2021-03-31-accounts

"aoOQOC)Oo ()Jo o OOOJPO HOSPICE AT HQME WEST CUMBRIA Erthantinglife. excellinein care ANNUAL REPORT & FINANCIAL ACCOUNTS 111 A4H¥SIMW 2411112021 COMPANIES IIOUSE A04 *212 2020/2021 www.hospiceathomewestcumbria.org.uk Registered Charity No. 1086837

CONTENTS O 4. OUR STRATEGY FOR 2018-2021 S. HOSPICE AT HOME WEST CUMBRIA: IN NUMBERS 6. JOINT STATEMENT FROM THE CHAIR & CHIEF EXECUTIVE 7. OUROPERATING AREA 8. TRUSTEE'S REPORT 10. SENIOR MANAGEMENT TEAM ii. GOVERNANCE 16. ERVICE DELIVERY ZI.,SUSTAINA81LITY 24. PRESENC-E REPUTATION 25. OVERALL INCOME & EXPENDITURE 26. AUDITORS. BANKERS, SOLICITORS. ETC. 27. FINANCIAL REVIEW 28. TRUSTEES, RESPONSIBILITIES STATEMENT 29. INDEPENDENT AUDITOR'S REPORT 33. CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIE5 34. CONSOLIDATED STATEMENT OF FINANCIAL POSITION 1135. COMPANY STATEMENT OF FINANCIAL POSITION 36. CONSOLIDATED STATEMENT OF CASH FLOWS 1 37. NOTES TO THE FINANCIAL STATEMENTS www.h05piceathomewe5tcumbria.org.uk Regisle￿d Charity No. 1086837

ISSION people Cumbria access personalised our community provide nursing. emotional support, complementary therapies lyrnphoedema care needed. quality palliative OUR CHARTER We will provide a range of high quality care. support and information for pab"ents, their loved ones and those bereaved. We will provide support and care from compassionate. kind and skilled professionals and volunteers. We will help you live your best life bv supporting you with your emots"onal, physical. spiritual, social and cultural needs and wishes. We will welcome everyone regardless of their age. gender, ethnicity. disability or sexual orientation and treat each person with dignity and respect. We will listen carefully to your wishe5 and needs throughout your journey and always keeping you and those important to you at the centre of all we do. We will work closely together and alongside other professionals to ensure we provide you with the Support you need to live your life how you choose. We will deliver care and support where and when you need it. We will keep you safe. We will ensure we keep your information confi.dential and private. We will develop trusting relationships with you and those irnportant to you. enabling you to share your thoughts and feelings in a safe. non-judgemental place. www.hospiceathomewe5tcumbria.owg.uk Registered Charity No. 1086837

OUR STRATEGY FOR 2018-2021 Themes Presence & Reputation Sustainability Governance Goals Deliver the best possible care for our patients and their familie5 Reach more people through working in partnership and raisiflg awareness Ensure our orgarFisation is sustainable and relevant in the ever changing external environment Ensure our organisation is compliant and manages risk Strategic Maintain high quality care in our existing services Oevelop services to meet emerging needs and national and local end of life care priorities Increase use of existing services and facilities to maximise ovtcomes. reach and early intervention Engage with new and existing partners to develop collaborative working Educate and promote understanding of our organisation within our community and wider stakeholder5 Deliver strategies to maximise income generation. voluntary and corporate support Ensure compliance with regulatorv standards Ensure all areas of strategic risk are identifi"ed, reviewed and managed Explore opportunities to improve efficiency and effectiveness Ensure systems are in place to 5UPPQrt our governance framework so that the Board is effective Implement and work to a suite of performance and h"nancial contro15 Implement succession plans that SUPPOrt recruitment, retention and development of skilled staff and volunteers Engage with and respond to the changing commi55ioning environment www.hospiceathomewesttumbria.oTg.uk Registered Charity No 1086837

HOSPICE AT HOME WEST CUMBRIA: IN NUMBERS MENU 228 SING - 82 of those from cliniol nurse specialists in palliative care {Community Westl 9 of those from clinical nurse specialists in palliative tare (Hospital Westl 3 of those from clinical nurse specialists in palliative care {Hospitsl East) 2 01 those from clinical nurse specialists in palliative care {Community East) new referrals into service Family & Bereavement Support 183 patients, carers and those bereaved were supported of care provided was in patients own homes of referrals were for respite care Complementary Therapy Our staff and volunteers delivered $45 complementary therapy sessions Group Sessions Our family and bereavement support team facilttated 54 group session5 of referrals were for end of life care of referrals were to support planned discharges from hospital Care and Support Provided at Home Across all our service5 880 care and support sessions took place at home HOURS OF NURSING CARE Volunteers Our clinical volunteers gave 385 hours of support We provided 7342 hours of nursing care: 811 Lymphoedema Our lymphoederna team provided specialist advice and support to other healthcare professionals and assessed and managed the needs of 306 patient5 night shifts 79 day shifts www.hospiceathomewestcumbria.org.uk Registered Charity No. 1086837

JOINT STATEMENT FROM THE CHAIR AND CHIEF EXECUTIVE Welcome to Hospice ot Home West Cumbria s 2020/21 Annual Report and Accounts, which highlights some of the mony achievements of the past year. We were sorry that our Chair and long term supporter, Janet Ferguson, stepped down from her position as Chair of the Board when she moved away from the area. Janet had a long history with the organisation and was employed as the Nurse Manager and H05pice Matron in 1997 for a number of years. janet returned to support H05pice ar Home West Cumbria as a trustee in 2018 before taking up the role as Vice Chair and then Chair. Brendon Cook took on the role of Chair, and Joanne Bowe become the Vice Chair, contr"nuing to develop services and deliver against our strategy. The focus has been fi'nding new and innovatr.ve ways of reaching out to our communities for support, and to promote the great work that our staff and volunteers do. enormous 5tre55 Qn the whole healthcare system, and highlighted the crucial role of independent h05pices. Throughout the difficult time. our priority was to protect our clinical and support services to ensure that we could continue to deliver services to those who needed us most. Staff and volunteers responded excepts'onally well to the changing circumstances and the tare of our patients and families remained exemplary. Our fundraising and trading company activity was affected considerably. and the teams worked hard to mitigate the effect on the reduction in revenue. As the current strategy 2018121 was coming to an end, the Board felt it was more appropriate to develop a one year transitional strategy for 2021, straddling the h¥Jge changes that the Of8anisation had to make during the height of the pandemic. and exploring opportunities for growth which had emerged as a result of new ways of working and strengthened collaboration. Alongside this, the fi.rst Hospice Charter was developed through a group which included pats'ents. service users. trustees, volunteers and staff and was supported by Healthwatch Cumbria. This sets out our promises for service delivery and will be measured through a new feedback survey. We would like to thank you all for reading our Annual Review, and for helping u5 to meet our mission of providin8 excellent. compassionate care every day. John Knewstubb, a long serving trustee and volunteer, ènd Bill Mavir also stood down as Trustees. We were delighted to welcome several new trustees with a wide range of experience and skills. including Fayyaz Chaudhri. Claire Wi150n, Mhairi Walker, Natalie Lewis and Amy Lewthwaite. We are grateful to all the trustees for their time and invaluable contribution, to make thi5 such a wonderful charity for our local communities. 2020121 has been an unusual and challenging vear due to the Covid-19 pandemic which placed Chair of Trustees and Chief Exe¢utive www.hospiceathomewestcumbria.org.uk Regisiered Charity No. 1086837

OUR OPERATING AREA Wlglon Marypo Cocke Worklngt Whitehav A591 REFERENCE & ADMINISTRATIVE DETAILS Registered churity nome.. Charity registration number.. Company regi5tmtion number.- Principal office ond registered office.. Hospice at Horne West Cumbria 1086837 04191126 Upper Floor Cumbria House New Oxford Street Workington Cumbria CA14 2NA www.hospiceathomewestcumbria.org.uk Re8isiered Charity No. 1086837

TRUSTEE'S REPORT INCORPORATING THE GROUP DIRECTOR'S REPORT The trustees, who are also the directors for the purposes of company law. present their report and the financial statements of the group for the year ended 31 March 2021. Choice. We also provide supportive care for families and carers through our family and bereavement and complementary therapy services. Our care services are available without restriction to all The parent company was incorporated as a groups in the communities we serve. In addition. company limited by guarantee on 30th March 2001 we deliver a specialist lymphoedema service across and accepted as from 1st April 2001 all the assets our operating area. and liabilitr.es of the unincorporated Trust known The financial statements comply with the as Hospice at Home West Cumbria. The Registered charitr.es Act 2011, the Companies Act 2006 Company number is 4191126 and is registered and the Charities Statement of Recommended with the Charity Commission from 31st May 2001 Practice ISORPI applicable to charities preparing with a registration number 1086837. IPrior to that their accounts in accordance with the Financial date the registration number was 5187771- The Reporting Standard IFRS1021 Company is governed by its Memorandum and Articles of Association. The Board of trustees comprises up to 12 trustees. The Board of trustees meets four times per year The trustees conftrm that they have Complied with and its principal responsibilitr.es are to ensure section 17151 of the 2011 Charities Act in having the h"nancial sustainability of the charity, set the paid due regard to the Charities Commission strategic objectives, and monitor performance guidance on public benefit. Hospice at Home West and risk as set out in the governance handbook. Cumbria provides services free of charge to those The Board has set out under terms of reference, individuals aged over 18 years with life limiting delegated responsibilitr.es and decision making to illness living in West Cumbria. We provide palliative four committees. All new trustees are appointed and end of life nursing care directly into people's through a robust recruitment proce55 to ensure 3 homes, or an alternatr.ve care settr.ng of their balance of key skills on the Board. www.hospi¢eathomewestcumbria.or8.uk Re8iStered Charity No. 1086837

(J PATRON. PRESIDENT & VICE PRESIDENTS His Royal Highness The Prince of Wales Patron DrEBHerd President Lord Judd of Portsea Vice President Mrs M E Todd Vice President Mr R Stout Vice President Or R Walker Vice President THE TRUSTEES Mrs Janet Ferguson Resigned os Choir 3rd December 2020 Mr 8rendon Cook Resigned os Vice Choir 3rd December 2020. Appointed os ChL7ir 3rd December 2020 Mrs Joanne Bowe Appointed os Vice Choir 3rd December 2020 Mr Dennis Lydon Mrs Sian Beaty Mrs Sarah Taylor-Howe Mrs Barbara Stephens Mrjohn Knew5tubb Ret7red 3rd December 2020 Mr William Mavir Ret7red 3rd December 2020 Mrs Claire Wilson Appointed 3rd December 2020 Mr Fayyaz Chaudhri Appointed 3rd December 2020 Mrs Mhairi Walker Appointed 3rd December 2020 Miss Amy Lewthwaite Appointed 3rd December 2020 Ms Natslie Lewis Appointed 3rd December 2020 Mr David Harper COMPANY SECRETARY Ms Carol Robertson www.hospiceathornewestcumbria.org.uk Registered Charily No. 1085837

