2023-03-31-accounts

Trustee Annual Report and Accounts 2022/23

Registered charity 1082989

Central and North West London NHS Foundation Trust, Trust Headquarters, 350 Euston Road, Regent’s Place, London NW1 3AX Telephone: [phone] www. https://www.cnwl.nhs.uk/

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Connected Organisations

The registered operating name of the CNWL NHS Foundation Trust Charitable Fund, which benefits C&I NHS Foundation Trust

An NHS provider of health care for people with a wide range of physical and mental health needs across 150 sites, and in the community, in London, Surrey, Buckinghamshire, and Milton Keynes

Started in 2003, an external group that puts on four exhibitions a year at The C&I Conference Centre, to benefit the healthcare of staff, service users, visitors, carers and artists.

An NHS provider of health care for people with a wide range of mental health and substance misuse needs to residents in the London Boroughs of Camden, Islington, Westminster, and Kingston.

The CNWL Charity is an active member of the Healthcare Financial Managers Association NHS Charity Finance Group

NHS Charities Together is the new trading name of The Association of NHS Charities, a membership organization representing, supporting and championing NHS Charities

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Bayes Business School, through its Centre For Charity Effectiveness, has provided the CNWL Charity with independent professional support to develop its threeyear strategy

Diabetes UK has agreed to partner with Dr William M. Scholl Unit of Podiatric Development to consider applications for grants focused on diabetes related foot health as outlined in the Foot Health Priority Setting Partnership of 2019

The CNWL Charity is a member of the Association of Charitable Foundations the leading membership association for foundations and independent grant-makers in the UK

The CNWL Charity is a member of the Chartered Institute of Fundraising, who promote the efficiency of organizations established for charitable purposes, and higher standards of administration and fundraising for charitable purposes,

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Table of contents

Table of contents
	Page
Foreword	5
Objectives, Achievements and Performance	6 - 14
Financial Review	14 - 21
Structure, Governance and Management	21 - 27
Statement of Trustees’ Responsibilities	28
Independent Auditor’s Report	30 - 33
Statement of Financial Activities for the year ended 31 March 2022	34
Balance Sheet as at 31 March 2022	35 - 36
Cash Flow Statement	37
Notes to the Accounts	38 – 53

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Foreword by the Chairman of the Charitable Funds Committee

1. Welcome to our annual report for 2022/23. We are a charity whose corporate trustee is the board of Central and North West London NHS Foundation Trust (CNWLFT) and we work for the benefit of NHS staff, patients and their families in Central, North, & North West London, Milton Keynes, Surrey, and the surrounding area, as well as offender care institutions across the South East of England.

2. We exist to enhance, but not replace resources available to the NHS to meet the needs of staff, our patients and their families.

3. 2022/23 has seen the NHS start to move on from immediate crisis of the pandemic, while at the same time continuing to care for those who live with the physical and mental legacy of the disease, as well as addressing the backlogs which have built up in elective care over the past few years.

4. The past year has also been one of looking to the future for the CNWL charity. Key milestones during the past year have been:

5. The approval of the charities three to five-year strategic plans following wide consultation with stakeholders

6. The recruitment and appointment of the charities first Development Director – Neil Harman, who comes with a wealth of experience in both the Hospice and air ambulance charity sector

7. The audit of the charity’s stakeholders, brand and message as a basis for launching fundraising appeals later in 2023 and beyond

8. The charity also said goodbye to two key supporters within the Corporate Trustee – Professor Dorothy Griffiths, who as Chair of the Board of CNWL has been a stalwart of the charity over her tenure in the post, and Hannah Witty, while whose work as the Trusts Chief Finance Officer was relatively short, her support, wise council, and enthusiasm made a significant impact on helping the charity steer its way through the strategic review of the past couple of years.

9. Despite the current economic pressures on families and companies, I am confident that over the next twelve months the charities investment in its infrastructure and planning will bear fruit in the growth of donations – both solicited and unsolicited.

10. I would like to thank everyone who has donated gifts or money this year. Without your support the charity is unable to make the beneficial impact we look to deliver, and we are extremely grateful that at this difficult time you are willing and able to support us.

11. The charity will continue to focus on helping the NHS staff, patient and their families to live fulfilling and healthy lives. If you would like to get involved, details about how to do this are at the end of this report. Please support us, as every pound makes a difference.

Signature

Date 10 January 2024

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Trustees Annual Report

Who we are

1. CNWL NHS Foundation Trust Charitable Fund (CNWL Charity) is a registered charity (registered number 1082989). We exist to raise funds and receive donations for the benefit of the patients of both Central and North West London NHS Foundation Trust (CNWLFT) and Camden and Islington NHS Foundation Trust (C&IFT). By attracting donations, legacies and sponsorship, CNWL Charity can make a real difference for the patients, service users, carers, their families and the staff who look after them.

2. Providing both mental and physical healthcare in over 150 locations in Central, North, and North West London, as well as Surrey, Milton Keynes, and offender care services across a large area of South East England, both CNWLFT and C&IFT are centres of excellence for healthcare and our key partner in fulfilling our charitable aims.

3. We would like you to support us in our crucial work so please read on and let us tell you more about ourselves, what we do, what we have achieved and how we go about spending the money given to us.

Our Values

1. The CNWL NHS Foundation Trust has four key values which the charity shares, these are: Compassion, Respect, Empowerment, and Partnership.

2. In addition, the charity has a further four values which are exclusive to its work, these are Innovation, Independence, Transparency, and Collaboration.

3. It is the responsibility of the Corporate Trustee, staff, and volunteers to demonstrate these eight values in their actions and decisions, and those who apply for grants must show how one or more of these values is embedded in their application, in order for it to be successful.

Our Vision

1. The charity is working to build a world where “thriving communities work together to create fulfilled lives”.

Our Beneficiaries

1. The CNWL charity will focus on enhancing and enriching the lives of NHS service users and carers as the primary beneficiaries of the charity’s work.

2. NHS staff may benefit from initiatives and opportunities which charitable funds develop, but only where it can be demonstrated that service user and carers derive benefit (even if indirectly) from the charity’s support of NHS Staff.

3. The role of the charity is to enrich, enhance, support and innovate, in order to enable service users and carers to experience the highest quality of care it is possible to deliver.

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Our Purpose

1. By raising donations and grants and by careful management of our existing funds, CNWL Charity provides a public benefit by making grants to CNWLFT and C&IFT, and other organisations that support the work of these NHS healthcare providers and the organisations it works with.

2. The Charity works to promote improved health and well-being for our people and communities; we do this by investing in people and projects and ideas which complement and enhance what is provided by the NHS we aim to do: our objectives and activities

3. Grants are made in accordance with charity law, our constitution and the wishes and directions of donors. In making grants, we endeavour to reflect the wishes of patients and staff by directing funds towards areas they tell us are most in need. During the year 2022/23, grants totalling £580k were made. When considering where to focus our attention our corporate trustee’s board and, particularly, the members of the charitable funds committee have regard to the Charity Commission’s guidance on public benefit and what this means for the CNWL Charity.

4. Our future plans are to increase our level of fundraising to achieve the target of reducing dependency on Investment income to no more than 50% of incoming resources. The Charity seeks to raise sufficient income to cover our overheads, and a grants programme of approximately £100k per year. On top of this we will raise sufficient income to fulfil major appeals which will help us work with our NHS partner to transform the health prospects for patients with mental and physical health conditions in our community.

What we have achieved: highlights from the activities undertaken in the year

Strategic Review

1. Following the charities experience during the pandemic, the Corporate Trustee agreed in December 2020, that the time was opportune to undertake a root and branch review of its strategic vision, impact, structure, and activities.

2. To deliver the strategic review, the Corporate Trustee appointed an independent facilitator – Bayes Business School Centre For Charity Effectiveness.

3. The review was completed in March 2022, and the strategy was supported by the Executive Board of the CNWL NHS Foundation Trust and the Charitable Funds Committee, before being formally adopted by the Corporate Trustee in May 2022

4. The Strategic review has identified three goals for the charity during 2022 to 2025:

5. a. Enhance the patient, service user and carer experience and wellbeing.

6. b. Enhance the staff and service user experience, wellbeing, and engagement

7. c. Invest in community-based programs, that promote healthier, more fulfilled lives.

8. The first action on delivering the strategic plan was to recruit a Development Director to take the lead on the development of a Fundraising, Marketing and Communication strategy.

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Polly Symondson Recruitment, a specialist in charity recruitment was engaged, and a strong shortlist drawn up – from which a candidate was identified, who took up the role in January 2023

1. During the past twelve months the CNWL charity has been awarded four grants to support its activities. The details are summarized above:

Fundraising Over the Past Year

Public Donations

1. The CNWL Charity would like to recognize and thank these donors for their support

.

1. While the charity has not undertaken any direct fundraising over the past twelve months, the charity has received unsolicited donations from the public.

2. The Charity was fortunate to receive a single donation of £40,171, being the proceeds of two lots sold in aid of charity at the 60 years of James Bond Auction, which will benefit the service supporting those affected by the Grenfell Fire

Grant Income

Donor	Purpose	Amount	Beneficiaries
NHS CT	Charity Capacity building	£30,000	CNWL Charity
Royal Borough of K&C	To support patients telling their stories	£2,700	Patients
K&C Foundation	Provision of activities at Bay 20 Community Hub	£30,000	Patients
NHS CT	Develop garden space, Rosedale Gardens (Brent)	£57,441	Patients, Staff and Carer’s

Gifts In Kind

1. The CNWL Charity has continued to receive gifts in forms other than cash over the past twelve months.

2. Many of the gifts received are from grateful patients and family, are of small value (such as chocolates) and are not formally recorded by the charity.

3. Although not recorded, such gifts in kind are greatly appreciated by staff - not only for what they are, but for the what they represent – recognition of the immense value that the public put on the work of NHS staff.

4. The Charity has also received gifts from companies and other traders. Some of these have been solicited, while others are given out of a desire to support the staff and patients of the Trust. These Gifts in Kind are recorded, and a list is provided below.

