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) 868748 

Email: ekh-tr.fundraising@nhs.net 




ANNUAL REPORT 2022/2023 

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## Contents 


|Foreword|4|
|---|---|
|Fundraising Introduction|6|
|Fantastic Fundraisers|10|
|Corporate Support|22|
|Events|28|
|Projects|38|
|Financial Summary|50|
|Structure, Governance & Management|54|
|Objectives & Activities|60|
|Our Funds|64|
|Statement of Trustees’ Responsibilities|68|
|Independent Auditor's Report|70|
|Statement of Financial Activities|78|
|Balance Sheet|80|
|Cash Flow|82|
|Notes|84|





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## Introduction from Claudia Sykes, Chair of the Charitable Funds Committee 

## 01 — Foreword 




It remains a challenging time for many charities, but we have continued to have amazing support from our donors, Trust staff and the local community. 

Claudia Sykes, Chair of Charitable Funds Committee 

On behalf of the Trustees, I am delighted to present the accounts for the East Kent Hospitals Charity for the financial year ended 31 March 2023. 

Since joining the Trust as a Non-Executive Director in March, I have been overwhelmed by the energy, dedication, and enthusiasm of the Charity team, in raising funds and supporting activities to benefit patients and staff at the Trust. It remains a challenging time for many charities, but we have continued to have amazing support from our donors, Trust staff and the local community. Many of the amazing activities undertaken by staff and volunteers to raise funds for the Charity can be seen in the next few pages. 

This year has also seen some changes at the Charity, as we enter an exciting new period. I would like to record a huge vote of thanks to Rupert Williamson, who stepped down as the Head of the Charity in 2023 – Rupert has been core to the development of the Charity over the last few years and is widely respected for his professionalism, commitment, and sense of humour. It has been a delight to work with Danielle Nelligan, who has so ably taken on the job of Charity Manager this year and is fulfilling the role with huge energy and drive. The finance team, led by Jenny Still, have continued to provide professional and flexible support. The Charity team is set to expand, to look for further fundraising opportunities and increase the Charity’s income in future years. 

We know that the NHS is going through a very difficult time. Funding is challenging and we face a crumbing hospital estate, and yet the need for high quality patient care is higher than ever before. Our hospitals and staff play a vital role in maintaining the health and wellbeing of the East Kent community. The extra funds raised by the Charity team are therefore vital in supporting many aspects of patient and staff wellbeing and care. We all know that a patient’s experience in our hospitals is not just about the clinical outcome, but how they felt supported and cared for – and it can be the smallest things which mean a lot to a patient at their most vulnerable time. Some of those examples can be seen in the Charity’s report. 

None of this would be possible without the ongoing support from our donors and fundraisers – thank you all so much. 

Claudia Sykes Chair of the Charitable Funds Comittee 


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## 02 — Fundraising Introduction 


"We give a massive and heartfelt thank you, most particularly in the current climate, to all of those who have supported us." 

We are East Kent Hospitals Charity. We are here to help your hospitals. We at East Kent Hospitals Charity are humbled by the ongoing support from our communities who give so much time and effort into raising funds for us, ensuring that we can continue to have a huge and positive impact across East Kent Hospitals. 

We give a massive and heartfelt thank you, most particularly in the current climate, to all 

of those who have supported us. 

As we continue to emerge from the pandemic we have aimed to revitalise the charity offering and visibility, allowing our supporters to make a strong brand link to the work we do, and the cause that they donate towards. 

In this annual report, we celebrate our achievements during 2022-2023- from funding projects worth £810,000 to engaging with community groups across East Kent; launching innovative initiatives to support EKHUFT patients, visitos and staff, to brightening the hospital environment across the Trust. 

We are delighted to showcase this account, detailing how we have put charitable funds to good use. 

Many thanks to all our supporters! 

From the Fundraising Team 



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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, visitors and staff by: 

- Enhancing the quality of patient care 

- Improving the environment for patients and visitors 

- Supporting NHS staff development to enable them to provide excellent clinical and patient centred care 

- Providing financial support for pioneering research that has the potential to impact on the treatment and well-being of patients 

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. 

Section 13 of the Charities (Protection and Social Investment) Act 2016 does not require charities with an income of below £1 million to report on fundraising reporting. However, we are pleased to include these statements and promote openness and transparency. 

The following areas are included: 

- Fundraising – the Charity does not use professional fundraisers or door-to-door fundraising. All fundraising is carried out by our fundraising team or by supporters of the charity. 

- Regulation – the charity is registered with the Fundraising regulator and complies with the standards which apply to all fundraising. 

- Monitoring fundraisers – The Charity has not worked with any ‘On behalf of’ fundraisers (including third-party fundraisers, commercial participators and volunteers). 

- No fundraising complaints have been received 

- All staff members must comply with the NHS Trust policies and mandatory training which includes Safeguarding, customer services and Information governance training. The Charity is fully aware of the requirements to make sure vulnerable people are protected from unreasonable intrusions on their privacy. 




Rupert Williamson CHARIT Y MANAGER 

Danielle Neligan SENIOR CHARIT Y OFFICER 

Jenny Still 



CHARIT Y ACCOUNTANT 

Richard Stevens ASSISTANT FINANCIAL ACCOUNTANT 

Lizzie Warner MARKETING AND PROJECTS MANAGER 


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## Half Marathon Mum 

Anna Slark took on a half marathon and raised £553 for the hospital teams who helped save her daughter’s life. The money will go to the neonatal intensive care unit (NICU) at the William Harvey Hospital in Ashford, where her daughter Amber spent the first three months of her life. 

## Anna, 35, who works as a physiotherapist at the hospital, said: 

“It was a healthy and low-risk pregnancy until suddenly everything changed and Amber was born by emergency caesarean section at 28 weeks, weighing just 1lb 13 ounces. When she was born I heard her cry and it was the smallest rasping noise I have ever heard, but it meant she was alive so it was such a relief. 

It was one of the most stressful situations I have ever been in. I didn’t know anything about the NICU – even though I work in the hospital I’d never been there or had any involvement with it, and it was a whole other world. But the staff were amazing and even though it was such a traumatic time we felt we were in really good hands and they looked after us as much as Amber. The memories from that time will always stay with us and we will forever be grateful for their care.” 


## 200 May Miles 


A family raised £4,868 walking 200 miles in May to benefit the critical care unit at Kent and Canterbury Hospital who were looking after their Dad. 

Nigel Avery was left paralysed and unable to breathe after being struck down by a rare illness after he contracted Covid-19. He developed Guillain-Barre Syndrome – a condition where the body’s immune system attacks itself after an infection, damaging the nerves. It can disrupt signals to the brain, causing paralysis – including of the muscles needed to breathe. 

His family vowed to raise money for the unit where he is being treated as a thank you to staff for nursing him back to health. 

Daughter Kayleigh said: “The staff have been absolutely amazing. He is making incredible progress but it is going to take a really long time to get back to where he was.” 

Nigel had been planning a 100-mile sponsored walk with his beloved dog Martha before he fell ill, and his family decided to walk for him in May instead, raising money for East Kent Hospitals Charity. 

Kayleigh said: “We all felt pretty useless so we thought the walk was one thing we could do for him, and we could raise money for the unit at the same time. Martha is his best friend, and they have been really missing each other. The staff realised this and managed to get him on a portable ventilator so they could bring him outside to see her. The second time they did it he had regained some movement and he was able to smile and it was the most fantastic moment. 

My brother and I, and the whole family, are so grateful for the support and help the team have provided to my dad and us all. No question is too silly, no worry too small, and they have handled it all with kindness, compassion and honesty. We’re overwhelmed with the amount of people who have donated and so thankful for their support in helping us say thank you to the fantastic hospital staff.” 


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## Swinging into Action 

Golfers swung into action and raised a total of £6,653.53 for the breast screening unit at the Kent and Canterbury Hospital. 

Lesley Johnson, 2022 Lady Captain at Canterbury Golf Club, organised a host of events for members and friends. She chose the unit after being diagnosed with breast cancer after a routine mammogram at the unit 14 years ago – and during her year of fundraising another two members were told they had cancer following appointments there. 

Lesley said: “It really demonstrates why it is so important that we have this facility locally. It is something that touches everyone – whether you are someone who has a routine screening appointment there, or whether it’s your partner, mother, daughter or granddaughter who does”. 

Lesley had the lumps removed surgically, as well as chemotherapy and radiotherapy treatment and has been well since her treatment finished in 2009. She said: “I had fantastic support from members, including those who run local businesses, who provided sponsorship and raffle prizes as well as attending the events I organised or making donations. My neighbour is the chief executive of a firm in Dover and he very generously donated £2,000 which helped us boost our total”. 

Members of Canterbury Golf Club will continue supporting East Kent Hospitals Charity this year, with the Lady Captain and Senior Captain choosing us as their Charity of the Year, with any money raised to go towards the dementia appeal. 

## Saffery Farm 


Saffery Farm continued to fundraise for Padua Ward in 2022, following the treatment that the farm owner’s daughter has received there. To date they have raised an amazing £5,408 from their annual pumpkin patch sales! 



