London North West Healthcare Charity Annual Review 2023-24 Gaske, Mard
Contents
| Who we are | 3 | |
|---|---|---|
| A message from our team 4 ~~aaa~~ |
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| Our four priorities | 6 | |
| Our annual review | 7 | |
| Our financial performance 2023/24 | 8 | |
| LNWH Charity 2023/24 charitable activities | ||
| • Patient welfare |
9 | |
| • Ward and department enhancements |
Ward and department enhancements | 14 |
| • Staff welfare |
16 | |
| • Training and education |
18 | |
| • Fundraising 2023/24 |
19 | |
| Upcoming events | 20 | |
| Grant commitments 2023/24 | 21 | |
| Looking ahead: our goals for the future | 22 | |
| Fundraising 23 ~~OOOO~~ |
||
| Working with our partners | 23 | |
| Our structure, governance and management 24 ~~7~~ ~~————————————~~ |
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| • Professional advisors |
25 | |
| Policies and procedures | 26 | |
| Statement of Trustees’ responsibilities in respect of the Trustees’ annual report and the financial statements |
30 | |
| Independent auditor’s report to the Corporate Trustee of LNWH Charity | 31 | |
| Annual accounts, figures and notes to the accounts | Annual accounts, figures and notes to the accounts | 35 |
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Who we are
London North West Healthcare (LNWH) Charity is the official dedicated charity for London North West University Healthcare (LNWH) NHS Trust, generating funds for Central Middlesex, Ealing and Northwick Park Hospitals and local community services in Brent, Ealing and Harrow.
Our charity supports LNWH NHS Trust staff in delivering exceptional healthcare by funding equipment, medical research, innovation, advanced technology, and facilities that would not normally be funded by the NHS.
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A message from our team
2023/24 saw our team grow, and in turn an increase in the projects we funded. With more than 9,000 staff who look after a wonderfully diverse population of more than 1 million people in north west London and beyond, growing our Charity team was one of our priorities, and we achieved our goal earlier this year.
We are delighted to welcome Maeve Quinn, our communications manager, who brings a wealth of NHS communications experience and has worked at LNWH NHS Trust for 12 years. She has been busy raising the profile of the Charity internally and externally and showcasing many of the great projects we fund.
We were also pleased to welcome fundraising officers, Abdiwahaab Mohamed and Micah Henry, whose enthusiasm, energy and commitment are a great asset to the team and to boosting our fundraising capacity.
It’s been another exceptionally busy and challenging year for LNWH NHS Trust, and we have been helping where we can by supporting more innovative projects, both big and small.
You’ll read more about them throughout the report, but we’re particularly proud of our involvement with improving patient experience, such as a massage therapist for patients who need intensive rehabilitation and a video to help patients recover more quickly after surgery.
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David Jenkins,
Charity Director
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Maeve Quinn,
Communications Manager
[;]
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Sujata Patel,
Charity Accounts Assistant
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[ “Our heartfelt thanks to you. ] Because of your kindness, we can provide support to patients and staff in LNWH NHS Trust, where it is most needed”.
Staff welfare is also one of our priorities. Whether it’s to fund something as simple as a cup of tea through the Health and Wellbeing rounds or creating a comfortable staff room to take well-earned breaks, we know it makes a huge difference to their wellbeing and eases stress, so are happy to help.
We have committed to spending £1m on transformation and innovation in future periods and project chosen are now gathering momentum, which is very exciting. You can read more about them on page 21. It has taken a lot of hard work by the project leads, so it’s thanks to them that patients and staff will reap the benefits.
Wendy George, Head of Charitable Funds
Sofia Sheikh, Head of Fundraising
Of course, we couldn’t do what we do without the amazing support of fundraisers, volunteers and donors. We continue to grow our donor base, and with our new fundraising and finance system strongly embedded, we have strengthened our relationships with them.
It’s essential that we ensure that the wishes of donors are respected as far as possible, and we engage with them regularly to keep them informed about how their kind donations are used.
Victoria Kaka, Charity Projects Manager
Panna Pala, Assistant Charity Accountant
We know we can depend on numerous supporters to help us grow and develop, so we can carry on making a difference to staff and patients at Central Middlesex, Ealing and Northwick Park Hospitals and our community sites.
Specail thanks to local resident, Lord Swraj Paul who kindly donated £375,000 to enhance our maternity services.
Abdiwahaab Mohamed, Fundraising Officer
Micah Henry, Fundraising Officer
Continue reading our report to find out more about what drives us and why we love doing what we do. »
CONTENTS 5
Our four priorities
y Improving patient and staff experience
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Better patient and visitor care and experience
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Transforming the hospital environment
y Training and education
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Staff training or specialist training for a group of staff that would not normally be funded by the NHS but where there is evidence of need
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Innovative teaching projects
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Promotion of equality and diversity
Research and innovation
Equipment and facilities
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Innovative equipment that enhances services or patient care
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Quality improvement/innovation projects
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Research into the cause of diseases, disabilities, and possible cures
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Transformation - better ways of working
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Our annual review
When our Corporate Trustee board and members of the Charitable Fund Committee decide on which projects to pursue, they refer to the Charity Commission’s general guidance on public benefit. We aim to ensure that all projects we support align with our charitable aims and objectives.
During 2023/24, the Charity successfully funded charitable activities worth £625,000. The funding had a significant impact on staff and patients at our three hospital sites and community sites and demonstrated the public benefit of the Charity.
This year, the highlights of our funding activities included improving patient experience and supporting staff wellbeing.
We funded psychological training for staff so they can better help patients at risk of developing cancer. Not only does it make staff better equipped to ensure patients receive the help they desperately need, but it also improves the emotional wellbeing of our patients.
We believe that staff who are better looked after, and who
have more support, provide better care for our patients.
We funded various staff welfare initiatives in 2023/24, including vouchers for staff which were presented at LNWH NHS Trust’s first ever long service awards ceremony. Staff were recognised for their long service, not only to the Trust, but also to the NHS.
We continue to fund the health and wellbeing team who visit wards and departments on a daily basis to provide free refreshments and advice about where staff can access psychological, financial or wellbeing support that LNWH NHS Trust provides. They also host wellbeing pop up lounges across the three hospital sites, where staff can take some time out to recharge, in a quiet relaxing space.
LNWH NHS Trust has an equal opportunities policy which applies to the Charity. LNWH Charity serves all members of the public regardless of ethnicity, religion, disability, colour, race, sex, or sexual orientation. We are committed to working in partnership with LNWH NHS Trust as an addition to their service and upholding their HEART values: Honesty, Equity, Accountability, Respect and Teamwork. Our Charity operates by the guidelines and policies of LNWH NHS Trust to ensure maximum benefits to the public.
We are very proud to have achieved our goals thanks to the generous donations of our supporters and donors.
Our Impact Report aims to demonstrate our Charity’s tangible impact on the community.
CONTENTS 7
Our financial 2023-2024 performance
The total cost of raising funds was £245,000 (£263,000 in 2022/23) in the financial year ending 31 March 2024. This cost encompasses investment management fees, annual expenses of the fundraising team (including the Head
of Fundraising and pro rata costs of newly appointed positions, a Fundraising Officer, and a Communications Manager), maintenance of the charity’s website, and membership fees for regulatory organisations.
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Income Expenditure
Cost of raising funds
£245,000
Donations and legacies
£779,000 Total charitable activities
£625,000
Support costs
£328,000
Investment income
£285,000
Expenditure on other
£28,000
Total £1 064 000 Total £1 226 000
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Charitable activities in 2023/24 totalled £953,000, including support costs (2022/23 £606,000). The support costs are apportioned across each activity area and included in the expenditure categories totals.
Other expenditure costs for the year 2023/24 include auditors’ remuneration of £14,000 plus VAT, additional audit remuneration costs of £10,000 for the 2022/23 audit, and processing fees for JustGiving donations.
Unrestricted funds
Charitable activities
Research and Clinical Support £153,000 Medical Equipment £2,000 Staff Training and Education £34,000 Staff Welfare and Amenities £123,000 Patient Welfare and Amenities £61,000 Grants Awarded £252,000
Unrestricted Funds are the general fund with no restriction on how they should be spent. LNWH Charity’s unrestricted fund balance as of 31 March 2024 is £2.89m. The charity’s total unrestricted funds include its reserve balance.
