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2025-03-31-accounts

Charity registration number 1095708 (England and Wales) Company registration number 04609579 HOSPICE AT HOME CARLISLE AND NORTH LAKELAND ANNUAL REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND LEGAL AND ADMINISTRATIVE INFORMATION Trustees Mr D Claxton Mr M K Clementson Mr K Coulthard Mr5 M ADrury Dr H A Dunnlng Mrs M Grav Mrsj S Lamb Prof S Reveley Mrs DJ Shearer Rev D C Wood Mrj F Porter IAppolnted i October 20241 Chief Executive Officer Mrs D McKenna Secretary Mrs L Robinson Charity number 1095708 Company number 04609579 Registered office Valley Court Barras Lane Dalston Carlisle CA5 7NY Auditor Saint & Co. Sterling House Wavell Drive R05ehill Carlisle CAI 25A Bankers Lloyds Bank plt 5-6 King Street Penrith CAII 7AP Solicitors Cartmell Shepherd Solicitors Cartmell Shepherd Bishop Yards Penrith Cumbria CAII 7XS Investment advisors Arc Eden Limited Ic Wavell Drive Rosehill Carlisle CAI 2ST

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND CONTENTS Page Trustees, report i-ii Independent audltor's report 12-15 ststement of financial activities 16-17 Statement of financial position 18 Statement of cash flow5 19 Notes to the financial statements 20-36

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND TRUSTEES. REPORT (INCLUDING DIRECTOR'5 REPORT) FOR THE YEAR ENDED 31 MARCH2025 The trustees present thelr annual report and financial statement5 for the year ended 31 March 2025. The financial statements have been prepared in accordance with the accounting policies set out in note I to the financial statement5 and comply with the charitV'5 governing document. the Companies Act 2006 and "Accounting and Reporting by Charities.. Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021" leffective l January 20191. Objective5 and artivities Objectives and aim5 As stated in the charity's Artlcles of Association, the Charity's objects are restricted specificallyi lin each casel only for the public benefit to relieve the suffering of, and provide palliative and supportive care to persons suffering from a terminal illness or from any other physical or mental infirmitvi disability or disease by the establishment and provision of domiciliary and supportive care, day care, residential care and in such other ways as the trustees shall from time to time think fit. The Articles of A5SOClation were refreshed in April 2024 and accepted by the Charity Commission. The revised Articles make allowance for the role of Associate Trustee to SUPPOrt the work of the Board and it5 subcommittees. The charity provides clinical services in patients, homes, specifically palliatwe and end of life nursing care, bereavement, and family support, lymphoedema management, occupational and complementary therapies. The Core Quolity CommASSion is the independent ￿E￿latOr of health and adult Social care in England and monitors all clinical activity provided by the charity. This provision is free at the point of delivery and is achieved by providing trained clinician5 who make the "staying at home" option a realistic one. We strive to enable patients to die in the place of their choosing which is predominantly in the home. Services are open to all palliative and end of life patients regardless of their age, address Iwithin our geographical boundariesl, end-stage illness or financial circumstsnces. Our Vision: Hospice at Home will posltively influence a future in which everyone within our community facing life-limiting illness, regardless of cause, receives the best possible palliative and end-of-life care and their families and carers receive the supportthey need. Our Mission.. To enhance quality of life for adults, their families and carers in our area, through skilled and compassionate care and SUPPDrt at home and in their community. Our Values: Caring - We will always be klnd and caring toward5 Others. Our care and sUPPOrt will be holistic and will alw3VS Put the patient first. Compussion - We will accept Witho￿ judgement the thought5, values. belief5 and choices of other5. responding with empathy and the offer of support wherever possible. Trust- We will build trust and confidence by being approachable, dependable and responsive to individual need. Respert- We will be courteous and listen actively to what is said. We will maintain privacy and dlgnity at all times. Profr55iont71 We will be open. honest, reliable and fair, accepting responsibility for our action5 and being accountsble for them. Resourceful- We will use our resources and funds carefully to ensure we deliver high quality p311iative and end of life care for patients whilst also sUPPOrting family Members and carers.

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND TRUSTEES, REPORT (INCLUDING DIRECTOR'S REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Strt7tegiesfor achieving oims and oblectives Palliative Care Development Palliative care is defined by the World Health Organisation as an approach that improves the quality of Ilfe of patlents and their families who are facing problems assoclated with life-limiting illne55, usually progressive. It prevents and relieves suffering through the early identification, correct assessment and treatment of pain and other problems whether physical, psychosocial and spiritual. Palliative care also helps those receiving care, families and carers deal with emotional, spiritual or practical Issues arising from the illne55. People of all ages can benefit from palliative care at all stages of their illness. End-of-Life IEOLI care People who are likely to die within the next twelve months are "approaching the end of life". This also considers people whose death is likely to be imminent in the next few days or hours. The General Medical Council defines people approaching the end of life as being those with: advanced progressive, incurable conditions,. Eeneral frailty and coexisting conditions that mean they are expected to die within twelve months,. existing conditions if they are at risk of dying from a sudden crisis in their condition,. 1ife-th￿atenIng acute conditions caused by sudden catsstrophic events. Public benefit The trustees confirm that they have complied with the requirements of section 17 of the Charities Act 2011 to have due regard to the public benefit guidance published by the Charity Commission for England and Wale5. Volunteers At Hospice at Home we have over two hundred volunteers who undertake a variety of roles: They support patients by providing companionship, emotional support, and practical a5SlStance thereby improving the patient's well-being• by providing spite ca￿, listening, and emotional support, volunteers ease the burden on families. Volunteers undertake reception dLbties, fundTaising, and working in our hospice shops. They play an important role in 5UPPOrting events, and raising awareness about hospice services. Volunteers have è positive irnpatt in our hospice-and at the Annual General Meeting IAGMI in October 2024 we celebrated the work of all our Volunteers. It wa5 gratifying to hear their stories about why they became volunteer5 and the added value they bring. We are grateful to have such a cornrnitted, compassionate and caring team of volunteer5. At the AGM we also presented our plans for the future which will be reflected in the revised Strategic Plan 2025-2030.

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND TRUSTEES, REPORT {INCLUDING DIRECTOR'S REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Achievements and performance Significont artivities and tychievements against objectives Clinical Servlces- Performance of the clinical Services over the ast three ears Referralsfor the past three years- Financial Year 2022-2023 2023-2024 2024-2025 Population Male Female Befriending Day Nlght Nursi Famity Support Lymphoedema Occ Therapy Comp Therapy Fwice at Home TOTAL 703 641 629 280 274 267 423 367 362 15 io li 424 398 439 81 75 102 221 176 64 108 107 136 112 132 985 814 855 Day and Night Nursing {DNN}- A new trial of three personal care calls per day was launched in response to referrer needs and to align with other FastTrack-funded service models, the initial evaluation of this is proving encouraging and successful in reaching and meeting increased patient need. We have had a change of Manager and Deputy lead who have been through the induction process c There have been changes to our patient record input to increase our data capture and this will continue as part of the new 5-Year Strategic Plan. The executive team ha5 SUPPOrted the multi-cultural bizarre locally and engaged with those in our community who do not have English as their first language The Lymphoedema service experienced challenge5 In recruiting staff in the early part of the year but we are now at full capacity and referrals are open to people with cancers and those with non-cancer causation. We welcomed a new ompression therapy machine via grant funding and will soon offer this treatment. Persistent non-attendance rates are being managed through telephone reminders,. this is 5UPPOrted by volunteers. Occupational Therapy IOTI - The service has re-commenced with the addition of two new occupational therapist5. A Service level agreement with Eden Valley Hospice commenced and a member of our team support5 in patient care, with patient continuity praised in both organisation5. Outreach continues, including a presentation to Carlisle Integrated Care Community. Bereavement Ind Family Support IBFSI Referrals have exceeded expectations, wlth the Penrith Bereavement Group thriving-eight attendee5 in October and new attendees each month. However. the Patient Support Group has struggled in the early part of the year to increase attendance de5Plte OUt￿ath. thi5 may be haMpe￿d by the Dalston location or preference for l..1 sUPPOrt. Demand for individual sessions continue5 to grow, with the result that there fflay need to be a waiting list. A new permanent tounsellor post18 hours per weekl has been added to the team thi5 year to a5515t in meeting demand. Complernentary Therapy Icn - Have had staff change5 this year; we have changed the model from two reElstered nurse complementary therapists to one registered nurse and one complementary therapist. A health care a5Si5tsnt from within the Day and Night Nursing has joined the team and undergone a period of induction and probation. Befriendlng Service - Caseload remains modest but corbsistent. Moving to a single point of access model Should improve capacity to increase our efforts to expand reach. The Di￿ttor of Clinical Services was successful in a grant bid through Hospice UK and went to London to meet with io other project lead5 that have been grant recipient5 from the Masonic Charitable Funds Grant to support people with Progressive Neurological Disorders. There were 55 applicants of project5 from across the UK and it 15 a privilege to be part of the 11 chosen, the Ma50n5 will be invited to Hospice at Home to meet our team and we will report on Olrtcomes measure5 at planned evaluation times.