## Sue Supports Dementia Fund 

Sue Threadingham has been a committed and passionate supporter of the Dementia Fund, and has thrown all of her energies into raising funds since 2016, mainly by selling her delicious jams, chutneys and crafted items outside her home and at various vintage fairs and shows across the county. To date, she has raised an incredible £8,585, helping East Kent Hospitals Charity to make a significant difference for patients living with dementia across EKHUFT. 


## Union of Catholic Mothers 


We were welcomed by the Union of Catholic Mothers to their September meeting, held at Our Lady and St Benedict church, in Birchington. The UCM had selected our Dementia Fund amongst several other charities to support during 2022 and we were delighted to receive a donation of £500. 


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## 24 hour Pool Challenege 


Four players chalked up an incredible 24 hours of pool in a fundraising challenge in February 2022. Matt Champ, Callum Tydeman, Sean Kirby and Kirk Knight played through the night, racking up more than £2,400 for Rainbow Ward at the Queen Elizabeth The Queen Mother Hospital. 

Matt, 33, a partner at Boys and Maughan Solicitors, qualified for the World Championships in 2016 and has played on the UK Pool Tour, but said playing non-stop was gruelling: “It may not sound particularly demanding, but when you consider being on your feet for 24 hours, and then walking round the table and bending over to take a shot, as well as the mental challenges of the game, it really was a lot. I think it took about three days to really recover from the experience. But it was definitely worth it to raise so much money for such a good cause.” 

Matt and Callum played most of the matches, joined by Sean and Kirk as well. Matt emerged victorious, winning more than 300 games over the 24-hour period. 

The money will help fund items for the children’s ward to benefit young patients and their families. 


## Sponsored Silence for Rainbow Ward 

Youngsters held a sponsored silence to raise money for poorly children at the Queen 

Elizabeth The Queen Mother Hospital in Margate. 

Pupils in Year 3 at Monkton Primary School completed the challenge as part of their Young Leaders Award, and raised a total of £225.20 for East Kent Hospitals Charity. 

The class chose to support Rainbow Ward as a way of giving something back to their community, and also wrote stories of their own experiences at the hospital to reassure other children. 

These funds will ensure that we can continue to enhance the hospital experience for poorly children at Rainbow Ward, by providing toys, games, arts and crafts and other distraction items to make the hospital experience a bit less scary. 



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## Rugby Shirt Comp 

A specially designed rugby shirt was donated to the QEQM hospital during a lunch organised by Thanet Wanderers Rugby Club to say thank you to NHS staff. 

The club came up with the idea during the Covid lockdown and held virtual fundraising events to gather the funds. They asked junior members to submit entries for a design competition, and young creator Tomas Hamil and his family joined the lunch to hand over the finished shirt. 

More than 40 staff attended, together with members of the rugby club and Doug Hursey, Kent RFU president. A raffle was held during the lunch, raising £1,000 for local NHS charities including our own East Kent Hospitals Charity. 

## Christmas Day Swim 

Nicola Oakley has raised an impressive £2,250 to benefit Cathedral Day Unit at Kent & Canterbury Hospital, where she works as a chemotherapy nurse educator. The donations flooded in after she took the plunge in a Christmas Day swim. 

The money will be used to benefit patients and staff on the ward, and could fund items such as specialist cooling caps for those undergoing cancer treatment. The caps are worn during chemotherapy infusions and stop the drug reaching the hair follicles, helping to prevent hair loss. 


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## Team Swap Scrubs for Mud in Charity Challenge 

A team from the emergency department at QEQM joined fitness instructors Darren and Julie Vilton-Tebbutt, from Body Architects, to take on the Tough Mudder challenge – a 15km course with 30 tough obstacles and plenty of mud! 

They were raising money to fund improvements to their department, including a mobile phone charging unit for patients to use. The team raised more than £1800. 

Joanna Williams, head of nursing for urgent and emergency care at the QEQM, said: “Everyone puts 100 per cent into their work and had the same attitude to the Tough Mudder obstacle course – and although we were tired and aching by the end we were delighted to have completed it." 

## Rotarians' Gift Inspired by Cancer Treatment 

Rotarians have raised £2,500 for the Viking Day Unit at the QEQM, inspired by the wife of their president who had treatment there. Hazel Hedges is now clear of cancer, but husband Chris, who is president of the Rotary Club of Westgate and Birchington, chose the unit as the club’s charity for the past two years. 

Nicola said: “The caps are fantastic and help people keep their dignity and sense of self during their treatment. They aren’t for everyone – some people find them too uncomfortable – but for those who can tolerate them it really does seem to work.” 


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Chris said: “Rotary and its sister organisation Inner Wheel, which Hazel is part of, is all about helping people so raising money is what we like to do. We held a race night, where wooden hobby horses, raced up the middle of a hall, with the assistance of two children, and my wife and I completed an 88-mile sponsored walk, inspired by the 88th anniversary of Inner Wheel in Kent. But most of the money was raised via door-to-door collections with Santa and his sleigh around the streets of Westgate and Birchington, so our thanks to everyone who supported that.” 



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This hospital means a lot to us as a company and we are delighted to be able to give something back for the benefit of staff and patients.’ 

## Bauvill and 3 Wishes 

Kent-based construction firm Bauvill, chose us as their charity of the year in 2022 and so far, have raised more than £30,700 for the charity’s 3 Wishes Project. 

East Kent Hospitals was the first UK trust to pilot the 3 Wishes Project, which aims to grant ‘wishes’ to those approaching the end of their life. These simple, personalised requests reflect the patients’ interests and passions and it aims to bring comfort to them and their families. 

Bauvill held their annual winter ball, which alone raised £13,000 towards funding the initiative. Director, Matt Gurr, said: ‘This hospital means a lot to us as a company and we are delighted to be able to give something back for the benefit of staff and patients.’ 

Critical care consultant, Ruth Tighe, said: “We are totally overwhelmed with the support from Bauvill, which has enabled the project to grow and help even more families. Already more than 50 patients have benefited from the 3 Wishes Project and it is helping us practice medicine and nursing in a different way, with truly personalised care.” 


WW Martin are the contractors for the new Emergency Department Expansion at the Queen Elizabeth The Queen Mother hospital and they opted to support us as their Charity of the Year 2022. 


They raised more than £5,300 for East Kent Hospitals Charity when they welcomed guests from a raft of local businesses to compete in a proam tournament held in association with the Kent Professional Golfers’ Association at Canterbury Golf Club. 


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Local housebuilder, Barratt Homes, is helping to support those in critical care, thanks to a donation of £4,000 to the 3 Wishes Project at The Queen Elizabeth The Queen Mother Hospital.The housebuilder, who is building at nearby development Spitfire Green in Ramsgate, will be donating £1,000 every three months over the course of a year. 

Natalie Perry, Sales and Marketing Director for Barratt Homes Kent, commented: “The 3 Wishes Project is a fundamental part of the critical care unit at The Queen Elizabeth The Queen Mother Hospital, and it is important we do what we can to provide ongoing support our local hospital and seriously ill people at this time. We know that staff at The Queen Elizabeth The Queen Mother Hospital work tirelessly to support their patients and we want to support them in the incredible work they do every day. We look forward to seeing the fantastic wishes the project can grant though out the course of the year to make a real difference to people’s lives at this difficult time.” 


Margate based Kent Construction Consultants took part in the Finsbury Park Tough Mudder in April 2022, raising over £4,600 for Rainbow Ward at the QEQM Hospital! 



Our Helping Your Hospitals Appeal was selected as one of the causes for Co-Op’s Local Community Fund, and thanks to the support of customers from the Sturry Road Funeral Care and Sturry stores, we have received £1,717 in total! 

We have been supported by Kreston Reeves (Canterbury Branch) since 2020, after they donated shower gels, snacks and hand creams for staff during the pandemic. We have since been selected to be their Charity of the Year and were delighted to receive £4,098 thanks to their fundraising efforts! 




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In order to maximise the offering for our potential fundraisers, we have joined Run For Charity, who offer numerous spaces on popular local, regional and international fundraising events. As a result, we have been able to engage more fundraisers than in previous years to sign up to events such as Brighton Marathon, Colour Obstacle Rushes and London Landmarks Marathons. We hope to be able to continue to offer a rich selection of challenges to our fundraisers, using the Run For Charity platform: increasing donations and future donor engagement. 

## Brighton Marathon 

We had three entrants into the 2022 Brighton Marathon, raising £3,973! Thank you so much, Mel, Dan, Dave and Alex! 





## Pride 2022 



We were delighted to be able to fund Pride Packs in June, which were given to wards and departments across EKHUFT, as organised by the EDI team. We also represented the Trust and the Charity at Canterbury Pride, by marching with other NHS colleagues. 

We also funded a ‘trolley dash’ at the Maternity Unit at the William Harvey Hospital, to raise awareness of gender-neutral language and the importance of respecting people’s pronouns. It was so successful that Matron Jo Olagboyega plans to make this a regular event, and hopes to deliver sessions on disability awareness and BAME issues in the future. 

