Annual Report & Financial Statements 2022/2023 Slciare Hospice St Clare West Essex Hospice Care Trust a41:f14 jSiS l= sltlaiehospictr Clohospicesl¢loie sklor•hNpie , sl<lurgh?spl¢e.org.uk •¥Y•rchlYND 1003431
Annual Report and Financial Statements 2023 Contents Reference and Adminlstratlve Infomiatlon about the Charity. Its Trustsos, Man¥goment and Advisors Tru¥tee$' Report Introductlon Organlsatlon, Governan and Management Conslrfution and R6glstr8tion Govemance of St Clare Hospice Management of St Clarn Hospice Corporal8 Slructure Ams, Obiectfves and AcvItIeS Publlc Benefit 10 Volunlaers 10 Strategic Report Achievements and P8rfom18nce Financial Rewew Fundralslng Approach and Perf0mnc Rol8118nd Lottery Perfonnance Inveslment Reserves Polry and Ofyeclivgs R15k Managemenl Commentary on Last Year's Plans ftir 2022r23 Future Plans 2023124 Statement of Trustees, Responsibilities People Indopondfrnt Audltors, Report Group St•tom•nt of Flnanclal Actlvltl•s Group and Charlty Balanc• Sho Group Cagh Flow Statement Notes Fomilng Part of tho Flnanclal Statements 21 23 27 28 29 30 ce.o Comp8ny Limitad by Guarantee, Registed in England Bnd W8188 No. 3398955 Reglstered Charity No. 1063631
Reference and Administrative Infomiation about the Charltyi its Trustees, Management and Advisors Patrons Dame Claire Bertschinger DBE DL Mr Michael Chapman DL Mr Robert Halfon MP Mrs Melissa Jones Dame Eleanor Laing DBE MP Mr Gary Neill MBIE Lord Petre KCVO Mr Bob Weston Mr John Wickens Trust804 (and Dlr•ctors as defined by th• Companlos Act 2006) Mr Nik Wright Ichalr) Mr Mark Astarita 08E - (Vlc• Chalr Dr Monica Bose pA88S 8Sc FRCP. (Vlc• Chalr) Mr Phil Birch Mrs Jill ROinSOn FCIS MBA Mr Andrew Balfour Dr Jeffrey Phllllps 8Sc FRCA FFIC Mr Lawrence Slade FEI Mrs Carole Bennett MEd AICCT Appnted Appointed Resigned Reslgned Resigned Resigned Appointed Appnted Appnted 07/06r2022 07106/2022 15/09/2022 I I/0022 29103/2023 0412022 24/0212023 24/02/2023 06/06/2023 Mrs Wendy Adams RGN Mrs Katrina L8ighlon-Heam CPFA MAA T Mr Fablan 8ullen Ms Sarah Howe Ms Melanie Wrfght Mr Muntazir Haji Company Secretary Mrs Jill RO150n FCIS MBA Reglslered Office & Prlnclpal Office Sl Clare Hospice, Hastingwrjod Road, Hastingwood, Essex CM17 9JX
Senior Leadership Team Chlef Executivo Mrs Sarah Thompson Msc BA (Hon8) Medlcal Dlrgctor Dr Syed Qamar Abbas M88S FRGP (UK) CEPC Dip Pall Med Dlp Med Ethlcs PGC Med Ed Dlrector of Flnance and Resources Mr Riyad Islam BA (Hons) FCMA CGMA DChA Mr Richard Burton Bsc (Honsj ACMA CGMA Resigned 03/0W2022 Appointed 30102022 Resignéd 01/1112022 Appointed 01/0512023 Mr Nadarasa Sooryakumaran FCCA Dlrnctor of Pallent Carn and Quallty Mrs Sheona Evangoli Bsc (Hons) Dip HE DN RN Dlrector ol Cllnl¢al Inlegratlon Ms Caro18nne Br8nnan Bsc Dip HE RN Dlrnctor of People and Communltles Mrs Helen Grubb BA (Hons) MCIPD Dlroctor of Income Ganeratlon & Communle•tlon• Mlss Rosie Knowles Bsc (Hons) MlnstF DIMetor of Dlgltal and Trnnsforni•tlon Mrs Louise Hall Bsc (Hons) Appted 11/08r2022 Advl8ors Bank•rg Barclays Bank plc, 14 The Water Gardens, H8rlow, Essex, CM20 1AN HSBC Bank plc. 34 Broad Walk, Harlow, Essex, CM20 IJA Audltors Haysmacintyre LLP. 10 Queen Street Place, London, EC4R 1AG Insurance Brokers Towergale Insurance, Kings Court. London Road, Stev8nage, Hertfordshire, SG1 2GA
Trustees. Report Introduction We are delighted lo present the Annual Report and Financial Statements for St Clare Hospice for 2022123. As an independent hospice with a Care Quality Commi55ion (CQC) rating of 'Outstanding', we aim lo work collaboratively with a wide range of partners and stakeholders to deliver the highest quality services for local people who need end of life caTe across West Essex and East Hertforéshire. The later part of the year 2022123 saw a shift from Covid-19 focused operations in every aspect of hospice operatsons. The earlier part of the year though was still marked by a priority on infection control and to keep our particularly vulnerable patients (both in the hospice and in the community). as V11 as our staff, volunteers and patient families safe from infection. During the year the Hospice delivered care for 1,536 palienlg11,551 in 211221, many of whom received support from different services across the clinical direclorale. However, the hospice has support8d many more people across the West Essex and East Hertfordshire area wlh a rang8 of communily-based services such as bereavement support, education and leaching and dementia support, for example. Tha overall incom8 generallon performance durirvJ 2022123 have been strong against a backdrop of slgniflcant financial and economlc uncertainly for all. This is lestsment lo our It)cal communStles and supporters, but also lo our very dedicated staff and volunteer8 who have workeil so hard. As a result our financial reserves are such that we can continue delivering the care and supp(Kt services in the coming year and invest in our new ambitious hospice strategy. With careful monilorlng and slewardshlp of our resource6, we beliov8 St Clare Hospice wlll be able to withstand the uncertain 8conomic dimale expected Sn the coming years. WO have used the year to launch and communicate our HospSce Strategy 2022+ whlch clearly stales our goals., lo improve access to end of lrfe care, drive for quality and ensure the sustalnabilily of the hospice and Ils seNices for the long term future. We have also Inv851ed in a number of areas we bellev8 will secure our future, namely In developing external clinlcal partnerships lin seeking effective integration and collaboration wilh NHS partners and the NHS system in particular), a digilal programme, and in developing plans for capital redeveloprrent of the Hastingwood hospice site. See hlt s'.Ilstclarehos ice.or -ukluslslrale -20221 for Ihe full document, None of the work of St Clare Hosplce is posslble, however, thout the Incredible support of the local community.. volunteers, businesses. individuals, COTnmunity groups, local health organlsations 8nd partners and our commissioners from th8 Integrated Care System. The Hospice is very proud of its achievements during the year. There is much more that 15 needed to be done, and the coming year will be a busy one for St Clare Hospice 8S we begin to deliver an exciting plan for the future, and focus on the needs of local people.
Organisatlon, Governance and Management Constitution and Reglstratlon Sl Clare West Essex Hospice Care Trust is registered under the Companies Act 2006 (Registered No.. 3398955) as a company lirniled by guarantee and not having a share capital. The Company is registered as a charity under the Charities Act 2011 {Registered No.. 106363118nd operdtes under the simple tiUe"St Clare Hospice" The CompanVs Artides of Association define the Company as Ihe Charity", and the Dlrectors of the Company as "the Trustee5- To avoid confusion, the Directors of the Company are referred lo as Trustees throughout this document. Governance of St Clare Hosplce 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 ratifled 81 the following Annual General Meetsng. Trustee$ are requir8d to undergo training and ongoing development in the same way as executive staff. The Board advertises for n8w Trustee5 against a defined skills sel. The Trustees maintain a register of their interests consisllng of an annual declaration by each Trustee of his or her interests and confirmation that he or she is not debarred from acting as a Trustee under section 178 of the Charities Act 2011. The Company Secretary holds the Register; any changes in a Trustee's interests behveen declarations a notified lo the Company Secretary. The Register is made available to the Board, when required, so that the Boaré Is In a position to make judgements on potential conflicts of interest. Trustees are reqUId at the start of every Trustee meeting, lo dedare their actual or potential interest in any item on the agenda for that meeting. The Trustees have a structure of govemance committees including Clinical. Finance and Risk, Income Generation, Remuneration and Human R8sources, each chaired by a Trustee Wlth appropriate skills and experience in the committee's area of responsibility. Each committee includes, 8nd is supported by, the appropriate member of the Executive Team. To these commlttees, the Board delegates much of the governance and performanc8 monltoring, leaving it free lo consider matters of a more str8teglc nalure, The H05pice provides trustee indemnity insurance for 811 Trustees. Management of St Clare Hosplce The Trustees are non-executive and take no part in the day-l04ay management of the Hospice. Although the Trustees have delegated day-tTrday management of St Clare to professional management te8m led by the Chiel Executive Officer, who is not a Trustee, they remain ultimately responsible for the activities of Sl Clare. The Senior Leadership Team {SLT), led by the Chief Executive Officer, manage St Clare in accordance with regularfy reviewed policies agreed and approved by the Trustees. The Trustees monitor the proper discharge of their responsibilities through the structure of the govemance committees and quarterly Board meelings, al which the SLT are invited to report on dinical, financial. workforce and general management issues. Strong internal controls are in place to ensure that income and expenditu are tightly monitored and conlrolled, and that ils assets are secure. Annual budgets are prepared by the SLT for apFyoval by the Trustees. who monitor pro3ress against such approved budgets.
The SLT meets weekly to discuss the day-to-day management of services and regulady review budgetary and clinical performance. They also use thi5 time to explore improvements and new opportunities. The management team of each dir8Ctorate meet quarterly to share operational infomi8tion and discuss strategic serwce developments and improvements. The Chief Executive Offir meets with the Chalr every month lo update on all activities and any areas of rfsk. A pay and parfomiance framework is in place which mlrrors aspects of the NHS Agenda for Change pay framework, and covers hospice roles not typically found in the NHS. Analytical lob evaluation and benchmarking is used lo ensure pay is appropriate and competitive for the roles required to be performed by each staff member induding the SLT. This whole process and framework15 revlewed regularly lo ensure the Hospice Is paying fairly and trad(ing market rates to ensure that the talent can be allracted. 11 is overseen by the Board of Trustees to ensure equrty and faimess. Corporate Structura The Trust has one wholly owned subsidiary, St Clare Hospice Trading Company Limited, ich operates nine charity shops and a lollery. St Clare Hospice Trading Company has separately constituted Board of Directors, thich reports to the Board of Trustees. Alms, Objectlves and Actlvltle8 The Company's Memorandum of Associalion 8s altered by Special Resolution on 28 F8bruary 2022 lays down its objectives as the relief of persons wf(h advanced and progressive life limiting illness through the provlsion of a specialist palliatlve care service lo such persons and their carers Sn need after bereavement, primarily but not necessarily in the western part of the county of Essex b8ged on need as far as resources allow. 11 is the Truslees. principal aim that Sl Clare provides a Hospice Ihal is a centre of excellence in the delivery of specialist palliative care and support by such charitable means as the Trustees see fit. Within thi5 priwpal aim. the Trustees have specific objeGIiv8s, which are to provide.. Continuity of care in the management of physical and non-physical symploms of advanced disease with the purpose of maintaining optimal quality of life for the pali6nt. Appropriate and accessible support lo patients enabling them lo remain in their own he¥ for as long as both desirable and possible. A sensitive response lo ethnic, cultural and splritu81 wshes, which recognSses and cares for the Individual needs of patients. their families and carers. Assistsnce to the patlent and famity lo retain their independence for as long as possible by prowding easy access to infonnation that will enable them to mako choices about the fomi of help and support they wish to receive. Skilled counselling and support to the bereaved. Continuing education and training of staff and volunteers. All objeclwes, slralegi85 and activities are regularly monitored and Teviewed. The implementation of the strategy is formally revlewed 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 service5 in line wlh the Hospice strategy and overarchiro mission statement.
