2025-03-31-accounts

Annual Report & Financial Statements 2024/2025 Stclare Hospice St Clare West Essex Hospice Care Trust _ slelofohospice ra Qhosplcesielorè W $lclorohospico slclorehosplce.or9.vk 1•wtsi￿CNutIty No. 1063OJ I

Annual Report and Financlal Statements 2025 Contents Reference and Admlnistrative Infomiation about the Charity, its Trustoes, Management and Advisor8 Trustees, Report Introduction Organisation, Governance and Management Constitution and Registration Governance of St Clare Hospice Manag8ment of St Clare Hospice Corporate Structure Aims, Objectives and Activities Public Benefit Volunteers 11 strategic Report Achievements and Performance 12 Financial Revi8W Fundraising Approach and Perfom7ance Retail and Lottery Performance Investment Policy Reserves Policy and Objectives Risk Management Comm8nt8ry on Last Year's Plans for 2024/25 Future Plans 2025/26 statement of Trustees, Responsibilities People Independent Audltors, Report Gr¢)up Statement of Flnanclal Actlvitles Group and Charlty Balance Sheets Group Cash Flow Statsment Notes Formlng Part of the Flnancial Statements 21 22 23 27 28 29 30 stclarehos lce.or Company Limited by Guarantee, Registered in England and Wale3 No. 3398955 Reglstered Charity No. 1063631

Reference and Administrative Infonnation about the Charity, 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 Resigned 0310712024 Resigned 0310712024 Trustees (and Directors as defined by the Companles Act 2006) Mr Nik Wright (Chalr) Resigned 01/08/2025 Dr Jeffrey Phillips BSG FRCA FFICM (Appolnted as Chair) 0110812025 Mr Mark Astarita OBE (Vice Chalr) Resigned, died 26/04/2024 Dr Monica Bose Bsc FRCP (Vlce Chalr) Mrs Jill Rowlinson FCIS MBA (Appolnted as Vlce Chalr) Mr Phil Birch Mr Andrew Balfour Mr Lawren￿ Slade FEI Ms Sarah Howe Ms Melanie Wright Mr Muntazir Haji 03112/2024 Company Secretary Mrs Jill Rowlinson FCIS M8A Registered Office & Princlpal Office St Clare Hospice, Hastingwood Road, Hastingwood, Essex CM17 9JX

Sanior Leadarship Team Chlef Executive Mrs Sarah Thompson Msc BA (Hons) Medical Dlrector Dr Syed Qamar Abbas MBBS FRCP (UIQ CEPC Dip Pall Med Dip Med Ethics PGC Med Ed Director of Flnance and Resources Mr Nadarasa Sooryakumaran FCCA Dlrector of Patlent Care and Quality Mrs Sheona Evangeli Msc, Bsc (Hons) Dip HE, DN, RN Dlrector of Clinlcal Integratlon Ms Carolanne Brannan Bsc Dip HE RN Resigned 19/09/2024 Dlrector of People and Communltlos Ms Angela Proctor BA (Hons) MCIPD Mrs Helen Grubb BA (Hons) MCIPD Sabbatical leave 28/0212025 Interim appointed 03/02/2025 Dlrector of Income Generation & Communlcatlons Mrs Rosie Knowles Bsc (Hons) Dlrector of Dlgltal and Tran8forniatlon Mrs Louise Hall Bsc (Hons) Resigned 31/05/2024 Advisors Bankers Bardays Bank plc, 14 The Water Gardens, Harlow, Essex, CM20 1AN HSBC Bank plc, 34 Broad Walk, Harlow, Essex, CM20 1 JA Auditors Haysmac LLP, 10 Queen Street Place, London, EC4R 1AG Insurance Brokers Towergate Insurance, Kings Court, London Road, Stevenage, Hertfordshire, SG12GA

Trustees, Report Introduction We are delighted to present the Annual Report and Financial Statements for St Clare Hospice for 2024125. an independent hospice with a Care Quality Commission (CQC) rating of 'Outstanding'. we aim to work collaboratively with a wide range of partners and stakeholders to deliver the highest quality services for local people who need end of life care across West Essex and East Hertfordshire. The hospice has spent the year focusing on improving the quality of current services as well as some important refurbishment 8nd building improvements to provide a safer and more welcoming environment for patients and their families. We have also secured funding for new services to extend the reach of our hospice to our community. During the year the Hospice delivered care for 1,569 patients (1,517 in 23124, recalculated on similar basis), many of whom received support from different services across the clinical directorate. However, the hospice has supported many more people across the West Essex and East Hertfordshire area with a range of community-based services such as bereavement support, education and teaching, and dementia support, for example. Additionally, we have been finding ways to cope with the impact of the cost-of-living crisis which has significantly increased our overall expenditure over the past two years. The overall income generation performance during 2024125 has been impacted by significant financial and economic uncertainty for all. While we budgeted and planned for a £1.26m deficit by the end of the year, we finished the financial year with a net deficit for the year before net loss on investments of £1.04m because of the generosity of our community, and a testament to our very dedicated stsff and volunteers who work so h8rd. Our financial reserves are such that we can continue delivering the care and support services in the coming year as part of our ambitious hospice strategy. With careful monitoring and stewardship of our resources, we believe St Clare Hospice viill be able to withstand the uncertain economic climate expected in the coming years. None of the work of St Clare Hospice is possible, however. without the incredible support of the local community, volunteers, businesses, individuals, community groups, local health organisations and partners and our commissioners from the Integrated Care System. The Hospice is very proud of its achievements during the year. There is much rnore that is needed to be done, and the coming year will be a busy one for St Clare Hospice as we deliver an exciting plan for the future and focus on the needs of local people.

Organisatlon, Governance and Manag8m8nt Constitution and Registration st Clare West Essex Hospi￿ Care Trust is registered under the Companies Act 2006 (Registered No.. 3398955) as a company limited by guarantee and not having a share capital. The Company is registered as a charity under the Charities Act 2011 (Registered No- 1063631) and operates under the simple litle "St Clare Hospice.. The Company's Articles of Association define the Company as °the Charity" and the Directors of the Company as 'lhe Trustees" To avoid confusion, the Directors of the Company are referred to as Trustees throughout this document. Governance of St Clare Hosplce Trustees are appointed by the Board of Trustees following interview by, and a recommendation from, a selection panel appointed by the Chairs Advisory Group (made up ul Ilie Clidil iiiid VI￿ Cli<lilè• uf11 i¥ Cl Idi ILY). Tiui4l¥trb Éll V I ¥qUilvd Io uii(Jei'go ti-aiiiiiig and ongoing development in the same way as executive staff. The Board advertises for new Trustees against a defined skills set. The Trustees maintain a register of their interests consisting of an annual declaratlon by each Trustee of his or her interests and confinnation that he or she is not debarred from acting as a Trustee undersection 178 of the Charities Act 2011. The Company Secretary holds the Register; any changes in a Trustee's interests between dedarations are notified to the Company Secretary. The Register is made available to the Board, when required, so that the Board is able to rnake judgements on potential conflicts of interest. Trustees are required at the start of every Trustee meeting. to declare their actual or potential interest in any item on the agenda for that meeting. The Trustees have a structure of governance committees including Clinical, Finance and Risk, Income Generation, Remuneration and Human Resources, each chaired by a Trustee with appropriate skllls and experience in the committee's area of responsibility. Each committee includes. and is supported by, the appropriate member of the Executive Team. To these committees, the Board delegates much of the governance and performance monitoring, leaving it free to consider matters of a more strategic nature. The Hospice provides trustee indernnity insurance for all Trustees. Management of St Clare Hospice The Trustees are non-executive and take no part in the day-to-day management of the Hospice. Although the Trustees have delegated day-to-day management of St Clare to a professional management team led by the Chief Executive Officer, who is not a Trustee, they rernain ultimately responsible for the activities of St Clare. The Senior Leadership Team {SLT), led by the Chief Executive Officer, manage St Clare in accordance with regularly reviewed policies agreed and approved by the Trustees. The Trustees monitor the proper discharge of their responsibilities through the structure of the governance committees and quarterly Board meetings, at which the SLT are invited to report on clinical. financial, workforce and general management issues.

Strong intemal controls are in place to ensure that income and expenditure are tightly monitored and controlled, and that its assets are secure. Annual budgets are prepared by the SLT for approval by the Trustees, who monitor progress against such approved budgets. The SLT meets weekly to discuss the day-to-day management of services aT)d regularly review budgetary and clinical performance. They also use this time to explore improvements and new opportunities. The management team of each directorate meet quarterly to share operational information and discuss strategic service developments and improvements. The Chief Executive Officer meets with the Chair every monlh to update on all activities and any areas of risk. A pay and perfomiance framework is in place which mirrors affordable aspects of the NHS Agenda for Change pay framework and covers hospice roles not typically found in the NHS. Analytical job evaluation and benchmarking Is used to ensure pay Is appropriate and competitive for the roles required to be performed by each staff mernber including the SLT. The hospice is an accredited Living Wage Employer and the whole process and framework are reviewed regularly to ensure the Hospice is paying fairly and tracking market rates to ensure that the talent can be attracted. It Is overseen by the Board of Trustees to ensure equity and faimess. Corporate Structure The Trust has one wholly owned subsidiary, St Clare Hospice Trading Company Limited, which operates multiple charity shops and a lottery. St Clare Hospice Trading Company has a separately constituted Board of Directors, which reports to the Board of Trustees.

Aims, Objectives and Activities The Charity's objects, as set out in its Articles of Association, are, for the public benefit, to advance the health of individuals with advanced and progressive life limiting illnesses and others approaching death and to relieve the needs (including, without limitation, the physical, psychological, social and spiritual needs) of such individuals, their family, friends and carers and others who have experienced a bereavement or loss, primarily but not necessarily in the western part of the county of Essex, through the provision of a specialist pallialive care services based on need as far as resources allow. It is the Trustees, principal aim that St Clare provides 8 Hospice that is a centre of excellence in the delivery of specialist palliative care and support by such charitable means as the Trustees see fit. Within this principal aim, the Trustees have specific objectives, which are to provide.. Continuity of care in the management of physical and non-physical symptoms of advanced disease wilh the purpose of maintaining optimal quality of life for the patient. Appropriate and accossiblo support to patient6 enabling them to remain in their own homes for as long as both desirable and possible. A sensitive response to ethnic, cultural and spiritual wishe5, which recognises and cares for the individual needs of patients, theirfamilies and carers. Assistance to the patient and family to retain their independence for as long as possible by providing easy access to infomiation that will enable them to make choices about the forrn of help and support, they wish to receive. Skilled counselling and support to the bereaved. Continuing education and training of staff and volunteers. All objectives, strategies and activities are regularly monltored and reviewed. The implementation of the slrategy is formally reviewed every three months and a report prepared by the Chief Executive Officer is shared with the Board of Trustees. The SLT and wider management team are responsible for the delivery of activities and services in line with the Hospice strategy and overarching mission statement. St Clare Hosplce offers palllative care for people over the age of 18 who are living with a life-limlting illness when a cure is no longer possible. The Hospice also offers support for the families, carers and friends around the patient, including children and young people. All health and social care professlonals can make a referral to our hospice services. Patients, families and friends can also seek a referral directly. Individuals with life-limiting illnesses often have complex and Multifa￿ted needs. To meet this challenge, the Hospice clinical team is a multi-professional specialist palliative care team bringing together staff with the necessary knowledge, skills and experience to ensure high quality diagnosis, treatment and compassionate care considering the patient and their family and friends, as a whole not just about treating the illness. Mernbers of the specialist team include doctors, nurses, healthcare assistants, physiotherapists, occupational therapists, social V￿)rkerS, counsellors, administrative support, and chaplain and supported by a team of highly skilled and committed volunteers to support the delivery of care. The dinical teams across all Servi￿ areas undertakes detailed, specialised and holistic assessments of the needs of the patient across physical, psychological, social and spiritual dornains.