Jo said: “It was prompted by the ITEMS report – Improving Trans and Non-binary Experiences of Maternity Services – by the LGBT Foundation, which found that people tend to freebirth in the community rather than access midwifery services because they feel they will be judged. 

Historically, we haven’t been geared up for gender-neutral care but we know that we need to change and raising awareness is key to that. I put together a folder that can be a resource for the team to help them start conversations with people using our services and make sure we are truly inclusive. 

I was so impressed with the way everyone reacted; there was huge engagement and people said it was something that was much needed. Some of our students reflected that the curriculum didn’t fully cover these issues so they welcomed the chance to talk about it and improve their practice. 

It is just one of the ways we are working to promote positive practice and to change the culture within the department and I am so proud of the team for how they responded.” 


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## NHS Big Tea 2022 

We celebrated the NHS' 74th birthday on the 5th July 2022, by hosting The Big Tea. 

Reaching across all EKHUFT sites, we had the support of the Executive, Volunteering and Wellbeing teams to deliver this staff engagement initiative. 

Our key message was to 'come sip with us'- encouraging staff to celebrate the NHS' birthday by having a cup of tea, courtesy of East Kent Hospitals Charity. 

Our uniquely branded teabags cost £2,475.60, meaning the event cost 4.1 pence per staff member that we engaged with. 










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## Bollywood Bonanza 





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Bollywood music fans helped raise more than £5,600 for East Kent Hospitals Charity. Hundreds packed the Malthouse Theatre in Canterbury for a fundraising concert featuring Dr Rema Iyer, a consultant gynaecological oncologist for East Kent Hospitals. 

They were treated to a celebration of old and contemporary Indian music, performed by her band Muzic India Ltd. 

Proceeds from ticket sales, a raffle, and collection buckets raised a total of £5,601.40, which will go towards projects benefiting people with gynaecological cancer across east Kent. 

Rema, who works at the Queen Elizabeth The Queen Mother Hospital in Margate, said: “I love to perform and share my passion for music, and it is even more special when we can raise money for such an important cause at the same time. I am very grateful to everyone who bought tickets and came to support us at the event, and delighted we were able to raise such a significant amount.” 



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## Festive Cheer 2022 

## Marketing Campaign 

During the festive period we relied heavily on our social media campaign in order to raise awareness of the charity, and the giving opportunities that were available, particularly focussing on our amazon wishlists, which were very popular. 

Using a festive themed video, promoted via paid ads on Instagram and Facebook, as well as regular posts and updates during the period, we got a total reach of nearly 300k! 


here. You can find the full video 


## Cards and Baubles 

We sent our Christmas Cards to over 220 of our donors and supporters of 2022. 

We included a newsletter detailing our fabulous fundraisers and the projects that they enabled us to fund, as well as a sustainable Christmas decoration, which we encouraged people to take photos of, and tag us on their social media accounts- in order to increase our visibility! 


## Impact 

We are pleased to say that we had a total of 53 donors who made festive specific donations or conducted fundraisers. (2021- 49 donors). Of these 53 donors, 29 were new to the Charity. 


The physical donations of toys, games, chocolates etc totalled approximately £16,229 (2021£3,513.83) 

We had eleven financial donations from organisations, companies and individuals who had fundraised during the festive period. These donations totalled £6,662.02 (2021£3,874.04) 



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## The Festive Fund 

As we do every year, we offered the Festive Fund to all wards, services and departments across EKHUFT and 2gether, in order that staff could decorate patient facing areas, or bring other festive cheer to patients during December. 

A total of 33 wards applied for this fund, and the total cost was £2,261.56, averaging approx. £68.53 per ward. We noticed that less wards applied this year, as opposed to last, when 44 wards participated. 

## Stagecoach Trees 

This year, we were lucky enough to be gifted three Christmas trees for our main entrances of the larger Acute sites at QEQM, WHH and KCH. Thanks so much to Stagecoach bus for our trees and decorations. 




## The Big Festive Walkaround Heroes 300 


## tubs of Cadbury Heroes 

This year, we went a little bigger with our chocolate order and purchased 280 tubs, 20 were given free of charge from the lovely Charity Champions at Morrisons in Dover and Margate. The total cost to us was £1,435.98. 

Alongside with the Exec Team and our Wellbeing colleagues, we visited approximately 170 wards and departments in December, across all sites, delivering a box of chocolates, and a message of thanks and gratitude from our supporters. 

This was really well received by staff, and gave us an opportunity to have lots of face to face engagement, and to share the charity’s aims and achievements. 

Phred, Charity Champion from Morrisons Dover 



Left: Lizzie with KCH Nuclear Medicine Team and Right: Chairman, Niall Dickson with medical secretary 



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## Betsy helps Father Christmas deliver gifts to poorly children at QEQM 

A schoolgirl who faced Christmas in hospital last year has raised hundreds of pounds to buy presents for youngsters in the same position. Betsy Boardman, 11, was worried Father Christmas wouldn’t visit the children on Rainbow Ward at the Queen Elizabeth The Queen Mother Hospital in Margate, so decided to give him a helping hand. 


With a little help from mum Sarah, the Palm Bay Primary School pupil delivered a carfull of toys to the hospital after collecting more than £1,300. Another £400-worth of gifts 

were ordered from a wishlist she set up for the ward. 

Despite being diagnosed with mixed connective tissue disease, a collection of autoimmune disorders that includes arthritis and lupus, Betsy set herself the challenge of walking 10 miles in October 2022 to raise funds. 

In the end, she completed more than double her target, clocking up 22 miles during the month – including a walk along the Thanet coastline with some of her friends and classmates. 

Sarah said: “When she said she wanted to do 10 miles I was a bit worried it would be too much for her but she did fantastically well. It was a massive achievement for her and our friends and family started spreading the word and soon we had lots of people wanting to donate, so I set up a fundraising page. I was amazed to see the donations coming in, and the presents arriving from the wishlist. It started as a little pile and it just grew and grew. She was over the moon and we are so proud of her. We know how awful it is to be in hospital at Christmas, so it means a lot to be able to help other families in the same situation this year.” 

Betsy and her parents, together with her brother, visited the ward on her birthday to hand over the gifts to staff. 


## Tree Donation from NFU 

NFU Mutual Ashford Tenterden and Whitfield donated two beautiful Christmas trees to the Cathedral Day Unit, at Kent and Canterbury Hospital. 




## Kent Fire and Rescue Service 

The Crew from Margate Fire Station have fundraised during December for East Kent Hospitals Charity for a number of years, and we were thrilled to celebrate their donation of £200 for Padua Ward in January 2022. To date, they have raised £1,280. 



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## Toy Haul 

Bells were jingling on a children’s ward during the festive season – but it was belly dancers, rather than Santa Claus, bringing presents. 

Louisa Chibnall, Lesley Harris, and dancers from Sparkles Belly Dance Classes, handed over a haul of toys for children on Rainbow Ward at the Queen Elizabeth The Queen Mother Hospital in Margate, and for babies on the Special Care Baby Unit (SCBU) there. 

Mum-of-two Louisa chose East Kent Hospitals Charity to benefit from a belly dancing show featuring her students back in October, which raised more than £1,700. 

She said: “My son Reuben was born eight weeks early and spent a month on SCBU. He’s now one and doing really well but we have been to Rainbow Ward several times as he is quite susceptible to chest infections. Our experience of the teams there has been absolutely fantastic and I wanted to give something back to help say thank you to the staff and help them care for other children. 

We bought everything on the ward’s wishlists, and also bought extra pens and colouring books as well as items for the sensory room, and some massage chairs and foot massage machines for the staff. 

It was the first show we’ve been able to have for three years and everyone worked so hard preparing for it and it was really spectacular. I’m really grateful to everyone who helped us to raise such an amazing amount for the hospital.” 


## Tiny Toes Festive Fundraiser 

The Racing Greyhound pub in Ramsgate selected our Tiny Toes campaign as their festive fundraiser, and thanks to the support of their customers, an amazing £1,257.80 was raised for the Special Care Baby Unit at the QEQM. 


## Festive Light Display 

The Knight family from Folkestone have selected us as their charity to support since 2021 by putting on their fabulous festive light display. This year, they raised £237 for Padua ward, thanks to donations from their neighbours who came to view the lights! 



## Give a Gift Campaign 

KMFM and Bargain Hunters partnered in 2022 as part of their ‘Give a Gift’ campaign, benefitting charities and organisations supporting children and young people. We were delighted to welcome them to all three of our acute sites, and gratefully received approximately £6,000 worth of gifts for the children’s wards. 


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## Projects and Impact 

We have funded projects worth £754,000 during 2022-23. These include funding items of innovative medical equipment, patient and staff education and welfare and improving the hospital environment. 

We are guided and inspired by staff across East Kent Hospitals University NHS Foundation Trust to implement these projects and initiatives that make such an impact on patients, staff and visitors to our hospitals. 

