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2022-01-31-accounts

The Foundation of Nursing Studies (A registered charity and private company limited by guarantee)

Trustees’ Annual Report and Accounts

For the year ended 31 January 2022

Company Number: 3583949 Registered Charity Number 1071117

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Contents
Page
Reference and Administrative Details 3-4
Message from the Chairman 4
Trustees’ Annual Report 5-23
• Strategic Report 6
• Achievements and Performance 6
• Improving Practice Programmes: 8
➢ Inspire Improvement Fellowship
➢ Teaching Care Homes
➢ Early Career Learning Disability Fellowship
• Commissioned Programmes: 14
➢ Creating Caring Cultures
➢ Guiding Lights for Effective Workplace Culture
➢ Resilience Based Clinical Supervision
• Scholarships & Residential Schools: 17
➢ Richard Tompkins Scholarship
➢ Residential Practice Development School
• Sharing knowledge and networking 18
• The International Practice Development Journal 19
• Professional advice, expertise, and collaboration 19
• Communities of practice: 19
o Person-centred Practice International Community of Practice
o International Practice Development Collaborative
• Financial Review 20
• Principal Risks and Uncertainties 21
• Governance, Structure and Organisation 22
• Statement of Trustees’ Responsibilities 23
Independent Auditor’s Report 24-26
Accounts 27-36
• Statement of Financial Activities 27
• Summary Income and Expenditure Account 28
• Statement of Recognised Gains & Losses 28
• Statement of Cash Flows 28
• Balance Sheet 29
• Notes to the Accounts 30

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Reference and Administrative Information

Year ended 31 January 2022

Charity Number: 1071117

Company Number: 3583949

Charity Address

11-13 Cavendish Square, London W1G 0AN

Trustees*

Caroline Alexander CBE MSc, BSc (Hons), RN Kuldip K Bharj DL OBE PhD, MSc, BSc (Hons), RM, RN, DN (London), MTD, RSA Counselling Skills, IHSM Cert. Mark Bird RN, BSc Tim Callaghan BA (Hons), ACMA, CGMA (Treasurer) Sean Costello TD, MA David Foster OBE, PhD, Hon FRCM, FRCN (Chairman) Stacy Johnson MBE, MSc, BSc, RN Varun Kabra MBA Ann McMahon PhD, MSc, BSc, PG Diploma, CMS, RMN, RGN FRCN Geraldine Mirabile LL.M

*Note: The Foundation of Nursing Studies Trustees are also the Company Directors, for ease of presentation and consistency the term ‘Trustee(s)’ is used throughout this document

President

Dr James Bevan MB, MRCGP

Vice President

Professor Tony Butterworth CBE, FMed.Sci, FRCPsych, FRCN, FRSA, FQNI, DSc (Hon)

Patrons

Baroness Mary Watkins of Tavistock RMN, MSc, PhD Elizabeth Tompkins Baroness Julia Cumberlege of Newick CBE, DSG, DL Elizabeth Stallwood RGN, RM Professor Jennifer Hunt Hon DSc, MPhil, BA (Hons), RGN Sir Ron De Witt MA, BA (Hons), Dip N, RN Gillian Stephens BSc (Hons), RGN, HV, Cert. Health Econ

Chief Executive Officer & Company Secretary

Joanne Bosanquet MBE, RGN, RHV, QN, FRCN, FQNI, BSc(Hons), PG Dip, Pg Cert, MSc (Public Health), Hon DUniv (Greenwich)

Main Bank Account

HSBC, Belgravia Branch, The Peak, 333 Vauxhall Bridge Road, London, SW1V 1EJ

Investment Managers

Brewin Dolphin Securities, 12 Smithfield Street, London, EC1A 9BD CCLA Investment Management, Senator House, 85 Queen Victoria Street, London, EC4V 4ET

Auditors

Haines Watts, Chartered Accountants, Old Station House, Station Approach, Newport Street, Swindon, SN1 3DU

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Acknowledgment of Our Supporters and Partners

FoNS Board of Trustees wishes to offer very grateful thanks to all our partners and supporters in 2021-22 (Table 1):

Table 1- (list not exhaustive)

Table 1- (list not exhaustive)
The Burdett Trust for Nursing The British Library Innovating for Growth
programme
The Tompkins Foundation Tavistock and Portman NHS FT/North London
Partners ICS
FoNS Patrons NursingCharities CEO Network
Department of Health and Social Care Royal College of Nursing/RCNi
Care England University of East Anglia/ImpACT Research Team
UK Chief Nursing Officers (CNOs) University of Nottingham
Department of Health Northern Ireland Skills for Care
Kings Fund Abi Masterson
Nursingand MidwiferyCouncil Lloyds Bank Foundation
NHS England and Improvement Health and carproviders and commissioners
Office for Health Improvement and Disparities Webigence
Health Education England Peer reviewed nursing journals
The International Community of Practice (ICoP) Good Governance Institute
Hospice UK England CNO PolicyNetwork
The
International
Practice
Development
Collaborative(IPDC)		 Sigma Theta Tau International
Clinical Supervision Subject Expert Group (CS-
SEG)		 Our Associate/Co-Facilitators and FoNS alumni
Markel 3rdSector awards/CMM Council of Deans 150 Leadersprogramme

Message from the Chairman

Year ended 31 January 2022

"The Foundation is flourishing. It has been a very successful year in which our programmes of work have been taken up more extensively than ever. There have been new grants, new commissions and we have won new contracts. This is due to the unparalleled enthusiasm and influence of Joanne Bosanquet, our chief executive, and her team. However, success does not come easily and readily disguises the challenges that are behind our achievements. I particularly appreciate everyone’s efforts and energy this year because it has been so testing and indeed traumatic for those we strive to support on the frontline who are giving care in extremely difficult circumstances. Never before has our approach to personcentredness been so apposite and well-received.

My gratitude also extends to the trustees whose commitment and support has been phenomenal. Their diligence and creativity have been crucial to engendering a culture of success for the Foundation. I also fully appreciate the support from our partners and sponsors without whom so much of this important work would not be possible.

Having been agile and responsive to the needs to our partners this year we look forward to the forthcoming year which I hope will see a return to more face-to-face work whilst continuing to reap the benefits of a virtual approach to our work imposed on us because of the pandemic. I have no doubt the Foundation will continue to grow and develop.

Dr David Foster OBE Chairman"

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Trustees’ Annual Report

Year ended 31 January 2022

The FoNS Board of Trustees present their annual report, including the strategic report and the audited financial statements for the year ended 31 January 2022. The reference and administrative information are set out on page 3 of this report.

Objectives and Activities

The Objects and Aims of the charity[1]

FoNS was formally established as a registered charity in 1987 with two broad objectives that set out the original purposes:

Our Vision

To inspire and enable a culture across health and social care that values people, where patients, residents and service users experience care and services which are the best they can be, and staff feel appreciated and supported.

Our Mission

To work in partnership with health and social care organisations to a foster a commitment to person-centredness by valuing staff and enabling them to develop the knowledge, skills, and expertise to provide nursing that is safe, effective, and caring.

Our Central Commitments

FoNS can offer vital support to nursing, health, and social care by making a commitment to:

Strategic Ambitions and Objectives

FoNS’ Approach

Our approach and the way we work is underpinned by several key principles including:

1 The next strategy will be published in 2022

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Delivering Public Benefit

FoNS works with nurses and nurse-led teams, enabling them to develop themselves, their practice, and their workplace cultures, with the aim of enhancing the outcomes and experiences of those giving and receiving health and social care and their families. Trustees confirm that they have complied with their duty under section 17 of the Charities Act 2011 to have due regard to the Charity Commission's general guidance on public benefit.

FoNS is members of NCVO, Charity Comms and ACEVO. Our chairman is a member of the Association of Chairs.

