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2022-03-31-accounts

NORTHUMBRIA HEALTHCARE NHS TRUST CHARITY

REGISTERED CHARITY NUMBER 1083122

THE CORPORATE TRUSTEE’S ANNUAL REPORT AND ANNUAL FINANCIAL STATEMENTS 2021/22

Contents

Page(s)

Page(s)
1. Corporate Trustee’s Annual Report
Foreword 1
About Bright Northumbria 3
Achievements and performance 5
Future Plans 14
Financial Review 15
Policies and Procedures 21
Structure, Governance and Management 24
Reference and Administrative Details 28
2. Financial Statements;
Statement of Corporate Trustee’s i
Responsibilities
Foreword ii
Independent auditor's report and iii – vi
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

2021/22

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 2022.

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, children’s 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.

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 Charitable Funds Strategic Committee, the ‘SCFC’.

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

Minutes of the CFSC 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;

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 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.

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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

Professor Alan Richardson – Chair of Corporate Trustee

Paul Dunn – Executive Director of Finance

Dated : 26th January 2023

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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 the continuing development of healthcare services to benefit patients and staff across the trust area of Northumberland and North Tyneside.’’

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 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

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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

The Corporate Trustee 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, namely:

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 deliver a high-quality healing arts programme in collaboration with patients, staff, volunteers and the local community, to improve the hospital 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. To work with architects and designers to integrate the arts to enhance patient and staff experience

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.

Research – to support a continuous programme of research, which aims to improve treatment for thousands of patients across the NHS. To promote innovation and service improvement through providing a platform for staff to share ideas.

Coming out of the coronavirus pandemic

Throughout the COVID 19 pandemic, the charity responded by developing a number of initiatives to support our patients and staff. This included the provision of web cams for use in the libraries and education centres, to create additional work stations across all Trust sites, enabling staff to participate in essential virtual meetings.

The charity also provided tablet computers to the patient experience team, to enable patients to make video calls to their loved ones at a time when visiting was greatly reduced, combating loneliness and isolation.

Donated items from companies and individuals, continued to be distributed to our 10 hospitals and major community sites for onward delivery to 11,000 staff. Many of our COVID volunteers, who had joined us during furlough, 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. When furlough ended in September 2021, most of the specially recruited COVID volunteers returned to their place of work. However, a small number continued to volunteer.

Charity grants

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Although it was not possible to hold in-person meetings of the site Charity Development Groups to discuss and award grants, it was possible to process a number of applications submitted by staff groups through the year. This included: grants for provision of specialist training equipment, tablets for use by nurses visiting patients in the community, a number of specialist chairs to support our stroke patients and elderly patients on the wards, uplifting reading books in all of our libraries for staff to enjoy, refurbishment of relative’s rooms and artwork to enhance the hospital environment.

In addition, the Charity Board approved grants of £446,000 to support a number of patientcentred initiatives.

The charity continued to develop new projects with the Health and Wellbeing team, with a focus on the patient environment and staff wellbeing.

NHS Charities Together grants

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

The charity worked with local disability groups to provide support at a time when small community-based charities were struggling. This included funding for the establishment of a toy and sensory equipment library for the Tanga Club based in Hexham, which is a fully inclusive youth/social club for children of all abilities. Funding was also provided to Headway Arts in Blyth to create a mindfulness storytelling garden for their Stars! Learning Disability Theatre company. In North Northumberland the charity worked with Bell View Centre to establish a wheel chair loan service. The wheel chair loans enabled individuals with mobility issues, and who had been housebound, to meet people outside.

The charity also created opportunities to work alongside members of the BAME external community as well as the trust’s BAME support group. Favourite recipes from oversees staff were collected to develop a cook book. This included stories, from those who contributed, about why the recipe is special to them. The cook book was made available online and in paper form. The online link was shared with NHS Charities Together to circulate to all of their member NHS trusts. A limited number of the cook books were printed and distributed to all staff at Christmas.

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Some of the recipes have also been used by the trust’s catering department to add a more international feel to the menu.