Our expert clinicians provide advanced management of complex symptoms, ensuring that patients, preferences, values, and individual circumstances are considered wherever possible when offering guidance on the most appropriate care for their condition. The St Clare Hospice services include the Inpatient Unit, Wellbeing Hub and outpatient services, community nursing Servi￿ (comprising a Clinical Nurse Specialist Service and a Hospice at Home SeNice) and First Contact Team Service which offers a triage, assessment and advice service. A hallmark of hospice care is that hospices provide holistic care for both the patient and their family members, which includes physical, medical. emotional, spiritual and practs'cal needs. To this end, St Clare Hospice also provides a range of patient and family support services such as bereavement seniices, social work advice and spiritual care. This is complemented by non-clinical models of social support and a community engagement programme which aims to identify local population needs and develop new models of care. The actlvlty levels for the year are set out below. The Hospice also provides clinical sessions and multidisciplinary tearn meetings input to Princess Alexandra Hospital, Harlow. On a weekly basis. there are four clinical sessions provided to the hospital which offers patient reviews and hospital staff support and education. Education sessions are also delivered by hospi￿ staff to local healthcare professionals and health and social care students. This year, the Hospice received students from medical, nursing, social work, counselling, allied healthcare professionals and physician associate backgrounds on placement. We also delivered a programme of online master classes and study days aimed at healthcare professionals, many of which needed to be repeated several times due to oversubscription, and which were highly evaluated by attendees. Subjects included themes such as introduction to end of life care, identifying a palliative care patient, symptom management, care of the dying patients, specialist management, advance care planning, ethical decision making and psychological support. We ran two study days, one on spiritualily at the end of life and another on neurological diseases and care. The hospice continued its support to the wider system by providing structured specialty Ir8ining to trainee doctors. In the last year, this included 6 General Practice trainee doctors, 6 Foundation year training doctors and 1 Specialist Palliative Medicine trainee registrar. In partnership with the ICB, we also received one GP Fellow, who is within 5 years following completion of their training. The aim is to equip them with one day a week training at the hospice with structured Advanced Communication Skills Training and Certificate in Palliative care. For its educational contributions, St Clare Hospice is recognised as an 'Affiliated Healthcare Organisation by University of Cambridge. It also received a prestigious 'Dedication to a Lifelong Learning Culture award 2024, from national Skills for Health organisation. The eight-bedded Inpatient Unit (IPU) has continued to offer patients, their families and friends with a high level of care and support, always ensuring kindness, dignity and respect. The number of patient admissions during 2024125 was 226 admissions compared to 197 in 2024125, and bed occupancy was higher at 78°A compared to 75Yo in 2023124. Although there was a reduction in length of stay, occupancy at 2,241 bed days is an increase by 241 bed days on prior year. During 2024125 referrals to our therapists (e.g. physiotherapists and occupational therapists) was higher at 492 compared to 429 in 2023124, and the Therapy team cared

for 339 patients, 41 more than prioryear. The Wellbeing Hub continued to grow in reach and impact, with the Saffron Walden community hub now fully embedded as a core part of our service delivery. St Clare offers a comprehensive community service, consisting of Clinical Nurse Specialists and Hospi￿ at Home, caring for people in their own homes as well as care homes, and community hospitals. The Clinical Nurse Specialists provide specialist advice, and emotional and psychological support, to patients, their family, carers and friends seven days a week, working in partnership with other health and soci81 care professionals. The First Contact Service, our triage, assessment and advice seNice received both higher total referrals and patients during the year. This seniice plays a vital role in ensuring that individuals are directed to the most appropriale seniices, enabling more effective coordination and management of care across the organisation. Whlle the Cllnlcal Nurse Speciallst Servlce total referrals were lower In 2024125, total number of patients at 430 is an Increase on prior year. The community servlce Is supported by the Hospice's doctors, occupational therapists, physlotherapists, social workers, counsellors and chaplain who undertake home assessments as required. The Hospice at Home service provides hands-on, palliative care during times of crisis, or in the last few weeks of life for people who would prefer to remain in the comfort of their own horne or their usual place of residence. The team provides both a daytime and night-time service seven days a week and works closely with health and social care Gulle¢igue?•. Duriiig 11)e yedr Ilie service wiiliiiued Lo uperule diid Ldr¥d lur 410 pdlieiil in their own homes (last year 380). We continue to work collaboratively with our external partners lo ensure Ihat all suitable patients are referred to our Hospice at Home serrfice which often better meets their needs than other early discharge pathways. The Compassionate Neighbours volunteer scheme identifies and develops volunteers as Compassionate Neighbours who are'matched, with someone nearing the end of their life in their own home. During the year the project benefited 26 more people who have come to the end of their life and trained 41 more volunteers. During the year, the Patient and Family Support servi￿ supported 583 patients, an increase from 571 patients in the prior year. The Hospice also saw a significant increase in attendance at a range of bereavement support services including bereavement cafés held in various venues across West Essex, and through the Grief Line, our telephone bereavement helpline. Additionally, a skilled team of counsellors offer specialist counselling to adults, children and young people affected by loss. The support follows nationally approved guidelines and is tailored to each person's need. The Echo Project provides counselling support for children, young people and families facing loss and bereavement including support and training for schoolteachers and staff where bereavement is experienced.

Servlce Actlvlty Service 2023-24 2024-25 Total Admitted Patients Available Beds Day 180 patients 197 admissions 2682 210 patlents 226 admlsslons 2860 Ipu /• Bed Occupancy Medlan Length of Stay in IPU da Total referra15 75°h 78% 565 543 Clinical Nurse Speclallst Patients referred 407 430 Total referrals 587 578 Hospice at Home Patients referred 380 410 Total referrals 429 492 Therapy Team Patients referred 298 339 Patient and Family Support Servlce Total referrals 659 686 Patlents referred 571 583 Café Clare Attendances 1164 1526 Bereavement Café Attendance8 1834 2083 Trained volunteers 26 41 Compassionate Nelghbours Matches made during the ear 33 26 10

Publlc Benefit In reviewing the objectives and the activities for the year, the Trustees have satisfied themselves that both the objectives of the Charity and those activities undertaken continue to reflect the aims of the Charity. In carrying out their review the Trustees have considered the Charity Commission's general guidance on public benefit and its supplementary guidance on the advancement of health, especially as it relates to the relief of sickness, human suffering and palliative care. The Trustees confirm that they comply with their duty under section 17 of the Charities Act 2011, to have due regard to the guidance on public benefit published by the Charity Commission. It is intended that the Charity should maximise the benefit that it provides to the local comrnunity given the constraints of size and funds. The Charity is an important professional organisation that is proud of its local associations. It receives the majority of its funding from local Indivlduals and organisations (including local NHS commissioning groups). For this reason, the ben8ficiari88 t8nd to b8 pr8dominantly, though not 8xcIu51V81y, from a catchment area coverlng West Essex and East Hertfordshire. Volunteers Volunteers have always been at the heart of how we deliver our support to patients, carers, users of our services and the wider community at St Clare Hospice. The Volunteer Development Team remains committed to recognising and nurturing the unique talents, skills, interests of each volunteer. By doing so, we look to ensure that their contributions are maximised, meaningful, and aligned with the needs of the hospice. Looking ahead, v￿'re excited about the future of volunteering at St Clare. We will continue to explore new ways to recruit and involve more volunteers. Over the past year, we successfully launched our first cross-hospice volunteer campaign, which featured a significant digital component. This approach enabled us to reach a broader audience and resulted in an increase in active volunteers across the hospice and in particular, Compassionate Neighbours and Bereavement Support Services. For the second consecutive year, we hosted our long service award events to celebrate the dedication and COTnmitrnent of our volunteer workforce. These events were once again a great suc￿ss. Additionally, we intrOdU￿d a new recognition award to thank and recognise volunleers who consistently go above and beyond in their roles. 11

Strategic Report Achievements and Performance The hospice vision is that every adult in our local communities with a life limiting condition should have aC￿sS to palliative care services wherever and whenever they need them so that they can make the most of every moment, no matter how long they have left to live. We aim to provide both specialist clinical services and volunteer-led support that meet the complex medical and social needs of local people around the issues of death, dying and loss. Our five strategic aims 1. We will reach significantly more people who are faclng death, dylng and loss In our local communities. 2. We will work alongside our communitles to become more reslllent, to support each other and to remain independent for as long as possible. 3. We will equip healthcare colleague5 to have the confidence and skills to provide outstanding end of life care. 4. We will seek partnerships with other organi58tions and communities to deliver better care for patients and local people. 5. We will grow as a strong, sustainable and effective organisation. Our three main drivers to delivering outstanding care We will work to: Improve access to our sepdices and hospice Focus on quallty improvements across everything we do Focus on the sustalnablllty of the hospice's reSoUr￿S into the future How wlll we achleve th1$7 Improvlng Access: We wlll.. Expand our reach Offer more seNices on our hospice site Prepare for an increase in care home residents who need our care, and for those who wish to be cared for at home Work to reduce h05Pital admissions so more people can benefit from hospice care Ensure everyone has fair access to hospice services, employment and volunteering opportunities Help local communities articulate what they need Quallty We will: Demonstrate the impact we have made Continue to develop St Clare as an effective, open organisation that values integrity Continue to develop frameworks to ensure we are well-led, governed and effective We will equip health and social care colleagues to deliver great end of lrfe care to their patients 12

