6 Mitre Buildings, Kitson Way, Harlow, Essex, CM20 1 DR Attwaters Jameson Hill, 72-74 Fore St, Hertford, Hertfordshire, SG14 1 BY Insurance Brokers Towergate Insuran￿, Kings Court, London Road, Stevenage, Hertfordshire, SG1 2GA

Trustees, Report Introduction We are delighted to present the Annual Report and Financial Statements for St Clare Hospice for 2021122. As an independent hospice with a Care Quality Commission {CQCI rating of 'Oulstanding', we aim to work collaboratively with a wide range of partners and stakeholders lo deliver the highest quality services for local people who need end of lrfe care across West Essex and East Hertfordshire. The year 2021122 continued to be marked by the impact ofthe Covid-19 pandemicwhich affected every aspect of hospice operations. Our topmost priority throughout the year was to keep our patients (both in the hospice and in the community), as well as our staff and volunteers, safe from infection. However, perhaps the most compliGaled aspect of hospice operations has been slowly and carefully opening up the hospice site to more people, as the government guidance has permitted us, without compromising on our operations or safety of patients. During the year the Hospice delivered care for 1,551 patients (1,348 in 20121), many of whom received sUPPOrt from different services acros5 the clinical directorate. important to note the impact of the Covid-19 pandemic on services during the last 24 months. The Hospice maintained all key clinical services such as the Inpatient Unit and the community nursing services, but a number of groups, clinics and some face-to-face services were halted due to government guidelines., some moved to remote or 'virtual' support services. During 2021122, we were able to re-start some of these activities at various points in the year as government guidance on Covid restrictions started to be relaxed. The pandemic also had an impact on our ability to raise income to sustain our services. Like all charities, we had to close all our charity shops and a number of fundraising initiatives had lo be curtailed significantly during 2020121. However, during 2021122, our charity shops re-opened and some fundraising activities were able to start again over the 12 months. The retail and fundraising perfomiance during 2021122 have been extraordinary against a backdrop of significant financial and economic uncertainly for all, and this is testament mainly to our local communities and supporters, but also our very dedicated staff and volunteers who have worked so hard. As a result of the retail and fundraising performance, combined with generous government grants aimed at helping independent charities {and hospices specifically) during the pandemic, our financial reseNes are such that we can continue delivering the care and support services in the coming year and invest in our new ambitious hospice strategy. With careful monitoring and stewardship of our reSoUr￿s, we believe St Clare Hospice will be able to withstand the uncertain economic climate expected in the coming years. We have used the 12 months in particular to review, rethink and re-shape our hospice and its services, wth many improvements now felt across the hospice. Most notably, the hospice has reviewed the last strategic period (2018 to 20211 and has developed a bold and ambitious Hospi￿ Strategy 2022+ that aims to sustain St Clare Hospice for the next 10 to 20 years. See htt s'.Ilstclarehos I￿.or .uklus/strate -20221 for the full document.

The Hospi￿ Strategy 2022+ vision is that every adult in our local communities with a life limiting condition should have access to palliative care ServI￿S wherever and whenever they need them so that they can make the most of every moment, no matter how long they have left to live. We aim to provide both specialist clinical serVI￿S and volunteer- led support that meet the complex medical and social needs of local people around the issues of death. dying and loss. Our five strategic aims 1. We will reach significantly more people who are facing death, dying and loss in our local communities. 2. We will work alongside our communities to become more resilient, to support each other and to remain independent for as long as possible. 3. We will equip healthcare colleagues to have the confidence and skills to provide outstanding end of life care. 4. We will seek partnerships with other organisalions and communities to deliver better are for patients and local people. S. We will grow as a strong, sustainable and effective organisation. Our three main drivers to delivering outstanding care We will work to.. Improve access to our services and hospice Focus on quality improvements across everything we do Focus on the sustainability of the hospice's resources into the future None of the work of St Clare Hospice is possible, however, without the incredible support of the local community., volunteers, businesses, individuals, community groups, local health organisalions and partners and the local NHS Clinical Commissioning Group. The Hospice is very proud of its achievements during the year. There is much more Ihat is needed to be done, and the coming year will be a busy one for St Clare Hospice as we begin to deliver an exciling plan for the future, and focus on the needs of local people.

Organisation, Governance and Management Constitution and Registration st Clare West Essex Hospice Care Trust is registered under the Companies Act 2006 (Registered No. 33989551 as a company limited by guarantee and nol having a share capital. The Company is registered as a charity under the Charities Act 2011 (Registered No.. 1063631 } and operates under the simple title 'St Clare Hospice.. The Company's Articles of Association define the Company as "the Charity , and the Directors of the Company as "the Trustees" To avoid confusion, the Directors of the Company are referred to as Trustees throughout this document. Governance of St Clare Hospice Trustees are appointed by the Trust Board following interview by, and a recommendation from, a Committee of Trustees, usually including the Chair, a Vice Chair and one other. Such appointments are ratified at the following Annual General Meeting. Trustees are required to undergo training and ongoing development in the same way as executive staff. The Board advertises for new Trustees against a defined skills set. The Trustees maintain a register of their interests consisting of an annual declaration by each Trustee of his or her interests and confimiation that he or she is not debarred from acting as a Trustee undersection 178 ofthe Charities Act 2011. The Company Secretary holds the Register., any changes in a Trustee's interests be￿een declarations are notified to the Company Secretary. The Register is made available to the Board, when required, so that the Board is in a position to make judgements on potential conflicts of interest. Trustees are required at the start of every Trustee meeting, to declare their actual or potential interest in any item on the agenda for that meeting. The Trustees have a structure of governance committees including Clinical, Finance and Risk, Income Generation, and Human Resources, each chaired by a Trustee with appropriate skills and experien￿ in the committee's area of responsibility. Each committee includes, and is supported by, the appropriate member of the Executive Team. To these committees, the Board delegates much of the govemance and performance monitoring, leaving it free to consider matters of a more strategic nature. The Hospice provides trustee indemnity insurance for all Trustees. Management of St Clare Hospice The Trustees are non-executive and take no part in the day-to4ay management of the Hospice. Although the Trustees have delegated day-to-day management of St Clare to a professional management team led by the Chief Executive Officer, who is not a Trustee, they remain ultimately responsible for the activities of St Clare. The Senior Leadership Team {SLT), led by the Chief Executive Officer, manage St Clare in accordance with regularly reviewed policies agreed and approved by the Trustees. The Trustees monitor the proper discharge of their responsibilities through the structure of the governance committees and quarterly Board meetings, al which the SLT are invited to report on clinical, financial, workforce and general management issues. Strong internal controls are in place to ensure that income and expenditure are tightly monitored and controlled, and that its assets are secure. Annual budgets are prepared by the SLT for approval by the Trustees, who monitor progress against such approved budgets.

The SLT meets weekly to discuss the day-to-day management of services and regularly review budgetary and clinical perfomance. They also use this time to explore improvements and new opportunities. The management team of each directorate meet quarterly to share operational information and discuss strategic service developments and improvements. The Chief Executive Officer meets with the Chair every month to update on all activities and any areas of risk. A pay and performance framework is in pla￿ which mirrors aspects oflhe NHS Agenda for Change pay framework, and covers hospice roles not typically found in the NHS. Analytical job evaluation and benchmarking is used to ensure pay is appropriate and competitive for the roles required lo be performed by each staff member including the SLT. This whole process and framework is reviewed regularly to ensure the Hospi￿ is paying fairly and tracking market rates to ensure that the talent can be attracted. It is overseen by the Board of Trustees to ensure equity and faimess. Corporate Structure The Trust has onewholly owned subsidiary, St Clare Hospice Trading Company Limited, which operates eight charity shops and a lottery. St Clare Hospice Trading Company has a separately constituted Board of Directors, which reports to the Board of Trustees. Aims, Objectives and Activities The Company's Memorandum of Association lays down its objectives as to meet the physical, psychological, social and spiritual needs of those wth advanced and progressive life limiting illness and of their carers, primarily but not ne￿SSarilY in West Essex and East Hertfordshire, through the provision of specialist palliative care servi￿$ based on need as far as resour￿$ allow. It is the Trustees, principal aim that St Clare provides a Hospice that is a centre of excellence in the delivery of specialisi pallialive care and support by such charitable means as the Trustees see fit. Within this principal aim. the Trustees have specific objeclives, which are lo provide.. Continuity of care in the management of physical and non-physical symptoms of advanced disease with the purpose of maintaining optimal quality of life for the patient. Appropriate and accessible support to patients enabling them to remain in their own homes for as long as both desirable and possible. A sensitive response lo ethnic, cultural and spiritual wishes, which recognises and cares for the individual needs of patients, their families and carers. Assistance to the patient and family lo relain their independence for as long as possible by providing easy access to information that will enable them to make choices about the form of help and support they wish to re￿1Ve. Skilled counselling and support to the bereaved. Continuing education and training of staff and volunteers. All objedives, strategies and activities are regularly monitored and reviewed. The implementation of the strategy is formally reviewed every three months and a report prepared by the Chief Executive Officer is shared with the Board of Trustees. The SLT and wider management team are responsible for the delivery of activities and servi￿$ in line with the Hospice strategy and overarching mission statement.