5. The charity would like to thank all of these donors for their continuing support of the NHS

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Donor	Description	value £	Received		Expenditure Grants 37.The CNWL Charity administers a range of sub funds from which it awards grants, the following sections summarizes those grants based on the source of the funds or beneficiary. 38.The table below summarizes the total value of the grants made from each sub fund during 2022/23, and the sections following provide more information on each. Source of Funds Total Value of Award NHS Charities Together £87,551 CNWL Unrestricted £155,096 CNWL Restricted and Designated £56,038	Expenditure Grants 37.The CNWL Charity administers a range of sub funds from which it awards grants, the following sections summarizes those grants based on the source of the funds or beneficiary. 38.The table below summarizes the total value of the grants made from each sub fund during 2022/23, and the sections following provide more information on each. Source of Funds Total Value of Award NHS Charities Together £87,551 CNWL Unrestricted £155,096 CNWL Restricted and Designated £56,038	Expenditure Grants 37.The CNWL Charity administers a range of sub funds from which it awards grants, the following sections summarizes those grants based on the source of the funds or beneficiary. 38.The table below summarizes the total value of the grants made from each sub fund during 2022/23, and the sections following provide more information on each. Source of Funds Total Value of Award NHS Charities Together £87,551 CNWL Unrestricted £155,096 CNWL Restricted and Designated £56,038
Pineapple Dance Studios	Voucher	£8	Volunteering
KOBOX	Voucher	£198	Volunteering
Leicester Square Theatre	Voucher	£54	Volunteering
New Diorama Theatre	Vouchers	£20	Volunteering
Little Angel Theatre	Voucher	£32	Volunteering
Thames River Sightseeing	Voucher	£42	Volunteering
Tossed	5 Vouchers	£50	Volunteering
The Ivy Chelsea Garden	Voucher	£72	Volunteering			Source of Funds	Total Value of Award
						NHS Charities Together	£87,551
Peggy Porschen	Cakes	£32	Volunteering			CNWL Unrestricted	£155,096
Nandos	Voucher	£360	Volunteering			CNWL Restricted and Designated	£56,038
Rio Cinema	Tickets	£27	Volunteering
Puig	Cosmetics	£50	Volunteering			Camden and Islington	£5,337
Hidden Depths Canal Cruises	Vouchers	£480	Volunteering		NHS England (London) £50,000 Great Foundations £226,729 Total £580,751 NHS Charities Together 39.As reported above, the charity was awarded a grant of £87,551. £57,441 was awarded under stage 3 of the NHS	NHS England (London)	£50,000
						Great Foundations	£226,729
British Pullman, A Belmond Train	Vouchers	£100	Volunteering			Total	£580,751
Rimes Ltd	Coffee Machine and Beans	£556	350 Euston Square
	Total GIK	£2,081

1. As reported above, the charity was awarded a grant of £87,551. £57,441 was awarded under stage 3 of the NHS Charities Together grant program. The grant was awarded to improve the garden and provide a community space at Rosedale in Brent. The remaining £30,000 was awarded to enable the CNWL to develop its fundraising capability and capacity.

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1. The Charity has submitted a further grant application of £54,898 to NHS Charities Together under Stage 3, for the improvement of Wellbeing facilities for staff at St Pancreas Hospital, Camden. (This was awarded in July 2023).

Restricted and Designated Grants

1. The table below shows the grants made from the charities Restricted and Designated reserves which have benefitted the staff and patients of CNWL NHS Foundation Trust.

CNWL NHS Foundation Trust

Unrestricted

1. The table above shows the grants made from the charities Unrestricted reserves which have benefitted the staff and patients of CNWL NHS Foundation Trust.

2. The Charity administers many funds of this type, often connected to a ward, service or profession The charity encourages the expenditure of these funds, and seeks to reduce the number of funds it administers to ensure no dormant funds exist

Camden and Islington NHS Foundation Trust

Name	Description	Award amount
Patient Christmas	Gifts for patients seen by staff on Christmas day or Boxing day 2021	£21,065
Volunteers	Recruit, support and recognize CNWL Volunteers	£,12,213
Hathaway House	Frame patient artwork to enhance the clinical spaces of this new facility	£5,110
Suicide Prevention Strategy	Launch and disseminate this important initiative for the benefit of Staff, patients and carers	£1,350
RBK&C CAMHS Services	Fit out a new facility as part of a joint initiative with the CW+ Charity	£22,748
Check in and Chat	Provide this carer focused service for a period of twelve months	£55,000
Sexual Health Services	Develop and launch a pan London website for the benefit of residents and visitors to the capital	£25,000
Conference	Support staff attending conferences to present and disseminate good practice for the benefit of patients	£3,600
Staff	Recognition of Paramedic and Therapy staff contribution to patient care	£850
One Community Project	Pay 1 years rent for the use of Bay 20 by a patient led community group in RBK&C	£8,160
	Total amount of Unrestricted Grants to support Staff and patients of CNWL NHS FT	£155,096

1. The table below shows the grants made from the charities designated funds which benefitted the staff and patients of C&I NHS Foundation Trust.

Name	Description	Award amount
Shannon and Nile Wards – St Charles Hospital	Decoration of the ward space to produce a relaxing environment for staff and patients	£19,250
One Community Project	To provide activities and development opportunities for patients in Bay 20, RBK&C	£5,000
Milton Keynes Community Staff	Purchase of outdoor furniture to enhance staff welfare facilities	£800
Staff across CNWL	To provide a range of development and recognition opportunities for CNWL staff from a broad range of professional backgrounds	£10,048
St Charles Hospital	To provide indoor Gym facilities for patients on the wards as a means of increasing physical activities, and reducing frustration	£21,740
	Total amount of Restricted and Designated Grants to support Staff and patients of CNWL NHS FT	£56,838

£56,838 ~~Page | 10~~

48. The table below shows the grant made from this fund during 2022/23

1. The grant applications are made to, and considered by the C&I Charity Advisory Group – made up of members of the C&I trust board, staff and service users of C&I NHS Foundation Trust. The Director For Charity Finance and Governance sits on the group on behalf of the Corporate

Name	Description	Award amount
Community Services	Materials to raise awareness, and access community mental health services in Camden and Islington	£1,000
SIRT	Support for the running cost of this women focused community group	£2,337
Community wellbeing	Access to breathing sessions for patients in the community	£2,000
	Total amount of Designated Grants to support Staff and patients of C&I NHS FT	£5,337

Trustee.

1. The recommendation by the C&I Charity Advisory group to approve a grant are taken to the Charities Charitable Funds Committee for consideration and endorsement.

NHS England (London) Charitable Funds

1. The CNWL Charity holds a restricted fund which benefits NHS England (London).

Great Foundations

1. The table below shows the grants made from the Dr William M. Scholl Unit for Podiatric Development Endowment Fund

Impact

Name	Description	Award amount
Whizz Kids	A grant to pilot an approach to improve children’s access to wheelchair provision in NE London	£50,000
	Total amount of Restricted Grants to support Staff and patients in **North East London **	£50,000

1. The CNWL charity exists improve the lives and experience of staff, patients and carers through enhancing the services and facilities available to the NHS, and supporting research which can improve

Name	Description	Award amount
Manchester Metropolitan University	Preventing diabetic foot ulcers using real time foot pressure monitoring and real time technology	£50,000
University of Dundee	Impact of Foot Problems: Qualitative Studyon Social Participation	£95,117
University of Southampton	Development of a decision aid for offloading device selection for people with diabetic foot ulceration	£81,612
	Total amount of Endowment Grants to support Podiatric **Research **	£226,729

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clinical understanding, and the quality of patient experience whether in hospital or at home

1. This report will look at three aspects of the charity’s activities, to provide a better understanding of the impact that the charity makes

The Impact of the Charities Strategic Review

1. In December 2020 the Corporate Trustee undertook an 18 months strategic review of the charities structure, activities, and impact, facilitated by Bayes Business School, and in collaboration with stakeholders – including staff patients and carers, as well as Trustees and other organizations – both commercial and voluntary

2. As a result of the review, in the latter half of the 2022 the Charity created and appointed to the role of Development Director. The charity immediately submitted and was awarded a £30,000 development grant from NHS Charities Together for the purposes of developing the charities capacity.

3. This early success has led to forward planning and developing key activities that will be delivered in 2023-24 and beyond. The development grant contributes to or entirely funds developing the charity Value and Brand proposition, implementation of a CRM system and delivery of the first charity appeal due in December 2023.

4. A further NHS Charities Together Stage 3 grant has been applied for to improve the staff welfare facilities on South Wing at St Pancras Hospital - a former Victorian workhouse, which during the pandemic intensively cared for patients recovering from the most severe impacts of the disease.

5. Another key project which has begun is the development of the Income and Engagement strategy, which will conclude towards the end of the summer 2023, which Bayes Business School are supporting given their familiarity with the Charity. It is intended that

this strategy will lay the foundation for the future development of the charity, and deliver the goals of the charities Strategic plan

1. The Development of the CNWL charity is being built on experience, a sound understanding of best fundraising practice, and working to maximize the benefit to key stakeholders of the limited resources we are currently able to offer. On this foundation, the Corporate Trustee believes the charity has a strong and sustainable future

Great Foundations

1. The last twelve months has seen two research grants awarded, the opening of the 2023 call for research proposals, plus our first ever jointly funded research project with Diabetes UK.

2. The Small Steps research project, the largest ever award made by Great Foundations, came to its conclusion in 2023. The project focused on children’s foot health and has produced some 16 publications thus far generating international interest.

3. The new understanding the research has uncovered spans parent and health professional views of children’s foot health, use of online information and technology for footwear selection by parents, how children feet change shape and experience different pressures as walking matures, and creation of advances in measurement techniques. In addition Two PhD candidates funded by the project have now taken up positions at Loughborough University and Children's Hospital Los Angeles and other staff are taking work forward between the Universities of Salford, Brighton, Kings College London and Keele. The project was also able to return to the charity unspent funds amounting to £71,036 which will be invested in future research projects.

4. Great Foundations have made the first two independent research funding awards under the new awards scheme, and these went to:

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1. Dr Lindsey Cherry (University of Southampton) for her project “Development of a decision aid for offloading device selection for people with diabetic foot ulceration” with collaborators Dr Emma Cowley, Dr Katharine Surname and Dr Mike Backhouse from University of Warwick. This research will help clinicians and people with diabetes better share decision making around managing foot ulceration, and explore NHS clinician contributions to effective shared decision-making.

