REGIThED COMPANY NUMBER: 03S94951 (Eryland and Wales) REGISTERED CHARrrY NUMBEK" 10729S8 FINANCIAL STATEMEKfs FOR THE YEAR ENDING 31 MARCH 2021 FOR Murray Smith LLP Chartered Accountants Darland House 44 Vknnington Hffl Northwich CheshiTe CW8 Nl *AaIN7V5C' 0411212021 COMPANIES HOUSE
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.b coTrfrETrrrs OF THE FJNANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2021 Page Report of the Thtstees Report of the hlependent Auditovs Statement of Financial Activi Balance Sheet Statement of Gish Row5 Notes lo the Accounts 14-16 17 18 19 20-24 Welcome from the Chair of Thtees. Tracy Paine Welcome to the End ol life ParineTty Limited Annual Report for the financial year ending the 3tst March 202L The report include5 audited financial statLYtwLts tor the year ending the 31st MaTth 2021 and other inlomwt6on as required by statute and Chwity -i CommissIc guideline& We also set out our wogress against our objective5 The lunding environrnenl Temain5 th"fficuit ft)T the Charity. howevtT this year the orgaftisation traded at a surplus foT the fi"T5t time in fow yeaTS. The swplus of £134.$36 is mainty due to a reduction in salary costs as a Tesult of staff tumover and staff recruitst and COVD.19. (kn management team and stsff have worked under exiremety difficult CircuneS durirwJ the COVID•19 pandemie and have to be cornmended for their commitrrwit lo the continued ar importanl WOTk ol the End of Llfe PartneTship IEOLPI. EOLPS target Is to hold 3 Frthths worknTrJ capital in unrestricted TeseTves and aTe pleased that we have xhieved this level as at the end of the 2020-21 financial yeaT. The Covid.19 pandemic Contired duTiry 2020121 and we Saw the mawernent team aTKI staff quickly adapt to 5afeT WOTknng condition5 byvrtJThiny fvom home as well as pT0dIng dired support to clinical seNces and patient care Meètings and training were moved online to ensure that EOLPS swvice and Prrt continued Jftitial corwns about the impact that the pandemic would have on our plan ol work vlere QU altayed by the profes7 expeFti5e and adaptability that the team exhibited whilst grasping oppoFtimities to develop new NiCeS and support to meet the needs ol the COMMlty and our partneT& This induded donning unifoTm5 and PPE to provide diTect care and coaching siipport to General NuT5ing AssistaTtt& Care Home aThl Hospital Staff. of life care with conlenCe ard compaty"orL This has been $0 imJ>knt dwing the challenges of the panderniG in¢lalng the need to PTovide essential bereavement and her types ol sikpport for carers and families, whlst aclowwied9mg the needs of prOfeSsnal care promders who have experienced to establish solutions that ersure that we achieve ow vision in that everyone YeceiNES conwassionate aThJ pers¢)r4lised eTMI ol life caT Page 2
Reference and Administrative Details Registered Company NumiT 035949511Ennd and Wales) ReWeTed ChaTity number I¢JT2958 Regi#eTed office and wincipal F4ace ot ¢peTi Offices 4 And 5. SpriTg Fami Business CeTre. M055 iano Minshull Vernory Crewe, Cheshire. CWI 4RJ SenioT Stattrtory Auditc Michael Berson- SenioT Statutory AuditQT- Chartered countant Auditor5 MuTray Smith C7wleTed Accowrtants CW8 Santander pl¢ Boot Merseymde. 130 4GB Members of the Board (Directors and Thtees) The Tntstee> who aTe also directots of the thwityfor the wrposts of the CThYpantes Aet 20C6. present theiT report with the tinancial statements ol the charity f+y the yeaT ended 31 MaTch 2021 as TeqLrired by company law. The Trustees have adopted the Chan"ties SORP IFTS 1021 Accounting and Reporting by Chlties.. Statement of Reeomrnended Practtce appHcable to ehaiities PTeparing theu accounts in #CCOTdaTewith the knancial Rewrting Standard appiicabie irt the UK and Republic of ITeland IFRS 102). TtteS betw¢on th lit 2020 _ 31At Muth 2021: MY J M MacDonald Appointed l Augist 2016 Mrs T L Paine Appointed l January 2017 Ms J M Hartley Appointed l Auwst 2017 P•trs A C Miller Appointed l August 2017 Mrs E K Helm Appointed l August 2019 Mrs l M Richards Appointed l Au9lSt 2019 Mrs L Lurcock Appointed l August 2019 P•lT G Brig95 Appointed 24 MaT¢h 2020 MYS E A Gray Appointed 24 MaTch 2020 Mr P G MoTrtssey Apwnted 24 March 2020 {Appted Chair- 23 2017- 4 March 2021) (Appointed ChaiT- 4MaTch 2021) i£adeTshlp and managnt Team.. S aeyT5 Chiel Executive OfficeT A Ratclffte Macmillan Head ol Service and Practice Development (East i<ity) A aiffoTd Head of Service and Practice D*ent (West iA)catityl S Crke aini¢al i£ad Page 3
Structure, Governance and Management rxjrtng the peTlod the 1st All2020 to the 31#March 202L the ErbJofi4fe Partnership (EOLPI was acornpany Ilmlted by guarantee The Board OfTtee5 15 rnade up ofnine Tnslees and a Chair meets quarterty. The meetings aTe attended by the Chief Exeeutive Offi"ceY and members ol the LeadeTSh Management Tearn IiNTI. Business and financial reports are PTovided by the Televant indivual% EOLP seNes the needs of the broad comrnunity so the BoaTd endeavows to reflect this in the make-up of ils membership. lIst meeting Ihe need to have an apwopriate Mix ol professional thl]s necessary f(y the day-l(daY and longer tenx nmning of the Charity. TnleeS are elected to seTve for a tern of three yeaN tArt sttk rtrelection for lurtheTpeTio¢kn v•ith a totsl pernitted maximum of nine yea erwring wlicy and decision-making allov4s for the effective operations of EoiP and li hieveMent of agreed The rninutes and report5 0fTntee meetings are CiTcuJated to all Trustees and members of the LMTwho attend the meeting. Copies are retained in an electronic file fov futUTe referenc& The committees are attended by desiwated TnteeS and the leadeTship managernent