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2023-03-31-accounts

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Matron and Ward
Sister at Dougie Mac
in the 1980’s
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Annual Report and Financial Accounts 2022-2023

Our Vision is… to be admired as a centre of excellence for pallia�ve and end of life care.

Our Mission is… to respond to the increasing needs of those in our care across our heartland by growing as a sustainable organisa�on delivering outstanding value for money for all our funding sources and always remaining true to our core values.

Care Services Page 11-26
Support Services Page 27-40
Income Genera�on Page 41-50
What’s Next Page 51-52
Trustees’ Report & Financial Page 53-87
Statements 2022/2023

CEO Report

In celebra�ng our 50th anniversary this year of the incep�on of Douglas Macmillan “Home” in 1973, our contemporary hospice, Dougie Mac, con�nues to exert an excep�onal influence on the lives of local people in our community who rely on our specialist, pallia�ve and End of Life care. The occasion of our 50th birthday has enabled our hospice to reflect on our pivotal posi�on in the local health system, but also to look ahead to ways in which we can extend that influence and play an even greater role in the emerging Integrated Care System in Stoke and Staffordshire.

excellent care, Dougie Mac is well placed to spearhead changes which will enhance access to the uniquely pa�ent-centric nature of hospice care. At the core of hospice care is our holis�c approach which enables Dougie Mac to help our pa�ents “live with” not just “die of” a terminal illness. Our commitment to holis�c, hospice care

was empha�cally demonstrated this year with the relaunch of a suite of Wellbeing Services which had been largely curtailed during the Covid19 pandemic. From group sessions which are available to pa�ents and carers dealing with specific diagnoses (e.g. Motor Neurone Disease and demen�a) through to services such physiotherapy, bereavement counselling, complementary therapies and family support, Dougie Mac has not only emerged with vigour from those Covid19 constraints, but we have modernised and widened our services to reach more people far earlier in their journey of coping with a life-limi�ng illness.

Consequently, whilst enjoying our landmark celebratory year, we have equipped the hospice, through substan�al investment in staffing resources, to forge an even more influen�al future where more local people can experience the pallia�ve care and End of Life care for which Dougie Mac is rightly renowned.

David Webster, Chief Execu�ve

Service Delivery Map

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Dougie Mac Shops
Adult and Children’s Services
Children and Young Adults Services only
(Adult Services provided by other regional hospices)
Adult Services amnd Wellbeing Centre
SK17
Children and Young Adult Services
ST13
ST8
ST9
ST7
ST6
ST1
ST2
CW3
DE6
ST5 ST10
ST4 ST3
ST11
ST12
ST15
ST14
ST18
ST16
ST20
DE13
ST17
WS15
ST19
WS12
WS13
WS11
WS7
WV10 B79
WV8
WS6
WV9 WS8 WS14
WV7
WV11 WS3
B77
B78
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CQC Latest Results

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IN THE COMMUNITY

Our first Palliative Care Nurse Specialists were appointed to see patients and offer support to more people facing a terminal diagnosis.

From our simple beginnings 50 years ago, our staff and volunteers have dedicated themselves to delivering the very best palliative care for incurable conditions to meet the ever-changing needs of the local community.

As The Douglas Macmillan Home we cared for 315 patients in what is now our Inpatient Services for end of life care.

WE’RE OPEN

DAY CARE

A new service became operational to offer symptom control and recreational activities. Remodelled in 2023 as Wellbeing Services.

NEW NAME

Douglas Macmillan Home became Douglas Macmillan Hospice – now we’re Dougie Mac .

launched, a

MORE SUPPORT

DONNA LOUISE

Local children’s hospice Donna Louise Trust was founded for families who needed it.

Services for patient wellbeing now include complementary therapies, physiotherapy, counselling and bereavement support, spiritual and social care.

24/7 ADVICE

We launched our 24/7 Advice Line to provide patients, carers or healthcare professionals with specialist palliative care advice anytime they needed it.

YOU’RE HIRED

We appointed our first Admiral Nurse as demand increased for expert, practical, clinical and emotional support for families living with dementia .

FIRST CONSULTANT

Appointed to enhance and lead on specialist end of life care.

NOT JUST CANCER

We began to care for patients with other life-limiting illnesses including heart disease, motor neurone disease and respiratory illnesses like COPD.

YOUNG ADULTS

CHILDREN’S CARE

Dougie Mac took over local children’s hospice Donna Louise Trust, now Dougie Mac Children’s Services, ensuring children’s care continued in North Staffordshire and surrounding areas.

ovative service

Care remodelled for those moving on from children’s services taking total numbers cared for by Dougie Mac to over 3,000 .

WE’RE FIFTY

Thanks to unwavering local support, Dougie Mac turns 50 , committed to being there wherever and whenever people need us.

24/7 ADVICE LINE: 01782 344 300

Dougie Mac @ 50

In February 2023 we marked the 50th birthday of Dougie Mac Hospice which was officially opened on Valen�ne’s Day in 1973 by Princess Alexandra. It was a special opportunity to celebrate the expert care that we have provided to the community of Stoke-on-Trent, North Staffordshire and surrounding areas for the last 50 years. From small beginnings caring for 315 people in 1973, Dougie Mac has blossomed into a well-respected and much-loved organisa�on, now caring for more than 3,000 local people and their families each year who are living with life-limi�ng illnesses.

We introduced a new design to our Everlas�ng Flowers collec�on to commemorate our 50th birthday. Kindly manufactured by KMF Metal, the limited edi�on metal celebra�on sunflower has stunning metallic gold petals contrasted with a black centre featuring cut-out stars.

Our golden celebra�ons were a whirlwind of memories, celebra�ons and big plans for the future. We had a variety of events including a spectacular Birthday Ball and a Through the Decades Fashion Show which raised funds for our expert care services as well as a marquee on site at the hospice with lots of events to say ‘thank you’; from a�ernoon teas and pie and pea suppers to business breakfasts and our Songs Through the Decades concert - we really did go all out!

Birthday Event Guests

Big Marquee Venues Events thank yous

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THURSDAY 16TH FEBRUARY

TUES 14 FEB

Thank you event for local solicitors who support our Make A Will Month campaigns

WEDNESDAY 22ND FEBRUARY

Wine & cheese evening with Jackie Malton for our legators

MONDAY 27TH FEBRUARY

A�ernoon tea for our Demen�a pa�ents and carers

TUESDAY 28TH FEBRUARY

Michelin Chefs Celebra�on Dinner

We also launched a commemora�ve 50th birthday badge which features golden edging and a heart represen�ng our hospice values of care and compassion.

WEDNESDAY 1ST MARCH

Virtual Tour & Thank you to our Trusts and Grants supporters

FRIDAY 3RD MARCH

Business Breakfast

FRIDAY 10TH MARCH

Dougie Mac Day

FRIDAY 10TH MARCH

Through the Decades Fashion Show

WEDNESDAY 15TH MARCH

Donors Cheese & Wine evening with our Director of Care

Biodegradeable Balloons

SATURDAY 18TH MARCH

Community Fayre for our neighbours

MONDAY 20TH MARCH

Cakes & a Cuppa for our community pa�ents and their families

MONDAY 20TH MARCH

Pie and Pea Supper for our volunteers

TUESDAY 21ST MARCH

Cream Tea with our CEO for those who have le� a gi� in their Will

Drinks served

WEDNESDAY 22ND MARCH

Songs through the decades concert for people who have fundraised for the hospice

THURSDAY 23RD MARCH

Thank you brunch for volunteers

THURSDAY 23RD MARCH

Cream Tea for local dignitaries and charitable groups

FRIDAY 24TH MARCH

Plates Served

Thank you event for our Lo�ery players

FRIDAY 24TH MARCH

50th Birthday Ball

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Il Image by Shineknhotogrpahy

In our 50th year we also built on our fantas�c partnerships with local businesses including gin school and micro-dis�llery, Gin Jamboree and local po�ery giants, Moorcro�.

Gin Jamboree

lovingly handcra�ed this special limited edi�on gin, served in a keepsake bo�le. Infused with Bri�sh berries, this flavoursome gin is presented in a beau�fully decorated Wade Ceramic glazed bo�le. 15% from every bo�le sold is donated to Dougie Mac.

Moorcro�

Inspired by Dougie Mac’s 50 years of care, local po�ery firm Moorcro� created an outstanding commemora�ve collec�on of limited edi�on pieces inspired by the language of flowers. Moorcro�’s Floriography Collec�on uses symbolic meanings to various flowers; words used to describe the hospice such as kindness, compassion and dignity are now encapsulated in a floral design. Every piece from the Floriography Collec�on will raise much needed funds to run Dougie Mac.

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Dougie Mac Directors

Director of

Income Genera�on

David Webster CQC Nominated Individual,

Karen McKenzie Lo�ery License Holder,

Director of Care

Medical Director

Janne�e McCartney Registered Manager, Controlled Drugs

Emer Cunningham McKenna

Caldico� Guardian

Director of HR and Support Services Cris Hammond Freedom to Speak up Guardian

Director of Finance Vicki Dean

Safeguarding

The hospice promotes across all areas that abuse is not acceptable and that safeguarding is everyone’s responsibility, this is supported by the Learning & Development team from a training perspec�ve as well as 4 safeguarding leads within our care services who are available for advice.

The hospice commits to promote a safe environment and culture, raises awareness of safeguarding with staff and volunteers, respond promptly to every safeguarding concern or allega�on, safely recruit and support all staff who work with children and vulnerable adults and care appropriately for individuals affected by abuse.

A safeguarding working group meets every quarter to ensure safeguarding remains at the forefront of people’s minds.

Research

We’re keen to work with local and na�onal health bodies to make advancements in research in life-limi�ng illnesses and pallia�ve care. During 2022-23, we played an ac�ve role in the following research projects:

1. CHELsea II: A cluster randomised trial of clinically assisted hydra�on in pa�ents in the last days of life. The aim of the study is to assess whether giving pa�ents in the last days of life fluids via a drip is effec�ve at preven�ng them from developing delirium / terminal agita�on.

2. experience of LGBTQ+ inequali�es in UK pallia�ve care services. A survey of staff and volunteers at the hospice and other regional hospices, aiming to explore LGBTQ+ inequali�es, or the percep�on of inequali�es, that staff experience or observe whilst working in pallia�ve care services.

Governance

Dougie Mac is governed by the Board of Trustees, who are responsible for the Strategy and Governance of the hospice. The Board is supported in its decision-making by the recommenda�ons of 7 Governance Groups (sub-commi�ees). Membership of each Commi�ee varies, with each containing Trustees, Directors and department heads:

Investments, Finance & Internal Audit

financial statements are accurate; financial controls are in place; internal and external audits are effec�ve; monitoring the hospice’s investment por�olio; relieving the financial risk assessment data.

People & Values

Responsible for overseeing all policies and processes rela�ng to Dougie Mac employees, including the applica�on of Dougie Mac’s values; monitoring key performance indicators; ensuring that the hospice is managing people issues effec�vely and ensuring there is an effec�ve annual performance process.

Clinical Governance

Responsible for ensuring that Dougie Mac is compliant with all statutory requirements associated with the services being provided and to provide assurance to the Board of Directors that the hospice has an effec�ve and robust framework for ensuring clinical governance, quality, pa�ent safety and clinical standards.

Corporate Governance

Responsible for overseeing Dougie Mac’s sub-commi�ees, promo�ng, and embedding the highest standards of corporate governance. Ensuring that sub-commi�ees are opera�ng effec�vely and efficiently and that succession plans are in place.

Responsible for exercising strategic direc�on and governance for the Dougie Mac shops and associated trading ac�vi�es, so as to op�mise profitability. To ensure proper management systems and processes are in place to comply with legal requirements and reflec�ng an annual risk assessment of the business.

The purpose of the Board is to exercise strategic direc�on and governance for Dougie Mac Lo�ery and associated gambling ac�vi�es, so as to op�mise profitability. To ensure proper management systems and processes are in place to comply with legal requirements and reflec�ng an annual risk assessment of the business.

Informa�on Governance

Responsible for ensuring the hospice is compliant with all statutory requirements regarding data protec�on and informa�on security ma�ers and to provide assurance to the Board of Trustees that effec�ve and robust mechanisms are in place.

Following a comprehensive external audit undertaken in March 2022, Dougie Mac were noted as compliant with a good level of assurance that the current processes and procedures in place deliver data protec�on compliance. The assessment found that our strengths included effec�ve leadership, robust policies and security and comprehensive audit procedures.

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Adul Ivices

Inpatient Services

pa�ents who require symptom control to help stabilise their condi�on before returning home. Our skilled, mul�-disciplinary team are on hand 24 hours a day, 7 days a week; providing exemplary personalised care to ensure the safety, comfort and dignity of our pa�ents.

Our Inpa�ent Unit has 26 single occupancy rooms to maintain the privacy of our pa�ents and their loved ones. All rooms include modern, accessible bathroom facili�es, a TV, radio, WIFI connec�vity and a pa�o area which overlooks the hospice gardens and nearby countryside.

Total referrals of patients referred were admitted within 2 days

patients were admitted for 15 days or less

the Inpa�ent Services. We recognised the need for specialised development of our Inpa�ent unit staff and recruited a Prac�ce Development Lead Nurse supported by a Prac�ce Development Facilitator. These appointments help ensure that our staff are prepared to care for the increased complexity of our pa�ents. They support staff and student placements through specialist training, clinical skills sessions, competency development and reflec�ve prac�ce. They are an asset to the hospice and role model for our staff.

We are commi�ed to nurturing our own talent and upskilling our team that’s why we introduced a Nurse Associate Scheme at Dougie Mac. We are proud to have 3 Registered Nurse Associates, 1 Trainee Nursing Associate and our very first Nurse Degree Appren�ce who all started their �me at Dougie Mac as Healthcare Support Workers and are now working towards building on their previous learning and qualifica�ons. Introducing the scheme has been a real success and opportunity for our staff to develop and grow within our inpa�ent services whilst u�lising funding from the appren�ceship levy.