2. Dr Kavin Wylie (University of Dundee) for his project “IFOQUSS – Impact of Foot Problems: Qualitative Study on Social Participation” with collaborators Dr Jacqui Morris, Dr Anna Hatton (University of Queensland, Brisbane, Australia) and Dr Stewart Morrison (King College London). This qualitative research will explore how older people’s perceptions and experiences of poor foot health influence social participation, a critical part of maintaining their independence and quality of life.

3. The call for research proposals for 2023 is now open with grants due to be awarded in August 2023.

4. Partnership with other funding agencies is a key strategy for leveraging best value from the Great Foundations fund. Dr David Stephensen, long standing member of the Scientific Committee, led Great Foundations representation during our first ever joint funding award with Diabetes UK. David is Deputy Director of Research and Innovation and NIHR Clinical Lecturer at the Royal London Hospital and brings a wealth of scientific, clinical and senior leadership acumen to Great Foundations. The successful project addressed the national challenge of how to help prevent diabetes related foot ulcer, which costs close to 1% of the entire NHS budget each year. Thanks to our funding research is now underway investigating how wearable senor technologies can help people protect their own feet from high pressures that cause foot ulceration. The project is led by Prof Neil Reeves of

Manchester Metropolitan University with health behaviour support based at Keele University.

1. It is hope that this initial collaboration with Diabetes UK will be a success and lead to more opportunities in the future

Arts in Health

1. The past twelve months have proved to be another year of notable achievements, with the gallery on the St Pancras site able to continue its outstanding achievements thanks to the support of the CNWL charity.

2. LIFE IN THE AGE OF COVID (23/6/22 – 23/9/22) was a rare commission for The Arts Project inspired by the pandemic lockdown with the arts as a tool through which to reflect thoughts, feelings and memories about what we had learnt from the COVID lockdown.

3. The commission attracted over 40 expressions of interest and from a shortlist of five Jackie Smith (Chair of C&I NHS FT at the time) selected the installation concept of Alana Jelinek. The concept involved an epic mural painting of London from a bird's eye viewpoint painted over the entire walls of the gallery. Within this mural 21 grids offered space to 21 contributors with artwork reflecting themes, ideas and responses to living in a confined space. The final installation included contributions from both staff and service users.

4. The installation invited visitors to walk through the gallery to the sounds of the dawn chorus and bird song by renowned sound artist Rob Godman. The result was a unique experience that provided a thoughtful experience and is the

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subject of an award-winning short film made by Anna Bowman also called LIFE IN THE AGE OF COVID.

1. We followed this exhibition with an end of the year exhibition PIXELS AND PIGMENTS: REAL LIFE AND DREAM WORLDS (17/10/22 – 13/1/23) that compared creativity made in the digital age with computer technology alongside more traditional handcrafted analogue art work including sculpture, paintings and drawings. This exhibition also featured staff and service users along with professional and self-taught artists. The exhibition attracted over 80 visitors and benefitted artists with sales and provided a donation to the Charity.

2. We ended the year with the return to the gallery of LOUDEST WHISPERS (6/2/23 – 12/5/23) . This is the 14[th] year of this exhibition, supported by forum+ and a notable collaboration with students from the University of Westminster. Linked to a funded programme entitled Facing The Public, we worked with Professor Pippa Catterall and mentored students in a short film project, a research presentation evening on Representation of Gender in Film and Television as well as supported a student Martha Jennings who created an installation MEMORIA:TECHNICA that celebrated LGBT+ practitioners in film/television and photography both past and present, inviting visitors to contribute to a roll call of names and craft involved.

3. We are also fortunate that documentary filmmaker Anna Bowman creates short documentary films for us which are wonderful film records of our Gallery activities over the years. The films reveal a sense of a community family of artists and supporters embracing the value of arts in health care. The films are now entered and noticed by global short

film festivals with the short film LIFE IN THE AGE OF COVID a finalist in panel selection for the Dublin World Film Festival in 2021 .

1. The ARTS PROJECT continues to benefit from the technical digital and social media skills of our Operations Manager Marius Els who has maintained our strong on-line presence during the pandemic.

2. The gallery allows artists to sell work with a 20% donation to the CNWL Charity. During this year £497 has been raised.

How we funded our work, our achievements and performance

1. The following figures are taken from the full accounts approved on 10 January 2024, if more details are required please refer to the full accounts. This part of the trustee’s annual report comments on key features of those accounts. In this section we firstly explain how we raised the money and then how we spent it.

Money received - £521k. Money spent - £408k

1. The Charity can only continue to support the work of grant giving for as long as we receive the money needed. Almost all of our income comes from donations and investments. Overall, we ended the year with £341k in hand before the performance of our investments was taken into account.

Money received: sources of funds

1. The bar chart shows our main sources of income. Our largest source of income is investments and donations either direct or through corporate giving.

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Analysis of Income - £'000
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• Investments Income £180k – our largest source of income is dividends and interest from investments.

• Donations from individuals and external organisations £341k . We are grateful to the other charities and similar organisations that have given us grants to fund particular projects or purchase pieces of equipment. We are always keen to work with the many specialist health charities to benefit groups of patients being treated at all locations where the services of CNWL NHS FT are provided for specific conditions.

Money spent: what we spent the money on

1. As the chart below shows, our largest area of spend was on patients welfare and amenities costs.

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2022/23 £'000
Analysis of Expenditure - £'000 2021/22 £'000
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Our charitable work was made up of the following programme:

• Staff Welfare and Amenities. We spent £17k on initiatives to ensuring staff are well trained and supported benefits the quality of care they provide. Of course, the CNWL NHS FT as employer has a duty to ensure its staff are well trained and able to do their work but we can add those extra amenities and support additional training.

• Patient Welfare and Amenities. In total, we spent £190k on patient welfare such as patients’ Christmas parties.

How we ensure your funds are spent wisely

1. Spending charitable money is only part of the ensuring the charitable objects are achieved. To ensure the charities funds are well spent applications for Unrestricted Fund grants include questions about the objectives, impact and success criteria for the proposed project. We ask the applicant what the outcome of the grant was both in terms of what they spent

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the money on and what difference it made to the challenge they were seeking to overcome. This information informs future grant making policy as well as providing a basis for assessing our performance.

1. We also ask fund advisors of Restricted and Designated funds to provide a brief report on what they spent the money on and the difference it made to the lives of beneficiaries.

2. Research grant holders are required to provide an annual report explaining the course and outcome of their work. This is reviewed by the Scholl Scientific Committee and a summary report submitted to the Charitable Funds Committee acting on behalf of the corporate trustee. Key indicators used to measure the success of funded research include the number of peer-reviewed publications and the number of presentations to national and international meetings.

3. The Executive Directors of Trust agreed to promote “Pennies From Heaven” (PFH) a payroll deduction donation scheme. From August 2019 the Trust has encouraged new and existing staff to join the scheme. As monthly donations can be between £0 and 99p per staff member per payslip (or a maximum of £11.88 per staff member per year), amounts received to date have been extremely modest. However, the potential to generate a large and regular turnover means that this will remain as the principle form of Unrestricted fundraising into the future.

4. The Charity did not promote an “NHS Big Tea” across both CNWL Trust and C&I Trusts on the 5[th] July 2022.

5. CNWL NHS Foundation Trust provides clinical services to individuals addicted to gambling. The Corporate Trustee has decided that it is inappropriate and will accordingly not accept donations which have been generated through gambling activities for the benefit of CNWL Trust.

Fundraising by the Charity

Our fundraising performance

1. The CNWL Charity does not currently have a fundraising team to organise fundraising events and co-ordinate the activities of our supporters both in the hospital and in the wider community. Neither does the CNWL Charity use professional fundraisers or involve commercial participators.

2. The Charity has not received any complaints about fundraising activity this year.

3. The CNWL Charity has not formally signed up to the Fundraising Regulator’s Code of Fundraising Practice. However, since November 2017 the CNWL Charity has voluntarily adopted the Code of Fundraising practice as the minimum standard for all fundraising activities undertaken in the name of the charity – whether by itself or a third party.

4. During the year the total donations, legacies and income from fundraising came to £341k in comparison to last year of £277k . The charitable funds committee considers this to be in line with the historic trend for the charity but to be regarded as a minimum in future years as fundraising takes off.

5. The charity benchmarks our fundraising activity with our peers through the Association of NHS Charities and monitor the comparative success of campaigns and overall fundraising cost to income ratios. We continue to perform well with a low cost to income ratio compared to the average but

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we underperform for the overall value of donations against the average for an NHS charity with a focus on grants making. By seeking to raise our fundraising profile through the new strategy we hope, in time, to bring our funds raised up to the average for NHS children’s charities linked with large NHS Trusts and foundation trusts.

What we plan to do with your donations: our future plans

1. We will achieve our mission by working with the both CNWLFT and C&IFT to develop the facilities and environment to treat service users of all ages with mental and physical health conditions – whether this care is delivered in hospital (in or outpatient), or within a community setting (GP practice or the patient’s home). Where it can be shown that service users will benefit, the charity will provide support for NHS staff to develop the skills they need.

2. Our detailed plans for the future will be determined by the impact of the fundraising, marketing and communication strategy, which is will be developed with the appointment of the Development Director. However, in broad terms the charity will:

3. expand our fundraising activities towards achieving our goal of reducing dependency on Investment income to below 50 % every year.

4. spend the funds we raised to meet the needs of patients, service users and carers, which they have identified the meeting of this need as having a material impact on the quality of their lives

5. to maintain and expand our support for patient focussed clinical research building on the Dr William Scholl Unit for Podiatric Development Priority Setting Partnership launch in November 2019

6. to maintain general support for equipment and buildings at a minimum of £100,000 per year.

7. Your support makes these plans possible and to help us please do consider donating.

How we manage the money

Our grant making policy

1. The Charity makes grants from both its unrestricted and restricted funds. Within the unrestricted funds, grants are made from general funds, and designated (earmarked) funds. The income generated by the Dr William M. Scholl Podiatric Development endowment is solely applied in the making of research grants to. advance the understanding and treatment of medical conditions of the foot and lower limb:

2. General funds. These funds are received by the Charity with no particular preference expressed by donors. The charitable funds committee invites applications from any member of the hospital, and other organisations which support NHS patients of the Two NHS Foundation Trusts the charity supports. Based on their knowledge of the Trusts, the committee agree funding priorities and score the applications for quality and value for money. Grants are targeted at projects in areas of the Trust that do not have access to other funds to assist them.