Some inputs are very small indeed - such as the provision of ‘bravery stickers’ for children accessing care on the wards, or providing lifelike animal teddies to patients living with dementia - but they make a very big difference. We have also been pleased to be able to continue to provide ad hoc items for patients and families accessing the 3 Wishes Project across our Critical Care Units. 

Other projects are more complex, and we have detailed a wide range of examples in the following pages. We are so grateful for the support of our fundraisers, donors and communities, whose efforts ensure that we can continue to provide such meaningful projects. 


## 3 Wishes Project 

We funded a vital project aiming to bring comfort to people who die in critical care, and their families, which has now been expanded to more hospitals across the Trust. 

East Kent Hospitals was the first Trust in the country to pilot the 3 Wishes Project, which launched at the William Harvey Hospital in Ashford in November 2021 and allows staff to grant ‘wishes’ to patients at the end of their life. 

More than 30 patients have been able to benefit from the initiative, and it has now been rolled out to the Kent and Canterbury Hospital, and the Queen Elizabeth The Queen Mother Hospital in Margate, thanks to our funding. 

Sarah Whitney, clinical nurse educator in the critical care unit at the QEQM, said: “Generous funding from our charity means we can create meaningful, long-lasting memories and personal keepsakes while allowing families to spend precious time together in a less clinical environment. The 3 Wishes Project will enable us to enhance the end-of-life care we deliver and to respond to family and patient wishes in a more compassionate way.” 

The project was founded at a hospital in Ontario, Canada, and is now used in countries across the world. Wishes can include creating a personalised environment with photos, lighting and music, making keepsakes for families, or encouraging connections with family, friends or pets. 

Staff celebrated the roll-out of the project by showcasing some of the items that can be offered to families, and taking part in a trial run of hand-moulding, which is one of the most popular memories families request. Between July and November, we have spent £2,989.72 on items for the 3 Wishes Project, across the Trust. 



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## Critical Care Infographics 



We funded the infographics featured in the William Harvey Hospital Critical Care Unit, costing £6,242. 

These infographic designs assist understanding of the procedures and equipment being used within the Critical Care environment, reducing anxiety for patients and visitors, and providing the staff with a useful tool to illustrate the critical care journey. Additionally, the bespoke infographic is visually engaging and enhances the otherwise empty waiting room spaces. 

## Wellbeing Days 

We worked closely with the team from the QEQM Emergency Department to identify how best 


we can use our funds to promote wellbeing, following feedback from the team regarding their experience during the pandemic. 

We funded five day long wellbeing sessions, costing £13,375: allowing the entire team to participate. The sessions were bespoke for the needs of the team and included sleep coaching, yoga, meditation, alpaca walks and an opportunity to support each other when reflecting on their experiences in ED. 


## Dolphin Privacy Screens 


We funded privacy screens for Dolphin Ward at Kent and Canterbury Hospital, costing £2,216. 

These screens offer poorly children an engaging focal point when on the ward, as well as providing privacy, particularly after they recover from a procedure. 


## Stroke Service Rehab Chairs 

We approved funding for 18 specialist rehabilitation chairs for the stroke service at Kent and Canterbury Hospital in March 2022, costing £33,378. 

Provided for the use of hyper acute, acute and neurology patients at the hospital, they provide a smart, enhanced environment, encouraging recovery and promoting effective rehabilitation for patients. 

A physiotherapist who has been using these specialist chairs with their patients said: 

"The chairs have been very well received and have consistently been in use since then on both the hyper acute and the acute stroke wards. They are definitely benefiting the patients as we expected. The key benefit is the increased opportunities patients have to get out of bed into a supportive chair, as before we were having to share a handful of these chairs with the entire two wards. This meant that patients were only able to sit out for short periods and not even every day. It has also meant that patients are able to leave the ward more often, either with visitors or staff. This was particularly popular in the warmer weather when they could access the wellbeing gardens at the 1937 entrance." 


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## Hope Boxes 

Children experiencing a mental health crisis can find some comfort thanks to a special box created by teams at the Queen Elizabeth The Queen Mother Hospital in Margate. 

The health play specialists in the paediatric emergency department created a ‘hope box’, inspired by suicide prevention charity Papyrus. 

We funded items in the box and it is designed to help children and young people who are upset, anxious or experiencing thoughts of suicide. 

Health play specialist Lauren Clayson said: “The hope box is filled with things that can help children and young people feel better. We have included items to capture all five senses, such as stress balls, essential oils, hand cream, modelling clay, conversation cards and calming pictures. 

We would like to say a huge thank you to East Kent Hospitals Charity for the funding and support.” 

Jo Williams, head of nursing for urgent and emergency care at the QEQM, said it was part of the package of support available to young people in crisis. 

She said: “We have worked to improve how we care for people experiencing mental health difficulties, from dedicated spaces to specialist staff and additional training. The hope box is a fantastic initiative and will benefit so many young people, together with the other brilliant work our play specialists do every day with children who are worried or frightened.” 

Dee Neligan, senior charity officer from East Kent Hospitals Charity, said: “We were delighted to be able to fund this project. The box will make a real difference to the experience of children in the emergency department and we hope other teams will also be able to introduce it soon.” 

## ED Phone Chargers 


We installed phone chargers into the Emergency Department waiting area at QEQM hospital, following feedback from the team. Costing £9,920, the device is charity branded, and runs our marketing videos on a constant loop. 

They have been incredibly popular with people presenting at ED, and between January 

and March 2023, 4100 people used the machine. 



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## Charity – Plans for Future Periods 



During the period the Officers of the Charity presented to the Charitable Funds Committee (CFC) the Charity Strategy. The review and discussion set out the following key strategic aims and objectives for the period 1st April 2022 – April 2025. This reset the strategy to role the aims and objectives forward for another three-year period. 

The agreed strategy aims to ensure the governance and management arrangements for East Kent Hospitals Charity (EKHC) continue to operate to an optimal standard by making the best use of resources available. The objectives and SWOT were reviewed. Members agreed the key objectives for the NHS Charity. The Charity is emerging from the COVID period as a dynamic and responsive charity, with a good site and community profile, ready to face the challenges of the changing NHS and charity landscape. 

The vision for the Charity is to support the patients, visitors and staff through the services and facilities provided by the Trust. The work of the of the Charity will be promoted through strong internal links and partnerships across the communities served by the Trust. 

The strategic aims are to maximise charitable income and the impact of grants to the Trust and ensure good governance and best practice in all charitable activities. The key objectives to support the Charity aims are summarised below: 

- Maximising income through the investment portfolio (to monitor annual gross income from the investments to maximise return). 

- Ensuring that there are robust cash planning policies and procedures in place to allow the planned reductions to the portfolio to be managed to minimise risk of financial loss. 

- Ensuring that cash is invested to maximise income whilst in bank accounts which have a low credit risk. 

- General awareness to increase general donations (impact reports and publicity on equipment funded by the charity). 

- Gift aid. 

- Improved grant application process. 

- Developing a major appeal “Case for Support” in line with the Trust Cancer services plan. 

The Committee received and discussed all the objectives and received assurance on the development work of the Fundraising Strategy. The trustees discussed in detail the future direction and noted the key objectives for the Charity for the next threeyear period. Feedback was given by the CFC on the vision to support patients, visitors and staff. The promotion of the Charity will continue through strong internal links and partnerships across the community and key areas of focus including provision of contactless giving, enhanced branding and marketing, and upgrading the database system. 


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## 07 — Financial Summary 



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 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 receive.  Donations are   through fundraising, in memory of loved ones or legacies. 

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 £2.2m, of which £1.4m was held in restricted funds and £0.8m in unrestricted funds. 

Restricted funds are those which the donor has made a binding restriction on the purpose or location where their monies can be spent. Unrestricted funds reflect the wishes or expectations of the donor by supporting the service or specialty 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). 

## Going concern 

The accounts have been prepared on a going-concern basis. The Trustees have reviewed the charity’s plans and have not identified any material uncertainties relating to events or conditions that, individually or collectively, 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. 

## Where our income came from 

The Charity received a total of £0.8m income for the year; an increase of £0.3m when compared with 2021/22. 

The charity has worked proactively with their Investment managers – Cazenove (part of the Schroders Group) to minimise the impact of volatile markets. 2022/23 saw a disappointing net unrealised loss on investments of £0.1m (Gain of £0.2m 2021/22). 

Investment income received in the year from dividends and interest £98k an improvement of £34k from 2021/22. This represented a total yield of 3.98% for the year against a benchmark performance of 3%. 



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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 83% (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, and supporting projects that include the equipping and refurbishment of staff and patient spaces. This often involves updating spaces for staff rest and respite, reflective spaces used by patients and their families, or rooms utilised for sensitive consultations - places where the atmosphere and environment leaves a lasting impact on the individual, their experience and wellbeing. 

A summary of the categories of grants given to the Trust are listed below; 

|-|Medical equipment|£0.41m|
|---|---|---|
|-|Building and refurbishment|£0.35m|
|-<br>-|Patient education and welfare<br>Staf education and welfare|£0.11m<br>£0.03m|



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 £104k (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 and uses their data to benchmark administration and fundraising costs. This comparison looks at NHS Charities of a similar size and geographical spread. 