Sustainability We will: Create an empowered, motivated and skilled workforce (both stsff and volunteers) Optimise income generation to enable us to remain independent and afford our services Invest in IT, digital services and data functions Aspire to reach carbon neutral by 2040 Achievements in 2024125 It has been another busy year for St Clare Hospice, with work focusing on quality improvement and reviewing a number of hospi￿ services in order to seek significant improvement and effectiveness. We have achieved a lot of positive changes that have helped deliver quality care and support for more people. In particular, we developed an education programme for local home care agency staff to help Identlfy when thelr cllents mlght be nearlng the end of Ilfe and bulldlng thelr confidence and skills to seek advice and support from St Clare if they need it. We Improved nutrition and non-pharmacological (non-medicine) control of symptoms such as breathlessness and anxiety. We reviewed our Patient and Family Support sep4ices and our Community Nursing services to see what we need to develop to ensure local people can receive the care and support they need. During the year we worked in partnership with NHS colleagues to deliver Hospital at Home across West Essex which aims to keep patients at home rather than in hospital, and V￿ achieved Veterans Awareness certification. We also carried a number of minor improvements to the hospice, such as buying a 'cuddle bed, (which is a wider bed which allows patients to lie next to their partner, or cuddle a child or grandchild), and a refit of the family kitchen on the unit and of Reception to provide a more accessible warm welcome for visitors. We have also worked hard on building a supportlve and open culture wlth a roll out of Unconscious Bias training to all staff and trustees, hospice-wide work on an agreed behaviours framework. Additionally, we continue to hone our reporting and quality improvement programme, with a specific focus on how we collect, record and report on our activity and impact for patient and the wider local community. Despite a very challenging external economic environment. our income generation teams continued to work closely with our local community to generate funds across our shops, lottery and fundraising. We continue to receive a huge amount of support in a variety of ways from local people who want to see hospice care available for everyone who needs it. This year we launched a new event in Saffron Walden to celebrate the lives of loved ones who have died and welcomed almost 100 local people to walk in their memory. The event was very well received by the local community and supported by local businesses. We were delighted to open a new charity shop in Little Canfield, Takeley, Uttlesford this year. This community store is in the heart of the village, and the supportfrom local people in volunteering and donation5 ha5 been fantastic. 13

It has been fantastic to see the progress of St Clare Hospice over the past 12 months, with new challenges and opportunities for devebpment being considered all the time. Clinical and non-clinical teams have risen to the many challenges they have met along the way in a rapidly changing worfd. The hard work of every member of staff. with support from dedicated volunteers and our local communities enables the Hospice to continue to deliver high quality patient care, which is at the heart of all that St Clare Hospice does. Financial Review The outcome for the year after net loss on investments was a deficit of £1.06m, which is substsntial decrease on the prior year Surplus of £519k. Decreases in Donations and gifts, Legacies and Other income have resulted in a £568k decrease in overall income compared to prior year. There were increases in all areas of expenditure due to continued investment and expansion in patient care as well as funding to grow the income generating activities, in part from designated funds. The high level of inflation and staff costs have continued to result in Increase in the baseline expenditure. NHS contract income of £2.1 mllllon remalned at the previous yearfs level. However, at 270/0 of the Charity's expenditure, it is lower than the 29Q/o received in the prior year. A £144,945 capital expenditure grant received from the Department of Health via Hospice UK was spent on equipment and refurbishment of our main hospice buildings during the year. st Clare held net assets of £10.59m on 31 March 2025. Of this amount, £3.24m had been invested in land, buildings and equipment, and long-term investments leaving net current assets of £7.35m. A going Goncern assessment has been undertaken in accordance with the Charities SORP (FRS102). Following the assessment, the Trustees have concluded that at the time of approving the financial statements, the Charity has adequate resources to continue to adopt the going concern basis of accounting in preparing the financial ststements. Fundralsing Approach and Performance st Clare Hospice is committed to maintaining high standards of fundraising, retail and lottery activity. We are registered with the Fundraising Regulator and licensed by the Gambling Commission. We are committed to fundraising by the standards set out in the Fundraising Code of Practice, and our contracted professional canvassing agencies for new lottery players are also required to maintain the Code of Practice. We are members of the Hospice Income Generation Network and Hospice UK. A range. of public facing fundraising activities are undertaken including events, direct mailings, corporate fundraising and telephone appeals. Fundraising acb'vities are reported to the Income Generation Committee on a quarterly basis. The Hospice commits to its fundraising policies and practice being legal, open and honest. staff training and robust procedures are in place to ensure that these standards are maintained, and that no-one who is potentially vulnerable is asked to cornrnit to giving. 14

From time to time, the Hospice may work with established and reputable servi providers which include mailing houses, event management companies and fundraising agencies. Monitoring of activities is done by investigating complaints. seeking supporter feedback, mystery shopping and audits. St Clare Hospice is GDPR compllant and uses a number of methods to 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 will not make fundraising calls to telephone numbers registered with the Telephone Preference Service. Detailed supporters, contact preferences and giving history are recorded on the fundraising database which is managed within the fundraising team. Supporter experience is a priority for all teams within the Income Generation directorate and as such any complaints are investigated and dealt with in line the Hospice complaints policy. It is pleasing to report, that during the year, there were no complaints received about fundraising activities. Fundraisina income generated in 2024125 was £1,970k compared to a prior year fiqure of £2,302k. The Fundraising Income figure is made up of Donations and Gifts, and Fundraising Events, but excludes £677k (2024: £572k) income related to the Retail Gift Aid Scheme which is included within the Retail Contribution figure. The hosplce benefitted from generous support from our cornrnunity in 2024125, however many of our supporters were feeling the effects of the cosl-of-living crisis and ongoing economic environment. Ourfocus in fundraising is always to connect our supporters with the Impact of the work we do and show how thelr donatlons arè maklng a dlfference to local people. We saw increased income in some areas of fundraising this year, but not all - however the overriding impression throughout the year remains that our community is highly supportive of the hospice and generously do all they can to support us. The focus for 2025126 is on increasing our capacity and efficiency to be able to serve the community who are wishing to support us, and raise the increasing funds needed to run the Hospice. It is vital that we make sure that those that are able and viish to donate to the Hospi￿ can do so easily, and that they continue to be aware of the incredible difference this makes to local people receiving our services. Retall and Lottery Performance St Clare Hospice retail performed extremely well, thanks to a strong internal culture with skilled and high performing staff and volunteers, excellent support from the public through shopping and donating, and the opening of our newest shop in Takeley, Uttlesford. Sales increased significantly year on year, however increasing costs impacted our overall income. The net contribution of all retail activity (including e-commerce) for 2024125 was £452k compared to £491 k in 2023124. 11 is our ambition to continue to grow our portfolio of stores across the region that we seNe as a hospi￿ in order to grow sustainable income for the charity. In addition, in 2023124 we soft-launched a house clearance operation. designed to generate income for the charity and stock for the retail chain. This operation is now performing well and providing a sensitive and efficient service to the public. whilst generating income and stock for our retail chain. The St Clare weekly lottery is a key income stream for the hospice, with excellent player nurnbers across our region. Face to face player recruitment continued, and we 15

introduced single ticket sales via our shops, leading to growth in our player numbers. Lottery contribution to the charity was £400k in 2024125 vs £419k in the previous financial year. This minor reduction in contribution was planned, as we invest more into player recruitment. We expect to see this pattem again in 2025126 as we grow our player numbers further. Investment Policy The Trustees. investment policy is governed by the Company's Articles of Association and by the Investment Policy approved by the Board. This allows the Truste8S to invest the Charity's funds in such stocks, funds, shares, securities or other investments of whatever nature they think fit, subject to any conditions imposed by law. During the year, beyond a small working balance, all cash was held in interest bearing accounts with, more re￿ntly, a sum held in an investment fund. That cash which is not required in the short temi is invested in immediate, notice or fixed tenn deposits to secure the highest rate of interest available. The investment fund is invested with a view to a higher return and long-term growth. The current policy set by the Trustees for investment of cash, limits the amount that can be invested with a single financial institution. The policy requires sums held as long-term investments to be placed In an actively managed fund with a reputable Investment Manager with proven track record. Subject to the Twstee Act 2000, the trustees have invested surplus funds, whilst ensuring easy access to meet the operating cosls of the Hospice. CCLA Investment Management Limited has been appointed as Investment Manager with specified investrnent powers subject to the following restrictions: To be consistent with our ethlcal ambitions to environmentally sound and sustainable as possible, with a view to be carbon neutral by 2040; To not have dlrect Investments in companies that produce tobacco or tobacco related products; Investments are consolidated in COIF Charities Ethical Investment Fund, effectively holding unils in a highly diversified but readily accessible porttolio. Reserves Policy and Objectives The Trustees have reviewed and kepl unchanged the Reserrfes Policy approved in September 2022 in line with recommendations from the Charity Commission. It is the view of the Board of Trustees that st Clare Hospice should provide reliable and consistent services to its beneficiaries beyond the immediate future and be able to meet unexpected expenses, absorb setbacks, and take advantage of changes and opportunities for development when they arise. This review has also taken account of the development of services provided by St Clare Hospice, as contemplated in the Hospice's Strategy. 16

The Trustees agreed on a target level of resenies informed by the nature of the financial position of St Clare Hospice and the risks facing it. Factors considered by the Trustees include the categories of income received by the Hospice and the risk factors applicable to these categories: The absence of a long-terrn funding commitment and proposed changes to funding for those seniices provided by the Hospice for which income is received from the NHS or other government agencies The volatility of fundraising income. as demonstrated during and following the Covid pandemic The uncertainties of legacy income, both as regards amounts and timing The uncertainty of the amount of income which may be forthcoming from trading activity in the Hospice's subsidiary, including the uncertainty of trading income in the retail and lottery markets and the risks of undertaking that trading The inherent risks of providing medical 8nd clinical services The external economic environment, and the impact of exceptionally high levels of inflation feeding through to year-on-year baseline cosis In addition, it is planned that the Hospice will have an annual deficitforthe nextfew years requiring investmenl in income generating activities to close the deficit gap and to balance the two priorities of investing in services and increasing overall income to sustain this investment long term. This investment is a key part of the Hospice strategy and has also been enabled by surpluses in prior years. This approach is an acknowledgement by the Trustees of the need to avoid excessive reserves and to utilise funds as quid(ly as possible to support our charitable objectives. The target level of reserves agreed by the Trustees is six months of forecast expenditure for the Hospice and its trading subsidiary. Thus, in each financial year the Hospice will aim to have reserves equal to half the budgeted expenditure for that financial year. Further arnounts may be designated for speclfic projects, initiatives or liabilities. These designated funds, if designated, will be for areas of work that directly further the Hospice's strategic objectives as recommended by the relevant Committee. The approach to designation will be recommended by the Finance and Risk Cornmittee. These designated funds will not be taken into account in comparing the amount of reserves 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. Designated funds At their meeting in September 2022. the Trustees designated certain amounts for anticipated future expenditure arising frorn St Clare's Strategy and are divided into strategic areas we consider a priority. This expenditure is to be across a five-year period after plans are further developed, and projects identified in detail. The designated funds (and amounts utilised during the year) in addition to £2.2m representing the net book value of tangible and intangible fixed assets are the following- 17

