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2021-03-31-accounts

Registered Charity No: 1069427

Annual Report for the financial year ending 31[st] March 2021

Supporting the work of Birmingham Community Healthcare NHS Foundation Trust

For more information, visit www.bhamcommunity.nhs.uk

Contents

1 Foreword………………………………………………………………….. Page 2
2 Summary of Aims & Objectives………………………………………… Page 2
3 Trustees…………………………………………………………………… Page 3
4 Delegation of Authority…………………………………………………. Page 4
5 Public Benefit Statement………………………………………………... Page 4
6 Risk Management……………………………………………………….. Page 4
7 Achievements and Performance……………………………………….. Page 5
8 Our Plans………………………………………………………………….. Page 6
9 Financial Review…………………………………………………………. Page 6
10 Income and Expenditure for the Year Ended 31stMarch 2021……… Page 7
11 Balance Sheet as at 31stMarch 2021………………………………….. Page 8
12 Cash Flow Statement as at 31stMarch 2021………………………….. Page 8
13 Reserves Policy…………………………………………………………... Page 9
14 Investments……………………………………………………………….. Page 9
15 Going Concern……………………………………………………………. Page 9
16 Reference Information…………………………………………………… Page 9
17 External Advisors………………………………………………………… Page 10
18 With Thanks………………………………………………………………. Page 10
19 Statement of Trustee’s Responsibilities……………………………….. Page 11
20 Provision of Information to Independent Examiner…………………... Page 11

Page 1

ANNUAL REPORT 2020/21

THE BIRMINGHAM COMMUNITY HEALTHCARE NHS FOUNDATION TRUST GENERAL CHARITY

REGISTERED CHARITY NUMBER: 1069427

Foreword

The Birmingham Community Healthcare NHS Foundation Trust General Charity (“the Charity”) is registered with the Charity Commission (number 1069427) and its governing document is a declaration of trust dated the 30[th] January 1998, most recently amended by deed dated the 5[th] May 2016. This report is provided for Charity Commission purposes.

The Corporate Trustee presents the Charity’s annual report together with the independently examined financial statements for the year ended 31st March 2021. The Charity’s annual report and accounts for the year ended 31st March 2021 have been prepared in accordance with part 8 of the Charities Act 2011, the Charities (Accounts & Reports) Regulations 2008 and the Charities Statement of Recommended Practice (SORP) 2019.

Summary of Aims & Objectives

The Birmingham Community Healthcare NHS Foundation Trust General Charity is registered to raise funds and receive donations to benefit the patients, their carers and the staff who treat them at Birmingham Community Healthcare NHS Foundation Trust.

The Charity exists to make a difference by providing “extras” not funded as part of core NHS services. These are the things that can bring a smile to patients, enhance their experience and improve their care with us.

The Charity’s income derives from fundraising, donations, charitable grants, legacies and sponsorship. All money raised goes directly to the Charity and is spent according to donors’ wishes.

The Board of Charitable Trustees oversee charitable expenditure ensuring we fulfil our aim to make a real difference for our staff and our patients and improve their experience whilst working within or accessing our services.

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Trustees

The Charity has corporate trustee status: “Birmingham Community Healthcare NHS Foundation Trust” is the corporate trustee with the members of the Trust Board who served during the financial year detailed below.

Mr R Kirby Mrs M Alli(non-voting)
Mr I Woodall Dr B Henley
Dr D Simkiss Mr J Gould(left 30/09/20)
Mr C Holt Mr S Heer(left 05/02/21)
Mrs M Perry Mrs J Belza
Dr S Cleary (non-voting) Mrs J Ivey
Mr D Holmes(non-voting) Ms S Ali
Professor D Sallah

As Executive and Non-Executive Board members change, the Trustees of the Charity also change to reflect the current Board of the trust. The Trustees have had regard to Charity Commission guidance on public benefit in section 4 of the Charities Act 2006.

The Board of Charitable Trustees are responsible for ensuring that proper accounting records are maintained along with the preparation of financial statements that give a true and fair view. They are also responsible for the policies and procedures adopted and for complying with the guidance laid down by the Charity Commission on the role of a Trustee.

Birmingham Community Healthcare NHS Foundation Trust Board established a Charitable Funds Committee to manage the charitable funds and this meets on a bimonthly basis and reports to the Board of Charitable Trustees and the Trust Board. The purpose of the Committee and delegated authority is determined by the Terms of Reference, the most recently revised version was approved by the Board of Charitable Trustees on the 5[th] May 2021.

The Charitable Funds Committee commissioned the delivery of two dedicated training sessions for the Board of Charitable Trustees delivered by Peter Edwards, Partner at Capsticks Solicitors LLP to support their development as Trustees of BCHC Charity.

In February 2021, a bespoke interactive session on our Charity Governance was delivered with the Chairs and Vice Chairs of the Board of Charitable Trustees and Charitable Funds Committee with the Lead Executive and supporting Trust officers in attendance. In April 2021, the Board of Charitable Trustees received a dedicated training session on their duties and responsibilities as Charity Trustees; including where enhanced duties for specific Board members apply.