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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. 

## 08 — 

## Structure, Governance & Management 

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

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: 

- William Harvey Hospital (WHH), Ashford 

- Queen Elizabeth The Queen Mother Hospital (QEQM), Margate 

- Kent & Canterbury Hospital (K&CH), Canterbury 

- Buckland Hospital (BHD), Dover 

- Royal Victoria Hospital (RVH), Folkestone 

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 2023, there were a total of 45 individual funds established under this Umbrella registration. Of those funds 22 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 69. 

The Charity has one small Endowment fund, which allows only the income to be spent, whilst the capital remains invested. The remaining 22 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 2023 was £2.2m. 

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 868748 



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## 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. 

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 

Tracey Fletcher CHIEF EXECUTIVE April 2022- Present 0/4 meetings attended 

Ben Stevens CHIEF STRATEGY & PARTNERSHIPS OFFICER March 2023- Present 1/1 meeting attended 




Dr Rebecca Martin CHIEF MEDICAL OFFICER March 2020- May 2023 2/4 meetings  attended 

Phil Cave CHIEF FINANCE OFFICER October 2017March 2023 3/4 meetings attended 



Liz Shutler 

DIRECTOR OF STRATEGIC DEVELOPMENT AND CAPITAL PL ANNING / DEPUT Y CHIEF EXECUTIVE 

January 2004December 2022 2/3  meetings attended 

## Charitable Funds Committee- Non-Executive Directors 


Jane Ollis CHAIR OF CFC/ NONEXECUTIVE DIRECTOR 

Claudia Sykes CHAIR OF CFC/ NONEXECUTIVE DIRECTOR March 2023- Present 1/1  meeting attended 

October 2021February 2023 

3/3 meetings attended 


Luisa Fulci NON-EXECUTIVE DIRECTOR 

Nigel Mansley NON-EXECUTIVE DIRECTOR 

4/4 meetings attended 

Left trust February 2023 3/3  meetings attended 





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## Advisors 

## 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: 

- Performance and management of investments 

- Financial matters relating to cash management 

- Charity Policies 

- Management of properties 

- Review grant allocations to achieve objectives 

Investment Managers 

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 

Azets Audit Services Ltd Ashford Commercial Quarter 1 Dover Place Ashford Kent TN23 1FB 

- Approval of Grants over £25k as per the Scheme of Delegation 

- Recommendation of grants over £100k to the Board of Directors 

- Approve Strategy 

- Agree administration, fundraising and audit budget 

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. 

## Officers 

The Charity has 3.5 whole time equivalent (wte) staff employed by the Trust 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. 

1.5 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. 


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 principal aim of the Association is to promote the effective working of NHS Charities, collect donations 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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## 09 — Objectives & Activities 


## 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. 

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: 

- Fall in investment capital and returns 

- Reduction in income levels 

   - Reconfiguration of NHS services 

- 

The Trustees have mitigated these risks by: 

- Retaining expert investment managers 

   - Maintaining a diversified low risk portfolio 

- 

   - Review performance against benchmarks 

- 

- Utilise cash holdings in Short Term Deposits to maximise returns and diversify investment opportunities 

   - Reviewing the investment in Fundraising and analysing major and specific appeals and projects to identify effectiveness of approach and performance 

- 

- Working with the Trust to understand the changes in strategic approach to delivery of services. 

In the Trustees' opinion all appropriate action has been taken to ensure the risks are mitigated. 

## 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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## 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 3% 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: 

- Alcohol Manufacture 

- Armaments 

- Gambling 

- Pornography 

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 2023 was £2.5m (excluding cash of £33k). 

2022/23 saw an unrealised loss on investments held of £0.1m. Dividends for 2022/23 were £98k. 

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. 

## 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 

- Continue their programme of support to the Trust. 

- Hold sufficient reserves to ensure the charity can cover its ongoing operational costs to process outstanding commitments. 

   - Meet the cost of closure or transfer of the charity’s affairs should the need ever arise 

- 

At the 31st March 2023 the reserves were identified as below: 

Total Unrestricted funds £0.8m Less property funds (0.1m) Freely available reserves £0.7m 

The level of reserves held at 31 March 2023 is £0.4m 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. 

## 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. 

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’. 



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## 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’. 

## 10 — Our Funds 

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 8.2 page 96. 

## **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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## 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 7 December 2023 by 

## Tracey Fletcher 

## Michelle Stevens 

CHIEF EXECUTIVE 

CHIEF FINANCE OFFICER 


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11 


## **Statement** 

Under charity law, the trustee is responsible for preparing a Trustee's Annual Report and the financial statements in accordance with applicable law and regulations. The trustee is required 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. 


## — 

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

The financial statements are required by law to give a true and fair view of the state of affairs of the charity and of the incoming resources and application of resources for that period. 

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

- Selects suitable accounting policies and then apply them consistently; 

   - Makes judgements and estimates that are reasonable and prudent; 

- 

- States whether the recommendations of the Statement of Recommended Practice have been followed, subject to any material departures disclosed and explained in the financial statements; 

- • States whether the financial statements comply with the trust deed, subject to any material departures disclosed and explained in the financial statements; 

- • Assesses the charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern; and 

- Uses the going concern basis of accounting unless they either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so. 

The trustee is required to act in accordance with the trust deed of the charity, within the framework of trust law. It is responsible for keeping accounting records which are sufficient to show and explain the charity’s transactions and disclose at any time, with reasonable accuracy, the financial position of the charity at that time, and to enable the trustee 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. It is responsible for such internal control as it determines is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error, and has 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. 



On behalf of the Trustees; 


**----- Start of picture text -----**<br>
Tracey Fletcher Michelle Stevens<br>CHIEF EXECUTIVE DIRECTOR OF FINANCE &<br>PERFORMANCE<br>Date: 7 December 2023<br>Date: 7 December 2023<br>**----- End of picture text -----**<br>




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Independent auditor's report to the corporate trustee of East Kent Hospitals Charitable Fund 

## Opinion 

## 12 — 

## Independent Auditors Report 

We have audited the financial statements of East Kent Hospitals Charitable Fund (the 'charity') for the year ended 31 March 2023, 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' (United Kingdom Generally Accepted Accounting Practice). 

In our opinion, the financial statements: 

- Give a true and fair view of the state of the charity's affairs as at 31 March 2023 and of 

   - its incoming resources and application of resources for the year then ended; 

- Have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and 

- Have been prepared in accordance with the requirements of the Charities Act 2011. 

## 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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## 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, 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. 

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. 

## 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, 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. 

## 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: 

- The information given in the Trustee’s Annual Report is inconsistent in any material respect with the financial statements; or 

- The charity has not kept sufficient accounting records; or 

- • returns; or 

- The financial statements are not in agreement with the accounting records and 

- We have not received all the information and explanations we require for our audit. 

## Responsibilities of the corporate trustee for the fnancial statements 

As explained more fully in the Statement of Trustees' responsibilities in respect of the Trustees' annual report and the financial statements set out on page 73, 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. 

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. 

Auditor’s responsibilities for the audit of the fnancial 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: 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. 

We have nothing to report in this regard. 



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## 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: 

- We obtained an understanding of the legal and regulatory frameworks that are applicable to the charity and determined that the most significant which are directly relevant to specific assertions in the financial statements are those related to the reporting frameworks (The Charities Act 2011, the Charities SORP 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); 

- We enquired of management and the chair of the Charitable Funds Committee concerning the charity’s policies and procedures relating to: 

   - the identification, evaluation and compliance with laws and regulations; 

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

   - the establishment of internal controls to mitigate risks related to fraud or non compliance with laws and regulations. 

- We enquired of management, the chair of the Charitable Funds Committee and internal audit as to whether they were aware of any instances of non compliance with laws and regulations or whether they had any knowledge of actual, suspected or alleged fraud. 

- We assessed the susceptibility of the charity’s financial statements to material misstatement, including how fraud might occur, by evaluating incentives and opportunities for manipulation of the financial statements. This included the evaluation of the risk of management override of controls and the risk of revenue recognition associated with voluntary income. We determined that the principal risks were in relation to: 

   - Management override of controls, and in particular journal entries with characteristics we identified as high or elevated risk 

   - Improper revenue recognition relating to voluntary income 

- Our audit procedures involved: 

   - Identifying and testing unusual journals made during the year and at the accounts production stage for appropriateness and corroboration; 

   - 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 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 noncompliance with laws and regulations is from events and transactions reflected in the financial statements, the less likely we would become aware of it. 

   - Assessment of the appropriateness of the collective competence and capabilities of the engagement team included consideration of the engagement team's: 

      - understanding of, and practical experience with audit engagements of a similar nature and complexity through appropriate training and participation; 

      - knowledge of the sector in which the charity operates; and 

      - understanding of the legal and regulatory requirements specific to the charity 

   - In assessing the potential risks of material misstatement, we obtained an understanding of: 

      - the charity's operations, including the nature of its income and expenditure and its services and of its objectives and strategies to understand the classes of transactions, account balances, expected financial statement disclosures and business risks that may result in risks of material misstatement. 

