THE BURDETT TRUST FOR NURSING REPORT AND FINAIYCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023 Registered Charity Numbtr: 1089849 Reglstered Comp*ny Nymber: 04306248 *AKIVM61* 2710912024 COMPANIES HOUSE A23 #242 THE BURDETT TRUST FOR NURSING REPORT AND FINANCIAL STATEMENTS YEAR ENDED 31 DECEMBER 2023 CONTENTS Page Reference and administrative infonnation Trustees, report Independeni auditors, report Con501idatcd slatement of financial activities 18 Consolidated and charity balance sheets 19 Con501idaled cash flow stalcmcnl 20 Notes to the financial statements 21 Appendix- grants payable 31 THE BURDETT TRUST FOR NURSING REFERENCE AND ADMINISTRATIVE INFORMATION TRUSTEES Alan Gibbs - Chairnian Artdrew M8rtin Smiih Dame Christine Beasley DBE Hambro Professor David Sines CBE Andrew Gibbs Audrey Ardem-jones OBE Professor Dame Donna Kinnair DBE Rachael Marguerite Corser Janice Stevens CBE David Martin Smith (appoinied 14 December 2023) CHIEF EXECUTIVE Shirley Baines REGISTERED CHARITY NUMBER 1089849 REGISTERED COMPANY NUMBER 04306248 REGISTERED ADDRESS 30 Gresham Street London EC2V 7QN COMPANY SECRETARY Rathbones Trust Company Limited. 30 Gresham Streei London EC2V 7QN AUDITORS Haysmacintyre LLP, 10 Queen Street Place, London, EC4R IAG BANKERS Coutts & Co, 440 Strand, London, WC2R OQS SOLICITORS BDB Pitmans LLP. One Bartholomew Close, London, ECIA 7BL INVESTMENT MANAGERS GMO Woolley Limited. One Angel Court, Throgmorton Street, London, EC2R 7HJ Wav¢rton Inv¢slm¢nt Management Limited. 16 Babmaes Street, London. SWI Y 6AH Evelyn Partners Investment Management Limited. 45 Gresham Streel, London. EC2V 7BG CG Asset Management Ltd, 20 King Street, London, EC2V 8EG Mayfair Capital Investment Management Limited, 55 Wells Street, London, W IT 3PT Savills Inveslment Management Limited, 33 Margaret Street, London, W IG OJD Clipstone Investment Management Limiled, 45 Albemarle Street, London, Wl S 4JL B&1 Capithl AG, Sihlstrasse 37, CH-8001 Zurich Ninety One, 55 Gresham Street, London. EC2V 7EL Spring Capilal Partners Ltd, Basildon House, 7 Moorgale, London, EC2R 6AF BlackRock Inveslmeni Management (UK) Limited, 12 Throgmorton Avenue, London, EC2N 2DL INVESTMENT ADVISERS Cambridge Associates Limited, Cardinal Place. 80 Victoria Street. London SWIE 5JL THE BURDETT TRUST FOR NURSING TRUSTEES, REPORT YEAR ENDED 31 DECEMBER 2023 INTRODUCTION The board of trustee$ of Burdett Trust for Nursing (The Trust) present their annual report for the year ended 31 December 2023 under the Charities Act 2011 together with their audited financial statements. The Trust is named after Sir Henry Burdett KCB, founder of the Royal National Pension Fund for Nurses (RNPFN). It was set up in 2002 in recognition of the foundation, philosophy and structure of the RNPFN and its overarching aim is to make charitable grants to support the nursing contribution to healthcare. With this in mind, the trustees focus their grant-making policies on three key areas based on the charity's founding objects: building nursing research capacity and capabilities; building nurse leadership capacity and capabilities; and supporting local nurse-led initiatives. The trustees and staff are committed to the ethos and principles of equity, diversity and inclusion and they strive to put Ihese into practic¢ in ¢very aspect of their work. They are committed to tackling all fornis of injustice and work at all times to recognise and address the biases and stereotype5 that counler opportunity. They know that Ihey have much to learn and believe that they owe it to the patients they serve to champion equality, value diversity and challenge power imbalances wherever they find them. Through this, they believe they can enhance excellence, innovation and crealivity and fundamentally strengthen the nursing contribution to healthcare. In the year that the NHS celebrated ils 75 birthday, the nursing profession continued to face significant challenges with nurses citing unsafe staffing levels, burnout and poor rates of pay as their greatest concerns. However. despite nurses, low morale and public satisfaction wilh the NHS in decline, nurses continued to be Ihe most trusted professionals in the UKI In recognition of their hard work and commitment to patients, the Trust continued to champion the role of nurses and work to raise their profile and 5tatU5. It also continued to evolve and leam, wilh the aim of being as progressive and diverse as the profession it supports and the palienls it serves. The Trust, s current grant pr0￿mmeS and guidance about how to apply are set out on the Trust's website: www.btfn.or STRUCTURE, GOVERNANCE AND MANAGEMENT Constitution The Burdett Trust for Nursing (the Trust) is a Charitable company limited by guaranlee without a share capital. The company is govemed by a Memorandum and Articles of Association. The initial funding for the Trust arose when the Royal National Pension Fund for Nurses, a company limited by guarantee, without a share capital, agreed to transfer all of its property, rights, assets, liabilities and obligations to Liverpool Victoria Life Company Limited (LVLC), a wholly owned subsidiary of Liverpool Victoria Friendly Society Limited. Organisation The administration of the charity was carried out by the Company Secretary, Rathbones Trust Company Limited during ihe year. The Trustees, who have four main meetings a year, have appointed two sub- committees. the Investment Committee which meets twice a year and the Grants Committee which meets regularly. All matters agreed at either sU￿COMMittee are reported to the main Trustee meetings and final approval for decisions is given &$ necessary. Ipsos Mori (2022) Ipsos VeTacity Index 2022: Trust in Professions survey THE BURDETT TRUST FOR NURSING TRUSTEES. REPORT YEAR ENDED 31 DECEMBER 2023 Appointment of Trustees Trustees are appointed by existing Trustees after reviewing the skills required at board level and the suitability of proposed candidates. New Trustees are given copies of ihe Memorandum and Articles of Association, recent copies of the Trust's annual report and accounts and documents explaining the Trust's history and its key policie5 and procedures. In addition, all new Trustee5 are given guidance material published by the Charity Commission on the responsibilities of being a truslee. The Trust¢¢s are kept infomed about th¢ Trust and relevant developments in the charity sector when appropriate. The Trustees who acted during the year are shown in the reference and administration section. Subsidiary charities The charity is also parent of the Junius S Morgan Benevoleni Fund, which was established to provide financial and other relief for needy practising and fornier members of the nursing profession. 0￿EcTs AND ACTIVITIES FOR THE PUBLIC BENEFIT The objects of the charity are lo: Promote and advance education, research and training within the nursing and other healihcare professions for the benefil of the public and to promole public awareness of nursing and health issues; Provide for the relief of hardship and mental or physical ill-health among nurses and other healih-care professiona15, and their dependanls. and Promote and advance the provision of nursing and other health services for Ihe benefit of the public. ACTtVlTIES FOR THE PUBLIC BENEFIT The trustees have referred to the Charity Commi55ion's guidance on public benefit when reviewing their aims and objectives and planning their fulure activities and they believe that their strategic grants meet the objective of benefiting a wide cross-section of the community. The following sections of this report relating to the Trust's grant-making and related activities, set out how the Trust furthers its charitable purposes for public benefil. To establish the benefit derived from their funding and in order that they can be confident of meeting their obligalions, the trustees have developed a robust monitoring and evaluation syslem for each of their grant programmes. Grant-making policies and procedures The trustees target their grants at projects that are nurse-led and focused on supporting the nursing contribution to healthcare. The Trust aims to use its funds to empower nurses and make significant improvements to Ihe patient care environment, with the following