The members of the Charitable Funds Committee as at the 31[st] March 2021 were (all Birmingham Community Healthcare NHS Foundation Trust):

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Also in attendance are:

Delegation of Authority

Expenditure is committed by the Charity in line with the following scheme of delegation:

Charity Manager: up to £5,000 Chair of the Charitable Funds Committee: up to £25,000 Charitable Funds Committee: up to £50,000 Board of Charitable Trustees: above £50,000.

Public Benefit Statement

Our Public Benefit Statement was approved by the Charitable Funds Committee on the 5th December 2018. When making decisions, exercising any powers or duties due regard is made to the approved public benefit statement. Grants are made in accordance with charity law, our constitution and the wishes and directions of donors. In making grants, we endeavour to reflect the wishes of patients and staff by directing funds towards areas they tell us are most in need. When considering where to focus our attention our Corporate Trustees Board and, particularly, the members of the Charitable Funds Committee, have regard to the Charity Commission’s guidance on public benefit and what this means for the Charity.

Risk Management

As part of the management of the Charity, the Board of Charitable Trustees consider the major risks to which the Charity is exposed. The risks are reviewed regularly by the Charitable Funds Committee and systems and procedures put in place to mitigate and manage risk. The following risks were identified and actions taken to mitigate or manage the risks.

Risk: Financial risk

For this financial year the Charity has delivered a financial surplus due to the donations that have been received from NHS Charities Together due to COVID-19. However, whilst these donations are expected to continue into 2021-22 there is an expectation that they are of a non-recurring nature and will eventually be phased out after a number of years leaving the Charity to manage the normal underlying position where the full costs of the Charity may outweigh the income received from donations and fundraising. This underlying position may place longer term cash pressures on the Charity and as such the risk is actively managed.

Actions : The financial situation is being actively managed as part of the Charity strategy and reported to the Charitable Funds Committee and the Board of Charitable Trustees.

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Risk: Governance risk

The Charity has recognised a risk regarding its governance arrangements and the role and responsibilities of corporate Trustees which may result in the Charity failing to meet legal and regulatory requirements.

Actions : The Trust created a Board of Charitable Trustees in November 2019 which reports to the Trust Board and holds the Charitable Funds Committee to account. The Board of Charitable Trustees comprises all Trust Executive and Non-Executive directors and it sits twice each year after a full Trust Board meeting. The Board of Trustees holds the Charitable Funds Committee to account on matters of finance, investments and the overall Charitable funds strategy. The Charitable Funds Committee oversees all matters relating to the operation of the Trust’s Charity and sits on a bi-monthly basis.

Risk: COVID-19

COVID-19 has had a significant impact on the normal business as usual for the Charity with face-to-face and fundraising events being cancelled. However, this risk is being mitigated by increased donations through a national appeal co-ordinated by NHS Charities Together from which the Charity is due to benefit for a number of future years. This funding specifically relates to staff health and wellbeing and other services directly impacted by the pandemic. They are restricted funds and therefore not available for projects outside of this remit.

Actions : The Charity has adapted its fund raising strategy to maximise income through Trust and Foundations rather than holding face-to-face events as would have been the norm pre-COVID-19.

Achievements and Performance

A number of significant charitable activities have been undertaken during 2020/21. The below table details charitable income for the financial year of 2020/21:

Fundraising TOTAL
CommunityFundraising £9,125
Events(run byBCHC Charity) £2,831
Trusts & Foundations incl. NHS Charities Together Grants £435,896
Corporate Donations/Sponsorship £7,213
Partnerships £524
Payroll Giving £669
Regular Giving £1,932
Donations
In Thanks £2,793
In Memory £17,095
General or Unknown Reason £11,204
TOTAL INCOME 2020/21 £489,283

A large portion of the funds spent during 2020/21 were in response to the COVID-19 crisis including but not limited to; self-care items, home comforts, entertainment items and activity items for inpatients and patients accessing community services. Items provided

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reduced isolation such as iPads and accessories to contact loved ones as well as items to boost morale and motivation (jigsaws, DVD players, puzzle books). A number of wellbeing items and projects have also been provided for staff as part of the grant received from NHS Charities Together. Projects include enhanced emotional support (Schwartz Rounds) and Wellbeing Hub items to support mindfulness and positive mental health.

Following the End of Life Appeal a number of bereavement projects were funded to enhance care across the Trust including Bereavement Memory Boxes and their contents, refurbishment, redecoration and amenities for the Dandelion Room bereavement suite at Moseley Hall Hospital and a cuddle bed at Willow House, West Heath Hospital which provides comfort for patients and their carers in their last few days of life.

Funds were provided for a Lightwriter and other communication aids and sensory equipment for Ward 9, the Inpatient Neurological Rehabilitation Unit at Moseley Hall Hospital, whilst patients at our Learning Disability site, Kingswood Drive, received sensory items including a weighted blanket.

Our Plans

We have set strategic objectives for the Charity’s development through the next few years and the associated implementation plan is reviewed and reported on quarterly for assurance. Our goals focus on what we want to achieve for our patients and what we will need to do as a charity to further help enhance patient care. We will continue to invest to grow the Charity, building general, grant and corporate fundraising. We will also be developing a series of specific priorities for targeted fundraising, as well as increasing our staff and public engagement.

The Charity Team will continue to focus on embedding the brand identity into every aspect of the Charity including online communications such as social media and other advertising forums.