      - the charity's control environment, including the policies and procedures implemented by the charity corporate trustee to ensure compliance with the requirements of the financial reporting framework. 

- Potential management bias in determining accounting estimates, especially in relation to the valuation of the Charity’s investment properties. 



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## 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. 


Azets Audit Services Ltd 

Statutory Auditor, Chartered Accountants 

## Ashford 

Azets Audit Services Ltd is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006. 

Dated: 8 January 2024 




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13 

— 

## Statement of Financial Activities 


## Statement of Financial Activities for the year ended 31 March 2023 


**----- Start of picture text -----**<br>
Income from Note Unrestricted Restricted Endowment Total  Unrestricted Restricted Endowment Total<br>2022/2023 2021/2022<br>2 £000’s £000’s £000’s £000’s £000’s £000’s £000’s £000’s<br>Donations and legacies 192 555 0 747 185 268 453<br>Gifts in Kind 0 0 0 0 0 0 0 0<br>Investment income 52 45 1 98 28 35 1 64<br>Total Income 244 600 1 845 213 303 1 517<br>Expenditure 3<br>Raising funds  3.1 (85) (75) (2) (162) (67) (58) (1) (126)<br>Charitable Activities 3.2<br>Medical equipment (119) (293) (1) (413) (188) (206) (1) (395)<br>Building and  (284) (64) 0 (348) (178) (177) 0 (355)<br>refurbishment<br>Patient Education  (31) (79) 0 (110) (55) (97) 0 (152)<br>and welfare<br>Staff education  (2) (23) 0 (25) (30) 0 0 (30)<br>and welfare<br>Audit Fees (8) (12) 0 (20) (21) (20) 0 (41)<br>Total expenditure on  (444) (471) (1) (916) (472) (500) (1) (973)<br>Charitable Activities<br>Total expenditure (529) (546) (3) (1,078) (539) (558) (2) (1,099)<br>Net gains/(losses)  5 (40) (79) (1) (120) 103 124 2 229<br>on investments<br>Net movement in funds (325) (25) (3) (353) (223) (131) 1 (353)<br>Fund balances  1,154 1,363 25 2,542 1,377* 1,494* 24 2,895<br>brought forward<br>Fund balances  829 1,338 22 2,189 1,154 1,363 25 2,542<br>carried forward<br>**----- End of picture text -----**<br>


The accompanying notes form an integral part of these financial statements. *Balances have been restated to correct categorisation of opening balances split between restricted and unrestricted funds: see note 14 for details. 



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## Balance Sheet as at 31 March 2023 

## 14 — Balance Sheet 


**----- Start of picture text -----**<br>
Note Unrestricted Restricted Endowment Total  *restated *restated Endowment Total<br>2022/2023 Unrestricted Restricted 2021/2022<br>£000’s £000’s £000’s £000’s £000’s £000’s £000’s £000’s<br>Fixed Assets 5<br>Investments -  826 1,617 22 2,465 1,271 1,338 22 2,631<br>Cazenove portfolio<br>Properties 104 0 0 104 89 0 0 89<br>Total Fixed Assets 930 1,617 22 2,569 1,360 1,338 22 2,720<br>Debtors due over  6 53 0 0 53 27 0 0 27<br>one year<br>Current Assets<br>Debtors due  6 0 22 0 22 1 225 0 226<br>within one year<br>Cash held in  10 11 22 0 33 9 2 0 11<br>investment portfolio<br>Cash at bank  10 109 213 0 322 1 176 3 180<br>and in hand<br>Total Current Assets 120 257 0 377 11 403 3 417<br>Liabilities<br>Creditors: Amounts  7 (274) (536) 0 (810) (244) (378) 0 (622)<br>falling due within<br>one year<br>Total Net Current  (154)        (279) 0 (433) (233) 25 3 (205)<br>Assets/(Liabilities)<br>Total Net Assets 829 1,338 22 2,189  1,154 1,363 25 2,542<br>Funds of the Charity 8<br>Endowment Funds 8.1 0 0 22 22 0 0 25 25<br>Restricted 8.2 0 1,338 0 1,338 0 1,363* 0 1,713<br>Unrestricted 8.3 829 0 0 829 1,154* 0 0 804<br>Total Funds 829 1,338 22 2,189 1,154* 1,363* 25 2,542<br>The accompanying notes form an integral part of these financial statements. *Balances have been restated to correct categorisation of opening balances<br>split between restricted and unrestricted funds: see note 14 for details.<br>**----- End of picture text -----**<br>


The financial statements were approved by the Trustee on 7 December 2023 and signed on its behalf by 


Tracey Fletcher 

CHIEF EXECUTIVE 


Michelle Stevens 

DIRECTOR OF FINANCE & PERFORMANCE 



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15 — Cash Flow 


## Cashflow as at 31 March 2023 


**----- Start of picture text -----**<br>
Cash Flows from operating activities: 2022/23 2021/22<br>£000's £000's<br>Net cash used in operating activities 34 (348)<br>Cash flows from investing activities:-<br>Dividends, interest and rents from investments 98  64<br>Proceeds from sale of investments 515 264<br>Purchase of investments (492) (304)<br>Charges applied to investments 9    9<br>Net cash provided by (used in) investing activities 130 33<br>Change in cash and cash equivalents in the reporting period 164 (315)<br>Cash and cash equivalents at the  191 506<br>beginning of the reporting period<br>Cash and cash equivalent at the  355 191<br>end of the reporting period<br>Net income/(expenditure) for the reporting period (as per the  (353) (353)<br>statement of financial activities)<br>Adjustments for:-<br>Gains on investments 120 (229)<br>Dividends, interest and rents from investments (98) (64)<br>Decrease in debtors 177 297<br>Increase in creditors 188 1<br>Net cash provided by (used in) operating activities 34 (348)<br>**----- End of picture text -----**<br>



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16 — 

## Principal accounting policies 


Notes to the financial statement for the year ended 31 March 2023 


## **1.1 Basis of preparation** 

The financial statements have been prepared under the historic cost convention, with the exception of investments which are included at market value. The financial statements have been prepared in accordance with applicable Accounting and Reporting by Charities: Statement of Recommended Practice (SORP) applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) effective date 1 January 2019, as per the October 2019 Charities SORP and the Charities Act 2011. 

East Kent Hospitals Charity represents a public benefit entity as defined by FRS 102. 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. The accounts are prepared on a going concern basis after consideration by the Corporate Trustee that there are no material uncertainties about the Charity’s ability to continue as a going concern. Such consideration includes a review of committed income and expenditures, 

cash flows and reserves. 

as the entitlement will not 

be evidenced, or where there is uncertainty that the conditions can be met, then the income is not recognised in the year. It is not the Charity’s policy to defer income even where a pre-condition for use is imposed. 

The Corporate Trustee there is uncertainty that does not consider that the conditions can be met, there are any sources of then the income is not estimation uncertainty recognised in the year. It at the reporting date is not the Charity’s policy to defer income even that have a significant risk of causing a material where a pre-condition adjustment to the carrying for use is imposed. amount of assets and liabilities within the next Legacies are accounted for reporting period. as incoming resource once the charity has evidence In future years, the of entitlement and it is key risks are a fall in probable (more likely than investment and voluntary not) that the resources income. Arrangements will be received and the are in place to mitigate monetary value can be those risks (see the measured with sufficient risk management and reliability. Receipt is reserves sections). probable when: **1.2 Income:** • Confirmation has been **Donations, grants,** received from the **legacies and** representatives of the **gifts in kind.** estate(s) that probate has been granted All incoming resources • The executors have are recognised once established that there the charity has evidence are sufficient assets of entitlement and it is in the estate to pay probable (more likely than the legacy and • not) that the resources All conditions will be received and the attached to the monetary value can be legacy have been measured with sufficient fulfilled or are within reliability. Income will only the charity’s control • be deferred where terms Where the amount and conditions have not of the legacy can be been met or uncertainty reliably estimated. exists as to whether the • Legacies which are Charity can meet the subject to a life terms and conditions interest party are within its control. not recognised. 

Where there are terms or conditions attached to the incoming resource (particularly grants) then these must be met before the income is recognised 

Where a reliable estimate cannot be identified, then the legacy is shown as a contingent asset. 

Incoming resources from 


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Capital Endowments are placed into an income fund when received. Income will be placed into funds in accordance with donors’ wishes, but without forming a binding trust, unless a signed document is received and approved by Trustees. 

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 Gifts in kind are valued at Support costs are those a reasonable estimate of costs which do not relate their value to the Charity. directly to a single activity. Gifts donated for resale These include some staff are included as income costs, costs of administration, either when they are sold internal and external audit or at the estimated resale costs and IT support. These value after deduction of costs include recharges of the cost to sell the goods appropriate proportions of the staff costs and overheads from East Kent Hospitals **1.3 Expenditure** University NHS Foundation Trust and the East Kent All expenditure is accounted Finance Consortium and for on an accruals basis are apportioned on an and has been classified average fund balance under headings that monthly across all funds. aggregate all costs related See note 1.1 and note 3. to the category of expense shown in the Statement Fundraising costs of Financial Activities. 