Strategic Report

Year ended 31[st] January 2022

Achievements and Performance

FoNS has grown a reputation over the last 30 years as a reliable and trusted nursing charity. We support nurses and their teams to create the very best cultures of care and in the process, enhancing practice. We use evidence and facilitation to achieve this. We use practice development (PD), active learning and appreciative inquiry principles and focus on the person, in relation to person-centredness, person-centred team cultures and cultures of care.

FoNS’ strategic ambitions and objectives continued to be realised through three interlinked approaches:

Growth during the pandemic and hope in the aftermath

FoNS responded to the pandemic by adapting and transferring most of our programmes into a virtual space. We utilised Microsoft Teams and Zoom to increase our reach and enhance connectivity, not only for our existing programmes, but also new ones too. We even reached Australia!

We worked together to ensure the quality and impact of our programmes remained as good as they were face-toface. Psychological safety and safeguarding remain our priority and we have not had any negative experiences using digital facilitation. In fact, our participants have been pleasantly surprised and embrace this new way of connecting. This bodes well as we re-establish ourselves into a blended work environment.

Our influence continues to grow and develop. Following the virtual debate held in November 2020, the Journal of Research in Nursing commissioned our CEO to head up a special issue of the journal focusing on wellbeing. The Editorial received the highest praise from academics and leaders at the forefront of professional nursing practice and contributed to further debate on global recruitment and retention of nurses. Further partnership with the journal is planned for 2022/23.

Articles have been co-written with stakeholders on social care nursing for Care Management Matters journal, Nursing Standard and the Nursing Times journal and various blogs have been written. Social media presence is strong, and the CEO and team meet regularly with a range of national system leaders. FoNS is a member of the Care Home Cares WhatsApp group and the @HomesQi Twitter based virtual group, both led from within the social care sector and both gaining traction nationally. Team members regularly sit on panels and present on our work at webinars, conferences, and national groups.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

The global pandemic continued to offer up multiple challenges throughout 2021 and we responded. FoNS flexed our approaches to delivery and adapted our programmes. Our participants embraced the online experience and shared this with their colleagues and organisations. Social media was a superb platform to show case our work and keep the conversations going. We became more visible on Instagram and may explore TikTok in 2022! Nurses’ wellbeing remained a top priority for our UK Chief Nursing Officers (CNOs) as well as every employer in our network.

We remain visible and it is always a real pleasure to be invited to sit on the judging panel for various nursing awards including the Nursing Times, RCNi/RCN and the Markel 3[rd] Sector awards. Our CEO was appointed Chair of Judges and FoNS was appointed as the very first charity partner for the 2021 RCN Nurse of the Year awards (#RCNAwards). The long-term aim of this partnership is to establish person-centred care as a component of all award submissions. It will increase our visibility substantially and place FoNS at the heart of nursing excellence across the UK and beyond.

Our visibility and reach are increasing year on year and we are regularly approached to share our insights and thought leadership on person-centredness, reflective nursing practice and values based workplace cultures.

Reflective practice is the bedrock of our approach at FoNS and we were thrilled to be invited to join a UK-wide Clinical Supervision Subject Expert group (#CSSEG) late in 2021. This invitation demonstrated the power of collaboration, and we stand side-by-side with the Florence Nightingale Foundation who took the lead following a call to action from Directors of Nursing across the system to establish clinical/reflective supervision as a priority for nurses and midwives. The group has gone from strength to strength and a series of powerful articles were published in the Nursing Times journal from January 2022. Watch this space for more activity during 2022/23.

Reflections and celebrations from our team

A number of our programme participants have been able to influence policy at national level by joining Shared DecisionMaking Councils and national steering groups.

• We achieved time away together as a team towards the end of 2021. This was essential to rebuild and plan for the future. We started work on ‘Building Success- Our Strategy’, due to be launched in early 2022.

• We demonstrated our international collaboration by publishing a co-produced Guiding Lights framework which has rejuvenated our team as well as demonstrating the value of FoNS investing in research.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Plans for the Future: we continue to embed reflection into practice

In our last report, we reflected on the wellbeing needs of our profession as we continued through the phases of the global pandemic and consider the recovery phase where, in the words of the World Health Organisation, we ‘build back better’. In 2021, the growing complexities of a global health and care workforce crisis are becoming more evident as the true state of the world’s wellbeing is coming to the fore. The prolonged pandemic has escalated a decline in existing workforce numbers as many nurses feel undervalued, are morally injured, are questioning their future or deciding to leave the profession due to the inability to provide person-centred care, burn out and exhaustion (ICN 2021).

Staff health, wellbeing and retention therefore remain high priorities across the UK health and care economy. FoNS supported the system by influencing decision making at various levels of the system. We did this by sharing best practice and our experiences of supporting a range of staff through our programmes online, when we had no other choice. The Nursing and Midwifery Council, the UK’s nursing and midwifery regulator and our CNO national Health and Wellbeing Group enabled us to restart a conversation on restorative or clinical supervision and we shared vital participatory evaluation data from our Resilience Based Clinical Supervision (RBCS) programme for undergraduate nurses which demonstrated the impact of the programme on their wellbeing and insight gained by the participants of the importance of self-compassion and self-care. The NMC wrote to all universities later in 2021 to remind them of the importance of protected time for reflection for all undergraduate nursing and midwifery students throughout their studies.

We believe that reflective practice is a prerequisite for professional growth, advancing safe and effective evidencebased practice and interprofessional collaboration. As such, FoNS will continue to prioritise our focus on staff wellbeing, establishing effective workplace cultures and person-centred practice.

Succession planning is paramount. We have grown in the last year, and we now have four experienced facilitators who are focusing on supporting and developing a cadre of Associate Facilitators to join us on a flexible basis. We are looking forward to co-creating our strategy for 2022-25, increasing our reach, working across the health and care system and influencing at meso, micro and macro levels.

- Celebrating our programmes throughout 2021 22

Improving Practice Programmes

We believe that individuals should experience care that is high quality and person-centred. Whilst the responsibility for continuously improving the quality of care lies with all health and care professionals, nurses as leaders, commissioners and direct care providers have a key role in leading and facilitating change. In FoNS’ experience, identifying, understanding, and responding to practice challenges can be tough and complex. Our improving practice programmes are therefore designed to inspire and support nurse-led teams to work through such complexities by drawing upon the key principles outlined above on page 5.

We create, facilitate, and offer safe spaces and excellent learning environments both virtually and face-to-face in small groups and 1:1 sessions where participants can focus on leading and facilitating practice development towards the creation of workplace cultures that are person-centred, safe and effective. Despite the global pandemic during 202021, FoNS has delivered several programmes involving support to nurse-led teams leading improvements to care. These are described below. Details of all the active programmes are available here.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Inspire Improvement Fellowship and Programme

Led by Jo Odell, this exciting programme is part of our successful, ongoing partnership with and funding from The Burdett Trust for Nursing. The programme aims to equip clinical leaders to develop skills and expertise in facilitating improvement and culture change at the front line of practice; it is underpinned by the ‘Creating Caring Cultures’ framework and resources developed by FoNS over a number of years.

The Creating Caring Cultures model encompasses the delivery model for this programme:

This programme is made up of a combination of six workshops, practice-based support from a FoNS facilitator for each participant and the provision of a small bursary. From our experience, the combination of these three elements has the most impact and benefit. The shared learning opportunities enable participants to develop their knowledge and skills in working with people in practice to create a workplace culture where practice is person-centred, effective, safe, and caring. We believe in combining both the support in practice and the learning programme to enable participants to develop the long-term knowledge, skills and confidence needed to be truly effective facilitators of culture change and improvement. The Fellows are expected to share their learning across their organisation and beyond and become ambassadors for improvement and culture change – retaining an important connection with FoNS.

