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NORTHUMBRIA HEALTHCARE NHS TRUST CHARITY

REGISTERED CHARITY NUMBER 1083122

THE CORPORATE TRUSTEE’S ANNUAL REPORT AND ANNUAL FINANCIAL STATEMENTS 2020/21

Page(s)

Page(s)
1. Corporate Trustee’s Annual Report
Foreword	1
About Bright Northumbria	3
Achievements and performance	5
Future Plans	17
Financial Review	18
Policies and Procedures	24
Structure, Governance and Management	27
Reference and Administrative Details	31
2. Financial Statements;
Statement of Corporate Trustee’s	i
Responsibilities
Foreword	ii
Independent auditor's report and	iii – v
opinion
Statement of Financial Activities	1
Balance Sheet	2
Accounting policies	3 to 7
Notes to the financial statements	8 to 14

Northumbria Healthcare NHS Trust Charity

2020/21

1. FOREWORD

The Corporate Trustee of Northumbria Healthcare NHS Trust Charity is pleased to present the Charity’s annual report together with the Audited Financial Statements for the year ended 31 March 2021.

The charity exists to support and enhance the National Health Services provided by Northumbria Healthcare NHS Foundation Trust. These services cover a wide range of NHS treatments including maternity services, general medicine, cancer and chemotherapy, childrens services, cardiology, trauma and orthopedics and many more. The charity’s aim is always to use donations to enhance the patient experience above and beyond what can be provided solely from mainstream NHS funding.

The report covers a year which saw the Covid-19 pandemic have a significant effect of the charity both in terms of the activities it was able to carry out and focus on as well as the financial position of the charity.

Trustee Arrangement

The Northumbria Healthcare NHS Foundation Trust is the Corporate Trustee of the Charitable Funds governed by the law applicable to Trusts, namely the Trustee Act 2000 and the Charities Act 2011.

The Corporate Trustee of the charity acts through the decisions and actions of the executive and non-executive members of Northumbria Healthcare NHS Foundation Trust Board. Where statute permits, the Board delegates authority for the review of strategy, activity and compliance to a sub-committee of the Board called the Strategic Charitable Funds Committee, the ‘CFC’.

The Committee aims to meet a minimum of twice per year.

Minutes of the CFC are presented to and reviewed by the full Trust Board.

Criteria

When applying the income of the Charity, the Corporate Trustee must have regard to the Charity Commission public benefit guidance, the two key principles of which are that the activities of the charity must;

1) Bring identifiable benefits and it must be clear what these benefits are; and

2) The benefits must be to the whole public, or sections of the public.

The Corporate Trustee is satisfied that the charity meets these requirements by improving the standard of medical care and improving the environment in hospitals and health services that

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are used by the whole of the population of Northumberland and North Tyneside. The Corporate Trustee is satisfied it has complied with the duty in Section 4 of the Charities Act 2006 to have due regard to public benefit.

The Charity’s Annual Report and Accounts for the year ended 31 March 2021 have been prepared by the Corporate Trustee in accordance with Part VI of the Charities Act 2011 and the second edition of the Charities SORP FRS 102. The Charity’s report and accounts include all the separately established funds for which the Northumbria Healthcare NHS Foundation Trust is the sole beneficiary.

The Corporate Trustee is very grateful to all of the donors who have given so generously to the Charity over the past year. The funds which have been received will make a great difference to patient care in a number of ways, by adding the extra comforts and amenities that are not able to be provided by core NHS funds, the Corporate Trustee would like to say a big thank you to all who have raised funds or donated to the Charity and to all volunteers who have given their time to raise money and provide improved services for our patients.

Approved on behalf of the Corporate Trustee

Sir Alan Craft – Non-Executive Director and Chair of Charitable Funds Committee*

Paul Dunn – Executive Director of Finance

Dated : 25[TH] November 2021

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2. ABOUT BRIGHT NORTHUMBRIA

History

The charity was formed on 18 May 2000 as the “umbrella” charity for Northumbria Healthcare NHS Trust Charitable Funds. Northumbria Healthcare provides health services to the population of Northumberland and North Tyneside. Northumbria Healthcare was formed by the merger of four NHS Trusts, Cheviot and Wansbeck NHS Trust, North Tyneside Healthcare NHS Trust, Northumberland Community NHS Trust and Hexham hospital (formerly part of the Royal Victoria Infirmary NHS Trust). The charities administered by these Trusts were brought under one umbrella to form the Northumbria Healthcare NHS Trust Charity.

In August 2011 the charity adopted the brand name ‘’ Bright Northumbria’’ by registration with the Intellectual Property Office. The charity agreed to develop a name that would be best suited for marketing and promotional purposes.

Objectives and activities

The governing documents for the funds consist of a declaration of trust dated 18 May 2000.

The governing document states the charity’s principle objective as being:

“… for any charitable purpose or purposes relating to the National Health Service”.

More specifically, the charity aims to support charitable initiatives, which would not normally be financed by NHS exchequer funding, to enhance and add additional value to the delivery of healthcare to the residents of the Trust area.

Mission

The mission statement of the charity is as follows;

‘’The Northumbria Healthcare Charity aims to oversee the appropriate use of charitable funds to ensure that the objectives of the Charity are met to support patient care, invest in medical equipment, enhance the patient environment, promote training and education and support research to enhance the delivery of healthcare to the communities within the Trust area, which includes Northumberland and North Tyneside. In doing so, the Charity encourages the timely disbursement of charitable funds according to the donors’ wishes and will aim to hold no more than eighteen months average income in reserve.’’

The governing document does not place any specific restrictions on the use of the funds other than that implied by the charity’s main object.

The Corporate Trustee has also reflected on how the charity has performed against objectives set for the year including; raising the profile of the charity within the Trust area, monitoring the

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spending pattern of charitable funds against agreed parameters for spending on patient centred initiatives, medical equipment, hospital environment, staff welfare and education, and medical research and also increasing engagement with local communities through involvement in charitable projects. At the end of the year the level of activity within the spending categories was found to be in accordance with the parameters agreed by the Corporate Trustee. This had addressed the Corporate Trustee’s wishes that spending should not be unduly weighted towards the purchase of medical equipment.

We have referred to the guidance contained in the Charity Commission’s general guidance on public benefit when reviewing our aims and objectives, and in planning our future activities, and feel that as our objectives benefit the non-fee paying patients of the NHS Foundation Trust that this therefore meets the public benefit requirements. The Corporate Trustee also considers how planned activities will contribute to the aims and objectives it has set.

Working Relationships

The charity's principle relationship is with Northumbria Healthcare NHS Foundation Trust. The charity also works closely with other local charities and voluntary groups in order to co-ordinate fundraising and spending plans.

During the year no member of the Trust Board had any related party transactions with the charity.

The Northumbria Healthcare NHS Foundation Trust remains indebted to the 140 volunteers from independently registered charities which support the work of the Trust.

Leagues of Friends are active at four of the Trust’s hospitals at Berwick, Alnwick, Rothbury and Haltwhistle and provide many generous donations in the form of medical equipment and patient comforts. The Hospital Radio Service operates at Wansbeck General Hospital and North Tyneside General Hospital.

Other groups such as the Total Hip User Group (THUG), INFLAME Arthritis Support, Coping with Cancer Support Group and the Top2Toe therapeutic service for cancer patients regularly contribute their time and efforts to raise funds to benefit patients in their areas of interest. The special volunteer groups are made up of many former patients who have experienced treatment for a particular health problem. They offer peer to peer support, providing information from personal experiences and also answering key questions, so that new patients feel supported as they navigate hospital processes.

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3. ACHIEVEMENT AND PERFORMANCE

Achievements in the Year

Bright Northumbria also provides grants through Charity Development Groups (CDGs) at The Northumbria, Wansbeck General Hospital, North Tyneside General Hospital and Hexham General Hospital.

The CDGs provide a fair and transparent mechanism for staff across all areas to access funding for charitable projects that enhance the experience of our patients. Funding for the CDGs comes from legacies, general donations and profits raised by site Northumbria Volunteer Service (NVS) shops.

Patient welfare – to provide additional comforts to enhance the patient experience.

Medical equipment – to ensure that our patients have access to the latest technology and that additional equipment is made available to improve the patient experience and support members of staff who are delivering their care.

Patient environment – to use the arts to develop and deliver high quality interior design projects for areas of special need and sensitivity that help to support the needs of patients and their relatives.

Staff education – to support professional development of members of staff and allow access to training that would not normally be funded through standard funding streams.

Infrastructure development – to develop new ways of working and encourage the development of new IT solutions, to benefit our patients.

Research – to support a continuous programme of research, which aims to improve treatment for thousands of patients across the NHS.

A number of new high level projects were developed during the year to benefit local communities and members of staff.

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Public support in the wake of the coronavirus pandemic

As the COVID 19 pandemic unfolded in March 2020, the charity began to receive an unprecedented number of enquiries, donations and offers of help - these ranged from financial in the form of online donations and cheques sent in the post, to individuals setting up fundraising pages and challenges. In addition, there were vast offers of PPE and gifts for staff including food deliveries, toiletries, snacks, Easter eggs, also donations of scrub bags and knitted hearts.