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Sam’s Story

In March 2021, Sam was diagnosed with several tumours in his brain. Later in 2021, we were referred to Dougie Mac who helped in turning our dark days a li�le brighter. Sam was admi�ed to Dougie Mac’s Inpa�ent Unit in May 2022 and for the first �me since his

diagnosis, I felt like his wife again – not just his carer.

The nursing team were incredible and did everything they could to make me, Sam and our 3 year old daughter Pennie comfortable and happy. They’d visit us on their breaks to check how we all were and surprised Pennie with toys and magic tricks to keep her entertained. Sam even got to have his favourite takeaway when he was craving a burger and chips.

The hospice gave us the opportunity to spend quality �me together and make precious memories which I’ll treasure forever. Sam died on July 29th 2022 aged just 35.

The hospice didn’t feel like a sad place. It felt like home.

- Hollie Cookson, Sam’s Wife

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Community Services

We are more than just our hospice site... We’re comfort, dignity and compassion wherever our pa�ents need us. That’s why we offer care to our community 24 hours a day, 7 days a week. Whether that’s over the phone or a visit at home; our community services offer pa�ents more choice about the care they receive. Whenever, wherever, we are here for you.

A large propor�on of our care happens in our pa�ents’ own homes, with more than 2,000 referrals into our community services team between April 2022 and March 2023. Several teams work together to ensure that our pa�ents and their families get the right support, at the right �me, by the right people. Our team of visi�ng Pallia�ve Care Nurse Specialists and Senior Healthcare Support Workers work closely with GPs to provide support with complex issues, including unmanaged symptoms and social, psychological and spiritual concerns.

For pa�ents in the last two weeks of their life our Hospice at Home service provides prac�cal support and emo�onal care for them, their carers and families. This service allowed more than 90% of pa�ents to die in their preferred place of care, at home, an increase of 13.1% from the previous year.

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Advice Line

Our advice line operates 24 hours a day, 7 days a week, allowing us to be there for pa�ents and healthcare professionals, over the phone, day or night. During the period from April 2022 - March 2023 our advice line received 10,845 calls, an increase of 72% from pre-covid (2019/2020), with 28% of calls at the weekend or on Bank Holidays.

The advice line has helped me so much, especially in a few “panic” calls I had to make. Very good to know the support, excellent advice and informa�on were always there at any �me. Thank you.

Family quote

Admiral Nurses

We employ three Admiral Nurses who are registered nurses who specialise in demen�a. They help carers gain the necessary skills to assist with demen�a care, promo�ng posi�ve approaches in living well with demen�a and improving the quality of life for everyone involved.

Gordon’s Story

When Gordon Shaw lost his wife of 62 years in 2019, sadly he never really got over the loss. He’d always been pre�y fit and healthy, but following a fairly rou�ne opera�on in October 2021, he never fully recovered and his health began to deteriorate quite quickly. A�er a short stay in hospital Gordon’s family were shocked when he was referred to Dougie Mac. They were aware that their Dad wasn’t well, but had never imagined that he needed the care and support of the hospice.

“Ini�ally, and reluctantly, we got in touch with the hospice at home team who arranged fortnightly visits to see Dad at home. Knowing that we had someone we could contact, no ma�er what �me of day or night it was, was an absolute lifeline. The team were so reliable – if they said they’d call us, they would, we never had to chase them. The support we all received was great.”

“The most important thing for us was that we could all be with Dad, at home, which is where he wanted to be. There weren’t any restric�ons on who could be there, the whole family, as well as friends and neighbours were able to visit him to say goodbye. Dougie Mac gave us the chance to be together as a family.”

Gordon’s Daughters, Liz & Anne

Wellbeing Services

Wellbeing is an intrinsic posi�ve outcome that is meaningful for each individual pa�ent, their carers and family. Wellbeing integrates mental (mind) and physical (body) health resul�ng in a holis�c rehabilita�ve approach to care at Dougie Mac. Our Wellbeing Services are an integral internal partner to the Inpa�ent Services and Community Services.

Wellbeing Centre

Our vision is to provide an accessible wellbeing programme and centre, striving for an inclusive, informa�ve and beneficial service to our Dougie Mac pa�ents, their carers and families, and external partners suppor�ng people with a life-limi�ng or pallia�ve illness.

Over the last year, we have re-built our wellbeing programme following the closure of our day therapy services as a consequence of the Covid-19 pandemic.

including a cra� club, gardening group, music group and walking club; all of which aim to enhance and boost wellbeing of our pa�ents and their families.

addi�onal groups in community centres in Staffordshire to enable us to reach families living in more rural areas.

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We enjoy coming here, we get a
lot of answers and reassurance,
we enjoy the companionship of
others who understand what we
are feeling. It helps so much and
we hope the group continues. The
staff are fabulous.
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Therapies Team
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Our Therapies services include physiotherapy, lymphoedema clinics, complementary therapy and occupa�onal therapy that provide integrated and coordinated rehabilita�ve therapy to support pa�ent independence and relieve and managed debilita�ng symptoms associated with a life-limi�ng illness.

Emotional and Spiritual Support Team

The Emo�onal and Spiritual Support Team includes counselling and bereavement support and Spiritual, Pastoral and Religious Care Services and our vision is to provide an inclusive, accessible all-age service, responsive to individual need, integrated across the range of hospice services, understood and supported by

Patient and Family Support Team

Within the Pa�ent and Family Support Team, we support pa�ents and their families with advance care planning, social work and carer support. We aim to empower pa�ents, their carers and families to remain independent and self-manage their condi�on through promo�ng choice with specialise psychosocial support, interven�ons and educa�on.

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ill reha oun dult 21

Children Services

Caring for a child with a life-limi�ng condi�on can put incredible demands on families – both physically and emo�onally. Suppor�ng these families helps them to feel that they are not alone, and also empowers them to make confident decisions and plans regarding their child’s care.

A�er caring solely for adults across the area for almost 50 years, we’re proud to have added care for children and young adults to our service provision a�er amalgama�ng with local children’s hospice, The Donna Louise Trust in March 2021.

We provide specialist care and support services for children with life-shortening condi�ons, due to illness or injury, from birth un�l they no longer need us.

We understand the importance of making wonderful, cherished memories. Spending quality �me as a family is just as important as taking that well needed break. Our aim is to help make every moment count for the families we support.

The hospice is designed to provide a safe, home-from-home environment for the children, young people and their families we support.

Our mul�disciplinary care team of children’s nurses, care support workers, social workers, doctors, physiotherapists, counsellors, play and music specialists provide holis�c, emo�onal, psychological and spiritual support for the children, their parents and siblings.

Our comfortable and spacious hospice, based at Grace Road in Trentham, is superbly equipped with facili�es to meet the various needs of our children and young people and to create treasured memories.

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new referrals
increased by
bereaved
families
family
supported members
by our family
liaison team
families supported by
our social work team
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brothers and sisters, including fun sessions at the hospice and fantas�c days out to local a�rac�ons. We encourage siblings to build friendships, as being with others who are experiencing similar issues to them can be a great support.

At the start of 2023, we opened our new cinema room, ki�ed out with a 3m wide screen, surround sound, a twinkling starlight ceiling and acous�c panelling. With space to accommodate wheelchairs and beds, plus sea�ng for friends, family and carers, every aspect of the room was generously donated by Together for Cinema. The room means that we now have a safe, comfortable space where families can relax, enjoy a film and make memories together.

End of life care and bereavement support is a priority for our children’s care team. They work alongside families to ensure that their wishes are at the centre of our care provision. Providing a calm and comfortable environment for the family to be together is vital.

Young Adult Services

Following commencement of day opportuni�es in 2021, Spring 2022 saw us welcome 3 young adults for a 2 night stay respite stay in our purpose built Young Adult Unit. Our respite stays have provided support to families and the opportunity for our young adults to experience freedom and social �me with their peers…which of course involved par�es, lots of par�es! Since then, the service has con�nued to grow and we now regularly see 3 – 5 young people enjoying respite stays in their own private rooms.

Renova�ons took place to transform an unused space in the Young Adult Unit in to a sensory room filled with lights, colours, sounds and so� play items to spark young imagina�ons and create moments of fun. The project was funded thanks to generous dona�ons from an auc�on of fantas�c prizes including stayca�ons and Robbie Williams memorabilia.

A group of our young adults formed a quiz team and now enjoy tes�ng their general knowledge at the local pub quiz every Sunday. This has been vital in suppor�ng our young adults to par�cipate in ac�vi�es that other young people also enjoy as well as ingra�a�ng them into everyday life outside of the hospice.

A special highlight for the Young Adult Team was suppor�ng a young adult into their own accommoda�on. With li�le support from their family or external service providers, they were completely dependent on us for support during this transi�on. We were also able to help the young adult furnish their new apartment with items sourced from our charity shops.

Christmas is always a special �me of year at the hospice and in December 2022, we hosted our Christmas Party Extravaganza where we invited all our young adults for some fes�ve fun, accompanied by reindeer, alpacas and Father Christmas!

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Support Services
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The following func�ons all play a vital part in suppor�ng the hospice to deliver its services. They work across all departments to enable them to fulfil their aims and objec�ves.

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Reception

visitors to the hospice meet. Manned by 4 staff and 27 volunteers, the adult services recep�on is open from 8am-8pm daily, while the children’s service recep�on is open weekdays 8.30am-4.00pm.

Adult Services Recep�on

As well as gree�ng guests, the recep�on team also field all incoming calls from families, healthcare professionals, supporters and suppliers; totalling more than 40,000 calls in the last year!

Children’s Services Recep�on

manning reception at our Adult Services

manning reception at our Children & Young Adult Services

Best Companies

incredibly proud to have been awarded the pres�gious BEST COMPANIES 3 star accredita�on. Based on employee feedback, this accolade demonstrates that our staff feel valued, engaged and proud of where they work. A�er ranking as a 2 star ‘outstanding’ company for thru last 3 consecu�ve years, one of our strategic aims was to achieve the 3 star WORLD CLASS accredita�on in our 50th birthday year... and we did it!

As if ‘world class’ wasn’t enough, we also featured on 3 of the Best Companies 2023 Q3 league table list too.

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WEST MIDLANDS’
25
Q3 2023 Q3 2023 Q3 2023
16
1
14
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To be recognised as one of the top performers in our sector was an outstanding achievement for Dougie Mac - especially in our 50th birthday year.

HR

themselves on living the hospice values of Compassion, Accountability, Respect and Excellence.

Investors in Excellence

recognised as an ‘Investor in Excellence’ by performance improvement, development and growth specialists; Investors in Excellence.

We have been working in partnership with IiE for six years, and their exper�se has illuminated so much to help our fantas�c team, becoming part of our DNA and giving staff and volunteers the recogni�on they deserve for delivering an excep�onal service for pa�ents and their loved ones.

The annual Dougie Mac Awards recognises the hard work and achievements of our team. From clinical care to income genera�on, we endeavour to celebrate our employees who show their unrelen�ng commitment and excellence as recognised by their peers.

Being recognised by your colleagues for being a hospice hero and living the hospice values is the most humbling experience.

a guaranteed interview to those applicants who qualify under the ‘Disability Confident’ scheme and commi�ed to suppor�ng people with disabili�es back into the workplace through making reasonable adjustments as well as suppor�ng those people who become disabled whilst employed by the hospice.

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Information Technology

With informa�on technology developing at a fast pae it was �me to look for a replacement pa�ent database for our Adult Services. A few contenders made the short list, however the contemporary func�onality of SystmOne put it as first choice. Working closely with Learning & Development and a wider project team to implement, SystmOne will enable us to become more efficient and will improve accessibility to our clinical pa�ent data.

Currently in the early stages, the project’s aim is to implement a fully fit for purpose system which will support all the needs of our clinical teams, maintaining and ensuring the safety of pa�ents as well as making informa�on accessible and reportable to evidence the impact each clinical service has.

Telephone System Update

The Dougie Mac telephone system had been in place for over 11 years meaning the hardware was well outdated. Connec�ng both hospice sites and our retail network was super important and meant that we needed a cloud-based system. Following extensive research 8x8 matched our needs, its model used func�onality means staff no longer needed a desk phones to make or receive calls, compa�ble headsets and mobile devices now connect our organisa�on like never before.

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IP D.ouoieK4oc I-IILI -*

Facilities

We had an excep�onal year recycling waste products at both our hospice sites, mainly thanks to improved staff training and awareness of the types of products we can recycle.

recycled, with the remaining 4% being incinerated.

Catering

access to fresh home-cooked meals around the clock across both of our hospice sites. Our catering team support pa�ents who have difficulty ea�ng by making special meals on request as well as going the extra mile to provide refreshments and cakes for special occasions. We also use the fruit and vegetables grown in our gardens to make hearty soups and our tradi�onal Staffordshire lobby! We were also proud to maintained 5 star hygiene ra�ngs across both sites too!

Gardening

The Royal Hor�cultural Society presented Dougie Mac with a Level 5 (Outstanding) Neighbourhood Award for our beau�ful gardens which are loved by our staff, pa�ents and visitors.

Fire Safety

strategies have been greatly improved thanks to increased spending and a focus on staff training and awareness. The Facili�es teams have par�cularly focused on compliance within our children and young adult facili�es.

The improvements we’ve made have been recognised and acknowledged by

*•

Learning & Development

most valuable asset, we believe that nurturing and growing our own workforce is vital and we do this in many ways.

Clinical and non-clinical training and educa�on is provided by a range of specialist staff including Specialist Adult & Paediatric Nurses, Medics, Prac�ce Development Nurses, Non-clinical subject ma�er experts and external training providers.

face and digital learning solu�ons which we evaluate regularly, this includes access to recordings of learning sessions such as: Parkinson’s Journey; a day in the life of sessions; energy efficiency and many more.