The Fellowship has had a significant impact on the Fellows’ leadership in practice, has inspired change in their workplaces and is contributing several indicators of improvement. The following 2019-2021 examples from our evaluation report which can be read here.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Cohort 4 (2021-2022)

Cohort 4 Inspire Improvement Fellows started their first virtual seven week learning block on the 9[th] September 2021. This year Jo is also accompanied by two co-facilitators who are previous 2019 fellows. This is an essential decision for our own succession planning, an opportunity for the fellows to further refine their facilitation skills and also to inspire the new fellows with their previous experiences.

Here is some initial feedback from the fellows in the form of a picture and a poem:

The fellowship is to create and inspire My thoughts are going way up higher We share ideas and challenge each other Jo is like our professional mother! Collaboration is our aim Reaching a goal is what we gain. Today we looked at the participation ladder We don’t want the challenge to make us sadder Steps up the ladder need only be small But are a way to include us all We remind ourselves it’s not a race It’s important to just set the pace. Evaluation throughout is key Remember it’s not ‘I’, it’s ‘we’. It’s not the win that always counts, But the taking part that gives us bounce! We have three circles to consider If we want to be a winner Control and influence and concern Is a new way we need to learn Active learning is creative and fun It helps us to realise we are not just one, Collaboration is the key And it will need to start with me!!!!

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Cohort 3

This group of fellows completed their formal programme on the 6[th] October 2021 by undertaking a participatory evaluation of the programme using the virtual platform Padlett. All this evidence has been combined to form the basis for the formal evaluation of the programme, Moving Online . Here is a flavour of what the fellows said:

“My confidence has grown, as a result of my learning, I believe that has impacted on our team. I am now more curious and confident with being curious.”

“I have learnt the importance of making our team members feel valued and the importance of self-care. This starts with me, but it isn’t about me it is about our team. That importance of collaboration, participation and inclusion. The positive impact of this and how working in collaboration can make team members feel. This also involves sharing decision making within our team and wow what a difference this makes! The strap line we formed as a group: starts with engagement; continues with collaboration, evolves into innovation – this has become a mantra for me and I have observed the innovative ways to working that our team have developed! We only have influence within our circle of control – which is our team, it then ripples out to the circle of influence and onto the circle of concern; therefore, focus on this. Reframing the negatives into the positives. When we did the exercises with the videos seeing things through different people’s eyes – I could relate this to practice – e.g. how the HCA will see things different to an RN – however neither observation is of any less value they are just different. Its prospective!”

“The aspect I found most useful was active learning and continuous reflection that promotes learning. How using creativity can enable your learning and participatory evaluation. I expected to come and be taught, but I have found that its within yourself and the other fellows. Gave us a framework and all the tools and brought the creativity out of us.”

The fellows are planning to meet in 2022 face to face and will use their bursaries to facilitate this.

Cohort 2 (2019-2020)

The fellows undertook their participatory evaluation via the platform Padlett. Also, three of the fellows from this cohort have gone onto facilitate in later cohorts. It is planned that the evaluation for cohort 2 and 3 will be combined with a focus on the impact for the fellows, cofacilitators and the impact of creating a safe learning space both in a face-to-face situation but also in a virtual space. Below is how one fellow captured her learning through a spider diagram. This fellow undertook 12 months as a fellow (2019/20), 12 months as a cofacilitator (2020/1), has undertaken a masters module (2020/21) on workplace learning based on her learning and is now undertaking 4 modules in person centred care (2021/22) from Queen Margaret University Edinburgh. Funded by her bursary and inspired to learn more through her Fellowship.

Cohort 1 (2018-2019)

This cohort remain in active contact via social media and are now a fully self-sustaining group. They form the first group of Fellows that have become part of the FoNS Alumni. The evaluation of this cohort is now complete: 'Game Changer': Creating Caring Cultures through the Inspire Improvement Fellowship.

FoNS Alumni and Inspire Improvement Fellowship

Thanks to a successful new bid to the Burdett Trust for Nursing there are now monies to develop the FoNS Alumni formally and grow the number of events and opportunities for sharing and learning from each other. It is hoped that these will start in early 2022.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Teaching Care Homes (TCH): Inspiring and Impacting

A partnership programme with Care England, funded by the Burdett Trust for Nursing

https://www.fons.org/programmes/teaching-care-homes

Led by Kate Sanders, this programme was established following a successful pilot initiative in 2016, led by Care England and funded by the Department of Health. In early 2017, Care England secured funding from the Burdett Trust for Nursing to support nurse-led teams from ten further homes over two years. Year 2 ran from March 2018 to February 2019; and Year 3 began in April 2019. Opportunities have also been created for the teams to meet as a TCH Community. The ongoing development of this programme has provided the opportunity to continue to:

Norfolk and Waveney CCG

Working in partnership with Jonathan Webster, from the ImpACT Research Group based at the University of East Anglia, Kate Sanders and Jonathan have secured support and funding from Norfolk and Waveney CCG to facilitate a locality based Teaching and Learning Care Homes (TLCH) programme involving five homes. It is hoped that the programme will commence in early 2022. The programme will use a virtual approach, connecting with care homes using Microsoft Teams. Kate and Jonathan will also be working with two members of the Norfolk and Waveney Care Home Quality Improvement team, who will be able to work on a face-toface basis with the care home teams.

North Central London

Following the successful participation of Priscilla Wakefield House (PWH) Nursing Home in Haringey, their report which shares the outcomes that they achieved in relation to enhancing diabetes care is being shared widely across the boroughs of North Central London (NCL). Supported by North Central London Clinical Commissioning Group (NCLCCG) who are also members of the TLCH Advisory Group, there is growing interest in how the TLCH programme could be developed across NCL, forming a network of TLCHs across the locality to coordinate social care nursing activity. A locality-based meeting involving representation from NCLCCG, NHS England/Improvement, the local authority, Middlesex University, a nursing quality lead, PWH care home manager and FoNS was held at the end of July. Further to this, opportunities to fund a programme are being explored and it is hoped that there will be some news relating to this by the end of the year. We congratulate Priscilla Wakefield House for winning the Care Home Team award at the 2021 Great British Care Awards.

Future developments

The programme continues to receive guidance and support from an advisory group. This is invaluable, providing the appropriate level of critical challenge and direction. Momentum about the importance of social care nursing and nurseled teams has continued and FoNS is supporting the newly appointed Chief Nurse for Adult Social Care for England.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Creating Caring Cultures Fellowship, for aspiring leaders and early career frontline Registered Learning Disability Nurses

Led by Giselle Cope, this 12-month programme, Creating Caring Cultures Fellowship for Learning Disability Nurses commenced in the autumn of 2020 and will run through 2021/22. Jointly commissioned by the Burdett Trust for Nurses, England’s CNO and NHS England/Improvement’s Learning Disability national team, recruitment commenced in December 2020. External evaluation is being undertaken by the University of East Anglia ImpACT ResearchTeam. The evaluation focuses on the impact of the programme on participants and an analysis of the impact of the programme from the perspective of the programme facilitators. Early findings indicate there has been an overwhelming sense of personal growth and development of LD nurses throughout the programme. The final report will be published towards the end of 2022 and will be the first of its kind for FoNS.

The Fellowship is a development opportunity for aspiring leaders and early career frontline Registered Learning Disability Nurses (RLDN) to facilitate person-centred cultures of care which are safe and effective. It is structured around the FoNS Creating Caring Cultures model and it is open to RLNDs who are between 1-3 years post registration and who are working in any health or care setting within England. The programme will equip participants with the skills and confidence to develop into the facilitative leaders of the future. The inclusion of mentorship and coaching support at a local, regional, and national level as well as personal development planning will enable participants to realise their leadership aspirations and will develop leadership capacity within organisations. Our brilliant mentors are celebrated on our website. We couldn’t do this without you all. Thank you!

Current cohorts

Cohort 1 concluded on the 7th of September 2021.