3. Designated (earmarked) funds . These funds are established for a particular location, team, or service of the

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trusts. They are overseen by fund advisors who can make recommendations on how to spend the money within the designated area. Fund advisors’ recommendations are generally accepted and these funds can be spent at any time.

• Dr William M. Scholl Unit for Podiatric Development income . The Charity manages a separate permanent endowment of $1 million, under a total returns policy. The income generated from the endowment capital, and retained interest and gains is held in a separate fund and applied in the making of research grants to advance the understanding and treatment of medical conditions of the foot and lower limb. The Scholl Scientific Committee identifies suitably robust research projects, and the charitable funds committee decides which, if any, projects to fund based an assessment of quality, value for money and how well they match the objects of the charity.

Less designated funds (£2,371k) Total reserves £1,023k

1. The charitable funds committee intends that designated funds are spent within a reasonable period of receipt and therefore expects to only maintain reserves sufficient to provide certainty of funding for the research programme and continuity for general grant making. Therefore, the target range for reserves is between £1m and £1.5m to ensure the stability of grant funding.

The minimum reserve requirement is calculated as follows:

Requirement for grants making activity £1,000k

Requirement for all other charitable £500k expenditure

Total reserve requirement £1,500k

Our reserves policy

1. The charitable funds committee has established a reserves policy as part of its plans to provide long term support to CNWLFT &C&IFT for research, education, new equipment, staff and patient welfare and building work.

2. The charitable funds committee calculate the reserves as that part of the charity’s unrestricted income funds that is freely available after taking account of designated funds that have been earmarked for specific building or major equipment purchase, research and other projects.

3. The reserves currently stand at £1,023k and are calculated as follows:

Total unrestricted funds of

£3,394k

The reserves held are currently below our target range due in large part to investment losses and we anticipate some of this ground will be recovered through better investment performance.

1. The charitable funds committee expects that Unrestricted/ Designated and expendable restricted funds will be spent within five years based on the current levels of expenditure as at 31 March 2023. It therefore regularly reviews the balances held in Unrestricted/Designated funds against this benchmark unless it has been agreed that a different period is more appropriate based on the reason for the designation. Where the fund has not been spent within five years, the charitable funds committee will determine whether the fund is likely to be committed in the near future and the extent to

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which there is a continuing need for the particular Unrestricted/Designated funds. Where it is decided that the designation is no longer necessary or the designated fund has been inactive for more than five years, the funds are closed and transferred to reserves.

Our financial health: a strong balance sheet

1. The assets and liabilities of Charity as at 31 March 2023 are stated below, compared with the position at 31 March 2022.

2. A few helpful definitions:

Fixed asset investments are investments in quoted stocks and shares.

Fixed Asset Investments Net Current Assets Creditors falling due after more than one year Total Net Assets Capital Funds (Endowment) Income Funds: Restricted Unrestricted income Funds: Designated (earmarked) Funds Our reserve: ‘general fund’ Total Funds	31 March	31 March 2022 £'000 6,955 619 (495) 7,079 2,967 390 2,392 1,330 7,079
	2023
	£'000
	6,530
	233
	(132)
	6,631
	2,728
	509
	2,371
	1,023
	6,631

Net current assets represent cash held on deposit less the value of accruals (money owed to others for expenses chargeable to the year) and outstanding liabilities.

Creditors falling due after more than one year represent the balance of multi-year research grants and multiyear grants towards specific posts.

Capital funds represent the Scholl endowment which is held as capital in perpetuity so that only the income is available for distribution.

Restricted income funds represent money which can only be used for specified purposes.

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Unrestricted income funds are funds available to be spent within the objects of the charity which can legally be spent wholly at the discretion of the trustee. In practice, respecting the nonbinding preferences expressed by donors, the charitable funds committee has sub categorised the unrestricted income funds under two headings.

Designated (earmarked) funds represent some 200 separate funds which the charitable funds committee has created to accord, as far as practicable, with the specific intentions of the gifts received through wards, departments and specialties. By designating funds, the committee ensures that those gifts are channelled towards charitable purposes in those areas. These funds are supervised by about two hundred fund advisors from the wards, departments and specialties concerned.

General fund represents those funds available for distribution by the trustee which have not been restricted or earmarked.

About our investments

1. The trustee holds the Scholl endowment as Investment Fund Income Units, on the advice of Investec Wealth & Investment Limited with a view to striking a balance between income yield and the preservation of the real value of capital. Investments are made on a total return basis and Income is reinvested by the investment manager.

the trustee to invest in a wide range of shares and investments, provided they are not speculative. The portfolio is structured to permit a range of investments intended to yield a competitive rate of return in difficult market conditions and part of the portfolio is invested in hedge funds. In addition, the charitable funds committee has decided not to invest in tobacco securities, pornography and online gambling because of the proven link to poor health which would make such investments contrary to our charitable aims.

1. Appeal funds and funds intended to be used to pay grants in the near future are held on deposit to minimise investment risk.

2. Investment performance is monitored by the Charitable Funds Committee by reviewing regular reports from the investment managers. During the year, the total return, including dividends and interest, in the value of the Scholl Fund Investment Portfolio decreased by 6.50% , Pooled Fund Investment Portfolio decreased by 6.04% , while the COIF Funds Portfolio decreased by 3.78% . This does not compare favourably with the benchmark set by the committee.

3. Other investments of CNWL Charity are managed by both Investec Wealth & Investment Limited and CCLA with the objective to maximise the income receivable whilst allowing a degree of capital growth. Since these funds represent unrestricted income funds including reserves, the emphasis is on maintaining a high level of liquidity and a low to moderate investment risk. The governing documents allow

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How we organise our affairs: reference and administrative details

The Charity

1. The CNWL Charity is registered with the Charity Commission under the single Registered Number 1082989:

2. Originally known as the Brent, Kensington, Chelsea and Westminster Mental Health NHS Trust Charitable Fund, the governing document is a deed dated 1[st] April 1999

3. Its objects (amended 14[th] November 2012) are ‘for charitable purposes relating to the general, or any specific purposes of the Central and North West London NHS Foundation Trust, or to purposes relating to the health service.

The CNWL charity office and principal address is:

The Director for Charity Development CNWL NHS Foundation Trust 350 Euston Road Regents Place London, NW1 3AX

The corporate trustee, principal address is:

The Chief Executive CNWL NHS Foundation Trust 350 Euston Rd Regents Place London, NW1 3AX

C&I NHS Foundation Trust principal address is:

The Chief Executive Camden and Islington NHS Foundation Trust St. Pancras Hospital 4 St Pancras Way London, NW1 0PE

Trustee arrangements

1. The CNWL NHS Foundation Trust is the corporate trustee of the CNWL charity. The corporate trustee’s responsibilities are therefore carried out by the CNWL Trust board of directors. The board is appointed in accordance with the CNWL Trusts constitution. Details of CNWL Trusts board membership can be found below:

2. As CNWL Charity has a corporate trustee it is, in accounting terms, controlled by CNWL Trust and is therefore its subsidiary. Financially, the charity is not material to CNWL Trust and so the option has been taken not to consolidate charitable funds into the CNWL Trusts accounts.

3. The CNWL Trust does not include members of C&I Trust, the CNWL Charity, therefore does not have a corporate trustee that includes representation from C&I Trust. The CNWL Charity recognises this discrepancy, and makes available space of the Charitable Fund Committee for a non-voting member from C&I Trust to ensure the views of this beneficiary are represented and considered.

4. CNWL Trusts board meet annually, at a separate meeting - as corporate trustee to:

5. review and adopt the CNWL Charities Annual Accounts

6. review the membership of the Charitable Funds Committee

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Name	Role in Foundation Trust	Date Joined/ Left
Professor Dorothy S Griffiths	Chair	March 2023
Tom Kibasi	Chair	April 2023
Claire Murdoch	Chief Executive
Hannah Witty	Chief Finance Officer	December 2022
Tom Shearer	Chief Finance Officer	March 2023
Dr Cornelius Kelly	Chief Medical Director
Ross Graves	Director of Strategy and Performance
Charlotte Bailey	Director of People and Organisational Development	June 2023
Nick Green	Interim Director of People and Organisational Development	June 2023
Graeme Caul	Chief Operating Officer
Maria O’Brien	Chief Nursing Officer
Paul Streets	Non-Executive Director	April 2022
Dr Reva Gudi	Non-Executive Director	May 2022
Ian Mansfield	Non-Executive Director
Rashda Rana	Non-Executive Director
Meena Anand	Non-Executive Director	May 2022
Richard Cartwright	Non-Executive Director	July 2022

and with the representatives of CNWL Trust and C&I Trust who provide the financial services to the charity.

Name	Committee Attendance (including dial-in)	Joined/Resigned
Paul Streets OBE	2/2
Maria O’Brien	2/2
Hannah Witty	1/1	December 2022
Tom Shearer	1/1	January 2023

1. The members of the Corporate Trustee are listed below.

2. The Charitable Funds Committee comprises two executive members of the board and one non-executive member. Other members of CNWL Trust and C&I Trust staff are invited to attend committee meetings – including the Director for Charity Development, The Director For Charity Finance and Governance, the Director of the Dr William M. Scholl Unit For Podiatric Development, and a representative from the Board of C&I Trust but do not have a vote at those meetings.

   1. During the year, the committee members who could vote were:

3. The board of directors of CNWL Trust delegate

4. responsibility for the day to day management of the CNWL Charity to the Charitable Funds Committee, the Director for Charity Development, The Director For Charity Finance and Governance and the Director of the William M Scholl Unit for Podiatric Development in accordance with the scheme of delegation and standing financial instructions. Together, they are responsible for fulfilling the corporate trustee’s strategic plan and for working with the professional advisors

5. Members of the Charitable Funds Committee are selected to give the charity a good mix of appropriate professional skills – for example, medical, finance, investment and fundraising.

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1. All members of the CNWL board have access to the Charity Commission’s guidance: public benefit: an overview and the essential trustee: what you need to know (CC3) and a summary of what this means for a corporate trustee.

