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2021-03-31-accounts

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Annual Report & Accounts 2020/2021

East Kent Hospitals Charity Registered Charity Number: 1076555

East Kent Hospitals Charity Level 3 Trust Offices, Kent & Canterbury Hospital, Ethelbert Road, Canterbury, Kent CT1 3NG Tel: (01227) 866356

Email: ekh-tr.fundraising@nhs.net

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Contents

Foreword 4
Fundraising Introduction 6
Covid-19 Response 10
Other Campaign Stories 20
Financial Summary 26
Structure, Governance & Management 30
Objectives & Activities 36
Our Funds 40
Statement of Trustees’ Responsibilities 44
Independent Auditor's Report 48
Statement of Financial Activities 56
Balance Sheet 58
Cash Flow 60
Notes 62

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Introduction from Sunny Adeusi, Chair of the Charitable Funds Committee

01 — Foreword

Welcome to the East Kent Hospitals Charity Annual Report for the year ending 31 March 2021. I am delighted to be reviewing another very successful year in which we raised £1.4m and spent £1.5m supporting the care and treatment of our patients and the wellbeing of our staff.

The increase in funds (up £0.3m from the previous year) received during the year, when compared to the previous year, is due to both a reflection of the support of our Help Your Hospitals Appeal, grants from the national “Captain Sir Tom Moore's NHSCT fund" and legacy receipts.

A large part of our funds comes from donations to support the staff over the last unprecedented and most challenging of years.

We have also benefited from legacies left by past patients and their family members. We would like to once again state our appreciation for the generosity of those who remember us in this way at what is always a difficult time for a family. Through all these acts of kind generosity, we can enhance the care and support we give to patients at our hospitals.

During the year the charity has been focussed on ensuring we spent the funds on patients and staff facilities, providing improved patient areas, equipment, enhanced staff education as well as a number of smaller purchases or initiatives which can make such a large difference to patient welfare and comfort.

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"ON BEHALF OF THE CHARITY, I THANK EVERYONE WHO RAISES OR DONATES FUNDS FOR US AND I HOPE YOU WILL CONTINUE TO BE INSPIRED TO DO SO AS EVERY PENNY COUNTS."

Sunny Adeusi, Chair of Charitable Funds Committee

Your donations and support made this possible and your future donations are the key to our continued success. I am always impressed at the variety of ways our supporters find of raising money, especially during this period when traditional fundraising has not always been possible.

Of course, 2020/21 will be remembered for Covid-19 and the devastating impact the virus has had on families across the country and the world. As a Charitable Funds Committee, we acknowledge that our fundraisers will have been very directly impacted by the effects of the virus and the hospitals had to face up to the challenges brought about by the pandemic.

Throughout this worrying and stressful period, I remained proud and humbled by the individual and collective efforts of our staff and by the ongoing support of our local communities, individuals and businesses.

On behalf of the Charity, I thank everyone who raises or donates funds for us and I hope you will continue to be inspired to do so as every penny counts. It is impossible to thank each and every person or organisation which has helped and supported us in the last year.

This is my last Annual report as I stand down in October 2021 after nearly 2 years on the charitable funds committee.

Thank you all and I hope you enjoy reviewing this annual report.

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Sunny Adeusi

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Fundraising Introduction

"We give a massive and heartfelt thank you, particularly in the current climate, to those who have given their time, energy and money and support for our patients and our staff."

The East Kent Hospitals Charity is well supported by Trust staff and individuals and groups across the local communities who give throughout the year and take part in various fundraising events.

Over the past year we have faced our part of the international challenges of Covid-19 which has had a major impact on the patients, staff and services of the hospitals that we serve. It has been our privilege be a part of the Charity supporting our hospitals.

This report is both a celebration of what has been achieved, as well as giving a full and proper account of how we have put our charitable funds to good use. None of this would have been possible, of course, without the generous gifts, bequests and donations we receive, as well as the fantastic efforts of those who actively raise funds to support staff and patients. We give a massive and heartfelt thank you, particularly in the current climate, to those who have given their time, energy and money and support for our patients and our staff.

We hope that you can see that we have put the monies raised to great use. The NHS does many amazing things, however the charitable funds we receive go that little bit further by providing additional comforts, equipment and developments, all of which enhance the patient experience and care that we can provide.

We have been fortunate enough, along with many other NHS Charities, to benefit from the fantastic generosity of the public in support of Sir Captain Tom Moore, through the umbrella body NHS Charities Together.

Many thanks to all our supporters!

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The Role of the Charity

The core mission of the Charity is to enhance the care and treatment of patients and visitors accessing NHS services provided by East Kent Hospitals University NHS Foundation Trust, by raising funds to support the purchase of equipment and facilities which are beyond the scope of government funding.

We achieve this by involving NHS Clinicians and staff to identify and deliver projects that make a vital difference to patients by:

The Trustees confirm that they have referred to the guidance provided by the Charity Commission with regard to the need for public benefit. They are confident that the activities which contribute to the above mission have a clear public benefit.

The Trust provides clinical services within the scope of their NHS requirements and the Charity works hard to enhance these services to benefit the patients and visitors (and therefore the public).

The Trustees are aware when making grants, of the distinction between the requirements of the NHS to provide their services and those grants made by the Charity to extend the scope of the service, either through new equipment, advanced technology and improving patient experience through the environment and/or additional activities and facilities which are not the responsibility of the NHS.

Rupert Williamson FUNDRAISING MANAGER

Danielle Neligan

SENIOR CHARITY OFFICER

Lizzie Warner

Jenny Still CHARITY ACCOUNTANT

Richard Stevens

CHARITY FINANCE ASSISTANT

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CHARITY PROJECTS OFFICER

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Covid 19 response: The Helping your Hospitals Appeal

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Launched in March 2020 amidst the Covid-19 Pandemic

We established the Helping Your Hospitals Appeal in March 2020, as we anticipated that our communities may wish to support the wellbeing of NHS Staff during the COVID19 pandemic. Initially we set our fundraising target as £5000.

We were overwhelmed and humbled by the response, and have raised over £250,000! The creativity and commitment to fundraising has been extraordinary, and we have been privileged to share stories of hope, as well as sadness, with our supporters.

Local businesses and organisations have also been incredibly generous: pledging their financial support and enabling East Kent Hospitals Charity to fund numerous projects and initiatives, designed to enhance staff wellbeing.

We have also been deeply appreciative of the physical donations and support that we have received and distributed to hard working teams across all sites: from Easter eggs, to shower gels, to sweet treats, and cosmetics!

We are enormously grateful to our very many donors, including local businesses and companies. Each and every one of you have helped us to make a significant difference to EKHUFT and 2Gether Staff, at a time of unprecedented challenge.

Timeline of events

April 2020

Karen Aristocleous undertook a ‘virtual marathon’ in her garden, raising an amazing £1896 for the Helping Your Hospitals Appeal!

Justso Clothing and Merchandise raised £613 through sales of their ‘Apart Yet Together’ t-shirts.

The Gurkha Rifles raised over £6000 when they undertook the ‘John O’Groats to Land’s End’ challenge on 11th May 2020, running a total of 1956km in barracks. Running in relay, for 24 hours a day to reflect the 24/7 service of the NHS, they completed the challenge after 94 hours.

Full Story on Page 14

May 2020

Maddie (aged 11) raised £745, selling seeds and plants and doing a ‘coin run’ outside of her house!

Ellie Rogers organised the Rainbow Run, which was supported by Kent Cricket and Shepherd Neame. This was a viral sensation, and NFU Mutual Canterbury and Sittingbourne also participated! The total raised was £8321.

In addition, NFU Mutual Canterbury and Sittingbourne and NFU Mutual Ashford, Tenterden and Whitfield both donated £3164 towards the Helping Your Hospitals Appeal!

June 2020

Mr Collis has been running a garage sale, raising funds for the Helping Your Hospitals Appeal since April 2020. Come rain or shine, he can be found, selling bric a brac and undiscovered treasures, and has raised over £2000 to date!

July 2020

The Old Dairy Brewery, based in Tenterden, raised £630, December 2020 following sales from their limited edition ‘Frontline’ beer: brewed Sainsburys Bybrook have been especially in tribute to the NHS. hugely supportive of staff at the William Harvey Hospital, donating numerous wellbeing items throughout the pandemic, and enabling us to provide mince pies and treats for staff working on Christmas Day!

December 2020

September 2020

Lara Lynch, a beauty queen set up her own online pageant to raise money for East Kent Hospitals Charity after her grandmother sadly died from coronavirus.

February 2021

Full Story on Page 16

Kreston Reeves , Canterbury donated numerous deliveries of toiletries and treats for staff across all acute sites during 2020. They have now adopted East Kent Hospitals Charity as their Charity of the Year 21/22!