These offers of help came from across the community and included local schools, supermarkets, vets, restaurants, shops, as well as local companies, community groups and individuals.

In order to facilitate this, the charity team stepped back from planned activities to coordinate and support this huge effort - working with the executive team (for PPE donations), supplies teams, staff restaurants and the staff health and wellbeing team.

In order to deal with the high volume of phone calls all members of the team manned the phonelines. New systems were put in place with the hospital supply/distributions teams so that each donation could be booked in, given a delivery slot and held in quarantine before distribution. Items were then distributed to our 10 hospitals and major community sites for onward delivery to 11,000 staff. Our COVID volunteers delivered to remote community locations in far flung areas of the trust ensuring that all staff could benefit from the huge generosity of our community.

In addition, the charity worked with the Health and Wellbeing team and volunteers to make up and distribute 269 wellbeing boxes for staff at all base sites and across the community.

Many of the large donations were also shared with local foodbanks, women’s and men’s refuges and refugee centres.

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Appeal

Building on the unprecedented support for the NHS and the new national awareness of NHS charities, at the beginning of April 2020 the charity launched the ‘#StandingbyNorthumbria’ appeal which was publicised on social media and in the local press. The appeal raised £51,304 within a few months.

Members of the public came forward to organise fundraising events, make mascots for NHS staff, donate toiletries and create special posters to raise funds for the charity.

In addition to the activities outlined above, the charity also received a variety of gifts from children – ranging from Easter eggs bought with pocket money to artwork including hand-made cards from Emmaville primary school in Ryton.

One eight-year old boy, Stefan Ormston, sent in ‘pocket hugs’ – so patients and staff could have a hug when they needed it. This story was featured in the Evening Chronicle newspaper.

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For the Love of the North, a local gift shop based in Whitley Bay, sold a range of prints featuring a ‘love will get us through this’ message with 25% of the sales going to Bright. By January 2021, they had raised a total of £10,000.

With thanks to funding provided by NHS Charities Together, and the wonderful support of volunteer machinists in the community, Bright also provided hundreds of handmade laundry bags to support our staff as they packaged uniforms to take home safely.

The laundry bags were also provided to junior doctors as a small gesture to thank them for all of their hard work during the coronavirus pandemic and to help them feel welcomed and supported in the trust.

Bright also provided around 200 blue bags for families experiencing loss and bereavement, ensuring they had a comforting and discreet way of taking their loved ones belongings home

NHS Charities Together grants

In addition to the appeal, the charity received a number of grants from NHS Charities Together to enable the charity to respond quickly to support staff and patients. This helped in a number of ways:

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At work : During the first hectic weeks following lockdown the charity responded to the immediate needs of patients, staff and volunteers. Heavy use of PPE caused discomfort and the charities fast distribution of high-quality hand creams and moisturisers, and emergency toiletries, was an immediate success with frontline staff in hospitals and in the community. This enabled staff to cope with a new and challenging regime.

For home : Shortages of essential food items and long queues at supermarkets caused a lot of stress for staff. The introduction of fruit & veg grab bags and pop up mini markets for food essentials were a great success with positive feedback on Staff Facebook, from staff side (unions) and executive forums.

For exercise : Many staff commented that when they were taking exercise, the public would often challenge them for being outside. The Keep the NHS Running t-shirts, with a social distancing message on the back, gave our staff the confidence to be out and about exercising which helped them to mentally de-stress. They especially enjoyed that, when wearing the t- shirts, people passing in cars beeped their horns in support. The colourful running t-shirts were designed by staff and over 1,000 t shirts were distributed across the trust. Many were awarded to staff as prizes for going the extra mile during the coronavirus pandemic.

Wellbeing : Working with the staff health and wellbeing team, the charity distributed a comprehensive box of goodies to all 11,000 staff across all trust sites and services. Again, feedback was received by email and Staff FaceBook message – all very positive in maintaining morale over the key seven weeks at the height of the crisis. Our volunteers at home also received weekly phone calls and regular news bulletins.

The key outcomes have been that the charity has been recognised for being acutely engaged during the crisis and reacting swiftly to put measures in place that have made a real tangible difference to the wellbeing of staff and volunteers.

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Healing arts

Sadly, much of the planned programme for the arts had to be put on hold due to the COVID 19 pandemic as access to many areas within the hospital was restricted. This meant that environmental updates could not be undertaken and all regular ward-based activities such as musical performances and craft sessions were cancelled.

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During the difficult weeks at the height of the pandemic, the patient experience team shared photographs by a local photographer, Andy Craig on the staff facebook page. The images proved to be uplifting and popular amongst the staff. Andy offered to share his images for exhibitions of his work across hospital sites.

In October 2020, an arts project involving care homes in Northumberland and North Tyneside was launched to commemorate Remembrance Day.

The project involved care home residents at Collingwood Court in North Shields and Castle View in Alnwick. Art workshops, were led by a local artist in partnership with care home staff and residents and due to Covid-19 restrictions took place online via video.

Residents were provided with resource packs and invited to share memories and anecdotes about World War 1, passed on to them by older relatives, family friends or history lessons at school. The workshops ran for several weeks, with residents creating their own individual artworks. The finished work has been framed and displayed within the care homes to provide a lasting focus for further reminiscence.

A time for reflection and remembering

A special remembrance event was held at The Northumbria Specialist Emergency Hospital to remember those who lost their lives to COVID 19 and to support staff who continued to work through the pandemic.

Due to social distancing, the service was filmed and broadcast to staff on 2[nd] December. All staff received a service card and tealight (LED) so they could join the event virtually at a time to suit their schedule. Many staff who were required to shield for prolonged periods felt a renewed connection with their colleagues by being able to join the service from home.

COVID 19 memorial artwork - ‘A rainbow of hope’

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Glass artist, Claudia Phipps was commissioned to create a special memorial artwork for each of the trust’s acute sites. The theme of the artwork was based on nature and incorporated the colours of the rainbow which become synonymous with the pandemic. The first artwork, was officially unveiled by Sir James Mackey at the memorial event.

Environment

During the first lockdown the charity undertook a re-design of the volunteer-run café/shop at North Tyneside General Hospital.

The café, which opened on 1[st] July 2020, has been transformed into an environment which provides a positive, comfortable, and relaxing space for all users, whatever their needs may be. All profits from sales in the volunteer-run shop are used to improve patient experience at the hospital.

Ward 1 Wansbeck General Hospital – during the pandemic a number of rooms across the trust were made available for staff to take breaks away from the wards.

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Volunteering

More than 400 existing volunteers were required to stand down, on Government advice due to age, health reasons or living with someone with an underlying health condition during the coronavirus pandemic. This led to a suspension of many volunteering roles, particularly those whose work had been supporting patients and staff on wards.

An urgent call out was made to the public and 141 volunteers were recruited to step in to help. Many had been furloughed from work and wanted to help the NHS. Due to the number of volunteers who came forward, there was a need develop a new method to fast track through the system due to the urgency to have the volunteers in position quickly. A number of new volunteering roles were devised as an extra pair of hands to help out on wards and departments.

The volunteer-run shops sourced good quality local fruit and vegetables and hard to get general items such as flour, yeast and toilet rolls, so that staff could access these items at their workplace rather than stand in queues at their local supermarket.

In 2020 the Volunteer Service were awarded Investors in Volunteering for the second time. The Investors in Volunteering is an opportunity for volunteer-involving organisations to benchmark the quality of their Volunteer Management Programme.

D/deaf Awareness

Although routine training of staff to raise awareness of the communication needs of the trust’s D/deaf patients had to be cancelled due to the pandemic, a limited number of bespoke sign classes were allowed to proceed to provide essential training for emergency staff, critical care staff, health trainers and receptionists. Throughout the pandemic D/deaf patients experienced

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significant communications difficulties due to the wearing of face masks and the inability to lip read.

The Northumbria Trust was the first NHS trust to support Usher syndrome awareness day on 2[nd] March 2021.

Partnerships

Following a successful pilot in 2013 the charity has continued to work with the Newcastle Eagles basketball team to communicate important health messages to schoolchildren across Northumberland and North Tyneside through their highly successful Hoops for Health programme. As part of the programme the children are invited to participate in an arts competition and the resulting images can be seen on display within our hospitals across the trust. Hoops4Health operates in 20 schools across the trust area and has a reach of 1500 children.

During the pandemic the Newcastle Eagles developed new ways to support our staff and patients through a programme of activities that included: Singing for Memories connecting older patients in care homes with local school children, a staff exercise challenge with one of the coaches and a stroller club to provide social interaction for new mothers.

The children from Preston Grange Primary School were involved in

the wonderful virtual project with the residents from Redesdale Court.

Funding from NHS Charities Together also enabled the charity to reach out to the BAME community. The trust’s lead chaplain agreed to discuss existing literature available for staff on the intranet regarding cultural Issues around death and bereavement with the Barefeet Group (Ashington) which represents more than 150 people who have come to live in the UK from overseas.

