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2022-03-31-accounts

CHARITABLE FUND THE ROYAL ORTHOPAEDIC HOSPITAL CHARITABLE FUND ANNUAL REPORT 2021-2022 www.rohcharity.org Charity Registration number 1078046 @FUNDROH

Contents

Chair’s Statement........................................................................................................................................... 1 Charity Manager’s Welcome.......................................................................................................................... 2 Legal, reference and administrative details ................................................................................................... 3 About us ......................................................................................................................................................... 3 Objectives and Activities ................................................................................................................................ 3 Objectives: .................................................................................................................................................... 3 Strategic priorities 2022-2024 ...................................................................................................................... 3 Achievements & Performance ....................................................................................................................... 4 Improving community partnerships ............................................................................................................. 4 Improved marketing ..................................................................................................................................... 4 Internal investment ...................................................................................................................................... 4 Enhancing support given to the Research & Development team ................................................................. 4 Public Benefit ................................................................................................................................................. 5 Impact report ................................................................................................................................................. 5 Enhancing patient experience ...................................................................................................................... 5 Research developments ................................................................................................................................ 6 Staff welfare and amenities .......................................................................................................................... 7 Looking to the future ..................................................................................................................................... 8 Key milestones for 2022 - 2024 .................................................................................................................... 8 Current appeals ............................................................................................................................................. 9 Financial Review........................................................................................................................................... 10 Investments ................................................................................................................................................ 10 Income ........................................................................................................................................................ 10 Expenditure ................................................................................................................................................. 10 Compliance .................................................................................................................................................. 11 Principal Address......................................................................................................................................... 11 Principal professional advisors ................................................................................................................... 11 Principal Officers and related parties ......................................................................................................... 12 Charitable Funds Committee ...................................................................................................................... 12 Principal Charitable Funds advisor (to the board) ...................................................................................... 13 Delegated officers ....................................................................................................................................... 14 Structure, governance and management .................................................................................................... 15 Related parties ............................................................................................................................................ 16 Reserve Policy ............................................................................................................................................. 16 Audit Dispensation ...................................................................................................................................... 16 Risk Considerations ..................................................................................................................................... 16 Going Concern............................................................................................................................................. 16 Statement of Trustees’ responsibilities ...................................................................................................... 17 Declaration ................................................................................................................................................... 17 Independent examiner's report ................................................................................................................... 18

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Responsibilities and basis of report .................................................................. Error! Bookmark not defined. Independent examiner's statement ................................................................. Error! Bookmark not defined. Financial Statements .................................................................................................................................... 18

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Chair’s Statement

The Trustees present The Royal Orthopaedic Hospital NHS Foundation Trust Charitable Funds’ Annual Report with Financial Statements for the year ended 31 March 2022.

The Trustees present The Royal Orthopaedic Hospital NHS Foundation Trust Charitable Funds’ Annual Report with Financial Statements for the year ended 31 March 2022.

A huge and humbling welcome to the 2021/22 Annual Report and Financial Statements for the Royal Orthopaedic Hospital NHS Foundation Trust Charitable Fund, another memorable and life changing year for us all. Since the Charity was founded in 1997, it has supported the Trust, its visitors and staff immeasurably. Charitable giving has been and always will be at the hospital’s heart – ever since its inception in 1817.

Staff engagement was a key priority this year and has resulted in an increase in staff engaging at all levels with the Charity team. Staff have created new fundraising ideas, taken part in initiatives and challenges and been forthcoming in improvement bids across the Trust.

I am immensely proud of what the Charity team have achieved and where we have invested our income during the last financial year. Over the year we were able to provide £326k worth of equipment to support patients, fund £24k worth of research projects and allocate £21k towards staff development and well-being. We are also hugely grateful for the £4k worth of gifts in kind received from the local community.

On behalf the Board, I offer my sincere gratitude for all the support we have received this year from all our partners, fundraisers and donors. Exciting times ahead!

Professor D Gourevitch

Chairman of Royal Orthopaedic Hospital NHS Foundation Trust Charitable Funds Committee

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Charity Manager’s Welcome

Due to Covid-19, the first two years of my role at The Royal Orthopaedic Hospital Charity have been some of the most challenging and the most rewarding of my career.

Last year saw a continuation from the previous year’s overwhelming support for both the Royal Orthopaedic Hospital and the NHS in general, across the country. Although this amplified the community’s awareness of NHS Charities and their need, it is with a heavy heart that this high and targeted level of support is coming to an end as we face a tough few years ahead due to the cost of living crisis, the war in Ukraine (impact on our investments) and post Covid reviews/enquiries into the NHS and subsequent risk to public opinion of the NHS. We shall ensure we capitalise the newfound awareness for the Charity and ensure we utilise all levels of support to carry us through.

The repercussions of the pandemic will have an effect on the Charity and subsequently influence how potential supporters’ part with their money for many years to come . It is yet to be proven as to whether this will be positive or negative with each income stream so with this in mind the team will continue to find innovative ways in raising much needed income.

We are a small team of two full time members of staff. A priority for 2022/23 is to further invest in personnel to support and grow the Charity into what we hope will be a much larger supportive arm of the Trust.

The team are rising to the challenge and are excited to continue to build upon our strong foundations. The next few years will be transformational for the Royal Orthopaedic Hospital Charity as we follow our ambitious strategic plans, work alongside capital investments and expand the Charity team. I am looking forward to you all being part of the exciting journey. The drive you have in supporting us is vital in helping make the vision we have for the Charity, a reality.

Ali Gray - Charity Manager of The Royal Orthopaedic Hospital Charitable Fund

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Legal, reference and administrative details

The Royal Orthopaedic Hospital Charity was formed on 18 March 1997 under the Trustees of the Birmingham Health Authority General Charity, who delegated the responsibility of expending funds to the Executive and Non-Executive Directors of The Royal Orthopaedic Hospital NHS Trust. On 12 October 1999 this was amended under a Supplemental Deed by The Royal Orthopaedic NHS Trust’s solicitors, Wragge & Co., to transfer total responsibility to the Directors of The Royal Orthopaedic Hospital NHS Trust as Trustees.

The Charity was registered on the “Central Register of Charities” on 3 November 1999 under the registration number 1078046. The Trust was formerly known as The Royal Orthopaedic Hospital NHS Trust. The Trust was granted Foundation Trust status on 1 February 2007. On 16 October 2007 the Trust executed a Supplemental Deed under which the charity’s name was amended to The Royal Orthopaedic Hospital NHS Foundation Trust Charity.

The annual report and financial statements relate to the funds administered for the public benefit by The Royal Orthopaedic Hospital NHS Foundation Trust.

About us

The Royal Orthopaedic Hospital Charitable Fund exists to enhance the care and experience of patients and their loved ones, and support the wellbeing, development and training of staff and students at The Royal Orthopaedic Hospital NHS Foundation Trust.

The Trust is our Corporate Trustee with the hospital Board acting on its behalf. The Charitable Funds Committee supports key decisions, which is made up of designated Board members and external stakeholders as detailed in the Principal Officer’s section below.

Objectives and Activities

The objectives of The Royal Orthopaedic Hospital Charitable Fund as defined in the Charity Commission registration document are as follows:

“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 purposes relating to the National Health Service wholly or mainly for the services provided by The Royal Orthopaedic Hospital”.