teanL The committees make propxals to the Board and have approved teTm5 01 reference with specific asrted rttponsllltse The three comw*ttee5 aTe.' PpIe and Culture (knlity and Govemanee TTUStees are Tecniited a¢tording to a rigorous set are prodedVrithTeIevant irfoTmationto help them to fulfil their Tole and Teceive a foThl induckn on jcxning the oryantsatic The End of Life Partnership (EOLPI VRS established under a MemoraTthJm ofAssociatiory whlch sets ¢)ut the obierts IpuTpose). powers IvAut it is allowed to dol and essential rules foT Nnning the charity. EoLPis govemedundeT Its Articles of Association 08st amended November 20191 and is governed bystatute. rnainly the Chwities Act 2011 and Companies Act 20r Nothing In the Articles shall authorise an application of the PTopety of the Charity for puwses, whlch are not chaTitabie in accoTdan¢e viith se¢tÉon 7 of the Cfvrities aThlTntee Investment Iscotlandl Act 2005 andloT Section 2 of the ChltieS Act INorthem treland) 2008. Ablk benefft Inrevlevrng EOLFS aims Objectiv and in plannry fviuTe activity and diTection Tntee5 have TefeTred to the guidance contained in the ChaTity CornTnission's geneTal 9uthnce on pulAKbenefit (Section 41. TnleeS believe that the aim5 and obieclive& as well as the adivtkn.es dtsCrO) thToughout this reFth, are undertakento furthff the charitys for the benefit of the public EOLP'S Leadership Management Team ILMT) consists ofthe ChiefExecutive C¥ficeT. a ainical Lead, Head ofservice and Prath'ce Development (Fasl Locabtyl ard Head of Sere aTxI Praetiee Dèvèlopment Iwest Loealityi who also leads the IlJbllc Health Tea To lacilitate effective opeTatt"¢)n5 each rnernbeT of the LMT has delegated autTrb)rity loy ¢)peYational matters including the W¢MSi¢)n of education and training serrfoce development public health aoknced dements'a support tea evaluation and technoiow. finan. human resources and income geneTatioTL Page 4
He4d rl Seri¢e 4 Piacttc¢OevekpThenL r Heahh Iwesi L¢CaliiyI L£ad -cadol scrcend .aclict Develwn2n (Ea¥ IWliiyI AavarL¢èd DemthTrii spport Tearn itadtf ornmunicèlio ¥ MarkeiiAg. iA>c&ity CoDTdinaioT novdiedge ari InfcrfrnatLC5 Ld Lead olect M•n&gpr L4Xthhty cdt0t d BST Lead lThwrne neraliDn Ltra PA ttst CEO and HA SuppoTt ProJe¢t Admiral Nurse west cr*shire FI11140 Tearn ProJo¢t otxdinat Cornnxtrnutiofis and Fnywenl Che5hve AHP. cupa Man)¥ement Accoun19 ¢Yhctr and Cornpany suppo Offrls1 Prttetice Edu¢ltOrS Ad01 AswE•nt Apwente xie ThEr&pt Ic 41th a uSinEts Suppo ApPrn ic Heallh Objectives and Aims EOLP was established in April 2014 as a Ytsutt of thrèt predecessor organisaiions joining togetheT to shaTe expertise and increase their combined iTfytt The aim ol EOLP is to create a more complete holistic and Coordinated appToach to deat dying and loss tt vK4Jld improve end of life expttienee for aiL The Charity's objects I'obiects'l as defined in knde 4 of the MeN#)Yarthrn and AYtKles tsf Assodalion are specifi¢alty restrtcted to the foll¢)viw. The objectives and PUTPCW of EoiP are drivenby national and PriOTkthes The NHS iKJng Terrn Han The National Ambitions Framework tOT Palliative and Erwj of Life Care Cheshire CCG and CheshiTe Local AutltIeS. Commissioning Hans and Health andwellbeing Strate.e5 Outcomes Frameworks for the NHS. bIle Heallh Engl• Educaiion and hAault Social Care North West Strategic Clinical Netwo Delivery Plans EOLP also responds to InfoTTrti0n abo the needs of ¢xw ptipUtsti inciudiry the intelllgw*e contained within kcal authtyity Joint Strategic Needs Assess1& Pa8e S
Strategic Direction The StraitC Direction of the organtsatk*n is In1th ty the pFicMittes descnljed atw and aTe Tefiecred In the diagrambeiow.. 8yZO2Jw¢wkl hav¢pxftWy Ihecai¢ co Another sl9nlflcant infiuence on EoiFs strategic directim are the pri011tl&% of ts Strate9K CollaTatiVe CheshiTe ISCCI IOT Palliative and End of life Care. The membeTS of this group are senioT Feople lead the provisiorL commlssitinlng and design of of lile care in Cheshire (see bel¢)wl. The 9Toup also tludeS people withpeTsonal expeTlence of CaTe. &¥1 Page 6
The puy of the SCC is. to"thive a collab)Tati¥e appToach to enakle ard Supr rerson pamiative and end ol life care foT people in Cheshire." The SCC do this byNthirwJ together to achieve irnPTovements for the local population The SCC launched a five-year Collatmtive Han lor Palliative and Flhd ol Life Ce in 2020 whfch sets out a collab)rative appToach across health and social caTe lders and the third sector. plaary patients at the centre of care. In declding on the loritieS to be lded viithin collaljorative plan for palbative and end of It eare the group ainied to balance the requiTements of national poly vrith the wiorities of local OTganisation& The SCC a150 remewed evidence and data about what makes the biggest difference to people who aTe receiving or ProdIng palliative and end of lile caTe. As a resu the SCC identified tkwee piorities vthich 44711 be Ihe focus of its WOTk oveT the next five years Isee belowl. Effeciive Iwo way comTnvnicalion and engagment Peisonalised care plannirig and COOTdinaiion System LeadeTship Achievements and Perfomiance of EOLP At a Glance Facts and Flgures EOLP set an lrnpact Goal to Positively lnfiUer the caTe of 30.000 people vètrLO are ne&iry the end ol life between 2019-2023. At the end of March 2021 EoiP has Teacl*d 17.(r34 Slnce 2016... EOLP has provlded education to 21100 ddegat< the maloFIty being care staff vthing threctly wilh patients aThl their loved OTWS During the Financ1 Year o12020RL 301 delegates paTttapated in edu¢atiorn trainv)g. leaminy aThl development courses. 87.9% stated ttiey weTe some1 likety or likely to dunge their practice as a result of tly tyairmg 93.3X of delegates wouhj T(e¢0mff or Ffighly Rec. the couw they attended an increase on last year's responses The m05t attended everrt vrns Vevlfieati of Expected of whkh 68 cou)¥es were held ith S76 attendees 303 OTganisalions attended edatIon and traintng detT¥w by EoLPirthithg 98 care homes Iwith 62.4% of the care homes being based within the Cheshire area) 26 dementia specitic COUTses were delivered in the year. with 196 attendees EOLPS nthlic Heatth Team delivered 28 compassionate community sessions with 196 attendees Page 7