A reflection by one participant conveys their growth and development across the programme as:

“My confidence has soared since beginning the fellowship. I feel confident to challenge and to advocate for people with a learning disability. I even braved a band 6 interview for a community nurse role and was successful! My work promoting STOMP has only just begun, and I hope to take the lead in developing our trust’s STOMP pledge further in the years to come. FoNS gave me a focus, but also gave me the ability to celebrate my achievements, that of my peers and also celebrate our profession! Together we are most definitely better! I will continue to network and hope to maintain the friendships I have formed with my peers on the course.”

Cohort 2, core programme concluded in July 2021. The final active learning session was scheduled for 8th of December 2021. All participants remain engaged and very positive about their experience. Cohort 3 commenced on the 9th/10th of September 2021, and

Cohort 4 concluded the core programme at the end of November 2021. Again, participants in both these cohorts remain positive and engaged.

NHSEI remain actively involved within the programme through David Harling (Head of LD Nursing) and Ben Briggs (Senior Clinical Advisor - LD).

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Commissioned programmes

Creating Caring Cultures

FoNS’ Getting Started with Culture Change resources, launched in 2016 continue to be highly valued and interest in support with culture change in the workplace is growing.

Over the past few years, FoNS has been increasingly approached to present the work to conferences, webinars and organisations across health and social care; especially from those seeking to explore ways of strengthening more person-centred ways of working, enhancing leadership, and creating more caring workplaces. Our Creating Caring Cultures animation has now been viewed over 16,000 times.

Ashford and St Peters NHS Foundation Trust commissioned a programme for clinical leaders and members of their Practice Development team. A celebration event will follow in 2022. Here is some feedback from the September 2021 workshops.

1. What aspect of the content from today’s programme did I find the most useful and why?

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Guiding Lights for an effective workplace culture: a programme for community nursing teams Lead Facilitators: Kate Sanders (FoNS) and Jonathan Webster (ImPACT)

The Guiding lights for effective workplace cultures that are also good places to work programme was commissioned by Sam Sherrington, Head of Community Nursing at NHS England/Improvement. The programme:

• Focuses on applying the four ‘Guiding Lights’ to the community (nursing and/or interdisciplinary) team setting

Engagement in the programme has been positive, with attendance high across all sessions. This is set against incredibly challenging and complex workplace contexts. Feedback from participants suggest that they valued the:

One participant commented:

‘I have learnt that even when you think that there is nothing else that you can do – there is. It has given me technical skills as well as a different way to approach looking at my workplace. This has been an absolute vital part of my staff well being as I couldn’t find a way of taking us forward even though I knew we had to so that we could flourish again as a team. This is something that I will continue to do as part of our development together’

Kate and Jonathan worked with a small number of participants who volunteered to be part of the evaluation. They cocreated a final report which includes good practice case studies that illustrate how the participants have used the Guiding Lights in their community nursing practice. Additionally, many participants have commented about how they would like the opportunity to meet to continue. For example, one participant commented:

‘I think the programme could have been longer. I have found that I have developed more of an understanding as the programme has progressed and would like more protected time to focus on this now’

This request is going to be accommodated through a programme of work at ImpACT which is supporting the development of several communities of practice. One of these will relate to workplace culture and the community nurses are being invited to lead the development of this with the support of Jonathan and Kate.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Resilience Based Clinical Supervision (RBCS)

RBCS is led by Grace Cook and a growing team of Associate Facilitators. This model of clinical supervision was developed by Dr Gemma Stacey and colleagues from the University of Nottingham. FoNS supported Gemma over several years by hosting the resources on our website and later co-facilitating programmes. Grace was a member of Gemma’s research team, so we are very fortunate to have Grace on our team.

In early 2020, we facilitated one-day face-to-face workshops – usually for 10-15 participants. When we returned to work in late summer 2020, the team further developed the workshop model to become a Champion and Cascade programme so that additionally, participants explore how they can implement RBCS across their teams, directorates, organisations etc. This programme is now largely being delivered virtually and is evaluated very well.

In late 2020 we were approached by Health and Education England to develop a programme for mental health and learning disability student nurses who were unable to be on placement during the pandemic and were at risk of social isolation. This was commenced in January 2021 with a masterclass for up to 24 students. Students were then offered four RBCS sessions between January 2021 and March 2021. This also included a participatory evaluation which has demonstrated our impact.

Since then, we facilitated over 50 cohorts in 2021 and reached a minimum of 320 participants across the country and beyond.

Two of our most successful programmes include:

i) Partnership with Portman and Tavistock NHS Foundation Trust

This programme commenced in January 2021. Since then, significant progress has been made, especially recruiting nurses from across the health and social care system and being true to the demographics of north London and therefore recruiting ethnically diverse participants. This was achieved and publication of the evaluation will follow in 2022.

ii) Partnership with Hospice UK

FoNS commenced working in collaboration with Hospice UK in September 2021, to provide champion and cascade RBCS development for 20 nurses. This includes the provision of resources and ongoing support through a steering group and masterclasses. Three cohorts undertook the champion and cascade programme, and this initial phase will complete in 2022. A community of practice is planned to build internal capacity. The evaluation will follow, and plans are being made to continue this partnership into 2022.

iii) Evaluation Evaluations received continue to demonstrate impact and participants are reporting that they are learning key skills, including positive reframing; grounding; creating safe environments; and check-ins. See figure below for feedback received.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Requests for the Champion and Cascade programme have been increased steadily, resulting in recruitment of Associate Facilitators and Grace, our Lead Facilitator/Programme Manager to increase our capacity to enable us to meet demand.

Our Associate Facilitators are also Ambassadors for FoNS. Some of the applicants are alumni of our programmes and others share our values and have a desire to work with us.

Scholarships and fellowships

Richard Tompkins Scholarship

https://www.fons.org/programmes/scholarships

This is an exciting development opportunity for a registered nurse, midwife or health visitor who is committed to developing person-centred cultures of care. Launched in 2013, the scholarship is open to practitioners who are working clinically in any health and care setting UK-wide, and is targeting, those at ward sister, team manager level or equivalent. The late Richard Tompkins CBE, British entrepreneur and founder of Green Shield Stamps and Argos saw

the potential of FoNS to enable nurses to develop knowledge and skills that benefit those we serve. The Tompkins Foundation remains a valuable supporter of FoNS, and we are delighted that Mrs Elizabeth Tompkins is supporting this scholarship opportunity. Each year, the scholarship offers:

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Giselle and Kate are continuing to support the two successful RT scholars from 2021, ahead of them attending our deferred practice development school which will run in August 2022. They meet regularly with Elizabeth (Lizzie) Christie, who is a neurodevelopmental nurse specialist/independent nurse prescriber, currently working in Hampshire Children and Adolescent Mental Health services, and Titilayo Babatunde, who is a health visitor team co-ordinator based in Hackney. During these active learning sessions, Lizzie and Titilayo are becoming more familiar with the theoretical underpinning of person-centredness and practice development and exploring how they can begin to work with these ideas with their teams.

- International Practice Development School: Developing person centred, safe, and effective cultures through practice development

https://www.fons.org/programmes/schools

Due to the ongoing uncertainty of the pandemic and restrictions on face to face and indoor gatherings, the next international practice development school is scheduled for 1-5 August 2022 at Herstmonceux Castle in East Sussex. The school is currently fully booked, and we have a small waiting list of potential participants.

Sharing Knowledge and Networking

In line with our strategic ambitions, this workstream focuses on ways FoNS can support practitioners by freely sharing resources and ways of working and can support the development and dissemination of the practice and theory around practice development and person-centredness through the programmes and the IPDJ.

FoNS Alumni

The purpose of the alumni is to provide a variety of events (both virtual and face to face) to enable people that FoNS has worked closely with, to stay energised and inspired as well as provide a channel for people to promote the work of FoNS.

Centre for Nursing Innovation

https://www.fons.org/

The FoNS virtual Centre for Nursing Innovation remains highly regarded and offers a very valuable resource for anyone in nursing (or related fields) interested in changing and developing practice. The table below highlights the most popular pages with visitors.