St Clare Hospice offers palliative care for people over the age of 18 who are living with a lrfe-limiting illness when a cure is no longer possible. The Hospice also offers support for the families, carers and friends around the patient, including children and young people. St Clare also provides a number of support services available for anyone living in West Essex or East Hertfordshire who is affected by grief, loss, death and dying. All health and social care professionals can make a referral to our hospi￿ services. Patients, families and friends can also seek a referral directly. Individuals with life-limiting illnesses oflen have complex and multrfaceted needs. In order lo meet this challenge, the Hospice clinical team is a multi-professional specialist palliative care team bringing together staff with the ne￿$Sary knowledge, skills and experience to ensure high quality diagnosis, treatment and compassionate care considering the patient and their family and friends, as a whole not just about treating the illness. Members of the specialist team include doctors, nurses, healthcare assistants, physiotherapists, occupational therapists, social workers, counsellors, administrative support, and chaplain and supported by a team of highly skilled and ommitted volunteers to support the delivery of care. The clinical team within each service area undertakes detailed, specialised and holistic assessments of the needs of the patient across physical, psychological, social and spiritual domains. Expert management of complex symptoms is provided, which takes account of the patient's views, preferen￿S and circUmstan￿S wherever possible when considering their advice on the care that is most appropriate for the patient's condition. The St Clare Hospice clinical services include the Inpatient Unit, Wellbeing Hub and outpatient services, community nursing service (comprising a Clinical Nurse Specialist Service and a Hospice at Home Service) and patient and family support services such as bereavement counselling and social work advice. This is complemented by non- clinical models of care and a community engagement programme which aims to identify local population needs and develop new models of care. The activity levels for the year are set out below. The Hospi￿ also provides clinical sessions and multidisciplinary team meetings input to Princess Alexandra Hospital, Harlow. On a weekly basis, there are four clinical sessions provided to the hospital which offers patient reviews and hospital staff support. Educational sessions are also delivered by hospice staff to local healthcare professionals and health and social care students. This year, the Hospice received students from medical, nursing, social work, counselling, allied healthcare professionals and physician associate backgrounds on placement. We also delivered a programme of online master classes and study days aimed at healthcare professionals, many ofwhich needed to be repeated several times due to oversubscription and which were highly evaluated by attendees. Subjects included themes such as identifying a palliative care patient, symptom management, care of the dying patients, specialist management, ethical decision making and psychological support. The eight-bedded Inpatient Unit {IPU) has continued to offer patients, their families and friends with a high level of care and support, ensuring dignity and respect at all times. Demand for beds was erratic at points during the year, with some families and patients reluctant to be admitted due to the necessary visiting restrictions and fear of potentially contracting the virus at the Hospi￿. However, the number of patient admissions during 2021122 was only slightly below the previous year, with 204 admissions compared to 214 in 2020121. Bed occupancy remained at a similar level to the previous year at 77°k which is our target bed occupancy rate, but is lower than 2019120 which saw bed occupancy at 82%.

The Day Therapy and Outpatient services were significantly affected during the year and all face to face groups and clinics had to close during the pandemic in March 2020. A numberofservices were moved online and regulartelephone calls were madeto patients for assessment and support. During 2021122 we were able to move back to some face to face assessments and clinics, and referrals to our therapists le.g. physiotherapists and occupational therapists) increased from 424 in 2020121 to 450. Significant work conlinued in developing the new model of outpatient and day therapy type services, to create a Wellbeing Hub which was launched during the year. St Clare offers a comprehensive community seNice, consisting of Clinical Nurse Specialists and Hospice at Home, caring for people in their own homes as well as care homes, and community hospitals. The Clinical Nurse Specialists provide specialist advice, and emotional and psychological support, lo patients, their family, carers and friends seven days a week, working in partnership with other health and social care professionals. The community service is supported by the Hospice's doctors, occupational therapists, physiotherapists, social workers, counsellors and chaplain who undertake home assessments as required. Throughout the last 24 months, the Clinical Nurse Specialist Service has Continued to operate, with home visits to patients with unstable or complex symptoms and increased alignment and profile with GP surgeries through the six Primary Care Networks. The Hospice at Home service provides hands-on, palliative care during times of crisis, or in the last few weeks of life for people who would prefer to remain in the comfort of their own home or their usual place of residence. The team provides both a daytime and night-time service seven days a week and works closely with health and social care colleagues. During the year the service continued to operate and cared for 512 patients in their own homes (last year 482}. The Compassionate Neighbours volunteer scheme identifies and develops volunteers as Compassionale Neighbours who are'matched, wilh someone nearing the end oftheir life in their own home. The project has now benefited 185 people who have come to the end of their life, with just over 100 active Compassionate Neighbours. A lot of work has gone on behind the scenes during this year to shore up how the project runs safely, with all the contact information of Compassionate Neighbour and their community members transferred securely across to a database. This has been a large piece of work and with personnel changes during the year has meant the project's expansion slowed considerably. However, we are confident the work into robust 'back office, functions and new personnel recently recruited to the project will pay dividends in the coming year. During the year, the Hospice continued to deliver monthly bereavement cafés. When the pandemic hit in 2020, all venues needed to close, so the cafés were moved to online Facebook groups and zoom meetings. During 2021122, the 'in person, cafés were able to reopen again as govemment restrictions on public spaces eased. We are proud of the profound impact on local people who were able to meet either online or in person as they supported each other through their grief. During the year we were able to expand our range of bereavement ServI￿S further to all those affected by grief and loss in West Essex and parts of East Hertfordshire. Bereavement counselling is offered to the relatives and friends of anyone cared for by St Clare Hospice. Led by qualified counsellors, the support offered follows nationally approved guidelines and is tailored to each person's need. The Children's Bereavement Service, funded by BBC Children in Need, offers counselling to any young person affected by grief in West Essex, and includes support and training for school teachers and staff where bereavement is experienced. The telephone helpline that was set up in June 2020 with funding from Barclays has offered support and signposting to any person affected by loss and bereavement

Service 2020-21 2021-22 Total Admitted Patients 201 patients 214 admissions 186 patients 204 admissions 2752 Ipu Available Beds Da % Bed Occu anc Median Length of Stay in IPU 2834 77°/ 77% Total referrals 1196 1123 Clinical Nurse Specialist Patients referred Total referrals 892 991 783 718 Hospice at Home Patients referred Totsl referrals 482 512 713 576 Therapy Team Patients referred Totsl referrals 424 450 Patient and Family Support Service 494 633 Patients referred Attendances 417 536 Café Clare 344 515 Bereavement Café Attendances 634 993 Trained volunteers 61 (173 in total across the ro ect 63 (168 in total across the ro ect 19 (108 in total across the ro ect 17 (185 in total across the ro ect Compassionate Neighbours Matches made during the year 10

Public Benefit In reviewing the objectives and the activities for the year, the Trustees have satisfied themselves that both the objectives of the Charity and those activities undertaken conlinue to reflect Ihe aims of the Charily. In carrying out their review the Truslees have considered the Charity Commission's general guidance on public benefit and its supplementary guidance on Ihe advancement of health, especially as it relates to the relief of sickness, human suffering and palliative care. The Trustees confirm that they comply with their duly under section 17 of the Charities Act 2011, to have due regard to the guidance on public benefit published by the Charity Commission.11 is intended that the Charity should maximise the benefit that it provides to the local community given the constraints of size and funds. The Charity is an important professional organisation that is proud of its local associations. It receives the majority of its funding from local individuals and organisations (including local NHS commissioning groups). For this reason, the beneficiaries tend to be predominantly, though not exclusively, from a catchment area overing West Essex and East Hertfordshire. Volunteers Volunteers have always played an important role in how we deliver services to patients, families, community members and the wider community. Our volunteers offer an extra layer of support to make the journey with St Clare Hospice a positive experience. The pandemic was an opportunity for us to review all areas of the Hospice, including volunteering, and how it underpins and supports all areas of our work to support how we deliver our care, bul also areas that could be developed to improve Servi￿$. A number of volunteer roles have been developed or changed during the pandemic. The new Volunteer Development Team are ensuring a refreshed focus on the talents, skills, interests and availability of volunteers to ensure people's skills and expertise are brought to the hospice. The shop volunteers returned back to volunteering first following the relaxation of Covid- 19 restrictions and were instrumental in ensuring the safety of customers and that the hospice retail function was working well. A clear volunteering Development Team plan has been created to unde￿In the exciting Hospice Strategy 2022+ A number of principles have been developed as areas to focus on.. Improve communication with our volunteers. Develop a strong framework and processes to underpin work being developed. Create more ways to be connected to the work we deliver. Ensure we have embedded ways lo say thank you and recognise a volunteer's impact and we create opportunities for volunteers to connect together as a bigger team. Develop a stronger support mechanism for volunteers when problems arise. Invest in volunteers by creating a strong training programme, induction process and ways to engage together. 11

Looking to the future of volunteering, we have some exciting ideas and potential to create more opportunities in areas that we have not had volunteers working before. All of this will increase the impact of our work and support more people in our community. 12

Strategic Report Achievements and Performance The Hospi￿ Strategy 2022+ vision is that every adult in our local communities with a life limiting condition should have access to palliative care servi￿$ wherever and whenever they need them so that they can make the most of every moment, no matter how long they have left to live. We aim to provide both specialist clinical ServI￿S and volunteer- led support that meet the complex medical and social needs of local people around the issues of death, dying and loss. Our five strategic aims 1. We will reach significantly more people who are facing death, dying and loss in our local communities. 2. We will work alongside our communities to become more resilient, to support each other and to remain independent for as long as possible. 3. We will equip healthcare colleagues to have the confidence and skills to provide outstanding end of life care. 4. We will seek partnerships wth other organisations and communities to deliver better are for patients and local people. 5. We will grow as a strong, sustainable and effective organisation. Our three main drivers to delivering outstanding care We will work to.. Improv8 aceess to our services and hospice Focus on quality improvements across everything we do Focus on the sustainability of the hospice's resources into the future How will we achieve this? Improving Access: We will.. Expand our reach Offer more services on our hospice site Prepare for an increase in care home residents who need our care, and for those who wish to be cared for at home Work to reduce hospital admissions so more people can benefit from hospice care Ensure everyone has fair access to hospice SeN1￿$, employment and volunteering opportunities Help local communities articulate what they need 13