Sl Clare Hospice offers palliative care for people over the age of 18 who are living wth a life-limiting illness vthen 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 5ervic85 available for anyone living In West Essex or East Hertfordshire is affacted by grief, loss, death and dying. All health and social care professionals can make a referral to our hosplce senii¢es. Patients, families and friends can also se8k a referral directly. IndivKluals with life-limiting illnesses often have complex and mullrfaceted needs. In order lo meet this challenge, the Hospice clinical team is a multi-professional specialist palliative care team bringing together staff wrth the necessary knOedge, skills and experience to ensure high quality diagnosls, treatm8nt and compasslonate care considerSng the patient and their family and friends, as a whole not just about treating the illness. Members of the specialisl team include doctors, nurses, healthcare ass1Stants, physiolherapisls, occupational Iherapisls, social workers, counsellors, administrative support, and chaplain and supported by a team of hlghly skilted and committed volunteers to support th8 delivery of car6. The dinical leam vdthin each servlce area undertakes detailed, specialisad and holistic assessments of the need8 of the patient aw88 physical, psychological, social and spiritual dornains. Expert management of complex symptoms Is provlded, which takes account of the patient's views, preferenc85 and circumstances wherever posslble when considering their adc8 on Ihe care that Is most approprfale for the patient's condition. The St Clare Hospice clinlcal seNces include the Inpatient Unil, Wellbeing Hub and oulpallenl seNices, community nursing servlce (comprising a Clinical Nurse Speciallsl Service 8nd a Hospbce al Horne Service) and pallent and family support senilces such as bereavement cou115elling and social w(k advice. This is complemented by non- clinical models of care and a communily engagement programme which aims to idenlrfy local population needs and develop new models of c8re. The acb'mly levels for the year are set oul below. The Hospice also provides cllnlcal Sessions and multidisclplinary team meetlngs input to Princess Alexandra Hospital, Harlow. On a weekly b8SlS, there are four clinic81 sessions provlded to the hospilal which offers patient reviews and hospilal 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 Medi1, nursing, social work. counselling. allied healthcare piolessionals and physician associate backgrounds on placement. We also delivered a pro9ramme of online master classes and study days aimed al healthcare professlonals, many of which needed to be repealed several times due lo oversubscripts'on and which were highly evaluated by attendees. Subjects included themes such as identrfying a palliative care patient. symptom management, care of the dw'ng patienls. specialist management. ethical decision making and psychological Support. The eight-bedded Inp8tient Unil (IPUI has continued to offer patients. thelr famllies and friends with a high level of care and 5UPPOrt, en5uTing dignity and respect at all times. The number of patient admissions during 2022123 was 212 admi55ions compared to 204 in 2021122. Bed occupancy was slighlly lower al 76°A resulting from a lower median length of slay compared lo 770/r in 2021122 which is our target bed occupancy rate. During 2022123 referrals lo our therapists le.g. physiotherapists and occupation81 Iherapistsl increased fmm 401 In 2021122 10 442. Signrficant work continued in developing the new model of outpatient and day therapy type services, to create a
Wellbeing Hub, which was further expanded during the year with the launch of the community hub in Saffron Walden. St Clare offers a comprehensiv8 community servlce, consisting of Clinical Nurse Sperialisls and Hospice at Home, caring for people in th8ir own home5 as well as care homes, and community hospllals. The Cllnlcal Nurse Specialists provlde speclallst advic8, and emotional and psychological support, to patients. their family, carers and friends seven days a week, working in partnership wlh 0th8r health and social care professionals. Both the total r8feffals and the number of patients were lower Sn 2022123. since unlike in 2021122 they were only counted when accepled by the service after being triaged by First Contact. In prtor years, lrfaglng of patients was carried out by the Clinical Nurse Specialists. The communhy service is supported by the Hospice's doctors. occupational therapists. physiolherapisls, social workers, counsellors and chaplain who undertake home assessments as required. The Hospice al Home seNce provides hands-on, palliative care during times of crisls, or In the last f8w weeks of life for people who would prefer lo remain in the comfort of their own home or thelr usual place of residence. The team Frfovides both a daytime and nlght-time service seven days a week and works closely wlh health and social care colleagues. During the year the service continued lo operate and cared for 479 patients n thelr own homes Ilasl year 467). The Compasslonate Neighbours volunteer scheme Identlfles and develops volunteers as Comp88s1onale Nelghbours who are 'matched' with someone nearing the end of their Ilfe In their own home. The prolecl ttas now beneflled 227 people who have come to the end of thelr life. Nmth over 100 actsve 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 inform81ion of Compassionate Neighbour and their community members transferred securely across to a database, This has been a large piece of wrk and Yilh personnel changes during the year has me8nt the project's expansion slowed considerably. However, we 8re confident the work into robust 'ba¢k office. functions and new personnel recently recruited to the project will pay dividends in the coming year. During the year, the Hospice continued to clelwer a range of bereavernent SUPPOrt seNces including bereavement cafés in variou5 venues across Wesl Essex, including th8 hospice and GriefLine. the telephone bereavement helpline. These Services are open lo any adult experiencing loss and grief across West Essex and beyond, and the people accessing these seNices do not need any connection to other hospice services to benefrt. Additionally, a skllled leam ol counsellors offer specialist counselling to adults, children and young people affected by loss. The support follows nationally approved guideline5 and is tailored to each person's need. The Children and Young Person's Bereavement Service funded by BBC Children In Need offers counselling lo any young person affected by grief in Wesl Essex, and includes support and Iraining for school teachers and staff where bereavement is experienced.
Service Activity Service 2021.22 2022-23 Total Admitted Patlents 186 patlents 204 admissions 2752 171 patlent5 212 admisslons 2679 Ipu Available Beds Da Yo Bed Occupancy_ Median Length of Stay In IPU 77% 76% Total referrals 933 611 Clinical Nurse Speclallst Patients referred Totsl referrals 738 473 719 758 Hosplce at Home Patlents referred Totsl referrals 479 401 442 Therapy Toam Patlent8 referred Total referral8 287 285 Patlant and Famlly Support Servlco 632 588 Patlent8 referred Attendance8 535 507 Café Claro 515 568 Bereavement Café Attondanc68 1196 Tralned volunteers 19 (192 in total across the ect 17 (185 pre- exlsting matched 19 Compasslonate Neighbours Matches made during the year 42
Public Benefit In reviewing the objedives and the activltles for the year. the Trustees have satisfied themselves that both the objectives of the Charity and those activities undertaken continue to reflect the aims of the Charity. In carying out their review the Trustees have considered the Charity Commission's gen8ral guidance on public benefit and its supplementary guidance on the advanc8menl of health, especially as it relates lo the relief of sickness. human sufferlng and palliative care. The Trustees conflmi that they comply with Ihelr duty under section 17 of the Charities Act 2011, to have due regard lo the guldance on public benefit published by the Charity Commission. It is intended that the Charity should maximise the benefit that il provides lo the local community given the constraints of size and funds. The Charlty Is an important professional organisalion Ihat is proud of Its local assoclallons. 11 rec8ives the majority of 118 funding from local Indlvlduals and organisalions (includlng local NHS commlsslonlng groups). For this r&ason, the beneficiaries tend lo ba predominantly, though not éxcluslvely, Irom 8 catchment area covering West Essex and East Hertfordshire. Volunteers Volunteers have always played an importanl role In how we dellver $8rvice5 to patients, famllles, community members and the wider community. Our volunteers offer an extra layer of support lo make the journey with St Clare Hospic8 a poslllve expenence. A number of volunteer roles have been freshed or changed over the past couple ol years. The 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 hosplc8, and in the last year have developed a range of long seNce award events to thank and celebrate the dedicated service of the volunteer workforce al the hospice. Thase have been wamily recelved by many volunteers who have valued beSng able to come tojether again in person over food with a certSficat8 and badgé as a small token ol the hospice's gre8t appreciation for their commilmenl. A clear volunteerlng plan has been created lo underpin Ihe exciting Hospice Strategy 2022+. A number of principles have been devgloped as areas to focus on.. Improve communication with our volunteers, Develop a strong framework and processes to undeTPiTr work being developed. cste more ways to be connected lo the work we deliver. Ensure we have embedded ways to say thank you and recognlse a volunteer'5 impact and we create opportunities for volunteers to connect together as a bigger leam. Develop a stronger support mechanism for volunteers when problems arise. Invest in volunteers by creating a strong training programme, inducllon process and ways lo engage together. Looking to the future of volunteering, we have Some exciting ideas and potential to create more opportunities in areas that we h8ve not had volunteer5 working befoTe. All of this will increase the impact of our work and 5UPPOrt morg people in our community. 10
Strateglc Report Achievements and Perforniance The H05pice Strategy 2022+ vlsion is that every adult in our kK81 Communities with 8 life limiting condition should have access to palliative care seNices wherever and whenev8r they need them so that they can make the most of every moment, no matter how long they have lefl to live. We aim to provide both specialist clinical seNices and volunteer- led 5UPPOrt that meet the complex medical and social needs of local people around the issues of death. dng and loss. Our flve strategic aims l. We will reach Significantly more people who are f8cing dealh, dylng and loss in our local communities. 2. We wlll work alongside our comrnunities to become more resilient, to support each other and lo remain independent for a5 long a5 PQS5ible. 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 organisations and communilies to deliver b8tler care for palien15 and local people. 5. We V11 grow as a strong, sustainable and effective organisalion. Our three maln drivers to delivering outstanding care We wll work to.. Improve access to our services and hosplce Focus on quallty irnprovemenls across eveNhlng w8 do Focus on the suslalnablllty of the hospice's resources into the future How wlll w• achleve th187 Improvlng Acce¥s: We wll.. Expand our reach Offer more servic£s on our hospice slte Prepare for an increase in care home residénts who neèd our care, and for Ihosg who wish lo be cared for at home Work to reduce h05pilal admissions so more people can benefit from hospice care Ensure everyone has fair access to hospice services. employment and volunteering opportunltSes Help local communities articulate what they need 11
Quality We will.. Demonstrate the impact we have made Continue to develop St Clare as an effective, open organisation that values int8grlty Continue lo develop frameworks lo ensure we are well-led, governed and effective We will equip health and social Ca colleagues lo deliver great end of life care to their patients Sustainability We wlll.. Create an emKKMered. rnotivated and skllled workforce (both staff and volunteers) Optimise income generatlon to enable us to remain independent and afford our servlces Inv8St in IT, digital sep4ices and d8la functlons A5plre to reach carbon neutral by 2040 Achlevements In 2022123 It has been another very busy year for Sl Clare Hospice. still marked by the impact of Covid-19. Despite the obvious focus on maintaining operations wlh stringent infection control procedures in place, we achieved a lol of positlV8 changes that have h81ped deliver quality care for more people. A key piece of work for the year has perhaps been the launch of Ihe new hospice strategy 2022+ following consultation with staff, volunteers, local communities. supporters, NHS partners and commissioners. We have also developed new S8ceS during 2022123, such as the comrnunily hub in Saffron Walden. As part of OLJr goal lo ensure that as many people as possible have access lo our hospice SeiCe8, wherever they are, we identified that people living in Ihe northern most area of our calchmenl area, in the Utllesford District, found il more drfficult to travel lo our hospice site which is srtualed in the southem part of our aa. By working wlth a nurnber of NHS and voluntary sector colleagues (who enthusiastically welcomed the St Clare Hospice team), a number of joint clinics and programme of support groups, drop in sessions and bereavement café have been set up in Saffron Walden. We continued lo develop our Wellbeing Hub clinics, particularly our Oulpalient Provision through Specialist Therapy Clinics and Groups and acupuncture clinic5. We also continued to develop the Living Well Programme, breathlessness group, symptom control clinics, dementia care cafes end Café Clare, whilst we also honed our Namaste Care programme, Compassionate Neighbours and community group work. Lastly. we are also proud of the structured teaching programme developed during the year, particularly the European Certificate in Essential Palliative Care, with the first cohort of students commencing their studies with us in September 2022. During the year we have run End of Life Care study days and webinars, Masterclasses in 12