SENIOR MANAGEMENT TEAM This team operationally manages the hospice, provides support and guidance to all staff. and supports the Board of trustees. Chief Executive Officer Julie Monk Heod of Core & Quality Lorraine Dixon Heod of Finance Dawn Elliott Head of Morketing & Income Genemtion Hayley McKay MedicalAdvisor Helen Rowe COMMITTEES Finance Audit & Risk Committee Marketing & Income Generation Committee HR& Governance Committee Clinical Governance Committee TR,U-STEES Trustees: Dovid Horper (Chairj, Brendon Cook, CIuiTre Wilson Executive Support: Julie Monk, Down Elliot, Hayley McKay This Committee oversees the linancial management, risk management and audit arrangements of the Charity and Trading Company. Trustees: Sion Beaty (Choirj. Amy Lewthw17ite. Dennis Lydon Executive Support: Julie Monk, Hoyley McKay This Committee monitor5 and advises on the Marketing & Income Generatton ofthe charity and oversees the development of fundraising plans and strategies and the operation of the Trading Company. Trustees: Jt>anne Bowe {ChuirJ, Barboro Stephen5 Natolie lewis Executive Support: Julie Monk, Lorroine Dixon Trustees: Sarah Taylor-Howe Ichoirj. Fayyaz Chaudhri. Mhairi Wolker Executive Support: Julie Monk, Lorraine DITXOn, Helen Rowe This Committee monitors and advises o Human Resources and personnel issues including remuneration. training and development of staff and volunteers. This Committee monitors and advises on Clinical Governance of the Charity including quality Standards. clinical risk, care delivery and patient experience and audit. io www.hospiceathomewestcumbria.org.uk Registered Charity No 1086837

GOVERNANCE GOVERNANCE The governance arrangements are set out in our who report progress back to the Board. The Board governance handbook which includes guidance on must ensure that staff have adequate resources to the roles and duties of trustees, role profiles. terms undertake this. of reference for committees, schedule of matter5 reserved for the Board and a scheme of delegation. The Board administers the charity and meets a minimum of four times each year. rhe hospice Our trustees are directors of the Charity and ensures good governance through an effective have duties under company law as well as committee structure. Each committee meets in charity law. They are expected to maintain the between Board meetings and support5 the Board highest standards ot integrity and stewardship.. with its work. The current structure allows the to ensure that the organisatr'on is effective. open Board to focu5 on strategic and big picture issues and accountable,. and to en$￿￿ a good working by delegats.ng responsibility and empowering each relationship with the Chief Executive and senior committee to examine the detail and provide management team. the precise level of scrutiny that is necessary. By The most important job of the Board is to Sead the employing this structure, it allows the committees Hospice. The Board is concerned with direction, to provide assurance to the Board and supports the policy and strategy. The management of the flow ofsolutions. recommendations and ideas. Hospice is delegated to paid professional staff TRUSTEE RECRUITMENT & INDUCTION Under the requirements of the Memorandum and Articles of Association, the trustees are elected to serve for a period of three years. after which they must be re-elected at the next Annual General Meeting. Trustees cannot serve longer than nine vears in total. Our governance handbook provides guidance on ensuring we have a broad range of 5ki11s and experience within our Board of trustees. To do this. we recruit using our skills matrix to ensure that trustees are appointed onto a committee relating to their relevant skill set. A Board skills audit is undertaken annually to identify skills gaps and live new trustees have been appointed to our Board in the last 12 months with background5 in clinical services, governance, project management, HR and law. Trustees have an annual appraisal. condurted by the Chair and Vice Chair. Three trustees resigned from offi'ce at our AGM in December 2020. Trustees are appointed following advertisement and interview, and references are taken up before a formal recommendation is made to the Board by the Chair that the individual is appointed. All new trustees participate in an induction programme aimed at building knowledge and understanding of both the role and their responsibilities of a trustee and the work of Hospice at Home West Cumbria. li www.hospiceathomewestcumbria.or8.uk Re815tered Charily No. 1086837

GOVERNANCE INVESTMENTS The assets of a charity must be invested in The charity ha5 investments with Brewin Dolphin accordance with the governing instrument and with with a specific detailed investment polity including the Trustee Act 2000 and the charity confirms it has lowlmedium risk products and the right to exclude the ability to grant discretionary investment power. those companies that carry out activitres contrarv The Board of Hospice at Home West Cumbria has to the charity's aims. The fund managers have a an approved Investment Policy and has delegated discretionary mandate to best invest in suitable investment decisions to the Finance. Audit and Risk products. The committee reEularly reviews the committee. The committee has responsibility for nformarion provided by the investment manager. agreeing strategy and monitoring the investment assets. RESERVES POLICY The reserves are resources that Hospite at Home The aim of the Reserves Policy is to hold nine West Cumbria has or can make available to spend months running costs as investments and bank for any or all of the Charity's purposes. The reasons balances1£980.0001. The bank balances and for holding reserves are a5 follows= investments at the year end were £2,002,122, About 75% of the annual general income has much higher than the ststed intention to hold to be raised from charitable sources and thi5 9 months running costs1£980kl. This is due to can be unpredictable as to what the charity Covid-19 funding and very large legacie5 received receives in donations and legacies. Therefore. in the last couple of years, and will provide a if income levels are down, having reserves buffer for years to come where such amounts will makes it possible for the charity to maintain its not be received. The charity's cash reserve5 are hospice services held on Short term deposits with The Cumberland Building Society. The average gr055 interest over The nature of the service, particularly the the linancial year was approximately 0.7%. The home rbursing service, is unpredictable and it charity's investments are managed by Brewin has always been the philosophy of the Hospice Dolphin and the average return of the investmert to try to meet any increase in service if the portfolio in period 2020-21 increased by 24.37% need arises net of fees125.56% not accounting for fees). This Reserves Policy is reviewed annually to take account of challging circumstances. Cessation reserve to ensure that all liabilitie5 can be discharged in the event of cessation Working capital reserve to provide working capital in the event that expenditure is needed ahead of income being received Opportunity reserve to provide funding for new initiatives or opportuniries Adversity reserve to protect the charity against unplanned adverse events such as losing key staff, theft, lire or adverse publicity 12 www.hospiceathomewesttumbria.or8.uk Regisiered Chariiy No. 1086837

GOVERNANCE INTERNAL RISK & CONTROL The Board has an approved policy on Risk Management and has identr.fied the major strategic. business and operational risks for the organisation. Risk assessments are reviewed quarterly and action plans updated which ensure necessary Steps can be taken to manage these risks. For 202012021 the strategic risks listed in the risk register are= l. Inability to raise sufficient income 2. Reliance on volunteers The Finance, Audit & Risk committee advises the Board on the effectiveness of the control measures in place to manage our risks. The committee has oversight of h'nancial control, governance and risk management across the whole organisation. The Committee received reports from the internal auditor on both h'nancial and non-financial matters. Clinical Governance committee oversees clinical audit responsibilities and other individual risks are delegated to relevant committees of the Board. A business community plan is in place which can be implemented to assess and adapt service 3. Medical malpra¢tice 4. Recruitment and retention of key staff 5. Inadequate IT systerns and data security 6. Health and safety hon-compliaThce 7. CQC inspertlon downgrade 8. NHS grant changes 9. Charity Cornmission go¥ernance and Fundraising Regulator non-compliance WHAT WE HAVE ACHIEVED DURING 2020-21 03 wa on es Appointed 5 new trustees with a range of experience and knowledge c-e elopmen Carried out a review of the tradin8 companv to ensure we are best placed to respond to external pressures and risks associated with the changing economic environment Endorsed policy and procedure reviews including Health & Safetyfft Adult Safeguarding, Business Continuity and Financial Controls 13 www.hospiceathomewestcumbria.org.uk Re8lStered Charily No. 1086837

GOVERNANCE SUPPORTING STAFF & VOLUNTEERS TRAINING PAY & PENSIONS All our patient facing st3ff and volunteers and non-clinical staff and tru5tee5 undertake mandatory training each year. Due to impact of the Coronavirus pandemic some face-to-face training did not take place. but trainin8 via eLearning ontinued in 5ubjerts including health & safety and information governance. Staff have also taken advantage of low cost external training via video conference. All salaries are set in accordance with the agreed job evaluation proce55 and pay Scales. Two pension schemes are in operation. One linked to the NHS pensions for eligible staff of which there are currently 10 members. and a workplace pension scheme ofwhich there are 24 members. EMPLOYEE BENEFITS & WELLBEING STAFF DEVELOPMENT & SUCCESSION PLANNING We take the health and wellbeing of our staff and volunteers very seriously and the Health and Wellbeing Group are reviewing its strategy for promoting and managing the health and wellbeing of our workforce. To carefully manage our resources and invest in the future balancing the need with staff capacity and skills a substantial amount of work has been undertaken to.. Establish the skill base and experience of existing staff, including team leader and senior management team leadership development Identify if ski115, capacity, and experience match existr'ng service requirements Identify existr.ng and future gaps in business 5UPPOrt Scope out resource e.g., capacity, skills, demand required to meet our ambitions going forward The organisation h35 a comprehensive staff and volunteer handbook, is signed up to an employee a5SiSt programme. holds regular health and wellbeing sessions, has subsidised gym rnembership, flexibility around working hours and an occupational health Service. Some of the benefi.ts our staff have received over the last year include= Health & wellbeing Sessions and reviews Staff appreciation day Investment in IT to ensure their ability to work effectively in remote locatr.ons lagile working) Regular news bulletr"n5 Volunteer news bulletins and zoom sessions/ contacts Review the skills and experience required for all vacant posts before recruitment Our recruitment processes have also been reviewed with the help of an external HR Advisor. Employee assist programme 14 www.hospiceathomewestcumbria.org.uk Reg15tered Charity No. 1086837

GOVERNANCE VOLUNTEERS We have approximately 170 volunteers who give up their time to support the work we do. We were unable to urilise most of our existing volunteers during the pandemic, but our Volunteer Co- ordinator kept in touch by sending out regular email update5, staying connected visually bv facilitating meetings via video conference and by telephone. Some of our volunteers. such as those in the family and bereavement support team, were able to contr.nue to provide one-to-one telephone support. In June 2020. a recovery action plan and volunteer questbonnaire was developed. and it was hoped that volunteer hours would start to increase. We knew that as we moved out of lockdown and services began to resume, our volunteers would be key to getting back to full service deliverv. We contarted existing volunteers to see if thev wished to and were able to return to their roles and gave appropriate support. information, and guidance. Safe working practices and Covid risk a55essment5 were put in place in all our buildings and volunteers started return. Some volunteers gave their help in other roles. such as retail. until their usual roles resumed. To continue to develop volunteer roles. offer more flexibility and build on opportunities to irnprove our profile, we have identified the recruitment and development of volunteers as a key project Eoing forward and group will be set up to look at what we have got, what we need and where the gaps are with an action plan for ongoing recruitment and retention. on older osthmotyc, needed self-isolate. reolly ell what a yearl So much sadness and 1055 and gettlng used to living with uncertainty about tomorrow. It hos given me o deeper insight into how people with o life limiting illness. and those coringfor loved one5 who ore ill. hove to ¢ope with uncertointy ond not knowing whut the future may bringi ond thefeor of that. I fvel that l om more oble to be mindful now, ond be more in the present moment. and perhap5 not worry too much about next week. As a volunteer My way of working hos had to change to either on screen sessions with clients or just on the phone. This hos been diffi'cult. I think that having Someone to tolk to, someone who will listen. ho5 become more importantfor all of us, ond even though face-to-face is best. I think ¢hot a voice on the end of the phone ton proviTde help und support. It is t7mazing the woy everyone ha5 very quickly adupted to new ways of working and interocting, both in the workploce and in the world generally. Hospice hos shown thot we can very quickly odopt ond olter the way we work ¢7nd that'5 been good to see." person didn'tfeel inoctivity. to wa5 an However, selling donuted on eBayfor Hosplce, another volunteer, couple of yeor5, we see on opportunity to generoting some income, as funat-raising events stopped. supplied fundraising collected computer donoted closed donotion centre and ramped number of items we were selling. everywhere closed, our sale5 enormously, continued Importontly however. structure purpose throughout WQ5 porticult7rly voluable exercise we increased so me winter, dorkness isolation. supporting Hospice for the Hospice supported we were volunteering Trustee, Reception Volunteer Jat£ G Family & Bereavement Support Volunteer 15 www.hospiceathomewestcumbria.org.uk RegIste￿d Chariiy No. 1086837