Restricted funds
As of 31 March 2024, the restricted funds total £6.104m and are designated for specific purposes to support various wards and departments.
£953,000
Total charitable activities, including support costs.
£2.89m
Total balance of unrestricted funds
£6.104m
Total balance of restricted funds
Total charity expenditure £625,000 excluding support costs
CONTENTS 9
LNWH Charity 2023/24 charitable activities
Patient welfare
We’re proud to have been asked to fund some extraordinary projects, that have helped improve experiences for patients and staff.
Massage therapist changes lives
Thanks to our funding, Shainaz Alildina, a clinical complementary therapist from the Disability Foundation, offers weekly sessions for patients to receive 30-minute massages to help with their rehabilitation.
Following an horrific car accident, 37-year-old South African born Toni Serrao broke femurs in both his legs, broke his wrist, and suffered a stroke that left him paralysed down his left side.
He received intensive rehabilitation therapy at the Regional Rehabilitation Unit (RRU) at Northwick Park Hospital and a highlight of his week was a visit from Shainaz.
Tony: “I’m a really determined person, so after the accident I knew I didn’t have a choice but to just get on with it. I set myself certain milestones, and with a lot of hard work, I’ll keep going until I reach my ultimate goal of being totally independent.”
Shainaz: “Patients undergo intense physiotherapy and massaging can help relieve the pain they feel afterwards. It also helps relax patients who are anxious, feeling stressed or who have difficulty sleeping. It’s so rewarding to know that I’ve helped in some way on their recovery journey.”
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Children’s inpatient festival
We were delighted to fund a play festival on Jack’s Place, our children’s ward, for children with long term conditions, who spend long periods of time in hospital or attend lots of hospital appointments.
Children with diabetes, epilepsy, sickle cell or complex heath issues, attended with their families and enjoyed games, activities and entertainment.
It was a great day which celebrated the importance of play and how it can impact children and their families.
Psychological training success
Staff treating patients at high risk of developing cancer can now support their psychological needs as well, due to funding from our Charity.
Laura Monje-Garcia, national lead nurse for Lynch syndrome identified the need for healthcare professionals to be equipped with level 2 psychological skills training to improve the support that they provide and by doing so, improve the emotional wellbeing of our patients.
“The great thing about the training is that it’s relevant to any staff who come into contact with patients with chronic conditions. This is particularly useful for nurses and administration staff.”
She also developed an assessment tool to identify and streamline patients who need extra support. This ensures they receive the help that they desperately need, which improves compliance with their treatment and surveillance plans.
CONTENTS 11
...Patient welfare
Video to speed up patient recovery
Our funding enabled Sam Evans, enhanced recovery and robotic surgical care practitioner, to produce an informative animation video for patients.
It’s really important to get patients up and moving and eating and drinking within 24 hours after their operation, to help with their recovery and reduce complications, but there is a lack of information for them about why they need to do it.
y [“Evidence shows that ] the most effective way to educate patients is using a method which includes both words and visual tools. If patients understand the benefits, they are more likely to comply, and visual images and pictures are much more engaging than simple printed information leaflets.”
Watch the video here Enhanced Recovery Programme ’ - St Mark s The National Bowel Hospital
Se ] |
Ensuring comfort for patients
Thanks to our funding, patients in one of our discharge lounges now have a more comfortable wait.
When patients are ready to leave hospital, they may have to wait for transport or for their medication, and they do that in our discharge lounge at Northwick Park Hospital.
Some patients are not comfortable sitting in upright chairs, and due to their surgery, may need to keep their leg raised, which means they need to lie on trolley beds, and these take up a lot of space.
These new four specialist reclining chairs means our patients have a more comfortable wait, and there is more space for patients and staff to move about as there are less trolley beds.
[ Eleanor Hardy, transformation fellow ] for emergency and ambulatory care: “If the chairs prove to be successful, we’ll look at providing them in our Ealing Hospital discharge lounge as well.”
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Think yellow for falls
Being hospitalised puts elderly patients at risk of falling due to illness and the newness of a hospital environment.
To help identify patients who are at risk and help reduce incidents of falls at LNWH NHS Trust, we funded the “Think Yellow” initiative, which involves giving yellow blankets and socks to patients so staff can easily identify and monitor them.
Christmas gift bags for patients
Spending time in hospital is never easy, but it’s even harder when you’re away from your loved ones at certain times of the year.
That’s why we didn’t think twice about funding special gift bags for patients over the Christmas period. They contained a puzzle book, eye mask, jelly sweets and much more, and were greatly appreciated by everyone who received them.
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LNWH Charity 2023/24 charitable activities
Ward and department enhancements
Fletcher ward lockers
When a patient’s grateful relative donated money to Fletcher ward, they asked that it be used to purchase equipment or provide facilities to benefit staff.
Ward manager, Bonnie Mathew knew how to put the money to good use.
[“We had 46 members of staff and only 22 lockers, ] so with the help of the Charity, extra lockers were purchased and installed.”
They have helped the staff tremendously. They can now store their bags and belongings in their own locker, rather than in the staff room, knowing they are safe and secure. The staff room is now clutter free and has enough room for staff to relax during their meal breaks.
Pensioner’s 49 mile board walk
Plucky pensioner, May Hamilton, completed 40 lengths of Southend pier in just one week, the equivalent distance of 49 miles, to raise money for LNWH NHS Trust.
At 82 years young when she completed the walk in 2021, the pandemic held up the ordering and installation of benches, which May raised over £2,600 for.
We’re delighted that they are now in place, for patients, visitors, staff and May to enjoy.
[“I like to keep active, and this ] was my way of saying thank you to a hospital which has done so much for me over the years.”
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Donations keep garden in tip top condition
Gaskell Ward benefits from kind donation
Thanks to your kind donations, we fund gardeners, Martin and Jim at Meadow Meadow House Hospice to ensure sg House the garden is a calm inviting space Hospice for patients and visitors to spend Excellence in Care, Compassion in Action precious time together.
Thanks also to Carol Vile who volunteers her time to give Martin and Jim a welcome helping hand.
The Pragati Lohana Mahila Mandal ladies club generously donated £5,500 to Gaskell ward at Northwick Park hospital. Every year the Chair of the committee chooses a Charity to donate to, and as some of the members have been cared for on Gaskell ward, they felt it was a worthy cause.
[Ward matron, Yric Puerin: “We were so ] grateful for this amazing donation and knew exactly what to spend it on. We are now the proud owners of two comfortable sofas, and a table and chairs so staff can enjoy their well-earned breaks.
CONTENTS 15
LNWH Charity 2023/24 charitable activities
Staff welfare
Welcoming our new colleagues
We were delighted to help ensure that new members of LNWH NHS Trust staff receive a warm welcome by funding goody bags.
The bags include a handy notebook and pen, a reusable water bottle and a snack.
Joining a new organisation can be daunting, but with a welcome gift like this, we hope our new recruits feel right at home.
Christmas thank you
To say thank you to everyone working over the Christmas period, we teamed up with the amazing LNWH NHS Trust Health and Wellbeing team, to distribute mince pies and satsumas, along with their regular tea, coffee and snack treats. They certainly cheered everyone up.
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Long service awards
The first long service awards ceremony was held by LNWH NHS Trust to thank, celebrate and recognise staff for their dedication and commitment. Staff who clocked up 10 and 15 years of service within the Trust and 25, 40, and 50 years of service within the NHS were invited to a special lunch, where they were awarded a certificates and vouchers, funded by the Charity, in acknowledgement of their hard work and devotion to the NHS.
Staff Excellence Awards
We are proud to be one of the sponsors of LNWH NHS Trust’s annual awards ceremony. The 8th event, which hosted 600 guests, was held in September last year at Wembley Stadium.