Palliative Care, Advanced Communication Skills course, a DNACPR {Do Not Attempt Cardio-Pulmonary Resuscilalionl Study Day, Level 2 Psychological Skills Training and our first annual Hospice Conference in September 2022, with an extraordinary line-up of &minent speakers. We remain proud of our ongoing relationship wlh the University of Cambridge and Anglia Ruskin University where we contribute wilh student plaGements and regular seminars, During the year we have worked on slr8ngthening our internal systems and functions. We have continued to invest in our business intelligence functions. with signrficant Improvernenls made in our clinical reporting functk>ns on clinical perfomance and incldenl and complaint reporting. Significant work started in the summer of 2022 around developing Ic¥JiC models for each service and function to help us make Inroads into understanding how we can becom8 more efficient and effective, as well as how we can undersland and demonstrate the impact and benefit of each service lo our local population. We have seen a slgnificant Improvement across some ofour income generatSon streams, despite th8 challenges posed by the external environment. We have seen sLqnificanl improvement in the overall contribution from the fundraising team as tsrg8t8d Investments and developmenl of team members has paid off. The team overall is enthusiastic, mollvated and skilled, focusing on the needs of our sUPPOrt8rs which is paying off in the results. The retail perform8nce has had 80m8 challenges durlng the year, but we s88 this easlng In the coming year wlth a focus on Strengthenlng and supportlng the shop management team. The St Clare Hospice Lottery has had 8 mlxed year, by regaining10gt ground with attritlon rates seen durfng the pandemic, and overall a good financl81 conlrfbution to the hospice. However, we belleve the lottery can achieve much more in the year to come. It has been fantastic to see the progress of St Clare Hospice over the past 12 rnonth5, with new challenges and opwtunilies for development being considered all the Ilme. Clinical and non4linic81 teams have Ti58n lo the many challenges they have mel along the way in a rapidly changing world. The hard wcfk of every member of staff, with support from dedicated volunteers and our local ccthmunilies enables the Hospice lo continue to deliver high quality palienl care, véhich is al the heart of 811 that st Clare Hospice does. 13
Flnanclal Review The outcome for the year was a surplus of £8k, lch 15 down ag8lnst the prior year Surplus of £1.1m. The result in the prlor year was achieved mainly due lo one-off Govemment fundlng related to Covid-19. There was increase in total expenditure which was mainly due lo higher patient care expenditure where seNice5 continued lo be developed and expanded, in part from designated funds. The exceptionally high level of inflation and high energy costs h8ve also resulted in increase in the b86eline expenditure. NHS income w8s slightly hlgher than the previous year, however 8133°A of the Charity's expenditure. it is lower than the 39% te1Ved in the prior year. The forecast future shortfalls in income compared with expenditure would reduce the level of reserves. St Clare held net assets of£11.13m at31 March 2023. Oflhis amount, £2.27m had been invested in land. buildings and equipment. leaving net current assets of £8.86m. The Trustees have remewed financi81 forecasts and have agreed lo continue to use reserves to develop services identified in the Sl Clare Hospice Strategy 2022+ to reach more people affected by life-limiling illness, dealh, dying and loss. Since this may reduce reseNes below the target level, the planned capital development project, for thich funds have been designated, may ultimately b8 funded from a specific appeal to generate th8 requir8d funds. A goino concern assessment has been undertaken in accordance wrlh the CharltSes SORP {FR1021. Following the assessment, the Trustees have conduded that at the lime of 8pproving the financial statements, the Charity has adequate resources to contlnue lo adopt the going concem basis of accounting in preparing the financlal slalements. Fundralslng Approach and Perfomian¢e Sl Clare Hospice is committed to maintaining high standard of fundraising, retail and btlery aclfvity. We are registered wlh the Fundraising Regulator and licensed by the Gambling Commission. We are committed lo fundraising by the st8niJards set out in the Fundraising Code of Practice, and our Gonlracled professional rAnv8ssing agencies for new lottery players are also required lo maintain Ihe Codes of Practice. We are members of the Charity Retail Association, Hospic8 UK, and the Inslilule of Fundraising. A range of public faclng fundraising activities are undertaken induding events, direct mailings. corporate fundraising and telephone appeal8. Fundraising activities are reported to the Income Generatlon Committee on a quarterly basis. The Hospice commits to ils fundraising poliae5 and practice beirKJ legal, open and honest. Staff training and robust procedures are in place to ensure that these standards are mainlained, and that no-one who is potentially vulnerable is asked to ¢ommsL to giving. From lime to time, the Hospice May work wth established and reputable service providers which include mailing houses, event management cornpanies and fundraising agencies. Monitoring of activities 15 done by investigating complaints. seeking supporter feedback, mystery shopping and audits. St Clare Hospice is GDPR compliant. and uses a number of methods lo ensure regular review and accurate record keeping. In addition, the Hospice ha5 signed up to receiving marketing suppressions under the Fundraising Preference Service, and also wll not make fundraising calls lo telephone numbers registered with the Telephone Preference 14
Service. Detailed supporter contact preferences and giving history are recorded on the fundraising database which is managed wlhin the fundraising team. Supporter experlence Is a priorlty for all teams wlhin the Income Generation directorat8 and as such any rA)mplainls are investigated and dealt with in Ilne the Hospice complaints policy. It is pleasing to report, that durlng the year, there were no complaints received about fundraising activities. Fundraising incom8 generated in 2022123 was £1.783k compared lo a prior year figure of £1,565k. 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 Grft Aid Scheme vthlch Is Included wrthln the Relall Conlrlbullon flgure, Tha hospice benefrtt8d from generous support from our community once agaln In 2022123. Our focus in fijndraising Is aayS lo connect supporters with the impact of the work we do, and show how their donations are making a difference lo local people. We saw hlgh levels of activity In all areas of fundraising, wSth partlcular success in areas where we had updated and improv8d our offerlng lo the public, such as in our programme of events. The focus for 2023124 is on increasing our Capacity and efficiency lo be able to 3eNe Ihe community who are wishing lo support us, and raise the increasing funds needs lo run the Hosplce. As the cost of livlng continues to rise, we know that our supporters are feeling the effects just as much as the hosplce Is. It Is vlt81 that we make sure that those that are able and sh lo donate lo the hosplce can do so easlly. and that they conlSnue to be aware of the incredible difference this makes lo local people receiving our services. Ratall and Lottery Performance St Clare Hospice retail continued to see fantastic support from the public through high levels of donated goods and good footfall. Nevertheless, the net contribution of all retail aclivity {including e-commerce) for 2022123 was £277k comparted lo £449k In 2021122. This decrease in income was the effect of a challenglng year of recruitment leaving us under-resourced across the chain for a significant period of tim8. We also invested In a new store in Bishop's Stortford South Street. This store is our largesl high street store, and after refurbishment has become one of our highest performing stor8s. It is our ambition to continue to grow our portfolio of stores across the region that we serve as a hospice. The St Clare weekly lottery is a key income stream for the hospice, with excellent player numbers across our region. Face to fa player recruitment continued Successfully, leading to growih in our player numbers and lottery contribution to Ihe charity was £439k in 2022123 vs £512k in the previous financial year. Player recruitment will be our main focus for the 2022123, and so we exped to See higher player numbers but, in the short term, reduced conlribub'on as a resuS1. 15
Investment Th8 Trustees. inveslment policy is governed by the Company's Memorandum of Assoclatlon, which allows the Trustee5 to invest ils funds in such stocks, funds, shares, securities or other investments of whatever nature they think fil, subject to any conditions imposed by law. The Trustees are currently exploring the option lo invest monies after allowing for cash required to meet planned level of expenditure in the medium term consistent with Sl Clare's Reserves Policy. During the year, beyond a small worklng balance all cash was held in interest bearfng accounls. Thal cash which is not required in Ihe Short term Is Invested in immediate, notice or fixed temi depos115 to secure the highest rate of interest avallable, which is consistent wth the security. The current policy set by the Trustees for inv8slmenl 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 steding, Rasorves Pollcy and Objoctivos The Trustees reeWed and approved the Reserves Pollcy In September 2022 in line with r8commendations from th8 Charity Commission. It is Ihe wew of the Board of Trustees that Sl Clare HospSce should provide reliable and consistent seNces to Ils beneflciaries beyond the immediate future. Th8 Hospice needs to be able to meet unexpecled expenses, absorb setbacks and take advantage of change and opportunilies for development when they arSse. Th18 review has also taken Into account the proposed development of serylees provlded by St Clare Hospice, a8 contemplated In the Hosplce's Strategy 2022+. The Truslees agreed on 8 tsrget level of re8erv85 informed 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 inc(e received by th8 Hosplce and Ihe risk factors applicable lo these categories. For example: The absence of a long-term funding commitment for those service5 provid8d by the Hospice for thich income is recgived from the NHS or other government agencies. The volatilily of fundraislng Income, as demonstrated durSng and foll0vng the Covid pandemic. The uncertainties of legacy income, bolh as regards amounts and timing. The uncertainty of the amount of income which may be forthcoming from trading aGlivity in the Hospice's subsidiary, including the uncertainly of trading income in the retail and lottery markets and the risks of undertaking that trading. The inherent risks of providing medirAI and clinical services. The external economic environment, and the impact of exceptionally trigh level of inflation feeding through lo year on year baseline costs. 16
In addition, it is planned that the Hospice wll have an annual deficit for the next few years in order lo balance the two priorities of investing in services and increasing overall income lo sustain this investment long lemi. This investment is a key part of the 2022+ strategy, and has also been enabled by surplus in prior years. This approach is an aCknOedgeMent by the trustees of the ne8d to avoid excessive reserves and to utllise funds as qulckly as possible lo support our charilablo oblectiV85. The target level of reserves agreed by the Trustees is slx months of forec8sI expenditure for the Hospice and its trading subsidiary. Thus in each financial year the Hospice will aim to have reserves equal lo haw the budgeted expenditure for that financial year. Further amounts may be designated for specific projects, inilialives or liabilities. These designated funés, rf designated, wll be for areas of work that directly lurther the Hospice's strategic objectives as recommended by the relevant Committee. The approach to designation wlll be recommended by the Flnance and Rlsk Committee. These designated funds will not be taken into account in comparing the amount of reseNes with the target level. The reserves policy target will be calculated on an annual basis. and agreed by the Board prior to approving the Annual Report and Accounts. Design8t8d fvnds At their meeting in September, 2022 the Trustees deslgnated certain arnnts for anticlpaled future expenditure aTlSing from St Clare's Strategy 2022+ and are diwded into strategic areas we conslder a wiority. It is anticipated that this expenditure wll be across the coming five years after plans are further developed and projects idenlrfied in detail. The designated funds (and amounts utilised during the yearl are the foll¢Jwng.' Improwng Access.. Clinical services and digital £1m1£123k utilised) Improwng Access.. Capital Development £3rn Quality.. Impact development £1 Ook Suslainabilily.. Income generation £500k {£42k utilisedl Suslainabllily: People development £400k (£64k ulilisedl Level of reseNes As at 31 March, 2023 St Clare Hospice held net assets of£11.1m, ofwhich £2.3m is represented by laroible fixed assels, leaving £8.8m. After deducting restricted lunds of £0.2m and unulilised designated funds (see above) of £4.8m, £3.8m is available as undesignated general ieserves. The reserves policy target for 2023-24 is £3.7m, and it would be the expectation of the Trustees that the level of reserves will broadly align with the target over the next few year5 as St Clare's Strategy 2022+ 1$ implemented. To the extent that reselves might olherw5e fall beneath the target, it is anticipated that the funds designated for capi181 development will be reduced and replaced by incCe from fundraising for capital development. 17