Objectives:

Strategic priorities 2022-2024

  1. Establish a compelling case for support and programme of events to increase donor motivation and grow income

  2. Raise the profile of The Royal Orthopaedic Hospital Charitable Fund across Birmingham, Solihull and beyond

  3. Implement effective and efficient processes to ensure the Charity operates to its maximum potential

  4. Identify new projects and partnerships to develop the Charity and increase opportunity for income

The Trustees ensure that restricted funds are spent in line with donors’ wishes. During the year, funds were used to support a range of charitable and health related activities. These funds have been deemed to benefit both patients and staff of the Trust and by extension the wider public.

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Achievements & Performance

Over the last year, the charity has been involved in many meaningful projects to enhance our support both to the hospital, internally and externally. These include:

Improving community partnerships

Fundraising events continued in 2021/22 with most events taking place safely without postponement. In 2021/22 over £14,000 was raised through both internal and external fundraising events. This is a 180% increase from 2020/21 where £5,000 was raised.

Stewardship was streamlined by the implementation of the Charity database - eTapestry. The database enables administrative users to easily monitor and steward donors, fundraisers, corporates and more.

Improved marketing

Marketing techniques were improved throughout 2021/22 by strengthening stakeholder contacts and key connections. Major suppliers to the Trust are now notified of the benefits of supporting the Charity and relationships built in the hope that this leads to fundraising partnerships in the future.

Internal investment

Internal investment was prioritised to utilise the £181,000 worth of grants received in 2020/21 from NHS Charities Together. The Charity now regularly support the Trust with their annual planning process to outline key capital projects in which the Charity can support. This process outlined the below key projects which were prioritised in 2021/22:

Further information is detailed on page 5 under the ‘Impact’ section.

Enhancing support given to the Research & Development team

A stronger connection between the Charity and Research and Development team was vital to enhance the support given to present and future orthopaedic patients. This is particularly important to ensure the Charity is notified and regularly supports new potentially life-changing research projects taking place through the Dubrowsky Regenerative Medicine Laboratory (opened in 2019).

In 2021 a new Charity Research Strategy was launched outlining the key Charity research priorities:

To read the full strategy, visit www.rohcharity.org/ourwork/research .

Since the launch in 2021 £23,000 worth of support has been provided to the team for key research equipment, support costs and start-up projects. This is a 283% increase from 2020/21 whereby only £6,000 worth of support was provided.

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Public Benefit

The Trustees have reviewed the activities of the Charity against the public benefit principles outlined in guidance issued by the Charities Commission and believe that these meet the public benefit charitable aims. The Charity meets this requirement through it’s support of The Royal Orthopaedic Hospital NHS Foundation Trust who provides services to the public.

Impact report

During 2021/22 The Royal Orthopaedic Hospital Charity focussed on providing positive benefit to patients, visitors, staff and researchers. The Royal Orthopaedic Hospital Charity is honoured to work alongside the Trust to provide enhanced services and equipment to the hospital throughout the year.

Below are some examples of the positive impact made throughout 2021/22:

Enhancing patient experience

The refurbishment and relocation of the department was funded by a £30,000 appeal and designed by Grosvenor Interiors, specialists in hospital environmental enhancements.

The Children and Young People’s Centre (CYPC) at The Royal Orthopaedic Hospital cares for patients aged 0-17 with a variety of complex conditions which include spinal deformity and rare cancer. Patients visit the hospital for pre or post-surgical, diagnostic or therapeutic care. Providing the best experience for patients and families is at the heart of both the Trust and Charity’s objectives.

The department has been transformed thanks to the support of The Royal Orthopaedic Hospital Charity’s generous donors, sponsors and corporate partners.

Renovations include:

Colin Horn, Managing Director of Grosvenor Interiors, said: “I lost my son to leukaemia some years ago and after many years of hospital visits, I know how important the environment in children's wards can be. Children’s spaces in hospitals are often very busy and frantic and part of our aim is to calm the spaces down so that the children and their parents are less stressed and can engage with the imaging to take their minds of why they are there.”

Monica Allen, CYPOPD Manager, said: “Our new Children and Young People’s Outpatients Department is vibrant and welcoming and our patients will be attending an area designed to try and ensure they have a relaxed experience in the hospital. We have been able to provide a multi-use area for quiet reflection and a sensory room with designated interactive equipment to assist with distraction therapy.”

The Royal Orthopaedic Hospital Community Health Hub (ROH CHH) is a community-based clinic space which provides us with extra capacity for our musculoskeletal services. The clinic space has had a full refurbishment to meet our estates and

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clinical standards. Charitable Funds will be used to make the welcome and waiting area a more relaxed space for patients. The ROH CHH will be used as a physical location for some of the Trust’s MSK Transformation Programme initiatives. The space will be utilised to support:

The funds granted by Royal Orthopaedic Hospital Charity offer the opportunity to make this more than a clinic space – but a local community health hub for patients.

Research developments

Investment in the laboratory continues in order to utilise the legacy left by Mr Michael Dubrowsky some time ago. General running costs were funded as well as a Laboratory Manager to oversee the management of projects undertaken in the laboratory by Aston University.

One research project managed through the laboratory includes the use of biologically active bioglass in the management of osteosarcoma. Details of this are below:

Osteosarcoma is a type of cancer that produces immature bone. It is the most common type of cancer that arises in bones and is usually found at the end of long bones (often around the knee).

This project will support the development of the Gallium bioglass from the engineering laboratory, to look to establish proof of concept of the technology. In time this could lead to the development of a new therapy that could be used to improve cure rates and survival for this group of patients.

The laboratory is to be used for the in-vitro testing of the Gallium bioglass with osteosarcoma cells, gathered from consenting patients, through the ethics of the Research Tissue Bank.

To find out more visit https://rohcharity.org/ourwork/research/

Consultant Anaesthetists, Dr Adam Hancox and Dr James Brunning were successfully granted funds to support the recovery of patients at The Royal Orthopaedic Hospital (ROH) in Birmingham with the ‘ice lolly trial’.

The ‘ice lolly trial’ has been introduced at multiple other medical institutions across the UK. University College London introduced the trial within their Intensive Care Unit to support patients when taking their endotracheal tubes out (plastic breathing pipe into the windpipe that allows mechanical ventilation for sedated patients).

The trial was introduced at The Royal Orthopaedic Hospital and data collected from 154

patients, half of which were given ice lollies in recovery, the others were not. All patients had the same average level of comorbidities, length of surgery and starvation times.

In summary, it seemed that giving patients an ice lolly reduced their length of stay in recovery, improved their wellness, reduced thirst, sore throat and post-op nausea and vomiting and potentially saved a small amount of money.

This was a small project The Royal Orthopaedic Hospital Charity funded to support patient wellness. The results were positive and it is an area the Trust is looking to implement further.

“The recovery staff really enjoyed it. It altered their interactions with the patients, and it brought a little bit of fun and an alternative to standard medical treatment for common problems for patients” Dr James Brunning - Consultant Anaesthetist

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Staff welfare and amenities

- Supporting the wellbeing of staff

‘Tom’s Wellbeing Room’, named after Sir Captain Tom Moore, was officially opened at The Royal Orthopaedic Hospital in September. Sir Captain Tom made headlines across the world last year when he raised almost £40million for the NHS by walking around his garden 100 times ahead of his 100th birthday.