The ceremony showcases and celebrates the vital work that staff do every day across our services and LNWH NHS Trust received over 900 nominations from grateful patients, family members and colleagues. Winners in 14 categories were announced on the night, including Fundraiser of the Year, Unsung Hero, Volunteer of the Year, Team of the Year and Lifetime Achievement.
This is the main staff recognition awards event for LNWH NHS Trust, and it has grown in popularity over the years with feedback from previous attendees being overwhelmingly positive.
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LNWH Charity 2023/24 charitable activities Training and Education
LNWH Charity supported the training and education needs of LNWH NHS Trust by sponsoring 40 staff to attend conferences and external courses so they can update their skills.
These were at no additional cost to LNWH NHS Trust’s revenue budget. The additional training helps staff to improve their skills, the quality of care they provide to patients, and improve services.
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Fundraising 2023/24
Food donation
The Al-Wahab Foundation donated food for staff across our three hospital sites for Ramadan Iftar. Iftar is the name of the meal eaten by Muslims at sunset to break their fast during Ramadan. Our hard-working colleagues really appreciated their kindness.
Cole family Halloween and grotto fundraiser
The Cole family transformed their house into a haunted house at Halloween and a magical Santa grotto at Christmas to raise over £600 for Meadow House Hospice.
We Care cake sale
London Underground staff held a cake sale at South Harrow Underground station in December to raise money for Northwick Park neonatal intensive care unit.
With the help of their mascot, Piccles the Panda, they raised over £1,200.
Jason Cole said it was a lot of work, but his family love doing it as the money goes to a good cause. The hospice was there for his mum, and this was their way of saying thank you.
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Upcoming events
We are proud to fund this amazing project. How Safe Do You Feel will raise awareness about domestic abuse and create a safe space for patients and staff.
Domestic abuse awareness training
One in four women and one in six to seven men will experience domestic abuse in their lifetime and sadly we are seeing an increase in the number of employees, or line managers contacting the safeguarding team for support or advice around domestic abuse.
The first phase of the project will launch in July and will be supported by key partner agencies such as the local Safeguarding Adult and Children Partnership Boards, local Violence against Women and Girls groups and the Metropolitan Police.
y [“Research shows that ] most patients will not disclose violence, abuse or neglect unless directly asked. So, we need to ensure that our staff are asking every patient, regardless of whether they show indications of abuse or not, “How safe do you feel?” as part of their everyday normal clinical practice.”
[Head of Safeguarding, Ludmila ] Ibesaine “Talking about and dealing with domestic abuse isn’t a taboo subject anymore, and we are in a privileged position to listen, believe and do something.”
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Grant commitments : 2023/24
As of 31 March 2024, LNWH Charity has grant commitments to LNWH NHS Trust and a few of the material-approved grant commitments are highlighted below:
Transforming innovation
Last year we told you we were delighted to commit £1 million towards big strategic initiatives in LNWH NHS Trust to improve the quality and equity of care, quality as an employer or support the broader health of our communities.
1,300 ideas were submitted and staff voted for four winners. The winning entries, which were chosen from a shortlist of 12, shared the money and project proposals will now be finalised and then implemented at our local hospitals.
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A greenspace transformation programme including a biodiversity lead to enhance and improve green space on hospital sites.
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A post-discharge medication support plan focused on patients prescribed antibiotics, steroids and opioids to help reduce readmissions and antimicrobial resistance
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Additional translation devices to expand and improve existing translation and language support tools to better communicate with patients whose first language isn’t English
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A breast cancer verification system allowing surgical teams to identify the border of normal tissue surrounding a tumour without samples having to be sent out of theatre.
We continue to fundraise so that more of the amazing ideas submitted can be implemented.
Grant Commitments are typically given a one-year time frame for completion, but unforeseen circumstances may mean the Charity has to re-evaluate the timeline.
The time frame will be extended on the £1miliion innovation grant because of the project size and complexity.
James Foss, green plan delivery lead, and greenspace transformation programme lead
As of March 31, 2024, the grant commitments are divided into two categories:
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Material commitments of over £5,000 and
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Other commitments, which consist of smaller amounts collectively totalling less than £5,000.
The other commitments include providing small training and education grants to advance staff development and funding multilingual patient service leaflets to ensure equitable testing outcomes for patients with a penicillin allergy.
The grant commitment of £1,031,515 is not reported as a liability on the balance sheet dated 31 March 2024, as it is pending the finalisation of project terms and grant agreements.
CONTENTS 21
Looking ahead
Where funding is concerned, a change in direction for LNWH NHS Trust can also lead to a different approach for our Charity.
We carefully commit reserves to specific projects, especially during changes like efficiency reviews and capital projects. The generosity of donors also strongly influences our activity.
Supporting LNWH NHS Trust’s Strategy: Our Way Forward and exploring opportunities for collaboration between LNWH NHS Trust and LNWH Charity
Defining the operational aspect of delivering LNWH Charity’s fundraising and marketing strategy
Proving LNWH Our goals Charity’s for the ge financial stability future Implementing a v ASEAN fair, equitable and comprehensive Charity funding Showing the social impact Rerors bd application process. achieved by LNWH Charity
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Fundraising strategy
We will build on our fundraising efforts of 2023/24 where we boosted our online presence by making our website more engaging and accessible and designed a dedicated Meadow House Hospice website.
We’re expanding our reach by exploring new donor acquisition channels such as direct mailing, email marketing, and social media. We’re also building connections with community partners and foundations, working on Christmas appeals
for Jacks Place, our maximise impact, we’ll children’s ward, and be focusing on activities the staff Health and that are both engaging Wellbeing festival. and accessible to the local community. This With the addition of two will allow us to raise fundraising officers, we awareness for the are excited to expand hospitals and hospice’s our work with Meadow vital services while House Hospice and bringing people together the fundraising events for a good cause. we can support. To
Working with our partners
NHS Charities Together
is a network of more than 250 charities that support NHS staff and emergency volunteers, enabling them to carry out their vital, life-saving work. LNWH Charity is proud to be a member and can therefore apply for grants to support our great work.
Stage 3 Recovery Grant Award
Our application for the NHS Charities Together Stage 3 Recovery Grant Award for £149,442 was approved in November 2022. The grant is to support the management
of the health and wellbeing services for staff at LNWH NHS Trust over the next two years. The service’s goal is to create a workplace where staff feel healthy, happy, and well.
Due to changes in grant conditions, the deadline for completing this grant has been extended to December 2025.
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Our structure, governance and management
On 1 April 2015, LNWH Charity Fund No. 1083634 was placed on the Central Register of Charities. LNWH Charity had 228 funds on 31 March 2024. Details of the kinds of funds held are displayed in the notes to accounts. The material funds are disclosed separately.
LNWH NHS Trust is the corporate trustee of LNWH Charity.
LNWH NHS Trust Board is responsible for ensuring that LNWH NHS Trust fulfils its duties as the Corporate Trustee.
Non-executive director appointments, 2023-24
In 2023-24, we appointed:
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Baljit Ubhey
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Dr Martin Lupton
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Aloysius Lobo
The Board throughout the year and as of 31 March 2024
Chair
Matthew Swindells
Non-executive directors
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David Moss (Vice Chair from 15 February 2024)
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Janet Rubin MBE (Vice Chair and NED until 14 February 2024)
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Professor Desmond Johnston (until 31 August 2023)
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Dr Syed Mohinuddin
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Robert Alexander
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Ajay Mehta
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Simon Morris*
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Baljit Ubhey (from 17 July 2023)
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Dr Martin Lupton (from 1 September 2023)
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Aloysius Lobo (from 15 February 2024)
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Denotes designate NED status, whereby the individuals carry a vote on our local Board Committees but do not have voting rights at the Board in Common.
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Sim Scavazza*
Chief Executive Officer
Pippa Nightingale MBE
Associate non-executive directors
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Huda As’ad**
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** Denotes an associate non-executive director. Associate NEDs are recruited to non-statutory local Board committees. Associate non-executive directors are not full members of the Trust Board or the Board in Common and will not attend those meetings unless specifically asked to do so by the Chair, to share their expertise.