Face-to-face and event fundraising will resume from March 2022 with the current focus remaining on partnership fundraising and Trust and Foundation income. The focus over the coming year will still be to continue responding to the needs of staff and patients post COVID-19 and apply for funding accordingly.

Financial Review

The Charity had a full-time Campaign Manager on a 12 months’ secondment until 31[st] March 2021 and this post is to be made permanent with effect from 1[st] April 2021. In total the Charity now comprises 3 full-time staff, including the Charity Manager and a Fundraising Assistant post.

Fund balances stood at £830,430 as at the 31[st] March 2021, an increase of 55% on the previous year. This increase is made up of a number of factors but largely related to COVID-19 income received from NHS Charities Together (directly or via lead charities) and a considerable increase in the value of investments during the course of the year as the portfolio has recovered from the initial losses sustained during the first wave of COVID-19 in March 2020.

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Income and Expenditure for the year ended 31[st] March 2021

Income 2020/21 2019/20
Donations/Legacies 464,245 19,994
Activities forgeneratingfunds 25,038 78,106
Investment Income 12,506 17,177
TOTAL INCOME 501,789 115,277
Expenditure
Raisingfunds (10,793) (15,974)
Charitable activities (323,485) (187,915)
Other (3,600) (3,600)
TOTAL EXPENDITURE (337,878) (207,489)
Gains on investments 130,654 (55,157)
NET MOVEMENT IN FUNDS 294,565 (147,368)

Charitable activities costs include staffing costs and patient expenditure. Costs in 2020/21 have largely increased due to an increase in patient expenditure throughout the year. Patient expenditure has largely increased in response to the COVID-19 pandemic. This support has largely been focused in the following areas:

Self-care items for patients in inpatient services and community settings, such as;

983 electronic entertainment items for inpatient areas including items such as televisions, DVD players & DVDs, CD players and CDs, audio books, iPads & accessories, and more

7,334 activity items for inpatient wards and community services including board games, puzzle & colouring books, arts & crafts supplies, gardening tools & seeds, books, newspapers, and more

The End of Life appeal identified and funded a number of bereavement projects;

35,960 items to support colleague health & wellbeing including relaxation items such as sleep

refurbished bereavement suite and over 700 bereavement support items

such as Bereavement Memory Boxes, children’s books about grief, and more

masks & scented candles, self care items like hand cream and lip balm, mindful activity books, a years’ license to Schwartz Rounds support, and much more

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Balance Sheet as at 31[st] March 2021

2020/21 2019/20
Fixed Assets
Listed Investments 653,956 522,248
Cash Investments 20,692 15,068
Total fixed assets 674,648 537,316
Current Assets
Cash at bank and in hand 240,064 14,078
Creditors
Amount fallingdue within oneyear (84,281) (15,528)
Net Current Assets 155,783 (1,450)
Total Assets less current liabilities 830,430 535,866
Funds of the Charity 830,430 535,866

Investments are managed through the use of a professional investment manager in line with the Charity’s investment strategy, which is approved by the Charitable Funds Committee and ratified by the Board of Charitable Trustees.

There has been a significant increase in cash balances during the year largely related to the COVID-19 income received from NHS Charities Together.

Creditors represent Charity expenditure charged to the Birmingham Community Healthcare NHS FT revenue accounts towards the end of the financial year and these will be discharged in 2021-22.

Cash Flow Statement as at 31[st] March 2021

2020/21 2019/20
£ £
Cash flows from operating activities:
Net cash provided by (used in) operating activities 225,946 170,420
Cash flows from investing activities:
Dividends, interest and rent from investments 39 317
Change in cash and cash equivalents in the reporting period 225,986 170,103
Cash and cash equivalents at the beginning of the reporting period 14,078 184,181
Cash and cash equivalents at the end of the reporting period 240,064 14,078

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Reserves Policy

The Trustees believe that all income donations should be spent in line with donors’ wishes and within reasonable timescales. I n order to ascertain the level of reserves to be held, the Trustees will continue to review the level of funds held and the reliability of each source of income on a regular basis.

Expenditure plans are prepared when appropriate to ensure that reserves are held to meet the needs of the Charity now and for the forthcoming years. The Charity Manager regularly meets with the Fund Advisors across the clinical divisions to identify areas in which funds can be spent to make a difference for patients and carers.

The Trustees have agreed a maximum cash reserve of £100,000 which aims to achieve a forward looking approach whereby reserves are held based on a year’s future spend. It is proposed that the reserves will comprise cash in the Charity’s current account and business call accounts and a 5% instant access cash resources within the investments. The Charity also held unrestricted fund balances of £72,248 at the end of the financial year and has no further commitments that are not provided as a liability within the accounts.

Investments

The Charity has a formal Investment Policy which is reviewed on an annual basis. The investment objectives are to yield a reasonable amount of income through ethical investments in accordance with Charity Commission guidance. The Charity has noted the guidance from the Charity Commission and has stipulated that investing in companies manufacturing and distributing armaments, alcoholic and tobacco products and any others which may bring criticism to the Charity or its Trustees in its education and health roles will not be permitted.

The Charity engages Brewin Dolphin as investment managers.

The Charitable Funds Committee annually reviews the performance of the external investment managers and ensures that the investment of funds is in line with its policy.