The charity also worked with Barefoot, a local BAME community group supporting more than 150 refugee families, to develop training and resources focused on the different traditions and ceremonies around death and dying representative of the cultures present in our area. This has enabled our staff to engage constructively with bereaved families from different cultures.

Consultation with the trust’s staff BAME group also led to the development of a screen saver and recruitment pop up, displaying the flags of more than 90 countries where our staff have heritage.

Healing arts

Much of the planned programme for the arts continued to be on hold due to the pandemic, as access to many areas within the hospital was restricted.

However, as part of a wellbeing programme for staff, the charity funded online photography masterclasses where staff could learn from an award-winning professional photographer, helping many develop a new hobby.

Berwick Hospital hoardings

The hoardings around the construction site of the new Berwick Hospital featured photographs of iconic images of Berwick from a regional photography competition organized by the charity, and were replaced by a new graffiti inspired exhibition from Berwick Academy which the students worked on during lockdown. Students from the Academy are members of the hospital’s Art Steering Group.

Environment

During the pandemic there was an increase in demand across all services for the refurbishment of tired day rooms and staff rooms across trust sites to create a welcoming, homely space for staff to rest and recuperate. The charity undertook extensive consultation with staff groups to develop three standardised colour templates that could provide choice for wards and departments. Additional furniture, artwork and accessories could be selected by individual wards and departments to customise the design to their liking. The spaces have been very well used and feedback from staff has indicated that the much-improved environment has been very beneficial, helping them to relax from the stress of the clinical environment in comfortable surroundings.

Mortuary Refurbishment

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It can be very difficult for families to visit hospitals to view their loved ones, as the sterility of the mortuary environment can be overwhelming and cause additional distress.

We consulted with staff and families to develop a more welcoming space and the new facilities are much appreciated by the families who visit.

Before

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After
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Expressing rooms

The charity was approached by maternity services to develop expressing rooms across the trust to enable new mothers, who were members of staff returning to work, a chance to continue with breastfeeding by giving them a space that offers comfort and dignity. The facility is promoted to staff as part of their return to work conversation with their line manager and each member of staff is provided with a Bright charity cooler bag. Each room has a recliner chair that has been designed to provide comfortable support to the mother during expressing.

Two previous charity environment projects were shortlisted at the Building Better Healthcare Awards. The re-development of the volunteer-run shop at North Tyneside General Hospital (Harry’s café) and the ICU relatives’ room at the Northumbria Specialist Emergency Care Hospital were nominated for Best Interior Design project (Refurbishment) with the relative’s room being awarded 2021 winner.

The judges said: “This makes a huge amount of difference. It has been brilliantly done with thorough consultation and they have really understood the importance of these spaces to people.’’

Fundraising

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The Great North Run made a comeback in 2021 for its 40[th] birthday. The Bright charity teamed up with the Teardrop Support Group and Positively Pink to provide places for more than 100 runners.

Bright was also the official charity partner for the 2021 Kielder marathon challenge events which took place over the weekend of 2-3 October. The charity joined forces with the trust to

offer 93 places free of charge to staff to support health and wellbeing. Each participant received a free Bright t-shirt and had the option to fundraise for Bright.

Voices of Virtue Gospel Choir performance at remembrance event

For the second year, the charity organised a staff remembrance virtual event at the end of 2021.

The Voices of Virtue Gospel Choir were not able to give a live performance to staff due to ongoing COVID restrictions.

However, their uplifting performance at St Paul’s church, Willington Quay was filmed and used for the online event.

Partnership working

Wag & Co

During the pandemic, our partnership with Wag & Co, the dog befriending charity was limited due to social distancing. However, the charity adapted to the restrictions to visit their clients and go for walks together outside. This brought great comfort to many elderly people who had little social interaction.

The programme will be able to be offered, once again, on the wards to patients and to staff groups for their health & wellbeing, once restrictions are lifted.

Charlotte Tilbury

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Following the success of the initial Breakfast at Tilbury events in 2020, the charity has been working with the Tilbury’s team at the Fenwick’s store in Newcastle, to deliver more events. Event places are allocated through a prize draw with 240 staff attending each year for breakfast and beauty talks.