The main purpose of the room is for Royal Orthopaedic Hospital staff to have a quiet space to unwind and reflect whenever they need it. The space has been designed to support colleagues to relax, as well as to encourage communication and meditative practice. This is part of the Trust’s long-term plan to prioritise the

wellbeing of staff and become ‘The Wellbeing Hospital’.

The space was designed after a survey showed that staff would like an indoor space dedicated to their wellbeing. The project was funded by a £14,000 grant from NHS Charities Together as part of their COVID-19 Urgent Appeal, which was part of a wider initiative supporting both indoor and outdoor wellbeing spaces across the hospital.

The space includes comfortable sofas, a reading corner to help staff unwind for a few minutes and mood lighting to help create a calming environment within

the busy hospital. All staff can utilise the facility at any time of day individually as well as for group mindfulness and mental health first aid sessions.

Laura Tilley-Hood, Engagement and Wellbeing Officer at Royal Orthopaedic Hospital, said: “As the Engagement and Wellbeing Officer for the Trust I am thrilled to see the transformation of Tom's Wellbeing Room. It is a calming, relaxing space for all colleagues, to enable them to have ten minutes out of their busy day to unwind. Teams across The Royal Orthopaedic Hospital have worked incredibly hard together to create this much-needed space and I hope everybody has the opportunity to use the room to focus on their wellbeing.”

- Outdoor seating

Outdoor seating was prioritised for both the public and staff to enjoy. Several picnic tables and benches were funded and placed around the Trust in various accessible locations.

These have been a great edition to the area outside the main entrance and have meant that individuals waiting for their appointment as well as inpatients and staff members can enjoy some fresh air, Vitamin D and time to reflect outdoors when they need it.

Investment in learning was set up in December 2013 with the key aim to support the personal and professional development of staff at the Trust. Charitable funding was allocated to support apprenticeship qualifications, customer care training, developing technical skills and professional qualifications for career progression. The allocation continues to support the professional and personal development of staff. Over £5000 of investment was made towards staff training 2021/22. This included but is not limited to:

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Since the introduction of investment in learning initiative, the Trust has been able to support the personal and professional development of a high number of staff members, from a range of specialities and backgrounds.

Looking to the future

The Charity’s expenditure plans from 2022/23 include improvements to patient care by enhancing facilities, staff training, research and the purchase of medical equipment by following the Charity and Trust strategy.

Key milestones for 2022 - 2024

Where we are now:

Where we want to be:

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Current appeals

Over 2021/22 departments within the Trust have continued to come forward with ideas for new appeals in which the public could support. The Trust and Charity have worked together autonomously to develop key meaningful appeals that have a positive impact on the Trust and those who visit.

The public can support the following appeals:

Children and Young People’s Appeal | Supporting patients aged 0 –25 www.rohcharity.org/impact/CYP

This appeal enables the public to give direct support to Children and Young People’s services at The Royal Orthopaedic Hospital. It enables the purchase of enhanced equipment, the upkeep of sensory, reflection and play spaces within the Trust as well as the development of new improvement projects to support young patients and their families.

Research & Development Appeal | Supporting research & development at Royal Orthopaedic Hospital

www.rohcharity.org/ourwork/research/

The Trust has a long history of conducting very important and influential research, which has helped shape the way orthopaedic conditions and injuries are treated today. The public have an opportunity to support further research at The Royal Orthopaedic Hospital through this appeal.

Invest In Our Best | Supporting staff at The Royal Orthopaedic Hospital www.rohcharity.org/impact/invest

This appeal allows staff to gain access to enhanced training in the latest treatments and courses. By helping to stretch skills enables the Trust to lead the way both clinically and in patient experience. This appeal also enables the Trust to conduct key appreciation days and events to thank staff for their hard work.

Knowledge Hub Appeal | Supporting the healthcare professionals of our future www.rohcharity.org/impact/hubappeal

The Knowledge Hub is an important space and one which has a huge impact on the care that surgeons, doctors and nurses offer to local people. This appeal supports the upkeep of the newly renovated Knowledge Hub which holds all staff and student training throughout the year. This space promotes inclusivity, innovation and learning for the healthcare professionals of our present and future.

Cancer Care Family Fund | Supporting oncology patients visiting The Royal Orthopaedic Hosptial

- www.rohcharity.org/ourwork/current appeals/ccff/

The Cancer Care Family Fund has been developed to give added support to oncology patients visiting the Trust. The appeal also provides financial support to patients who are in need. This requires a thorough review process to evaluate which patients are eligible for this support.

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Financial Review

The net assets of the Charitable Funds as at 31 March 2022 were £2,352,000 (2020/21 £2,213,000). Fund balances increased in year by £139,000 due to donations and legacies of £649,736, dividend income of £38,963, a gain on investment of £33,840 and offset by in year expenditure of (£584,272).

Investments

The investment and performance review produced by Cazenove, the Charity’s investment advisors, showed a positive return on total investments of 7.1% for the year ended 31 March 2022, compared to a positive return of (24.2%) in 2020/21. The total portfolio has increased from £953k at the beginning of the year to £987k at the end of 31 March 2022.

Income

The main flow of income is received from members of the public, in total income amounted to £689,000 (2020/21 £673,000), which comprises donations of £37,000 (2020/21 £584,000), dividend income on investment totalling £38,963 (2020/21 £38,000) and legacies of £613,272 (2020/21 £51,000).

Material donations and legacies received during the year include:

Donations from individuals
Legacies
Income from fundraising events
Unrestricted Funds 3
613
12
Restricted Funds 19
0
2
22
613
14

Expenditure

The total expenditure for the year to 31 March 2022 was £584,000 (2020/21 £218,000), which comprises of grants of £535,000 (2020/21 £146,000) and support costs of £19,000 (2020/21 £72,000).

Material expenditure during the year includes:

Material expenditure during 2020/21 included:

£ £
MRI Scanner Donation 288,167 SalaryRecharge - A Gray 57,015
#097 Patient Entertainment System 100,000 AccessAble 3year 26,273
Salary Recharge - A Gray 63,065 #109 CYP Unit 17,334
#109 CYP Unit 17,380 2020/21 Management Fee 15,200
#130 Dubrowsky running costs 21/22 16,540 #094 Bladder Scanner 7,620
2021/22 Management Fee 15,200 Regenerative Med Lab 7,604
#116 ECG Machines 10,901 #065 Hoverjack 6,965
#112 Stage 3 NHS Charities 10,591 #075 Covid staff meal vouchers 6,810
Picnic Table & Phoenix Seat 7,612 Provision of Nightingale Frontline 5,000
#129 Pain service video 6,000 2020/21 Independent Review Fee 4,800
#107 Staff Christmas Gifts 4,697
#110 Contactless Payment Points 4,555
Insurance Costs 4,144
#099 Investment in Learning 4,126

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Compliance

The financial statements have been prepared in accordance with the accounting policies set out in note 1 to the financial statements and comply with the Charity’s Trust deed, which is the governing document, the Charities Act 2011 and Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their financial statements in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland.