Going Concern

In preparing these accounts the Board of Trustees have considered the future activities of the Charity and consider it to be a going concern. The Trustees have considered the impact of Covid-19 on the Charity and are reassured that this will not have a negative impact on the Charity being able to discharge its duties in future years.

The Charity holds unrestricted funds of £72,248 and this provides some coverage for the committed expenditure related to staffing costs, fundraising costs and other overheads of the Charity. The Charity also holds a significant cash balance at the end of the year which is well in excess of the outstanding creditors. Therefore the Charitable Funds Committee considers it appropriate to prepare the Charity’s financial statements on a going concern basis.

Reference Information

Copies of the independently examined accounts upon which the summary income and expenditure account and balance sheet are based are available from the Charity’s

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registered office, Birmingham Community Healthcare NHS Foundation Trust, Finance Department, 1[st] Floor, 3 Priestley Wharf, Holt Street, Birmingham, B7 4BN or by contacting the Charitable Funds Officer on 0121 466 7177.

The Charitable Funds Officer ensures that the purposes of the fund are adhered to and that full accounting records are maintained.

External Advisors

Bankers: National Westminster Bank, Birmingham City Centre Branch

Investment Advisors: Brewin Dolphin, 9 Colmore Row, Birmingham, B3 2BJ

Independent Examiner: Deloitte LLP, 1 City Square, Leeds, LS1 2AL.

Deloitte LLP has indicated its willingness to continue in office as the Charity’s Independent Examiner and a resolution for their reappointment will be proposed at the forthcoming AGM.

With Thanks

The Charity would like to express our heartfelt thanks to all our supporters and volunteers for making our work possible over the last year.

We would like to acknowledge and give thanks to a number of individuals and groups that have made a considerable donation this year.

ASDA Foundation Edward Cadbury Trust Heart of England Community Foundation Matt Nation of Provide NHS Charities Together Rhino Steel Cladding Limited Tesco Bags of Help The DMF Ellis Charitable Trust The Gordon Higgs Trust The Michael Marsh Charitable Trust The National Lottery Community Fund Mr Tim Hartill Mr Rob Lawson Mr Tony Rai Gems at Work Books for Dad Charity The Work Perk Am Fresh

If you would like to make a donation or have any queries, please do not hesitate to contact the Charity on 0121 466 7314.

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Statement of Trustees’ Responsibilities

The Board of Charitable Trustees are responsible for preparing the Trustees’ Annual Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice), including FRS 102 "The Financial Reporting Standard applicable in the UK and Republic of Ireland".

The law applicable to charities in England and Wales requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the Charity and of the incoming resources and application of resources of the Charity for that period. In preparing these financial statements, the Trustees are required to:

The Board of Charitable Trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the Charity and enable them to ensure that the financial statements comply with the Charities Act 2011, the Charity (Accounts and Reports) Regulations 2008 and the provisions of the trust deed. They are also responsible for safeguarding the assets of the Charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

The Board of Charitable Trustees are responsible for the maintenance and integrity of the Charity and financial information included on the Charity's website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

Provision of Information to Independent Examiner

Each of the persons who are Trustees at the time when this Trustees' report is approved has confirmed that:

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fiMMUNITK' 106942-. '.Iparny No Annual accounts for the To eriod PerKd end date Period stsrt dale 0110412020 3110312027 Section A Statement of financial activities (including summary income and expenditure account) Restricted income funds Unrestrlct8d funds Prlor year funds Recommended categorie5 by activity Totsl funds Income (Note 2} F01 F02 F04 F05 InGome and endowments from.. . Donabcns and le9*￿e3 OtherTradlng Acti¥ibe8 Investments 7,657 13,456 2,120 23,233 456.588 11.581 10,387 478,556 464,245 25,038 12,506 501,789 19,994 78.106 17,177 115,277 Total Expenditure (Note 3) Exp8ndOture on-. Rai%ng funds Charitsb18 adiwbes 5,693 21.896 610 28,199 5,101 301,588 2,990 309,679 10,793 323,485 3,600 337,878 15,974 187,915 3,600 207,489 Other Totsl Net expenditure before tax for the reporting period Net in¢omellexpenditurel Other gains (Note 5.11 Net movement in funds 4,966 4,966 22,144 17,178 168,877 168,877 108,509 277,387 183,911 163,911 130,654 294,565 92.211 92.211 55,157 147,368 Reconcillation of funds.. Totsi funds brtyjghlforward Total funds carried forward 55,070 72,248 480,796 758,182 535,866 830,430 683,234 535,866

Charity Name The Birmingham oininunity He3lihore NHS troiindalion Trusi General Chafity Comts8nv No Charity No 1￿9427 Section B Balance sheet Restrlcted Unrestrithd Incomè lund5 fund$ Ti)t41 thls year Total last year Fixed assets Llsted Investments 5.21 Cash Investments (Note 5.41 F01 F02 FO F05 (Note 56,895 597,061 653.956 522,248 1.800 18,892 20,692 15,068 Total fixed assets Current assets ash at bank and in hand (Note 61 Total currentassets 14,078 14,078 Cr&ditors- amounts falllng due wtthln one year INote 71 7.333 76.949 84,281 15.528 Net ¢urrentasset5 1.450 Total assets less eurrentllabllttles 535,866 Total net 8ssets Funds of the Charity Restrlcted Incorne funds (Note 81 Unrestrlcted funds 72,248 758,182 830,430 535,866 758.182 758,182 72,248 480,796 55,070 535,866 72,248 Totsl funds Siqned by one or Irusteesldireclors on b8half of all IhE truStee￿dI[eGlorS Date of approval drvmml Print Name S￿Jnature of director authenticating accounts bEing 5enl to Companies House Signatur Date tldlmrn nt name