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND TRUSTEES, REPORT {INCLUDING DIRECTOR'S REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Fundralsin and Income Generation: Wlth the recent successful appointment of a Director of Income Generation a review and analysi5 of both fundraising and retail is planned for the year ahead creating a ref￿Shed approach, exploring new opportunities and an increased focus on volunteering with the development of a Volunteer St￿tegy. In the year ahead, Hospice at Home Carlisle and North Lakeland will undertake a major strategic upgrade of our digital infrastructure. This will ensure that we a￿ well-positioned for fLrture growth and help ensure our organisation's sustainabilitv into the future. Key developments include the migration to new fundraising and volunteering platforms to enhance relationship management and expand our supporter network,. the adoption of a cloud-based accounting system for improved flexibility and oversight; and the implementation of a modern Human Resource Management System to better support our staff. We will also transition to a cloud-based seNer to enable more efficient remote acce55 and organisational resilience. and we will launch a new website designed to better serve patients, families, and supporters. This comprehensive digital transformation will strengthen our operational foundations and enhance our ability to support the community that we serve. We are grateful to the Department of Health & Social Care and Hospice UK for making this Vltal investment possible. Finance and Administrative Develo ments: Hospice at Home is committed to staff development and in line with our commitment to nurturing emerging talent and addressing long-term staffing needs, we have welcomed at the start of the financ>al ye3r two Business Administration Level 3 Apprentices into the organisation. Their integration has not only injected fresh energy into our operation5 but also contributed meaningfully to our support services while they gain practical experience and training. This initiative align5 With our broader workforce development plan and supports our charitable objectives of community engagement and skill-building. A key focus this year has been on the professional development of our existing team. We are proud to report in our finance team the completion of AAT (The Association of Accounting Technicians) in level 3 for one team member and a progression on to Level 4 AAT for another team member. The investment in our people enhances our internal capacity and reinforces our aspiration of learning and continuous improvement. We anticipate this will ￿sUIt in greater service efficiency and personal growth for our team members. It has also allowed u5 to look at locating all financial services in-house thereby allowing us to have increased operational autonomy and cost efficiency. Wider Workforce Develo ments., We are now fine-tuning our recruitment approach to remain agile and inclusive, ensurlng we attract those who truly share our values. We have aligned our Workforce Plans with Clinical, Income Generation, and Treasury objectives, whilst mapping out current skills and future development needs. Digitising our Human Resource systems will enhance efficiency and governance, and we will continue to expand wellbeing and feedback initiatives. We will begin laying the foundations for a Leadership Development Programme to develop our people into tomorrow's leaders to grow an organi5ation fit for the future and to continue delivering outstanding quality end of life and palliative care to the local community. roved Health and Safet Com liance: A specialist Health and Safety and Fire consultant has been engaged to support the org3ni5ation and has completed a full fire and Health & Safety audit. The focus has therefore shifted to implementing key recommendations. including policy updates, improved accident reporting processes, fire warden training, and documentation audits. New initiatives underway include the introduction of personal emergency evacuation plans, issuing high-vis vest5 and first aid lanyards to nominated parties, and streamlining documentation. Employee wellbeing 15 also being prioritlsed through an upgraded Employee A5515tance Programme via Health Assured. which includes acce55 to Mental Health First Alder training, ￿inforCIng a stronger, more proactive approach to safety and 5UPPOrt with the aim of reducing risk and Ios5 through physical and reputational damage and ensuring the longevity of the organi5ation a5 It continues to grow and expand. Health and safety 5s a standard item agenda on all sub committees.

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND TRUSTEES, REPORT (INCLUDING DIRECTOR'S REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH2025 We are extremely grateful for all support received which comes in many forms and includes our 48 business partners. We aim to build on these partnerships in the coming year. Apogee Appleby Creamery Ltd Arc Eden Ltd Armstrong Watson LLP Atkinsons Building Contractors Burnetts Solicitors Carigiet Cowen Ltd Carli51e Racecourse Carllsle Refrigeration Limited Carlisle United Football Club Cartmell Shepherd Limited Cranstons Ltd Cubby Construction Limited Cumberland Building Society David Allen Dodd & Co Eddie Wannop Ltd Eden Housing Association George Hudson Genevieve Hather Financial Services Integrity Office Ltd Jill Glencross Independent Funeral Directors John Norris of Penrith John Richardson & Son Ltd Lake5 Estates Larch Cottage Nurserles Lease Your New Car Lloyd Jaguar Land Rover Logic Business Systems Ltd Lowther Castle & Gardens McKnight & Son Builders Ltd Mcvities Group Nilfisk Limited North Lakes Glass Ltd Orton Grange Café & Gift5 PeterTyson Pioneer Foods Ltd Richardson Funeral Directors Story Homes Ltd Tech 4 Office Equipment The Toffee Shop Thomas Graham & Sons Ltd Trade Copiers Ullswater Steamer Used Cars 4 Less Waitings Ltd -È Wrn Armstrong ILonBtownl Ltd Fundraising performance The charity is registered with the Fundraising regulator, the voluntary independent regulator of charitable fundraising in the UK. Hospice at Home follows their tode of practice which ensures that fundraising is respectful, open, honest and accountable to the public. The charity will continue to adhere to all regulations governing fundraising and follow any best prdctice guidelines that are issued to ensure positive reSations are maintained with the generous local people who support us. The fundraising department always aims for the highest stsndards in fundraising and organise an annual plan which aims to meet the expenditure requirements within the financial plan. Financial review The accounts show net deficit for the year of £143,046 before taking into account the galn on investment. After accounting for the gain on investment in the year, the net movement in funds was a deficit of £131,615. The results for the previous year showed a surplus of £242,806 and after the gain on the investment the surplus was £345.615. Income levels decreased from £2.331.630 to £1,951,784 In the current year and this 15 mainly due to the decreased income in legacies. The legacy income received in the year amounted to £460,26112024- £860,063). Expenditure levels were higher in the year ended 31 March 2025 than the previous year with costs being closely monitored. Without this level of legacy income the charity would have generated a greater1055 for the year.