The group launched a Talking Heads project whereby members of Barefeet were able to discuss cultural traditions around death. This led to the development of new teaching materials for staff and a folding pocket-sized leaflet accessible to all staff detailing cultural issues around death and bereavement

During COVID the charity opened new lines of communication with Northumberland County Council to establish links to communities in need. Since then the charity has organised an appeal across all trust sites for pre-loved school clothing to be provided for distribution to families in need.

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The Bright charity has also arranged for the recycling of used furniture within the trust that otherwise may be disposed of through the council’s wide network of community enterprises that would welcome office furniture and all types of cupboards and seating.

Nightingale Cottages

Throughout the coronavirus pandemic the NHS has faced a number of challenges and our staff have been so grateful for the support given freely by our communities.

Towards the end of 2020, Gillian Baker-Cresswell and Nikki Brierley, two cottage owners from north Northumberland, approached Northumbria Healthcare to offer respite breaks for NHS staff who needed rest and recuperation. The first few breaks were so well received by the healthcare staff who were offered the mini breaks, that it was decided to expand the scheme to include other cottage owners in the Northumbria area, so that more staff could benefit. Gillian and Nikki branded the project as Nightingale Cottages.

International Philanthropic Programme

The trust works in partnership with Kilimanjaro Christian Medical Centre (KCMC) in northern Tanzania to deliver teaching and training and assist in the improvement of healthcare in the country. During 2020 and 2021, all visits to our partner organisation, KCMC, have been suspended due to the coronavirus pandemic.

However, the partnership has continued to work together on a major international project to raise awareness around Antimicrobial Resistance (AMR) with funding from the Fleming Fund and Commonwealth Partnership on Antimicrobial Stewardship (CwPAMS). The project has been very successful, despite the challenges of the past year, and has led to a greater awareness of the importance of correct use of antibiotics within the hospital and the communities it serves.

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The Trust charity is mindful that charitable funds are to be used for public benefit to enhance patient care. Each year consideration is given to key areas for development and all initiatives or new projects must fall within the areas for investment agreed by the Charity Trustees.

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4. FUTURE PLANS

Future plans

The charity will be working to support the development of a purpose-built staff health and wellbeing hub at the Northumbria Specialist Emergency Care Hospital, including rest areas and gymnasium. The staff will be involved in the development of arts exhibitions for the facility and participate in creative activities.

The charity will launch a small research grant scheme to encourage staff with innovative ideas to come forward to receive support to develop their ideas.

A number of projects are to be developed to support our BAME network. The trust has staff who have cultural heritage in more than 90 countries across the world.

Further projects are being planned to enhance the hospital environment to benefit our patients, staff and visitors.

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5. FINANCIAL REVIEW

A full set of accounts for the financial year 2020/21 are included within this report. The accounts (financial statements) have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities, Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued on 16 July 2014 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 2015.

The accounts have been audited by KPMG LLP, who have opined that the accounts represent a true and fair view of the financial position of the charity.

General Financial Review

The year under review saw an increase in resources of £803,000. This represented an excess of income over expenditure of £422,000. Charitable income increased compared with previous years although there was a change to the nature of income. Charitable expenditure saw a significant decrease however as the NHS focused entirely on dealing with the pandemic. In addition, the charity’s investment increased in value by £381,000. Total net funds therefore are £3,807,000 at 31 March 2021.

The fund reserves represent approximately four and a half years non-committed expenditure. The Corporate Trustee aims to reduce reserves to approximately one and a half years’ noncommitted expenditure (see policy on reserves in section 6). Although above target in the short term the Corporate Trustee is not uncomfortable with the level of reserves as it provides a level of investment income sufficient to cover the charity’s administration costs in a period of low interest rates.

Strategic Development

A key part of the charity’s strategy is to increase the levels of donated income by improving publicity in order to attract donations and also by organising more fund raising events. Alongside seeking to increase income levels the Corporate Trustee is also encouraging the more timely application of donations and legacies received in order to reduce the levels of reserves. The Corporate Trustee will however ensure that all income is applied in a measured and appropriate way.

The Corporate Trustee has set parameters within which it intends to keep charitable spending. These parameters are:

These parameters are:
Medical Equipment	25-45%
Environment Improvement	25-45%
Patient Education and welfare	25-45%
Staff Education and Welfare	5-15%
Research	5-15%

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Finally the Corporate Trustee aims to reduce the number of individual funds by encouraging collaboration between similar services on different sites thereby increasing the potential for larger financial investments.

Income (excluding NVS sales)

Income for the year was £932,000. This compares with £701,000 for the previous year. The increase in income was principally due to a higher level of the charity’s share of national donations to the NHS in response to the Covid-19 pandemic. Donations received directly from the public fell due to less hospital visits and covid restrictions resulted in fewer public fundraising events. The actual income amounts were:

Income Source	2020/21	2019/20
Donations	£615,000	£342,000
Legacies	£224,000	£279,000
Investment income	£60,000	£55,000
Fundraising	£33,000	£25,000
Total	£932,000	£701,000

Donations includes the £392,000 Bright received from national Covid-19 appeals co-ordinated by NHS Charities Together which includes money donated to the Captain Tom appeal.

The Corporate Trustee is extremely grateful to all donors for their contributions no matter how large or small.

NVS Shops Profits

In addition to the donated income reported above in previous years a significant source of income for the charity are sales from the shops at North Tyneside Hospital, Wansbeck Hospital, Hexham Hospital, Northumbria Emergency Care Hospital and Blyth Hospital. These shops are

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run by volunteers and provide the essentials that patients and visitors, as well as staff, require when in hospital.

During the year the shops generated sales of £385,000 against costs of £464,000 resulting in a deficit of £79,000. This deficit was a direct result of the effects of the pandemic. Since the outbreak of Covid -19 there has been a significant reduction in shop income due to the restrictions on hospital visitors. The longer terms effects on the trading income for the charity are unclear however the Corporate Trustee is prepared to adapt the NVS shops to changing times in order to ensure they continue to provide a valuable service to patients, visitors and staff on hospital sites.

Expenditure (excluding purchases for the NVS shops)

Expenditure for the year was £431,000 (previous year £722,000) which consisted of:

Expenditure Type	2019/20	2019/20
Patient related expenditure	£284,000	£450,000
Staff related expenditure	£21,000	£138,000
IT Expenditure	£0	£6,000
Management and administration	£86,000	£99,000
Fundraising costs	£40,000	£29,000
Total	£431,000	£722,000

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Expenditure by Type

Total expenditure fell into the following categories:

Expenditure Category	2020/21	2019/20
Purchase of equipment	£124,000	£161,000
Building refurbishment	£15,000	£34,000
Staff education and welfare	£21,000	£138,000
Patient education and welfare	£107,000	£188,000
IT equipment	£0	£6,000
Grants to other charities	£38,000	£67,000
Management / admin costs	£86,000	£99,000
Fundraising	£40,000	£29,000
Total	£431,000	£722,000

The reduction in expenditure was due to NHS staff being fully occupied with fighting the pandemic and therefore being unable to focus on enhancing services which is the normal driver behind the charitable expenditure.

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Monitoring of Performance

The Corporate Trustee does not set detailed budgets for the charity’s activities except occasionally in the case of specific projects. Instead, responsibility for managing the individual funds as referred to in section 7 Governance, is delegated to the managers of each fund. Upon request managers of funds are required to submit annual fundraising and spending plans for review by the Charitable Funds Committee.

The Charitable Funds Committee regularly monitors fund balances to ensure that funds do not go into deficit, or if they do, to ensure that funds are brought back into surplus as soon as possible. In addition the Charitable Funds Committee monitors the funds that are available for Charity Development Groups to expend and arrange for the timely deployment of these funds.

Review of Investments and Deposits

At 31 March 2021, the charity had £2,691,000 (market value) which was invested for long term growth and on short term deposits.

All of this £2,691,000 was held in multi asset based investments the capital value of which can fluctuate;

Investment Type	Book Cost	Market Value	Cumulative Unrealised Gain
Long Term multi asset based	£2,310,000	£2,691,000	£381,000
Total	£2,310,000	£2,691,000	£381,000

Long term multi asset investments are units owned in common investment funds which are managed by CCLA Investment Management Ltd. The CCLA is wholly owned by a number of charities and deals exclusively with the investment of charity money. One of the charities that jointly owns CCLA Ltd is COIF Charity Funds. The common investment funds which the Northumbria charity has invested in are managed by COIF Charity Funds.

The Charitable Funds Committee meets annually with a representative from COIF to discuss the general investment climate and outlook, and reviews the charity’s investments accordingly.

These investment funds have the aim of producing long term capital growth coupled with a steady level of income by having a widely diversified portfolio, investing only in established companies with strong balance sheets and with dividends covered by profits. The CFC makes use of benchmarking information when reviewing its investment portfolio.

The Corporate Trustee has carefully considered investment options and is satisfied that risks involved in investing in COIF funds are satisfactorily spread and are minimized whilst leaving the

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opportunity for future growth. They will not overreact to any adverse market movements as the investments are held for long term growth.

In addition £381,000 is held in deposit accounts with variable interest rates;

Investment Type	Book Cost	Market Value	Unrealised Gain /(Loss)
Instant access	£381,000	£381,000	-
Total	£381,000	£381,000	-

Full details of the movements in investments and deposit accounts are given in Appendix B.