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Executive directors: voting
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Simon Crawford, Deputy Chief Executive Officer
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Dr Jon Baker, Chief Medical Officer
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Lisa Knight MBE, Chief Nurse
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James Walters, Chief Operating Officer
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Jonathan Reid,
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Chief Financial Officer (until 31 October 2024)
Don Richard Interim Chief Financial Officer (from 1 November 2024)
Executive directors: non-voting
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Tracey Connage, Chief People Officer
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David Searle,
Director of Corporate Affairs (until 5 May 2023)
- Dawn Clift,
Director of Corporate Affairs (from 19 June 2023)
Principle office
Charitable Fund Office Level 7 Finance Department London North West University Healthcare NHS Trust Northwick Park & St Mark’s Hospital Watford Road Harrow, Middlesex HA1 3UJ
Professional advisors
Banker Auditor Lloyds Bank Moore Kingston Smith LLP 286 Station Road 6th Floor Harrow 9 Appold Street Middlesex London EC2A 2AP HA1 3EB Solicitor Investment Managers Hempsons LLP CCLA Investment Management Limited 100 Wood Street COIF Charity Funds London 1 Angel Lane London EC2V 7AN EC4R 3AB
CONTENTS 25
Policies and procedures
Fundraising
LNWH Charity does not use any professional fundraisers or commercial participators to organise fundraising activities on its behalf. There have been no complaints regarding its fundraising activities in 2023/24.
LNWH Charity is registered with the Fundraising Regulator and follows the independent regulator’s Code of Fundraising Practice for the United Kingdom. This ensures that fundraising is respectful, honest, accountable, and open to the public and complies with Charity Commission of England and Wales guidelines. Failure to comply with fundraising standards results in LNWH Charity being reported to the Fundraising Regulator.
LNWH Charity currently undertakes no direct marketing activities. If necessary, the fundraising team will carry out these activities to ensure LNWH Charity is not unreasonably intrusive.
Safeguarding
LNWH NHS Trust has implemented a policy for Safeguarding Children and Adults. All LNWH NHS Trust staff must have mandatory safeguarding children and adults training to ensure they are aware of their part in protecting vulnerable people and the wider public through preventing, identifying, and responding to abuse and exploitation.
Staff employed by LNWH Charity have undergone LNWH NHS Trust’s training on safeguarding adults and children. Also, LNWH Charity has introduced several additional safeguarding policies related to our activities.
General Data Protection Regulation (GDPR) Policy
Our GDPR policy outlines our donors’ rights regarding their data being held by LNWH Charity. As a Charity, we collect, process, and handle the data fairly, legally, and transparently. We must get written consent from individual donors to make contact about direct marketing.
LNWH Charity’s policy is not to collect more personal data
about someone than would reasonably be needed for the purposes for which it was collected.
Privacy policy
LNWH Charity’s Privacy Policy includes the Charity website’s Cookie Policy, which tells people about the personal data we might collect and use for fundraising activities. The privacy policy also gives information about the legal basis for processing personal data, how long we hold it, and users’ legal rights.
Data Protection Impact Assessment for LNWH charity and fundraising activities
The Data Protection Impact Assessment (DPIA) is a tool used to help organisations comply with data protection laws and meet the privacy expectations of individuals.
LNWH Charity’s DPIA policy helps us to assess and lower any privacy risks that may arise about fundraising and charitable projects that involve the processing of personal data relating to identifiable individuals and assists us in producing
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efficient and effective processes for handling personal data regarding these projects.
LNWH Charity’s website terms and conditions
Terms and conditions for the access and use of funds is available on our website. Data Retention policy
Our data retention policy ensures that all our business or operational information concerning its fundraising activity is kept only if needed.
Risk management
We identify and monitor risks through a formal risk assessment using a risk register. The risk register reviews our existing and proposed operational, governance and management, financial, legal, and regulatory activities. This ensures that new risks are identified. Existing risks are reviewed and eliminated if they are no longer relevant.
LNWH NHS Trust board acts on behalf of the corporate trustee and delegates LNWH Charity’s most significant strategic
and operational risks review to the LNWH Charitable Fund Committee.
However, LNWH NHS Trust Board is responsible for LNWH Charity’s risk register.
Fundraising
Best practice, Charity law, government policy, and regulations are considered significant reputational risks that can result in a breach of trust or loss of registration. The risk is mitigated by implementing policies and procedures, such as GDPR and data protection policies, auditing accounts, promptly reporting to the Charity Commission, and updating the literature, website, and membership to NHS Charities Together for policy changes.
Investment returns
Extra income is generated from investing cash balance, and the loss of investment income is considered a huge financial risk. The risk is mitigated by our investments being monitored regularly to detect and identify trends. Expert investment
management consultants offer regular advice and frequently attend LNWH Charitable Fund Committee meetings to advise on the status of our investments.
Grant distribution framework
All internal grant applications are submitted to the LNWH Charity office for consideration. Each application is assessed, and all grant recipients must submit an end-of-grant report. Most grants are completed within a year, and a review is undertaken for more extended periods.
The LNWH Charitable Fund Committee is responsible for reviewing proposed grant applications for between £10,000 and £25,000.
External grants from LNWH Charity can be to other NHS Trust charities facilitated when a service provision at LNWH NHS Trust moves to another Trust. The charitable fund accounts for the service are transferred to the receiving organisation as a grant. They are subject to the agreement of all the Trust Boards involved.
CONTENTS 27
...Policies and procedures
Reserves policy
The current reserves policy for LNWH Charity specifies that LNWH NHS Trust, on behalf of the Corporate Trustee, will ensure that the unrestricted free reserves help us to run efficiently and meet the requirements of its beneficiaries.
The Charity’s free reserves balance represents the total of its unrestricted funds.
LNWH Charity’s current free reserves are appropriate:
To avoid the necessity of knowing which fixed assets are held for LNWH Charity’s use and to provide a pool from which funds can be directed to specific projects
To cover the cost of LNWH Charity staff
In the event of financial losses, cover any losses incurred by the funds, plus an extra 20%, to show any future probability of increased volatility on investments.
The LNWH Charitable Fund Committee will review the LNWH Charity’s reserves policy in accordance with an agreed business plan for LNWH Charity. Reserves are being used to fund select grant projects.
As of 31 March 2024, the Charity’s free reserves amounted to £2.89 million. The current level of reserves is sufficient to cover the areas indicated.
Investment Policy and performance
As per LNWH Charity’s governing documents and Trust Deed, the corporate trustee, LNWH NHS Trust, the board has the authority to invest in stocks, shares, investments, and property in the UK, as deemed appropriate.
A professional investment management company is handling investment matters on behalf of LNWH NHS Trust Board.
-
Invest within acceptable risk and protect the values of the portfolio (in real terms) over time
-
Achieve a growing annual income in the long term
-
LNWH Charity has a discretionary fund arrangement where an investment management company manages the portfolio with complete discretion, with a duty of care and within acceptable risk under LNWH Charity’s investment objectives.
Our investment managers, CCLA Investment Management, multi-asset portfolio, offers high-quality, sustainable, longterm returns. LNWH Charity investments are held in an Ethical Investment Unit Fund designed for charities who wish to have a more extensive approach to ethical investments.
The investment units focus on delivering income with longterm capital growth.
As of 31 March 2024, the revaluation of the Charity’s investments produced a gain of £758,000.
Over the past 12 months, to 31 March 2024, our Charity’s ethical investment fund returned 13.1% compared to the comparator return of 16.2%.
The charity’s deposit fund within the investment portfolio performance revealed a return of 4.85% compared to the comparative benchmark of 5.05%.
CCLA Investment Management Limited, our charity’s investment portfolio managers, have highlighted that the global equity market saw five consecutive months of gains in the 2023/24 financial year. This resulted in positive effects on the charity’s
28
investment portfolio, as
increasing confidence during this period helped to bring the charity’s portfolio valuation back into positive territory following losses incurred at the end of the financial year 2022/23. CCLA advised that it has been widely recognised that the interest rate cycle has now peaked. However, they anticipate that interest rates will remain high for a bit longer into 2024/25, and they will be watching closely and monitoring for new emerging data that would provide confidence to the markets to
lower interest rates without reigniting inflation.