1069427 Table 1.. Statement of cash flows 2020121 Nelcashwiffdgdty(usedln) operating 225.946 170.420 sh ficws from Investing irtfvitlDs'. thyideDd$, inierestAnd ￿￿t Irom IDvesiments pro￿￿5 from the sae Oftw. plani and eqLipm&nl Purthasoolpropaty. p￿Trt￿ndeqU￿Menl Proceedsfrom Sa￿￿1￿¥8￿bMeTrtS Purthase ofhv6$im8Trt8 11¢¢¢ashpr￿1￿8rt>Y1￿$erf￿ iAve51tng aCllvlLIos Cash now$ffomffn4ncln9 a¢¢l¥ltlgs: Re￿￿￿enis0f bu[F￿n9 CashinnoY45from ngwboffowrfng Recpi Of6￿?￿t 0tCaSlJPro￿b¥1￿sd1rf 39 317 39 317 Changg In¢ashand¢•$fvqqulval￿t¥1n the Ingperlod Ca$h and ¢ILsh oquivilènls a¢tht Lginning ortsn rfod c4$ Èqu pxching• raté Movements ¢#$ quJv4 rap0￿rJP¢rI4d 22$ 986 170.103 14,078 184.181 v4 nts at 240.064 14.078 Table 2: Reconciliation of net incornellexponditurel to net cash flow from operating activities 2020121 ZOiW2 NotInCom￿ltyXp$t)￿l1uTrj fortlJo17pwN 294.565 147.368 Adj￿tr￿g￿l￿ for. Dep￿cIal￿)n¢k￿[￿e5 GansA0$5e5 on iw8slments 130,654 DI¥￿ends. kni¢resi and tuErt¥f￿rn knvesiments LDSsllprDfEtI Mth•iale olfixerfasxet IlweaseNdÈCtEase ￿ ¥io¢ onUEa￿lId￿Iea$e ￿ debt￿5 Irueaselldeyeasei in Gre￿lat5 N•tcash proyldgd by{u¥qd inl(p•rnlng 6.718 66.753 66.866 225.946 170.420 Table 3: Analysis of cash and cash equivalents 2020121 2Q19120 Cash Notl¢edepo&is Oessthkn3 monlhsl Ovwthaftfac41rty ￿pa￿3￿Ondemdnd ToWu5h and ¢ashe4uiva*n 240.064 240.064 14.07B

Section C Notes to the accounts Note 1 Basis of preparation This section should be completed by all charities. 1.1 Basis of accounting These accounts have been prepared under the historical cost convention with ttems recognised at cost or transaction value unless otherwise slated in the relevant nolel51 lo these accounts. The accounts have been prepared in accordance with.. the Statement of Recommended Practice. Accounting and Reporting by Charities preparing their accounts in accordan￿ with the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021 issued on 16 July 2014 and wth. and with. the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland {FRS 1021 and with the Charities Act 2011. Tho charity conslitule5 a public benefit entty as defined by FRS 102.. -Tick as appropriate 1.2 Golng concern If there aré material uncertainties related to events or conditions that cast signrficant doubt on the charitys ability to continue as a going concem. please provide the following details or state "Not applicable-, if approprlate.. An explanation as to those factors that support the conclusion that the charity is a going concern., Not applicable Disclosure of any uncertainties that make the going concern assumption doubtful- Not applicable Where accounts are not prepared on a going concern basis, please dis¢lose this fact together with the basis on which the Iruslees prepared Ihg accounts and the reason why the charity is not regarded as a going COn￿rn. Not applicable 1.3 Change of accounting policy The accounts present a true and fair view and no changes have been made lo the accounting policies adopted. ' Yes" -Tlck as appropriate No. Please disclose.. Not applicable (i) the nature of the change in accountlng policy.. Not appllcable (li) the reasons why applying the new accounting policy provides MO￿ reliable and more relevant Inf0rn7atson,' and

(illj the amount of the adjustment for each line affectsd in the current period, each priorperiodpresented and the aggregate amount of the adjustment relating to perfods before those presented, 3.44 FRS102 SORP. Not applicable 1.4 Chang95 to accounting estimates No changes to 8ccounting estimates have occurred in the reporting period {3.46 FRS102 SORPI. Yes. No, -Tl¢k as appropriate Please disclose.. (i) the nature of any changes," Not applicable Not applicable (li) the effect of the change on income and exponse or assets and liabilities for the.¢urrentperiod,' and (iii) where practlcable. the effect of the change in one or more fu¢ureperiods. Not applicable 1.5 Materlal prior year errors No material prior ear errors have been identified in the reporting period (3.47 FRS102 SORPI. Yes" -Tick as appropriate Please disclose.. Not applicable (i) the nature ol thepriorperiod error,. (li) for each priorperiodpre5ented in the accounts, the amount of the correction for each account line item affected.. and Not applicable (iii) the amount ol the correction at the beginnlng of the earliestpriorperiodpresented in the accounts. Not appllcable