Investment Income

During the year, investments yielded a total of £60,000 in interest (2019/20 - £55,000). The average investment yield during the year was 2.61% (2019/20 - 1.57%).

Ethical Investment fund - 2.78% (2019/20 – 3.19%) Global Equity Fund - 3.08% (2019/20 – 2.99%) Deposit fund COIF - 0.01% (2019/20 – 0.17%)

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6. POLICIES AND PROCEDURES

Risk Management / Exposure to Risks

The Corporate Trustee has identified the major risks to the charity which can be summarised as:

That the charity is not operating within its objects as defined in the charity’s governing document.
That accounting transactions are inappropriately or inadequately reported.
Expenditure is inappropriately high resulting in a faster depletion of funds than approved by the Corporate Trustee.
That expenditure is inappropriately low resulting in lost opportunities for charitable funds.
Investments are not properly safeguarded, resulting in loss of funds.

The Corporate Trustee has established systems to ensure that these risks are kept at a minimum. Namely:

A Charitable Funds Committee which reviews policy, financial activity and investment performance. The members of the committee are all Executive and Non-executive directors of the Trust.
The existence and compliance with Standing Financial Instructions.
An adequately qualified and resourced finance function
The establishment of internal financial control systems which are reviewed annually by an Internal Audit department.
Reporting and review of audit findings to an Audit Committee.
Annual audit of systems and accounts by external auditors.

Policy on Reserves

‘’The Corporate Trustee considers that in the medium term it should be the aim that reserves should be not less than 12 month’s non-committed expenditure and not greater than 18 month’s non-committed expenditure. This would currently equate to reserves of approximately £800,000 to £1,200,000.

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2020/21

The Corporate Trustee considers that this level of reserves is consistent with applying income on a measured, planned and coordinated basis. The level of reserves is reported to the charitable funds committee on a quarterly basis. In the short term the Corporate Trustee considers that a level of reserves significantly greater than this amount is acceptable as it provides the charity with an appropriate level of investment income in a period of exceptionally low interest rates and relatively low inflation.

The current levels of reserves represent approximately four and a half years non- committed expenditure (based on the last three years expenditure). The effects of the pandemic however have contributed to the increase in reserve levels. Charitable expenditure was unusually low in the reporting year principally due to NHS staff being fully occupied with the pandemic and therefore not able to work on initiatives and developments that would result in charitable expenditure. The charity therefore expects to see an increase in charity expenditure as the NHS comes out of the pandemic and the country returns to normal.

Appropriate action to establish or maintain reserves at the required level will be decided upon by the committee. The Charities Development Lead conducts an annual review of the spending strategies of individual funds in order to monitor and ensure these funds fit in with overall reserves policy.’’

Total current reserves levels are £3,807,000; however of this approximately £892,000 is committed to future projects and £381,000 results from unrealized investment gains meaning that non-committed reserves are approximately £2,534,000 which is in excess of the medium term target level. The most significant reserve item is £316,000 which is reserved for the when the redevelopment of Berwick Hospital takes place which is expected to be completed in 2022.

The Corporate Trustee is comfortable with this level of reserves but is actively working with managers of funds that have been unspent for a number of years to apply the money to the furtherance of the charity’s aims.

The policy on reserves was formally adopted by the Charitable Funds Committee in June 2017 and was reviewed 2021 in light of the COVID-19 pandemic.

Statement of Policy on Investments

The policy which the charity operated during 2019/20 was established in July 2013 and last reviewed by the Charitable Funds Committee in December 2019.

The main objectives of the investments are;

To achieve sufficient income to cover the administrative costs of the charity
Retain the majority of investments in liquid deposit funds
Only use deposit funds with institutions with a AAA or equivalent short term risk rating
Use funds not held on deposit to achieve medium to long term capital growth whilst minimizing risks

Northumbria Healthcare NHS Trust Charity

2020/21

For deposit funds the following funds are authorised;

COIF Deposit Fund
The Charity Aid Foundation Bank (CAF)
Yorkshire Bank
Nat West Bank Plc
Lloyds Bank Plc
The Government Banking Service (GBS)

The Corporate Trustee is satisfied with COIF’s approach to ethical investments which is to avoid investment in companies whose main business is gambling, tobacco and armaments, where this is 50% or more of turnover. In addition COIF applies routine informed shareholder voting to reflect best corporate governance practice and to ensure acceptable policies are followed, for example in the area of human rights.

Investments are made in accordance with the powers conferred upon the Corporate Trustee by the Trustees Investment Act 2000.

In addition to financial investments the Corporate Trustee will consider Programme Related Investments (PRI). PRI uses charitable resources to finance charitable and other organisations in a way that is:

wholly in furtherance of the charity’s stated aims
for public rather than private benefit
expected to produce some financial return for the charity (but this is not the main reason for doing so)

PRI differs from grant making because a grant is made to further the charity’s aims with no expectation of a financial return.

PRI can take form of;

Loans
Equity investments
Revenue participation – the charity gets a financial return based on revenue/profits made by an organisation in return for providing capital for a particular initiative.
Outcome based finance. A social bond typically between a public sector body and investor where the former commits to pay the latter for producing improved social outcomes.

When making PRI the Corporate Trustee will act in the best interests of charity and ensure that

Their charity funds are only being used to further its stated aims
Any private benefit arising from the investment is necessary, reasonable and in the interests of the charity.

Northumbria Healthcare NHS Trust Charity

2020/21

7. STRUCTURE, GOVERNANCE AND MANAGEMENT

The Corporate Trustee fulfills its legal duty by ensuring that funds are spent in accordance with the objects of each fund and, by designating funds, the Corporate Trustee respects the wishes of our generous donors to benefit patient care and advance the good health and welfare of patients, carers and staff.

Acting for the Corporate Trustee, the Strategic Charitable Funds Committee is responsible for the overall management of the Charitable Fund. The Committee is required to:

Control, manage and monitor the use of the fund’s resources;
Provide support, guidance and encouragement for all its income raising activities whilst managing and monitoring the receipt of all income;
Ensure that ‘best practice’ is followed in the conduct of all its affairs fulfilling all of its legal responsibilities;
Ensure that the Investment Policy approved by the Corporate Trustee is adhered to and that performance is continually reviewed whilst being aware of ethical considerations; and,
Keep the Corporate Trustee fully informed on the activity, performance and risks of the charity.

In order to ensure the committee always acts in the interests of the charity rather than the NHS corporate body, representatives of both staff and public governors are co-opted onto the committee in a non-voting capacity to observe and to contribute to the decision making process.

All members of the Trust Board receive information about the charity, including minutes of the Charitable Funds Committee, annual report and accounts and the Charity Commission guidance ‘’The Essential Trustee:what you need to know,what you need to do’’. The Chairman of the CFC gives new members of the Trust Board a briefing on the current policies and priorities for the charitable funds. In addition training and guidance from finance staff, internal audit officers, investment advisors and legal advisors is provided to members of the Trust Board.

So far as members of the Trust Board are aware, there is no relevant audit information of which the charity’s auditors are unaware, and they have taken all the steps they ought to have taken as a member of the Board in order to make themselves aware of any relevant audit information and to establish that the charity’s auditors are aware of the information.

Organisational Structure

The main Northumbria Healthcare NHS Trust Charity, registered Charity Number 1083122, was entered on the Central Register of Charities on 18 May 2000. The charity is constituted of approximately 225 individual funds (2019/20: 220) as at 31 March 2021 and the notes to the accounts distinguish the types of funds held and disclose separately all material funds.

Northumbria Healthcare NHS Trust Charity

2020/21

Operating below the Charitable Funds Committee are nine Charity Development Groups (CDGs) dividing the Trust’s area into six geographical areas plus a group for research funds, a group for Trust wide charitable initiatives managed by the CFC and a group for Community based initiatives.

There is a central budget for administration (including finance, publicity and audit costs) which is funded from investment income.

CDGs have funds allocated from reserves and from any unrestricted donations, fundraising proceeds and legacies that are received. Any member of staff is invited to bid for funds to finance equipment or projects which meet the objects of the charity. CDGs are an open forum with all staff and other interested parties e.g. voluntary groups, invited to attend and contribute. Each group meeting is chaired by a non-executive director. After discussion, funds are allocated to bids on a consensus basis.

For day to day operational and management purposes the charity is further divided into some 212 funds. The notes to the accounts distinguish the types of accounts held and disclose separately all material funds. These are managed by Trust officers such as Heads of Service and Ward Managers who have delegated authority to apply the funds within the objects of the charity.

An organisation chart is given in Appendix A.

Since its inception the Bright Northumbria name has been used on the charity’s website and on all promotional materials. The name has been successfully adopted to promote the charity’s work in definitive areas such as the arts (Bright healing arts) and international philanthropic partnerships (Bright international). In 2016 the charity launched Bright Communities to provide a focus for the general public to donate in support of all community services.

Charitable funds received by the charity are accepted held and administered as funds and property held on Trust for purposes relating to the health service in accordance with the National Health Service Act 1977 and the National Health Service and Community Care Act 1990 and these funds are held on Trust by the corporate body.