Our face-to-face sessions covered a range of topics including sessions focused on health & wellbeing. With over 40 topics delivered, these included: Learn CPR, Demen�a Tier 1, cultural care, menopause support for staff and managers, it’s your funeral, calming the cha�ering mind and Microso� Excel & Macros.

We are also proud to maintain the skills of our Mental Health First Aid Network, First Aiders, Fire Marshals, & Domes�c Abuse Champions. Our focus in 2023 is to implement a founda�on, intermediate and advanced communica�on skills framework which will be delivered internally.

func�onal skills sessions to prepare them for future development opportuni�es. The appren�ceship levy is one of the ways we upskill our staff this includes courses such as: Business and Administra�on, Nursing Associate including a Degree Nurse Top-up, Finance & Accounts Assistant, Senior Leader Masters, Customer Service, HR and L&D Associate, Healthcare support worker Level 3 & 4 with many more available to us.

In Quarter 4 our Mandatory Training compliance average was

We had more than

con�nuous professional development (CPD) hours

35

Finance

Over the last year, Finance worked closely with Learning and Development to recruit a Finance Appren�ce to support with finance tasks.

Jasmine’s Appren�ceship journey Q&A

What have you learnt that you have been surprised by?

Where did you study your appren�ceship?

I started my appren�ceship in January 2022 at Newcastle-under-Lyme College.

Having previously studied mathema�cs, business studies and accoun�ng at college I knew I had an interest in numerical subjects. The appren�ceship allowed me to gain a qualifica�on while remaining in employment.

During my appren�ceship I was required to research business topics that were specific to the hospice. This gave me an insight to the work that the hospice does and helped me to understand the role that the hospice plays within the local community. I was surprised at the outreach the hospice has and the wide range of services that they offer. I didn’t expect that the appren�ceship would help me to understand my job role more and allow me to see how my role aids the success of the organisa�on.

What studying alongside working looked like?

How valuable has doing an appren�ceship been?

Wednesday was my dedicated college day then I worked 4 days a week at Dougie Mac pu�ng my learnings into prac�ce.

Why did you choose Dougie Mac?

My mum has worked at the children’s services for a few years. She saw that Dougie Mac were recrui�ng a Finance Appren�ce and suggested I apply. She has always spoken highly of the Dougie Mac and it sounded like a lovely place to work. The idea of working for an organisa�on that is so beloved within the community was very appealing.

What have you enjoyed most about working at Dougie Mac?

What is your job �tle now and what does your role involve?

The hospice work hard to ensure you feel like you’re an important part of the organisa�on. It’s so easy to feel like you’re just a number when you work for a large company but at Dougie Mac you feel like your work makes a difference and is valued and that’s really important to me.

My job �tle is now Accounts Assistant a�er passing my final exams earlier this year. I assist with the purchase ledger side of the accounts and I’m responsible for entering and coding purchases made by each department in the hospice.

36

Housekeeping

Our housekeepers maintain our high standards of cleanliness in every area of both hospice sites, from the offices of our administra�ve staff and Inpa�ent Services, to family living spaces and visitor facili�es.

Between them, the team work 426 hours each week - that’s 22,152 hours per year. By following strict cleaning procedures they keep our sites and equipment clean, ensuring effec�ve systems are in place to prevent and manage poten�al infec�ons.

This year the team have been tes�ng products that reduce the need for ready-to-use spray bo�les. They now use high concentra�on, but lower, more accurate dosage methods, which means that much less packaging is required and less water is used during produc�on. The overall results are reduced waste and minimal impact on the environment.

Volunteer Services

As we began to come out of restric�ons imposed by COVID-19, we were eager to have our volunteers return to the hospice. Following Government guidance, we were able to build our Volunteer Team back, albeit with around 40% less volunteers than our pre-pandemic numbers.

We celebrated Volunteers Week at Hanley Park in May 2022. Over 100 people a�ended and enjoyed canapés, fizz, brass band music, finally being able to socialise again.

A�er speaking to our volunteers, we realised many of them, par�cularly those who no longer volunteered for us, were feeling lonely and isolated. We therefore launched a monthly over 55’s social group; where volunteers past and present could pop in for a chat and a brew. This group has allowed some great friendships to be formed.

We were excited to re-launch our corporate volunteering program, allowing employees from local businesses to donate their �me and volunteer in our shops, gardens or more adhock roles such as leafle�ng.

This gave our corporate volunteers the opportunity to see how we raise our income and understand the impact of the care we deliver. A significant number of the corporate groups we had join us following lockdown had been working from home and hadn’t seen their colleagues in person for months and so thoroughly enjoyed interac�ng with their team again.

Whilst we con�nued to re-build our Volunteer Team, we also explored other ways to support short-term volunteering opportuni�es and helping people back into volunteering and work. This included welcoming a small group of Ukrainian refugees to volunteer in our shops to help them integrate into Bri�sh life and learn English.

We have also welcomed two students from a local SEND college under their supported internships program which enables students with Au�sm to get experience of working, with the ul�mate aim to live independently.

I, |1[ // 38

Marketing & Communications

Our Marke�ng & Communica�ons Team provides all press, PR, digital marke�ng, supporter database administra�on and graphic design for external marke�ng and communica�ons to maximise the genera�on of funds for Dougie Mac and promote its care services.

It was an exci�ng and busy year for Marke�ng & Comms – spearheading 50th birthday celebra�ons for supporters, staff and volunteers all while con�nuing to u�lise a variety of crea�ve content to reach and engage our supporters from direct mail campaigns to storytelling and targeted adver�sing.

crea�ng a whole host of materials for the different teams across the hospice; ensuring Dougie Mac’s brand stood out from the crowd.

Another highlight for the team was the successful bringing together of two supporter databases following Donna Louise being taken over by Dougie Mac in 2021. A lengthy project of checking, matching and merging began to update thousands of supporter records; completed in January 2023 the project added more than 39,000 new records into Dougie Mac’s supporter database.

www.dougiemac.org.uk

/DougieMacHospice

/DougieMacHospice

/DougieMacStoke

/DMHospice

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database updates Website clicks
new Facebook Press & Radio
followers features
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Virtual Tour

We also gave people a unique opportunity to step instead the hospice with our 360 virtual tour. By making sure the tour is accessible digitally allows pa�ents, service users and their families to view facili�es from the comfort of their own home and to help them feel more at ease and comfortable with the surroundings when they use our services or stay with us. The hospice building and grounds have changed a lot in our 50 year history, but what hasn’t changed is our dedica�on to delivering specialist care for our local community.

Step inside and take a tour of our hospice services: https://my.360picture.uk/tour/dougie-mac

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Income Generation People are at the heart of all we do

How we raise money

Thanks to the remarkable generosity of thousands of people, we are able to con�nue to deliver the very best pallia�ve care for incurable condi�ons to adults, children and young adults - when they need it, where they need it and what they need. 76% of the total income received in 22/23 came from donated income and trading ac�vi�es.

Donated Income

Total donated in 22/23
£13,391,911
Fundraising Events £1,680,074
Donations & Gifts £3,310,253
Legacies £2,272,732
Lottery £1,495,779
Retail £4,633,073

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Fundraising Events - £1,680,074

Last year our community supporters, business partners, philanthropic groups, local schools and friends raised a staggering amount of money. However, it’s not just the amount of money raised that’s staggering, it’s the imagina�on, determina�on and dedica�on of our volunteer fundraisers too. Events ranged from Bongo Bingo to sky dives, bike rides to murder mystery nights, marathon’s to cake sales, a head shave to a bed push. Some local businesses even pledged to raise 50k to match our 50 golden years of care, some people even a�empted to break world records… the list is endless, as is the enthusiasm and willingness of people to raise money for us.

people to their annual events; 2 Golf days, a Moonlight Walk, the Llangollen Bike Ride and 2 Balls.

PLUS - one of the highlights…

Michelin teamed up with Lunar restaurant chef entrepreneur Niall Kea�ng to host a gourmet dinner for Dougie Mac foodies who with celebrity chefs Simon Rogan, Tom Barnes, Lisa Goodwin Allen and Tom Sellers created a fabulous 7 course menu. All served on Wedgwood china, showcasing the culinary extravaganza at the stunning World of Wedgwood, Barlaston.

fundraising ac�vi�es organised by members of the community raising more than

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43
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Ka�e’s Mum, Gloria, was diagnosed with breast cancer which later spread to her lymph nodes. Treatment to beat the cancer resulted in Gloria losing her hair. Keen to support Gloria through her journey, Ka�e decided to shave her own hair to raise awareness as well as more than £3,000 for Dougie Mac.

Children & Young People

We launched a new ini�a�ve in September 2022. Our aim - to educate and inform future genera�ons about Dougie Mac and invite them to take part in one of our innova�ve and exci�ng fundraising ac�vi�es designed specifically for children and young people. Schools and other educa�on establishments warmly welcomed Dougie Mac trained staff and volunteers in the early months and the ini�a�ve con�nues to gain momentum.

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College and
School Children Under 10’s solo
University
fundraisers
students
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Business Partnerships

The support of people from our local business community was crucial in 2022/23 and it really did make a difference to the care we provided. The value of these partnerships with business owners, leaders and their employees was not just measured by company financial dona�ons and fundraising ac�vi�es either. Support came in many other ways too. Companies gi�ed their products and services either free of charge or at substan�al discounted rates; many employees volunteered as part of their working day and lots also filled bags of their own unwanted items for us to sell in our charity shops.

In June 2023 we held a Business Partnership Awards Lunch to celebrate the successes of the previous year and say a huge thank you to our highly valued business partners. Please take a look at the award categories, winners and commenda�ons on page 45.

Partnership Awards

Bronze – Support between £5k up to £10k

Altecnic Ltd Pastel Solu�ons Ltd bet365 Pinkstones Toyota DJH Mi�en Clarke Ltd Plumbing Solu�ons DPD QPS Print Fine Ceramic Transfers Ltd LA Interna�onal Huler Neida Products Engineering Ltd KDM Events O'Neill Pa�ent Solicitors LLP

Stoke City Community Trust Stoke on Trent Repertory Theatre Terraces Menswear W. Moorcro� Ltd 360 Picture Solu�ons UK Ltd

Silver – Support between £10k up to £15k

Gold – Support between £15k up to £20k

Charles River Laboratories Parogon Group Currie Young Tinsdills Solicitors

Cable Services Ltd Geens Chartered Accountants Fiskars UK Limited Harrison Carloss

Pla�num – Support between £20k up to £50k

Palladium – Support exceeding £50k

Asda Lymedale Distribu�on Centre Barra� & David Wilson Homes NW Carmountside Crematorium Eurostar Global Electronics H Brown & Son Recycling Ltd Hanley Economic Building Society

Recogni�on Awards

KMF Precision Sheet Metal Ltd Lunar

New Look Distribu�on Centre TIP Trailer Services Ltd

Corporate Volunteering Award

Winner Charles River Laboratories

Scratch Card Sales Award

Winner Foaming Quart Commenda�on Dougie Mac Shops Commenda�on Double Tree by Hilton, Stoke on Trent

Collec�on Box Award

Winner The Card Shop Commenda�on Grahams Chemist Commenda�on Bradeley Village Stores

Will Wri�ng Champion Award

Winner Commenda�on Beeston Shenton Commenda�on Clowes & Co

Charity Champion Award

Winner Janice Furnival, TIP Trailer Services Ltd Commenda�on Lara Peacock, Charles River Laboratories Commenda�on Mitch Brown, H Brown & Son Recycling Ltd

Trailblazer Award

Winner Carmountside Crematorium Commenda�on Brampton Recruitment Commenda�on Lunar

Extra Mile Award

Best Supplier Award

Winner Fine Ceramic Transfers Ltd

Winner Stoke Repertory Theatre Commenda�on W Moors and Son Ltd Commenda�on CCS Media Ltd

Milestone Award – exceeding £100,000

TF Solu�ons Ltd

Best Business Partnership Award 2022/23

Winner TIP Trailer Services Ltd Commenda�on Eurostar Global Electronics Commenda�on KMF Precision Sheet Metal Ltds

Milestone Award – exceeding £250,000

Hanley Economic Building Society KMF Precision Sheet Metal Ltd

Donations and Gifts - £3,310,253

People truly are at the heart of all we do and how we raise money to keep doing what we do.

Gi� Aid is an o�en-forgo�en vital source of income and last year 38% of our donors told us they paid tax by making a Gi� Aid Declara�on, which allowed us to reclaim 25% of their personal dona�ons from HMRC.

Making a personal dona�on to Dougie Mac is second nature to so many people – it is just what our kind, generous and dedicated supporters do. Last year despite the cost-of-living crisis almost everyone experienced, people did not falter in their support for Dougie Mac – they just kept on giving.

Income from Gi� Aid

Our core individual giving income streams remained almost constant. People con�nued with their regular monthly dona�ons; our one-off appeal Time to Care was well supported. 2,982 people decided to ask for funeral dona�ons in lieu of flowers, over 3,030 people sponsored a light on the Hospice Christmas tree, 534 people rounded up their payments and gave a li�le extra when purchasing from our Gi� Guide and 6,489 people re-donated the sales of their preloved items given to Dougie Mac Shops to sell.

There are a mul�tude of ways that people can and do make dona�ons to Dougie Mac but generally for the same reason – in memory of a loved one who has been cared for by Dougie Mac.

Trusts & Foundations

Trusts and Founda�ons based across the UK and overseas contribute to the dona�ons we received too.

Last year the size of each dona�on from each philanthropic organisa�on ranged from £100 to £1m. Their grants and gi�s helped with our revenue costs and also funded the purchase of much needed equipment; hair and beauty equipment for young adults, 3 Oska Regis reclining chairs, 2 specialist beds, 5 syringe pumps and garden items.