Continuty of CoTe Act5vlty Despite the restrictions Tesulkn'TrJ frOrnt pandemi¢ EoLPhave been able to maintain and build on their WOTkwith a rar¥Je of existing and new partners, and nnY of the core activities have Continued albeit in a different fornwt. EQLP have.. Delivered Carers Wellbeing fvowarnn suppm fifteen famity carers ColEaboTated with Central Cheshire Integrated Care Partne. to develop an Palliative Care Co- dination System IEPaCCSI WOTkbook and VffjTkshops Worked Mth the thTee Cheshire H05pice5 to pjthance g0veM and training around theiT 24hr telephone advice line swvices In conjunction vith GTeateT Man¢hesttt and Eastem Cheshire Strategic ainical Network designed and launthed the'Qne Step. seif-diTected PTogTamrne of stuty vthich 15 aiTned at anyone working within health and la7 care. e5pecialty those working in care homes residentsl homes and home car ChaiTed the Strategic CollJtrf)r&¥e Cheshire (see atthel its three worf(ing group5 ngSIg Palliative Care In Partneythip quality of Itfe ltsr the person and their family whilst maintw'ning their dignity and respecL EOLP is the lead pro•Ader with direct care provided by CCICFS Placement of Care Hub. From ApTiI 2020- March 2021. the servi¢e has 25 palients and their loved one Home Instead Annual COnferer IIOOtr peopkj Lung Cancer Nursing UK webinar160 people) National Ambitions PaTlneTship Vvlual Confere1600 people) John Moores University Paramedic S¢<iety webinar (70+ people) •• Website EOLP has one 'urnbTella' website for the oryanisation The visitors to the wet6ite have rnaintained a similar level al 14.816 hits in rjnancial YeaT 20121. This included 14.608 newu5ers. The aveTage nurnbeT of useT5 peT month duling this period was 1234. EPAIGE EPAIGE is an on•ltne resource containing up to date evidence.based informth and key documents that support tarws and professionals in clinical practice EPAIGE vrts Visited by 6.431 new for the peTIo this was an increase of 1&4 X on the previous yeaT. EOLP has contlnued to develop its internal technical infrastructure to hjrther Tefine it PTocesse5 and has implernented a nurnitr of PToiects to wrwove reporting data management and efficiency. These include.. Transitionto dtyitsi deiivwy ol resourcts via Microsoft Teams Intrtyjudion of a cloud-based HR management system to irnPTove effia'ency Implementation of a MOODLE la non-line leaTning Site) enviTOTmeN to 5UPTth delivery of specilic courses and assessment Implementstion ¢f a newVeF5it0ry of eThl oflife Tesources sIficallY airned at the public Page 8
New Partnerships tring this year. EOLP have also ten able to devdop a nyber of nÈwpartnèYships.' Onwrnrd Housing a a thaylty that enables pec to live in quality. affoTdatlehousiw They appToached EolP to e¢wip staff to support clients wilh difficutt discuwO incluthry convetsations atout loss gTiel and bereavement vthich $taff identified were happenirKJ more frequently. wssibly in response to the pandemiG In totaL 139 OnwaTd Howing eTWoytts atteT¥Jed training. Thts PTojett w&% coinmissi07d bywest Cheshire Integrated Care Partnership IICP). vho recolSed that that vulnerable care home residents Ntho aTe undeTgoing physical exarninalion5 and PToceduTes should be suppJrted by a chaperone to safeguard everyone invohett The ICP approached EoiF to develop training and other resources to supwt dignified safe and effective chaperoning ofchnical Consultatio in ¢aTe htsmes. Reswndlng to the Pandemlc In response to the COWD 19 Pandernic. EOLP has eontinued to resp)nd to ihe chan91ry needs of partneT OTganisations by undertaking front-line aTKI sUprt duti&s within NHS. Hospices and CaTe Horr usry COTe IuTKliry. aloTVJ With adth"tional natiOT41 and local NHS and govemrnenl grant funding. The pandemic br¢)ught about an increasing dernand for online educm particulaTrty around the topics of Veriftcation ol Fxpected Deat SyTinge FXunp& Comrnunication Sk"Llls aTKI Loss Grlef and Bereavemeni. The team quickly developed their sk¢l]s. knowledge and confidence around online delivery. The f(Kus VRS on quality. whtst laalitatry a safe arrfl psitive interactive experience for the l&irner. EQLP also found a growing interest in online education frorn partner oryanisalion5 outside ol Che5hwe which enabled them to Yeath further afiekd with education and training. Response to the paremIC included: Developfing newvrdys of vnrtong and models ol education including designing and delivering speaftc courses to support the Tesilience ol caTe Trthne staff aThJ publishing a range of online resources EOLPS clinical staff retur to the front linE to WQTk in h05wces aTvJ acute tTusts Supporting 3 x GP (t ofHouYs SeNices acTOSS cheshi with Verification of Fxpecled Death5 in Care Hornes Designing deiivtred training ftxvolunteers and community groups who began to support people in their COMMl"e5 had 5th1eTed grief QT beTeavemenl. Co-ordinating daty escalarion repoits on behav of three Hospices to the Cheshire Care Commissioning GTOUP COVXD Tesponse team- supported front-line workeT5 to continue to deliver essential care A nurnber of proieths were t)stponed or delayed during the year due to citnical pressures within partner organtsatlorL The exFectation b&%ed ¢m discussions Vth partners is that this work vitil resume once capacity all¢) For EoiP. the pandernic does not Tepresent a thTeai to 1Th4ncial stability. howeveT. in the longey tem tt 15 likely to impact some of funthJ partneys partiamaty hostllces and other third sectOT Organisatio. Page 9