The Charity is a subsidiary of The Royal Orthopaedic Hospital NHS Foundation Trust. The principal activities of The Royal Orthopaedic Hospital concern the provision of healthcare. The executive and non-executive directors of the trust exercise control of the Charity as corporate Trustees. Details of the Trustees can be found on page 13. The consolidated financial statements for The Royal Orthopaedic Hospital and the Charity can be found at www.roh.nhs.uk or requested via the email address below.

Principal Address

Registered Office Mrs Joanne Williams The Royal Orthopaedic Hospital The Woodlands Bristol Road South Northfield Birmingham B31 2AP

Email Address ROH.Charitablefunds@nhs.net

Website: www.rohcharity.org

Principal professional advisors

Bankers National Westminster Bank PLC Birmingham City Office 103 Colmore Row Birmingham, United Kingdom B3 3NS

Investment Advisers Cazenove Capital Management 12 Moorgate London, United Kingdom EC2R 6DA

Independent Examiner Deloitte LLP 1 City Square Leeds, United Kingdom LS1 2AL

Solicitors Mills & Reeve LLP 78-84 Colmore Row Birmingham, United Kingdom B3 2AB

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Principal Officers and related parties

Trustee details

The members of The Royal Orthopaedic Hospital NHS Foundation Trust Board, detailed below are the Trustees of the Charitable Funds that were in place during the period covered by this Annual Report. Board Members as Trustees are governed by the law applicable to Trusts, principally the Trustees Act 2000.

Given that the Trustees are voting members of the Royal Orthopaedic Hospital Trust Board, expenses are recorded in this capacity and are published in the Royal Orthopaedic Hospital’s annual report and accounts.

Trustee Name Office

• Mrs J Williams Chief Executive Officer
• Mr T Pile Trust_Chair_
• Mrs K Sallah _Non-Executive_Director
• Prof D Gourevitch Chair of Charity Committee
• Mr R Phillips Non-Executive Director
• Mr M Revell Medical Director
• Mr G Marsh Chief Nurse
• Prof P Begg Director of Strategy and Delivery
• Mr S Washbourne Director of Finance and Performance
• Mrs M Peplow Chief Operating Officer
• Mrs G Hunjan Non-Executive Director
• Ms S Jordan Non-Executive Director
• Mr L Williams Non-Executive Director
• Ms A Ajose Non-Executive Director

The Trust Board reviews the skills, composition and balance of the Board. The joint Nominations & Remuneration Committee of the Council of Governors discuss the skill set required, the time commitment and approve the appointment of new Non Executives. The use of national search agents to identify suitable candidates for appointment into Non Executive posts is the usual means by which Non Executives are recruited. Executive members of the Board are recruited through a process that invites external and internal candidates to apply and follows a standard selection process. Both the Non-Executive and Executive Directors of The Royal Orthopaedic Hospital NHS Foundation Trust Board, on appointment to a voting position become Trustees of the associated Charity.

A training and refresher programme is delivered by a professional from the Association of NHS Charities on a periodic basis as part of the Board Development Programme. This details charity law, administration and the roles and responsibilities of Trustees, as part of their ongoing professional development. The Charity team also share development webinars and conferences with our Trustees to support their ongoing knowledge growth.

Charitable Funds Committee

The Charitable Funds Committee is constituted as a standing Committee of the Trust Board. The Trust Board is the corporate Trustee and as such cannot delegate responsibility for the charity’s overall priorities, strategy, budget and reporting responsibilities.

On behalf of all members of the Trust Board (being the Trustees in law under the terms of the Charities Acts) the Committee will:

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  1. Seek assurance on the adequacy of the arrangements for the safeguarding of those assets donated or bequeathed, in cash or other form, to the Trust's Charitable Funds.

  2. Seek assurance that as far as is practicable, that the expressed or intended wishes of donors or benefactors are met in the deployment of funds.

  3. Seek assurance on the robustness of the banking, accounting and audit arrangements in respect of charitable funds.

  4. Seek assurance on the appropriateness of the appointment of Investment Brokers to provide professional advice on the investment of charitable funds.

  5. Seek assurance on the adequacy of the investment strategy for the Charitable funds.

  6. Seek assurance on the robustness of the management of funds through the consideration of regular reports on income to and expenditure from the Trust's Charitable Funds, prior to submission and to review the regular investment reports supplied by the Trust's brokers.

  7. Consider and approve the Annual Charitable Funds financial statements and the Annual Report to the Charities Commission.

  8. Seek assurance that the Trust is complying with standing Orders, Standing Financial Instructions and operating procedures in so far as these cover the use of charitable funds within the Trust

  9. Seek assurance that the Trust is complying with the relevant legislation and formal Department of Health guidance on charitable funds.

  10. In accordance with the Scheme of Delegated Authority and authorisation limits, (see Standing Orders and Standing Financial Instructions) to consider all business cases involving the use of Charitable Funds prior to any required consideration by the Trust Board.

  11. Seek assurance on any additional matter referred to the Committee from the Board.

Principal Charitable Funds advisor (to the board)

The Director of Finance and Performance reviews the training needs of the Trust Board as agent for the corporate Trustee. He is responsible for ensuring that the funds are managed appropriately and with due regard to their purpose and requirements.

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Delegated officers

Funds Held on Trust (Charitable and Non-Charitable Funds)

Responsibility Executive lead Operational lead
a) Management
Funds held on Trust are managed
appropriately		 Executive Director of Finance &
Performance (supported by the
Charitable Trustees)		 Deputy Director of Finance
b) Maintenance of authorised
signatory list of nominated fund
holders		 Executive Director of Finance &
Performance		 Deputy Director of Finance
c) Expenditure Limits Executive Director of Finance &
Performance		 Refer to‘Financial Limits’table
below
d) Developing systems for receiving
donations		 Executive Director of Finance &
Performance		 Deputy Director of Finance
e) Dealing with legacies Executive Director of Finance &
Performance		 Deputy Director of Finance
f)
Appeals
1. Fundraising Appeals
2. Preparation and monitoring of
budget
3. Reporting progress and
performance against budget		 1. Charitable Funds Committee
2. Executive Director of Finance &
Performance
3. Executive Director of Finance &
Performance		 1. Fundraising Officer
2. Fundraising Officer with advice
from Deputy Director of
Finance
3. Fundraising Officer advice from
Deputy Director of Finance
g) Operation of Bank Accounts
1. Managing banking arrangements
and operation of bank accounts
2. Opening bank accounts		 1. Executive Director of Finance &
Performance
2. Executive Director of Finance &
Performance		 1. Deputy Director of Finance
2. Executive Director of Finance &
Performance
h) Investments
1. Nominating deposit taker
2. Placing transactions in
accordance with the Charitable
Funds Investment Policy		 1. Charitable Funds sub-committee
2. Executive Director of Finance &
Performance		 1. Executive Director of Finance &
Performance
2. Deputy Director of Finance

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Financial Limits(Subject to specific funding earmarked in budget)
Includes:
1. CHARITABLE FUNDS
1.1 General Funds
Charitable Funds Committee
Over £5,000
Chief Executive or Executive Director of Finance &
Performance plus one Trustee and the Charity Manager
Charity Manager and one Trustee
From £2501 to £5,000
£501 - £2500
All named officers to approve
Charity Manager
Up to £500
1.2 Specific Funds
Charitable Funds Committee
Over £5,000
Chief Executive or Executive Director of Finance &
Performance plus one names Fund Manager and the
Charity Manager
Charity Manager and named Fund Manager
From £2501 to £5,000
£501 - £2500
Ratification of all approvals
Named Fund Managers
Up to £500
BOTH named officers to
approve

Structure, governance and management

The business of the Trust is conducted through a series of quarterly Trustees’ meetings, where Trustees oversee the day-to-day administration of funds, ensuring that the funds continue to support a wide range of activities benefitting both patients and staff. Trustees are responsible for controlling expenditure and also for the investment and reserve policies with any associated decisions. Further updates on spend and the work of the Charity is presented to the Executive Trustee members on a periodic basis and a discussion about the Charity strategy and progress is included in the workplan of the Trust Board.