SER VICE DELIVER Y ACHIEVEMENTS & PERFORMANCE CLINICAL SERVICES The pandemic and the number of lockdowns has had an impact upon referral number5 and actt"vity, however the clinical teams have worked tirelessly and flexibly to continuously deliver care and support to patients, families ènd carers whilst maintaining high levels of professionalism and resilience. Oata analysis from periryl 2019120 to period 2020121 shows a decrease in referrals to Home Nursing116%1, and Farnily and Bereavement Support Services136%1, however we do see an increase to the referrals to lymphoedema services by 7%, which follows a year on year trend. Explicably there is a115%1 decrease in the combined number of referrals to all service5. Despite the impact upon referral numbers. it Is important to note that the second Covid-19 The impact from Covid-19 on clinical activity wave increased pressures across all areas INCIC may be evident from the referral numbers, but community, communitylacute h05Pltals and care in relation to the pandemic and it5 longer term homesl and as part of collabor3tr.ve busine55 impacts. the acquirement of robust data remains continuity plan5, clinical staff were utilised where challenging. Although the longer term impacts are the need was greatest delivering 318.35 additional yet to be fully understood, we need to consider the hours of care and support from Jan - March 2021. possibility of increased demands on services and how we manage this moving forward5. 16 www.hospiceathornewestcumbria.org.uk Registered Chariry No. 1086837

SER VICE DELIVER Y HOME NURSING The home nursing service provides palliative and Staffing levels have proved to be challenging, end of life care and support to patients and their with several staff retiring from n¥JrsinE. although families, predominantly in patients own home5. but the service managed to recruit new staff, this also in care home5 and community hospitals. unfortunately did not translate into sustained The care is provided by a dedicated team of highly increased staff availability. experienced, caring Registered General Nurses The Patient Support Volunteer service had to be and Health Care Assistants, supported by 3 senior suspended when the lockdown restrictions began. nursing team. team leader and administrative this has not yet recommenced. but we aim to do support. this as 500n as the 51tuation allow5. There have been many challenges and difficultie5 that the team has faced over the past year. Initially, the service Saw a reduction in referrals and requests for support. probably due to families shielding and a reluctance to have staff in their homes. Navigating the continually changing Covid working environment. and government advice has been particularly challenging for the senior team as well as then ensurine that the advice and guidance was effectively cascaded to all the staff. We have been working towards the home nursing staff working agile, by having their own laptops to enable them to have access to patient's notes while in patr"ent's hornes. We are extremely proud of the professional way that the home nursing team, including the administrative support have risen to the very diffi.cult challenges they have faced. The Covid situation has been extremely difficult for us all, but the staff have continued to provide our patients and their loved one5, Wlth professional nursing care and support of the highest calibre. We provided support to the NHS by staff working on the Palliative Care unit at West Cumberland Hospital, supportr.ng the vaccinatr.on programme and a staff tnember working solely in a care home. The staff have faced huge pressures, both personally. in relation to Covid and professionally. they have continued to provide a high standard of care despite their own concerns regarding their health and wellbeing. Staff have highlighted that the use of PPE has been difficult and meant that communicatron can be difficult. 228 of care provided was in patients own homes new referra15 into service, 82 of those from Palliotive Caré Clinical Nurse Specialists care were provided 14% 45% of referrals were to supportplanned. discharges from hospital of referrals were ft>r end of life care 811 night shifts of these referra15 translated into care provided. remarning patients either care declined or prior to provided 70 day sh•fts of referrals were for respite care care 17 www.hospiceathomewestcumbrio.org.uk Re8lStered Chvrity No. 1086837

SER VICE DELIVER Y FAMILY & BEREAVEMENT SUPPORT The Family & Bereavement Support Team IFABSI We are committed to ensuring that Services are provides emotional support to patients, carers acce55ible to all with a partr"cular focu5 on learning and their familie5 With a range of 5VPPOrt option5 disabilities and autisrrb. Within the team we have tailored to meet each individual's need5 following developed the role of Learning Disability and an initial assessment. The team is made up of Autism Champion, this role has been pivotal in experienced staff and volunteers who help people raising 3warene5s of inequalities in end of life with coping. loss, grief and bereavement. and palliaD've care. and bereavement support for During the last 12 months the team have continued people with a learning disability and/or autism. Our to offer emotional support throughout the Covid-19 Champion has developed a quarterly newsletter pandemic and subsequent lockdowns. We adapted sharing information, research and good practice the way we work with staff working remotely examples, sent out to our staff and volunteers and from home, overcoming the challenges this brings reviewed our Service user information and has whilst ensuring that we continue to provide the adapted this into Easy Read. In addition to this. our much needed 5UPPOrt and quality service offered Learning Disability Champion has developed strong by the FABS team. Support has been provided via links and ha5 collaborated with learning disability telephone and virtual platforms and when able partner5 and the learning disability community. and following government guideline5, we have We have a150 played an active role in the LeDeR supported people face to face from ourTherapy & (Learning from deaths of people with a learnin8 Resource Centre in Finkle Street. Workington and in disability) confirm and challenge group and are other community seth'ngs. supporting our NHS partner5 in developing robust palliative care pathways. Our patr'ent and carers groups have remained connected via virtual platForms and have also benelitted from telephone contact with the group facilitator. One-to-one support: Offers a safe space to for people to talk and reflect with someone outside their family or friendship group. It can help to alleviate distress and process thoughts and feelings. 121 476 5er¥ice users supported by the FAB team I:1 support sessions 'due to ini)"al recording differences sessions hod been recorded os telephone colls so we con 055ume that more sessions hove token ploce in this period Group Support: Our patr"ent. carer and bereavement groups connect people with similar experience5 and provide an opportunity to share thoughts, feelings and coping strategies in a supportive and safe environment. group support se55ions 'initiolly in lockdown group member5 were Supported individuolly over the telephone until we were oble to securely offer group support via a virtuol plorform -Covid-19 ha5 been challengingAor everyone. but H05pice and their volunteers hove done remarkably well to deliver a 5UPPOrt Service during lockdown. Coring for a terminolly ill relotive is hord but in o global pandemit it W05 super tough 50 the supportlmm H05pice wa5 even more appreciated.- Over the next year we will continue to embed the blended and flexible ways ol working to ensure that we are providing an efficient and quality support service. We are looking to recruit and train additional Family and Bereavement Support Volunteers to help us continue to provide emotional support in a timely way. We will look to promote our patient. carer and bereavement groups and hope to provide these on a more regular basis. "Ifeel more ot eose with myfeelings ond emotions following my loss. I know it Is normal now ond I h(7ve good coping strategies in place to help me cope.- 18 www.hospiceathomewest¢umbria.org.uk Registered Chariiy No. 1086837

SER VICE DELIVER Y COMPLEMENTARYTHERAPY Our Complementary Thera y team 15 rnade up of staff and volunteers. Comp ementary therapies can help relieve stress. sleeplessne55, breathlessness. anxiety and aid relaxation as well as managing some of the symptoms and side effect5 of treatment that patients experience. Therapies can lay a vital role in su porting atrents, carers and ereaved people an Sthe chair enges that they face. Our Complementary Therapists are able to offer a variety of complementary therapies that are tailored and adapted for the needs of the individual. Thera ie5 may include Reiki. therapeutic massage, and re exology as well as breath-work approaches to de-escalate anxiety and invite relaxation. During the last 12 months. our Complementary Therapists have continued to offer support throughout the Covid-19 pandemic and lockdowns. Th 15 has proved challenging however the team have stepped up to the mark and have creats.vely delivered therapeuric SUPPOrt ￿MOtel¥. Initially, meanin ful work from home was undertaken byt e Senior Complementary Therapist throu h supportr.ng patient5, family members and t e bereaved over the phone. Some pats'ents continued to receive purely phone-based SUPPOrt throughout the lockdowns, which often consisted of guidance through breathin and other techniques to reduce anxiety. improve s eep and promote feelings of wellbeing, relaxation and copin8. The aim was to equip people with the tools and skills needed to support themselves as and when needed. This approach emphasises complementary therapy as empowering and potentially life-changing and moves away from complementary therapies bein perceived as a 'pampering'. Excellent feedbac continues to be received regarding these approaches. Supportive written and voice recorded materials were produced by the Senior Complementary Therapist and made available through the HHWC website and social media platforms. We felt it was important that patients and family members could access quality materials to 5UPPOrt their wellbeing and positive mental health at home and out of hours. These written and recorded pieces were aimed at supporkn.ng wellbeing, boosting resilience and mitigating the effects of stress and anxiety. Following this period patients who had already been receiving in-person Reiki or another form of complementary therapy from the Senior Complementary Thefa 1st were offered distant Reiki. This was then o ered to new service users. Our Complementa Therapists have also sent Distance Reiki to our ocal health and care professionals on the acute wards to support with their wellbeing during the lockdown in January- March 2021. When able, the tearn have seen individuals from our Finkle Street Resource Centre. We have renovated our therapy room so that therapies are undertaken in a "Covid Compliant environment". Specifi'c funding was secured for the Senior Complementary Therapist to undertake trainin to level 2 1 practsb.oner status in EFT £Emotiona Freedom Technique). EFT or tapping as It is often called is a proven therapeuric method for easing physical and emotr.onal suffering. EFT 15 gaining much popularity globally because of its effectiveness, the longevity of results achieved and the relatr.ve ease of the method. Thi5 technique will be used with patients. their family members and the bereaved. As we move into the era of the 'blended' approach to best meeting the needs of service users. EFT will no doubt prove to be an adaptable. effective tool for the service to draw on. he ¢onnertlon (to Reiklj bvos deJlnite and in5tant.- patients, carers bereaved supported through complementarv therapy -Itfeft Ilke you were holding nryftet.- ept deepfyfvr on hour ofterwords.- 540 distant complementary therapy sessions including distant Reiki and breathing and relaxation he only way that l Con describe it is that Itfrlt like piece5 of energy were being deposited in my body- hands-011 complementary therapv sessions -ft works." 19 www.hospiceathomewestcumbria.org.uk Registered Charity No. 108G837

SER VICE DELIVER Y LYMPHOEDEMA Our Lymphoedema service provides specialist lymphoedema assessment, treatment, advice and support. Staff treat patients in their own homes, our Therapy & Resource Centre in Finkle Street, Workington and West Cumberland Hospltal clinics, care homes and a variety of other settings. frequently taking part in They have developed a system to triage patient5. joint visits with other health care professionals. The referrals to ensure that urgent cases were seen staff have continued to develop and build their links in a timely manner. in their own homes. This wa5 with other health care professionals for the benefit ombined with the use of a telephone consultation of patr'ent care. a5 part of the initial assessment to reduce the time The service can provide lymphoedema training. spent face-to-face in patients, homes. education, advice and support for other health care Staff have changed the way they work, as the professionals. Staff also take part in advice sessions advice has been to work from home where for patients which are facilitated by external possible. Whilst this hasn't been without its organisations, i.e. Bieast Cancer Care. challenges. the staff have risen to this. and have In the early months of the year we saw a reduction found that their work/home life balance has in the referrals coming into the service. this was improved as a result. The opkn.on to work from probably due to the reduction in numbers of home will continue when the government advice outpatient clinics and GP appointments and a changes. reluctance for pan'ents to meet with staff. As a Lymphoedema staff have worked particularly hard result ofthis reduction, one staff member was with an overall increase to referrals into the service furloughed, however this was only for a Short and an increase in the teams workload. They have period as possible. demonstrated continued flexibility and ingenuity The clinics at Finkle Street and West Cumberland in order to ensure they provide fi"r5t class specialist Hospital were suspended for a period of tr.me due lymphoedema care and treatment, despite to the Covid-19 lockdowns. This created challenge5 the personal and professional challenges they in how the patients could be assessed and have faced and we are extremely proud of their reviewed safely. achievement5. At the end of the previous year. the staff commenced a training and educatr.on package to are hornes, which was well received, however, due to the Covid restrictions this had to be postponed. This is hoped to recornmence at the earliest opportunity in the future. Staff have shown their ingenuity in coming up with ways which they can provide treatment and support to pab"ents, while keeping themselves and the patr.ents safe. They have utilised telephone ontact5 to provide advice and support to those who didn't need to be seen face to face. 44 488 clinics in Finkle Street face to face consultations (down on 901 on previous year, due to Covid) number patients (cancer non-cancer 204 clinics at the West Cumberland Hospital new referrals (cancer 77. non-cancer 127). zo www.hospiceathomewestcumbria.Ofg.uk Registered Charity No 1086837