Top pages visited 1 Feb 2021- 31 Jan 2022

Total sessions: 97,184

Total sessions: 97,184
Home page
10,053
IPDJ Home page
3,924
Scholarships
3,401
Programmes: Inspire Improvement
3,179
IPDJ Vol 4 No 2 Article 4
2,057
Clinical Supervision resources
2,038
IPDJ Vol 6 No 1 Article 6
1,807
Programmes: Learning Disability Fellowship
1,757
Blogs
1,675

Between 1 February 2021 and 31 January 2022, there was a 30% increase in visits to our website home page and the various sections, including programmes and the IPDJ all saw an increase in visitors.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

The International Practice Development Journal (IPDJ)

https://www.fons.org/library/journal-ipdj-home

The International Practice Development Journal (IPDJ) is hosted by FoNS and is published by FoNS in association with the International Practice Development Collaborative (IPDC) and the Person-centred Practice Research International Community of Practice (PcP-ICoP).

We continue to publish two issues annually all free, open access to readers and authors: a unique resource to the nursing and multidisciplinary professions across health and social care. In addition to this, we publish special issues from time to time.

The last 2021 issue of the IPDJ was published on 17th November containing an interesting mix of original articles, critical reflections, and book reviews. We also included a ‘feature article’ by Angie Titchen; someone who has been part of the IPDC and ICoP communities that support the IPDJ and at the forefront of theoretical development in the fields of person-centredness, transformational practice development and critical creativity for many years. Angie shares four stories, inviting us to think about how we might work together to create healthful cultures, using examples from outside of health and social care settings.

FoNS a Twitter account (@theIPDJ). The journal continues to grow its readership and articles have featured in social media discussions and tweet chats.

Professional Advice, Expertise and Collaboration

In addition to our funding partnerships, FoNS has a reputation for fostering positive collaborative relationships with organisations and people who share our commitment to supporting nurses and person-centred nursing practice. We are also keen to share our experience and expertise by offering bespoke programmes of support. During 2021/22, in line with our strategic ambitions, we strengthened existing collaborations.

FoNS core team are members of various UK-wide and national professional groups and are encouraged and supported to develop their professional networks and areas of interest.

International Collaborations: The International Practice Development Collaboration (IPDC) and the International Community of Practice for Person-centred Practice (PcPICoP)

FoNS continue to be active members of the IPDC and PcP-ICoP . These collaborative relationships provide FoNS with international connections and profile. We are actively engaged in knowledge generation and translation. Team members have been involved in writing articles and chapters for books led by both collaborations, published in spring 2021.

  1. Fundamentals of Person-centred Healthcare Practice (McCormack et al 2021) (Eds). Wiley Blackwell.

  2. International Practice Development in Health and Social Care. 2[nd] Edition. (Manley et al 2021 ) (Eds). Wiley Blackwell.

  3. Person-centred Nursing Research: Methodology, Methods and Outcomes (Dewing et al 2021) (Eds). Springer.

  4. 19 -

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Financial Review

The full audited accounts for the financial year 2021-22 follow from page 27. They have been prepared in accordance with the Statement of Recommended Practice applicable to charities and in accordance with the Financial Reporting Standard FRS102.

The year ended 31st January 2022 saw an encouraging increase in income and activity despite the protracted Covid19 pandemic across 2021. Our major programmes all recommenced, and our new commissioned resilience based clinical supervision workshops and shorter creating caring cultures programmes started to make a difference to our financial sustainability. However, the fallout from the pandemic and general nursing staff shortages in the NHS mean that our nursing teams are inevitably occupied with their patients and find it difficult to participate in professional and practice development opportunities. Once again, we had to postpone our PD School, but this has now taken place in August 2022.

Total income in 2021-22 was £350,743 compared to £301,660 in 2020-21. The average income over the preceding 5 years was £446,000 (2016-2020). However, we have many pieces of new work in the pipeline and we are confident that our budget for the forthcoming year will see income and charitable activity increase substantially.

We are witnessing a shift from grant-funded work to commissioned work shown by unrestricted income increasing on previous years at £223,903 (2020-21: £137,103). We are forecasting that this will continue.

Expenditure on charitable activities also increased in 2020-21 dramatically, now that the core programmes could fully resume and augmented by the shorter commissioned workshop activity and networking. Charitable expenditure was £450,274 (2020-21: £347,195). The charitable spend returned to the previous 5-year average of £443,000 (2016-2020).

Our strength of restricted programme delivery reflects our reputation for leadership, engagement, and professional development within the nursing sector. The charity will continue to develop these innovative areas but will also expand its workshops to bring its unique expertise to a wider audience. The charitable expenditure follows this theme with £261,653 (2020-21: £125,549) being spent in 2021-22 on improving practice programmes and £188,621 (2020-21: £221,646) being spent on sharing knowledge and networking within the nursing profession. Expenditure on ‘improving practice’ has now returned to pre-pandemic levels with the recommencement of the larger programmes. Similarly, £25,630 (2020-21: £9,924) could be paid out in bursaries to various professional nursing teams and individual nurses to improve nursing practice, now the programmes have been resumed. You can see an analysis of grants at note 8 to the accounts.

The charity made an overall deficit of £87,493 in 2021-22 (2020-21: deficit of £42,996) after a gain on investments of £14,208 but there was a surplus on our unrestricted activities of £47,320 after the gain on investments (2020-21: deficit of £82,004). All the overall charity deficit is therefore due to the washing through of expenditure from restricted funding received in advance in previous accounting periods. The 2021-22 result is a very encouraging outcome.

The charity’s balance sheet on page 29, shows a decrease in total funds due to the overall deficit and a decline in reliance on up-front grant funding; total funds were £446,025 in 2021-22 compared to £533,518 in 2020-21. 2021-22 has seen a further movement in the mix of unrestricted and restricted funds, and the trustees are monitoring this. Unrestricted funds strengthened to £239,885 from £192,565 in 2020-21 but after declining from £274,569 in the previous year. We anticipate a further strengthening of unrestricted funds in forthcoming years.

The trustees monitor financial performance closely through detailed quarterly management accounts and finance report, which includes six key performance indicators.

We are fortunate that the value of our investments recorded a modest growth despite another turbulent year on the markets.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Reserves Policy

Total reserves at the year-end amounted to £446,025 (2020-21: £533,518), being £206,140 (2020-21: £340,953) in restricted funds, £34,200 (2020-21: £4,200) in designated funds and £205,685 (2020-21: £188,365) in unrestricted funds. Details of the restricted and designated funds are given in note 15 and 16 to the accounts, respectively.

To date, it has been policy to maintain sufficient reserves at any one time to cover the projected running costs of the charity for the following 6 months. The Unrestricted Funds (including Designated Funds), which in the case of the Foundation equate to the ‘free reserves’ of the charity, amounted to £239,885 (2020-21: £192,565). These adequately meet this criterion and represent 6.36 months (2020-21: 6.61 months) of total expenditure, despite a significant increase in charitable activity and associated costs. The statement of cash flows shows that there was an outflow of cash reserves of £26,732 (2020-21: outflow £20,581) during the year. The trustees are happy with the level of reserves and consequently regard the charity as a going concern.

Investment powers and policy

The trustees seek to balance the liquidity requirements of the charity with their duty to ensure a suitable rate of return and income to the charity to develop its work for the public benefit. The trustees also take the level of unrestricted funds into account when deciding on the ratio between investments and funds held in fixed interest bonds, deposit, and current accounts.

The careful monitoring of the portfolio continues to strengthen returns and reduce risk in an often-turbulent market. The primary aim of the investments is to produce income whilst preserving the capital value of the funds. The trustees invite the current investment managers to meet with them periodically to discuss the portfolio and compare their plans with other managers in the market. The managers also provide quarterly reports. The charity has established a Finance and Investment sub-committee to consider various investment options for the charity’s reserves and to consider the balance between investments that produce a capital and income return with investments offering only deposit interest but complete protection from falls in the market.