Legacies

Last year 85 people remembered Dougie Mac in their will and le� a gi� to the hospice. Each legacy is appreciated and we recognise the kind thoughts and sen�ments that lie behind the gesture to leave a legacy to Dougie Mac.

As well as money, we were also le� 10 houses, the contents of 5 houses, 1 car, many pieces of jewelry and, much to our surprise, a parakeet and tortoise – the former items were all sold to raise money. The la�er were found new owners to con�nue to lovingly care for them.

46

Lottery - £1,495,779

The 1st draw for Dougie Mac weekly lo�ery took place in 1996 and the number of people playing the Lo�ery has consistently and steadily grown year on year. To become one of our most reliable and dependable income sources. In March 2023 18,286 people played our weekly lo�ery, each paying £1 each week for each number they had in the draw. The percentage of the proceeds gi�ed back to the charity is one of the highest in the UK, significantly higher than many other lo�ery household names.

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[£20] RUNNER-UP [£10] RUNNER-UP
£2,000
JACKPOT x 5 x 143
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Our players tell us though it’s not really about winning, that’s a bonus - it is about feeling part of Dougie Mac and knowing by playing the Dougie Mac Lo�ery you make a difference to the lives of many local people, children, young adults and their families and friends.

Although last year 3,445 people signed up to play, cancella�on rates have averaged 14%, which keeps our small hardworking administra�on team very busy!

Recrui�ng new people to play the Dougie Mac Lo�ery takes dedica�on and tenacity – last year our Lo�ery Promo�ons team made hundreds of telephone calls, stood in workplaces, public areas and supermarkets, knocked on thousands of doors and delivered countless leaflets to promote our weekly lo�ery and sign up the big-hearted people of Stoke on Trent, Newcastle, Staffordshire Moorlands and surrounding villages. Lo�ery promotors like Kevin (pictured) are vital to the con�nua�on and success of the weekly Dougie Mac Lo�ery.

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Dou ieMac Lo
g
la the tt
pproroud to p y
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Did you know?

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ery
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In our Weekly Draw we have...

Numbers in the draw

Chances to Win

Prizes re-donated

Other Gambling Products

£2 scratch cards sold

48

Retail - £4,633,073

We opened our 21st Shop on 2nd November 2022 in Abbey Hulton. The local community welcomed us with open arms, people volunteered to help, donated items to sell and shopped with great gusto.

non-statutory income. We have a team of 78 staff and 453 volunteers across 21 shops, a Recycling Centre, an E-commerce Shop and a Central Opera�onal Support Hub/Office.

They exemplify how teamwork makes the dream work. It really is astounding that from 1 shop which opened in 1994 on Piccadilly, Hanley, we have become one of the largest chains of retail shops in the area. This last year has been be�er than ever, all shops have had record breaking results outstripping previous year’s sales - we could not do this without our kind donors and our loyal and generous customers. We endeavor to provide an excellent customer and donor experience. We pride ourselves in being the best charity retailer on the high street and in local communi�es and villages. All thanks to our brilliant staff and volunteers who every day show real passion and determina�on in the face of an increasingly challenging retail environment.

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Biddulph
Leek
Alsager
Kidsgrove
Mini Mac Kidsgrove
Norton
Burslem
Chesterton
Bradwell
Abbey Hulton
New Shop
Silverdale Ben�lee
Newcastle
Westlands Stoke
Longton
New Shop
Cheadle Cheadle
Hanford Home
Children &
Young Adult Meir
Services
Adult
Ecommerce Services
&
Service Centre
49 Barlaston
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Team of the Year 2022/23 nominated by Hospice Staff.

Hours Volunteered People volunteer

Donated items sold

Waste is recycled and reused

Volunteer �ll transac�ons

Av. price of an item

50

What’s Next…

As our Dougie Mac @ 50 strategy came to an end in March 2023, the last 50 years were suitably celebrated. The future is bright as we embark on the hospice’s next 3 year strategy.

Our strategic goals include:

Develop environmental sustainability approach in all areas of the hospice

Expand our response to the intensifying need for demen�a support

Con�nue to integrate our children and young adult services to widen their impact

Recruit, retain and develop a compassionate, commi�ed workforce

Tackle inequality in accessing specialist, end of life care

Con�nue the growth of our Wellbeing Services .

Reinforce our with effec�ve cost management and income genera�on

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51
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Dougie Mac Hospice would like to sincerely thank everyone who donated, fundraised, volunteered or supported the hospice for the last 50 years.

Your generosity ensures the hospice is there to provide the very best specialist care to our local community when they need to.

Trustees’ Report & Financial Statements

For the year ended 31st March 2023

53

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

REFERENCE AND ADMINISTRATIVE INFORMATION

FOR THE YEAR ENDED 31 MARCH 2023

Douglas Macmillan Hospice is a company limited by guarantee and a registered charity governed by its Memorandum and Articles of Association.

Officers

The current Trustees (Directors) and those who held office during the financial year to 31st March 2023 are listed below:


listed below:
Mr D Platt (Chair) Mrs S Evans (Vice Chair)
Mr K Brown Mrs J Miller
Mrs J Neyt Mrs M Rathbone
Ms L Rowley (resigned 11 August 2023) Dr J Sissons
Dr E Slade Mr T Stanway
Mrs K McKenzie Mrs J Warren (appointed 16 November 2022)
Company Secretary Mr D Webster
Chief Executive Officer Mr D Webster
Director of Care Mrs J McCartney
Director of HR & Support Services Mrs C Hammond
Director of Income Generation Mrs K McKenzie
Director of Finance Mrs V Dean

Legal and Administrative Information

Company Number 3615904 Charity Number 1071613 Registered Office Barlaston Road Stoke-on-Trent ST3 3NZ Auditors Geens Limited Chartered Accountants Graphic House 124 City Road Stoke-on-Trent ST4 2PH Solicitors Tinsdills Limited Hays House, 25 Albion Street Hanley Stoke-on-Trent ST1 1QF

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DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

TRUSTEES’ REPORT

FOR THE YEAR ENDED 31 MARCH 2023

As Chairman of the Board of Trustees of Douglas Macmillan Hospice it is my great pleasure to present the Annual Report and Audited Financial Statements for the financial year ended 31 March 2023, on behalf of the hospices’ Trustees who are also Directors of the charity for the purposes of the Companies Act 2006.

In celebrating our 50[th] anniversary in 2023 of its inception in 1973 “Dougie Mac” can claim to have had a formidable influence on the lives of many local people in our community who rely on our specialist palliative and end of life care. Reflecting on this landmark moment in the history of our hospice has enabled Trustees, staff and volunteers to not only celebrate our growth and our successes but to look ahead to an even more influential future. The turbulence in the NHS is well documented and as a financially robust hospice with capital strength underpinning our reputation for excellence in care, Dougie Mac is well placed to support our Integrated Care System in providing greater access to patient–centric palliative and End of Life care for which our hospice is renowned.

This theme of investing in our future is a major characteristic of the attached Financial Statements where the accumulated reserves of the previous two financial years have enabled Dougie Mac to expand our resources and enhance our clinical services. We have recruited more staff and devoted significant funds to strengthen our preparedness for the future. This is entirely intentional and does not diminish our financial resilience in any way. On the contrary as Trustees we have a responsibility to ensure that funds donated to Dougie Mac are allocated to the enrichment of our charitable purpose. Two examples of this service-expansion are particularly vivid; firstly, we have invested in the extension of our suite of Well Being services which had been curtailed during the Covid 19 pandemic. This reflects our commitment to holistic care and in operational terms means that more group sessions are available to patients living with a terminal illness (e.g. Motor Neurone Disease and Dementia) and a wider range of therapies are available for all our patients (e.g. physiotherapy, family support, counselling, complimentary therapies and lymphoedema). Secondly we have further invested in our childrens and young adult services, so that our “single hospice” ethos is reinforced and the very specialist nature of the care delivered via these services can be augmented with higher numbers of specialist staff. It is fitting and poignant that in our 50[th] anniversary year Dougie Mac is expanding to deliver an even greater impact in the years ahead.

To conclude this has been a truly remarkable year for Dougie Mac, glancing back at our illustrious history while getting ready to seize future opportunities. We are of course hugely reliant on our wonderful employees at the hospice, whose compassion and commitment invariably shines through, and on behalf of the Board of trustees and our Executive Directors I feel privileged to thank them and pay tribute to their magnificent work. I am particularly delighted to do so in my final year as Chairman of the Trustee Board. During 2023 Dougie Mac reached a new peak in employee engagement, cementing our determination to be a great place to work. For several years Dougie Mac hospice has sought to enhance employee engagement by participating in the Best Companies Survey. Our vision, mission and values focus on excellence in everything that we do and so it is logical to utilise Best Companies, who are recognised as engagement specialists to help us measure and enhance our employee engagement. During 2023 we reached an exceptional standard of employee engagement when we were awarded a 3 star accreditation, defined as a “world class” organisation to work for, and the highest accreditation available. This is testimony to the dedication and commitment of our staff, and shows the extent of values-driven focus on excellence across our hospice in which the Board of Trustees are immensely proud.

I have enjoyed the role of Chairman immensely and feel proud of our superb achievements during my tenure, but I am certain that Dougie Mac will continue to flourish and to spearhead the hospice care culture that is unique and much cherished.

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55
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FINANCIAL REVIEW

In the wake of the profound challenges posed by the COVID-19 pandemic and amidst a prevailing cost of living crisis, these financial results evidence the resilience and adaptability of our hospice. This report reflects the diligent efforts of our organisation in navigating a post-COVID landscape, where uncertainties and complexities continue to impact the healthcare industry.

Despite these arduous headwinds, our financial performance has demonstrated remarkable stability and progress. Through prudent fiscal management and a dedicated workforce, we have not only weathered the storm but have also positioned ourselves for future growth and sustainability.

Income for the year ended 31 March 2023 fell by 13% with a variety of increases and decreases across the range of Dougie Mac income streams.

Statutory income from the local Integrated Care Board (ICB) remained relatively static at £2.9 million (2022:

£2.8 million) whilst funding to support the COVID-19 Total Income pandemic ceased. Investment income rose by 46% due to a compendium of high quality 2022/23 £17,668,084 investments and a welldiversified investment portfolio, bank account interest rose 2021/22 £20,388,940 exponentially as a result of rising interest rates; will we continue to see this upward 2020/21 £18,916,914 trend? As we move through 2024 it is predicted that interest rates will peak towards the end 2019/20 £12,616,399 of Q3.

Household budgets continue to be squeezed amid soaring inflation with society experiencing financial hardship forcing them to change their spending habits. Luckily for the Dougie Mac, our community of loyal and devoted donors and businesses have continued to support with their donations Contribution to the Hospice from and gifts; 2022/23 saw just a raising funds 7% reduction in donated income.

support with their donations Contribution to the Hospice from and gifts; 2022/23 saw just a raising funds 7% reduction in donated income. 2022/23 £9,407,328 Legacy income (Note 2) at the end of March 2022 included accrued legacy income of £1.8 2021/22 £10,868,749 million, the comparable figure for March 2023 was £1.4 2020/21 £4,420,329 million, a reduction of 22%; Legacy income received throughout the financial year 2019/20 £6,116,058 was in line with budgeted pipeline expectations.

During 2022/23 Dougie Macs Retail business continued its pandemic bounce back with record breaking trading levels throughout the year. Income from commercial activities rose a staggering £1 million to £4.6 million, an impressive increase of 28%.

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56
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This year’s results highlight the continuous incline of the hospices Retail trading income; our 21 shops have shown hearty resilience and robustness in a period of economic downturn, as shoppers seek more affordable options.

Unfortunately the year also saw a significant increase in costs across all outlets; staff costs soared by 28%, operational costs rose by 24% and Retail premises costs increased by 19%. Positively, the majority of the increase was linked to growth, however unavoidable surges in costs like energy and fuel disappointingly impacted profitability.

Dougie Mac Retail Income

Recycling income and online trading continue to

grow; with charity ecommerce flourishing, there is plenty of scope for further expansion. A recent relocation of these operations to a 19,500 square foot premises will ensure all unsaleable donated items are responsibly recycled and development of our online business can blossom.

Against a backdrop of escalating costs in all areas, our unwavering commitment to negotiating and controlling expenditure has yielded commendable results, all whilst maintaining the highest standards of patient care.

Expenditure on Clinical Services

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£14,000,000
£12,000,000
£10,000,000
£8,000,000
2017/18 2018/19 2019/20 2020/21 2021/22 2022/23
(Covid-19) (Merger
DLT)
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In 2022/23 76% (2023: £13.2 million / 2022: £11.3 million) of expenditure was allocated to staff resources, of which 71% were employed within our clinical services.

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Patient & Carer
Wellbeing Services,
£1.148 Raising Funds,
Children & Young £4.038
Adult Services,
£3.973
Inpatient Services,
Community Services, £4.741
£3.624
Total Expenditure (in Millions)
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This investment in our staff aims to bolster our ability to provide outstanding quality of care to more of the people within our community.

Of course this investment must be balanced with our ability to increase donated funding, a strategic approach is needed to ensure income generation keeps pace with expenditure, allowing us to sustainably grow our clinical services effectively.

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DEFINED BENEFIT PENSION SCHEME

The actuarial gain in the pension fund is £0.5 million and is shown in the Statement of Financial Activities, The defined benefit pension scheme value stated in the balance sheet is £nil (2022 – liability £707,000). This is the value recommended by the scheme actuary in the pension valuation report. Movements in the pension schemes assets and liabilities and its impact on the hospice’s financial position is monitored closely by the Hospice Trustees and also by the Trustees of the Federated Pension Scheme for the Douglas Macmillan Hospice.

GREENHOUSE GAS EMISSIONS, ENERGY CONSUMPTION & ENERGY EFFICIENCY

As a local charity with our community at its heart, we are committed to minimizing the environmental impact of our work, being a greener charity and developing our environmental and sustainability strategy.