Improving Access.. Clinical seniices and digital £1 m (of which £554k has been utilised) Improving Access: Capital Development £3m Quality: Impact development £1 Ook (of which £20k has been utilised) Sustainability: Income generation £500k (of which £445k has been utilised) Sustainability: People development £400k (of which £356k has been utilised) Level of reserves As at 31 March 2025, St Clare Hospice held net assets of £10.6m, of which £2.2m is represented by tangible and intsngible fixed assets, leaving £8.4m. After deducting restricted funds of £0.3rn and unutilised designated funds (see above) of £3.6m. £4.4m is available as undesignated general resendes. The reserves policy target for 2025-26 is £5.3m. With further deficits forecast in the next few years, it would be the expectation of the Trustees that to maintain the required level of reserves, the remaining funds out of the £3.6m designated funds for Strategy will be released in the coming year. Rlsk Management The Senior Leadership Team which meets weekly, chaired by the Chief Executive Officer, monitors, records, and manages risk on an operational and strategic basis. The organisational risks are identified and measures put 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 summary of the main risks are reported on a quarterly basis to the Board of Trustees. Insurance cover for insurable risks is Co-ordinated by the Director of Finance and Resources and reported to the Board of Trustees. In short risks are identified through the management structures and mitigated, managed and l or insured as appropriate. The following general principles are applled In addressing possible exposure to any identified risks.. All professional and other Codes of Practlce applylng to Hospice activities must be observed at all times. Al statutory requlrements must be complied with at all times. All manufacturers. operational advice, instructions and Servicing requirements must be assiduously observed. Appropriate records of compliance with the above requirements must be maintained. Insurance cover 15 taken out where appropriate. Suitable review procedures including records of incidents {and their subsequent resolution) must be in place to ensure that risks are, and continue to be, properly identified and managed. Implementation and compliance with a full range of internal policies and procedures. The SLT has responsibility for the ongoing identification, monitoring and management of risk within their respective spheres of interest. Where risk5 are so remote that it is impracticable, uneconomic or impossible to eliminate or avoid them (e.g. acts of war, force majeure, 'plane crash etc.) they are acceptsd. St Clare Hospice believes that a high-quality Servi￿ is one that should have minimal risks to the organisation, patients and staff. Where operational risks are identffied through complaints, incidents or risk assessrnents and reviews, they are added to the risk register 1B

and actions ar8 agr88d to ensure that the risk is either removed or reduced to as low a level as reasonably possible. The highest organisational risk for the Hospice is its financial dependen￿ on voluntsry income, which can be affected by significant extemal issues such as a global financial slowdown, and the proposed reorganisation of the NHS which may have an impact on commissioning and funding. Without sufficient funds, it would not be possible to run the extent of hospice services that are currently provided. Although we have taken several mitigating actions to secure our income generating capability the increase in baseline expenditure continues to place reliance on sustained growth in voluntary and trading income. Dedicated teams of fundraising, lottery and retail staff, who are supported by volunteers and the wider base of Hospice stsff, work tirelessly to ensure that the Hospice continues to receive donations and support from its local community and maintain a good reputation locally. The SLT and the Income Generation Committee closely monitor income and expenditure. Robust and detailed plans are created for the fundraising, lottery and retail functions on an annual basis. Activity against these plans is regularly monitored throuqh line manaqement processes in place. The reorganisation and merging of NHS structures due in 2026 presents the Hospice with a slightly elevated risk of not being able to survive fi'nancially if the hospice's NHS contract was not to be renewed or cut for any reason. However, the Hospice has been working hard at building good relationships with NHS partners during the year and believe5 the Hospice's positive attitude and willingness to support the wider system during the past few years has generally helped support a higher profile and improved reputatlon. The proposed Assisted Dying Bill which, at the time of writing, has passed through the House of Comrnons and now due to be considered in the House of Lords also presents few potential risks for the Hospice. This might include a requirement for the Hospice to be involved in some fomi with Assisted Dying alongside the delivery of existing palliative and end of life services, and issues connected to the very strong opposing views held wlthin local communities about this issue. The ability to recruit to staff vacancies remains a general concern, especially where specialist skills or qualifications are required. In the past, Registered Nurse recruitment has posed a significant risk for the Hospice. but this has become less of an issue during 2024125. Holding vacancies for key roles has an irnpact on the quality and ability of the Hospice to deliver services and function5. Lastly, health and safety issues remain a significant risk area for the Hospice, with a number of hospice functions posing risks for hospice colleagues; dinical staff who might need lo lift patients. retail staff who move donations and stock in the shops, and staff who are lone workers across several functions as some examples. We have mitigations in place including training, equipment and security measures. 19

Commentary on Last Year's Plans for 2024125 We planned to deliver an impact measurement programme which focused primarily on the clinical and community engagement activities. We made significant progress specifically in the clinical areas. Once fully tested and brought into use, it will provide individual seNice managers key information to plan their service delivery. We planned to launch a full services plan which will draw together clinical, community engagement and education programrnes to deliver outstanding end of life care for our community. A full services strategy was approved by the Board of Trustees in November 2024. We planned to review and implement an updated Patient and Family Support Servi model which will reflect the changing needs of our community around grief and loss. This was implemented at the end of 2024. We planned to work wrth the wlder healthcare system to consider dellvering outstanding patient care which supports a move from reactive emergency care to proactive planned care to reduce the burden on the healthcare system. During the year we joined several key system conversations to Improve care and reduce unnecessary hospital admissions. The overall number of hospital admissions for non-elective care has reduced during the year due to effective partnership working. We planned to invest in our Income Generation team and open new shops to expand our retsil portfolio to deliver more income for the Hospice. We recruited to a few new roles and opened one new shop (with more to open during 2025126) as part of our plan and are beginning to see the benefits in income. Future Plans 2025126 The Hospice plans for the coming financial year of 2025126 are as follows.. We will work to strengthen our finances, securing target level of sponsors and launching a 'Lions on Loose. art trail for the summer of 2026, open three new charity shops, and house clearance achieving target level of income. We will review our baseline costs; using the Department of Health and Soclal Care capital grant to best support and maintsin adequate reserves and achieve financially sustainable budget within the five-year planning cycle. We wlll work wlth the wlder healthcare system, as part of the newly formed Greater Essex configuration in delivering outstanding patient care which supports a move from reactive emergency care to proactlve planned care, to reduce the burden on the healthcare system. We will work to understand the impact of whatwe do so we can make better decisions through data. A key part of this work is the virtual hospice service dashboards whi will provide management, up-to-date information to maximise use of resources and show every bed and patient we care for, whether at home or in the hospice. We will redevelop key service models fit for the future, widen scale of Community Nursing service, implement education hub, and restructure clinical administration. We will continue to work embedding the Hospice values and behaviours framework that sets out the behaviours we accept and don't accept and ensure equity of access to ServI￿S and Workfor￿ opportunities. 20

Statement of Trustees, Responsibilities for Financial Statements The Trustees (who are also directors of St Clare West Essex Hospice Trust for the purposes of company law) are responsible for preparing the Trustees. Report and the financial statemenis in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). Company law requires Trustees to prepare financi81 statements for each financial year, which give a true and fair view of the state of the affairs of the charitable company and the group and of the incoming l outgoing resources and application of resources, including the incorne and expenditure, of the charitable group forthat period, In preparing these financial statements, the Trustees are required to.. select suitsble accounting policies and then apply them consistently; observe the methods and principles in the Charities Statement of Recommended Practice; make judgements and estimates that are reasonable and prudent. state whether applicable UK Accounting Standards have been followed, SLibj8Ct to any material departures disclosed and explained in the financial statements; prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charitable company will continue in buslness. The Trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies lict 2006. They are also responsible for safeguarding the assets of the charitsble company and the group and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. Auditors On 18 November 2024 the company's auditor changed its name from Haysmacintyre LLP to Haysmac LLP. The auditors, Haysmac LLP, will be proposed for reappointment in accordance with section 485 of the Companies Act 2006. Disclosure of information to auditors As far as the Trustees are aware, there is no relevant audit information of which the Company's auditors are unaware. The Trustees have taken all the steps that they ought to have taken as Trustees in order to make themselves aware of any relevant audit information and to establish that the Compansls 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 significant contribution to St Clare over the past year. They continue to demonstrate tremendous commitment, professionalism and enthusiasm that is so necessary to ensure the smooth running of the Hospice. I would like to offer my sincere thanks to all my colleagues on the Board of Trustees for their continuing support for the Hospi￿, which has been incredibly valuable. The experience and expertise of Board members as volunteers not only enables us to rneet our responsibilities regarding the organisation's governance, but also encourages and facilitates the developrnent of our services for local people. l am deeply grateful to the very committed. engaged and skilled group of trustees who give significant time and support to our senior leadership team. Finally, I must deeply thank all our supporters and local community who so generously give of their time and money to support the work of St Clare. It is humbling to witness the appreciation and goodwill that local people have for our Hospice, and it would be impossible for us to continue our work without their support. On beha￿ of the Board of Trustees, St Clare Hospice staff and volunteers, patients and their families, l am very grateful for the unstlntlng support of our local community. This Trustees, Report and Strategic Report were approved by the Board of Trustees and authorised for issue on 2 September 2025. Dr Jeffrey Phllllps 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 financial statements of St Clare West Essex Hospice Care Trust for the year ended 31 March 2025 which comprise the Group Statement of Financial Activitie5, the Group and Charity Balance Sheets, the Group Cash Flow Statement and notes to the financial statements. including a summary of signrficant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Stsndards, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice). In our opinion, the financial statements- give a true and fair view of the state of the group's and of the parent charitable company's affairs as at 31 March 2025 and of the group's and parent charitable company's net fflovement in funds, including the income and expenditure, for Ihe year then ended., have been properly prepared in accordance with United Kingdom Generally Accepted Accountlng Practice; and have been prepared in accordance with the requirements of the Companies Act 2006. Basis for opinion We conducted our audit in accordance with Intemational Standards on Auditing (UK) (ISAS (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor's responsibilities for the audit of the financial statements section of our report. We are independent of the group in accordance with the ethical requirements that are relevant to our audlt of the financial statements In the UK. including the FRC'S Ethical Standard, and we have fulfilled our other ethical responslbillties in accordance with these requirements. We believe that the audit evidence we have obtained 15 sufficient and appropriate to provide a basis for our opinion. Conclusions relatlng to going concern In auditing the financial statements, we have concluded that the Trustees. use of the going concern basis of accounting in the preparation of the financial statements is appropriate. Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the group's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue. Our responsibilities and the responsibilities of the Trustees with respect to going concern are described in the relevant sections of this report. 23