CCLA Investment Management is alert to changing market conditions and actively responds. This active management helps CCLA Investment Management maintain focus on the Charity’s portfolio objectives, and they consistently manage the Charity’s portfolio to mitigate risks and prioritise long-term returns.
LNWH Charity’s investment portfolio objectives are to
achieve real long-term growth in capital values and rising income from a portfolio managed with a clear risk control framework.
The current capital allocation of the Charity’s investment portfolio is as follows:
Charity Portfolio Capital Allocations (%)
| Charity Portfolio Capital Allocations (%) |
Charity Portfolio Capital |
|---|---|
| Ethical Investment Fund | 94.7 |
| Deposit account | 5.3 |
| Total investment | 100 |
CONTENTS 29
Trustees’ responsibilities statement
Under Charity law, the trustees are responsible for preparing a Trustees’ Annual Report and the financial statements in accordance with applicable laws 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 trustees are required to act in accordance with the trust deed [and the rules] 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 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.
By Order of the Trustees On behalf of the Corporate Trustee
Matthew Swindells
Joint Chair, north west London acute hospitals
4 December 2024
30
Independent auditor’s report to the Trustees of London North West Healthcare Charity
Opinion
We have audited the financial statements of London North West Healthcare Charity for the year ended 31 March 2024 which comprise the Statement of Financial Activities, the Balance Sheet, the Cash Flow Statement and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including FRS 102 ‘The Financial Reporting Standard Applicable in the UK and Republic of Ireland’ (United Kingdom Generally Accepted Accounting Practice).
In our opinion the financial statements:
-
give a true and fair view of the state of the charity’s affairs as at 31 March 2024, and of its incoming resources and application of resources, for the year then ended;
-
have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and
-
have been prepared in accordance with the requirements of the Charities Act 2011.
Basis for opinion
We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s Responsibilities for the audit of the financial statements section of our report. We are independent of the charity in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.
Conclusions relating to going concern
In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.
Based on the work we have performed, we have not identified any material uncertainties
relating to events or conditions that, individually or collectively, may cast significant doubt on the charity’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.
Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.
Other information
The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information contained within the annual report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.
Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial
CONTENTS 31
Independent auditor’s report to the Trustees of London North West Healthcare Charity
statements or our knowledge obtained in the course of the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.
We have nothing to report in this regard.
Matters on which we are required to report by exception
We have nothing to report in respect of the following matters where the Charities Act 2011 requires us to report to you if, in our opinion:
-
the information given in the Trustees’ Annual Report is inconsistent in any material respect with the financial statements; or
-
the charity has not kept adequate accounting records; or
-
the financial statements are not in agreement with
-
the accounting records and returns; or
-
we have not received all the information and explanations we required for our audit.
Responsibilities of trustees
As explained more fully in the trustees’ responsibilities statement set out on page 31, the trustees are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.
In preparing the financial statements, the trustees are responsible for assessing the charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so.
Auditor’s Responsibilities for the audit of the financial statements
We have been appointed as auditor under section 144 of the Charities Act 2011 and report in accordance with regulations made under section 154 of that Act.
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.
As part of an audit in accordance with ISAs (UK) we exercise professional judgement and maintain professional
scepticism throughout the audit. We also:
32
-
Identify and assess the risks of material misstatement of the financial statements, whether due to fraud or error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and appropriate to provide a basis for our opinion. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control.
-
Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purposes of expressing an opinion on the effectiveness of the charity’s internal control.
-
Evaluate the appropriateness of accounting policies used and the reasonableness of accounting estimates and related disclosures made by the trustees.
-
Conclude on the appropriateness of the trustees’ use of the going concern basis of accounting and, based on the audit evidence obtained, whether
a material uncertainty exists related to events or conditions that may cast significant doubt on the charity’s ability to continue as a going concern. If we conclude that a material uncertainty exists, we are required to draw attention in our auditor’s report to the related disclosures in the financial statements or, if such disclosures are inadequate, to modify our opinion. Our conclusions are based on the audit evidence obtained up to the date of our auditor’s report. However, future events or conditions may cause the charity to cease to continue as a going concern.
• Evaluate the overall presentation, structure and content of the financial statements, including the disclosures, and whether the financial statements represent the underlying transactions and events in a manner that achieves fair presentation.
We communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit.
Explanation as to what extent the audit was considered capable of detecting irregularities, including fraud
Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below.
The objectives of our audit in respect of fraud, are; to identify and assess the risks of material misstatement of the financial statements due to fraud; to obtain sufficient appropriate audit evidence regarding the assessed risks of material misstatement due to fraud, through designing and implementing appropriate responses to those assessed risks; and to respond appropriately to instances of fraud or suspected fraud identified during the audit. However, the primary responsibility for the prevention and detection of fraud rests with both management and those charged with governance of the charity.
CONTENTS 33
Independent auditor’s report to the Trustees of London North West Healthcare Charity
Our approach was as follows:
- We obtained an
understanding of the legal and regulatory requirements applicable to the charity and considered that the most significant are the Charities Act 2011, the Charity SORP, and UK financial reporting standards as issued by the Financial Reporting Council.
-
We obtained an
-
understanding of how the charity complies with these requirements by discussions with management and those charged with governance.
-
We assessed the risk of material misstatement of the financial statements, including the risk of material misstatement due to fraud and how it might occur, by holding discussions with management and those charged with governance.
-
We inquired of management and those charged with governance as to any known instances of non-compliance or suspected non-compliance with laws and regulations.
-
Based on this understanding, we designed specific appropriate audit procedures to identify instances of non-compliance with laws and regulations. This included making enquiries
of management and those charged with governance and obtaining additional corroborative evidence as required.
There are inherent limitations in the audit procedures described above. We are less likely to become aware of instances of non-compliance with laws and regulations that are not closely related to events and transactions reflected in the financial statements. Also, the risk of not detecting a material misstatement due to fraud is higher than the risk of not detecting one resulting from error, as fraud may involve deliberate concealment by, for example, forgery or intentional misrepresentations, or through collusion.
Use of our report
This report is made solely to the charity’s trustees, as a body, in accordance with Chapter 3 of Part 8 of the Charities Act 2011. 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 any party other
than the charity and charity’s trustees as a body, for our audit work, for this report, or for the opinion we have formed.
Moore Kingston Smith LLP Statutory auditor 6th Floor 9 Appold Street London
EC2A 2AP
Moore Kingston Smith LLP is eligible to act as auditor in terms of Section 1212 of the Companies Act 2006.
Date: 5 December 2024
34
Annual accounts, figures and notes to the accounts
Statement of financial activities as at 31 March 2024
----- Start of picture text -----
Unrestricted Restricted Total Funds Total Funds
Funds Funds 2023-24 2022-23
Note ref. £000 £000 £000 £000
Income from:
Donations and Legacies 3.1 81 698 779 339
Investments 12.1 67 218 285 273
Grants Receivable 3.2 - - - 179
Total Income 148 916 1,064 791
Expenditure on:
Raising funds:
Investment management costs 4 7 24 31 31
Fundraising costs 4 47 167 214 232
Sub total-raising funds 4 54 191 245 263
Expenditure on charitable activities:
Research and Clinical Support 43 203 246 153
Medical Equipment Purchases - 4 4 110
Staff Training and Education - 58 58 44
Staff Welfare and Amenities 134 33 167 202
Patients Welfare and Amenities 34 57 91 43
Grants Awarded 122 265 387 54
Sub total of charitable activities 333 620 953 606
Expenditure on other 6 5 23 28 7
Total Expenditure 392 834 1,226 876
Net gains/(losses)on investments 11.1 173 585 758 (396)
Net income/(expenditure) (71) 667 596 (481)
Transfers between funds 9 6 (6) - -
Net movement in funds (65) 661 596 (481)
Reconciliation of funds :
Total funds brought forward at 31 March 2023 2,955 5,443 8,398 8,879
Total funds carried forward at 31 March 2024 2,890 6,104 8,994 8,398
----- End of picture text -----
The Notes 1 to 19 form part of this set of financial statements. The statement of financial activities includes all gains and losses recognised in the year. All income and expenditure derive from continuing activities.