Risk Managemenl The Senior Leadership Team, which meets weekly chaired by the Chlef Executive Officer, monitors, records, and manages risk on an operational and strategic basis. The organisational nsks are identified and rneasures pul in place by SLT, and reviewed by the Finance and Risk Committee before they are reported to the Board. 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 Board of Trustees. Insurance Gover for insurable risks is co-ordin8ted by the Director of Finance and Resources. and reported lo the 8oard of Trustees. In short risks are identified Ihrough the management Structures and mitigated. managed and l or insured as appropnale. The following general prlnciples are applied in addressing possible exp05UTe to any identified risks.. All professional and other Codes of Practice applying to Hospice activities must be observed al all times. All statutory requirem8nts must b8 complied with at all time6. All manufaclur8rs' operatlonal advice, inslructlons and servicing requlremenls musl be assiduously observe(l. Appropriate records of compliance wlth the above requirernonts must ba maintained. Insurance cover is taken out where appropriate. Suitsble revlew procedures Including records of Incldents land Ibeir Subsequent resolulionl musl be in place to ensure that risks are, gnd continue to be. properfy identified and managed. Implementation and compliance with a full range of inlemal polides and procedures. The SLT has responsibility for the ongoing idenlificalion, monitoring and management of risk within their respective spheres of interest. Where risks are so remole that it IS impracticable. uneconomic or impossible to eliminate or avoid them {e.g. acts of war, force majeure. 'plane crash etc.) Ihey are accepted. Sl Clare Hospice believes that 8 high quality service is one that should have minimal risks to the organisation, patients and staff. Where operolional risk5 are idenlified Ihrough complaints, incidents or risk as5e5sments and reviews, they are added to the risk register and actions are agreed lo ensure that the risk is either removed or reduced lo as low a level as reasonably possible. The highest organisalional risk for the Hosplce is Its financlal dependen on voluntary income. thich can be affected by significant issues such as a gbbal pandemic. bul also the impact of the changes in commissioning and contracting from the NHS in the future as the NHS syslern adapts lo the reorganisation from Clinical Commissioning Groups to larger Integrated Care Systems. Without sufficient funds, It would not be possible lo run the extent of hospice services that are currently provided. Although we have taken a nurnber of mitigating actions lo secure our Income Generating capability the inuease in baseline expenditure continues to place rellance on sustained growth in voluntary and Iradlng incorne. Dedicated teams of fundraising, lottery and retail slaff, who are supported by volunteers and the wider base of H05pice staff, work tirelessly to ensure that the Hospice continues to receive donations and support from its local community and maintain a good 18
reputation locally. The SLT and the Income Generation Committee closely monitor income and expenditure. Robust and detailed plans are created for the fundraising, lotlery and retail functions on an annual basis. Aclivily against these plans is regularly monitored through line management processes in place. The move from the Clinical Commissioning Groups to the Integrated Care Systems in the NHS has been a significant change nationally and locally., keeping abreast of the changes in structures and personnel is always more complex for organisalions like hospices who are independent of the NHS. However, it has been made somewhat easier by the Improved enthusiasm of NHS colleagues in the ICS to communicate and work with the hospice. The risk for the hospice is that Mth the changes in commissioning structures, the emphasis on end of Ilfe and palllative care might gel lost or diluted which wlll have an impact on the delivery of patient care; and that there may be a risk to the value of the NHS contract which presents the Hospice with a sllghtly elevated risk of not being able to survive financially if the contract was not to be renewed or cul for any reason. Howev8r, the Hospice has been worklrKJ hard al buikling good relationships with NHS partners during the year, and believes the Hospice's positive allilude and willingness to support the wider system durlng the past few years has helped support higher profile and Improved reputation. The abilily lo recruit Into ¢linical roles, partlculady Reglslered Nurses. conllnues to be a high risk area for the Hospice. With a nationwde shortage of nurses, and a stretched NHS that is still recovering from a global pandemic, recruitment is a struggle and may lrnpacl upon the plan5 to expand and develop seNces. Commentary on Last Year's Plans for 2022123 The hosplce has Ihe ambition of a 'One Hospice. approach by taking advantage of technologies and digital approaches. We want lo widen access to Services, ernployment and volunteering opportunities, and support all hospice funclions {including income generation). During 2022123 we were able to begin 8 review of all of our aclivilies, functions and services to scope Ihe resources and opportunities we have for digi181 development. We developed 8 Digital Strategy and we are now implemenling il where resources and capacily allows. We ar8 also looking lo ensure our hospice is fil for the future and that our hospice sile is future-proofed, so that it is suslalnable and sultable for the next 15 to 25 years. During the year we started working with our key slakehokjer groups such as the hospice workforce, commlssioners, and local community lo establish the health and hospice accommodation requirements in the future wth a vlew to scoping a proposed capltal prolect that improves the hospice sile and maximises the use of hosplce resources. This is an ongoing long-temi project and will take some tlme lo deliver. 19
We planned to further develop the Wellbeing Hub programme of clinics and programmes that meet the need5 of our patient cohort and reach more people both at the Hastingwood 51te and in venues around West E55ex. During the year we launched a range of hospice services and clinics in Saffron Walden at the northem edge of our catchment area to beller serve our Ultlesford population. The Saffron Walden community hub has enabled us to work collaboratively wlh a number of voluntary sector and NHS partner5 to jointly deliver a programme of bereavement cafés, drop in sessions. clinics and groups, bringing our hospice services to the local population. We planned to implement a full Equallly, Diverslty and Incluslon programme Ih81 Sdenttfles how the hosplce will address inequalilies In our organisatSon so thal everyone has fair access to hospice gervices, as well as employment and volunteering opportunities. Durlng the year we had a number of false starts with the programme, bul have finally landed a partnership with an external consultant who really understand5 the quirks of hospices. The ¢onsullanl has offered staff a number of IuS groups based on protected characte511C5 8nd conversallons lthlh Individuals wllh a view to developing a report with an actlon plan 8nd recommendations for the hospice, and who will develop a be¥poke Unconscious Bias training programme. We planned to develop our b8r8av8m8nt support programme including elements such as extending GriefLine and the bereavement café model. Although we have not made significant changes to extend Griefline {as so far, the data we've collected shows demand h8s not warranted it), we contsnued lo develop a number of bereavement cafés across the catchment area. We sald we would conduct a full hosplc8 governance rewew to ensure effecuve and safe declslon making. Thls has been completed durlng the year, and overall the extemal report was very poslllve about our govemance structures and approach. However, work will now conllnue on updating our Memorandum and Articles thich have not been updated or reviewed since 2011. We planned to develop 8 number of new business models and plans to develop a slep change in hospice income for fulure suslainabilily. This is well underway and we are pleased with progress, with a number of exciting business plans in the pipeline which will begin in 2023. Future Plans 2023124 The Hospice plans for the comlng fSnanclal yèar of 2023124 are as follows: We will conllnue to work wlth our NHS colleagues and partners In supporting the integrated care system and worklng to improve end of Ilfe care delivery across our area, We wll deliver 8 number of Smprovements to the Haslingwood site that 11 improve the environment for p8ts.enls and famllles. We will launch one or two new commercial v8ntures as new income streams, as well as expand our charity retail portfolio. We will develop a community engagement strategy that builds on OUT volunteer and community-led social support models. We will devebp an impact measurement prograrnrne to demonstrate our value to the wder healthcare economy and the difference we make to the local community. 20
Statement of Trustees, Re8pon8lbllitiès for Flnanclal Statements The Trustees (who are also directors of St Clare West Essex Hospice Trust for the purposes of company law) are responsible for preparing the Trustee5' Report and the financial statements in accordance th applicable law and United Kingdom Accounting Standards (United lQngdom Generally Accept8d Accounting Practice). Company18w requirès Trnstees to prepare financial statements for aach financial year. which give a true and falr view of the stale of the affairs of the charitable company and the group and of the incoming l outgoing resources and application of resources. includirbg the income and expenditure. of the tharilable group for that perlod. In preparin9 these financial stalemenls, the Trustees are requir&d to.. select suitab18 accounting policies and Ihen apply them consistently- observe the methods end principles in the Charitles Statement Df Recommended Practice,. make judgem8nt5 and e5tlmates that are reasonable and prudent; stale vknelher applicable UK Accountlng Standards have been followed, Subject to any material departures disclosed and explained in the financial slatements,. prepare the financial statements on the going concern bas18 unless It Ss inappropriate ttj presume that the charitable company will continue In buslness. The Trustees are responsible for keeping proper accountiw records that disdose with reasonable accuracy al any me the financial position of the charltable company and enable them to ensure that the financlal statements comply wlh the Companies Acl 2006. They are also responsible for safeguarding the assets of the charitable company and the group and hence for taking r8asonable steps for Ihe prevention and deteGlion of fraud and other Irregularities. Audltors The audltors, Haysmacintyre LLP, will be proposed for r8appointm8nl In accordance vAth section 485 of the Companies Act 2006. Dlsclo8ure of Informatlon to auditors AS far as the Trustees are aware, there is no relevant audit InfoatIOn of thich the Compan1$ 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 audil information and lo establish that the Companls auditors are aware of that information. 21
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 Sl Clare over the past year. They continue to demonstrate tremendous commitrnent, professionalisffl and enthusiasm that is so necessary lo 8nsure the smooth running of the Hospice. I would like lo offer my thanks to all my colleagues on the Board of Trustees for their continuing support lor the hospice, which has been incredibly valuable. The experience and experts'se of Board members as volunteers not onty enables us lo meel our responsibilities r8g2rding the organisalion's govemance, but also encourages and facililales the development of our services for local people. l am deeply grateful to the very commilled, engaged and skilled group of Injstees vtho give signiflcant Ume and support to our senior leadershlp leam. I must also thank those trustees who have seNed on the Board and whose ternis of office came to an end during the year. Wendy Adams, Fabian Bullen, Caro18 Bennell and Katrina Leighion-Hearn. Each have given tim8 and effort towards the hospSce over their respective pericds of office, and l am grateful to each of them for their dedicated service. l arn delighted to welcome Sarah How8, Mel Wright, Lawrence Slade and Muntazir Haji to the Board and am grateful to Ihem for their enthusiasm and commllment to the hospice and the teams. Finally, I musl thank all our supporters and local communlty who so generously glve of their tim8 and money to support the work of St Clare. 11 is humbllng to witnegs the appreaation and goodwill thal local people have for our Hospice and It would be Impossible for us to ¢onts'nue our work thout their support. On behalf of the Board of Trustees, Sl Clare Hospi 5t8ff and volunteers. patients and their families, l am very grateful for the unstinting support of our local community. This Trnslees, Report and Slraleglc Report vmre approved by the 8oard of Trustees and aulhori58d for Issue on 5 September 2023. Nlk Wright Chair of Board of Trustees 22