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND TRUSTEES, REPORT {INCLUOING DIRECTOR'S REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH2025 Reserves pollcy As at 31 March 2025, the charity held total ￿SerVeS of £3,203,194 which included Un￿strICted funds of £3.170,544 and restricted funds of £32,650. The unrestricted fund includes fixed assets of £13,420 leaving free reserves of £3,157,124. The Trustees have determined free resetves should be at least equivalent to the greater of 6 months budgeted costs or the potential close down costs. This has been calculated to be almost £1,048,000. An equivalent sum should be kept in cash reseNes separate from other funds and reviewed annually once a new budget has been approved by the Trustees at the accounting date. Reserves exceeded this criteria at the year end however there is expenditure budgeted for the next year as part of the development strategy of the charity which will reduce the reSe￿eS. Funds required for the day to day running costs, based on the annual budget, should be kept in the company's bank current account and any instant access account with an institution governed by the financial services compensation scheme IF.S.C.SI. Any other funds not required for the day to day running costs are to be invested in individual UK based institutions covered by the F.S.C.S. or into funds managed on an advisory basis by Arc Eden. The criteria we use to invest In are medium risk investrnents. There was a gain on the Investments in the year ended 31 March 2025 of £11,43112024- tain of £102,809). Transfers out of managed funds can be made by the Finance and Income Generation Committee but further investments into managed funds are by recommendation of the Finance and Income Generation Committee to the Board. Principalfvnding 50urce5 The Charity ￿ceiVed financial support from the Clinical Commissioning Group ICCGI devolved from the NHS in the year. Thi5 contribution to cost5 gives confidence against a background of the very welcome voluntary support. The charity Is profoundly grateful to all in the community for the excellent support received. Another form of funding are legacies which the charity receive5 from supporters, although this source of income is not guaranteed. Mojor ri5k5 The Trustee5 have assessed the major risks to which the Company is exposed, including in particular those related to the operations and finance of the Company. This is done through a Corporate Risk Register on a bi-monthly basis. Trustees are satisfied that systems and procedures a￿ in place to mitigate eKP05ure to the major risk5. Objective5 ond policies The charity's activities expose it to a number of financial risks including credit risk, cash flow risk and liquidity risk. Coshflow risk The charity's attivities expose it prlmarily to the financial risks of changes in interest rates. Credit risk The charity'5 principal financial a5set5 are bank balances and cash. trade and other receivables, and investments. The charity's credit risk is primarily attributable to its trade receivables. The amounts presented in the balance sheet are net of allowances for doubtful receivables. An allowance for impairment is made where there is an identified loss event which, based on p￿VIouS experience, 15 evidence of a reduction in the recoverability of the ta5h flows. The credit risk on liquid funds and derivative financial instruments is limited because the counterparties are banks with high credit-ratings assigned by international credit-ratlng agencie5. The charity has no significant concentration of credit risk, with exposure spread over a large number of counterparties and customers. Liquldlty rlsk In order to maintain liquidity to ensure that sufficient funds are available for ongoing opeTations and future developments, the tharity uses a mixture of long-term and 5hort-terni cash deposits.

H05PICE AT HOME CARLISLE AND NORTH LAKELAND TRUSTEES, REPORT (INCLUDING DIREcfoR'S REPORT) ICONTINUED} FOR THE YEAR ENDED 31 MARCH 2025 Plans for future periods Focusing on the stability of the workforce. Recnjitment to key roles is largely complete therefore our focus is Shifting toward deepening staff engagement, improving retention, and fostering a workplace where everyone can thrive. Developing existing volunteers and plans to attract new volunteers is one of our commitments next year as set out in a new Strategy for Volunteers. Encouraging feedback and seNice improvement will be explored through our Lived Experience Forum, website feedback, Healthwatch feedback and compliments and complaints received. Expanding retail outlets with an enhanced team approach. Increasing referrals into the Day and Night Nursing service and continuing to promote our service5 With system partner5. Improving access to our services. Our complementsry therapy, occupational therapy and lymphoedema services all have new members in the team, which will strengthen the services and offer the development of new opportunities. Increasing our respite provision for patients with a neurological condition with the funds awarded from H05pice UK for a pilot. Having a clear Digital Transformation programme across the organisation for customer relationship management, finance, and volunteers. We are working with partners to standardise our data collection in clinical services We are working with partners to explo￿ improved collaboration and fLJture opportunities, including the identification and management of future risks. We are developin8 business plans in-line with strategic objectives with key performance indicators that will provide assurance. We will complete a number of business case5 that will utilise re5erve5 and whilst adhering to the S-year Strategic Plan. We are aware of the financial decisions that are made outside our control and that we must address given the fact that they have adversely impacted our financial posltion. That said, careful. prudent and considerdte ma nagement ha5, and is, ensuring that the impact is curtailed, as far as possible, while retaining the scope and quality of our charitable services. Currently our reserves remain Sound and stsble,. we have sufficient reserves to meet our ststutory requirements and to fund identified essential improvement and development projects. In line with Charity Commission guidance and charity company best practice, we have subjected the management of our reserves to a competitive process to ensure they are working effectively. This has resulted in appointing a new finance consultant, who has a wealth of knowledge, expertise and experience in the charity sector investment. Although it is early days, initial indications are good. At the same time we have reviewed and revised our Finance and Income Generation and Investment policies to ensure that our finances are managed effectively, efflciently and economically while our investments are ethical and not exposed to unnecessary risk5. We have embarked on our plan to move from annual budgeting to making a three-year rolling forecast offering a longer horizon over which to make financial decisions. Salary costs are our biggest expenditure by far. In Setting the annual salary increase at 1% plus a quarterly pro-rata payment of £500, the Board of Trustee Directors are keenly aware of the pay rise5 in the sector, especially the NHS, and the need to strike a balance that Hospice at Home Carlisle and North Lakeland can afford. The annual salary increase of 1% with a pro-rata £500 payment paid quarterly will add £45,155 to salary costs in the upcoming fiscal year. The Mlnimum Wage: There are only 4 members of staff that require more than the 1% pay rlse for all staff to meet the new minimum wage so the impact at £1.158.56 Is minima5. National Insurance.. After taking into account the additional Employment Allowance of £10.500, the full year cost of the National Insurance change5 is £33,019. In addition, it Is already evident that the essential utilities, pmduct5 and services that we purchase a re costing Significantly more. This is Ilkely to be a recurring trend. Although, currently we are solvent, unavoidable mounting c05t pressures will continue to consume resources. To mitigate thls our focus will be on 5ucce55fully and sustainably generating rnore income in all its forms, but especially through retail and legacie5.

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND TRUSTEES, REPORT (INCLUDING DIRECTOR'S REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Structure, governance and managernent Nt7ture of goveming document The Company is constituted under a Memorandum of Association dated l April 2003 and is 2 registered charity, number 1095708. The principle objert of the Company is to provide palliative and supportive care to person5 suffering from any terminal illness in their own home. The Directors of the Company are also Charity Trustee5 for the purpose of Charity Law and in the Company's Artlcles of Association are described as Trustees. The trustees who served durin8 the year were.. Mrs S Black Mr D Claxton Mr M K Clementson Mr K Coulthard Mrs M A Drury Dr H A Dunning Mrsm Gray Mrsj S Lamb Prof S Revelev Mr5 D J Shearer Rev D Cwood Mrj F Porter (Resigned 7 April 20251 (Appointed l October 20241 Recruitment and t7ppointment of tru5tee5 The management of the company is the responsibility of the Trustees who are elected and co-opted under the terms of the Articles of Association. The maximum number of Trustees is 15 and the minimum is 3. At each annual general meeting one third of the Trustees for the time being or, if their number is not 3 or a multiple of 3, then the number nearest one third, shall retire from offlce. The Trustees to retire are those who have been longest in office Since their last election. A review of the Tru5tee5' skills is carried out regularly and where a skill is not represented on the Board potential appointee5 are either approached to offer themselves for election or advertisements are placed in local newspapers and on the Charity website. Decision5 regarding the management of the Charity are taken at 8oard meetings which are held every 2 months. There are 4 sub-groups which report to the Board and these are Clinical Assurance, Workforce, Information Governance and Finance and Income Generatlon. The Company Secretary and Chlef Executive OfPicer attend Board meetings but neither has a vote. The Chief Executive Officer takes oveTrll responsibility for leadership of the Charity. In October 2025 three trustees will have completed nine years with the charlty and will step down from their role In accordance with the Artlcles of A550ciation120241. We said goodbye and thank you to Susan Black who retired in March 2025 after three years as a trustee. James Ferri5 Porter was appointed as trustee on 1st October 2024 and approved by the AGM in October 2024.