funding priorities: Research Prioritising academic rigour, data-driven technology and the collection, analysi5 and evaluation of empirical nursing data to guide and enhance health policy development. Leadership Ensuring that nurses are represented and influenlial in the decision-making and forniulation of health policy and that they Contribute to the effecliveness of health and social care systems. Recruitment and retention Investing in sustainable improvements into the recruitment, employment, development and retention of world class nurses with shared vision and values. BURDETT TRUST FOR NURSING TRUSTEES, REPORT YEAR ENDED 31 DECEMBER 2023 Edueation 2nd tralnlng Preparing nurses to work effectively in interprofessional teams, maximising their clinical skills and competencies in health technology, with particular focus on the deployment of applied skills to a range of health and social care settings and client groups, with particular focus on primary prevention and local population health and to improve healthcare outcomes. Health advocaey Supporting nurses in iheir provision of holistic. patient-centred care to respond to the needs of the individual, preventing and managing non-communicable diseases and facilitaling the effective integration of health and social care systems. Diversity, Inclu$lvlty and wellbelng Supporting policies that ensure diversity, inclusivity, equality, anti-racism and gender-sensitivity in the nursing workforce and policies thal address violence, sexual harassment, discrimination. liberty, protection and safeguarding. Global workforce Strengthening the global nursing workforce by championing improvements to working conditions, safe staffing levels, fair pay* health and safety and a standardised system of nursing credentials and effective leadership. The Trust's grant policies and PTogrammes are published and explained clearly on its website and applicants can download detailed grant guidance material and access its online application forms, To make Ihe process as user-friendly as possible, applicants can download the application questions and prepare their answers in advance of completing the online form. The Irustees wish to make a difference with their grants and therefore they give priority to applications that: involve partnership and co-operation between organisations where this is feasible. demonstrate a strong patient-centred engagement narrative. lever in other funds. offer maximum impact for the money spent and can demonstrate that impact. The Trust is concerned that not only is its funding spent as intended, but its impact is maximised. Applicants are asked to explain the intended impact of their project and describe the evaluation process they will put in place. Each year the Trust receives many more applications than it can support with its limited funds. For this reason, the trustees try to be as specific as possible about what they will and WAII not fund. The grant guidance material explains that the Trust will not make grants for: general appeals existing posts, although the Trust will consider supporting new posts direclly associated with a projectlinitiative overhead costs of academic institutions or statutory agencies organi5ations closely aligned to government departments where funding should properly be provided from statutory sources, (i.e., Primary Care Trusts in the NHS) retrospective funding i.e., funding for an activity that has already taken place funding in lieu of slatutory funding or as a replacement when it has run out or been withdrawn significant capital appeals e.g., building costs or equipment. THE BURDETT TRUST FOR NURSINC TRUSTEES, REPORT YEAR ENDED 31 DECEMBER 2023 The trustees continued to meel their objeclive of providing relief of hardship among nurses and other allied healih-care professionals by making a further grant lo the Junius S. Morgan Benevolent Fund, a charity that gives small hardship awards to individual registered nurses, midwives and nursing associates in financial need. ACHIEVEMENTS AND PERFORMANCE In the year, Ihe Irustees approved fifty-five grants totalling £3,473,753 bringing the overall total of grants approved by the Trust to £59,381,296. In 2023. grants were made within four programme areas: Grant Programme Burdell Trust Awards 2023 GrAnts £ 160,000 670,109 774,937 1,868,707 3,473,753 18 Empowernient programme - Type 2 Diabetes Empowernient programme - Chronic Respiratory Diseases Proactive Funding Awards 10 10 17 Grand Total 55 Burdett Trust Awards 2023 Burdett Trust celebrated its twentieth anniversary in 2022 with a range of events and funding initiatives. Celebrations continued inlo 2023, wh¢n in May the trustees hosted their second 'Burdett Trust Awards, recognising nursing teams for their sustained commitment to providing high-quality care. The Trust received 87 nominations for six awards. Three teams were short-listed for each award and all nominated team5 were invited to attend the prestigious awards, event at the Waldorf Hotel. The six winning teams received a charitable grani prize of £20,000 and all remaining shortlisted teams, £2,500. Furthermore, an 'overall winner, team received an additional £ l 0,000, making their total charitable grant £30,000. All grant awards were condilional upon the funds being spent on team training, education or other fonns of professional development. Attendance at Ihe celebratory event was free of charge to all members of shortlisted teams, those Ihat nominated them. and special guests. The awards. judging panel comprised the Trust's Chief Executive, Shirley Baines. six trustees.. Audrey Ardem- Jones OBE; Dame Christine Beasley DBE, Rachael Corser, Dame Donna Kinnair DBE, David Sines CBE and Jan Stevens. and the following key individuals with nursing expertise: Anne Cooper - The Queen's Nursing Inslitule Margaret Devaney - Eos1 and North Herifordshire NHS Tr￿t Jane Dwelly - The College ofHealihcare Informalion Management Executives (CHIME) Ginny Edwards - Jnfeclion Preventiop? Society Sam Foster - Tke Nursing and Midwifery Council Professor Aisha Holloway - Edinburgh Global Nursing Inilialive Paul Maloret - Bucknngham New University Caroline Ogunsola - Eagt London NHS Foundalion Trust Professor Jane Perry - Canterbury Chrislckurch University Professor Natasha Phillips - CkiefNursing Jnformalion Officer (CNIO)for England Margaret Rioga - Bucknnghamshire New University Steven Rose - Care Quality Commission Louise Smith - Bu¢kinghamshire, Oxfordshire and Berkshire West Inlegraled Care Board THE BURDETT TRUST FOR NURSING TRUSTEES, REPORT YEAR ENDED 31 DECEMBER 2023 Professor Deborah Sturdy OBE - ChiefNursefor Social Care Bev Sumrnerhayes - Bedfordyhlre Hospiials NHS Foundation Tnul Robert Tunmoore - London Southbank University Geraldine Walters CBE - Refired, Nursing andmidwifery Council Deborah Wheeler - Easl London NHS Foundalion Trusl Awards and winnin teams: l.) Complex Needs in Primary Care The award r¢cognised the excellence of a multi-disciplinary and multi-agency nursing team, who through coordinated, person-centred and preventative care were reducing unnecessary hospttal admissions and enabling patients wilh complex needs to live fulfilled lives at. or close to home, with reduced reliance on traditional hospital admissions. Winner and verall wi and Family Health Surrey. Inclusion Health Team, Gypsy Roma Traveller & Inclusion Health, Children 2.) Digital Health The COVID-19 pandemic forced a focus on infomiation technology, digital hardware, software and the Cloud, and Ihe collection of data to measure clinician interventions. The Digital Health award recognised an exceptional nursing team that had used technology to transforn) patient care making it safer, more efficient and wilh better patient outcomes and engagement. LLr - Nurse Education Team, North Central London Integrated Care B¢)ard in partnership with North Central London Training Hubs. 3.) Learning Disability Nursing In 2019 Burdett Trust funded projects addressing the needs of vulnerable and marginalised patients and in particular projects focus5ed on people with leaming disabilities within ihe crim inal justice system. This award recognised the achievement of an exceptional team of learning disability nurses working to identify and Challenge factors that lead to health inequalities for people with a l¢aming disability. Fyinner - Enfield Integrated Learning Disability Service Community Nurses, Bamet Enfield and Haringey Mental Health NHS Trust. 