The trustees have spread some of the liquid assets between institutions as a precautionary measure and to maximise income during a period when deposit rates are very depressed.

Principal Risks and Uncertainties

Over recent years FoNS has become more successful with generating unrestricted income.

However, with increased pressure on resources across health and social care and the ongoing effects of Covid-19, the availability of funds to support development opportunities for nurses may be affected. It will be important for FoNS to continue to demonstrate the impact and value for money of our programmes and support offer to maintain the uptake of school places and commissioned programmes, as well as continue to develop blended approaches, i.e., digital programmes and grow their cadre of associate facilitators.

FoNS continues to be a lean charity, with 6 staff and a small but growing number of Associate Facilitators. Our challenge for 2022-23 and beyond is to develop an organisational development strategy that will attract nurses into the charity sector.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Governance, Structure and Organisation

Governing Documents

The Foundation of Nursing Studies is a charity registered with the Charity Commission and a private company limited by guarantee. It is governed by its Trust Deed dated 28[th] May 1987 and Memorandum of Association, registered with Companies House on 18[th] June 1998.

Organisational Structure

The Board of Trustees meet quarterly to administer the charity. In addition, an investment and financial subcommittee has met, and a remuneration committee meets annually to review staff remuneration.

The Chief Executive Officer (CEO) was appointed by the Trustees to lead and manage the day-to-day operations. The Chairman leads an annual appraisal process for the CEO and all board members.

Appointment of Trustees

Trusteeships are reviewed by the Board of Trustees in line with Trusteeship policy and code of conduct. The Trustee Board approves the appointment all new Trustees. New Trustees are recruited through a process of advertising and interview or, where deemed appropriate, through a process of recommendation and interview. On appointment, all new Trustees meet the CEO and are given an information pack, which includes the code of conduct (a signed copy of which is retained), annual accounts and board papers including reports and minutes from the last year. A register of declared interests is also maintained. A Trustee induction and refresher programme with NCVO is planned for February 2023.

Risk Management

The Trustee Board reviews bi-annually the major strategic, business, and operational risks the charity faces and confirms that systems are in place to reduce risk and to ensure ongoing review and reporting. Risk assessment continues to identify income and finance as being the area of greatest threat.

Regarding investments, reports are received quarterly, and the Board meet with the investment manager to review performance against benchmarks and monitor risk management. Overall, the Board monitor closely external and internal financial management systems. The CEO and Treasurer meet and regularly review the financial management systems to ensure they remain transparent and robust.

Income Generation

Generating income to support activity remains a priority. FoNS remains most appreciative to Mrs Elizabeth Tompkins our long-term donor and to the Burdett Trust for Nursing.

We are keen to expand our offer of bespoke programmes of work and consultancy which help individuals and organisations strengthen their nursing and care improvement activity, contribute to a greater understanding of person-centredness and person-centred practice development and leadership. These activities contribute to unrestricted income generation.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Statement of Trustees’ Responsibilities to the Financial Statements

The charity trustees (who are also the directors of the Foundation of Nursing Studies for the purposes of company law) are responsible for preparing a trustees’ annual report and financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

Company law requires the charity trustees to prepare financial statements for each year which give a true and fair view of the state of affairs of the charitable company and of the incoming resources and application of resources, including the income and expenditure, of the charity for that period. In preparing the financial statements, the trustees are required to:

The trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time, the financial position of the charity and to enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charity and hence taking reasonable steps for the prevention and detection of fraud and other irregularities.

The trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company’s website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

Disclosure of Information to Auditors

In so far as the trustees are aware at the time of approving our trustees’ annual report:

Auditors

Haines Watts were reappointed auditors during the year and a resolution proposing that they be reappointed for the following year approved.

Approved and signed on behalf of the Foundation of Nursing Studies Board of Trustees

Name: Dr DAVID FOSTER OBE (Chair)

Date: 17 October 2022

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

INDEPENDENT AUDITORS' REPORT

To the Members of the Foundation of Nursing Studies

Opinion

We have audited the financial statements of the Foundation of Nursing Studies (the ‘charitable company’) for the year ended 31 January 2022 which comprise the Statement of Financial Activities, Statement of Financial Position, the Statement of Cash Flows, and notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice), including Financial Reporting Standard 102 ‘ The Financial Reporting Standard applicable in the UK and Republic of Ireland ’.

In our opinion the financial statements:

Basis for opinion

We conducted our audit in accordance with International 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 charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the trustees' use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charitable company's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

Other information

The trustees are responsible for the other information. The other information comprises the information included in the trustees’ annual report, other than the financial statements and our auditor’s report thereon.

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 statements, 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 otherwise 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 a material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

INDEPENDENT AUDITORS' REPORT

To the Members of the Foundation of Nursing Studies cont.

Opinions on other matters prescribed by the Companies Act 2006

In our opinion, based on the work undertaken in the course of the audit:

Matters on which we are required to report by exception

In the light of our knowledge and understanding of the charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the Report of the Trustees.

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our opinion:

Responsibilities of trustees

As explained more fully in the Statement of Trustees’ Responsibilities set out on page 23, the trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the trustees are responsible for assessing the charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so.

Our responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue a Report of the Independent Auditor 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.

We obtained an understanding of the legal and regulatory framework applicable to both the charity itself and the environment in which it operates. We identified areas of laws and regulations that could reasonably be expected to have a material effect on the financial statements from our sector experience and through discussion with the trustees and other management. The most significant were identified as the Companies Act 2006, Charity SORP (FRS102) and Charities Act.

We considered the extent of compliance with those laws and regulations as part of our procedures on the related financial statements. Our audit procedures included:

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

INDEPENDENT AUDITORS' REPORT

To the Members of the Foundation of Nursing Studies cont.

Despite the audit being planned and conducted in accordance with ISAs (UK) there remains an unavoidable risk that material misstatements in the financial statements may not be detected owing to inherent limitations of the audit, and that by their very nature, any such instances of fraud or irregularity likely involve collusion, forgery, intentional misrepresentations, or the override of internal controls.

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at www.frc.org.uk/auditorsresponsibilities. This description forms part of our Report of the Independent Auditors.

Use of our report

This report is made solely to the charitable company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable company’s members those matters we are required to state to them in an auditors’ report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company’s members as a body, for our audit work, for this report, or for the opinions we have formed.

Signed: …………………SUSAN PLUMB……………………………………………………… Dated: October 2022

Susan Plumb ACA (Senior Statutory Auditor)

for and on behalf of

Haines Watts Chartered Accountants & Statutory Auditors

Old Station House, Station Approach, Newport Street, Swindon, SN1 3DU.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Statement of Financial Activities

(Incorporating an Income Statement)

Year ended 31 January 2022

The statement of financial activities includes all gains and losses recognised in the year. All income and expenditure derive from continuing activities.

Notes
Unrestricted
Funds
Restricted
Funds
Income
£
£
Donations & legacies
2
51,639
-
Income from charitable activities
3
164,643
126,840
Income from other trading activities
4
-
-
Investment income
5
7,621
-		 Total
2022
Total
2021
(Note 19)
£
£
51,639
61,470
291,483
231,068
-
55
7,621
9,067
Total income
223,903
126,840		 350,743
301,660
Expenditure
Costs of raising funds:
Costs of generating activity income
-
-
Investment management costs
2,170
-
Expenditure on charitable activities
Improving Practice Programmes
6 & 7
-
261,653
Sharing Knowledge and Networking
6 & 7
188,621
-		 -
73
2,170
2,085
261,653
125,549
188,621
221,646
Total expenditure
190,791
261,653		 452,444
349,353
Net income/(expenditure) before gains and
losses on investments
33,112
(134,813)
Transfers between funds
-
-
Net gain/(loss) on investments
12
14,208
-		 (101,701)
(47,693)
-
-
14,208
4,697
Net movement in funds
47,320
(134,813)
Reconciliation of funds:
Fund balances on 1 February
192,565
340,953		 (87,493)
(42,996)
533,518
576,514
Fund balances carried forward on 31st January
239,885
206,140		 446,025
533,518

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Summary Income and Expenditure Account

Year ended 31 January 2022

2022 2021
£ £
Total income 350,743 301,660
Less: Total expenditure from income funds 452,444 349,353
Net income/(expenditure) for the year before gains (101,701) (47,693)

The summary income and expenditure account is derived from the statement of financial activities on page 27, together with the notes on pages 30 to 36, provides full information on the movement during the year on all funds of the charity.