Measurlng Success and Impact EOLP continues to develop and refine T01xt and corsistent approaches to measuriry and edenC9 the success and impact of the wide rarye ol actItieS canied out by the team5. The teams work aooss a range of different settings and organisations Icare Homes. Hospltais, Hosplce4 irnary Care, Third Sector. Community). vfith different people INHS and knial Care Professional Patients. Carers. Communitymembeys Voluntetrsl and acrossdifferentgecwaphi&ii'lootprints' ICheshiYeCCQ West and East ICP. PCK& Caye Communi& L1 Authorities and out ol area). As a resuiL a range of StrateeS are neede(L from Patienvcarer feedback to Liyger dataset& and including focused qualitative work To help CCPOTdinate the Tange of Eolvs WOTk aTMI in reSpKJre to an incTeasiT¥J TMAmir of comrnissioneT& the Organisational WoTkplan has ten ftrther refined duTiry 2020-21 and plays a pivotal Tole in monitoring progress against key tsrgets and reporting iinpact and outcomes back to fijnde This yeaT there has been a focus on incoryJoTatNig the KiTkpatrick four level training and evaluation mcxlel against the training and education activity. to increase the level of evaluation aThJ impact repotting. During 2020.2L work has COTrtwwJed on the 11 Pan-cheshire Level Cmttcomes (HLOSI. including measurtng nurnbeys ol people identified as Ing at or near. the end ofbfe.. people dying in their Usual Place ofResiden¢e lin iheiT ovm Horn¢ OT a Care Homel.. and numbeT5 who have eTrrgency hospital admissions in their last 90 days ol lile. Many of Ihe5e HLOS show irnPToVerneT and are Tegularty updated on the Strategic Collaboraiive Che5hiTe da5hb)aTd using a cornlx"nation of local and nationa] dala. However. a key challenge ts to deMOTtrate how EoLPs Work ¢QTrtTdxrtes to the impTovernents in the HLO& and how it directly affects seTvices - that is, vknat diffeTen¢es has it made? To aTW this qutstiory a more focw8ed approach is often needed Ic example: The Six Steps Care Home programme looks at improvements in KTwwledg< Sldlls and Confidence levels following educaiion sessions ar¥J interyentions in CaTe Homes Utilising electronic twls gjch as Sur¥ty Monkey to follow-up education session attendees atrf)ut medium-long term effects arKI Utilatroft ot their leaming On back in the WOTkplace Hospice Leadership Prograrnrne and ihe utilisation of learning k)gs to capture charv4e5 in practice for ddegates attendw Ftnanctal Revlew In the year to 31 March 2021 the total tneome of the Charity was £L209.7S6 and the total exFenditure was £L075220 giving a surplus for the yeaT £134.53& At 31 MaTch 2021 toial funds rtood at E370.95L During the extremety Challenging enwonrnent ol thi5 year, particulaTty the COVID 19 pandemic and the cessatlon of almost all face•to-face semce PTOViSiOli the thity has maintained its income levels. EOLP have contirnied to WOTk hard with ow paTifteTS to find imovative ways of deltvering educatiorl particularly oniire and to be flexible wheTe training has had tobe Tnoved OT charye EOLP are gratefv to theiT partners In the NHS, hospiees and other organisations. who continue to re¢ogn]se tTr value of theiT Work and have Contribu to financial staknlity this difficutt The SUTpLus for the year was largety due to the p¢stwnement ol Tecruiiing to Fosts. and the subsequent fall in employee Costs. As the uncertainty of pandemic Te5trictions dirninishe& EolP looks foThRrd to recommencing re¢ruitrnent PTocesse5 to enswe sustainable levels going foThvaT(L The rn05t significant financial Tisk facing EOLP is the changing ecorMiC climate. particularly as the long" temi recovery from the pandernic be¢ to take shape. incal aini&il Commissioning Grs)ups ICCGI. along with otheT significant fvndeys. continue to face theiy own financial challenges and scrutiny and therefore there is a degree of uncertainty SUYTounding funthng levels of incom¢ H¢y•ieveT. EOLP is eYperlen¢ed in operatt'ng wth'n this uncertain context and the TtS are satLStL"ed that there are sufficient TrhanISMS to Identsfy as tsr as pxsth. to mitwate the to the OTganisatiCKL Page 10
Organisational Tisk is cOntirnllY reviewed by the iMT and the Trustees as part of the governance process. TheTe is a eieaT firnCial strategy tn placo including plans lo divwsify income earn$ whilst increasing vthat ¢an be offeTed to existing partrteN EOLP are also llnproviny the analysis of staff capacity and PToject timetabhry to ensure that employee costs delrver the most benefft to the tsrganlsail¢ The LMT meet regulaTty to miew the monthty management accounts and the knjdget is updated every . monthto account fty known firncIal factors The Fknance Committeeofthe Trustee Boa¥d meets quarterty to scrulini5e currenf perfoTman¢e and set the financial diTeaion of the organisatiorL All financial risks are monitored arbj managed vEa a live Risk Re9iSter. and mltigatlon flarS are dlscussed and trnpiemented. EOLWS TnJstees are satisfied that the iisk management arrangements ¢UfTenlly in force are approprfate and effective and ¢onforn to the Yeffjrirftents and 9delIneS iSSL*d by the Charity C¢mmissio Having Previousty struggled tomeet Ihe laTget ofholding3rnonlhs.vthing capital as urffestriciedreserves. EOLP are pleased to report that this yeaT it has l%en achieve(L In facL there are nearly fouv months in hand ai the year end This ha5 