Nightingale Cottages

During the year the trust collaborated with local cottage owners Gillian Baker-Cresswell and Nikki Brierley, Director of Northumbria Coast and Country Cottages, to develop Nightingale Cottages, an initiative to provide respite breaks for NHS staff in beautiful Northumbrian cottages donated by local owners. More than 50 breaks were enjoyed by staff and their families. Hundreds of staff were nominated by colleagues to be entered in a draw for one of the breaks.

Newcastle Eagles

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 through their highly successful Hoops for Health programme, which operates in 20 schools across the trust area and has a reach of 1500 children.

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As it was not possible to deliver the programme in person at schools during 2021, delivery changed to online interaction with schools, who were able to facilitate.

A number of new initiatives were developed to use the skills of the trainers in a different way to support our local health community.

Singing for memories

Working with local care homes, and with the help of a singing tutor, trainers held a number of singing events, encouraging participants to learn songs over the course of a number of weeks via online sessions. Participants were encouraged to discuss memories after each song. At the end of the programme, a local school linked with the care homes live via an online session. Both the care home and school sang together and enjoyed an afternoon of socializing.

Stroller club

It was particularly difficult during the pandemic for new mothers to be able to socialize and make new friends. Eagles trainers developed a “motherhood sisterhood” session in Berwick, offering guided outdoor walks with mothers and babies in their strollers. This enabled friendships to be formed whilst also providing exercise, support and fun.

D/deaf Awareness

With funding from NHS Charities Together, Bright worked with local author and health advocate Jo Milne to produce an educational film for NHS staff about Usher syndrome, a rare genetic disease that affects both hearing and vision.

The film was launched in November 2021 at the Grand Hotel in Gosforth and global superstar Merrill Osmond (of The Osmonds) agreed to support the launch. The event was attended by the BBC and ITV which raised awareness of Usher syndrome across the region.

Sign classes

The trust’s dedicated D/Deaf Awareness Officer was unable to provide face to face training due to the pandemic and many pre-booked staff classes had to be cancelled. However, 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

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D/deaf patients experienced significant communications difficulties due to the wearing of face masks and the inability to lip read.

Usher syndrome awareness day on 2[nd] March 2022

The Northumbria Trust was the first NHS trust to support Usher syndrome awareness day. This provided an opportunity to further raise awareness of the needs of patients with hearing and / or sight loss to improve the patient experience.

School uniform appeal

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.

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.

Volunteering

All profits from the volunteer-run shops at our hospitals are used to benefit the hospital where they are sited. During the pandemic, when restrictions continued for public access, the shops had less footfall than normal. However, the service continued to be offered to provide support to staff and patient’s families.

The volunteering service actively sourced new products from local suppliers for the Northumbria Volunteer Service (NVS) shops to offer support to local businesses.

Overall volunteer numbers had reduced during the pandemic as many of the volunteers and volunteer roles had been stood down. It is hoped that many will return to their roles when restrictions are lifted.

All of our volunteers, both current and furloughed were offered a vaccination via our staff hubs. Our volunteers also continued to volunteer at the vaccination hubs to facilitate the process.

A new meet and greet role was introduced in the Outpatient Department, and between February and March 2022, five volunteers delivered 120 hours of volunteering and assisted over 3000 patients.

International Philanthropic Programme

Although project visits to our partner hospital Kilimanjaro Christian Medical Centre (KCMC) in northern Tanzania were suspended due to the coronavirus pandemic, our pharmacy volunteers were able to continue working with them via zoom 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 also included four additional hospitals across Tanzania.

The project began in October 2021 and focused on three key areas – introduction of GPPS surveillance to gather information about the use of antibiotics on the wards, improving knowledge and skills around Antimicrobial Surveillance and developing clinical pharmacy

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services in Tanzania. The widespread geography and populations covered by partner institutions meant that the project could be delivered nationwide, bringing important health system changes to the country.

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4. FUTURE PLANS

Future plans

The charity will be working to support the development of a number of staff health and wellbeing hubs at our hospitals. As part of this process, staff will be involved in the development of arts exhibitions and encouraged to participate in creative activities.