October 2020

March 2021

Hornby Hobbies, gifted a total of £140,000 to East Kent Hospitals Charity, from sales of their limited-edition locomotive dedicated to Captain Sir Tom Moore.

Great Chart Primary School hosted a 'Rainbow of Hope' day at school and raised a total of £1865 for the appeal. The children wore brightly coloured clothes, baked bright cakes and made some fantastic bright artwork!

November 2020

Barratts Homes donated £2500 towards the William Harvey Hospital.

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1st Royal Gurkha Rifles Regiment Fundraising Cheque Presentation

Representatives from East Kent Hospitals Charity and East Kent Hospitals University NHS Foundation Trust attended the 1st Royal Gurkha Rifles Regiment in Shorncliffe on the 5th June, to celebrate the regiment’s fundraising achievements for the ‘Helping Your Hospitals’ Appeal.

The regiment undertook the ‘John O’Groats to Land’s End’ challenge on 11th May 2020, running a total of 1956km in barracks. Running in relay, for 24 hours a day to reflect the 24/7 service of the NHS, they completed the challenge after 94 hours.

The regiment has raised £6,358 to date, which will be made available to the William Harvey Hospital in Ashford, supporting staff wellbeing initiatives during COVID19. The regiment specifically wanted donations to be used at this hospital, as there is a close personal connection to the staff working there; many of whom are spouses or relatives of the regiment, and a number of the regiment’s babies have been born there too.

Nicky Bentley- Director for Strategic Development said:

‘It was really humbling to attend the cheque presentation and be able to thank the regiment for their dedication in raising funds for staff wellbeing initiatives at the William Harvey Hospital. We are so grateful to the regiment for undertaking this marathon challenge and look forward to being able to use the funds to refurbish showering facilities.’

Corporal Naresh said:

“We feel very privileged to have been able to support our local NHS Hospital during this pandemic. Our run was testing but nowhere near as hard as the challenges faced by the staff at William Harvey. We have raised a small amount of money but hope that this expression of our gratitude will make a difference to the staff at William Harvey Hospital.”

“As the local hospital providing care to our soldiers and their families, we are extremely grateful for the excellent work which the East Kent Hospitals University Foundation Trust continues to deliver. The William Harvey Hospital goes the extra mile to accommodate the specific

cultural and social nuances of the Gurkha-Nepali population and it has been great to see the way in which Sergeant Indra and Corporal Naresh have been able to give something back. As a battalion, we look forward to continuing to maintain this relationship.”

Lieutenant Colonel Chris Conroy, Commanding Officer, First Battalion The Royal Gurkha Rifles

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A beauty queen's tribute to her Granny

A teenage beauty queen set up her own online pageant to raise money for the hospital where her grandmother sadly died from coronavirus.

and I wanted to thank them for everything they had done.”

Liz was looking forward to watching Lara compete in the Miss European Global competition and the teenager, a pupil at Dover Christ Church Academy, is hoping to succeed in her memory.

She said: “My granny taught me to keep following your dreams, no matter what happens in life, so that is exactly what I am going to do.”

Danielle Neligan, senior charity officer at East Kent Hospitals Charity, said staff were touched by Lara’s efforts.

She said: “The team on Oxford ward, where Liz was treated, were delighted with the support they have received from Lara and her family.

“As they have requested, the money will be split between the ward and the research team, who are working hard on trials to improve the treatment we can offer to patients with Covid-19.

“It is a wonderful legacy for Liz and I am sure she would be so proud of Lara, and as impressed as we are with her commitment and focus to helping others even in the face of the heart-breaking loss of her granny.”

Lara Lynch was heartbroken when her grandmother Liz Masters died in May, at the age of 62. Liz had been one of her granddaughter’s most stalwart supporters, never missing a competition.

So Lara, 16, who is Deputy Miss Dover Town and a finalist to represent England in the Miss European Global competition, decided to set up her own pageant in memory of her grandmother.

She said: “My granny has always been a big part of my life and I really wanted to do something in her legacy.

“I named the pageant Miss Angel Queen 2020 and tailored everything towards her, even down to the logo design and colours – green was her favourite.

“Over the 11 weeks it was running it got 625 members in the Facebook group, and 122 people entered the pageant.”

Lara also ran daily ‘crown raffles’ and broadcast live to the group each evening. She also used the group to raise awareness of coronavirus and the risks, and to encourage people to stay safe.

She was delighted to raise more than £2,500 for East Kent Hospitals Charity.

Lara said: “The support I have been given throughout has been absolutely amazing and I am so grateful to everyone.

“My granny was always super-supportive throughout my life and I feel privileged to be able to do this for her.

“She spoke very highly of the care she received at the hospital so I wanted to raise money to give something back. NHS staff are an inspiration

Certificate of Appreciation

We were so proud to be able to fund this Trust wide project, celebrating and thanking all staff who worked in the hospitals during 2020. We understood how important it was that staff felt appreciated for their incredible efforts during the first waves of the pandemic, and heard lots of feedback from our supporters about how they felt staff sould be recognised too. Costing approximately £18,000 each staff member was issued with this certificate and a badge.

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Docuson Envek)pe ID." 4ACFDA2E-7C914159-9877-1050824A2DE4 ANNUAL REPOR T 202012021 ANNUAL REPORT 202012021 Our Impact ¥t•V¥VVVV•VVV••¥V•VV A total of £400k has been spent in 202012021 with the balance to be spent in 202112022. £152k has been spent on staff wellbeing initiatives. such as buying snacks, drinks and fridges. as well as providing relaxing spaces and The remaining £275k is planned for Eslates programmes= developing Wellbeing Gardens for staff, planting in the Sensory Garden and renovating shower & change facilities for Theatres and a specialist Critical Care Unit psychologist. We raised £246K from our Helping Your Hospilals Appeal, and were awarded £422k from NHS Charities Together grants for projects supporting our patients and staff through Covid-19. We spent £106k on patient well- being across all sttes, including Bereavemenl Office support and toiletries & clothing. We purchased RITAS for wards (and Critical Care Units). We funded ongoing & post COVID support for teams. including the'TRiM practitione (trauma resilience) course and training supporting COVID inequalities. This totalled £25k. £117k has been spent on equipment including walkie talkies, radios and portable heart monitors. The ITU Sim trainer cost £62 .rf 18 19

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Other Campaign Stories

Sumit’s podcast marathon for Tiny Toes!

New dad Sumit live streamed a 24 hour podcast, raising funds for the NICU at the William Harvey Hospital.

Sumit chose to fundraise for Tiny Toes, as his daughter Liyah was cared for there after she was born 2 months prematurely, weighing just 2lb 11oz.

Raising an impressive £1,710, Sumit’s podcast discussed football, hip hop and featured an interview with Dee too!

Sumit said:

“If it wasn’t for the doctors, nurses and midwives at William Harvey’s neonatal intensive care unit, I’m not sure Liyah would be with us today.

“She was so small, she could fit in the palm of my hand. The love and affection the nurses and doctors showed filled us with belief every single day.

“The work that goes on in NICU is unbelievable and every baby is treated with the greatest of care.”

Liyah is now thriving at home in Ashford with Sumit and wife Komel, but the couple are aware other parents are not so lucky.

He said: “Not everyone is as fortunate as us.

“I have wanted to do a charity event for a while, but I wanted to do something unique. I love podcasting and had the idea of a marathon.

“Being up all night with Liyah has been great training!

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Community rallies to support Padua Ward

The Yog Foundation & their Child Health Donations

The Yog Foundation are a charity, who seek to bring local British Hindu, British Indian and wider communities together. Members of the Yog Foundation were fantastically generous over the Festive

An eight-year-old boy donated his own games console after hearing tech had been stolen from the children’s ward at the William Harvey Hospital.

The generous gesture was matched by supporters across the local community, who not only gifted replacements but also raised more than £5,000 for staff to spend on additional equipment.

period, donating £500 worth of toys and distraction items for children on the wards across EKHUFT.

The fundraising campaign was sparked by mum Vanessa Deacon, who was in Padua Ward with her 13-year-old son Tyler Coulson when she heard about the theft last month of a Nintendo 3DS,

Nintendo Switch lite, Chromebook and two Nintendo games.

She said: “I couldn’t believe someone would do that to sick children. Having the tech at the bedside helped get us through, especially at the moment when we can’t leave the ward to go to the playroom because of the Covid restrictions.

“We would not have coped without it so I really wanted to replace it. I’ve done some fundraising before after having to give up work when I was diagnosed with Functional Neurological Disorder so I thought I might be able to get some things donated, but I had no idea it would take off like it did!”

Vanessa’s friend Chris Kennedy contacted local radio station Radio Ashford, and presenter Sam Griffin created an online fundraising page, which was promoted on air by breakfast presenter John ‘Webbo’ Webster.