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND TRUSTEES, REPORT (INCLUDING DIRECTOR'S REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Patrons andAmbossodors Hospice at Home is pleased to welcome a new Patron.. Sarah Dunning OBE DL. Sarah is chair of Westmorland Limited - her 5econd-generation family business which operates motorway services in Cumbria, Scotland and Gloucestershlre, a5 well a5 Rheged and junction 38 Truckstop. The business originally grew out of their hill farm in Cumbria and the business seeks to celebrate its local communities by working with local farmers and food producers. Sarah also sits on the Board of family business Timpson, Raby Estates and is a Trustee of Francis Scott Trust. Jane Hassell-mccosh LD continues to actlvely support Hospice at Home: she hosted the Marmalade Festival at Dalemain in April which was a great success and thls year celebrated its 20th anniversary. Jane was presented with the Order of the Rising Sun, Silver Rays by the government of Japan for welcoming Japanese visitors and their marmalade to Cumbria and for her SUPPOrt of a similar festival in Yawatahama Citv. Juliet Westoll MBE, LD continues her valuable work as patron. Over many years Jane and Juliet have raised our profile nationally and internationally and raised a great deal of money through their fund-raising activities. We a￿ extremely grateful for their Ipyalty and commitment and look forward to continue working together. We welcomed lan Milburn and Nicola Irvlng as Charity Ambassador5. Their involvement will help us extend our reach to local businesses and individuals in our locality, encouraging them to get involved in helping us make a positive difference to our patients. We said goodbye and thank you to two patrons who retired in March 2025.. Claire Hen5man CVO who has been a Patron of Hospice at Home for 17 years and with us for several years before that. Belinda Hill produced a wonderful 'At Home in Cumbria. cookery book that includes over 100 recipes, many which have been created using products from local food producers and growers. All proceeds from the book go to H05pice at Home. We wish them both well.

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND TRUSTEES, REPORT (INCLUDING DIRECTOR'S REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Organisotionalstructure During the year we have continued to strengthen our governance processes, including reviewing and updating as appropriate policies, risk identification and management. We have st￿ngthened governance by bringing finance and human resources together and continue to ensure regulatory and statutory compllance across all department5. SeniorTeam Committee Strurture: Boèrd OfTrL￿IeeS Sub.Commliliees Wolkforce Infom¥tbJn Cllnical Assuran FlnarKe&lnc ¥oinarKe Collaboration: Hospice at Home is cornmitted to working with key stakeholders for the benefit of patients, families and communities. We engage in various meetings that seek to promote and develop palliative and end-of-Life care, example5 include North Cumbria and North East H05pices collaborative, North Cumbria Hospices together. the North Cumbria Palliative and End of Life Care Partnership. which in 2023 our CEO took on the joint chairing of this group, and attendance at The Accident and Emergency Care Delivery Board. Induction ond training of trustees New Trustees attend a briefing session with the Chair and other ofPicers which covers the alm5 of the Charity, Trustees, duties, the Charity constitution and financial p051tion. It is enhanced by an induction manual produced by Hospice UK. Trustees attend training events as required and 5UPPOrt can be acce55ed via Cumbria Council for Voluntsry Services. Othermatters The policy for care staff 15 based on the remuneration of similar employees In the NH5 using pre 18-19 NHS pay scales and inflated with costs of living increases. The policy for fundraising, office and administration staff 15 based on National Joint Council pay scales which are local government pay Scales used in the voluntary sector. 10

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND TRUSTEES, REPORT (INCLUDING DIRECTOR'S REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Statement of trustees, responsibilities The trustees, who a￿ also the directors of Hospice at Home Carlisle and North Lakeland for the purpose of company law, are responsible for preparing the Trustees, Report and the flnancial statements in accordance with applicable law and United Kingdom Accounting Standards Iunited Kingdom Generally Accepted Accounting Practlcel. Company law requires the trustees to Prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charity and of the incoming resources and application of resources, including the income and expenditure, of the charitable company for that year. In preparing these financlal statements, the trustees are required to: select suitable accounting policie5 and then apply them consistently,. observe the methods and principles in the Charities 50RP,- make judgements and estimates that are re350nable and prudent: state whether applicable UK Accounting Standards have been followed, Subject to any material departures disclosed and explained in the financial statements- and prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in operation. The trustees are responsible for keeping adequate atcounting records that disclose with reasonable accuracy at any time the financial posltion of the charity and enable them to ensure that the financial 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 In accordance with the company's articles. 3 re501ution proposing that Saint & Co. be reappointed as auditor of the company will be put at a General Meeting. Small Company Provisions This report has been prepared in accordance with the provlsions applicable to companies entitled to the small companies exemption. Disclosure of information to auditor Each of the trustees has confirmed that there 15 no inform8tion of which they are aware whith 15 relevant to the audit, but of which the auditor 15 unaware. They have further confirmed that they have taken appropriate steps to identify such relevant information and to establish that the auditor is aware of Such information. The trustees, report was approved by the Board of Trustees. Mr M K Clementson Trustee Pr f S Reveley Trustee Date- 11