given the TTU5tee5 increased confidence in the contiTllJation of EOLP a5 a going future Future Developments 2021-22 pOvrIng Compasstonate Communltles Make greaterlinksvélthhealthwoth * Care Cornmrritylevelto embed the cortept ofcompassionate Communities Develop and lead anwnbeT of carer wellbthng inittyt LveloP and prode education to supF4)rt future life nning.1055 e1 and bereavement Reduce social isolation and TeconnecrldiTect careTS back into theiT commlity Obtain ¢aTeTS feedbad( to irrtorm seTMce and ¢¢mmunty ¢OTYmissionirg and seTMce provtsfion Raise the profile of the EOLPS bItC Heatth Team Education Dvlelop and implement an Education Strategy Extend EOLWS digital capabilities to enhance educational best-PTacti Extend the reach ol education and training twind the aTeas that have teen tradilionauy vrt)Tked in Increase the provision of practice-based learning so that EOLFS educators remain close lo practice Develop and implernent a quality aSsUraTe frameworf( lor educators •id facilitators to develop best educational practice e.g. paTtneTing with Organisalions that support kite.markmg Internal quality assuTance.' continue to develop the skills of Eouys staff tPmugh peer essment and programme of continuing professional development Extend the Teach and influe1 of the Advanced ttia Team adership Innovation Further development of system leadership through the Sttste9lc Collaboth Cheshtre Work Vth partners to deliver local seThi¢e Improvement PTo3ramrnes e.g speClIst Palliative Care Workforce Review. Bereavement sup] launching TWI ltadeTs"p PToyrarnrnes to exte1 the porlfolio to indude aspiTing leadeT5 and leaders within Care homes and dernentsa CATe Continue to develop the Tnodel of vrkIng within Care COmmtIeS Support the launch of a Che5hiTe-Mde domicw care seMc¢ Wiative Care in Partnership. Support a Pan-cheshire approachto the eloThent of dementia Ca pathways that renect best-practice Implementstion ol the three wiority areas within the Stralwc CollaiKITati¥e Che5hiTe Isca 5-year Collaborative Plan PaBe 11
o Peysonalised Care Plannmg o Systern Leadership nowled e and Infomwtics Development of a KnowIge InfoTmaiits Strategy and anm41 report Appoint an Infomwtics and Anatyti¢s Lead Cary out more rnearyngful evaluation of thation arKI trainiryJ athities using ihe Kirkpatrick Model of learning eftectivenes to dernonstre edence of change inbehaviow and the irrwad ol EoLTYs WQTk Continue to develop the %-Source' dats dashboard fty Cheshire and aiigrt this to Integrated C¥e PaTtheT5hip5 and Care C¢)mrnuniiies WoTk wilh partrÈers io tmpTove the wdy EOLP uses data and de. includlng feèdback from people Teceiving and provithng caTe. to demon51Tate rhe impact of our woTk and to inform iTnpTovernents to Income Gewatlon The global pandemic had a 5igniftcanl impact on EOLPS abilty to deliver the aTDbitiOU5 taTget5 from our first Income Generation StTategy. As a newty fornied teaTry operating in an uncertain and incTea5ingly COTnWitive fundTai5ing enviTonmenL the challeTLges weTe great HoweveT, the team ended the year Wtth systems in plac& wogre5s in all aTea& al some not inwifteantfinan¢ial véins. Granl and Tntsts Key lÈamiTW from applieaiiort PTo¢esses that can be used to trLfomi next yeavs objectives: EOLP laLI tetween two in¢¢)me categories.. with a ttEmm tsfJt oveT U milim EOLP are eded from many fiJnds targth"ng.smI' ch&itie There is a need to T¢bustty Teport th need and mwa¢t to secure many 9Tant ftmds. partlojlarty vthen compet6ng agatnst large charities vrith national impact. The predirtion of achieviny a SUTpius yeaT end rlOn is a barrier to apptyiny lor some Grants and Tnts, particularly in the cunent dimate vthere emphasis is on suppoiting charities in diye finarla1 red and those helping people most affected by the pandemic Corporate Awareness of the EOLP brand is k>w amongst the COFPOTate community and ambitions to address that through lder neI0¥king and event attendance was severety hindered during the 2020 pandemiL Howevey. a mutually beneficial relationship v•ith Orbita* a valued cory)orate supwrter. was cemented durir6J the pandemic and resulted in a 20k donation to siw the COTe VnTk of ihe publtc health tea EOLP weye chosen as the Naniwlch Mayofs Charity of the Year. however the pandemic meant this was not as fNithJl as it would have been in other Yea A moderate level of support has also been received by Ic<al Rotary clubs. who also help to raise aWarer ol Eoip. Page 12
srATEMEKf OF TRusfEE RESPONSIBILTIES The TTUStee5 Iwho are atso the diTectors of The End ol Life Partnership Limited foT the PUTposes of Company lawl are responsible for PTeparing the Report of the Thjstees and for the financial statements in accordance with applicable law and United lfjngdorn Accounimg Standards Iunited Kingdom Generally Accepted Accounting Praciicel. Company law Tequires the ThJstees to Prepare financial statements foT each financial yeaT which give a tTue and faiT view of the State of affairs of the charitable cornpany and of the incorning resources and application of resowce& including the incorne and expenditUTe. of the charitable company foT that period lft PTeparing these finantial statemertt* the Trustees are TequiTed to.. Seled suitatrAe accounting policies and then appty thern consistent. Observe the methods and PTln¢iples in the Charity SORP IFRS 1021.. State whetheT applicable UK Accounting StandaTds have been folk)wed subject to any material departures disdosed and explained in the financial statements: Make judgements and estimates that are reastmable and prudent", PrepaTe the financial statements on a 'going concem. b&5ts unle55 it is inappTopriate to presume that the ¢haritable Company