As the development of the new Berwick Hospital continues, the charity will work with staff and the local community to deliver the hospital’s arts strategy.

The charity agreed dedicated funding to support research projects by nurses and Allied Health Professionals. A Bright Ideas forum would be created to facilitate this

Plans are underway to create memorial gardens at all hospital sites to provide a place for reflection for staff following the hardship endured during the pandemic. A number of locations have been approved to develop the gardens.

Further staff health and wellbeing initiatives are under development.

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5. FINANCIAL REVIEW

A full set of accounts for the financial year 2021/22 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 £290,000. This represented an excess of income over expenditure of £71,000. Charitable income decreased significantly compared with the previous year due to a reduction in public donations received in response to the Covid-19 pandemic.

This fall in charitable income was partly offset by an increase in the charity’s investment value by £219,000. Total net funds therefore are £4,097,000 at 31 March 2022.

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).

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 fundraising 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:

Medical Equipment 10-25%
Environment Improvement 10-20%
Patient Education and welfare 20-30%
Staff Education and Welfare 5-15%
Research 5-15%
Health Inequalities/Public Health 10%
Corporate Social Responsibility 5%

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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 £443,000. This compares with £932,000 for the previous year. Legacy income by its nature is variable. Donated income in the year is at a lower level than has been received in previous years with the exception of 2020/21. The actual income amounts were:

Income Source 2021/22 2020/21
Donations £232,000 £615,000
Legacies £105,000 £224,000
Investment income £83,000 £60,000
Fundraising £23,000 £33,000
Total £443,000 £932,000

In 2020/21 donated income 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 run by volunteers and provide the essentials that patients and visitors, as well as staff, require when in hospital.

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During the year the shops generated sales of £730,000 against costs of £650,000 resulting in a surplus of £80,000. The reporting year saw a return to profit for the shops as hospital activity for both staff, patients and visitors returned to something like pre-pandemic levels. These profits will be re-invested in equipment and services in the hospitals to provide an enhanced patient experience. 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 £452,000 (previous year £431,000) which consisted of:

Expenditure Type 2021/22 2020/21
Patient related expenditure £293,000 £284,000
Staff related expenditure £24,000 £21,000
IT Expenditure £0 £0
Management and administration £79,000 £86,000
Fundraising costs £56,000 £40,000
Total £452,000 £431,000

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Expenditure by Type

Total expenditure fell into the following categories:

Expenditure Category 2021/22 2020/21
Purchase of equipment £81,000 £124,000
Building refurbishment £43,000 £15,000
Staff education and welfare £24,000 £21,000
Patient education and welfare £153,000 £107,000
IT equipment £0 £0
Grants to other charities £16,000 £38,000
Management / admin costs £79,000 £86,000
Fundraising £56,000 £40,000
Total £452,000 £431,000

Expenditure

Purchase of Equipment £81k Building Refurbishment £43k Staff Education and Welfare £24k Grants £16k Patient Education and Welfare £153k IT Expenditure £0k Fundraising £56k Management / Admin £79k

The Corporate Trustee is expecting to see an increase in charitable expenditure coming years as NHS staff, post pandemic, are able to focus on enhancing services which is the normal driver behind the charitable expenditure.

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.

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Review of Investments and Deposits

At 31 March 2022, the charity had £3,610,000 (market value) which was invested for long term growth and on short term deposits.

All of this £3,610,000 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 £2,899,000 £3,610,000 £711,000
Total £2,899,000 £3,610,000 £711,000

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 CFSC 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 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 £81,000 £81,000 -
Total £81,000 £81,000 -

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

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Investment Income

During the year, investments yielded a total of £83,000 in interest (2020/21 - £60,000). The average investment yield during the year was 2.69% (2020/21 - 2.61%).