Statement of Recognised Gains and Losses

Year ended 31 January 2022

2022 2021
£ £
Net income/(expenditure) for the year before gains and (101,701) (47,693)
losses on investments (page 27 & above)
Add: Realised gains/(loss) on disposal of investments 105 (2,990)
Add: Unrealised gains/(loss) on investment assets held by 14,103 7,687
income funds,after costs
Net movement in funds foryear(page 27) (87,493) (42,996)

Statement of Cash Flows

Year ended 31 January 2022

Statement of Cash Flows
Year ended 31 January 2022
2022 2021
£ £
Cash flows from operating activities:
Reconciliation of net movement in funds to net cash flow from operating activities
Net movement in funds (page 27 and above) (87,493) (42,996)
Add: depreciation - -
Deduct interest & dividend income in investing activities (7,621) (9,067)
Deduct (gain)/add loss on disposal of investments (105) 2,990
Deduct (gain)/ add loss on revaluation of investments (14,103) (7,687)
Decrease/ (increase) in debtors 6,360 (40,949)
Increase/ (decrease) in creditors 60,042 42,303
Cash used in operating activities A (42,920) (55,406)
Cash flows from investing activities:
Income from interest & dividends 7,621 9,067
Proceeds from sales of investment assets 32,486 56,285
Purchase of investment assets (23,919) (30,527)
Cash provided by/ (used in) investing activities B 16,188 34,825
Cash flows from financing activities C - -
Increase/(Decrease) in cash and cash equivalents in the year(A+B+C) (26,732) (20,581)
Total cash and cash equivalents at the beginning of the year 269,680 290,261
Total cash and cash equivalents at the end of the year (page 29) 242,948 269,680

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Balance Sheet (Statement of Financial Position)

Year ended 31 January 2022

Notes
2022
£
2022
£
Fixed assets
Tangible Assets
11
100
Investments
12
309,845		 2021
£
100
304,204
Total fixed assets
309,945		 304,304
Current assets
Debtors
13
43,135
Cash at bank
242,948		 49,495
269,680
Total current assets
286,083		 319,175
Liabilities
Creditors: Amounts falling due within one year
14
150,003		 89,961
Total current liabilities
150,003		 89,961
Net current assets
136,080		 229,214
Total assets less current liabilities (net assets)
446,025		 533,518
Funds
Unrestricted income funds
205,685
Designated Income Funds
16
34,200		 188,365
4,200
Total unrestricted funds
239,885		 192,565
Restricted income funds
15
206,140		 340,953
Total funds
446,025		 533,518

The accounts were approved by the Board of Trustees on 17 October 2022 and signed on their behalf by:

DR DAVID FOSTER OBE TIM CALLAGHAN Trustee and Director Trustee and Director Company Number: 3583949 Charity Number: 1071117

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Notes to the Accounts

Year ended 31 January 2022

1. Accounting policies

Basis of preparation

Income

Expenditure and irrecoverable VAT

Allocation of support costs

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Notes to the Accounts

Year ended 31 January 2022

1. Accounting policies cont.

Fund accounting

Operating leases

Tangible fixed assets

Investment valuation

Debtors & prepayments

Cash at bank and in hand

Creditors and provisions

Pensions

Currency

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Notes to the Accounts

Year ended 31 January 2022

2. Income from donations & legacies
Unrestricted
Funds
£
Restricted
Funds
£
Total
2022
£
Tompkins Foundation
20,000
-
20,000
HM Treasury – Job Retention Scheme Grant
935
-
935
Legacy income
30,400
-
30,400
Other donations
304
-
304		 Total
2021
£
20,000
41,392
-
78
51,639
-
51,639		 61,470
3. Income from charitable activities
Unrestricted
Funds
Restricted
Funds
Total
2022
Grant income:
£
£
£
Burdett Trust for Nursing – Inspire Improvement
-
102,016
102,016
Tavistock & Portman NHSFT with Burdett Trust for Nursing
– Resilience Based Clinical Supervision
-
19,824
19,824
NHS Improvement – Learning Disability
-
-
Richard Tompkins Nurse Development Scholarship
-
5,000
5,000
NHS Improvement – Learning Disability Review
-
-
Journal of Research in Nursing
-
-
-
Queen Margaret University – Sue Pembrey Award
-
-
-
IPDJ members’ contributions
15,000
-
15,000		 Total
2021
£
-
-
149,950
5,000
5,000
3,769
838
19,520
Total Grants & members’ contributions
15,000
126,840
141,840
IPDC professional development schools
-
-
-
Resilience Based Clinical Supervision workshops
106,980
-
106,980
Other workshops & development consultancy
42,663
-
42,663		 184,077
-
45,783
1,208
164,643
126,840
291,483		 231,068
4. Income from other trading activities
Unrestricted
Restricted
Total
Funds
Funds
2022
£
£
£
Partners’ sponsorship fees
3rdParty Commissions & market research fees
Sales of cards and books
-
-
-
-
-
-
-
-
-		 Total
2021
£
-
5
50
-
-
-		 55
5. Investment income
Unrestricted
Restricted
Total
Funds
Funds
2022
£
£
£
Dividends received
7,013
-
7,013
Bank interest
608
-
608		 Total
2021
£
7,880
1,187
7,621
-
7,621		 9,067
6. Analysis of expenditure on charitable activities
Activities
undertaken
directly
Grant Funding
Activities
(Note 8)
Total
2022
Activities
- FoNS Improving Practice Programmes
236,023
25,630
261,653
- Sharing knowledge and networking
188,621
-
188,621		 Total
2021
125,549
221,646
424,644
25,630
450,274		 347,195

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Notes to the Accounts

Year ended 31 January 2022

7. Analysis of activities, support & governance costs
Improving practice
programmes
£
Sharing knowledge
& networking
£
Total
2022
£
Direct cost of activities
236,023
124,968
360,991
Grants awarded (note 8)
25,630
-
25,630
Charitable support costs
-
53,898
53,898
Governance costs
-
9,755
9,755		 7. Analysis of activities, support & governance costs
Improving practice
programmes
£
Sharing knowledge
& networking
£
Total
2022
£
Direct cost of activities
236,023
124,968
360,991
Grants awarded (note 8)
25,630
-
25,630
Charitable support costs
-
53,898
53,898
Governance costs
-
9,755
9,755		 Total
2021
£
278,259
9,924
49,243
9,769
261,653
188,621
450,274		 347,195
8. Charitable Activities
Grants
Analysis of Grants/Bursaries Awarded through FoNS’ Improving Practice Programmes:
3 co-facilitator bursaries - year 1
Inspire Improve 2017-18
3,523
4 bursary payment – year 2 participants
Inspire Improve 2018-19
3,675
7 bursary payments – year 3 participants
Inspire Improve 2019-21
3,700
11 bursary payments – year 4 participants
Inspire Improve 2021-22
5,500
Total of 25 bursaries for Inspire Improve – years 1 to 4
Inspire Improve
Analysis of Grants/ Bursaries Awarded through FoNS’ Learning Disabilities Programme:
30 bursary payments for Learning Disabilities cohorts 1 and 2		 Total
16,398
9,232
Total Grants 25,630
9. Employees, trustees’ expenses & related parties
Number of employees: average number of employees was
Engaged in charitable work
Administrative support		 2022
No
4.5
1		 2021
No
4
1
5.5 5
Employment costs
2022
£
Wages and Salaries
216,514
Pension Costs
20,816
Social security costs
24,314
Less: Employment allow
(4,000)		 2021
£
210,076
17,116
20,832
(4,000)
Total Costs
257,644		 244,024

One employee earned over £60,000 and within the band £80-£90,000 (2021 – one in band £70-80,000). The Chief Executive is considered to represent the key management of the charity and the remuneration in 2021-22 of key management, including pension contributions and employer's NIC costs, totalled £90,282 (2020-21: £80,680).