Section C Notes to the accounts l¢onti Notg 2 Income Restricted Incom? fund5 Analysis of Income Unrestricted funds Totsl lund8 Prior year Donatlon$ and Iggacles: Donalions and gifts 7.657 450,988 458,645 Le9acies 1,000 Gr8nls 5,600 . 464,245 Total 7,657 456,588 19,994 other Tradlng Actlvltles Fundraising 13.456 13,456 11.581 11.581 25,038 25,038 78,106 78,106 Total Income from Inve9tments: Dividend income Interest inwm8 2,113 10,354 33 10.387 12,467 39 12,5( 16,860 317 17.177 Total 2.120 TOTAL INCOME 23,233 478.556 501,789 115277 other information.. All income In the prior year was festrlcted except for The TWI General puq)05e fund Wheie any endowment fund 1$ ¢onverted into income in thÈ reporting perlod. please give the reason for the conversion. Not applicable. within the Income items above the following items are material.. (please dlsclose nature, amount and any prfor year amountsl Included in Fundraising income is monie$ ￿ceIv￿d from NHS Charities Togelher1£162kl and STP payments1£128kl COIF 1£120kl and other COVID 19 funding1£18kl Where 5um5 orlglnally denomlnated In forelgn currency have been included In income, explain the basls on which th058 sums have been trar151atsd Into sterllng lor U)e ¢UTrency in which the account5 are drawn upl- Not applicable.

Section C Notes to the accounts (cont Nole 3 Expenditure Rastrtctèd Vnrnstrfd8d Income lunds fvnds Analysis of expendlturo Total fvndts Prloryoar Raising Funds Investment management costs.. Fundraising Expenditure 981 4.711 4,808 293 5,789 5,005 5,834 10,140 Total expenditure on raising funds 5,693 5.101 10,793 15.974 Expenditure on charitable activities Palientslclientslstaff Bank charges Pay Costs Support Costs Total èxpenditure'on charltabl• actlvltlè$ 7,634 189,302 196.937 82,984 63 309 372 512 13.830 369 110,170 1.807 124,000 2,175 102,335 2.084 21,896 301.588 323,485 187,915 Other Audilin Fees Total other expenditur• 610 610 2,990 2,990 3,600 3,600 3,600 3,600 TOTAL EXPENDITURE 28,199 309,679 337,878 207,489 other informatlon: Analysis of expandlturè on charitable actlvltiès Activities undertaken irectly Grant funding Actlvlty or pro9ramme Support C08ts Total thi5 year Total piyoryear activities West Heath H05Prtal Garden Re4evelo ment of OT Suite at West Midlands Rehab Centre Kidz Interactive cost5 Other activities Covid 19 General 05e Specialisil Umano bed and attessories al Shelo Total 21.418 10.800 8.019 102,335 45,343 124,000 124.000 40.703 144,782 14,000 323,485 26.115 14,588 144,782 14,000 40,115 159,370 124,000 187,915 With the eX￿ptIon of pay costs, expenditure on Charitab￿ activities related to other project8 to deliver the charity'5 objectives. Key iterns induded Wesl Heath Hospital Garden1£21,4181, Re4eveloprnent of OT Suite at Rehab centre 1£10.8001. Kidz Interactwe electronic entertainment system in Dentsl Hospitèl £8.019 Pritsr year gxpenditure on charttable activiti85 can bo an31ysod as follows: Within the expenditure items above the following item5 are material: Iplease disclose the nature, amount and any prior year amounts) No i￿1%￿d￿allY material item5 of expenditure. Where sum$ originally denominated in foreig11 currency have been included in expendituro, explain the basis on which those sums have been translated Into Sterling lor the currency in which the accounts arè drawn upl. Not applicable.

Section C Notes to the accounts Note 4 Details of certain types of expenditurg Note 4.1 Fees for axamination of thè accounts Please provide detalls ofthe amountpaid foTanystatutory extemal scmtiny of accounts and otherservices providèd byyourindepèndent examiner. If nothing was paidplease entèr V'in the approprlate box(es). This year Last year Independent exarninerfs fees 3600 3600