SUSTAI NABI LITY INCOME GENERATION Hospice at Home West Cumbria have a dedicated Marketing & Income Generation Team who facilitate and oversee all fundraisin8 activities. We are fortunate to have people in our communities who support our fundraising actr"vities and our Fundraising Promise. available on our website, sets out how we ensure fundraising activities are carried out openly and honestly. Our fundraising promise includes our commitment to respect supporter's rights and privacy and never put undue pre55ure on people to make a gift. We are registered with the Fundiaising Regulator and confrrm that we received no complaints relating to fundraising during 2020-21. primary schools. This was not only a huge setback for us financially. but also for the many supporters who were disappointed not to be able to take part. Our supporters however didn't wane and instead responded with overwhelming positr'vity and determination to help us any way they could. We launched our Ernergency Appeal on 31st March 2020 which involved a direct mail to existing supporters informing them of ways they could help and an at home collection box where people could save their change and donate to U5 at a later date. A dedicated page on our website offered information on a variety of ways people could donate, get involved, and fundraise at home The Covid-19 pandemic had a huge impart on all includin8 a new Text To Donate service and a of the fundraising activities planned for 2020 and Just Giving fundraising page. Daily social media into 2021. All events and activitres were either updates were posted and we gained coverage on cancelled, or signih"cantly changed to reflect the local ITV and BBC news programmes, BBC Radio restrictr"on5 on working and social prath"ce5. Our Cumbria and arricles in the local printed press. main fundraising event, KAPOW! Super Hero Many individuals and groups sprang into action Challenge, scheduled to take place in July 2020 with to support us and overall, the Emergency Appeal up to 1,000 participants, had to be cancelled. as did raised over £165,000. our previously successful Mini Colour Runs in local Local photographers took Lockdown Doorstep photogrnphs rnising over £2.000 Local performer Billy Walker recorded a charity album and perfoimed doorstep birthday songs to members of the communtty raising over £20,(KIO Virtual Festival's raising over £.io,000 Many people opened their own Just Giving Pages and ralsed money through head shaves, Facebook Live performances and lootball teams rallied to do Sponsored walks and "keepy uppy" challenges, Donations from communitygroups such as Derwent Rotaryclub and Masonic Lodges Donations from families who have105t loved ones Including an extremely generous donation from one bereaved family In July 2020 we launched a new virtual fund￿lsIng campaign named .50 Face5-. The aim was to sign SO people up to raise £500 each between 1st July 2020 and I￿ January 2021. We managed toget 18 people to sign up and raised just over É12,5(M). The 2.6 Challenge w35 also a national virtual campaign that we joined, encouraging people to raise money for charity. Many people took part: riding 260 mtles on an exercise bike, walking 2.6 miles per day etc. Our 2.6 Challenge partictpants collectively raised £2,599. FACES 21 www.hospiceathomewestcumbria.org.uk Re8lsie￿d Charity No 1086837

INCOME GENERATION (CONTINUED) In December 2020 we launched a new Tribute Fund remember loved ones at Christmas time. The platForm which enables people to set up their own pandemic meant that we were unable to go ahead pages in rnemory of a loved one. Family members with the services so instead we pre-recorded the can share memories. photographs and videos of celebration and shared on our web51te, YouTube their loved one and light candles on birthday5. channel and social media. DVD recordings were anniversaries etc. Since the launch there has been sent to all nursing care and residential homes and over £7,500 raised. were available for people to order. Our Buttermere Horseshoe challenge could Despite many offices and company employees thankfully go ahead in September 2020 with 19 working from home. relationships were maintained participants signed up raising £6.300. with key contacts. An opportunity to partner One of the most important events in our calendar with United utilitr.es presented which resulted in each year 15 the very special Light Up A Life services a donatr.on of £25,Crf)O. Incorne from corporates where we come together as a community and raised nearly £77,000. CHARITABLE TRUSTS & GRANTS TRADING COMPANY During this past year we have been very fortunate to receive an unprecedented level of income from trusts, funds and foundations. with partners old and new coming forward to support us during these most challenging of times. We've had some extraordinary grants, as well as approaches from organisations who were previously unknown to us and asking how they could help. Many charitable giving orEanisations developed pandemic recovery grants which we applied for where appropriate. Overall, £125,000 was raised for 2020-21 and concentrated effort was made on larger and mulri-year applicats'ons resulting in an additional £115,000 pledged untrl 2024. We had the first tranche of a six-fi'gure multi- year grant towards the work of our Family & Bereavement Support team,. received Specific grant5 to support our home nursing service and even a contribution for our amazing Clinical Administration team who came into the offi.ce to support our organisation when the rest of the country was working from home. And we continued to receive many essenDal grants to fund our core activitie5. We have been trvly humbled bythe overwhelming genero51ty shown by $0 many grant-makers in recognition of the vital services we have continued to deliver from the outset of the pandemic. We are extremely grateful to all of them for their excepts'onal support. The pandemic had a huge impact on our trading company as like all non-essential retail, our shops had to close. When we were allowed to re-open, extensive safety measures were put in place to ensure the risks were reduced and managed, keeping of staff. volunteers and customers safe. In September 2020, we conducted a review of our trading operatr.ons and made the diffi'cult decision to close our Whitehaven shop permanently. This gave us an opportunity to redesign our trading operations and in January 2021, embarked upon a new model of fewer shops and a greater online presence. Online sale5 of preloved item5 gifted to us by supporters rose during 2020 and looking towards next year, we plan to expand that to complement our trading actr"vitr"es in our Workington. Cockermouth and Ke5wick shop. 22 www.hospiceathomewestcumbria.OTg.uk Registered Chariiy No. 1086837

SUST AI NABI LITY FINANCE AND BUSINESS SUPPORT As part of the move to agile working, IT systems and software has been moved to a cloud based storage system including our financial database Sage. This has enabled staff to work from any location, and the flexibility to work from home effectively. Introducing new tools and digital solutions has brought efficiencies and cost savin85 to the wider organisation. Throughout this year, the focus has been on reviewing outdated manual processes. Some of the changes implemented in the year include a process to allow us to accept credit/debit card donations over the telephone, a procedure for acceptr.ng verbal Gift Aid declarations, and installing a pension module to our payroll system to move away from manual records. These innovations along with many others have brought both time and cost savings, greater accuracy in the data processed, and an improved donor experience. We plan to continue to keep moving forward and making use of diEltal solutions to bring effi'ciencies. High on the agenda is a system to record legacy notifi.cations digitally. making use of functionality included in the upgraded donor database, and introducing an elertronic order and invoicing system. 23 www.hospiceathomewestcumbria.org.uk Re8 Siered ch.a-, v No_ ILQ6837

PRESENCE & REPUTATION COMMUNICATIONS Throughout 2020121, and particularly though periods of lockdown with many staff working from home. Communication has been more challenging. both within the organisation and e¥ternally with health services and communities. engaging with organisations. and opportunities for additional funding. These forums enabled Hospice at Home West Cumbria to hear of initiatives and service developments across the country in a way that previously would not have been possible. The Chief Executive and Chair attended networking groups of both the North West and North East. developing better relationships and sharing plans, policies and ideas. At the beginning of the pandemic, we increased our social media coverage and frequency of posts which resulted in over 50,000 engagements on Facebook alone in the first quarter of the year. We gained 1.378 new followers on Facebook and 39% of all our website traffic from April 2020- March 2021 came from Facebook. Internally, different channels and forums have been developed to ensure effective communitation, including video conferencing. regular newsletters and email updates. All staff and volunteer meeting5 were set up regularly to keep in touch. and the wider leadership team met weekly to ensure that messages across the Ofganisation were consistent and everyone was aware of any developmènts or changes. Board and committee meetings were also held virtually and were kept to the same schedule of quarterly meetin85. Externally, relationships Wlth local hospices. health services and voluntary organisations has strengthened, having daily or weekly meetings to ensure all services were delivering in a joined up way, with a focus on safety. Business continuity plans enabled sharing of staff capacity and resources. For many years. generit thank you letters have gone out to supporters as one time communication and had not been seen as an opportunity to instigate further engagement. We have adapted the way we communicate and made efforts to try and further engage them. This needs to be further developed and work to review and map how we communicate. what we say and how we can further engage, is planned for 2021. Support and advice was provided by new national forums, such as those developed by Hospice UK which kept all hospices abreast of Government guidance. changes to the way the regulators were INFORMATION TECHNOLOGY The IT systems serving Cumbria House and Finkle In January 2021, we also invested in a new Street have become outdated and with the move to supporter database which gives us enhanced ability more remote working our systems need to be fit for to work remotely, capture the communication purpose for the future. preferences of our supporters, and give us 8reater In August 2020 the Finance, Audit & Risk committee financial insight of donations made. approved the cost of replacing the IT exi5fing System with a cloud storage system. Investment in the new system has offered enhanced functionality allowing teams to work more efficiently enabling greater efliciency and less time on administrats"on. 24 www.hospiceathomewestcumbria.org.uk Regisiered Charity No. 1086837

OVERALL INCOME & EXPENDITURE INCOME £224,506 £30.725 Gift Aid Trading Company £309,420 £582,934 NHS Core Funding Donations & Events £8,634 Other Income {staff holiday purchase, collecting boxes) TOTAL £2,289,491 £29,568 In Memory Funding £125,046 Charitable Trusts & Foundations £633,220 Legacies £327,857 Grants £17,581 Investment Income EXPENDITURE £131,340 £267,310 Lymphoedema Family & Bereavement Support £151,576 Trading Company £9,608 Governance TOTAL £1,176,801 £6,194 Investment Management £189,025 Cost of Haising Income £421,748 Home Nursing 25 www.hospiceathornewestcumbria.org.uk Re8lStered Charity No. 1086837

(lo o PROFESSIONAL ADVISORS 000 .OoOo 0000000 AUDITOR Saint & Co, Chartered Accountant & ststutory Auditor Sterling House Wavell Drive R05ehill Corlisle Cumbrio CAI 25A BANKERS National Westminster Bank plc 31 Pow Street Workington Cumbria CA14 3WY SOLICITORS Oglethorpe & Broatch 6 Borrowdole Road Keswick Cumbrio INVESTMENT MANAGERS Brewin Dolphin 2 Smithfield Street London ECIA 9BD PATRON His Royal Highness The Prince of Wales PRESIDENT DrEBHerd VICE PRESIDENTS Lord Judd of Portsea Mrs hll E Todd Mr R Stout Dr R Walker 26 www.h05piceathomewestcumbiia.org.uk Registered Chariry No. 1086837