The day-to-day running of the Charity is delegated to the key management personnel in the form of Executive Director of Finance and Performance being a member of the Trust Board and a Trustee of the Charity. His responsibilities include ensuring the systems of control are robust, all legal or managerial changes are implemented and that the other Trustees and Fund Managers are advised on a regular basis of the fund balances.

The accounting records and the day-to-day administration of the funds are dealt with by the Finance Department, which is located at The Royal Orthopaedic Hospital NHS Foundation Trust, Bristol Road South, Birmingham B31 2AP, which was licensed as a Foundation Trust from 1st February 2007.

This year, work undertaken includes the provision of detailed information regarding expenditure to the Trustees. Items exceeding a value of £100 are narrated in quarterly reports to the Trustees to ensure that the Charity continues to use its funds for charitable purposes. The Trustees continued to receive investment advice from Cazenove Capital Management during the year, previously known as Schroder and Co. Schroder and Co acquired Cazenove and merged the private bank and charities sections of the business, branding them both as Cazenove Capital Management. The banking facilities and the solicitor as appointed remained unchanged during the accounting period. The independent examiner is Deloitte LLP.

Fund managers have Standing Financial Instructions and internal procedures for administering the Charity, which remain unchanged. Fund Managers and Trustees are made aware of any new legal obligations where appropriate during the year.

There are 34 funds in total, of which two are permanent endowments with associated income funds, 31 restricted funds for wards and specific departments and one general fund which is unrestricted.

Charitable funds vested in the Trust are operated through a special purpose charity with subsidiary earmarked accounts.

Registered charity no. 1078046 www.rohcharity.org Page 15 of 36

Related parties

The Charity receives services from and provides goods to the associated NHS Foundation Trust. Trustees’ serve as Executive and Non-Executive Directors on the Trust Board. Business is conducted carefully to ensure funds are expended in the most appropriate manner and that the expenditure policy is consistent with the preferred wishes of the donor.

Reserve Policy

The Trustees require each fund holder to identify their plans to expend funds. An expenditure plan is completed annually and enables the Trustees to monitor fund movements. To ensure that there is no build-up of unnecessary reserves, this practice continues year on year. The Trustees also inform fund holders when their plans are insufficient to expend their resources. The Charity does not hold any funds that are in deficit.

The Royal Orthopaedic Hospital Foundation NHS Trust Charity has a reserves policy to ensure sufficient unrestricted funds that are freely available for its annual operating purposes not subject to commitments and planned expenditure. The purpose of this level of reserves is to ensure a minimum level of liquidity in order to continue to operate as a charity and have sufficient funds to meet the charity objects.

Reserves do not include endowment funds, restricted funds and designated funds.

Current Year Previous Year % Increase /
(Decrease)
Unrestricted Funds(Reserves) 843,983 607,820 39.5%
Restricted / Designated Funds: 1,507,942 1,605,830 6.3%
Endowment Funds 0 0 -
Total Funds 2,351,925 2,213,650 6.2%
Ratio ofReservesto Annual Operating Expenditure 1.5:1 2.6:1

Audit Dispensation

The Charity’s income and assets are above the independent examination threshold required by the Charities Commission for England and Wales and therefore the Annual Report and Financial Statements for the year ended 31 March 2021 have been subject to an independent examination carried out by Deloitte LLP.

Risk Considerations

The Trustees have assessed the risks to the Charity and are satisfied that there are policies and procedures in place to mitigate these risks. A risk register is in place that outlines the key risks that are faced by the Charity and measures that are in place to reduce or mitigate the risk. The two main risks faced by the Charity is that it is exposed to volatility in investments which could lead to a loss of income and the fund restrictions make the utilisation of funds in a timely manner difficult to achieve, this is mitigated by each fund holder being asked to complete an annual plan towards the end of the financial year. The Trustees have decided to accept and retain these risks, but measures are in place such as working closely with investment brokers to manage the risk.

Going Concern

The Trustees have assessed the Charity and consider it to be a going concern being at least 12 months from the approval of the financial statements. Grants made by the Charity are its discretion and there are no material commitments as at 31 March 2022. The Investments are uncommitted and available to cover operational costs if required.

All income and expenditure relate to continuing operations and the statement of financial activities includes all gains and losses recognised in the year to 31 March 2022.

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Statement of Trustees’ responsibilities

The Trustees are responsible for preparing the Trustees' Annual Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice), including FRS 102 "The Financial Reporting Standard applicable in the UK and Republic of Ireland".

The law applicable to charities in England and Wales requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the Charity and of the incoming resources and application of resources of the Charity for that period. In preparing these financial statements, the Trustees are required to:

The Trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the Charity and enable them to ensure that the financial statements comply with the Charities Act 2011, the Charity (Accounts and Reports) Regulations 2008 and the provisions of the Trust deed. They are also responsible for safeguarding the assets of the Charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. The Trustees are responsible for the maintenance and integrity of the Charity and financial information included on the Charity's website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

Declaration

The Trustees have approved the Trustees’ report above.

Signature Date 25 January 2023 Full name Mr Steve Washbourne

Position Director of Finance and Performance, and Trustee at The Royal Orthopaedic Hospital NHS Foundation Trust

Registered charity no. 1078046 www.rohcharity.org Page 17 of 36

Independent examiner's report

I report to the trustees on my examination of the accounts of The Royal Orthopaedic Hospital Charitable Fund (“the Charity”) for the year ended 31 March 2022 which comprise the statement of financial activities, the balance sheet, the cash flow statement, and the related notes 1 to 18.

This report is made solely to the charity’s trustees, as a body, in accordance with section 145 of the Charities Act 2011 and regulations made under section 154 of that Act. My work has been undertaken so that I might state to the charity’s trustees those matters I am required to state to them in an independent examiner’s report and for no other purpose. To the fullest extent permitted by law, I do not accept or assume responsibility to anyone other than the charity and the charity’s trustees as a body, for my work, for this report, or for the opinions I have formed.

Responsibilities and basis of report

As the charity's trustees you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (“the 2011 Act”). You are satisfied that your charity is not required by charity law to be audited and have chosen instead to have an independent examination.

I report in respect of my examination of your charity’s accounts as carried out under section 145

of the 2011 Act. In carrying out my examination I have followed the applicable Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act.

Independent examiner's statement

Since the charity’s gross income exceeded £250,000 your examiner must be a member of a body listed in section 145 of the 2011 Act. I confirm that I am qualified to undertake the examination because I am a member of the Association of Chartered Certified Accountants, which is one of the listed bodies.