Section C Notes to the accounts Iconti Note 5 Investment assets Please tomplete this note Mthe charityhas anylnvestrnent4558ts. 5.1 Flxed assets investments (pleasè pmvlde for each class of investmeibt) Cash & cash pqulvalenls Ll8tsd In￿￿1$1)ts Inveslntent propertles Social In¥•stsnent Other Total {£) Catryng Ifairl value ai beginniry of period Add.. aldilions lo Investm￿18 during period. Less.. tli$p05als at carrwng val 537.316 537.316 12,467 12.467 Deduct.. transfer rfloutl *) the period 5,789 5.789 Doduct.. net loss on revaluatic 130.654 130,654 can￿ng Ifairl value al end of year 874,648 674.648 +Èiease specify addition5 resulting from acquisitions through bu8lness combinations, if any. Not appliCa￿e se rJoÉe thatFalr Value In thls wnte¥tis theamountfor which an assetcould be exchanged betLveen knowledgeable and willin9 parties in an arms length transaction. For tradedse¢uritses. the lair valuels tlre value of the se¢urltyqUOtedorJ th¢ London St¢xk Exchange Daily OfficialLlst arequivalent. Forother8ssets where there Is no marketprice on a trndedm8rtKet. itis fhe trustees'orv8luers'best Ostimate ollafr value. 5.2 Pleasfy provldo a bmkdown of investmonts Shown above agreeing wlth the balanGe shoet row B04 d6fferentl8ting be￿99n thosè held atfarrvalue and those hold at Cost les5 impalrmont. Analysis of Fnvesfments Fairvalue atyearend Co$t less impalrrnent Cash or cash tr4uivafents 20,692 Listed Invostmonts 53,956 Total 674,e48 Grand ttital (Falr value at yearÈnd+Cost1055 Impalrmonti 674.648

5.311 your charity hold5 investment propertles, pleas? complete the following note.. 111 Explaln th8 mèthods significant assurnptions in d8termlning thtr fairvalue of investment PrO￿rty hgld by the charlty lill Namg or Independentvaluer, 11 appllcablè. and relevant qualilicatlo*s Not applicab Not appltable liill Provid8 dotsils of any re¥trictions on the abilrty to reali59 investment property or on the remittance of income or disposal proceÈd$ Ilvl Explaln any Contractual obllgaUon8 forthé purchase. construction oe develbprnent of invostment propprty or for repairs, malntènance or enhancemonts Nol applicable Not applicaile 5.4 Please provlde a bmakdown of Current asset investments, If applicable, agreeing wlth the balance sheeL Analysis of current asset Investments TNS yeAr Lastyear Cash or cash equival•nts Li8t8d Inv8Stments Total 5.5 Guarantees Please provldÈ details and amount of any guarantee made to or on behalf of a third party Not aprAirAble Name of th8 gntlty or èntitlès bpnefitting from those guarantèè$ Not applicab Not applrable Plea50 explaln how thè guaranteg further8 thè charlty's alm$ 5.6 Concesslonary loans Description Thi¥yoar Lastyear Amount of ¢onces8ionary loans made IAtulllpl• lty•n$ maybe dtscl0s￿ln agyrogatsprovKled thatsuch tloe5 notobseur• $lyrt1fi¢4nt Not applicable Totdl Not applicab Tom?8 and condltlon$ Bg int8rost rate, se¢urlty provided Valuè of any ¢once5Stonary loan5 whlch have bogn Committed but not takèn up at the reporting datè Not appllcatAe Amounts payablo wlthln l year Not appficable AmouThts payable aftèr more than l year Not applicable Not applicable Amounts racelvablè withln 1 yoar Not appliG#lJe Amounts rocefvable aftèr mor• than l year

5.7 Addltional information Investments are managedthrough the usè of a professional Invesbnenl rnanagerin Inewiih the tharivs inveslmentstratsgy. vihich is approved bythe Gharilable FuThJs Commiltee. Please provide Information about th? $19nSllcance ol Investments to the charity's financial position or performance eg. tèrms and conditlons ol loans or the us¢ of hedging to manayp finanGial risk. For all investments measured atfair value, thè basis for determinin9 th& value. including any a55umptions applltrd whon using a valuatlon te¢hni4ue. The charivs investm￿1$ are hdd ai matket value as ad￿Sed by the ¢hariVs investment manager. Whero a charlty or Its sub51dlary has provided finaficial assets as a lorm of 59curity. the carrying arnount of tho flnanclal as$¢t pledged a8 security and the term5 and conditlons relating to Its plèdgg. Not applitalje.

Section C Notes to the accounts {¢ontl Note 6 Cash at bank and in hand This year Last yaar Cash at bank and on hand Total 240.064 240,064 14,078 14,078 Note 7 Creditors and accruals Please complete this note if the charity has any creditors oraccruals. 7.1 Analysi$ of creditors Amounts falling due This yèar Last year Amounts falling due after This yoar Last year Accruals and deferred income 64.281 15,528 15,528 Total

iiilljiliill￿l 11111111111 1111 .11111111111

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Section C Notes to the accounts {¢ontl Note 8 Charity funds {cont) 8.3 Transfers between funds Rea$on for transfer and whgre endowment 15 convartad to Income. legal power for its conversion Amount Belween unreslricled and restricted funds Not applicable Be￿een endowment and restricted funds Not applicable Be￿een endowment and unrestricted funds Not applicable 8.4 Designated funds Planned use Not applicable Pur os• of the designation Amount