Vanessa said: “The response was incredible. I was sitting here watching the total go up and up – we hit our £500 target in 20 minutes, and in a few hours we had £2,000 and it just kept going.

CTR Constructions Easter Delivery

“The ward is absolutely amazing and the care they give is fantastic -they look after parents as well as the children and it is always done with a smile and with compassion.

“The response just shows how important they are to our community.”

Sam said the whole team at Radio Ashford had been happy to help.

CTR Construction, based in Canterbury, donated lots and lots of Easter Eggs in March 2021, for the children using the Dolphin Ward at Kent and Canterbury Hospital.

She said: “So many people from Ashford, including many of our team, have had children on this ward.

“News of the thefts really touched the community and we were overwhelmed with the response. One listener told us her eight-year-old son unplugged his console and wrapped it up to give to the children on the ward.

“People have been incredibly generous, and as well as raising £5,100 we have had donations of games consoles, tablets, books, and DVDs to help keep the children entertained while they are in hospital.”

Padua ward manager Lindsay Wheeler said staff were ‘blown away’ by the response from the community.

She said: “There were a lot of happy tears among the team. It is beyond wonderful to have been given this fantastic amount of money as well as the replacement items and so much more.

“We use toys and games as distraction but also to help get our young patients out of bed and active doing their physio, and thanks to this amazing fundraiser even more children will be able to benefit.”

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Sue's passion for the Dementia Appeal

Sue Threadingham has been a tireless fundraiser for the Dementia Appeal, since 2016. Throughout the lockdowns she continued to sell her home made crafts and jams, (according to Covid restrictions!) and has raised over £6,000 to date!

Ann's Dementia Appeal efforts

Ann McGovern BEM, a dementia associate practitioner, was due to take part in the Brighton Marathon in 2020, which was unfortunately postponed due to the pandemic.

She has since decided to train towards achieving a dream of hers: completing the London Marathon in October 2021. Ann has raised over £6,000 for the Dementia Appeal since 2018, and her efforts have resulted in the Charity purchasing an OMI Vista- an innovative interactive tool, specifically designed to engage and stimulate patients living with dementia, which was invaluable during the pandemic restrictions.

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"Without this support the work of the Charity to provide additional facilities, support to patients, relatives and staff and enhance the services provided by the Trust would not be possible."

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The summary

Financial Summary

The Charity’s main source of income comes from the generosity and efforts of the public who give voluntary donations as a thank you for the care they or their friends and family have received, through fundraising, in memory of loved ones and in bequests and legacies from their estates.

Without this support the work of the Charity to provide additional facilities, support to patients, relatives and staff and enhance the services provided by the Trust would not be possible.

The following figures provide an overview and are drawn from the full Annual Accounts at the back of this report.

At the end of the financial year the charity’s total funds held were £2.9m, of this total £1.8m was held in restricted funds.

Restricted funds are those which the donor has made a binding restriction on the purpose or location where their monies can be spent, £1.0m of funds were held in unrestricted funds. Theses funds reflect the wishes or expectations of the donor by supporting the service or speciality identified.

The charity's remaining funds balance is held in endowment. This fund allows the charity to spend the interest from the fund whilst holding the original value intact (capital value).

Where our income came from ;

The Charity received a total of £1.4m income for the year. (£0.9m 2019/20) This substantial increase was principally due to grants (£0.4m) made by NHS Charities Together and a significant corporate donation (£0.1m) in response to the Covid-19 pandemic in appreciation of the care they, their friends & families received from the East Kent Hospitals University NHS Trust.

A total of £0.2m of the restricted grant received from NHs charities direct was spent in immediate response to Patient and Staff needs, the remaining £0.2m (received in January 2021) will be spent in 2021/22 on projects that support staff and patient recovery from Covid-19 pandemic.

Last year 2019/20 the charity saw loss in the value of investments held of £0.2m due to the decline in global markets as an impact of Covid-19. The charity has worked proactively with their Investment managers – Cazenove (part of the Schroders Group) and 2020/21 saw a net gain on investments of £0.4m.

Investment income received in the year from dividends and interest was £62k a decrease of £20k from 2019/20.

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What we spent our funds on

The Charity spends the funds received in accordance with charity law, its grant making policy and respecting the wishes of the donors.

This year the charity spent 93% (including support costs) of its total expenditure in providing equipment and supporting the wellbeing of staff and patients of the East Kent Hospitals University NHS Foundation Trust.

The charity works hard to ensure that expenditure achieves benefits to the patients and visitors who use the facilities and the services which may not otherwise be possible within the constraint of the Trust’s budgets.

Trustees consider each application (those over £25k) on merit and aim to support the patient, staff and visitor’s wellbeing, experience and outcomes. This is achieved through investment in medical equipment that provides technological advances in treatments, supporting projects that include the equipping, refurbishment of staff and patient spaces. Providing respite for staff and reflective spaces for patients and their families and rooms for sensitive consultations.

A summary of the categories of grants given to the Trust are listed below; Medical equipment £0.9m Building and refurbishment £0.2m. Patient education and welfare £0.2k Staff education and welfare £0.1k

Accounting rules (FRS102) require that the governance and administrative costs be included in the value of the grant (charity activity) and therefore the accounts report the value of the grant plus apportioned costs of £121k showing grants to the Trust of £1.4m (see note 3).

The Trustees review the costs on an annual basis to ensure that they reflect the requirements to administer the Charity in compliance with current legislation and effective day to day management of the funds. The Charity is a member of the NHS Charities Together (Previously Association of NHS Charities) and uses their data to benchmark administration and fundraising costs. This comparison looks at NHS Charities of a similar size and geographical spread.

A PATIENT LIVING WITH DEMENTIA USING A RITA- AUG 2020

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The charity exists to raise and receive charity donations and covers the funds given to wards, departments and services provided by the East Kent Hospitals University NHS Foundation Trust.

The East Kent Hospitals Charity is a registered charity (number 1076555)*.

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Structure, Governance & Management

The charity exists to raise and receive charity donations and covers the funds given to wards, departments and services provided by the East Kent Hospitals University NHS Foundation Trust. The following hospitals are the primary sites although outreach and other units and clinics are supported:

The objectives of the Charity as stated in the governing document are: - ‘The Trustees shall hold the trust fund upon trust to apply the income, and at their discretion, so far as may be permissible, the capital, for any charitable purpose relating to the National Health Service’.

At the balance sheet date, 31st March 2021, there were a total of 40 individual funds established under this Umbrella registration. Of those funds 19 are restricted, or special purpose funds and some of these are registered under the Umbrella as subsidiary charities governed by separate objects within the Charities Commission guidelines for fund expenditure. See page 71.

The Charity has one small Endowment fund, which allows only the income to be spent, whilst the capital remains invested. The remaining 20 funds are Unrestricted or Designated Funds created for donations received for use by hospitals, wards and departments to reflect donors’ wishes. These do not form a binding trust. The major funds within these categories are disclosed in Note 8 in the accounts. The total value of funds held at 31st March 2021 was £2.9m.

The Umbrella registration allows for a single set of consolidated accounts for all the subsidiary charities and funds held under the umbrella. However, separate accounts for each fund are maintained to enable identification of transactions and balances.

(*The charity was established in April 1999 by Declaration of Trust Deed as East Kent Hospitals NHS Trust Charitable Fund and amended by Trustee resolutions and supplemental deeds to incorporate name and structure changes.)

The contact address is:

East Kent Hospitals Charity Level 3 Trust Offices, Kent & Canterbury Hospital, Ethelbert Road, Canterbury, Kent CT1 3NG Telephone: 01227 866356

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Charitable Funds Committee- Non-Executive Directors

The Trustees

East Kent Hospitals University NHS Foundation Trust (the Trust) is the Corporate Trustee, empowered by the NHS Act 2006. The Board of Directors effectively adopts the role of Trustee as defined by the Charity Commission.

Individual members of the Board are not trustees under Charity Law, but act as agents on behalf of the Corporate Trustee. The Council of Governors is responsible for the appointment of the Chairman and Non-Executive Directors (NEDs) and approving the appointment of the Chief Executive. The council of Governors are elected and appointed to post. For further details visit www.ekhuft.nhs.uk.

Sunny Adeusi CHAIR OF CFC/ NONEXECUTIVE DIRECTOR March 2020 (CFC Chair – Present. (CFC member January 2017 - Present) 3/3 meetings attended

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Barry Wilding
SENIOR INDEPENDENT
DIRECTOR/
NON-EXECUTIVE
DIRECTOR
December 2015
- Present
3/3 meetings attended
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None of the Trustees have received reimbursements or remuneration from the Charity for either their work or expenses incurred in this financial year whilst undertaking their responsibilities for the Charity.