Quality We will.. Demonstrate the impart we have made Continue to develop St Clare as an effective, open organisation that values integrity Continueto developframeworkslo ensure we are well-led, governed and effective Sustainability We will.. Create an empowered, molivated and skilled workforce (both slaff and volunteers) Optimise income generation to enable us to remain independent and afford our servi￿$ Invest in IT, digital services and data functions Aspire to reach carbon neutral by 2040 Achievements in 2021122 It has been another very busy year for St Clare H05pice, still marked by the impact of Covid-19. Despite the obvious focus on maintaining operations with stringent infection control procedures in place, we achieved a lot of positive changes that have helped deliver quality care for more people. A key ple￿ of work for the year has perhaps been the development and launch of the new hospice strategy 2022+ following consultation with staff, volunteers, local communities, supporters, NHS partners and commissioners. Additionally, the hospice commissioned a piece of research from Healthwatch Essex to identify and hearfrom the voices of those who don't traditionally access hospice services, and a large range of regional and national health and social care strategies and research papers were considered in the development of the strategy. We have also developed a range of new ServI￿S during 2021122, such as the First Contact Team, a triaging and advice service that ensure robust and timely responses to referrals on an equitable basis. The addition of a senior nurse and two paramedics, and the training of skilled and motivated clinical administrators shows early signs of delivering the desired objectives. The service has also started to move towards fa￿ to face assessments of new patients referred to hospice services, which means patients are receiving a warm introduction to the hospi￿ and clinicians involved in their care. We plan to extend and expand this service during the coming year. We launched the Wellbeing Hub, a refreshed and remodelled version of Day Hospice type services with a range of condition-led programmes and outpatient clinics and sessions. We were also able to expand our bereavement services with GriefLine, a telephone helpline for anyone across West Essex and into East Hertfordshire affected by loss and grief, as well as expansion of bereavement café network. Partnership working has been a key focus for the hospice during the year, with the hospice playing a significant role in a collaborative programme across West Essex called the 'Out of Hospital, model which aims to redu￿ unnecessary hospital admissions. 14

Following our collaborative partnership with the West Essex CCG and the Essex Partnership University Trust (EPUT) the collaboration won a national 'Our Health Heroes, award for 'Most Progressive Integrated Care Workforce Programme, in April 2022. We also invested in our business intelligence functions, with significant improvements made in our clinical reporting functions on clinical performan￿ and incident and complaint reporting. The resulting clinical quality reports are now much improved and the reporting enables the hospice management, staff, commissioners and funders to better monilor hospice performance, risks and help shape decision making. We have seen a signrficant improvement across our income generation functions, despite the challenges posed by the pandemic. Significant work took place during the year to remove unnecessary costs in the retail function and we have seen real improvement in the financial contribution of the charity shops as a result of changes in shop layouts and as the skills and confidence of the retail team members has increased. The Sl Clare Hospice lottery has had a difficult year with our fa￿ to fa￿ canvassing activities (the majority of the lottery expansion operations) unable to take place during the year. As a result, the overall net Contribution of the lottery to the hospice's finan￿$ has looked healthy (as our expenditure on canvassing has been minimall but this masks an underlying fall in lottery players as we have not been able to mitigate natural player attrition. This is likely to be felt as an impact on the lottery contribution figures in the next couple of years as we catch up, although early indications on a new canvassing company who are contracted to provide services to the hospice are promising. We have also seen significant improvement in the overall contribution from the fundraising team as targeted investments and development of team members has paid off. The team overall is enthusiastic, motivated and skilled, focusing on the needs of our supporters which is paying off in the results. It has been fantastic lo see the progress of St Clare Hospice over the past 12 months, with new challenges and opportunities for development being considered all the time. Clinical and non-clinical teams have risen lo Ihe many challenges they have mel along the way in a rapidly changing world. The hard work ofevery member of staff, with support from dedicated volunleers and our local communities enables the Hospi￿ to continue to deliver high quality patient care, which is at the heart of all that St Clare Hospi￿ does. 15

Financial Review The outcome for the year was a surplus of £1.1m, which is down against the prior year surplus of £2.47m. The result was achieved mainly due to one-off Govemment funding related to Covid-19, and the ongoing focus on controlling and managing expenditure in all areas across the Hospi￿. There was increase in total expenditure which was mainly due to higher patient care expenditure where ServI￿S continued to be developed and expanded. NHS income was slightly lower than the previous year, and represented 390fi of expenditure in 2021122. This percentage was lower than the prior year, resulting from a combination of decreased NHS income and higher overall costs. The receipt of the non- recurrent Government funding will enable the Hospice to cover future shortfalls in income arising due to the pandemic. St Clare held net assets of £11.12m at 31 March 2022. Of this amount, £2.28m had been invested in land, buildings and equipment, leaving net current assets of £8.85m. The Trustees have reviewed financial forecasts and have agreed for reserves to be used to develop services as part of the developing St Clare Hospice Strategy 2022+ to reach more people affected by life-limiting illness, death, dying and loss. A going concern assessment has been undertaken in accordan￿ with the Charities SORP IFR1021, which reflected the expected financial impact from the Covid-19 pandemic. Following the assessment, the Trustees have concluded that at the time of approving the financial statements, the Charity has adequate resources to continue to adopt the going concern basis of accounting in preparing the financial statements. Fundraising Approach and Performance st Clare Hospice is committed to maintaining high standard of fundraising, retail and lottery activity. We are registered with the Fundraising Regulator and licensed by the Gambling Commission. We are committed to fundraising by the slandards set out in the Fundraising Code of Practice, and our contracted professional canvassing agency for new lottery players is also required to maintain the Codes of Practice. We are members of the Charrty Retail Association, Hospice UK, and the Institute of Fundraising. A range of public facing fundraising activities are undertaken including events, direct mailings, corporate fundraising and telephone appeals. Fundraising activities are reported to the Income Generation Trustee Committee on a quarterly basis. The Hospice commits to its fundraising policies and practi￿ being legal, open and honest. Staff training and robust procedures are in place lo ensure that these standards are maintained, and that no-one who is potentially vulnerable is asked lo Gommit to giving. From time to time, the Hospice may work with established and reputable service providers which include mailing houses, event management companies and fundraising agencies. Monitoring of activities is done by investigating complaints, seeking supporter feedback, mystery shopping and audits. st Clare Hospice is GDPR compliant, and uses a number of methods to ensure regular review and accurate record keeping. In addition, the Hospice has signed up to receiving marketing suppressions under the Fundraising Preference Service, and also will not make fundraising calls to telephone numbers registered with the Telephone Preference 16

Service. Detailed supporter contact preferences and giving history are recorded on the fundraising database which is managed within the fundraising team. Supporter experience is a priority for all teams within the Income Generation directorate and as such any complaints are investigated and dealt wth in line the Hospice complaints policy. It is pleasing to report, that during the year, there were no complaints received about fundraising aclivilies. Fundraising income generated in 2021122 was £1,565k compared to a prior year figure of £1,687k. The Fundraising Income figure is made up of Donations and Grfts, Fundraising Events and St Clare Friends Groups, less any income related to the Retail Gift Aid Scheme which is included within the Retail Contribution figure. The local community On￿ again demonstrated their generosity and commitment to their hospi￿ this financial year. Pressures from the pandemic remained, with a slow participation return to some more traditional fundraising activities and income. However, we were able to complete all planned fundraising activity with no Curtailment due to pandemic restrictions, and so saw a significant improvement year on year with our ommunity and individual focused activity. The focus for 2022123 is on recovery and rebuilding our activities to suit our audience and the changing social and economic climate. The launch of the 2022+ Hospice Strategy in April 2022 is a key event for fundraising, and we are committed to achieving income growth to support the organisations ambitions. Retail and Lottery Performance st Clare Hospice shops saw an excellent recovery from the previous year. All physical slores reopened when permitted by governmenl restrictions, and Irade over the year exceeded pre-pandemic levels. The net contribution of all retail activity (including e- commerce) for 2021122 was £449k as opposed to a deficit of £37k in 2020121. We have been fortunate to benefit from a high level of stock donations from our community, and we are looking to grow our retail offering overthe next few years lo meet customer demand. The St Clare weekly lottery is a key income stream for the hospice, wilh excellent player numbers across our region. Face-to-face player recruitment continued to be a struggle this year, particularly with venues reluctant to allow the activity, and the financial pressures that are facing the local population. Therefore, expected player recruitment fees were less than had been planned, and lottery contribution to the charity reached £512k in 2021122 as opposed to £524k in the previous financial year. Player recruitment will be our main focus for the 2022123, and so we expect to see higher player numbers but reduced contribution as a result. 17

Investment The Trustees, investment policy is governed by the Company's Memorandum of Association, which allows the Trustees to invest its funds in such stocks, funds, shares, securities or other investments of whatever nature they think fit, subject to any conditions imposed by law. However, the Truslees have made a decision to prioritise security of funds, and therefore the organisation currently does not hold any investments other than cash. Beyond a small working balance, all cash is held in interest bearing accounts. That cash which is not required in the short term is invested in immediate, notice or fixed term deposits to secure the highest rate of interest available, which is consistent with the security of the investment. The current policy set by the Trustees for investment of cash, limits the amount that can be invested with a single financial institution and also prohibits investment in any financial product except term deposits in pounds sterling. Reserves Policy and Objectives The Trustees have been reviewing St Clare's Reserves Policy for some time, particularly in light of the impact of the Covid pandemic and the growth of reserves to levels which met the target levels in the previous Reserves Policy and which assure the charity of considerable financial stability. This review has also taken into account the proposed development of services provided by St Clare Hospice, as contemplated in the Hospice's Strategy 2022+ In line with recommendations from the Charity Commission, it is view of the Board of Trustees that St Clare Hospice should provide reliable and consistent services to its beneficiaries beyond the immediale future. The Hospice needs to be able to meet unexpected expenses, absorb setbacks and take advantage of change and opportunities for development when they arise. Taking all these factors into account the Trustees approved a new Reserves Policy al its meeling in September, 2022. The Trustees have agreed on a target level of reserves infomied by the nature of the financial position of St Clare Hospice and the risks facing it. Factors taken into account by the Trustees include the categories of income received by the Hospice and the risk factors applicable to these categories. For example.. The absence of a long-term funding commitment for those servi￿$ provided by the Hospice for which income is re￿iVed from the NHS or other government agencies. The volatility of fundraising income, as demonslraled during and following the Covid pandemic. The uncertainties of legacy income, both as regards amounts and timing. The uncertainty of the amount of income which may be forthcoming from trading activity in the HospI￿'S subsidiary, including the uncertainty of trading income in the retail and lottery markets and the risks of undertaking that trading. The inherenl risks of providing medical and clinical services. 18