The Charity has a Corporate Trustee: the Northumbria Healthcare NHS Foundation Trust. The duties, responsibilities and liabilities of Trusteeship lie with the corporate body. However, that body must act through individual persons in order to express its will. The individuals who are responsible for expressing the will of the Corporate Trustee are the members of the NHS Foundation Trust Board i.e. the Executive Directors and Non-Executive Directors of the Trust.

Northumbria Healthcare NHS Trust Charity

2020/21

During the year these directors were;

Non-Executive Directors:

Professor Alan Richardson (Chairman of the Trust)
Sir Alan Craft Chair of Charitable Funds Committee
Mr Martin Knowles
Mr Malcolm Page
Mrs Moira Davidson
Mr Bernard McCardle
Mr Andrew Besford
Ruth Connorton
Professor Roger Barton

Executive Directors:

Sir James Mackey, Chief Executive
Mr. Paul Dunn, Executive Director of Finance
Mrs. Birju Bartolli, Executive Director of Performance and Governance
Mrs. Ann Stringer, Executive Director of Human Resources & Organisational Development
Mrs Daljit Lally, Executive Director of Community Services
Mr Jeremy Rushmer, Medical Director
Mrs Marion Dickson
Mrs Claire Riley Executive Director of Communications

All appointments to the Trust Board are made in accordance with the policy and procedures laid down in the NHS Code of Corporate Governance.

The Secretary of State for Health, in line with statutory requirements, approved the Chairman’s appointment, and a panel comprising the minimum statutory members, including the Chairman, and an expert independent assessor, made the Chief Executive’s appointment.

All other executive and non-executive appointments to the Trust Board were made following external advertisement and robust and transparent selection procedures.

The Charity receives a finance and administration service from Northumbria Healthcare NHS Foundation Trust. The arrangement provides finance, supplies and procurement, computer services, communications and fundraising services to the charity. The Trust charges the charity an annual fee for these services. Key personnel in the provision of this service are:

Mr. Michael Blackburn, Charity Accountant, provided advice to the Board regarding the management of the Charity’s investments and, under delegated authority from the Corporate Trustee, has day to day responsibility for the financial management of the charity.

Northumbria Healthcare NHS Trust Charity

2020/21

Ms Brenda Longstaff, Head of Charity Development, Volunteering, International Partnership, Arts and Patient Environment, has responsibility for the strategic development of the charity, including links to the commercial sector and engagement with the local community.

Mr Blackburn and Ms Longstaff are employees of Northumbria Healthcare NHS Foundation Trust.

The accounting records and the day-to-day administration of the funds are dealt with by the Finance Department located at Northumbria House, Unit 7/8 Silver Fox Way, Cobalt Business Park, Newcastle upon Tyne NE27 0QJ.

In order to safeguard the assets of the charity and ensure income is applied appropriately, the Corporate Trustee requires charitable funds procedures to comply with the Trust’s Standing Financial Instructions and Schemes of Delegation.

Financial services are provided for the charity by the Finance Department of Northumbria Healthcare NHS Foundation Trust. This allows the charity to benefit from the expertise and resources of the department and keeps costs to a minimum. In addition, services such as internal audit and procurement are also provided. As part of the annual audit plan, charitable funds are audited by the Trust’s internal auditors. The Charity’s accounts are also audited each year by the external auditors, KPMG LLP who also audit the Trust accounts.

Northumbria Healthcare NHS Trust Charity

2020/21

8. REFERENCE AND ADMIN DETAILS

Registered Address

North Tyneside General Hospital Rake Lane North Shields NE29 8NH

Auditors

Legal Advisors

KPMG LLP DAC Beachcroft LLP Quayside House Time Central 110 Quayside Gallowgate Newcastle upon Tyne Newcastle Upon Tyne NE1 3DX NE99 5AA

Bankers

Investment Managers

GBS CCLA c/o Royal Bank of Scotland St Alphage House 200 Bishopsgate 2 Fore Street London London EC2M 4RB EC2Y 5A

APPENDIX A

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Trust Board
Committee
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Trustwide CDG
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North
Wansbeck CDG North Tyneside CDG Tynedale CDG Northumberland Morpeth / Blyth CDG Research CDG NSECH CDG Community CDG
CDG
Sub funds Sub funds Sub funds Sub funds Sub funds
Sub funds Sub funds Sub funds
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Opening Balances Book Cost 31/3/2020 Unrealized Gains b/f Market Value 31/3/2020 Movements in Year Purchase Book Cost b/f Gains realised Unrealized Gains Closing Balances Book Cost 31/3/2021 Total Unrealized Gains c/f Market Value 31/3/2021 Opening Balances Book Cost 31/3/2020 Additions Withdrawals Market Value 31/3/2021	Ethical Investment Fund COIF £'s 98,588 29,792 128,380 1,000,000 29,792 15,930 1,098,588 45,722 1,144,310 Deposit Fund COIF £'s 950,000 400,000 (1,000,000) 350,000	Ethical Investment Fund COIF £'s 98,588 29,792 128,380 1,000,000 29,792 15,930 1,098,588 45,722 1,144,310 Deposit Fund COIF £'s 950,000 400,000 (1,000,000) 350,000	Global Fund COIF £'s 1,100,000 81,224 1,181,224 0 81,224 365,215 1,100,000 446,439 1,546,439 Deposit Fund Building Society £'s 16,192 15,000 0 31,192	Total £'s 1,198,588 111,016 1,309,604 1,000,000 111,016 1,111,016 2,198,588 492,161 2,690,749 Total £'s 966,192 415,000 (1,000,000) 381,192

APPENDIX B

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

Under charity law, the trustees are responsible for preparing a Trustees’ Annual Report and the financial statements in accordance with applicable law and regulations. The trustees are required to prepare the financial statements in accordance with UK Accounting Standards, including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland.

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

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

select suitable accounting policies and then apply them consistently;
make judgements and estimates that are reasonable and prudent;
state whether applicable UK Accounting Standards and the Statement of Recommended Practice have been followed, subject to any material departures disclosed and explained in the financial statements;
state whether the financial statements comply with the trust deed [and rules], subject to any material departures disclosed and explained in the financial statements;
assess the charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern; and
use the going concern basis of accounting unless they either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so.

The corporate trustees are required to act in accordance with the trust deed of the charity, within the framework of trust law. They are responsible for keeping accounting records which are sufficient to show and explain the charity’s transactions and disclose at any time, with reasonable accuracy, the financial position of the charity at that time, and to enable the trustees to ensure that, where any statements of accounts are prepared by them under section 132(1) of the Charities Act 2011, those statements of accounts comply with the requirements of regulations under that provision. They are responsible for such internal control as they determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error, and have general responsibility for taking such steps as are reasonably open to them to safeguard the assets of the charity and to prevent and detect fraud and other irregularities.

The corporate trustees are responsible for the maintenance and integrity of the financial and other information included on the charity’s website. Legislation in the UK governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST

FUNDS HELD ON TRUST

ANNUAL ACCOUNTS 2020-21

The accounts of the funds held on trust by the Northumbria Healthcare NHS Foundation Trust.

FOREWORD

These accounts have been prepared by the Trustees under section 98(2) of the National Health Service Act 1977 (as amended) which the Secretary of State has, with the approval of the Treasury, directed.

STATUTORY BACKGROUND

The Northumbria Healthcare NHS Foundation Trust is the corporate trustee of the funds held on trust under paragraph 16(c) of Schedule 2 of the NHS and Community Care Act 1990 unless Trustees have been appointed under s11 of the NHS and Community Care Act 1990.

The Northumbria Healthcare NHS Foundation Trust charitable funds are registered with the Charity Commission.

MAIN PURPOSE OF THE FUNDS HELD ON TRUST

The main purpose of the charitable funds held on trust is to apply income for any charitable purpose relating to the National Health Service wholly or mainly for the services provided by the Northumbria Healthcare NHS Foundation Trust.

Signed …………………………………………on behalf of the Corporate Trustee

Dated…………25th November 2021……..

Independent auditor’s report to the Corporate Trustee of Northumbria Healthcare NHS Trust Charity

Opinion

We have audited the financial statements of Northumbria Healthcare NHS Trust Charity (“the charity”) for the year ended 31 March 2021 which comprise the statement of financial activities, balance sheet 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 2021 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 trustees have 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 trustees’ 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 trustees’ 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 trustees’ 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.

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 directors and inspection of policy documentation as to the Group’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.

iii

Reading Board 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 and the risk of fraudulent revenue recognition, in particular the risk that revenue is recorded in the correct period.

We did not identify any additional fraud risks.

We performed procedures including:
We agreed a sample of transactions from March and April 2021 to supporting documentation to test that revenue had been recorded in the correct period.

Identifying and responding to risks of material misstatement due to non-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 directors (as required by auditing standards) and discussed with the directors the policies and procedures regarding compliance with laws and regulations.

As the Charity is regulated, our assessment of risks involved gaining an understanding of the control environment including the entity’s procedures for complying with regulatory requirements.