Ethical Investment fund - 2.90% (2020/21 – 2.78%) Global Equity Fund - 2.56% (2020/21 – 3.08%) Deposit fund COIF - 0.51% (2020/21 – 0.01%)

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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:

  1. That the charity is not operating within its objects as defined in the charity’s governing document.

  2. That accounting transactions are inappropriately or inadequately reported.

  3. Expenditure is inappropriately high resulting in a faster depletion of funds than approved by the Corporate Trustee.

  4. That expenditure is inappropriately low resulting in lost opportunities for charitable funds.

  5. 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:

  1. A Charitable Funds Strategic Committee which reviews policy, financial activity and investment performance. The members of the committee are all Executive and Non-executive directors of the Trust.

  2. The existence and compliance with Standing Financial Instructions.

  3. An adequately qualified and resourced finance function

  4. The establishment of internal financial control systems which are reviewed annually by an Internal Audit department.

  5. Reporting and review of audit findings to an Audit Committee.

  6. 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. ‘’

The Corporate Trustee reviewed the reserves policy in March 2022 and considers that this level of reserves is consistent with applying income on a measured, planned and co-ordinated basis. The level of reserves is reported to the charitable funds committee on twice annual basis.

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,

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have contributed to the increase in reserve levels. Charitable expenditure was unusually low in the reporting year, as it was in the previous 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. The expectation therefore is that reserve levels will reduce from the current level of £2,100,000 to level much nearer to the range of £800,000 to £1,200,000.

Appropriate action to establish or maintain reserves at the required level will be decided upon by the committee. The Head of the Bright Northumbria charity 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 £4,097,000; however, of this, approximately £1,285,000 is committed to future projects and £711,000 results from unrealized investment gains meaning that non-committed reserves are approximately £2,101,000 which is in excess of the mediumterm target level. The most significant reserve item is £302,000 which is reserved for the redevelopment of Berwick Hospital which is expected to be completed in 2023/4.

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 2021/22 was established in July 2013 and last reviewed by the Charitable Funds Committee in March 2022.

The main objectives of the investments are;

For deposit funds the following funds are authorised;

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

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Northumbria Healthcare NHS Trust Charity

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:

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;

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

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

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 Strategic 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 CFSC 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 232 individual funds (2020/21: 225) as at 31 March 2022 and the notes to the accounts distinguish the types of funds held and disclose separately all material funds.

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Northumbria Healthcare NHS Trust Charity

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 CFSC 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 219 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.

During the year these directors were;

Non-Executive Directors:

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Northumbria Healthcare NHS Trust Charity

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Executive Directors:

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. Ms Brenda Longstaff, Head of Bright Northumbria Charity, 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.

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Northumbria Healthcare NHS Trust Charity

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.

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Northumbria Healthcare NHS Trust Charity

2021/22

8. REFERENCE AND ADMIN DETAILS

Registered Address

North Tyneside General Hospital Rake Lane North Shields NE29 8NH

Auditors

Legal Advisors

KPMG LLP 1 Sovereign Square Sovereign Street Leeds LS1 4DA

DAC Beachcroft LLP Time Central Gallowgate Newcastle Upon Tyne NE99 5AA

Bankers

Investment Managers

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

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APPENDIX A

----- Start of picture text -----
Trust Board
Strategic Charitable
Funds Commitee
----- End of picture text -----

----- Start of picture text -----
Trustwide CDG
----- End of picture text -----

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

Opening Balances
Book Cost 31/3/2021
Unrealized Gains b/f
Market Value 31/3/2021
Movements in Year
Purchase Book Cost
b/f Gains realised
Unrealized Gains
Closing Balances
Book Cost 31/3/2022
Total Unrealized Gains c/f
Market Value 31/3/2022
Opening Balances
Book Cost 31/3/2021
Additions
Withdrawals
Market Value 31/3/2022
Ethical Investment
Fund
COIF
£'s
1,098,588
45,722
1,144,310
500,000
45,722
90,490
1,598,588
136,212
1,734,800
Deposit Fund
COIF
£'s
350,000
(300,000)
50,000
Ethical Investment
Fund
COIF
£'s
1,098,588
45,722
1,144,310
500,000
45,722
90,490
1,598,588
136,212
1,734,800
Deposit Fund
COIF
£'s
350,000
(300,000)
50,000
Global Fund
COIF
£'s
1,100,000
446,439
1,546,439
200,000
446,439
128,497
1,300,000
574,936
1,874,936
Deposit Fund
Building Society
£'s
31,192
0
0
31,192
Total
£'s
2,198,588
492,161
2,690,749
700,000
492,161
1,192,161
2,898,588
711,148
3,609,736
Total
£'s
381,192
0
(300,000)
81,192