4.) Older People's Nurslng The award was presented to an outstanding nursing team that has encouraged and di55eminated innovative evidence-based practice impacting the health and social care outcomes for older people. The team had successfully implemented strategies to improve older people's healthcare outcomes and reduce the likelihood of their deterioration in health and wellbeing. inner - ANP Team, Erskine Veterans Charity. 5.) Supporling Resilience Nurses have been at the forefront of responding rapidly and safely to the challenges posed by the impact of Covid-19, working long hours on the front line in hospital and social care settings. This award followed on from Burdett's 2020 'Supporting Resilience, grant programme which funded evidence-based interventions that tackled the mental health and wellbeing of nurse5. The award was presented to a team that has worked ollaboratively and with an inclusive approach, to foster sustainable improvements to the resilience of the nursing workforce. Winner - Learn With Nurses, Smart Health Solutions. THE BURDETT TRUST FOR NURSING TRUSTEES, REPORT YEAR ENDED 31 DECEMBER 2023 6.) 1¥4ursing Now Challenge Over the last twenty years the majority of Burdett's grants have supported UK-focused initiatives. However, a significant proportion have supported overseas projects, and this award celebrated the impact that UK nursing can make to nurse leadership globally. In 20 l8, the Burdett Trust launched its 'NursingNow' programme, acampaign to improve global health by raisingthe slalus and profile of nursing, and in reCO￿lI10n of this, this award was presented to a dynamic team dedicated to improving global health. Winner - Kamuli Fistula Nurse5, Uganda Childbirth Injury Fund. Nursin owerment Pro rimmes Burdett Trust's empowerment programmes were established in 2011 to enable the Trust to fund a cohort of projects with a common focus using a proactive, programmatic approach. Each programme is advertised widely to ensure that relevant organisations are aware of the call for proposals. To mark its 20th anniversary the Trust launched a series of funding programmes focused on reducing morbidity and the impact of longer-term disability related lo non-communicable diseases (NCD5). The first programme in the series was focused on cardiovascular disease and in 2023, the trustees invited applications for high impact interventions tackling type 2 diabetes and chronic respiralory disease. e 2 Diabetes Preventio The Trust believes that nurses have a key role to play in the prevention, treatment and management of type 2 diabetes. They are often the firsl poinl of ¢ontact, promoting self-care management and they play acrueial role in screening, maintaining and supporting people to prevent or live with the condilion. Nurses, transforniative power and influenc¢ is predicated on their provision of holistic, people.cenlred care. Research indicates that when compared to medical practitioner-led diabetes inlerventions, those that are nurse-led are more effective at improving glycaemic control and reducing diabetes distress, particularly for patients ai high risk and with poor conlrol. Burdett Trust invited proposals for innovative, nurse-led initiatives that would decrease h05pitalisation and reduce morbidity and mortality in patients with diabetes. Th¢ Trust received eighteen applications and approved ten grants totalling £670,109. Case study one: Abertay University Grant of £46,467 This project seeks to idenlify the barrier to and the facilitators for engagement in diabetes care for BAME service-users and establish guidelines on how these can be addressed by diabetes nurses in Scotland and ultimately> UK-wide. Members of the BAME community are more likely to be diagnosed with Type 2 diabetes and are more likely to experience disparities in diabetes care provision. The project will help to ensure that diabetes nurses are aware of the skills and competencies needed to support this group. The project is led by Dr Timba-Emmanuel, an experienced RN with a PhD who has experience in Tesearch into the experiences of the BAME community, specifically the impact of cultural understandings on their engagement in healthcare. The project will involve collaboration with two organisations: the Dundee International Women's Centre (DIWC) and the Scottish Diabetes Research Network. THE BURDETT TRUST FOR NURSING TRUSTEES• REPORT YEAR ENDED 31 DECEMBER 2023 hronic Res iralo Disease Pr ve The incidence of Chronic respiratory diseases (CRDS) is rising globally, with the most prevalent being chronic obstructive pulmonary disease (COPD) and asthma. As well as their association with significant morbidity and mortality, they cause serious socio-economic problems both direclly in tems of healihcare costs and indirectly through work absenteeism and prernature invalidity. Risk factor5 are well-documented with environrnental and occupational pollutanls, previous childhood respiratory infection5, tobacco use, lack of physical activity, poor housing conditions and poor nutrition being the leading causes. Nurses are at the forefront of the delivery of care and support to people with CIiDs throughout the entire course of their dise&se, from prevention to the provision of end-of-life care. They are well-placed to identify new and better therapies for the many respiratory diseases where outcomes remain poor, and to develop evidence- infornied strategies to educate patients and support their self-management. They can deliver research that is firmly embedded in Clinical practice and l¢ad, deliver and coordinate inpatient, outpatient, and community-based interventions designed to prevent and reduce the impact of CRDS. Burdett Trust invited proposals for effeclive nurse-led interventions that would improve early dia8n051S, access to treaiment, smoking cessation and generally help people to manage CIIDS lo improve their quality of life. The Trust received twenty-three applications and approved ten grants totalling £774,937. Case study one: Northern Care Alliance NHS FouDdation Trust Grant of £50,772 The project will identify people with COPD who have modifiable CV risk factors and educate them, and primary care nurses, to reduce risk and improve outcomes. The project will develop online learning for the nurses and a behavioural change programme for patients with a focus on peer learning, understanding risk and promoting well-being. There is a link between severe exacerbations of COPD and serious cardiovascular events. By upskilling practice nurses to provide a personalised approach that cross-cuts multiple co-morbidities, this project wil I develop an integrated person-centred approach to improve outcomes for people with CPD. THE BURDETT TRUST FOR NURSING TRUSTEES, REPORT YEAR ENDED 31 DECEMBER 2023 The 2023 programmes brought the total approved within the empowerment programme over twelve years to £21.326,793 as shown below: Empowerment Grants Approved 2011- 2023 Year- Programme Grants No. 2011-Nurse Em 2013 Deliverin 2014- Youn Minds 2014 - Transitional Care 2015 Maternal and Childhood Obesi 2016- Men'5 Health & Emer ent Conditions 2016- Im rovin Nurse Reiention 2016- Stren thenin Nursin Leadershi 2017- Stren thenin Nursin Leadershi 2018-Peo le Livin with Frail 2019 - Leamin Disabili Nursin 2019- Com lex Needs in Prima Care 2020 - Reducin Restrictive Intervenlions 2020 - Covid-19: Su ortin resilience 2021 Di ilal Healih 2022 Cardiovascular Disease Interventions 2023 - T e 2 Diabeles 2023 - Chronic Res iralo owem]ent ni 2,255,728 1850 670 801,184 1345,432 081 173 951851 1987,254 471,975 786.108 1507 691 1639 104 865,743 874 533 1,268,438 691854 1502919 670 109 774 937 21326 703 20 20 10 12 10 13 13 18 18 24 13 19 10 10 258 Disease5 Total aetive rants Burdett Trust aims to be a catalyst for change and an active player in improving the health and well-being of patienls. In addilion to making grants in response to funding applications, the Trust 'proaclively' seeks out ways of engaging with nursing stakeholders and invites proposals to further its long-lenn