Other information The Trustees are responsible for the other information. The other information comprises the information included in the Trustees. Report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. In connection with our audit of the financial ststements. our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or othenNise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. If. based on the work we have performed, we conclude that there is material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard. Oplnlons on other matters prescrlbed by the Companies Act 2006 In our opinion, based on the work undertaken in the course of the audit,, the information given in the Trustees, Annual Report (which Includes the strategic report and the directors, report prepared for the purposes of company law) for the financial year for which the financial statements are prepared18 consistent with the financial statements,, and the strategic report and the directors, report included within the Trustees. Report have been prepared in accordance with applicable legal requirements. Matters on which we are required to report by exception In the light of the knowledge and understanding of the group and the parent charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the Trustees, Annual Report (which incorporates the strategic report and the directors, report). We have nothing to report in respect of the folloviing matters in relation to which the Companies Act 2006 require us to report to you if, in our opinion.. adequate accounting records have not been kept by the parent charitable company, or returns adequate for our audit have not been received from branches not visited by us; or the parent charitable company financial statements are not in agreement with the accounting records and returns,. or certain disclosures of Trustees, remuneration specified by law are not made; or we have not received all the information and explanations we require for our audit. 24

Re6pon6ibilities of Trust8e8 for tha financial stataments As explained more fully in the Trustees, responsibilities statement set out on page 21 the Trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal controls as the Trustees determine is necessary to enable the preparation of financial statements that are free from malerial misstatement, whether due to fraud or error. In preparing the financial statements, the Trust66s are responsible for assessing the group's and the parent charitable company's ability to continue as a going concem, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the group or the parent charitable company or to cease operations, or have no realistic alternative but to do so. Auditor's responslbllltles for the audlt of the flnanclal statements Our objcctlvca arc to obtaln reasonablc a==urancc about whcthcr thc financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAS (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements. Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilitie5, Outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below: Based on our understanding of the group and the environment in which it operates, we identified that the principal risks of non-compliance with laws and regulations related to compliance with regulatory requirements of the Care Quality Commission, Charity Commission, employment law and health and safety regulations, and we considered the extent to which non-compliance might have a material effect on the financial statements. We also considered those laws and regulations thal have a direct impact on the preparation of the financial statements such the Companies Act 2006, the Charities Act 2011, payroll taxes and VAT. We evaluated management's incentives and opportunities for fraudulent manipulation of the financial statements (including the risk of override of controls) and detemiined that the principal risks were related to recognition of income and management bias in certain accounting estirnates. Audit procedures perfomied by the engagement team included: Inspecting Trustees. meeting minutes Inspecting correspondence with regulators and tax authorities. Discussions with management including consideration of known or suspected instances of non-compliance with laws and regulation and fraud., Evaluating management's controls designed to prevent and detect irregularities; Identifying and testing joumals; and Challenging assumptions and judgements made by management in their critical accounting estimates. 25

Because of the inherent limttations of an audit, there15 a risk that we will not detect all irragularities, including those leadlng to a material misstatement in the financial ststements or non￿ompliance with regulation. Thls rlsk Increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less Ilkely to become aware of instances of non-compliance. The risk is also greater regardlng irregularities occurring dué to fraud rather than error, as fraud involves Intenlional concealment, forgery. collusion. omi8Sion or misrepresentatlon. A further descriptlon of our responsibilities for the audit of the flnanclal 8t8tements is located on Ihe Financial Reporting Counal'5 webslte al www.frc.or .uklciudilorsres onsibilities. This descripkn'on forms part of our audltor's report. Uso of our report This report is made 601ely io the charltabl8 companls members, 85 8 body. in accordance wtth Chapter 3 of Part 16 of the Companle5 Act 2006. Our audit work has been undertaken so that we mlght stale to the Gharitable companvs mernbers those malters w8 are required to state to them in an Audltorfs report and for no other purpose. To the fullest extenl pemiitted by law, we do not accept or assume responsiblllty to anyone other than the charitable company and Ihe charitable company's members 85 s body, for our audit work, for this report, or for the opinions we have formed. L•e Stokos (Senlor statutory audltor) for and on behalf of Haysmac LLP, Ststutory Auditor 10 Queen Street Place, London, EC4R 1AG. 1110912025 26

St Clare West Essex Hos ice Care Trust Group Statement of Flnanclal Actlvltles (incorporating an Income and Expandlture Account) for the year ended 31 March 2025 Unrestricted Funds Restricted Funds Total 2025 Tolal 2024 Notes Incomo.. Donations and gifts Legacie¥ 2.238,849 1.178.100 224.844 2.463.493 1,178,106 2.713.158 1.822,440 Other trading acts'vities Fundralsing 8venls & similar income Tr8dlng.Company iumover 183,786 2,085.828 183.786 2,085,826 2.269.612 2,399,618 287.040 89.847 161,111 1,941,654 2, 102, 2.259.723 255,302 101,797 Income from charitable acllvitles 2,104.991 287.040 84,518 294,625 Investment Income and Interest Other Incomo Total InGom• 5,131 Expanditurn.. Ralslng funds Fundraising expendlture Tradlng Comp8ry expenses 1,172,150 1.904,218 3.076.36 1,172,150 1,904,218 .076.368 877.394 1,590,445 67.839 Ch8rilable activities Patient care Education and research 6.236,102 56,120 6,292. 22 350,704 6,404 357,108 6.586,806 62.524 6.849,330 6,254,723 5T,067 8,311,790 Total •xp•ndltur• 1.038 184 75,554 Net (losse8ygalns on Investments Net movement for the year before transfers Transfers belween funds (24.2511 1,229,927 (24,251) 1,082,435 43,878 187.492 519.432 21 192,055 (192,055) Net movem•nt In fund8 Reconclllatlon of funds.. Total funds brought forward at 1 April 11,316,138 335.676 11,651,814 11,132,382 The statement of financial activilie5 Indudes all galn5 and losses recognised in the year. All income and expenditure derive from continuing activiiies of the group. The detailed comparative infl￿atIon for the stalement of fi'nancial activities is induded in nots 24. 27

St Clare West Essex Hos ice Care Trust Group and Charity Balance Sheets as at 31 March 2025 Group 2025 Charity 2025 Notes 2024 2024 Flxed assets Intangible assets Tangible assets Investments 13 14 15 8,901 2,214,998 1,018,931 3,242.830 2,629 2,222,225 543,878 2, 768, 732 8,901 2.154,296 1,018,933 3,182,130 2.629 2, 152.558 543,880 2,699,067 Current assets Stocks Debtors Bank deposlts Cash at bank and in hand Friends branch funds 18,354 1,494,390 5,522,483 831,696 31 7,866,954 9,816 1,250.912 7,674,053 420,880 31 9,355,692 16 1,715.277 5,522,483 544,304 31 7,782,095 1,645. 768 7,483,713 172,292 31 9,301,804 Credltorn: amounts falllng due wllhln one year 17 1520,405) (472,610) {375,535) (349.745) Net current as•ets 7 346 549 8,883,082 7 406 560 8,952,059 Nat assets 10,589,379 11.651,814 10.588,690 11,651,126 Funds: Unrestrlcted general funds Unrestrlcted de8lgnatad funds Restrfcted funds 21 21 21 4.429,426 5.848,840 311,113 4,689,246 6,626,892 335,676 3,470,505 6,807,071 311,113 4,214,345 7,101,105 335,676 Total funds 10,589.379 11,651,814 10,588,690 11,651.126 The deficit of the parent charity was £1.062.436 (2024- £519,432 surplus) Approved by th8 Board of Trust888 and authorlsed for Issue on 2 September 2025 and slgned on its behalf by: Dr Jeffrey Phllllps Chairofthe Board of Trust88S Andrew Balfour Chair or the Finance and Risk Committee Company Registration Number: 3398955 28

St Clare West Essex Hos ice Care Trust Group Cash Flow Statement for the year ended 31 March 2025 2025 2025 2024 2024 Cash flows from operating activities.. Net cash (outflowylnflow from operatlng activities (note 1 below) 11,329,975) 611.787 Cash flows from Investlng actlvltles.. Interest received 287,040 (9,636) 1188,183) 500,000 255.302 Acquisition of Intangibl8 fixed assets Purchase of tangible fixed assets Purchase of flxed asset Investments (155,144) 500,000 Net cash ouffiow from InvMtlng actlvltle• (410,7791 (399,842) (Decrea¥•Vlncr•a•• In cash and cash equfvalents In the year Analysls of changes In cash and cash equlvalents durlng the year." Total as at 1 Aprll Increase Sn cash and cash 8quivalent5 in the year 8,094,964 7,883,019 (1,740,754) 211,945 Total as at 31 March (note 2 below) Notes to the Group Cash Flow Statemont Reconclllatlon of net Income to net cash flow from operatlng actlvftles 2025 2024 Net {expendttur•)Ilncom• (as par stat•m•nt of flnanclal •ctlvltles) Adjustments ftir.. Interest received Amortisation of intangible fixed assets Depreciation of tangible fixed assets Loss on dlsposal of tangible fixed assets Net lossesl(gainsl on fixed asset Investments (Increase) I decrease in stocks Decrease l (increase) in debtors Increase l {decreas81 in creditors (1,062,435) 519,432 (287,040) 3,364 195,410 (255,302) 3.505 200,243 24,947 (8.538) {243,478) 47,795 (43,878) (7, 793) 136, 720 58.86Q Net cash (ouffiow)Ilnflow from operatlng actlvltlgs 2 Analys18 of cash and cash equlvalent8 2025 2024 Bank deposits Cash at bank and in hand Friends branch funds 5,522,483 831,696 31 7,674,053 420,880 31 Tolal as at 31 March 29