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF H05PICE AT HOME CARLISLE AND NORTH LAKELAND Opinion We have audited the financial statements of Hospice at Home Carlisle and North Lakeland (the 'charity'l for the year ended 31 March 2025 which comprise the statement of financial activities, the ststement of financial position, the statement of cash flows and notes to the financial statements, including significant accounting policies. The financial reporting framework that ha5 been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Finonciol Reporting Stundord applicable in the UK ond Republic of Irelund Iunited Kingdom Generally Accepted Accounting Practice). In our opinion, the financial statements- give a true and fair view of the state of the charitable company's affairs as at 31 March 2025 and of its incoming resources and opplication of resources, including its income and expenditure, for the year then ended,. have been properly prepared in accordar)ce with United Kingdom Generally Accepted Accounting Practice. and have been prepared in accordance with the requirements of the Companies Act 2006. Basis for opinion We conducted our audit in accordance with International Stsndards on Auditing IUKI 11SAs IUKII and applicable law. Our responsibilities under those standards are further described in the Auditors re5POnsibilities for the audit of the financial stutements section of our report. We are independent of the charity in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC'S Ethical Stsndard, and we have fulfilled our other ethical responsibilitie5 in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion. Contlusions relating to going concern In auditing the financial statements, we have concluded that the trustees. use of the going concern bas15 of accounting in the preparation of the financial statements is appropriate. Based on the work we have performed. we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast Significant doubt on the charity's ability to continue as a going concern for a period of at least tMelve months from when the financial statements are authorised for issue. Our responsibilities and the responsibilities of the trustees with respect to going concern are dèscribed in the relevant sections of this report. Other information The other information comprises the informatlon included in the annual report other than the financial statements and our auditor'5 report thereon. The trustees are responsible for the other information Contained within the annual report. Our opinion on the financial statements does not cover the other infomiation and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibilty is to read the other information and, in doing so, consider whether the other Information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appear5 to be materially misstated. If we identify such material inconsistencie5 or apparent material misstatement5, we are required to determine whether this glves rise to a materlal rnis5tatement in the financial statements themselves. If, based on the work we have performed, we conelude that there Is a material misstatement of this other information, we are reqUI￿d to report that fact. We have nothing to report in this regard. Opinions on other rnatter5 prescribed by the Companie5 Act 2006 In our opinion, based on the work undertaken in the course of our audit,. the information given in the trustees, report for the financial year for which the financial Statements are prepared, which include5 the directors, report prepared for the purposes of company law, is consistent with the financial statements; and the directors, report included wlthin the trustees, report has been prepared in accordance with applicable legal requirement5. 12-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND INDEPENDENT AUDITOR'S REPORT (CONTINUED) TO THE MEMBERS OF H05PICE AT HOME CARLISLE AND NORTH LAKELAND Matters on whlth we are required to report by exception In the IiEht of the knowledge and understsnding of the charity and its environment obtained in the course of the audit. we have not identified rraterial misstatements in the directors, report included within the trustees, report. We have nothing to report in respect of the following matters in relation to which the Companie5 Act 2006 requires us to report to you if, in our opinion.. adequate accounting records have not been kept, or returns adequate for our audlt have not been received from branches not visited by us,. or the financial statement5 are not in agreement with the accounting records and returns; or certain disclosures of trustees, remuneration specified by law are not made; or we have not received all the information and explanations we require for our audit; or the trustees were not entitled to prepare the financial slatements in accordance with the small companies ￿gIMe and tske advantage of the small companies, exemptions in preparing the trustees, report and from the ￿qUIreMent to prepare a strategic report. Responsibilities of trustees As explained rn0￿ fully in the statement of trustees, responsibilities, the trustees, who are also the d1￿CtorS of the charity for the purpose of company law, are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. In preparing the financial statements, the trustees are ￿sponsIble for assessing the charity's ability to continue as a going Concern, disclosing. as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the ch3ritsble company or to cease operations, or have no realistic alternative but to do so. Auditor's responsibilities for the audit of the financial statements Our objertives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement. whether due to fraud or error, and to Issue an auditor's report that includes our opinion. Reasonable assurance 15 a high level of assurance but 15 not a guarantee that an audit condutted 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, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of user5 taken on the basis of these financial statements. Irregularitie5, including fraud, are instsnces of non-compliance with laws and regulations. We design procedures in line with our ￿SpOnSIbl11t1e$, outlined above, to detect material mi55tatements in respect of irregularitie5, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud, 15 detsiled below. 13-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND INDEPENDENT AUDITOR'S REPORT (CONTINUED) TO THE MEMBERS OF HOSPICE AT HOME CARLISLE AND NORTH LAKELAND Our approach to identifying and assessing the risks of material mi5Statement in respect of irregularities. including fraud and non-compliance with laws and regulations. was as ft)Ilows= 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 identified the law5 and regulations applicable to the charity through discussions with trustees and other management,. we focused on specific laws and regulatioris which we considered may have a dlrect material effect on the financial statements or the operations of the charity,. we assessed the extent of compliance with the laws and regulatlons identified above through making enquiries of management and inspecting legal correspondence,. and 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 char(ty'5 financial ststements to material misstatement, including obtsining an understanding of how fraud might occur, bv: making enquiries of management as to where they considered there was SU5ceptibility 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 relation5hips.' tested journal entries to identify unusual transactions,. assessed whether judgements and assumptions made in determining the accounting estimates Set out in the accounting policies were indicative of potential bias- and investigated the rationale behind significant or unusual transactions. In response to the risk of irregularitie5 and non-compliance with laws and regulations, we designed procedure5 which included, but were not limrced to.. agreeing financial statement disclosures to underlying supporting documentation,. reading the minute5 of meetings of those charged with governance,. enquiring of management as to actual and potential litigation and claims,. and reviewing correspondence with ￿levant regulator5 such as Charity Commission and the charity'5 legal advisors. There are inherent limitations in our audit procedures described above. The MO￿ removed that law5 and regulations are from financial transactions, the less likely it is that we would become aware of non-compliance. Auditing standards also limit the audit procedure5 required to identify non-compliance with laws and regulation5 to enquiry of the directors and other management and the inspection of regulatory and legal correspondence, if any. Material misststement5 that arise due to fraud can be harder to detect than those that arise from error as they rnay involve deliberate concealment or collusion. A further description of our responsibilitie5 is available on the Financial Reporting Council's website at.. https'.l/ www.frc.org.uk/auditorsresponsibilities. Thi5 description forms part of Dur auditor'5 report. Use of our report This report is made 501ely to the charitable company'5 member5, as a body. in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work ha5 been undertaken so that we mlght state to the charitable companvs member5 those matters we are required to stste to them in an auditor's report and for no other purpose. To the fullest extent permitted bv law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable cornpany's members as a body, for our audit work, for thls report, or for the opinions we have formed. 14-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND INDEPENDENT AUDITOR'S REPORT {CONTINUED) TO THE MEMBERS OF HOSPICE AT HOME CARLISLE AND NORTH LAKELAND stuart Farrer (Senior Statutory Auditor) For and on behalf of Saint & Co., Statutory Auditor Charte￿d Accountants & Sterling House Wavell Drive Rosehill Carlisle CAI 2SA Date.. 15-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND STATEMENT OF FINANCIAL ACTIVITIES INCLUDING INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31 MARCH2025 Current financial year Unrestricted funds 2025 Restricted funds 2025 Total Total 2025 2024 Notes Income from: Donations and legacies Charitable activities Fundraising t￿dIng Investment income 932,857 418,134 498,111 36,737 65,945 998,802 418,134 498,111 36,737 1,415,993 376,514 503,228 35,895 Total income 1.885,839 65,945 1,951,784 2.331,630 Ex enditure on., Raising funds Fundraising Trading Charitable activities 299.583 252,931 1,505,545 299,583 252,931 1,542,316 424,863 288,488 1,362,404 36,771 Totsl expenditure 2,058,059 36.771 2,094,830 2,075,755 Net gainslllossesl on investments 13 11,431 11.431 89,740 Net movement in funds 1160.7891 29,174 1131,6151 345,615 Fund balance5 at l April 2024 3,331,333 3,476 3,334,809 2.989,194 Fund balances at 31 March 2025 3,170,544 32.650 3,203,194 3,334,809 The 5tstement of flnancial attivitie5 includes all gains and1055es recognised in the year. The statement of financial activitie5 also complies with the requirements for an income and expenditure account under the Companies Act 2006. 16-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND STATEMENT OF FINANCIAL ACTIVITIES (CONTINUED) INCLUDING INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31 MARCH 2025 Prior financial year Unrestricted funds 2024 Restricted funds 2024 Total 2024 Notes Incomefrom.. Donations and legacies Charitable activities Fundraising trading Investment income 1,357,808 376,514 503,228 35,895 58,185 1.415,993 376,514 503,228 35,895 Total income 2,273,445 58,185 2,331,630 Ex endlture on.. Raising funds Fundraising Trading 424,482 288.488 381 424,863 288.488 712,970 381 713.351 Charitable activities 1,303.076 59.328 1,362,404 Total expenditure 2,016,046 59,709 2,075,755 Net gains/llosses1 on investments 13 89,740 89,740 Net movement in funds 347,139 11,5241 345.615 Fund balance5 at l April 2023 2,984.194 5,000 2,989,194 Fund balance5 at 31 March 2024 3,331.333 3,476 3,334,809 17-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND STATEMENT OF FINANCIAL POSITION ASAT31 MARCH 2025 2025 2024 Note5 Flxed assets Tan8ible assets Investments 15 16 42,594 2,479,504 12,081 1,178,054 2,522,098 1.190,135 Current as5et5 Stocks Debtors Cash at bank and in hand 17 18 6.230 375,750 789,070 2,670 458,286 2,148,875 1.171,050 1489,9541 2,609,831 1465,1571 Creditors.. amounts falling due within one year 19 Net current assets 681,096 2,144,674 Total assets less current liabilities 3.203,194 3,334,809 Net assets excluding pension liabilitv 3,203,194 3,334,809 The funds of the charity Restricted Income funds Unrestricted fund5 22 32,650 3,170,544 3,476 3,331,333 3.203,194 3.334,809 These financial statements have been prepared in accordance wtth the provisions applicable to companies subject to the small companie5 regime. The financial statements were approved by the trustee5 on J5.TH. gP..IS... Mr M K Clementson Trustee Prof S Trustee eveley Cornpany registration number 04609579 (England and Wale51 18