plans. The trustee5 participate in dialogue and share new ideas with nursing organisations, service providers and other funders and engage in collaborative problem-solving and project development. All proactive granis are initiated by the Trust. Unsolicited applications are not accepted within this programme. In 2023, the trustees supported seventeen organisations proactively with grants totalling £1.868,707 in furtherance of th¢ Trust's charitable objectives. Cavell Nurses, Trusl A grant of £IOO,000 was awarded to support nurses and midwives experiencing domestic abuse through a combination of grant givin& emotional support and effective partnership working with other expert service deliverers. Children's Health Foundalion A grant of £7,800 was awarded for the DAISY Award programme to identify and celebrate extraordinarily compassionate nurses in paediatric settings across Children's Health Ireland. El Blackwood Productiopls A grant of £5,000 was awarded to produce 'Tending', the first play to use verbatim theatre to reveal the true stories of nurses working in the NHS today. Based on more than fifty interviews, the play THE BURDETT TRUST FOR NURSIIYG TRUSTEES, REPORT YEAR ENDED 31 DECEMBER 2023 immerses the audience in the challenges facing the nursing community and asks when the system's under pressure and lives are on the line, who take5 time to care for the carers. Internalional Council o Nurses A grant of £249,000 was awarded to support residential module 2 of the ICN'S Global Nursing Leadership Initiative (GNLI), which trains 30 nurse leaders in global health policy, leadership and communications skills. a Mental Healih A grant of £50,000 was awarded for a nurse-led, quality rights improvement project, building the professional capacity within the Mental Hospital Lagan Khel (Nepal) via a volunteer programme with UK mental health nurses. unius .Mor an Benevoleni Fund A further grant of £200,000 towards nursing in hardship in 's Colle eHos S F ndotion Trusl A grant of £ 100,000 was awarded lowards the creation of a film to raise awareness of the issues surrounding end of life care in hospita15, focussing on those with lived experiences of homelessness. London School o Tro ical Medicine A grant of £21,525 was awarded towards The Professional Diploma in Tropical Nursing designed to support nurses working in low-resource settings and with marginalised communities. A grant of £2,500 was awarded to present the development & implementation of the Professional Nurse advocate program across England at the International Congress of Nurses in Montreal in 2023. al Coll hild Health A grant of £149,895 was awarded for a muliilayered, nurse-led programme of support to nurses working outside of the Junta-controlled health system in Myanmar (Burma) where nurses play a pivotal role in supporting health oulcomes. Th hildren, Nur in Devel uihA ica A grant of £40,440 was awarded for a comprehensive evaluation of the 'Best Practice Projecl, and PToduction of a project toolkil that can be used lo support teams in ihe future. Tro ical Health and Education Trusl A grant of £IOO,000 was awarded for the 'Nursing Now Challenge Fellowship Programme, which aims to develop the skills and leadership of early career nurses and midwives in low and lower-middle income countries. Universi A grant of £13.398 was awarded towards the Burdett Fellows Programm¢. Edinbur 10 THE BURDETT TRUST FOR NURSING TRUSTEES, REPORT YEAR ENDED 31 DECEMBER 2023 niversi A grant of £50,000 was awarded towards the 1,000 Challenge: Research, Leadership, Impact Initiative, to promote research leadership opportunities for nurses, midwives. and community health workers in LMICS to improve global healthcare. Surr A grant of £45,600 was awarded for an evaluation of The Burdett National Transitional Network. West London NHS Trugi A grant of £5,333 was awarded to support dissernination and marketing of a co-produced film on mental health produced in collaboration wilh Imperial College London, West London NHS nurses. Inner Eye Films and young people with lived experience. World Healih Or anization A 8ranl of £728,216 wa5 awarded to support three critical elements for development and dissemination of the State of the World's Nursing 2025 report. Nursln hallen ro ramme f h B rdttTru In 2017, the Burdett Trust was approached lo work in associaiion with the International Council of Nurses and Ihe World Healih Organisation to establish Nursing Now, a ground-breaking campaign to improve health globally by raising the status and profile of nursing. The Trust recognised the significance of the campaign and its potential to make far-reaching improvements to the patient care environment globally. The caTnpaign engendered the Trust's own core values and objectives and therefore, the trustees agreed that il would become part of the Trust; operating as a slandalone programme, but within Burdett's Charitable structure. Over the next three years Nursing Now worked to strengthen the global nursing workforce by promoting the contribution nursing could make. collating and publicising evidence. ensuring nurses, involvement in policy making. contribuling to 5UStainable development goals and sharing good practice in everything from clinical skills to educalion and employment. In June 2021 NursingNow and the Nightingale Challenge were relaunched as th¢ Nursing Now Challenge. The Nursing Now Challenge aims to support nurses and midwives in their roles as leaders, practitioners, and advocates in health. It also works to demonsirate that nursing and midwifery are exciting and rewarding careers, in order to contribute towards recruitment and retention on a global scale, improving and ensuring access to health for everyone. everywhere. The Nursing Now Challenge works with health employers as well as universitie5 and colleges around the world to creale leadership development opportunities for nurses and midwives. It offers employers, universities and colleges the opportunity to be part of a global movemenl to support nurses and midwives as leaders, and advocates in health. In the first quarter of 2023 there was a change in Programme Director, with Professor Aisha Holloway laking overthe role from March 2023. The Nursing Now Challenge continued to grow and build its global community of early career nurse and midwives with increases in membership across all six global regions and new countries Continuing to join. By the end of the year, the network comprised 60,805 nurses and midwives, from 944 organisations, across 91 countries. There were several highlights during the year, the highest profile being the visit by six early career nurses to the World Health Assembly, where they attendcd meetings at the World Health Organisation including an audience with Direclor General, Dr. Tedros Adhanom Ghebreyesus, and Chief Nursing Officer, Dr Amelia Latu Afuhaamango Tuipulotu. The early career nurses prepared an ' intervention, on the nursing workforce at the Director General's round table event in the presence of world leaders, a first for early career nurses at the World THE BURDETT TRUST FOR NURSIIYG TRUSTEES, REPORT YEAR ENDED 31 DECEMBER 2023 Health Assembly. The Chief Executive and Pro￿amMe Director also travelled to Riyadh at the invitation of the Nurses Association, to present at a Global Health Conference on the Nursing Now Challenge. A strong end to the year was facilitated by a range of collaborations, including the launch the l 000 Challenge, a global research leadership initiative in partnership with The Global Health Network, and the launch of the online Global Book Club featuring New York journalist and author, Sarah DiGregio as its first guest author. These initiatives produced a healthy surge in social media data analytics.. a 93 % increase in X impressions over the 28 days of activities, Facebook posts reaching 11,656 and a 400/0 increase in Linkedln page views. MEASURING IMPACT During the year, the trustees continued to monitor and review all grants, with the aim of establishing their impacl on the nursing contribution to healthcare. Periodically, the trustees meet to Consider the overall impact of their grant-making programmes and make strategic plans. In addition, the Chief Executive organises seminars and