St Clare West Essex Hos ice Care Trust Notes forming part of the financial statements for the year ended 31 March 2025 l Accounting pollcles la) Basls of preparatlon The financial slatem8nls have been prepared in accordance wth Accounting and Reporting by Ch8riti88.' Statement of Recommended Practice for Charities ISORP 2015) (Second Edltlon, effedlve 1 January 20191, Charities SORP IFRS 102), Companies Act 2006 and Charities Act 2011. The Hospice mee18 th8 definillon of a publlc btsnefil entity under FRS 102. As8els and liabilities are initially recognlsed at historical cost or transaction value unless otherwise ststad in th6 relevant accounting policy nole{sl. (b) Company •tatu8 The Charity is a company limlled by guarantee and has no share cgpital. The company is Incorporated In England and Wales, and Ils reglslered offlce Is Sl Claro Hosplca, Hastlngwood Road. Hasllngwood, Essex CM17 9JX, In the ev8nl of the Charity being wound up. the liabilily in respect of the guaranlea is limited to £10 per Member of the Chadty. The M8mb8rs of the Charity are the Trustees narned on page 2. (cl Golng concorn In accordance with the Charities SORP (FRS 1021 the TruBtee8 have undertak8n an 8ssessment of going concem. As part of thi8, GOll8ideration was taken as lo whether the Charty G8n continue ilB operations and pay debts as they fall due for al least one year from the dale of when the accounts ar8 to be 5Igned and that there are no m81edal uncertainties regardlng the charity's ablllty lo Gontinue a6 a golng concern. The golng concern assessment included Trusle8s conslderlng cash prolectlons and fln8nclal plans. They are 8alSsfied that the Charity h8s effective financial controls In place, and that there ere robu81 risk and reserves policies which are ragularty reviewed. The Trustees are able lo monitor actual results againsl budget during the year and analyse the Charit18 sources of income and expenditure. Following the asse$sment, the TruBtees have concluded that al the lime of approvlng the finanGl¢l staternents, the Charity has adequate resources lo continua to adopt the golng concern bas18 of accountlng In preparfng the financial slalements. (dl Group fln¥nGINI Statements The financial statements con801idat8 th8 results of the Charity and118 wholly owned 6ub8idiary, Sl Clar8 Hosplc8 Tradlng Company Llmlled, on a Ilne by Ilne basis. No Separate slatemant of flnancl81 act5vltles has been presented for the Charlty alone as p8rmltted by Secllon 408 of th& Compani88 Act 2006. {el Fund accountlng Unreslrlcted funds are those availabl8 for use at the diSC￿tIon ol the Trustees In fvrtherance of the general objectives of the Charity. Designated lund$ are those earmarked by the TNstees for a particular purpose. Reslricled funds are funds whlch are to be used In accordance wllh specific reslrictlons Imposed by donors or whlch h8ve been raised by the Charity for particular purposes. Investment income and gains Bre allocated to the unre81￿cted or restricted fund as appropriale. (fj Income Income Is recogn1￿￿ when the Charity has entitlement lo the funds, any perfomian¢e ¢ondlllon$ attached to the item{s) of income have been mel, It 1$ probable that the income will be received and the amount Can be measured rellabty. Where income has related expenditure las wlh fundraising or contract incornel, the income and related expenditure are reported gross in the statement of financial activitSes. Donations. grants and gifts are recognised when receivable. In the event th818 donation is subject to fulfilling perfomiance ondltlons before th8 charity is entitled to the funds, the income Is deferred and not recognised until it is probable that those conditions wlll be fU￿illed in the reporting period. Income from Gift Aid lax reGlaims for any donations wth relevant Gfft Ald ¢ertlfi¢ates Is reGognised in income for Ihe year. Any amounts of Gift Aid not received by the year end are accounted for in income and 8S 8ccrued income in deblor8. 30

St Clare West Essex Hos ice Care Trust Notes fonning part of the financial statements for the year ended 31 March 2025 Income from NHS contracts. government and other grants, whether 'c8Pit81' grant8 or'ravenue. grants, are recognised when the charity has entillament lo the funds. any performance conditions attached to the grants have been met, it is probable that the income will be received and Ihe amount Can be measured ￿1￿¥blY and 1$ not deferred. For legacies, entitlement is taken on a case by case basls. Usually, the Charlly would not recognlse any legacy Income If there ha5 been no communlcatlon from the Executor of the estate. For pecuniary legacies, the Charity would usually recognlse the income once communication has been received from the Executor that th&re are sufficient nel assets available to pay the legacy. For r8sidual legacies, the Charity would usually only recognise once the estate accounts have bean approved, or after other communiGatlon has been received from the Executor confimiing entitlement and amount due. Income recelved In advance for a grant received relating to the followlng year ar8 deferred untll the ¢rlterfa for income recognition are mel. Loltery Income Is accounted for In respect of those draws that have taken place In the year. Relall 8ale8 Sno)me Is recognl8ed on point of 8ale for both donated and purchased goods. Funds ralsed by Frlends branches are con8011dated wilhln th8 Charllys account8. (gl Donated good8 and servlGe Donated services or facllllle8 8Te recognlsed when the Charity has control over the item, any conditions associated with the donated Item h8ve been met. the ￿ceIpt of economlc benefll from the use of the Item Is wobable and that economic beneftt can be rneasured reliably. Donated profes8ion818ervices and facili1188 ara included in incom8 at the astimated valua of the gift to the Chadty when received. based on the amount that the Charlly would have been prepared lo pay lor these 5eNIc8s or facillties had il been required lo purchase them, with a corresponding enty in Ihe èppropri8le expendlture heading for Ihe same amount. Donated fixcd a93cts orc •imilody tDkcn lo inGomc al tho voluc to tho Charlty wllh thc olhor cnty boing capitali￿vcd in fixod 0￿01￿. Ihl Expendltur• Expenditure is included In the Statemant oi financiol octiviti8s on an accruals basis. indusiv6 of any VAT which cannot be recovered. Fundrolsing exp8ndlture Includes costs dlrecled to ra18ing funds lo finance the charltable objects and to promote the activities of the Charfty. chart18b￿ actlvltles Include 8xpendlture as8oc6ated with providing Hosplce care serwces to patients, their carerg. famllles and friends and include both the direct and support costs re181ing lo those acllvlties. Support costs indude Gentr81 functions and have been allocated to actlvity ¢08t categories on a basis consistent with the u8e of resources e.g. allocallng premlses costs by floor area, staff costs by tlme sp&nt, and other costs by Ihelr usage. 11) Volunteers •er¥I￿$ The value of services provlded by volunteers is not incorporated into these financial 8tatem8nt8. Further details of the contributlon made by volunteers can be found In the Trustees. annual report. (Jl Ponslon costs The Charity conlribule5 to defined benefit 8nd deflned conlribullon schemes on behalf if Its employees. The pension costs charged in the Financlal Slatements represenl the contTibutlon5 payable by Ihe ChaT6ty during the year, In eccordance with FRS 102. A numb8r of employees are members of the National Health Service Pension Scheme. This is a defined benefit5 scheme. the a888ts of which are held independenlly of the Charity. The assets relating lo the ChaTitVs employees cannot be separatety identified and, in accordance with FRS 102, are not included in the Balance Sheel. Employees who are not eligible to join the NHS Pension Scheme are able to join one of two Group Personal Plans, whl¢h are both defined contribution schemes. For all schemes, the Charity has no liability beyond rnaking ils contributions and paying across deductions for the employees. contributions. Where employees, salarfes are allocated to unrestrtcted and restrlcted funds. the pension costs related to those employees, are allO￿ted to the same funds. 31

St Clare West Essex Hos ce Care Trust Notes forniing part of the financial statements for the year ended 31 March 2025 Ikl Employea beneflts Short term benefits including holiday pay are recognised as an expense in the period in which the service is received. Termination beneflts are accounted for on an accruals basis and in line with FRS 102. (11 Intangible fix•d assgts and amortlsatlon Intangible flxed 85sels costing rnore than £1,000 are capitalised. Amortisalion 18 provided on all inl8ngibl& fixed assals at rates calculated to write off the cost on a straight line basis ovar their expected usefvl lives as follow8.' Computer Software over 4 years (m) Tanglbl• Ilxod a88•t8 and d•prnclatlon Tanglble fixed assets, although Indlvldualty cosllng less but as part of 8 project cosllng mor8 than £500 are ¢apltsli8ed. Depredatlon Is providgd on all tangible fixed ass8t8 at rale8 cal¢ulated lo write off the cost on a slraighl line basis over their expected usefvl Ilva8 as follows.. Freehold18nd Freehold bulldlng8 Freehold bulldlng adaptallons Furniture, equlprnenl and medical equipment Telephones Computer equlpment Motor vehlcfes belwgon 34 and 50 yaar8 over 10 years over 5 ye8rs over 5 years ¢)ver 4 years over 4 year8 (n) Stock Stock consists of purchasod goods for resa18. Slocks ara valued at the lower of cost 8nd nel realisable value. Itgms donated for resale ar8 not Included In the financial 51atemenls untll they are sold, because the Trustees conslder It Impraclkal lo be able lo assess the amount of donated stocks 8$ Ihere are no systems in place which r8cord these items until Ihay ara 901d and undertaklng a stock lake would incur undua cost for the Charity which far outweigh the benefllB. {0) Flnanclal Inslrumonts The Charity only has financial asset8 and financial liabllltles ol a kind that qualify a8 basic financlal Inslrumenl8. B881c financial Instruments affj Initially recognlsed al Iransactlon value and subsequently maasur8d al Ihelr settlement value with the exception of bank loan5 which are subsequently measured at amortised cost using the effective interest method. (pl Oporatlna le•8•8 Operatlng18ases are recognlsed over the perlod of whlch the lease falls due. Benefits received and recalvable 8$ an incentive to 81gn an operatlng leasa are recognlsed on a slralghl line basss over the period of the le8Se. 2 Judgement• and koy 8our¢•• of •$tlmatlon unc•rt•lnty In the application of the Ch8rill5 accounting policies, the Trustees are required lo make judgements, estimate5 and assumptions about the carrying amount of a55els and liabilili8S that are not raadily apparent from other $our¢e$. The estimates an¢J a55oGiated assumptions are based on historical experience and other factors that are wn5idered lo be relevant. Actual results may dlffer from these esllmate5. The estimates and underlying assumpllons are revlewed on an ongoing basis. Revisions to accounting e51imales are rewnised in Ihe period in which the eslim81e is revised, rf the rev151on affeGts only that period, or in the period of the revision and future perlods If the revision affects both current and future periods. The annual depreclallon Gharge for tangible fixed assets 15 Sensitive to changes in the esllmated useful economlc Ilves and residual values of the 88sels. The useful economlc lives and residual value5 are r8-ass8SS8d 8nnualty. They are amended when necessary lo reflect current estlmales. based on technolc4Jical advancement, future inveslmenls, economic ulilisation and the physical condition of the 8ssets. See note 14 for the Carrylng amount of the tangible fixed a55ets and note 1 for the useful economlc Ilves for each class of asset. 32