I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:

  1. accounting records were not kept in respect of the Trust as required by section 130 of the 2011 Act; or

  2. the accounts do not accord with those records; or

  3. the accounts do not comply the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a ‘true and fair view’ which is not a matter considered as part of an independent examination.

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.

Ben Sheriff, FCA

for and on behalf of Deloitte LLP St Albans, United Kingdom 27 January 2023

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Financial Statements

STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2022

Note
Income from
Donations and Legacies
2
Investment income
2
Total income
Expenditure on
Fundraising activities
5.1
Charitable activities
3.2
Other - employee's expenses
4
Total expenditure
Gains/(Losses) on investment assets
6
11.6
Net movement in funds
7
Fund balances brought forward at
1 April
Fund balances carried forward at
31 March
Net income/expenditure for the year
Transfers
Net income/(expenditure) before
investment (losses)/gains		 Unrestricted
Funds
£000
635
14
649
(30)
(395)
(425)
224
12
236
0 0
236
608
844		 Restricted
Funds
£000
15
25
40
0
(159)
0
(159)
(119)		 31 March
2022
Endowment
Total
Unrestricted
Funds
Funds
Funds
£000
£000
£000
0
650
367
0
39
11
0
689
378
0
(30)
(11)
(554)
(159)
0
0
(584)
(170)
0
105
208
0
34
45
0
139
253
0
0
30
0
139
283
0
2,213
325
0
2,352
608		 Restricted
Funds
£000
268
27		 31 March
2021
Endowment
Total
Funds
Funds
£000
£000
0
635
0
38
0
673
0
(11)
0
(218)
0
(229)
0
444
0
157
0
601
(23)
0
(23)
601
23
1,612
0
2,213
295
0
(59)
(59)
236
22 112
(97)

0
(97)
1,605		 348
(7)
341
1,264
1,508 1,605

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BALANCE SHEET AS AT 31 MARCH 2022

----- Start of picture text -----
31 March 2022 31 March 2021
Notes Unrestricted Restricted Endowment 31 March Unrestricted Restricted Endowment 31 March
Funds Funds Funds 2022 Funds Funds Funds 2021
£000 £000 £000 £000 £000 £000 £000 £000
Fixed Assets
Investments 8.1 354 633 0 987 262 691 0 953
Total Fixed Assets 354 633 0 987 262 691 0 953
Current Assets
Debtors 9 200 357 0 557 0 0 0 0
Cash at bank and in hand 295 528 0 823 357 944 0 1,301
Total Current Assets 495 885 0 1,380 357 944 0 1,301
Creditors: Amounts falling due
within one year 10 (5) (10) 0 (15) (11) (30) 0 (41)
Net Current Assets 490 876 0 1,365 346 914 0 1,260
Total Assets less Current Liabilities 844 1,508 0 2,352 608 1,605 0 2,213
Total Net Assets 844 1,508 0 2,352 608 1,605 0 2,213
Funds of the Charity
Endowment Funds
Endowment fund initial gift 11.1 0 0 0 0 0 0 0 0
Total Endowment Fund 0 0 0 0 0 0 0 0
Income Funds:
Restricted 11.3 0 1,508 0 1,508 0 1,605 0 1,605
Unrestricted 844 0 0 844 608 0 0 608
Total Funds 844 1,508 0 2,352 608 1,605 0 2,213
----- End of picture text -----

The notes on pages 22 to 33 form part of these accounts.

These financial statements of The Royal Orthopaedic Hospital NHS Foundation Trust Charitable Funds registered number 1078046 were approved by the Board of Trustees and authorised for issue.

Signed: Date: 25/01/23 Mr S Washbourne - Director of Finance and Performance, and Trustee

Registered charity no. 1078046 www.rohcharity.org Page 20 of 36

CASHFLOW STATEMENT FOR THE YEAR ENDED 31 MARCH 2022

CASHFLOW STATEMENT FOR THE YEAR ENDED 31 MARCH 2022
Notes 2021-
22		 2020-
21
£000 £000
Cashflow from Operating Activities:
Net Cash used in Operating Activities
17		 (517) 448
Cashflow from Investing Activities:
Dividends, interest and rent from investments 39 38
Net Cash generated from Investing Activities 39 38
Change in Cash and Cash Equivalents
Cash and Cash equivalents in reporting period (478) 486

Cash and Cash equivalents brought forward
1,302		 816
Cash and cash equivalents at the end of the reporting
period		 824 1,302

The notes on pages 21 to 33 form part of these accounts.

Notes to the accounts

1 1 Accounting Policies

1.1 Basis of preparation

The financial statements are prepared under the historical cost convention, in accordance with the Statement of Recommended Practice “Accounting and Reporting by Charities (SORP 2019)” applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102), effective 1 January 2019; and the Charities Act 2011.

Income

Income is recognised when the Charity has entitlement to the funds, any performance conditions attached to the item(s) of income have been met, it is probable that the income will be received and the amount can be measured reliably.

Donations are recognised when the Trust has been notified in writing of both the amount and settlement date. In the event that a donation is subject to conditions that require a level of performance before the Charity is entitled to the funds, the income is deferred and not recognised until either those conditions are fully met, or the fulfilment of those conditions is wholly within the control of the Charity and it is probable that those conditions will be fulfilled in the reporting period.

1.2 Income from legacies

Legacy gifts are recognised on a case by case basis following the granting of probate when the administrator/executor for the estate has communicated in writing both the amount and settlement date. In the event that the gift is in the form of an asset other than cash or a financial asset traded on a recognised stock exchange, recognition is subject to the value of

Registered charity no. 1078046 www.rohcharity.org Page 21 of 36

the gift being reliably measurable with a degree of reasonable accuracy and the title to the asset having been transferred to the Charity.

1.3 Expenditure

1.3.1 Investment management costs

Investment management costs are the fees charged by Cazenove for the management of the investment portfolio and are apportioned on the basis of fund values. The costs incurred by the charity can be found in note 5.2 of these accounts.

1.3.2 Grants payable

The administration fee represents an agreed estimate of the cost of the provision of The Royal Orthopaedic NHS Foundation Trust's staff for the day-to-day administration of the Charity and the production of the Charity's financial statements.

Governance costs comprise costs incurred in the governance of the charity and are apportioned on the basis of fund values each month. Costs incurred are as follows:

31-Mar-22 31-Mar-21
£000 £000
Independent examination fee 5 5

1.4 Structure of funds

Where there is a legal restriction on the purpose to which a fund may be put, the fund is classified in the accounts as a restricted fund. Funds where the capital is held to generate income for charitable purposes and cannot itself be spent are accounted for as endowment funds. Other funds are classified as unrestricted funds. Funds which are not legally restricted but which the Trustees have chosen to earmark for set purposes are classified funds held in unrestricted reserves. The major funds held within these categories are disclosed on notes 11.1 to 11.6.

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1.6 Investment fixed assets

Investment fixed assets are shown at market value.

1.7 Investment current assets

1.8 Realised gains and losses

All gains and losses are taken to the Statement of Financial Activities as they arise. 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).

1.9 Investment income and expenditure

All income and expenditure from investments is allocated quarterly to the relevant funds pro rata based on the value of each fund.