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 we assessed the extent of compliance with these laws and regulations as part of our procedures on the related financial statement items.

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.

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 trustees are responsible for the other information, which comprises the Trustees’ 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 Trustees’ 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.

Trustees’ responsibilities

As explained more fully in their statement set out on page 2i, the trustees are 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 trustees 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 trustees 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 trustees, as a body, for our audit work, for this report, or for the opinions we have formed.

Clare Partridge

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 1 Sovereign Square

Sovereign Street Leeds LS4 1DA

2 December 2021

Northumbria Healthcare NHS Trust Charity

STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2021

Income

	Year Ended 2021 Year Ended 2020
Note Unrestricted Funds £000 Restricted Funds £000 Total Funds £000 Total Funds £000
Donations and legacies 2 386 453 839 621
Charitable activities 3 33 385 418 1,121
Investment income 4 38 22 60 55
Total incoming resources 457 860 1,317 1,797

Expenditure

Fundraisingcosts	5	40	0	40	29
Charitable activities	6	193	662	855	1,534
Total resources expended		233	662	895	1,563

Gains on revaluation of investment assets	8,11	221	160	381	15
Gains on disposal of investment assets	8,11	0	0	0	0
Totalgains on investment assets		221	160	381	15

Net incoming resources		445	358	803	249

Gross transfer between funds		0	0	0	0

Net movement in funds		445	358	803	249

Fund balances brought forward at 31 March 2020		1,740	1,264	3,004	2,755
Fund balances carried forward at 31 March 2021		2,185	1,622	3,807	3,004

The notes at pages 3 to 14 form part of these accounts.

Northumbria Healthcare NHS Trust Charity

BALANCE SHEET AS AT 31 MARCH 2021


Note Unrestricted Funds £000 Restricted Funds £000 Year Ended 2021 Total Funds £000 Unrestricted Funds £000 Restricted Funds £000 Year Ended 2020 Total Funds £000
Investments 8 1,548 1,143 2,691 757 553 1,310
Total fixed assets 1,548 1,143 2,691 757 553 1,310
Current assets:
Debtors 9 65 49 114 136 98 234
Short term investments and deposits 11 221 160 381 801 580 1,381
Cash at bank and in hand 364 257 621 46 33 79
Total current assets 650 466 1,116 983 711 1,694
Liabilities:
Creditors: Amounts fallingdue within oneyear 10 0 0 0 0 0 0
Net current assets 650 466 1,116 983 711 1,694

Total net assets 2,198 1,609 3,807 1,740 1,264		3,004
Funds of the charity Income Funds
Unrestricted 12 2,185 0 2,185 1,740 0 1,740
Restricted 12 0 1,622 1,622 0 1,264 1,264
Total funds of the charity 2,185 1,622 3,807 1,740 1,264 3,004

The notes at pages 3 to 14 form part of these accounts.

The financial statements were approved by the Corporate Trustee on 25th of November 2021 and signed by:

……………………………………………………

on behalf of the Corporate Trustee

………………25th November 2021 …………… Date

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

1. Accounting

The accounts (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 on 16 July 2014 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 2015.

The presentation currency of these financial statements is sterling. All amounts in the financial statements have been rounded to the nearest £1,000.

The Corporate Trustee considers that there are no material uncertainties about Northumbria Healthcare’s charitable funds ability to continue as a going concern. There are no material uncertainties affecting the current year’s accounts.

The charity’s accounts are prepared on a going concern basis. The only obligated expenditure the charity is committed to in the next twelve months is the administration costs of running the charity. There are sufficient reserves to meet this commitment for the foreseeable future.

The Trust constitutes a public benefit entity as defined by FRS102.

The charity’s Corporate Trustee and parent undertaking, Northumbria Healthcare NHS Foundation Trust, includes the charity in its consolidated financial statements. The consolidated financial statements of Northumbria Healthcare NHS Foundation Trust are prepared in accordance with FRS 102 and are available to the public and may be obtained from the Trust website (www.northumbria.nhs.uk). In these financial statements, the charity is considered to be a qualifying entity (for the purposes of this FRS) and has applied the exemptions available under FRS 102 in respect of the following disclosures:

Cash Flow Statement and related notes; and
Key Management Personnel compensation.

As the consolidated financial statements of Northumbria Healthcare NHS Foundation Trust include the equivalent disclosures, the charity has also taken the exemptions under FRS 102 available in respect of the following disclosures:

The disclosures required by FRS 102.11 Basic Financial Instruments and FRS 102.12 Other Financial Instrument Issues in respect of financial instruments not falling within the fair value accounting rules of Paragraph 36(4) of Schedule 1.

As the charity is a wholly owned subsidiary of Northumbria Healthcare NHS Foundation Trust, it has taken advantage of the exemption contained in FRS 102.33A and has not disclosed transactions or balances with wholly owned members of this group.

1.1 Accounting Convention

The financial statements are prepared in accordance with the historical cost convention, as modified for the revaluation of certain investments which are included at fair value.

1.2 Income

a) Income is recognised in the statement of financial activities (SOFA) when a transaction or other event results in an increase in the charity’s assets or a reduction in its liabilities. Income is recognised in the accounts of the charity when all of the following conditions are met;

i) Entitlement – control over the rights or other assets to the economic benefit has passed to the charity;

ii) Probable – it is more likely than not that the economic benefits associated with the transaction or gift will flow to the charity; and

iii) Measurement - the monetary value or amount of the income can be measured reliably and the costs incurred for the transaction and the costs to complete the transaction can be measured reliably.

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

c) Donations in kind

Donations in kind (e.g. the provision of free accommodation) is included in the accounts with an equivalent amount in ongoing resources, if there is a financial cost borne by another party. The value placed on such income is the financial cost of the third party providing the resources.

d) Legacies

Pecuniary and residuary legacies are accounted for as income once the receipt of the legacy is probable. This will be once confirmation has been received from the representatives of the estate that payment of the legacy will be made or property transferred, the executors have established that there are sufficient assets in the estate to pay the legacy and all conditions attached to the legacy have been fulfilled. If there is uncertainty as to the amount of the legacy and it cannot be reliably estimated then the legacy is shown as a contingent asset until all of the conditions for income recognition are met.

Income from reversionary interest of ‘life interest’ legacies is treated as receivable when conditions associated with the payment have been recognised (e.g. death of a life tenant). Any material assets bequeathed to the charity but subject to a life tenancy interest held by a third party are disclosed in the accounts.

e) NVS Shops

All sales made in the NVS shops are in cash and are recognised at the point of sale. The principal purchases of goods to be sold are paid for on a direct debit basis at the end of each month and hence no creditors are required to be recognised. Any year end inventory in shops is excluded from the accounts as the Corporate Trustee does not consider it to be material.

1.3 Expenditure

Charitable expenditure is expenditure related to the aims and objectives of the charity. All expenditure is accounted for on an accruals basis and has been classified under heading that aggregate all costs related to each category of expense shown in the Statement of Financial Activities. Expenditure is recognised when the following criteria are met;

There is a present level of constructive obligation resulting from a past event;
It is more likely than not that a transfer of benefits (usually a cash payment) will be required in settlement; and

The amount of the obligation can be measured or estimated reliably.

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

a) Cost of raising funds

The costs of generating funds are the costs associated with generating income for the funds held on trust.

b) Grants payable

Grants payable are payments made to linked, related party or third party NHS bodies and non NHS bodies, in furtherance of the charitable objectives of the funds held on trust, primarily for the relief of those who are sick. Grant payments are recognised as expenditure when the conditions for their payments have been met or where there is a constructive obligation to make a payment.

A constructive obligation arises when;

We have communicated our intention to award a grant to a recipient who then has a reasonable expectation that they will receive a grant;
We have a public announcement about a commitment which is specific enough for the recipient to have a reasonable expectation that they will receive a grant; and
There is an established pattern of practice which indicates to the recipient that we will honour our commitment.

The Corporate Trustee has control over the amount and timing of grant payments and consequently where approval has been given by the Corporate Trustee and any of the above criteria have been met then a liability is recognised. However, when they are then those conditions have to be met before the liability is recognised. Where an intention has been communicated, then no expenditure is recognised but an appropriate designation is made in the appropriate fund. If a grant has been offered but there is uncertainty as to whether it will be accepted or whether conditions will be met then no liability is recognised but a contingent liability will be disclosed.

c) Governance Costs

Governance costs are classified as a support cost and therefore have been apportioned between fundraising activities and charitable activities.

d) Support costs

Support costs are those costs which do not relate directly to a single activity. These include some staff costs, costs of administration, internal and external audit costs and IT support.

e) Charitable Activities

Costs of charitable activities comprise all costs incurred in the pursuit of charitable objects of the charity. These costs, where not wholly attributable, are apportioned between the categories of charitable expenditure in addition to the direct costs. The total costs of each category of charitable expenditure include an apportionment of support costs as shown in note 6.

1.4 Investment Fixed Assets

i) Investment fixed assets are shown at market value.

ii) Quoted stocks and shares are included in the balance sheet at mid-market price, ex-div.

iii) Other investment fixed assets are included at Corporate Trustee’s best estimate of market value.