St Clare West Essex HosDice Care Trust Notes forming part of the financial statements for the year ended 31 March 2025 3 Financial aclivities of the Charlty The flnanclal aclivilies Shown in the consolidated statement Includes those of the Charflys vtholty ovmed subsldlary. Sl Clare Hospice Trading Company Limit8d. A summary ofthe flnandal actfvltie5 undertaken by the Charfty Is sel out below: 2025 2024 Total Income Total expenditure Net gains on investments Net Income for year Total funds brought fO￿ard Total funds carrled forward 6,783.296 17,821.481) 24,251 11,062,436) 11651,126 7,664, 739 (7, 189, 185) 43,878 519,432 11, 131694 Represented by: Unrestricted income fvnds Re.81rirApd InrAJmp. fundA 10,277,577 311,113 11,315,450 335 676 4 Donatlon8 and glft• Unreslrlcled Funds Re8tr4cted Funds Totsl 2025 IndfvSduals Appe818 Charitable TTU818 Communlly Corporate Donallons from retall Glft Ald Scheme Retail Glft Aid 868,921 63,525 168,347 242,532 218.233 540,918 136,173 1,630 870,551 63,525 391,S61 242,532 218,233 540,910 136,173 223.214 Unrestricted Funds Restrfctad Funds Tolal 2024 Indlviduals Appeal¥ Charitable Trusts Community Corporate Donations frorn Tetail Gift Aid stheme Retail Glft Ald 862,318 47,150 131,669 294,167 300,183 457,749 114,264 2 207 500 252,140 1.114,458 47,150 385, 185 294, 167 300, 183 457,749 114,264 253,516 505,656 5 Legacles In addition to legacies received during the year, the Charity is the benef￿lary of further legacies which have been Induded in the flnanclal statements. as entitlement to th818gacies has been established and is consldered probable that thay will be received and can be reliably quanlified. 33

St Clare West Essex Hos ice Care Trust Notes forming part of the financial statements for the year ended 31 March 2025 6 Not income from tradlng actlvltles of subsldlary company The Charity has on& wholly owned trading subsidiary, St Clare Hosplce Trading Company Limited, which is registered in England and Wales. company number 2951374. The principal activities of St Clare H05pice Trading Company Limited are the sale of purch88ed and donated goods In support of St Clare West Essax Hospice Care Trust through Its Shops, 8nd the operation of a l0tt8ry. St Clare Hosplc• Tradlng Company Llmlted Proflt and I￿* account 2025 2024 Turnover Cost of sales & admlnistration expenses Rent and IT charge payable to St Clare West Essex Hosplce Care Trust Net PToflt 2.085,826 {1,904,218) 26,200 1,941,654 (1,590,445) (13,000 Distributions to Sl Clare WeBt EB88X Hosplca Care Trust Relalned In subsidiary 155,408 338,209 The aggregat8 of the 858ets, Ilabiliti88 and funds 8131 March was.. Assets LIabl￿tieS Funds 519,$49 518,859 664.314 (663,6241 34

St Clare West Essex Hos ice Care Trust Notes forming part of the financial statements for the year ended 31 March 2025 7 Income from charltable actlvltle 2025 2024 NHS West Essex Cllnical Commissionlng Group Contract for patient care services NHS East and North Hertfordshire Clinical Commissioning Group Contract for patient care sekvic6s Depariment of Health Grant Reimbursement of medical consultant costs Research & development {restrlcted Income) 2.061,657 2,052,990 43.334 144,945 144.884 4,796 52,001 144,4iXJ 10,332 8 Costs of ralslng funds Dlrecl costs Supwrt costs (note 111 Total 2025 Fuiidi¥i¥liiy ¥XV¥llLliLui¥ Trading Company expenses 948.101 1.904.218 228,049 1,172,150 1,904.218 Dlrect costB Support costs (note 11) Total 2024 Fundrai8ing expendlture Tradlng Company expansas 677.209 1590 445 200,184 877,994 1590 445 2 467.839 9 Patl•nl car• costs DSrect cost8 Support costs {note 111 Total 2025 Inpalienl unlt Wellbelng & Oulpatlents Community seTViGe Hosplce at Home Patient & Famity Support Strategy 2022+ 1,733.021 369,301 668,026 603,103 561,176 1,112,822 483,236 279,800 256,374 173,876 346.071 2,845,843 852,537 947,826 859,477 735,052 346,071 Dlroct costs Support costs (nots 111 Tol81 2024 Inpallenl unll Wellbeing and Outpatients Communrty seryice Hospice 81 Home Patient and Family Support Strategy 2022+ 1,471.097 361.248 621.397 625,581 574,689 1,090,409 487,156 277,820 252,431 173.390 319 505 2600711 2,561,506 848,404 899,217 878,012 748,079 319 505 6 254 723 3.654.012 35

St Clare West Essex Hos ice Care Trust Notes fomilng part of the flnancial statements for the year ended 31 March 2025 10 Supp¢Yt co•t• li 11 i.tj IÉ JI Total 2025 Management & HR In5urnnce Vohjnteer 8ep4lc•s PremlBeB and IBclliti85 Caterlng & ck8Bning Communlcallons 44.933 2.512 10.873 24.158 10.591 42,862 39,228 49,490 1,404 179.733 33,643 30.640 323.714 182,698 45.719 100.667 126.817 8,426 28,022 52,543 41,477 34,564 9,540 1,506 44,478 86.968 52,956 14.287 56,037 40,210 3,009 48,703 87,571 34,564 2,008 1,977 24,158 5,295 18,573 39,225 46,397 3,812 28,022 52,543 10.369 118,281 1.004 10,870 9,662 7,944 5,717 11,208 9,280 402 37,364 70,056 Staff Tlmo Fknor Spac8 U8aga Floor Sp8C8 Staff Time Staff Tlme Staff Tlme Staff Tlmè Usage UsAge Us8ge U&B9e 464901 50,213 90.838 483.155 284.779 162.61)0 280.186 309,311 20.063 255.124 426.796 63.212 14.495 5.295 15,716 33.623 37,117 3,210 46.703 87.571 19.726 Office coets Govemance cost8 Flrsl contact Cllnlcal Qu811ty & Manager Olpltal & Transftwrn8llon 68,310 76,512 63,262 TOTALS 2024 Management and HR Insurance co818 Volunteer ￿rVIceS Preml8e8 And facllltle CAlering and cle8nlng Communlcatlons 38.293 1.326 9.907 25.3C6 9,781 35,847 33,101 45,221 1,402 187,967 17,761 27,919 339,094 168.725 57.357 85.117 115.677 8,414 25,214 58,944 41,775 5,036 40,528 91,100 48.906 35.B47 47,287 36,741 3,005 42,024 94.W7 34,812 795 34,812 1,061 1,801 25,306 4,890 23,301 33,101 42,394 3,807 25.214 58,944 10,444 530 9,9D5 10,121 7,336 7,172 9,458 8,479 401 33.619 75.925 96.693 Staff Tlme Floor gpace Usage Floor sp8C• Stsff Tlme staff Tlme staff Tlm8 Staff Tlmo U88g& U88g& 444,816 26,50g 90,060 506, 110 244,528 179,240 236,437 382,827 20.034 217,912 429.667 122,955 15,183 4,890 19,716 28,373 33,915 3,205 42,024 94,907 Office co818 Govern8nca co818 First cont8cl Cllnlc81 Quallty & M8nager Dlgltal & Tran5forrnatlon TOTALS 49.817 50.040 122,955 Usage 11 Not Incvm•l(•wendlturel for tho ye•r Incorne IB Btated after charglng.. 2025 2024 Amortl88Uon of Intsn9lble flxed aB8et5 Dèpreciation of tsnglble fixed asse15 AudltorB remuneration (including irrecoverabl8 VAT) - Statuiory audlt - Tax Se￿CeS TrustÈes' indemnlty insurance Operatlng leases 3,364 195,410 3,505 20CI,243 22.1100 3,097 1.698 20.9tXI 5,993 1.532 234.102 36

St Clare West Essex Hos ice Care Trust Notes formlng part of the flnanclal statements for the year ended 31 March 2025 12 Truat••8' r•mun•ration No Trustees recefved emoluments In the current or comparatlve year. No Trustees were relmbursed expenses in the current year 12024.. NII). 13 Intonglbl• Ilx•d ass•ts Inlanglbl8 flxgd assets acquired by Ihfj Charty represent COMF￿tsr softworg. Group and Charlty Cost At 1 Aprll 2024 Addiiion8 Disposals At 31 March 2025 39.957 9,636 Amortisalion Al 1 AprS12024 Charge for year At 31 Mar¢h 2025 37,328 3,364 40.692 Carrying value at 31 March 2025 8.901 C8rry6ng value at 31 March 2024 2,629 14 Tanglble flx•d a•••t• Group Freehold Land & Buildings Fumllure & Equipment Totsl Cost Al 1 Aprll 2024 AddSllon8 Disposa15 At 31 March 2025 4,431,961 74.786 899,249 113.397 29,6751 982,971 5,331,210 1B8.183 (29.6751 5.4B9,718 4,506,747 Depreciation At 1 Awil 2024 Charge for year Dlsposals At 31 March 2025 2.449.280 105.516 659.705 89.894 129.6751 719.924 3,108,985 195,410 (29,6751 3,274.720 2,$54,796 Net book value at 31 March 2025 1,951,951 263.047 2.214.998 Net book value at 31 March 2024 1.982.681 239.544 2,222,22S 37

St Clare West Essex HosDice Care Trust Notes fomiing part of the financial statements for the year ended 31 March 2025 14 Tanglble flxed amets (contlnu•d) Charlty Freehold Land & Bulldlngs Furnllure & Equlpmenl Total Cost Al 1 April 2024 Addltlons Disp088ls Al 31 March 2025 4.431.960 74.786 683,844 103.858 129,6751 758,0 5,115,804 178,644 129,6751 ,26 ,T13 ,506,74 Depreciauon At 1 April 2024 Charge for year Dlsposals At 31 March 2025 2,449,279 105,516 513,967 71.390 129,675) 795 555,882 2,963.246 176,906 {29,6751 10,477 Nel book value al 31 March 2025 1,951,951 202,345 2,154.296 Net book value 8t 31 March 2024 1,982,681 169.877 2,152.558 15 Flxed a••at InveBtmonts Charlty 2025 2024 Llsted Investments.. Market value al 01 Aprll Addiliciis during the year Nel gains on Investments Market value al 31 March Cost of Shares In subsldlary company. Sl Clare Hospice Tradlng Company Llmltad 543,878 500.000 124.947) 1,018,931 500,000 43.878 3,878 At 31 March 2025 UK equities compri88d: Markèt Valu• £1.018,931 Cost £1,000,000 196,590.6512024'.1￿,389.O9j unil8 In CCLA COIF Charities EthScal Investment Fund The Charity owns the whole of the155ued share capllal of St Clar8 Hogplce Trading Company Limited, 8 company Ir￿rporated In England and Wales. The company exlsls 501ely to raise funds f￿ the work of the Charlty by the ¥ale of donated and purchased good5 and the operation of a lottery. 16 D•btor• Group 2025 Charlty 2024 2025 2024 Sl Clare Hospice Trading Ccffnpany Limitsd HMRC- Income lax I VAT recoverable Accrued legacy Income Interesl due Prepayments and other debtor8 373.987 32,236 1.035,574 46.016 227.464 540,759 65,366 615,506 30.679 393.458 42,081 1,035,574 46.016 37D.119 80,350 61&506 31,236 523,820 Legacy nollfficallons e511mated at £331k (2024: £385k) have not been a¢CTue as 81 the lime tho accounts were or certainly of receipt of each of the individual legacies could not be ascertained. nallsed. arnount 38