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. 

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 

- It is more likely than not that a transfer of benefits (usually a cash payment) will be required in settlement 

- 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 

## 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 . See note 3. the beneficiaries 

## 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). 

the appropriate fund and included within the Statement of Financial Activities. 

## **1.8 Cash and cash equivalents** 

## **1.6 Investment properties** 

Property assets are not 

depreciated but are shown at Cash held in the bank and market value. Valuations are in hand is used to meet the generally carried out annually day to day running costs of by an appropriate professional. the charity as they fall due. Valuation gains and losses are Cash equivalents are short recorded in the Statement of term liquid investments Financial Activities with the usually held for a period of 3 months’ notice interest balance sheet reflecting the market value at 31st March bearing savings accounts. Cash 2023. A valuation has been completed by Cushman and held within the investment portfolio is identified in the balance sheet as reported by Wakefield professional valuers as at 31 March 2023 and in the the investment managers. opinion of the Trustees, the valuation remains materially **1.9 Pensions** accurate at 31 March 2023. The valuation is based on market All the charity's staff as value of similar residential referenced in note 9 are employed by East Kent properties adjusted to reflect the age of the tenant. This Hospitals University NHS Foundation Trust , with the method reflects the restriction placed on the property cost of their employment bequeathed to the charity being cross-charged to East which prevents realisation. Kent Hospitals Charity and 

All the charity's staff as referenced in note 9 are employed by East Kent Hospitals University NHS Foundation Trust , with the cost of their employment being cross-charged to East Kent Hospitals Charity and are covered by the provisions of the NHS Pensions Scheme. 

Income and expenditure in respect of investment properties are reflected in the appropriate category in the Statement of Financial Activities. See notes 2 and 3.1. 

## **1.10  Irrecoverable VAT** 

Any irrecoverable VAT is charged to the Statement of Financial Activities. 

## **1.11 Tax** 

## **1.7 Realised gains and losses** 

Realised gains and losses on investments are calculated as the difference between sales proceeds and opening market value (or date of purchase if later). Unrealised gains and losses are calculated as the difference between market value at the year end and opening market value (or date of purchase if later). 

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. 

Investment income and gains/losses are allocated monthly according to the average fund balance, to 


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not derecognised. A financial liability is derecognised only when it is cancelled, expired or discharged. 

## **1.12 Funds** 

The funds are classified in the only when it is cancelled, accounts in three categories, expired or discharged. Restricted, Unrestricted and Endowment Funds. Restricted **1.14 Support, facilities** Funds are funds which are **and service costs** to be used in accordance with specific restrictions Support, facilities and service imposed by the donor and/ costs are those costs which or the Corporate Trustee at do not relate directly to a the inception of the fund. single activity. These include Unrestricted funds are those some staff costs, facilities which the Corporate Trustee is and costs of administration, free to use for any purpose in costs of fundraising, internal furtherance of the charitable and external audit costs objectives. Unrestricted funds and IT support. These include designated funds costs include recharges of which are not legally restricted appropriate proportions of but which the Corporate the staff costs and overheads Trustee has chosen to earmark from East Kent Hospitals for set purposes. Endowment University NHS Foundation funds are funds where the Trust and are apportioned capital is held in perpetuity to on an average fund balance generate income for charitable monthly across all funds. purposes and cannot itself be spent. The income earned on **1.15 Recognition and** these funds will be categorised **valuation of Donated Goods** as restricted or unrestricted according to the restrictions Donated goods, facilities imposed by the donor. and services are recognised 

Donated goods, facilities and services are recognised when the Trustees have evidence of entitlement and it is probable (more likely than not) that the resources will be received and the monetary value can be measured with sufficient reliability. 

## **1.13 Financial Instruments** 

The Charity only has financial assets and financial liabilities that qualify as basic financial Instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value with the exception of investments which are subsequently measured at fair value. A financial asset is derecognised when it is settled, or when the contractual rights to the cashflows expire. If substantially all the risks and rewards are transferred, the financial asset is derecognised. If substantially all the risks and rewards are retained, the financial asset is 

## **1.16 Going concern** 

The financial statements have been prepared on a going concern basis which the Trustee considers to be appropriate for the following reasons: - the business model of the charity is such but it's charitable activities are limited to those which it has sufficient funds from the excess of funding received over the costs of administering the charity. - the Trustee has reviewed the 

cash flow forecast for a period of 12 months from the date of approval of these financial statements which indicate that the charity will have sufficient funds to meet it's liability. 



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## 2. Income 


**----- Start of picture text -----**<br>
Unrestricted Restricted Endowment Total  Unrestricted Restricted Endowment Total<br>2022/23 2021/22<br>£000's £000's £000's £000's £000's £000's £000's £000's<br>Donations from  174 21 0 195 151 11 0 162<br>Individuals<br>Donations from  5 0 0 5 6 0 0 6<br>groups/orgs<br>Grants NHS  0 0 0 0 0 0 0 0<br>Charities Direct<br>Grants Other 0 207 0 207 0 0 0 0<br>Corporate donations  6 1 0 7 12 1 0 13<br>Legacies 7 319 0 326 16 256 0 272<br>Other income 0 7 0 7 0 0 0 0<br>Total Donations  192 555 0 747 185 268 0 453<br>and Legacies<br>Other trading activities  0 0 0 0 0 0 0 0<br>Investment<br>Dividends from  26 45 1 72 28 35 1 64<br>investment portfolio<br>Bank Interest  26 0 0 26 0 0 0 0<br>Total Investment  52 45 1 98 28 35 1 64<br>income<br>Other Income –  0 0 0 0 0 0 0 0<br>Gifts in Kind<br>Total income 244 600 1 845 213 303 1 517<br>**----- End of picture text -----**<br>


## 3. Expenditure 


**----- Start of picture text -----**<br>
Unrestricted  Support  Restricted  Support  Endowment  Total  Unrestricted  Support  Restricted  Support  Endowment  Total<br>Activity Costs Activity Costs Activity 2022/23 Activity Costs Activity Costs Activity 2021/22<br>£000's £000's £000's  £000's £000's £000's £000's £000's  £000's £000's<br>Raising Funds<br>(note 3.1)<br>Fundraising  1 0 0 0 0 1 1 0 0 0 0 1<br>events<br>Fundraising  36 0 64 0 2 102 39 0 49 0 1 89<br>salaries<br>Fundraising  48 0  2 0 0 50 27 0 0 0 0 27<br>general<br>Investment  0 0 9 0 0 9 0 0 9 0 0 9<br>-  portfolio<br>Investment  0 0 0 0 0 0 0 0 0 0 0 0<br>-  properties<br>Total  85 0 75 0 2 162 67 0 58 0 1 126<br>Charitable<br>Activities<br>(note 3.2)<br>Medical  110 9 259 34 1 413 167 21 183 23 1 395<br>Equipment<br>Builidng &  263 21 57 7 0 348 159 19 158 19 0 355<br>refurbishment<br>Patient  29 2 70 9 0 110 49 6 87 10 0 152<br>education<br>& welfare<br>Staff education  2 0 20 3 0 25 27 3 0 0 0 30<br>& welfare<br>Audit Fee 0 8 0 12 0 20 0 22 0 19 0 41<br>Total 404 40 406 65 1 916 402 70 428 72 1 973<br>Total  489 40 481 65 3 1,078 469 70 486 72 1 1,099<br>Expenditure<br>**----- End of picture text -----**<br>


Support Costs £105k for 2022/2023 (£142k 2021/2022) include governance costs £33k for staff pay (£36k 2021/2022), charity membership and registration fees £2k (£1k 2021/2022), and internal audit fees £1k (£1k 2021/2022). The remainder of support costs are for staff pay and non-pay overheads to support charitable activities. 

The fee for statutory audit completed by Azets Audit Services was £24k (including VAT) for a full audit opinion in 2022/2023 (£36k completed by Grant Thornton for a full opinion 2021/2022). 