Investments are a form of basic financial instrument. Fixed asset investments are initially recognised at their transaction value and are subsequently measured at their fair value (market value) as at the balance sheet date. The Statement of Financial Activities includes the net gains and losses arising on revaluation and disposals throughout the year.

Quoted stocks and shares are included in the Balance Sheet at the current market value quoted by the investment analyst, excluding dividend. Other investments are included at the Corporate Trustee’s best estimate of market value.

The main form of financial risk faced by the charity is that of volatility in equity markets and investment markets due to wider economic conditions, the attitude of investors to investment risk and changes in sentiment concerning equities within particular sector sub subsectors.

1.5 Staff and Pension Costs

No staff were directly employed by the charity during the year.

1.6 Structure of Funds

When 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 or
an endowment fund

Restricted funds are those where the donor has provided for the donation to be spent in furtherance of a specified charitable purpose.

Endowment funds arise when the donor has expressly provided that the gift is to be invested and only the income of the fund may be spent.

Other funds are classified as unrestricted funds. Unrestricted funds which the Corporate Trustee has chosen to earmark for set purposes are also classified as designated funds. The major funds held within these categories are disclosed on notes 12.1 and 12.2.

1.7 Realised and unrealised gains and losses

All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and opening market value (or date of purchase if later). Unrealised gains and losses are calculated as the difference between market value at the year end and open market value (or the date or purchase if later).

1.8 Debtors

Debtors are amounts owed to the charity. They are measured on the basis of their recoverable amount.

1.9 Cash and Cash equivalents

Cash at bank and in hand is held to meet the day to day running costs of the charity as they fall due. Cash equivalents are short term, highly liquid investments.

1.10 Creditors

Creditors are amounts owed by the charity. They are measured at the amount that the charity expects to have to pay to settle the debt.

Amounts which are owed in more than a year are shown as long term creditors.

Northumbria Healthcare NHS Trust Charity

2. Donations and Legacies

	Year Ended 2021 Year Ended 2020
Unrestricted Funds £000 Restricted Funds £000 Total Funds £000 Total Funds £000
Donations from individuals 181 421 602 277
Corporate Donations 12 1 13 65
Legacies 193 31 224 279
Total voluntary income 386 453 839 621

3. Income from charitable activities

	Year Ended 2021 Year Ended 2020
Unrestricted Funds £000 Restricted Funds £000 Total Funds £000 Total Funds £000
HVS Shops 0 385 385 1,096
Other 33 0 33 25
Total activities forgenerating funds 33 385 418 1,121

The above income relates to shops at The Northumbria Specialist Emergency Care Hospital at Cramlington, North Tyneside General Hospital, Wansbeck and Hexham Hospitals and Blyth Hospital.

The shops sell refreshments and general provisions to patients and visitors to the hospital. The shops are staffed by volunteers working under the name of the Northumbria Volunteer Service (NVS). All income from the operation are made available to the charity and expenditure of the profits is included under Note 6 under charitable activities.

4. Investment income

Total gross income	Year Ended 2021 Year Ended 2020
Unrestricted Funds £000 Restricted Funds £000 Total Funds £000 Total Funds £000
Investments listed on Stock Exchange 0 0 0 0
Investments in a Common Deposit Fund or Common Investment Fund 38 22 60 52
Other investments and deposit accounts 0 0 0 3
Total investment income 38 22 60 55

All investment income is derived from investments held in the UK.

Northumbria Healthcare NHS Trust Charity

5. Expenditure on raising funds


Unrestricted Funds £000 Restricted Funds £000 Total 2021 Total Funds £000 Total 2020 Total Funds £000
Fundraisingcosts 40 0 40 29
Total cost ofgenerating funds 40 0 40 29

6. Expenditure on charitable activities


Note Unrestricted Funds £000 Restricted Funds £000 Total 2021 Total Funds £000 Total 2020 Total Funds £000
Purchase of New Equipment 48 76 124 161
New Buildingand Refurbishment 11 4 15 34
Staff Education and Welfare 13 8 21 138
Patient Education and Welfare 62 45 107 188
IT Equipment and Software 0 0 0 6
Grants to Other Charities 9 29 38 67
Support Costs and Overheads 7 50 36 86 99
Costs ofgood sold - HVS Shops 0 464 464 841
Total cost of charitable activities 193 662 855 1,534

Northumbria Healthcare NHS Trust Charity

7. Allocation of Governance, support costs and overheads

		Allocted to cost
		of charitable
	Raising Funds	activities	Total 2021	Total 2020
	£000	£000	£000	£000
Governance ‐ External Audit	0	6	6	6
Governance ‐ Other costs	0	19	19	20
Totalgovernance costs	0	25	25	26

Financial administration and accountancycosts	0	52	52	67
Computer expenses	0	4	4	4
Miscellaneous	0	5	5	2
Total other support costs	0	61	61	73

Totalgovernance, support costs and overheads	0	86	86	99

Financial Services and Governance costs are allocated on the basis of time spent by Trust employees these services to the charity. External Audit fees are a direct cost to the charity

The £84,000 (2020: £99,000) of support costs is included within the Cost of Charitable Activities (Note 6).

The charity does not directly employ any members of staff. The governance and financial services used by the charity are provided by employees of Northumbria Healthcare NHS Foundation Trust. The cost of providing these services is recharged to the charity by the Foundation Trust. Costs are calculated on the basis outlined above.

8. Analysis of Fixed Asset Investments

8.1 Fixed Asset Investments	Year Ended 2021 Year Ended 2020
Unrestricted Funds £000 Restricted Funds £000 Total Funds £000 Total Funds £000
Market value at start ofyear 757 553 1,310 1,295
Purchased- book cost 570 430 1,000 0
Netgain on revaluation unrealised 221 160 381 15
Gross transfer between funds 0 0 0 0
Market value at end ofyear 1,548 1,143 2,691 1,310

All investments are held primarily to provide an investment return for the charity.

8.2 Market value at 31 March
	Total 2021 £000 Total 2020 £000
Investments in a Common Deposit Fund or Common Investment Fund;
COIF Ethical Income Fund	1,144 129
COIF Global EquityFund	1,547 1,181
Total fixed assets investments	2,691 1,310

There are no direct investments held outside the UK. Both common investment fund holdings are considered to be material and are disclosed. There are no individual listed investments in fixed asset investments.

Northumbria Healthcare NHS Trust Charity

9. Analysis of Debtors

Amounts falling due withinone year	Total 2021 Total 2020
Unrestricted Funds £000 Restricted Funds £000 Total Funds £000 Total Funds £000
Accrued income 14 10 24 16
Other debtors 51 39 90 217
Total debtors 65 49 114 233

Accrued income represents income earned but not yet received on investments.

10. Analysis of Creditors

Amounts falling due withinone year	Total 2021 Total 2020
Unrestricted Funds £000 Restricted Funds £000 Total Funds £000 Total Funds £000
Trade creditors 0 0 0 0
Total creditors 0 0 0 0

Creditors consist of money owed to Northumbria Healthcare NHS Foundation Trust in respect of goods and services bought by the charity but initially paid for by the Trust

11. Short Term Investments and Deposits

Short term Investments	Unrestricted	Restricted	Total	Total
	Funds	Funds	2021	2020
	£000	£000	£000	£000
Market value at start ofyear	0	0	0	0
Netgain on revaluation unrealised	0	0	0	0
Netgain on revaluation realised	0	0	0	0
Proceeds of sale - book cost	0	0	0	0
Proceeds of sale - Realisedgain on disposal	0	0	0	0
Market value at end ofyear	0	0	0	0

Deposits	Unrestricted	Restricted	Total	Total
	Funds	Funds	2021	2020
	£000	£000	£000	£000
COIF Deposit account	203	147	350	1,350
BuildingSocietyAccounts	18	13	31	31
Total deposits	221	160	381	1,381

Total short term investments and deposits	221	160	381	1,381

Northumbria Healthcare NHS Trust Charity

Analysis of Funds

12. Endowment Funds

The charity held no endowment funds at 31 March 2021 (31 March 2020 - nil.)