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 MARCH 202S 2025 2024 Note5 Cash flov15 from operatlnE activitie5 Cash (absorbed byl/generated from operations 28 168,5301 430,917 Investing activities Purchase of tangible fixed assets Purchase of investments Proceeds from disposal of investments Investment income received 137,9931 11,290,0191 18,1441 120,1601 257,091 35,895 36,737 Net cash Iused in)Jgenerated from investing activities 11.291.275) 264.682 Net cash generated from financing actlvities Net Idecreaselllncrease in cash and cash equivalents 11.359,8051 695.599 Cash and cash equivalents at beginning of year 2,148,875 1,453,276 Cash and cash equivalents at end of year 789,070 2,148,875 19-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 Accounting pollcies Charity informatlon Hospice at Home Carlisle and North Lakeland is a private company limited by guardntee incorporated in England and Wales. The registered ofPice is Valley Court, Barras Lane Estate. Dalston, Carlisle, CAS 7NY. The charity is limited by guarantee and consequèntly does not have share capitsl. Each of the members are liable to contribute an arnount not exceedln8 £1 towards the assets of the charity in the event of liquidation. 1.1 AccountinE convention The financial statements have been prepared in accordance with the charity's governing document, the Companies Act 2006, FRS 102 "The Financial Reporting Stsndard applicable in the UK and Republic of Ireland" I'FRS 102.1 and the Charities SORP "Accounting and Reporting by Charities.. Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021" leffective l January 20191. The charity is a Public Benefit Entity as defined by FRS 102. The financial statements are prepared in sterling, which is the functional currency of the charity. Monetary amounts in these financial statements are rounded to the nearest £. The financial statements have been prepared under the historical cost convention, modified to include the revaluation of certain financial instruments at fair value. The principal accounting policies adopted are set out below. 1.2 Going concern At the time of approving the financial statements, the trustees have a reasonable expectation that the charity has adequate ￿sOurceS to continue in operational existence for the foreseeable future. Thus the trustee5 continue to adopt the going concern basis of accounting in preparing the financial statements. 1.3 Charitable funds Unrestritted funds are available for vse at the discretion of the trustees in furtherance of their charitable objectives. Restricted funds a￿ subject to specific conditions by donor5 or grantors as to how they may be used. The purposes and Uses of the restricted funds are set out in the notes to the financial statements. Endowment funds are subject to specific conditions by donors that the capital must be maintained by the charity. 1.4 Income Intome is recognised when the charity is legally entitled to it after any performance conditions have been rnet, the amount5 can be measured reliably, and it is probable that income will be received. Cash donations are recogni5ed on recelpt. Other donations are recognised once the charity has been notified of the donation. unless performance conditions require deferral of the arnount. Income tax recoverable in relation to donations received under Gift Aid or deed5 of covenant is recognised at the time of the donation. Legacies are recognised on receipt or otherwise if the charity has been notified of an impending distribution, the amount 15 known, and receipt 15 expected. If the amount is not known, the legacy is treated as a corttingent asset. Grant5 a￿ ￿e0gniSed when the charity has an entitlement to the fund5 and ary conditions linked to the grants have been met. Where performance condltions are attached to the grant and are yet to be met, the income is recognised as a Ilability and included on the balance sheet as deferred income to be released. -20-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Accounting policies (Continued) Income from fundraislng events undertaken in the year Is recognised when there 15 evidence of entitlement, receipt is probable and its amount can be measured reliably Investment income frorn interest on deposit funds held is included when receivable and the amount can be measured reliably by the charity which is normally upon notification of the interest paid or payable by the bank. 1.5 Expenditure Expenditure is recognised once there is a legal or constructive obligation to transfer economic benefit to a third party, it is probable that a transfer of economic benefits will be required in settlement, and the amount of the obligation can be measured reliablv. Expenditure is classified by activity. The costs of each activity are made up of the total of direct costs and sha ￿d costs, including support costs involved in undertaking each activity. Direct costs attributable to a single activity are allocated directly to that activity. Shared costs which contribute to more than one activity and support costs which are not attributable to a single activity are apportioned between those activities on a basis consistent with the use of resources. Central staff costs are allocated on the basis of time spent, and depreciation charges are allocated on the portion of the asset'5 use. These are costs incurred in attracting voluntary income, the management of investments and those incurred in trading activities that raise funds. Charitable expenditure comprises those costs incurred by the charity in the delivery of its activities and services for its beneficiaries. It includes both costs that can be allocated directly to such activities and those costs of an indirect natu necessary to support them. Support costs include central functions and have been allocated to activity cost categories on a basis consistent with the use of resources, for example, allocating property costs by floor areas, or per capits, staff costs by the time spent and other costs by their usage. 1.6 Tangible fixed assets Individual fixed a55ets costing £1,000 or more are initially recorded at cost. less any 5ub5equent atcurnulated depreciation and subsequent actumulated irnpairment losses. Depreciatlon 15 recognised 50 8S to write off the cost or valuation of as5et5 le55 thelr residual values over their useful lives on the following bases.. Leasehold improvements Ofrice equipment Motorvehicles 20%-25Yo Straight line 25% straight line 20% reducing balance The gain or loss arising on the disposal of an asset is determined as the difference between the sale proceeds and the carrying value of the asset, and is recognised in the statement of flnancial activities. 1.7 Fixèd a55et investments Fixed a55et investments are initlally measured at transaction prlce excluding transaction costs, and are subsequently measured at fair value at each reporting date. Changes In fair value are recogni5ed in net incomellexpenditurel for the year. Transaction cost5 are expensed as incurred. -21