The following Trust Directors and Non-Executive Directors were/are members of the Charitable Funds Committee during the reported period and are considered to be the key management personnel for the charity:

Charitable Funds Committee- Executive Directors

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Susan Acott Phil Cave
CHIEF EXECUTIVE DIRECTOR OF FINANCE
AND PERFORMANCE
April 2018- Present
October 2017- Present
3/3 meetings attended
3/3 meetings attended
Liz Shutler Dr Rebecca Martin
DIRECTOR OF STRATEGIC CHIEF MEDICAL OFFICER
DEVELOPMENT AND
CAPITAL PLANNING / March 2020- Present
DEPUTY CHIEF EXECUTIVE 1/3 meeting attended
January 2004- Present
2/3 meetings attended
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Officers

The Charity has 4.0 whole time equivalent (wte) staff employed by the Trust under Staff benefits are in accordance with the NHS Agenda for Change terms and conditions. Staff costs are recharged to the Charity as per budget agreed annually by the Charitable Funds Committee. Professional services and advisors are appointed by the Charity as required.

2.0 wte staff are responsible for the daily administration of the funds including applications, all financial transactions and procedures, policies and financial reporting to the CFC including the production of the Annual Accounts and Report.

The remaining 2.0 wte are employed as Fundraisers to the Charity, responsible for the management of all aspects of fundraising for the Charity including supporting internal and external fundraisers, overseeing and arranging fundraising events, volunteers and the marketing.

Advisors

Investment Managers

Structure

Administrative Structure: Charitable Funds Committee

Acting for the Corporate Trustee, the Charitable Funds Committee (CFC) was established as a separate committee in August 2008 to provide a dedicated team to manage the affairs of the Charity independently from the business of the Trust, whilst still linking closely with its strategic objectives.

It is responsible for the management of the Charitable Fund under the Terms of Reference which are reviewed annually and updated where required to meet the changing needs of the Charity. The CFC meets routinely (quarterly) and additional meetings are held if required.

All new members of the CFC attend an induction course for Charity Trustees within 6 months of appointment unless they have proven knowledge and experience as a Trustee. Delegated signatories are provided with guidelines and information regarding the Charity to ensure they understand their responsibilities.

The CFC review the Charity’s affairs as outlined below:

Schroder & Co Ltd T/as Cazenove Capital 12 Moorgate London EC2R 6DA

Bankers

Lloyds Banking Group 2 City Place Beehive Ring Road Gatwick RH6 0PA

Auditors

Grant Thornton UK LLP 30 Finsbury Square | London EC2A 1AG

Legal Advisors

Clyde & Co St Boltolph Building 138 Houndsditch London EC3A 7AR

NHS Charities Together (formally Association of NHS Charities)

East Kent Hospitals Charity is an active member of the NHS Charities Together whose role is to support, and to be the voice of all NHS Charities in England and Wales.

The recommendations of the CFC are taken to the next available Board of Directors meeting for ratification. Members are required to disclose all relevant interests at the start of meetings and withdraw from decisions when a conflict of interest arises.

The principal aim of the Association is to promote the effective working of NHS Charities. Collect donations from made to the NHS and distribute to members via grants.

Being a member offers our Charity a wide range of support, networking and information services as well as adopting best practice across the sector.

To find out more please visit:

www.nhscharitiestogether.co.uk

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Grant Making Policy

The Charity makes grants from its unrestricted and restricted funds. A Scheme of Delegation is maintained for the authorisation of grants and signatories are aligned to The Trust delegated signatories.

07

—

Objectives & Activities

The staff are made aware of the Trust’s Standing Financial Instructions and Orders which are also applicable to the Charitable Funds. All signatories receive a monthly financial statement of all the charity’s funds.

Grants are made for specific purposes and projects under an application process. All application over £25k are reviewed by the Charitable Funds Committee (CFC) to ensure that they meet the objectives of the Charity.

The CFC review the applications for quality, value for money and patient benefit. Where any expenditure is considered inappropriate feedback is provided to the applicant. No fund is permitted to operate in an overdrawn position and although an application may be approved this may be subject to the ward or department securing the fundraising to support all or part of the project.

Risk statement

During the year the Trustees continued to review the major risks to the Charity. The Charity uses the Trust procedures and processes. These systems undergo annual audit and risk reviews and action plans to mitigate the risks.

The significant areas of risk have been identified as:

Investment Powers

The investment powers are stated in the Declaration of Trust which provides for the following:

‘‘to invest the trust fund and any part thereof in the purchase of or at interest upon the security of such stocks, funds, securities or other investments of whatsoever nature and where so ever situate as the trustees in their discretion think fit but so that the trustees: a) shall exercise such power with the care that a prudent person of business would in making investments for a person for whom he felt morally obliged to provide;

b) shall not make any speculative or hazardous investment (and, for the avoidance of doubt, this power to invest does not extend to the laying out of money on the acquisition of futures and traded options); c) shall not have power under this clause to engage in trading ventures; and d) shall have regard to the need for diversification of investments in the circumstances of the Charity and to the suitability of proposed investments."

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ANNUAL REPORT 2020/2021

Reserves Policy

The Trustees recognise their obligation to ensure that income received by the Charity should be spent effectively and promptly in accordance with the funds’ objects.

Investment Objective

The investment objective is to seek to maximise the total return from the fund consistent with a relatively low degree of risk. The target is to achieve a 4% return annually.

Trustees have directed the investment managers to take an ethical approach to the portfolio and that no investments should be made in the shares of tobacco producing companies and will also avoid investment in companies that have more than 10% of their turnover in:

The ethical restrictions are not considered to be so restrictive as to be likely to impact on long term performance.

Investment Performance

The Investment Managers were granted discretionary management powers under contract in January 2013.

The total value of the investment portfolio at 31 March 2021 was £2.4m (excluding cash of £51k).

2020/21 saw an unrealised gain on investments held of £0.4m. Dividends for 2020/21 were £62k a decrease of £20k against 2019/20.

The CFC monitored and reviewed the performance of the Investment Managers on a quarterly basis as part of the Finance report.

The investment managers are required to meet with the Trustees at least once in any one financial year, to explain any deviation from the anticipated rate of return in order that investment opportunities can be maximised. Investment managers are asked to explain exceptional losses and proposed recovery plans.

There is an annual review of the investment policy within the Charity Management Document to ensure that returns are maximised at medium to low risk. Unless the donor has expressed a specific request regarding investment, the investment of funds is in accordance with the Trustees Investment Act 1961.

It is however considered prudent that a minimum reserve of £0.3m should be held to cover contingencies, particularly stock market fluctuations. This sum has been identified as being equal to one year’s operational costs and estimated outstanding commitments.

Charity Reserves as defined under SORP 2019 are those funds which become available to the charity to be spent at the Trustees’ discretion in furtherance of the charity’s objectives, excluding funds which are spent or committed or could only be realised through the disposal of fixed assets. These are therefore classified as ‘free’.

Definition of Funds

Restricted Funds Funds which are subject to specific trusts e.g. terms of will

Endowment Funds

Funds which are to be held as capital and only the income generated can be expended.

Designated Funds

Funds held for specific wards or services or a particular hospital in consideration of donors wishes. They do not form any binding Trust and can be transferred to general purpose funds at the discretion of the Trustees.

Unrestricted Funds

Funds which are expendable at the discretion of the Trustees, or designated in consideration of donors wishes.

The Trustees have reviewed Reserves Policy and have determined that it is necessary to retain reserves over the longer term to:

• Reduce the impact of risks from the external environment should the levels of income reduce significantly

At the 31st March 2021 the reserves were identified as below: -

Total Unrestricted funds £ 1.0m Less property funds ( £0.1m ) Freely available reserves £0.9m

The level of reserves held at 31 March 2021 is £0.6m higher than the minimum requirement of £0.3m set out in the policy.

The majority of donations received are for specific wards and services and are held as designated to the Care Group or individual ward or department in recognition of the donor’s wishes.

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08 — Our Funds

Objects

The East Kent Hospitals Charity is registered with the Charity Commission (England and Wales) as an ‘umbrella’ charity under registration number 1076555.

Under the terms of the governing document, the Trustees can use the unrestricted funds to ‘hold the trust fund upon trust to apply the income, and at their discretion, so far as may be permissible, the capital, for any charitable purpose relating to the NHS’.

The restricted funds have individual specified purposes that govern their use, in conjunction with the objects of the umbrella Charity. Some of these are registered with the Charity Commission as subsidiary charities of the Umbrella Charity. See Note 8.3 page 70.

Fund Structure

Where a donation is received under a legally binding trust, for example under the terms of a will, the funds are classified as restricted. Where the restriction is removed, either by the spending of original funds, or where no binding agreement is held, funds are re-classified as unrestricted and placed into general purpose funds or a fund that achieves the donor’s wishes.