Section C Notes to tho accounts (conti Note 9 rransactions with trusteès and related parties Illhe Gharityhas any ￿￿8&¢￿0￿5 wilh relatedpartles {olhérih80 the Irusleeexpenses •xplalnodh9uldance notesj afetslls olsuch transwGtions shouldbeprovldedin this ljote. If there areno trans3Clloos toreport pleAse enl•r Yiue~In tho box or"False"rflhere are liaftsa¢tions to report. 9.1 Trustee remunoratlon and boneftts None ol thè ¢ty$tto8 have been pald any r8m¥n8rallon or received any otherben81ts from an ernployment wlth tholr¢hrity ora related eTh￿ty (True oiFalsel TRUE the perlodlhe charltyha$ paldtrustoe5 remunerauon 2ndh￿e11ts. Ile8$e give the amountol. andlegal authorityfor. Jftv remukJw•titsn orotherbenetlts pald40 8 tNstsobythe charityorany Instiiiition orcLvnp•ny confteclerl With i Amounts paid or bene14tvaluo Thls RedundarKy Last y•ar Legal aulhority lég order, gov•rnlng documgnt> RemUrter4￿On Pqnskn ¢ontrIbu￿an ¢)Ih#r TOTAL Name oltrusto0 1¢ssof Pleasewve details 0lwhyr￿IU￿èlaIi0n orother employmw)tbenefits werepald N¢t4POl¢a whe￿ aft e¥yratIapayM￿t￿a$ been made lo a trust••. provide explaftadoft olth• ftalur•olthepaymwJL Ila IhIrdpa￿ htts been reiml)ursedforprovldlftst more trustees. slale the tmtuio of th•paymentand amount tyf lfve reimbursement State thenwnberof tru51ees to Lvhom ielltYmWJibonefits areaccruing defjnedc¢wth"bulion pension scheme. 9.2 Trustees. expen5¢5 If the chartty haspald tyUSt•e$ ￿peNseS lorfulftlllng Ihelr duties, deo•ils ofsuch transactions $houldbeproYidedin not& thwe#reno transactlons lo &¥port ple•so ￿ter"TrUe. in the boxbelow. IlthweaR transactiofts to report. plo8$e entr"Fal$e". No trustee expensos ha￿ b88n Inturred (True orFalsel TRiIE Typ• of oxpon80s rolmbU￿ed This year Lastyea¥ Travel Subsistence Accommodation Other Iplea$è $p•¢ifyl: TOTAL Pleas• prO￿dth* Dumb8toltwu$toos reimbursed tor expens•$ orwho had qxppnsfjs paid bythe charity 9.3 Tran8a¢tionl81 with related partie5 Please gsve delalls of any transac11t￿ undert•k•n by(oron bohalloQ th• charftyln whl¢h • tslal£dpatyhas• m8t8rfal InlornS¢ Imeludiyjg Whe￿ lunds havebeen heldas aY8n¢r0r￿Ote￿pèrt(É& if the￿ areno $u¢h tronso¢WLVJS. please enteryrue'ln thebox provId￿. There have been no related portytran¥•ctiuns in the reportlng perlod (Truo Fa1501 FALSE

Amounts writt•n off during reportlng Name ofthtr twste orrelated party Relationshlp to charity De$¢ription of the lwansactionlsl Afflount Balance at period end Provision for bad dok>ts •i pèriod end Blrmirtgh3 Comtnunity HFalthcare NHS Foundation Trust Parententity Payments madp to supplie￿ on behalf of the charity 84.281.03 84,2B1.03 lft relauon to the trartsactions above, pleaseprovlde the teyms andcoftdlttons In¢ltsdin¥?FJyseGurity and the Ature of aftypaymenl l¢oJ)$ldeiafyonJ to bewovidedln 5elllemenL Invoketo beralsed byBitiYingh*n NHS F￿d11￿￿Trt￿lQ reco¥eramouni. FIV￿y￿1?tedp?ty, pl•as•pmvldo det4U$ olany guaranl•è$ gl¥eyJ orrewved. lica￿e.

INDEPENDENT EXAMINER’S REPORT TO THE TRUSTEES OF THE BIRMINGHAM COMMUNITY HEALTHCHARE NHS FOUNDATION TRUST GENERAL CHARITY

I report to the trustees on my examination of the accounts of Birmingham Community Healthcare NHS Foundation Trust General Charity (“the Charity”) for the year ended 31 March 2021 which comprise the statement of financial activities, the balance sheet and the related notes 1 to 9.

This report is made solely to the charity’s trustees, as a body, in accordance with section 145 of the Charities Act 2011 and regulations made under section 154 of that Act. My work has been undertaken so that I might state to the charity’s trustees those matters I am required to state to them in an independent examiner’s report and for no other purpose. To the fullest extent permitted by law, I do not accept or assume responsibility to anyone other than the charity and the charity’s trustees as a body, for my work, for this report, or for the opinions I have formed.

Responsibilities and basis of report

As the charity's trustees you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (“the 2011 Act”). You are satisfied that your charity is not required by charity law to be audited and have chosen instead to have an independent examination.

I report in respect of my examination of your charity’s accounts as carried out section 145 of the 2011 Act. In carrying out my examination I have followed Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act.

Independent examiner's statement

Since the charity’s gross income exceeded £250,000 your examiner must be a member of a body listed in section 145 of the 2011 Act. I confirm that I am qualified to undertake the examination because I am a member of the Association of Chartered Certified Accountants, which is one of the listed bodies.

I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:

  1. accounting records were not kept in respect of the Trust as required by section 130 of the 2011 Act; or

  2. the accounts do not accord with those records; or

  3. the accounts do not comply the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a ‘true and fair view’ which is not a matter considered as part of an independent examination.

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.

Sarah Anderson, FCCA for and on behalf of Deloitte LLP Leeds, United Kingdom 11 December 2021