Dougie Mac Retail

Developing a practical and achievable environment strategy for our Retail business has involved the evaluation of many procedures within our charity shops, our focus is targeted towards the following five environmental priorities for the next three years:

  1. Source and sell sustainable and eco-friendly products whenever possible

  2. Implement energy-efficient practices in our stores for example, use LED lighting

  3. Minimise waste by promoting recycling and encouraging customers to bring or buy reusable bags

  4. Source and engage suppliers who adhere to ethical and sustainable practices

  5. Consistently monitor our carbon footprint and identify ways to reduce emissions

This year we have focused on improving and achieving a wide variety of improvements across our 22 sites including:

Energy Saving Opportunity Scheme

The Energy Savings Opportunity Scheme is a mandatory scheme requiring large UK businesses (250+ employees) to report on their energy use and identify possible ways to use less energy. Good progress has been made towards preparing the hospices latest ESOS detailed report as we edge towards the end of phase 3. The report will summarise our latest energy audit in which all the energy consumed between October 2022 and September 2023 is collated. The deadline for the report is June 2024 and we plan to enlist the services of an independent carbon management company to assist.

So far, for the period April 22 to March 23, we have collated the data linked with providing our clinical services for children, young adults & adults and also the energy consumption within our Retail business. Using the Governments Greenhouse Gas Reporting conversion factors 2022, we have then calculated the environmental impact of these areas in tonnes of CO2e. Overall, it is estimated that these services combined produce 339 tonnes of CO2e each year. The environmental impact of the Dougie Macs supply chain will be assessed in the ESOS Phase 3 report.

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OUR STRATEGIC VISION

The strategic priorities for Dougie Mac have recently been updated following the successful completion of those contained within the “DMH@50 Strategy”. 2023 – 2026 will focus on the following objectives, playing its part within the local health system, one that is perpetually under pressure. The next three years will see the Hospice seize every opportunity to expand, influence and play a more vigorous role in the emerging plans for palliative care delivery.

OUR STRATEGIC OBJECTIVES

  1. To increase our impact by enhancing responsive and equitable access to all our clinical services, growing patient numbers evidenced through a series of KPI’s

  2. To stress our commitment to holistic care by expanding our Wellbeing services, embedding rehabilitative palliative care and enabling earlier access to hospice care

  3. To achieve our organisational Vision of being regarded as a centre of excellence for palliative and end of life care by developing our clinical and medical staff to the highest standard of competence and attitudinal strength

  4. To achieve and retain a Care Quality Commission (CQC) rating of Outstanding

  5. To work collaboratively without diminishing our independence, and using our strong reserves to spearhead innovation

  6. To capitalise on our “all age” hospice status by extending the reach of our children’s service and our young adults service, via resource investments throughout 2023 / 2024

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STRUCTURE AND GOVERNANCE

Board of Trustees

The Board of Trustees is the governing body that administers the charity, sets the strategy, formulates policy and assesses procedures and risk management. The Board meets regularly and the trustees are directors of the company but none of the trustees has a beneficial interest in the company and all are unpaid volunteers.

Trustee Recruitment, Appointment and Induction

The existing trustees of Douglas Macmillan Hospice are empowered under the Articles of Association to elect new trustees at our Annual General Meeting and to make co-options at any other time. Succession planning for trustees is an important dimension of governance as is a blend of skills in the Board of Trustees, so new trustees are recruited in a variety of ways including external advertising and previous interest in and involvement with the Hospice. Additionally potential new trustees are invited to attend Board meetings as an observer to assist them on deciding whether to agree to a nomination as a trustee. New trustees receive a full induction programme over an extended period, including briefings with senior executives and visits to the various parts of the organisation to gain an appreciation of the mosaic of aspects which contribute to the success of Douglas Macmillan Hospice.

Subcommittees of the Board of Trustees

To assist in the smooth running of the charity the Board is supported by seven subcommittees each of which meets at appropriately regular intervals and are chaired by a member of the Board. These subcommittees are:

The trustees on each subcommittee have relevant interests and skills to ensure that they enhance the work of that committee. A scheme of delegation is in place so that day to day responsibility for the affairs of the charity, including all operational matters, rests with the Chief Executive Officer and the Executive team, which currently comprises:

Both DMHSEL and DMHSLL develop commercial activities to support the charity and each covenants its surplus to the charity, and results are included within the Consolidated Financial Statements.

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Risk Management

Governance of Douglas Macmillan Hospice is underpinned by a transparent culture of risk evaluation and risk management, enabling the Board of Trustees to consider all risks, both stated and emerging, and fulfil their responsibility for risks faced by the charity. A risk register identifies the potential and actual risks, their nature, likelihood and impact and then outlines the measures taken to mitigate those risks. Trustees review the risk register formally at Board meetings as well as assessing and updating it at appropriate subcommittees. The main risks that the charity faces are:

a) Financial Sustainability

This is mitigated by our robust fundraising strategy; built over many years of successful expansions of donated income, and by cultivating excellent relationships with statutory funding partners in the local health economy.

b) Reputation

The Hospice is held in high regard by local people and stakeholder partners and has been so for 50 years but protecting and polishing our reputation requires mitigating actions, notably in ensuring that all our systems, processes and support lead to the successful recruitment retention and development of outstanding people.

c) Recruitment

A nationwide difficulty in recruiting registered nurses with the potential to hamper expansion plans. Recruitment initiatives, timely succession planning alongside well considered training and development plans will enable us to nurture our own talent. A strong people culture that focusses on our CARE values along with competitive pay, an attractive working environment and a person centred well-being programme will assist in retaining the calibre of staff required to deliver our strategic objectives.

d) Governance

Shortcomings in our evidencing of high standards of internal governance and robust evidence based decision making could damage the reputation of the hospice and potentially diminish the support of our local community. To mitigate this risk we are governed by a high performing Board of Trustees and Directors committed to extending the 50 year record of success at the DMH. A well-constructed infrastructure of subcommittees and subsidiary boards, fully aligned to the hospice strategy, also protects the charity.

Reserves Policy

Reserves are held to ensure that the charity has the ability to withstand any unforeseen drops in income, and to provide capital for future strategic growth, recognising that access to external capital is very limited. The Board of Trustees is satisfied that the current level of reserves provides an adequate buffer against risks that cannot be negated by other means, whilst underpinning the strategic plan for the future of the hospice.

Remuneration Policy

The People & Values subcommittee, which reports to the Board of Trustees, oversees all matters relating to executive remunerations and staff pay and benefits. External benchmarks and local market rates of pay are used as comparatives so that the Hospice can attract and retain high quality staff in both clinical and nonclinical roles. An annual appraisal process is in place to evaluate job performance at an individual level across the organisation.

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Disabled Persons Policy

In terms of employment, the Hospice gives full and fair consideration to applications for employment from disabled persons, it is also committed to becoming more disability confident ensuring that disabled people, and those with lifelong heath conditions, have the opportunities to fulfil their potential and realise their aspirations. We support the ongoing training and development of persons disabled prior to appointment or who become disabled following appointment.

Fundraising standards information

We maintain the highest standards of practice in fundraising activities by:

Trustees Responsibilities in Relation to Financial Statements

The charity’s trustees, who are also the directors of Douglas Macmillan Hospice 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 (UK generally accepted accounting practice).

Company law requires our 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 the group, and of the incoming resources and applications of resources, including the income and expenditure of the charitable group for that period.

In preparing these financial statements, the trustees are required to:

The trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time, the financial position of the charity and to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charity and the

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group, and hence take 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 in the charity’s website. Legislation in the UK governing the preparation and dissemination of financial statements may differ from that in other jurisdictions.

In so far as the trustees are aware at the time of approving our trustees’ report there is no relevant audit information of which our auditor is unaware, and trustees have taken all steps that they ought to have taken to make them aware of any relevant audit information. It is customary to place a resolution at our AGM proposing the appointment of Geens Ltd as our auditors and trustees will do so in the knowledge stated above.

Approved by the trustees on 18 September 2023 and signed on their behalf by:

David Platt Chairman of Board of Trustees

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF DOUGLAS MACMILLAN HOSPICE

FOR THE YEAR ENDED 31 MARCH 2023

Opinion

We have audited the financial statements of Douglas Macmillan Hospice and its subsidiaries (the ‘group’) for the year ended 31 March 2023 which comprise the consolidated statement of financial activities, the consolidated balance sheet, the consolidated cash flow statement 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, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion the financial statements:

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 group and parent 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

We have nothing to report in respect of the following matters in relation to which the ISAs (UK) require us to report to you where:

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.

Opinions on other matters prescribed by the Companies Act 2006

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

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF DOUGLAS MACMILLAN HOSPICE

FOR THE YEAR ENDED 31 MARCH 2023

Matters on which we are required to report by exception

In the light of our knowledge and understanding of the group and parent charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the directors’ report. 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 trustees’ responsibilities statement set out on page 62, 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 group’s and parent 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 group or the parent charitable company or to cease operations, or have no realistic alternative but to do so.

Auditor’s responsibilities for the audit of the financial statements

We have been appointed auditor under the Companies Act 2006 and report in accordance with the Act and relevant regulations made or having effect thereunder.

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 an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above. To detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud, is detailed below.

As part of our planning process:

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF DOUGLAS MACMILLAN HOSPICE

FOR THE YEAR ENDED 31 MARCH 2023

The key procedures we undertook to detect irregularities, including fraud, during the course of the audit included:

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. The risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.

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 auditor’s report.

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 member’s trustees those matters we are required to state to them in an auditor’s 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.

Karen Staley FCA (Senior Statutory Auditor) for and on behalf of Geens Limited

Chartered Accountants

Statutory Auditor

18[th] September 2023

Graphic House 124 City Road Stoke on Trent Staffordshire ST4 2PH

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES (Including consolidated income and expenditure account) FOR THE YEAR ENDED 31 MARCH 2023

Notes
Income:
Donations and legacies
2
Charitable activities
3
4
Investment income
5
Other
6
Total income
Expenditure
Costs of raising funds
7
Charitable activities
8
Total expenditure
Net gains/ (loss) on investments
17
Net income / (expenditure)
Transfers between funds
25/26
Other recognised gains and (losses)
Actuarial gain on defined benefit
pension schemes
21
Net movement in funds
Reconciliation of funds:
Fund balances brought forward
Fund balances carried forward
Other trading activities		 Unrestricted
Designated
Restricted
Total
Total
funds
funds
funds
funds
funds
£
£
£
£
£
2023
2022
1,664,268
3,964,732
7,673
5,636,673
7,530,201
3,954,376
-
-
3,954,376
5,851,037
7,808,926
-
-
7,808,926
6,584,059
263,346
-
-
263,346
104,028
4,763
-
-
4,763
319,615
13,695,679
3,964,732
7,673
17,668,084
20,388,940
4,038,271
-
-
4,038,271
3,245,511
12,219,671
1,265,715
-
13,485,386
11,575,470
16,257,942
1,265,715
-
17,523,657
14,820,981
(436,546)
-
-
(436,546)
123,550
(2,998,809)
2,699,017
7,673
(292,119)
5,691,509
1,763,622
(1,763,622)
-
-
-
528,000
-
-
528,000
902,000
(707,187)
935,395
7,673
235,881
6,593,509
10,372,343
17,384,720
90,745
27,847,808
21,254,299
9,665,156
18,320,115
98,418
28,083,689
27,847,808

The notes on pages 17 I60to 34 form an integral part of these financial statements.

All of the above results were derived from continuing operations. All gains and losses recognised in the year are included above. The notes on pages 70 to 87 form an integral part of these financial statements.

14

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

CONSOLIDATED BALANCE SHEET

AS AT 31 MARCH 2023

Notes
Fixed assets
Tangible assets
16
Investments
17
Current assets
Stocks
18
Debtors
19
Cash at bank and in hand
Creditors: amounts falling due within one year
20
Net current assets
Total assets less current liabilities
being net assets excluding pension liability
Defined benefit pension scheme liability
21
Net assets including pension liability
Funds
Income funds
Restricted funds
25
Unrestricted funds:
Designated funds
26
Other charitable funds
Total funds excluding pension reserve
Pension reserve
21
Total funds		 2023
2022
2023
2022
£
£
£
£
9,000,864
9,001,074
9,000,864
9,001,074
8,699,788
9,153,108
8,699,792
9,153,112
Charity
Group
17,700,652
18,154,182
17,700,656
18,154,186
9,034
4,588
-
-
1,980,676
3,441,324
1,980,435
3,971,211
9,664,979
8,199,130
9,492,769
7,322,106
11,654,689
11,645,042
11,473,204
11,293,317
(1,271,652)
(1,244,416)
(1,131,266)
(922,361)
10,383,037
10,400,626
10,341,938
10,370,956
28,083,689
28,554,808
28,042,594
28,525,142
-
(707,000)
-
(707,000)
28,083,689
27,847,808
28,042,594
27,818,142
98,418
90,745
98,418
90,745
18,320,115
17,384,720
18,320,115
17,384,720
9,665,156
11,079,343
9,624,061
11,049,677
28,083,689
28,554,808
28,042,594
28,525,142
-
(707,000)
-
(707,000)
28,083,689
27,847,808
28,042,594
27,818,142

The Trustees acknowledge their responsibilities for complying with the Act with respect to accounting records and preparation of financial statements.

The financial statements were approved by the Board on 18[th] September 2023 and agreed on their behalf by:

Mr D Platt - Chairman

The notes on pages 70 to 87 form an integral part of these financial statements. The notes on pages 17 to 34 form an integral part of these financial statements.