CONTENTS 35
Annual accounts
Balance Sheet as at 31 March 2024
| Balance Sheet as at 31 March 2024 | Balance Sheet as at 31 March 2024 |
|---|---|
| Note ref. TotalFunds 2024 £000 Total at 31 March 2023 £000 Fixed Assets: Common Investment Fund Units 8,380 7,622 |
|
| Total fixed assets 11.1 8,380 7,622 |
|
| Current Assets: Debtors 13.1 157 477 Cash held by investment managers 472 450 Cash at bank and in hand 13.2 354 356 |
|
| Total current assets 13.2 983 1,283 |
|
| Liabilities: Creditors: Amounts falling due within one year 14.1 (369) (507) |
|
| Net current assets or liabilities 614 776 |
|
| Total net assets 8,994 8,398 |
8,398 |
| Funds of the charity: Restricted income funds 16.1 6,104 2,955 |
|
| Unrestricted funds 16.2 2,890 5,443 |
|
| Total charity funds 8,994 8,398 |
The Notes 1 to 19 form part of this set of financial statements. The financial statements were approved by the Corporate Trustee and signed on their behalf
Don Richards
Interim Chief Financial Officer 4 December 2024
36
Statement of Cash Flow as at 31 March 2024
----- Start of picture text -----
Total Total at
Funds 31 March
Note ref
2024 2023
£000 £000
Net cash (used in) operating activities 17.1 (265) (86)
Dividends and Interest from Investments 285 273
Proceeds from the sale of Investments 0 0
Net cash (used in) investing activities 285 273
Increase ( decrease) in cash and cash equivalents in the year 20 187
Cash and cash equivalents at the beginning of the year 17.2 806 619
Total cash and cash equivalents at the end of the year 17.2 826 806
----- End of picture text -----
The Notes 1 to 19 form part of this set of financial statements.
CONTENTS 37
Notes to the accounts as at 31 March 2024 Accounting Policies
Note 1
1.1 Accounting Convention
The financial statements have been prepared in accordance with the Charities Statement of Recommended Practice Accounting and Reporting FRS102, effective 1st January 2019 and the Charities Act 2011 and under historical cost accounting convention modified to include the revaluation of investment property and managed investments.
The charity constitutes a public benefit as defined by FRS102.
The financial statements are presented in sterling and rounded to the nearest one thousand pounds.
The statements have also been prepared in accordance with applicable United Kingdom accounting standards.
1.2 Incoming Resources
All income is recognised once the charity has entitlement to the income, it is probable that the income will be received and the amount of income receivable can be measured reliably.
Donations are recognised when the charity has been notified in writing of the amount and date of receipt.
In the event that a donation is subject to certain conditions before he charity is entitled to the funds, the income is deferred and not recognised until those conditions are fully met.
b) Investment Income
Investment income includes dividends and interest from investments. Interest is recognised normally upon notification of the interest paid.
Dividends are recognised once the dividend has been declared and notification of the received of the dividend due fromour investment advisor.
c) Legacies
Legacies are accounted for as incoming resources once the receipt of the legacy becomes certain once confirmation has been received from the representatives of the estates that payment of the legacy will be made or property transferred and once all conditions attached to the legacy have been fulfiled.
1.3 Resources Expended
The funds held on trust accounts are prepared in accordance with the accruals concept. All expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party.
The following policies address expenditure:
a) Charitable Activities
Costs of charitable activities comprise all costs incurred in pursuit of the charitable objects of the charity.
The charitable activities costs include direct and apportionment of support costs as shown in note 7.
b) Trustees and Connected Persons Transactions
The Trustees and Connected Persons Transactions, note 18, records the material transactions undertaken between LNWH Charitable Fund, trustees and other NHS organisations.
Details of the transfer are shown in note 9 and/or note 16.
c) Allocation of Support Costs
Support Costs have been allocated to the charitable activities. Where the costs are shared between two or more charitable activities the support costs have been apportioned between categories.
Support Costs include financial administration costs which represents expenditure incurred in the management of the charity assets.
d) Cost of Generating Funds
The cost of generating funds are the costs associated with generating income for the funds held on trust.
Investment Management Fees
Investment fees costs represents costs incurred in relation to the management of fixed investments.
Fundraising Costs
Fundraising costs is represented by associated fundraising cost in respect of establishing the charity’s marketing
The associated costs include statutory audit and policy and procedure advice from professional bodies and organisations.
1.4 Funds Structure
Where there is a restriction on the purpose to which a fund may be put the fund is classified in the accounts as a restricted fund. Other funds are classified as unrestricted funds.
38
1.5 Fixed Assets
Investment fixed assets are shown at market value.
The gains and losses arising from the revaluation are can be found in the Statement of Financial Activities.
1.6 Unrealised Gains and Losses on Investments
Unrealised gains and losses on investments are calculated as the difference between the opening marke value as at 1st April 2023 and the market value of investments as at 31 March 2024.
1.7 Pooling Scheme
An official pooling scheme is operated for investments relating to the following funds:
-
London North West Healthcare Charitable Fund
-
Central Middlesex Hospital Charitable Fund
-
Northwick Park Hospital General Charitable Fund
-
Heartbeat 2000
1.8 Taxation
As a registered charity, London North West Healthcare Charitable Fund is exempt from taxation of its income.
As At 31 March 202 1and gains falling within Section 505 Income and
Corporation Taxes Act 1988 or section 256 Taxation of Chargeable Gains Act 1992, to the extent that these are expended on it’s charitable objects.
No tax charge has thus arisen in the year.
1.9 Going Concern
Following a review of London North West Healthcare Charitable Fund Reserves, committed expenditure and income forecast, from a period of at least one year from the approval of the financial statements.
London West Healthcare Charitable Fund has adequate resources to continue in operational existence for the foreseable future.
London North West Healthcare Charitable Fund adopt the going concern basis in preparing its financial statements.
1.11 Grant Commitments
The London North West Healthcare Charitable Fund provides grant funding to the London North West University Healthcare NHS Trust to support the delivery of care to patients and service users in line with our charitable objectives.
Grant expenditure is recognised when the charity has formally notified the Trust of the grant award and payment is probable.
A grant commitment is disclosed when the London North West Healthcare Charitable Fund has expressed its intention to award a grant but has not yet fully finalised all the terms of the grant agreement.
As at 31 March 2024, the London North West Hospital Charitable Fund have grant commitments to London North West University Healthcare NHS Trust totalling £1,031,515.
-
Respiratory and Research Fund
-
London North West Healthcare Expendable Common Investment Fund
-
St Marks Hospital
-
Northwick Park Hospital - Older People Services Fund
1.10 Significant Judgement and Estimates
In the course of preparing these financial statements no significant judgements and estimates have been made.
-
Ealing Hospital Charitable Fund
-
Childrens Centre Fund
-
Margaret Emily Tristram Bequest
The Scheme was registered with the Charity Commission on 23/11/00 updated following the charity merger on 1st April 2015.
CONTENTS 39
Notes to the accounts
London North West Healthcare Charitable Fund Grant Commitments 2023-24
Grant Commitments 31 March 2024
----- Start of picture text -----
Material Grant Commitments
Grant Commitment Grant Commitment Time Frame Conditions of Grant Commitment Grant Commitment Fund by
£1 Million Transformation 12 to 18 months from the project None Unrestricted Fund
Innovation Grant commencement.
Equipment-Colposcope 12 months from the project None St Mark’s Fund
commencement.
Other Commitments
Grant Commitment Grant Commitment Time Frame Conditions of Grant Commitment Grant Commitment Fund by
Other Commitments 12 months from the project
None Various Restricted Funds
Under £5,000 commencement.
----- End of picture text -----
Grant commitments are typically given a one year time frame for completion; however, unforeseen circumstances may necessitate the charity to re-evaluating the timeline.
The time frame will be extended on £1 miliion innovation grant because of the project size and complexity.
As at 31 March 2024, the grant commitmentsare divided into two categories: material commitiments of over £5,000 and other commitments, which consists of amounts collectively totalling less than £5,000. The other grant commitments include providing small training and education grants to advance staff development and funding multi lingual patient service leaflets to ensure equitable testing outcomes for patients with penicillin allergy.