In addition, it is planned that the Hospice will have an annual deficit for the next few years in order to balance the two priorities of investing in services and increasing overall income to sustain this investment long term. This investment is a key part of the 2022+ strategy, and has also been enabled by a budget surplus in re￿nt years. This approach is an acknowledgement by the trustees ofthe need to avoid excessive reserves and to utilise funds as quickly as possible to support our charitable objectives. The target level of reserves agreed by the Trustees is six months of forecast expenditure for the Hospice and its trading subsidiary. Thus in each financial year the Hospice will aim to have reserves equal to half the budgeted expenditure for that financial year. Further amounts may be designated for specific projects, initiatives or liabilities. These designated funds, if designated, will be for areas of work that directly further the Hospice's strategic objectives as recommended by the relevant Committee. The approach to designation will be recommended by the Finance and Risk Committee. These designated funds will not be taken into account in comparing the amount of reserves with the target level. The reseNes policy target will be calculated on an annual basis, and agreed by the Board prior to approving the Annual Report and Accounts. Designated funds At their meeting in September, 2022 the Trustees designated certain amounts for anticipated future expenditure arising from St Clare's Strategy 2022+ and are divided into strategic areas we consider a priority. It is anticipated that this expenditure wll be across the coming five years after plans are further developed and projects identified in detail. The designated funds are the following.. Improving A¢￿$S.. Clinical services and digital £1 m Improving Access. Capilal Development £3m Quality.. Impact development £1 Ook Sustainability. Income generalion £500k Sustainability: People development £400k Level of rese￿eS As at 31 March, 2022 St Clare Hospice held net assets of £11.1m. of which £2.3m is represented by tangible fixed assets, leaving £8.8m. After deducting restricted funds of £268k and designated funds (see above) of £5m, £3.3m is available as free reserves. The reseNes policy target for 2022-23 is £3.3m, so reserves are in line with this target. It would be the expectation of the Trustees that the level of reseNes will broadly align with the target over the next few years as St Clare's Strategy 2022+ is implemented. 19

Risk Management The Senior Leadership Team, which meets weekly under the chairmanship of the Chief Executive Offi￿r, monitors, records, and manages risk on an operational and strategic basis. The SLT reports to the Firnan￿ and Risk Committee where risks are considered, as well as the relevant Board committee. All areas of risk are monitored by the relevant Director and ultimately the Chief Executive Officer, and a summary of the main risks are reported on a quarterly basis to the man Board of Truslees. Insurance cover for insurable risks is co-ordinated bythe Director of Finance and ReSoUr￿s, and reported tothe Board of Trustees. In short, risks are identified through the management structures and mitigated, managed and l or insured as appropriate. The following general principles are applied in addressing possible exposure to any identified risks.. All professional and other Codes of Practice applying to Hospice activities must be observed at all times. All statutory requirements must be complied with at all times. All manufacturers, operational advice, instructions and seNicing requirements must be assiduously observed. Appropriate records of compliance with the above requirements must be maintained. Insurance cover is taken out where appropriate. Suitable review procedures including records of incidents (and their subsequent resolution) must be in pla￿ to ensure Ihat risks are, and Continue to be, properly identified and managed. Implementation and compliance with a full range of internal policies and procedures. The SLT has responsibility for the ongoing identification, monitoring and management of risk within Iheir respective spheres of interest. Where risks are so remote that it is impracticable, uneconomic or impossible to eliminate or avoid them (e.g. acts of war, force majeure, 'plane crash etc.) they are aC￿pted. St Clare Hospice believes that a high quality service is one that should have minimal risks to the organisation, patients and staff. Where operational risks are identified through complaints, incidents or risk assessments and reviews, they are added to the risk register and actions are agreed to ensure that the risk is either removed or reduced to as low a level as reasonably possible. The highest organisational risk for the Hospice is its financial dependence on voluntary income, which can be affected by significant issues such as a global pandemic, but also the changes in commissioning and contracting from the NHS as the NHS system reorganises from Clinical Commissioning Groups to larger Integrated Care Systems mid- 2022. Without sufficient funds, it would not be possible to run the extent of hospi services that are currently provided. Thankfully, a number of mitigating actions to secure our Income Generating capability has paid off, and the hospice's ability to generate sustainable income streams has improved significantly over the year. There is a dedicated team of fundraising, lottery and retail staff, who supported by volunteers and the wider base of Hospice staff, work tirelessly to ensure that the Hospice continues to receive donations and support from its local community and maintain a good reputation locally. The SLT and the Income Generation Committee closely monitor 20

income and expenditure. Robust and detailed plans are created for the fundraising, lottery and retail functions on an annual basis. Activity against these plans is regularly monitored through line management processes in place. Where there have been income areas which have been adversely affected by the pandemic, plans have been developed for these income streams to recover or be mitigated by growth in other areas. The move from the Clinical Commissioning Groups to Integrated Care Systems remains a fluid siluation al the lime of writing, and is a change nationwide. The risk to St Clare Hospice is that with the changes in commissioning structures, there may be a risk to the value of the contract which presents the Hospice with a slightly elevated risk of not being able to survive financially if the contract was not lo be renewed or cut for any reason. However, the Hospice has been working hard at building good relationships with the CCG and other NHS partners during the year, and believe the Hospice's positive attitude and willingness to support the wider system during the pandemic has helped support a higher profile and improved reputation. Lastly, like all hospi￿$, the ability to recruit into Glinical roles, particularly Registered Nurses is a high risk area for the Hospice. With a nationwide shortage of nurses, and a stretched NHS that is still recovering from a global pandemic, recruitment is a struggle and may impact upon the plans to expand and develop services. The Hospice has developed a plan to combat this issue, ranging from a market review of salaries, terms and conditions, to innovative ways of advertising new roles. However, this is likely to remain an issue for the Hospice for some time. Commentary on Last Year's Plans for 2021122 On 1st March 2022 the Board of Trustees approved a new ambitious St Clare Hospice Strategy 2022+ that identifies the local health needs for the future and outlines the shape of a robust and relevant hospice able to cope with the uncertainties of the future and a significantly growing need for end of life care services. Throughout the year we have worked as a hospice to support NHS system partners with the development of the 'Out of Hospital, model which aims to reduce unnecessary hospital admissions across West Essex. St Clare Hospice has been an enthusiastic and committed player in this important partnership programme and we were delighted to be nationally recognised by a panel of expert judges for this work by winning the 'Most Progressive Integrated Care workfor￿ Programme, at the 'Our Health Heroes Awards 2022, with our collaboration with the West Essex Clinical Commissioning Group and Essex Partnership University NHS Trust (EPUT}. Throughout a year Ma￿ed by Covid restrictions, we have worked hard with the Princess Alexandra Hospital {PAHI Trust on improving patient care pathways between the hospital, hospice and patient homes. Our medical team continue to offer 4 clinical sessions per week to the hospital's specialist palliative care team (SPCT), and have at points attended a number of daily patient panel meetings to help identify hospital patients who might require hospice servi￿$ to enable speedy discharge from hospital wards. We continue to offer the PAH Specialist Palliative Care Team daily referral meetings to discuss hospital patients who might benefit hospice services, and a range of other joint sessions and meetings to strengthen the relationships and pathways between the hospital and hospice. We made significant progress in early 2022 with nursing recruitment., the Community Palliative Care servi￿ of Clinical Nurse Specialists had held significant vacancies for a number of years, and with the hospice building a 21

higher profile and better reputation, the hospice has been able to attract a number of highly experienced and motivated senior nurses to the team. We have also recruited a number of Registered Nurses IRNs} and skilled Nursing Assistants from outside the hospice for our In Patient Unit, and have a couple of RNS in development roles to offer more experience and a career pathway that is more attractive. We have identrfied in the St Clare Hospice Strategy 2022+ a programme to focus on how we listen and act on the needs of local communities to shape our services. This has been difficult to facilitate whilst so many restrictions have been in place to prevent fa￿ to face meetings, although we have used a number of online meetings and 'open hospice, sessions to ask local people in an informal way their views on hospice services. We have developed a number of specialist interest groups of both hospice and colleagues from across West Essex in other organisations and community groups to develop ways of working and services that better meet the needs of people living with dementia, people who are homeless, care home residents and for people with learning disabilities. We have made most progress with care home residents, as the pandemic found care homes particularly struggling for support with end of life patients, and for people with dementia, as our Namaste programme continued to be rolled out. However, a number of groups and protocols such as care pathways have been developed for people who are homeless and for people with learning disabilities, with more work to be done in the coming year. Future Plans 2022123 The Hospice plans for the coming financial year of 2022123 are as follows.. The hospi￿ has the ambition of a 'One Hospice, approach by taking advantage of technologies and digital approaches. We want to widen access to servI￿s, employment and volunteering opportunities, and support all hospice functions (including income generation). The aim of the hospice during 2022123 is to review our activity and services and scope the reSoUr￿S and opportunities we have for digital development. We are also looking to ensure our hospice is fit for the future and that our hospice site is future-proofed, so that it is sustainable and suitable for the next 15 to 25 years. During 2022123 we will work with our key stakeholder groups such as the hospice workforce, commissioners, and local community to establish the future health and hospi￿ accommodation requirements in the future for a proposed capital project that improves the hospice site and maximises the use of hospi￿ resources. 22

We plan to further develop the Wellbeing Hub programme of clinics and programmes that meet the needs of our patient cohort and reach more people both at the Hastingwood site and in venues around West Essex. We plan to implement a full Equality, Diversity and Inclusion programme that identifies how the hospice will address inequalities in our organisation so that everyone has fair aC￿$S to hospice Servi￿$, as well as employment and volunteering opportunities. We will continue to develop our bereavement support programme including elements such as online chat functions as well as extending GriefLine and the bereavement café model. We will conduct a full hospice governance review to ensure effective and safe decision making. We will develop a number of new business models and plans to develop a step change in hospice income for future sustainability. Statement of Trustees, Responsibilities for Financial Statements The Trustees (who are also directors of St Clare West Essex Hospice Trust for the purposes of company lawl are responsible for preparing the Trustees, Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practi￿). Company law requires Trustees to prepare financial statements for each financial year, which give a true and fair view of the stale of the affairs of the charitable company and the group and of the incoming l outgoing resources and application of resour￿$, including the income and expenditure, of the charitable group for that period. In preparing these financial statements, the Trustees are required to.. select suitable accounting policies and then apply them consistently., ObSe￿e the methods and principles in the Charities Statement of Recommended Practice., make judgements and estimates that are reasonable and prudent., state whether applicable UK Accounting Standards have been followed, subject to any material departures disclosed and explained in the financial statements., prepare the financial statements on the going con￿rn basis unless it is inappropriate to presume that the charitable company will continue in business. The Trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and the group and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. Auditors The auditors, Haysmacintyre LLP, will be proposed for reappointment in accordance with section 485 of the Companies Act 2006. 23