15

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

CONSOLIDATED CASH FLOW STATEMENT

FOR THE YEAR ENDED 31 MARCH 2023

Notes
Net cash provided by operating activities
28
Cash flows from investing activities:
Dividends, interest and rents from investments
Purchase of property, plant and equipment
Proceeds from sale of property, plant and equipment
Proceeds on sale of investments
Purchase of investments
Net cash used in investing activities
Change in cash and cash equivalents in the reporting period
Cash and cash equivalents at the beginning of the reporting period
Cash and cash equivalents at the end of the reporting period		 2023
2022
2023
2022
£
£
£
£
1,969,259
5,431,630
2,674,073
5,399,700
263,346
104,028
263,346
104,028
(606,765)
(268,363)
(606,765)
(268,363)
-
-
-
-
4,882,731
(3,591,669)
4,882,731
(3,591,669)
(5,042,722)
1,758,184
(5,042,722)
1,758,184
Charity
Group
(503,410)
(1,997,820)
(503,410)
(1,997,820)
1,465,849
3,433,810
2,170,663
3,401,880
8,199,130
4,765,320
7,322,106
3,920,226
9,664,979
8,199,130
9,492,769
7,322,106

The notes on pages 70 to 87 form an integral part of these financial statements.The notes on pages 17 to 34 form an integral part of these financial statements.

16

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

NOTES TO THE FINANCIAL STATEMENTS

FOR THE YEAR ENDED 31 MARCH 2023

1 Accounting policies

The principal accounting policies adopted, judgements and key sources of estimation uncertainty in the preparation of the financial statements are as follows:

1a) Basis of preparation

The financial statements have been prepared in accordance with the Charity's memorandum and articles of association, the Charities Act 2011 and the Companies Act 2006 and "Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019)". The Charity is a Public Benefit Entity as defined by FRS 102.

The financial statements are prepared on a going concern basis under the historical cost convention, modified to include certain items at fair value. The financial statements are prepared in sterling which is the functional currency of the charity and rounded to the nearest £1.

These group financial statements consolidate the results of the charity and its wholly owned subsidiary undertakings for the year ended 31 March 2023 on a line by line basis. The trading results of the subsidiary undertakings are shown in note 13.

A separate Statement of Financial Activities and Income and Expenditure Account for the charity has not been presented because the Charity has taken advantage of the exemption afforded by section 408 of the Companies Act 2006.

1b) Fund accounting

Unrestricted funds are available for use, at the discretion of the trustees, in furtherance of the general objectives of the charity and which have not been designated for other purposes:

Designated funds comprise unrestricted funds that have been set aside by the Trustees for particular purposes. The aim and use of each designated fund is set out in the notes to the financial statements.

Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors, or which have been raised by the charity for particular purposes.

1c) Income recognition

All income is included in the Statement of Financial Activities (SOFA) when the charity is legally entitled to the income after any performance conditions have been met, the amount can be measured reliably and it is probable that the income will be received.

For donations to be recognised the charity will have been notified of the amounts and the settlement date in writing. If there are conditions attached to the donation and this requires a level of performance before entitlement can be obtained then income is deferred until those conditions are fully met or the fulfilment of those conditions is within the control of the charity and it is probable that they will be fulfilled.

Donated facilities and donated professional services are recognised in income at their fair value when their economic benefit is probable, it can be measured reliably and the charity has control over the item. Fair value is determined on the basis of the value of the gift to the charity. For example the amount the charity would be willing to pay in the open market for such facilities and services. A corresponding amount is recognised in expenditure.

No amount is included in the financial statements for volunteer time in line with the SORP (FRS 102). Further detail is given in the Trustees’ Annual Report.

Gifts in kind donated for resale are included at fair value, being the expected proceeds from sale less the expected costs of sale. Where estimating the fair value is practicable upon receipt it is recognised in stock and ‘Income from other trading activities’. Upon sale, the value of the stock is charged against ‘Income from other trading activities’ and the proceeds are recognised as ‘Income from other trading activities’. Where it is impracticable to fair value the items due to the volume of low value items they are not recognised in the financial statements until they are sold. This income is recognised within ‘Income from other trading activities’.

Fixed asset gifts in kind are recognised in full when receivable and are included at fair value.

17

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

1 Accounting policies (continued)

1c) Income recognition (Continued)

Legacies are recognised when both entitlement to receive the income has been established and when it is probable that the income will be received. Receipt is assessed to be probable when there has been grant of probate, and the executors have established that there are sufficient assets in the estate, after settling any liabilities, to pay the legacy. Legacies are measured at the fair value of income receivable based on available information.

Income from trading activities includes income earned from fundraising events and trading activities to raise funds for the charity. Income is received in exchange for supplying goods and services in order to raise funds and is recognised when entitlement has occurred.

Investment income is earned through holding assets for investment purposes such as shares. It includes dividends and interest. Where it is not practicable to identify investment management costs incurred within a scheme with reasonable accuracy the investment income is reported net of these costs. It is included when the amount can be measured reliably. Interest is recognised using the effective interest method and dividend income is recognised as the charity’s right to receive payment is established.

1d) Expenditure recognition

All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category. Expenditure is recognised where there is a legal or constructive obligation to make payments to third parties, it is probable that the settlement will be required and the amount of the obligation can be measured reliably. It is categorised under the following headings:

Irrecoverable VAT is charged as an expense against the activity for which expenditure arose.

1e) Support costs allocation

Support costs are those that assist the work of the charity but do not directly represent charitable activities and include finance costs, governance costs, information technology costs, HR and reception costs, facilities and health and safety costs, nonattributable depreciation, and general overheads including the defined benefit pension scheme cost. They are incurred directly in support of expenditure on the objects of the charity. Where support costs cannot be directly attributed to particular headings they have been allocated to expenditure on charitable activities on an apportioned basis related to the expenditure as a percentage of total expenditure.

Fund-raising costs are those incurred in seeking voluntary contributions and do not include the costs of disseminating information in support of the charitable activities.

The analysis of these costs is included in note 9.

1f) Tangible fixed assets and depreciation

Tangible fixed assets are stated at cost less accumulated depreciation and accumulated impairment losses. Cost includes costs directly attributable to making the asset capable of operating as intended.

18

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

1 Accounting policies (continued)

1f) Tangible fixed assets and depreciation (continued)

Depreciation is provided on all tangible fixed assets, at rates calculated to write off the cost, less estimated residual value, of each asset on a systematic basis over its expected useful life as follows:

Freehold land is not depreciated Freehold buildings 3% p.a. straight line Retail leased buildings works 20% p.a. straight line Fixtures, fittings & equipment 25% p.a. straight line and reducing balance Motor vehicles 25% p.a. reducing balance

1g) Investments Fixed asset investments are initially recognised at their transaction cost and subsequently measured at fair value at the balance sheet date, unless the value cannot be reliably measured in which case it is measured at cost less impairment. Investment gains and losses, whether realised or unrealised, are combined and presented as 'Net gains/(losses) on investments' in the consolidated Statement of Financial Activities. Investments in subsidiaries are valued at cost less provision for impairment.

Stock is stated at the lower of cost and estimated selling price less costs to complete and sell. Cost includes all costs of purchase, costs of conversion and other costs incurred in bringing stock to its present location and condition. Cost is calculated using the firstin, first-out formula. Provision is made for damaged, obsolete and slow-moving stock where appropriate.

Donated stocks are fair valued as described in section 1c) above.

1i) Financial instruments

The charitable company has elected to apply the provisions of Section 11 ‘Basic Financial Instruments’ and Section 12 ‘Other Financial Instruments Issues’ of FRS 102 to all of its financial instruments.

Financial instruments are recognised in the charitable company's balance sheet when the charitable company becomes party to the contractual provisions of the instrument.

Financial assets and liabilities are offset, with the net amounts presented in the financial statements, when there is a legally enforceable right to set off the recognised amounts and there is an intention to settle on a net basis or to realise the asset and settle the liability simultaneously.

i) Financial assets

Basic financial assets, which include debtors, and cash and bank balances, are initially measured at transaction price including transaction costs and are subsequently carried at amortised cost using the effective interest method. Financial assets classified as receivable within one year are not amortised.

Other financial assets, including short term highly liquid investments are initially measured at fair value, with subsequent changes in fair value recognised in the Statement of Financial Activities. These include cash on deposit and cash equivalents with a maturity of less than one year.

Financial assets measured at amortised cost are assessed for indicators of impairment at each reporting end date. Financial assets are impaired where there is objective evidence that, as a result of one or more events that occurred after the initial recognition of the financial asset, the estimated future cash flows have been affected. If an asset is impaired, the impairment loss is the difference between the carrying amount and the present value of the estimated cash flows discounted at the asset’s original effective interest rate. The impairment loss is recognised in the Statement of Financial Activities.

Financial assets are derecognised only when the contractual rights to the cash flows from the asset expire or are settled, or when the charitable company transfers the financial asset and substantially all the risks and rewards of ownership to another entity, or if some significant risks and rewards of ownership are retained but control of the asset has transferred to another party that is able to sell the asset in its entirety to an unrelated third party.

ii) Financial liabilities

Financial liabilities and equity instruments are classified according to the substance of the contractual arrangements entered into. An equity instrument is any contract that evidences a residual interest in the assets of the company after deducting all of its liabilities.

19

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

1j) Provisions

1k)

1m)

1n)

FOR THE YEAR ENDED 31 MARCH 2023

1 Accounting policies (continued)

1i) Financial instruments (continued)

Basic financial liabilities, including creditors and loans from fellow group companies that are classified as debt, are initially recognised at transaction price unless the arrangement constitutes a financing transaction, where the debt instrument is measured at the present value of the future payments discounted at a market rate of interest. Financial liabilities classified as payable within one year are not amortised.

Debt instruments are subsequently carried at amortised cost, using the effective interest rate method.

Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course of business from suppliers. Amounts payable are classified as current liabilities if payment is due within one year or less. Trade creditors are recognised initially at transaction price and subsequently measured at amortised cost using the effective interest method.

Financial liabilities are derecognised when the company’s contractual obligations expire or are discharged or cancelled.

Provisions are recognised when the charity has an obligation at the balance sheet date as a result of a past event, it is probable that an outflow of economic benefits will be required in settlement and the amount can be reliably estimated.

Leases

Assets acquired under finance leases are capitalised and depreciated over the shorter of the lease term and the expected useful life of the asset. Minimum lease payments are apportioned between the finance charge and the reduction of the outstanding lease liability using the effective interest method. The related obligations, net of future finance charges, are included in creditors.

Rentals payable and receivable under operating leases are charged to the SOFA on a straight line basis over the period of the lease.

1l) Pensions

When employees have rendered service to the charity, short-term employee benefits to which the employees are entitled are recognised at the undiscounted amount expected to be paid in exchange for that service.

The charity operates a defined contribution plan for the benefit of its employees. Contributions are expensed as they become payable.

The charity also operates a defined benefit scheme which is closed to new members. The contributions made to the scheme are as recommended by the Scheme Trustees and the independent actuary. The regular cost of providing retirement pensions and related benefits is charged to the statement of financial activities over the employees' service lives on the basis of a constant percentage of earnings.

Tax

The charity is an exempt charity within the meaning of schedule 3 of the Charities Act 2011 and is considered to pass the tests set out in Paragraph 1 Schedule 6 Finance Act 2010 and therefore it meets the definition of a charitable company for UK corporation tax purposes.

Going concern

At the time of approving the financial statements the Trustees have a reasonable expectation that the charity has adequate resources to continue in operational existence for the forseeable future and not less than one year from the date of approval. The Trustees and executive team are constantly monitoring the position of the charity and at the balance sheet date the charity has healthy reserves and healthy cash balances. Under all scenarios reviewed, the Hospice has sufficient reserves to enable it to continue as a going concern for the forseeable future. For this reason it continues to adopt the going concern basis in preparing the financial statements.

20

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

1o) Critical accounting judgements and key sources of estimation uncertainty

In the application of the charity's accounting policies, which are described above, the Trustees are required to make judgements, estimates and assumptions about the carrying amounts of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates.

The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised, if the revision affects only that period, or in the period of the revision and future periods, if the revision affects both future and current periods.

In preparing these financial statements, the Trustees have made judgements in determining the:

21

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

4

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

2
Donations and legacies
Unrestricted
Designated
Restricted
Total
Total
funds
funds
funds
2023
2022
£
£
£
£
£
Donations and gifts
1,610,580
1,692,000
7,673
3,310,253
3,570,521
Legacies
-
2,272,732
-
2,272,732
3,905,992
Department of Health
53,688
-
-
53,688
53,688
1,664,268
3,964,732
7,673
5,636,673
7,530,201
For the year ended 31 March 2022
Unrestricted funds
1,663,467
Designated funds
5,820,992
Restricted funds
45,742
7,530,201
3
Income from charitable activities
Unrestricted
Designated
Restricted
Total
Total
funds
funds
funds
2023
2022
£
£
£
£
£
Charitable activities
3,954,376
-
-
3,954,376
5,851,037
For the year ended 31 March 2022
Unrestricted funds
4,029,349
Designated funds
-
Restricted funds
1,821,688
5,851,037
Included within income relating to charitable activities are:
Integrated Care Board (Annual Grant)
2,890,199
2,787,717
NHS England COVID 19 (Via Hospice UK)
-
1,091,755
Wave 4 COVID 19 (Omicron) Support (ICB Funded)
-
729,933
2,890,199
4,609,405		 Unrestricted
Designated
Restricted
Total
Total
funds
funds
funds
2023
2022
£
£
£
£
£
1,610,580
1,692,000
7,673
3,310,253
3,570,521
-
2,272,732
-
2,272,732
3,905,992
53,688
-
-
53,688
53,688		 Unrestricted
Designated
Restricted
Total
Total
funds
funds
funds
2023
2022
£
£
£
£
£
1,610,580
1,692,000
7,673
3,310,253
3,570,521
-
2,272,732
-
2,272,732
3,905,992
53,688
-
-
53,688
53,688		 Unrestricted
Designated
Restricted
Total
Total
funds
funds
funds
2023
2022
£
£
£
£
£
1,610,580
1,692,000
7,673
3,310,253
3,570,521
-
2,272,732
-
2,272,732
3,905,992
53,688
-
-
53,688
53,688
1,664,268
3,964,732
7,673
5,636,673		 7,530,201
1,663,467
5,820,992
45,742
7,530,201
Unrestricted
Designated
Restricted
Total
Total
funds
funds
funds
2023
2022
£
£
£
£
£
3,954,376
-
-
3,954,376
5,851,037		 1,663,467
5,820,992
45,742
7,530,201
2,890,199
-
-		 4,029,349
-
1,821,688
5,851,037

2,787,717

1,091,755
729,933
2,890,199 4,609,405

NHS England awarded funding to allow the hospice to make available bed capacity and community support from December 2021 to March 2022 to provide support to people with complex needs in the context of the COVID-19 situation.