will ntinue in trAty"ness. The Trustees are respK•nsible lor keeping proper accounting Tecovds which disclose with reasonable accuracy at any time the financial position of the charitable company and to enable them to ensure that the financial statements complywith the Companies Act 2006. They aye also responsible for safeguarding the assets ofthe charitable company and hence for talang reasonable steps foT the wevention and detection of fraud and other iTregulaTitie& In so faT as the Trustees are avRre: TheTe ts Televant audit inl¢)Tmatton of whith the chaTitable compan$ auditQTS are unawaTe: and They have taken all steps that they ought to have taken to make themselves aware of anyyelevant audit infon77ation and to establish that the auditOTS are aware of that infomiation. OV1212021 And signed on its behalf by: 61JWIJIOW2&. Tracy Paine. Tn4tee and Chatr ofthe Board of thecto Page 13
INDEPENDETrrr AUDrroR'S REpoKf TO ThE TRusfEES OF THE END OF UFE PARTNERSHIP (COMPAPN UMrrED BY GUARATrrrEE) We have audited the financial ststtments of The End of Life Partnership for the year ended 31 March 2021 which complise the Statement of Fman(ial Ath"vitie the Balance Sheet the Cash Flow Statement and the related note& The financial Terk)rting framewo that has been applied in their preparation is applicable law and Uniled TrQngdom A¢¢ourtting Standards Iunited KiThJdom Generatty Accepted Accounting Practice) Inch1 FRS 102 The FancIal Repttry Standard applicatle in the UK and Jreland.. In our opinion the finanaal statemats: give a true ar tsiT VV4V ¢1 Ihe state ol the chaTftatAe companys affairs as at 31 March 2021 arKI of its incorning Te5r)urces and appkn"catlon of resource& including its income and expenditure foT the year then ende have been property prepared In accordance with United Kingdom Ge Accepted AccountiTrJ Prarti¢e applirable io srnalleT entities." and have been PTepared in accordance with the requirements of CoTripanies Act 200& Basts for oplnlon We conducted OUT audit in accoTdarre with International StsTthrds on Auditing (itK) USAS IUNII and applicable law. OUT Tesponsibilitie5 undeT those standards aTe lurtheT desoibed in the Auditor's resp)nsibilities foT the audit of Ihe financial $erents Srftion of our report. We are independent ol the company in accoTdance with the etkn.cal Teouwements ihat are relevant to our audit of the financial statements in the UTr( including the FRCS Ethiul andard and we have fulhlled OUT Other ethical TesFx)rLsibilitie5 in aceonlance th tlwse Tequirement& We believe that the a111 edence we have obtained is sufficient and apyopriate to promde a basis for our opinio Concluslons relatlng to golng COrM We have nothing to report to you in Tesfttt ofthe tollowin9 matters in relation to which the ISAS (UIO require us to TeFrf)rt to you wheTe: the diTectOTS' use of the going concern basis ol accounting In the preparation of the linancial 5tatement5 is not wopriate.. OT the diTectOTS have not disclosed inthe ftnan¢i•statementsany Identifiedmateyialuncertainties that Tnay cast siwificant doubt at(*ut the company's ability to continue to adopt the going concern basis of accounting foT a peTiod of at least twelve months from the date when the Other Infomwtlon The dire¢t¢ys are responsible for the other infoniiatiork The other infoTmation COTllpTi5es the infonnation induded in the annual report. other than the financial statements and OUT auditofs report thereoTh Our opinion on thefinancial statements does not coveT the otheTinfoTmation and. except to the extent otherwise explicitly stated in our Teport. we do not express any form of assurance condusion theTeorL In conne¢tlon vAth our audit ol the financial statements. our responsibility is to read the other infoTrnatitm and. in doing so. consider whether the other inlomiation is materially inconsistent vrith the fi.nancial statemenis OT OUT knovAedge obtained in the audtt or otherwise appears to be materially mi5Staled If we identt.fy such mateTial inconsistencies or apparent material misstatements. we are TequiTed to deteTrnine thether there ts a materlal mtsstatement in the financial statements OT a material misstatement of the otheT infoTmatiofL If. based on the workwe have performed we condude that Ihere is a rnaierial mi5Statement of this otheT infoTmation. we are required to rep that fact We have nothing to Yeport in this Yegar Pa8e 14
Enww ID.. AAlcBWIBE14BF4F.xYo622DJ8 Opinlons on other matters prescnw by the Companies Act 2006 In our opinion. based on the work undertaken in the course of the audit.. the infornialion given in the strategic Teport and the diTertors' report for the financial year for which the financial statements are PTepared is consistent with the financial statements.. and Ihe Strate.C report and the diTertryS'Teport have been prepared in accordance with applicable legal requirements. Matters on whkh we are Tequred to report by exception In the light of the knedge and understanding of the company and its enviTonrnent obtained in the Course ol the audit we have not identified matelial misstatements in the strategic TeFQrt or the dirertors, report. We have nothing to rewt in rwect of the following matteys in Telation to vknich the Companies Act 2006 requires us to port to you if. in our opinion". adequate accountingvecoyds hab r&)t been kept: or the financial statements are not in agreement th the accounting TecoTds.' OT certain disclosuTes of directors. remuneration SFecified by law aTe not made.. or we have not received all the inf0mtiOn and explanations V require for our audiL Responslbiltties of dtrectorJ As explained more fullyin the diTectOT5' responsilItieS statement set out on