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## 4. Net Movement in Funds 


**----- Start of picture text -----**<br>
Unrestricted Restricted Endowment Total  Unrestricted Restricted Endowment Total<br>Funds Funds Funds 2022/23 Funds Funds Funds 2021/22<br>£000’s £000’s £000’s £000’s £000’s £000’s £000’s £000’s<br>Net resources of  (3) (9) (3) (332) (354) (290)     (2) (646)<br>general donations<br>and fundraising<br>Net gain from  1 0 0 1 0         0      0 0<br>fundraising events<br>Net loss from investment  0 0 0 0 0        0      0 0<br>opportunities<br>Net gain from investment  52 45 1 98 28       35             1 64<br>portfolio/bank<br>Gains & losses on  (40) (79) (1) (120) 103     124         2 229<br>investment assets<br>Unrestricted funds (325) (25) (3) (353)   (223)    (131)    1 (353)<br>**----- End of picture text -----**<br>


## 5. Analysis of Fixed Asset Investments 


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2022/2023 Investments Portfolio Invested Properties Total fixed assets<br>£000's £000's £000's<br>Market value at 1st April 2022 2,631 89 2,720<br>Less: Disposals at carrying value (492) 0 (492)<br>add: Acquisitions - less cash 493 0 493<br>Net gain/loss on revaluation and sale (157) 15 (142)<br>Charges applied to capital (9) 0 (9)<br>Market value at 31 March 2023 2,465 104 2,569<br>2021/2022 Investments Portfolio Invested Properties Total fixed assets<br>£000's £000's £000's<br>Market value at 1st April 2021 2,380 80 2,460<br>Less: Disposals at carrying value (264) 0 (264)<br>add: Acquisitions - less cash 304 0 304<br>Net gain/loss on revaluation and sale 220 9 229<br>Charges applied to capital (9) 0 (9)<br>Market value at 31 March 2022 2,631 89 2,720<br>31 March 2023 31 March 2022<br>Uk Equities 404 545<br>Int equities 1,088 1,100<br>Other assets 554 596<br>Bonds  419 390<br>Total Portfolio 2,465 2,631<br>**----- End of picture text -----**<br>




**----- Start of picture text -----**<br>
Material Investments held as part of Portfolio 31 March 2023<br>**----- End of picture text -----**<br>


||£000's|
|---|---|
|Charities Property Fund|233|
|Schroder Sterling Corporate Bond Fund|120|
|Fidelity Global Dividend Fund|148|
|JPM US Equity Income Fund|213|
|Vanguard S&P 500 UCITS ETF|200|
|SUTL Cazenove Charity UCITS Fund|298|



## 6. Analysis of Debtors 


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31st March  31st March<br>2023 2022<br>Accrued Income Unrestricted  Restricted  Total Funds Unrestricted  Restricted  Total Funds<br>Funds Funds Funds Funds<br>£000's £000's £000's £000's £000's £000's<br>Amounts falling due within one year:<br>Prepayments 0 15 15 0 0 0<br>Legacies 0 0 0 0 223 223<br>Other Debtors 0 7 7 1 2 3<br>Amounts falling due over one year:<br>Loan for property maintenance 53 0 53 27 0 27<br>Total debtors 53 22 75 28 225 253<br>**----- End of picture text -----**<br>


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 agreed 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<br>2023 2022<br>Unrestricted  Restricted  Total Funds Unrestricted  Restricted  Total Funds<br>Funds Funds Funds Funds<br>£000's £000's £000's £000's £000's £000's<br>Amounts falling due within one year:<br>Trade creditors 0 3 3 0 11 11<br>Audit  26 30 56 30 38 68<br>East Kent Hospitals University  248 503 751 214 329 543<br>NHS Foundation Trust<br>Total creditors falling due within one year: 263 547 810 244 378 622<br>**----- End of picture text -----**<br>


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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## 8. Details of Funds 


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8.1 Analysis of Funds<br>Endowment Funds Balance 31st  Income Expenditure Transfers Gains &  Balance 31st<br>Mar 2022 Losses Mar 2023<br>£000's £000's £000's £000's £000's £000's<br>KCH Longbotham 25 1 (3) 0 (1) 22<br>Total 25 1 (3) 0 (1) 22<br>8.2 Restricted Funds Balance 31st  Income Expenditure Transfers Gains &  Balance 31st<br>Mar 2022 Losses Mar 2023<br>Name of fund £000’s £000’s £000’s £000’s £000’s £000’s<br>QEQM General Purposes 683 193 (281) 0 (45) 550<br>KCH Mermikedes ITU 129 3 (20) 0 (7) 105<br>WHH Celia Blakey Unit 58 178 (19) 0 (12) 205<br>Ophthalmology fund 0 196 0 0 0 196<br>Others* 493 30 (226) 0 (15) 282<br>Total 1,363 600 (546) 0 (79) 1,338<br>**----- End of picture text -----**<br>




**----- Start of picture text -----**<br>
8.3 Unrestricted Funds Balance 31st  Income Expenditure Transfers Gains &  Balance 31st<br>Mar 2022 Losses Mar 2023<br>Name of fund £000’s £000’s £000’s £000’s £000’s £000’s<br>EKHT Umbrella General Fund 284 47 (209) 0 (14) 108<br>QEQM Property Fund 173 27 (55) 0 15 160<br>EKHT Urgent & Emergency Care 86 3 (20) 0 (5) 64<br>QEQM Viking Day Oncology Fund 190 22 (16) 0 (11) 185<br>EKHT Surgery & Anaesthetics 70 1 (5) 0 (4) 62<br>Others* 351 144 (224) 0 (21) 250<br>Total 1,154 244 (529) 0 (40) 829<br>**----- End of picture text -----**<br>


|8.4 Details of Material Funds||
|---|---|
|Endowment Funds||
|Name of Fund|Description of the nature and purpose of each fund|
|||
|KCH Longbotham|Promoting any charitable purpose related to Kent &<br>CanterburyHospital services as Trustees see ft|
|Restricted Funds||
|Name of fund|Description of the nature and purpose of each fund|
|QEQM General Purpose|Any Charitable purpose relating to NHS wholly or|
||mainlyfor Queen Elizabeth Hospital|
|OphthalmologyFund|Purchase of Ophthalmologyscreeningsystem|
|KCH Mermikedes ITU|ITU Charitable purposes relating to Intensive Care|
||Unit Kent & CanterburyHospital|
|WHH Celia Blakey Unit|Charitable purposes relating to NHS & provision<br>of additional equip& staf training|
|Designated Funds||
|Name of fund|Description of the nature andpurpose of each fund|
|EKHT Umbrella General Fund|AnyCharitablepurpose relatingto East Kent Hospitals|
|QEQM Property Fund|Any Charitable purpose relating to NHS wholly or mainly|
||for Queen Elizabeth Queen Mother Hospital|
|EKHT Urgent & Emergency Care|Any Charitable purpose relating to NHS &<br>purchase of equipment & staf training|
|QEQM Viking Day Oncology Fund|Any Charitable purpose relating to NHS &<br>purchase of equipment & staf training|
|EKHT Surgery & Anaesthetics|Any Charitable purpose relating to NHS &<br>purchase of equipment & staf training|



• Balances have been restated to correct categorisation of opening balances split between restricted and unrestricted: see note 14 for details. 




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## Additional Notes 

## 9. Sta Costs ff 


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31st Mar 2023 31st Mar 2022<br>Total Total<br>£000's £000's<br>Salaries & Wages 131 129<br>Social Security Pensions 14 13<br>Pension 15 14<br>160 156<br>Total Staff Costs<br>31st Mar 2023 31st Mar 2022<br>Total Total<br>£000's £000's<br>Average Number of Employees:<br>Raising Funds 2.0 2.0<br>Charitable Activities 1.5 1.5<br>Total 3.5 3.5<br>**----- End of picture text -----**<br>


No individual member of staff received emoluments exceeding £60k (No members of staff received emoluments exceeding £60k in 2021/2022). All staff members are employees of EKHUT and their salaries are apportioned to the Charity based on the portion of their time contributing to the activities of the Charity. 

Staff members belong to the NHS Pension Scheme which is an unfunded defined benefit scheme which is accounted for as a defined contribution scheme. The recharge from East Kent Hospitals University NHS Foundation Trust to the Charity includes the contributions to that scheme. For more information on the NHS Pension Scheme refer to the East Kent Hospitals NHS Foundation Trust annual report and accounts. 

As corporate Trustee, members of East Kent Hospitals University NHS Foundation Trust Board the give their time freely and receive no remuneration for the work that they undertake in relation to East Kent Hospitals Charity. 

## 11. Meeting Fund Objectives 

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 £0.8m as at 31/03/2023 (£0.6m 31/03/2022) and expenditure of £0.9m for 2022/2023 (£1.1m 2021/2022). 

The charity had also had a debtor £7k as at 31/03/2023 (£nil as at 31/03/2022). 

## 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 2021/2022) 

## 14. Prior Period Adjustment 


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Restricted Funds  Adjustments Made to  Restricted as at 1 April 2022<br>Previously Reported  Opening Balances<br>31 March 2022<br>£000’s £000’s £000's<br>Restricted Funds 1,713 (350) 1,363<br>Unrestricted Funds 804 350 1,154<br>**----- End of picture text -----**<br>


The prior period adjustment has been made to correct an error in the disclosure of funds in the 2022 financial statements within note 8 and corrects the restricted and unrestricted funds previously reported. 

## 18. Events after the End of The Reporting Period 

## 10. Analysis of Cash and Cash Equivalents 


**----- Start of picture text -----**<br>
31st Mar 2023 31st Mar 2022<br>Total Total<br>£000's £000's<br>Cash in hand 322 180<br>Cash held in investment portfolio 33 11<br>Total 355 191<br>**----- End of picture text -----**<br>



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) 868748 

Email: ekh-tr.fundraising@nhs.net