2. New members of the charitable funds committee are offered an induction with the Director for Charity Finance and Governance. Appropriate training courses are offered in charity law and administration, and the roles and responsibilities of trustees

Pen Portraits of Charitable Funds Committee members

1. Paul Streets OBE Chair of the Charitable Funds Committee and Non-Executive Director of CNWL NHS Foundation Trust. Paul is Chief Executive of the Lloyd’s Bank Foundation, an Independent Charity funded by Lloyds Bank. Prior to this role he had a career in the voluntary and public sector, in International development (Sight Savers) Human Rights (Amnesty International) professional and service regulation health and social care. Paul was CEO for Diabetes UK. In 2003 he was awarded an OBE for services to people with Diabetes

2. Hannah Witty Chief Finance Officer of CNWL NHS Foundation Trust. Appointed: February 2020, Left December 2022. Hannah has worked in the private sector and qualified as a Chartered Accountant with the National Audit Office. She has a BA (Hons) in English Language and Literature, and is a Fellow of the Institute of Chartered Accountants England and Wales. She is responsible for the financial performance of the Trust and on a day to day basis oversees that of the charity on behalf of the Corporate Trustee.

3. Tom Shearer is a chartered Management Accountant, and has worked in various roles in NHS finance for the last 13 years, most recently being Site Chief Financial Officer at St George’s Hospital in Tooting. He is responsible for the financial performance of the Trust and on a day to day basis oversees that of the charity on behalf of the Corporate Trustee.

4. Maria O’Brien Chief Nursing Officer of CNWL NHS Foundation Trust. Appointed: September 2019 Maria trained as a Registered Nurse at Guys Hospital in the 1980s with a specialist focus in Cardiac Nursing and Intensive Care. In 2008 she joined the Board of Hillingdon PCT as the Executive Director of Nursing. Maria joined CNWL in 2011 taking responsibility for community services in Camden in 2012. Since February 2014, Maria was Divisional Director for Goodall and Deputy Chief Operating Officer prior to becoming CNWL’s Chief Nursing Officer

Sub Committees

1. The Charitable Funds Committee is supported by two subcommittees, representing key stakeholders within the Charity. These subcommittees do not have delegated powers, and are designed to provide local or specialist knowledge to the deliberations of the Charitable Funds Committee

2. The first subcommittee is the Scientific Committee of the Dr William M. Scholl Unit of Podiatric Development.

3. The subcommittee is made up of senior members of podiatric research institutions and clinical practice, and

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provides an independent voice ensuring that scientific proposals for the use of the Units resources meet the high standards required of academic research.

Members Name	Role or Academic Institution	Date	Meetings attended
		Joined/
		Resigned
Professor ChrisNester	Scholl Fund Director		3
Professor Wendy Drechsler	Kings College London		3
Dr Stewart. Morrison	University of Brighton		2
Pravena Patel	PodiatryLead,CNWL		3
Andrew Machin	CNWL Charity		0
Professor Neil Reeves	Manchester MetropolitanUniversity	April 2022
Dr Gordon Hendry	Glasgow Caledonian University	April 2022
Dr David Stephensen	Royal London Hospital		3

1. The second subcommittee represents the charitable interests of C&I Trust. The C&I Charity Advisory Group were established firstly to give strategic direction to the development of charity. To that end a member of the Committee is entitled to attend and advise the Charitable

Fund Committee on matters affecting C&I. Secondly, the Advisory group considers and recommends to the Charitable Funds Committee the use of charitable funds benefitting the Trust

Members Name	Date Joined/ Resigned	Role	Meetings Attended
DavidWragg		Directorof Finance	4/4
Dalwardin Babu		NED	2/4
Mark McLaughlin		CAG Chair/ NED	3/4
Andrew Machin		Associate director For Charity development	2/5
Christian Oribio	July 2022	Trust Company Secretary	0/5
ClaudiaDias		Service user Representative	3/4
JamesMaskell		Service user Representative	3/4
Gail Carter		Senior Executive Business Assistant	3/4
Sue Gray		Finance Credit Controller	0/4
Simon Ramage		Associate Director For Commercial Operations and Contracts	4/4
Beverley Chipp		Service user Representative	3/4
Deborah O’Driscoll	Feb 2022	Communication and EngagementManager	4/5

1. The C&I Charity Advisory group has in previous years been supported by the C&I Charity Working Group. However, as a result of the pandemic, this group has been suspended, and as a result has not met in the past 12 months.

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Our staff

1. CNWL Charity has three senior managers.

Name	Role	Time	Status
Neil Harman	Director For Charity Development	1.0 WTE	Seconded from CNWL NHS Foundation Trust
Andrew Machin	Director For Charity Finance and Governance	0.5 WTE	Seconded from CNWL NHS Foundation Trust
Professor Chris Nester	Director of the Scholl Fund	12 days per year	Self Employed

Professional Advisors

1. The charitable funds committee is also assisted by a number of professional advisors, as detailed below:

Investment managers:

CCLA Investment Management Ltd. St Alphage House, 2 Fore Street, London, EC2Y 5AQ

Investec Wealth & Investment Limited, 2 Gresham Street, London, EC2V 7CN.

External Auditor:

Banker:

KPMG LLP, HSBC Plc 15 Canada Square, 166 Vauxhall Bridge Road London, London E14 5GL. SW1V 2RB

Legal Advisor:

RadcliffesLeBrasseur Hempsons, 85 Fleet Street 40 Villiers St, London London, EC4Y 1AE WC2N 6NJ

1. The board of the corporate trustee, The Charitable Funds Committee. the Director For Charity Development, The Director For Charity Finance and Governance, and the Director of the Dr William M. Scholl Unit of Podiatric Development comprise the key management personnel of the charity as they are responsible for:

2. directing and controlling the charity

3. running and operating the charity on a day to day basis.

4. CNWL NHS Foundation Trusts board members are either executive members who are employees of CNWL Trust or non-executive members who are remunerated in accordance with the CNWL Trust’s constitution. None of the board members are specifically paid in relation to CNWL Charity; they give of their time freely.

5. Details of expenses paid to key management personnel are disclosed in note 14 to the accounts.

6. Members of CNWL Trust’s board are required to disclose all relevant interests and register them with the CNWL Trust Secretary and withdraw from decisions where a conflict of interest arises. All related party transactions are disclosed in note 2 to the accounts.

7. The Director For Charity Development is employed by CNWL Trust on NHS terms and conditions. His

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remuneration is reviewed annually and is increased in accordance with the nationally agreed increases for his pay scale.

1. The Director For Charity Finance and Governance is employed by CNWL Trust on NHS terms and conditions. His remuneration is reviewed annually and is increased in accordance with the nationally agreed increases for his pay scale. The CNWL Charity is fully recharged by the CNWL Trust for the employment costs relating to the Associate Director.

2. The Director of the Dr William M. Scholl Unit of Podiatric Development is employed by CNWL Trust on the basis of an independent contractor’s terms and conditions for a fixed period of three years. The basis of remuneration is agreed between both parties at the beginning of the contract period. The CNWL Charity meets the full cost of engaging the Director of the Dr William M. Scholl Unit of Podiatric Development.

Risk analysis

1. As part of the business planning exercise carried out during the year, the Charitable Funds Committee has considered the major risks to which CNWL Charity is exposed. They have reviewed systems and identified steps to mitigate those risks. Two major risks have been identified and arrangements have been put in place to mitigate those risks.

Fraud committed against the charity

1. The committee recognise that the CNWL Charity has a high exposure to risk from Fraud – both in terms of resources entering and leaving the Charity

2. The committee recognises, that due to the dispersed, and extensive nature of the organisations it supports, and the income that they generate from patients, service users, carers and supporters there is a danger that income may be diverted away from the charity to meet local need, or through deliberate fraud. The Charity encourages all donations to be made electronically through its Just Giving Website (which also allows for the collection of Gift Aid), or exceptionally through a cheque sent to the Finance Department of CNWL Trust at 350 Euston Road. The Charity makes use of the CNWL Trust, and C&I Trust internal communications systems to advertise these approaches, and to discourage the donation of cash.

Fall in investment returns

1. CNWL Charity historically generates a high percentage of its expendable resources from investing its cash balances and generating dividends and gains. The committee considers the loss of investment income to be a major financial risk. The risk is mitigated by retaining expert investment managers, having a diversified investment portfolio and regularly reviewing that portfolio. The committee makes use of benchmarking information when reviewing the portfolio. In addition, the Committee is committed to diversifying the sources of income, and reducing the charities dependency on Investment income to below 50% of its generated resources

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1. The CNWL Charities’ permanent endowment, the Dr William M. Scholl Unit for Podiatric Development, has a in an additional risk, in that US$1 million must be retained by the charity at all times, this exposes the charity to dangers of currency fluctuations. The Endowment is managed separately to the charities Pooled investments, with its own strategy and on a total return basis, the committee considers that the use of a total return approach helps stabilise the income available to spend on grant making.

Related parties

1. CNWL Trust is the corporate trustee of CNWL Charity and is therefore a related party.

2. C&I Trust is an NHS provider, independent of CNWL Trust, but who the CNWL Charity holds charitable monies which support and benefit staff and service users of C&I Trust.

3. The CNWL charity may pay grants to other NHS and charitable bodies where they provide services which align with our charitable objectives. Although the committee is careful to consult with representatives of these organisations formally through their committee meetings and via other, less formal contacts, they retain their independence to act in the best interests of the CNWL Charity and the charity’s beneficiaries.

Our relationship with the wider community

1. The ability of CNWL Charity to continue its vital support for both CNWL Trust and C&I Trust is dependent on its ability to increase donations from the general public. CNWL Charity also seeks to grow a strong relationship with members of staff of the both NHS Trusts without whose cooperation the ability to make an effective contribution would be much diminished.

Volunteers

On behalf of the trustee body, the Charitable Funds Committee would like to pay tribute to the members of staff who give of their time in support of the work of the CNWL Charity, in developing ideas and working with us to identify how we can help them care for the patients, service users, carers, and their fellow staff.

Signed on behalf of the trustee:

Name: Claire Murdoch Date: 10 January 2024

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Statement of trustee’s responsibilities in respect of the trustee’s annual report and accounts

Under charity law, the trustee is responsible for preparing the trustee’s annual report and accounts for each financial year which show a true and fair view of the state of affairs of the charity and of the excess of expenditure over income for that period.

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

1. selects suitable accounting policies and then apply them consistently

2. makes judgments and estimates that are reasonable and prudent

3. states whether the recommendations of the SORP FRS 102 have been followed, subject to any material departures disclosed and explained in the financial statements

Signed on behalf of the trustee:

Name: Claire Murdoch

Date: 10 January 2024

1. states whether the financial statements comply with the trust deed, subject to any material departures disclosed and explained in the financial statements

2. prepares the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue its activities.