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:

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.

i

NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST

FUNDS HELD ON TRUST

ANNUAL ACCOUNTS 2021-22

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……26th January 2023…………………..

ii

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 2022 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:

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 Charitie’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 Charitie’s business model and analysed how those risks might affect the Charitie’s financial resources or ability to continue operations over the going concern period.

Our conclusions based on this work:

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.

iii

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, including the internal audit function, and the Group’s channel for “whistleblowing”, as well as whether they have knowledge of any actual, suspected or alleged fraud.

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 wrong period.

We did not identify any additional fraud risks.

We performed procedures including:

• We agreed a sample of transactions around year end 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 and other management (as required by auditing standards) and discussed with the directors and other management the policies and procedures regarding compliance with laws and regulations.

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

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

The Charity is subject to laws and regulations that directly affect the financial statements including financial reporting legislation (including related charities legislation), and taxation 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

iv

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:

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:

We have nothing to report in these respects.

Trustees’ responsibilities

As explained more fully in their statement set out on page (i), 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.

v

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 (Senior Statutory Auditor) for and on behalf of KPMG LLP, Statutory Auditor Chartered Accountants 1 Sovereign Square Sovereign Street Leeds LS1 4DA

2 February 2023

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Northumbria Healthcare NHS Trust Charity

STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2022

Income

Year Ended
2022
Year Ended
2021
Note
Unrestricted
Funds
£000
Restricted
Funds
£000
Total
Funds
£000
Total
Funds
£000
Donations and legacies
2
214
123
337
839
Charitable activities
3
23
730
753
418
Investment income
4
48
35
83
60
Total incoming resources
285
888
1,173
1,317

Expenditure

Fundraisingcosts 5 56 0 56 40
Charitable activities 6 156 890 1,046 855
Total resources expended 212 890 1,102 895
Gains on revaluation of investment assets 8,11 127 92 219 381
Gains on disposal of investment assets 8,11 0 0 0 0
Totalgains on investment assets 127 92 219 381
Net incoming resources 200 90 290 803
Gross transfer between funds (23) 23 0 0
Net movement in funds 177 113 290 803
Fund balances brought forward at 31 March 2021 2,185 1,622 3,807 3,004
Fund balances carried forward at 31 March 2022 2,362 1,735 4,097 3,807

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

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Northumbria Healthcare NHS Trust Charity

BALANCE SHEET AS AT 31 MARCH 2022

Note
Unrestricted
Funds
£000
Restricted
Funds
£000
Year Ended 2022
Total Funds
£000
Unrestricted
Funds £000
Restricted
Funds
£000
Year Ended
2021
Total Funds
£000
Investments
8
2,081
1,529
3,610
1,548
1,143
2,691
Total fixed assets
2,081
1,529
3,610
1,548
1,143
2,691
Current assets:
Debtors
9
16
11
27
65
49
114
Short term investments and deposits
11
47
34
81
221
160
381
Cash at bank and in hand
241
177
418
351
270
621
Total current assets
304
222
526
637
479
1,116
Liabilities:
Creditors: Amounts fallingdue within oneyear
10
23
16
39
0
0
0
Net current assets
281
206
487
650
466
1,116
Total net assets
2,362
1,735
4,097
2,185
1,622
3,807
Funds of the charity
Income Funds
Unrestricted
12
2,362
0
2,362
2,155
0
2,155
Restricted
12
0
1,735
1,735
0
1,622
1,622
Total funds of the charity
2,362
1,735
4,097
2,198
1,609
3,807

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

The financial statements were approved by the Corporate Trustee on 26th of January 2023 and signed by:

……………………………………………………

on behalf of the Corporate Trustee

………………26th January 2023...... Date

2

Notes to the financial statements for the year ended 31 March 2022

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:

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:

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;

3

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;

4

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;

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.