None of the trustees received any remuneration during the year. Trustees were reimbursed £0 (2021 - £0) for refreshments at and travel expenses to board meetings. £750 was spent on trustee training and development in 2021-22. There were no related party transactions.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Notes to the Accounts

Year ended 31 January 2022

10. Auditor’s remuneration
Audit fee
Other services paid by auditors		 2022
£
3,240
-		 2021
£
2,970
-
Total fees 3,240 2,970
11. Tangible assets
Cost as of 1 February 2021
Disposals		 Computers
& Office
equipment
£
2,000
-
Cost as of 31 January2022 2,000
Depreciation as of 1 February 2021
Disposals
Depreciation for theyear		 1,900
-
-
Depreciation as of 31 January 2022 1,900
Net book value as of 31 January2022 (& 2021) 100
12. Investments
Carrying value (market value) 1 February
Additions to Brewin Dolphin portfolio at cost
Addition of COIF Charities Ethical Investment Fund, at cost
Disposals at carrying value
Net unrealised gain/(loss) on revaluation on 31 January		 2022
£
304,204
23,919
-
(32,381)
14,103		 2021
£
325,265
30,527
-
(59,275)
7,687
Market Value 31 January 309,845 304,204
Historical cost of Investments
Opening book cost on 1stFebruary
Additions at cost
Disposals at cost		 £
239,908
23,919
(24,786)		 £
268,036
30,527
(58,655)
Closing book cost on 31stJanuary 239,041 239,908
Gains/(losses) in year:
Unrealised gains/(losses) on revaluation of investments to market value
Realisedgains/(losses) on disposal of investments duringtheyear		 £
14,103
105		 £
7,687
(2,990)
Overall gains/(losses) for year 14,208 4,697
13. Debtors
Other debtors
Prepayments & accrued income		 2022
2021
£
£
33,032
42,327
10,103
7,168
43,135
49,495
Income is accrued when work has been carried out in connection with practice development or other areas, but the costs are not billed
until after the year end. An appropriate level of income is therefore accrued.
14. Creditors
2022
2021
£
£
Tax and social security costs
7,007
5,857
Other creditors
6,498
6,684
Accrued charges & deferred income
136,498
77,420
150,003
89,961

Income is deferred where it has been received in advance for performance of development work in the following financial period. Any deferred income reverses in the next period and is released to income as the work is performed.

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Notes to the Accounts

Year ended 31 January 2022

15. Restricted funds

15. Restricted funds
Balance at 1
Feb 2021
£
Grants & other
Income
£
Expenditure
£		 Funds
Transfers
£
Balance at
31 Jan
2022
£
FoNS Improving Practice Programmes
Inspire Improvement
(Burdett Trust for Nursing)
94,731
102,016
88,729
Learning Disability
(Burdett Trust & NHS Improvement)
208,934
-
125,684
Teaching Care HomesPractice Development
Programme(Care England)
9,053
-
9,053
Journal of Research in Nursing
3,191
-
464
Learning Disability Review
(NHS Improvement)
5,000
-
5,000
Practice Development
(Barking, Havering & Redbridge UH)
5,794
-
5,794
Resilience Based Clinical Supervision
(Portman & Tavistock NHSFT & Burdett)
-
19,824
19,824
Resilience Based Clinical Supervision
Resources(Nottingham University)
6,282
-
1,567
Richard Tompkins Scholarship*
7,968
5,000
5,538		 -
108,018
-
83,250
-
-
-
2,727
-
-
-
-
-
-
-
4,715
7,430
340,953
126,840
261,653		 206,140

*FoNS Improving Practice Programmes support individual practitioners and teams to focus on improving patient care, through the small grants, developing practice programmes and expert facilities.

16. Designated funds

16. Designated funds
Balance at
1 Feb 2021
Incoming
Funds
Charitable
Expenditure
1) Estate of Kathleen Jacques
4,200
-
-
2) IPDJ/iCOP contributions
-
15,000
15,000
3)FoNS Development Fund
-
-
-		 Funds
Transfers
Balance
at 31 Jan
2022
(4,200)
-
-
-
34,200
34,200
4,200
15,000
15,000		 30,000
34,200

Designated Funds:

1) FoNS received a legacy from the late Kathleen Jacques. The board decided that the small remaining balance on this fund should be transferred to the new Development fund.

2) Contributions are received to produce the International Professional Development Journal and these and the associated costs are shown separately in a designated fund.

3) The FoNS Development Fund, funded by legacies to FoNS, was established by the trustees to provide seed funding to develop future programmes and other charity projects such as I.T. and website development.

17. Analysis of net Assets between funds
Restricted
Funds
£
Designated
Funds
£
Unrestricted
Funds
£
Fund balances on 31 January 2021 are represented by:
Fixed assets
-
-
309,945
Cash at bank and in hand
208,098
34,700
150
Other current assets
9,017
-
34,118
Creditors: amounts fallingdue within oneyear
(10,975)
(500)
(138,528)		 Total
2022
£
309,945
242,948
43,135
(150,003)
206,140
34,200
205,685		 446,025

THE FOUNDATION OF NURSING STUDIES (FoNS) (A registered charity and private company limited by guarantee)

Notes to the Accounts

Year ended 31 January 2022

18. Operating Leases

The charity had total commitments under non-cancellable operating leases as detailed below:

18. Operating Leases
The charity had total commitments under non-cancellable operating leases as detailed below:
2022
Operating leases which expire:
£
Within one year
-
Between two and five years
-		 2021
£
17,768
-
- 17,768

19. Analysis of restricted & unrestricted funds in comparative year (2021)

19. Analysis of restricted & unrestricted funds in comparative year (2021)
Notes
Unrestricted
Funds
£
Restricted
Funds
£
Income
Donations & legacies
2
61,470
-
Income from charitable activities
3
66,511
164,557
Income from other trading activities
4
55
-
Investment income
5
9,067
-		 Total
2021
£
61,470
231,068
55
9,067
Total Income
137,103
164,557		 301,660
Expenditure
Costs of raising funds:
Costs of generating activity income
1,027
-
Investment management costs
2,262
-
Expenditure on charitable activities
Improving Practice Programmes
6 & 7
-
125,549
Sharing Knowledge and Networking
6 & 7
221,646
-		 73
2,085
125,549
221,646
Total expenditure
223,804
125,549		 349,353
Net income/(expenditure) before gains and
Losses on investments
(86,701)
39,008
Transfers between funds
-
-
Net (loss)/gain on investments
12
4,697
-		 (47,693)
-
4,697
Net movement in funds
(82,004)
39,008
Reconciliation of funds:
Fund balances on 1 February
274,569
301,945		 (42,996)
576,514
Fund balances carried forward on 31st January 2021
192,565
340,953		 533,518

20. Legal status of the Foundation

The charity is a company limited by guarantee and has no share capital. In the event of the charity being wound up, the liability in respect of the guarantee is limited to £1 per member of the charity.

21. Corporation taxation

The charity is exempt from tax on income and gains falling within section 505 of the Income and Corporation Taxes Act 1988 or section 252 of the Taxation of Chargeable Gains Act 1992 to the extent that these are applied to its charitable objectives.