Independent Auditors, Report to the Members of St Clare West Essex Hospice Care Trust Opinion We have audited the financlal slatements of St Clare West Essex Hospice Care Trust for the year ended 31 March 2023 which cornprise the Group Statement of Financial Aclivilies, the Group and Charity Balance Sheets, the Group Cash Flow Statement and notes lo the financial statements. induding a summary of signrficant accounting policies. The financial reporting framework that has been applied in their preparation is applicable 18w and United Kingdom Accountlng Standards. Including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of ITeland (UnSted Kingdom Generally Accepted Accounting Practice). In our opinion, the finan&al stalemenls.. give 8 true 8nd fair view of the slate of Ihe group's and of the parenl charitable company's affairs a5 at 31 March 2023 and of the group's and parent charitable company's nel movement in funds, induding the income and expenditure, for the year then ended., have been property prepared in accordance with United Kingdom Generally Accepted Accijunling Practice., and have been prepared In accordance YAth the regulremenls of the Companies Act 2006. Basls for oplnlon We conducted our audlt In accordance th International Standards on Auditing (UK) {ISAs IUKI) and appllcable law. Our responsibilllles under those 8t8ndards are further descdbed In the Audilor's responslbllities for the audll of the financial 51atemenls section of our report. We are independent of the group In accordance with the ethical requirements that are relevant lo our audll of the financial ststements in the UK, including the FRC'S Ethical Standard, and we have fulfilled our other ethic81 responsibilities in accordance wth these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion. Concluslons relating to golng concern In audlling the financlal statements, we have concluded that the Trustees. use of the going concem basis of accounting in the preparation of the flnancial statements is approprSate. Based on the work we have performed, we have not idenlified any material uncertainties relating lo events or condllions that, individually or colleclivety, m8y cast significant doubt on the group's ability to continue as a going concern for a period of al least iw8lv8 months from en the financial slalernenls are authorlsed for Issue. Our responsibilities and the responsibilities of the Tru518e5 Trmth respect lo going concem are described in the r818vanl sections of this report. Olher information The Trustees are responsible for the other information. The other infomiakn'on comprises the infomialion included in the Truslees, Report. Our opinion on the financial statements 23
does not cover the other information and, except lo the exlent otherwise expliciuy staled in our report. we do not express any form of assurance conclusion thereon. In connection with our audil of the financial stalemenls, our rBsponsibility is to read the other information and, in doing so, conslder whether the other information is materially inconsislenl th the financial slalemenls or our knoedge obtained in the audil or olheM8e appears to be materially misstated. If we Identify such material inconsislenciÈs or apparent material mi5slalements, we are required lo deterrnine whether there is a material misstatement In the finanaal slalements or a mat8rial misstaternenl of the other infomiation. If, based on the work we have perfomied. we conclude that there is a material misstatement of this other infomalion, we are required to report that fact. W6 have nothlng to report in this regard. Oplnlons on other matters pre8crlbBd by the Companles Act 2006 In our oplnlon, based on the work undertaken In the course of the audit.. the information given in the Trustees, Annual Report (Ich includes the strategic report and the direclors, report prepared for the purposes of company lawl for the financial year for which the financial statements are prepared is consistent with the financial slalemenls., and the strategic report and the directors, ieport induded wthin the Trustee5' Report have been prepared in accordance with applicable legal requirements. Matters on whlch we are requlrod to report by excoptlon In the Ilghl of the knovledge and understanding of the group and the parent charStable company and its environment obtained in the course of the audit. we have not identified material misslalemenls in the Trustees, Annual Rewl IwhiGh incorporates the strategic report and the direclor5' report). We have nothing lo r8POrt in respect ol the followlng matters In relaOn lo wthich the Companies Act 2006 require us lo report lo you If, In our opinion-. ad8quata accounting records have not been kept by the parent charitable company, or returns adequate for our audit have not been received from branches not VlSlt8d by us- or the parent charitable ccfflpany financial statements are not in agreement with the accounting records and returns- c certain disclosures of Trustees, remuneration specified by law are not made.. or we have not received all the information and explanations we require for our audit. Respon51bilitles of Trustees for the financial statements As explained m(Ye fully in the Trustees, responsibilities statement sel out on page 22 the Trustees Iwho are also the directors ol the chantable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied thal they give a true and fair view, and for such internal conlrol as the Trustees determine is necessary lo enable the preparation of financial stalernents that are Ir88 from material mis5tglement, wheth8r due to fraud or error. In preparing the flnancial slatemenls. the Trustees are SponSibl8 for assessing the group's and the parent charitable company's ability lo continue as a going concern, 24
disclosing, as applicable. matters related lo going concern and using the going concern basis of accounting unless the Tnjstees either intend to liquidate the group or the parent charitable company or to cease operations, have no realistic altemative but to do so. Audltorfs rnsponslbllltles for the audlt of thè flnan¢lal statements Our objectives are to obtain reasonable assurance aboul ether Ihe financial slalemenls as a whol8 are free from material misstatement, whether due to fraud or error, and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that on audit conducted In accordance with ISAS IUKI will always detect a material misslatemenl when it exists. Misslalements can arise from fraud or error and are considered material if, individually or in the agggate, they could reasonably be expected to influence the economic d8C1snS of users taken on th8 basis of these financial statements. Irregularitles, Induding fraud, are Instances of non-compliance wbth laws and regulatlons. We deslgn procedures Sn line with our responsibilities, outlined abov8, to del8Ct material misstatements In respect of irregularities. including fraud. The extent to which our proc8dur8s are capabl8 of detecling irregularilles, including fraud Is delallod below.. Based on our understanding of the group and the environment in which 51 operates, we Id8nlilled that the principal risks ol non<ompliance with laws and regulallons related to compllance wlh regulatory requlrements of the Car8 Quality Commission, Charlty Commisslon, employment law and health and safety regulation8, and we considered the extent to which non-compliance might have a material effect on the financial ststements. We also considered those laws and regulations that have a direct impact on the preparation of the linancial 8tat8m&nts 8uch the Companies Acl 2006, the Charltle5 Act 2011, payroll taxes and VAT. We evaluated m8n8gernent's Incenllves and opportunilie5 lor fraudvleDI manipulation ol the financial slalement9 (including the risk of override of controls), and determined that the principal risks were rela18d to recognition of income and m8nagemenl bias in cert8in accounting eslimates. Audit procedures perfomied by the engagement team included.. Inspecting Trustees, meetlng mlnutes Inspecting correspondence with regulators and tax authorities., Dlscussions wlh management includlng consideration of knovm or suspected instances of non-compliance wth laws and regulation and fraud., Evaluating management's controls designed to prevent and detect irregularities,. Identifying and lesling joumals,. and Challenging assumptions and judgements made by management in their critical accounting eslimales. Because of the InhenI limitations of an audSt, there Is a dsk that we wll not detect all irregularities, including those 18ading to a material mlsstatemenl in the financial Statements or non-compliance with regulation, This risk increases the rnore that complianca with a law or regulation is removed from the events and transactions reflected in the financial slalemenls, as we wlll be less likely to b8come aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due lo fraud rather than error, as fraud involves intentional concealment. forgery, collusion, omission or misrepresentation. A further description of our responsibilikn'es for the audit of the financial statements is located on the Financial Reporting Council's website at.. www.frc.org.uklaudrtorsresponsibilities. This descriptson fOS part of our auditor's report. 25
Use of our rnport This report is made solely lo the charilable 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 slate to the charitable coMpanS m8mb8rs those matters we are required to slate to th8m in an Auditor's report and for no other purpose. To th8 fullest exlenl pennitted by law, we do not accept or assume responsibility lo anyone 0th8r than the charitable wmpany and the charitable companvs members as a body, for our audit work, for this report, or for the opinions we have formed. Lee Stoko• (Senlor statutory 8udltorl for and on behalf of Haysmadnlyre LLP, Slalutory Audllor 10 Queen Slra8t Placa. London, EC4R 1AG. Dale.. 18 September 2023 26
St Clare West Essex Hos ice Care Trust Group Statement of Flnanclal Activities Ilncorporatlng an Income and Expenditure Account) for the year ended 31 March 2023 Unrestricted Funds Re8trfded Funds Total 2023 Total 2022 Notes Income.. Donations ond gifts LegaCiOS Other ITadSng activilleB Fundraising events & similar Income Frfends of St Clare branches Trailing Company turnover 1,735,907 1.537,596 210,697 1,946,604 1,537.596 1,867.148 595,999 154.170 1,335 1,781.300 1.936.805 2,207,097 50.759 84,384 154,170 1,335 1 781.300 1936,805 2,216.2B1 50,759 135,641 518 1, 700,314 1,836,473 3,079,819 10,716 50. 163 Incoma from eharft8ble aclwities 9,184 Inveslment Income and intergst Other income Total Incom• Exp•ndltur•." Ralslng funds Fundraising expenditure Friends of St Clare branche5 Tra¢lng Company exn8*S 766,018 45 1,372.401 2,138.462 718,016 679,483 90 1. 193.967 1,873,540 1,372.401 2 138462 ChBritsble Bctivllle Palienl care Educallon and research 10 5,370,916 212,853 22,524 235,377 5,583,769 22,524 5,606,293 4,466,291 5,233 4,471.524 70,916 Total •xp•ndllur• Tran8ferB between fundB 22 23.222 123,2221 Nèt movament In fund• R•eonelllatlon of fvnds.. Total funds brought forward at 1 Aprll 10,856,630 268.078 11,124708 10,029,454 Total lundi carrl•d forward at 31 March 22 7ff3Y3Bf The stat8m8nt of flnanclal aCtleS Includes all galns ond losses re¢ognised In the yèar. Al incorn6 and 8xpenditure derive frorn continuing activities of the group. The delailed cornparalive information Icf the ststernent of financial actlwtlas is Included in note 25. 27
St Clare West Essex Hos ice Care Trust Group and Charlty Balance Sheets as at 31 March 2023 Group 2023 Ch•rlty 2023 2022 2022 Flxed •880ts Intsngible a65ets Tangiblè 899818 Inv85tm8nts 14 15 16 6,134 2,267.324 9.640 2.266.292 6,134 2,199,614 9.640 2.260.588 2,273.458 2.275.932 2,205,750 2.270.230 Current ai•ets Stocks Debtors Bank deposits Cash al bank and in hand Friends branch funds 2.023 1,387.632 6.710.819 1.172.189 31 9,272,674 2,031 1,071,931 7.936,852 221,197 843 9,232,854 17 1,914.374 6,254.098 1,055.242 31 0.223.743 1,661.064 7.365. 104 T7, 702 843 9, 104. 713 Cr•dltor•'. amounts f•lllng du• wlthln one year 1413,7501 (384.078) 1297,799) (250,923) N•t Gurr•nt ••s•t• ,858,924 8,848, 776 8,925,944 8,853, 790 11,132,312 11, 124, 708 1,131,69 FundB: Unr••trlct•d general fund• Unioltrlct•d do8lgnat•d fundg RMtrl¢t•d fund• 22 22 22 3,159,639 7,043,383 229,360 3,080,698 7,275.932 268,078 3,926,659 6,97S,e75 229.360 3.585.712 T,270,230 268,078 Tolal funds 11,132,382 11, 124.708 31.69 11, 124,020 The surplus of lh8 p8rent chadty wa5 £7,67412022.. £1,095,254 surplus) Approvad by the Board of Twstee8 and aulhorlsed for issue on S September 2023 and slgn on 116 beh8W by. Nlk Wrlght Choir of the Board of Tn4Stees Andiew Balfour Ch8ir of th6 Fin8nca and Commiltee Company Reglslrollon Number.. 3398955 28
St cla West Essex Hos ice Care Trust Group Cash Flow Staternent for the year ended 31 March 2023 2023 2023 2022 2022 Ch Ilows from op•rathq •etfvltl•s.' Net cash louth¢)wlllnfl¢)w Irom operatlng acilvitS•s Inot• 1 b•lowl (161.974) 1,525,452 Cash flows from inv•stlng actlvhles.. Interest received $0,759 10,776 Acquisition of IntgIble fix8d 888el$ Purchase of tsngible fixed assets N•t ea•h outllow from Inv••tlng actlvbil•• 164,65 TT,9T6 113.8911 (67,2601 IDvcrvai•lllncr•au In h and cth•h •qulv•l•nt• In th• yr An•tysls olchlnys In c4Bh Ind G•sh •qulval•ntg durfng th• ye•r.' Total ag 911 Apr Increase In ¢88h and cash oqulvolent8 in th¢ year 8,158,892 6,702,7 (275,0731 1,456,192 Totsl • at 31 Mareh (not• 2 bolow) Not•s to th• Group Cash Flow Stst•m•nl RoconclllaUon ol n•t Incom• to n•t cash flow from operatlnq actlvlll•s 2023 2022 N•t l•xp•ndltur•lllncom• la• p•r gt•l•M•nt of Iln•ncl•l actlvltl••) AdJustm•nts for," Inleresl received Amortisalion of Intanglble fixed a8S&tg Depreciation of langibb fixed assets Loss on dl8wsal of tsngilAe fixed assets Ilncrea581 I decr8868 in 51o¢k$ Decrtrase I lincrea5al in debtors Incregse I Idecreasel in creditors 7,674 1,096,264 150,7391 3.500 163,626 (10,7161 3,5Q5 f89,811 7.142 (2.031) 160,242 81.245 1315,7011 29.672 N•t ea•h lauttlowlllnflow from operntlng actlvllle 2 An1¥ of and cash equlvalents 2023 2022 8ank deposits Cash at bank and in hand Friends branch funds 6.710.819 1.172.169 31 7,936,852 221.197 843 Total as at 31 March 29
si
lare West Essex Hos
ice Care Trust
Noles fomiing part of the financial statements
for the yoar ended 31 March 2023
1 AGGountlwwJ pollcles
181 Bas1• ?f prnparatlon
The fin8ncial stalernenis have been prepared in accordance wth Accokmting and Reporting by Ch8ritlB$'. 51¥ternent cl
Recommended PrBthce for Ch8ritle5 ISORP 20151 (Second Edition. effect8 1 January 20191, charl15 SORP IFRS 1021,
Cornpanie5 Act 2006 and Ch8Th1188 Act 2Q11.