St Clare West Essex Hos ice Care Trust Notes forming part of the financial statements for the year ended 31 March 2025 17 Creditors: amounts falllng due wlthln on• y•ar Group 2025 Charity 2024 202S 2024 Interest freg loans Taxation and sctlal securlty Trade creditors Other crefiitors Accruals D8ferred Incorne 2.500 138.615 87,071 157,06T T8,024 9,333 2.500 138,615 56,317 82,668 60,312 147,190 142,614 169.581 61,020 147.190 9D.615 92,B28 44,902 Included In other creditor8 are pens1￿ conlrlbutlons amoun Delerred Incom• roconclllatlon: Group 2025 Charlty 2024 2024 2024 Brougm fowlard al 1 Aprll Released lo the stslement of financl81 actlvltles Doforrod during the yoor Carrled forward at 31 March 9,333 (9.3331 23,392 (23,392) Q.333 9,333 19,3331 23,392 (23,392) 9,333 18 Staff co•t• 2025 2024 Salarle5 Soc181 securfty costs PenBlon costs 6.379.740 614,279 S53,850 S.826,598 548,983 Included In the above are redundancy and temlnalion paymenis totalllng £31,224 {2024.. £Nill- The number of employees whose emoluments a5 dgfined for taxation purp08es amounted lo more than £60,000 during the year was as follows.. 2025 2024 £60.(K)1- £70,000 £70,001- £80,000 £80.001- £90,000 £90,001- £100,000 £100,001- £110,000 £110,001- £120,0(KI £120,001- £130.¢XN) £140.001- £150.1 The average number of employees during the year was.. 2025 86 104 2024 85 100 Full time Part lime The average number of full tlme equivalent employees In the year was 144.6 {2023: 134.21. 19 Kay managèment per•onn•l The Charity considers that the key management personnel comprise the Trustees and the Senior Leadership Team. The iotal cost Including employer national Insuran￿ of the key management peT50nnel of the Charity were £802,96012024.' £880,758)- During the year Iwo members of the Senior Leadership Team resigned their responsibilllies were absorbed wilhin the other members of the team. 39

St Clare West Essex Hos ice Care Trust Notes forming part of the financial statements for the year ended 31 March 2025 20 Analy818 of net assets between funda General Funds Designated Funds Restricted Funds Total Funds Group fvnd balanc•s at 31 March 2026: Intanglbl8 fixed assets Tangible lixed assels Investments Current asse15 Current liabilitles Total nel asset8 8.901 2.214.998 ,901 2,214,998 1,018.931 7,866,954 1520.4051 1,018.931 3.930.9(N) (520.4051 3.624,941 311,113 General Funds Design8ted Funds Restrlcted Fund8 Total Fund8 Group fund balanc•A At 31 March 2024: Intangible flxed assets Tanglble flxed assets Investments Current assets Current Ilabili11¢8 Total nel 8ssets 2,629 2.222,225 2,629 2,222,225 $43,878 9,355,092 472,610 543.878 4,617,978 472,610 4,402.036 335,676 General Funda Design81ed Funds R8slrlcled Funds Total Fund• Charlty lund b•lance• at 31 March 2025: Inlanglble fixed a88818 TJngible fixed assets Inveslments Current assets Curmnt Ilabililles Total net assets 8,901 2,154,298 1.018,933 3.624,941 8,901 1154.296 1,018,933 7,782.095 (375.535} 3,846.041 (375.535 311,113 General Funds De8lgnaleii Funds Reslrlcled Funds Total Fund• Charlty fund b4l•nceJ at 31 March 2024: In18nglble fixed assets Tanglble flxed as$ot$ Inve81men18 cu￿ont a88e18 Current Ilabililies Total nel 888ets 2,629 2,152,558 543,880 4,402.038 2,629 2,152,558 543.860 9,301.804 349.745 4,564,090 349.745 335,676 40

St Clare West Essex Hos ice Care Trust Notes forming part of the financial statements for the year ended 31 March 2025 21 Stat•m•nt of funds At l Apn"I 2024 Income Expandilur8 Transfers At 31 March 2025 Unrestricted funds: General funds Designated funds Nel Book Valuo of Flxed Assets CllnScal Services & Digital CapSlal Development Impact Development Income Generation People Development 4,689.246 8.138,663 18.392,719) (6.764) 4,429.426 2,224,855 653. 729 3,000.000 100.000 409,463 238,845 ,316,138 {198,775) (208.084) 197,819 2,223,899 445,645 3,000,000 80,274 54,950 44,072 0,278,206 119.726) {354,513) {194,7731 .368,590 8,138,663 192.055 Re$lrfcled funds.. Patient Care fund Communlty Engagement fund Bereavement SeNice fund EdurAllon & RoGoafGh fund Dop8rtmenl of Health Capilal Grant 168.057 48,438 31,454 87,7?7 253,293 76,503 45,063 4,796 144,945 524.600 1207.8871 185,5171 157,3011 16,4031 (47,110) 166,353 39,424 19,216 86,120 {144.9451 1192,0551 335,676 357, Total fund8 Al l Aprti 2023 Income Expondliure Tran81ers At 31 March 2024 UnreBtricled funds.. General lunds D&81gnaled funds Nel Book Value of Flxed Assets Clinical Sthvices & o￿ll81 C8pltal Oeveloprnent Impact Development Incomè Generallon People Development 3,859,639 8,783,073 {7,946,4091 (7,057) 4089,246 2,273,459 876,542 3,000,000 too,000 457,844 335,538 0,903,022 1203,748) 1222,813) 155.144 2,224,855 853,729 3,000.000 100.000 409,463 238,845 11,316,138 {48,381) {96,6931 8,783,OT3 Re81ricted fund8: Polienl C8re fund Communlty Engagement fund Bereavemenl Servlce fund Education & Research fund 60,484 38.293 49,205 81,378 229,360 396,741 63.261 45.654 10,332 515,988 (141.081) {53.1161 {63.4051 3,983 261,585) 148,0871 168.067 31.454 87.727 335,670 (148,087 Total fund8 Designated funds represent the nel book value of fixed 85seis held by the Charfty as Ihe5e are not free reseryes, and a further £5 mllllon deslgnatlons to gUPPOrt our straleglc goals were m81Je in 2022. The £5 mill5￿ We￿ lo be released in the next 3 to 4 years. of whlch £1,375,059 have been expended by 31 March 2025. Restricted funds.. The Patient Care fund represerts funds glven by organisalions and IndI￿dualS to purchase equlpment and fund other costs for patient care services. The Communlty Engagement fund represents funds given by organisations to contribute towards costs of the Compasslonate Neighbours project. The Bereavement Servlc8 fund represents funds glven by organisallons to Cont￿bUt8 towards bereavernent $6Nie8s. The Edu￿tion & Research lund represents fvnds for the lurther education of DI￿r$. TransfeT5 between furK15 represent the purchase of fixed assets in the year. 41

St Clare West Essex Hos ice Care Trust Notes forming part of the financial statements for the year ended 31 March 2025 22 Related party transactlona During the year, the Ch8rfty provided rental of irffice accommodation and IT equipment lo its wtholly owned trading subsidiary. Sl Clare Hospi￿ Trading Company LimSled. The rentsl charge amounted to £26.200 (2024: £13.1))O). In addition, the Charlty recelved Glft Aid donation of £155,408 during the y88r12024.. £338.2091. Thè Charity also recei¥e(1 £24,38512024'. £1,120) don8tlcffis from its. tru8le68 and parties related to the the Iwslees, wilhoLrt condltlcn8. Excludino the Glft Donation, at the Balance Sheal dale, the Charity was due £218.579 from St Clare Hosplce Trading Company Limiled12024.. £202,550) whlch wére remitted to the Charity after the Balance Sheet date. Thwo wgre no other related paty transactions In the currgnl or Gornparative year which raqulred disclosure. 23 Commltmentl und•r op•ratlnq IM••• Al 31 M8reh, the group had outstsndlng commitment8 for future mlnlmum lease poymen16 under non-cancell8blg operaling leases as lollows.. 2023 2025 2024 2024 Other Land & Bulldlng Olhgr L8nd & Bulldlng Operatlng leases whlch explr8: r￿1 later Ihan one year later Ihan one year and not lalar than five y8arB later than five year5 495 1,980 495 189.750 554,792 227,833 177.000 566, 792 316,833 320 42

St Clare West Essex Hos ice Care Trust Notes forming part of the financial statements for the year ended 31 March 2025 24 Prlor year group staiement of flnanclal actlvltle9 Unrestricted Funds Restricted Funds Total 2024 Income.. Donations and gifts Legacies Other trading aetivitie$ Fundraising events & similar income Trading Company turnover 2,207,500 505,656 2,713.156 1,822,440 1,822,440 161,111 1,941,654 2,102.765 161,111 1,941,654 2,102, T65 Income from charllable acllvllles 2,249,391 10,332 2,259, 723 Inve81ment income and interest 255.302 255,302 101,797 9,255,183 Other income 101,797 Total Incom• 8,739.195 515.988 Expondltur•.' RaSslng funds Fundralslng 8XP8ndlluT8 I rading Lompany expen8e8 877,394 1,590,445 2,467,839 877,394 1,590.445 2,467,839 Charitable activities Patient cara Education and research 5.997,120 53,085 6.050,205 8,518,044 257.603 3,982 261,586 261,586 6,254, 723 57,067 6,311,790 8, 779,629 Totsl •xpendltur• Nat Income for ya•r 22 51 254,403 475,555 Net gains on Investments 43,878 43,878 Net movement for the year before transfer5 265,030 254,403 519,432 Transfers betsveen funds 148.087 (148,0871 Net movement In fund• 413,116 106.316 19.432 Re¢on¢lllatlon of funds." Total funds brought forward at 1 April 10,903.022 229,360 11.132,382 Total funds carri•d forward at 31 MarGh 11,316.138 335,676 11,651,814 43