The Trustees periodically review balances held in designated funds to determine whether these funds are likely to be committed in the near future and the extent to which there is a continuing need identified for any particular fund(s). In the event that the need no longer exists, those funds will be redirected to the appropriate Care Group General Fund.

Further rationalisation is undertaken for individual funds that are not considered financially viable, or have the same objective as another fund. These funds will also be redirected to General Purposes or amalgamated with a similar fund.

The dissolution of special purpose funds is managed under Clause I in the governing documents, without the need for referral to the Charity Commission.

A continuing programme of rationalisation of funds is maintained to support the objectives of the Charity. Where funds have been received without forming a binding Trust they are designated to the appropriate Divisional Fund which is responsible for delivering the service and are classified as unrestricted.

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ANNUAL REPORT 2020/2021

GREAT CHART PRIMARY SCHOOL'S 'RAINBOW OF HOPE' DAY WHICH ENCOURAGED THE CHILDREN TO DRESS IN BRIGHT COLOURED CLOTHING, BAKE CAKES AND CREATE SOME WONDERFUL ART WORK!

Care Group Funds

The following funds are held as general-purpose funds for the wards and services managed under the clinical care group and are classified as unrestricted.

Urgent and Emergency Care incorporates the following specialties Medicine & A&E

General & Specialist Medicine

Respiratory, Diabetes, General Medicine, Neurological Services, Cardiology, Renal, Tissue Viability, Gastroenterology Stroke , Health Care of Older People and integrated discharge team.

Surgery & Anaesthetics Services

Anaesthetics, Critical Care, Pain Services General Surgery, Urology

Upper Surgery – Head & Neck and Dermatology

Head and Neck, ENT, Maxillofacial, Ophthalmology, Breast Surgery & Dermatology.

Cancer Services

Cancer, Oncology and Blood Diseases and Haemophilia

Women’s Services and Children’s Services Maternity, Child Health & Women’s Health

Clinical Support Services

Pathology, Radiology Pharmacy, Audiology Therapies, Outpatients and Infection prevention & control

Registered Restricted Funds

The Charity holds funds for general purposes to benefit the specific NHS hospitals received through legacies and other binding agreements.

Buckland Hospital – Registration 1076555/5

Queen Elizabeth The Queen Mother Hospital – Registration 1076555/6 Royal Victoria Hospital – Registration 1076555/2 William Harvey Hospital – Registration 1076555/4 Kent & Canterbury Hospital - Registration 1076555/7

Other Restricted funds are held for specific purposes and/ or wards and departments with the NHS Trust:

Special Care Baby Unit – William Harvey Hospital Registration 1076555/1

Heart Research – Kent and Canterbury Hospital Registration 1076555/20

Renal Unit Fund – Kent and Canterbury Hospital Registration 1076555/43 Chest Clinic – Kent and Canterbury Hospital Registration 1076555/18

Lesley Court Fund – Kent and Canterbury Hospital Registration 1076555/15

P Hall Legacy HCOOP – Kent and Canterbury Hospital Registration 1076555/12

The Trustee's Annual Report is approved and signed on behalf of the Corporate Trustee on 25th January 2022 by: Susan Acott, Chief Executive and Guy Dentith, Acting Director Finance and Performance Management.

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ANNUAL REPORT 2020/2021

09

—

Statement of Trustees’ responsibilities in respect of the Trustees’ annual report and the financial statements

Under charity law, the trustees are responsible for preparing a Trustees’ Annual Report and financial statements for each financial year which show a true and fair view of the state of affairs of the charity and of the excess of expenditure over income for that period. The trustees have elected to prepare the financial statements in accordance with UK Accounting Standards, including FRS 102 the Financial Reporting Standard applicable in the UK and Republic of Ireland.

In preparing these financial statements, generally accepted accounting practice entails that the Corporate Trustee:

The Corporate Trustee is required to act in accordance with the trust deed of the charity, within the framework of trust law.

They are responsible for keeping proper accounting records, sufficient to disclose at any time, with reasonable accuracy, the financial position of the charity at that time, and to enable the trustees to ensure that, where any statements of accounts are prepared by them under section 132(1) of the Charities Act 2011, those statements of accounts comply with the requirements of regulations under that provision.

They are responsible for such internal control as they determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error, and have general responsibility for taking such steps as are reasonably open to them to safeguard the assets of the charity and to prevent and detect fraud and other irregularities.

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ANNUAL REPORT 2020/2021

The Trustee is responsible for the maintenance and integrity of the financial and other information included on the charity’s website.

Legislation in the UK governing the preparation and dissemination of financial statements may differ from legislation in other jurisdiction.

As far as the trustees are aware, there is no relevant audit information of which the charity’s’ auditors are unaware and the trustees confirm that they have met the responsibilities set out above and complied with the requirements for preparing the accounts.

The financial statements attached have been compiled from and are in accordance with the financial records maintained by the trustees.

By Order of the Trustees;

Susan Acott CHIEF EXECUTIVE

Date: 25th January 2022

Guy Dentith ACTING DIRECTOR OF FINANCE & PERFORMANCE MANAGEMENT

Date:25th January 2022

PAMPER BAGS FOR OUR COMMUNITY MIDWIVES- AUGUST 2020

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ANNUAL REPORT 2020/2021

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ANNUAL REPORT 2020/2021
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Independent auditor's report to the corporate trustee of East Kent Hospitals Charitable Fund

Opinion

10 —

Independent Auditors Report

We have audited the financial statements of East Kent Hospitals Charitable Fund (the ‘charity’) for the year ended 31 March 2021, which comprise the Statement of Financial Activities, Balance Sheet, Cash Flow 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’ Ireland’(United Kingdom Generally Accepted Accounting Practice).

In our opinion, the financial statements:

Basis for opinion

We have been appointed as auditor under section 144 of the Charities Act 2011 and report in accordance with regulations made under section 154 of that Act. 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 charity 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.

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ANNUAL REPORT 2020/2021

- Other matter prior year financial statements unaudited

The charity was not required to have a statutory audit for the year end 31 March 2020 as it was entitled to exemption from the provision of the Charities Act 2011 relating to the audit of the financial statements for the period. Accordingly the corresponding figures for the year ended 31 March 2020 are unaudited.

Conclusions relating to going concern

We are responsible for concluding on the appropriateness of the trustee’s use of the going concern basis of accounting and, based on the audit evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant doubt on the charity’s ability to continue as a going concern. If we conclude that a material uncertainty exists, we are required to draw attention in our report to the related disclosures in the financial statements or, if such disclosures are inadequate, to modify the auditor’s opinion. Our conclusions are based on the audit evidence obtained up to the date of our report. However, future events or conditions may cause the charity to cease to continue as a going concern.

In our evaluation of the trustee’s conclusions, we considered the inherent risks associated with the charity’s business model including effects arising from Covid 19 and macro economic uncertainties such as Covid 19, we assessed and challenged the reasonableness of estimates made by the corporate trustee and the related disclosures and analysed how those risks might affect the charity’s financial resources or ability to continue operations over the going concern period.

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

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.

Matters on which we are required to report by exception

We have nothing to report in respect of the following matters where the Charities Act 2011 requires us to report to you if, in our opinion:

Responsibilities of the corporate trustee for the financial statements

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

The responsibilities of the corporate trustee with respect to going concern are described in the ‘Responsibilities of the corporate trustee for the financial statements’ section of this report.

As explained more fully in the Statement of Trustees’ responsibilities in respect of the Trustees’ annual report and the financial statements set out on pages 45 to 46, the corporate trustee is responsible for the preparation of the financial statements which give a true and fair view, and for such internal control as the trustee determines is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error .

Other information

The corporate trustee is responsible for the other information. The other information comprises the information included in the Trustee’s 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,

In preparing the financial statements, the corporate trustee is responsible for assessing the charity’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 corporate trustee either intends to liquidate the charity or to cease operations, or has no realistic alternative but to do so.

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Auditor’s responsibilities for the audit of the financial statements

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

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.

Explanation as to what extent the audit was considered capable of detecting irregularities, including fraud

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. Owing to the inherent limitations of an audit, there is an unavoidable risk that material misstatements in the financial statements may not be detected, even though the audit is properly planned and performed in accordance with the ISAs (UK).

The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:

- the detection and response to the risks of fraud; and

-Challenging assumptions and judgements made by management in its significant accounting estimates in respect of investment property valuations;

-Evaluating the rationale for any changes in accounting policies, estimates or significant unusual transactions; and

-Testing on a sample basis, donation and legacy income and gifts in kind and associated receivables to supporting documentation.