The grant commitment of £1,031,515 is not reported as a liability on the balance sheet dated 31 March 2024.
40
Note 2
Prior year comparatives by type of fund
The SOFA provides prior year comparatives by type of fund in total; this note provides prior period comparatives for the Statement of Financial Activities and Balance Sheet for each of the fund types the London North West Healthcare Charitable Fund manages.
2.1 Unrestricted funds - Statement of Financial Activity for the year end 31 March 2024
----- Start of picture text -----
2024 2023
£000 £000
Income from:
Donation and Legacies 81 107
Investment Income 67 70
Total Incoming resources 148 177
Expenditure on:
Cost of raising funds (54) (64)
Charitable Activities (333) (150)
Other-Governance (5) (2)
Total expenditure (392) (216)
Net gains/(losses)on investments 173 (101)
Net income/(expenditure) (244) (39)
Transfers between funds 6 (78)
Net movement in funds (65) (218)
Reconciliation of funds:
Total Funds brought forward 2,955 3,173
Total funds carried forward
2,890 2,955
at 31 March 2024
----- End of picture text -----
2.2 Unrestricted Fund - Balance Sheet as at 31 March 2024
----- Start of picture text -----
2024 2023
£000 £000
Fixed Assets:
Common Investment Fund Units 2,764 2,668
2,764 2,668
Total fixed assets
Current Assets:
Debtors 55 70
Cash held by investment managers 151 162
Cash at bank and in hand 113 196
Total current assets 319 428
Liabilities:
Creditors: Amounts falling due within one year (193) (141)
Net current assets/(liabilities) 126 287
Total net assets or liabilities for
2,890 2,955
unrestricted funds
Total unrestricted funds 2,890 2,955
----- End of picture text -----
CONTENTS 41
Notes to the accounts
2.3 Restricted funds - Statement of Financial Activity for the year ended 31 March 2024
----- Start of picture text -----
2024 2023
£000 £000
Income from:
Donation and Legacies 698 232
Investment Income 218 203
Grants Receivable 0 179
Total Incoming resources 916 614
Expenditure on:
Cost of raising funds (191) (199)
Charitable Activities (620) (456)
Other-Governance (23) (5)
Total expenditure (834) (660)
Net gains/(losses)on investments 585 (295)
Net income/(expenditure) 667 (46)
Transfers between funds (6) 78
Net movement in funds 661 (263)
Reconciliation of funds:
Total Funds brought forward 5,443 5,706
Total funds carried forward
6,104 5,443
at 31 March 2024
----- End of picture text -----
2.4 Restricted funds - Balance Sheet as at 31 March 2024
----- Start of picture text -----
2024 2023
£000 £000
Fixed Assets:
Common Investment Fund Units 5,616 4,954
5,616 4,954
Total fixed assets
Current Assets:
Debtors 102 407
Cash held by investment managers 321 288
Cash at bank and in hand 241 160
Total current assets 664 855
Liabilities:
Creditors: Amounts falling due within one
(176) (366)
year
Net current assets/(liabilities) 488 489
Total net assets or liabilities for
6,104 5,443
unrestricted funds
Total restricted funds 6,104 5,443
----- End of picture text -----
42
Note 3
3.1 Donations and Legacies
----- Start of picture text -----
Unrestricted Restricted Total Total
Funds Funds 2023-24 2022-23
£000 £000 £000 £000
Donations and Legacies 81 698 779 339
Total 81 698 779 339
----- End of picture text -----
Legacy income is only included where receipt is reasonably certain and the amount is known with certainity, or the legacy has been received.
Note 5
Support Costs
The staff costs are included in Support Cost note 6.1. London North West Healthcare University NHS Trust employs individuals to administer the charity. The staff costs are accounted for on an accrual basis, and are recharged from London North West University Healthcare NHS Trust.
The total number employees employed by London North West University Healthcare NHS Trust to administer the charity is five (2023 four).
The support costs include an element of employer pension contribution to NHS superannuation scheme which is being paid by London North West University Healthcare NHS Trust.
3.2 Grants Receivable
----- Start of picture text -----
Unrestricted Restricted Total Total
Funds Funds 2023-24 2022-23
£000 £000 £000 £000
Grants Receiveable - - - 179
Total - - - 179
----- End of picture text -----
Note 4
Expenditure on raising funds
----- Start of picture text -----
Total Costs Total Costs
2024 2023
£000 £000
Investment Management Costs 31 31
Fundraising Costs 214 232
Total 245 263
----- End of picture text -----
5.1 Salary of Senior Managers
----- Start of picture text -----
Year Ending Year Ending
31 March 2024 31 March 2023
Band No of Employees No of Employees
£70,000-£80,000 1 1
£60,000-£70,000 1 -
----- End of picture text -----
The number of total employees who earned more that £60,000 during the year was two. The key management personnel 2023/24 renumeration totalled £184,583 (2022/23 £169,445) including employees on-costs.
CONTENTS 43
Notes to the accounts
Note 6
Analysis of Support Costs
6.1 Apportioment of Support Costs
Apportionment of support costs across charitable activities fund movements
| Research and Medical Equipment Staff Training Staff Welfare and Patients Welfare Grants Total |
|---|
| Clinical Support Purchases and Education Amenities and Amenities Awarded Allocated |
| £’000 £’000 £’000 £’000 £’000 £’000 £’000 |
| Support costs 93 2 24 44 30 135 328 |
| Total 93 2 24 44 30 135 328 |
Note 7
Analysis of Expenditure on Charitable Activities
----- Start of picture text -----
Activities Support Total Total
Undertaken Costs 2023-24 2022-23
£000 £000 £000 £000
Research and Clinical Support 153 93 246 153
Medical Equipment Purchases 2 2 4 111
Staff Training and Education 34 24 58 44
Staff Welfare and Amenities 123 44 167 203
Patients Welfare and Amenities 61 30 91 43
Grants Awarded 252 135 387 52
Total 625 328 953 606
----- End of picture text -----
7.1. Analysis of Grants
Grants Awarded
----- Start of picture text -----
2023-24 2022-23
£000 £000
Grants awarded were as follows:
Grants External from LNWH Charitable Fund
Neon Project 94 57
- Plias Resettlement
- Ignite Youth Trust
LNWH NHS Trust 158 -
- Medical Education
Total 252 57
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44
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Note 8 Note 11
Changes in Resources Available for Charity Fixed Asset Investments
Unrestricted Restricted Total Total 11.1 Movement in fixed asset investments
Funds Funds 2023-24 2022-23
£000 £000 £000 £000 2024 2023
Total Total
£000 £000
Net movement in funds
(71) 667 596 (481)
for the year
Market Value brought forward 8,072 8,560
Total (71) 667 596 (481)
Add: additions to investment at cost 22 8
Less disposals at carrying value 0 (100)
Note 9
Net losses/gains on revaluation 758 (396)
Transfer Between Funds
Market Value at 31 March 8,852 8,072
Transfer Transfer to Amount Amount
from Fund Fund £000 £000 Historical Cost at 31 March 4,322 4,322
£000 £000
General Fund 6 Various (6) - 11.2 Fixed asset investments:
Total 6 (6) - 2024 2023
Total Total
Held in the UK Held in the UK
£000 £000
Note 10 Investments in common
8,380 8,018
Auditor’s Remuneration investment fund
The auditor’s renumeration costs of £14,000 plus VAT (2023 :£7,000, Cash held as part of the 472 542
initial audit fees. Additional audit renumeration costs relating to investment portfolio
2023 totalled £10,000 included in Other Expenditure in 2024 ), are
Total 8,852 8,560
included in other expenditure and is related soley to the audit with
no other additional work undertaken.