Income from other trading activities
Fundraising events
Income from commercial activities:
- Charity shops
- Lottery
For the year ended 31 March 2022
Unrestricted funds
Designated funds
Restricted funds		 Unrestricted
Designated
Restricted
Total
Total
funds
funds
funds
2023
2022
£
£
£
£
£
1,680,074
-
-
1,680,074
1,499,722
4,633,073
-
-
4,633,073
3,621,315
1,495,779
-
-
1,495,779
1,463,022		 Unrestricted
Designated
Restricted
Total
Total
funds
funds
funds
2023
2022
£
£
£
£
£
1,680,074
-
-
1,680,074
1,499,722
4,633,073
-
-
4,633,073
3,621,315
1,495,779
-
-
1,495,779
1,463,022
7,808,926
-
-
7,808,926		 6,584,059
6,584,059
-
-
6,584,059

22

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

7

8

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

5
Investment income
Income from listed investments
Interest receivable
For the year ended 31 March 2022
Unrestricted funds
Designated funds
Restricted funds
6
Other
Transfer of assets from The Donna Louise Trust		 2023
2022
£
£
140,588
96,384
122,758
7,644		 2023
2022
£
£
140,588
96,384
122,758
7,644
263,346 104,028
104,028
-
-
104,028
2023
2022
£
£
4,763
319,615		 104,028
-
-
104,028

In March 2021 the services of The Donna Louise Trust, a local children and young adult hospice, were integrated in to the Douglas Macmillan Hospice. In connection with the integration of services assets with a value of £4,763 (2022 - £319,615) were transferred from The Donna Louise Trust to Douglas Macmillan Hospice.

Analysis of costs of raising funds

costs
costs
2023
2022
£
£
£
£
Fundraising Costs
562,172
-
562,172
417,207
Costs of commercial activities:
- Charity shops
2,942,955
-
2,942,955
2,308,168
- Lottery
533,144
-
533,144
520,136
4,038,271
-
4,038,271
3,245,511
For the year ended 31 March 2022
Unrestricted funds
3,245,511
Designated funds
-
Restricted funds
-
3,245,511		 costs
costs
2023
2022
£
£
£
£
Fundraising Costs
562,172
-
562,172
417,207
Costs of commercial activities:
- Charity shops
2,942,955
-
2,942,955
2,308,168
- Lottery
533,144
-
533,144
520,136
4,038,271
-
4,038,271
3,245,511
For the year ended 31 March 2022
Unrestricted funds
3,245,511
Designated funds
-
Restricted funds
-
3,245,511		 costs
costs
2023
2022
£
£
£
£
Fundraising Costs
562,172
-
562,172
417,207
Costs of commercial activities:
- Charity shops
2,942,955
-
2,942,955
2,308,168
- Lottery
533,144
-
533,144
520,136
4,038,271
-
4,038,271
3,245,511
For the year ended 31 March 2022
Unrestricted funds
3,245,511
Designated funds
-
Restricted funds
-
3,245,511

4,038,271
3,245,511
3,245,511
-
-
3,245,511

Analysis of expenditure on charitable activities

Inpatient Services
Medical
Community and Hospice at Home
Wellbeing
Learning and Development
Children and Young Adult Hospice
Unrestricted funds
Designated funds
Restricted funds		 Direct
Support
Total
Total
costs
costs
2023
2022
£
£
£
£
2,763,854
1,284,951
4,048,805
3,719,687
569,140
277,904
847,044
775,044
2,228,344
1,127,530
3,355,874
3,081,097
738,397
353,022
1,091,419
938,602
170,675
55,045
225,720
125,572
2,647,961
1,268,563
3,916,524
2,935,468		 Direct
Support
Total
Total
costs
costs
2023
2022
£
£
£
£
2,763,854
1,284,951
4,048,805
3,719,687
569,140
277,904
847,044
775,044
2,228,344
1,127,530
3,355,874
3,081,097
738,397
353,022
1,091,419
938,602
170,675
55,045
225,720
125,572
2,647,961
1,268,563
3,916,524
2,935,468
9,118,371
4,367,015		 13,485,386
11,575,470
12,219,671
9,240,952
1,265,715
512,830
-
1,821,688
13,485,386
11,575,470

23

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

10

11

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

9 Allocation of support costs

Governance
Finance
Information technology
HR & reception
Facilities & health and safety
Depreciation
General overheads
Defined benefit pension scheme		 Community
Inpatient
and Hospice
Services
Medical
at Home
Wellbeing
£
£
£
£
45,123
9,558
39,089
12,249
138,275
30,216
122,115
38,216
195,803
41,589
169,909
53,240
219,330
46,960
191,264
59,910
273,111
59,566
240,906
75,398
180,293
37,405
154,214
48,371
230,944
51,214
205,834
64,376
2,072
1,396
4,199
1,262
1,284,951
277,904
1,127,530
353,022

Allocation of support costs (Continued)

Governance
Finance
Information technology
HR & reception
Facilities & health and safety
Depreciation
General overheads
Defined benefit pension scheme		 Children and
Learning &
Young Adult
Total
Development
Hospice
2023
£
£
£
2,301
43,980
152,300
5,356
137,386
471,564
9,774
191,169
661,484
10,264
215,193
742,921
10,788
271,034
930,803
10,625
173,517
604,425
7,579
231,569
791,516
(1,642)
4,715
12,002
55,045
1,268,563
4,367,015

Support costs are allocated in proportion to total expenditure. Salary, wages and related costs are allocated to the charitable activities undertaken on the basis of the direct salary, wages and related costs incurred by each charitable activities. Other nonsalary support costs are allocated to the charitable activities undertaken on the basis of the total salary costs and direct costs incurred by each charitable activity.

Analysis of governance costs
Salaries, wages and related costs
Allocated on time basis
Audit fees (parent company)
Cost incurred
Premises costs
1.125% of total premises costs
Overheads
10% of overheads not included above
Net income / (expenditure) for the year
Net income / (expenditure) is stated after charging:
Depreciation
Loss on disposal of tangible fixed assets
Auditors' remuneration (group) - audit and accountancy services
Auditors' remuneration (group) - non audit services
Investment management fees
Operating lease charges - buildings		 2023
2022
£
£
38,832
34,584
10,025
9,500
8,768
6,713
94,198
74,447
151,823
125,244
2023
2022
£
£
593,581
512,830
10,844
786
16,325
15,400
3,820
7,714
43,539
41,382
415,609
302,792

24

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

12
Financial activities of the charity
Gross income
Total expenditure on charitable activities
Fundraising costs
Unrealised gains/ (losses) on investment assets
Net income/ (expenditure)
Total funds brought forward excluding pension reserve
Total funds carried forward excluding pension reserve
Represented by:
Unrestricted income funds
Designated income funds
Restricted income funds		 2023
2022
£
£
17,092,292
19,835,575
(13,100,023)
(11,163,865)
(4,038,271)
(3,245,511)
(436,546)
123,550
(482,548)
5,549,749
28,525,142
22,975,393
28,042,594
28,525,142
9,624,061
11,049,677
18,320,115
17,384,720
98,418
90,745
28,042,594
28,525,142

13 Trading subsidiaries

The charity controls the companies listed below by virtue of holding a controlling interest in the equity share capital:-

Name of subsidiary
Douglas Macmillan Hospice Staffordshire Lotteries Limited
Douglas Macmillan Hospice Staffordshire Enterprises Limited
Summary of trading results
Turnover
Total expenditure
Profit for the year
England & Wales
Douglas Macmillan Hospice Staffordshire Enterprises Limited
England & Wales
Country of incorporation		 2023
2022
£
£
72,314
49,136
(31,219)
(19,470)
100
100
% of equity share capital held
41,095
29,666

The turnover from this entity is consolidated within total charity shop income reported in note 4 of these accounts. All profits in this subsidiary are distributed to Douglas Macmillan Hospice after the year end.

The assets and liabilities of the Douglas Macmillan Hospice Staffordshire Enterprises Limited w
Assets
Liabilities
Funds		 ere:
54,841
35,222
(13,744)
(5,554)
41,097
29,668
Douglas Macmillan Hospice Staffordshire Lotteries Limited
Summary of trading results
Turnover
Total expenditure
Profit for the year
The assets and liabilities of the Douglas Macmillan Hospice Staffordshire Lotteries Limited were
Assets
Liabilities
Funds		 2023
2022
£
£
1,495,779
1,463,022
(533,144)
(520,136)
962,635
942,886
:
1,274,461
1,263,117
(311,824)
(320,229)
962,637
942,888

25

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

14 Analysis of staff costs, trustee remuneration and expenses, and the cost of key management personnel

The total staff costs and employees benefits were:

The total staff costs and employees benefits were:
Wages and salaries
Social security costs
Pension costs		 2023
2022
£
£
10,868,886
9,286,573
987,131
796,099
1,386,943
1,225,905
13,242,960
11,308,577

Termination payments amounting to £11,924 were made during the year.

The number of employees who received total employee benefits (excluding employer pension costs) of more than £60,000 is as follows:

£60,001 to £70,000
£70,001 to £80,000
£80,001 to £90,000
£90,001 to £100,000
£100,001 to £110,000
£110,001 to £120,000
£120,001 to £130,000		 2023
2022
Number
Number
2
2
1
1
1
-
-
-
-
2
1
-
1
-

The average monthly number of employees and full time equivalent (FTE) during the year was as follows:

Raising funds
Charitable activities
Governance		 2023
2023
2022
2022
Number
FTE
Number
FTE
123
108
109
94
309
263
291
242
1
1
1
1
433
372
401
337

The key management personnel of the charity comprise the members of its executive management team. The total employee benefits of the key management personnel of the charity were £600,519 (2022: £538,445).

The trustees neither received nor waived any remuneration during the year (2022:£Nil).

The trustees did not have any expenses reimbursed during the year (2022:£Nil).

The charity has received no donations with conditions from the trustees during the year (2022:£Nil).

26

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

15 Pension costs FPS defined benefit scheme

The charity contributes to a defined benefit scheme and the details are in note 21.

Contributions are made in accordance with the annual recommendations of a qualified independent actuary.

The contributions to this scheme in the year were £Nil (2022: £Nil). Also during the year shortfall payments in respect of a recovery plan have been paid totalling £191,002 (2022: £190,998).

Contributions are also made to a second plan (FPS Federated Flexiplan) in accordance with actuarial recommendations.

NHS defined benefit scheme

The charity also contributes to the NHS Pension Scheme, which is an unfunded, defined benefit scheme that covers NHS employers, General Practices and other bodies, allowed under the direction of the Secretary of State, in England and Wales. The scheme is not designed to be run in a way that would enable NHS bodies to identify their share of the underlying scheme assets and liabilities. Therefore, the scheme is accounted for as if it were a defined contribution scheme: the cost to the NHS body of participating in the scheme is taken as equal to the contributions payable to the scheme for the accounting period.

A valuation of scheme liability is carried out annually by the scheme actuary (currently the Government Actuary’s Department) as at the end of the reporting period. This utilises an actuarial assessment for the previous accounting period in conjunction with updated membership and financial data for the current reporting period, and are accepted as providing suitably robust figures for financial reporting purposes. The valuation of scheme liability as at 31 March 2023, is based on valuation data as At 31 March 2022, updated to 31 March 2023 with summary global member and accounting data. In undertaking this actuarial assessment, the methodology prescribed in IAS 19, relevant FReM interpretations, and the discount rate prescribed by HM Treasury have also been used.

The contributions to this scheme in the year were £272,269 (2022: £291,175).

Aviva/Nest defined contribution schemes

The charity also contributes to defined contribution schemes in respect of employees who do not qualify for the FPS scheme or the NHS scheme.

The contributions to these schemes in the year were £927,021 (2022: £739,257).