5

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:

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).

6

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.

7

Northumbria Healthcare NHS Trust Charity

2. Donations and Legacies

Year Ended
2022
Year Ended
2021
Unrestricted
Funds
£000
Restricted
Funds
£000
Total
Funds
£000
Total
Funds
£000
Donations from individuals
173
41
214
602
Corporate Donations
18
0
18
13
Legacies
23
82
105
224
Total voluntary income
214
123
337
839

3. Income from charitable activities

Year Ended
2022
Year Ended
2021
Unrestricted
Funds
£000
Restricted
Funds
£000
Total
Funds
£000
Total
Funds
£000
HVS Shops
0
730
730
385
Other
23
0
23
33
Total activities forgenerating funds
23
730
753
418

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
2022
Year Ended
2021
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
48
35
83
60
Other investments and deposit accounts
0
0
0
3
Total investment income
48
35
83
63

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

8

Northumbria Healthcare NHS Trust Charity

5. Expenditure on raising funds

Unrestricted
Funds
£000
Restricted
Funds
£000
Total 2022
Total Funds
£000
Total 20201
Total Funds
£000
Fundraisingcosts
56
0
56
40
Total cost ofgenerating funds
56
0
56
40

6. Expenditure on charitable activities

Note
Unrestricted
Funds
£000
Restricted
Funds
£000
Total 2022
Total Funds
£000
Total 2021
Total Funds
£000
Purchase of New Equipment
41
40
81
124
New Buildingand Refurbishment
3
40
43
15
Staff Education and Welfare
4
20
24
21
Patient Education and Welfare
62
91
153
107
IT Equipment and Software
0
0
0
0
Grants to Other Charities
0
16
16
38
Support Costs and Overheads
7
46
33
79
86
Costs ofgood sold - HVS Shops
0
650
650
464
Total cost of charitable activities
156
890
1,046
855

9

Northumbria Healthcare NHS Trust Charity

7. Allocation of Governance, support costs and overheads

Allocted to cost
of charitable
Raising Funds
activities
Total 2022 Total 2021
£000 £000 £000 £000
Governance ‐ External Audit 0 6 6 6
Governance ‐ Other costs 0 19 19 19
Totalgovernance costs 0 25 25 25
Financial administration and accountancycosts 0 52 52 52
Computer expenses 0 0 0 4
Miscellaneous 0 2 2 5
Total other support costs 0 54 54 61
Totalgovernance, support costs and overheads 0 79 79 86

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 £79,000 (2021: £86,000) 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
2022
Year Ended
2021
Unrestricted
Funds
£000
Restricted
Funds
£000
Total
Funds
£000
Total
Funds
£000
Market value at start ofyear
1,548
1,143
2,691
1,310
Purchased- book cost
406
294
700
1,000
Netgain on revaluation unrealised
127
92
219
381
Gross transfer between funds
0
0
0
0
Market value at end ofyear
2,081
1,529
3,610
2,691

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

8.2 Market value at 31 March
Total 2022
£000
Total 2021
£000
Investments in a Common Deposit Fund or Common Investment Fund;
COIF Ethical Income Fund 1,735
1,144
COIF Global EquityFund 1,875
1,547
Total fixed assets investments 3,610
2,691

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.

10

Northumbria Healthcare NHS Trust Charity

9. Analysis of Debtors

Amounts falling due withinone year Total 2022
Total 2021
Unrestricted
Funds
£000
Restricted
Funds
£000
Total Funds
£000
Total Funds
£000
Accrued income
16
11
27
24
Other debtors
0
0
0
90
Total debtors
16
11
27
114

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

10. Analysis of Creditors

Amounts falling due withinone year Total 2022
Total 2021
Unrestricted
Funds
£000
Restricted
Funds
£000
Total Funds
£000
Total Funds
£000
Trade creditors
23
16
39
0
Total creditors
23
16
39
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 2022 2021
£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 2022 2021
£000 £000 £000 £000
COIF Deposit account 29 21 50 350
BuildingSocietyAccounts 18 13 31 31
Total deposits 47 34 81 381
Total short term investments and deposits 47 34 81 381

11

Northumbria Healthcare NHS Trust Charity

Analysis of Funds

12. Endowment Funds

The charity held no endowment funds at 31 March 2022 (31 March 2021 - nil.)