workshops to share and disseminate good practice resulting from the Trust's grant programmes. The trustees are pleased to report once again this year Ihat grant recipients successfully achieved the outputs and outcome5 they sei out to deliver and any shortcomings were explicable and defensible. All grant recipients are asked to provide a detailed 'final report, at the end of their grant period sharing any learning resulting from their project. To find out more about Ihe funding programmes and the Trust's current grant policy criteri4 applicants are FUTURE PLANS The trusiees, key objeclive is to use its funds to empower nurses and through this. make significant improvements to the patient-care environment. The trustees will continue to support nurses through targeted grant programmes, with cerebrov&scular accident (CVA) and women's health their funding priority areas for 2024. In addition, they will use their experience and networks to make funher'proaclive, grants, and work wilh their funding partners to support nursing projects that are nurse led and designed to make significant long-rerni improvements to the patient-care environment. They will continue to monitor the perfomiance of their grant recipients and funding partners, to ensure that their funds are being used for maximum benefit in furtherance of their ¢harilabl¢ aims and objectives. FINANCIAL REVIEW Incoming resources and expenditure The year to 31 December 2023 produced consolidated income for the Trust of £1,285,189 (2022: £851,368). The consolidated results for the year to 31 December 2023 show net expenditure of £2,696,005 before investment gains of £7,209,075. The results for the previous period showed net expenditure of £4,465,045 before investment losses of £8,396.586. Funds at 31 December 2023 totalled £83,501,210 (2022: £78,988,140). Subsidiary charities The Junius S Morgan Benevoleni Fund made gran15 during the year totalling £316,542 (2022: £253,010) to help recipients meet a variety of household expenses. All grants were given to individuals, and the maximum given to any individual did not exceed £1.500. 12 THE BURDETT TRUST FOR NURSING TRUSTEES. REPORT YEAR ENDED 31 DECEMBER 2023 Reserves policy The Truslees have reviewed the reserves of the Trust. The review concluded that there were sutTJcient reserves to allow the charity to be managed efficiently. This policy will be reviewed on an annual basis. The general free reserves of the charity as at 31 December 2023 were £79,355,063 (2022.. £75.054,782). The charity will maintain its level of free reserves by continuing its policy of operating effectively and efficienily, maximising income and controlling expenditure. The Trustees have also reviewed the reserves of its subsidiary charity. The free reserves of the Junius S Morgan Benevolent Fund, before transfer. amounts to £4,166,147 at 31 December 2023. (2022. £3.933.358). These reserves are considered to be at a suitable level given the aim to strike a sensible balance between the needs of the present and the future. Details of ihe purpose of each of the funds are shown in note 13. The spending policy of the Trust is to spend at least 40/0 or more of an average of the previous 12 quarter end market values of the portfolio. Each year the Trustees agree the budget and spending rule percentsge depending on certain circumstances and investment perfomiance. The year-to-year fluctuations in spending can be adjusted by including more years (or quarters) in the calculation of Ihe average market values. The long-temi objective is Ihat Ihe spending rales is less than or equal to the portfolio's real return, so Ihat the portfolio's purchasing power will be maintained. Fundraising In 2023 Burdett Trust for Nursing did nol engage in fundraising with ihe general public and did not undertake any fundraising campaigns via email or direct mail or engage in cold Calling. As a regislered charity, Burdett Trusi can accepi donations from those wishing to support its work, but in 2023 it did not actively seek these. All offers of financial support for the Trust's work are initiated by the donor and the Trust will not share information about any donors or potential donors and never pui anyone under pressure to donate funds. Any donations are controlled by the Trust's stringent 'Donalions Acceptance and Refusal Policy,, 'Conflicts of Interest Policy, and 'Anti-Bribery and Corruption Policy,. These policies are proportionate and include the verificalion of the source of the donation and other due diligence measures to protect Ihe Trust from being unwittingly involved in a fraudulent transaction. Nursing Now is a programme of the Burdett Trust for Nursing. Like ils parent charity, Nursing Now did not engage in active fundraising with the general public in 2023, but it received funds from other grant-making bodies to support its campaign work. Nursing Now is subject to the same policies and high standards of good practice as Burdett Trust in relation to its acceptance of donations from third party organisations. Key management personnel remuneration The trustee5 consider that the board of trustees and the Chief Executive (CEO) are the key management personnel of the charity. In the year, no trustee was paid for their time and details of their expenses and related party transactions are disclosed in the notes to these accounts. Trustees are required to disclose all relevant interests and register them with the Chief Executive prior to Trustee meetings. In accordance with the Trust's policy, trustees must withdraw from decisions where a conflict of interest arises. The charity's Chief Executive is paid via a service level agreement with Ralhbones Trust Company, who are responsible for the management of the Trust's day-to-day adminislrative and financial operations. The agreement is reviewed annually and subject to inflationary increases. The trustees are mindful of the demanding workload of the charity and the scale of its grant-making operations. and whilst the CEO'S salary is not within their direct conlrol, the service level agreement reflects the need for a senior officer to manage the day-to-day 13 THE BURDETT TRUST FOR NURSING TRUSTEES. REPORT YEAR ENDED 31 DECEMBER 2023 running of the charity with remuneration that is fair and not out of line with that generally paid for similar roles wtthin the sector. Investment policy The overall financial and investment objectives of the Trust investment portfolio are to provide a stream of spending in support of the Trust's mission, while preserving and enhancing the real (inflation-adjusted) purchasing power of the invested asseis. In forniulating inveslment objectives for the Trust Ihe Investment Committee wL8 mindful of the responsibility to Slrike a sensible balance between the needs of the present (reflected in currenl spending) and Ihe needs of the future (reinvestment). The Trust's overall investment objective is therefore lo seek a total return over time large enough to provide a result equal to or greater than spending requirements and inflation. Investment performance The Burdett Trust investment portfolio retumed +10.90/0 in 2023, slightly behind the simple 60140 equityll)ond benchmark which relurned +12.50/0. This perforn)ance reflects a strong year for several asset cl&sses, led by equities, which saw an especially strong conlribution from US technology stocks. Over the longer-lerm, the performance of the portfolio continues to be strong, relurning +6.70/0 on an annualised basi5 since inception in 2002. The portfolio is valued at £85.6m as at 31 December 2023. TRUSTEES, RESPONSIBILITIES IN RELATION TO THE FINANCIAL STATEMENTS The Truslees, who are also the directors for the purposes of company law, are responsible for preparing their Trustees, Report and the financial statements in accordance wilh applicable law and United Kingdom Accounting Standards (Uniied Kingdom Generally Accepted Accounting Pra¢tice)- Company law requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the state of the affairs of ihe charitable Company and the group and of Ihe incoming resources and resources expended of the ￿0UP for that period. In preparing these financial statements the Trustees are required to: Select suilable accounting policie5 and apply them consislently Observe methods and principles in the Charities SOIIP Make judgements and estimates that are reasonable and prudent State whether applicable accounting standards have been followed, Subject to any material departures disclosed and explained in the financial statements Prepare the financial statements on the going concern basis unless it is inappropriate to assume that the charitable company will conlinue in operation The Trustees are also responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company and Ihe group and enable them to ensure that the financial Statements comply with the Companies Act 2006. They are also responsible for safeguardingthe assets of the charitable company and the group and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. 