The trustee is required to act in accordance with the trust deed and the rules of the charity, within the framework of trust law. The trustee is responsible for keeping proper accounting records, sufficient to disclose at any time, with reasonable accuracy, the financial position of the charity at that time, and to enable the trustee to ensure that, where any statements of accounts are prepared by the trustee under section 132(1) of the Charities Act 2011, those statements of accounts comply with the requirements of regulations under that provision. The trustee has general responsibility for taking such steps as are reasonably open to the trustee to safeguard the assets of the charity and to prevent and detect fraud and other irregularities.

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Annual Accounts 2023/22 Page | 29

Independent auditor’s report to the Trustee of Central and North West London NHS Foundation Trust Charitable Fund

Opinion

We have audited the financial statements of Central and North West London NHS Foundation Trust Charitable Fund (“the charity”) for the year ended 31 March 2023 which comprise the Statement of Financial Activities, Balance Sheet, Statement of Cash Flows, and related notes, including the accounting policies in note 1. 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 UK accounting standards, including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland ; 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 149 of the Charities Act 2011 (or its predecessors) 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 are described below. We have fulfilled our ethical responsibilities under, and are independent of the charity in accordance with, UK ethical requirements including the FRC Ethical Standard. We believe that the audit evidence we have obtained is a sufficient and appropriate basis for our opinion.

Going concern

The trustee has prepared the financial statements on the going concern basis as they do not intend to liquidate the charity or to cease its operations, and as they have concluded that the charity’s financial position means that this is realistic. They have also concluded that there are no material uncertainties that could have cast significant doubt over its ability to continue as a going concern for at least a year from the date of approval of the financial statements (“the going concern period”).

In our evaluation of the trustee’s conclusions, we considered the inherent risks to the charity’s business model and analysed how those risks might affect the charity’s financial resources or ability to continue operations over the going concern period.

Our conclusions based on this work:

• we consider that the trustee’s use of the going concern basis of accounting in the preparation of the financial statements is appropriate;

• we have not identified, and concur with the trustee’s assessment that there is not, a material uncertainty related to events or conditions that, individually or collectively, may cast significant doubt on the charity’s ability to continue as a going concern for the going concern period.

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However, as we cannot predict all future events or conditions and as subsequent events may result in outcomes that are inconsistent with judgements that were reasonable at the time they were made, the above conclusions are not a guarantee that the charity will continue in operation.

Fraud and breaches of laws and regulations – ability to detect

Identifying and responding to risks of material misstatement due to fraud

To identify risks of material misstatement due to fraud (“fraud risks”) we assessed events or conditions that could indicate an incentive or pressure to commit fraud or provide an opportunity to commit fraud. Our risk assessment procedures included:

• Enquiring of trustees, other management and inspection of policy documentation as to the Charity’s high-level policies and procedures to prevent and detect fraud, as well as whether they have knowledge of any actual, suspected or alleged fraud.

• Reading Charitable Funds Committee minutes.

• Using analytical procedures to identify any unusual or unexpected relationships.

We communicated identified fraud risks throughout the audit team and remained alert to any indications of fraud throughout the audit.

As required by auditing standards, we perform procedures to address the risk of management override of controls, in particular the risk that management may be in a position to make inappropriate accounting entries. On this audit we do not believe there is a fraud risk related to revenue recognition because of the simple nature of the income received by the Charity which requires little judgment in determining its recognition. We therefore assessed that there was limited opportunity for Charity to manipulate the income that was reported. We did not identify any additional fraud risks.

We performed procedures including identifying journal entries to test based on risk criteria and comparing the identified entries to supporting documentation. These included those posted to seldom used accounts, unusual cash account combinations, and material post year end journals.

Identifying and responding to risks of material misstatement related to compliance with laws and regulations

We identified areas of laws and regulations that could reasonably be expected to have a material effect on the financial statements from our general commercial and sector experience, through discussion with the trustee and other management (as required by auditing standards), and discussed with the trustee and other management the policies and procedures regarding compliance with laws and regulations.

We communicated identified laws and regulations throughout our team and remained alert to any indications of non-compliance throughout the audit.

The potential effect of these laws and regulations on the financial statements varies considerably.

The Charity is subject to laws and regulations that directly affect the financial statements including financial reporting legislation (including related charities legislation), and we assessed the extent of compliance with these laws and regulations as part of our procedures on the related financial statement items.

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Whilst the Charity is subject to many other laws and regulations, we did not identify any others where the consequences of non-compliance alone could have a material effect on amounts or disclosures in the financial statements.

Auditing standards limit the required audit procedures to identify non-compliance with these laws and regulations to enquiry of the trustee and other management and inspection of regulatory and legal correspondence, if any. Therefore, if a breach of operational regulations is not disclosed to us or evident from relevant correspondence, an audit will not detect that breach.

Context of the ability of the audit to detect fraud or breaches of law or regulation

Owing to the inherent limitations of an audit, there is an unavoidable risk that we may not have detected some material misstatements in the financial statements, even though we have properly planned and performed our audit in accordance with auditing standards. For example, the further removed non-compliance with laws and regulations is from the events and transactions reflected in the financial statements, the less likely the inherently limited procedures required by auditing standards would identify it.

In addition, as with any audit, there remained a higher risk of non-detection of fraud, as these may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal controls. Our audit procedures are designed to detect material misstatement. We are not responsible for preventing non-compliance or fraud and cannot be expected to detect non-compliance with all laws and regulations.

Other information

The trustee is responsible for the other information, which comprises the Trustee’s Annual Report. Our opinion on the financial statements does not cover the other information and, accordingly, we do not express an audit opinion or, except as explicitly stated below, any form of assurance conclusion thereon.

Our responsibility is to read the other information and, in doing so, consider whether, based on our financial statements audit work, the information therein is materially misstated or inconsistent with the financial statements or our audit knowledge. We are required to report to you if:

• based solely on that work, we have identified material misstatements in the other information; or

• in our opinion, the information given in the Trustee’s Annual Report is inconsistent in any material respect with the financial statements.

• We have nothing to report in these respects.

Matters on which we are required to report by exception

Under the Charities Act 2011 we are required to report to you if, in our opinion:

• the charity has not kept sufficient accounting records; or

• the financial statements are not in agreement with the accounting records; or

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

We have nothing to report in these respects.

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Trustee’s responsibilities

As explained more fully in their statement set out on page X, the trustee is responsible for: the preparation of financial statements which give a true and fair view; such internal control as they determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error; 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 they either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so.

Auditor’s responsibilities

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 our opinion in an auditor’s report. Reasonable assurance is a high level of assurance, but does not 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 aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of the financial statements.

A fuller description of our responsibilities is provided on the FRC’s website at www.frc.org.uk/auditorsresponsibilities .

The purpose of our audit work and to whom we owe our responsibilities

This report is made solely to the charity’s trustee as a body, in accordance with section 149 of the Charities Act 2011 (or its predecessors) and regulations made under section 154 of that Act. Our audit work has been undertaken so that we might state to the charity’s 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 trustee, as a body, for our audit work, for this report, or for the opinions we have formed.

Fleur Nieboer

for and on behalf of KPMG LLP, Statutory Auditor

Chartered Accountants

KPMG LLP is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006 15 Canada Square

London E14 5GL 11 January 2024

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Central and North West London NHS Foundation Trust Charitable Fund Statement of Financial Activities for the year ending 31 March 2023

Note Income and endowments from: Donations and legacies 3.1 Investments 3.2 Total incoming resources Expenditure on: Raising funds 4.1 Charitable activities 4.2 Total expenditure Net gains/(losses) on investments 6.1 Net income/(expenditure) Transfers between funds 6.3 Net Movement in funds Reconciliation of Funds Total Funds brought forward Total Funds carried forward	Unrestricted/ Designated Funds Restricted Funds Endowment Funds Total Funds 2022/23 2021/22 2022/23 2021/22 2022/23 2021/22 2022/23 2021/22 £000 £000 £000 £000 £000 109 168 216 109 16 - 341 277 87 84 9 3 84 79 180 166
	196 252 225 112 100 79 521 443 (15) (17) (2) (1) (15) (15) (32) (33) (242) (138) (76) (82) (58) (46) (376) (266)
	(257) (155) (78) (83) (73) (61) (408) (299)
	(267) 166 (28) 7 (266) 107 (561) 280
	(328) 263 119 36 (239) 125 (448) 424 - - - - - - - -
	(328) 263 119 36 (239) 125 (448) 424 3,722 3,459 390 354 2,967 2,842 7,079 6,655
	3,394 3,722 509 390 2,728 2,967 6,631 7,079

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Central and North West London NHS Foundation Trust Charitable Fund Balance Sheet as at 31 March 2023

Note Fixed assets: Investments 6.1 Total Fixed Assets Current assets: Stocks Debtors 6.2 Cash and cash equivalents Total Current Assets Creditors falling due within one year 7.1 Net Current assets/(liabilities) Total net assets or liabilities The Funds of the Charity: Endowment funds 8.1 Restricted income funds 8.3 Unrestricted income funds 8.5 Total charity funds	Unrestricted/ Designated Funds 2022/23 2021/22 £000 £000 3,235 3,471	Restricted Funds 2022/23 2021/22 £000 £000 509 390	Restricted Funds 2022/23 2021/22 £000 £000 509 390	Endowment Funds Total Funds 2022/23 2021/22 2022/23 2021/22 £000 £000 £000 £000 2,786 3,094 6,530 6,955
		2022/23
		£000
		509
	3,235 3,471 1 1 27 13 205 605	509	390 - - -	2,786 3,094 6,530 6,955 - - 1 1 - - 27 13 - - 205 605
		-
		-
		-
	233 619 (74) (368)	-	- -	- - 233 619 (58) (127) (132) (495)
		-
	159 251	-	-	(58) (127) 101 124
	3,394 3,722	509	390	2,728 2,967 6,631 7,079
	3,394 3,722		390	2,728 2,967 2,728 2,967 509 390 3,394 3,722
		509
	3,394 3,722	509	390	2,728 2,967 6,631 7,079

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The notes on pages 38 to 52 form part of these financial statements. These financial statements were approved by the Trustees and authorised for issue and signed on their behalf by:

Signed: (Chief Executive) Date: 10 January 2024

Registered Charity Number: 1082989

Central and North West London NHS Foundation Trust Charitable Fund

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Statement of Cash Flows for the year ending 31 March 2023

Note Cash flows from operating activities: Net cash provided by (used in) operating activities 2.1 Cash flows from investing activities: Dividends, interest and rents from investments Proceeds from the sale of investments Net cash provided by (used in) investing activities Change in cash and cash equivalents in the reporting period Cash and cash equivalents at the beginning of the reporting period Cash and cash equivalents at the end of the reporting period	Total funds 2022/23 £’000 Total funds 2021/22 £’000 (411) 138
	11 11 - -
	11 11 (400) 149 605 456
	205 605

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NOTES ON THE ACCOUNTS

1 Accounting Policies

(a) Basis of preparation

The financial statements have been prepared under the historical cost convention, with the exception of investments which are included at fair value.