Th& Hospice meets the delinluon of a putsllc benefit enllly under FRS 102. A5se¢s and liabilrties are initially recwnised al
hislori&ql cost or transaikn.on value unless otheThthse 5tal8d in th8 r8levanl accounting policy not8181.
Ibl Cornpany ststuj
The Ch8rily 1$ 8 Company Imited by guarantee and has no Share caprtal. The company IB inc
St Clare West Essex HosDice Care Trust Notes formlng part of the financial Statements for the year ended 31 March 2023 Incom8 from NHS contr8e15, gDverntnenl and othor grantÈ. wh8thÈr'capllal' grant8 or'rèvenu8' grants, are recogni58d vthen the charity has eniitiEmEnt to the funds, any pertomianee condillons &ttached to the grants have be8n met, it is probab Ih8t the Income 11 be r8c8Ned and the arnount can be mèwJr&d rellabty and 1$ not d•f•rMd. For le9ade8. gntrtlern8nt Is takan on a ca58 by CB8e b8518. Usually, the Charlty would not Teccgnlsa any legacy Sncome ther8 has been no communic8lion from the Emecuior of th8 8slat8. For pecunkqry legacie5, lh8 Charrty WOU usually reGrynise SnLx>me once (Drnmunic811)n has been received from the Executor th8t ther8 aro suffi'cient net 45set5 8vail&149 lo pay the kgacy. For resldual legacles, lh8 Charlty would usually onty raengnlse 0[ th8 Éstate accounts have been approved, or #fter other communlcauon has been fecdved from the Executor confirming entsUemeThl and 8mounl d. Income r8c8Iv8d In advance for 8 gr8nt received relallng lo the lollththg par are d8ferred until t1 crllerfa fDr Inccr8 recognition are me¢. Lottery incorne is accounted fcr in respect of those draws that havg taken p4ace in the year. R8tall s818& income 56 r8cognl88d on polnl of 5a18 for bolh donatod and purth868d good8. Funds raised by Fd&n¢J8 branches rL)n8dldaied wlhln the CharilV8 accoun18. Igl Oon•t•d ootsd• and i•Nle•• Oon8ie¢ setmces or laalitie8 are recc4Jni6ed when the Charity hao control over the ttem, any CdIf50n5 HsEocJal8d %lth th don8ied Item have beèn mel, roeelpl of 8rthtyn6c benefit from the u8e of the Item18 prcI)88 8nd Ihat aconcfflic b8n8flt can bè measur•d r•lkqtty. Oon8led profe56bnal Sorvices and lac11.88 are Induded in income ai the esUm8ted value of the 91ft lo lh• Charilythen received, based on the amount thBt the ChBrity would hllve been prepared to pay lor Ih050 seNices or 1ocililie8 had il been r8qulr8d to purch888 Ih8rn, wlth 8 correspondlTVJ entry In the appropriale expendllure heading for the same amwnl. Oon8ted fix8d assels are ¥imil8rly taken lo incorne 8t the vu8 lo th8 ChBfity th th8 other entry belng cakmlal'8ed in nxed auets. Ihl Exp•ndltUf• Expenditure is indud8d In the Étatement ol finaneA81 gctMtleB on an Aeuuals ba818, ineluwve of anyVAT which cannol be racovered. Fundrdislng 8XP8ndllure Includ8& COStB dlrocled lo raIj fundb lo finance the charltable obleclg BNI lo pln018 the acutIeS of the Ch8rfty. charf¢ab actIvle> Includ¢ ¢xwndlture 08JociBl8d with providing Hospice care seNce8 to pallent8. thalr cararn, fgmille8 and frlends and Indudo both th& Ilrecl and support C06t8 rekgting to those athlts'88. Support C0518 includa central functions and have been albcated tc activity cost cal8gori8s on 8 baBl8 wnilslent the use of resources e.g. 8llocotln9 premlses costs by floor area, st&ff cos18 by brne spent, and other c08tB by Ihelr usage. {11 Vo• swvlcei The valu8 of SeIce8 provld8d by Voluntee15 ncl InCLorated into these finandd 8t8tements. Furthor d8tall8 of the contributs.on rnade by volunteers Can be lound in Ihe TrusteeB' annual report. Q'I P•nlon The Charily contrlbutes io defined bengfil and defined oJnlrthtv)n sthemes on behalf rf its gmployees. The pension cost5 charged In tha FInaTh1 Statement5 vepreseiit the c0ntnbuts payaLle by the Chadty tjuring the year, accordancè vAth FRS 102. A number of empbye88 are m8mber8 of the National Health S8Ce Pension Scheme. Th1515 8 deflned benefilg scheme. the 8s$ets of whlch are hel¢ independentty ol the Charfly. The a$$el$ r$latln9 to the Charftl8 employees cannot be separately idenlffied aTra. in accudance Mth FRS 102. are not Incluéed in the 8alance Sheet. Empknyees who a not ltrA8 tojoin the NHS PenOn Scheme ar4 able 10 join ona of two Group P$rsonal Plans, which are boih defined contnLxJtion schemgs. For ell schemes. the Charity h8$ no li8ts.lity beyond making rts contr*utiong 8nd paylng across d8duction5 for the ernployees, contributions. Where employees, 5818ries 81e 81k)c81èd lo unrèstrict8d règtrlot8d lund$, th8 pensl¢)n costs re18ted lo those employees, are allocated to the sarne funds, 31
st Clare Wes re Trus Notes formlng part of the financial statements for the year ended 31 March 2023 Ikl Employee benellt• Shtyt lerrn bBn8fi15 Sndudlng hollday pay are recognised 85 an expense in the pemd in whith the Seir Is reeoived. T8miinBtion ben8fits are a¢coun18d fly on an accruals basis and in hne wth FRS 102. 111 Int•nqlbh Ilxed Mset and 8mortl¥ation Intanryble fixed as8e15 C0511ng more thsn £1,000 arg Capital. Amorti8allon 18 provlded on 811 intangible fixed a8sels Bl rHle8 caloJluted to wrlte off th8 CO8t on a 51ralghl Ilne b8818 over Iheir axpecled ug8ful lfves as follows.. Computer 50ftware over 4 years Im) Tanglblo flxed as••t• ard d•pr•¢l•tlvn TarIble fixod se1$ c081ina more than £500 are eapitallsed. DepreLYatiL provided on all tangl¥ fixed asBet8 at rale8 calculated to vrtlte off thp cost on a slrai9hl lkne b88is over Ihoir expected u$8lul IIve8 8? f¢llows.' Fre8h¢Jd land Freehold bulldiThJ6 Freehold bulldlrrfa #dapl8llon8 Fumllure, equipment and m8dko18qulpfflenl Telephones Cwputer equlpment Motor vehJ& Nl b6hv8en 34 aThl SO year$ over 10 ye8rs over 5 yegr Over 5 year3 over 4 8r$ OV8r 4 Bra Inl Stock Stack con81$ls of purchase¢ goods for r&iale. Stocks are v81uéd ai the lower of cost Bnd n81 r88li8BN8 valua. liems donalod for res8 ere nol Induded In tha flnand81 st818fflenta untll they Bre 501d, boc8use the Truslee8 consid8r11 lrnpr8Ctlcal lo be lo assess the 8mounl of donated stocks as Ihere are no systems In place whlch recor¢ Ihesa Item• unlll they 5dd Bné undertaking 8 Jtock 18k¢ wvuld incur unduo cost for the Charfly whith far oulweigh Ihtt benefft5. lol Flnan¢l•l In•lrum•nt• The chatY only ha6 finanapl as1¥ an(f financi81 liabllth'e8 of a kind that quatlfy 86 basic flnancial instrurnen15. sat fi'naneial Instrurnenl8 arg Inllially rocogn18ed al Iran8acbon value and 8ub6equenlty measurad ai thèlr $8ttlèm•nt valuè wth tho exception of b8nk108ns whlth are 6ubgequ8nlly meosured al amorti8èd cosi using the 8ff8clive Inter8St method. (pl Op•r•tlng l•a• Operating le8588 are recognijgd over the perlod of %thit tho lea88 18118 du•. Benefit$ recelved and rac9bI• 88 an Inc8nlive to sign an op8ralkng leB&e reonI8ed on 8 $tr8lghl Ilne b86 over the perlod of the IvBSe. 2 Judg•m•nts and k•y r¢•6 of •stlmatlon un¢•rt•lnty In the applicatll of thB Chorill5 ac¢Anting polide8, the Trust885 are required to make juégemenls. gsllmale$ and ssumplion$ about the carrying amount of a558ts and liabilit*8 that ar8 readity apparent from other sources. The e51imales and associated 858UrnPtion5 are based on hi$torical experience and other ladors that are consklered to be relevant. AcluBI re8utts mBydiffer from the e51im8tes. The estlmates and undertw'ng 858UrnPtion8 are wieweil on an ongiing basi5. Revision5 to accounting e5tiFnBle5 are r&cognised in the perto(I In whlch the estsmale revlsed, If the revlslon Affects only Ih8t parfod, or in the period of tha rèvliion and lulure periods if the ¥evigk)n affects both current and fulure period?. The annual d2predgllon charge for t4ngible fixed a858ts IS Sensitive to changes in the estimated useful economlc lives and resliknl values of the assots. The useful economic live5 and resldu81 Vae8 are re-assessed annu81ty. They are 8mended nece55ary to reflect current estimates, based on lechnologirxl advan¢em6nt. future Inv951menis, eccnomic ulili581ion and the phyEical condition ol the 8ssets. See note 15 for the Garrying arnounl of the lanuible fixed 855et5 and note 1 for th8 useful economic lives for each dass of asset. 32
St Clare West Essex Hos ice Care Trust Notes formlng part of the financial statements for the year ended 31 March 2023 3 Fln&ndal actlvltl•M of tho Ch&rlty The financial a1t8 SI in the con50Idated 51aternent include5 those of the ChBriWs wholty owned subsidllry, St Clare Hospke Tradlng Ccfflpany Llrnlted. A &umm8ry of the financial acthiiU88 undertak8n by Iha Charily is 88t oul bek)w.' 2023 2022 Total Ino)me Total expen¢JibJr• N•t Incomo for year Total lund$ brou9ht forward TotAI funth farward 6,379.985 6,372.311 6.248,35f 5. 151.097 ,095, IQ 028 766 11,124.020 R•pr•iBnt•d by. Unreslriclod income lunds Rg8tri¢led InM fund8 10,902.334 229.360 10,855,942 2611.018 4 DOnlOn •nd gw UnreBtrlcled Funds Tot•1 2023 Fd5 IndlvlduBI Appe41& Charftabb Tru8t8 Cornmunily Corporale Dat16 from relall Gmt scheme Retail Gift Akj 681,661 60,841 170,923 221,475 281,087 255,878 64,042 3.730 685.391 60.841 377,890 221,475 281,087 255,878 64.042 2C6.967 Unr•strlcted Funds Total 2022 Fwd8 IndIdu4 App881s Charitable Tru8ts Communlty CorkY)ralB Donations from tall Gift Ald seheme Retail Glft 551,600 74,006 147,705 156,027 236,319 350,886 87,852 6.200 66&BOO 74.006 405,258 156.027 236,319 350.886 257.553 5 Legacle• In addition tolggaoes rare1v In9 tho yaar, thè Charily is the benafielary offurthgr18ga¢i¢s whleh havè tean Included In the financial sl8lementS, 88 entlement lo the 98CleS has been e5tabh'9hed and is considered probable that they ill be re¢elv8d and can be reliably quantified.