14 THE BURDETT TRUST FOR NURSING TRUSTEES, REPORT YEAR ENDED 31 DECEMBER 2023 AUDITORS The auditors, Haysmacintyre LLP, will be proposed for reappointment in accordance with Section 485 of the Companies Act 2006. In preparing this report, the Trustees have laken the exemption available to small companies and have not prepared a stralegic report. Approved by the Trustees on I I September 2024 and signed on their behalf by,. Alan Glbbs Chalrman 15 INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF THE BURDETT TRUST FOR NURSING Opinion We have audited the financial statements of The Burdett Trust for Nursing for the year ended 31 December 2023 which comprise the Consolidaled St#tement of Finan¢ial Activities, the Consolidated and Charity Balance Sheet. the Consolidated Statement of Cash Flows and notes io the financial statements, including a summary of si8Aific4ni a¢¢ouniing policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Siandards, including Financial Reporting Standard 102 The Financial Reporiing S¢ondurdopplicable in the UK and Republic oflreland (Uniied Kingdom Generally Accepted Accounting Practice). In our opinion, the financial statements: give a trne and fair view of the state of the group's and of ihe pareni ¢haritabl¢ company's aifairs as at 31 December 2023 and of the group's and par¢ni charitsble company's net movement in funds, includin8 the income and expenditure, for the year then ended.. hY4ve been properly prepared in a¢¢ordanee with United Kin8dom GenerBlly Accepted Ac¢ountin8 Practice. and hE4ve been prepared in accordance with the requirem¢nts of lh¢ Compshnies Aci 2006. Basis for opinion We conducted our audit in o¢cordanc¢ with International Stsndards on Auditing (UK) {ISAs (UK)) and 8pplieable law. Our responsibililies under those standards are further d¢s¢ribed In the Audiior's responsibilities for ihe audit of the financial siaiemenis Section of our Teport. We art ind¢pend¢n¢ of the group in accordartce with the ethical requirements that are relevant to our audil of the rhnan¢ial statements in ihe UK. including the FRC'S Ethical Standard, and we have fulfilled our other ethi¢al responsibilities in accordance wilh th¢se requirements. We Ixli¢v¢ th81 th¢ audit evidence we have obtained is surficient and appropriate to provide a b&$i$ for our opinion. Con¢lu$ion$ r¢lAting to going eoneerTr In auditing the financial statements, we have concluded that the trustee's use of the going ￿nCern basis of accounting in Ihe preparaiion of the financial siaiements is appropriat¢. Based on the work we have perfornied. we have not identified any materi81 uneertaintie5 relatin8 to events or conditions that, individually or collectively, may cast significant doubt on the group's ability to continue as a going ¢on¢em for a period of li leasi ty¥elve months from when the financiol siat¢menls ar¢ authorised for i$$ue. Our responsibilili¢s $rtd rhe responsibilities of the trustees with respect to Boing concern are described in ihe relevanl sections of this report. Other information The I￿ste¢S are responsible for ihe other infomation. Th¢ oth¢r infornigtion comprises the infomation included in the Tru$ttt$' Report. Our opinion on the financial statements does not ¢over the other inforTnaiion and, except ￿ ihe exi¢ni oiherwise expli¢iily stated in our report. w¢ do not express any fomi of Assurance conclusion thereon. In connection with our audii of the finan¢ial $talem¢nts. our r¢5ponsibility 1$ lo read the other inforniation and, in doin8 so, ￿nsider wheiher the oiher information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears lo be maierially missiaied. If we identify such material inconsistencies or apparent material misslatements. we are required to deiemiine whether there is a material misstatement in the financial statements or a material misstatement of the other inforniation. Ir, based on the work we have performed, we wn¢lude that there is a maierial missigl¢m¢ni of ihis other information. we are required to report th8t fact. We have nothing io ￿￿ort in this re8ard. Oplnlon$ oiher matttrs preycrlbed by iht Companles Act 2006 In our opinion, b￿d on the work undertaken in the course of the audit- the infomiation given in the Tru5tee5' Report {which incoTpora¢e5 th¢ directors, rewjrt for the purposes of company law) for the financial year for whi¢h th¢ finan¢ial stalemenls are prepared is consistent with the financial siatemertls. gnd th¢ d7￿ctOrS, ￿Port included within the Trustees, Report hLs t¢en prepared in accordance with applicable legal requirem¢nts. Mallers on which we are required lo report by e%¢ep¢io In the light of the knowledge and undersiandin8 of the group and ihe parent charitable tompany and its ¢nvironm¢nl obtained in the course of the audil we have not identified material misstatements in the Tru9tees' Report (which in¢oTporates the directors, report). We have nothing to report in Tespect of the following matter5 in relation to whi¢h the Companies Act 2006 Tequires us to report to you if, in our opinion: adequate accounting records have not been kept by the p¥enl charitable company. or th¢ parent chari1gbl¢ ￿rnpany financial statements are not in agreement with the accounting records and returns; or certain disclosures of trustees. reffluneration specified by law are not made,. or we have not received all the inforniation and explanations we require for our audit. or the trustee5 were not entitled to prepare the financial 51atemenls in a¢¢oTdance with the small companies. regime and take advantage of the small compwies. exemptions in preparing the Trusttts, Report and from the requiremeni ￿ prtpore a strategic report. 16 INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF THE BURDETT TRUST FOR NURSING Re$ponslbllities of trustees for the financial statement5 As explained more fully in the trnstees. responsibilities ststement set out on page 14. th¢ trust¢¢s (who are also the directors of the charitable ¢ompany for the purposes of company IAW) are resTX)nsible for the prepardtion of the financial statements and for being satisfied that they give a true and fair view. and for sueh iniemal eontrol as the tnjstees detemiine is necessary to enable the preparation of financial statements ihat are free from material misstatemenL whether due to fraud or error. In preparing the finttneial statements, the trustees are responsible for assessing the group's gnd the parerti chariiable company's ability to coniinue a$ a going con¢ern. dis¢losing. as applicable, motters related to going concem and using the going concern b&sis 0faC￿Un1Ing unless the tTUSiees either intend to liquidate the group or the parent charitable wmpany or io cease operaiion& or have no realistic alternative bui io do so. Audil•r'$ re$ponstbilities for ihe audit of the firt•n¢ial y¢aiement$ Our obje¢tiv¢s are to obtain reasonable assur￿¢¢ about wh¢ih¢r th¢ financial statements as a whole ore free from material mi55tstement, whetherdue to fraud or error, and to issue ttn audiior's report that in¢ludes our opinion. Re&son8ble ￿Su￿nce is a high level of a55urance bul is noi 0 8uaranl¢e that art audit ¢ondu¢ied in accordance with ISAS IUK) will always detect a material mi55taiem¢nl when il ¢XlSts. Missialemenis ¢4n arise from fraud or eTfoT and are considered m4terhal if. individually or in the aggregate, Ih¢y ￿Uld Ttasonably be expected io influence the economic decisions of users taken on the basis of th¢s¢ financi41 stal¢ment5. Irr¢gulwitie$, including