NCIAL REVIEW During this financial year our total incoming our Mission has driven the need for the Board of resource5, for the group, were E2.289,491 of which trustees to remain resilient and we have closely £196,898 was restricted.for 5pecih'c needs. Total monitored h'nantial forecasts to ensure that we resources expended were £1,176,801 of which maintain a professional service. The hospice relies £196,898 was spent on restricted projects, resulting on voluntary donation5, legacies, fundraising in a net resources surplu5 of £1,112,690. The activities and income from our charity shops to unprecedented surplus at the end of this period fund the care we deliver. Continuing to deliver has been greatly helped by large legacies received fundraising 3ctr"vities during a global pandemic ha5 and successful applications for Covid-19 funding been difficult. including additional government grants. The Balance Sheet shows Total Funds at the -Balance Sheet date of £2,411,058. all of which are unrestricted funds. We have received UK Government Covid-19 support which has been extremely helpful. However. without the ability of our fundraising team to act quickly to change plan5 and try new fundraising activitie5- and the fantastic support of the West Cumbrian people. our reserves would have been depleted. As we continue to navigate our way through the financial and social consequences of the virus, we persist in our efforts to learn new ways to manage our services and resources. We have taken everything we have learned throughout the pandemic and implemented project plans and changed ways of working for the long-term benefit of the Hospice. The 355ets are held to provide the Obiect5 and Activities stated in the Memorandum of Association of the Charity. The fi'nancial positr.on of the Charity as at the Balance Sheet date is considered to be satisfactory. The Charity is financially dependent upon National Health Funding. The financial year to March 2021 has been very challenging, largely due to the uncertain external landscape and 3mbi8Uity of the ongoing impact of Covid-19 on our operations. Our Vision and HOSPICE AT HOME WEST CUMBRIA 27 www.hospiceathomewestcumbTia.org.uk Reg'.5rered Charily No. 1086837

TRUSTEES, RESPONSIBILITIES STATEMENT The trustees. who are also director5 for the purposes of company law, are responsible for preparing the trustees. report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accountr"ng Practice). Company law requires the charity trustee5 to prepare fi'nancial statement5 for each year which give a true and fair view of the state of affairs of the charitable cornpany and the incoming resources and application of resources. including the income and expenditure, for that period. In PfeparinE these financial ststements, the trustees are required to: select suitable accounting policies and then apply them consistently; observe the methods and principles in the applicable Charities SORP,. make judgment5 and accounting estimates that are reasonable and prudent- prepare the fi'nancial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business. The trustees are responsible for keeping adequate accounting record5 that are Sufficient to show and explain the charity's transactions and disclose with reasonable accuracy at any time the financial position of the charity and enable them to ensure that the fi.nancial staternents comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. AUDITOR Each of the persons who is a trustee at the date of approval of this report confirms that: so far as they are aware, there is no relevant audit information of which the charity's auditor Is unaware,. and they have taken all steps that they ou8ht to have taken as a trustee to make themselves aware of any relevant audit information and to establish that the charity's auditor is aware of that information. SMALL COMPANY PROVISIONS Thi5 report has been prepared in accordance with the provisions applicable to companies entltled to the small companies exemption. The trustees. annual report is approved at the Annual general Meeting on 8th Ortober 2021 and signed on behalf of the board of trustees by: Mr Brendon Cook (Chairman) Trustee 28 www.hospiceathomewestcumbria.or£.uk Registered Charity No. 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Independent Auditor's Report to the Trustees of Hospice at Home West Cumbria Yearended 31 March 2021 OSPICE AT HOME WEST CUMBAIA We have audited the financial ststements of Hospice at Home West Cumbria (the 'charity'l for the year ended 31 March 2021 which comprise the statement of h-nancial activities (including income and expenditure account). statement of fi.nancial position, statement of cash flow5 and the related notes, including a summary of signifi.cant accounting policies. The fi.nancial 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 Accounling Practicel. OPINION CONCLUSIONS RELATING TO GOING CONCERN In our opinion the linancial ststements: give a true and fair view of the state of the charity's affair5 as at 31 March 2021 and of its incoming resources and application of resource5. including its income and expenditure, for the year then ended- have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice,. have been prepared in accordance with the requirements of the Companies Act 2006 and the Charities Act 2011. We have nothing to report in respect of the following matters in relation to which the ISAS {UKI require us to report to you where: the trustees, use of the going concern basis of accountr.ng in the preparation of the financial statements is not appropriate. or the trustees have not disclosed in the h'nancial statements any identified material uncertainties that may cast signih.cant doubt about the charity's ability to continue to adopt the going concern basis of accounting for a period of at least twelve months from the date when the financial Statements are authorised for issue. BASIS FOR OPINION We conducted our audit in accordance with InternaDonal Standards on Auditing IUKI IISAS IUKII 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 h"nancial 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 èvidence we have obtained is sufficient and appropriate to provide a basis for our opinion. 29 www.hospiceathomewestcumbria.org.uk Regisiered Charity No. 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Independent Auditor's Report to the Trustees of Hospice at Home West Cumbria Year ended 31 March 2021 HOSPICE AT HOME WEST CUM8AIA OTHER INFORMATION The other information comprises the informarion included in the annual report. other than the h'nancial statements and our auditor's report thereon. The trustees are responsible for the other informatr'on. 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. with the financial statements or our knowledge obtained in the audit or otherwise appear5 to be materially misstated. If we identify such material incon51Stencies or apparent material misstatement5, we are required to determine whether there is a material misstatement in the financial statements or a material mi55tatement of the other information. 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. In connection with our audit of the financial statements. our responsibility is to read the other informatr.on and, in doing so, consider whether the other infomiation is materially inconsistent MATTERS ON WHICH RESPONSIBILITIES OF WE ARE REQUIRED TO TRUSTEES REPORT BY EXCEPTION As explained more fully in the tru5tees' responsibilities statement. the trustees Iwho are also the directors for the Puf poses of company lawl are responsible for the preparatr.on of the fi.nancial statements and for being satisfi'ed that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of fi'nancial statements that are free from material misstatement. whether due to fraud or error. We have nothing to report in respert 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 incon5iStent in any material respect with the financial statements- or the charitable company has not kept adequate accounting records- or the fi.nancial statements are not in agreement with the accounting records and returns; or we have not received all the information and explanations we require for our audit- In preparing the financial statements, the trustees are responsible for assessing the charity's ability to conrinue 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 operarions. or have no realistic alternative but to do 50. 30 www.hospiceathomewestcumbria.org.uk Registered Chariiy f40. 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Independent Auditor's Report to the Trustees of Hospice at Home West Cumbria Year ended 31 Mar¢h 2021 HOSPICE AT HOME WEST CUMBAIA AUDITOR'S RESPONSIBILITIES FOR THE AUDIT OF THE FINANCIAL STATEMENTS Our objectives are to obtain reasonable assurance about whether the fi'nancial 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 IUKI will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if. individuallv or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements. identified laws and regulations were communicated within the audit team regularly and the team remained alert to instsnces of non-compliance throughout the audit. We assessed the Susceptibility of the charity's financial statements to material misstatement, including obtaining an understanding ot how fraud might (Kcur. bv: making enquiries of management as to where they considered there was susceptibility to fraud, their knowledge of actual, suspected and alleged fraud- To address the risk of fraud through management bias and override of controls, we: performed analytical procedures to identify any unusual or unexpected relationships- tested journal entries to identify unusual transathons,. Irregularities, including fraud, are instance5 of non-compliance with laws and regulations. We design procedures in line with our responsibilities. outlined above, to detect material misstatements in respect of irregularifies, including fraud. The extent to which our procedures are capable of detecting irregularitie5. including fraud is detailed below: assessed whetherjudgements and assumptions made in determining the accounting estimate5 Set out in the actounting policies were indicative of potential bias- and investigated the rationale behind significant or unusual transactions. the engagement partner ensured that the engagement team collectively had the appropriate competence, capabilities and skills to identify or recognise non-compliance with applicable laws and regulations.. we identilied the laws and regulations applicable to the company through discussions with trustees and other management.. we focused on specific laws and regulations which we considered may have a direct material effect on the h'nancial ststements or the operations of the charity- we assessed the extent of compliance with the laws and regulation5 identih.ed above through making enquiries of management and inspecting legal correspondence.. and Continued overleol 31 www.hospiceathornewest¢umbria.org.uk Regisiered Charity No. 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Independent Auditor's Report to the Trustees of Hospice at Home West Cumbria Year ended 31 March 2021 HOSPl¢e AT HQME WEST CVMBRIA AUDITOR'S RESPONSIBILITIES FOR THE AUDIT OF THE FINANCIAL STATEMENTS (CONTINUED) In response to the risk of irregularitie5 and transactions. the less likely it is that we would non-compliance with laws and regulations, we become aware of non-compliance. Auditing designed procedures which included, but were not standards also limit the audit procedures required limited to: to identify non-compliance with laws and agreeing financial statement disclosures to regulations to enquiry of the trustees and other underlying supporting documentation,. management and the inspection of regulatory and legal correspondence, if any. reading the minutes of meeting5 of those charged with governance,. Material misstatements that arise due to fraud can be harder to detect than those that arise from error enquiring of management as to actual and as they may involve deliberate concealment or potential litigats'on and claims- and collusion. reviewing correspondence with HMRC, relevant A further description of our responsibilities for the regulator5 and the charity's legal advisors. audit of the linancial statement5 is located on the There are inherent limitations in our audit Financial Reporting Council's website at www.frc. procedures described above. The more removed org.vk/auditorsresponsibilities. This description that laws and regulations are from financial forms part of our auditor's report. USE OF OUR REPORT This report is made solely to the charity's members, Saint & Co as a body. in accordance with seth.on 144 of the Chartered Accountants & Statutory Auditor Charities Act 2011 and regulations made under Sterling House section 154 of that Act. Our audit work has been undertaken so that we might state to the charity's Wavell Drive. trustees those matters we are required to state Rosehill to them in an auditor's report and for no other Carlisle, purpose. To the fullest extent permitted by law, we Cumbria do not accept or assume responsibility to anyone CAI 2SA other than the charity and the charity's trustees as o bgdy, for our audit work. for this report, or for the opinions we have formed. Saint & Co is eligible to art a5 an auditor in terms of 5ecD"on 1212 of the Componies Act 2006. 32 www.hospiceaihomewestcumbria.oig.uk 8eg1ste￿d Charity No. 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Consolidated Statement of Financlal Activities (including consolidated income and expenditure account} Year ended 31 March 2021 HOSPICE AT HOME WEST CUMBRIA 2021 Restricted funds 2020 Unre#ricted funds Total funds Totsl funds Note Income and end¢wments Donations and legacies Charitable activities Other trading activities Investment income Other Income 1,534.722 309.420 224,506 17,581 6,364 196.898 1,731.620 309,420 224,506 17581 6,364 1.243.539 251,381 169.800 15.507 6,515 Totsl incorne 2,092.593 196.898 2.289.491 1,686,742 Expenditure Expenditure on raising funds= Costs of raising donations and legacies Costs of other trading activities Investment management costs Expenditure on charitable activities io 12 li 13.14 189,025 151.576 6,194 633.108 189,025 151.576 6,194 830.006 185,844 152,209 S,569 937,889 196.898 Totsl expenditure 979.903 196.898 1.176.801 1,281,511 Net gainslllossesl on investments 16 122.674 122,674 169,9701 Net Incomel{expenditurel and net movernent in funds 1,235.364 1.235.364 335.261 Reconcillation ol funds Total funds brought forward 1.175,694 1.175.694 840,433 Total funds carried fO￿ard 2.411.058 2.411.058 1,175,694 The consolidated statement of financial activities includes all gains and losses recoEni5ed in the year. All income and expenditure derive from continuing activities. 33 www.hospiceathomewestcumbrla.org.uk Registered Chai Ity No. 1086837