Material funds

12.1 Unrestricted Funds
Balance 31
March 2021
£000


Incoming
Resources £000
Resources
Expended £000
Gains / (losses)
on Revaluation
£000 Other Transfers
Balance 31
March 2022
£000
£000
Berwick General Fund 35 0 0 1 0 36
CardiologyFund(WGH) 48 2 0 3 0 53
Caroline's Comet Fund 55 1 (3) 4 0 57
Charisma StudyReseach 45 0 0 2 0 47
Chemo Unit Berwick 40 0 0 2 0 42
Diabetic Education Fund 38 5 0 1 0 44
Esprit Research Fund 109 0 (1) 7 0 115
Hexham Cancer Equipment Fund 82 7 0 5 0 94
ITU Trustwide 38 8 (1) 2 0 47
OncologyDayUnit(WGH) 55 23 (4) 3 0 77
OncologyFund(NTGH) 48 14 0 1 0 63
Palliative Care Northumbria 293 82 (40) 17 0 352
Parkinson Disease Fund 65 1 (1) 4 0 69
Profess Research Fund 27 0 0 1 0 28
Special Care BabyUnit - Trustwide 24 4 (2) 2 0 28
Tanzania Educational Fund 32 1 0 3 0 36
TeardropProject 83 13 (3) 5 0 98
WGH Palliative Care(Oasis Room) 35 4 (3) 0 0 36
Haltwhistle Hospital Fund 66 5 (14) 5 0 62
Hexham Hospital General Fund 221 4 (2) 14 (33) 204
Breast Disease Fund 33 0 (9) 4 0 28
NTGH - Ward 22 Stroke Ward 96 1 0 5 0 102
PharmacyCharitable Fund 28 6 0 1 0 35
Covid 19 Donations Fund 35 3 0 2 0 40
Others 554 101 (129) 33 10 569
Total unrestricted funds 2,185 285 (212) 127 (23) 2,362

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 2021
Incoming
Resources on Revaluation
Other Transfers
March 2022
£000 Resources £000 Expended £000 £000 £000 £000
Covid 19 Donations Fund 448 3 (73) 10 0 388
NVS Fund (Blyth) 62 12 (19) 2 0 57
NVS Fund (Cramlington) 141 259 (248) 4 (25) 131
NVS Fund (North Tyneside) 171 268 (220) 18 0 237
NVS Fund (Wansbeck) 59 3 (7) 4 0 59
North Northumberland CDG Fund 359 0 (8) 13 0 364
North Tyneside CDG Fund 425 29 (56) 16 (10) 404
Community CDG Fund 32 21 (1) 11 0 63
Others (75) 293 (258) 14 58 32
Total restricted funds 1,622 888 (890) 92 23 1,735

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.

12

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 Community 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 General purposes restricted to Northumberland Community Services

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 2022 (31 March 2021 - nil).

14. Connected Organisations

2021‐2022 2021‐2022 2020-2021 2020-2021
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 deficit 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
704,536,000 6,512,000 692,368,000 11,325,000

13

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 £39,000, that is the charity was owed £39,000 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 Dr Alistair Blair Marion Dickson Daljit Lally (until 14th May 2021) Claire Riley

Non-Executive Directors

Alan Richardson (Chair of Foundation Trust) Martin Knowles Malcolm Page (until 10th January 2022) Moira Davidson Bernard McCardle Sir Alan Craft Andrew Besford Ruth Connorton Roger Barton (until 31st May 2021) Stephen McKinley (from 7th February 2022) Phill Lobb (from 21st February 2022)

No remuneration was paid to members of the Trust Board in 2021/22 (2020/21- Nil). No expenses were paid to Trust Board members in 2021/22 (2020/21 - Nil). No Trustee indemnity insurance was paid in 2021/22 (2020/21 - Nil).

14