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 AccountinE policie5 (Continued) 1.8 Impairment of fixed assets At each reportlng end date, the charity reviews the carrying amounts of its tsngible assets to determine whether there Is any indication that those assets have suffered an impairment 1055. If any such indication exists, the recoverable amount of the asset is estimated in order to determine the extent of the impalrment105s lif anyl- 1.9 Stock5 Stocks are stated at the lower of cost and estimated selling price less costs to complete and sell. Cost comprises dI￿¢t materials and, where applicable, direct labour costs and those overheads that have been incurred in bringing the stocks to their present location and condition. Items held for distribution at no or nominal consideratlon are measured the lower of replacement cost and cost. Net realisable value is the estimated selling price less all estimated costs of completion and costs to be incurred in marketing, selling and distribution. 1.10 Cash and cash equivalents Cash and cash equivalents include cash in hand. deposits held at call with banks, other short-term liquid investments with original maturities of three months or le55, and bank overdrafts. Bank overdrafts are shown within borrowings in current liabilities. 1.11 Flnancial instruments The charity has elected to apply the provision5 of Section 11 'Basic Financial Instruments, and Section 12 '0ther Financial Instruments Issues, of FRS 102 to all of it5 financial instruments. Financial instruments are recognised in the charity'5 balance sheet when the charity becomes party to the contractual provisions of the instrument. Financial a55et5 and liabilities are offset, with the net amounts presented in the financial statements, when there is a legally enforceable right to set off the recognised amounts and there is an intention to settle on a net basis or to realise the asset and settle the liability simultaneously. 805icfvnancial assets Basic financial assets, which include debtors and cash and bank balances, are initially measured at transattion price including transaction costs and a￿ subsequently carried at amortised cost using the effettive Inte￿5t method unless the arrangement constitutes a financing transaction, where the transattion 15 measured at the present value of the future receipt5 discounted at a market rate of interest. Financial assets classified as receivable withln one year are not amort15ed. Baslclinoncial liabilities Basic flnancial liabilitie5, including creditors and bank loans are Initihlly recognised at tran5artion price unle55 the arrangement constitutes a financlng tran5attion, where the debt instrument is measured at the present value of the future payments discounted at a rnarket rote of interest. Financial liabilities classified as payable within one year are not amortised. Debt instruments are subsequently carried at amortised c05t, using the effective interest rate method. Trade credltors are obligations to pay for goods or services that have been acquired in the ordinary Course of operation5 from suppliers. Amounts payable are classified as current liabilitie5 if payment is due within one year or les5. If not. they are presented as non-current liabilities. Trade creditor5 are recognised initially at transaction price and Subsequently measured at amortised cost using the effective interest method. -22-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Accounting policies {Continued) Derecognition offinancial liabllltles Financial Ilabilities are derecognised when the charity's contrartual obligations expire or are discharged or cancelled. 1.12 Taxation The charity is consldered to pas5 the tests set out in Paragraph I Schedule 6 of the Finance Act 2010 and therefore it meets the definition of a charitable company for UK corporation tax purposes. Accordingly, the charity is potentiallv exempt from taxation in respect of income or capital gains received within categories covered by Chapter 3 Part 11 of the Corporation Tax Act 2010 or Section 256 of the Taxation of Chargeable Gains Act 1992, to the extent that such income or gains are applied exclusively to charitsble purposes. 1.13 Employee benefits The cost of any unused holiday entitlement is recognised in the period In which the employee's seFvice5 are received. Termination benefits are recognised immediately as an expense when the charity is demonstrably committed to terminate the employment of an employee or to provide termination benefits. 1.14 Retirement benefits Payments to defined contribution retirement benefit schemes are charged as an expense as they fall due. Critical accounting estimates and judgements In the application of the charity's accounting policies, the trustees are required to make judgements, estimate5 and assumptions about the carrying amount of assets and liabilities th3t are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factor5 that are considered to be relevant. Attual results may differ from these estimates. The estlmates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estlmates are recognised in the period in which the estimate 15 revised where the revision affect5 only that period, or in the period of the fevision and future periods Whe￿ the revision affects both current and future periods. Income from donations and legacies Unrestricted fund5 2025 Restrirted funds 2025 Total Unrestricted funds 2024 Restrlcted funds 2024 Total 2025 2024 Donations and gifts Legacies Grants Other 439,377 460,261 5,264 27,955 34,658 474,035 460,261 36,551 27,955 464,239 860.063 11.000 22.506 464,239 860,063 69,185 22,506 31,287 58.185 932,857 65,945 998.802 1,357,808 58,185 1,415,993 -23-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Intome from donations and legacies (Continued) Unrestricted funds Restricted funds 2025 Total Unrestricted funds 2024 Restricted funds 2024 Total 2025 2Q25 2024 Donations and gifts In memorium Personal Organisations Fundraising events Other 110,462 124,613 82.802 113.252 8,247 110,462 124,613 82,802 113,252 42,905 99,035 150,181 91,762 115,513 7,748 99,035 150,181 91,762 115,513 7,748 34,658 439,377 34,658 474,035 464,239 464,239 Grants Grants Hospice UK 5,264 5,264 31,287 11,000 58,185 69,185 31,287 5,264 31,287 36,551 11,000 58,185 69,185 Income from charitable artivities Unrestricted funds 2025 Unrestricted funds 2024 Provision of care Other income 418.134 376,514 -24-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTE5 TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Income from other trading artivities Unrestricted funds 2025 Unrestricted funds 2024 Non-charitable trading activities Membership subscriptions and sponsorship5 Fundraising events Shop income 15,572 11,205 157,643 313,691 16,684 11,908 114,751 359,885 Fundraising trading 498,111 503,228 Income from investment5 Unrestricted Unrestricted funds 2024 funds 2025 Income from listed investments Intsrest receivable 13,069 22.826 36,737 36,737 35,895 -25-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Expenditure on raising funds Unrestritted funds 202S Restricted funds 2025 Total Unre5trirted funds 2024 Restrlcted funds 2024 Totsl 2025 2024 Fundraising Seeking donations, grants and legacies Other fundraising costs Staff costs Support costs 10,249 42,600 200,577 171.056 10,249 42,600 200,577 171,437 38.548 192,987 68.048 38,548 192,987 68,048 381 299,583 299,583 424,482 381 424,863 Trading Operating trading company Staff costs Support costs 104.108 110,077 38,746 104,108 110,077 38,746 96,359 140,885 51,244 96,359 140,885 51,244 252,931 252,931 288,488 288,488 Total costs 552,514 552,514 712,970 381 713.351 -26-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH2025 Expenditure on charitable activities Provision of care Provision of care 2025 2024 Dlrert costs Staff costs NuT5ing expenditure Volunteer expenses Respite project 1,051,409 30,234 4,616 922,184 36,275 4,340 10,132 1,086,259 972,931 Share of support and governance c05t5 (see note 9) Support Governance 389,749 66,308 276,292 113,181 1,542,316 1,362,404 Analysis by fund Unrestricted funds Restricted funds 1,505,545 36,771 1,303,076 59,328 1,542,316 1,362,404 -27-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Support Costs allocated to artivitie5 2025 2024 stsff costs Depreciation Insurante 278,954 7,480 22,130 44,326 13,392 23,470 4,806 15,1741 5,846 1,276 15,645 14,924 135.776 285,433 5,228 21,404 53,399 14.957 61,536 11,160 14,600 3,374 130 8,969 8,534 133.679 Premises costs Printing, postage & stationery Equipment maintenance Newsletter Telephone Publicity Subscriptions HR Sundry Governance costs 562,851 622,403 Analy5ed between: Fundraising Provision of care 106,794 456.057 232,930 389,473 562.851 622.403 2025 2024 Governance costs comprise: Staff costs Audit fees Accountancy Legal and professional Trustee expenses Share of 5UPPOrt cost5 64,467 6,555 47,714 12,145 11051 5,000 58,941 4,200 1,800 62.993 209 5.536 135,776 133.679 10 Net movement in funds 2025 2024 Net movement in funds is ststed after charging/lcreditlngl Depreciatiort of owned tangible fixed assets Operating lease charges 7,480 91.397 5,228 98,676 -28-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS {CONTINUED} FOR THE YEAR ENDED 31 MARCH 2025 li Trustees During the year ended 31 March 2025, no trustee5 lor any persons connected with theml received any remuneration or benefits frorn the charity. During the year £nil12024.' £nill was paid to trustees *or for reimbursement of travel costs. 12 Ernployee5 The average monthly number of employees during the year was.. 2025 Number 2024 Number Fundraising staff Clinical staff TTrding staff Housekeeping staff Office staff 37 38 12 Total 62 63 Ernployment costs 2025 Z024 Wage5 and salaries Social security costs Other pension costs 1,369,772 121.917 72,131 1,364.726 118,805 73,442 1,563,820 1,556,973 Termination payments totalling £7,57312024'. £15,987) were made in the reporting period. This included £7,572.50 Ex- Grntia payment12024.' £6,058) and there 15 no payment related to payment in lieu of notice and holiday entitlement 12024: £9,929). The number of employees whose annual remuneration was more than £60.000 15 as follows-. 2025 Number 2024 Number £80,001 . £90,000 -29-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS {CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 12 Employees {Continuedl Remuneration of key management personnel The remuneratlon of key management personnel wa5 as follows.. 2025 2024 Aggregate compensation 321,479 290,862 13 Gains and losses on investments Unrestricted funds 2025 Unrestricted funds 2024 Gainslllossesl arising on.. Revaluation of investments Sale of investments 11,431 90,732 19921 11,431 89,740 14 Taxation The charity is exempt from tax on income and gains falling within sertion 505 of the Taxes Act 1988 or section 252 of the Taxation of Chargeable Gains Act 1992 to the extent that these are applied to its charitable objects. IS Tangible fixed assets Leasehold improvement5 orrice Motor ￿hl(leS equlpment Total C05t At l Aprll 2024 Additions 71,863 20,335 69,278 17,658 11.998 153,139 37,993 At 31 March 2025 92,198 86.936 11,998 191,132 Depreciation and impairment At l Aprll 2024 Depreciatlon charged in the year 71,863 661 61.062 6,046 8,133 773 141.058 7,480 At 31 March 2025 72,524 67,108 8,906 148,538 Carrying amount At 31 March 2025 19,674 19,828 3,092 42,594 At 31 March 2024 8,216 3,865 12,081 -30-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH2025 16 Fixed asset inve5tmentS Unlisted Llsted securities investments Total C05t or valuation At l April 2024 Additions Valuation changes 1,178,054 250,000 12,073 1,178.054 1,290.019 12,073 1,040,019 At 31 March 2025 1,040,019 1,440,127 2.480,146 Carrying amount At31 March 2025 1,040,019 1,440,127 2,480,146 At31 March 2024 1,178,054 1,178,054 17 Stocks 2025 2024 Raw materials and consumables 6,230 2,670 18 Debtors 2025 2024 Amounts falllng due within one year: Trade debtors Other debtors Prepayment5 and accrued income 44,884 17,542 313,324 11.511 14.779 431.996 375,750 458.286 19 Creditors: amounts falling due within one year 2025 2024 Notes Other taxation and social security Deferred income Trade creditors Other creditors Accruals 26,856 387,921 33,029 14,017 28.131 26,782 383,320 16,364 7.185 31.506 20 489,954 465.157 31