Hospice at Home West Cumbria Company i•mlted by Guarantee Consolidated Statement of Financial Position Year ended 31 March 2021 HOSPICE AT HOME WEST CUM8RIA 2021 2020 Note FIXED ASSETS Tangible fixed assets Investments 181.107 718.271 199,296 588,515 21 899.378 787.811 CURRENT ASSETS Stock Debtors Investments Cash at bank and in hand 1.939 2,871 436,640 474 363,166 23 24 1.283.311 1.665.834 803,151 CREDITORS: amounts falling due within one ye•r 25 1154.154} 1415.2681 CURAENT ASS￿5 1.511.680 387,883 TOTAL ASSETS LESS CURRENT IIABIUTIES 2.411.058 1.175.694 ASSETS 2.411.058 1,175,694 FUNDS OF THE CHARITY Unrestricted funds 2.411.058 1,175,694 Total charity funds 2.411.058 1.175,694 For the year ended 31 March 2021 the group was entitled to exemption from audit under section 477 of the Companies Act 2006 relating to small companies but as thi5 company is a charity, it is subject to audit under section 144 of the Charities Act 2011. The trustees have not required the company to obtain an audit of its accounts for the year in question in accordance with section 476.. and The trustees acknowledge their responsibilities for complying with Ihe requirements of the Act with respect to accoLSnting records and the p￿paratIOn of accourhts. These financial statements have been prepared in a¢¢ordance with the provisions applicable to companies subje¢t to the small companies, regime. These financial statements were approved by the board of trustees and authorised for issue ort 8th October 2021 and are signed on behalf of the boar f trustees by.. Mr Brendon Cook IChaimi•nl C Trustee pa y Registratio mber.. 1126 y Registration Number: 1086837 34 www.hospiceathomewestcumbria.org.uk RegiSte￿d Charify No. 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Company Slatement of Financial Position Year ended 31 March 2021 HOSPICE AT HOME WEST CUM8RIA 2021 2020 FIXED ASSETS Tangible fixed assets Investments 20 21 130,153 718.271 138.714 588,515 848.424 727,229 CURRENT ASSETS Debtors Investments Cash at bank and in hand 23 24 423.335 540 1,266.899 488.004 474 347,977 1.690.774 836.455 CREDITORS: amounts falling due within one year 25 1128.140) 1387.9901 NETCURRENT ASSETS 1,562,634 448.465 TOTAL ASSETS LESS CURRENT UABILITIES 2.411.058 1.175,694 NET ASSETS 2.411,058 1,175.694 FUNDS OF THE CPIARITY Unrestricted funds 2.411.058 1,175,694 Total charity funds 29 2.411.058 1,175,694 The surplus for the financial year of the parent company was £1.235.36412020: E335,2611 For the year ended 31 March 2021 the company was entitled to exemption from audic under section 477 of the Companies Act 2006 relating to small companies but as this company is a charity, it is subject to audit under sertion 144 of the Charities Act 2011. The tiustees have not required the company to obtain an audit of its accounts for the year in question in accordance with section 476,. and The trustees acknowledge their responsibilities for complying with the requirements of the Act with respert to accounting records and the preparation of accounts. These financial statements have been prepared in a¢cordance with the provisions applicable to companies subject to the small companies. regime. These financial statements were approved by the board of trustees and authorised for issue on 8th October 2021 and are 518ned on behalf o ard of trustees by-. Mr Brendon Cook (Ch Trustee Company egistration 4191126 Charity RegistfaDon Number: 1086837 35 www.h05piceathomewestcumbria.org.uk RegISte￿d Charity No. 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Consolidated Statement of Cash Flows Year ended 31 March 2021 HOSPIGEAT HQME WEST CUMBAIA 2021 2020 CASH FLOWS FROM OPERATING AcnviTIES Net lexpenditurellincome 1,235.364 335.261 Adjustmentsfor.. Depreciation of tangible fixed assets Net Igainslllosses on investments Other interest receivable and Similar income 20.973 1122.6741 117,5811 20.160 69.970 115,5071 Cht7nge5 in.. Stocks Trade and other debtor5 Trade and other tteditors 932 56.596 {261.1141 655 156.4411 32,322 Cash generated Irom operations 912,496 386,420 Interest received 17,581 15,507 Net cash used in operating activities 930.077 1401,9271 CASH FLOWS FROM INVESTING ACTIVITIES Purchase of tangible assets Purchases of other investments Proceeds from sale of other investments 12.784) 120.955) 19.313 125.6381 1263,6371 212.778 Net cash from investing activities {4.426} 176,4971 NET INCREASEIIDECREASEI IN CASH AND CASH EQUIVALENTS CASH AND CASH EQUIVALENTS ATBEGINNING OF YEAR 925.651 379.453 325,430 54.023 CASH AND CASH EQUIVALENTS AT END OF YEAR 1.305.104 379,453 RECONCILIATION WITh STATEMENT OF FINANCIAL posinoN Cast at Bank and in Hand Cash and cash equivalents within Fixed Asset Investment5 Cash and cash equivalents within Current Asset Investments 1,283,311 21.253 363,166 15.813 474 Cash and cash equivalents at end of the year 1.305.104 379,453 36 www.hospiceathomewestcurnbria.org.uk Registered Charity No. 1086837

Hospice at Home West Cumbria Company Limlted by Guarantee Notes to the Financial Statements Year ended 31 March 2021 HQSPIGE AT HOME WEST CUMBRIA I. GENERAL INFORMATION 2. STATEMENT OF COMPLIANCE The charity is a public beneh"t entr.ty and a private company limited by guarantee, registered in England and Wales and a fegistered charity in England and Wales. The addre55 Of the registered office is Upper Floor Cumbria House. New Oxford Street, Workington, Cumbria, CA14 2NA. These h'nancial statements have been prepared in compliance with FRS 102, 'The Financi31 Reporting Standard applicable in the UK and the Republic of Ireland,. the Statement of Recommended Practh"ce applicable to chariries preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021 IChariDes SORP IFRS 10211 and the Companies Att 2006. 3. ACCOUNTING POLICIES Basis of preparation The financial statements have been prepared on the historical cost basis. as modified by the revaluation of certain h'nancial 355ets and liabilines and investment properties measured at fair value through income or expenditure. The financial statements are prepared in sterling. which is the functlonal currency of the entity- Going concern There are no material uncertainties about the charitv's ability to contr"nue. Disclosure exemptions The parent charitable company satisfie5 the criteria of being a qualifying entity as defined in FRS 102. As such, advantage ha5 been taken of the following disclosure exemptions available under paragraph 1.12 of FRS 102: Consolidation The consolidated financial statements incorporate the financial statements of the company and all group undertaking5. These are adjusted, where. appropriate. to conform to group accounting policies. As a consolidated Statement of financial actr"vities is published, a separate statement of financial activities for the parent company is omitted from the group financial staternents bv virtue of seth.on 408 ofthe Companies Act 2￿6. JLKlgements and key sources of estimation uncertainty The preparation of the financial statements require5 management to make judgements, estimates and a55umptions that affect the amounts reported. These estimates and judgements are continually reviewed and are based on experience and other factors. including expectations of future events that are believed to be reasonable under the circumstances. lal No cash flow statement has been presented for the companv. Ibl Disclosures in respect of financial instruments have not been presented. Continued overleof 37 www.hospiceathomewest¢umbria.org.uk Fiegistered Charity No 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Note5 to the Financial Staiements Year ended 31 March 2021 HOSPICE AT HOME wesr CUMBRIA 3. ACCOUNTING POLICIES (CONTINUED) Slgnlficant Judgements The trustees consider there were no significant judEemeDts made in preparing the h-nancial statements. The only area where judgement may be applied is Wlth regards to legacy income. However. this is accounted for in accordance with applicable accountr.ng standards as detailed below. Key sources of estimation uncertainty Accounting estr"mates and assumptions are made concerning the future and, by their nature, will rarely equal the related actual outcome. The trustees consider there to be no key sources of estimation uncertaintv. Debtors Designated funds are unrestricted funds earmarked by the trustees for particular future project or commitment. Re5trirted funds are subjected to restrictions on their expenditure declared by the donor or through the terms of an appeal, and fall into one of two sub-classes- restricted income funds or endowment funds. Incoming resources All incoming resources are included in the statement of financial activities when ents'tlement has passed to the charity.. it 15 probable that the economic benefi'ts associated with the transaction will flow to the charity and the amount can be reliably measured. The following specific policies are applied to particular categories of income: income from donations or grants is recognised when there is evidence of entitlement to the gift, receipt is probable and its amount can be measured reliablv. legacy income is recognised when receipt is probable and entitlement is established. income from donated goods is measured at the fair value of the goods unles5 this is impractical to measure reliably, in which case the value is derived from the cost to the donor or the ests'mated resale value. Donated facilitie5 and services are recognised in the accounts when recetved if the value can be reliably measured. No amounts are included for the contribution of general volunteers. income from contracts for the supply of services is recognised with the delivery of the contracted service. This 15 classifi'ed as unrestricted funds unless there is a contractual requirement for it to be spent on a parricular purpose and returned if unspent, in which case it may be regarded as restricted. of general volunteer5. Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due. Cash at bank and in hand Cash at bank and cash in hand includes cash and short term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the dep051t or similar account (other than those held for investment purposes). Creditors and provisions Creditors and provisions are recognised where the charity has a present obligation resulting f rom a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount after allowing for any trade discounts due. Fund accounting Unrestricted funds are available for use at the discretion of the tru5tee5 to further any of the charity s purposes. 38 www.hospiceathomewe5tcumbria.org.uk Regi5tere6 Charity No. 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Notes to the Financial Statements Year ended 31 March 2021 HOSPICE Af HQMe WEST CUMBRIA 3. ACCOUNTING POLICIES (CONTINUEDJ Resource5 expended Expenditure is recognised on an accruals basis as liability is incurred. Expenditure includes any VAT which cannot be fully recovered, and is classified under headings of the statement of fi-nancial activities to which it relates.. aggregate benefit of lease incentive5 is recogni5ed as a reduthon to expense over the lease term, on a straight-line basis. Tangible a55ets Tan8ible assets are initially recorded at cost, and subsequently stated at cost less any accumulated depreciatr.on and impairment losse5. Any tangible assets carried at revalued arnounts are recorded at the fair value at the date of revaluation less any subsequent accumulated depreciation and subsequent accumulated impairment10sses. Donated fi'xed assets are disclosed at the estimated cost at the date of the Eift less depreciatr"on. Depreciation Depreciation is calculated so as to write off the cost or valuation of an asset. less its residual value, over the useful economic life of that a55et a5 fo15ows'. Freehold property 1% straight line on property, 5% straight line on improvements Hospice equipment - 20% to 25% straight line Medical equipment - 20% reducing balance Shop Equipment 20% to 33% reducing balance & 20% straight line expenditure on raising funds includes the costs of all fundraising activities, events, non- charitable trading ath'vities, and the sale of donated goods. expenditure on charitable activities includes all costs incurred by a charity in undertaking activities that further its charitable aims for the benefr"t of its benefi"ciaries, including those support cost5 and costs relating to the governance of the charity apportioned to charitable activities. other expenditure includes all expenditure that is neither related to raising funds for the charity nor part of its expenditure on charitable activities. All costs are allocated to expenditure categories reflecting the use of the resource. Direct costs attributable to a single activity are allocated directly to that activity. Shared costs are apportioned between the actr"vities they contribute to on a reasonable, justitiable and consistent basis. NHS Cumbria, together with Cumbria Partnership Unlisted equity investments are initially recorded NHS Foundation Trust, supply a range of facilities to at cost, and Subsequently measured at fair value. If Hospice at Home West Cumbria within its Service Specification and therefore free to Hospice at fair value cannot be reliably measured. assets are Home. measured at cost le55 impairment. Voluntary Help Listed investrnents are measured at fair value with changes in fair value being recognised in income or The Charity is very fortunate in receiving substantial expenditure. amounts of voluntary unpaid help however this cannot be quantifi.ed and is therefore not included C35h held in the "Income Account" within the in the financial statements. investment porffolio has been classih.ed as current investment5 since it is considered to be a short term. highly liquid investment5. Continued overleaf Investments Operating leases Lease payments are recognised as an expense over the lease term on a straight-line basis. The 39 www.h05piceathomewestcumbria.oYg.uk Registered Charity ￿10. 1086837