fraud, are instan¢es of mOn￿Mpli8nC¢ wilh laws and regulations. We design procedures in line with our responsibilitie5. Outlined above. to detect material misstatement5 in Tespe¢t of irregularili¢$. in¢ludin8 frnud. The extent to which our proceduT¢$ are ¢Apable of delecting iTf¢8ularities, including fruud is deiailed b¢low'. Based on our understanding of ihe group and ihe environment in which it operates, we identified that the principal Tisks of non- compliance with laws and regulations related ￿ charity law and GDPIL and we considered the extenl to which non.compliance might have a material efTecl on the financial statements. We a150 con5ider¢d ihose laws and regulations that have a direct impact on the preparation of the financial sthi¢m¢n15 su¢h as th¢ Charities Aci 201 l and Companies Act 2006. We evaluated muno8emeni's opportunities for fraudulent manipulalion of the financial stalemenls (including th¢ risk of override of conirols) and deremined thai the prin¢ip41 risks were related io kM)Siing inappropria1¢ journal entries and management biLs in certAin accountin8 estimates and judgemenls. Audit procedures perfornied by the engagemeni team included: Ins￿tIng correspondence with appropriate re8ulators and authorities. Di$¢ussiong with management includin8 consideralion of known or sugpe¢ted instan¢¢s of non.¢ompli8n¢¢ wilh laws and regulation and fraud,. Evoluatin8 mana8emeni's ￿ntrOl8 designed to prevent And dekct irregularities. Identifying and testin8 journals, in particular journal entrie5 P051ed with signific¥4llt Vf41ues' and Challenging assumptions and jud8ement$ made by manog¢m¢nt in their a¢¢ounling eslimai¢s. Because of ihe inherent limitaiiorts oran audiL rhere is 4 risk thai we will not deteci all irregularities, including ihose leading to a material misstatement in the financial siatemenls or non.compliance wilh regulation. This risk increases the more that compliance with a law or regulalion is removed from the events and tr8n5a¢lions reflecied in the finan¢ial slaiements, As we will be less likely lo become aware of instance5 of non-compliance. The risk is also greater re8ardin8 irre8ularities occurTill8 due to fraud rather than error. ￿ frAud involves intentional concealmenL forgery. ¢ollusion. omission or misrepr¢sentation. A further description of our rcspK)nsibilitlC5 for lh¢ audit of the financial stalements LS located on the Financial Reporting Council's website at.. wwv.frc. -ukla dit This description fomis part of our auditor's report. Use of our report This rewjrt is made solely to the Chhritable CoMp￿Y'S members. as h body. in a¢cord4n¢e wich Chapier 3 of Part 16 of the Companies Act 2006. Our oudit work has been undertaken that w¢ mi8hi stAte io ihe chariiable company's members ihose matters we are required to state lo ihem in an Auditor's report and for no other PUTP05e. To the fullest extent permitted by law, we do not accepi or ￿ume r¢sponsibility io anyone other than the charitable company and the charitable compony's members as a body, for our audit work, for this repo¢ OT for the opinions we have formed. Tracey Young ( enior Statutory Auditor) For ond on behalf of Haysmxintyre LLP. Statutory Auditors Date.. l O Queen Street Place London EC4R IAG 17 THE BURDETT TRUST FOR NURSING CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES (iDcorpor4ting Consolidated Ineome and Expenditure Account) FOR THE YEAR ENDED 31 DECEMBER 2023 Unrestricted Funds 2023 Restricted Funds 2023 Total 2023 Totsl 2022 Notes Income from Investments Donations- Nursing Now Donations- Burdett Bank interest 1,025,090 111,695 1.136.785 783.111 32.420 11.828 24,009 5.020 119,272 24.112 29.132 119,272 Total Ineome ,149,382 135,807 1,285,189 851,368 Expenditure on rAisiDg funds: Investment management fees 156.W7 156.007 180.461 Net ineome Av#il4blt for ¢hari¢able expenditure 993,375 135,807 ,129,182 670,907 Expenditure on chAritAble actlvltles Grant making Burdett Awards Nursing Now Support costs 2,536,227 75,964 159,726 626,490 316.542 2.852.769 75,964 159,726 718,809 4,140.470 40,000 120,000 835,482 92,319 Total expenditure Activities on charitable 3,398,407 408,861 3,807,268 5,135,952 Total expendltur¢ 3,554,414 408,861 3,963,275 5,316,413 Net (expenditure) before net 8AlnJ on investments (2,405,032) (273,054) (2,678.086) (4,465,045) Corporation tsx (17,919) {17,919) Nel (expenditure) after tax, before gainsl(losses) on investments (2,422,951) (273,054) (2.696.005) (4,465,045) Nel gainsl(losses) on investments 6,903,232 305,843 7,209,075 (8,396,586) Net Incomel(expenditur¢) 4,480,281 32,789 4.513,070 (12,861,631) Transfers (200,000) 200,000 Net movement in funds 4280.281 232,789 4.513,070 (12,861.631) Total funds brought forward 75,054.782 3.933,358 78.988.140 91,849.771 Tot*1 funds cArried forwArd Is At 31 Detember 2023 13 79J35,063 4,166,147 83,501,210 78,988,140 All of the above results relate to continuing activities. All gains and losses recognised in the year are included above. A full comparative Staternenl of Financial Activities is presented within Note 17. The notes on pages 21 to 30 and th¢ appendix fo￿ part of these financial statements. 18 THE BURDETT TRUST FOR NURSING Company Number: 4306248 CONSOLIDATED AND CHARITY BALANCE SHEETS AT 31 DECEMBER 2023 Croup Charity 2023 2022 2023 2022 FIXED ASSETS Notes Investmenis Investment in subsidiary charity 85,563,685 78,000,330 81,496,620 ,822,357 74,238,023 1,822,357 85,563,685 78,000,330 83,318,977 76,060,380 CURRENT ASSETS Debtors Cash at bank and in hand 10 84,404 2,319,518 86,822 4,920,547 60,122 2,220.589 62,540 4,749,956 2.403.922 5.007,369 2.280.711 4,812,496 CURRENT LIABILITIES Creditors- amounts falling due within one year (3,848,242) (2,726,739) (3,824,113) (2,702,917) Net current 8$$et$ (1.444,320) 2,280.630 (1,543.402) 2,109,579 Total assets less current liablllties 84.119,365 80.280.960 81.775.575 78.169,959 Creditors,. amounts falling due after one year 12 (618,155) (1,292,820) (618,155) (1,292,820) Total net assets 83,501.210 78,988,140 81,157,420 76.877.139 Represented by: Unreslricled Funds (Revaluation reserve 2023.. £24,682,046 2022.. £22,627,936) Reslricled Funds (Revaluation reserve 2023., £1,825,339 2022.. £1.519.196) 79,335,063 75,054,782 79,335.063 75,054,782 4,166,147 3,933,358 ,822,357 ,822,357 13, 14 83,501,210 78.988.140 81.157,420 76,877,139 The surplus of the Burdett Trust for Nursing before ¢onsolidation was £4,280,281 (Deficit - 2022 £12,454,463). The Financial Staiements were approved and authorised for issue by the Trusiees and signed on their behalf by: Alan Gibbs Chairman Date: I I September 2024 The notes on pages 21 to 30 and the appendix forni part of these financial statements. 19 THE BURDETT TRUST FOR NURSING CONSOLIDATED CASH FLOW STATEMENT FOR THE YEAR ENDED 31 DECEMBER 2023 2023 2022 Net eash used in operating aetivities (Noic 16) (3,346,798) (4.511,748) Cash flows from investing activities Dividends and interes1 from investments Investrnent rnanagement fees payable Purchase of investments Proceeds from sale of invesrmenls Movement in investment cash 1.256.057 (156,007) (13,856,995) 12,143.531 1,359.185 807,120 (180,461) (10,901,120) 15,877.663 208,920 Net cash provided by invesiing activities 754,771 5,812.122 Change in ¢ash in the reporting period (2,601,029) .300.374 Cash and cash equivalents ai the beginning of ihe reporting period 4.920.547 3,620,173 Cash and cash equivalents at the end of the repor¢ing period 2.319,518 4.920.547 Analysis of net funds 2022 Movements in the yegr 2023 Cash at bank and in hand 4,920,547 (2.601,029) 2.319.518 4,920,547 (2,601,029) 2,319,518 20 THE BURDETT TRUST FOR NURSING NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 DECEMBER 2023 PRINCIPAL ACCOUNTING POLICIES The principal accounting policies adopied. judgements and key sources of estimation uncertainty in the preparation of the financial statements are as follows.. Basi5 0( prep*r4¢ion The financial statements hav¢ b¢¢n prepared in a¢cordance with Accountin8 and Reporting by Charities.. Statement of Recommended Practice applicable lo charities preparing iheir accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (Second Edition. effective l January 2019) (Charities SORP (FRS 102)), the Financial Reporting Standard applicable