1.10 Irrecoverable VAT

Any VAT that is irrecoverable is charged to the relevant funds as expenditure.

1.11 Pooling scheme

An official pooling scheme is operated for all investments for all funds administered on behalf of The Royal Orthopaedic Hospital General Charity.

The Scheme was registered with the Charity Commission on 3[rd] November 1999.

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1.13 Going concern

After making enquiries, the Trustees have a reasonable expectation that The Royal Orthopaedic Hospital NHS Foundation Trust Charitable Fund has adequate resources to continue in operational existence for the foreseeable future. For this reason, they continue to adopt the going concern basis in preparing the accounts.

1.14 Debtors

Amounts that are owed to the charity for goods and services or amounts the charity has paid in advance are measured by their recoverable amounts.

1.15 Cash at bank and in hand

Cash equivalents are short-term, highly liquid investments that are readily convertible to known amounts of cash and that are subject to an insignificant risk of changes in value.

1.16 Creditors

A liability is recognised for the amount that the Charity anticipates it will pay to settle the debt or the amount it has received as an advance payment for goods or services it must provide. Liabilities must be measured at their settlement amount except for certain types of financial liabilities.

1.17 Accounting judgements and estimates

The Trustee 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. Actual results may differ from these estimates.

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

The Trustee does not consider there are any critical judgements or sources of estimation uncertainty requiring disclosure beyond the accounting policies listed above.

The Trustee does not consider there are any critical judgements or sources of estimation uncertainty requiring disclosure.

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2 Income

3

----- Start of picture text -----
2021-22 2020-21
Unrestricted Restricted Endowment Total Unrestricted Restricted Endowment Total
£000 £000 £000 £000 £000 £000 £000 £000
Donations 22 15 0 37 316 268 0 584
Legacies 613 0 0 613 51 0 0 51
Investment Income 14 25 0 39 11 27 0 38
649 40 0 689 378 295 0 673
----- End of picture text -----

3 Analysis of expenditure

3.1 Total expenditure by type of fund

2021-22 2020-21
Patients welfare and amenities
Staff welfare and amenities
Research
Contributions to NHS
Support costs		 Unrestricted
Restricted
Endowment
Total
£000
£000
£000
£000
327
101
0
428
5
16
0
21
0
23
0
23
63
0
0
63
30
19
0
49
425
159
0
584		 Unrestricted
Restricted
Endowment
Total
£000
£000
£000
£000
43
17
0
60
33
14
0
47
0
6
0
6
34
10
0
44
60
12
0
72
170
59
0
229

3.2 Charitable activities by grants payable

----- Start of picture text -----
2021-22 2020-21
Grants to Grants to Support Grants to Grants to Support
Total Total
institutions individuals Costs institutions individuals Costs
£000 £000 £000 £000 £000 £000 £000 £000
Patients welfare and amenities 428 0 0 428 60 0 0 60
Staff welfare and amenities 21 0 0 21 47 0 0 47
Research 23 0 0 23 6 0 0 6
Contributions to NHS 63 0 0 63 33 0 0 33
Management & Admin Costs 0 0 1 4 14 0 0 67 67
Governance Costs 0 0 5 5 0 0 5 5
535 0 19 554 146 0 72 218
----- End of picture text -----

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3.3 Grants payable by fund

2021-22

----- Start of picture text -----
|||||||| |---|---|---|---|---|---|---| |Patient welfare|Staff welfare|Contributions|Support| |Research|Total| |and amenities|and amenities|to NHS|Costs| |£000|£000|£000|£000|£000|£000| |General Purpose|327|5|0|63|0|395| |League of Friends|0|0|0|0|1|1| |Mr Dubrowsky|0|0|19|0|9|28| |Ward 11|0|0|0|0|0|0| |Hip Research & Education|0|0|4|0|1|5| |Orthopaedic R&T|0|0|0|0|0|0| |Covid 19|100|15|0|0|1|116| |Other Funds|1|1|0|0|7|9| |428|21|23|63|19|554|

----- End of picture text -----

----- Start of picture text -----
|||||||| |---|---|---|---|---|---|---| |2020-21| |Patient welfare|Staff welfare|Contributions to|Support| |Research|Total| |and amenities|and amenities|NHS|Costs| |£000|£000|£000|£000|£000|£000| |Mr Dubrowsky|0|0|0|7|7|14| |General Purpose|43|33|0|23|56|155| |Hip Research & Education|0|1|0|0|1|2| |Orthopaedic R&T|0|4|0|0|0|4| |Covid-19|0|8|0|3|0|11| |Other Funds|17|1|6|0|8|32| |60|47|6|33|72|218|

----- End of picture text -----

The above grants have all met the objects of the particular fund by which they were financed.

3.4 Expenditure on charitable activities

----- Start of picture text -----
||||||| |---|---|---|---|---|---| |2021-22| |Direct|Grant Funding|Governance|Management| |Costs|of Activities|Costs|& Admin|Total| |£000|£000|£000|£000|£000| |Management Fees|0|0|0|18|18| |Administration Costs|0|0|0|1|1| |Indemnity insurance|0|0|0|4|4| |Independent Examination fees|0|0|5|0|5| |Employee Expenses|36|0|0|63|99| |Other Grants Payable|0|427|0|0|427| |36|427|5|86|554|

----- End of picture text -----

Registered charity no. 1078046 www.rohcharity.org Page 26 of 36

2020-21

Management Fees
Administration Costs
Indemnity insurance		 Direct
Costs
Grant Funding
of Activities
Governance
Costs
Management
& Admin
Total
£000
£000
£000
£000
£000
0
0
0
17
17
0
0
0
1
1
0
0
0
2
2
Independent Examination fees 0
0
5
0
5
Other Grants Payable 0
144
0
49
193
0
144
5
69
218

There were no non-audit services provided in the current or prior year.

4 Analysis of expenditure on recharged employee expenses

2021-
22
2020-
21
£000
£000
Salaries & Wages
67
33
Social Security
6
8
Employers contributions to NHS
Pensions
8
6		 2021-
22
2020-
21
£000
£000
Salaries & Wages
67
33
Social Security
6
8
Employers contributions to NHS
Pensions
8
6		 2021-
22
2020-
21
£000
£000
Salaries & Wages
67
33
Social Security
6
8
Employers contributions to NHS
Pensions
8
6
Total employee expenses 81 47
Gain/(Loss) on investments
31 March 2022 31 March 2021
Cazenove Investment (loss)/gain £000
£000
34
157

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7 Changes in resources available for charity use

Unrestricted Restricted **Endowment ** 31 March 2022 31 March 2021
Net movement in funds for the year
Net movement in funds
available for future use		 Funds
£000
236		 Funds
£000
(97)		 Funds
£000
0		 Total
£000
139		 Total
£000
601
236 (97) 0 139 601