Disclosure of information to auditors As far as the Trustees are aware, there is no relevant audit information of which the Company's auditors are unaware. The Trustees have taken all the steps that they ought to have taken as Trustees in order to make themselves aware of any relevant audit information and to establish that the Company's auditors are aware of that information. People In my role as Chair and on behalf of the Board of Trustees, l express my deep appreciation and gratitude to the staff and volunteers who have all made such a significant contribution to St Clare over the past year. They continue to demonstrate tremendous commitment, professionalism and enthusiasm that is so necessary to ensure the smooth running of the Hospi￿. Graham Randall retired from the Board in September due to ill health after 5 years of dedicated Servi￿ to the hospice. Graham sadly died in October 2021 and he is greatly missed by us all. Graham served on a number of committees, particularly as VI￿ Chair in the last couple of years, of his service to the hospice. He made a signrficant contribution to the hospice's brave decision-making to invest in key clinical services and his gentle humour and challenge to ensure hospice decision making followed good governance. An engraved leaf is dedicated to him on the hospice memory tree in the hospice reception. Dr Ron Morgan retired from the Board having served as a Trustee forthe maximum nine years permitted under the hoSpi￿'S Articles of Association. Ron contributed significantly to the hospi￿ whilst a trustee, serving as Chair of the Clinical Governance Committee and as Interim Chair of Trustees from the end of July 2021 to the end of January 2022. He has offered kind and gentle support to the Chief Executive and Senior Leadership Team, but his association with the hospice pr&dates his membership of the Board., he has conlribuled significantly wth his medical expertise and support for Ihe medical team as the hospice was being developed and built some 32 years ago. Deborah Fielding retired from the Board as Chair at the end of her three-year term in July 2021. She supported the CEO and Senior Leadership Team to implement and successfully deliver the hospice strategy 2018-2021 and secure the 'Outstanding' rating from the Care Quality Commission. The hospice is very grateful to Deborah for her contribution and seNice. I must also thank those trustees who have seNed on the Board and whose temis of Offi￿ came to an end during the year,. Mike Guinan, Wendy Adams, Fabian Bullen, Barney Bannington and Andy Skelton. Each have given significant time and effort towards the hospice over their respective periods of office, and l am grateful to each of them for their dedicated service. I would like to offer my thanks to all my colleagues on the Board of Trustees for their continuing support for the hospice, which has been incredibly valuable. The experience and expertise of Board members as volunteers not only enables us to meet our responsibilities regarding the organi5ation's governan￿, but also encourages and facilitates the development of our services for local people. l am thankful to all involved and am very proud to be part of St Clare. Finally, I must thank all our supporters and local community who so generously give of their time and money io support the work of St Clare. It is humbling to witness the appreciation and goodwill that local people have for our Hospice and it would be 24

impossible for us to continue our work without their support. On behalf of the Board of Trustees, St Clare Hospice staff and volunteers, patients and their families, l am very grateful for the unstinting support of our local community. This Trustees, Report and Strategic Report were approved by the Board of Trustees and authorised for issue on 30 September 2022. Nik Wright Chair of Board of Trustees 25

Independent Auditors, Report to the Members of St Clare West Essex Hospice Care Trust Opinion We have audited the financial statements of St Clare Wesl Essex Hospice Care Trust for the year ended 31 March 2022 which comprise the Group Statement of Financial Activities, the Group and Charily Balance Sheets, the Group Cash Flow Statement and notes lo the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice). In our opinion, the financial statements.. give a true and fair view of the state of the group's and of the parent charitable company's affairs as at 31 March 2022 and of the group's and parent charitable company's nel movement in funds, including the income and expenditure, for the year then ended., have been properfy prepared in accordan￿ with United Kingdom Generally Accepted Accounting Practice., and have been prepared in accordance with the requirements of the Companies Act 2006. Basis for opinion We conducted our audit in accordance with International Standards on Auditing {UKI IISAS {UK}l and applicable law. Our responsibilities under those standards are further described in the Auditor's responsibilities for the audit of the financial statements section of our report. We are independent of the group in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC'S Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion. Conclusions relating to going concern In auditing the financial statements, we have concluded that the Trustees, use of the going concern basis of accounting in the preparation of the financial statements is appropriate. Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the group's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue. Our responsibilities and the responsibilities of the Trustees with respect to going concern are described in the relevant sections of this report. Other infomiation The Trustees are responsible for the other information. The other information comprises the information included in the Trustees, Report. Our opinion on the financial statements 26

does not cover the other information and, eX￿pt to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistenl with the financial statements or our knowledge obtained in the audit or otherwise appears lo be materially misslated. If we identify such material inconsislencies or apparent material misstatements, we are required to determine whether there is a malerial misstatement in the financial statements or a malerial misstalemenl of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard. Opinions on other matters prescribed by the Companies Act 2006 In our opinion, based on the work undertaken in the course of the audit.. the infomation given in the Trustees, Annual Report {which includes the strategic report and the directors, report prepared for the purposes of company law) for the financial year for which the financial statements are prepared is consistent with the financial slatemenls., and the strategic report and the directors, report included wthin the Trustees, Report have been prepared in accordance with applicable legal requirements. Matters on which we are required to report by exception In the light of the knowledge and understanding of the group and the parent charitable company and its environment obtained in the course of the audit, we have not identified malerial misstatements in the Trustees, Annual Report (which incorporates the slrategic report and the directors, report). We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 require us to report to you if, in our opinion.. adequate accounting records have not been kept by the parent charitable company, or returns adequate for our audit have not been received from branches not visited by us., or the parent charitable company financial statements are not in agreement with the accounting records and returns., or certain disclosures of Twstees, remuneration specified by law are not made., or we have not received all the information and explanations we require for our audit. Responsibilities of Trustees for the financial statements As explained more fully in the Trustees, responsibilities statement set oul on page 23 the Trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the Trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. In preparing the financial statements, the Trustees are responsible for assessing the group's and the parent charitable company's ability to continue as a going concem, 27

disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the group or the parent charitable company or to cease operations, or have no realistic alternative but to do so. Auditor's responsibilities for the audit of the financial statements Our objeclives are to obtain reasonable assurance about whelher Ihe financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assuran￿, bul is not a guarantee that an audit conducted in accordance with ISAS IUKI will always detect a material misslatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they Gould reasonably be expected to influence the economic decisions of users taken on the basis of these financial statemenls. Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below.. Based on our understanding of the group and the environment in which it operates, we identified that the principal risks of non-compliance with laws and regulations related to compliance with regulatory requirements of the Care Quality Commission, Gambling Commission, Fundraising Regulations, Charity Commission, employment law and health and safety regulations, and we considered the extent to which non-compliance might have a material effect on the financial statements. We also considered those laws and regulations that have a direct impact on the preparation of the financial statements such the Companies Act 2006, the Charities Act 2011, payroll taxes and VAT. We evaluated management's incentives and opportunities for fraudulent manipulation of the financial statements (including the risk of override of controls), and determined that the principal risks were related to recognition of income and management bias in certain accounting estimates. Audit Pro￿dureS performed by the engagement leam included". Inspecting Trustees, meeting minutes Inspecting correspondence with regulators and tax authorities., Discussions with management including consideration of known or suspected instances of non-compliance with laws and regulation and fraud., Evaluating management's controls designed to prevent and detect irregularities., Identifying and testing journals, in particular joumal entries posted with unusual account combinations, postings by unusual users or with unusual descriplions., and Challenging assumptions and judgements made by management in their critical accounting estimates. Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misslalemenl in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-complian￿. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional Con￿alment, forgery, collusion, omission or misrepresentation. 28

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at.. www.frc.org.uklauditorsresponsibilities. This description forms part of our auditor's report. Use of our report This report is made solely lo the charitable company's members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable company's members those matters we are required to state lo 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 charitable Gompany and the charitable company's members as a body, for our audit work, for this report, or for the opinions we have formed. Lee Stokes (Senior statutory auditor) for and on behalf of Haysmacintyre LLP, Statutory Auditor 10 Queen Street Place, London, EC4R 1AG. 30 September 2022 29

St Clare West Essex Hos ice Care Trust Group Statement of Financial Activities (incorporating an Income and Expenditure A¢¢ount) for the year ended 31 March 2022 Unrestricted Funds Restricted Funds Total 2022 Total 2021 Notes Income." Donations and gifts Legacies Other trading activities Fundraising events & similar income Friends of St Clare branches Trading Company turnover 1,604,395 595,999 262,753 1,867,148 595,999 7, 779,834 927,233 135,641 518 1,700,314 1,836,473 2,136,128 10,716 50,163 135,641 518 1,700,314 1,836,473 3,079,819 10,716 50,163 62,699 783 1, 171,815 7,234,69T 4,299,678 74,277 13,495 Income from charitable activities 943,691 Investment income and interest Other income Total income Expenditure.. Raising fLJnds Fundraising expenditure Friends of St Clare branches Trading Company expenses 679,483 90 1,193.967 1.873.540 679,483 90 1,193,967 1,873,540 619,654 1,091,912 1, 711,566 Charitable activities Patient care Education and research 10 3,306,162 1,160,129 5,233 1,165,362 4,466,291 5,233 4,471,524 4,025, 798 1,954 4,027, 752 3,306.162 Total expenditure 12 Net Income foryear Transfer5 between funds 22 41,847 141,8471 Net movement in funds Reconciliation of funds.. Total funds brought forward at 1 April 9,76D,611 268,843 10,029,454 7,559,618 Total funds carried forward at 31 March 22 The statement of financial activities includes all gains and losses recognised in the year. All income and expenditure derive from continuing activities of the group. The detailed comparative information for the statement of fin8ncial activities is included in note 25. 30