in the UK and Republi¢ of Ireland (FRS 102) and the Companies Act 2006. The Burdett Trust for Nursing meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise staled in the relevant accounting policy not4s). Consolidated fin4n¢iil sts¢¢men¢s These financial slatements consolidate the results of the Trust and its subsidiary charity, The Junius S Morgan Bcn¢volent Fund (charity registration number 1131892) for the twelve months to 31 December 2023. A separaie stsiemcnl of Financial Activities for the Trust itself is not presenied because the Trust has tsken advantage of the exemption afforded by section 408 of the Companies A¢t 2006. Thc inveslmcnl in the subsidiary charity is stated in the Trust balanc¢ sheet as the nel assets of the charity at the date thai the Trust became a ¢ontrolling trustee. Compgny status The Trust is a Company limited by guaraniee regisiered in England and Wales. The members of the company are the Truslees named on page l. In Ihe eveni of the ¢harity bein8 wound up. the liability in respeci of the guardntee 15 limited lo £ I per member of the charity. PrepArAtion of Accounts on a golng concern bas15 The trustees consider Ih¢r¢ are no material uncertainties about ihe Charity's ability lo conlinue as a going concem. The review of our financial position. cashflow forecasts, reserves levels and future plans. gives Trustees confidence Ihe charity remains a going concern for the foreseeable future. Critical accounting judgements and estimates In preparing these financial slalements, the Trustees have made judgements, esiimaies and assumplions that affect Ihe application of Ihe charities accounting policies and Ihe reported Assets. liabililies. income and expenditure and Ihe disclosures made in the financial statements. Eslimales and judgements are continually evaluated are based on historical experience and other factors, including expeclalions of future evenls thal are believed to be reasonabl¢ under the circumstances. The Trustees consider that there are no critical estimates orjudgementS. Donations and gifts Donations and gifts are recognised when there is entitlement to the income, probability of receipt and the amounts an be measured. Grgnts Grants are included in ihe financial statements when approved by the Truslees and notified to recipients. The value of committed grants unpaid at the year-end is accrued. Grants offered that are subject to conditions that have not been met at the year-end a￿ noted as a commitment but not accrued as expenditure. Long tenn grdnt creditors, defined as those which are expected to be settled in more than one year from the balance sheet dale, have noi been discounted on the basis that the trustees consider the effect of any discounting would be immaterial. Other expenditure Other expenditure is accounted for on accruals basis in the year to which to relates. Other expenditure includes governance costs. Governance costs consist of those costs associated with the overnll running of the charity and meeting statutory and regulatory requI￿rneats. 21 THE BURDETT TRUST FOR NURSING NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 DECEMBER 2023 PIUNCIPAL ACCOUNTING POLICIES (CONTINUED) Investment income Investment income is accounted for on an accruals ba515 in the year to which it relates. Listed Investments and Investmen¢$ in pooled funds Fixed assels investments rcprcsenl listed invcstsnenis which are sthted at market valiiaiion, wher¢ rnarket value represents the bid value on the 1&8t trading day before the year end. Any unrealised or realised gains arising from investments are accounted for in the Statement of Financial Activities. Investments In subsidiaries Investments in subsidiary undertakings are the net asset value at the point of acquisition. See note 9 for further detsils. Other unlisted investments Where a rclioblc ba515 cannot be deiemiined for the fair value of the investment, the inv¢s¢ment is held at CQSI in line with the provision of section I l of FRS 102, Foreign currencies Transactions in foreign currencie5 are recorded at the rale ruling al the dale of ihe Iran5action. Monetary assets and liabilities are retranslated at the rale of exchange ruling ai the balance sheet date. All differences are taken lo ihe Statement of Financial Activities. Fund A¢¢ountlDg General funds are unrestricted funds which are available for use al the discretion of the Ttustees in furtherance of ihe general objectives of the Charity and which have not been designated for other purposes. Re5trictcd funds consisl of: The funds of the connecied Charity, which has narrower objecis Ihan the Burdett Trust. Finan¢lal Instruments The Charity only has financial assets and financial liabililies of a kind that qualify as basic financial instruments. Basic financial instruments, including other debtors and creditors are initially recognised al transaction value and subsequently measured at their settlement value. Debtors Debtors are recognised at the sertlemenl amouni due after any trade discount offered. Prepayments are valued at the amount prepaid nel of any trade discounts due. Cash at bank and io hAnd Cash al bank and cash in hand includes cash and short tenn highly liquid investments with a short malurity of three month5 or less from the dale of acquisilion or opening of the deposit or similar account. Creditors and provisions Creditors and provisions are recognised where ihe Charity has a present obligation resulting from 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 nomially recognised al their settlement amount after allowing for any irade discounts due. 22 THE BURDETT TRUST FOR NURSING NOTES TO THE FINANCIAL STA TEMENTS (continued) YEAR ENDED 31 DECEMBER 2023 INVESTMENT ￿COmE 2023 2022 Dividends and interest on fixed interest secuTities Inlerest on cash deposits 1,136,785 119,272 783,111 24,009 Invesimenl income 1,256,057 807.120 DONATIONS AND GIFTS 2023 2022 Donations- Nursing Now Other donations . 32.420 11.828 29,132 29,132 44.248 COSTS OF RAISING FUNDS 2023 2022 Invesimenl management fees 156.007 180,461 This figure includes fee5 charged by Waverion Inveslmenl Management and Cambridge Associates. Fees in respeci of funds managed by oiher invesimeni manager5 are charged directly 10 Ihe overall managed funds. GRANTS PAYABLE 2023 2022 Reconciliation of grants payable: Ouisianding commiimenls ai l January Granl commiimenls made in the year Granis reiurned Grani support costs Other adjusiments Paid during Ihe year 3,876,230 3,790,295 (26.3,986) 19,038 75,542 (3,175.758) 1,572,870 4,243,018 (162,013) 32,097 90.286 (3.9￿,048) Ouislanding commitments at I l December 4,321,361 3,876,230 In addiiion (o the above granis, Bui'deii Trust made a grant of £200,000 to the Junius S Morgart Benevolent Fund (2022.. £300,000). This is el iminaied on consolidalion wi(hin the consolidated Sialemeni of Financial Acliviiies and shown as a Iransfer from unresiricled to restricied tunds. Details of grant conimitrnents are shown in the Appendix from page 31 to 75. Included above are hardship grants 10 299 (2022.. 296) fDrnier nurses totalling £316,542 (2022.. £253.010). 23 THE BURDETT TRUST FOR NURSING NOTES TO THE FINANCIAL STA TEMENTS (continued) YEAR ENDED 31 DECEMBER 2023 OTHER COSTS 2023 2022 Nursing Now Direct Costs 159,726 120,000 b) Support costs Secrelarial and adminisiralion fees Other expenditure 529,219 149,179 542,698 255,082 679,181 797,780 Governance costs Audiior, s fees for audil services Legal fees Trusiees, expenses 29,700 5,982 3,946 22,680 8,490 37,702 Total support costs 718,809 835,482 The Burdell Trust for Nursing and ils subsidiary do noi employ any staff (2022.. nil). The trustees consider thai Ihe Board of Trusiees and ihe Chief Executive ori'icer are the key managemenl personnel ol Ihe charity and group. No Trusiee received any remuneraiion durino Ihe year (2022.. nill. The arranoemenis regarding Ihe remunera(ion of the churily's Chiet. Execulive Oft'icer are ser oul within IhL Trustees, Report. TRUSTEES, REMUNERATION The Trusiees neiiher received nbr waived any einolumenls during Ihe year. Travel and oui ol. pock¢i expenses ot £3,946 wer¥ I'eiinbursed lo three Irusi¢es (2022.. £6,532 10 ihree Irus(ees). The Trusi purchased indemnily insurance cover of £ l O million on beh