27

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

16
Tangible fixed assets
Group and company
Cost
At 1 April 2022
Additions
Disposals
At 31 March 2023
Depreciation
At 1 April 2022
Charge for the year
Disposals
At 31 March 2023
Net book value
At 31 March 2023
At 31 March 2022
17
Fixed asset investments
Market value at 1 April 2022
Additional funds invested
Additions at cost
Disposals at carrying value
Change in value in the year
Other movement in cash balance
Market value at 31 March 2023
Historical cost at 31 March 2023		 Land and
Fixtures,
Total
buildings
fittings &
equipment
£
£
£
12,612,713
1,730,225
14,342,938
113,398
493,367
606,765
-
(173,171)
(173,171)
12,726,111
2,050,421
14,776,532
3,976,546
1,365,318
5,341,864
405,565
188,016
593,581
-
(159,777)
(159,777)
4,382,111
1,393,557
5,775,668
8,344,000
656,864
9,000,864
8,636,167
364,907
9,001,074
Cash
Listed
Total
2022
inv.
£
£
£
£
361,611
8,791,497
9,153,108
7,050,197
-
-
-
2,000,000
(5,042,722)
5,042,722
-
-
4,882,731
(4,882,731)
-
-
-
(436,546)
(436,546)
123,550
(16,774)
-
(16,774)
(20,639)		 Land and
Fixtures,
Total
buildings
fittings &
equipment
£
£
£
12,612,713
1,730,225
14,342,938
113,398
493,367
606,765
-
(173,171)
(173,171)
12,726,111
2,050,421
14,776,532
3,976,546
1,365,318
5,341,864
405,565
188,016
593,581
-
(159,777)
(159,777)
4,382,111
1,393,557
5,775,668
8,344,000
656,864
9,000,864
8,636,167
364,907
9,001,074
184,846
8,514,942
8,699,788
9,153,108
184,846
8,306,461
8,491,307
8,428,975
The following investments made up more than 5% each of the total market value of listed investments The following investments made up more than 5% each of the total market value of listed investments The following investments made up more than 5% each of the total market value of listed investments or bonds at 31 March 2023. or bonds at 31 March 2023.
2023 2022
£ £
Fidelity UCITS ICA US Quality Income Fund 446,046 330,328
Maitland Institutional Services MI select Managers Fund UK 151,047 551,281
Maitland Institutional Services MI select Managers Fund North America 289,603 1,151,723
Vanguard Funds PLC S&P 500 463,787 845,350
Summary of Investments Group Charity
2023 2022 2023 2022
£ £ £ £
Investment in subsidiary companies - - 4 4
Other investments 8,699,788 9,153,108 8,699,788 9,153,108
8,699,788 9,153,108 8,699,792 9,153,112

28

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

18
Stock
2023
2022
2023
2022
£
£
£
£
Stock in hand
9,034
4,588
-
-
9,034
4,588
-
-
19
Debtors
2023
2022
2023
2022
£
£
£
£
Trade debtors
48,994
244,663
48,994
244,663
Amounts owed by subsidiary undertakings
-
-
-
733,810
Other debtors
1,928,803
2,916,184
1,928,563
2,712,261
Prepayments and accrued income
2,879
280,477
2,878
280,477
1,980,676
3,441,324
1,980,435
3,971,211
20
Creditors: amounts falling due within one year
2023
2022
2023
2022
£
£
£
£
Trade creditors
288,852
294,822
279,051
292,184
Amounts owed to subsidiary undertakings
-
-
182,208
-
Other creditors
459,042
462,298
153,469
153,300
Taxes and social security
246,863
212,522
246,863
212,522
Accruals and deferred income
276,895
274,774
269,675
264,355
1,271,652
1,244,416
1,131,266
922,361
21
Pension and other post-retirement benefit commitments
Employee benefit obligations
2023
2022
a) The amounts recognised in the balance sheet are as follows:
£
£
Present value of funded obligations
7,441,000
10,090,000
Fair value of plan assets
(8,031,000)
(9,383,000)
Surplus not recognised
590,000
-
(Surplus)/ Deficit
-
707,000
Net pension (asset)/ liability recognised before tax
-
707,000
Charity
Defined benefit pension plans
Group
Charity
Charity
Group
Group		 2023
2022
2023
2022
£
£
£
£
9,034
4,588
-
-
Charity
Group		 2023
2022
2023
2022
£
£
£
£
9,034
4,588
-
-
Charity
Group
9,034
4,588
-
-
2023
2022
2023
2022
£
£
£
£
48,994
244,663
48,994
244,663
-
-
-
733,810
1,928,803
2,916,184
1,928,563
2,712,261
2,879
280,477
2,878
280,477
Charity
Group
1,980,676
3,441,324
1,980,435
3,971,211
2023
2022
2023
2022
£
£
£
£
288,852
294,822
279,051
292,184
-
-
182,208
-
459,042
462,298
153,469
153,300
246,863
212,522
246,863
212,522
276,895
274,774
269,675
264,355
Group
Charity
1,271,652
1,244,416		 1,131,266
922,361
2023
2022
£
£
7,441,000
10,090,000
(8,031,000)
(9,383,000)
590,000
-
Defined benefit pension plans
-
707,000
-
707,000

In response to volatility in asset values and corporate bond yields and uncertainty related to some key assumptions underpinning the pension scheme valuation the trustees are of the opinion that it is prudent to not recognise the pension scheme surplus of £590,000 and therefore the net pension scheme asset stated in these accounts is £nil.

b) The amounts recognised in the statement of financial activities are as follows:

Current service cost included in staff costs within total resources expended
Past service cost
Net pension finance costs included within total resources expended:
Interest on obligation
Expected return on pension scheme assets
Total
Actual return on scheme assets over the period		 -
-
29,000
25,000
29,000
25,000
267,000
224,000
(251,000)
(190,000)
16,000
34,000
45,000
59,000
(1,206,000)
575,000

29

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

21
Pension and other post-retirement benefit commitments (continued)
c) Included with other recognised gains and losses:
Return on assets, excluding interest income
Impact of surplus restrictions
Change in irrecoverable surplus
Actuarial gains/(losses) on liabilities
Pension scheme surplus not recognised
d) Changes in the present value of the scheme liabilities:
Opening liabilities
Current service cost
Past service cost
Interest cost
Contribution by scheme participants
Actuarial (gains) / losses
Benefits paid (including payments to and on account of leavers)
e) Changes in fair value of the scheme assets:
Opening fair value of scheme assets
Interest income
Actuarial (losses)/ gains on assets
Contributions by employer
Expenses paid
Benefits paid (including payments to and on account of leavers)
f) The major categories of scheme assets are as follows:
Equity
Bonds
Diversified funds
LDI
Cash
Annuity contracts
g) Principal actuarial assumptions used by the actuary at the balance sheet date
Discount rate at 31 March
Rate of inflation (RPI)
Rate of inflation (CPI)
Rate of salary increase
Rate of increase to pensions in payment
- Pre 1997 (Discretionary)
- 1997 - 2009 (RPI max 5%)
- Post 2009 (RPI max 2.5%)		 2023
2022
£
£
(1,457,000)
385,000
-
-
-
-
2,575,000
517,000
(590,000)
-
528,000
902,000
2023
2022
£
£
10,090,000
11,497,000
-
-
29,000
25,000
267,000
224,000
-
-
(2,575,000)
(517,000)
(370,000)
(1,139,000)
7,441,000
10,090,000
£
£
9,383,000
9,760,000
251,000
190,000
(1,457,000)
385,000
246,000
187,000
(22,000)
-
(370,000)
(1,139,000)
8,031,000
9,383,000
2023
2022
£
£
2,738,000
3,350,000
1,202,000
1,391,000
2,768,000
3,447,000
1,248,000
1,146,000
62,000
34,000
13,000
15,000
8,031,000
9,383,000
2023
2022
%
%
4.70
2.70
3.40
3.90
3.00
3.50
2.50
2.50
0.00
0.00
3.30
3.70
2.25
2.35

30

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

21 Pension and other post-retirement benefit commitments (continued)

g) Principal actuarial assumptions used by the actuary at the balance sheet date (continued)

Expected life expectancies on retirement at age 65 are: 2023 2022
Years Years
Males retiring immediately 19.10 20.00
Females retiring immediately 22.70 23.30
Males retiring in 20 years time 20.80 21.70
Females retiring in 20 years time 24.60 25.20

22 Financial commitments

Commitments under operating leases

As at 31 March 2023 the group was committed to making the following payments under non-cancellable operating leases as set out below:

Group and company:
Operating leases which expire:
Within one year
Between two and five years
After five years		 2023
2023
2022
2022
Land &
Land &
buildings
Other
buildings
Other
£
£
£
£
439,940
55,638
339,514
44,371
878,902
100,366
610,630
28,938
-
-
3,125
-
1,318,842
156,004
953,269
73,309

23 Capital commitments

Contracted, not provided for

Group and Group and
Company Company
2023 2022
£ £
- -
- -

24 Company limited by guarantee

Douglas Macmillan Hospice is a company limited by guarantee and accordingly does not have share capital. Every member of the company undertakes to contribute such amount as may be required not exceeding £10 to the assets of the charitable company in the event of its being wound up while he or she is a member, or within one year after he or she ceases to be a member.

31

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

25 Restricted funds

The income funds of the charity include restricted funds comprising the following unexpended balances of donations and grants held for specific purposes:

Other specific purposes Balances at
Incoming
Resources
Balances at
1 April 2022
resources
expended
Transfers
31 March 2023
£
£
£
£
£
90,745
7,673
-
-
98,418
Movement in funds
90,745
7,673
-
-
98,418

Purposes of the funds

Specific purposes represents various donations made where the donors have asked that the monies be utilised to fund a specific aspect of the hospice's activities or to purchase particular items of equipment.

26 Designated funds

The income funds of the charity includes the following designated funds which have been set aside out of unrestricted funds by the trustees for specific purposes:

Fixed assets fund
Legacy equalisation fund
Young adult hospice fund		 Balances at
Incoming
Resources
Balances at
1 April 2022
resources
expended
Transfers
31 March 2023
£
£
£
£
9,001,074
-
(593,581)
593,371
9,000,864
6,468,646
2,272,732
-
(2,356,993)
6,384,385
1,915,000
1,692,000
(672,134)
-
2,934,866
Movement in funds
17,384,720
3,964,732
(1,265,715)
(1,763,622)
18,320,115

The fixed assets fund has been set up to assist in identifying those funds that are not free funds and it represents the net book value of all assets.

The legacy equalisation fund has been designated by the trustees to provide for expenditure in future years. The trustees recognise the unpredictable nature of this source of income and have set aside funds to provide for expenditure not covered by income from other sources.

The young adult hospice fund relates to funding from the Denise Coates Foundation towards the on-going running costs of the young adults' hospice.

The transfer to the fixed asset fund is in respect of fixed asset additions in the year now designated by the trustees as part of the fixed asset fund and also fixed assets transferred from restricted funds.

The transfer from the legacy fund is to reflect the amount transferred to unrestricted income previously designated by the trustees. The amount is calculated on the multi year average of legacy income.

32

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

27
Analysis of group net assets between funds
Fund balances at 31 March 2023 are represented by:
Tangible fixed assets
Investments
Current assets
Current liabilities
Pension reserve
Group net assets		 Unrestricted
Designated
Restricted
Total
funds
funds
funds
£
£
£
£
-
9,000,864
-
9,000,864
8,699,788
-
-
8,699,788
2,237,020
9,319,251
98,418
11,654,689
(1,271,652)
-
-
(1,271,652)
9,665,156
18,320,115
98,418
28,083,689
-
-
-
-
9,665,156
18,320,115
98,418
28,083,689
28 Reconciliation of net movement in funds to net cash flow from operating activities Reconciliation of net movement in funds to net cash flow from operating activities Reconciliation of net movement in funds to net cash flow from operating activities
Group Charity
2023 2022 2023 2022
£ £ £ £
Net income for the reporting period 235,881 6,593,509 224,452 6,579,748
Adjustments for:
Depreciation charges 593,581 512,830 593,581 512,830
Loss on disposal of tangible fixed assets 13,394 786 13,394 786
(Increase)/ decrease in investment cash balance 176,765 (145,876) 176,765 (145,876)
Gains/ (deficit) on investments 436,546 (123,550) 436,546 (123,550)
Actuarial gains (528,000) (902,000) (528,000) (902,000)
Dividends, interest and rents from investments (263,346) (104,028) (263,346) (104,028)
Difference between pension charge and cash contributions (179,000) (128,000) (179,000) (128,000)
(Increase)/ decrease in stocks (4,446) (1,514) - -
(Increase)/ decrease in debtors 1,460,648 (529,684) 1,990,776 (542,805)
Increase/ (decrease) in creditors 27,236 259,157 208,905 252,595
Net cash provided by operating activities 1,969,259 5,431,630 2,674,073 5,399,700
29 Analysis of net cash balances
1 April Cash flow Non-cash 31 March
2022 changes 2023
£ £ £ £
Cash at bank and in hand 8,199,130 1,465,849 - 9,664,979
Fixed asset investments 9,153,108 (16,774) (436,546) 8,699,788
17,352,238 1,449,075 (436,546) 18,364,767

33

DOUGLAS MACMILLAN HOSPICE (A COMPANY LIMITED BY GUARANTEE)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

FOR THE YEAR ENDED 31 MARCH 2023

30 Financial instruments

The carrying amounts of the charity's financial instruments are as follows:

Notes
Financial assets
Measured at fair value through net income / expenditure:
Fixed asset listed investments
17
Debt instruments measured at amortised cost:
Trade debtors
19
Amounts owed by subsidiary undertakings
19
Other debtors
19
Financial liabilities
Measured at amortised cost
Trade creditors
20
Amounts owed to subsidiary undertakings
20
Other creditors
20
Taxes and social security
20
Accruals and deferred income
20		 2023
2022
2023
2022
£
£
£
£
8,699,788
9,153,108
8,699,792
9,153,112
Group
Charity
48,994
244,663
48,994
244,663
-
-
733,810
1,928,803
2,916,184
1,928,563
2,712,261
1,977,797
3,160,847
1,977,557
3,690,734
288,852
294,822
279,051
292,184
-
-
-
-
459,042
462,298
153,469
153,300
246,863
212,522
246,863
212,522
276,895
274,774
269,675
264,355
1,271,652
1,244,416
949,058
922,361

The income, expenses, net gains and net losses attributable to the charity's financial instruments are summarised as follows:

Notes
17
Financial assets measured at fair value through
net income / expenditure		 2023
2022
2023
2022
£
£
£
£
(436,546)
123,550
(436,546)
123,550
Charity
Group

31 Related party transactions

There were no related party transactions during the year (2022: £Nil).

34

Adult Services

Children and Young Adult Services

Barlaston Road Blurton Stoke-on-Trent ST3 3NZ 01782 344300

Grace Road Trentham Stoke-on-Trent ST4 8FN 01782 654440

www.dougiemac.org.uk

/DougieMacHospice

/DMHospice /DougieMacHospice

/DougieMacStoke

Registered Charity Number: 1071613 | Company Number: 03615904