Hospice at Home West Cumbria Company Limlted by Guarantee Notes to the Financial Statements Year ended 31 March 2021 HOSPICE AT MOME WEST ¢UMgAIA 3. ACCOUNTING POLICIES (CONTINUED) Impairment of fixed assets A review for indicators of impairment is carried out at each reporting date, with the recoverable amount being esrimated where such indicators exist. Where the carrying value exceeds the recoverable amount, the asset 15 impaired accordingly. Prior impairments are also reviewed for possible reversal at each reporting date. For the purposes of impairment testing, when it is not POS5ible to estimate the recoverable amount of an individual asset, an estimate is made of the recoverable amount of the cash-generating Unit to which the asset belongs. The cash-generatr.ng unit is the smallest identifiable group of assets that includes the asset and generates cash inflows that largely independent of the cash inflows from other assets or groups of assets. Stocks otherwise be measured reliably. the investment is subsequently measured at fair value with changes in fair value recognised in income and expenditure. All other such investments are subsequentlv Measured at cost less impairment. Financial asset5 that are measured at cost or amortised cost are reviewed for objective evidence of impairment at the end of each reporting date. If there is objective evidence of impairment, an impairment loss is recognised under the appropriate heading in the statement of financial activities in which the initial gain was recognised. Defined contribution plans Contributions to defi.ned contribution plans are recognised as an expense in the period in which the related service is provided. Prepaid contribution5 are recognised as an asset to the extent that the prepayment will lead to a reduction in future payments or a cash refund. Stocks are measured at the lower of cost and estimated selling price less costs to complete and Sell. Cost includes all costs of purchase, costs of Conversion and other co5t5 incurred in bringing the stock to its present location and condition. Financial instruments 4. LIMITED BY GUARANTEE A linancial asset or a financial liability is recognised only when the enrity becomes a party to the contractual provisions of the instrument. Basic financial instruments are initially recogni5ed at the amount receivable or payable including anv related transaction costs. Current assets and current liabilities are subsequently measured at the cash or other consideration expected to be paid or received and not discounted. The Charity is Limited by Guarantee. Every member of the Charity undertakes to contribute such amount as may be required lup to £1) to the Charity's assets. if it should be wound up while he is a member or within one year after he ceases to be a member, for payment of the Charity's debts and liabilitie5 contracted before he ce35es to be a member. and of the costs. charges and expenses of winding up. and for the adjustment of the rights of the contributors among themselves. Debt instruments are Subsequently measured at amortised cost. Where investments in shares or preference shares are publicly traded or their fair value can 40 www.hospiceathomewestcumbria.org.uk Registered Charity No. 1086837

Hospice at Home West Cumbria Company Llmited by Guarantee Notes to the Financial Statements Year ended 31 March 2021 HOSPICE AT HOME WESTCUMURIA DONATIONSANDLEGACIES Unrestricted Funds Restricted Funds Total Funds 2021 DONATIONS Donations & events Charitable Trusts Gift Aid & Tax Recoverable In Memoriam Collecting 8oxes S82.934 125.046 30.725 29.568 2.270 582.934 125.046 30.725 29.568 2.270 LEGACIES Legacies & Bequests 633.220 633.220 GRANTS NHSE Hospice UK Cowd Funding Allerdale Locality Funding (Lymphoedemal CPFT Admin Support NHS CCG Grants Government grant income 196,898 196,898 83,156 15,779 23,4ZO 8.604 83.156 15.779 23.420 1,534,722 196.898 1.731,620 Unrestricted Funds Restricted Funds Total Funds 2020 DONATIONS Donations & events Charitable Trusts Gift Atd & Tax Recoverable In Memoriam Collecting Boxes 367.654 90.260 19,614 48.994 7,217 367,654 90,260 19.614 48.994 7.217 LEGACIES Legacies & Bequests 649.835 649,835 GRANTS NHSE Hospice UK Covid Funding Ajlerdale Locality Funding ILymphoedemal CPFT Admin Support NHS CCG Grants Government grant income 44.863 IS.102 44.863 15.102 1.243.539 1,243,539 41 www.hospiceathomewestcumbria.org.uk Re85s[e￿d Charity No. 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Notes to the Financial Statements Year ended 31 March 2021 OSPICE AT HOME WEST CUMBRIA CHARITABLE ACTIVITIES Unre5trirted Funds Total Funds Unrestritted 2021 Funds Total Funds 2020 National Health Funding 309.420 309,420 251.381 251.381 OTHER TRADING AcnviTIES Unrestricted Funds Total Funds 2021 Unrestricted Funds Total Funds 2020 Charity Shop sale5 Gift aid income Promotional 8oods Other operating income 69.125 860 I.￿7 153.514 69.125 152,723 2.319 3.066 11,692 152,723 2,319 3,066 11.692 l.fA)7 153.514 224.506 224.SO6 169,800 169,800 INVESTMETr￿ INCOME Unrestricted Funds Total Funds 2021 Unrestiicted Funds Total Funds 2020 8ank & Treasury interest receivable nvestment Portf￿10 Income 4.239 13.342 4.239 ia.342 1,021 14.486 1,021 14,486 17.$81 17.581 15.507 15.507 OTHER INCOME Unrestricted Funds Total Fur•ds 2021 Unrestricted Funds Total Funds 2020 Staff holiday purchase scheme 6.364 6.364 6,515 6,515 10. COSTS OF RAISING DONATIONS AND LEGACIE5 Unrestrirted Funds Total Funds 2021 Unrestricted Funds Total Funds 2020 MIG salaries MIG employer'5 NIC MIG pension costs MIG depreciatio MIG advert15in& web51tè & printbng MIG Light up a life Windermere House Iunit 11 MIG 8eneral costs 127.377 10,495 6.552 636 I2,4￿) 2.631 1,106 27.828 127,377 10.495 6.552 636 12.41)0 2,631 1.106 27.828 123.109 9,656 5.957 SC 4.432 1,086 3.412 37,692 123.109 9,656 5.957 500 4.432 1.086 3.412 37.692 189,025 189,025 185.844 185.844 42 www.hospiceathomewestcumbiia.org.uk Reg15tered Charity No. 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Notes to the Financial Statements Year ended 31 March 2021 HOSPICE AT HOME WEST CUMBRIA 11. INVESTMENT MANAGEMENTCOSTS UnrÈstri¢ted Funds Total Funds 2021 Unrestricted Funds Total Funds 2020 Portfolio management 6,194 6.194 5,569 5.569 12. COST5 OF OTHER TRADING AcfiviTIES Unrestricted Total Funds Funds 2021 Unrestricted Funds Total Fund5 2020 Shop expen5e5 Support costs 150.626 950 150.626 950 149.689 2.520 149,689 2.520 151,576 151576 152.209 152,209 13. EXPENDITURE ON CHARITABLE ACTIVITIES 8Y FUND TYPE Unrestfirted Funds Restricted Funds Total Funds 2021 Horne. Nursing Care Lyrnphoedema FA8S Support costs 89.368 70,426 118,959 354,355 196.898 286.266 70,426 118,959 354,355 633.108 196.898 830.006 Un￿$t1￿cted Funds Restricted Funds Total Funds 2020 Home Nursing Care Lymphoedema FABS Support Costs 316.661 87.230 124.681 409.317 316,661 87,230 124.681 409,317 937.889 937.889 14. EXPENDITURE ON CHARITABLE ACTIVITIES BY A￿1VITy TYPE Artwities undertaken directly Support Costs Total funds 2021 Total fund 2020 Home Nursing Care Lymphoedema FABS Governance costs 286,266 70.426 118.959 135.482 60.914 148.351 9.608 421.748 131.340 267.310 9,608 470,959 145,123 317.342 4.465 475.651 354.355 830.1)06 937.889 43 www.hospiceathomewesttumbria.org.uk Re8lStered Charify No. 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Notes to the Financial Statements Year ended 31 March 2021 OSPICE AT HOME WEST CUMBRIA 15. ANALYSIS OF SUPPORT COSTS Home Nursin8 Care Lymphoedema FABS Total 2021 Total 2020 Staff costs Premises Communications and IT General office Hurnan re50urce5 Gtsvernance Staff Costs Governance Statutory Avdit Governance General Office Governance Prernises Costs 109,159 5,805 7.856 5,055 7,605 1,783 1,160 631 270 50.560 4.762 2.149 1.374 2.069 892 580 315 135 116.585 17.355 6,395 3.413 4,603 1.783 1.160 631 270 276.304 27,92Z 16.4 9A42 14,277 4.458 2.9 1.577 675 319.341 36.072 11,383 24,364 13.695 3.285 1,177 139.324 62.836 152,195 354,355 409,317 16. NET ILOSSESIIGAINS ON INVESTMENTS Unrestricted Funds Total Funds 2021 Unrestricte(I Funds Total Funds 2020 Unrealised 8ains/llossesl on listed investments Gainslllossesl on other investment a$5ets 119.378 3.296 119,378 3,296 165.2051 14.76SI 165.2051 14.7651 122,674 122.674 169.9701 169.9701 17. NET INCOMVIEXPENDITUREI Net incomtllexpenditurel is stated after chaiginyjlcreditinEI- 2021 2020 Depreciation of tangible fixed assets Operating lease rentals Fees payable for the audit of the financial statements Fees payable to the auditor for other servi￿5 20.973 27.721 20.160 23,822 3.000 1.385 850 18. STAFF COSTS The total staff costs and ernployee benefits for the rtporting perN)d are analys*d as follows.. 2021 2020 Wages and salarie5 Soci31 security costs Employer cortributions to pension plans 819￿30 S9￿26 58.620 9CQ.468 62.266 66,657 937.976 1.029,391 The Bank Nurses provide Home Nur5in8 as and when required. 44 www.hospiceathornewestcumbria.or£.uk RegiSte￿d Chariiy No 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Notes to the Financial Statements Year ended 31 March 2021 HOSPICE AT HOME WEST CUMBRIA 18. sfAFF COSTS 1¢0obthwrfJ The average head Count of employees during the year was 4312020.. 511. The number of employees whose remuneration for ihe year fell within the followin8 bands, were.. 2021 P40. 2020 No. £60.000 to £69.999 19. TRUSTEE REMUNERATION A14D EXPENSES No remuneration was paid direttly or indirertly out of the funds of the charity to any Trustee or to any person or persons known to be connected with them. No reimbursement was made to any Trvstee in respect of their position as Trustee. 20. TANGIBLE FIXED ASSETS Group Freehold Fixtures and property fittings Medical equipment Shop Èquipment Total Cost or valuation At l April 2020 Additions 213.638 110.588 2.784 19.063 18.461 361.750 2.784 At 31 Marih 20ZI 213,638 113.372 19.063 18,461 364,534 Depre¢latlon At l April 2020 Charge fur the year 55.109 8,823 88.070 8.023 9.761 1.860 9.514 2.267 162.454 20,160 At 31 March 2021 63,932 96.093 11.621 11,781 162.454 Cèrrying amount At 31 March 2021 149.706 17,279 7.442 6,680 181,107 At 31 March 2020 158,529 22.518 9.302 8.947 199.296 Tangible fixed assets held at valuation The freehold property ol the 8roup was valued at current market value in Ortober 2014 by T. J. Gri5dale MRICS of Grisdales Estate A8ents who are external to the charity. 45 www.hospiceathomewestcumbria.org.uk RegISte￿d Charity No. 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Notes to the Financial Statements Year ended 31 March 2021 HOSPICE AT HOME WEST CUM8AIA 20. TANGIBLE FIXED ASSETS 1¢onlirti￿1 In respett of tangible fixed assets held at valuation, the a8gre8ate cost, depreciation and comparable carrying amount that would have been reco8nised if the assets had been ¢arried under the historical cost model are as follows= Freehold property At 31 March 2021 Aggregate cosi Aggregate depreciation 468,105 1128,0631 Carrying value 340.042 At 31 March 2020 Aggregate cost Aggre8ate depreciation 468,105 1109,6801 Carryin8 value 358,425 Company Freehold Fixtures and property [￿IngS Medical equipment Total Cost or valuation At l April 2020 Addition5 159.080 65.832 2,784 19.063 243,975 2,784 At 31 March 2021 159.080 68.616 19.063 246,759 Depreciation At l April 2020 Charge for the yèar 38,286 6.095 57.214 3,390 9.761 1.860 105,261 11,345 At 31 March 2021 44.381 11.621 116.606 Cafrylng amount At 31 March 2021 114.699 8.012 7,442 130,153 At 31 March 2020 120.794 8.618 9.302 138.714 Tanglblè fixed asseis held ￿ ¥aluatlon The freehold property of the group was vèlued at current market value in October 2014 by T. J. Grisdale MRICS ol Grisdales Estate Agent5 who are external to the charity. 46 www.hospiceathomewestcumbria.org.uk Registered Chèriry No. 1086837