8 Analysis of fixed asset gains

31 March 2022 31 March 2022 31 March 2021
£000 £000
Market value at 1 April 953 796
Net gain on revaluation 34 157
Market value at 31 March 987 953
Historic cost at 31 March 931 931
8.2
Market Value at 31 March
31 March 2022 31 March 2021
Securities - managed funds £000
987		 £000
953
987 953
9
Analysis of Debtors
31 March 202231 March 2021
£000
£000
Gains on investment assets
or Common Investment Fund
39
38
39
38		 9
Analysis of Debtors
31 March 202231 March 2021
£000
£000
Gains on investment assets
or Common Investment Fund
39
38
39
38		 9
Analysis of Debtors
31 March 202231 March 2021
£000
£000
Gains on investment assets
or Common Investment Fund
39
38
39
38		 9
Analysis of Debtors
31 March 202231 March 2021
£000
£000
Gains on investment assets
or Common Investment Fund
39
38
39
38		 9
Analysis of Debtors
31 March 202231 March 2021
£000
£000
Gains on investment assets
or Common Investment Fund
39
38
39
38
31 March 202231 March 2021
Amounts falling due within one year: £000 £000
Accrued income
Total debtors falling due within one year		 556
556		 0
0

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10 Analysis of Creditors

----- Start of picture text -----
31 March 2022 31 March 2021
Amounts falling due within one year: £000 £000
Accruals 15 42
Total creditors falling due within one year 15 42
----- End of picture text -----

11 Analysis of Funds 11.1 Endowment Funds

2021-22

----- Start of picture text -----
01/04/2021 Income Expenditure Transfers Gains/(Losses) 31/03/2022
£000 £000 £000 £000 £000 £000
Sutcliffe 0 0 0 0 0 0
Stephens 0 0 0 0 0 0
Total 0 0 0 0 0 0
2020-21
01/04/2020 Income Expenditure Transfers Gains/(Losses) 31/03/2021
£000 £000 £000 £000 £000 £000
Sutcliffe 22 0 0 (22) 0 0
Stephens 1 0 0 (1) 0 0
Total 23 0 0 (23) 0 0
----- End of picture text -----

The above listed endowments funds are expendable endowments.

11.2 Details of Endowment Funds

Name of fund Description of the nature and purpose of each fund

Sutcliffe Nurse Prize Stephens For the benefit of staff and patients

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11.3 Restricted Funds

----- Start of picture text -----
2021-22
01/04/2021 Income Expenditure Transfers Gains 31/03/2022
£000 £000 £000 £000 £000 £000
Material funds
Mr Dubrowsky 933 15 (28) 0 13 933
Hip Research 126 4 (5) 0 2 127
League of Friends 53 1 (1) 0 1 54
Oncology Services 60 1 (1) 0 1 61
Orthopaedic R&T 32 2 0 0 0 34
MRI 32 1 1 0 0 34
HDU 6 0 0 0 0 6
Spinal Surgery 15 0 0 0 0 15
Mr Thomas 9 0 0 0 0 9
Stephens 10 0 0 0 0 10
Sutcliffe 10 0 0 0 0 10
Mr Jeys 8 0 0 0 0 8
Chapel Furnishings 6 0 0 0 0 6
Ward 3 12 0 0 0 0 12
MSK Early Intervention 92 2 (1) 0 1 94
Physio Dept 8 0 0 0 0 8
Covid-19 185 1 (116) 0 1 71
Other Funds 8 13 (8) 0 3 16
Total 1,605 40 (159) 0 22 1,508
----- End of picture text -----

Registered charity no. 1078046 www.rohcharity.org Page 30 of 36

2020-21

----- Start of picture text -----
01/04/2020 Income Expenditure Transfers Gains 31/03/2021
£000 £000 £000 £000 £000 £000
Material funds
Mr Dubrowsky 871 16 (15) (5) 66 933
Hip Research 117 2 (2) 0 9 126
League of Friends 49 1 (1) 0 4 53
Oncology Services 57 1 (2) 0 4 60
Orthopaedic R&T 34 1 (4) (1) 2 32
MRI 31 1 0 (1) 1 32
Ward 11 28 1 (17) (12) 0 0
Spinal Surgery 15 1 (1) (1) 1 15
Mr Thomas 8 0 0 0 1 9
Stephens 9 0 0 0 1 10
Sutcliffe 9 0 0 0 1 10
Mr Jeys 7 0 0 0 1 8
Chapel Furnishings 6 0 0 0 0 6
Ward 3 11 0 0 0 1 12
MSK Early Intervention 0 87 (1) 0 6 92
Physio Dept 7 0 0 0 1 8
Covid-19 0 184 (11) 0 12 185
Other Funds 5 0 (5) 13 1 14
Total 1,264 295 (59) (7) 112 1,605
----- End of picture text -----

11.4 Details of material funds – restricted funds

Name of fund

Description of the nature and purpose of each fund

Mr Dubrowsky Research relating to dedifferentiated chondrosarcoma Hip research Research and education League of Friends Direct or indirect support of patient benefit Oncology Research into bone tumour Orthopaedic R&T Research, delivery and development of orthopaedic teaching MRI Education, Research & Staff Training for staff Ward 11 Patient and staff welfare Spinal Surgery Spinal work, teaching & research Mr Thomas Research Stephens Nurse prize Sutcliffe Benefit patient & staff Mr Jeys Research Chapel Equipment and training Ward 3 Equipment and training MSK Early Intervention Research relating to MSK and Training for Staff Covid-19 Staff and Patient support Covid-19 related staff and patient welfare

11.5 Details of material funds - unrestricted fund

Name of fund

Description of the nature and purpose of each fund

General Fund

General purpose

Registered charity no. 1078046 www.rohcharity.org Page 31 of 36

11.6 Transfers between funds

There have been no transfers during the year to 31 March 2022 (2020/21 £30k)

There are no contingent gains or losses during the year ending 31 March 2022 (2020/21 £nil).

The Charity had no legal or constructive obligations as at 31 March 2022 (2020/21 £nil).

14 Trustees and connected persons transactions

There are no expenses payable to Trustees and connected persons and key management personnel (2020/21 £nil).

The Charity Manager is the only member of staff to receive remuneration of £67k in 21/22.

14.1 Trustee Indemnity Insurance

Trustee Indemnity Insurance provided by Marsh Ltd
Total
Description of Cover		 31 March 2022 31 March 2021
£
£
4,144
2,184
4,144
2,184

15 Loans or Guarantees Secured

The Charity has no assets that are subject to mortgage or charge.

16 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 Royal Orthopaedic Hospital NHS Foundation Trust Charitable Fund.

Board members (and any other staff) take decisions both on Charity and Investment matters but endeavour to keep interests of the Charity and the associated Trust separate and discrete and do not seek to benefit personally from such decisions. Note 8 to the accounts presents the current investment position for the Charity. Declarations of personal interest have been made in both capacities and are available to be inspected by the public.

The Charitable Trust has made revenue payments of £488,355 (2020/21 £42,534) to The Royal Orthopaedic Hospital NHS Foundation Trust where the Trustees (whose names are listed on page 3) are also members of the Trust.

The only related party transactions which have occurred to 31 March 2022 have been between the Charity and The Royal Orthopaedic Hospital NHS Foundation Trust.

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17 Cashflow Statement

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2021/22 2020/21
Net Cash generated (used in)/from Operating Activities £000 £000
Net movement in funds 139 601
Interest income (39) (38)
(Gain) on investments (34) (157)
(Increase)/Decrease in debtors (557) 12
(Decrease)/Increase in creditors (26) 30
(517) 448
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18 Post Balance Sheet Events

Nil

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