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 20 Deferred income 2025 2024 Other deferred income 387,921 383,320 Deferred income 15 included in the financial statements as follows: 2025 2024 Deferred income is included within.. Current liabilities 387,921 383,320 Movement5 in the year.. Defer￿d income at l April 2024 Released from p￿VIouS periods Resource5 deferred in the year 383,320 1383,3201 387,921 600 16001 383,320 Deferred income at 31 March 2025 387,921 383.320 Deferred income relates to NHS grant income for 202512026. 21 Retirement benefit schemes 2025 2024 Defined contribution schemes Charge to profit or Ioss in respect of defined contribution Schemes 70,346 70,632 The chartty operates a defined contribution pension scheme for all qualifying employees as well a5 contributing to the NH5 pension scheme. The a55ets of the scheme are held separately from those of the charity in an independently administered fund. Contrlbutions amounting to £7,43812024- £7,185) were payable to the scheme at balance sheet date and are included within other creditors. -32-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH2025 22 Restricted funds The restricted funds of the charity comprise the unexpended balances of donations and grants held on trust subject to specific condition5 by donors as to how they may be used. At l April 2024 Incoming resources Resources expended Transfers At 31 March 2025 Restricted Fixed Assets Fund Hospice UK Screwfix Foundation The February Foundation Hadfield Trust Albert Hunt Electricity North West Medicash 12,1131 31,287 131,2871 29,174 31,287 3,476 3,476 5,900 5,000 15,000 5,000 3,758 15,9001 15,0001 115,0001 15,0001 13,7581 3.476 65,945 136,7711 32,650 Prevlous year: At l April 2023 Incorning resources Resources expended Transfers At 31 March 2024 Mulberry Trust Screwfix Foundation The February Foundation St james Place Hadfield Trust Albert Hunt ECGraham 20,000 120,0001 11.5241 14,8851 12.5001 15.0001 115,0001 16.0001 14,8001 5,000 3,476 4.885 2,500 5,000 15,000 6,000 4,800 The Jane Hodge Foundation 5,000 58,185 159,7091 3,476 23 Unrestri¢ted funds The unrestricted funds of the charity comprlse the unexpended balances of donation5 and grants which are not subject to specific conditions by donors and grantors as to how they may be used. These include designated funds which have been Set aside out of unrestrfcted funds by the trustees for specific purposes. At l April 2024 Incomlng resource5 ResourcesGains and losse5 expended At 31 March 2025 General fund5 3,331,333 1,885,839 12.058,0591 11,431 3.170,544 -33-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 23 Unrestricted fund5 (Continued) Previous year: At l April 2023 Incoming resources Resource5Gains and losses expended At 31 March 2024 General funds 2,984,194 2,273,445 12,016,046) 89,740 3,331,333 24 Analysis of net asset5 between funds Unrestrirted funds 2025 Restrirted funds 2025 Total 2025 At31 March 2025: Tangible as5etS Investments Current assets/lliabilitiesl 13,420 2,479,504 677,620 29,174 42,594 2,479,504 681,096 3,476 3,170,544 32,650 3,203,194 Unrestricted fund5 2024 Restricted fund5 2024 Total 2024 At 31 March 2024: Tangible assets Investment5 Current a5setsllliabilitiesl 12,081 1,178,054 2,141,198 12,081 1,178,054 2, 144,674 3,476 3,331,333 3,476 3.334,809

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 25 Operating lease commitments Lessee Operating lease payments represent rentals payable by the charity for its properties, equipment and vehicles. At the reporting end date the charity had outstanding commitments for future minimum lease payments under non- cancellable operating leases, which fall due as follows: 2025 2024 Within one year Between two and five years 91,741 139,435 66,645 19,566 231,176 86.211 26 Related party tran5artions Transartions with related parties During the year the charity entered into the following transactions with related partles.. Trustee5' liability amounting to £2,169 and Entity legal liabillty (including professional indemnity) insurance amounting to £1.2051£2024.. Trustees, indemnity insurance amounting to £5001 was paid by the charity during the year. 27 Analy515 of changes in net funds The charity had no material debt during the year. -35-

HOSPICE AT HOME CARLISLE AND NORTH LAKELAND NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH2025 28 Cash generated from operations 2025 2024 IDeficitl/surplus for the year 1131,6151 345,615 Adjustments for.. Investment Income recogni5ed in statement of financial activities (Gainllloss on disposal of investments F3ir value gains and losses on investments Depreciation and impairment of tsnglble fixed assets 136,7371 135,8951 992 190,7321 5.228 111,4311 7,480 Movements in working capital.. Ilncrea5el/decrease in stocks DeC￿aSe/11nCrease1 in debtors Increaselldecreasel in creditor5 InC￿aSe in deferred income 13,5601 82,536 20,196 4,601 2,079 1127,1571 (51,9331 382,720 Cash (absorbed byl/generated from operations 168,5301 430,917 -36-