Hospice at Home West Cumbria Cofnpany Limited by Guarantee Notes to the Financial Statements Year ended 31 March 2021 OSPICE AT HOME WEST CUMBAIA 20. TANGIBLE FIXED ASSETS i¢•nlpryJed) In respett of tangible fixed assets held at valuation. the aggregate cost, depreciation and comparable carrying amount that would have been recognised if the assets had been carried under the historical cost model are a5 follow5= Freehold property At 31 March 2021 Aggregate cost Aggregate depreciation 413.547 1111.2401 Carryin8 ¥alue 302,307 At 31 March 2020 Aggregate cost Aggregate depreciation 413.547 195,5851 Carrying value 317.962 21. INVESTMENTS Group and Company Cash or cash equivalents Listed investments Other investments Tolal Cost or valuatlon At l April 2020 Additions Disposals Other rnovements 15.813 533.928 14.OLKI 116.0171 114.702 38.774 6.955 588,515 20,955 116.0171 124,818 4,676 At 31 March 2021 21.253 646,613 50.405 718.271 Impaimient At l April 2020 and 31 March 2021 Carrying amount At 31 March 2021 21.253 646.613 50.405 718,271 At 31 March 2020 15,813 533.928 38,774 588,515 All investments shown abo¥e are held at valuation. Flnanclal assets held at falrvalue Valuation5 are prepared by 8rewin Dolphin. Valuation5 are generally prepared on the basis of the middle market price at the close of busine55 on the valuation date. and as supplied by external information providers. For certain securities, the price may be on a different basis e.8. last Irade or bid price. 22. STOCKS Group o 2021 2020 Charity shops boughi in stock 1,939 2.871 47 www.hospiceathomewestcumbria.org.uk Reg15tered Charity No. 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Notes to the Financial Statements Year ended 31 March 2021 HQSPICE AT HQME WEST CUMBRIA 23. DE8TORS Group C<¥np•)y 2021 2020 2021 2020 Trade debtor5 Amounts owed by group undertakin85 Prepayments and accrued income Other debtors 79.9VI 358.258 79.944 104.026 236.414 2,951 358.258 99,329 26,216 4.201 236.414 63.686 26.216 52.166 380,IM4 436.640 423.335 488.004 24. INVESTMENTS Group and Company 2021 2020 Other inve5tments- Cash aetount 474 2S. CREDITORS- amounts tallin8 due wiihin one year Group Company 2021 2020 2021 2020 Tiade creditors Accruals and deferred income Other creditors 17.851 104,825 31.478 20,722 361,389 33.157 17.378 104.825 5,937 20,576 361,389 6.025 154.154 415.268 128.140 387.990 26. DEFERRED INCOME Group and Company 2021 2020 At l April 2020 Amount released to income Amount deferred in year 354.996 la54,￿) 78,529 307,766 1307,7661 354,996 Al 31 Marth 2021 78.529 354,996 Deferred incorne relates to funding feceived in advance of pertormin8 services, and income recelved in advawtce for events taking plate in the next fi.nancial year. 27. PENSIONS AND OTHER POST RETIREMENT BENEFITS Defined contribytion plan5 The amount retognised in income or expenditure as an expense in relation to deftned contrib¢Jtion plans for the group was £58.62012020.. £66.6571 and for the company was £55,62912020- £61,205). 48 www.hospiceathomewestcumbTia.org.uk Registe￿d Charity No. 1086837

Hospice at Home West Cumbria Company Limited by GuaTantee Notes to the Financial Statements Year ended 31 March 2021 HOSPICE AT HOME WEST CUMBRIA 28. GOVERNMENT GRANTS The amounts recognised in ihe financial statements forgovernment grants are as follows: Group 2021 2020 Recognised in income from donations and leBa¢ies'. Cofonavirus job retention scheme Recognised in income from other trading artivities= Coionavirus job retention scheme Coronavirus local authority gr3nts 13A79 103139 746 10.ooo Company 2021 2020 Reco8ni5ed in income from donations and legacie5.' Coronavirus job retention scheme 29. ANALYSIS OF CHARITABLE FUNDS Unrestrided funds Gains and At 105ses 31 Mar 2021 At l Apr 2020 Income Expenditure Transfers Group General Funds 1.175.694 2.092,593 1979.9)31 122,674 2.411,058 Gains and At losses 31 Mar 2020 At l Apr 2019 Income Expenditure Translers General Funds 829.636 1.686.742 11.281.511) 10.797 169,9701 1.175.694 Gains and At losses 31 Mar 2021 At l Apr 2020 Income Expenditure Transfers Companv General Funds 1.175.694 1.941.017 1828.3271 122,674 2.411,058 Gains and At losse5 31 Mar 2020 At l Apr 2019 Income Expenditure Transfers General Funds 829.636 1,534.533 11.129.302) 10.797 169.9701 1.175,694 Unrestricted ILtnds are used for the ongoing charitable activities. 49 www.hospiceathomewestcumbria.org.uk Registered Charity No. 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Notes to the Financial Statements Year ended 31 Marth 2021 HOSPICE AT HOME WEST CUMBRIA ANALYSIS OF CHARITABLE FUNDS Restrlrted funds At l Apr 2020 Gains and At losses 31 Mar 2021 Income Expenditure Transfer5 Group and company Restrirted Funds 196.898 1196.8981 At l Apr 2019 Gains and At losses 31 Mar 2020 Income Expenditure Transfers Restricted Funds 10,797 110.7971 Restricted funds received and spent in 2020121 related to the NHSE Hospice UK Covid funding. The NHSE awarded Fundin8 to allow the hospice to make available bed capacity and community 5UPPOrt from April 2020 to July 2020 to provide support to people with complèx needs in the context of the COVID-19 sitLtation and to provid? bed capacity and community SUPPOrt from November 2020 to March 2021 for the same purp￿e. ANALYSIS OF NET A55ETS 8ETWEEN FUNDS Group Unrestricted Funds Re￿riCted Funds Total Funds 2021 Total Funds 2020 Tangible fixed assets Investments Current assets Cretlitors less than l year 181.107 718.271 1,665,834 1154,1541 181.107 718.271 I.665￿34 1154.1541 199.296 588.515 803.151 1415.2681 Net assets 2.411.058 2.411.058 1.175,694 Company Uftrestrirted Funds Restricted Funds Total Funds 2021 Total Funds 2020 Tangible fixed a55ets Investments Current assets Creditofs less than l year 130.153 718.271 1,690.774 1128.1401 130.153 718.271 1.690.774 1128.1401 138,714 588,515 836.455 1387.9901 Net assets 2.411.058 2.411.058 1.175.694 31. FINANCIAL INSTRUMENTS The carrying amount for each category of financial instrument 15 as follows.. Group and companv 2021 2020 Fln•ntial assets mèasured at falr value through In¢ome and expendlture Investments 697,018 572.702 50 www.hospiceathomewe5tcumbria.org.uk RegiSte￿d Charity No. 1086837

Hospice at Home West Cumbria Company Limited by Guarantee Notes to the Financial Statements Year ended 31 March 2021 HOSPICE AT HOME WEST CUMBRIA 32. OPERATING LEASE COMMITMÉNTS The total future minimum lease payments under n¢)n-cancellable operatin8 leases are as follows= Group 2021 2020 Not later than l year Later than l year anil not later ihart 5 years 13.560 23.000 27,548 44.810 36,560 72.3S8 Company Z021 2020 Not later than l year Later than J year and not later ihan 5 years 6,124 4,060 10.184 33. CONTINGENCIES At 31 March 2021 the charity was enritled to legacy intome from two different benefactors, both of which were residual legacies dependent on property Sales. Since the amounts are uncertairk the income has not yet been recognised in the financial statements. The charity expects to receive a total of around £SO.000 for these le8a¢ies. RELATED PARTIES Key mana8ement personnel include all persons that have authority and responsibility for planningi directing and controllin8 the activities of the group. The total compensation paid io key management personnel for services provided to the group wa5 E198.89712020.. £215,LM)51. The charity received donations totalling £IO.tXKI without conditi¢)ns from trustees or other related parties. A member of the key management personnel of the charity. Lorraine Dixon. is also a director of Steven Dixon PlvmbinE and Heating Services Limtted. along Wlth her husband. This company provided plumbing services to the charity for a total of cost of £38812020.. £nill. Sub$idl•ry Undertakings The charity has one trading subsidiary undertakin8.' Hospice at Home West Cumbria Tradin8 Ltd Icompany Registration Number 061991371. The company is a single rnember private company limited bv u3rantee. with ihe single member being Hospice at Home West Cumbria. The company 15 included in the consolidated accounts. The company is re815tered in England and WAle5. The address of the registered office is Upper Floor Cumbria Hotsse. New Oxford Street. Workin8ton. Cumbria. CA14 2NA. The principal attivity of the subsidiary is that of charily shops. where a profit is made thi5 15 donated to the parent charity. The resu￿$ of the subsidiary are as lollow5". 2021 2020 Turnover Other operalin8 income Expenditure G10s5 asset5 as at 315t March Gross liabilities as at 31st March 70.992 153.514 1224.5061 0.040 1130.0401 158,108 11.692 I169.8￿)} 126,607 1126.6071 51 www.hospiceathomewestcumbria.org.uk RegiSte￿d Charity No. 1086837

ooooooo. ooooOOOOoo OPJOOOO, aooOOOOOoOOOO Oooooouooooo Oooooooo .000 ,000 A•9lsierod vrith HOSPICE AT HOME WEST CUMBAIA FR FUNDRAISING REGULATOR Hospice at Home West Cumbria is a company limited by guarantee Registered Company No. 4191126 registered in England and Wales Registered Charity No= 1086837 Registered with the Care Quality Commission Certifi'cate No.. 1-183623894 f* @hospice.¢umbria in @Hosplceathomewestcymbria O @h0spi￿_at_horne wc ttry @HospiceatHomeWestCumbria