Material funds

12.1 Unrestricted Funds
	Balance 31 March 2020 £000	Incoming Resources £000	Resources Expended £000	Gains / (losses) on Revaluation £000 Other Transfers		Balance 31 March 2021 £000
					£000
Berwick General Fund	31	0	0	4	0	35
CardiologyFund(WGH)	43	1	0	4	0	48
Caroline's Comet Fund	47	3	0	5	0	55
Charisma StudyReseach	40	0	0	5	0	45
Chemo Unit Berwick	36	1	(1)	4	0	40
Diabetic Education Fund	30	4	0	4	0	38
Esprit Research Fund	99	0	0	10	0	109
Hexham Cancer Equipment Fund	70	4	0	8	0	82
ITU Trustwide	42	5	(12)	3	0	38
OncologyDayUnit(WGH)	54	15	(19)	5	0	55
OncologyFund(NTGH)	45	9	(10)	4	0	48
Palliative Care Northumbria	228	45	(10)	30	0	293
Parkinson Disease Fund	59	0	(1)	7	0	65
Profess Research Fund	24	0	0	3	0	27
Special Care BabyUnit - Trustwide	22	0	0	2	0	24
Tanzania Educational Fund	31	0	(2)	3	0	32
TeardropProject	71	6	(2)	8	0	83
WGH Palliative Care(Oasis Room)	32	1	(2)	4	0	35
Haltwhistle Hospital Fund	79	4	(23)	6	0	66
Hexham Hospital General Fund	76	121	(2)	26	0	221
Breast Disease Fund	30	0	0	3	0	33
NTGH - Ward 22 Stroke Ward	14	75	(6)	13	0	96
PharmacyCharitable Fund	18	6	0	4	0	28
Covid 19 Donations Fund	0	55	(25)	5	0	35

Others	519	102	(118)	51	0	554
Total unrestricted funds	1,740	457	(233)	221	0	2,185

The unrestricted funds of the charity are designated funds i.e. there is no legal restriction on the use of the funds however the Corporate Trustee has earmarked the funds to be used for a particular purpose in the future. This purpose is indicated by the name given to these designated funds.

12.2 Restricted Funds
	Balance 31			Gains / (losses)		Balance 31
	March 2020	Incoming	Resources	on Revaluation	Other Transfers	March 2021
	£000	Resources £000	Expended £000	£000	£000	£000
Covid 19 Donations Fund	0	392	0	56	0	448
NVS Fund (Blyth)	55	4	(3)	6	0	62
NVS Fund (Cramlington)	165	112	(148)	12	0	141
NVS Fund (North Tyneside)	175	136	(155)	15	0	171
NVS Fund (Wansbeck)	38	33	(18)	6	0	59
North Northumberland CDG Fund	376	0	(54)	37	0	359
North Tyneside CDG Fund	402	0	(16)	39	0	425
Others	53	183	(268)	(11)	0	(43)
Total restricted funds	1,264	860	(662)	160	0	1,622

Income and expenditure of the shops staffed by the Northumbria Volunteer Service (NVS) are accounted for within separate funds - the NVS Funds. Periodically in the year any surpluses are transferred to Development Group funds. Expenditure on charitable activities funded by these surpluses is subsequently charged against the Development Group funds.

Northumbria Healthcare NHS Trust Charity

12.3 Details of Material Funds

Name of fund

Description of the nature and purpose of each fund

Restricted Funds

Covid 19 Donations Fund HVS Fund (Blyth) HVS Fund (Cramlington) HVS Fund (North Tyneside) HVS Fund (Wansbeck) North Northumberland CDG Fund North Tyneside CDG Fund

For donations made in repsonse to the pandemic restricted to specific purposes General purposes restricted to the Blyth area

General purposes restricted to the Northumbria Specialist Emergency Care Hospital General purposes restricted to the North Tyneside area General purposes restricted to the Wansbeck area General purposes restricted to the North Northumberland area General purposes restricted to the North Tyneside area

Unrestricted Funds

Berwick General Fund General purposes of Berwick hospital Cardiology Fund Improving cardiology services at Wansbeck Hospital Caroline's Comet Fund Promote the understanding of practices in palliative care Charisma Study Research Researching stroke prevention Chemo Unit Berwick Chemotherapy Unit at Berwick Hospital Diabetic Education Fund To support education for Diabetes staff Esprit Research Fund For research into causes of strokes Hexham Cancer Equipment Fund To purchase equipment for cancer services at Hexham hospital ITU Trustwide For the Trustwide Intensive Care Service Oncology Day Unit WGH For improving patient experience at the Oncology day unit Oncology Fund For oncology treatments and staff education Palliative Care Northumbria Support for palliative care patients in North Tyneside and Northumberland Parkinson's Disease Fund For research into Parkinson's disease Profess Research Fund To promote stroke prevention research Special Care Baby Unit For improving facilities within SCBU Trustwide Tanzania Education Fund Undertake research supported by British Council Teardrop Project Support for bereaved families after infant death WGH Palliative Care (Oasis Room) Improving palliative care services at Wansbeck Hospital Haltwhiste Hospital Fund For the general purposes of Hexham Hospital Hexham Hospital General Fund For general purposes at Haltwhsitle Hospital Breast Disease Fund Improving Breast disease services Trustwide Ward 22 Stroke Fund For the general purposes of the Stroke Ward North Tyneside Pharamcy Charitable Fund For support of Pharamcy services Trustwide Covid 19 Donations Fund For the general purpose sof the charity Trustwide

13. Commitments, Liabilities and Provisions

The charity had no commitments, liabilities or provisions at the 31 March 2021 (31 March 2020 - nil).

14. Connected Organisations

	2020‐2021	2020‐2021	2019‐2020	2019‐2020
Name, nature of connection, description of activities undertaken and details of any qualifications expressed bytheir auditors	Turnover of Connected Organisation £	Net deficit for the Connected Organisation £	Turnover of Connected Organisation £	Net surplus for the Connected Organisation £
The Charity is administered by Northumbria Healthcare NHS Foundation Trust. The Trust Board members are representatives of the Corporate Trustee of the Charity	692,368,000	11,325,000	587,149,000	13,490,000

Northumbria Healthcare NHS Trust Charity

15. Related Party Transactions

The Charity is connected to Northumbria Healthcare NHS Foundation Trust, it being the sole Corporate Trustee of the Charity. The Board of Directors of the Foundation Trust therefore have direct control of the charity through their control of the Foundation Trust. The Charity's objectives are to apply income and capital for any charitable purpose relating to services provided by the Foundation Trust and therefore the resources expended relate to the Foundation Trust in this way.

During the year the charity had a number of inter-company transactions with the Foundation Trust. At the 31 March the value of the inter-company balance was £90,000, that is the charity was owed £90,000 from the Foundation Trust.

During the year none of the members of the Foundation Trust Board or members of the key management staff or parties related to them has undertaken any material transactions with the Charitable Trust.

The charity is included within the consolidated financial statements of the Northumbria Healthcare NHS Foundation Trust, for which copies may be obtained from the Trust website (www.northumbria.nhs.uk).

Members of the Foundation Trust Board:

Executive Directors

Sir James Mackey Birju Bartolli Paul Dunn Ann Stringer Mr Jeremy Rushmer Marion Dickson Daljit Lally Claire Riley

Non-Executive Directors

Alan Richardson (Chair of Foundation Trust) Martin Knowles Malcolm Page Moira Davidson Bernard McCardle Sir Alan Craft Andrew Besford Ruth Connorton Roger Barton

No remuneration was paid to members of the Trust Board in 2020/21 (2019/20- Nil). No expenses were paid to Trust Board members in 2020/21 (2019/20 - Nil). No Trustee indemnity insurance was paid in 2020/21 (2019/20 - Nil).

2021-03-31-accounts

NORTHUMBRIA HEALTHCARE NHS TRUST CHARITY

REGISTERED CHARITY NUMBER 1083122

THE CORPORATE TRUSTEE’S ANNUAL REPORT AND ANNUAL FINANCIAL STATEMENTS 2020/21

Contents

Page(s)

1. FOREWORD

Trustee Arrangement

Criteria

2. ABOUT BRIGHT NORTHUMBRIA

History

Objectives and activities

“… for any charitable purpose or purposes relating to the National Health Service”.

Mission

Working Relationships

3. ACHIEVEMENT AND PERFORMANCE

Achievements in the Year

Public support in the wake of the coronavirus pandemic

Appeal

NHS Charities Together grants

Healing arts

A time for reflection and remembering

COVID 19 memorial artwork - ‘A rainbow of hope’

Environment

Volunteering

D/deaf Awareness

Partnerships

Nightingale Cottages

International Philanthropic Programme

4. FUTURE PLANS

Future plans

5. FINANCIAL REVIEW

General Financial Review

Strategic Development

Income (excluding NVS sales)

NVS Shops Profits

Expenditure (excluding purchases for the NVS shops)

Expenditure by Type

Monitoring of Performance

Review of Investments and Deposits

Investment Income

6. POLICIES AND PROCEDURES

Risk Management / Exposure to Risks

Statement of Policy on Investments

7. STRUCTURE, GOVERNANCE AND MANAGEMENT

Organisational Structure

8. REFERENCE AND ADMIN DETAILS

Registered Address

Auditors

Legal Advisors

Bankers

Investment Managers

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

NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST

FUNDS HELD ON TRUST

ANNUAL ACCOUNTS 2020-21

FOREWORD

STATUTORY BACKGROUND

MAIN PURPOSE OF THE FUNDS HELD ON TRUST

Independent auditor’s report to the Corporate Trustee of Northumbria Healthcare NHS Trust Charity

Opinion

Basis for opinion

Going concern

Fraud and breaches of laws and regulations – ability to detect

Identifying and responding to risks of material misstatement due to non-compliance with laws and regulations

Other information

Matters on which we are required to report by exception

Trustees’ responsibilities

Auditor’s responsibilities

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

STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2021

Income

Expenditure

BALANCE SHEET AS AT 31 MARCH 2021

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

1. Accounting

1.1 Accounting Convention

1.2 Income

b) Gifts in kind

c) Donations in kind