These audit procedures were designed to provide reasonable assurance that the financial statements were free from fraud or error. However, detecting irregularities that result from fraud is inherently more difficult than detecting

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ANNUAL REPORT 2020/2021

those that result from error, as those irregularities that result from fraud may involve collusion, deliberate concealment, forgery or intentional misrepresentations. Also, the further removed non compliance with laws and regulations is from events and transactions reflected in the financial statements, the less likely we would become aware of it.

[Signature]

Grant Thornton UK LLP

Statutory Auditor, Chartered Accountants

Milton Keynes

27/1/2022 [Date]

Grant Thornton UK LLP is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006.

Use of our report

This report is made solely to the charity's corporate trustee, as a body, in accordance with Section 154 of the Charities Act 2011.

Our audit work has been undertaken so that we might state to the charity's corporate trustee 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 charity and its corporate trustee as a body, for our audit work, for this report, or for the opinions we have formed.

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Statement of Financial Activities for the year ended 31 March 2021

ANNUAL REPORT 2020/2021

11 —

ANNUAL REPORT 2020/2021

Statement of Financial Activities

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Income from Note Unrestricted Restricted Endowment Total Unrestricted Restricted Endowment Total
2020/2021 Restated 2019/2020
Restated
2 £000’s £000’s £000’s £000’s £000’s £000’s £000’s £000’s
Donations and legacies 584 694 0 1,278 365 495 0 860
Other trading activities 0 0 0 0 0 0 0 0
Gifts in Kind 54 0 0 54 0 0 0 0
Investment income 26 35 1 62 30 51 1 82
Total Income 664 729 1 1,394 395 546 1 942
Expenditure 3
Raising funds 3.1 (45) (53) (1) (99) (39) (49) (1) (89)
Charitable Activities 3.2
Medical equipment (534) (394) (1) (929) (201) (292) (1) (494)
Building and (135) (27) 0 (162) (29) (117) 0 (146)
refurbishment
Patient Education (104) (65) 0 (169) (122) (101) 0 (223)
and welfare
Staff education (32) (83) 0 (115) (4) (14) 0 (18)
and welfare
Research 0 0 0 0 0 0 0 0
Total expenditure on (805) (569) (1) (1,375) (356) (524) (1) (881)
Charitable Activities
Total expenditure (850) (622) (2) (1,474) (395) (573) (2) (970)
Net gains/(losses) 4 147 233 3 383 (50) (142) (2) (194)
on investments
Net income/ (39) 340 2 303 (50) (169) (3) (222)
(expenditure)
Net movement in funds (39) 340 2 303 (50) (169) (3) (222)
Fund balances brought 1,066 1,504 22 2,592 1,116 1,673 25 2,814
forward
Fund balances carried 1,027 1,844 24 2,895 1,066 1,504 22 2,592
forward
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The accompanying notes form an integral part of these financial statements.

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Balance Sheet as at 31 March 2021

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ANNUAL REPORT 2020/2021
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12 — Balance Sheet

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Note Unrestricted Restricted Endowment Total Unrestricted Restricted ANNUAL REPORT 2020/2021 Endowment Total
2020/2021 Restated 2019/2020
Restated
£000’s £000’s £000’s £000’s £000’s £000’s £000’s £000’s
Fixed Assets 5
Investments - 1,234 1,126 20 2,380 801 1,182 22 2,005
Cazenove portfolio
Properties 80 0 0 80 80 0 0 80
Total Fixed Assets 1,314 1,126 20 2,460 881 1,182 22 2,085
Debtors due over one year 6 20 0 0 20 18 0 0 18
Current Assets
Debtors due within one year 6 7 523 0 530 78 330 0 408
Cash held in investment 10 27 24 0 51 21 32 0 53
portfolio
Cash at bank and in hand 10 236 215 4 455 80 118 0 198
Total Current Assets 270 762 4 1,036 179 480 0 659
Liabilities
Creditors: Amounts falling 7 (577) (44) 0 (621) (12) (158) 0 (170)
due within one year
Total Net Current (307) 718 4 415 167 322 0 489
Assets/(Liabilities)
Total Net Assets 1,027 1,844 24 2,895 1,066 1,504 22 2,592
Funds of the Charity 8
Endowment Funds 8.1 0 0 24 24 0 0 22 22
Restricted 8.2 0 1,844 0 1,844 0 1,504 0 1,504
Unrestricted 8.3 1,027 0 0 1,027 1,066 0 0 1,066
Total Funds 1,027 1,844 24 2,895 1,066 1,504 22 2,592
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The accompanying notes form an integral part of these financial statements.

The financial statements were approved by the Trustee on 25th January 2022 and signed on its behalf by: Susan Acott, Chief Executive and Guy Dentith, Acting Director of Finance and Performance Management.

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Cashflow as at 31 March 2021

13 — Cash Flow

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Cash Flows from operating activities: 2020/21 2019/20
Restated
£000's £000's
Net cash used in operating activities 188 (396)
Cash flows from investing activities:-
Dividends, interest and rents from investments 62 82
Proceeds from sale of investments 610 323
Purchase of investments (613) (313)
Charges applied to investments 8 8
Net cash provided by (used in) investing activities 67 100
Cash flows from financing activities:
Repayments of borrowing 0 0
Cash inflows from new borrowing 0 0
Receipt of endowment 0 0
Change in cash and cash equivalents 255 (296)
in the reporting period
Cash and cash equivalents at the 251 547
beginning of the reporting period
Cash and cash equivalent at the end of the reporting 506 251
period
Net income/(expenditure) for the reporting period 303 (222)
(as per the statement of financial activities)
Adjustments for:-
(Gains)/losses on investments (380) 194
Dividents, interest and rents from investments (62) (82)
(Increase)/decrease in debtors (124) (340)
Increase/(decrease) in creditors 451 54
Net cash provided by (used in) operating activities 188 (396)
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Principal accounting policies

14 —

Notes to the financial statement for the year ended 31 March 2021

1.1 Basis of preparation 1.2 Incoming Resources in the estate to pay the legacy and The financial statements Donations, grants, •All conditions attached have been prepared legacies and gifts in kind. to the legacy have been under the historic cost fulfilled or are within convention, with the All incoming resources the charity’s control exception of investments are recognised once the •Where the amount which are included charity has evidence of the legacy can be at market value. The of entitlement and it is reliably estimated. financial statements probable (more likely than •Legacies which are have been prepared in not) that the resources subject to a life interest accordance with applicable will be received and party are not recognised. Accounting and Reporting the monetary value by Charities: Statement of can be measured with Where a reliable estimate Recommended Practice sufficient reliability. cannot be identified, (SORP) applicable to It is not the Charity’s then the legacy is shown charities preparing their policy to defer income. as a contingent asset. accounts in accordance with the Financial Where there are terms Incoming resources from Reporting Standard or conditions attached Capital Endowments are applicable in the UK to the incoming resource placed into an income and Republic of Ireland (particularly grants) then fund when received. (FRS 102) effective these must be met before Income will be placed date 1 January 2019, as the income is recognised into funds in accordance per the October 2019 as the entitlement will not with donors’ wishes, but Charities SORP and the be evidenced, or where without forming a binding Charities Act 2011. there is uncertainty that trust, unless a signed the conditions can be met, document is received and East Kent Hospitals then the income is not approved by Trustees. Charity represents a recognised in the year. It public benefit entity as is not the Charity’s policy Gifts in kind are valued at defined by FRS 102. to defer income even a reasonable estimate of where a pre-condition their value to the Charity. The Trustees consider for use is imposed Gifts donated for resale that there are no material are included as income uncertainties about Legacies are accounted either when they are sold the Charity’s’ ability for as incoming resource or at the estimated resale to continue as a going either on receipt or where value after deduction of concern and uncertainties the receipt of the legacy the cost to sell the goods affecting the current year’s is probable. Receipt accounts. In future years, is probable when:

The Trustees consider that there are no material uncertainties about the Charity’s’ ability to continue as a going concern and uncertainties affecting the current year’s accounts. In future years, the key risks are a fall in investment and voluntary income. Arrangements are in place to mitigate those risks (see the risk management and reserves sections).

•Confirmation has been received from the representatives of the estate(s) that probate has been granted

•The executors have established that there are sufficient assets

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ANNUAL REPORT 2020/2021

Intangible Income

Intangible income, which comprises donated services or use of Trust property, is included in income at a valuation which is an estimate of the financial cost borne by the donor where such a cost is material, quantifiable and measurable. No income is recognised when there is no financial cost borne by a third party.

1.3 Resources expended

All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category of expense shown in the Statement of Financial Activities.

Expenditure is recognised when the following criteria are met:

•There is a present legal or constructive obligation to make a payment to a third party – primarily to the Trust in furtherance of the charitable objectives

•The amount of the obligation can be measured or estimated reliably. The Trustees have control over the amount and timing of grant payments and are usually given with the condition that an item or service has been purchased. Conditions have to be met before the liability is recognised.