page 13, the directoys are responsible foT the PTeparation of the financial siatements and for being satisfied that they give tn4e and faiT view. and foT such internal c¢)ntrol as the diTedoTS deternine is necessary to enable the preparation of financwl staleme1$ that are fvee from mateiial misstatement whether due to fraud OT eTfoT. In PTepariTWJ the financial statement& the diTectOTS are resTse for assessing the company's ability to Continue as a going Conce disdosing as applicable. matters related to going concern andusing the goirtg concem basis of accounting unless the directors either intend to liquidate the ¢ornpany OT cease operations. or have no Yealistic aitemative bjt to do 50. -Auditofs responslbllttfies for the audlt of the ftrwndai statements Our objectives are to obtain reasonable a55urance aix)ut vthether the finaT¢ial ststements as a Vdlwle are free trom material misstatement whether due to fraud OT erroT. and to issue an auth"ior's report that includes our opinioTL ReasonatrAe assurance 15 a high level of aswran¢e. but is not a gLOTantee that an audit conducted in accoTdanceviith ISAS (UK) VAI always detect a matertalrthtaiement when It exlsts. Misstatements can aTise from fraud OT eTfoT and are considered rnateTial il IndidUallY or in the aggregate. they coukl Tea51)nabty be expected to influence the economi¢ decisions of useTS taken on the basis of these financial statements procedures in line with OUT Tesponsibaitie& outlined above. to detect material misstatements inTespect of irregularities. inctuding fraud The extent to vthtth cur FKoceduTes aTe capable of detecling iTTegulwities. including fraud is detafied below.. The wjdit procedwes desIgrd to identify irregularities irthed.. lrtigati¢)n and claims Enqutry of company Siaff with re5foTL%iNities for tsx and ¢ompMance mattets to identty any instances of non-compliance with aTKI Tegulations Revlewng any minutes available ol meetings of those chaTged vAth govemance Reviewng ftnancial statement disclosures and testing to supFthry dctumentatlon to assess compknance wilh applicable ]avS and Tegulations Page 15
Auditing the Tisk olmanagement oveFride of control% irKludin9 testing joumal entries and other adI$ents for appropn"ateness and evaluating the business rationale ol significant There are inherent hmitations in the auth"t PTo¢eduTrs destnkned ab)ve ard the thJrther removed non- ccmpliance v*ith laws and Tegukntions ts from the events and trarsatti¢)ns refiected in the financial statements. the less likety we would become aware of IL Also, the ri¢k of not dete¢ttrLg a rnaterfal misstatement due to fraudis higheT Ihanthe riskofnot detecting one Tesultirtg from emy. as fraud may involve deliberate concealnient by. for exarnple. forgery. inteniional rnisrepresentations QT thTough collusio A further description of our responsibilities foT the audit ot the financial Statements is located on the Financial Reporting Cound's wet6ite al This desaiptionfom part of our report of the Independent Auditor> Use of our Teport This report is made solety to tPe ¢off4xny's member¥ as a bcxty. in accordance yth Chapter 3 of Part 16 of the Companies A¢t 2006. audit work has been undertaken so that we might stste to the coMpanS memkn those matteys we are required to state to them in an aUdit0S report and lor no other purpt. To the fvllest extent pennitted by law. we do not accept OT assume Tesponsibility to anyone other than the company and the company's meM1lS as a bc¥ty. for our audit work for this rem or lor the opiniors we ha4t forme(L Michael Benson ISeThoT Stl0ryAUdiI0Tl For and on behalf of MUaY Smith UP Chartered Aecouniants Statutory AuditOT Darland House Winnington Kill NorthwicTrL CheshiTe CW8 IAU 23 Novothr 2021 Page 16
END OF UFE PIRTIIERSHIP iwfEO STATEMENT OF FINANCIAL ACTivmES FOR THE YEAR EMDE031 IAARCH 2WI In¢ludlng tlw Incom• and Exp•ndbtrJrnAc¢ow IN¢OME )nattth)$ )dleg8 Charimble athibe$ InwsthteN irtomtr Total Incon 44.438 1.164,892 426 1.209,756 137.660 1.C66.057 1,285 1.205.LX)2 EXPEIKMTURE ChaabtI¥ll# Provtsion ol Educatr Total •xpw#ltur• 1.O75.r20 1,075.220 1.212.071 1.212.071 N•t In¢om•l1Exp•ndit•1¢Orth•yr 134.$ 17.(691 2.41$ 241484 slotwrtrl imtJdes alg8WI$ 8tyJ kwes notes m p•Je$ 2010 241tym p¥loflr¢¢¢ •¢<thrts. Pa9È 17
ENO OF LE PRTNERSHIP LIIAITEO BALANCE SIET ASAT 31 IA4RCH 2021 31 ¥•r¢h X121 al Il•rrh 2020 Fl¥tyd 4•ts T¥wible A55ets 11 16.482 25.692 ¢urr•ntAss•ts Deblors Cash at bank 8Tr1 in hw 12 36.845 498.318 535.163 91,098 322.981 414.079 Cr•dlkn.. du•wllhln on• y•ar 13 210,723 Total qs90ts I9 currwrtll•blW 370,951 236.415 370.9 236.415 R•pr•witsd lunds UNestrted funds Resthded fuj1 17 17 370.951 232.749 236.415 The5• 4r¢ F¥ryared in xcordarl¥rith ts SIal wo¥TsMs ofP•t 15 Aci 2( W119t0 5mwll Ilw FiwKyo1 R•Ftytyry StarMld FRS 102. 23 Novethr 2021 Tr8Cy The notes on p8ges ZO lo Z4 frym w¢ofllweKc4xK. Py18
EWO UFE PARTNERWP UIIITED STATEMENT OF CASH FLOWS FOR THE YEAR ElD 31 li1¢ 2021 ¢h g•nerd14dfrom OPrnllng aeii¥Jtb•% 171265 86.707 C•8hll¢th8 frIMn In¥•stlng a1¥1# Interest intyj? ProLeds sa of assets Pthae oiiaffjitle frd asseis ash u80d In 428 5.529 Inue85e In cash and c eql1nts inthey 175.337 82,463 Cash and cash equNnts at fv bewnirJ oflhe 322.981 240.518 Toial cath and cMh •9ulv•lonls•tth• end{• y•ar 498.318 322.981 The nts on pages 20to 24 frym pw¢oftr¢* accwFts. 19
END OF LIFE PARTNERSH LIJMTEO
140TES TO THE FINANCIAL STATeKMTS
YEAR ENDED 31 ¥ARCH 2021
1. A¢UNTING POUUES
Ba&ls of %countlhg
Reporfing by Charites preparing thr aCcoL$ il 8c£(Kdan(twith ts FmaTh)al StarYJrd appb in Ihe UK and ReputlG
f IrpLr IFRS 1021 tssued LY) 18Juty 2016. ChariiS A(12011 SORP IFRS 1021 ar¢ with COMPanS Act 2006.