St Clare West Essex Hos ice Care Trust Group and Charity Balance Sheets as at 31 March 2022 Group 2022 Charity 2022 Notes 2021 2027 Fixed asset$ Intangible assets Tangible assets Investments 14 9,640 2,266,292 13, 145 2,385,269 73,745 2,366,835 2,260,588 16 2,275,932 2,398,414 2,270,230 2,379,982 Current assgts Stocks Debtors Bank deposits Cash al bank and in hand Friends branch funds 2.031 1,071,931 7,936.852 221.197 843 9,232.854 17 1,232, 173 6,495,610 206, 675 415 7,934, 873 1.661,064 7.365,104 77.702 1,831, 743 5,888,837 103,269 415 7,824,264 9.104,713 Creditors: amounts falling due within one year 18 {384.078) (303,833) (250.9231 (175,480) Net current assets 8,848.776 7,631,040 8.853,790 7,648, 784 Net assets 11,124,708 10,029,454 11,124,020 10,028,766 Funds.. Unrestrlcted general funds Unrestricted designated funds Restrlcted funds 22 22 22 3,580.698 7,275.932 268.078 7,362, 197 2.398,414 268, 843 3.585,712 7.270,230 268,078 7,379,941 2,379,982 268,843 Total funds 11,124,708 10,029,454 11.124,020 10,028,766 The surplus of the parent charity was £1,095,254 {2021'. £2,469,836) Approved by the Board of Trustees and aulhorised for issue on 30 September 2022 and signed on Ils behalf by.. Nik Wright Chairof the Board of Trustees Andrew Balfour Chair of the Finance and Risk Committee Company Registration Number.. 3398955 31

St Clare West Essex Hos ice Care Trust Group Cash Flow Statement for the year ended 31 March 2022 2022 2022 2021 2021 Cash flows from operating actiViTties.- Net cash inflow from operating activities Inote 1 below) 1,523,452 1,929, 185 Cash flows from investing activities.. Interest received 10,716 14,217 (14,021) (42,020) Acquisition of intangible fixed assets Purchase of tangible fixed assets Net cash outtlow from investing activities {77,9761 {67,2601 (41,824) Increase in cash and cash equivalents In the year Analysis of changes in cash and cash equivalents during the year." Total as al 1 April Increase in cash and Cash equivalents in the year 6,702,700 4,875,339 1,456,192 1,887,361 Totsl as at 31 March {note 2 below) Notes to the Group Cash Flow Statement Reconciliation of net income to net ¢a$h flow from operating activities 2022 2021 Net income las per statement of financial activitiasl Adjustments for.. Interest received Amortisalion of intangible fixed assets Depreciation of tangible fixed assets Loss on disposal of tangible fixed assets Ilncreasel I decrease in stocks Decrease I lincreasel in debtors Increase I Idecre8sel in creditors 1,095,254 2,469,836 {10,7161 3,505 189,811 7,142 12,0311 160,242 80,245 (74,217) 6,280 218,366 15,517 (749, 786) (77,471) Net cash inflow from operating activities 2 Analysi5 of cash and cash equivalents 2022 2021 Bank deposits Cash al bank and In hand Friends branch funds 7,936,852 221,197 6,495,610 206,675 415 Total as at 31 March 32

St Clare West Essex Hos ice Care Trust Notes forming part of the financial ststements for the year ended 31 March 2022 1 Accounting policies 181 Basis of preparation The financial 5taternents have been piep8red in accordance with Accounting and Reporting by Chaiities.. Statement of Recornrnended Practice for Charities ISORP 20151 (Second Edition, effective 1 January 20191, Charities SORP IFRS 1021, Companies Act 2006 and Charities Act 2011. The Hospi￿ tneet5 the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recogni5ed at historical cost or transaction value unless otherwise stated in the relevant accounting policy notelsl. Ibl Company 8tatus The Charity is a company limited by guarantee and has no share capital. The company is incorporated in England and W8les. and its registered office is St C18re H05pice. H8s1ingwood Road, Hastingwood, Essex CM17 9JX. In the event of the Charity being wound up, the liability in respect of the guarantee is limited to £10 per Mernber of the Charity. The Members of the Charity are the Trustees named on page 2. Icl Going concern In 8ccordance with the Gharilies SQRP IFRS 1021 the Trtjslees have undertaken 8n 8sse$smenl of goin9 concern. A5 part of this, consideration was taken as to whether the Charity can continue its operations and pay debts as they fall due for at least one year Iiom the date of when the accounts are to be signed. The going con￿rn assessrnent induded Trustees considering cash projections and financial plans. They are satisfied that the Charity has effective financial controls in place, and that there are robust risk and reserves policies which are regularly reviewed. The Trustees ai& able to rnonitor 8ctU81 result5 ag8in5t budget during th8 y88r and 8nalys8 th8 Charity's 50urc8s of income and expenditure. Following the assessment, the Trustees have conduded that at the time of approving the financial statements, the Charity has adequate resources to continue to adtspt the going concern basis of accounting in pieparing the financial statements. Idl Group flnanclal statements The finanoial stalerllents consolidate the results of the Charity and ils wholly owned subsidiary, Sl Clare Hospice Trading Company Limited, on a line by line basis. No separate statement of finanaal activities has been presented for the Charity alone as permitted by Section 408 of the Companies Act 2006. lel Fund aeeounting Unrestricted funds are those available for use at the discretion of the Trustees in furtherance of the general objectives of the Charity. Designated funds are those earmarked by the Trustees for a particular purpose. Restricted funds are funds which are to b8 US8d in accoid8nce wth sp8crfic restiiction5 impos8d by donors or which h8V8 been raised by the Charity for particular purposes. Investment income and gains are allocated to the unrestricted or restricted fund as appropriate. If) Income Income is recognised when the Charity has entitlement to the funds, any perfomiance conditions attached to the itemlsl of income have been mel, it is prob8ble that the incotne will be received and the amount can be measured reliably. Where income has related expendilure183 with fundraising or contract incornel. the incorne and rel8led expenditure are reported gross in the statement ol financial activities. Donations, grants and gift5 are recogni5ed when receivable. In the event that 8 donation Is subject to fLJlfilling performance conditions before the charity is entitled to the funds. the income is deferred and not recognised until it is probable that those conditions will be fulfilled in the reporting period. Income from Gift Aid tax reclaims for any donations with relevant Gift Aid certificates is recognised in income for the year. Any amounts of Gift Aid not received by the year end are accounted for in income and as accrued incorne in debtors. 33

St Clare West Essex Hos ice Care Trust Notes forming part of the financial ststements for the year ended 31 March 2022 Incorne from NHS contracts, government and other grants, whether'capital, grants or'revenue, grants, are recognised when the charity has entitlement to the funds, any performance conditions attached to the grants have been met, it is probable that the income will be received and the amount can be rreasured reliably and is not deferred. For legacies, entrftlement is taken on a case by case basis. Usually, the Charity would not iecognise any legacy income if there has been no communication from the Executor of the estate. For pecuniary leg8¢ies. the Charity would usually recognise the income once communication has been received from the Executor that there are sufficient net assets available to pay the legacy. For residual legaae5, the Charity would usually only recognise once the estate accounts have been approved, or after other comrnunication has been received from the Executor confirming entitlement and amount due. Incorne received in advance for a grant received relating to the following year are deferred until the criteria for income recognition are met. Lottery Income is accounted foi in respect of those draws th81 h8ve taken pl8ce in the yeai. Retail s8les incorre is recognised on point of sale for both donated and purchased goods. Funds raised by Friends branches are consolidated within the Charitls accounts. Igl Donated goods and services Donated setvice5 01 facilitie5 ale recognised when the Charity has control over the iteTn. any Conditions 8$s￿lated wlh the donated item have been met, the receipt of economic benefit from the use of the item is probable and that economic benefit can be measured reliably. Donated professional services and facilities are included in income at the estimated value of the gift to the Charity when received, based on the amount that the Charity would have been prepared to pay for these services or facilities had it been required lo purchase Ihern. with a corresponding entry in the appropriate expenditure heading foi the s8me amount. Donated fixed assets are similarly taken to income at the value to the Charity with the other entry being capilalised in fixed assets. Ihl Expenditure Expendituie 15 included in the statement of financi81 activrties on an ac(xu815 basis, inclusive of any VAT which cannot be recovered. Fundraising 8xpenditui8 indudes costs directed to raising funds to financ8 the chaiitab18 obi8Cts and to promote the activities of the Charity. Charitable 8Ctivitie5 include expenditure 8ssoci*ed with providing H05pice care setvice5 to patients. their carers, familie5 and friends and include both the direct and support costs relating to those activities. Support costs include central functions and have been allocated to activity cost categories on a basis consistent with the use of resource5 e.g. allocating premise5 Costs by floor area, staff costs by time Spent, and other costs by their u58ge. lil Volunteers services The value of services provided by volunteers is not incorporated into these financial slatemenls. Further details of the contribution made by volunteers can be found in the Trustees, annual report. O'l Pension costs The Ch8rily contributes lo defined benefit and defined wntribution schernes on behalf if its employees. The pension costs charged in the Financial Ststemenls represent the contributions payable by the Charity during the year. in accordance with FRS 102. A number of ernployees are members of the N8tion81 Health Service Pension Scherne. This is 8 defined benefits scheme, the assets ol which are held independently of the Charity. The assets relating to the Charity's employees cannot be Separate￿ identified and, In accordance wth FRS 102, are not induded in the Balance Sheet. Etnployees who are ntst eligible to join the NHS Pension Scherlle are able to join one of two Group Personal Plans, which are both defined contribution schemes. For all schemes, the Charity has no liability beyond making its contributions and paying across deductions for the ernployees, contributions. Where employees, salaries are allocated to unrestricted and restricted funds, the pension costs related to those ernployees, are allocated to the same funds. 34