The financial statements have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued in October 2019 and the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102) and the Charities Act 2011 and UK Generally Accepted Practice as it applies from 1 January 2019.

The financial statements have been prepared to give a ‘true and fair’ view and have departed from the Charities (Accounts and Reports) Regulations 2008 only to the extent required to provide a ‘true and fair view’. This departure has involved following Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued in October 2019 rather than the Accounting and Reporting by Charities: Statement of Recommended Practice effective from 1 April 2005 which has since been withdrawn.

The Charity constitutes a public benefit entity as defined by FRS 102.

With respect to the next reporting period, 2021-22, the most significant areas of uncertainty that affect the carrying value of assets held by the Charity are the level of investment return and the performance of investment markets.

1.2 Income Recognition

All income is recognised once the Charity has entitlement to the income, it is probable that the income will be received and the amount of income receivable can be measured reliably.

a) Donations

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.

b) Gifts in kind

• i. Assets given for distribution by the funds are included in the Statement of Financial Activities only when distributed.

• ii. Assets given for use by the funds (e.g. property for its own occupation) are included in the Statement of Financial Activities as incoming resources when receivable.

• iii. Gifts made in kind but on trust for conversion into cash and subsequent application by the funds are included in the accounting period in which the gift is sold.

In all cases the amount at which gifts in kind are brought into account is either a reasonable estimate of their value to the funds or the amount

Page | 38

actually realised. The basis of the valuation is disclosed in the annual report.

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

probable that settlement will be required and the amount of the obligation can be measured reliably.

All expenditure is accounted for on an accruals basis. All expenses including support costs and governance costs are allocated or apportioned to the applicable expenditure headings.

a) Cost of generating funds

The costs of generating funds are the costs associated with generating income for the funds held on trust consist mainly of investment management costs and will include any legal fees where appropriate for the income receivable.

d) Endowment Fund

The Scholl permanent endowment includes realised and revaluation gains and losses as well as investment managers' fees. All income received into the Scholl Endowment fund is available for use by the Scholl Restricted fund for the furtherance of its activities.

e) Interest on funds

Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the Charity; this is normally upon notification of the interest paid or payable by the bank.

Dividends are recognised once the dividend has been declared and notification has been received of the dividend due. This is normally upon notification by our investment advisor of the dividend yield of the investment portfolio.

1.3 Expenditure recognition

Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to that expenditure, it is

b) Charitable Activities

Charitable activities are payments made to third parties (including NHS bodies) in the furtherance of the funds held on trust's charitable objectives to relieve those who are sick. They are accounted for on an accruals basis where the conditions for their payment have been met or where a third party has a reasonable expectation that they will receive the grant. This includes grants paid to NHS bodies.

c) Governance Costs

These costs relate to the independent review of the charitable fund and include the costs of governance arrangements which relate to the general running of the Charity as opposed to the direct management functions inherent in generating funds, service delivery and programme or project work. These activities provide the governance infrastructure which allows the Charity to operate and to generate the information required for public accountability. They include the strategic planning processes that contribute to the future development of the charity. These costs are accounted for on an accruals basis.

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d) Support Costs

The costs of functions which support more than one of the Charity's activities have been allocated to those activities based on time spent in the furtherance of the Charity's objects.

e) Grants payable

Grants payable are payments made to third parties (including NHS bodies) in the furtherance of the funds held on Trust's charitable objectives to relieve those who are sick. They are accounted for on an accruals basis where the conditions for their payment have been met or where a third party has a reasonable expectation that they will receive the grant. This includes grants to NHS bodies.

f) Irrecoverable VAT

Irrecoverable VAT is charged against the expenditure heading for which it was incurred.

*Mid-Market Price is a price of a security in-between its offer and bid price, used in computing investment performance statistics. These prices appear in the stock / share data tables of most newspapers.

*A stock trades ex-dividend on or after the ex-dividend date (ex-date). At this point, the person who owns the security on the ex-dividend date will be awarded the payment, regardless of who currently holds the stock.

1,6 Capitalisation of tangible fixed assets

Tangible fixed assets including artworks are capitalised where:

• it is held for use in delivering services or for administrative purposes

• it is probable that future economic benefits will flow to, or service potential be provided to, the Trust

• it is expected to be used for more than one financial year

• the cost of the item can be measured reliably

• the item has cost of at least £5,000, or

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 it 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 designated funds.

• collectively, a number of items have a cost of at least £5,000 and individually have cost of more than £250, where the assets are functionally interdependent, had broadly simultaneous purchase dates, are anticipated to have similar disposal dates and are under single managerial control.

1.7 Realised gains and losses

1.5 Investments

Investments are shown at market value. Quoted stocks and shares are included in the balance sheet at mid-market price, ex-dividend.

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

Page | 40

calculated as the difference between market value at the year end and opening market value (or date of purchase if later).

1.8 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 that its charitable activities are limited to those which it has sufficient funds to support from the excess of funding received over the costs of administering the charity. The charity therefore has no specific commitments and no committed costs as detailed in note 11.1.

The Trustee has reviewed the cash flow forecasts 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 its liabilities as they fall due for that period. The Trustee has also considered the implications of inflationary pressure on these cash flow forecasts and consider that as a result of its operating model explained above, even if no further funding is received in the 12 month period, the charity has sufficient cash reserves to pay all committed costs.

Consequently, the Trustee is confident that the charity will have sufficient funds to continue to meet its liabilities as they fall due for at least 12 months from the date of approval of the financial statements.

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2.1 Reconciliation of net income (expenditure) to net cash flow from operating activities

Net income/(expenditure) for 2022/23 (as per the Statement of Financial Activities) Adjustments for: • Non Cash Adjustments • (Gains)/losses on investments • Investment Income • (Increase)/decrease in stocks • (Increase)/decrease in debtors • Increase/(decrease) in creditors Net cash provided by (used in) operating activities	2022/23 £’000 2021/22 £’000 (448) 424 33 33 561 (280) (180) (166) - - (14) (1) (363) 128
	(411) 138

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3.1 Income from Donations and Legacies

Donations from individuals Donated Artwork* Corporate donations Legacies Grants from NHS Charities Together Charitable Funds Transfers from LNWH Donations Others	2022/23 2021/22 2022/23 2021/22 2022/23 2021/22 2022/23 2021/22 £000 £000 £000 £000 £000 £000 £000 £000 31 9 3 4 - - 34 13 - 20 - - - - - 20 - 6 75 2 16 - 91 8 - - - 8 - - - 8 - - 113 54 - - 113 54 - 128 - 40 - - - 168 78 5 25 1 - - 103 6 Unrestricted funds Restricted funds Endowment Funds Total Funds	2022/23 2021/22 2022/23 2021/22 2022/23 2021/22 2022/23 2021/22 £000 £000 £000 £000 £000 £000 £000 £000 31 9 3 4 - - 34 13 - 20 - - - - - 20 - 6 75 2 16 - 91 8 - - - 8 - - - 8 - - 113 54 - - 113 54 - 128 - 40 - - - 168 78 5 25 1 - - 103 6 Unrestricted funds Restricted funds Endowment Funds Total Funds
	109 168	216 109 16 - 341 277

3.1 Income from Donations and Legacies

*The donation above 2021-22 includes the artwork received from the legacy of late Sir Richard Rodney Bennet. The value of the artwork collection of USD 27,025 (£19,871) have been converted to reporting currency at $1.36, the historic exchange rate published by Assets Publishing Service of UK Government. For the accounting purpose, CNWL Charity recognised the value of artwork in the income and included them in the expenditure as the value of individual artwork are below £5,000 and do not meet the criteria for capitalisation.

3.2 Investment Income

Quoted Investments Unit Trusts Total	2022/23 Total Funds £’000 2021/22 Total Funds £’000 169 155 11 11
	180 166

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4.1 Analysis of Expenditure on Raising Funds

Investment management Total	Unrestricted Funds Restricted Funds Endowment Funds Total Funds 2022/23 £000 2021/22 £000 2022/23 £000 2021/22 £000 2022/23 £000 2021/22 £000 2022/23 £000 2021/22 £000 15 17 2 1 15 15 32 33
	15 17 2 1 15 15 32 33

4.2 Analysis of Charitable Expenditure

Patients Welfare & Amenities Staff Training, Welfare & Amenities Research Governance & Support Costs Covid-19 Recovery Total	Unrestricted Funds Restricted Funds Endowment Funds Total Funds 2022/23 £000 120 16 - - 106 2021/22 £000 37 22 - - 79 2022/23 £000 70 1 - - 5 2021/22 £000 1 76 - - 5 2022/23 £000 - - - 25 33 2021/22 £000 - - - - 46 2022/23 £000 190 17 - 25 144 2021/22 £000 38 98 - - 130 - - - - - - - -
	242 138 76 82 58 46 376 266

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4.3 Governance and Support Costs

Governance Costs Support Costs Total	2022/23 £’000 2021/22 £’000 91 66 53 64
	144 130

Governance and Support costs

Governance costs include audit fees and senior employee time recharged.

Support costs includes time recharged for the admin staff and bank charges.

There are no employees directly employed by the Charity. All support is provided by the Foundation Trust’s employees. All employee time recharged to the Charity is either utilised in the provision of governance of the Charity or in administering and supporting the Charity’s activities.

£60,000 during the 2022/23 financial year. The management of the Charity is carried out by the representative members of the Corporate Trustee.

No Trustee received any emoluments or was reimbursed expenses during the year or in the previous year.

