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. 

**Page 2** 



## 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): 

- Mrs J Belza, Non-Executive Director (Chair) 

- Dr B Henley, Trust Chair 

- Dr D Simkiss, Medical Director 

- Mrs M Perry, Chief of Nursing & Therapies 

**Page 3** 



- Dr S Cleary, Director of Strategy & Partnerships 

- Mr D Holmes, Director of Workforce & Organisational Development 

- Mr S Smallwood, Deputy Finance Director 

## Also in attendance are: 

- Mrs R Crowther, Associate Director of Culture and Staff Engagement 

- Ms S Binks, Charity Manager 

- Mr R Shelton, Head of Communications 

## 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. 

**Page 4** 



## **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 

**Page 5** 



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. 

**Page 6** 



## 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 

**Page 7** 



## 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|



**Page 8** 



## 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 

**Page 9** 



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. 

**Page 10** 



## 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: 

- select suitable accounting policies and then apply them consistently; 

- observe the methods and principles in the Charities SORP; 

- make judgments and estimates that are reasonable and prudent; 

- state whether applicable accounting standards have been followed; and 

- prepare the financial statements on the going concern basis unless it is inappropriate to presume that the Charity will continue in business. 

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: 

- so far as the Trustee is aware, there is no relevant audit information of which the Charity’s independent examiner is unaware; and 

- that Trustee has taken all the steps that ought to have been taken as a Trustee in order to be aware of any information needed by the Charity’s independent examiner in connection with preparing its report and to establish that the Charity’s independent examiner is aware of that information. 

**Page 11** 



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
Rec*pi Of6￿?￿t
0tCaSlJPro￿b¥1￿s*d1rf
39
317
39
317
Changg In¢ashand¢•$fvqqulval￿t¥1n the
Ingperlod
Ca$h and ¢ILsh oquivilènls a¢tht L*ginning
ortsn
rfod
c4$
Èqu
pxching• raté Movements
¢#$
quJv4
rap0￿r*JP¢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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IAIIIII
111111111111111111111111

lilNiiiiiI￿.1lI

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$tto8 have been pald any r8m¥n8rallon or received any otherben81ts from an ernployment
wlth tholr¢h*rity ora related eTh￿ty (True oiFalsel
TRUE
the perlodlhe charltyha$ paldtrustoe5 remunerauon 2ndh￿e11ts. Ile8$e give the amountol. andlegal authorityfor. Jftv
remukJw•titsn orotherbenetlts pald40 8 tNstsobythe charityorany Instiiiition orcLvnp•ny confteclerl With i
Amounts paid or bene14tvaluo
Thls
RedundarKy
Last y•ar
Legal aulhority lég
order, gov•rnlng
documgnt>
RemUrter4￿On
Pqnsk*n
¢ontrIbu￿an
¢)Ih#r
TOTAL
Name oltrusto0
1¢ssof
Pleasewve details 0lwhyr￿IU￿èlaIi0n orother
employmw)tbenefits werepald
N¢t4POl¢a
whe￿ aft e¥yratIapayM￿t￿a$ 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 ent*r"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 $p•¢ifyl:
TOTAL
Pleas• prO￿d*th* Dumb8toltwu$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 