St Clare West Essex Hos ice Care Trust Notes forming part of the financial ststements for the year ended 31 March 2022 Ikl Employee benefits Short term benefits including holiday pay are recognised as an expense in the period in which the service is received. Termination benefits are accounted for on an accruals basis and in line with FRS 102. 111 Intangibl• fixèd assèts and amortisation Intangible fixed assets costing more than £1,000 are capitalised. Atnort158tion 15 piovided on all Intangible fixed assets at rates calculated to wiite off the cost on a straight line basis ovèr their expected useful lives as follows.. Computer software over 4 years Im) Tangible fixed assets and depreciation Tangible fixed as5et5 C05ting more than £500 ale capitalised. Depreciation is provided on all tangible fixed assets at rates calculated to write off the cost on a straight line basis over their expected useful lives as follows.. Freehold land Freehold buildings Freehold building adaptations Furniture, equipment and medical equipment Telephones Computer equipment Motor vehicles between 34 and 50 years over 10 years over 5 years over 5 years over 4 years over 4 years Inl Stock Stock consists of purchased goods for resale. Stocks are valued al the lower of cost and nel realis8ble value. Items donated for resale are not included in the financial statements until they are sold, because the Trustees consider it itnpiactlC81 to be able to a55ess the amount of donated Stocks as there ale no system5 in place which recoid these items until they are sold and undertaking a stock take would incur undue cost for the Charity which far outr4eigh the benefits. lol Financial instruments The Charity only has financial assets and finanaal liabilities of a kind that qualify as basic financial instrLJments. Basic finanual instruments are initialty recognised at transaction value and subsequently measured at their settlement value with the exception of bank loans which are subsequently measured at amortised cost using the effective interest method. (pl Operating leases Operating leases are recognised over the period of which the lease falls due. Benefits received and receivable as an incentive to sign an operating lease are recognised on a straight line basis over the period of the lease. 2 Judgernents and key soureès of estimation uncertainty In the application of the Gharitys awounling policies, the Trustees are required lo make judgements. estimates and assumptions about the carrying amount of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and othei factors that are considered to be relevant. Actual results may differ from these estimates. The eslimales and underlying assumptions are reviewed on an ongoing basis. Revisions to aooounling estimates are recognised in the period in which the estimate is revised, if the revision affects only that period, or in the period of the revision and future periods if the revision aflects both current and future periods. The annual depieciation charge foi tangible fixed a55et5 15 sensitive to change5 in the estimated useful economic lives and residual values of the assets. The useful economic lives and residual values are re-assessed annually. They are amended when necessary to reflect current estimates, based on technological advancement, future investments, economic utilisation and the physical condition of the assets. See note 15 for the rarrying amount of the tangible fixed assets and note 1 for the useful economic lives for each dass of asset. 35

St Clare West Essex Hos ice Care Trust Notes forming part of the financial ststements for the year ended 31 March 2022 3 Financial activities of the Charity The financial activities shown in the consolidated statement includes those of the Charity's wholly owned subsidiary, St Cl8ie Hospice Ti8ding Cornpany LiTniled. A summary of the financial activities undertaken by the Charity is set out below.. 2022 2027 Total income Total expenditure Net income for year Total funds brought forward Totsl funds carried forward 6,246,351 5,151,097 1,095.254 10,028,766 7, 117,242 4,647,406 2,469,836 7,558,930 Represented by.. Unrestricted income funds Reslricled income funds 10.855,942 268.078 9, 759,923 268,843 4 Donations and gifts Unreslricled Funds Restricted Funds Totsl 2022 Individuals Appeals Charitable Tius1$ Community Corporate Donations from retsil Gift Aid scherne Retail Gift Aid 551,600 74,006 147.705 156,027 236,319 350.886 87,852 5,200 556,800 74,006 405,258 156,027 236,319 350,886 87,8S2 257,553 Unrestricted Funds Restricted Funds Total 2027 Individuals Appeals Charitable Trusts Community Corporate Donations from retail Gift Aid scheme Retsil Gift Aid 612,503 130.773 233,265 97,191 252,825 76,744 19.194 1,422,495 153 612,656 130.773 525,451 97, 191 257,825 76, 744 292,186 5,000 297,339 1, 119,834 5 Legacies In addition to legacies received during the year, the Charity is the beneficiary of further legacies which have not been included in the financial statements. as neither entillernent to the legacies has been established nor is rfi considered probable that they will be received nor can they be reliably quantified. 36

St Clare West Essex Hos ice Care Trust Notes forming part of the financial ststements for the year ended 31 March 2022 6 Net income from Friends branches There are four Friends groups that raise funds for the Hospice. Their accounts are consolidated within the Charity's accounts. 2022 2027 Income Fundraising expenditure Net incotn8 518 1901 428 183 183 Amount remitted to St Clare West Essex Hospice Care Trust 1,000 Increase in retained funds 428 (817) Friends brand) funds brought lo￿ard Balance at 31 March 415 1,232 7 Net income from trading activities of subsidiary company The Charity has one wholly owned trading subsidiary, St Clare Hospice Trading Cornpany Limited, which is registered in England and Wales, company number 2951374. The principal activities of St Clare Hospice Trading Company Limited are the sale of purchased and donated goods in support of Sl Gl8re Wesl Essex Hospioe Cale Trust through its shops, and the operation of a lottery. St Clare Hospice Trading Company Llmlted Profit and 10s8 account 2022 2027 Turnovei Coronavirus Job Retention Scheme grants Local Authority retail grants Cost of 581es & 8drninistration exp8n5es Rent and IT charge payable to St Clare West Essex Hospice Care Trust Nel profil 1,700.314 10,577 5,500 11.193.9671 112,8801 1, 171,815 170,300 140,9t2 11,091,912) {12,88Q) Distributions to St Clare West Essex Hospice Care Trust Retained in subsidiary 509,544 378,235 The 8ggreg8te of the 8SSets, liabilities and funds 8t 31 March was.. Assets 806.348 1805,6581 864,217 (863,5271 Funds 37

St Clare West Essex Hos ice Care Trust Notes forming part of the financial ststements for the year ended 31 March 2022 8 Income from charitable activities 2022 2021 NHS West Essex Clinical Commissioning Group Contract for patient care services NHS East and North Hertfordshire Clinical Commissioning Group Contract for patient care ServI￿S Other NHS income Reimbursement of medical consultant costs Coronavirus Job Retention Scheme grants Local Authority retail grants Covi(P19 Government support for hospices (restricted income) Research & developtnent (restricted Income) 1.948.883 1,941,643 49,164 49,066 59,426 32,584 233,292 140.912 1,829,635 13, 120 103,596 28,985 5,500 933,933 9.758 9 Costs of raising funds Direct costs Support costs Inole 111 Total 2022 Fundraising expendituie Trading Company expenses 524,931 1.193.967 154,552 679,483 1,193,967 Direct costs Support costs (note 111 Total 2027 Fundraising expenditure Trading Cotnpany expenses 484,773 1,091.912 1,576,685 134,881 619,654 1,091,912 1, 111,566 134,881 10 Patient care costs Direct costs Support costs Inole 111 Total 2022 Inpatient unit Wellbeing and Oulpalienls Community service Hospice at Horne Patient and Family Support 1,256,003 248.874 494,309 645.810 482,674 774,729 268,212 112,139 133,624 49,917 2.030,732 517,086 606,448 779,434 532,591 Direct costs Support costs (note 111 Total 2021 Inpatient unit Wellbeing and Oulpalient5 Community service Hospice at Home Patient and F8mily Support 1,135,028 250.254 478,598 646,345 326.148 2,836.373 698,285 233,259 97,955 117,423 42,503 1,189,425 1,8S3,373 483.513 576,553 763, 768 368.651 4,C>25, 798 38

St Clare West Essex Hos ice Care Trust Notes forming part of the financial ststements for the year ended 31 March 2022 11 Support costs Totsl 2022 Management and HR Insurance costs Volunteer services Premise5 and facilities Catering and deaning Communications 35,452 174,038 38,675 32,229 32,229 1.344 18,003 5.105 806 1.075 8,190 23,080 33,503 1,489 16,752 224,473 60,306 10,051 16,752 7.613 131,324 38.065 3,806 3.8( 21,791 34,868 21,791 11,985 14,164 27.338 70,298 39.054 23,433 27.338 34,265 87,803 27,840 25,698 32.123 1,807 10,844 3,873 4,131 9,669 537 8,188 6,700 5,710 4,360 7.811 6,425 517 Staff Time Floor space Usage Floor spac8 Staff Time Staff Time Stsff Time Staff Time Usage Usage 322,292 26,870 74,450 335,034 190,324 108,957 195,272 214,154 25,820 Office costs Goverrnan￿ costs Legal fees TOTALS Total 2027 Management and HR Insurance costs Volunteer services Premises and facilities Catering and d8aning Communications 30,177 148,143 32,921 27,434 27.434 1,013 13,570 3,848 608 810 5.428 15,298 22.206 987 17,284 231,601 62,221 10,370 17,284 6,569 113,314 32,845 3,284 3,284 18,322 29,315 18.322 10,077 11.909 22,590 58,089 32,272 19,363 22,590 31.726 81,298 25.777 23,794 29.743 1,247 7,482 2,672 2,850 3,207 525 175 175 175 175 8,230 405 5.428 6,913 4,927 3,664 6,455 5.949 357 175 Staff Time Floor space Usage Floor space Staff Time Staff Time Staff Time Stsff Time Usage Usage 274,339 20,254 49,347 345,673 164,223 91,609 167,359 198.287 17,815 1,400 Office costs Governance costs Legal fees TOTALS 12 Total expenditure Nel income is slated after ch8Tging'. 2022 2021 Amortisation of intangible fixed assets Depreciation of tangible fixed assets Auditois remuneration Iincluding iirecoverable VAT) Statutory audit - Tax services Trustees, indemnity insuran Operating leases 3,505 189,811 6,280 218,366 16,600 2.965 980 207,927 15,822 4,050 840 206.614 39

St Clare West Essex Hos ice Care Trust Notes fonning part of the financial statements for the year ended 31 March 2022 13 Trustses. rgmuneration No Trustees received emoluments in the tur￿n1 or Comparative year. One Trustee was Qirnbursed eypenses totslling £12312021 ". £01. 14 Intsnglble fixed a$$ets Intangible fixed asset8 acquired by the Charity represent computer sofh¥are. Group and Charity Cost Al 1 April 2021 Additions Disposa15 At 31 March 2022 39,957 39.957 Amortisalion At 1 April 2021 Ch8rge for year Disposals Al 31 March 2022 26.812 3.SOS 30,317 Carrying value at 31 March 2022 9.640 Carrying value at 31 March 2021 13,145 15 Tangible fixed assets Group Freehold Land & Furniture & Equiprnent Total Cost At 1 April 2021 Additions Disposals At 31 March 2022 4.296.286 34.310 727,760 43,666 190,6141 680,812 5.024.046 77.976 190.6141 5,011A08 4.330.596 D8preci8tion Al 1 April 2021 Charge for year Disposals Al 31 March 2022 2,031,539 135,377 607,238 54,434 83,472 578,200 2,638,777 189,811 183,4721 2,745,116 2.166.916 Net book value at 31 March 2022 2,163,680 102,812 2,266,292 Net book value at 31 March 2021 2.264.747 120,522 2,385,269 40