Irrecoverable VAT is charged against the category of resources expended for which it was incurred.

Allocation of support costs

Support costs are those costs which do not relate directly to a single activity. These include some staff costs, costs of administration, internal and external audit costs and IT support. These costs include recharges of appropriate proportions of the staff costs and overheads from East Kent Hospitals University NHS Foundation Trust and the East Kent Finance Consortium and are apportioned on an average fund balance monthly across all funds. See note 1.1 and note 3.

Fundraising costs

The costs of generating funds are the costs associated with generating income for the charity. This will include the costs associated with investment managers, administration costs for management of investment properties and other promotional and fundraising events including any trading activities and for the salaries of the fundraisers as agreed with the Trust.

Charitable activities

Expenditures are given as grants made to third parties (including NHS bodies) in furtherance of the charitable objectives of the funds. They are accounted for on an accruals basis, in full, as liabilities of the Charity when approved by the Trustees and accepted by

the beneficiaries. See note 3.

Analysis of grants

The Charity does not make grants to individuals. All grants are made to the Trust to provide for the care of NHS patients in furtherance of its charitable aims. The total cost of making grants, including support costs, is disclosed on the face of the statement of financial activities and further analysis in relation to activity is provided in note 3.

Recognition of liabilities

Liabilities are recognised as and when an obligation arises to transfer economic benefits as a result of past transactions or events.

1.4 Fixed assets Investments fixed assets

Investments are a form of basic financial instrument. Investments held by the Trustees’ investment managers are initially recognised at their transaction value and are subsequently measured at their fair (market) value as at the balance sheet date as reported by the Investment Managers (Schroders T/as Cazenove). The statement of financial activities includes the net gains and losses arising on revaluation and disposals throughout the year. Quoted stocks and shares are included in the balance sheet at the current market value. The Trustees recognise that the main form of financial risk for the charity is the volatility in equity and other investment markets which are subject to global economic

conditions and the investors’ responses to global incidents. To minimise risk the Trustees have identified that longer term investment produces a more stable return than short term investments and holds a mixed portfolio to alleviate any single area of instability.

1.5. Critical accounting judgements and key sources of estimation uncertainty

In the application of the Charity’s accounting policies, management is 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, including expectations of future events that are believed to be reasonable under the circumstances. Actual results may differ from those estimates and the estimates and underlying assumptions are continually reviewed. 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 current and future periods. The valuation of Investment property is the most significant estimate within the accounts that has a significant risk of resulting in a material adjustment of the carrying amounts of assets and liabilities within the next financial year. The estimate is based upon the professional judgement of the Charity's valuer (as detailed in note 1.6).

1.6 Investment properties

1.8 Cash and cash equivalents

Property assets are not Cash held in the bank and depreciated but are shown in hand is used to meet the at market value. Valuations day to day running costs of are generally carried out the charity as they fall due. annually by an appropriate Cash equivalents are short professional. Valuation gains term liquid investments and losses are recorded in usually held for a period of the Statement of Financial 3 months’ notice interest Activities with the balance bearing savings accounts. Cash sheet reflecting the market held within the investment value at 31st March 2021. A portfolio is identified in the valuation has been completed balance sheet as reported by by Cushman and Wakefield the investment managers. professional valuers as at 31 March 2020 and in the opinion 1.9 Prior Year Adjustments of the Trustees, the valuation remains materially accurate There has been one prior at 31 March 2021. The period adjustment relating valuation is based on market to expenditure incurred in value of similar residential 2019/2020 not previously properties adjusted to reflect recorded. The adjustment the age of the tenant. This related to building works method reflects the restriction completed totalling £67k. placed on the property The Statement of Financial bequeathed to the charity Activities and Balance sheet which prevents realisation. together with the associated notes have been amended Income and expenditure to reflect the adjustment.

in respect of investment properties are reflected in 1.10 Pensions the appropriate category in the Statement of Financial All the charity's staff as Activities. See notes 2 and 3.1. referenced in note 9 are employed by East Kent 1.7 Realised gains and losses Hospitals University NHS Foundation Trust , with the Realised gains and losses on cost of their employment investments are calculated as being cross-charged to East the difference between sales Kent Hospitals Charity and are proceeds and opening market covered by the provisions of the NHS Pensions Scheme.

Realised gains and losses on cost of their employment investments are calculated as being cross-charged to East the difference between sales Kent Hospitals Charity and are proceeds and opening market covered by the provisions of value (or date of purchase if the NHS Pensions Scheme. later). Unrealised gains and losses are calculated as the 1.11 Irrecoverable VAT difference between market value at the year end and Any irrecoverable VAT is opening market value (or charged to the Statement date of purchase if later). of Financial Activities.

Investment income and gains/losses are allocated monthly according to the average fund balance, to the appropriate fund and included within the Statement of Financial Activities.

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ANNUAL REPORT 2020/2021

ANNUAL REPORT 2020/2021

2. Income from

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Unresrticted Restricted Endowment Total Unrestricted Restricted Endowment Total
2020/2021 2019/2020
£000's £000's £000's £000's £000's £000's £000's £000's
Donations from 211 13 0 224 241 27 0 268
Individuals
Donations from 24 2 0 26 26 1 0 27
groups/orgs
Grants NHS 0 421 0 421 0 0 0 0
Charities Direct
Grants Other 0 122 0 122 0 0 0 0
Corporate donations 144 0 0 144 9 0 0 9
Legacies 205 136 0 341 89 467 0 556
Total Donations 584 694 0 1,278 365 495 0 860
and Legacies
Other trading activities 0 0 0 0 0 0 0 0
Investment
Dividends from 24 35 1 60 27 49 1 77
investment portfolio
Bank Interest 2 0 0 2 3 2 0 5
Total Investment 26 35 1 62 30 51 1 82
income
Other Incoming 54 0 0 54 0 0 0 0
Resources –
Gifts in Kind
Total incoming 664 729 1 1,394 395 546 1 942
resources
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3. Resources Ex nded pe

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Unrestricted Support Restricted Support Total Unrestricted Support Restricted Support Total
Activity Costs Activity Costs 2020/2021 Activity Costs Activity Costs 2019/2020
Restated Restated
£000's £000's £000's £000's £000's £000's £000's £000's £000's £000's
Raising Funds (note 3.1)
Fundraising events 0 0 0 0 0 2 0 0 0 2
Fundraising salaries 29 0 42 0 71 23 0 42 1 66
Fundraising general 17 0 2 0 19 11 0 2 0 13
Investment - portfolio 0 0 8 0 8 3 0 5 0 8
Investment - properties 0 0 0 0 0 0 0 0 0 0
Total 46 0 52 0 98 39 0 49 1 89
Charitable Activities
(note 3.2)
Medical Equipment 501 33 344 50 928 180 21 256 36 493
Builidng & refurbishment 127 8 24 3 162 26 3 111 6 146
Patient education 98 6 57 8 169 109 13 88 13 223
& welfare
Staff education & welfare 30 2 72 11 115 4 1 11 2 18
Research 0 0 0 0 0 0 0 0 0 0
Total 756 49 497 72 1,374 319 38 466 57 880
Total Resources 802 49 549 72 1,472 358 38 515 58 969
Expended (excl
Endowment Fund)
Endowment - Gov 0 0 0 0 2 0 0 0 0 1
costs (not apportioned
to activities)
Total Resources 802 49 549 72 1,474 358 38 515 58 970
Expended
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Governance costs for the Charity totalled £64k in 2020/2021 (£40k 2019/2020). The fee for statutory audit completed by Grant Thornton was £27k for a full audit opinion in 2020/2021 (compared with £3k in 2019/20 for an Independent Examination also completed by Grant Thornton).

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ANNUAL REPORT 2020/2021

4. Net Movement in Funds

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Unresrticted Restricted Endowment Total Unrestricted Restricted Endowment Total
Funds Funds Funds 2020/2021 Funds Funds Funds 2019/2020
Restated Restated
£000’s £000’s £000’s £000’s £000’s £000’s £000’s £000’s
Net resources of general (212) 72 (2) (142) (28) (78) (2) (108)
donations and fundraising
Net gain from 0 0 0 0 (2) 0 0 (2)
fundraising events
Net loss from investment 0 0 0 0 0 0 0 0
opportunities
Net gain from investment 26 35 1 62 30 51 1 82
portfolio/bank
Gains & losses on 147 233 3 383 (50) (142) (2) (194)
investment assets
Net movement in funds (39) 340 2 303 (50) (169) (3) (222)
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5. Analysis of Fixed Asset Investments

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Investments Portfolio Invested Properties Total fixed assets
£000's £000's £000's
Market value at 1st April 2020 2,005 80 2,085
Less: Disposals at carrying value (611) 0 (611)
add: Acquisitions - less cash 611 0 611
Net gain/loss on revaluation and sale 383 0 383
Charges applied to capital (8) 0 (8)
Market value at 31 March 2021 2,380 80 2,460
Uk Equities 488
Int equities 1,011
Other assets 483
Bonds (fixed assets) 398
Total Portfolio 2,380
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6. Analysis of Debtors

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31st March 31st March
2021 2020
Accrued Income Unrestricted Restricted Total Funds Unrestricted Restricted Total Funds
Funds Funds Funds Funds
£000's £000's £000's £000's £000's £000's
Amounts falling due
within one year:
Gift aid 4 0 4 1 0 1
Legacies 3 523 526 77 330 407
Amounts falling due
over one year:
Loan for property maintainance 20 0 20 18 0 18
Total debtors 27 523 550 96 330 426
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Debtors are monies due to the Charity which have been identified but not yet received. The Charity has a long term arrangement for upkeep of a property which is held in Trust in equal shares with the Margate Civic Society.