Note 12
Total Gross Income from Investments and Cash
on Deposit
12.1 Income from Investments
2024 2024 2023
Held in UK Total Total
£000 £000 £000
Investments in common
285 285 273
investment fund
Total 285 285 273
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2024 2023
Total Total
Held in the UK Held in the UK
£000 £000
Investments in common
8,380 8,018
investment fund
Cash held as part of the
472 542
investment portfolio
Total 8,852 8,560
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2024 2024 2023
Held in UK Total Total
£000 £000 £000
Investments in common
285 285 273
investment fund
Total 285 285 273
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CONTENTS 45
Notes to the accounts
Note 13
Analysis of Current Assets
13.1 Analysis of Debtors
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2024 2023
Total Total
£000 £000
Other Debtors 157 477
Total 157 477
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13.2 Cash at bank and in hand
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2024 2023
Total Total
£000 £000
Cash at bank and in hand 354 356
Cash held by investment managers 472 450
Total 826 806
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Note 14
Analysis of Current Liabilities
14.1 Analysis of Creditors
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2024 2023
Total Total
£000 £000
Trade Creditors - 7
Amounts owed to London North West
351 422
University Healthcare NHS Trust
Other Creditors 18 78
Total 369 507
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Note 15
Analysis of principal SoFA components for previous reporting period
15.1 Analysis of principal SoFA component 2022/23
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London North
West Healthcare
Charitable Fund
Unrestricted Restricted Total
£000 £000 £000
Total Income 177 614 791
Total Expenditure (216) (660) (876)
Net income/(expenditure) (39) (46) (85)
Other Gains/(losses) (101) (295) (396)
-
Transfer Between Funds (78) 78
Net movement in funds (218) (263) (481)
Total Funds brought forward 3,173 5,706 8,879
Total Funds carried forward 2,955 5,443 8,398
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15.2 Analysis of net assets as at 1st April 2023
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London North
West Healthcare
Charitable Fund
Unrestricted Restricted Total
£000 £000 £000
Common Investment Fund Units 2,668 4,954 7,622
Debtors 70 407 477
Cash held by investment managers 162 288 450
Cash at bank and in hand 196 160 356
Creditors (141) (366) (507)
Net Assets 2,955 5,443 8,398
Represented by:
Unrestricted Funds 2,955
Restricted Funds 5,443
Total Funds 8,398
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46
Note 16
Analysis of Charitable Funds
16.1 Restricted Funds
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Balance Incoming Resources Transfers Gains and Balance
31 March Resources Expended £000 Losses 31 March
2023 £000 £000 £000 2024
£000 £000
A. Meadow House Hospice 1,229 205 (193) 5 135 1,381
B. Children Centre Fund 220 12 (21) 1 23 235
C. Regional Rehab Unit 139 5 (19) 1 14 140
D. Arthritis Centre Fund 85 3 (11) - 8 85
E. Cancer Support Trust 199 12 (17) - 21 215
Others (212) 3,571 679 (573) (13) 384 4,048
Total 5,443 916 (834) (6) 585 6,104
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Balance Incoming Resources Transfers Gains and Balance
31 March Resources Expended £000 Losses 31 March
2022 £000 £000 £000 2023
£000 £000
A. Meadow House Hospice 1,288 201 (192) - (68) 1,229
B. Children Centre Fund 243 10 (20) - (13) 220
C. Regional Rehab Unit 170 6 (29) - (8) 139
D. Arthritis Centre Fund 92 4 (6) - (5) 85
E. Cancer Support Trust 214 10 (14) - (11) 199
Others (212) 3,699 383 (399) 78 (190) 3,571
Total 5,706 614 (660) 78 (295) 5,443
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CONTENTS 47
Notes to the accounts
16.2 Unrestricted Funds
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Balance Incoming Resources Transfers Gains and Balance
31 March Resources Expended £000 Losses 31 March
2023 £000 £000 £000 2024
£000 £000
A. Covid 19 Appeal Fund 373 16 (95) 1 38 333
B. Northwick Park Hospital General Fund 349 37 (115) 1 35 307
Others (6) 2,233 95 (182) 4 100 2,250
Total 2,955 148 (392) 6 173 2,890
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Balance Incoming Resources Transfers Gains and Balance
31 March Resources Expended £000 Losses 31 March
2022 £000 £000 £000 2023
£000 £000
A. Covid 19 Appeal Fund 453 16 (73) - (23) 373
B. Northwick Park Hospital General Fund 444 45 (40) (78) (22) 349
Others (6) 2,276 116 (103) - (56) 2,233
Total 3,173 177 (216) (78) (101) 2,955
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16.3 Detail of Material funds-Restricted
Name of Fund
Description of the nature and purpose of each fund
A. Meadow House Hospice
To support and promote patient welfare
B. Childrens Centre Fund To raise funds for the Childrens Centre
C. Regional Rehab Unit
General RRU Fund (General/Staff Education and Training).
D. Arthritis Centre Fund
Departmental Fund to support Arthritis clinical service
E. Cancer Support Trust
To build, equip and maintain the Northwick Park Hospital Cancer Unit.
48
16.4 Detail of Material funds-Unrestricted
Name of Fund
Description of the nature and purpose of each fund
A. Covid 19 Appeal Fund
To support staff health and wellbeing
B. Northwick Park Hospital General Fund
To provide services and amenities for Northwick Park Hospital.
Following subsequent NHS Trust mergers London North West Healthcare Charity Fund Charity received unrestricted funds for each of the merged Trusts.
The unrestricted funds received are not restricted to any particular charitable purpose.
There is no specific donor request on record for the unrestricted funds held.
All the unrestricted funds have remained witihin the original fund accounts and have been used to fund charitable activities that have met the aims and objectives of the charity.
Note 17
Notes to Cash Flow Statement
17.1 Reconciliation of net movement in funds to net cash flow from operating activities
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31 March 31 March
2024 2023
£000 £000
Net Income/Expenditure 596 (481)
Deduct: Gains on Investments (758) 396
Deduct: Dividends and Interest
(285) (273)
from investments
Decrease in Debtors 320 (175)
Increase/ (Decrease) in Creditors (138) 447
Total (265) (86)
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17.2 Analysis of cash and cash equivalents
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31 March 31 March
2024 2023
£000 £000
Cash in hand and at Bank 354 356
Cash held by investment managers 472 450
Total Cash and Cash Equivalents 826 806
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CONTENTS 49
Notes to the accounts
Note 18
Trustee and Connected Persons Transactions
During the year none of the Trust Board or members of key management staff have undertaken any material transactions with London North West Healthcare Charitable Fund.
Capital and Revenue Payments
The charitable trust has made revenue and capital payments to the London North West University Healthcare NHS Trust to the value of £976,760 (2023:143,984).
See note 18.2, There has been no other payments and transactions between London North West Healthcare Charitable Fund and the above
mentioned NHS Trust.
18.1 Trust Board Renumeration
No expense or remuneration has been received in the year by members of the London North West University Healthcare NHS Trust Board in respect of activities related to the charitable fund (2023: £nil)
18.2 Transactions with Trustees or connected persons
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Name of party involved, a description of the Amount Amount
transaction and description of nature of the of the 2023-24 2022-23
relationship £ £
London North West University Healthcare NHS
Trust recharges to London North West Healthcare 976,706 143,984
Charitable Fund
London North West Healthcare Charitable Fund
repayment from London North West University 0 0
Healthcare NHS Trust
Total 976,706 143,984
Name of party involved, a description of the Amount Amount
transaction and description of nature of the of the 2023-24 2022-23
relationship. £ £
Balance owed to London North West University
351,030 422,321
Healthcare NHS Trust
Balance owed to London North West Healthcare
0 297,758
Charitable Fund
Total 351,030 720,079
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Note 19
Trustee indemnity insurance
Trustee indemnity insurance was not obtained.
50
CONTENTS 51
Thank you
We say a huge thanks to every donor and supporter for your generous contributions. We really appreciate you helping us to significantly enhance the experiences of patients and staff at all three of our hospitals and community sites.
If you would like to know more about our work, the impact we have made, and how our funding has been utlilised, you can view our achievements at lnwhcharity.org.uk
LNWH_Charity
[www.facebook.com/LNWHC ]
[lnwhcharity.org.uk] 020 8869 3367
If you would like this information in large print, braille, different format or language, please contact us.
London North West Healthcare Charitable Fund No.1083634