The finanaal slaterrrts been wepared li aC£crta wth 818pF4c•bl8 charty coryanylw. The th8n1ae c
END OF LIFE PARTNERSHIP LED
IIOTES TO THE F114AI•CIAL $TATEAEtrITS
YEAR ENDED 31 IAARCH 2021
2. Vdurtary kncom•
Oonabons inc)Ling Ail
jn1VentUre FuThkng from Hc4ptss
c01¥1 Jd) RekrL¥) Strle
43.146
37.660
1r¥J,o
44,438
137660
3. Incc¢ne from CharalAe Activil
Core FuTrJing INHSI lor u¢)n aTh1 tsr
ProWs)n ofirainw aThY fi)Thled by NPLS
Pro¥ISk of1ra arY frJrthd ty
ProMsw)n traIn arts
698.349
327.991
101.666
3.426
607.212
324.819
25,5B9
93.279
15.158
1.6.057
Bank nlere5t ref•
426
Pro¥ of (Nots 61
1.075220
1.075220
1.212.071
1.212.071
6. An•tyglB OtP•no111
Errok)yee costs IM)te 81
Tr8vtriexrés
serJmert exwises
Su&¢onira
EIID OF LIFE PARTIIERSHIP UIIITEO IIOTES TOTHE FIIIANCIAL STATEIIENTS YEAR EIIDED 31 IA4RCH 2021 g. P•n$lo Glk4fit4)Tecomporry has two aeti¥ Fersion sthem¢s. NHS sthen aTrl a delned CODbSbJtsoTh Fen5knn scbeTh. The NHS $thme is a dej te 5thme. Ihe assets ofwfftrh hpld in a separdte tnsteÈ admini51ered fund Lknderthe defmth.fyis sel oul In FRS 17 IRetYwerl Berefitsl ihe NHS a rnthwnplw pensvi stjwre. The ¢0ffpany l& to entify ts share ofthe LKwJertyww assets liabbe$ scheTh. C&ythLrtKI charged 898insl incorre fry t1••T1£62 I2. US.076 1ty Tr1¥08 Koy Prsonl and R•latqd Party Tr4nsaEI t5 (TrleF5) rerW n0teTrwr¥1 rtr Ircrfn the in Ihe year (202tr. M. Tmstses may d•m sm811 amoLWbts of travd ¢ts to atteTrJ nvlry5 a1 fAirrfprente&. K•y P•rMnfft•l LeJershSp8nd Man•gemernTearn ILMT) ccryws ts CW Exeti¥. Ihe of E(lat)n and servi DE?Nent, the Head oloperakns &NJ Organsabonal aThJ ts Clirmcal Le•J (p8rt-liTr p11. Tr total remunerabon &rfOr hlqhest pqvj i¥ CIW s•knry F40 ltyWJww£66257 r2020.' E78244 This d•(Yew r¢fveds a muluaty aweed rethJdoTh in cordracbs 11. Flx•d aM•t¥ FbxbJm& llttlng and •qPM•t Colt Al 1 Apvil 2¢)20 62.075 Di5PDsa15 Al 31 Marth 2021 14.175 50.2 A¢oymth¢d D•prty¢i•lion Al 1 ra 2020 Charge lorthe Dk8PO8 At 31 Marth 2021 36.383 7.839 33.772 Nat book At 31 March 2021 16.482 At 31 M•rth 2020 25.892 Y•ar •ndwl 31 2021 31 Ilwrch 2020 Trade Cbtor5 Olherdeblors 88.807 36.845 91,098 l& Credllots: thA• •n•y Trade Creditry5 Taxatson 8 Soci•l Seartl Defee Is Note 14 befvxyl 01¢ crediws ArrnwL4 9,047 5,374 18,186 170,218 1.565 142.286 7.593 180.694 203.356
END OF LIFE PARTIIERSNIP LlED IKITES YOTHE ANANCLAL STATEAENTS YEAR EIIDED 31 IAIRCH 2021 ArrLmts At 31 Al•rch 2ty21 Edith RtrÈbs Ftmded Places Demenba P¥oied FuThJNYJ. Wesl ClshYe fknentia &JbJÈ PrredIC Proied PlialNe Care In Partner5hp ACP TIT YL¥kslity + HLmbersN1e Wesl Cheshlre Le8fflin9 ProwJTh Nwcoasl LWAB Tran Trai NWCoa$i Corè H¢m• Tr DunFill ProJEct W8slem Chestrire CCG Wcrtslkips Aintreo Hospilal Trainir¥J Written evwJenc8 based siandards Sl Luke's H)spice- ann1 IraiThw t1 Strjh Chesthi CCG- Ye01r• Health Edation Enu4and- Flasterdass Pmp Addibonal Public Heahh FLththrvJ Additional Fundiffj fH06¢t+ afvj ol LI8re MCHFT Educati¢m spec51 Nurses Eduoticffl B8reavemeni Swporl CCG Caring for Care Hol5 ECH- Joinl F8c41l81 Hospi Lea¢Jerslip Staff0 Demenba Skms Trainirvj ¢ShIre We51 fP. CWeranÈ Onward Ht)tshig CrAnThs Skils TMiTr¥J 4CHFT- Demenba Trairring Senmr NLWSts CVW Dementia TIT & WWi5 thanrd Clinical Leads SJEC Oereavement Support FU Care¢sWellb•ryJ FU 3XKI 613 14 3.100 613 2.026 (T801 {112.79n 102.8(V3 15,7991 116.9)01 24.C89 494 18.703 2.803 14.L 21.$99 4Y 10.034 19.372 r28.0111 12.8031 12.CU)I 17.nB 16.072 11.972) 119.140) 1125) (35.1))O) 18.8911 19.140 1.031 (3.(¥) 9,704 813 4.166 9,825 (30.1751 P2.376) (6.e71 19.4501 22.376 10.(M)O 5.7EO 7rKI 4.754 13.554 18,834 12.7( I3.) 13.554 18.&34 12250 8.787 8.1X) 312.668 112.2501 16.5421 6.500 1340.6201 2245 1650 142.286 218 been tMPe0. 16. Fln•n¢W ¢offlmthnts. opwatlry *a%rt Y••r •rKl•d •nd•d 31 IAarch 2021 31 2021 31 Ilweh 2020 31 Il•reh 2020 BlIn95 30.528 Bulldkngs 24.cw 42.WO Other 2213 3.319 Within oneye¥ BeThveen tsvo a1 fi4¥ r$ 2213
END OF LK PARTNERSHIP UIITED NOTES TO THE FINANCWLsfAYeiiENTS YEAR ENDED 31 XAR¢H 2021 Fuh Furl Vtarended Yur¢rbded 31 M•rch 31 M•rrh Fund% Yur¢ndpd 31 Mjrrh FundB Yurend 31 Marth TarMJib fLxed assets CuwtAssets Cuffent LIabil.8S Tot4 lurKts 16.482 535.163 180.694 370.951 25.692 410.413 203,356 232.74 17. fvn Tran819rn betwwn At 31 lundb 1 ArM IncomlThJ OutyolDq Gwwal Furyls 231749 Iwa,756 11,075.220) 370,951 RTICted Funds: Speckifist Nurse EdUCath Total Fwd5 .415 R¢•trided Donatlon$ Srrti9151 Nurse Educalw Pw Netm¢)¥emert in frJThls Add baGk depreoa.On chwge Add b•ck k)s5 on dposal asts Deduct intest i¢ 08creas•l[rKrea5el in debtors In(leasede¢48e} in (de5 N•t 8h expefid•d on owr4tlDg4¢¢hlts 134.$36 7.839 3.725 14261 54.253 2.662 17P265 I7.) 8.600 11.2851 16. 65.$29 86,707 10. ¢oDtrol thatlonshlps The ch•rity r6 byts eo•r¥ olTru5¢$11sW knthèTru*S'Anrnl