lare est Essex Hos ice Care Trus Notos fomilng part of the flnancial statements for the year ended 31 March 2023 6 Nai Incom• from Frl•nd8 brnn¢h•¥ Thgr8 are four Fd8rKl8 grout that ra18e fvnd6 lor tha Ho8pSeè. Thèlr oco)unts are ¢801Jaled thIn the chaS a¢counls. 2023 2022 Income Fun¢ralslng •xpènditur8 Net kncome 1.335 1451 1.210 51 428 Amoulrt remittetj to St Clare W68t E868X H06pic8 Care TFuBt {De(ty8$enCfea5e In retalned lund$ 2,102 IB111 428 Frfond$ branch funds broughl fopward BaLqnce at 31 March 943 415 7 N•t In¢om• from tr•dlng •etMtIM ol ubBldl•ry comp4r The Charfly h8b on• wholly tr*dlnq JJub8ldlary, St CLgre H¢)¥Jk8 Tr4dlng Cornpony Llrnlted, whith IB reglslered In Eng18nd and WaleB, company number 2951374. The pdnclpal a1180 ol St Claro Hosplca Trgdlng CpsnY Llrnlted ole the 80le of purth88èd and lBted goods In 8UPPOrt ol Sl Clarfr Wa81 Ei8ox H¢aF4c• C•r• Tru$¢ through It8 thcp•, and Ihe operath)n of a lottery. st Clar• Ho•piu TfAdlng Company Llmlt•d Pl1t and lo•• •ccount 2023 2022 Tumover Coronavlrus Job RetenCffj Schorne grwrt8 Local Authority 18tall grant8 Cosi of 8B188 8 admini8tration expen8e8 Rènt and IT charg8 pable to St Cl8r• W•&1 Elsex HoBPiC8 Cara Tnjst Net pwofll 1,741,300 1, 700,3f4 10.5T7 &500 {1, 193.9671 12,880J 11,372,401) 113,0001 Di8tributiona lo Sl Clara W1 EsBex Ho8plce Car8 TN8t Retalned in 8th1dlary 395.899 509.544 The aggrEgate ol Ihe 998th, li8bililie$ 8Th1 fund¥ •t 31 March was.. Assets Liatslt188 Fund5 3,485 782.795 806,348 805,658
St Clare West Essex Hos ice Care Trus Nota8 fomiing part of tho financial statements for the year ended 31 March 2023 B In¢om¢ from charftabh •c¢lvlt1•8 2023 2022 NHS West e$s6x Cllnical Ccthmissbning Group Contracl for patient care 5eFvices NHS E8518nd North Hertford5hire Clinical Cornrnls8loniw Group Contract for p8t18nt car8 58rvic8s Other NHS Inc8 Rolmtwrsement of med'cal consultant Costs Cor(#)avlrus J( Relenlion Scheme 9r8nl8 Lc¢BI AUthty gran15 Covid-19 Govamment wpport for ho•plcM Ireslrfcted SnMmel Research & dovelopmont Ir85tricted income) 2.024,163 1,948,883 51.081 49.164 131,353 103,596 28,985 5.500 933,933 9, 758 9.184 g Co•ts ol r•l•lng fund• Support COBts (not8 111 Tot•1 2023 FmlraIn9 expendllu Frnds of St Clar8 brAnche8 Tradlng Ctjmpany 8108 591.SB8 45 1,372,401 174,428 786.016 45 1.37Z.401 Olrecl cost8 ppJrt W8lJ Inot¢ 111 Tolal 2022 FuThJralglng expen¢Jllure Frtènds of St CIArÈ b(8nchea Trading Company expen$o8 S24,931 90 1 193,967 154,552 679.48J 90 7, 193,961 10 Patl•nl ¢•r• co•ts Direcl fA)St¥ Support costs Total 2023 Inpatient unli Wellng & Oulpauents Communlly 8eThKe H05pice St Home Patlenl & F8mlly Supwi stra18gy 2022+ 1,345,575 284,571 583,787 644,122 538,670 955.599 425,945 244,152 220,690 152,738 187,920 2.301.174 710,516 827,939 •64,812 691,408 187.920 Direct ED61s Suppcrt costs (note 11 Tot81 ZQ2Z Inpatient unit Wellbe4ng and (Xrtpatient3 Community 8ervlce Hospico al Homo patnt and Famity SuprKt 1,256,003 248,874 494,309 645,810 482,674 27,670 774,729 268,212 112,139 133,624 49,917 1,338,621 2,030,732 517,086 606,448 779.434 4.465.29 35
St Clare Wesl Essex Hos ice Care Trust Notes forniing part of the Ilnanclal statsmonts for lh• year ended 31 March 2023 11 Support Gosls tl li Il Tot•1 2023 Managernent & HR Insurance Volunta8r 1VItal Premises and lac4ilie8 Csledry & ele8nlng 37,040 1,274 8.952 21.014 181.833 40.407 33.672 33,672 10.102 64.482 17,068 4,840 1,019 25.226 36.618 1,627 8.949 281.582 75.649 12,608 21,014 8,405 151,77e 43,993 4,399 4,309 0,699 45,719 28,574 15,716 18.573 5,717 74,e67 41.481 24,889 29.037 8.298 99,263 31,474 29,052 38,316 7.284 6.006 2.145 2.288 2,574 266 22,418 37,363 37.363 22.418 29.890 37,363 50.011 83,401 83.401 5Q,041 66,721 16,880 69,415 Staff Time Floor Spllc 401,188 25,474 91.372 420,272 210.965 142,873 207,407 242,106 14.300 181,115 350,185 69.41S Flocy Sp8c8 Stsff Time Slaff Tim• siaff Tim• Stall Time Usago Usage 28,574 29,037 38,737 1,001 omc8 costs Gov•rnance coBI6 Flrnl conlacl Cllnlc&l Qu811ty & Man&3ar Digltal & TransfLYmatlon TOTALS Usag 20?2 M8n8g•rn8nt and HR InJur¥n¢e co•18 Volunlaor ¥Brvto¥ Pr8mi8es and 18dlllieE Cal8nTrJ and CnIng Cornrnunicauon 35,452 1,344 8,190 16,752 7.013 21,791 27,338 34,285 1.807 174,038 38,875 32,229 32,229 18,003 5,106 1,076 23.080 33,503 1,489 224.473 80,306 10,051 10,752 131.324 38.065 3.806 3,806 34.8e6 21.791 11.985 14,164 70,298 39.054 23.433 27.338 87,803 27.840 25.698 32,123 10,844 3.873 4,648 9,669 537 8.188 6,700 5,710 4,360 7.811 8,425 517 Slaff Tlmo Floor 8pxe U5090 FIoDr staff Ti Staff Tl Staff Tlm• Stsff Tlme U¥a99 322.292 26,870 14.450 33&034 190,J24 108,957 195,2T2 214, f54 25,820 Governance coali TOTALS 12 N•E IneonM4•xp•ndhur•l forth• ymr N81 incc¢N18 8tated after(rging.. 2023 2022 ¢rbgaUJTr ol 1nl8nLb1e fixod 885el DDpr8claUon of Igible fixed 888el8 AuditoFs r8Fnun8r9tM lincdinG irrecover8ble VATI Slalul*xy a11 - Tax 8eNIc88 Tru51ees' indemnity Insuranc• Opernffir#J 3,506 163,626 3,505 189.811 19,011 2.890 10,0 2,965 900 207,927 188.449
St Clare Wesl Essex Hos ice Care Trus Notes fomiing part of the financial statements for tho year ended 31 March 2023 13 TruJt••s' r•mun•vatlon No Trust88s r•uiv8d amoluments in the current or coMparaVe yeJr. No Trustees were ltrJrBed expenses in th• current year12022.' One Trustee w8¥ reimlxjrsed £1231. 14 Intanglbh flx•d •¥••t• Intanglts fixed aESet5 acqulred by the Charlty represent c(mputer Software. Ori>up and Cha C08t At 14•rll 2022 At 31 March 2023 39,957 Amortl8atlon At 1 Aprtl 2022 Charge lor yoar At 31 March 2023 30,317 3,506 33,823 Cgtyng value •131 March 2023 0,134 Catyng value ol 31 March 2022 9,640 15 T•nglbl• flx•d I• Oroup Frèohokl Land & Buildings Furnllure & Equlpmenl Total CoBt Al 1 April 2022 Additlons At 31 March 2023 4.330,596 47,779 4,378,375 680,812 116.879 7.69 4D11,406 164.658 5,171,066 D8preclaUon Al 1 April 2022 Charge lor year At 31 MArch 2023 2,166,91 138.630 .305,548 578,200 24,996 603,196 2.745,116 163,026 2.908,742 Not book value at 31 Mwch 2023 2.072.829 194,495 2.267.324 N8t bock value al 31 Mwch 2022 2,163,680 102,612 2,266,292 37
St Clare West Essex Hos ice Care Trust Notes fomilng part of th8 flnanclal statements for the year ended 31 March 2023 15 Tanglble fix¢d o•••t• IcontJnu•d) Charity Fr88hold Land & Building5 Furnltur8 & Equipment Totsl Cost Al 1 Aprll 2022 Addilions Al 31 March 2023 4,330,596 549,009 4,879.615 47.775 45,776 3,555 757tSf5 785 4,973.180 DeprecI8on At 1 April 2022 Ch8rg8 for ye At 31 March 2023 2,166,916 138,630 ,305.5 452,101 15.899 2.619.017 154,529 Nel book value at 31 March 2023 2,072.829 128,785 2.199,814 Net bc4Jk valu• at 31 March 2022 2,163.fj80 96,908 2.260.5B8 16 Flxed ••••t Inv••tm•nt• Chorky 2023 2012 Sh•re• In •ub•ldl•ry company. Sl Clare HO&Ce Tradlng Company Llmlled The Charlty obvns th8 whol8 of the i88ugd share capllal of St CIAra Ho8plco fradlng Company Llrnllgd, a company Incorpor81gd in England and Wale8. The company exists solely lo r¥189 fvnd• for Ihe work of the Charity by the 881e of ¢Jonated and wrchased goods and the op8r8tlon of & k)Ilery. 17 D•btorn Gr0P 2023 Charlty 2023 2022 2022 St cla Hosplce Tradlng Company Llmrtttd HMRG. InccrnB lax I VAT eDrOble Aetruèd lègacy Income Interest due Pr8paym8nts and other debtors 666,B42 15,596 1,050,248 7,039 174,651 872,503 36,006 68, 130 2,259 882, 166 29,273 1.050.246 8,016 300.097 36,006 68, 130 2,259 965.536 Legacy notifications 8sllrnaled at £763k have not been accrued as at the amount or m• account8 W8re Ina certainty of receipt Df e8Gh of the indiwdual IBgaci85 could not be ascertained. 18 Cr•dltor•: amoun1# falllng du• wlthln I• yé•r Group 2023 Charfly 2023 2022 2022 Interest ffft loans Taxation and Sla1 $8curity Trade creditors Other credltors Accruals D81grr9d income 2,500 123,871 58,786 161,251 43,950 23,392 2,500 104,260 85, 180 158.440 33,692 2,500 123.871 37,812 B1,568 28.656 23.392 2,500 104,260 54,061 56,410 33,692 Included in other crediiors ar8 pensIn contributions arnounting lo £80,75712022.. 56,4101. 38