St Clare West Essex Hos ice Care Trust Notes fonning part of the financial statements for the year ended 31 March 2022 15 Tangible fixod assets Icontinuedl Charity Freehold Land & Buildings Furnitu￿ & Equipment Totsl Cost At 1 April 2021 Additions Disposals Al 31 March 2022 4.296.286 34,310 560,514 41,616 153,1211 549,009 4,856.800 75.926 153.1211 4,879,605 4.330,596 Depreciation Al 1 April 2021 Charge for year Disposals At 31 Mar¢h 2022 2.031.539 135.377 458,426 46,796 153,1211 452,101 2,489,965 182.173 153.1211 2,619.017 2.166.916 Nel book value at 31 March 2022 2.163.680 96,908 2,260,588 Nel bwk value al 31 March 2021 2.264.747 102,088 2,366.835 16 Fixed asset investments Charity 2022 2021 Shares in subsidiary company.. Sl Ckre HospiTr Trading Company Lirnited The Charity owns the whole of the issued share capital of St Clare Hospice Trading Company Limited, a company incorporated in England and Wale8. The company exists solely lo raise funds for the work of the Charity by the sale of donated and purchased goods and the op8ration of a lottery. 17 Debto Group 2022 Charity 2021 2022 2021 St HospiTr Trading Company Limited HMRC- Income tsx ￿¢OVerable Accrued legacy income Interest due Prèpayments and other debtors 672.503 36.006 68.130 2.259 882.166 735.174 19.907 468.910 1.886 605.864 36.006 68.130 2.259 965.536 19.907 468.910 1.888 T41,468 41

St Clare West Essex Hos ice Care Trust Notes fonning part of the financial statements for the year ended 31 March 2022 18 Creditors.. amounts falling due within one year Group 2022 Charity 2021 2022 2021 Inte￿$t f￿e loans Taxation and social sewrily Trade creditors Other creditors Accruals Deferred income 2.500 104.260 85.180 158A46 33.692 2,500 82,495 63.26Q 129.918 25, 142 518 2.500 104.260 54.061 56A10 33.692 2.500 82.495 37.775 27.050 25. 142 518 Included in other creditors are pension contributions amounting to £56,41012021.. £27,050). Deferred income reconciliation.. Group 2022 harity 2021 2022 2021 Brought forward at 1 April Rèleased lo the statement of finan¢ial a¢livities Deferred during the year Carried forward al 31 March 518 15181 518 15181 518 518 19 staff costs 2022 2021 Salarie5 Social securty ¢osts Pension ¢osts 4,104,135 372.620 334.327 3,745,357 327.260 312.986 Included in the above are redundancy and temination payments totalling £15,4B812021.. £52,314). The number of employees whose emoluments as defined for laxalion purposes amounted lo more than £60.ffl0 during the year was as folk￿S.. 2022 2021 £60,001- £70,000 £80,001- £90,000 £90,001 . £100,000 £100,001 - £110,000 £110,001 - £120,000 £120,001- £130,000 The average number of employ*8 during the year wa8. 2022 76 57 2021 77 61 Part time The average number of full time equivalent eTnployee5 in the yearwas 112.012021." 113.51. 20 Key management personnel The Charity cOnS￿er$ that the key management personn&l comprise thè Trustees and the Senior Leadership Team. The total employee benefits of the key managemènt personnel of the Charity were £574.78712021.. £530,947). 42

St Clare West Essex Hos ice Care Trust Notes fonning part of the financial statements for the year ended 31 March 2022 21 Analysis of net assets between funds General Funds Designated Fund5 Restricted Funds Total Funds Group fund balances at 31 Mar¢h 2022= Intsngible fixed assets Tangible fixed assÈl$ Current asset8 9.640 2.266.292 5.000.000 9.640 2,266.292 9,232.854 1384.0781 3,964.776 1384.0781 268,078 Total net assets General Funds Designated Funds Restricted Funds Total Funds Group fund balances at 31 March 2021- Intangible fixed assets Tangible fixed assets Current assets 13.145 2.385.269 13,145 2,385.269 7,934.873 1303.8331 7,666.030 1303.8331 268,843 Totsl net assets General Funds Designated Funds Restrict Funds Totsl Fund8 Charity fund balances at 31 March 2022.. Intangible fixed assets Tangible fixed asse15 Investments Current assets 9.640 2.260.588 9,640 2,260,588 3,836.635 1250.9231 5.000.000 268,078 9.104.713 1250.9231 Total net assets General Funds Designated Funds Reslricled Fund8 Totsl Funds Charity fund balan¢o8 at 31 March 2021.. Intsngible fixed asset5 Tangible fixed asse15 Inve51wents Current assets 13,145 2.366,835 13,145 2,366,835 7,555.421 1175.4801 268,843 7.824.264 1175.4801 Totsl net assets 43

St Clare West Essex Hos ice Care Trust Notes fonning part of the financial statements for the year ended 31 March 2022 22 Ststsment of funds At l Apnl 2021 Income Expenditure Transfers At 31 March 2022 Unreslricled funds-. General funds Designated funds Net Book Value of Fixed A8sets Clinical Services and Digital Capitsl D&velopm8nt Irnp8cI Oevelopment Income Gener8tion People Development 7,362. 197 1,233.874 14.979.244) 136,1291 3,580.698 2.398.414 1200.4581 77.978 2,275.932 1,000.000 3,000.000 100.000 soo,000 400,000 10,856,630 1,000.000 3,000.000 100.000 500,000 400,000 6,233.874 9, 760,617 15.179,7021 41,847 Restricted fund5. Patient Care fund Community Engagement fund Bereavement Servi¢e fund Edu¢ation & Research fund 44,976 2,034 143.281 78.552 268.843 1,081.847 79.228 35.513 9.758 1,206.444 11.012.582) 146.5391 1101.0081 15.2331 11.165.362) 141,8471 72,394 34.721 77.886 83.077 268.078 141,8471 Totsl fund$ At l Apnl 2020 Income Expenditure Transfers At 31 March 2021 Unreslricled funds-. General funds Designated fund$ 4, 785, 139 2,561,019 1.352. t58 6,069.060 13.470,4361 1224 6461 13.695.082) 121,5661 56,041 34,475 7,362.197 2,398A14 9,760.611 6,069.080 Restricted funds.. Patient Care fund Community Engagement fund Bere8vement Service fund Education & Research fund 82,613 1,729 55,732 67,386 207,460 1,902.427 12.000 212,547 13,120 2,140,094 11.896,3991 110,8851 1134,9981 11,9541 12.044.236) 143,6651 18101 10,000 44.976 2,034 143,281 78,552 268,843 134,4751 Total funds Designated fund5 represent the nel book value of fixed assets he￿ by the Charity as these are not free reserves and £5 million to support ourstalegic goals. These new funds a￿ expected to be ￿leaSe￿ in the next S years. R8sfricfed funrls.. The Patient Care fund represents funds given by organisalions and individuals to purthase equipment and fund other costs for patient care serwices. The Community Engagernenl fund represents funds given by organisations to contribute toward5 costs of the Compassionate Neighbours project. The Bèreavement SeNice fund represents funds given by organisations to contribute towards bereavement seNices. The Education & Research fund represents funds for the further education of Doctors. Transfers between funds represent the purchase of r￿ed a55els in the year. 23 Related party tran$a¢tion$ During the year. the Charity provided rental of office accommodation, IT equipment and non-retsil staff support to its wholly owned trading subsidiary, St Clare Hospice Trading Company Limited. The ￿nI81 ¢harge amounted lo £12.88012021.. £12,880). In addition, tt)e Charity received a Crfl Aid donation of £509.544 during thè year12021.. £378,235). At the Balance She8t date, the Charity was due £672.503 from St Clar8 Hospice Trading Company Limil8d12021.. £735.1741. There were no other related party Iranssclions in th8 current or comparative year which required disclosure. 44

St Clare West Essex Hos ice Care Trust Notes fonning part of the financial statements for the year ended 31 March 2022 24 Commitments under operating 18ases Al 31 March. the group had outstanding comrnitrnent5 forfulure minimum lease payments under non-cancellable operating lease5 a5 follows. 2022 2022 2021 2021 Other Land & Buildings Olher Land & Buildings Op8rating leases which expirè.. not18ter than one year latsr than one year and not latsr than five years later than five years 2,528 800 1S2,4S3 292,960 81,667 2,528 1,280 186,250 414,188 143,167 74 45

St Clare West Essex Hos ice Care Trust Notes forming part of the financial ststements for the year ended 31 March 2022 25 Prior year group statement of financial activities Unrestricted Funds Restricted Funds Total 2021 Income.- Donations and gifts Legaaes Other trading activities Fundraising events & sirnilar income Friends of St Clare branches Trading Company turnover 1.422,495 297.339 1, 719.834 927,233 927,233 62.699 183 1,171,815 1.234,697 62,699 183 1, 171,815 7,234.697 Income frorll charitable activities 2,456,923 1.842,755 4,299.678 Investment income and interest 14,217 74,217 Other income 13,495 15,495 Total income 6,069,060 2.140.094 8,209. 154 Expenditure.. Raising funds Fundr8i51ng 8XP8nditur8 Trading Company expenses 619,654 1,091,912 1,711,566 619,654 1,091,912 7, 711.566 Charitable activities Patient care Education and research 1,983,516 2,042.282 1,954 2.044.236 4,025.798 1,954 4,027.752 1,983,516 3,695,082 Total èxpènditur• 2,044,236 5, 739,318 hlet income foryear 2.373,978 95.858 2.469.836 Transfers belween funds 34,475 134.4751 Net movement In funds 2,408,453 81,383 2,469,836 Reconciliation of funds.. Total funds brought lotward at 1 April 7,352,158 207,460 7,559,618 Totsl fund8 Carried forward at 31 Ma￿h 9.760,611 268.843 10.029.454 46