The Charity administers funds that have been donated for its charitable activities. It does not make any grants nor has it an expectation in the current set up to have a grant making function.

The total expenditure incurred in Governance and Support costs are allocated to the funds on a pro-rata basis based on actual balance held in the funds.

The average number of staff employed for the year was 1.90 full time 1equivalents (2022:1.55). No employee emoluments have exceeded

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4.4 Analysis of Governance and Support Costs

External Audit Fee Governance Costs Administrative Salaries Bank Charges Total*	Unrestricted Funds Restricted Funds Endowment Funds Total Funds 2022/23 £000 2021/22 £000 2022/23 £000 2021/22 £000 2022/23 £000 2021/22 £000 2022/23 £000 2021/22 £000 10 65 29 2 4 38 32 5 1 1 3 - 1 2 2 - 5 9 19 - 5 16 25 - 16 75 51 2 10 56 59 5
	106 79 5 5 33 46 144 130

*External Audit Fee for 2022/23 is £13k (excl. VAT); £16k (incl. VAT), and 2021/22 £8k (excl. VAT) - £10k incl. VAT.

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5.1 Investments – Market Value at 31 March 2023

Investments by Type Fixed Interest UK Equities Overseas Equities North American Equities Japanese Equities Far East & Australasian Equities Emerging Economies Property Cash held as part of the investment portfolio Other Accrued Interest Total	Held in UK 2022/23 £’000 Held in UK 2021/22 £’000 Held Outside UK 2022/23 £’000 Held Outside UK 2021/22 £’000 Totals 2022/23 £’000 Total 2021/22 £’000 688 722 - 179 688 901 1,479 1,940 - - 1,479 1,940 - - 369 464 369 464 - - 1,522 1,674 1,522 1,674 - - 103 109 103 109 - - 199 253 199 253 - - 106 78 106 78 521 627 - - 521 627 222 243 - - 222 243 1,305 651 - - 1,305 651 16 15 - - 16 15
	4,231 4,198 2,299 2,757 6,530 6,955

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6.1 Investments – Gains / Losses

COIF

Investec

Totals

Market value brought forward Less: Cash Transfers and Fees Add: Dividends

Add net gain (loss) on revaluation Market value as at 31[st] March

Historic Value at 31 March

	2022/23	2021/22	2022/23	2021/22	2022/23	2021/22
	£’000	£’000	£’000	£’000	£’000	£’000
	405	373	6,550	6,180	6,955	6,553
	-	-	(32)	(33)	(32)	(33)
	-	-	168	155	168	155
	(15)	32	(546)	248	(561)	280
	390	405	6,140	6,550	6,530	6,955
	55	55	5,416	5,185	5,471	5,240

6.2 Analysis of Debtors falling due within one year

6.3 Transfers between Funds

Prepayments Other debtors Total	2022/23 £’000 2021/22 £’000 2 13 25 -
	27 13

There were no funds transfers during the year.

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7.1 Analysis of Creditors falling due within one year:

Accruals Creditors - Others Creditors - CNWL NHS FT Total	2022/23 £’000 2021/22 £’000 2 - 59 86 71 409
	132 495

8.1 Analysis of Endowment Fund Movements

Balance at 1 April Incoming Resources Resources Expended Gains and (Losses) Transfer Between Funds Balance at 31 March*	2022/23 £’000 2021/22 £’000 2,967 100 (73) (266) - 2,842 79 (61) 107 -
	2,728 2,967

*Investment income received from the Endowment Fund was £84k (2021/22 £79k).

8.2 Details of Endowment Fund

The Endowment funds are the Scholl Endowment Fund which has been set up to endow the William Scholl unit of podiatry development (changed by a Charity Commission scheme during 16/17). Due to the nature of the Scholl Endowment fund, it is a requirement to maintain a

Page | 49

balance of $1m at any one time. To this extent, all income received from this endowment is available to spend.

8.3 Analysis of Restricted Fund Movements

Fund Name	Fund balance brought forward 1 April	Fund balance brought forward 1 April	Fund balance brought forward 1 April	Income & Gains on Investments	Income & Gains on Investments	Transfers Expenditure & Losses on Investments	Transfers Expenditure & Losses on Investments	Transfers Expenditure & Losses on Investments	Transfers Expenditure & Losses on Investments	Fund balance carried forward 31 March	Fund balance carried forward 31 March
	**2022/23 **	**2021/22 **		**2022/23 **	**2021/22 **	**2022/23 **	**2021/22 2022/23 **		**2021/22 **	**2022/23 **	2021/22
	£000	£000		£000	£000	£000	£000	£000	£000	£000	£000
FTMS R Communities	6		6	-	-	-		- -	-	6	6
London Catalyst WKC	2		1	1	1	-		- -	-	3	2
Hillingdon Physio Dept.	1		1	-	-	-		- -	-	1	1
Medical Rehab Therapy	2		2	-	-	-		- -	-	2	2
Scholl Fund Income	-		-	-	-	-		- -	-	-	-
Mental Rehab IPCT	3		3	-	-	-		- -	-	3	3
LFH Post Reg Course	59		59	-	-	-		- -	-	59	59
Northwick Gym Equipment	1		1	-	-	-		- -	-	1	1
Willow Therapy M SK&C	1		1	-	-	-		- -	-	1	1
Tanzania Link	14		14	1	-	(1)		- -	-	14	14
NHS Charities Together	101		101	113	-	(1)		- -	-	213	101
St Charles (Herman Legacy)	97		97	1	-	(41)		- -	-	57	97
Others	103		68	109	118	(63)	(83) -		-	149	103
Total	390		354	225	119	(106)	(83) -		-	509	390

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8.4 Details of Material Restricted Funds

LFH Post Reg Course: To fund post graduate education costs for the Camden podiatry service.

Tanzania Link: To raise money to support the Trust's link with the hospital in Tanzania.

NHS Charities Together: Grants awarded to support improvements to ten staff rest facilities across CNWL NHS Foundation Trust and to focus on addressing the longer-term impact of Covid 19.

St Charles (Herman Legacy): To provide support to the St Charles Hospital.

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8.5 Analysis of unrestricted and material designated fund movements

	Fund Balance Carried Forward 31-Mar Fund Balance Brought Forward 01-Apr Income Expenditure Gains / (Losses) Transfers
Fund Name NHS LONDON GENERAL LSHA FUND GUM RESEARCH FUND TRUST GENERAL FUND OLDER PEOPLES SERVICE FUND MORTIMER MARKET GUM PALLIATIVE CARE TEAM BLOOMSBURY MORTIMAR MARKET CNWL GENERAL FUND ARCHWAY SEXUAL HEALTH SERVICE M WELLER SCHITZOPHRENIA FUND HILLINGDON CAMHS EDUCATION AND RESERCH GORDON STAFF AMENITIES CLINICAL PSYCH C&I FT Club Drug Clinic GORDON HOSPITAL FUND RENDEZVOUS CLUB CAMHS GENERAL FUND BEATRICE PLACE GENERAL FUND PHYSIOTHERAPY RES CPCT P SPECS SPH CPCT C COMMUNITY NURSING CPCT P BUTTERWORTH CTR 5 COLLINGHAM GARDENS Others Grand Total	2022/23 2021/22 2022/23 2021/22 2022/23 2021/22 2022/23 2021/22 2022/23 2021/22 2022/23 2021/22 £'000 £'000 £'000 £'000 £'000 £'000 £'000 £'000 £'000 £'000 £'000 £'000 663 672 - 0 (57) (9) - 0 - 0 606 663 322 326 - 0 (4) (4) - 0 - 0 318 322 134 147 150 90 (177) (103) - 0 - 0 107 134 138 140 - 0 (2) (2) - 0 - 0 136 138 91 92 - 0 (1) (1) - 0 - 0 90 91 72 73 1 0 (1) (1) - 0 - 0 72 72 71 72 - 0 (1) (1) - 0 - 0 70 71 85 78 11 11 (4) (4) - 0 - 0 92 85 50 51 - 0 (1) (1) - 0 - 0 49 50 39 39 - 0 - 0 - 0 - 0 39 39 29 29 - 0 - 0 - 0 - 0 29 29 29 29 - 0 - 0 - 0 - 0 29 29 23 23 - 0 - 0 - 0 - 0 23 23 21 21 - 0 - 0 - 0 - 0 21 21 21 21 - 0 - 0 - 0 - 0 21 21 19 19 - 0 - 0 - 0 - 0 19 19 19 19 - 0 - 0 - 0 - 0 19 19 18 18 - 0 - 0 - 0 - 0 18 18 16 16 - 0 - 0 - 0 - 0 16 16 14 14 - 0 - 0 - 0 - 0 14 14 13 13 - 0 - 0 - 0 - 0 13 13 13 13 - 0 - 0 - 0 - 0 13 13 10 10 - 0 - 0 - 0 - 0 10 10 10 10 - 0 0 0 - 0 - 0 10 10 1,802 1,514 34 151 (9) (29) (267) 166 - 0 1,560 1,802
	3,722 3,459 196 252 (257) (155) (267) 166 0 0 3,394 3,722

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11.1 Related party transactions

8.6 Details of Material Unrestricted & Designated Funds

NHS LONDON GENERAL L SHA: Welfare of North Central London H.A. staff.

GUM RESEARCH CPCT P: Research and training in the genitourinary medicine department.

During the year none of the trustees or members of the key management staff or parties related to them has undertaken any transactions with Central and North West London NHS Foundation Trust Charitable Fund.

Central and North West London NHS FT is the sole corporate Trustee of the Charity. During the year, the Foundation Trust charged £107k (£97k 2021/22) to the Charitable Funds for the cost of governance and administration.

OLDER PEOPLES SERV CPCT P: Benefit of older people's services within the Community Trust.

TRUST GENERAL FUND CPCT P: Welfare of Camden PCT staff and patients.

PALLIATIVECARETEAMCPCT P: Any purpose relating to health service.

Note: There are no unrestricted Scholl funds.

9.1 Taxation Liability

As a registered charity, Central and North West London NHS Charitable Fund is potentially exempt from taxation of income and gains falling within section 505 of the Income and Corporation Taxes Act 1988 and section 256 of Taxation of Chargeable Gains Act 1992. No tax charge has arisen in the year.

10.1 Post Balance Sheet Events

There are no post balance sheet events for the reporting period.

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