St Clare West Essex Hos ice Care Trust Notes fomilng part of the flnanclal statements for the year ended 31 March 2023 D•f•rr•d Incom• reconclllatlon: Group 2023 Charlty 2023 2022 2022 Brovghi roryrd et 1 April Released to the s18tBment ol flnandal 8clvRles Deferred dUng the year Carrf forward Bt 31 March 518 {518) 518 {518) 23,392 23,392 19 8tsff co•1• 2023 2022 S81arfe8 Soclal 8èeurity C08t8 Pension COBt8 4,ge7,675 485,931 439.142 4, 104,135 372,620 334,327 Included In th* gb¢M ar• rgdundonw 8nd tgrmln8tlgn paymgnts tot8Nlng £1.e4012022.. £15.4881. The nurnber of emplDyeeB whobe Brndumentb 85 defined lor laxation purposeu arnounled to rnor8 than E60,OOJ durfng the ye8r WB8 88 folk)w8'. 2023 2022 t80,l- £70,000 £70,CK11- £8Q.000 £80,CO1 . £90,000 £90,001- £100,000 £100.001- £110,000 £ll0,l- £120,000 £120.l- £130,000 £140,¢X1- £150,000 Thè averAgt numbor olèmployeès durlno the wa8.. 2023 72 2021 76 57 Full Ume P¥rt brne The aver8go number of full Ume equl¥alonl employees In the yeaf was 121.2 (2022.. 112.01. 20 K•y m•nag•m•nt p•r•onn•l The Chanty considers that the key management pevsonnel comprlse the Trustees and th8 Senlor Leadership Team. The total èmploye8 banofits of the kèy managernl wrwnnèl of thè Charfty wèrè £601,93412022.. £574,787). 39
St Clare West Essex Hos ice Care Trust Notes forniing part of the financial statements for the year ended 31 March 2023 21 An•lysl• ol net 4gAet• betw•on tsnd General Fun¢s De6ign8te(I Funds Restricted Funds Total Fund• Group fund balances •t 31 Mvch 2023.. Intangible fixed assets Tamdible fixed assets Current 88s818 Current liabilil'es Tolal n8t a88e¢8 6.134 2.267.324 4.769,925 6,134 2.267,324 9.272,674 413,750 4.273,389 413.750 229,360 General Fund Deslgnated Funds RtrIcted Funds Totsl Fund• Oroup lund blan¢•• at 31 March 2022.. Intangib fixed a$¥ets T8n9ibkg Iix8d asset Currenl BS8Bts Current liabllitle• Total n8185gets 9.640 2,266.292 S,000,OC 9,640 2,266,292 9,232,054 384,078 3.964,778 384,078 2e8.078 Gonaral Funrls Deslgnated Funds Reslmcted FundB Totsl Fund• Charlty fvnd b4l•nc•• at 31 March 2023,. Intanglble fixed ass•ls Tangible fixed a&ts Inv88lment8 Current asi•ti Current liJbiliU•s Tot•1 nel aB$¢ls 8.134 2.199,614 0,134 2,199,614 4,224,458 297,799 4.769.925 229,360 •,223,743 297,799 General FuFKJo D881gn8ted Funds Rvstrictod Funé• TolAI Fund8 Chorltyfund b•lnc•* 31 March 2022: Int8ngibk8 fixed 8SSets Tangible fixed assets Inve51rnents Cwrent a88815 Cuent liabllS11 Total net assets 9,640 2,260,588 9,640 2.280,588 3.836,635 250,923 s,0,000 268,078 9.104.713 250,923 40
St Clare Wesl Essex Hos ice Care Trust Notes forniing part of the flnanclal statements for the year énded 31 March 2023 22 Sthtement of fvnda At l Apnl 2022 Incom8 Exp8nditure Transfers At 31 March 2023 Unr88tricted funds.. General funds Oe5bJnaieé lunds N8t Baok Value of Foxed Assets 2,275,932 Clinical SeNces & Digital f,000,000 Capltal DevBlopment 3,000.000 Impact Developm&Tht iOO,C700 Income Genera.On 500,000 People Development 400,000 3.580.698 7,532,548 17.112.170) 1141.4371 3.859,639 1167,1321 1123,4581 184,659 2.273,459 870.542 3.000,000 100,000 457,844 335,538 0,903,022 142,1561 164,462 .509.378) 33,222 Reslrtcted funds.. PaI8nt Car8 fund Communlty En9ag•rnent fund BereAv8menl S8rvKe fund Education & Research ltsnd 72,394 34, 721 77.886 83.OTT 268,078 114,358 62,962 33,377 9,184 219,881 1103.0461 159,3901 162,0581 10,883 1235,3771 123,2221 60,484 38,293 49,205 81.378 229.360 123,2221 Tot81 fund8 At l Aprti 2021 Income Expendlture Tmnsfers At 31 Mwch 2022 Unreslricled funds.. Gtnèrèl fund• DeBignaled funds Net Book Value of Flxed Assots 2,398,414 Ilnl¢81 SeNic¢8 & OIEltal Capltsl Oevelopment Impact Dewkjpmenl Incorne Generation People 08vek)prnent 7.362, 197 1,233,B74 14,979,244) 136,1291 3.380.698 1200.4581 77.976 2,275,932 1,000,000 3,000,000 100,000 soo,000 400,000 0,856,630 1,000,000 3,000.000 100,000 500,000 400,000 6.233.874 9.T60,611 15, 179.7021 41.847 Re6trfcled funds.. PBtient C8f6 fund Ccffimunlty Eng8gemenl fund 8er8avem8nt 56ryice fund Education & Research fund 44,976 2,034 143,281 78,.552 288.843 1,081,847 79.226 35,613 9,758 1,206,4 11,012,582) 146.5391 1101,0081 5.233 11,165,362) 141,8471 72,394 34,721 77,B68 03,077 268.078 141.8471 Toial funds De8ignaled funds represent the Del bcok value Df fixed assets held by the Charity a5 these are not free re8erve5 and fvrther £5 mllllon lo support our strategic go815. Thèia fvnds aré expacted lo ba rèlaasad in the next 4 10 5 yYerB, of whlch £230,076 wwè expended by 31 March 2D23. Re8tri¢tod fund$.' Th8 Pali8nt Car8 fund represents funds given by (ryanisatsDns and Sndfvwjuals to purchhse equipment and fund othor coBt8 lor p6lienl care serwces. The Community EngagEmenl fund represents funds given by organ18alions to contribute tOW8rdB cost5 01 the Compasslonate Nelghbours projecl. The Be2vern8t Senric8 fund represents fund5 given by organi5ations lo conlribule towards boreavement $ervices. The Educatlon & ResearGh funLI represents funds for the further educatson of Doctors. Transfers belween funds represent the purchase of fixed assets in the y8ar. 41
St Clare West Essex Hos ice Care Trust Notes fomiing part of the flnanGlal statements for th8 yaar ended 31 March 2023 23 Related partytrJnsoGtlons Dunno the ar. the Ch8llty provi(fed rgntal of office aGGomrnoJalion and IT equipment lo its %¥holly owned trading sub$idtary, St Clare HoBPiC8 Trading Company Limited. Th8 r8ntal ¢har9e BrnDunted to £13,00012022.. £12.8801. In addition, the Charity received a Glft Ald rJonBkn'on 01£395.899 d¢Jring Ihe yoar12022.. £509.$441. At the Balance Sheet dat8, Ihe chatY was dv8 £886.842 Irom Sl Clar• Hosp Trading Company Limltsd12022-. £672.5031. There no other reLqlod paty transactkns In tho cunnt or comparat8 yaar lch required di8cIo8ure. 24 Commllrn•nl• und•r op•r•tlng h•50 At 31 MArch, the group hod outstandlng cc4nmltrnents lor lubjre mlnlmum lea5¢ pByTh•nt8 der non<8ncellable yrallng loases as follows.. 2023 2023 2022 2022 Oth•r Land & Bulldlng Olher Lend & Burfdinll Oper8llng18as86 which explre.. nol18tsr than one year later th8n one year and not later than flve yea later than flvo year8 460 320 164.480 507,979 213.333 2,528 800 152,453 292,960 81.687 42
St Clare West Essex Hos ice Care Trust Notes fomilng part of the financial statements for the year ended 31 March 2023 25 Prior yoar group Btat•rn•nt of fln•n¢lal •¢llvltle UnrestriLed Funds Rastncted Funds Tot81 2022 In¢orne.' Donation6 and gifts Logaei08 Oth¢r trading gctlwlleg Fundraising event6 & 8irnllar Income Fr18nd6 of Sl Clare branches Tradlng Ccfflpany tumover 1,6(M.395 262,753 1,86T, 148 595,999 595,999 135,841 518 1,700,314 1,836,473 135,641 518 1, 700,314 1,838,473 Income from £hori18tle activi86 2,136,128 943.691 3,079,819 Inve¥trnent income and Sntèra 10,716 10, 716 OLher income 50.163 50,163 Total Incorn• Exp•ndltur•.' Ral6lng fwd8 Funthaslng expendlture Frlends of St Clare branch• Trading Company èxp8n886 879,483 90 1.193.967 1,873.540 679,483 1, 193,967 1,873,540 Chaable BcllvltleB PaJenl care EduE8lion £nd research 3,306.162 1,160,129 5,233 1,165,382 4,466,2gi 5,233 4,471,524 3,3Q8,162 Totlll •jtp•ndlr 6,34 Pl•tlnGom• fory8w 1,082 1,09 Tr8n8l•ryd baMen funds 41,847 141.8471 N•t m+)v•m•n¢ In fund• 765 R•Con¢lll•th of fuRd¥.' Total fvnds brought forward at 1 9.760,611 268,843 10.029,454 Tot•1 lund• caYrf•d IorAtard •131 M•rch 268, 43