The Charity pays for maintenance and insurance and charges against the estate at basic rate of interest on funds expended which will be recovered from the estate on distribution, which is subject to a life tenancy and interest.

7. Analysis of Creditors

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31st March 31st March
2021 2020
Unrestricted Restricted Total Funds Unrestriced Restricted Total Funds
Funds Funds Funds Funds Restated
Restated
£000's £000's £000's £000's £000's £000's
Amounts falling due
within one year:
Trade creditors 0 3 3 0 3 3
(Trade Accruals)
Audit (Grant Thornton) 9 18 27 1 2 3
East Kent Hospitals University 568 23 591 11 153 164
NHS Foundation Trust
Total creditors falling 577 44 621 12 158 170
due within one year:
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Creditors are amounts owed by the charity. They are measured at the amount that the charity expects to have to pay to settle the debt.

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ANNUAL REPORT 2020/2021

ANNUAL REPORT 2020/2021

8. Details of Funds

8.1 Analysis of Funds

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Endowment Funds Balance Incoming Resources Transfers Gains & Balance
31st Mar Resources Expended Losses 31st Mar
2020 2021
£000's £000's £000's £000's £000's £000's
KCH Longbotham 22 1 (2) 0 3 24
Total 22 1 (2) 0 3 24
8.2 Restricted Funds Balance Incoming Resources Transfers Gains & Balance
31st Mar Resources Expended Losses 31st Mar
2020 2021
Name of fund £000’s £000’s £000’s £000’s £000’s £000’s
KCH Gen Purpose 203 18 (64) 0 29 186
QEQM General Purposes 548 143 (146) 0 85 630
KCH Heart Research 113 0 (124) 0 11 0
KCH Mermikedes ITU 190 5 (14) 0 27 208
RVH Gen Purpose 93 2 (17) 0 13 91
KCH Renal Unit Fund 67 2 (8) 0 10 71
BHD Gen Purpose 70 2 (12) 0 10 70
WHH Celia Blakey Unit 53 1 (4) 0 8 58
NHS Charities Together Covid-19 0 422 (201) 0 0 221
Others 167 134 (32) 0 40 309
Total 1,504 729 (622) 0 233 1,844
8.3 Unrestricted Funds Balance Incoming Resources Transfers Gains & Balance
31st Mar Resources Expended Losses 31st Mar
2020 2021
Name of fund £000’s £000’s £000’s £000’s £000’s £000’s
EKHT Umbrella General Fund 111 553 (330) 0 33 367
QEQM Property Fund 173 1 (6) 0 0 168
EKHT Urgent & Emergency Care 99 6 (22) 0 14 97
QEQM Viking Day Oncology Fund 169 2 (12) 0 24 183
EKHT Surgery & Anaesthetics 54 9 (8) 0 8 63
EKHT Stroke Patients Fund 32 14 (3) 0 5 48
EKHT Cancer Services Fund 36 1 (2) 0 5 40
Others 392 78 (467) 0 58 61
Total 1,066 664 (850) 0 147 1,027
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8.4 Details of Material Funds

8.4 Details of Material Funds
Endowment Funds
Name of Fund Description of the nature andpurpose of each fund
KCH Longbotham Promoting any charitable purpose related to Kent &
CanterburyHospital services as Trustees see fit
Restricted Funds
Name of fund Description of the nature andpurpose of each fund
KCH Gen Purpose Charitablepurposes relatingto NHS whollyor mainlyfor Kent & CanterburyHospital
QEQM General Purpose Any Charitable purpose relating to NHS wholly or
mainlyfor Queen Elizabeth Hospital
KCH Heart Research Charitablepurposes relatingto NHS to further Heart Research
KCH Mermikedes ITU Charitablepurposes relatingto Intensive Care Unit Kent & CanterburyHospital
WHH Gen Purpose AnyCharitable Purpose relatingto NHS whollyor mainlyfor William HarveyHospital
RVH Gen Purpose AnyCharitable Purpose relatingto NHS whollyor mainlyfor Royal Victoria Hospital
KCH Renal Unit Fund Charitable purposes relating to NHS & provision of additional
equip& staff trainingfor Renal Services
BHD Gen Purpose AnyCharitable Purpose relatingto NHS whollyor mainlyfor Buckland Hospital
WHH Celia BlakeyUnit Charitablepurposes relatingto NHS &provision of additional equip& staff training
NHS Charities Together Covid-19 Charitable Purposes to support Covid-19 response
Designated Funds
Name of fund Description of the nature andpurpose of each fund
QEQM Property Fund Any Charitable purpose relating to NHS wholly or
mainlyfor Queen Elizabeth Hospital
EKHT Urgent & EmergencyCare AnyCharitablepurpose relatingto NHS &purchase of equipment & staff training
QEQM VikingDayOncologyFund AnyCharitablepurpose relatingto NHS &purchase of equipment & staff training
WHH Intensive TherapyUnit - ITU AnyCharitablepurpose relatingto NHS &purchase of equipment & staff training
EKHT Surgery& Anaesthetics AnyCharitablepurpose relatingto NHS &purchase of equipment & staff training
EKHT Stroke Patients Fund AnyCharitablepurpose relatingto NHS &purchase of equipment & staff training
EKHT Cancer Services Fund AnyCharitablepurpose relatingto NHS &purchase of equipment & staff training

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ANNUAL REPORT 2020/2021

ANNUAL REPORT 2020/2021

9. Staff Costs

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31st Mar 2021 31st Mar 2020
Total Total
£000's £000's
Salaries & Wages 123 118
Social Security Pensions 13 12
Pension 15 14
Total Staff Costs 151 144
31st Mar 2021 31st Mar 2020
Total Total
£000's £000's
Average Number of Employees:
Raising Funds 2.0 2.0
Charitible Activities 2.0 2.0
Total 4.0 4.0
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No individual member of staff received emoluments exceeding £60k (Nil in 2019/2020)

10. Analysis of Cash and Cash Equivalents

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31st Mar 2021 31st Mar 2020
Total Total
£000's £000's
Cash in hand 455 198
Cash held in investment portfolio 51 53
Total 506 251
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Additional Notes

11 Transfer of Funds

The Trustees review all unrestricted and restricted funds to ensure that there is a need and can meet the restriction of those funds.

12 Related party transactions

During the year none of the Trustees or members of the key management staff or parties related to them has undertaken any material transactions with the East Kent Hospitals Charity. The Charity has made revenue and capital payments to the East Kent Hospitals University NHS Foundation Trust where the Trustees are also members of the Trust Board. The charity had a creditor of £0.5m as at 31/03/2021 (£0.1m 2019/2020) and expenditure of £1.4m for 2020/2021 (£0.8m 2019/2020.

13 Charity Tax

East Kent Hospitals Charity 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 trust for UK income tax purposes. Accordingly, the charity is potentially exempt from taxation in respect of income or capital gains received within categories covered by Part 10 Income Tax Act 2007 or Section 256 of the Taxation of Chargeable Gains Act 1992, to the extent that such income or gains are applied exclusively to charitable purposes. (The charity met the same tax definition in 2019/2020)

14 Contingent Assets

The charity does not have any contingent assets. (Nil contingent Assets held in 2019/20)

15 Exemptions from Disclosure

The Charity has no exemptions from disclosure. (Nil exemptions in 2019/20)

16 Funds held as custodian trustee on behalf of others

The Charity holds no funds on behalf of others as a custodian trustee. (Nil funds held on behalf of other in 2019/2020)

17 Events after the End of The Reporting Period

There have been no events after the reporting period.

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East Kent Hospitals Charity Registered Charity Number: 1076555

East Kent Hospitals Charity Level 3 Trust Offices, Kent & Canterbury Hospital, Ethelbert Road, Canterbury, Kent CT1 3NG Tel: (01227) 866356

Email: ekh-tr.fundraising@nhs.net